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Home My WebLink About0184 OXFORD DRIVE I� f Town .of Barnstable C 1 �►��`�` �TME' ti Regulator_o *ee s%L� - o� Richard V. Scali,DirectorBAJW w n M`�„ Building 1 VW10"if � 1639. 1. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barns Office: 508-862-4038 Fax: 508-790-6230 PERMIT# V `ti� `1 FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less /8 OX r'ORO Z>21 UZ Location of shed(address) Village c-P N f CAO u6 rrE 7 8 I - 70. 8 - 4 8 0,5- Property owner's name Telephone number Size of Shed , Map/Parcel# av Si a Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:040914 A The Hanover Insurance Company 1 440 Lincoln Street,Worcester,MA 01653 Hanover Citizens Insurance Company of America 1 645 West Grand River Avenue,Howell,MI 4W3 Insurance Group.. Massachusetts Bay Insurance Company)"0 Lincoln Street,Worcester,MA 01653 The Hanover Insurance Company CANCELLATION NOTICE To: TOWN OF BARNSTABLE 200 MAIN STREET HYANNIS MA 02601 Re: BOND/POLICY NUMBER: BLN9519716 WHEREAS, on or about 4/17/2013 The Hanover Insurance Company , as Surety, Executed its bond/and or renewal of bond in the penalty of: Five Hundred Dollars ($ 500.00 ) On behalf of GREG CLANCY CONSTRUCTION, INC. as Principal, in favor of TOWN OF BARNSTABLE as Obligee (Nature of Risk Street Permit } and WHEREAS, said bond by its terms provides that the said surety shall have the right to terminate its suretyship thereunder by serving notice of its election so to do upon the said Obligee, and WHEREAS, said Surety desires to take advantage of the terms of said bond and does hereby elect to terminate its liability in accordance with the provisions thereof. NOW,THEREFORE, be it known that The Hanover Insurance Company shall at the expiration of 10 days after receipt of this notice or 7/22/2013 12:00:00 AM whichever is later be released,Jrom-4ll liability by reason of any default committed thereafter by said principal. w �. Signed and sealed 7/12/2013 9:38:10 AM THE HANOVER INSURANCE COMPANY BY: Kristy olle on, Attorney-in-Fact Reason for Cancellation. Non pymt't }u t9:1C:A.0 cc: Hart Ins. Agency Inc. GREG CLANCY CONSTRUCTION,•INC.= Town of Barnstable Building Department - 200 Main Street � * Hyannis, MA 02601 9 MASS 1639. . 1508) 862-4038 Certificate of O.ccupancy Application Number: 201202271 CO Number: 20130032 Parcel ID: 021076 CO Issue Date: 04116113 Location: 184 OXFORD DRIVE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: DEVELOPABLE LAND Village: COTUIT Gen Contractor: CLANCY, GREGORY J Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: h3 Lfl7dikgDepartment Signature Date Signed TOWN OF-BARNSTABLE ■ �FYHET ti R lilding 0 * BARNSTABLE, * Issue Date: 0'/ r i t ,.� 9 MASS i 4pA i639• Applicant: CLANS i JREGORY J tFG MAC A Permit Number: B 20121699 Proposed Use: DEVELOPABLE LAND Expiration Date: 01/20/13. Location 184 OXFORD DRIVE Zoning District RF Permit Type: NEW SINGLE FAMILY ATTACHED' Map Parcel 021076 Permit Fee$ 943.50 Contractor CLANCY,GR.EGORY J Village COTUIT."" App Fee$ 100.00 License Num 85247 wf Est Construction Cost$ 185,,000 Remarks _ APPROVED PLANS MUST BE RETAINED ON JOB AND - SINGLE FAMILY HOME 2,056 SF,3 BEDROOMS I' THIS CARD MUST BE KEPT POSTED UNTIL FINAL 2 CAR ATTACHED GARAGE 12X12 DECK,3'6"X7'6"OPEN PORCH �. INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: KOWALSKI,CARL F&CAROL A BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 44 SIMMONS AVE INSPECTION HAS BEEN MADE. WHITMAN;MA 02382 Application Entered by: RM Building Permit ISSUed By: THIS PERMIT CONVEYS NO RIGHTJO OCCUPY ANY STREET,ALLEY-OR SIDEWALK OR ANYPART,TH.EREOF,EITHER TEMPORARILY OR PERMANENTLY�ENCROAC14MENTS'ON PUBLIC PROPERTY,NOT— SPECIFICALLY PERM17FED UNDER THE BUILDING CODE,MUST BE'.APPROVFD BY,THE JURISDICTION.-STREET;OR ALI.EY;GRADES AS WELL AS'DEPTH AND,.LOCATION OF PUBLIC SEWERS MAY,BE'. OBTAINED FROM THE DEPA ZTMENT OF PUBLIC WORKS'THE ISSUANCE OF THIS PERMIT.DOES'NOT RELEASE THE,APPLICANT•FROM THE CONDITIONS OF ANY APPLICABLE SUBDMSION - Rf:�TRICT(ONS —.,;¢,...c.�• "1 ,�s _ r^s; MINIMUM Or,'FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIRI?RLACES MUST BE INSPECTED AT THE-THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING`&-,PLUMBING INSPECTIONS TO BE:COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY: �r WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLU.'•'IMG AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIO'e/S''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). v LWxc. h.<z2 g '.�.: / a'n4s' .6 «.,'«• sx'y.., n r k aK' a « �` ..a` Ja BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS o,c Q I 2/3 I11 $c. to 1i6/tv �� C 2 G /!v� 2'SC, ✓ :. LOP 4�;/j 3 3 0 113� 1 eating Innspectio pprovals Engineering Dept F : Fire ept 2 Boa of H lth OP Y L.. 3�Zt�13 L1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map _ Parcel' Application # Health Division Date Issued �. Conservation Division - Application Fee ;r� Planning Dept. Permit Fee Date Definitive Plan.Approved by Planning Board yoro Historic- OKH ND� Preservation/ Hyannis �. v Project Street.Address 0 Village Owner ICJ L-S Y, i C ('+-AL 'I' C—AP-0 L-' Address Telephone_ c�� ' �� 03.D Permit Request "e,w LA) C i'l %�� J� (0 S f 01 C-*k A 7T 6/9&ACI' Square feet: 1 st floor: existing proposed a106 2nd floor: existing ___proposed Total new Zoning District P Flood Plain C. Groundwater Overlay Project Valuationldp Construction Type Re-5 p W e Lot Size- �TS' S� Grandfathered: Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) .Age of Existing Structure b, �i� - Historic House' ❑ Yes to On Old King's::�Phway: 9 Ye No Basement Type: ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) 1 /T O 9� Number of Baths: Full: existing new ®�__ Half: existing � . new Number of Bedrooms: existing J onei Total Room Count (not including baths): existing � - new First Floor RoomCounte , Heat Type and Fuel: )(Gas ❑ Oil ❑ Electric ❑ Other Central Air: )Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes >�No Detached garage: ❑ existing ' size—Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing *ew size _Shed: ❑ existing ❑ new . size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded Ll Commercial ❑Yes �No If yes, site plan review# _ Current Use V -C- ni� 1,&N1� Proposed Use /2-CS-- D We i-L.11V�6_ APPLICANT INFORMATION (II(JILDER R HOMEOWNER) Name C L-1two Telephone Number Address 9 J+0 License # C _S m /ts/" Pie f 0 a 6 Home Improvement Contractor# /4(/ Worker's Compensation # W C,a 60 4 I 0 3L DO//. ALL CONSTRUCT VOEBIS RES 'LT G FROM THIS PROJECT WILL BETAKEN TO RoveAlF t 2-1 SIGNATURE GATE FOR OFFICIAL USE ONLY p APPLICATION# _DATE ISSUED, R• ��.r=_ Y,MAP/PARCEL NO. ADDRESS r VILLAGEtc r 1 i _ OWNER., a � - • i •1• <r1 f DATE OF INSPECTION: '? FOUNDATION'ti:? ?4�gy-p .,P/6 Z ' '4F r FRAMES so cilfflij. 4i§ ®6s- 'w INSULATION - ►l i-Jc c s ire FIREPLACE `' •t .- ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL—' GAS: . .r ROUGH . FINAL _.�„FINAL BUILDING' _.DATE CLOSED OUT t ASSOCIATION PLAN NO' Page 1 �b Kanometer 7130.vi t` 1 C:\Program Fi1es\Air-Care_DLT4\Air-Care DLT4 - 7130\Manometer 7130 5-23-11\Air-Care DLT4.exe\Manometer 7130.vi Last modified on 3/28/2013 at 8:50 PM - Printed on 3/28/2013 at 8:50 PM Duct Leackage Measurement Leak To Exterior ]Report Setup{ •. +, F, Averaged �1� 8i . Test Results INDOORAIROl1ALITYSPEMALISTS Controls Raw Data ®L.T I V Duct Pressure Manual Software Ver 1.0 Fan Speed , Fan Sensor - 25}4$Pa Duct. - Speed Control Fan Speed _.,,, ii g83., V - '- Control Auto Calculate As If @ 25 ; CFM of Duct Leakage Pressure (Pa) 10_ 10 Fan Speed Pa �.. 9- Control Duct 25.4 Pa 36 F CFM `10 0 to 8- 8 Automatic - Standard Pressure Pressure Percentage Duct _20 zp 7` 0.302 In.WC AUTO Depressurization System Leakage 30 30 6: 6 3n/ WRT CFM 5 - Startup Auto Baseline ' 68 Sq In - Equivalent of stem '- 40 40- 4_. 4- Sy u= _ - Averaging Time Leak Area C 44 Sq Cm % WRT 50 50 _ 3_ +i - F�'. - g Seconds Floor Area 60 60 2_) 2 y" Manual 70 7 a DLT Model:.-.� Non Standard �' wPa Type m 0_; 0 ` DLT IV Ver 1.0 a A Q �� As-if Pressure `„ pressure ' may -+ fl ,L,;;M1 0 DLT Serial Number: De-Pressurization - Pressurization 4_ ' WARNING MESSAGES HOLD ; STOP Ready In ro 'r gq CC:>--k_V L , C) e, M. Page 1 of 2 X logo Detailed Duct Leakage Test Results g - . Test Date: 3/29/2013 Technician Name: mike ronhock' Test Performed by: action mechanical Customer: clancy building 82 sunset cir 184 oxford st mashpee ma 02649 cotuit ma 508-737-0881 Test Results Measured Duct Leakage: 36 CFM Equivalent Leackage Area: 7 Sq In Duct Leakage as a Percent of Total system Flow- 3 Duct Leakage as a Percent of Total Conditioned Space: 3 % Pressurization/Depressurization/Leak to Exterior: Pressurization Actual Duct Pressure: 25.4 Pa (0.102 In WC) Type Of Test: Whole System Protocol: Property Info: Total System Airflow: 800 CFM Total Floor Area: 1170 SgFt How Many Systems: 2 Which System Tested: first floor Location Of Ducts: Un-Conditioned Space Existing Home?How Old?: new ' New Home?Drywall Installed?: yes W Location Of Furnace: basement Temperature Inside: 60' Temperature Outside: 36 Weather Conditions: calm Optional Customer Information: Equipment Info: - DLT Model: DLT IV ver 1.0 • " - DLT Serial#: 0 file;///C:/Users/DLT/AppData/Local/Temp/LVtemp0344736303575.html 3/28/2013 Page 2 of 2 Equipment Settings: DLT Fan Sensor Reading: 0.983 Volts Auto/Manual Fan Speed: Automatic Mode: Exact Pressure,At 25Pa,At 50Pa, At OPa: Automatic conversion to At 25Pa ` Averaging time: 5','Seconds Test Pressure If Other Than 25 or 50 Pa: 0.0 Estimated Efficiency Loss from Duct Leakage: A.Annual System Efficiency Loss: 2.56 C. Average Utility Bill: $ 0.00 D. Estimated Cost Savings: $0.'00 Y - E.Estimated Impact on Equipment Efficiency Rating:" Air Conditioner SEER Air Conditioner Tonnage Heat Pump HSPF Furnace AFUE Rated Actual Rated Actual Rated Actual Rated Actual 16 15.45 2 I 1.93 8.5 I 8.21 95 I. 91.76 14 ( 13.52 3 . I 2.90 8.0` 7.73` 90 I 86.93' 12 I 11.59 4 I 3.86 7.5 I 7.24 85 I 82.10 10 I 9.66 5 I 4.83 - 7.0 j 6.76 80 I 77.27 r 8 I 7.73 10 I 9.66 -6.5 6.28 75 I 72.44 Duct Leakage related Topics: • Sealing air duct leaks is now recognized as the most cost effective way to reduce energy losses and reduce utility bills. • The first step is to meausre the leakage to calculate the yearly cost to the homeowner due to that leakage and the potential savings. • The average leakage in homes built without energy saving techniques developed in the last few years can be over 30%!This is often the greatest source of lost energy and money in a home. • The State of California and"Energy Star"now require duct leakage testing. • Temperature regulation from room to room may not be possible if there is excessive duct leakage. - • Since the return ducts are under a slight vacuum,leaks will pull air,odors and moisture into the air system and distribute them throughout the home. *The actual energy loss in a building depends on many factors.This figure is based on assuming average values which must be replaced with the data from each particular house to provide an accurate result. ` Comments: action mechanical•mashpee ma 02649.508-737-0881 file:///C:/Users/DLT/AppData/Local/Temp/LVtempO,4473,6303575.htm1• 3/28/2013 Page 10 Manomeher 7130.vi '1 C:\Program Fi1es\Air-Care_DLT4\Air-Care DLT4 - 7130\Manometer 7130 5-23-11\Air-Care DLT4.exe\Manometer 7130.vi Last modified on 3/28/2013 at 9:01 PM Printed on 3/28/2013 at 9:01 PM a Duct Leackage Measurement Leak To Exterior Report Setup AveragedC, Test Results, 1NDOORA/ROVAUTYSPECIALIM Controls Raw Data D ®L T /V uct Pressure Software Ver 1.0 SAVE& D Fan- Speed Manual Fan Sensor} -ZrJ.2' Pa - -Duct- Speed Control Fan Speed 1.031 V ,Calcula 7 Control Autouto te As If @ 25 { CFM of Duct Leakage Pressure (Pa) 10_: 10- 7r Fan Speed Pa 9-: ..Control` Duct +. 45. CFM -10 ° 10 B B Automatic Standard Pressure Pressure - Percentage Duct 20 :20 7-'. � 0.101 In.WC _ - AUTO Depressurization System leakage 30,-' /30` 6 6 �8.3 Sq In % WRT CFM - _ 5 Startup Auto Baseline Equivalent >- +. of system --40 40- q=' q Leak Area - - Averaging_Time 54. Sq Cm Q % WRT, 50 50 3 �� Floor Area <:-a^•^-=-1 Seconds z_. 2 Manual 60 60 DLT Model: �1 70 70 1 v o 1 Non Standard O Pa Type in °_' o- DLT IV Ver 1.0 - As-If Pressure 'r Pressure *9 i f q DLT Serial Number: De-Pressurization ��Pressurization r.0 0 WARNING MESSAGES ,. k Ready In m HOLD ;'STOP Ae.1 Z w • .. 'M1y„it. N •�� • , I M • � t Page I of 2 X logo . Detailed Duct Leakage Test Results Test Date: 3/29/2013, Technician Name: mike ronhock Test Performed by: action mechanical Customer: clancy building 82 sunset cir 184 oxford st . mashpee ma 02649 cotuit ma 508-737-0881 Test Results 'Measured Duct Leakage:,-45 CFM Equivalent Leackage Area: 8 Sq In Duct Leakage as a Percent of Total system Flow: 4% Duct Leakage as a Percent of Total Conditioned Space: 4 % Pressurization/Depressurization/Leak to Exterior: Pressurization Actual Duct Pressure: 25.2 Pa (0.101 In WC) Type Of Teat: Whole System Protocol: Property Info: Total System Airflow: 800 CFM Total Floor Area: 1465 SgFt How Many Systems: 2 j Which System Tested: second floor' Location Of Ducts: Un-Conditioned Space - r Existing Home?How Old?: new New Home?Drywall Installed?: yes ` Location Of Furnace: atic Temperature Inside: 60 Temperature Outside: 36 Weather Conditions: calm Optional Customer Information: Equipment Info: DLT Model: DLT IV ver 1.0 DLT Serial#: 0 file:///C:/Users/DLT/AppData/Local/Temp/LVtemp0344736368782.html 3/28/2013 ° Page 2 of 2 Equipment Settings: DLT Fan Sensor Reading: 1.011 Volts Auto/Manual Fan Speed: Automatic Mode:Exact Pressure, At 25Pa,At 5OPa,At ON: Automatic conveYsion'to m 25Pa Averaging time: 5 Seconds , Test Pressure If Other Than 25 or 50 Pa: 0.0 ' Estimated Efficiency Loss from Duct Leakage: A. Annual System Efficiency Loss: 3.15 %` C.Average Utility Bill: $0.00 D.Estimated Cost Savings: $0.00 E.Estimated Impact on Equipment Efficiency Rating: Air Conditioner SEER Air Conditioner Tonnage Heat Pump HSPF Furnace AFUE Rated Actual Rated Actual Rated 'Actual Rated Actual 16 I 15.33 2` 1.92. 8.5 I 8.14 95 I 91.01 14 13.41 3 I 2.87 8.0 7.66 90 86.22 12 11.50 4 h (_ 3.83 7.5 I 7.18 85 81.43 10 9.58 5 4.79 7.0 6.71 80 76.64 8 7.66 10 9.58 6.5 I 6.23 75 71.85 Duct Leakage related Topics: • Sealing air duct leaks is now recognized as the most cost effective way to reduce energy losses and reduce utility bills. • The first step is to meausre the leakage to calculate the yearly cost to the homeowner due to that leakage and the potential savings. • The average leakage in homes built without energy saving techniques developed in the last few years can be over 30%!This is often the greatest source of lost energy and money in a home. • The State of California and"Energy Star"now require duct leakage testing. • Temperature regulation from room to room may not be possible if there is excessive duct leakage. . • Since the return ducts are under a slight vacuum;leaks will pull air,odors and moisture into the a air system and distribute them throughout the home. *The actual energy loss in a building depends on many factors.This figure is based on assuming average values which must be replaced with the data from each particular house to provide an accurate result. Comments: action mechanical•mashpee ma 02649.508-737-0881 4 , , file:///i2:/Users/DLT/AppD4ta/Local/Ter4p/LVtemp034473656$782.html 3/28/2013 r i Commonwealth of Massachusetts SheetMetal Permit Map Parcel X-PRESS PERMIT Date: 1012-z OCT 3 20 Permit# b' � 12 Estimated Job Cost: $ /Zi o04) Permit Fee: $ TOWN OF BARNSTABLE Plans Submitted: YES NO Plans Reviewed: ,YES NO Business License# - Applicant License Business Information: Property Owner/Job Location Information: Name:AC-4&- ./v►e�C,��. CC / Name: �✓� G�a.�� / G,a� Street: 9 2- Street: /�G r.✓ 6 /� /2-7 . City/Town: City/Town: Telephone:-�Og-Y7 Telephone: D - 2 to S-q ,?11 S'oY 73 7 -0�8 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1/ j 1�- -unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family ✓ Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: 'v""" Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: '44 Alt io �� / �Oo� G�(l�/7rZ.J(�� h�sf/�C✓�/�� Uf'/ �M '13 (�Gv/Vllv/oi0"/ r7Q l/ if S7 %/00 s 4,P y4Z� /Z-fv (/ w/Z@G� �.e2� V � I NSURANCE COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.E.Ch. 112 Yes❑ No ❑ f you have checked Yes,, indicate the type of coverage by checking the appropriate box below: k liability insurance policy ED Other type of indemnity ❑ Bond ❑ , Y )WNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Oassachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 3y checking this box[-],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and iccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: y Master Me ❑ Master-Restricted 4fTown ❑Journeyperson Signature of Licensee ermit# - ❑Journeyperson-Restricted License Number. se$ ❑ Check at www.mass.gov/dnl L/I ispector Signature of Permit Approval The Commonwealth of Massachusetts Department o IndusMal Accidents ePment ..f Office of Investigation's '600 Washington Street' Bostonz,MA 02111 www.mass.gov/die ' Workers' Compensation Insnnace Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Bnsness/Organization/3ndivid4:. ��Y o�v W3 �^ .a✓rGw r JC S S Address: City/Stafe/Zip: Phone.# D cT % Are you an employer? Check the appropriate bow Type of project(required):. 1.[�I am a employer with 4. ❑ I am a general contractor and I �T . employees(fall and/orpart one), # have hired the a-b-confrac-tore 6. [. �`ew con tracticM . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sib-contractors have 8. []Demolition working forme in any capacity, employees and have workers' 9. [No workers' conk.ins�ance _ comp.ms>ztance.$. Bmlding addition' required_] 5. O'We area corporation and its 10.El Electrical repairs or additions officers Have exercised their 3.❑ I am a homeowner doing aIl work 11.❑Plumbing repairs ar additions n ysel£ [No wor]ers' camp, right of exemption per MGL insurance required.]t c. 152, §1(4), and we have no ❑Roof repairs employees. [No workers' 13.❑ Other comp.insurance reqiiired.] *Any applicant that checks box#1 must also fill out fhc section below showing thesworkcrs'compensation policy infmmatim t Homeowners who submit this affidavit indicating they are doing all work and then hire outside coat aLli s must submit a new affidavit indicating such. $Contractors that check this box mast attached an additional sheet showing the name of the sub�onftactmrs and state whether ornot those entities have employees. If the sub-contnaton have employees,they mustprovidc their wort=,conk,policy nmmber. Iam an employer that isproviding workers'compensation insurance for my employees Belo-w is thepolicy and job site information. / Insurance Company Name: Policy#or Self-is.Lic. ExpirationDate: Job Site Address: / y b r�,/ br 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 ofMGL c, 152 can lead to the imposition of urinal penalties of a fine up to $1,500.00 and/or one-year impriso=ent; 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 the pains-an s of perju a information provided above is true and correct SL-natare:. Phone#: s O - �p'7 7 �o�s� -�8-- 73 `088 Official use only. Do not write in this area,tb be completed by city or town official City or Town: PermitUcense# 'Issuing Authority,(circle one): `I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: �THE Town of Barnstable E Regulatory Services t $ARNf:I'ARf R � - - MARS Thomas F. Geiler,Director z6;g. 1v� fo °' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section- If Using A.Builder I, as Ownet of the'subject property here yauthorize- �oL I V' ,v C ,v►�e to act on mY e b hal� in all matters relative to work authorized by this building permit (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled-before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. ture of Owner Signature of Applicant Print Name Print Name l0 -23_ 12,— , Date Q:FORMS:OWNERPERMSIONPOOLS. 'THE Town of Barnstable 1. o� Regulatory Services t lAaxsTASIX, •` Thomas F.Geiler,Director 9 KAM �p 1639. �� Building Division Tom Perry',Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barristabIe.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Bamstable Building Department minirnum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Conzol. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supenrisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Append ix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fonns:hcmeexempt I ACTIMEC-01 MOSU ACORN" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/23/2012 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 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 - (508)676-0309 NAMEACT Ashley Couture - - Viveiros Insurance Agency,Inc. PHONE FAX 375 Airport Road E/C.No E«t:508-676-0309 127 A/C,No I: 508-324-9147 4VIAFall River,MA 02720 ADDRESS:ACouture@viveirosinsurance.com INSURER(S)AFFORDING"COVERAGE NAIC# INSURERA:-Peerless Ins(Commercial Lines) - INSURED Action Mechanical INSURER B:Hartford Fire Insurance Company 19682 82 Sunset Circle INSURER C Mashpee, MA 02649- 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR TYPE OF INSURANCE POLICY FF POLICY E P INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CBP8547373 DAMAGE TO RENTEff__ 11/14/2011 11/14I2012 PREMISES(Ea occurrence) $ 100,000 CLAIMS MADE I OCCUR MED EXP(Any one person) $ 15,000 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 PEa 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 accident $ UMBRELLA LIAB OCCUR' - _ EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION $ - $- WORKERS COMPENSATION WC STATLI OTI-1- -. AND EMPLOYERS'LIABILITY Y/N - X TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE 08WECCG3612 8/26/2012 9/26/2013 E.L.EACH ACCIDENT - $ 500,000 OFFICER/MEMBER EXCLUDED? ❑- N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ - 500,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is'required) - CERTIFICATE HOLDER CANCELLATION r:' SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE-. TOWn Of Barnstable THE EXPIRATION` DATE THEREOF, NOTICE WILL BE DELIVERED IN- ' ACCORDANCE WITH THE POLICY.PROVISIONS. AUTHORIZED REPRESENTATIVE - O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD COMMONWEALTH OF MA§SgCHUs.__ -. S ET-T AS MEET •- . -7� METAL WORKERS ( 3 Mp C ER 'r 1 � A .rs�U�sT�1E,q��FCiL�t�n��fc�E� i .