Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0309 SCHOOL STREET
309 Sc��� .sir TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION / hh Map Parcel � S Application# V 7 Health Division Conservation Division q 10-6 Permit# Tax Collector Date Issued Treasurer Application F e Planning Dept. Permit Fee �=� Date Definitive Plan Approved by Planning Board vGt,�� �" 0Yl W Historic-OKH Preservation/Hyannis Project Street Address Village �,�c/I Owner l xaEGG® Address 5a!2 ,5—_mrZ �►/yrl Telephone Permit Request i4MD 46&2 lm _/A t- L,,Z ,*77� Square feet: 1st floor:existing proposed 2nd floor:existing 0 proposed Total new Zoning District Flood Plain (D Groundwater Overlay to Project Valuation Construction Type (itf()0D Ti?14,4fo— Lot Size 1!6 en Grandfathered: %Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes A No On Old King's Highway: ❑Yes A No Basement Type: aft-I ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1A6/1 Number of Baths: Full:existing new Half:existing new L9 Number of Bedrooms: existing / new / Total Room Count(not including baths):existing new T First Floor Room Count ' Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other h Central Air: ❑Yes ❑No Fireplaces: Existing _ New Existing wood/coal'stove: OSYes No �, Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:XcAe m Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ; Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name IA Al ,�0,00_LL• Telephone Number — Address /cc,xt P,*-4 )z License# /h�7,a i9 q,6 L '�'��'�/ � 0. 5�3� Home Improvement Contractor Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE lex t, ef' FOR OFFICIAL USE ONLY I ' ' PERMIT NO. o DATE ISSUED ^ ' MAP/PARCEL NO. ADDRESS- — VILLAGE - - • � t OWNER - ' m , DATE OF INSPECTION: FOUNDATION 7/0 FRAME INSULATION LC3 a 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT _ ASSOCIATION PLAN NO.. ,, t ne t.ommonweacrn of lrlussacnuseee6• Department of Industrial Accidents Office of Investigations 600 Washington Street _ Boston, AM 02111 ' y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plui3abers Applicant Information Please Print Legibly Name (Business/organization/individual): Address: Ll to--6 XA tin 57"r ' City/State/Zip: one#: 15-,12 qZ �!2A , 19,4 r Are you an employer? Check the appropriat5��ontractor Type of project(required): 1.❑ I am a employer with 4• and I 6. El New construction employees (full and/or part-time).* have hired the sub-contractors �modelin 2.❑ I am a sole proprietor or pm - listed on the attached sheet $ g ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp.insurance. g. Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. (No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Z,y1 � ,�'J/l y�o9-C yid'. . Policy#or Self-ins.Lic. #: � �3 ( �/�7tf�1� _ Expiration Date: Job Site Address: 4! TZ Jv r j City/State/Zip:_A, v 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 der the pains and penal ' s of perjury that the information provided above is true and correct. Si afar Date: --P Phone#: Official use only. Do not write to 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#:. Informati®n 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 requirerrments 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 that mast 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-o77-MASSAFE raA�; 617-727-7749 