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0155 SANDALWOOD DRIVE
IDS anG� Ie,tuoo pF t Application number 1.......... ... Date Issued........... Building Inspectors Initials......Wks a UZ � Map/Parcel.......... .�. ./.: .. :............ TO ► ARNSTABLE 365 V EXPEDITEDVPRRIMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION . ..Address of Project: /1-5- h Jg Ju►66J. J r 1 v2 C o f ui4 NUMBER STREET VILLAGE Owner's Name: L I F,E c e A�_Phone Number S'0T- i/ Email Address: lbw/- L/gPOD FiNG®GIYvP,11-,Cor» Cell Phone Number Project cost $ �, 000 Check one Residential Z/ t Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑-1 Doors (no header change)# Commercial Doors require an inspector's review. EE Roof(not applying more than 1 layer of shingles) Construction Debris will be going to yAR m DJT,Il [-1) U m7 CONTRACTOR'S INFORMATION Contractor's name M A?,K IM h Home Improvement Contractors Registration(if applicable) # (attach copy) Construction Supervisor's License# /O 410 7 (attach copy) Email of Contractor M UL L ) lV tea® F (N G m�Phone number 5-0 RL as/ F S 9/ ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 1N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ............................................................ � *For Tents Only* t- Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor.plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. • Check one: this event is a: for profit non-profit event t Check one: Food served Yes - No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I.understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMRan d the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. MULLIN ROOFING & SIDING INC. CONSTRUCTION CONTRACT This Construction Contract (the "Contract") is made and entered into as of 8-16-18 (Date), by and between Claire McCann (Name, hereinafter called the "Customer") and Mark M. Mullin, DBA Mullin Roofing and Siding, Inc. having its principal office at 7 Connemara Way, W, Yarmouth MA 02673, (hereafter called the "Contractor) Property Location: 155 Sandalwood Drive Cotuit MA In consideration of the mutual promises hereafter set forth and intending to be bound hereby, the parties hereto agree as follows: Contractor's Obligations. Contractor shall complete the following Project herein!described in and shall provide supervision necessary to commence and finish the Project expeditiously, in a workmanlike manner, in accordance with the "all applicable codes, laws ordinances, rules, regulations and orders. Description of"Work". Contractor shall do all the work in accordance with the terms of this Contract, as described:. Remove existing roofing shingles from the home and garage roofs while protecting the home and landscape. Remove existing skylight and install a new Velux fixed skylight. Install Winterguard Ice and water shield by Certainteed on all eaves, and around any roof penetrations of the home. Install Roof Runner roofing underlayment by Certainteed over the remaining roof area. Install new drip edge on all eave edges. Install new Landmark Pro roofing shingles by Certainteed to factory specifications using six nails per shingle. Install new Certainteed ridge vent over the ridge. Hand nail Shadow Ridge ridge vent over the ridge vent to complete the roof. Contract sum. In consideration of the performance by Contractor of its duties and obligations, hereunder, Customer shall pay to contractor the sum of '$7,000 Payment schedule: Owner shall pay the contractor 0% of the contract sum upon signing the contract, 50% upon start of contract work, 50% after completion of contract work. Contractor's Responsibilitu. Contractor is an independent contractor for all Work to be performed hereunder. The detailed manner and method of doing the Work shall be under the control of the Contractor.All employees of the Contractor performing Work under this Contract shall be and remain the Contractor's employees. a. The Contractor shall supervise and direct the Work, using its best skills. . Job Safety. Contractor shall be responsible for initiating, maintaining and supervising all safety precautions in connection with the Work. Permits, Fees and Notices. The Contractor shall secure and pay for all permits and governmental fees, licenses and inspections necessary for the proper execution and completion of the Work. Such permits and licenses shall be the property of the Customer and shall be delivered to the Customer upon request. The Contractor shall give all notices and comply with all applicable codes, laws, ordinances, rules, regulations and orders of any public authority in connection with the performance of the Work and the Contractor's obligations hereunder. Insurance. Contractor acknowledges and agrees that Customer or Owner shall not be obligated to carry any insurance in connection with the Work for the benefit of the Contractor. Contractor's Insurance. Contractor shall at all times maintain and keep in full force and effect, at its expense, any and all insurance coverage which is prudent, necessary or desirable for the protection of the interests of Contractor. Contractor shall furnish to Customer certificates of insurance for the following types of insurance. a. Commercial General Liability Insurance; b. Workers' Compensation Insurance to cover full liability under the Workers' Compensation Laws. i f All waste associated with this project will be removed from the roe and disposed osed o P J property rtY P properly. IN WITNESS WHEREOF, the parties hereto have executed this Contract as of the day and year first above written. Custolner Contractor Company By: By: 4A� Print: Claire McCann Mark Mullin, Mullin Roofing & Siding, Inc. 7 Connemara Way, W. Yarmouth MA 02673 508 221 8591 Address: 155 Sandalwood Drive Cotuit MA License No. CSL 104076 HIC 167281 Date: 7-16-18 Date: 7-16-18 Phone number: 508-428-7272 License No. CSL# 104076 HIC# 167281 Email address: Email address: mullinroofing@gmail.com Division of Professional Licensure ' —Board of Building Regulations and Standards Const\,utt.l� -'f�6perrv'is or J. . CS-104076 �T ',Ir Fires: 09/07/2019 it MARK M MULLIN 1 i 7 CONNEMAlk-A WAi,,%t x WEST YARMOUTH MA`02673 ?