� MICHAEL ROA1HflCK 82 SUNS Er MASHpEE �' MQ' 0264gt:'� 499g Distributor Corporation of New England HVAC ratings and rebate calculator turn to the expert Distributor Corporation of\eu•England Outdoor unit: 24ABB324A003 Indoor unit: CNPHP2417ACA Furnace: 59SP5A040E14-10 SEER: 13.30 EER: 11.00 HSPF: NIA HCap 4T NIA HCap 17: NIA AFUE: 96.50 BTUH: 40,000 AHRI reference nr. 4735532 Configuration:horizontal Furnace venting:2-Pipe PVC Download AHRI certificate at www.ahridirectory.org Access the DCNE HVAC ratings and rebate calculator online anytime at www.dcne.com Report generated on:21 Aug 2012 Distributor Corporation of New England,767 Eastern Avenue,Malden,MA 02148—tel:781-322-8800 I Distributor Corporation of New England HVAC ratings and rebate calculator turn,to the expert Distributor Corporation of New England Outdoor unit 24ABB324A003 Indoor unit: CNPVP2417ACA Furnace: 59SP5AO60E17-14 SEER: 14.50 EER: 12.00 HSPF: N/A HCap 47: N/A HCap 17: N/A AFUE: 96.50 BTUH: 60,000 AHRI reference nr. 4735518 Configuration:upflow Furnace venting:2-Mpe PVC Download AHRI certificate at www.ahridirectory.org Access the DCNE HVAC ratings and rebate calculator online anytime at www.dcne.com Report generated on:21 Aug 2012 Distributor Corporation of New England,767 Eastern Avenue,Malden,MA 02148—tel:781-322-8800 A Pro ect Summary Job: All IRP Ij 1 Date: Aug 21,2012 Entire House By: action mechanical systems po.box 2654,mashpee,ma 02649 Phone:508-737-0881 Fax 508-477-1085 Email:actionmechanicalr@hotmail.com License:5410 F— Project Information For: reg clan , clancy construction 84 Oxford,barnstable, ma 02540 Notes: Design Information Weather: East Falmouth, Otis Angb; MA, US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 82 OF Inside db 70 OF Inside db 75 OF Design TD 56 OF Design TD 7 OF Daily range L Relative humidity 50 % Moisture difference 38 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 58266 Btuh Structure 31015 Btuh Ducts 12211 Btuh Ducts 9581 Btuh Central vent (0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 70477 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 35318 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 1418 Btuh Ducts 1893 Btuh Heatingg Cooling Central vent(0 cfm) 0 Btuh Area(ftZ 2610 2610 Equipment latent load 3311 Btuh Volume(ft') 20880 20880 Air changes/hour 0.32 0.16 Equipment total load 38630 Btuh Equiv.AVF (cfm) 111 56 Req. total capacity at 0.70 SHR 4.2 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade r Model Cond AHRI ref Coil AHRI.ref Efficiency 80AFUE Efficiency 0 SEER Heating input 0 MBtuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 1732 cfm Actual air flow 1732 cfm Air flow factor 0.025 cfm/Btuh Air flow factor 0,043 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.92 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 1 Wrl htsoft• 2012-Oct-22 23:02:04 9 Comfort Builder by Wrightsoft 12.0.10 RSU14033 Page 1 ACCA C:\Users\Mike\Documents\Carrier\clancy fairfield.rup Calc=MJ8 House Front faces: W Load Short Form Job: Date: Aug 21,2012 Entire House By: action mechanical systems po.box 2654,mashpee,me 02649 Phone:508-737-0881 Fax 508-477-1085 Email:actionmechanical@hotmail.com License:5410 Project • • For: greg clancy, clancy construction 184 Oxford, barnstable, ma 02540 Design Information Htg Clg Infiltration Outside db(OF) 14 82 Method Simplified Inside db(OF) 70 75 Construction quality Average Design TD (OF) 56 7 Fireplaces 0 Daily range - L Inside humidity (%) 50 50 Moisture difference(gr/lb) 46 38 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 80AFUE Efficiency 0 SEER Heating input 0 MBtuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 1732 cfm Actual air flow 1732 cfm Air flow factor 0.025 cfm/Btuh Air flow factor 0.043 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.92 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) first floor masr 225 6328 3511 156 150 ff master bath 90 2280 1324 56 57 ff walk in clos 50 1141 685 28 29 laundry 60 1369 822 34 35 kitchen 180 8670 4891 213 209 dinning 225 7027 3862 173 165 living room 340 9670 5500 238 235 top floor open 357 8384 5460 206 233 loft 240 6847 4139 168 177 hall 1 40 656 564 16 24 hall 2 24 394 339 10 14 bedroom 2 208 5954 3548 146 151 bedroom 3 221 5985 3617 147 154 bathroom 90 2259 1434 56 61 storage 260 3513 899 86 38 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2012-Oct-22 23:02:04 . ' wrightsoft® Comfort Builder by Wrightsoft 12.0.10 RSU14033 Pagel /gCCA C:\Users\Mike\Documents\Carder\clancy fairfield.rup Calc=MJ8 House Front faces: W Entire House d 2610 70477 40596 1732 1732 Other equip loads 0 0 Equip. @ 0.87 RSM 35318 Latent cooling 3311 TOTALS 2610 70477 38630 1732 1732 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2012-Oct-22 23:02:04 . wrightsoft® Comfort Builder by Wrightsoft 12.0.10 RSU14033 Page 2 C:\Users\Mike\Documents\Carrier\clancy fairfield.rup Calc=MJ8 House Front faces: W - —. - �.—... .r.-�ti .r .-.�, s. "� . .'n- tr*•r.-r h+".`y4.%".• .�..w.. �.�.-+- -r... .. { TME Town of Barnstable 10�� BARNSTABLE.p Regulatory Services Y MASS. 0 4'pjE16)9. `0 Building Division - `' 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 ; Inspection Correction Notice Type of Inspection Location /X y 6)(Ao t 6 ��- C-�� Permit Number Z. O 1 Z O Z Z 7 Owner Builder L f✓ y One notice to remain on job site, one notice on file in Building Department. The following items need correcting: WCaU-&4 a �-lo� ay- &E Q u*oc,k W L-C;5 fit?` A �►n. sU ;" Z • i l C- 10 OVf�- t2 44-EW--r U(-75� 1 N U,)#LG Z '4 r (r(7 ,411 �-c-c- �/�Ew3c �✓�-r3c E �t�atJ?" of G!¢�2 -� C4� r� �'/�r,tSG ,nt �Gb �U7 ��UGIL Z,-i VQGC 'D(D �n 'r, 6bN74bgG4( -/Ub g4p iz tc4g-bV� No J G--rh G 6n /l/ l G Yoe alrs �er �nw�� Please call: 508-862-4&R for re-inspection. Inspected by G�"i �" o G k i gv�9' C�lf G 7`1r� Date �� _ _ r l le 0 Cotrsti-uctrou »a Hrqh WMd Areas: I10 mph Wind Zoue Massachusetts Checklist for Compliance (7so 011Z S301.2.I.1)' Loadbearing Wall Connections Lateral.(no.of 16d common nails)................................(Tables 7)..................................................... 3 V Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)..............:.................(Table 8).............................:......................... 3 Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)................................... `I ft 9 in.<1 V. ✓ SIPPlate Spans ........................................................(Table 9).................................. ft L2_in.s 11'. -� g 9 (Openings() g.. . p ni g u ) P 2 Non-Load Bearing Wall O enin s record largest opening but check all openings for compliance to Table 9) do u Height Studs no.of studs ............... ..... . .... able 9 .. .. . 3 Loll 3` HeaderSpans.................................................. ......(Table 9)..................................a.ftq in.s 12 Sill Plate Spans.....................:......................................(Table 9).................................. ft 0 in.s 12' � Full Height Studs(no. of studs)............................... Table 9 Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W �' o Nominal Height of Tallest Opening �D$s 6'8" �........ _... i:�sP -Sheathing TYPe.................. .....:.............:..:.(note 4)....... ........ ......-• - Edge Nail Spacing.........................................(Table 10 or note 4 if less)......................:. 3 in: Field Nail Spacing ..(Table 10) in: ' Shear Connection(no. of 16d common nails)(Table 10).............:..........:......................:.......� Percent Full-Height Sheathing.......................(Table 10)...................... !D,-% _\ 5%Additional Sheathing for Wall with Opening> 6'8'(Design Concepts)...:................ N-12h `•Maximum Building Dimension, L •Nominal Height of Tallest Openfng2..................... n........ b 5 6'8" V Sheathing Type..............................................(note 4)..................................i�S.Q......... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................_5 in.. _V Field Nail Spacing.......................................:.. able 11 Shear Connection(no,of 16d common nails)(Table 11)........................::..........:..................a4i _N[ 1 Percent Full-Height Sheathing.......................(Table 11)..................:.......... ........ 5%Additional Sheathing for Wall with'Opening> 6'8'(Design Concepts).................... /° Nf11'1 Wall Cladding Ratedfor Wind Speed?..............................................:.....:.....:... .:_............................. 5.1 ROOFS { , Roof framing member spans checked?........................(For Rafters use,4WC Span Tool,see BBRS Website) c� Roof Overhang .................................................. (Figure 19) ............26 ft-<smaller of 2'or V3 R Truss or Rafter Connections at Loadbearing Walls r Proprietary Connectors Uplift =p ................................................(Table 12).......................................:.... �� Lateral able 12 L=�pif _ U- pif Shear.............................:..................(Table 12).......................:.............._._..S=�pif _\L Ridge Strap Connections, if collar ties+not used per page 21...,(Table 13)... .... ....:...*.*......T= pif 1y /-A Gable Rake Outlooker..........................................(Figure 20) ............._ft s smaller of 2'or L/2 -kj-/A Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)...............................:............U= nlb. V Lateral(no.of 16d common nails)...(Table 14).......................................L= 114 Ib. Roof Sheathing Type....:...............................................(per 780 CMR Chapters 58 anj 59) ..... S.I� Roof Sheathing Thickness.........................................................................................S in.Z 7/16'WSP Roof S_heathin Fastening...' 9 .;;......................................(Table 2)....�1d...P�1.J._5.....3..'.�..�.�... �p Notes:. . .. f:�►d 1. . This checklist shall be met in`Its entirety, excluding the specific exception noted in 2, to comply with th requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. ,Steel Straps per,Figure 5 w b, .20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. •Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception`:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent fill-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. ' �� , °l . . � Check . Compliance 11 SCOPE VWndSpeed(3-ueu gust)......................... ......................................... ........................................ ....... 11O mph VWndExpnsure Category--'z............................................................ --.-----------.-----�-'B VWndErpouu�Cob*Qo��-,-.--Eng�aehngRmqukedForEnbn*Pn�e�---.---.-------{: _�� 1'� �PPL�C�8lL��' � . ' Number of Stories ha roof which oxoaodo 8 in 12 slope shall be consideredstory) 2 Roof Pitch_ ............................... ............................................(Fig- -"�_- Mean Roof Height ...................... AZ ....................................... BuUdkngV�d�.VV _-----------_''---'-_'''`- ^�~~' BuildingLengm. L ..............................................................(Fig � Building Aspect Rabo0LIVV ................................................(Fig -__' Nom�sdH�ghdo[To|�tDpan�g^ -------._.-...-..(�g4)----.--.-.--------./��" uG�, � ^ 1�u FRAMING CONNECTIONS � . ' ��. � � Generdmum��nc�wdhhamingoonn*nUons_---'-.--�aLoa2)_----_---.'--.-.----.-.--. �e�_ 2.1 FOUNDATION � Foundation Walls meeting requirements of7OOCMR54V4` . Concrete............................................................................................................................... �_-- � Concrete Masonry.................................................................... ._..................................................... +»�� ' '2.2ANCHFOUNDATION"'. 5/8^Anchor- Bb�m�nbeddador5/O^ProprietaryyNaohonicg Anchors ooan alternative in concrete only Bolt general 4r Bolt-,_-- g from __'--'- plate ' ~ .-._---------_-��=_...-~ � Bolt Embedment-masonry......................................... 16^. � � Plate Washer.................................................................(Fig 5)..............................................�3^x3rx�� 31 FLOORS ^ L- � Floor-framing member spans checked ...............................(per 78DCK8R Chapter 55)................................... k8axknqmF�orOpen�gDhnmn�nn----.---_---.. ---.,--------.---'- 10 ft�12' � FuUHe�h VVaU�tudo�dF�or��p�n�go�ssthan2'hnm�x�ehorVVoU (F�O)..�.----.--.-..�--- Waxknum Floor Joist Setbacks . � Supporting Load Waft urSheanwaU................(Fig 7)............. ...................................... 0 ft d Maximum Cantilevered Floor Joists Supporting Loadbearing Wall 'nr3haanwaU-----..(FkJ8)..................................................... 0 ft d '* [loor8nacingntEndwob.................................................- B).................................................................... � Floor Shbething Floor Sheathing Thickness ...........................................:.....(per 78UCM hopt r .-----�'4 in. ~.~~ FkoorGheothingFastmhing----_---------- ...(Table 2)- 9\dnaUsot ;�^ inadge/ �� Az 4.1 WALLS ' � Wall Height ' Luadbeehngwdls..'-.^.....'--_...... ........ --- ...... and Table ft s1Cy and Table ...........................1�ft :520, Wall ' �--_-''�� ' 0andTob�5> -' \ �,k� �24^oc � - ' � '----- ~�. � Wall Story Offsets ...................................................-.'(Figu7&8)............................................ ftsd 4.2 ^ EXTERIOR-WALLS Wood Studs � Luodbaahngv�adls.........................................................(Table --.-.---'-._�~ /L ' ft [` in.Gable End Wail Bracing Full Heid�t Endwall Studs (Fig .......................................................... � -...WSP-Attic Floor - Leng� � 11 ---_-_''-'-_.-.--.-4'2'ft�013 Gypsum Ceiling Length(if VVSP not used)....:...............(Fig 11).............................................___ft;_>-O.QVV � and 2x4 Continuous Lateral 8na&e @O ft. o.c. ..(Fig 11).............................................................. . or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joistor truss Double Top Plate Splice Length .................:......................................(Fig 13 and Table G).................................... '6 ft �^~ � Splice Connection(no of10d Common nails)..............(Table O)......................................................... | u` �s r T0' .n- Of BarnEtable . ; . � regulatory Servzces Thamas_F. GmUer,Director rr�:6 k�e BuEding DI'Eion ' 0 Tbamas P.erl7r CB0,•Ragdiag Coxnmt.�cioner .' 26D Mait MA D260I' nw WAawn.barnts-table.mays . •. •.508-862-4038 ..hex: 508-790-6230• { OfFiccc PLAN REMW 201 z.a2-27 c D caner ��cv L s tC t - Map/P.arcel: ,Project Addre55 i8� ©�a�RD Itt2� ��, B.uilder.• t-! � The fallow? Ite=Wer&L noted-On reviewing: Yi ' .A '��c•ii�' �o�c�{ ®pie-�eti�� —. •4��c. J��P��ah�i�-�'zs NSA 70 ' 2 Gy��traozv r"Ro �E•�TioN . �a�S No7 2��'7�. •��- ��c.��2 �� f� 7d'G C ) -K .R 3o V.2. I• z- INA _3 ev c4 19-n T Ulf.• lR t 2)(sE S?A?tP- L' y k PSZ'S tam 114 !rV& • ,,� •��i ,e►�,o..Q U�pd��c.k l:sns��6•n �k� C2oo9 12C —�3;a.•►J . �rescr tag �d . RegieWed by: '7�arA (7 i The Hanover Insurance Group.. VERIFICATION NOTICE MEMORANDUM 02 32-01159 Y Principal: Sand Number: BLN 951971:6 00 GREG CLANCY CONSTRUCTION, INC. Band. Type:: License & ::Permit 182 WHEELER ROAD Bond Period 04. 17=12 to 04 17 13 : MASHPEE, MA 02649 payment Plan.: :1 Payment ;. Notice Date : 06 04.' 12 ... ..... .. .. Refer Questions to Your Agent at: For billing/payment questions, call customer service at: 1-800-922-8427 HART INS. AGENCY, INC.243 MAIN STREET To pay by phone or online, contact us at: P. 0. BOX 700 1-800-573-1187 BUZZARDS BAY, MA 02532 508-759-7326 www.myhanoverpolicy.com This notice is to inform you that a payment has been applied. The notification previously sent to you indicating that your coverage would be cancelled for nonpayment of premium no longer applies. Your coverage continues in full force. Payment Applied: $100.00 N • . . a.�.a� spa i 7 r��O�9 CI C10 181-1367 (11-99) ............. _.... ... ..__.. 32-01159 . 50 Bond Number: BLN 9519716 00 Principal: GREG CLANCY CONSTRUCTION, INC. lll�unl�l�ll��l��nnll��lll TOWN OF BARNSTABLE 200 MAIN STREET HYANNIS , MA 02601 LSLZI #�1 i.un uts".� £LOZ Z/£ :uoijeai&q 6179ZO dW '33dHSVV4 (1b b3133HM Z86 z J.ON`vr10 P A80E)380 aSua JosituadnS uogonslsuo,} pur, au}s1t In;;,�H usltlstt9 .1's It tritS' �1.11s .�ililnd titawl.1rd.)(1.-slosmp ssr1%� /ie �a�az�,zvruueall� a�' -22�czivacficaetta License or registration valid for individul use only \ Office of Consumer Affairs&Business Regulation. HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: f I (( Office of Consumer Affairs and Business Regulation' Registration: . ;:141228 Type ' 10 Park Plaza-Suite 5170 \l Expiratson: 1/22/2014 Indivsdual Boston,MA 02116 G ory reg Joseph Clancy Gregory Clancy K�hout 182 Wheeler rd.Mashpee MA 02649 Undersecretary Not valid wit s ature. r i AcoRO CERTIFICATE OF LIABILITY INSURANCE DATE A E(MW WYYY) 2011 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 cNT?GT Sarah Colonna HART INSURANCE AGENCY, INC. PHONE (508)759-7326 FAX 243 MAIN STREET EANWL AIC,Ne>: (508)759-7366 PO BOX700 ADDRESS: BUZZARDS BAY, MA 025320700 INSURERS AFFORDING COVERAGE NAIC N INSURERA: PROVIDENCE MUTUAL FIRE INS CO 15040 INSURED INSURERB: CHARTER OAK FIRE INSURANCE CO 25615 Greg Clancy Construction, Inc. INSURERC: Associated Employers Ins Co. 11104 182 Wheeler Road Mashpee, MA 02649 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 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 LTR TYPE OF INSURANCE POUCY NUMBER MM/DCY EFF MINDCY EXP DNYM UMITS A GENERPLLIABIUTY CPP0066284 11/07/2011 11/07/2012 EACHOCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY - DAM G TENTED PREMISES Ea occurrence $ 50,000 CLAIMS-MADE Fv_1 OCCUR - MED EXP(Anyone person) $ - 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 1,000,000 POLICY PRO LOC $ B _ AUTOMOBILE UAEAUTY BA7005N O06 07/02/2011 07/02/2012 EO aB deoISINGLE LIMIT ANYAUTO BODILY INJURY(Per person) $ 100,000 ALL UTOS OS V AUTOS SCHEDULED AU BODILY INJURY(Per accident) $ 300,000 ` NON-OWNED PROPERTY DAMAGE HIREOAUTOS AUTOS Peracoiden $ 100,000 $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE AGGREGATE - $ DED RETENTION$. - $ C IAORKERSCOMPENSATION WCC5009174022011 05101/2011 05/01/2012 WCSTATU- OTH AND EMPLOYERS'LIABILITY YIN - 441'PROPRIETORIPARTNER/EXECUTXVE - H ACCIDENT E.L.EACH $ 1,000,000 OFFICERIMENBEREXCLUDED? NIA - (MandatorylnNH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 K yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Operations performed by named insured as respects Liability in the Policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Gail Bortolotti ACCORDANCE WITH THE POLICY PROVISIONS. gail@fbinsure.com AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights'reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 4/ 13/2012 2 : 39 : 35 PM 8935 12' 02/02 CERTIFICATE OF LIABILITY INSURANCE 1704/13/2012YYY) 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 C..IAC1 Rogers & Gray Insurance Agency HAMS; PHONE PAI Inc _ IA/c. nn. E-NAIL PO Box 1601 ADDRESS: "I""e, South Dennis, MA 02660 CUSTOMER IDN. INSURED(S) AFFORDING COVERAGE - HAIC N I DSUAED Cape Concrete Forms LLC INSURER A: A.I.M. Mutual Insurance Co 33758 INSURER II: 27 Misty Harbor Lane INS,[ R East Falmouth, MA 02536 IRSU tl D: INSURER E: INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIIIS. 111Ot POLICY NUMBER POLICY'EFF POLICY ESP Lte TYPE OF INSURANCE [IOl/DRIYYYTF INNNR/YTYIF LIMITS GENERAL LIABILITY EACH OCCURANCE § ❑COMMERCIAL GENERAL LIABILITY DAMAGE TO REIITED PREMISES(E a.eCCuxxence) [:][--].AIMS MADE ❑OCCVR HER EIP (Any one paxevn) § ' PERSONAL 6 ADY INJVAI § GEp'L AGGREGATE LIMIT APPLIES ER: GENERAL AGGREGATE § ❑POLICY ❑PP-BCT❑LOG ` PRODUCTS- CONP/OF AGO § § AVTOMDBILE LIABILITY COIOINED SINGLE LIMIT ❑ANY AUTO (ee accident) § ALL OWNED AUTOS BODILY INJURY (Der person) § ❑SCHEDULED AUTOS BODILY INJURY(p0r accident) S ❑HIRED AUTOS PROPERTY DAMAGE (Pe.'a ident) § ❑NOH-OWNED AUTOS 8 RUMBRELLA LIAB ❑ OCCUR EACH OCCURRENCE § ❑EXCESS LIAB ❑ CLAIMS MADE AGGREGATE § DEDUCTIBLE § ❑AETENTION I - 8 WORKERS COMPENSATION - x nxv UTH_ AND EMPLOYEES LIABILITY © TDET LnrrIS ER THE PROPRIETOR/PARTNERS/ EXECUTIVE OFFICERS ARE - E.L. EACH ACCIDENT § 100,000 A ElEllncl eECl 6014796012011 E.L. DISEASE-POLICY LIMIT S 500,000 12/29/2011_ 12/29/2012 _ E.L. DISEASE -EA EMPLOYEE S 100,OOO COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATIONS: - - ALL MEMBERS ARE EXCLUDED FROM THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION CLANCY CONSTRUCTION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 182 WHEELAN RD POLICY PROVISIONS. MASHPEE, MA 02649 t, AUTHORIZED REPRESENTATIVE —"-� 12 7450 Date: 4/13/2012 Time: 3:05 PM To: Clancy Construction @ 1508-540-6586 Rogers & Gray Ins. Page: 001 ClienHF;28115 CAPECON1 ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDrrrM 04/1312012 THIS CERTIFICATE 18 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 pollcy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certaln pollciae may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsomont(s). PRODUCER - A - - NAME: Rogers Sr Gray ins,-So.Dennis iaHcoNti,Exi);"508 398-7980 434 Route 134 E-MML South Dennis,MA 02660.1601 nooasss: 508 398.7980 INSURER(S)AFFORDING COVERAGE NAIL B INSURER A:Nat'l Grange Mutual Insurance C INSURED Cape Concrete Forms LLC - INSURERB:Arbella Protection Co 17000 27 Misty Harbor Lane INsuRERc: East Falmouth,MA 02538 rnsuaERo: INSURER E: I 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 i 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. I'm TYPE OFINSURANCE ODLS EI POLIC EF POLIC F P IN 1NJD POUCYNUMBER MA4DD MMR)D LIMITS A GENERALUABILITY MPJ1145M 3(051201203/051201 EACIIOCCURRENCE S1009000 X COMMERCU\L GENERAL LIABILITY PREMI3ESEaEoouCD ' $500000 CCAIM^:MADE- (OCCUR - - - MEOEXP(Any oneperson) $10,000 PERSONAL&AOV INJURY $1,00D ODO GENERAL AGGREGATE s2,000,000 - GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP'CPAGG S2000000 J _ POLICY PROECT. El LOC $ g AUTOMoaaE LIABILITY 46237400001 613012011 06/301201 EO.a9cN�80S NGLE LliT AHY AUTO BODILY INJURY(Per person) $260,000 ALLOWNED SCHEDULED _ AUTOS X AUTOS - BODILY INJURY(Par aaidenq $500,000 ' NON-OVMLD HIREDAUTOS PROPERTYGAR OE Autos Paracadent $100,000 g j UMBRELLALIAN OCCUR EACH OCCURRENCE S EXCESS LI0.9 CIAIM3-MADE AGGRFGATE $ DED RETENTIONS $ WORKERS COMPENSATION WC STATtI- OTH- ANDEMPLOYERS'L1ABIl1TYrR OFF(CERIAEMBER EXCLUDED? NIA Y� NIA E.L.EACH ACCIDENT $ (Manda In NH) 11ra,dterybeund El.DISEASE-EAEMPLOYEE$ II yyes,desmlte under DESCRI PTION OF OPERATiCN9 De;mv E).DISEASE-POLICY U1111T $ i DESCRIPTION OF CPERATIONS I LOCATIONS/VEHICLES(Attach ACORD let,Addlllona l Remarks Schedule,Ir more space is regnlrod) . . The Workers Compensation certificate will be sent directly by the Workers Compensation carrier CERTIFICATE HOLDER CANCELLATION Clancy Construction SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 182 Wheelan Rd ACCORDANCE WITH THE POLICY PROVISIONS. Mashpee,MA 02649 AUTHORIZED REPRESENTAnVE , l Q 198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 Oft The ACORD name and logo are registered marks of ACORD f/SB0310/M78315 JFD Date: 4/13/2012 Time: 3:05 PM To: Clancy Construction @ 1508-540-6586 Rogers & Gray Ins. Page: 002 .. CERTIFICATE OF LIABILITY INSURANCE DATE(MlI/DMy" I oru(3rzo(z c TSIN CERTIFICATE IS I06YRD AS A HATTER OF IBfORIdATIOE ONLY AND CONFERS NO RIOBTS UPON THE CERTIFICATE HOLDER. THIS CERTLrLcATE DOS NOT APPIRHATIVBLT OR➢EOATIYELY AMEND, ZXTEND OR ALTER THN COVERAOE AFFORDED BY THE POLICIES BELOW. THIS CBRTIPICATa Or IYSORABCE DOEW FOT COYETITUTE A COITPACT E817EEN TIE IE80I➢O INDOR2R(SJ, AUTHORIZED WEDR888RTATIVE OR PRODUCER, 4vo THE C$RTIFICAT$ H04DBR, IHPORTAYT; If the Certificate holder 1N an ADDITIONAL INSURED, the polioy(ies) must be endorsed, If SVBRo0ATI0H I6 tlAZYBD, subject _to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer: rigbts to the certificate holder.In lieu of.such endOrBement(s), vra)uceA Rogers s Gray Insurance Agency Inc r.iniL PO Sox 1601 -- South Dennis, MA 02660 a>=fua 1P:.