Revised 5-26-05 �;�,tiv.mass.izov/c'iia °FZHE r Town of Barnstable Regulatory Services ' s" "sT"B Thomas F.Geiler,Director 9 MASS. Q'AlEp,19 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 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: 141.)21%/,iw Estimated Cost Address of Work: `�c-mooz L��i� Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑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 agent of the owner: Date Contractor Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $50.00 �! Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE U/ — 0 square feet x$96/sq.foot= oQ x .0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE �7>0 square feet x$64/sq.foot= j ,ftd x.0041= plus from below(if applicable) 1 GARAGES(attached&detached) square feet x$32/sq.ft.= x .0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50:00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee f�r � Projcost Rev:063004 �af1N�,oy� Town of Barnstable Regulatory Services as,►ss. Thomas F.Geiler,Director ' y $ ��'>FD►M��,� , Building Division.' Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.b arnstabl e.ma.us )ffiae: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Swion. If Using A Builder Owner of the subject property hereby authorize D,/.l 20r4- &Avila to act on my behalf, in all matters relative to work authorized by this building permit application for. ,� Address of Job) lgnature o er D to not I�Tame ' Q:F0RMs:0WNMERM1ss10N 07/20/2006 11: 58 5087752377 H H WILLIAMS INS PAGE 01 Y' `Sf. a6atJ ��,.:��K '•i� :s a_..P. .a:(•��Jii `a+:'[{'4,A'Lti!r�.. . c: JAN' g,. r` �: ~ Y.E.,h �• r V 1 f. �. 406_. `� :;=.�.r._, : � `EDRAIE _... N0. 31 2/2 CERTIRWEDYINSURAN :�:"�;4•�;f•%h; .'a;'4::�• • • _ A �TtdL Harold H Wililams�Iuli A 1A arm 81 almetl UM4 Hyannis, MA 02601 : " CO i "ORDYNG COVERAGE M,�'AN tRBA Gord0u L Guirt MY A K.1.M. Mutual Iaai:ru>oe Cp 38 Henry P Lori Road Centerville, MA 02632 .L '*"{J .. :d rYK, '.lJf `ifrr'u�Q'gS�f !J ,�•.,. ' v. covgRAOU W 9 1NAicAl=NarwmisT Y k ;[R ox, , o�lar�oculau�is•wt�li>ursGZTo wimps m Ctlt'rnaCA'L�WA*(aa'tllcna"U T 4 A>ANO�DSD�. >ryost iv 3t plaq lgpttW�r u 3 31=TO ALL TOT& ts, nxci.vMoH3 ANa: or o x V�Y I #Y11 ao 'rtoe ,t w4+LIS _ � ;ter....rc�,..� • M1: :>i�'q� h'_ gbU7i n, ;,:, e;Rt�At.L(ARiLiTY' . •-a'-,. •., ry,sit�r�w:''+y, ►�'s a.-r : e . ,y� ,. .,:a..:. r.. 5 /I�RAL AOOf OI�h MRRQA1,OU1RAtLtAfUtY „ J0/A00. 1 1.NA 1 �+f> •, , D'", '�t 1 1 ,,,M,a�} AL l AGV,OquitY ` (AMr Mi/ram � vTt0�eOWU UA14UTV 1 xl AYT4 1 u,Owt=Airros n�rv�r 1290 AVM WAY �OWNpl�.U� _ ; �4L�e.3;.'`S`'ty.�en-e,:1 q"e•'' .is�," `"s�"RY':� ARAO$�IA4�Li1Y r; Sr x`'���t� ::}4 •' i•.{�' ! Yli :r.'. 'ROZ�TY DAMAtIX 1 L[At<1tXlY •'' :+Y,. �'t��+ ACH OCCU��i1N.7� 3 r;j�;,f; the T11Ati t�laRecLA RnRMr' 11114 6 w r :� r, S i• , ST �a= .h%, •?t' �� �`<'', 'Sr%1J°: al!= '�' ;N• .' .I�' .. Y X 6tdPt,pYRRi'e.eA :''' ,:�• a .: .� .• Ilift A ��y�� 70161s6tOls;: O�R11�00f 691Z1/ZOQd;:=`, ` _ t+AR1Ngi�tptaCVriVR X ,.. .15}J,1 ;•'• (*IqCM ARM ritj ;j. t DtVCUPTM 41 GaA i WX CIRTIRCA'IERau ��+��'{iT i g [r.^�. 4h ;.e.-� :;!.'; �te �� y�pyyr ,. ,' ir -A. `1'�'_` KW4N1 I�i�W�qir KEI ALIT ii'r G W�(11 Z.S:. ' .,':• „ n�!�[�� 'P�• � s. t:.R3m c0m?my W1LpL�sp�a�pAVOItM3O WMATINOW ,: "r `� ,• I -.► c HS �R It0.QC11.i�3ATtON Olt BOX •"}ell. N. FAL.MOUTH,.MA° �1?SS6` ;�" ,: �,;s:'�.,{,i'i'?y;'.