� Commissioner C��e�oo�zi�zzancr.ea;ll�o�C-��cravac�ucaeCt'� ' Qtfit e of Consumer.t�ffairs&Business Regulation HOME`IMPRQVE NTRACTQR Re istrtition ' �167$8i' Type: Explration 8V;CYf�07& DC MULLIN ROOFING AND,SI tl �a j (t_ = � 1 , MARK'VIUL.LIN s� - i 7 CONNEMARA W4Y. ,- W.YARMOU-1H, MA 026�/3 dersecretaiy Registration valid for individual use only before the expiration date. If found return to: l� Office of Consumer Affairs and Business Regulation i „ 10 Park Plaza-Suite 5170 Boston,NIA 02116 { Not valid without signature l ACCJRO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1� 04/06/2018 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). CONTACT PRODUCER NAME; Debra Martin MARGARET J GRASSI INS AGENCY PHONE (508)295-2007 (FAX, No): " EMAIL -ADDRESS; debmjgins@comcast.net - 1188 MAIN ST INSURERS AFFORDING COVERAGE NAIC# W WAREHAM MA 02576 INSURER A: AMERICAN ZURICH INSURANCE COMPANY 40142 INSURED • INSURER B MULLIN ROOFING & SIDING INC INSURERC: ° INSURER D 7 CONNEMARA WAY INSURERE: W YARMOUTH MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER: 254984 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 ADD/.SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY) (MMIDDIYYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JEa LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/ABODILY INJURY eracctlenl AUTOS AUTOS (Per ) $ NON-OWNED - PROPER P den DAMAGE $ HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A. - AGGREGATE $ DED RETENTION$ �/ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE 6ZZU61 K24552618 03/07/2018 03/07/2019 E.L.EACH ACCIDENT $ 500,000 A OFFICERIMEMBEREXCLUDED7 NIA NIA NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If es,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. „ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Chris HermanACCORDANCE WITH THE POLICY PROVISIONS. 7 Yacht Ave AUTHORIZED REPRESENTATIVE West Yarmouth MA 02673 Daniel M.Cro y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD J! ' f l The Commonwealth of Massachusetts Department of Industrial Accidents -- Office of Investigations. K . 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): Address: 7 City/State/Zip: A a26-1 Phone#: Are you an employer?Check tte appropriate box: Type of project(required):. 1.�am a employer with 3 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity, employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3.❑ I am a homeowner doing all work. ❑ S P myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: i Policy#or Self-ins.Lic.#: Co �� ��o� �� � l Expiration Dater Job Site Address: /SS— Sclhd 2 r 1 1I'P— City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date): Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a,copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: A�ler�� Date: 7` 17` t t Phone#: 5 0& c�a ? F S—9 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 a Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as".:.every person in the service of another under any contract of hire, express 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. 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 i 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 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#61.7-727-7749 www.mass.govfdia �.� Town of Barnstable "Permit# Regulatory Services 6men °D1issue e . a�3Nrresn—r . 1639. a � Richard V.Scali,Interim Director W FIR n � Building Division APR 12 2017 Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 �� �� OF .�N7i9��s ®�E www.town-bamstable.ma.us Office: 508-862-4038 - EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 08-790-6230 Map/parcel Number 0/Q - Q 3 2— Not Valid without Red X-Press Imprint r , Property`Address 1575 Residential Value of Work S .l!v, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address_(- ��,;re Contractor's Name Dtt)S /SON Telephone Number f l) Z2, 9 906 Home Improvement Contractor License#(if applicable) L 73?-- Email: Construction Supervisor's License#(if applicable) kvorkrhan's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner { I have Worker's Compensation Insurance Insurance Company Name gL - -------L5 Workman's Comp.Policy# W C4 3 Q 6 ` Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ?Replacement oof(hurricane nailed not stri pping.pping. Going over existing layers of roof) { side Windows/doors/sliders.U Value •3 U (maximum.35)#of windows 1 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Wheie required_ Issuance ofthis permit does,not exempt compliance with other town department reeulations,i.e.Historic,Conservation,etc. xxYNote: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requir d. . SIGNATURE: ` Q:IWPFILESIFORMSIbuilding permit formslEXPRESS.doc Revised 061313 Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal By Andersen of Southern New England Claire McCann Legal Name:Southern New England Windows,LLC 155 Sandalwood Dr. NORi RI #36079, MA#173245, CT#0634555, Lead Firm #1237 Cotuit,MA 02635 WINDOW 8E LACEMENT 26 Albion Rd I Lincoln,RI 02865 H:(508)428-7272 Phone:866-563-2235 1 Fax:401-633-6602 1 sales®renewalsne.com C:(508)737-2211 Buyer(s)Name: Claire McCann Contract Date: 04/01/17 Buyer(s)Street Address: 155 Sandalwood Dr., Cotuit, MA 02635 Primary Telephone Number: (508)428-7272 Secondary Telephone Number: (508)737-2211 Primary Email: merrymac@yerizon.net Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $6,669 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $2,222 Balance Due: $4,447 Estimated Start: Estimated Completion: Amount Financed: $0 8 to 10 weeks 8 to 10 week Method of Payment: Cash/Check We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: Taxes paid in Barnstable, Ma. 1/3rd with order balance on completion. Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER:Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 04/05/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba:Renew y Andersen of Southern New England Buyer(s) �i/� �►t Ot't�►--� CG.r.,,�;' ill�re,a..- Signature of Sales Person, Signature Signature Gino Montesi Claire McCann Print Name of Sales Person Print Name Print Name UPDATED: 04/01/17 Page 2 / 10 y • r Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-095707 Construction Supervisor BRIAN D DENNISON 7 LAMBS POND CIRCLE CHARLTON MA 01607 Expiration: Commissioner 09/08/2018 "'� fe C�ar�z-�rza'� cclecrll2 ava-'�c��crc�z�cJe Office of Consumer Affairs And Business Regulation r: 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement.Contractor Registration --_-__ Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: s/ts/2ots BRIAN DENNISON -- -_ 26 ALBION RD LINCOLN,RI 02865 - — Update Address add return cur.Mar'L-reason for change. SCA r c• 20;a-0 m ❑Address ❑Renewal J Employment ❑Lost Card _-Owiice orCousvmer Affairs 8 Business 4�tenon Registration valid for individual use only before the - expiration date If found return to: ROME IMPROVEMENT CONTRACMR ��•_�_. Office of Consumer Affairs and Business Regulation Resistration,.1.7329$.; Type: 10 Pari:Plarn-suite 5170 Y>' Expiratian:'9j.j9P1o18.: Suppiemem Card Boston.i41A 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BYANDERSON'_ BRIAN DENNISON - 26 ALBION RD ` • LINCOLN.RI 02865 Wh Not valid without signature _ The Commonwealth of Massachusetts Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/din IVorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers- TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information p Please Print Le0bly Nalne (Busess/Organization/Individual): k h1 �rlC��Cin;z 1/�t/l ���J in Address: cZ& 41&py✓ City/State/Zip: , :;, rI . = 02 Phone#: 40) Z 28- 9 8 DO Are you an employer?Check the appropriate box: Type of project(required): l.�am a employer with .2-0 * employees(full and/or part-time)x 7. [1 New construction In I am a sole proprietor or partnership and have no employees working for me in 8. E]Remodeling any capacity.(No workers'comp.insurance required.] 9. El Demolition In I am a homeowner doing all work myself[No workers'comp.insurance required_]t 10 Q Building addition _ 4.n I am a homeowner and will be hiring contractors to conduct aU work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet ❑ � 13.�Roof repairs These sub-contractors have employees and have workers'comp_insurance+ - 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[v]Uther l.�i�^d a w � 152,§1(4),and we have no employees.(No workers'comp.insurance required_) ( P 1,c c-e-•, a. S '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 insurancefor my employees. Below is thepolicy andjob site information. Insurance Company Name: I In 5. Co — Policy#or Self-ins.Lie.#: 14 G rA 313 bO k l Expiration Date:� _ 1= 7 Job Site Address: SS �a 11ela AM v � _�Y City/StateJZip: L-d7�r-11. � A Attacb a copy of the workers'compensation policy declaration page(showing the policy number and expirTation date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 p and penalties of perjury that the information provided above is true and correct r Signature: Date:. 17- " Phone#: 1 L 2 $ —nl 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 Departmeut 3.City/Town Clerk 4.Electrical Inspector'5.Plumbing Inspector 6.Other Phone#: Contact Person: ®� SOUTNEW-01 CZOWAIGER CERTIFICATE OF LIABILITYDATE IMMIDDIY YYY) ���� ��� 612912016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAMON 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 ISSUINGINSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER: IMPORTANT: If the certificate holder is an ADDITIONALINSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this cerfificate does not confer rights to the certificate holder in lieu of such endoisement(s). PRODUCER CONTACT COBiz Insurance,Inc.-CO NAME: PHONE FAX 821 17th StINC,No E:t.(303)988,0"6 No;(303)988-0804 Denver,CO 80202 AA•DCR�M GDBizlnsurance cobWnsurance.com INSURER( AFFORDING COVERAGE NAICE INSURER A:Continental Westem Insurance Company 110804 INSURED ' INSURER B i Southern New England Windows LLC lrlsuRER c DIBIA Renewal by Andersen 26 Albion Road INSURER D. ! Lincoln,R102865 INS RERE: INSURERF• 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 RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY.PAID CLAIMS. LTR I TYPE OF INSURANCE I OJSD t VVVD POLICY NUMBER I POLICY i�F I M�rrIUDD I L�iS A X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE 5 1,000,000. CLAIMS-MADE ;^ I OCCUR iCPA3936080 j OT10112016(07109I2017 t MEMMS r is 100,00Q I MEo orn(am'OIL'cam) 15 9 0,000 e j • ,PERSONALggDVlNJURY IS 1,000,000 GWL AGGREGATE UMfTAPPUESPER: ` ? GENERAL AGGREGATE is 2,ODO,000 Ix I POLICY I JECT j I LOC. ! i ' 1 i PRODUCTS-COMPIOPAGG S RC- 2,000,000 OTFrER- i i EMPLOYEE BENEFI - 2,0DO,ODO I AUTOMOBI ELIASILrrY ! ' ; I EaaMc6derm EunaT I s 1,000,000 A �t�j ANY auro ! sCPA3136080 07101/2016 07101/2017 I BODILY INJLIrtY(Perpa�n) I S. 1 ALL OWNED ' :SCHEDULED ° _ __. - I AUTOS AUTOS I S HODILY INJURY(Peracddsnq j S T— NON-OWNED i t ! P�ROr 2 DDAMAGE S HIRED AUTOS i ALTOS S I X UMBRELLA LIAR j X OCCUR EACH OCCURRI NCE !S 5,OD0;00 A EXCESS LIAB I ,CLAIM MS MADE; ' ICPA3136080 10710112016 07/01/2017 I a te;E !s DED I X I RETENTIONS 0' i ggregate is 5;000,000 WCYT ORKERS COMPENSATION i 1 I I I STATUrE PftKI ERA I AND EMPLOYERS'LIABILITY Y I N ! I 1 ODD 000 A ANY PROPRIETORIPARTNER/DCECUT IVE a [WCA3136081 07/01/2016 07/0112017 EL EACH Ac IDENT I s OFRCERNEMER EXCLUDED7 NJA I 1,000 000 (Mendetmy In NH) I j ! j I EL DISEASE-EA EMPLOYEE)S r It gges,desrnbe under E.L.DISEASE-POLICY UMrr I S 1,000,000 .DESCRIPTION OF OPERAnONS below i I t I DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES(ACORD 101,Addwanal Rertwrim Schedule,may be attached Ifmore space Is required) ' I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTIOE VYILL BE DELIVERED IN ACCORDANCEIWRH THE POLICY PROVISIONS- AUTHORIIED REPRESENTATIVE . " ©19BB-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD X 13 save Weatherization & Insulation 410 Grove St Fall River,Ma o2723 Insulate2saveme[ April 12, 2013 ER Town,Of Ba rnstable Thomas Perry,CBOµ 200 Main Street u A- Hyannis, M,A.02601 RE: 155 Sandalwood Drive Dear Mr. Perry, This Affidavit is to certify that all work completed at 155 Sandalwood Drive has been inspected by a certified BPI Inspector. R38 Cellulose was added to the attic. All Work Performed Meets or exceeds Federal and State Requirements. Sincerely, Roland Langevin Insulate 2 Save,Inc President CSL 103861 HIC 166311 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION J 0oodgV Map Parcel (/ Application Health Division Date Issued to Conservation Division Application Fee �k 6b Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis r' Project Street Address Village Owner Address Telephone Permit RequestI ol )Ea a 1 c quare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other = ' Basement Finished Area(sq.ft.) Basement Unfinished Area(sgft) f Number of Baths: Full: existing new Half: existing ,l new Number of Bedrooms: existing _new 4 cr- Total Room Count (not including baths): existing new First Floor Room Count 7 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other '' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) NameQt\6_r\A /a Uy� Telephone Number �2 0 � :7W IS _ Address 0? License # t r Home Improvement Contractor# Worker's Compensation # Hq:l r"a�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Cn )t k SIGNATURE DATE I FOR OFFICIAL USE ONLY r" k APPLICATION# DATE ISSUED MAP/PARCEL NO. � t ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME V , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ; DATE CLOSED OUT ASSOCIATION PLAN NO. It e Office of Consumer-Affairs and usiness"Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Cj �actor Registration 1 { — Registration: 166311. ' � V Type: .DBA ' f Expiration: 5/11/2014 Tr#+222532 1 —_F — ;- INSULATE 2 SAVE y W, ROLAND LANGEVIN V"EZ, 410 GROVE STREET, s r FALL RIVER MA 02720 f "Update Address and return card.Mark reason for change. x ❑ Address .0 Renewal Employment [�.Lost Card DPS CA1 0 SOM W04G101216 0ffice�f18oim i aiff/Bu�ines�o • License or registration valid for individul use only ' HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: -1,66311 Type: ; Office of Consumer Affairs and Business Regulation Expiration 57a1L2014 DBA 10 Park Plaza-Suite 5170 t -- Boston,MA 02116 _ d IN TE 2 SAVE ROLAND LANGEN � 536 EASTERN AVE FALL RIVER,MA 02723 a Undersecretary Not valid without signature 4 1la..achu.ett.- Departrnent of Public Safet. �(tard of Building Regulations and Standards s; Construction Supervisor License License` Cs 103861 ° Restricted to: OQ ROLAND"LANGEVIN r .536 EASTERN AVE. • FALL RIVER,'MA 02723 Expiration:•8J24I2013 (onuniwioncr _ Tr#: 103861 OWNER AUTHORIZATION FORM . (Owner's.Name) owner of,the property located at - z (Property'Address) (P operty Address). �? - hereby;authorize (Subcontractor) ,- an,autYiorized subcontractor=for RISE-Engineering, to act on mybehalf'to obtain a'building permit and to;,perform work'on my property. , Owner's ignature.: ECIE t Date ` SEP .z l 2011 ti J1✓` _ J v. �,J's.,1,r i'�lwtr-lw.l ,.r ' •I{' .. ` .r - .. ` p v L , - ..r i Y. r ,� 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): I lD C�r�t�V Address: ,^ City/State/Zip: Phone#' : Are-you an employer? Clieck the appropriate box: Type of project(required):. ` 1.[ I am a employer with (� 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* ` have hired the sub-contractors ❑ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7.. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me'in an capacity. employees and'have workers' Y P tY• 9. ❑ Building addition ' [No workers' comp. insurance comp. insurance.t required.] 5: ❑ We are a corporation andits 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 secilon below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name,rfKV Policy#or Self-iris. Lic.#: � �� 1 Expiration Date: �— Job Site Address: s City/State/Zip: c —vim 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 25Aof 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 penaltimin 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 andpenalties ofperjury that the information provide a//b��ove is 7ue and correct. Si ature: Date: d— 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): t 1.Board of Health 2.Building Department,3.-City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector' 6.Other , Contact Person: ' t Phone#: " qC pm OP ID: HG �...� CERTIFICATE OF• LIABILITY INSURANCE DATE(MWDDNYYY) 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 WANED,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 endorseme s. PRODUCER 508-675-0308 CONTACT Partners Ins.Mizher Division NAME Helen Gagne 508-675-3006 PHONE FAX . 