• MOVID - IISaaTJ115)X10PDn(0 co-, Cape Concrete Forms LIC Iffuenl A:A,I.df. Mutual Insurance Co 33750 27 Misty Hazboz bane 3r Nx[A CI , Eaat Falmouth, MA 0253E IaIeYDA D: __._... - ..._..._._..... Iasuvcx n COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THI IS TO CERTIN TBAT TIIE POLICIRS ur issiRANCE LISTED BELOW BAyE EEBd ISSUBD TU'ViB INSURED➢ ®ABOI TOR i POLa P8E[OD INDICATB . NOTNZYHSTASDINt:MY AO{tUZRIDMII7, THIN OR CONDITION OP ANY CONINACT OA 018EA DOCVLT1aT WITH RESIPCT TO WHICH THIS OHBTIPICME tL1Y BE ISr0E0 OR}AY PERTAIN, THE nISVRANEE APFORDEW NY T8$POLICIES DESCRIBED XBHSIN IS SVB,9=90 ALL M TBRI(S, EXCLVSI083 AND COBDITIOFS OF SOCB POLICIES.LQI1S5 SBOWII WAY FIAVR SEEN➢ROVCRo BY PAID CLAINB. iKr TSP$OF IA4URAXC6 E POLICY HInMRA POLI ICY TOY 8PP POLEP- - - IvrnrHY(e iiY, LIMITS i GM IAL LIABXLlgy -..... ..._......_......___.___ sear vfanaree 8❑fmb[YC I.V.CI!@4S LlA[tL ifT ❑❑wlr nwf ❑v:cus aan(ssefte.. .�.,,.) ' 8 ElP[af rAll f ADY 2W[Y e ' � 0Ea'L A%ArDAT[LIHIT AYILII9 tR: I 6QIPAw 1LWGLiY j ❑10LIcr DP Mir 5w � ! 4r()ifrf-fOp/Da wp P i I AVTDI•)OBILN.LZABILITY I e ❑AEI ATro e11 Ieta a LDfl7 i 416 acPldl.0at) $ ❑1LL RLID AOCa' _ � SODILY fY1w tact➢rrrvnl r OLCOYa11I1 AOITi ! BODILY nam(1a[Ycoldmt) B MIXED AMS j i PE(VEMY BNItSt ......_._.... 1ae[eatdmn e ❑IDa-asro xore ❑ I 6 a N4A61A L(AB �O:fPI Lanl OClVI9aa(i e - ❑[i:EYf:iAa �Q-f pn rADi I aciPLOAIf IIOtic'tiLE i Q)tr8i•I09 I � ' 3 YOMBAS COlRIDISATlON AND QSLOYEES LIABILIYY THE PROPfuLTOrVDARIEURS/ A L(6C1/11Vt:OI't'iCLIW ARE E.L.EACH tr(IIE➢S - 3 100,000 ❑ incl 0 excl 6014796012011 12/29/2011 12/29/2012 E.L.02 UV-IALICY LINII 9 500,000 e.L,m>wc-.LArxLDue 8 100,000 c00®nt DEIC11P1I07 OE O➢EAAIIOYS OR LBCAT(Lrll �ALL MEMBERS ARE EXCLUDED FROM THE WORKERSrCOWENSATION POLICY, I CERTIFICATE HOLDER CANCELLATION EMSHPSE, 1RIA N SROVLD AYY or TEE AEOVS OTICRI8E0 Po3IC3➢S ES CAIlCr1LE0 HBMRE THE eSeiRATROA DATE 19BREOr, NOTICE 817 BE DELIVERED IN AXeADMCE BxTH SHE POLICY PAOVxsmrs, wltowalD aarnYsrun(s - 7450 b/2/2011 4 :28 : 12 PM Faxserver ' 847-953-5390 Page 5 CERTIFICATE OF LIABILITY INSURANCE DATE CE 06/02/20111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS U PON THE CERTIFICATE H OL DER. • CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY , THIS AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOICIES RIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is rt ADDITIONALINSURED,the policy(ies)must be endorsed.If S UBROGATION 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 w certificate holder in lieu of such endorsement(s). i_ � PRODUCER - CONTACT C I ,on Risk Services Central, Inc. - NAME: - d Southfield MI office P ONE '? 3000 Town Center (NC•No.Ext): (866) 283-7122 ac.No.: C847) 95.-5;90 y` Suite 3000 - _ _ E-MAIL Southfield MI 48075 USA ADDRESS; v S INSURER(S)AFFORDING COVERAGE NAIC p -INSURED - - Builder Services Group, Inc. INSURER A: Old Republic Ins Co 24147 d/b/a Quality Insulation INSURER8: ACE American Insurance Company 22667 A Masco Corporation Company " Building Products INSURERC: Indemnity Insurance Co of North America 43575 A 2 Industrial Road INSURER D: ` Milford MA 01757 USA - INSURER E: 4. COVERAGES INSURER Fi CERTIFICATE NUM8ER:570042727891 - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA �NNUM�BER: REVISIO VE BEEN ISSUED TO THE INSURED NAMED ABOBE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANYREQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W f)V RESPECT TO WHICH THIS. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINISSUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMfTS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. LTR TYPE OF INSURANCE Limits shown are as requested INSR VWD PO UCY NUMBER A G ENFJRAL LIAB ILJTY - M'NZY ub//DD/YYYYI MNJDD.N LIMITS .. - Ub/�U/ Ub U EACH OCCURRENCE X COMMERCIALGENERAI.LIABILRY � S2,000,OOO CLAIMS-MADE OCCUR - PREMISES Eaooarr_nce $2,000,D00 ' . MED EXP(Any one Person) - $251000 PERSONALdADVINJURY $2,000,000 m GENERAL AGGREGATE $5,000,000 N GEN'L AGGREGATE LIMIT APPLIES PE2 X POL'CY PRO' PRODUCTS-COMP/OP AGG $10,000,00o A AUTOMD BILE LIAe1lfTY ?4,VTB 18398-11 OB/30/201106/W/ 112 COM&NED SINGLE LIMIT X ANY AUTO - Ea accident - $5,000, .0 ALL OWNED SCHEDULED - BODILY INJURY(Perperscn). Q AUTOS AUTOS - BODILY INJURY(Per accident) z X HIRED AUTOS X NON-OWNED - -AUTOS PROPERTY DAMAGE - is (Per aoddent) O - UMBRELLAUAB OCCUR - - :E m EACH OCCURRENCE (� ' EXCESSLJAB CLAIMS-MADE e , DED RETENTION �' AGGREGATE C WORKERS COMPENSATION AND WLRC46480648 - EAAPLOVERS'UABILITY 06/30/201106/30/2012 X WC STATLL OTH B ANY PROPRIETOR/ EXECUTIVE YIN Ded UCt1171e A05 TCRY LIMITS ER (MandatoryOFFICERIM in M E'XCLUOED? N NIA 5CPC4648065A 06/30 E.L.EACH ACCIDENT (Mandatory in NH) /2 011 06/30/2 012 $1,000,000 tt yes,describe untler Retro - AZ,HI,MA,OR,WI E.L.DISEASE-EA EA�LOYEE DESCRIPTION OF OPERATIONS below $1,000,000 B Excess we WCUC46480624 E.LDISEASEPoucYLIMIT $1,000,000_ O6/30/2011 self-Insured States 06/30/2012 Retention $2,000,000— SIR applies per policy ter s & cnnd>j tens Statutory Included DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Ariach ACORD 101,Additional Remarks Schedule,if more space is required) - 3 . _ . j 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. - Grey Clancy - _ 182 wheeler Road AUTHORIZED REPRESENTATIVE - Mashpee MA 02649 USA ACO ©1998-2010 A RD C 25(2010/05) The ACORD name and logo are r ORD CORPORATION.All nghts reserved. 9 egistered marks of ACORD From:Suzette Moniz FaxID:Viveiros Insurance A Page 2 of 2 Date:4/3/2012 02:17 PM Page:2 of 2 ACTIMEC-01 MOSU � R® CERTIFICATE OF LIABILITY INSURANCE 1 DATE 4/3/2 D/YY1Y) /3/2012 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 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 1S WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. Astatement on this certificate`does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER (508)676-0309 NAME: Viveiros Insurance Agency,Inc. PHONE FAX 375 Air ortoa Rd A/C No Ext: (A/C,No): p E-MAIL - Fall River,MA 02720 ADDRESS' - ` INSURER(S)AFFORDING CWERAGE NAIL# INSURER A:Peerless Ins(Commercial Lines) INSURED Action Mechanical INSURER B:Hartford Fire Insurance Company 19682 82 Sunset Circle INSURER C: Mashpee,MA 02649- 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 INDICAT ED. 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 - POLIC EFF POLICE P LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDA'YYY MMfDDfYYYY .- LIMITS GENERAL LIABILITY + EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY C$P8547373 11114/2D11 1111412012 DAMAGE TO RENTED PREMISES Ea occurrence I $ 100,000 CLAIMS-MADE �OCCUP. _ MED EXP fAny one person) $ 15,00 . - ` PERSONAL&ADV INJURY $ - 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: - - - PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY JECaT LCC • $ 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 accident $. UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CI IMS-MADE AGGREGATE $ DED I I RETEtJTION $ - � $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS LIABILITY X TORY LIMITS ER ' B ANY PR)PRIETOR/PARTNERIEXECUTIVE YIN 08WECCG3612 81,26/2011 8/26/2012 E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? N!A . (Mandatory in NH) ❑ - - E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 1. 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) - Re:23 Fairfield Dr, East Falmouth CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Clancy Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. 182 Wheeler Rd Mashpee,.MA 02649- AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD k From:Suzette Moniz FaxID:Viveiros Insurance A Page 1 of 2 Date:4/3/2012 02:17 PM Page:1 of 2 Phone: (508)676-0309 Fax: (508)324-9147 OEM From: Suzette Moniz ' To: Joseph Clancy Pages: 2 Fax: 815085406586 Date: 4/3/2012 02:17:12 PM Phone: Subject: Action Mechanical Confidential Note: Information in this facsimile is confidential and intended for use by the individual or entity.named If you received this telecopy in error, please immediately.telephone us and return the original via U.S. Postal Message: Certificate of insurance attached 04/23/2012 10,27 5084577660 ALMEIDA & CARLSON PAGE 01/01 ACO,RD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODNYY1) rM.PRODUCER Pp 50854 50s4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONINS AGE ALMEIDA 8 CARLSON INSURANCE AGE 04/2312012 AGENCY INC.P.O.BOX ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FALMOUTH MA 02541 EXTEND HOLDER. THIS CERTIFICATE DOES NOT AMEND, OR ALTEI THE COVERAPE AFFORD D RY THE PO PIES BELOW, INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A; Travelere Insurance Company Kt IqN 3MOLLER FJ(CAY INC INSURER B: TrgveISrS Insurance Company — POBOX2432 -- .....---._..._ _. TEATICKET MA 02536 INSURER C: INSURER INSURER En; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRA T WITH RESPECT POLICY PERIOD INDICATEMAYD, NOTWITMSTANDING MAY PERTAIN, THE INSURANCE AFFORDED$Y THE POLICIES CeSCRIBED REIN ISSUBJECTTO A LTHE TERMS, CXCLUSIO CEIRTIFfC AND CONDITIONS O ATE LIED OR SUCH POLICIES. AGGREGATE LIMIT$ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR 1ADDi �— r.... . LTR IHBR TYPE OF INSURANCE POLICY NUMBER POLICY CN ECTrvE PormOUCY XX ATE(HIMIR TIDN LIMITS GENERAL L1ABu ITY $007031IR77 04/23112 04/23113 EACH OCCURRENCE 500,000 X COMMERCIAL GENERAL LIABILIT DAMAGE 70 RENTED •- PREMISEB Ea c"u nas�S 3OO�ODD CLAIMS MADE? OCCUR MED,EXP(Anyone penan) g SrODD A _.. --- --• PERSONAL&AOV]NJ URY S ___ 600rOOD "—I GENERAL AGGREGATE S 1�000�000 GEN'L AGGREGATE LIMIT APPLIES PER -- PRO• PRODUCn-COMPIOP AGO, g 1,000�000 POLICY JET LOC AUTOMOBILE LIABILITY I ANY AUTO COMBINED SINGLE LIMIT (Ea aCCllenl) ._ ALL OWNED AUTOS ...... SCHEDULEb AUTOS BODILY INJURY(Par parson) B HIREDAUTOS -- NON-OWNEDAUTOS BODILY INJURY g (Per eeGdont) —-- _ PROPERTY DAMAGE - S PAr awdenl GARAGE LIABILITY ANY AUTO AUTO ONLY:E.q ACCIDENT_ M — 1 OTHRR THAN __EAACC_„a AUTO ONLY: AGG g EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $ J OCCUR LI CLAIMS MADE AGGREGATE s DEDUCTIBLE $ _ _ _.... __.....--- RETENTION S g IWORKERS COMPENSATION AND EMPLOYERS•LWBILITY 0297NO8912 03/2$!1z 03126113 OT RYTLIM s OTHER ANY pR0PRIETOR4-ARTNUtXECUYIvE E.L.EACH ACCIDENT 1O S _ D,DOO OPPICERnM►)02R OCCLUDED? IS yss,dwIftenndsr Ill.DISEASE.EA EMPLOYEE $ E,L,DISEASE-POLICY LIMIT 500,000 I DESCRIPTION OF OPERATIONSILOCATIONSIVI HICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLCIRS BE CANCELLEb BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 GAYS CLANCY CONSTRUCTION WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Attention, $40-6589 ACORI7 26(2001108 B A 10 Certificate# 10450 6)ACORD CORPORATION 1980 Apr, 23. 2012 12:09PM No. 3652 P. 1/2 AC uKu,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 04/23/2012 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 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 Joann NAME: e Bretton Southeastern Insurance Agency, Inc. a�",�;EX : 508.997.6061 Ne: 508.990.2731 439 State Rd. E-MAIL ADDRESS: P.O. Box 79398 PRODUCER CUSTOMER ID.9: North Dartmouth, MA 02747 INSURER(S)AF FORDING COVERAGE NAICI INSURED INSURERA: Merchants Insurance Group James Bradford Jones INSURERB: INSURER C: 118 Maple Street INSURER D: Hyannis, MA 02601 INSURERE: INSURER F: . COVERAGES CERTIFICATE NUMBER: 2009 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INS WVD POLICY NUMBER MMIDDNYYY) (MMIDDNYM LIMITS GENERAL LIABILITY CCPI03722 08117/2011 08/17/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO PREMISES Ea NTED occurrence) $ 100,0O CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,0001000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS - BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ R UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIM5-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATLI OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNEP/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT. $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION FAX: 508.540.6586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Clancy Construction AUTHORIZED REPRESENTATIVE Rt 28 Eat Falmouth, MA 02536 Joanne Bretton ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD /� Rp r. 23. 2012 12:09PM No. 3652 P. 2/2 A(;um AGENCY CUSTOMER ID: LOC#: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Southeastern Insurance Agency, Inc. James Bradford Jones POLICY NUMBER 118 Maple Street Hyannis, MA 02601 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORMTITLE: ACORD Certificate of Liability Insurance Garage Liability INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDIYY) LIMITS AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $THAN AUTO ONLY: AGG $ Automobile Liability INSR ADD'L POLICYEFFECTIVE POLICY EXPIRATION LTR INSRD POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDIYY) Excess/Umbrella Liability INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD POLICY NUMBER - DATE(MMIDDIYY) DATE(MMIDDIYY) LIMITS $ Other Liability INSR POLICY NUMBER PDATE(MMIDDTIY) POLICY DATE(MMDYYN LIMITS ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD II , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): G req 0e e CX cof!Ssirlic�dr1 1�ne, f Address: City/State/Zip: �Ct 01 (lc/ Phone 24b 9 (Jq C' Are you an employer?Check the appropriate box: Type of project(required): 1.�Tam a employer with � 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6.KNew construction 2.❑ 1 am a sole proprietor or partner- listed on the attached'sheet. 7. ❑ Remodeling shipand have no employees These sub-contractors have 8. ❑ Demolition employees and have workers' workingfor me in an capacity. Y P �' $ 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 homeowner doing all work officers have exercised their. 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no 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'compensation insurance for my employees. Below is the policy and job site information. I f Insurance Company Name: A SS o Ci ti`�'� �1 �cv� �I �, 4T_ C� Policy#or Self-ins.Lic.#: VJ L( Oq' 1 )-q (p2 ZC> )i Expiration Date: t 2 Job Site Address: +S tl O K (�t'zl JV f i\4 e— City/State/Zip: C a4d: 0 A 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 ce tfy r e s and penalties of perjury that the information provided above is true and correct. Signature: Date Phone#: 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#: Information n Instructions a d 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 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 600 Washington Street Boston,MA 0211.1. Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-`727-7749 Revised 4-24-07 www.mass.gov/dia '``� CERTIFICATE OF LIABILITY INSURANCE DATE 178/D/Y 1 11/28/2011 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 Sarah Colonna - HART INSURANCE AGENCY, INC. NAME: 243 MAIN STREET NC.No Ett: (508)759 7326 (Nc+No)_ (508)759 7366 AIL PO BOX 700 ED AD DDRR ESS: BUZZARDS BAY, MA 025320700 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: PROVIDENCE MUTUAL FIRE INS CO 15040 INSURED - INSURERB: CHARTER OAK FIRE INSURANCE CO 25615 Greg Clancy Construction, Inc. INSURERC: Associated Employers Ins Co. . 11104 182 Wheeler Road INSURER D: Mashpee, MA 02649 INSURERE: INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER M�MIUDD EFF MPOLICYp EXP LIMITS A GENERAL LIABILITY CPP0066284 11/07/2011 11/07/2012 EACHOCCURRENCE $ 1,000,000 COMMERCIAL GENERALLIABLI1Y DAMAGETORENTED SO,000 PREMISES Ea oc rice $ CLAMS-MADE F—VI OCCUR - MED EXP(Anyone person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LMITAPPLESPEP, - PRODUCTS-COMP/OP AGG $ 1,000,000 J POLICY PRO LOC $ B AUTOMOBILE LIABILITY BA7005N O06 07/02/2011 07/02/2012 (COMBIacciNED nt)SINGLE LMIr $ ANYAUTO - - BODILY INJURY(Per person) $ 100,000 ALL OWNED / SCHEDULED AUTOS AUTOS BOD�YNJURY(Per acadert) $ _ 300,000 �/ - - H02EDAUTOS �/ NON-OWNED PROPERTY DAMAGE $ 100,000 AUTOS Per acciderd $ �DECD BREL UAB OCCUR EACHOCCURRENCE $ ESS LIAR RCLAMS-MADE AGGREGATE $ RETENTION $ $ C WORKERS COMPENSATION WCC5009174022011 05/01/2011 05/01/2012 WCSTATI, OTH- AND EMPLOYERS LIABILITY YIN T YL ANY PROPRIETORMARTNER/EXECUTNE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 ryes,describe order _ DESCRIPTIONOF OPERATIONS below E.LDLSEASE-POLICYLMfi $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACach ACORD 101,Additional Rernarls Selredule,If rtwe space Is required) • - Operations performed by named insured as respects Liability in the Policy 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. Gail Bortolotti gait@fbinsure.com • AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD III 04/17/2012 TUE 15: 37 FAX 508 564 5531 Bouchie Insurance 0001/001 DATE(hMIDaYvw) ACC?R f? CERTIFICATE 4F LIABILITY INSURANCE4/17/12 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 rci°nMe°CT Barbara Kardibin RobertE Bouchie Jr. Insurance Pianie................__......_-.._....................__.-.._.__.._......_.._.._.... _.-....-...: FAz......_......__.............. ..... _._..... _.. .1352 Route 28A E w �). (508) 564-5560 v+Ic No,: (508) 564-5531 -MAIL PO Box 400 ADDRESS: info@BouchieInsurance.com Cataumet, MA 02534 INSURER(S)AFFORDINGCOVERAGE..................................... :. NAICtI_._.___.. ......... _ ......._.. ........ .. . INSURE.. Patrons. ....... INSURED 1 NSURER B ..........-_...._.................. .................:.._..._......,........_....._................._....._....._.._......_..__._.._.._.......,. ......._....._.._-__.._...... Dick Gill Plumbing & Heating intsuRERc: ..................._...._....... .. .............. P O Box 1353 ... INSURER RER D North Falmouth, MA 02556 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITRi TYPEOFINSURANCE ADDL'SUBR POLICY NUMBER j PULC' MMIUDDIYYyY LIMITS jL !GENERAL LIABILITY CTR0009405 7/2/11. 7/2/12 EACH OCCURRENCE $ .1.,..00Q....0Q0....... .X- COMMERCIALGENERALLIABILITY i OAMAGETORENTED $ .5O OOO --- P_.RE.MISES.(Ea.occurrgnte). ,__._....... .... CLAIMS-MADE X. occuR MEo E:w(Anyone ps«,2.... $.......... . ..5_r.0 _0 : .. ........ ......... ' PERSO ...- .. 1,OOO.,_OO_.. NgLBADVINJURY $ 0 ...... ............._... ..._...........-...._......._.._._...._..... .._............................-._............ ?..,-0.0.0,_000....... i GENERAL AGGREGATE i$ GEN'LAGGREGATE LIMIT APPLIESPER j •. PRODUCTS• ---....-------------- X POLICY; JECT PRO LOC $ AUTOMOBILE LIABILITY LIMIT i..( eccitlern) __._._ .....:.....-...,3.....:_..............._...._.........._..... ANVAUTO I BODILY INJURY(Per person) :`$ ALLOWPED SCHEDULED : .. ............_ AUTOS AUTOS BODILYINJURY(Peraccident) S NON-OWNED PROPERTY DAMAGE_._...._ _.............._.._-. _HIREDAUTOS _ AUTOS (Per accident),,._.. _..... ;..$........._. ....._......_. UNBRELLALIA13 OCCUR ;EACH OCCURRENCE $ _._. ._.. _.. EXCESS LIAB CLAIMS-MADE; AGGREGATE $ .. ............. ...... . . .. .. ._... ...... .. .. DED RETENTION S $ WORKERS COMPENSATION WOC TOR BOTH- AND EMPLOYERS'LIABILITY Y 1 N Y1I I.S.,.........ER..................................__......_...., ANY PROPRIETOR(PARTNERIEXECUTNE NI Ai t E.L.EACH.ACCICENY_ .`:.5................................. OFFICER/MEMBER EXCLUDED? ............... .............- ':(Mandatory in NR) ! E,L,DISEASE-EA.EMPLOYEE $ ...........____............ If es,Gesuibeunder yy _...... ............... _.. DESCRIPTIONOF OPERATIONS below - E.L.DISEASE-POLICY LIMIT'$ i OPERATIONS TI N OF OPE NS!LOCATIONS OESCRIP 0 0 I VEHICLES (Attach ACORD 101 Additional R ma rks Fax: 508-540-6586 CERTIFICATE HOLDER CANCELLATION Clancy Construction SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 182 Wheeler Road ACCORDANCE WITH THE POLICY PROVISIONS. Mahspee, MA 02649 AUTHORIZED REPRESENTATIVE _ Robert E. Bouchie Jr. ©1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone; Fax: E-Mail; qhe HaCitizens Insurancecompiny of America 64 yl s!Grand i A en�Te,f lows B,PAI 4ag43 HA� Jtr�3.41f C:T4}L;�} MasSachusetis Bay Insiiiancg,Company l i.er}4i,rt��tit Slr zl,h�r..oit(;,M 1 Cr,5a3 STREET PERMIT BOND Bond No. BLN9519716 KNOW ALL MEN BY THESE PRESENTS, that we, GREG CLANCY CONSTRUCTION, INC. of MASHPEE,MA 02649 as Principal, and © The Hanover Insurance Company (A New Hampshire Corporation) ❑Massachusetts Bay Insurance Company (A New Hampshire Corporation), as Surety, are held and firmly bound unto TOWN OF BARNSTABLE , as Obligee, in the penal sum of Five Hundred Dollars , good and lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, and our heirs, executors, administrators,jointly and severally, firmly by these presents. WHEREAS the said Principal has applied to said Obligee for a license to open, occupy, cross by vehicles and obstruct a certain portion of a public sidewalk/berm, curbing, street or way in said Town or City of COTUIT NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if Principal shall faithfully observe and honestly comply with the provisions of all Laws or Ordinances of Obligee regulating the business for which license is issued, then this obligation shall be void; otherwise to be and remain in full force and virtue. PROVIDED, THE LIABILITY OF THE SURETY upon this bond shall be and remain in full force and effect for the full period of the license, and renewals thereof, issued to the principal above named, or until ten days after receipt by the Obligee of a written notice signed by such Surety, or its authorized agent, stating that the liability of such Surety is thereby terminated and canceled; and provided further, that nothing herein shall affect any rights or liabilities which shall have accrued under this bond prior to the date of such termination. Signed,sealed and dated the 171h day of Apd , 2012 GREG CLANCY CONSTRUCTION, INC. Principal 01 By: j � 7/ "ILZ 2-! r Z (Seal) ®THE HANOVER INSURANCE COMPANY c., ❑ MASSACHUSETTS BAY INSURANCE COMPANY 71 ,; By: Laura Murphy, Attorney-in-Fact Bond No.:BLN9519716 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint Laura Murphy of Buzzards Bay,MA and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizances,undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows: Street Permit In the amount of $500.00 and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances, contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company. Any such writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons."(Adopted October 7,1981-The Hanover Insurance Company;Adopted April 14,1982 -Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents, this 21st day of November 2011. THE HANOVER INSURANCE COMPANY v�.. r r MASSACHUSETTS BAY INSURANCE COMPANY g974, CITIZENS SURANCE OMPANY OF AMERICA » Robert Thomas,Vice President THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER )ss. Joel Arenstrorn, ice'President On this 21 st day of November 2011 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. BBARA A.GARUGKNotryPubicrealth07Massadrwens `Ny Comr�tssion E4M'isSps. Barbara A.Garlick,Notary Public My Commission Expires September 21,2018 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. "RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7,1981-The Hanover Insurance Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America) GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 17th day of April 2012 . THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA I n Margosian,Vice President ' Member Report T=- 11Y Javefill Label:M1-2 I Design Tag: i6273 software 2 piece(s)of 1 3/4"x 18"1.9E Microllam@ LVL Member Type:Beam I Level:Roof Design Passed Product is Sufficient for Application and Loads Described a�R 4 77 \ a .,4. 1 2 31/2" 20'5 1/2" I, I. 'I 21'2 1/2" i Building Code: IBC 2003 Design Methodology: ASD Member Cut Length: 21'2 1/2" Member Drawing Not to Scale F f3esult Load'Combmation (Load'Grou , IDesl I Results Desran C�Location Allowed p� _' _ . Critical Reaction 7758 Ib @ 2" 8881 lb(3 1/16) Passed 87% 1.15 1.0 Dead+1.0 Snow-(1) Shear 6437 lb @ 1 9 1/2 13766 lb Passed-47% 1.15 1.0 Dead+..1.......0.. Snow-(1) —i ...._.. ..., ... . ..... .............. .., . Moment ' 39528 Ib ft @ 10 6 114 44566 Ib ft Passed 89% 1.15 1 0 Dead+1.0 Snow (1) d iLive Load Deflection 0 66 10 6 1/4' 0 69 U360 Passed U374 1 0 Dead+1 0 Snow 1 @ O ......E. ...... ... ..... ...... .. .................. ....... .... ... .. Total Load Deflection 1 02 @ 10 6 1/4" 1.04 U240 Passed U244 1.0 Dead+1.0 Snow (1) Desian Notes: 'Bracing(Lu):All compression edges(top and bottom)must be braced at 2-02-01 o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Supports: Maximum Analysis Reactions Support Start End Source Dead Floor Live Roof Live Snow 1 0" 31/2" SSPst1(i4289) 2708lb 5049lb 2 20'9" 21'2 1/2" SSPst2(i1323) 2751 lb 5131 lb Loads: Maximum Load Magnitudes Type Start End Source Dead Floor Live Roof Live Snow Self Weight 0" 21'2 1/2" Self Weight 17 Ib/ft Uniform 0" 21'2 1/2" User Load 240 lb/ft 480 Ib/ft Errors,Warnings.&Notes: 'If sloping roof loads are applied to this member,the roof dead load has been adjusted for slope. 'The member graphic,dimensions,and locations shown on this report are based on the centerline of the member. 'Analysis and Design has been performed using precision loading from actual modeled conditions. Some loads may have been modified to simplify reporting. *Load Duration Factors:Dead-0.90,Floor Live-1.00,Roof Live-1.25,Snow-1.15 File Name: Greg Clancy Javelin®Software 4.3.2.614 Design Engine:V5.3.0.1 4/23/2012 11:22:11 AM Page 1 of 2 w° REScheck Software Version 4.4.2 Compliance Certificate , Project Title: Greg Clancy Energy Code: 2009 IECC ' Location: Cotuit,Massachusetts Construction Type: Single Family Building Orientation: Bldg.faces 0 deg.from North Conditioned Floor Area: 2220 ft2 Glazing Area Percentage: 9% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 184 Oxford Drive Greg Clancy Colony Insulation,Inc Cotuit,MA 182 Wheeler Road 28 Jonathan Bourne Drive Mashpee,MA 02649 Pocasset,MA 02559 508-265-4911 508-563-6049 Compliance: Compliance:3.3%Better Than Code Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 1100 38.0 0.0 33 Ceiling 2:Cathedral Ceiling 200 38.0 0.0 5 Wall 1:Wood Frame,16"o.c. 672 21.0 0.01 35 Orientation:Front . Window 1:Wood Frame:Double Pane with Low-E 38_ 0.280 11 SHGC:0.50 Orientation:Front Door 1:Solid 21 0.300 6 Orientation:Front Wall 2:Wood Frame,16"o.c. 672 21.0 0.0 33^ Orientation:Back Window 2:Wood Frame:Double Pane with Low-E 62` 0.280 17 SHGC:0.50 Orientation:Back Door 2:Glass 30 0.300 9 SHGC:0.50 Orientation:Back Wall 3:Wood Frame, 16"o.c. 552 21.0 0.0 28 Orientation:Right Side Window 3:Wood Frame:Double Pane with Low-E 40 0.280 11 SHGC:0.52 Orientation:Right Side , Door 3:Solid 20 0.300 6 Orientation:Right Side Wall 4:Wood Frame, 16"o.c. 512 21.0 0.0 26 Orientation:Left Side Window 4:Wood Frame:Double Pane with Low-E 48 0.280 13 SHGC:0.50 Orientation:Left Side Floor 1:All-Wood JoistlTruss:Over Unconditioned Space 1206 30.0 0.0 40 Boiled:Other(Except Gas-Fired Steam)95 AFUE ' I 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 4.4.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Project Title: Greg Clancy Report date: 04-120/12; Data filename:C:\Users\june.000\Documents\REScheck\ClancyGreg-4-20-12-23Fairfid-Mash.rck Page 1 of 5 6 _ y Z Name-Title Date b t Project Title: Greg Clancy Report date: 04/20/12 Data filename:C:\Users\june.000\Documents\REScheck\ClancyGreg-4-20-12-23Fairfld-Mash.rck Page 2 of 5 A100^Z' REScheck Software Version 4.4.2 LYJInspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation. Comments: ❑ Ceiling 2:Cathedral Ceiling,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 3:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 4:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 4:Wood Frame:Double Pane with Low-E,U-factor:0.280' For windows without labeled U-factors,describe features: ' #Panes Frame Type Thermal Break? Yes No Comments: Doors: v ❑ Door 1:Solid,U-factor:0.300 Comments: ❑ Door 2:Glass,U-factor:0.300 V i r Comments:' ❑ Door 3:Solid,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Project Title: Greg Clancy Report date: 04/20/12 Data filename:C:\Users\june.000\Documents\REScheck\ClancyGreg-4-20-12-23Fairfld-Mash.rck Page 3 of 5 Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Heating and Cooling Equipment: ❑ Boiler 1:Other(Except Gas-Fired Steam):95 AFUE or higher Make and Model Number: 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/doorjambs 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. . ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: ❑ 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. M Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ 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,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: ❑ All ducts not completely inside 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). ❑ All ducts and air handlers are located within conditioned space. Heating and Cooling Equipment Sizing: ❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. ❑ 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). Project Title: Greg Clancy Report date: 04/20/12 Data filename:C:\Users\june.000\Documents\REScheck\ClancyGreg-4-20-12-23Fairfld-Mash.rck Page 4 of 5 Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. 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: Lj 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. ❑ 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. 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. NOTES TO FIELD:(Building Department Use Only) I - T Project Title: Greg Clancy Report date: 04/20/12 Data filename:C:\Users)une.000\Documents\REScheck\ClancyGreg-4-20-12-23Fairfld-Mash.rck Page 5 of 5 ` 2009 IECC Energy Y Efficiency Certificate Insulation . Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 a _ Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.28 0.50 Door 0.30 0.50 :Heating&Cooling Other Non-Gas-Fired Boiler t Water Heater: Name: Date: Comments: Affidavit of Substantial Financial Interest I, c (..AA)v of (p� Wkidia. 9&- IM)KI-eC&, on oath depose and state as follows: 1. I am an applicant for a building permit for the property located at Map l , Parcel)6 The address of the property is j p 0 ?C`Fo Rlb� [� J i J. 2. 1 have % legal or equitable interest in the 'real property which is the subject of the building permit application which is identified in paragraph 1 .above. 3. Within in the last twelve months froffi today's date, which is , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in.paragraph 1 above: - Name Address 4. Within the last twelve months, from today's date, which is , I have had a 1°/a or greater'legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address 5. Within this calendar year, l have submitted building permit applicatians.for , property in which I have a 1% or greater legal rd equitable interest. 6. Within the-last ten days, l have submitted- building permit applications for property in which I have a 1% or greater Iegal or equitable. interest: 7. Within this month, I have submitted 0 building permit applications for property in which I have a 1% legal or equitable interest. - 8. Within.this month, I have received b building permits for property in which`I have a. 1% legal or equitable interest. Signed underthe pains and penalties of perju , this I�'day of r, I , 20012 200:1-Oo50/affin 1 ; STANDARD LAND PURCHASE AND SALE AGREEMENT[#505] NNW ( th Contingencies) :,,:.•...4,:,,... The parties make this Agreement this 101h day f March 2012 Agreement supersedes and replaces aU ns obligatio made in any prior Cont aot To Pu chase or agreementThis for sale entered into by the parties. 1. Parties; Cart and Carol Kowalski,44 Simmons Ave,Whitman MA 02382 sell and Greg Clancy, 182 Wheeler Rd., Mashpee,MA 02649 the "SELLER," agrees to to buy, the premises described in paragraph 2 on the "BUYER,"agrees the terms set forth below. BUYER may require the conveyance to be made to another person or entity ("Nominee") upon notification in writing to SELLER at least five business days prior to the date for performance set forth in paragraph 5. Designation of a Nominee shall not discharge the BUYER from any obligation under this Agreement and BUYER hereby agrees to guarantee performance by the Nominee. 2' � crt°�On Of Pr m'ses. The premises (the "Premises") consist of land containing approximately 0.49 acres, more or less, described as 184 Oxford Rd. Cotuit,MA 02635 02 Map: 1 -Parcel:07 --- 6 more specifically described in a deed recorded iri the Barnstable County Book 2190 , Page 1Ast" R as (Certificate No. Registry of Deeds at • attached, �. ____�i, a copy of which rJ' Cis o+ 1 _L1 t(Choose one, 3. Para_has-prime, 'fie purchase price for the Premises is One Hundred fifty thousand and 00,100 r $ 1,000.00 were paid as a deposit with Contract To Purchase dollars and of which $ 91000.00 are paid with this Agreement; and 140,000,00 are to be paid at the time for performance by bank, cashier's or certified check or by wire, $ 150,001) Total 4, 9—scrg w. All funds deposited or paid by the BUYER shall be held in a non-interest bearing account, by Popponesset Real Estae g escrow subject to the terms of this Agreement and as agent for the SELLER, shall be paid or othenn�ise duly accounted for at the time for performance. If a dispute arises be en the BUYER and SELLER concerning to whom escrowed funds / should be paid, the escrow agent� ox eain all escrowed funds pending written instructions mutuallY given the BUYER and the SELLER. The escrow agent shall abide by any Court decision concerning to whom t by he t funds shall be paid and shall not be made a party to a lawsuit solely as a result of holding escrowed f� unds.. Z.5. Time For Performance. The SELLER shall deliver the deed and the BUYER shall pay the balance of the purchase price at 5 O'clock P. M. on the 20th cir �4R43-rA8 L. at day of April 2012 TiME !S OF THE ESSENCE AS TO EACH PROViSiONe-erOp 7HISother time ENT place as is mutuallagreed. documents required by this Agreement are recorded at the time for performance, all documents and f Unless the deed and other 0 are to be.held in escrow, pending prompt rundown of the title and recording (or registration in the casunds e of registero land). SELLER'S attorney or other escrow agent may disburse funds after 5:00 p.m.' of the next a c , , BUYER'S Initials BUYER'S Initials -- IL_ SELLER'S Initials SELLER'S Initials 3MWWVA i ftRe Reif i989,2000,2002 MASSACHUSETTS ASSOCIA7 i �1coSieaEara&ol Y ION OF REALTORSO Page 1 of 5 4. Forrn No.5oc 40 formsimoie ty f �q 1 business day following the date for performance, provided that the recording attorney has not reported a problem outside he recording attorney's control. 6. !WW R►M. The SELLER shall convey the Premises by a good and sufficient quitclaim deed running to the BUYER or to the BUYER'S nominee, conveying good and clear record and marketabl Premises,free from liens and encumbrances, except: e title to the (a)Real estate taxes assessed on the Premises which are not yet due and payable; (b)Betterment assessments, if any, which are not a recorded lien on the date of this Agreement- (c) Federal, state and local laws, ordinances, bylaws, rules and regulations regulating use of land, +ncluding building codes,zoning bylaws, health and environmental laws- (d) Any easement, restriction or.agreement of recorq presently in force which does not interfere with the reasonable use of the Premises for (e)Utility easements in the adjoining ways; (0 Matters that would be disclosed by an accurate survey of the Premises; and (g) insert in referencesto a» other (f the deed refers t easement, estnction,lease or encumbrance which may continue after Ltle is transferred i to a 'plan needed to be recorded with it, at the time for performance the SELLER shall deliver the plan with the deed in proper form for recording or registration. I 7. Tftle insurance. BUYER'S obligations are contingent upon the availabilit ( at owner's title insurance policy insuring BUYER'S title to,the premises without rexcept oal ons to hers thanojthan e Standard exclusions from coverage printed in the current American Land Title Association "AL -:over, the standard printed exceptions contained in the ALTA form currently in use for survey matters and real estate taxes (which shall only except real estate taxes not yet due and payable) and those TA"r policy permitted by paragraph 6 of this Agreement. s exceptions 8. Closing Certlffcaiions attd Do SELLER shall execute and delivers" the delivery of the deed sucrificaat O dTdoG men s as may c stamar ly and reasonably rely with by the BUYER'S attorney, BUYER'S lender, BUYER'S lenders attorney or any title insurance corn an j insuring the BUYER'S title to hPremises, required relating to: (a)parties in Possession of e Premises:incl (b) the tcreation of hout limitation. anicicati m and docu ens,(c) the underlying financial terms of the purchase and sale; td hp an or residency lmen's liens,and (e)information required to permit the closing agent to report the transactionto nterrial Revenue Service. At the time of delivery of the deed, the SELLER may use monies from the purchase to clear title, provided that all documents related thereto are recorded with the deed or within a re the thereafter acceptable to the BUYER and, provided further, that discharges of mortgages from banks, creel t unions, insurance companies and other institutional lenders may be recorded within a reason a le It a time recording of the deed in accordance with usual conveyancinSELLERg able tune after agrees to release all statutory, common law or other rights or interest Premises and taoexecuterehe deed, if necessary. in 9. Posse� fa—n�4nd ri4;�,;t ut P_ with the regtnrements of paragraph 6 and there AtA. thebe no Outstanding notices or Performance the Pof vio atioises n of shall zoning, heafth, environmental or other raw, bylaw, code or regulation, y zoning, right to examine the Premises within forty-eight(48) ours prior toe the a me for performance agreed. The Yorsuch lother time as may be agreed and upon reasonable notice to SELLER for the purpose of determining compliance with this paragraph. BUYER'S Initials _ BUYER'S Initials SELLER'S initials SELLER'S initials «a.T�� i �~ �5989,20;?0,'.002 MASSRCHUSE E PS ASSOCIATION 'C ATION OF REALTORSO Page 2 of S ,� Form No.5o5 AW formsirnplicit}' I 10. emenstan of Time For P rfo Agreement If the SELLER cannot convey title as required by this or cannot deliver possession of the Premises as agreed, or if at the time of the delivery of the deed the Premises do not conform with the requirements set for in this Agreement, upon written notice given no later than the time for performance from either party to be automatically extended for thirty (30) days, except that if BU the other, the time for performance shallER Y 'S mortgage commitment expires or the terms will materially and adversely change in fewer than thirty ER, days, the time for performance set forth in paragraph 5 shall be extended to one business day before expiration of the mortgage commitment. SELLER shall use reasonable efforts to make title conform or to deliver possession as agreed, or to make the Premises conform to the requirements of this Agreement. Excluding discharge of mortgages and liens, about which the SELLER has actual knowledge at the time of signing this Agreement, the SELLER shall not be required to incur costs or expenses totaling in excess of title or the. Premises conform or to deliver possession as agreed. ff(at the expiration of to time for }to make the C tc- performance, or if there has been an extension, at the expiration of the time for the SELLER, despite reasonable efforts, cannot make the title or Premises conform,oas agreed Or rmance as cannot deliver possession, as agreed; then, at the BUYER'S election, any payments made by the BUYER pursuant to this Agreement shall be immediately returned. Upon return of all such funds, all obligations of the BUYER and SELLER shall terminate and this Agreement shall automatically become void and neither the BUYER nor SELLER shall have further recourse or remedy against the other, t t Ate+---.— ;�1f_Dee,f. The BUYER shall have the right to accept such title to the Premises as the SELLER can deliver at the time for performance and if extended, shalt have such right at the time or performance, as extended. The BUYER shall also have the right to accept the Premises in the then current condition and to pay the purchase price without reduction of price. Upon once in writing of BUYER'S decision to accept the Premises and title, the SELLER shall convey till e and deliver of a deed by the BUYER or BUYER'S nominee, if any, shall constitute full perfo mancesion bysthe SELLERAcceptance shall be deemed to release and discharge the SELLER from every duty and obligation set forth in this Agreement, except any duty or obligation of the SELLER that the SELLER has agreed to perform after the time for performance. Notwithstanding the foregoing, all warranties made by the SELLER shall survive delivery of the deed. ;VVcg %Kp Alfal I it ZV I Z. 7Fs�oS'E1�te�. � cmje..J salt `t,+k c4VICatr b, nL 12. AAdJU1U11enA.At the time for performance of this Agreement adjustments shall be made as o€the date of r performance for current teat estate taxes. The net total of such adjustments shall be added to or deducted from the purchase price payable by the BUYER at the time for performance If the real estate tax rate or assessment has not been established at the time for performance, apportionment of real estate taxes shalt be made on the basis of the tax for the most recent tax year with either party having the right to request apportionment within twelve months of the date that the amount of the current years tax is established. 13. Ackc�ow3e£igtrrient Of (^ee Oqe_@ The SELLER and BUYER acknowledge that a fee of professional services shall be paid by the SELLER to Popponesset Real Estate ,500.00) for the 'Broker'at the time for performance. t s; tAe -evept of The BUYER and ER ROKER, pursuant to 254 of the Code of Massachusetts R gul tons Se tione3 ge 0 receipt of a notice from Back agency relationship of the BROKER with the BUYER and/or to SE a regarding an understand that Bell One Real Estate LLER. The BUYER d ER Popponesset Real Estate(2 1J2°�q} a real estate agent, is seeking a fee from ®buyer's agent [choose one). The BUYER further representsond warrants tr services hat there is o other brokeered as a 10selfer's r with whom BUYER has dealt in connection with the purchase of the Premises. ?she-c,,. r4c"s ci r+%Mm�ssto+�f BUYER'S Initials BUYER'S Initials ` �°(�`/1 SELLER'S Initials SELL Ms Initials MMSi MS- ®tsss,2000,2002 MASSACHUSETTS ASSC't;lA7 ON Of REALTORC5e Sommes®dm0reed femme lama Page 3 of 5 Form No.505 fonnsimpticity 14 LPuyees Defauit. if the BUYER or BUYER'S nominee breaches this Agreement, all escrowed funds paid or deposited by the BUYER shall be paid to the SELLER as liquidated damages. Receipt of such payment shall constitute the SELLER'S sole remedy, at law, in equity or otherwise, for BUYER'S default. The BUYER and SELLER agree that in the event of default by the BUYER the amount of damages suffered by the SELLER will not be easy to ascertain with certainty and, therefore. BUYER and SELLER agree that the amount of the BUYER'S deposit represents a reasonable estimate of the damages likely to be suffered. 15. B�-y�r's Finan_ln, (Delete 1f Waived) The BUYER'S obligation to purchase is conditioned upon obtaining mortgage financing in the amount of$ g none 0-00 at prevailing rates and terms by unable to obtain financing the BUYER may terminate this sAtgreem Agreement by giving writte reasonab efforts. theB YER n notice that hashiss received by SELLER een such SELLER'S agent by 5:00 p.m. on the calendar day after the date set forth above. in the event that notice haor s not been actually or constructively received, this condition is deemed waived. In the event that due notice has been received, all monies deposited or paid by the BUYER shall be returned and all obligations of the BUYER and SELLER pursuant to this Agreement shall cease and this Agreement shall become void. in no event shall the BUYER be deemed to have used reasonable efforts to obtain financing unless the BUYER has submitted at least one(1)application to a Licensed mortgage tender by n/a acted reasonably promptly in providing any additional information requested by mo the rtgage lender. and 16. T-QA Survev, (Delete If Waived) The BUYER'S obligations under this Agreement are subject to BUYER'S right to obtain test(s), inspection(s) and a survey of the Premises or any aspect thereof, includins but not limited to, percolation, deep hole, septiClsewer, water quality, and water drainage by consultant regularly in the business of conducting said test(s), inspections and surveys, of BUYER'S own choosing, and at BUYER'S sole cost within 0-. ;days after SELLER'S acceptance of this agreement. If the result not satisfactory to BUYER, in BUYER'S sole discretion, BUYER shalt have the right to s are received by the SELLER or SELLER'S agent by 5:oo p.m, on the calendar day after the date set forth above. 9 give written notice terminating this agreement. Upon receipt of such notice this agreement shall be void and all ironies deposited by the BUYER snail be returned Failure to provide timely notice of termination shall constitute waiver In the event that the BUYER does not exercise the right to have such test(s), inspection(s)and survey Or to so terminate, the SELLER and the listing broker are each released from claims relating to the size suitability ,, $vy�R. st condition of the Premises that the BU discovered. R or the BUYER'S consultants c ail IT47S � °tkt. SF.1 ou1G reasonablyhave P c f 97 m ' . 