•: _.�:.:;:' ";n•-r`�'... .:...... .. ..°;:;:_.;;_r .. vr;_: :..::'. '�/jam /�� RightFax Norcross 7/25/2006 1 .01 PAGE 003/003 Fax Server AI/®'�"® Eia DATE(MM\DD�YY) _ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO. RIGHTS UPON THE CERTIFICATE EDWARD A GRAZUL INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR Po Box 337 ALTER THE COVERAGE AFFORDED BY THE POLICIE$BELOW. MARSTONS MILLS MA 02648 COMPANIES AFFORDING COVERAGE COMPANY ATRAVELERS INDEMNITY COMPANY INSURED COMPANY ANDERSON, LEE 6 , ' P.O. BOX 993 COMPANY FORESTDALE MA 02644 �, C ; COMPANY D f. COVE}AGES . 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. Co POLICY EFFECTIVE POLICY EXPIRATION LT TYPE OF INSURANCE POUCY NUMBER LIMITS, DATE(MM\DD\YY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY " ;` PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT., « EACH OCCURRENCE .$ c. FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO y LIMIT ALL OWNED AUTOS 9' - `�. F , BODILY INJURY SCHEDULED AUTOS (Per Person)• $ HIRED AUTOS ' BODILY INJURY $ NON-OWNED AUTOS der ; 2 (Per Accidsm) v .. PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO ' OTHER THAN AUTO ONLY *' EACH ACCIDENT $ AGGREGATE $, :• EXCESS LIABILITY Lqa EACH OCCURRENCE $ UMBRELLA FORM r AGGREGATE $ OTHER THAN UMBRELLA FORM. WORKER'S COMPENSATION AND A tA EMPLOYER'S LIABILITY (UB70726Cl4-7-05) 08-20-05 08-20-06 STATUTORY LIMBS THE PROPRIETOR! ' EACH ACCIDENT $ PARTNERS/EXECUTIVE INCL DISEASE—POLICY LIMIT $ OFFICERS ARE: EXCL I. i DISEASE—EACH EMPLOYEE $ ... OTHER er' DESCRIPTION OF OPE RATION SILOCATIONSJVEHICLESrRESTRICTIONSiSPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. C!! 71 tCa Hf?LD #3: CANCELi AT1Qid SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, .THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE KENDALL & WELCH CONSTRUCTION \78 LEFT, BUT FAILURE TO MAIL SUCH,NOTICE SHALL IMPOSEAO OBUGATIOWOR NORTH FALMO PO BOX LMOUTH MA 02556 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES., AUTHORIZED REPRESENTATIVE AR 75 .: 1;93 O ECD CQRf+ORA71dts - - I A�ORD,„ CERTIFICATE OF LIABILITY INSURANCE DA,TE0f06 62520/ 5/2 0 6 PRODUCER (508)540-2400 FAX (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray 6 MacDonald Insurance Services ONLY AND CONFERS NO RI4HTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. - 4 Falmouth MA 02540 INSURERS AFFORDING COVERAGE NAIC 0 INSURED INSUPMA:Arbella Protection Colony Insulation Inc. INSURER 9:AIG 28 Jonathan Bourne Road INSURERC: INSURER D: POcasset. MA 02559 INSURERE: 1 COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA INSWL TYPE OF INSURANCE POLICY NUMBER PQ TE MWDDmYE DATE MM OM N LIMITS GENERAL LU181LTIY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ZOO,000 PREMISES Ea occurrence $ CLAIMS MADE OCCUR 8500028928 8/18/2005 8/18/2006 MEDEXP one n $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEro IIRALAGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 X POLICYEJ ERC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 . ANY AUTO _ (Ea a�went) A ALL OWNED AUTOS 49692400002 0 8/18/2005 8/18/2006 BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per eoddeat) PROPERTY DAMAGE' $ (PerS=Idenq GARAGE LIABILITY ,.. AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTr ONLY: AGG $ EXCESSIUMBRELLAUABILITY EA IIMOCCURRENCE $ TOCCUR CLAIMS MADE AGGREGATE $ A