560 Wilbur Ave. Arc No.Ext:508-491-3174 N,:508-491.3108 Swansea,MA 02777 ADDRESS!haaarle0p2rtnarainscirolic.corn Stephen Long-Swansea PRoouCER C STOMERID#:INSUL-1 INSURED INSU S AFFORDING COVERAGE NAIC# Insulate 2 Save Inc. INSURER A:Scottsdale Insurance CompanyF F Roland Langevin' INSURER B:Travelers of Massachusetts 536 Eastern Ave. , INSURER F c: Fall River M _ A 02723 ' INSURER D sa' INSURER E. COVERAGES .,• INSURER F: . CERTIFICATE NUMBER: ' REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVETOR 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 INSURANCEADDL SUM PS EFF M POLICY NUMBER EXPO GENERAL LIABILITYMLIM A X COMMERCIAL GENERAL LIABILITY CPS1366499 " }` O6/12/11 06112112 EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR ; « s PREMISES Ea oarxrence $ 50,00 rc MED EXP(Any one person) $ 5,00 PERSONAL 8 ADV INJURY $ 1,000,00 GENERAL AGGREGATE• $ 2,000,00 GEN'L AGGREGATE LIMB APPLIES PER: ., ° POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 1,000,00 AUTOMOBILE LIABILITY $ ' COMBINED SINGLE LIMB $ ANY AUTO , (Ea acddeM) ALL OWNED AUTOS BODILY INJURY(Per person) $ " SCHEDULED AUTOS + BODILY INJURY(Per accident) $ ' `t HIRED AUTOS _ PROPERTY DAMAGE . NON-OWNED AUTO$ (Perm) $� $ X UMBRELLA UAB $ OCCUR ' A X EXCESStJAB CLAIMS MADE EACH OCCURRENCE $ 1,000,00 UBS0001144' 06/12/11 06N2/12 AGGREGATE $ 1,000,00 DEDUCTIBLE � X RETENTION $ 10 000 ;` WORKERS COMPENSATION $ AND EMPLOYERS'LWBILITy STATU- OTH_ B ANY PROPRIETOR/PARTNERIEXECUTNE YIN 97O P25111 12/10/11 12/10/12ER OFFICERIMEMSER EXCLUDED? ❑` N/A E.L.EACH ACCIDENT $. 500,00(Mandatory In NH) K yes��^�order E.L.DISEASE-EA EMPLOYEE $ 500,00 DESCRIPTION OF OPERATIONS below 1 E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,I more space is required)' Honeywell International Inc,its subsidaries and its and their respective officers,directors,shareholders,em�loyees and agents as additional ' insureds in respect to general liabil' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF.THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN a, ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR IZED REPRESENTATIVE . f r o w�©19888.2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009/09) The ACORD name and logo are registered marks of ACORD RISE ENGINEERING Completion A dlvi§io..n ofThielia Engineering 1 Certificate , 1,341 Elmwood Avenue,Cranstop;R102910 PROGRAM - lR I S E (401)783-3700 FAX(401)784=3710 CLC-RCS CASE 122240 Page 1 6NGINHHRJNG • CONTRACTOR 0050:1nsulate`2:Save �' CONTRACT DATE . i START DATE ADDRESS 10/1711011 8/7/2012 p t } AUDrrOR. CLIENT NAME ,Claire:F.McCann John Casanova ADDRESS 155 Sandalwood Drive } Cotuit,MA.0,263.5 `CASE - * 122240=i HOME (508)428-7272 WORD o X-- R HROJEGT NO CELL FAX 's - - RIS-814.1-0035992 Air Sealing Completed Start CFM50 End CFM50- 70%OF-BAS CFM50 Combustion Safety Testing > Worst case depressurization number' Pascals ` CAZ'limit ' i pascals - Spillage failure: 'Yes or No i Draft failure.: Yes or.No CO'levels: pass or fail' m The foilowing?areas were sealed,as directed,by the-RISE Engineering Energy Specialist: .Basement-Crawlspace- Attics-Kneewa1LSpaces. Living:Areas ' _Sill/-Rim Joist =, Wall`Top Plates Plumbing,Gaps Plumbing Gaps : ._ Plumbing Gaps Door Sweeps —WiringGaps •Wiring Gaps _Door Weather-strip Chimney Chase. Chimney Chase _Fireplace/Wall seam Basement Door _Attic Hatch _Duct Register Gaps ` Crawlspace Ducts Joist Transitions Air Con.Cover I - Kneewall Hatch =y. Attic Ducts . a Exterior Items Sealed: Other Items Sealed- Comments: Perfot rr 10 man-hours of air sealing to include all appropriate blower door tests,combustion safetyusts .. .. o-a,wl�?�.�"`..7' "���..8�-„$.Aw�.�-,.' �.��`,r."'d'�t'`�k.��°T,a.� w'..." � , .:ff .. .,"'..,,.,. .;t L- Orr ?i' �� • RISE'ENGINEERING _ Completion -divisionofThielsch Engineering Certificate t'3 l bmvvood Avenue Cranston R1'02910 a'RDGRAM I S ( 01)784`:3700 Fax jaol>; x -37io CLC-RCS` CASE 1222ao rage' '-, BaClNE83fNC .. and procedures.- Install a I layer ofR-38 Class.I Cellulose added to 570-square feet of open attic spaceA. Install prop-a-vent chutes to all soffit bays,using fiberglass dams as needed. A bag count tnust.be recorded. The total bag count must meet the insulation manufacturer's recommendation§:for.coverage. Insulation must be installed evenly throughout the attic`to a consistent depth. .Dams.must be provided , around=any Non-IC rated recessed light fixtures and all,attichatches,chino eys,flues,fans and vents. A Keep any A/C condensate drain pans clean. Install One',T-herm;a=dome(or equal)R-14 insulatina'stair'cover with a perimeter of plywood: Install ventilation chutes in(I8)rafter bays to maintain air flow. w 1' , •1 confirm,that the measures listed above have been'completed to my satisfaction I have received a:copy of the Certificate of Completion and.hereby authorize the release of any final payments to the Contractor.I undcrstartd that tbis'AuEhorization of Completed`Work does' not in'any manner void any warranties provided tome by the Contractor,: Inspector's SignatureCustomer Signature, DATE - DATE II • 7124/201��.37t3TPM t b � 5�—Assessor's map and lot numb r -X( w `3a THE / ..... ...........................�. / F t l f g 4 y° YZ51 Sewage Permit number �. ..:7..., '..Y?.`... -� t� z- i • Z 33AHd9TADLE, i House number .................................. ..✓..�5...... . ... ....... '°o M639 O�i06 'OTFQ YAY p..\e TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... u•.� .. .........1x�4.A,-1.......Gtd��` . ?..tl..................................... TYPE OF CONSTRUCTION ! n,aal.... !`rc......�.... ?......,h ?.. .......� ... !r<:5. ��.......... '! // .....: .....................19-2.3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / ) / q� " Location .... ..1�..... ?..!gO+i!.. F ./ .!�C1 f).. ......IA.f...............�.G�./lLtd..l....../...�......axq .".�........... ProposedUse .......//..Cl.!^Z.t��....../BA.. . ...........aG(.di. 1.07'i............................................................................................. Zoning District .... (5.TU.•.1..................................................Fire District ........................................... ��Iie.( /./.......� Name of Owner /...C( ? / ....Address�d J J!9!YG' 'x(. P.?.. �`�'G......C.�C1dlr � Name of Builder ) Z.ka&/......Aki3O.,Q.R.,IIte..............Address .�6.9.... �tdlal.cuaAc ...!v�.t....I�464.!. ....... Name of Architect .De!1!9.%.5...T�.�4.y.........................Address ... ............A.vR..........IV,.e. .l�L�?+1!�+��C y� Number of Rooms ............. ..................................................Foundation ....... ........... ... /6............................... Exterior ...T.l�l.....�x.