17. Ira des_ end Ren�;�.,4 d• f4 a=Lomas The SELLER further represents and warrants that SELLS (,,full authority to enter into this Agreement. The BUYER R has warranties or representations other than those incorporated winethrissAgreementR xcep has tfoe1the foPon any llowing ied u additional warranties and representations, if any, ;Wade by either the SELLER or any real estate agent lit none.state none`•if any fisted,indicate by whom the warranty or representation was 18• made j s. All notices required or permitted to be made under this Agreement shall be in writing and delivered in hand, sent by certified mail, return receipt requested or sent by United States Postal Se overnight Express Mail or other overnight delivery service, addressed to the BUYER or SELLER or heir authorized representative at the address set forth in this paragraph. Such notice shall be deemed to have been given upon delivery or, if sent by certified mail on the date of delivery set forth in the receipt or in the absence of a receipt three business days after deposited or, it sent by overnight mail or delivery, the next C� BUYER'S Initials BUYER'S Initials SELLER'S Initials SELLER'S Initials ASSFORMs- . �dNdG"Gabrcrm qw,2000,2002 MASSACHUSETTS ASSOCIATION OF REALTORSp) _ Page a of 5 m Form No.505 40 forrrtsimpltcity business day after deposit with the overnight mail or delivery service, whether or not a signature is required. Acceptance of any notice, whether by delivery or mail, shall be sufficient if accepted or signed by a person having express or implied authority to receive Same. Notice shall a other form permitted by law. lso be deemed adequate if given in any BUYER: SELLER: ES 1LIX �c & ��tr4 o z 3 b o SaF — 19. CQUIltuparW i bao't '! s / C ru f counterparts. Signatures tra A9f@QA1ffW. This Agreement may be executed in nsmitted by facsimile shall have the effect of original signatures. This Agreement shalt be construed as a Massachusetts contract; is to take effect as a sealed instrument; sets forth the entire agreement between the parties; is binding upon and is intended to benefit the BUYER and SELLER and each of their respective heirs, devisees, executors, administrators, successors and assigns; and may be canceled, modified or amended only by a written agreement executed by both the SELLER and the BUYER. If two or more persons are named as BUYER their obligations are joint and several. if the SELLER or BUYER is a trust, corporation, limited liability company or entity whose representative executes this Agreement in a representative or fiduciary capacity, only the principal or the trust or estate represented shall be bound, and neither the trustee, officer, shareholder or beneficiary shall be personally liable for any obligation, express or implied. The captions and any notes are used only as a matter of convenience and are not to be considered a part of this Agreement and are not to be used in determining the intent or the parties. Any matter or practice which has not been addressed in this Agreement and which is the subject of a Title*Standard or Practice Standard of the Massachusetts Conveyancers Association at the time for performance shall be governed by the Standards and Practices of the Massachusetts Conveyancers Association 20. Addt4ionat Provisions. Buyer has 30 days to determine if lot is buildable for a 3 bedroom home. UPON SIGNING. THIS DOCUMENT WILL BECO ME A LEGALLY BINDING AGREEMENT. IF NOT UNDERSTOOD, SEEK ADVICE FROM AN ATTORNEY. AA j VJ-Aflrr Ee��j t`J Ss�ilt 1��C:iZ�t f;1 BUYER SELL Date i I ; BUYER Date SELLER,'or spouse Date 9-8=,Ana Agent. By signing below, the escrow agent agrees to perform in accordance with paragraph 4, but does not otherwise become a party to this Agreement. .may_ Date MAalSFQdat sow Beat> Fonu @ fg99.2000,2002 MASSACHUSETTS ASSOCIATION OF REA TORSr s�r+nar _ Page 5 of S Form No�505 formsimpticity �._�... p.1 a S T • N " TIME EXTENSION AGREEMENT The undersigned,parties to an F__ Offer to Purchase Real Estate(the"Offer") X Purchase and Sale Agreement(the"Contract") with respect to the property known and numbered as 184 Oxford Road Cotuit Massachusetts, hereby agree as follows: _ The date by which the Offer is to be accepted pursuant to Paragraph 2 thereof is extended to .20 The date by which a purchase and sale agreement is to be executed pursuant to Paragraph 8 of The Offer is extended to 2fl�RT The date by which any inspection provided for in a contingency addendum attached to the Offer or the Contract is to be completed is extended to ,20 ,and the date by which the Buyer must give notice of the exercise of the Buyer's option to revoke the Offer or terminate the Contract based on the results of such inspection is extended to ___....._...__.._.... _�_ 20 The date by which the Buyer must submit a complete loan application conforming to the provisions of the mortgage contingency addendum attached to the Offer or the mortgage contingency clause contained in the Contract is extended to ,20 and the date by which the Buyer must give notice of the exercise of the Buyer's option to revoke the Offer or terminate the Contract if a mortgage loan commitment cannot be obtained pursuant to said addendum or clause is extended to The date by which the conditions set forth In the sewage disposal system contingency addendum attached to the Offer or the Contract(including the furnishing of an inspection certificate) are expected to be met is extended to 20 ,and the date by which the Buyer must,pursuant to said addendum,give notice of the exercise of the Buyer's option to revoke the Offer or terminate the.Contract is extended to 2p The date by which the Seiler must furnish copies of certain documents to the Buyer pursuant to the condominium documents addendum attached to the Offer is extended to 20 , and the date by which the Buyer must give notice of the exercise of the Buyer's option to revoke the Offer if the Buyer is not satisfied with the contents of any such materials is extended to 20 X The time for performance of the Contract is extended to__...___91_:®t�_.o'clock__A._.,M.on the _ _...day of� May 2012 Time remains of the essence f t Offer and/or Contract which is ratified 4nd confirmed as herein amended.This agreement, executed in multiple counterparts,is intended to take effect as a seated instrum KJ Seller Carl Kowalski �— Sellerkpr�spouse) Carol Kowalski Fuyer B ' er �� rGreg Clancy Date: oker(s) COPYRIGHT d 2000 A4 tights reserved_This Form may not be copied or remoduoed in 3REATER aO5TON REAL ESTATE BOARD vno;a or in part in any mannef whatsoever mthour the orioreupress - RCA(b_RAt58 PD Dt o iow '�"� d written consent erthe Greater Boston Real Estate Board. Fa-m genors:ed b-f True Forms' rtruxu.TrucFarms.carn 800-499-9612 JOB 1 w TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY � ATE �7— 1 — t Z Tel./Fax: (508) 790-4686 CHECKED BY ' Q ... SCALE 7AYL0M ...... Vey 11aj L6 `.a _S !...... _...... . ..... ... . ...... .... > Ar a o _ a ..... ._ .S x 0 N Z I,. 4. N- ........... _......... ..................... !�t _ .. p•� ._... ......... I`D _.... . . . --W 4>!rt ......... 14 03 a t yP ......T?> I c? 'a -�. .._.. ...... M:7 .... . TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 02 " Forestdale, MA 02644 CALCULATED BY— CrT GATE Tel./Fax: (508) 790-4686 CHECKED BY DATE SCALE r.. i.. ..►:C .. ..C_.e � Cs• 4�t`tom i ` t 'g -+►.� Fv_w '.1-I�c�c e-.-t....... 't"o . d� �( �.i_ To 4 •4Z 4 l Swt _ �p ...... . Q ° r+�..5. L. 'o 'T� o-cam y„ . ........ . ..... fro W w.► t.33`� > .. b = c 3 7� `_egg 7. 3 . 3 .... eS ' ..... ..... .. ........ _ � ..._�.� .... , l C!vVC'7 .._. Z �er. Lam', teL...... .0 CJ14-�"�"' M 30 8a1 1 > ..,, .... . ...... 73 ''S i JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. F3 OF P.O. Box 1313 x Forestdale, MA 02644 CALCULATED BY Or T DATE �- ^ IZ- Tel./Fax: (508) 790-4686 CHECKED BY DATE y Tta SCALE tea: or,7 ...... .........-._..............._ ......_.. p, . . .... .. ......... -..... .i. •�•• _. .... .._ M = 1.77 t 7 4 ><_?7 ? Z 4 57 .Z., P(t.A.r...._..... d w 06ey t 2 4 oD(a►3 3. =' Z c�—tom._ I�,r•no ... Z.Cx-r`L�2-ccM.-..... . c 'C3c .. 3--r�rrS. • BA i tt4 1A i,.i e Taylor :Design Associates, Inc. P_ O, Box 1313 Forestdale MA 02644 Telephone & Fax: (508) 790-4��, July 9, 2012 Greg Clancy Construction,_Inc. 182 Wheeler Road Mashpee, MA 02649 RE: Residence—Structural Stability 184 Oxford Drive Cotuit, MA Dear Mr. Clancy, I have reviewed the diaphragm action and structural stability of the subject residence. With the inclusion of a band beam at the two story section,the framing as provided is satisfactory. The 3 — 1 3/4"x11 7/8" beam in the exterior wall, at the second floor level, will provide the stiffness required to transfer the wind load to the second floor diaphragm and front wall. The exterior lateral loads will be in compliance with the Massachusetts State Building Code, 8"}' Edition. ZN O Sinc ely, R. Gre ylo Pr Sid Michael A.Dunning* Christopher J.Kirrane Kevin M.Kirrane Susan Sard White Elizabeth A.McNichols Patricia McGauley,of Counsel Dunning,Kirrane,McNichols+Garner,LLP Brian F.Garner *Also admitted Illinois Bar ATTORNEYS AT LAW March 12, 2012 Mr. Thomas Perry 4; Barnstable Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 Re: Carl F. Kowalski and Carol A. Kowalski 184 Oxford Drive, Cotuit (King's Grant) Dear Mr. Perry: We have been asked by the prospective..purchaser of property owned by Carl F. and Carol A. Kowalski to prepare this-letter in regard to issues relating to the ownership of Lot 52 (184 Oxford Drive, Cotuit, Massachusetts) and the ability to obtain a Building Permit for the construction of a single family residential structure on said lot. In preparing this letter, we have examined title to the subject Lot as well as Lots 51, 53, 35 and 36, as they appear on a Plan recorded at the Barnstable County Registry of Deeds in Plan Book 271, Page 56. We have examined title (ownership) to these Lots from the date of their creation by the Subdivision Plan dated Feb. 28, 1973, to the present. Lot 52 (184 Oxford - Map 21, Parcel 76), which is the subject matter Lot, was acquired by Carl F. Kowalski and Carol A. Kowalski, husband and wife, from Dorothy F. Duncklee and Peter A. Thompson, Trustees of King's Grant Trust by deed dated May 30, 1975. Title to this property has remained in the Kowalski's since that date. Shellback Place 1 133 Rt 28 I BOX 560 TELEPHONE FACSIMILE EMAIL WEBSITE Mash pee,Massachusetts 02649 508 477 6500 508 477 5697 dunkir@dunningkirrane.com dunnin kirrane.com P � � � � g g t7 ,• ,� _ c v a �O Page 2 184 Oxford Drive, Cotuit March 12, 2012 Lot 51 (172 Oxford - Map 21, Parcel 75)) was deeded by Dorothy F. Duncklee and Peter A. Thompson, Trustees of King's Grant Trust deeded to Joseph C. Grasso and Joan B. Grasso on September 9, 1975. They subsequently deeded the property to Daniel L. Toombs and Georgia L. Toombs by a deed dated January 27, 1979. Daniel L. Toombs and Georgia L. Toombs deeded the property into the Daniel L. Toombs Revocable Trust, Daniel L. Toombs, Trustee on January 3, 1997. The property was deeded out of the Trust into Daniel L. Toombs and Georgia L. Toombs by deed dated April 17, 1998 who in turn deeded it back into the Daniel L. Toombs Revocable Trust, Daniel L. Toombs, Trustee, by Deed dated March 7, 2003. The Trust deeded the property to David E. and Mary Ann Evans on March 23, 2004, who remain the current owners. Lot 53 (200 Oxford - Map 21, Parcel 77) was deeded by Dorothy F. Dunklee and Peter A. Thompson, Trustees of King's Grant Trust to Ardashes H. Sheiemian on October 8, 1976 who then deeded the property to Carl J. Davison, Trustee of Feinberg Family Trust on December 5, 1994. The property was subsequently deeded to Roger B. and Joan Clapp on October 6, 1995, who remain the current owners. Lot 36 (79 Santuit Road - Map 21, Parcel 89) was deeded by Dorothy F. Dunklee and Peter A. Thompson, Trustees of King's Grant Trust to George W. and Deborah Blakeley by deed dated October 10, 1979. They subsequently deeded the property to Richard D. and Carmen N. Bartlett on August 19, 1980, who remain the current owners. Lot 35 (91 Santuit Road - Map 21, Parcel 90) was deeded from Dorothy F. Dunklee and Peter A. Thompson, Trustees of King's Grant Trust to John J. Meder on October 10, 1979. He then deeded the property to Steven Huntoon and James E. Regan, III on October 23, 1984. They in turn deeded the property to Otto Herbst on August 14, 1985, who then deeded the property to Edith C. Herbst on July 23, 1986. Edith then deeded the property to Kevin M. Mamlock on August 31, 2000, who remains the current owner. Shellback Place 1 133 Rt 28 1 Box 560 TELEPHONE FACSIMILE EMAIL WEBSITE Mashpee,Massachusetts 02649 [508]477 6500 [508]477 5697 dunkirCiMunningkirrane.com dunningkirrane.com Page 3 184 Oxford Drive March 12, 2012 Based upon this information, it is my opinion that Lot 52, 184 Oxford Drive, Cotuit, would qualify for a.Building Permit as a grandfathered pre- existing non-conforming lot. In particular and perhaps in addition to other sections of the By-Law, Section 240-91E would apply, since this lot was conveyed to the Kowalskis within the Subdivision's eight (8) year protection period because the Subdivision Plan was endorsed by the Planning Board in May, 1973. I would point out also that all lots were released from Covenant by instrument recorded at Book 2644, Page 347. Should you need any additional information or have any questions in this regard, please advise. 4VVerytrmulyyo Kevin M. Kirrane KMK/amb Enclosures cc: Greg Clancy w:\dk7\winword\clients\clancy\buildability letter.docx Shellhack Place 1 133 Rt 28 1 Box 560 TELEPHONE FACSIMILE EMAIL WESSITE Mashpee,Massachusetts 02649 [508]477 6500 [508]477 5697 dunkir(,Odunningkirrane.com dunningkirrane.com BOOK2644 PAu 347 FORM 0 00443 CERTIFICATE OF PERFORMANCE (Covenant Approval Release) Barnstable, Massachusetts,.Havember-.23...19.22.. The undersigned, being a majority of the Planning Board of Barnstable, Massachusetts, hereby certify that the requirements for work on the ground called for by the Covenant dated...Ma)f..3.1............. 19.13., and recorded in .Barnstable•..•.......•.•....•• District Deeds, Book •••18 L. Puge ..74............... (or registered on Certificate of Title No. ................... in Registration Book ................, Page ....................) have been completed to the satisfaction of the Planning Board as to the following enumerated lots shown on Plan entitled ...........K111g'.....Grant.....,,•,.•,..••,,,,,• recorded with said Deeds, Plan Book 271............... Pa e,•18 &)20 Plan ....5b.,.57..,(or registered in said Land Registry District, Plan Book28,Q..b...�$�.., Plan ...g. ..... and said lots are hereby released from the restrictions as to sale and building specified thereon. Lots designated on said Plan as follows: n Lots #30 thru 43. .........fi Q:......Oltil�!e':n.....0.� .....5/� .......u'R..�? e:!�?� ....................................................... ......kmi.L"S......GA..P..Nz....7fLu`z ................... ..................................................................... MW................................ ...................................................................... 11 thorized �t of the Ark". .A f Planning Board of the Town of ........................ ...:................................................... Barnstable. ...................................................................................... ............................. COMMONWEALTH OF MASSACHUSETTS ........... arnstable ss, November 23 192.7 Then personally appeared a0k1CIA.....ROSdrJ.O:........ one of the above named members of the Planning Board of the Town of Barnstable,Massachusetts and ockno ledged the foregoing instrument to be the free act and deed of said Planning Board, before me. Notary Pu ic�.� My mmission expires: Dece%tkr. ............_. kt o After recording return to: v BARNSTABLE PLANNING BOARD TOWN OFFICE MAIN STREET HYANNIS. MASS. 02601 RECORDED JA14 D 61978 i i WE, DOROTHY'F. DUNCXLEE and PETER A. THOMPSON, Trustees of recorded Grant j Trust under a Declaration. of Trust dated January 19, 1973, recorded with .3arnstable County Registry of Deeds in Book 18091 Page 3.32 3002190 au 194 10$96 I. . of Barnstable County,3+r"iaeesohuaetU, for-the lull cooaidaration of SEVEN THOUSAID I THREE AND 00/100 $79273 DRED pp)S paid , grotto CART, F. KOWALSKI and CAROL A, .KOWALSKI, husband and wife as 111 tenants by the entirety of 74 Jerome Street, Whitman, Massachusetts 02382 Vith*Mrlgft nMMVjdStXk&J#x a certain parcel of land located in Barnstabl ., Barnstable County, Massachusetts, bounded and described as follows: NORTHWESTERLY by Oxford Drive by two (2) courses totaling One hundred forty and 73/100 (140.73) feet; NORTHEASTERLY by Lot 51, One hundred sixty and 00/100 (160.00) feet. SOUTHEASTERLY by portions of Lots 36 and 35, by two' (2) courses tot l- ing One'hundred twenty-three and 33/100 (123.33) feet-, and SOUTHWESTERLY by Lot 53, one hundred sixty-five and 04/100 (155.04) feet; Containing 21,245 square feet and being LOT 52 as shown on plan of land of "King's Grant" dated February 28, 1973, which plan-Is recorded in Barnstable County Registry of Deeds Plan Book 271, .Page :56 Together with a right of way over the ways as shown on said plan in common with all others lawfully entitled thereto for all pUY•goses w for which public ways are used in the Town of Barnstable.. Said land is conveyed subject to .protective covenants recorded --_-- - - ---- - -- �— ---_�Barnstah3.e County-Reg�stry'"of`-Beds For our title see deed of Raymond D. Crawford to us recorded in Barnstable County Regietry o Pa Deeds Book 1871; g w lJ Tf yo _ day of P91 tc Executed as a sear instrumout this L H 75 - DOROTHY F J DUNCKLZ ,E .Trustees Z TER A. mHOMP.SON Trustee 11)75 Barnstable Then penoroalp sppewed the above rained and peter A, Thompson, 'Trustees of Ding's Grant Trust and acknowledged the foregoing instrument to he 'their i� /�►�i3( �f i '�Y59s �L.ti..�,Nr ,i.'J'1t+/v3rn/ 5ro3aryFc�lrG �' My*ornsnls�sion expires 6Z"t- JUN 2 7 5 DODK 2239 FACE 067 WE, DOROTHY F. DUNCKLEE and:PETER A. THOMPSON,, Trustees of,KING's GRANT TRUST under a Declaration of Trust dated January 19, 1973, recorded with Barnstable County Registry of. Deeds in Book 1809, Page 332 20036 Barnstable County,Mtusaohusetts,. for the full consideration of Nine Thousand Three Hundred Seventy-f and no/100 ($9t375.00)------------Dollars grant to JOSEPH C. GRASSO and JOAN B. GRASSO, husband and wife as tenants by the entirety r of 4112 Mangalone Drive, Annandale Virginia with quttcigjm r0Mg1"v wum*a a certain parcel of land located in Barnstabl , Barnstable County, Massachusetts, bounded and described as follows: NORTHWESTERLY By Oxford Drive, One Hundred Twenty-five and no/100 (125.00) feet; NORTHEASTERLY By lot 50, One Hundred Sixty and no/100 (160.00) feet; SOUTHEASTERLY By portions of lots 37 and 36, One Hundred Twenty-five and no/100 (125.00) feet; SOUTHWESTERLY By lot 52, One Hundred. Sixty and no/100 (160.00) feet: Being Lot 51 and containing an area of 20,000 square feet, as oho on plan of land of "King's Grant", dated February 28, 1973, which plan is recorded in Barnstable Deeds Plan Book 271, Page 56. Together with a right of way over the ways as shown on said ' plan in common with all others lawfully entitled thereto for all pur^,,, poses for which public ways are used in the Town. of Barnstable. Said land is conveyed subject to protective covenants recorded in Barnstable County Registry of Deeds Book 1892, Page 186. For our title see deed of Raymond D. Crawford to us recorded in ---- -------- --- - —Barnstable-County--Registry-of-Deeds-Book-1871,-P-age--93•----------------- ---___--,-----_ � � fi'`_ ox Executed as a sealed instrument this: C ^_ day of '6 e t A:+ 1975 DOROTHY F. DUNCKLEE, Trustee PETER A. THOM SON, rustee cDptlltmtorauk of Aft"m Barnstable Then personally appeared the above named ?91'9sh�' i�ai-'"' and Peter A. T-hemp-son-,—T-r-ustees-of-Kings-Grant-Tx-usi. P and acknowledged the foregoing instrument to he Oe'e act and deed, Dom me,lU %,Al d rV s,r✓ Norory Public My commission expires u.lr�I1�Cn SEP.24 75 BDUN 2872 imL1 NO . WE, JOSEPH C. GRASSO and JOAN B. GRASSO, husband and wife as tenants by the entirety, and in every other capacity, both (�•��j;33 I Of 2236 Pimmit Run Lane, Falls Church, Virginia 22043 County,Massachusetts, ,for the full consideration of ELEVEN THOUSAND TWO HUNDRED and 0 0/1 00411 j (11,200.00) DOLLARS graotto DANIEL L. TOOMBS and GEORG=A L. TOOMBS, husband and wife as tenants by the entirety, both Of 46 Hildreth Street, Westford, Middlesex County, Massachusetts 01886 with qutkiltUn rpornantta the land in Cotuit, Barnstable, Barnstable County, Massach usetts, bounded and described as follows: NORTHWESTERLY by Oxford Drive, One Hundred Twenty-Five and no/100 (125.00) feet; NORTHEASTERLY by Lot 50, One Hundred Sixty and no/100(160.00)feet; SOUTHEASTERLY by Portions of Lots 37 and 36, One Hundred Twenty-Fiv and 00/100(125.00) feet; and SOUTHWESTERLY by Lot 52, One Hundred Sixty and no/100(160.00).feet. Being LOT 51 and containing an-area of 20,000 square feet, as shown on plan o an of "King's Grant", dated February 28, 1973, which plan is recorded Barnstable Deeds Plan Book 271, Page 56. Together with a right of way over the ways as shown on said plan in common with all Wh.eft lawfully entitled thereto for all purposes for which public ways are used in the Town of Barnstable. a Said land is conveyed subject to protective covenants recorded in . ^m Barnstable County Registry of Deeds Book ,1892, Page 186, and Book 2315, Page 181. For our title, see deed to us from Dorothy F. Duncklee and Peter A _0- _Thompson, Trustees of KING_'S GRANT TRUST, dated September , 19T5, recorded on September 24 19T5 aE Barnstable-Registry-of-Deeeeds-in ------ Book 2239, Page 067. COMttMONWE�A,LTH OF MASSSSACH*USETT irrs=`� 86.22 • • 79 III Executed as a sealed instrument this �. day o a� Ja cry 19 se asso an •�17 � .1. . INI the ®rtl s•• Januag•.�: *� Then personally appearad the above named Joseph-C. Grasso drib JoaIS . GSJ�tesO and acknowledged the foregoing instrument to he their fro J nd deed, Btil— Norary Fabtic W My commission expires 3 D 19 WORDED FED 121979 clow2872 ter.; V70 WE, JOSEPH C. GRASSO and JOAN B. GRASSO, husband and wife as tenants by the entirety, and in every other capacity, both Of 2236 Pimmit Run Lane, falls Church, Virginia 22043 County,Maeeaohueotfa, for the full consideration of ELEVEN THOUSAND TWO HUNDRED and 00/10#d (11,200.00) DOLLARS f graatto DANIEL L. TOOMBS and GEORGIA L. TOOMBS, husband and wife as tenants by the entirety, both Of 46 Hildreth Street, Westford, Middlesex County, Massachusetts 01886 with gutttlafln t011Qniints the land in Cotuit, Barnstable, Barnstable County, Massach usetts, bounded and described as follows; NORTHWESTERLY by Oxford Drive, One Hundred Twenty-Five and no/100 (125.00) feet; NORTHEASTERLY by Lot 50, One Hundred Sixty and no/100(160.00)feet; SOUTHEASTERLY by Portions of Lots 37 and 36, One Hundred Twenty-Fiv and 00/100(125.00) feet; and SOUTHWESTERLY by Lot 52, One Hundred Sixty and no/100(160.00)feet. Being LOT 51 and containing an area of 20,000 square feet, as shown on plan o an of "King's Grant", dated February 28, 1973, which plan is recorded Barnstable Deeds Plan Book 271, Page 56. Together with a right of way over the ways as shown on said plan in common with all wh.eRs lawfully entitled thereto for all purposes for which public ways are used in the Town of Barnstable. 