DEDUCTIBLE 4600028929 8/18/2005 8/18/2006 g X RETENTION $ $ B WORKERS COMPENSATION AND 'WC: UM S ER EMPLOYERS'LIABILITY — OR ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBEREXCLUDED? WC8942449 6/15/2006 6/15/2007 E.LDISEASE-EAEMPLOYE $ 500,000 If yes,descdbe under SPECIAL PROVISIONS below E.L°DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATKNISMEHICLESM=LUSKINS ADDED BY ENDORSEMENTISPECIAL PROVISIONS j - f CERTIFICATE HOLDER CANCELLATION (509)563-1062 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED`BEFORE THE Kendall S Welch Construction EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Ronald Welch 10 DAYS wRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT BOX 1478 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE N Falmouth, MA 02556 INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Gloria Smith/GMS ��'`f ACORD 25(2001108) ®ACORD CORPORATION 1988 TOLA ',a wegb:T.T. qLA/P17.//0I /T.T.q trgq RMq c*ANI inn . • �e�ew i o.o I r r'u m:"L-r IC 1 LJH I.HKLbUN F-HLPI t 1IJ84577660 T o:5085631062 P.1/1 ACORD DATE(mmim YYY) M- CERTIFICATE OF LIABILITY INSURANCE o111e120D6 PRODUraR Rom W6 B•818I Fa■: WO-40.788a THIS CERTp:ICATE IS ISSUED AS A MATTER OF INFORMATION ALMEIDA&CARLSON INSURANCE AGENCY INC, ONLY AND CONPERS NO RIOHYS UPON THB CORTWICATE P.O.BOX 504 HOLDER. THIS CSRTIFICATL DOES NOT AMEND, EXTEND OR FALMOUT H MA 02641 QWXRAGG-AfEUM IV THE INSURERS AFFORDING COVERAGE NAIL N (NISLIRED INSURER A. Ala INSURANCE CO O P FUCCILLQ CONST INC INSURER o. Tmolara St.Paul 648 THOMAS LANDERS AD INSURER C Arballa Prateetion Ina Co E FALMOUTH MA 02636 INSURER D HE4— INSURERE: COVERAG198 TF� q I OR mu HANCE L ttTL'0 BL''LOW HAV BCDN UB000 O TH I U 110, AMgO AME FOk TH' PO41CYPaR1OO NDICA p.N ITNB DING ANY RUWIRCIMCNT,TIIRM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMQNT WITH RBBPCCT TO WHICH TWIB CCRYIPICAV9 MAY DA 18SUGO OR MAY CLI PP TAIN,THQ IN LIM178 SHOWN MEAD BY YHR YQ POLRICOUCU5C YIbIID kHIN is awJECr TO ALLTHE TCRMS, U=LUBKINS AND CONOITIONB OF SUCH iN�t nt1p1 TYPa tNbURANCG POLICY NiumcaR Pql�r aP�aC►nre PouGY yIaIRATIDN LlMrfa LTA INBRAiNAM BuiNtIRAL Lu1 11LITY 8803571A406 10120105 10120ro$, FPFRt101CT3-aeOPAPnP1R41)3- ef rjff& ongnnip b 300,OD0 CQMAIBRMALGENERALLIAMLITY r�Mil CLAIMS MADEOCCUR P(Any ana paracn bNAI.A ADV INJUY b 1/000 000 ALAORDOATa b 2D00000QON'I,AAGREOATE LIMIT APPLIG3 PER' b 2 000 000 POLICY PRO LOC AUTOMOBILE LIADILITY 78S8S400001 10129108 10/20100 OOMOINgD BINGLU LIMIT b 1'800,000 (0n awklonq ANY AUTO ALLOWNEDAUTOS DODILYINJURY ., (per person) S BCHCDULBD AUTOS CHIRCDAUTOS DODILYINJURY(Par amluam) - NON-OWNED AUTOS PROPL"RTY DAMAGiO c 0 — Per aecklam OARAna LIAli RY Tf Q Y•RA Ac ClOfl _b ANY AUTO �OALI NTO ONLW ADO BACH OCCURRRNCI3 b mIC138E I UMBRELLA LIAOILITY — OCCUR E]CLAIMS MADq AOGR0QAT4 ^>M b pEDUCTIBLA b PAT0NTIQN S wGRKGRa COMPRNOAXION AND 6817on 141 =s 10123M TORY Um OTHRt ObIPLOYER6'LIABILITY I&.L OA4H ACCIOANT �—b 100 000 A ,wvPRa follfPawr urnd` C.1 OIBEABq-0A OMPLOYEE $ 100 000 OFFRunHlCa m vxcwm? o�p%w —hot" OTHER. 