`sec✓. i`+�q.....7�2..// ..............Roofing ....... .. h.....a.sf! if Floors ..SAY.,.6...... G'...'J' ,: .�?...�c.�P.t, ......Interior i Heating �j ..........1��� / ..... QS..e.I?.P.fk!�........Plumbing .............f�. ?. .................................................... Fireplace ..................... .. ..e............................................Approximate Cost ...... .....7�...aQ..Q...�. .............. .. ......... Definitive Plan Approved by Planning Board ________________________________19________ , Area .......... � f ......... —� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH /, O q0C'. 1 ikq 4 �a IAj- - V `l_ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of BaK t ble re ding the above construction. � Name �..t/..�tr+*..�.....h ..�................ ..................... Construction Supervisor's License 03l.19&.C)............ MCCANN, ROBERT A. 24861 ADDITION No ................. Permit for .................................... Single Family Dwelling ............................................................................... 155 Sandalwood Drive Location ................................................................ COtuit i ............................................................................... Robert A. McCann Owner 7 , Frame Type of Construction .......................................... } Y'1 ............................................................................... j 4 Plot ............................ Lot ................................ Permit Granted March 21, 83 .......................19 Date of Inspection 19 1 Date Completed .............. .........19 '\l /�/� Assessor's map and lot number ,..:..r............................. • � �•- �/ ,✓ Tod♦ THE -9—y�ewage Permit number ��/%, 7 �' �: .. a ..'..�'�✓;�........:�, f��`' G (� // Z BAUSTADLE, i House number ..........................: . '!...�.c�?. ....} ... ....... ! . NAM t7�s Apo,039 \e� 'Fp YPY 0.• TOWN OF BARNSTABLE ~M } BUILDING INSPECTOR APPLICATION .FOR PERMIT TO ..... '::'... �'.?:. :.'.:.':.'.......!.: .......:.J..................................... . .g^`.✓.r r?:'' E.lr% ............................` TYPE OF CONSTRUCTION - ..r ............ �.. / ......19....... ' TO THE INSPECTOR OF BUILDINGS: The undersigned :hereby applies for a permit according to the following information: Location ....//11....v.. L.. r 14.!!t/U .. ...... :..................r.�1-> +J... ..... l.r....... CX•�r�•.....�........... ProposedUse .......................I ................................................` 1.... ............................................................................................. Zoning District ....!... ?J.:........................................................s Fire District ..Cfi.... .. ......... ......... .... .... . ...... Name of Owner �� !1,1. .../'si..../. .�!`��....Address•�v v 1�!5`�✓d�?�it/od.z��/.�......t...`�l.�Cr�l�� �.'.�..�:r:. .l....... .l.:p.;..i. ..:(............ ....Address Name of Builder .... ..: .........:.:.:: :...:::.:! :.F........: :::....i`........ Name of Architect ........................... -., � :. ..........................f ::..........................Address�............................................. ° Number of Rooms .............4..................................................Foundation C . t ✓;i .................................:........................................... Exterior " .�:...:..: '' �? ............Roofing .`..:.:......`.:....?: '.' ....... t'.... .......... 1 r` ........._j. ..... .. . .............. Floors :............:...... �'....:..:.:...............`.. �' (.......Interior ......:.r. ..........:' ...................................................... Heating .... .............f..r.. ......f.......t�?`... ....:f........Plumbirg ........ ..... .f. :�. .................................................... Fireplace ..l... a` ..........Approximate Cost .............?.... ........... ......................,:?........._ ................... .......................................,....... Definitive Plan Approved by Planning Board -------------------_-----------19________, Area ............^ �................ Diagram of Lot and Building with Dimensions Fee .......................................... SUBJECT TO APPROVAL F BOARD OF HEALTH 4. 7- -. —,top Cl- Ito let Zee OCCUPANCY PERMITS. REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Ba nsta le re a ding the above construction. , a'i. 1� p r Name ..:.::.....................:.................................................... Construction Supervisor's License :r...-.....:. ' 1....................... McCANN, ROBERT A. A=10-32 No 24861 Permit for ,ADDITION ..................... Single Family Dwelling ......................................... Location 155 Sandalwood Drive Cotuit ............................................................................... Owner ..Robert A. McCann } ............................................................... Type of Construction .....Frame ............................................................................... \ i Plot ...............:............ Lot ................................ March 21, 83 Permit Granted ........................................19 r E E \ \ \ !. Date of Inspection ....................................19 Date Completed ......................................19 y a K.l ry-can, r ' I rrll At—At Assessor's map and lot-number ..:m......�..C).......L 3 cam— f r 77 - SEPTIC SYSTEM MUSS' BE Se_wag*a" Permit number ...................:12f1 ......................... INSTALLED 'IN COMPLIANCE . t o WT ARTICLE II STATE y�FTNET� g. TOWN OF �BA ifNLS.IF m) J Z 10 STADLE, i + cq Mb 5.9° � BUILDING INSPECTOR ,E�YPY 0• r) ?� r� APPLICATION FOR PERMIT;TO l. `� . f M ,TYPE OF CONSTRUCTION ........ ................................... ............................................................ ...... ,j l� .... �.....19.....17 >L TO THE INSPECTOR OF: BUILDINGS: The undersigned hereby, applies for a permit according to the following information: ` Location ... of.............. ..............�/.......t �.¢tsiJ ���L .. ........... . ProposedUse A /i t ..!..................................................................................................................................... Zoning District ....... ... Fire District �............................ ...... Nameof Owner .............,. SoC......,. - •. ....Address ..........................f��.�l .......:................................ Name of Builder .. ...�� .. ................................Address ............... ........................................ Nameof Architectl • .....................Address ........... ...................................................................... Number of Rooms .......Foundation ��' -�� �' of Exterior ...9.......,. 11: .A!... ..............Roofing c� ..........'1z ....... Floors ��I........��.�.....�..........�........�.......Interior �....�/ �........�c........................ Heating ®i .�= ." ..—Plumbing .............................. � �..���................ Fireplace .... ,,� �......... f'sh `lam ...............Approximate Cost .....o®® �T..� � Definitive Plan Approved by Planning Boa(d _--------------__`�_��1_�___19� _•. Area ........ .: ......... ..... _,. Diagram of Lot and Building,with Dimensions Fee Z� ............ .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH - • , yr Y, K) Lo � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction., `` Name .... ms...". G ......................... Tellegen-Ferrone Associates, Inc. r - 493 two story No ... ............ Permit,for .............. r , ...................... single family dwelling tf• 1 `Sandalwoods Location ........ .. .............................................. Cotuit - ........................................................................ ' r �- . - Tellegen-Ferrone..Associates Inc. Owner R Type'of Construction ..........frame.................... E ............................................. .. r #4 ' Plot .. ..................... •. Lot ................... 7„ , August 12 77 Permit Granted ............'.............................19 - r Date of Inspection Date Completed .... ........`19 L PERMIT REFUSED ....................................................:..... 19 , /^... ... ..................................................... ......................... .;. ................................................ t F r t. ........................................................... ............ Approved ................................................ 19 ........................................................................... F �. ,. ti.. .. ,-,e•..1. .s.r- .. ,,..�•^•, .• ^..�,.,. N,..,..,tin+7f`�'.aJ:=-.r�—.=�is..,+I. .�...�,��,:�•.y w•<.:.. �-�^<`^.*^l,. '- —17-77 Assessor's map and lot number AD). .10......k.. Sewage Permit number .:..................... y � 7NE.T°�o TOWN OF -BARNSTABLE "1 Z BJHBSTODLE, i 9°'moo DUJI.DING ; INSPECTOR APPLICATION FOR PERMIT TO ....../.�? lJ'�s?v................................................ ......................................... TYPEOF CONSTRUCTION ......................................................................................................................... TO THE INSPECTOR OF BUILDINGS: _i The undersigned hereby applies for a permit according to the following information: Locataon < o� .e� f ` / / ...................... .....................................�r�G. Proposed Usey ...`.................................................................................................................................... Zoning District .....................Fire District Z�" . ................................. . ................................I.................... Name of Owner .......... !'.....Address ................ ... i/ 7...................................... r �- Name of Builde"r �........ /F' � ............. .....Address ............... � . . ... .......................:........... Name of Architect ..... f.. .....................Address .....:....�... ................................. Number of Rooms ............�...............................................Foundations............. , Exierior. ....._�.z // /e i/Roofing "...:...................... ... Floors .......`.-� :.....` ........... s.tfon .......Interior ... ,��o.....s-........................ ................................................� �/ .......................Plurnbin ... ...... c' rieatingg v Fireplace /�........... f / �1 .:. !.............Approximate Cost .. � � �oo........................................ Definitive Plan Approved by Planning Board __________________ ___19 Area Diagram of Lot and Building with Dimensions Fee 'J � ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH j T7 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.,*- a Name 9 �� ... T..... ` Tellegen-Ferrone Associates, Inc® A=10-32 19493 tvo story No ................. Permit for .....:.............................. single family dwelling ............................................................................... Sandalwood -1-ea Z)—/Irk Cotuit Tellegen-Ferrone Associates, Inc® Owner .................................................................. a Type of Construction frame yp ...................... ................................................................................ Plot ..................... Lot ........�t...................... Permit Granted '........`.ugust...�2............19 77 Date of Inspection ....................................19 Date Completed 19 PERMIT REFUSED .... + .............. .............................. 19 . .................. .... ...... ................................... _............. . . .......... ............. ....... �...... ................. Approved ............... 19 . ............................ ............................................................................... . µ L © T kv) ry ' \� O • 1� 24f q t Q �N47-/,1,,, S r O � 1 r �i 6 LOT t ANJ - t S 4, G 7 Q,a ,. _L31q/?.IUvls TAA34 IF 77i i j /v0 I rr, 7 7f> -ftjnrnAT,(.)Ar IS , 41 GEORGE{l ci G 1>"� 1 �;-'.�,1 �, ;✓C-. C- Jt 1� !7�/ J`4i_�•a, c' f L'� t� �r.% , ca LOW JR. w ST6P�pQ' JhJ rg1c SURV E zz p f eenng I r) Map Parcel . tl�,3 Q Permit# House# �� S j�` C3 Date Is ued a c e a rr) Board of Health(3rd floor)(8:15 9:30/1:00-+30) '7 a` J1 � ee Conservation Office (4th floor)(8:30- 9:30/1:00-2.00) Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC Sy �� Definitive,Plan Approved by Planning Board 19 ,( STALLED iA�CE WIT M M A{�® TOWN OF'BARNSTABL 4V1�®�� r IONS TOWN RE Building Permit r! 0�a__7L1r_e_,. Project Street Address /,J- SAnJd LWv0d 'd Village Owner Rby3�V-t- i4, .MZCAaiY Address ' f J 5A-k)J.4LW6uc1 o� L. SAN#viT Telephone 72- 72 Permit Request u , t--4 q d v^Z -L 1 y YL 21( First Floor 4�1 square feet Second Floor . square feet Construction Type (,000cL- 'FY 4,M-0— Uv Estimated Project Cost $ �; UU T Zoning District Flood Plain Water Protection /=T, Lot Size 72, 5 716 Grandfathered ❑Yes ❑No Dwelling Type: Single Family M Two Family ❑ Multi-Family(#units) Age of Existing Structure le,yeAi-, Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No r Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing --- New Half: Existing New No.of Bedrooms: Existing New Total Room.Count,(not,including baths): Existing New First Floor Room Count Heat Type and Fuel: p Gag', ❑Oil ❑Electric ❑Other F Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) f ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name A. A4ym-__ T� Telephone Number _S,b 8— 7 7 S ' b7 Address Z�v R4 ua /9 e at- License# CS 01 7 3S 7 V�9✓v►ti S /?)A SS � o z6 0 Home Improvement Contractor# la 5 SS Z Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ""V SIGNATURE 12a , 2 - DATE BUILDING PERMIT 6NIED FOR THE FOLLOWNG ASON(S) FOR OFFICIAL USE ONLY PERMIT NO. � DATE ISSUED _ MAP/PARCEL NO: _ ADDRESS VILLAGE « r OWNER - - DATE OF,-INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE r ELECTRICAL: ROUGH FINAL - PLUMBING:_ ('ROUGH: , FINAL t r i GAS: ROUGHS FINAL FINAL BUILDING'- F- 1-r, r- t s x 15'• (Lv DATE CLOSED OUTS ASSOCIATION PLAN NOR f i s f The Town of Barnstable MAM9. 1 Department of Health Safety and'Environmental Services rEo " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only r Permit no.. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: 13 cia Y-A4.4 Est. Cost Address of Work:/ 1 ti S 1-Ja- L (<-)c,Oct S'Ht3A U r T Owner's Nam CA N w Date of Permit Application: I hereby certify that: Registration is not requiredfor the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the age t of the owner: V " Date Cont actor i ame Registration No. OR Date Owner's Name -= The Commonwealth of Massachusetts ��, ..- -' n;, , _ _ Department of Industrial Accidents '` Olfice of/nrestigations 600 Washington Street Boston Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole pro rietor and have no one workin in anv capacity ❑ I am an employer providing workers' compensation for my employees working on this job. companv name. " address. phone#. insurance co. olicv# ® I am a sole proprietor ever con rac or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name rev n-+a �' ) yme address. � L , city' l/lIni 1 i m }SS insurance co oLcv'# company*name-::::.::- ��yr 4n/' iiy�/ s� address one:# insurance co. olicd Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may b oiwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cert, unde he pains and penalties of perjury that the information provided above is true d correct �4Signature Date J Print name Phone# official use only do not write in this area to be completed by city or town official (contact ity or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department person: phone#; ❑Other (mvtd 9195 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees: As quoted from the "law", 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 section 25 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, 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and, date the affidavit. The affidavit should be returned to the 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. City or Towns 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. The affidavits may be reftnm6d fe the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Investlgations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 E� I C)q/ 7� �d 1 t� J Co c� � iL 1 LIB 1 . Elizabeth A McNichols, Esquire DEED BOOK 2942 OWNER . Robert A. � Claire F. McCann PLAN BOOK 284 PAGE PAGE 242 LOT APPLICANT: Same ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN OF LAND I N B A R N S T A B L E SCALE : 1"=60' JULY 10, 1986 l o 3�.3-A 3 �, ('0g I CERTIFY TO ELIZABETH A. MCNICHOLS, ESQUIRE, NORTHEASTERN MORTGAGE COMPAN AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED IMMEDIATE SUPERVISION . ED UNDER MY THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS. THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY #250001 DATED 8/19/85 BY THE F. I .A. ' THE EXACT LOCATION OF THE BUILDINGS SHOWN CANNOT BE DETERMINED WITHOUT AN Land Surveyors ACCURATE INSTRUMENT SURVEY. ClvilEnglneers �aston �$urbev fQo., �aG 172 39i1(ium �$t. �Nefu �tbfora, 1 02740 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for con- structions. (4) verifications of property line dimensions, buildin be accomplished only by an accurate instrument survey. g offsets, fences, or lot configuration may �. �a �, z �� �� u �- .} �—; '\ .��=-_------_2 X L�_- ... � -- ,.,o._.�. ..r, �\N,\ I � �" ` I 1 �\ k \`.O� O\ '�� c ,\\ m. o; 'r; i � i i i • � � 4_��. ff f I �� ��� �� \ .�� /� ���\ � � i, ��,,, i' �� -; �,��. .. . , -' `�`��, ��;� i" \ /,� -��. \ � � '_ �� -- �---j.- ; �; E I�__ a� ! >> Ly � i i I I Az- b zXG 6' oL . d� �Nyl L INS i I \ f \ i � i zy �