9 Said land is conveyed subject to protective covenants recurred in Barnstable County Registry of Deeds Book 1892, Page 186, and Book 2315, Page 181. For our title, see deed to us from Dorothy F. Duncklee and Peter A. t5 Thompson, Trustees of KING'S GRANT TRUST, dated September 19, 1975, recorded on September 24, 1975 at Barnstable Registry of Deeds in Book 2239, Page 067. ' COMMONWEALTH OF MASSACHUSETT ICJ MAS ti '. 9 •.. 1 Exuauted ee a sealed instrument this day o 21 Ja ary 19 79 se aeso a VIRGINi ;� c sag 4t> WO Of Janui#yt•,�;� Than personally appeared the above named Joseph C. Grasso and Jose' ., Gr so , and acknowledged the foregoing instrument to be their fro PR nd deed, Bdbre me, NotarV Pa6Nc My commission expires RECORDED FEB 121979 4 Lk - 10576—33 r 31 r 01 -21--- 19@37 C 01 217 QUITCLAIM DEED KNOW ALL MEN BY THESE PRESENTS, That We, Daniel L. Toombs and Georgia L. Toombs, husband and wife, both of 4 Meadow Drive, Littleton, . Massachusetts 01460 for consideration of One 141.00) Dollar paid, grant to Daniel•L. Toombs, Trustee-of the Daniel L. Toombs Revocable Living Trust, under Declaration of Trust dated January 3, 1997 and having a mailing address of 4 Meadow Drive, Littleton, Massachusetts with QUITCLAIM COVENANTS A certain parcel of land located In Barnstable, (Cotuit), Barnstable County, Massachusetts, bounded and described as follows: NORTHWESTERLY by Oxford Drive'One Hundred Twenty-Five and No/100 (125.00) feet; NORTHEASTERLY by Lot 50, One Hundred Sixty and Noll 00 (160.00) o feet; U SOUTHEASTERLY by Portions of Lot 37 and 36, One Hundred Twenty- A ,o SOUTHWESTERLY by Lot 52, One Hundred Sixty and Noll00 (160.00) u feet; 0 w Being Lot 51 and containing an area of 2,0,000 square feet, as shown on plan 0 of land of "King's Grant", dated February 28, 1973, which plan is recorded with the Barnstable Deeds Plan Book 271, Page 56. Together with a right of way over the ways as shown on said plan in common with all others lawfully entitled thereto for all purposes for which public ways are used in the Town of Barnstable. Said land is conveyed subject to 'protective covenants recorded in Barnstable County Registry of Deeds Book 1892, Page 186, and Book 2315, Page 181. Being the.same-premises conveyed to the within Grantors by deed of Joseph C.. . Grasso and Joan B. Grasso dated January 27, 1979 and recorded with the Barnstable County Registry of Deeds at Book Page O 10 - Mary-M—. Howie— Attorney at Lain NO TITLE SEARCH REQUESTED. One Stiles Road Suite 105 Salem, NH 03079 Tel (603) 893-8008 Ell: WITNESS our hand and seal this 3rd day of January, 1997. mess 6nilel . oombs ness Georgia Toombs STATE OF NEW HAMPSHIRE January 3, 1997 ROCKINGHAM, SS. Personally appeared the above-named Daniel L. Toombs and Georgia L. Toombs, known to me, or satisfactorily proven, and acknowledged the foregoing instrument to be their free act and deed, before me . ',`au,NlryNlak 1V ; - Notary PublicIs .. a M Wie Attorney at Lain One Stites Road Suite 105 BARISTABLE REGISTRY OF DEEDS Salem, NH 03079 Tel (603)893-8008 f Blc = 1 13 7- 1 . 27000 0$-17-1990 0 =4:3 QUITCLAIM DEED DANIEL L. TOOMBS, Trustee of 'the Daniel L.. Toombs Revocable Living Trust u/d/t dated January 3, 1997 and recorded with the Barnstable County Registry of Deeds in Book 10576, Page 314, of 4 Meadow Drive, Littleton, Massachusetts 01460, for consideration paid in the amount of ONE AND 00/100 ($1.00) DOLLARS, grant to DANIEL L. TOOMBS and GEORGIA L. TOOMBS, husband and wife as tenants by the entirety, of 4 Meadow Drive, Littleton, Massachusetts 01460, with QUITCLAIM COVENANTS, A certain parcel , of land located in Barnstable (Cotuit) , Barnstable County, Massachusetts, bounded. and described as follows: NORTHWESTERLY by Oxford Drive ' One Hundred Twenty-Five and No/100 (125.00) feet; NORTHEASTERLY by Lot '50, One Hundred Sixty and No/100 - - ------ --- - ---- -------1160-.00-).�-feet;---------------------------_____—_.__._-,_.—__ __— SOUTHEASTERLY by ,Portions of .Lot 37 and 36; One Hundred Twenty-Five and No/100 (125.00) feet; and SOUTHWESTERLY by Lot 52 One Hundred Sixty and No/100 (160.00) feet. Being LOT 51 and containing an area of 20, 000 square feet, as shown on plan of land, of "Kings Grant", dated February 28, 1973, which plan is recorded with the Barnstable Deeds Plan Book 271, Page 56 . Together with a right of way over the ways as shown on said plan in common with all others lawfully entitled thereto for all purposes for which public ways are used in the Town of Barnstable. Said land is conveyed subject to Protective Covenants recorded in Barnstable County Registry of Deeds Book 1-892, Page 18-6,` and Book 2315, Page 181. PROPERTY ADDRESS:1�2 Qxford_D_r-i_v_e,Co-tuit,—MA-. For title see Deed recorded in Book 10576, Page 337. 3k = 1 1367-- 156 2701313 WITNESS my hand and seal this f7 ` day of April , 1998. Daniel L. Toombs Revocable Living Trust BY f4LZell L7d, aniel . Toombs, Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. April I7 1998 Then personally appeared the above-named Daniel L.- Toombs, Trustee, as aforesaid, and acknowledged the foregoing instrument to be his free act' and deed, before me, y Public: J61hn W. Kenney commission expires: 1/28/2005 f Bk e 1 1 :3E?- 15 a 27000 TRUSTEE'S AFFIDAVIT I, DANIEL L. TOOMBS, Trustee of the Daniel L. Toombs Revocable Living Trust u/d/t dated January 3, 1997 and recorded with the Barnstable County Registry of Deeds in Book 10576, Page 314, being under oath hereby certify as follows: 1. That I am the sole Trustee of the above-mentioned Trust; 2. That said. Trust has not been altered, revoked or amended and is in full force and effect; 3 . That the beneficiaries of the Trust are of legal age, they are not disabled and have all assented to the sale of the trust property; and 4. That I am duly authorized on behalf of the Grantor and all of the beneficiaries of said Trust to convey the property known as LOT 51 on Plan Book 271, Page 56 located in Barnstable (Cotuit) , Barnstable County, Massachusetts for consideration in the amount of ONE AND 00/100 ($1.00) DOLLARS to Daniel L. Toombs and Georgia L. Toombs.. -- - — --- — ---- -- � - - - - - --- f'a----- - -- SWorn to under the-pains and-perialt"ies of--pegjury this—l� day of April, 1998. _ d� aniel L. Toombs, Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, as. April (7 11998 Then personally appeared the above-named Daniel L. Toombs, Trustee and acknowledged the foregoing instrument to be his free act and deed, before me, Z ary Public: ohn W. Kenney commission expires: , /28/2005 BARNSTABLE REGISTRY OF DEEDS t Bk 17833 P'9128 0123675 10--23-2003 & 08 s 40a QUITCLAIM DEED KNOW ALL MEN BY THESE PRESENTS, That We, Daniel L. Toombs and Georgia L. Toombs, husband and wife, both of 4 Meadow Drive, Littleton, Massachusetts 01460 for consideration of One ($1 .00) Dollar paid, grant to Daniel L.-Toombs,.Trustee.,of the Daniel L. Toombs Revocable Living Trust, under Declaration of Trust dated January 3, 1997 and having a mailing address of 4 Meadow Drive, Littleton, Massachusetts with QUITCLAIM COVENANTS A certain parcel of land located in 'Barnstable, (Cotuit), Barnstable County, Massachusetts, bounded and described as follows: NORTHWESTERLY by Oxford Drive One Hundred Twenty-Five and Noll00 (125.00) feet; NORTHEASTERLY by Lot 50, One Hundred Sixty and Noll00 (160.00) feet; --- -- -- SOUTHEASTERLY- ---by Portions of-Lot-37-and-36�One-Hundred Twenty= -- Five and No/100 (125.00) feet; and SOUTHWESTERLY by Lot 52, One Hundred Sixty and Noll00 (160.00) feet; Being Lot 51 and containing an area of 20,000 square feet; as shown'on: plan of land of "King's Grant", dated February 28, 1973, which plan is recorded with the Barnstable Deeds Plan Book 271, Page 56. 64 Together with a right of way over the ways as shown on said plan in common with all others lawfully entitled thereto for all purposes for which public ways are used in the Town of Barnstable. a� Said land is conveyed subject to protective covenants recorded in Barnstable County Registry of Deeds Book 1892, Page 186; and Book 2315, Page 181 ' Being the same premises conveyed to the within Grantors by Daniel L. Toombs, Trustee of the Daniel L. Toombs Revocable Living Trust, under Dec aration O of T st dated,January 3, 1997 and recorded with' the Barnstable County Registry of LO on 1 , y �_at Book 1{ Page '5___ NO TITLE-SEARCH REQUESTED. 4 Bk 17833 Pg 129 #12367! WITNESS our hand and seal this `� day of March, 2003. Wit ess 4aniel L. Toombs { Wit ess Georgi . Toombs STATE OF NEW HAMPSHIRE ROCKINGHAM, SS. On this the, 9 41" day of 2003, before me, the undersigned officer, personally appeared Daniel L. ToombsJand Georgia L. Toombs, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. Notary Public/Justi of the Peace MARY M.HOME Noter v Public-New Ha My connission Expires Feb BARNSTABLE REGISTRY OF DEEDS ih Bk 18349 Ps6O �2r-J776 03-23--2004 & 12 :B6w Q UITCI,AIM DEED Daniel L.Toombs,Trustee of the Daniel L.Toombs Revocable Living Trust, under Declaration of Trust recorded January 21, 1997 at Book 10576,Page 314,and having a mailing address of 4 Meadow Drive,Littleton,Massachusetts, for consideration paid of Four Hundred Fifteen Thousand ($415,000.00) Dollars paid , grants to-David Er.-Evans and Mary Ann Evans,husband and wife as tenants by the +' d Hanover Massachusetts a� entirety of 170 Old Forge Road, , s with Quitclaim Covenants A,certain parcel of land located in Barnstable, (Cotuit),Barnstable County, 4S Massachusetts,bounded and described as follows: o NORTHWESTERLY by Oxford Drive One Hundred Twenty-Five and 00/100 (125.00) feet; v . L NORTHEASTERLY by Lot 50,One Hundred Sixty and 00/100 (160.00) feet; x SOUTHEASTERLY by portions of Lot 37 and Lot 36, One Hundred o Twenty-Five and 00/100 (125.00) feet;and N -----��— -_--"-SOUTHWESTERLY--_-'by Lot-52,-One-Hundred-Sixty and-00/1-00-(-160.00)---- ---- ------ feet. N N Being'LOT 51 and containing an area of 20,000 square feet, as shown on plan of land of"King's Grant," dated February 28, 1973,which plan is recorded with the Barnstable Deeds Plan Book 271,Page 56. L C o Together with a right of way over the ways as shown on said plan in common with a all others lawfully entitled thereto for all purposes for which public ways are used in the Town of Barnstable. Said land conveyed subject to protective covenants recorded in Barnstable County Registty of Deeds Book 1892,Page 186 and Book 2315,Page 181. For title see Deed/recorded in Book,10576,Page 337. and Book l 7�, page 128. Executed as a sealed instrument this �� day of March 2004. DANIEL L.TOOMBS REVOCABLE ZVING-TRU Daniel L.-Toombs,Trustee Bk 18349 Pg 61 #20776 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this 1 g day of March 2004,before me,the undersigned notary public, personally appeared Daniel L.Toombs,proved to me through satisfactory evidence of identification,which was Aviv-e-s 1 r an V- ,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. Notary Pu lic My Commission Expires: MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 03-23-2004 7 12:0ban Ctl`.: 1292 Doct 20776 Fee: $1r419.30 Cons: $415000.00 w;\dk9\eam\toombs deed.doc --------- - - --------- - BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS ` Date: 03-23-2004 0 12:06pm ' Ctlt: 1292 Doer: 20776 Fee. $946.20 Cons: $415000.00 BARNSTABLE REGISTRY OF DEEDS Bk 18349 Pg 62 #20776 THIS PAGE INTENTIONALLY LEFT BLANK THIS PAGE INTENTION LEFT'BLANK THIS PAGE INTENTIONAL LY.LEST BLANK BAANSTABI.MGISTRY®f DEEDS WE, DOROTHY F. DUNCKLEE and PETER A. THOMPSON, TRUSTEES OF KINGS GRANT TRUST, under a Declaration of Trust dated January 19, 1973, recorded Barnstable Registry of Deeds Book 1809, Page 332, Of Box 597, Sandwich, Barnstable County, 602MV14. 136 �Oatodl[ Mnssaohusetts, for the full consideration of TEN THOUSAND FIVE HUNDRED and 0/100 tald (10,500.00)DOLLARS . grant to GEORGE W. BLAKELEY and DEBORAH A. BLAKELEY, husband and wife as i tenants by the entirety, both of 195 Indian Hill Road, Barnstable(Cummaquid),Barnstable Co0nty, Ma. 2630 with gtdtttabst t:ownsinte the land in Cotuit, Barnstable County, Massachusetts, bounded and described as follows and bjing shown as LOT 36 Santuit Road on plan entitled "KINGS GRANT TRUST" a Subdivision o Lan n arnsta I , Mass. Scales 1"-100', February 28, 1973, Ewald & Maschi,Inc.,Environmen al Planning & Engineering, Consultation, Sandwich & Framingham, Massachuse is said plan being recorded Barnstable Registry of Deeds Book .271, Page 56 and bounded as follows, ' SOUTHEASTERLY by Santuit Road, as shown on said plan, one hundred twenty eight and 93/100(128.93) feet, SOUTHWESTERLY by Lot 35, one hundred sixty one and 29/100(161.29) feet as shown on said plant NORTHWESTERLY by portions of Lots 5t & 51, by two courses totalling one hundred forty four and 76/100(144.76)feet;and NORTHEASTERLY by Lot 37, as shown on said plan, one hundred sixty and 00/100(160.00) feet. Containing 21,970 square feet more or less. com- Together with a right of way over the ways as shown on iafornwhic mon with all others lawfully entitled thereto for all purposes public ways are used in the Town of Barnstable. Said COD tableland is Registry Deeds dBookject 1852,oPage 186,vand innants Book 2315,ded n Page181. --_ ° For our title, see dead-of-Raymond-D--Crawford-to-the-said-KINGS-GRANT----------- --- TRUST, recorded Barnstable Registry of Deeds in Book 1871, Page 093. COMMONWF.ALTH uF MASSAC14USETTS an 3. 9 A Executed as a sealed instrument this �d�y of "' lg, f £S N/ - n � rant et orozfny Ivs nt True alp 60mmoammul1l d Alawitsknuft is. .0p bomb orQ �`o' 1979 Barnstable Then personally appearedthe aab- named--Peter A—Thompson,—Trustee—ate—aforesaid- and acknowledged the foregoing instrument to be his free s nd deed, B00V rne, Gv .7..Af o/yS a/Y Notary Pubho My commission expires WORDED Off 10 197$ sooa3140 RGE 202 19165 We, GEORGE"W. BLAKELY and DEBORAH A. BLAKELY, also known as GEORGE W. BLAKELEY and DEBORAH A. BLAKELEY, husband and wife, as tenants by the entirety, both # of BOK 347, Barnstable (Cummaquid) Barnstable County,Massachusetts, in consideration of SIXTY FIVE THOUSAND NINE HUNDRED and 00/100 .($65,900.00) DOLLARS • e grant to RICHARD C. BARTLETT and CARMEN N. BARTLETT, husband and wife, as tenants by the entirety, both I of 3@mg* sk Ptiwk its", -eVVA Vd, I Massachusetts 01.63�_ with qu*tatm rournalds (J '^ the land in Barnstable (Cotuit), Barnstable County, Massachusetts, Ztogether with the buildings thereon, bounded and described as •follows: p ['n NORTHEASTERLY by Lot 37, as shown on the hereinafter- { mentioned plan, one hundred sixty and 00/100. (160.00) feet; Y SOUTHEASTERLY by Santuit Road (public) as shown,on ]�- said plan, sixty one and 17/100 (61.17) wfeet, and - — --- in-an-arc-having--a-radius-of-five hundred---- - — — b eighty-eight and 62/100 (588.62) feet, a distance of sixty seven and 76/100 (67.76) p feet; SOUTHWESTERLY by Lot. 35 as shown on said plan, one /� hundred sixty-one and 29/100 (161.29) feet l ¢ and NORTHWESTERLY by Lot 52 and Lot 51, as shown on said ! plan, in two courses having a total. . . Zb distance of one hundred forty-four and 76/100 (144.76) feet. Containing 21,970 square feet, more or less, and being shown as LOT 36 on a plan of land entitled:. "'KINGS' GRANT' A Subdivision of Land in Barnstable, Mass. Scale: 1" = 100' February 28, 1973 Ewald & Maschi, Inc. Environmental Planning h Engineering Consultation Sandwich & 1sramingham, Massachusetts", which said plan is recorded in Barnstable County Registry of Deeds in Plan Book 271, Page 56. Together with a right of way over the ways as shown on said plan in common with all others lawfully entitled thereto for j ' all purposes for which public ways are used in the Town of Barnstable. I i BOOK3140f:GE 203 The premises are conveyed subject to and with the benefit l of King's Grant Protective Covenants dated March 26, 1976, and recorded j I in Barnstable County Registry of Deeds in Book 2315, Pages 181 through 1 i I For our title, see deed of trustees of King's Grant Trust to the grantors recorded in Barnstable County Registry of Deeds I I E in Book 2996, Page 136. R COMHIONWE—`lit! ci' MAS;StHUS`t`5 •- .° m ' i i Executed as a sealed instrument this /�{] �da1v of \ t 19 80 i �Ihe�OrnUtOttUlC�lf�tOf %�thtt�1�8 Y Barnstable t /A/, 1980 Then personally appeared the nbove named .GEORGE W. BLAKELY and DEBORAH A. BLAKEL�•j:r;,!`�NyIY, ,i 1,,,,'•.,,�;�_ mid ocknoo-ledged the foregoing instrument to be their free a 'd d Before 7w, ��-0Vl1 ••,N P-y iy ` I�utN My commission expires t' I I I i ' I i _ I • i RELU'AlLUAUG 19 80 c t 3002410 MAGI 239 TRUSTO derFa. Declaration ofETr st.dated Januaryu19738 recordedsin Barnstable Registry of Deeds Book 1609, Page 332 24327 i of Box 324, Cotuit, Barnstable county,Massachusetts, for the full consideration of TEN THCUSAND and 00/100 paid I ($10,000.00) DOLLARS grant to ARDASHES H. SHEU MIAN f with ilftlabri taMaub the land In Cotuit, Barnstable County, Massachusetts, bounded and described as follows, WESTERLY by Oxford Drive, One hundred twenty five and 00/100 (125.00) feetf NORTHERLY by Lot 52 as shown on the plan hereinafter mentioned, One hundred sixty five and 04/100 (165.04) feet; i EASTERLY twenty five and 34, as shown o non said lan One hundred 9 SOUTHERLY by Lot 54 on said plan One hundred seventy two and 73/100 (172.73) feet. ' la Containing 21,120 square feet, and shown as LOT 53 on Plan of Land of "King's Grant" dated February 28, 1973, wkicrp an is recorded-in Barnstable Deeds Plan Book 271, Page 56, Together with a right of way over the ways as shown on said plan in common with all others lawfully entitled thereto for all purposes for . m which public ways are used in the Town of Barnstable. Said land is conveyed subject to Proteatiive Covenants recorded-in—— -- Barnstable Deeds, Book 1892, Page 186, and Book 2315, Page 181. l For title, see deed of Raymond D. Crawford to these Grantors, recorded J in Barnstable Registry of Deeds, Book 1871, Page 161. C� COMMONWEPAT11 of :h%si,�:iu• E(TS e On1276 �fx22 eon- I Executed M a aealed InstUent this SA day of October 1976 p y cklee, Tru t it e er ompeo , Tru tee alp 9 mmoiasn k of AWM Barnstable se. October 1976 f3 Then penonally appeaiad 1hd obovo named Peter A. Thompson, Trustee as aforesaid and acknowledged the foroaolna Instrument to he his /f free act and deed, Bsi/btro t1ts, '� NWON Pe6tio My commission expires'""AinAw 28 1980 RECORDED OCT 12 676 `Y= 8P:09469-0893 94-12-05 12'50 469859 QUITCLAIM DYM I, ARDASHES H. SHELEMIAN, of Watertown, Massachusetts, for consideration paid .of Forty-four Thousand ($44,000.00) Dollars, grant to CARL J. DAVISON, TRUSTEE OF FEINBERG FAMILY TRUST under Declaration of Trust dated April 17, 1993 and filed with the Barnstable Registry District of the Land Court on May 10, 1993 as Document No. '501814, 41 ' Tileston Street, Boston, Massachusetts 02133, with QUITCLAIM COVENANTS, the parcel of vacant land known as and numbered 200 Oxford Drive, Cotuit, Barnstable County, Massachusetts, bounded and described as follows: WESTERLY by Oxford Drive, One hundred twenty five and 00/100 (125.00) feet; NORTHERLY by Lot 52 as shown on the plan hereinafter mentioned, One hundred sixty five and 04/100 (165. 04) feet; EASTERLY by Lots 35 and 34, as shown on said plan, One hundred twenty five and 25/100 (125. 25) feet; and SOUTHERLY by Lot 54 on said plan, one hundred seventy two and 73/100 (172.73) feet. Containing 21,120 square feet of land and shown as LOT 53 on Plan of Land of "King's Grant", dated February 28, 1973, which plan is recorded with the Barnstable County Registry. of Deeds in Plan Book 271, Page 56. Together with a right of way over the ways as shown on said plan in common with all others lawfully entitled thereto for all purposes for which public ways are used in the Town of Barnstable. Said land is conveyed subject to Protective Covenants recorded with the Barnstable County Registry of Deeds in Book 1892, Page 186., and Book 2315, Page 181. Being the same premises described in a Deed from Dorothy F. Dunklee and Peter A. Thompson, Trustees of KING'S GRANT.TRUST, to Ardashes H. Shelemian, dated October 8", 1976 and recorded with said Deeds ,in Book 2410, Page 259, to which Deed reference may be made for Grantor's title. WITNESS my hand and seal this day of December, 1994. , o W ; a Ardashes H. Shelemian w D ( 1172 BEACON ST.,SUlTE 202 a ��- 1 0 0. 3 '- NEwr0N,MAssAc�+usE s 02161 � BM9489-0294 94-12. 05 12:90 *69859 COMMONWEALTH OF MASSACHUSETTS Middlesex, ss. December a , 1994 Then personally appeared the above-named Ardashes H. Shelemian and acknowledged the foregoing to be his free act and deed, before me flMejofo , Notary Public y co fission expires: eti l l7 tatoocx BARNSTABLE REGISTRY OF DEEDS i ark` BP:0987�-oa78 5,—lfi-U6 3:4:3 *05i i778 QUITCLAIM DEED M I , CARL :J. DAVISON, TRUSTEE OF FEINBERG FAMILY TRUST, under N a Declaration of Trust dated April 17 , 1993 and recorded in the Barnstable Registry District of the Land Court as Document No. 581,814 as noted on Certificate of Title No. 134261, of 5 Mechanics Court, Boston, MA 02113 �; . for consideration of ONE HUNDRED EIGHTY-NINE THOUSAND NINE 4J HUNDRED AND 00/100 ($189,900.00) DOLLARS paid, grant to 0 U ROGER ,B. CLAPP and JOANN CLAPP, husband and wife, as tenants by the entirety, of 200 Oxford Drive, Barnstable (Cotuit) , > Barnstable County, Massachusetts 02635 s4 A with QUITCLAIM COVENANTS, the land together with the buildings 'c 14 thereon, situated in 'Barnstable (Cotut) , Barnstable County, 0 Massachusetts, bounded and described as follows: x o WESTERLY by Oxford Drive, one hundred o twenty-five and 00/100 (125.00 ) N N feet; NORTHERLY by Lot 52, as shown on the plan N hereinafter mentioned, one hundred o sixty-five and 04/160 (1615.04 ) �4 feet; b >1 EASTERLY by Lots 35 and 34 , as . shown on said -P plan, one hundred twenty-five N and 25/100 (125. 25) feet; and 0 04 o SOUTHERLY by Lot 54 on said plan, one hundred a seventy-two and 73/100 (172.73 ) feet. Containing 21,120 square feet of land and shown as LOT 53 on Plan of Land of "Kings Grant, " dated February .28, 1973, which plan is recorded with the Barnstable County Registry of Deeds in Plan Book 271, Page 56. Subject to and with the benefit of all , easements, restrictions, rights of way, takings, reservations, exceptions and covenants, insofar as the same are now . in force and applicable. See Protective Covenants recorded with the Barnstable County Registry of Deeds in Book 1892, Page 186 and Book 2315, Page 181. I , Carl J, Davison, certify .that I am the sole Trustee of said—Truest, and I have—been—au-t-ho-r-ized—by a-1-1—o-f—the beneficiaries to sign, seal and to deliver to Roger B. Clapp and JoAnn Clapp a deed relative to the real 'estate described" ly 1, gprU9Q70-0079 95-10-00 3:43 #050770 in said deed for the consideration stated herein. I also certify that said Trust is in full force and effect and has not been altered, amended, rescinded or revoked in any manner other than amendments recorded in the Barnstable County Registry of Deeds prior to the date of this certificate. For title, see deed recorded with the Barnstable . County Registry of Deeds in Book 9469, Page 293. WITNESS my hand and -seal this i9 day of October, 1995. FEINBE MILY UST By; 01'r /` - CARL SON, TRUSTEE COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. October 6 , 1995 Then personally appeared the above-named Carl J. Davison, Trustee as aforesaid, and acknowledged the foregoing instrument to be his free act and deed, before me '— — -- --- -- Notary Public My commission expires: rr 1`��ooc> � CC. AERNITAI�EEtT�Y k6 5 0 DEE• 5E U�. TAX ABLE QtD6/95 #illffl 1U,u6/95 DOQ # TAX 433.20 TOTAL. 433.20 TAX 649.00 C;6 31-I 433.20 CASH 649-80 003 594ii_A9 U 0 15:43 #02 O i.i 6:45 EXCISE TAX COLINTY EXCISE TAX BARNSTABLE REGISTRY OF DEEDS i BOOK3001 NAGE UO 29211 WE, DOROTHY F. DUNCKLEE and PETER A. THOMPSON0 TRUSTEES OF RINGS GRANT TRUST, under a Declaration of Trust dated January 19, 1973,recorded Bipstable Registry of Deeds Book 1809, Page 332, Box 597 Sandwich, Barnstable County,Massachuaetts,02 63 for the full eonsideration of TEN 21OUSAND FIVE HUNDRED and 00/100 pold (10,500.00) DOLLARS grant to JOHN J. MEDER Of 14 Hampshire Lane, Simsbury, Connecticut 06070 with*ftlatdt tVWUltata the land in Cotuit, Barnstable County, Massachusetts,bound ed and described as follows and being shown as LOT 35 Santuit Road I on plan entitled "KINGS GRANT TRUST" a Subdivision of Lan n Barnstable, Mass. Scale: 1"_1001, February 28, 1973, Ewald & Masohi,ino.,Environmental Planning & Engineerina, Consultation, Sandwich & Framingham,Has sachusett is said plan being recorded Barnstable Registry of Deeds Book 271,Page 56, and bounded as followst SOUTHEASTERLY by Santuit Road, a public way, by two courses totalli g one hundred twenty-six and 22/100(126.22) feet as shown of said;Lanf SOUTHWESTERLY by .Lot 34 as shown on said plan, one hundred sixty an 00/100(160.00) feetf NORTHWESTERLY by a portion of Lot $3 and at portion of Lot 52, one hundred thirty-seven and 81/100(137.81) feet as shown on said plant and NORTHEASTERLY by Lot 36 as shown on said plan, one hundred sixty-one and 29/100(161.29)feet as Shown on said plan. Containing 21,135 square feet, more or lessl a Together with a right of way over-the vat's as shown on said plan in com- mon with all others lawfully entitled thereto for all purposes for whit public ways are used in the Town of Barnstable. Said land is conveyed Subject to Protective Covenants recorded in Barns- table Registry of Deeds Book 1852, PageIB61 and in Book .2315, -Page 181. ---- -For-our-title,—see-deed-of-Raymond-D.-Otawford-to the-said-KINGS--GRANT==— ------- TRUST, recorded Barnstable Registry of Deeds in Book 1872, page 093. e+ A,�I OF MAS ACHUSET1i Y eA '1� , ` f I .1 ai 17Da7 jp �•• -- Executed as a sealed instrument this /O day of October. 1979 � n "Tfu t , Doxgt &• Trustee g �f Ls-_ ••� . '» /L'VSd<w - ir•ef �i' Tr 9t • lip 90ata:am ao of October le Barnstable o• . 1979 Then personally appeared the above named Peter A. ThomUSon, Trustee as aforesai , and acknowledged the foregoing Instrument to he his free ;and doe Bsfm wif' xa Lv i<t.iynl•T. /t1 viySdN Nomry wawa My commirslon expires l9 9b. RECORDED OCT 119 I" Ct d�� 4 F • .. f 51699 . eooK4293 rAu 314 I, JOHN J. MEDER f 1 of 800 Connecticut Blvd., E. Hartford, CT 06108 in consideration of TWENTY FOUR THOUSAND and 00/100 ($24,000.00) DOLLARS paid i grant to STEVEN HUNTOON, Of 170 Whistleberry Drive, Marstons Mills, Barnstable County, Massachusetts 02648 and Jams E. Regan, III, of j 49 Roosevelt Road, Cotuit, Barnstable County, Massachusetts 02635, as tenants in common 4 � with gaiitlahn 00tu ais the land in Cotuit, Barnstable County, Massachusetts, bounded and descri ' ed as follows and being shown as LOT 35 Santuit Road, on plan entitled "RINGS GRANT TRUST" a Subdivision of Lane in Barnstable, Mass.. Scale: 1" = 100', February 28, 1973, Ewald & Maschi , Inc., Environmental Planning & Engineering, Consultation, Sandwich& Framingham, Massa- chusetts, said plan being recorded in Barnstable Registry of Deeds in Plan Book 271, Page 56: Southeasterly by Santuit Road, a public way, by two courses totaling one hundred twenty-six and 22/100 (126.22) feet, as 1 shown on said plan; Southwesterly by.Lot 34 as shown on said plan, one hundred - 00/100 (160.00) feet; ( portion of Lot 53 and a portion of Lot 52, one Northwesterly by a hundred thirty-seven and 81/100 (137.81) feet as shown on said plan; and ' Northeasterly by Lot 36 as shown on said plan, one hundred sixty-one t. and 29/100 (161.29) feet. Containing 21,135 square feet, more or less.. right of way over the ways as shown.on.sai,d, plan in Together with a common with all others lawfully entitled thereto for all purposes for which public ways are used in the Town of Barnstable. Said land is conveyed subject to Protective Covenants recorded in Page 186; and Book 2315, Page Barnstable Registry of Deeds Book 1852, g 181. For title see deed from Dorothy a d October and Peter Arecorded in Trustees of Kings Grant Trust, dated Octobex 10. 1e7110. Barnstable County Registry of Deeds Book 3001, Pag 4 j aoA293 i r &5 Executed as a sealed instrument this 23rd day of October 1984 JOHN J. MEDER the(�muonwe�flt>o� �hlt�ett� BARNSTABLE, as. October 23, 19 84 Then personally appeared the above named JOHN J. MEDER and acknowledged the foregoing instrument to be his free aet and deed, Before Ina, Notary Public—Justice of the Pura Day commission expires Sept,. 20, 19 85 E OCT Z3 84 BOOK4669 P 2 32U WE, STEVEN HUNTOorlr of 170 Whistleberry Drive, Marstons Mille, Barnstable County, Massachusetts 02648 and JAMES E. REGAN, III,, of 49 Roosevelt Road, Ootuit,, Barnstable County, Massachusetts.02635, oft in consideration of ONE HUNDRED 74EMy-SEVEN THOUSAND NINE HUNDRED ($127,900.00) AND 00/100 DOLLARS grant to CITO HERBST and EDITH C. HERBST, husband and wife as Tenants by the Entirety, of 48-55 187th Street, Flushing, New York 11365.. With yuitcluitn eme"Unis i the land in eotuit, Barnstable County, Massachusetts, bounded and described as j follows and being showy?as LOT 35 Santuit Road, on plan entitled "KINGS GRAND TRUST" a Subdivision of Land Barns Mass• Scale? 1" v 1001, Febrt:as.'y 28, j 1973, Bold & Maschi, Inc•, Enviror"ntal Planning & Engineering, consultation, j Sandwich & Framingham, Massachusetts, said plan being recorded in Barnstable j Registry of Deeds in Plan Book 271, Page 56: Southeasterly by Santnit Road, a public way, by two.00urses totaling enehundred twenty-six and 22/100 (126,22) feet, as shown on said plan; i Southwesterly by lot 34 as shaven on said plan, one,hundred sixty.and 00/100 (160.) feet; Northwesterly by•a portion of Lot 53 and a portion of lot 52, one hundred thirty- seven and 81/100 (137.81) feet as shoGm on said plan; and Northeasterly by Lot 36 as shown on said plan, one hundred sixty-one and 29/100 (161.29) feet. Containing 21,135 square feet, more or less. Together with a right of way over the ways as showy? on said plan in common with all others lawfully entitled thereto for. all purposes for which public ways are i used in the Town of Barnstable. Said land is conveyed subject to Protective Covenants recorded in Barnstable _--_Registry-_of-Deeds_Book..1852,_Page_186;_ and Book 2315, Page 181. -------- . -- — ___ —--- - -— For title see deed front John. J. Mieder Book dated October e 323, 1984 recorded in Barnstable County Registry of y14. e4 day f a,,* _'e 198'S I Executed as a sealed instrument this le i Hun am 7, ALf;I M.P. N'. .2 9 1. 8 I the eammanGtenith of Anoonc4uJsthei i965 Barnstable ss. (- VV-_A Then personally appeared the above named Steven Huntoon and James E. Regan, III free act and ed. and acknowledged the foregoing Instrument to he their. � X.! i Before me, Nmarp Public luoaw s•-DOo� Y",,,akA4jb,Aa,,9,r My comminlon expires `1(1� i9 5 f C�P�f AUG 15 85 1 B00K5210 RC-E 047 52.669 DEED OTTO HERBST and EDITH C. HERBST, husband and wife, both presently of the Village of Cotuit, Town and County of Barnstable, Commonwealth of Massachusetts, for consideration of One Dollar ($1.00) paid, grant to EDITH C. HERBST, individually, with Quitclaim Covenants, the premises commonly known as 91 Santuit Road, in the Village of Cotuit, Town and County of Barnstable, N, Commonwealth of Massachusetts, being shown as Lot 35 on a plan -, entitled "Kings Grant Trust" dated February 28, 1973, filed with d o Barnstable Registry of Deeds in Plan Book 271, Page 56, being more particularly bounded and described as follows: SOUTHEASTERLY by Santuit Road, a public way, by two courses totaling one hundred twenty-six and 22/100 (126.22) ,feet, as shown on said plan; N SOUTHWESTERLY by Lot 34, as shown on said plan, one hundred sixty (160) feet; NORTHWESTERLY by a portion of Lot 53 and a portion of Lot 52, one hundred thirty-seven and 81/100 (137.81) feet, as shown' on said plan; and NORTHEASTERLY by Lot 36, as shown on said plan, one hundred sixty-one and 29/100 (161.29) feet. Containing 21,135 square feet, more or less. Together with a right of way over the ways as shown`on.said plan in common with all others lawfully entitled thereto. for- all purposes for which public ways are used in the Town of Barnstable. The premises are conveyed subject to Protective Covenants recorded in Barnstable Registry of Deeds, Book 1852, Page. 186; and Book 2315, Page 181. For title, refer o the deed of Steven Huntoon and James E. Regan, III, dated Augu�t 14, 1985, recorded at Barnstable Registry of Deeds in Book 4669, Page 320. `. I \- IN WITNESS WHEREOF, OTTO HERBST and EDITH C. HERBST have hereunto set their hands and seals this a Stu) day of �r,,y #1169 1986. JOHN CONATHAN 11 ATTORNEV-ATdAW OTTO HERBST EDITH C. HERBST 9"MAW STREET OSTERVILLE MASS. , 0265•i-2095 i Page 1 of 2 Pages TElERMONE t61T19 3513 . P • 1 BOOKS=ns€ OQS v commonwealth of Massachusetts Barnstable, as. On this c234-6 day of ✓��Y , 1986, before me personally appeared OTTO HERBST and EDZTH C. HERBST, to me known to be the persons described,in the foregoing instrument and acknowledged that they executed the same as their free act and deed. Notary Publ c Commission Expires: JOM CONATHAN II . ATTOR Y-AT AW 9W MAM STREET OSTERVa LE.MASS. Otl54-209` — Page 2 of 2 Pages R(}'1/�•. R rr TELEPHONE ffi1T1420-3513 11LVOIIOLD JUL 25 I i i Quitclaim Deed Edrth .C. Herbst, of Cotuit, Town and County of Barnstable, Commonweal•th.�of�Massachusetts, for consideration of One Hundred Ninety Thousand ($190, 000) Dollars paid, grants to Kevin M. Mamlock, of 19 SantuiL Roatl, Cotuit, MA 02635 (Mail address: ) with Quitclaim Covenants, The premises commonly known as 91 Santuit Road, Cotuit, being the land with all improvements thereon situated in the Village of Cotuit, Town and County of Barnstable, Massachusetts, being shown as Lot 35 on a plan entitled "Kings Grant Trust" -t dated February 28, 1973, filed with Barnstable Registry of Deeds ' w in Plan Book 271, Page 56, being more particularly bounded and G described' as follows — , —public i c way,_ and 2 2 10 0 ----------- �j SOUTHEASTERLY_by Santuit Road,_ a public b two courses totaling one hundred twenty-six / (126.22) feet, as shown on said plan; SOUTHWESTERLY by Lot 34, as shown on said plan, one hundred sixty- (160) feet; NORTHWESTERLY by a portion of Lot 53 and a portion of Lot 52, one hundred thirty-seven and 81/100. (137 . 81) feet, as shown on said plan; and NORTHEASTERLY by Lot 36, as shown on said plan, one hundred sixty-one and .29/100 (161 .29) feet. Together with a right of way over the ways as shown on said plan in common with all others lawfully entitled thereto for all purposes for which public ways are used in the Town of Barnstable. This conveyance is subject to and with the benefit of the Declaration of Kings Grant Protective Covenants dated May 30, 1993 and recorded with the Barnstable County Registry of Deesds_in Book 8604, Page 180 . For title, refer to the deed of Otto Herbst and Edith C. Herbst to Edith C. Herbst, individually, dated July 23, 1986 and recorded at Barnstable Registry of Deeds in Book 5210 Page 047; and to the deed of Steven Huntoon and James E. Regan III dated August 14, 1985, recorded in Book 4669 Page 320. Witness my hand and seal this day of 'Z� •'".''2000. Edith C. Herbst Commonwealth of Massachusetts Barnstable, ss: On this day of G��•�us� 2000, before me personally - appeared Edith C. Herbst, to me known to be ,the person described in and who executed the foregoing instrument, and acknowledged that she executed the same as her free act and deed. Christine A. Jenne s, otai,- Pub.•ic My Commission -Expires; ----------------------- BARNSTABLE COUNTY REGISTRY O4ft COUNTY EXC � EEDs r. 1 DAIS OB.31.100 THU 08/31/0D 2.09N 01 000000 06533 -1,f1X $433.20 I'DIAL $433.20 FEE 5649.SD C11E'C::K $433.20 CASH 4164-9.80 CLERK 1 N0.013057 _ -- --_ TIME 1.3:57 1111 BARINSTABLE REGISTRY OF DEEDS WE, DOROTHY F. DUNCKLEE and PETER A. THOMPSON, Trustees of King'.s Grant Trust under a Declaration of Trust dated January 19, 1973, recorded with larnstable County Registry of Deeds in Book 1809, Page 332 or 'sook,2190 au 194 ° 10596 Barnstable County,MaeeaohueetW, ,for the full consideration of SEVEN THOUSATM NINE HUNDRED SEVENTY- paid THREE AND 00/100 ($7,973.00) DOLLARS Igrant to CARL F. KOWALSKI and CAROL A. KOWALSKI, husband and wife as tenants by the entirety I. of 74 Jerome Street, Whitman,- Massachusetts 02382 i with Offflaiat ntimattie tisttknAimt a certain parcel of land located in Barnstable, Barnstable County, Massachusetts, bounded and described as follows: NORTHWESTERLY by Oxford Drive by two (2) courses totaling One hundred forty and 73/100 (140.73) feet; NORTHEASTERLY by Lot 51, One hundred sixty and 00/100 (160.00) feet; SOUTHEASTERLY by portions of Lots 36 and 35, by two (2) courses total- ing One hundred twenty-three and 33/100.(123.33) feet, and SOUTHWESTERLY by Lot 53, One hundred sixty-five and 04/100 (165.04) feet; Containing 21,245 square feet and being LOTLOT:5�own on plan of land of "King's Grant" dated February 28;"1973, which plan is recorded in Barnstable County Registry of Deeds Plan Book 271, Page 56 `q Together with a right of way over the ways as shown on said plan in common with all others lawfully entitled thereto for all purposes y for which public ways are used in the Town of Barnstable. Said land is conveyed subject to protective covenants recorded in Barnstable County Registry of Deeds Book 1892, Page 186. For our title see deed of Raymond D. Crawford to us recorded in Barnstable County Registry of Deeds Book 1871, Page 93. COMMONWEALTH OF tAASSACHU:ETTS HilUDS IP cJUN. — Executed as a sealed instrument this 3 G �. day of 19 75 DOROTHY^FTDUNCKLEE, Trustee er TER A. THOMPSON Trustee 940 gaamonmalt4 of>lundpwUs Barnstable ss• - 1 7 ' 30 1975 Then personally appeared the above named - and/Peter A. Thompson, Trustees of King's Grant Trust and acknowledged the foregoing Instrument to be their 6' act and , (.a J«,i+m,T. ,h o N J1 Notary ftNic My commission expires 'y ,7_f 19 F-0 s RECORDED JUN 275 i ' j • k MAsy -° �. _�+•�" ,./�� \�� J� .. MOPI•MI \AGE a me° � 0 \ ... 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S/OEWAZ,4r L=82.73' N31'53'20"E R-896.48 58.00' '� ay 0 PROPOSED PORCH V7 �` EXISTING Z FOUNDATION o 184 Q O 1 P O p Lp U' 0.8 PROPOSED DECK LOT LOT S,3 LOT 52 212 242 S.F. 76.61le 46.71' S 31'53'20" W- �� N 22�J 2" E L OT �36 LOTAA .3S OF�q�� I HEREBY CERTIFY THAT THE ABOVE ssyc THAT IT CONFORMED TO .THE TOWN'! CONSTRUCTED AND THAT THIS MORI CHRISTOPHER Gn® WITH THE TECHNICAL STANDARDS F( COSTA �+ ► THE MASSACHUSETTS ASSOCIATION I 4 o NO. 31305 c i ED ► INCORPORATED. o THIS PLAN MAY NOT BE ADDED TO, LAYOUT . v O� T � � /� � ��9��a�CO��e ANYONE OTHER.THAN CHRISTOPHER SPOT GRADE /—� I I f1 €� UI�V � TEST PIT (TP) GRAPHIC SCALE _. CONCRETE BOUND (CB) , SPIKE (SPK) 20 0 10 20 40 eo UTILITY POLE (UP) LIGHT CHRISTOPHER COSTA P.L.S. WATER GATE (WG) ( IN FEET WATER SHUT OFF 1 inch = 20 ft �veer WARPS _ POAK610 ON 116 WE / erorars srYtE A�rKr a 4 p� rA�c�lrtW/ a � �uw Rx etv� I ... s ro MAThR � - :`-: IFSf FLR flPI. '.;:. ....._. r.: L: ,., _. ._.. . _::: '"' "" 777 —LG#YJ�'S7f3Gt' 70 I ( I I L —JW= WWN s8 Paw efvzE W/6 _ P . I r0 PAry N/6j ld9C FJ�fR SYSTBA MAX RL�2 " —— ——— ——— _L — _ LT —— — — ——— ————— \, t,?oKcc�e.sa�nceaa . I I �� L .�fi I SM KE DETECTORS REVIEWED 1 — - --- — -- ----— -- I — ---- — — -- — — — -- -- --- -- - ---= . : . FRONT ELEVATION l KIGI IT ELEVATION BARNSTABLE BUILDING DEPT. D/ AE- SGALE; 1/==11-o' LJ SCA+�E l Yb°=1 Q 9 FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED POi PERMITTING ,........... __.._........._..__......_._ .................... WEE t var, rr � �..... CARBON MONO IDE ALARMS 4: ._ .. . MUST BE INS AL BUILDING CODE A+►A r ASSA SE a M CNU TT 5"-E ASP,-r —Ip hs I j 1 1 n I I I hj r FIR s-m+tfs veuaw -� I v n 8� hA ft ,.. � y �.r=.. 7i . ..... !2 :. W"m A!M HfriSt LID6 - +- 1 I { 6 TO w5Lns: fftt� a ,ac cLsa�sc w^a�- raus� � tttd if ptratIt: s/er aQaEWN R? i FRsr r+x aarF-5r MR _ \ � L— r GRIf�qr VLP.'�fE fY115 J 7,cf 917WHt I I I '. I I L J I i VAL MHz I I I ! i 1=--- -- -- - -----1� REAR ELEVATION LEFT ELEVATION 184 OXFORD DRIVE ELEVATIONS COTUIT MAw Ir. 2 1 z tr-Q rco ...............:.:.............::........:_::... .. .................. . ... .. - wp�p A ra P�m DECK ........: a� sa sa tIC a 7-{4 :.::::::.......x... ..... Arsao Ariasz 7 Av swc ' r 4 �s I 7 $I .:KITCHEN � �t� no/ I BAT � ar/ MASTER T I DINING BEDROOM #3 .: LOff BEDROOM z'.d„z `r x. 15-CYa�4'F A 40 a� I _ __ 1 r i sr �i t�A I 4 — rase L!E BEDROOM *�'BE �>€2 :.\ vear/r-w 1M.LC. IAUN t21j+ r-` : �s rrc�.ce las,iz-!• - _ _ . : TER �Y of sA�wt a� _ ATh LIVING -- : — P[eN WAL—— — — — — GF19a 70 Dd>hY —— RAL,��le - I sw l RAT®AxTi —�u va +a c rrxi 1FROM Mllsr>� - - .............2RUGt _ _ 3 dam HALL 1 FL a 3 5 ORA&E _ hY I +sf I � ~ r o a-4, �cw Inc xt-r i? q - Sam mmam � c std t0-O Z-0' _ CN&GN [E75GiRt 2 1 ®— - 1x4 M7l.L GQL4.O 1�OL. A�i i4si - , ®-- - 3zi HAL La1.5T.9 IC ve. FIRST FLOOR PLAN FLOOR PLAN5C,AI.E: U4'=1'9Q_501F-COND SGAI FfiW FLOOR AREA — 1,206 sq.ft_ SECOND FLOOR AREA — 850 sq.fL SECOND FLOOR AREA — 850 sq.ft. NOTE: All FFgr FLOOR WW W5 SET AT 6=9 TOTAL FLOOR AREA — 2,056 sq.ft. FiZl�M FIRST FLUOR �S2 OT ERWISE NOTE NOTE: ALL SFZOW FLOOR YVMOXVS 51 T AT FROM FLUOR LU L-56 0TIfRWf6E NOW 184 OXFORD DRIVE NOT7=: Al l=XT'ERIOR WALLS TO 13E Zx6 WALL. tdP�15T. UrMOR COTUIT, MA FLOOR PLANS - .. surf: yti.o mre:aym/n" oGnwwc.a++t+� A-2 - 1 ' i i �PA cage s ccr.dia',�+ I — ��' LO�J'.WkL.Pl6J +d�rCONf. I 8"WNOPM FOUND.WALL I r DAMP-PR J 1/2-EXPANSION J004T. 'CONC.SLAB Wm 6x6 WbW MESH o MID—DEPTH 5 MIL POLY. CDMPACTED[;RAVEL 2C% ID"X(L)CDNC FOOTHC /'f GAL'PIIE Sl0 W/pXb JJJ Wig MD A ML POLY FOUNDATION FOOTING DETAIL Wr Ivjw ARLp ► 2 ELF: , )/Z L r—le- .—__F I I J_ LJ w I POWLW TYP. 141 ------- -0 -------� p ! 1 i � I PRLF SAD I (---- --� i 5LavuE SAD W/B4 wI__WC MD d MI_PAY • � i I � I t I T x t I r.zw�1% k — K DOOR F7 Foaz - rg n-a sd-a a � FOUNDATION PLAN 5CP -. 1/4'=1'-0" — ®- c Lt cfzrtroR NOTE ' DIA. N Z,4-M BOLTS _ EMffTRP T, SPAG® ® 45" OL,. 12" 184 OXFORD DRIVE FROM CORNERS W/3''x3"x4' WASHERS COTUIT, MA FOUNDATION/DETAILS L ' R �Z # •SNIPSOK am POST BASE—, P.T.U4 ...I --4zpep-WENT 10'BIA.CIE SONORIBE TO i RveE ip7 RM=113Z`.+O IG' / NOTE ., 4•-0'MIN.BELOW GRADE WFf'dt5 O IF ALL WERIOR FASTENERS TO B,,SYMCESS OL.W/2Y 6 - . OL.W/ STEEL WNOFRS.BOLTS&HAF✓'i1ARE - 5'EATM6 •S R--m C1MAv-h DECKP05T DETAIL 1RAA� - R-i0 ElahN-N it R-{O p-OhN-W �C81U1 OL.W/26'5/6 �'�� 10� nor -yr n :rr•�•r, nv,� -'r,);� . SCALE. I =• •O SF.RtffiY� SY Z IO G•1 O ee,wo r PK 6fR*ft,6 Ic'OLIO, '� B)F OL. - d7,l..T B /OL IG O OL.`' Llrs STXAPPp6 7L'iEs TR2 VBJfW�� \ , e oPra� `R m e�m+ar it&tF.WARP 34 erP.UblRP p R ao � p, LOFT m .I `� , , BEDROOM #2 BEDROOM #3 q ceiu.o � n V-r P a nvaap-, - -�?— :.,ter - .ram' ,m' Tu?^ —I.s 5fRAPPtb l LlY7 S7RA°P!G (4)It:9?to Ftll91_, B 1C'OL. r&J75T6 71K+i F BEA}) 13)l�i i6 SH SFAN BEAN T.)L'.OSTS CF1'id t.1.. TJL.CJ5T5 � ®IS OL. WALL COrbZPo.GMN �-c O(F OG. ` -f1fP.M•'� - ?. or, ,` TX6 W L LOl5RG1:TYAJ 6-dk ''C EilP.Do/x'A R�°�' d UVING DINING asrTE /R-al au & •ziv W.I.C. MASTER DEDROOM 4 . �Pr.Zrm,rnAs a Y'oL. 2 CAR GARAGE FRSf f1R�_ fRST P.RM# 1i.i+y,.i ,IA;i +,3 i•S ih_.14a Sri �ii,,;:',a G:-�i,l,+, -�� - '+�. T a:l� i^J.A`+1: SAi.p .Ai v`t �T.O.MSTS 1 r-iC�.O IFiL V ..) z z 5 C04C t`TE AM W/RTb—1 VT&dAAs O t*Of'. , 2-F L Zao fu-sm-. I Z WFE kc:.15 "1,Ai fl2Y - .` O{COL. 31t'*iL'Nt lri _SEW t NL LYl _ S GIRL'.fiq)`RRYAi NN.L B=�N k .0 •`T I e .�. �' qJ 14'dddGidT.GOtL'. 1?RL CLTL'. Ma A"G,ON-RTE 91D W/lXi, 5avrLOE _ 0'C4:.r4)&ATM WALL ~ t L!A•t^f�TP 5U17 W/ATc^� WEB 1r-R1 MD i LiL FGLY LN uwlcaar. TII+E!.£5f MD i►i PAY caa;. FT& - • I 5ECTION 5ECTION 5CAl- Q 5C7Af. Ill= %tNr—� NOTE: PROVIDE 8" MAX_ RISER HEIGHT AT ALL STAIRS �'�'�` NOTE: PROVIDE RIGID WIND WASH BARRIER AT 1 o W/7�� Rum var , ixe EXTERIOR EDGE OF EXTERIOR WALL TOP PLATE ZaYT Fl.`)Ex25 6 tr . zxv'R T.S oL.'Wi _ NOTE: G.C. TO REFER TO WOOD FRAMING . ®IC oL z,�Trs - CONSTRUCTION MANUAL FOR 110 MPH WIND DESIGN �r y wry CONSTRUCTION zm.rasrs e 5TORAGE Is or, a Lr.® or,- Vr fLY7 7 P R-0 HSI 'T or*Rig EAYtAE3=ST7.LTD MR o". r - 6ARAC£Y7./ND 1'1JL EBf. ti 71,g5T5 O IP'OL. - TAL dMTS O IP OL. r I O►'OG Abe O IC'OL. r n s WALL cam a us WALL cast w TTL eyF.POARP o 1 Ati ompows 17TTTD w/3 •m FR ETP.DOrWP O Pl.tm."sRs !!<il_ w&tg ae.h 10W Olt OL W/9-21 MIL 8:r T' fm 1:5,A.E,k mw I� - fLYNA9 TO CE sAR®PRY.TL 5T55Tt@Ti r' 7„ . 35VR3J9 To 51'IiBC RD SfR�LtJ SffE 1 2 CAR GARAGE b Tom} a oVMS 2 CAR GARAGE IN"' Y 'f T �ITR fia. ... �ITx r3a. � . S -J W' Y .T WINDOW 5TOW PROTECTION NRE►1=st Aw i IAL Par tl C42W.f aIVKr ) WALL cN 2f476ar n R4 LPIrr. uN,CN Kvxrzw. 5 czw.M. sAV= ar arr�oaly , w lQY.FT6. g-e 5ECTION a SECTION SCALE: 1,4•=1'� q 5( -- 114•=)'-C 184 OXFORD DRIVE SECTIONS & DETAILS COTUIT MA —"µM, vs¢e ogre:avor�c A-4 1 y Z } 1 I P.T.2%W,O5T5 B IC OL. •9.T,2x3U FLW BEAM 1 ............... RM.xtsr.. .TO OL..A FRSf .> LY Rll.tMT MY5! TW.PRO.'DE 0-00w ... .... - - A F�OL.A FRS7 � .YASi Gays � - 11 - , DEW ; . �" ....... _. r I (^)$i Sa,^LY A.us+BEWa T9P..Oki7T it d n � Pomrr� tex�wAu.. tRG1A Rom •• .. .. .... .. `57•�' Oes Mrs i y x _ - cm is noT OAR m5 szao fw . I I A 4,.•. tsar tw4xR P�eax u+w _ LLL LL RM 8T.ST ' I .. .. .I z-Gua�r�ast rYP..rrsr � t If•>6 L4 RlA.OlsT - Cj) iSc i � �Aw 1(nnI gg ' 9 PT.zaS L I -d tl 8 fpzm PLFG11 05W . Pl.213.Obis®OC OL. .OtST®)COOL. ' TW PROlLC IXLt7ctC� ....._...._............_..._._..........r---I....................__................ fm:� tans tBvm Mow • A-.a ti-�a .t-.F n-.4 FIRST FLOOR FRAMING PLAN SECOND FLOOR FRAMING PLAN 5CALE: 1/4'=1'-0' 5C -- 1/4"=1'-O' „ NOTE: N1 FLOOR 10151`5 TO M NOTE: A J- f1_DOR .10iST5 TO m T.W. JOISTS @ V OL_ 11N-E55 NOFM T.B. J015Ts @ V" OL. UCE55 NOW ontRwI E 0THERWISE NOTE: PROVIDE PLOGKIN6. AT MID-51 AN NOTE: PROVIDE "GKIIv AT MP-SPAN NOTE: G.C. TO REFER TO WOOD V STS _. OF JOISTS t FRAMING CONSTRUCTION MANUAL FOR 110 MPH WIND DESIGN x 184 OXFORD DRIVE FRAMING PLANS COTUM MA CONSTRUCTION x°m vf-r-e mre:or/m/p A-5 4 ASPHALT SHINGLES -. . i 5/8' 'ZIP' SHE 2:70 RAFTERS @ 16'O.C. 12 / D.T 7ES�Rl�D�G-R1KR 5TL0S a IN'OL. VENT AS REQUIRED aAFC0AW 59W R40 BLOWN-IN IHSULA7)0 1/16 ZP 5MATHIN"i .... ...... ... . .... ..: � HURRICANE CLIP Ta:PASTS a IrOL. - 11ETAL DRIP EDGE M mar, 4 )� R-W rs terleN (/11 I S 9 STRAFP@5 .,.�....y ..�./. j�.. o TIP. r of'. PIJA"ST SOFFIT ONT 2' p�t-O'PAY a T 7 SOFFIT VENT 10 STRAPPIHC 0 16'O.C. ®iG Of'. - c I RIFTFR PAYS 1x2 PINE SOFFIT 2-256 TOP PLATE.. 1.2"IT.SS.L ... . ,5. 9(b PT.511 ON 511:�ASL TYP.MOPE 7-1KKPG _..: I WALLS&P CEWN BOARDUVI 1x PIN£ SOFFIT - _.:. .. . :,.. .... ........... ... 1r8 PINE FRIEZE Oc.eRR r GLTS ON 1w`i STRAPPING 5/6'OK Nk;tW t D'on EXTERIOR SIDING FROM 7/16' °ZIP' SHFATHWG -21.KRAFT-FACED GATT INSULATION BETWEEN 2z6 STUDS 0 16'O.C. SILL DETAIL PROVIDE 'S LATE NN HURRICANE NE CLIPS EACH F RAFTER i¢PLAT£.CONNECTION 05�C-A i ,1r=I'-o° TYPICAL SAVE DETAIL RUN rwm.H3R RAFTERS TIfW Aw TE TO R;V2 T[ f] .. .."........:_.. ..:..:..-.'...... ..... ._..: ..:: ....:..::: ..::. :. t.t:::...;: RAFTERS _ .. 50T5 _ r ASPH4LT SHINGLES \/ $ 5/8' '?JP' SHEATHING \ /!D 7f i6'NLL® � .......... ..1....... P Alm Au 'LP' SHEATHING 2x7D RAFTERS 12 - .��RAFTERSiS® 1 . . JNOt MA7C - , i I\ _ tip. ........ . ...:.... 4FLEi 6 ! F * R40 EAarlN-W INSULATION— HURRICANE VENT AS REQUIRED 7d1 d7S"5®iG OL. - 3 0 C 1 R'-6. - OIA EeY..V.51'B3 p I IC CLIP - CLL 6 rRl � - - IR51ATUN I 11"l ) � METAL DRY EDGE X 1 W/ r3saPPG ® 16 O.C.0 6 O6. Pl.918 hTST5 6 ir0L. � , }r .. ER IV.451L �,N CONTINUOUS >X6 Pl.5LL CH SLL izt!'A ,• P.T.116 J9,5f - .: SpFFfi ENT 2 2-2x6 TOP PLATE - Sj$OK A!L'tiGR pq-Ts Fa4V..lTST ItSN66Z - _ = 7x2 PINE SOFFIT 1/2-GYPSUTA BOARD pRGfE B'D5 BAWD TOT tl _ ... -. _ ..li... �. L..... ... - ir5 PINS SO WALLS 8 CEILINGS .. • tz6 PINE FRIEZE s°� 21 KRAF-f-FACED $4T7 INSULATION �FLUSH BEAM eEnw aElow ON 7 z5 STRAPPING BETWc'FN 2x6 SR1D5 6 16'O.C. . - 1D K2 o .I 9 EXTERIOR SIDING 4P 10112 L 'a A"'1 - 7/16' 'ZIP'SHEATHING DETAIL @ DECKMOUSE PROVIDE 'SIMPSON' RIO HURRICANE CUPS 0 EACH- LE: 1 112`=P-9 RAFTER do PLATE CONNECTION i t�tNa tarxt.� &EAVE DETAIL @CATHEDRAL ,0l12 � SCAL: 1112"=1'O r. CUP 1iJRPopItNE .. RAr76i5 I3 W,oL. f-If ME r,N_ 4-11"or.a rrRsr� —I R.c l'6t MY5 , �EFTt75 COM.2r1 RATEI*--*RSY£CL A-'+ a 1�P EPEE . FT ATE 51'r PLYWOOD 5 srh5aA VBHr 70 CEILING JOM D RO0F FRAMING PLAN o IM ° i SWARM a 16 ar- CY SCALE: I/4'=I'0 1x7 StRAPtsL f.M N/{'PLYWOOD �s HRECODE GYP BOAMNOTE: RODE JOISTS TO PE Z44 sEao PORCH teW s�P�ort t�a JOISTS ® {(o"' O.G- N-E 15 NOT® F1osr ro V5r LCT•r>:criaN - t',ttt v � 4"4 ProA L�'aw 3)1 3/ ILL L L FLlQi D6W NOi7= ON TDP OF HAtLr COLS - 0fl-ERWI5E -OLL ECfORXR MSTMITS TO M 6rAxr95 aEEL M15� T%L.TS&rlvmwAr€ -&L Tes&vwpss TO ma"w AWE.5'EC PLR p0►PH VAw NOTE PROVIDE '�5W5W Itlo ItFR0— GARAGE BEAM DETAIL CUPS @ au- RAFTERA;6F RLATE PORCH SAVE DETAIL . rJ NOTE: G.C. TO REFER TO WOOD GONNELTVNS scAlE: 1'=r-9 scAlE: 1 u2 FRAMING CONSTRUC "=t'a TION MANUAL FOR 110 MPH WIND DESIGN 184 OXFORD DRIVE ROOF FRAMING&DETAILS CONSTRUCTION COTUIT, MA ---w- A-� _ i. �W�A rat s fir' I"'s 9'^- I +sue•nu _—� } aeaHN5 'ruvt .tacrose I I !�'LIL I x= _ �.d• tEADB2 f• 4141( Io qa 5l.Vr�it >c '6~Caw COL STRAP 5TW PLATE TE I ., tEAPM ® -. DA7R(EIDERcew OIL r6P PLATE flLL fTf.5T1n5 NVJ�To rmuz feal";r9N —x MTH TWO ROAS OF: alcic ST1n5 kid Kd N4L5 47 M9fE OF@.BhCf 6RFATH2 TWN 5-O FFILEZ�S L t�S 3iGC STIAr 6 1"le SRDS ! • I I I i i 3eaS sons rerE ALL TfEs&srRAPs TO rauorr Lwl>a.mFi I fwRR go kft WFD �Ic sans „ ,04 5TR,A DETAIL .nal SWw L J SCALE: �PPING -D" � z.A srins FRONT PLYWOOD DIAGRAM RIGl1T PLYWOOD DIAGP,M n' scALE: lia•=I'-o` 8 scALE: l is°=1,-0• -� q IAA SI1 PLATE 1 ROWS CF Sd 6 7 OL. nu_�ea�c I. roi�c I v I xb ftJtiE S-�fS .BITE sbnw stab II � {I . *+t �Y.. a-d• �-a— �.a } fRsr nR a9+. h sd c r Rms all Ica e Ir oa . V Pi �A�z ! { I �� DOLTS MAX PLATE WASK3Z!, CORNER DETAIL - I/2'=i'-0° , GARAGE WALL DETAIL W L REAR PLYWOOD DIAGRAM LEFT PLYWOOD DIAGRAM C scAy: ,i8•=,�-cr D scALf: I is•=I��' - . 8'-0" WALL HEIGHT REQUIRES A 2'-4" }MIN. SHEATHING WIDTH R'" --- ----- - a m �c+r 66w Coe-STRAP -. - w 5T1n WALL ®�A �tx 7P PLIWLYA CLAl.L�TI Nf-6 _ ETC 09.f€D To RYW= FOR 900 UPH WPD i7 aph NW sItm - i!` � BUILDING b R - AAEL EM£ I wLrr STW fS*muA r6?w Ib Left ® PM TAME%0 MCK i NHS FM STRAP f i PANEL BLOCKING STRA PPING DETAIL �scALE: I ur=r-o° 5 scA�: I ur=r-o• I L/W = 46/40 = 1.10 ASPECT RATIO SHEAR WALL REQUIRED TO BE: H/W < 3.5 NOTE: G:C. TO REFER TO WOOD REFER TO WFCM 110 MPH EXPOSURE B TABLE 10 (W) FRAMING CONSTRUCTION MANUAL & TABLE 11 (L) FOR FULL HEIGHT SHEATHING 184 OXFORD DRIVE SHEAR DETAILS FOR 110 MPH WIND, DESIGN PERCENTAGE REQUIREMENTS AND NAIL SPACING COTUI'T, MA „� ,,,��„,,, », M. CONSTRUCTION A-7 t,�,; e� G,._u�Y ac�- --�:. ,' 1 (� p '�s�" �` � l 6 � �:'�ss'tiy � • ; �XFt i FL B/T.C6W CURB �a • ' .I /4 9/T.CDNC. S/OElY.4LK } •y o ' ``'� �_ \� L=82.73' N31'531'20"E y� S: -4 r R=896.48 58.00 � �< oy < I Locus � Cr1 10 LOCUS MAP NOT TO SCALE PROPOSED p Z PORCH I` EXISTING GENERAL N O T E S OUNDATiON OD 184� O a, o �+� ALL LOCATIONS ARE BASED ON AN INSTRUMENT SURVEY 'N (r - 0 Qp. 38.9' m ZONING DISTRICT: RF s 0.8 PROPOSED DECK LOT 51 FLOOD ZONE: NON—HAZARD C LOT COVERAGE: LOT ,5,3 LOT AREA = 21,242 S.F L 0 T 52 EXISTING FOUNDATION = 1,692 S.F. 8.0% PROPOSED PORCH & DECK 193 0.9% 21 , 242 S.F. TOTAL LOT COVERAGE: 1,885 S.F. ( 8.9% ) vn o ite a, a' nsraw LIArE DESQUp"ON BY.APPR OIiNER OF RECORD: JOSEPH F. & BETTY JO CAOUETTE 96 rAAUMC ROAD usrwooD. YL 02090 76.61' , APPLICANT: I� 46.71' " E S 31'5.3'20" W G.J.C. J 182R R TRUST JW" MASHPEE, HA. 02"9 PROJECT: L OT JF CERTIFIED PLOT PLAN LOT ,3,5 184 OXFORD DRIVE IN COTUIT (BARNSTABLE), MASSACHUSETTS � �� OF�1� �® I HEREBY CERTIFY THAT THE ABOVE DWELLING IS LOCATED ON THE GROUND AS SHOWN,' No.: t of t DATE:os/t�/f LEGEND v `� THAT IT CONFORMED TO THE TOWNS ZONING SETBACK REGULATIONS AT THE TIME IT WAS scAm As Noted DWC FILE:0MRD_te4_Cr.ANCr v � �y CONSTRUCTED AND THAT THIS MORTGAGE INSPECTION WAS PERFORMED IN ACCORDANCE CHRISTOPHER NNTH THE TECHNICAL STANDARDS FOR MORTGAGE LOAN INSPECTIONS AS ADOPTED BY DRSfG Br. RAVID FRENCH CXECJXD BY:�CXr► USrOPAW COSTA. PLS COSTA THE MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS. PREPARED BY: EXISTING PROPOSED NO.31305 INCORPORATED. Qp�� O THIS PLAN MAY NOT BE ADDED M. DELETED FROM, OR ALTERED IN ANY WAY BY Christopher Costa & Associates, Inc. ` LAYOUT PLAN � S@ ANYONE OTHER THAN CHRISTOPHER COSTA & ASSOCIATES.50.5 50x5 SPOT GRADE lT A .S� � CIVIL ENGINEERING •LAND SURVEYING ENVIRONMENTAL CONSULTING 45 TEST PIT (TP) `�'vvlq r�I ❑ CONCRETE BOUND (CB) GRAPHIC SCALE P.O.Box 128/465 East Falmouth Hwy. 508.548.6424 PHONE East Falmouth,MA 02536 508.548.0350 FAX www.00sf3assodates.c0m SPIKE (SPK) 20 0 10 20 40 80 UTILITY POLE (UP) DRIVING TI!'LB: # a* LIGHT CHRISTOPHER COSTA P.L.S. DATE CERTIFIED PLOT PLAN pQ ►1 WATER GATE (WG) ( IN FEET ' WATER SHUT OFF 1 inch = 20 !t ASSESSORS LIVFORYITION: MAP 021 PARCEL 076 HOUSE #154 2 I 2 I A-4 A-4 A-5 A--5 Yl'-d ............................ ..... ..... .................. ..... .... ...... ................ ol 10 .................... .. ...................................... .... .... _. ..... ........._.. 'ptLLd b ....... ......... ................... . .... W/ Is uffog5m wore �5 DECK . ......... .. .......... 3-d' �-d' t ro PATsa _. _ _ ¢¢¢ .............. 21�II �,_ ,. y /,I~ N•- M �, ..I., �/-� ....... ....: .:.................................................... ......�I N....... •J•J+- '{. -.J''fi'i/,. r- I EXf ERIOR . ...... ZI�I 6HOMR T f I pr u% lo ol A6 Df Y1830 Drf?$A�-Z 71 DW I 74 S�JC P56 k5> b v x5 I �• /1b �b KITCHEN �' e BAT b 44 -- �7 1 WNY? ii MAYER � BEDR OM #3 ?6+�- �"� DINING 8y t b LOFT N BEDROOM �� _ �l` 12'-�"x►2' _ � ( �JIw Y' 14-9x13—I 14'-0'x 14'-G' I IL rrq14 I CM IV 3- -' 1 5 T "xV" ATT A6Gt55 N © °� ANNE _ 4 p . x ° l' a , + r r R ~ HE(i OPEN RAL � p �- `'6 '4) `'ems � - - - -_ - - � p� 'C �/ � 'Z m LM t 1 11 A� 1 �b w � � � 1�7 Y x' S .� t� Lrr� r`7 L ON R ~ - ! �x 2 �, BED OM #2 +� gx� VEK/tfAN I .C. OAS rFZR-6 14'-G"x 12'-1' " LAV VENT STER or. / TI1 LIVI NG �-- — ___ ___ ____ — — e x I z :T �P 1 17'-2'x 18-0" -6 H&I WALL ' OPEN TO M-ON 3-d' by �GATtURAL EN $ _ PN 2"{0"xb'S" Ira I N I II I N II�'I +68; a © RAT D100R , N A Z 7-{ A�51 N ` At5OVE � a ,gyp (� 'c � I " � , + Q Hial WAIll. — I HI6H WA L FROM FIR5T FL = 2 CAR GARAGE �-�' �` 3 3 Hol WA-L ........................ STO RA E Ga�oSirE F r �MI I 10 H&l WAIL A-5 I I 44' I I SPAY GARRIAaE STYLE jGLOPAY GARB SMA `K`n- I�-dW O.H. It�.l ' dW- XV--aYl 01. It�tSI I. I I &ARA ! DOOR 0ARAOE D - r Ir---d' 6ET ® �'--�N AP" �Y 22'-,o' U - 5AOKE WTE&TOR [Cm] - CAR" MONoWE DETGTOR ® - HEAT w maoR 91--- - I x4 WAI C46T. @ 16" 0.6. A-5 A-5 f I Ki"T f LOOK PLAN �--- - 2x6 WAu- Cm,6r. ® w~ aL. 5ECOND f LOOK FLAN SCALE: 1 /4"= 1 '-0;! 2 SCALE: 1 /4 — I '-011 , Y FIRST FLOOR AREA — 1 ,206 sq.ft. SECOND FLOOR AREA — 850 sq.ft. SECOND FLOOR AREA — 850 NOTE- ALL. FIRST FLOOR WINDOW6 6ET AT �1--9 '�/4" TOTAL FLOOR AREA — 2,056 sq.ft. FROM FIR6T FLOOR UNLESS O-FHERW16E NOTED NOTE- ALL 6EGOND FLOOR WINDOWS 6ET AT 6'-9 3/4" FROM SECOND 1 L0OR UNLE66 OTHERW16E NOT EP 184 OXFORD DRIVE NOTE.- ALL EXTERIOR WALL6 TO f5E ' x� FALL GON6T. C 0 T U I T, MA FLOOR PLANS SALE: DATE: 0q/01/12 C.RAI NIG IT. .-IGEF A-- 2 � A complete Javelin®framing plan requires the Framer's Pocket Guide See the Framer's Pocket Guide for Product Trademark Information C. I' ALMOUH M > � UMBER: on� o This layout and associated materials list has been prepared based upon project plans and/or information provided to Falmouth Lumber Inc. It remains the responsibility of the builder, contractor,architect,designer,owner or other affiliated person to review this information prior to starting construction in order to assure that it is appropriate, - - Framing Connector Sunrrwy accurate and complete. Qty Manuf Product Design Method Fam Nails Top Wils Member Wils Skew Slope Backer Blks Filler Web Stiff 2 Simpson HU359 Designed 14-10d common - 6-IOd x 1-1/2 - No No Yes 2 Simpson HUCQ1.81/9-5051.75 Designed 8-5D5 self-drilling wood screw 0.242 din.x 1 3/4' - 4-5 D5 self-drilling wood screw 0.242 dia.x 1 3/4' - No No No ■ 2 Simpson HU51.81/10 Designed 30-10d common - 10-110d common - - No No No 2 Simpson IU52.37/9.5 Designed 8-IOd x 1-1/2 - 2-10d x 1-1/2 No No Yes r I 12 Simpson IUS2.37/9.5 Designed 8-10d x 1-1/2 - - No No No Wh.nd—hov thickw... d.s„ I Simpson IU53.56/9.5 Designed 10-10d x 1-1/2 - 2-IOd x 1-1/2 No No No trw,.h.cthk,g tongur m rie board `� 16a(o.ue•. /-StaCt Spacing. 1 Simpson U410 Designed 14-lOd x 1-1/2 - 6-10d x 1-1/2 No o No - -- 3 z�ar t6'm-osnhr- Here 16" O.C. N- Ftmnr prowl-4 Bch ro 13. 3"z N_ Web srifhn.n 42' 0" O rtquirtd.ad.ids ar A3_W 32' 10" Q N SIf-Tlmb.,Strv,T LSL ar I 10,1 3' 411 ilwel•h6"rim boars- � Q T-1-rad(O Ur.3' at 6••m- m.r' Blocking b.aa hKwrnm t AS PkrtID Length Product Plies NetQtY -A1rad TJIf.T h rin bovdmiN,w im roue•k3•, TSRim1 M8 TSRim1 A3 JBlkl 1'1 11/16" 91/2•TJI®230 - 1 25 sal.Topsoil from TJM,o,st mro rYn board- ro ,naik To.mil _ __ -- — -Cmmn co�rrith four lOd ]28'k3' ._ lras.d.of pardkl clw.......bwd � - � �t TY -- _____ - ___..._._. A3.I A3 Aaa •Can en,Iona/cons)v Jron codemmmum f use MIh A3 _T IU52.37/9.5 s ,ne¢ -- JBIk2 1' 1 11/16" 9 1/2"TJI®230 1 7 O�A33 'ny ere/raz®sa�rre.'"lard,un aab. ---- JI®23 .. --' ------. - _ .- ..---._------- ---- .. JBlkl V 1 5/8" 91/2"T 0 1 7 w w w md1b z 'ameaeszcfM'=6wd<,zrraaoo, �. J13I1<2 1'09/16" 91/2"TJI®Z30 1 1 t fro A31-A33inarelbrien sprcrlce,isns and.ppFw none. i � j �� I� II jld9 JBlkl 10 5/8' 9 1/2"TJIC 230 1 1 -0 JBIk1 � t o _JBIk JBIk2 73/8" 91/2'TJI6230 1 1 m ' (V N o TJIe JOIST NAI131,16 REQUIREMEMS at KARL* lJ V)11 N TJL Jekt N 6griy et.re 6ew.h li M tt TJte JoM v�Tmp.rso-md.i R�"••+wwas y JBlkl 6 3/4" 91/2"TJI®230 1 5 C � > ,I.vd•IW'r,mboad. JBIk2 6 5/8" 9 1/2"TJI®230 1 1 s'_ L � orr lad(slat.g l - r mil.,k.a<n flag. 3 U � on.sdrolu•"aSd, Ia �� JBIk2 4 5/B" 9 1/2"TJI®230 1 1 -- JBIk2 41/2" 9 1/2°TJIV 230 1 1 } Ift-mnm,m b.m"rg al ..I.w.rre sr ;{ od*vwr*.3sf mmm.. m v To % JBlk1 J8 JBlkl a o WA i�r C 11 N O L C 1Yr 1lL.r 91f-wtls TJP rr I /� O am sod(a.12 .3)nml m�Mhd yJ4-",y'e'in tl11111111 win k. l"771A I. �:... /1CCe33ar1e3 O N Vt L W O S nto mch flm £TIIa tiro flerc ;hb�;^ar;1>r.Y _. 2hs-'29(i _ 'V d d b sd.;d.rm PlotID Length Product Plies Net Qty h o c d s ,•.yl.nonam(al3s•+"r " ran ; C[ 6 3/4" 7/8"x 2 5/16"Web Stiffeners 1 8 + t o -4 O L d .3d'�sal nh ercb flags t F f,"mmmrm b,mr,g scope ,. � tti O N � � t [.asM rY Yw/ YAr k: d 16"O.C. - «16'JO.C.{ --- - 16"O.C. 16"O.C. --- 16'O.C. - -- JB 32'x48 x96 iLevel�Edge bold Panel(0/24)T365F 1 41 s o N = , c w 23/ o u � Ik L owe a, Load bearing or shear wall obave c d pt y O N O Y J L O � at } c d J V N N (ma6r=rod,a.er wall belwv) JBlkl ' IRC 602-7 raqures lateral restraint Blacki I JBIk t o } } of (blocking)at all mtertmediate "g�' N p L ti „ ssgpo fs in Seismic 0-9. Zx4 mnimun Il ,8 T L C Categories 00,at and o2 to :piosh blacks �j i O - c- o = O L strengthen the floor diaphragm. r JBlkl ' BIk2• 1 Products d w EL E -0 O JBIk1 " PlotID Length Product Plies NetQfy u o� L u t u u Bl B1W �a H E w v + M1-3 Bl J7 31'91/2• 91/2"TJIV 230 1 9Web stiffenere _- -- . M _ r�r-.;�,. ,,"..' --t;<,�,.,tt..,,.tt. n__ _-_.._ rl; _.;guh+v r-4. >oee,—, _ _ -_-:.- + 71 25'5 f/2" 9 f/2"TJZ�230 1 12 �"� Cy5 CS re4rir d each side 7_-. l' .'^— �� - - - � � "- •-' - - -- arBlWmd62W � i� • �( Pt1 = J2 25'5" 91/2'TJIV 230 1 3 in Bz s2 Blocking pawls may be r r Ptl TSRimi p� O p; required with rhea•walls a. �£� � s �- �` - � J6 21 3 91/2 TJI 230 1 1 O above or below-see detail BI £ ; ,� I f l l w O D � M J8 19,11 1/4" 9 Ile TJI®230 1 3 II x � f J3 15'1" 91/2"TJIV 230 t 3 r"I CID J Ikl 1 n J9 6'10 1/4' 91/2'TJIV 230 1 3 1CID III J5 6'9' 91/2"TJI®230 1 1 i rn n J10 5'10 1/4" 9 1/2"TJIV 230 1 3 ►�+ W (� pip aC �i aHU359- �+ 0 1� U410 - " M5-2 J4 3'0 1/2" 91/2'THO 230 1 2 Ei £ ~ vi I S MI-3 20'7 3/4" 13/4•x 117/8'1.9E MicrollamilD LVL 3 3 O ►�i a M2-2 17'1" 1 3/4'x 117/fr 1.9E Microllom®LA 2 2 Q Q M9 ( 1 I to M4-2 16'10 3/4e 13/4 x 9 1/2"1.9E Microllarrli LVL 2 2 W �1 r. O J .k1 o n O U r l ^ M3 16'10 3/4' 13/4"x 91/2'L9E Microllom4li LVL { I I I � ►7 N M5-2 6'0' 1 3/4'x 9 l/12"1.9E Microllam LVL 2 4 10 rt v) H M M6 4'I1 1/2" 13/4"x 91/2"1.9E Microllam®LVL 1 I10 CD _ _ M7 4'5" 1 3/4e x 9112"1.9E Microllam®LVL 1 1 No Sol.. M6 a MB 3'10" 13/4"x 91/12"1.9E Microllam LVL 1 1 — - - - IU53.56/9.5- -- -- Y __ ------ ----- ( - im lid; ¢-IUS2.37/9.5 -> MS-2 rn M9 t'51/2" 1 3/4 x91/l2"1.9E Microllam LVL 1 1 TSRIm1 m TSRiml 16'0" 11/4e x91/2'1.3E Timber5trand®LSL I 11 N H C\' JBIk s 4i _+ (A3J b TSRimi IJ9 .~ - 1n 16"O.C. LEVEL NOTES J4 ti Current Date: 4/23/2012 TSRimi File Name: Clancy-Word Drive.jvl C3j Level Name: 1st Floor TJ-Pro Rating(Weighted Average): 37 Ice Minimum Level TJ-Pro Rating I&Joist: TJ-Pro rating=32,joist=J7(i6300) 0 Maximum Level TJ-Pro Rating A Joist: TT-Pro rating=65,joist=J5(i8061) J Building Code-Design Methodology: IBC 2003 LL H _ Floor Container: FC1 o Floor Area Loading is: 40 Live Load I&12 Dead Load IL Maximum Allowed Deflection: L/480 Live Load&L/240 Total Load TJ-Pro Rating Information: Weighted Average: 37 Directly Applied Ceiling: None Decking Attachment: GlueAndNail Nam Frameworks Floor: No > w a TMS MIN Decking Material: 23/32"x48"x96" iLevelO Edge Gold Panel(0/24)Tdl6 SF BEEN u_CHECKED s FOR - -- _ _______----- ._-_-- Perpendicular Partition: No HEATING OR PLLWING - ------- - -- - - -- --- Strapping: Norse INTERFERENCE. ON SITE Blocking: No ADJUSTMENT OF JOIST 22' 0" 20' On Poured Flooring: No OF UP TO 3"IS PERMITTED -TO AVOID PRODUCT 42' 0" CONFLICT -OUT DO NOT - EXCEED MM PANEL. -- SPACING. JOIST FL.AWIES MAY NM BE CUT. WARNING Joists are unstable until brand laterally w Braafg Inckdes: � j H � " em„�•,.i h„".t.,,, Q Q v arc F' 3_ H >rr a X O DO NOT tmBr on joists DO A107-wa*on joists DO NOT stack balding 0 V anti✓broad that are lying flat. ntaterids an wxhwthed INJURY MAY RESULT joists.5tadr aril),0t becomes,or wags. WARA?M6 NOTES: Lack of proper bracing daring constriction can result in se5ow accidents.Observe the following guidelines: 1.All block-rg,hagws,rim bads and rim josh at the end suplimts of the TJI,jdsts must be cmrylei ely installed and property rid led. 2.Latwid strength,kke braced sad will w m«kting d«k,must be atabided at the arils of the bq.This cm aka be L a«aepkdad by a ter,pmory w pwmmmt dale(shsaihirg)fatened to tbe first 4 feet of joists at the ad d the bq. � V 3.Safety hradng of 1x4(minimun)must be acid to a braced end will or sheathed area(as in node 2)and to arh C E y Jost.Withart this brarng,budkkng sidewrys or rdlovw is high prdoble under light comtructim lade-such m E a y kw a me lyw of .Sheathing acorn be u—epleidadttmachkend . 0 LA it d S.Ends of ca,dikven repine safety brining an both the top aril bottom flanges. V1 L 6.The flmgrs must retain strdght within VT'fron trve dip,menr � A Weyerhaeuser,.Levsle,A4mollan0,Parallmro,Sikra Flo or®Timber5—de,TJIO,and True Joists are U registered trademarks of Weyerhaeuser NR.0 2009 Weyerhoeuser NR Compony,All rights reserved. Sheet: 1 of 2 A complete Javelin* framing plan requires the Framer's Pocket Guide See the Framer's Pocket Guide for Product Trademark Information tALMOUTH 16. f8 � 3 M BER ME o I a This layout and associated materials list has been prepared based upon project plans and/or information provided to Falmouth Lumber Inc. It remains the responsibility of the builder, contractor,architect,designer,owner or other affiliated person to review this information prior to starting construction in order to assure that it is appropriate, accurate and complete- WMn.h-*.,thickv.s used.' '. f er..d.afh:y 1v of-board rbfe mil-16d(0 05'> \ 3Y�t a,l6"m<ua<r• *. A3 il-8d(0.131'• 2!1 Stiff—red e h side of W StartS acln h Ap90d(0.131'a 3� Here 16" O.C. 42' 0" hiclurfhm - -AJ f S° ,e.w load Wi,h m<lad(O 128'k3'r rrdI.Top nod ran TSPjoist info rYn board. -Camrcf tarok win.fwr ial(0.128'k3'arg nark.Toe mil A3 A3.1 A3 A3.3 frae side of p—A.1 dawn asio rim bd can>tract err;a ml an code m nymam 6,v>e wtn AJ A 3 —dAy th.eJA 1-Ri/8J dS-ifi,>6,de.#TJ-BW TSRim1 3 A3. A3. A3- mdrbe levelaRrm BaardSpecsfier's6wde,#TJ 8D00, --- - _ - -- - - - - --- - - ---.- - - ii 8) d ca + I TJIe 1015T NAILTN6 REQIRREAAEMS of BEARINb .. J f f - I I 2 TJxe 3.1 so emr6y rkr. 6q-.Ivdv to TJie•TeM JBlkl � ! �' JBIk 3 � � m - i --- - _} -T r5kud.LSLw iL.ree nmba,e. o od fnt�x 3') Q V Q' One 9d(Q113.2W) l rota e« rvge lavf l'1mm eM 1�'minmun bemnq a, .Ir>��u/r -' 1 1 56ry�F G..arR ep6derlN ( I'� 1^• t � nm> aYrir -j '"M Iiof F � aF Ccm o } - O J4 JBIk E- QtyMamdf Product Design Method Face Naib Top Naib Member Nails Skav Slope Backer Blks Filler Web Stiff Q d in '� lq•ells 17P rr)N. lad(al2n'x 3� One lm(0.12frx 3�nal wls,aK mcM1 vde wd`,r1Ae TJIe 1 t _ 32 Simpson HU7 Des d 12-lOd common - 4-IOd x 1-1/2 - - No No yes v m a y °a s I M.e«M1 rbye nfrm pi.,fkage n.rna, I a o p o o c 29k J_One 16d(,m 31l" T]P ( x xd•)ml mm a«M1 Rarg< pyt i [ N wigNo 13 Simpson IU52.37/9.5 Designed 8-lOd x 1-1/2 - - - - No No c u ud HFE L } in a u Q aL �' a Wo L d o---. _ - ib'JO.C. - - - - - -- 16"O.C. -- 16'JO.C. — �t accessories v o v d J C W O 11} t d JBlkl PbtID Length Product plies Net Qiy s °A o a c} > L 6 3/4' 5/8'x 2 5/16"Web Stiffener 1 64 m o Q0 23/32'x48'x96"iLevele Edge Gold Panel(0/24)T&S SF 1 45 a a . is €� - S o E u c a o : D E o i l d w E ° o u � d L u u t @ �C w P� ♦r� I �� E=� �'� _ _ PPOdUCtS in= w t v su t� PlotID Length Product Plies Net Qty JBfkl £ m - _-�' of (A3) _-_ - - — IUS2.37/9.5 - - _-- ---_ -_-- J7 13'f0 3/4' 91/2'TJIe 110 1 16 -_ - -- 1 1 T6 b'7" 9 t/2"TTIe 110 I 2 QI In ~ TSRiml M3-4 - T5 6'3" 91/2'rile 110 1 1 O MIEN" x T4 6'0 1/2" 9 1/2"TJIe 110 1 15 i JI 25'3 3/4' 91/2"TJIe 230 1 15 J2 15' 1" 91/2"TTIe 230 1 3 F� py ►� J3 14'10 3/4" 91/2•TJIe 230 1 13 ra E i H JBIk1 II DC MI-3 2V 9 1/4" 1 3/4"x 16"1.9E Miaollame LVL 3 30 in M2-2 22'0" 13/4 x 117/8'1.9E MicmlkmO LVL 2 2 irr3t� I M3-4 17'5" 13/4'x 91/2'1.9E Microllame LVL 4 4 0 TSRimI 16'0' 11/4 x 91/2"1-3E TimberStrand*LSL 1 - 12 a w0 (/2 o JBfkl m 0 ID t! .y A3 i ao TSRimI Ln TSRiml ^� LEVEL NOTES (A� ABIk1 Jb ,A31 16" O.C. Current Date: 4/23/2012 File Name: Clancy-Oxford Drive jvl J4 - 'c' - - Level Name: 2nd Floor 16"O.C. - - — TJ-Pro Rating(Weighted Average): 44 HU7 A3) ~ Minimum Level TJ-Pro Rating di Joist: TJ-Pro rating= 37,joist=J3(i8240) Maxi m Level TJ-Pro Rating de Joist: TJ-Pro rating=75,joist=J6(i8206) Z muce A Ikl:' —�� ter' ��1-3 > > > j D TD > j D TD D TSRiml - Q _ 21 = _ _ _ _ 11 2 = _ _ _ _ _ = E Building Code-Design Methodology: IBC 2003 O ac a J rpm am ram.., j� li i ~ Floor Container: FC2 V' Floor Area Loading is: 40 Live Load dt 12 Dead Load � Z N ABlki 55Pst1 Maximum Allowed Deflection: U480 Live Load b U240 Total Load :. TJ-Pro Rating Information: Ucc ' tt Weighted Average: 51 U Directly Applied Ceiling: Varies amongst joists(Default=None) Decking Attachment: GlueAndNail AE lkl r, Frameworks Floor: No ii J7 I: Decking Material: 23/32"x48"x96"iLevel®Edge Gold Panel(0/24)Td1G SF 6"O.C. I'' Perpendicular Partition: No w d Strapping: Varies amongst joists(Default=None) > H E w Blocking: No 'n*S LAYOUT HAS _NIDT Poured Flooring: No BEEN CHECKED FOR HEATING OR PLLM/BIMG INTERFERENCE. ON SITE -- - _ -_ - - -- - Floor Container: FC3 ADJUSTMENT OF JOIST M2-2 TSRiml A3 Floor Area Loading is: 30 Live Load d112 Dead Load VR7 ()F UP 10 3"IS PERMITTED ' Maximum Allowed Deflection: L/480 Live Load dl U240 Total Load TO AVOID PRODUCT 22' 0" 3 O1/2" 16' 111/2° TJ-Pro Rating Information: CONFLICT dUT DO NOT - 42' Cr' Weighted Average: 41 EXCEED DM PANEL -- gpgCING. Directly Applied Ceiling: None JOIST FLANGES MAY Decking Attaehnwnt, GlueAndNail NOT BE CUT. Frameworks Floor: No Decking Material: 23/32"x48"x96" iLevelO Edge Gold Panel(0/24)Td1G SF Perpendicular Partition: No WARNING Strapping. None Joists unstable until om table braced latera ly Blocking: Np w el" mg �rr"�`a�"s�tane. Poured Flooring: No 2 c •Haiyas •G.z,bo..n •lei J-st _ [` � r"r � _ . o � DO NOT walk on jaists DO NOT welt on joists DO MOT stack hdlarnq a V rnrtil bracedd tfgt am fyiq flat. nataiads as,um eothed INJURY MAY RESULT joarts.Stack only oler bows or"ORS, WARAaA6 NOTES: Lade of proper bracing during constndction can result in serious accidents.Obseu+e the following guidelines: 1.All bioc",hang s.rim bawds and rimjaists at the.M s"o,t of Me TJln joists must be cmnpleteiyimtalW od properly ndkd. 2.Latetid strength,I&e brand ad wdl r m«btirg deck,oust be otabf shed at the ads of the bry.This cm oleo be L aramplished by,ta,prry or per—deck(sheothirg)frtmed to the first 4 feet of joists 0 the ad of the bay. 0) 3.Safety bradng of 1.4(mmimun)must be miffed to a braced and wall r sheathed arm(as m note 2)and to each E h joist.Without this brrkg,bukfiN sideugs or rol6w is highly probable under light eonstme,m bads-wrh a ' N La v:orker r me Ivye of umailed sheathing LO 4.ShMhing wit be co Pieely attakal to eadu T.dIa jdst befre addiimd bads cm be placed m the system. �+ 6.Thesflam�'i''Vtrrmain studwihin L2'frae t�md bottanflanges. ges mom g gnmm Q A We-rhoe—,iLevelO,McrollomV Porallam®,Silera Flo-Q,TimberStrade,TTSO,and Trus Jo,"we registered trodemarks of Weyerhaeuser W2-02009 Weyerhaeuser NR Comparry.All rights reserved. Sheet: 2 of 2