3 L.DIS0A6E•POLICY LIMIT f 600,000 OTHER. DESCRIPTION OF OPERA'ITONSILOCATII' NSNEHICLt SMXCLUSIONS AD12ED BY ENDORSEMENTI BPECIA4 PROVISIONS CERTIFICATE HOLDL'R CANCELLATION SHOULD ANY OF THf3 AaOVE MSCRIDQD POLICIQB 00 CANCRLLEG 00FCAQ THO EXPIRATION DATE THUREOP,THU INU1NO INBURCR WILLONDaAVORTO MAIL1a PAYE WRITTEN NOTICE TO TVID CaRTIFICATS NCLOCR NAMCD TO'I'Hq LIZ",BUT FAILURE TO KENDALL 81NELCH DO 00 SHALL IMPON NO OnLIGATIQN OR UADIL17Y OF ANY KIND UPON THC IN8URCR,ITS AOIINTIS OR RBPRaBDNTATIVCS lSo8.6S9.1082 - AU7FIONUL°D RFi1RNIlBgNYAT1V6i �Iofta Attention: -- I JUL-21-2006 12:32 MELISSA DAVENPORT . t P.02 .A4Q CERTIFICATE OF LIABILITY INSURANCE OP ID MS DATE(MA1)DDtYYYY) PRODUCER BUTTO-1 07 21 06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Malloy Insurance Agency, Inc. ~� . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 89 B Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Medway NA 02053 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. • �` - Phone: 508-533-6660 Fax:508-533-1969 INSURERS AFFORDING COVERAGE INSURED - NAIC 9 INSURER A: Commerce Insurance Company Button Finished Carpentry 4'" INSURER B. M.W:C.A R.P William Button INSURER C. 770 Sandwich Rd. Buzzards Bay MA 02532 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR, .G MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS:, LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE AAM(DE)JYY DATE MMIDDlYY N LIMITS i FF GENERAL LIABILITY HHN800 EACH OCCURRENCN , :$ l000000 COMMERCIAL GENERAL LIABILITY k` � PREMISES(Ea oocurencoy $ 100000 CLAIMS MADE l�i OCCUR MED EXP(Any one person) "; $ 5 O O O A X Business Owners ` . 11/16/05 11.49/06 PERSONAL&ADV INJURY '�g GENERAL AGGREGATE $ 10 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEC LOC PRODUCTS-COMPlOP AGO $ AUTOMOBILE LIABILITY , ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS (Ea accident) SCHEDULED AUTOS BODILY INJURY $ v yS i in (Per parson) .. HIRED AUTOS _ r -fi '' BODILY INJURY .NON-OWNED AUTOS (Per accident) $ a. PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO , a AUTO ONLY-EA ACCIDENT .$ a OTHER THAN EA ACC $ .. Yr a AUTO ONLY: AGG $ EXCESMMBRELLA LIABILITY „. EACH OCCURRENCE $ OCCUR CLAIMS MADE 4 AGGREGATE g DEDUCTIBLE _ ; - $ RETENTION $ u $ r WORKERS COMPENSATION AND $ B EMPLOYERS'LIABILITY , , 1, M- TORY LIMITS ER ANY PROPRIETOR/PARTNERlEXECUTIVE WC2794259 ',' , w 09/23/05 09/23/06 E.L.EACH ACCIDENT S lOOOOO OFFICERIMEMBER EXCLUDED? " It yes,describe Imdor E.L:DISEASE-EA EMPLOYEE.$ SPECIAL PROVISIONS bebw 100000 OTHER ' E.L.DISEASE-POLICY LIMIT $$OOOOO N. Y PROPERTY 5000 )ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY*EN DORSEMENT/SPECIAL PROVISIONS, ` ERTIFICATE HOLDER CANCELLATION. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN KENDAL & WELCH ,CONSTRUCTION NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATNES. AUTHORIZED TATIVE LCORD 26(2009/08) Edwa ACORD'CORPORA. ON 1988 x .;TOTAL P.02 A. 0...w...4...6....1..0,...3...............0.................-:..*...7....0..0..1......... . ...t...."............_._...............A...................E........... .....O.... F. ....i.�i.l......fl......!�i . . A.N... ...............................................................................................................................X.... .................. .......................... .............. .. ... ....... ....... ................ ... .*..'.-..*...'.....-*..'�......*...*....-*.'.....".......*.......�..."........-"...... .'.. .... .......... ............. ............................. .... .............. . %............................ ................ ............. .. .... ..... ............. ....... ... ............: : ... .................. ..... ....................... .. ........ ..0...1..—2...5...—...0....6 ...................... ......................................... .......................................... .....:XXXX: ....................................... ............. .. ....... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ROBERT -E BOUCHIE JR INS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 BOX 400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CATAUMET MA 02534 COMPANIES AFFORDING COVERAGE COMPANY 29GBM A HARTFORD UNDERWRITERS INSURANCE COMPANY INSURED COMPANY COSTA, THOMAS L DBA B TOM COSTA BUILDING & FRAMING COMPANY 29 LADY SLIPPER LANE MASHIPEE MA 02649 C COMPANY D .................. ........................m........................................... ........................................ ................ ........m.............. ...........m................... .................. ............................... ........ ............. ....... ...............................m.......... ...........................m.......m......... ... ....................................... .......... .............. .........................m mm.....................m . * *, , ,"...........%...............................................m.............................................................m....................... .................................................. x............... ......... ..... ...................I.................................... ........ ............................ .................... ......... ......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. Co TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR POLICY NUMBER DATE(MM\DD\YY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. S CLAIMS MADE r7 OCCUR. PERSONAL&ADV.INJURY OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) S MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ........................................... ............I.......... ANY AUTO OTHER THAN AUTO ONLY: ...................................................... ............................ EACH ACCIDENT $ p AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND (UB-8118A40-9-05) 09-21-05 09-21-06 STATUTORY LIMITS EMPLOYER,S LIABILITY INCL EACH ACCIDENT $ 100,00 THE PROPRIETOR/PARTNERSNE DISEASE—POLICY LIMIT $ 500,000 OFFICERS ARE: Fx I EXCL DISEASE—EACH EMPLOYEE I$ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. ........... .............................. .......... ............... ............ . .......... .. . ..... ............. .....................................................m.................................................. .................. ..................... ................... ............................ ffli�::HDLDIER:............. .. ......... LA .. .................... X.: ...................... ......... ........................ .............. ........ .................................................................................. ........ ........................ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE KENDALL & WELCH LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR PO BOX 1478 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. NORTH FALMOUTH MA 02556 AUTHORIZED REPRESENTATIVE vr ............................................................. ;: ,1, m......................... '10 X'41; .................... ........ ........................ ................................. . .......... .............. ................ ................ .. ........... ................................................. ....... � :: ::::::: ..: '**** .... . ::. . ....................._'. 07/25/2006 14:36 FAX 508 790 1677 FAIR INS Q 001 4tRTIFICATE 4F LIABILITY INSURANCE OATEJU"'°Im"M pRoauc.ER (508)77S-3131 FAX (508)790-1677 07/ZS/2006 The Fair Ins4ranCe Agency, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P.O. Box 430 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 619 Main St. A TER THEHIS COVERRAAGE AFFOTE RDED BY TNOT HE POL�IC EXTEND BELOW. Centerville, MA 02632 INSURERS AFFORDING COVERAGE ENAIC 0 IHsuRED Aa to, ]ohn C. P.O. Box 339 INSURER A. National Grange INSURER8: Safety Insurance Co.Marstons Mills, MA 02648 INSURER q�y INSURER O; INSURER E: C G 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 AFFORDI=D BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,[KSR TYPE OF INBURaNCE POLK:Y NUMBER POLICY EFFECTIVE POLICY E7�IRATKiN oEHeRAL uAelLnv MPI70531 u"ITS X COMMERCIAL GENERAL LIA8ILM EACH OCCURRENCE $ 1,OOO O od CLAIMS MADE Q OCCUR bAMAOE TO RENTED 6 SOO.O A MED EXP(Arty one Parson) I 10 00 01 !0/02/Z(IQS 10/OZ/2006 PERSONgL A ADV INJURY $ 1 s 0w'08 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2 00010 POLICY JERCT I ILOC PRODUCTS-COMPIOPAGG S 2 000,00 AUTOMOR"LIAMLRY 1900808 12/01/2005 0 ANY Auro / 12 2006 (E IIN60 SINGLE LUN(T !b ALL OWNED AUTOS ) 8 X SCHEDULED AUTOS (Per I URY onj $ HIRED AUTOs LY 100 00 NON-OWNED AUTOS BODILY INJURY (Par seekIM) S 300 00 te GARAGE LIABILITY (Per aed�DAMAGE dent S 1000 ANY AUTO AUTO ONLY-EA ACC[DENT $ OTHER THAN RA ACC $ VXCESSIUMBRELLA LINBIMTY AUTO ONLY; AGO $ OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ OEDUCTIStx $ RETENTION $ S WORKERS YTID°NAND AWC7011S79012006 01/Ol/2006 01 0 20 C ANY PROPRIETORMARTNERIEXECUTIYE / �✓ 07 WC sTATU OTH. pOFyTIICEWMEMBER EXCLUDED? E,L EACH ACCIDENT $ 1 under0O 0O grSPECIAL PAR ---yea, E.L.DISEASE-EA EMPLOYE 8 1�.� OTHER MIL OISF —-POLICY LIMIT $ 5(�� DEBCR pmN OP OPERATIONS f LACATK1N81 VEHICLES 1 EXCWBK)NS ADDED 6Y ENDORSEMENT 1 SPECIAL PROViQONg C I CAMC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP"TON DATE THERMP,THE I$SUNG WSURER WILL ENDEAVOR TO MAIL IS DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KENDAXL & WELCH BUT FAILURE TO MAIL SUCH NOTICE SHALL,RAPOSE NO OBLIGATION OR LJAMTY PO BOX 1478 OF ANY KIND UPON THE INSURER,ITS N FALMQU7H, ABA 02566 AGENTS OR REpRESENTATiVEs. j TNORIrD RErRESENraTNE . ►CORD25(2001108) FAX: (S08)563-1062 th Silvia/FAITU! �004• OACORD CORPORATION 19" f Aura-07-06 09:56am From-MURRAY & MACDONALD 15084573101 T-074 P.02/02 F-663 ACORD� CERTIFICATE OF LIABILITY INSURANCE MATE(MW02/YY V) 8/7/2006 PRODUCER 00 FAX (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION tSOB}54Q-29 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Murray & MacDonald Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR .406 Jonas Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth MA 02540 INSURERS AFFORDING COVERAGE NAIC 0 INSURED INSURERA:We8tern World Kendall & Welch Construction Inc INSURER 8:SafetyInsurance 39454 P.O. SOX 1478 INSURER c..Llberty Mutual Ins Corp INSURER D: 14orth Falmouth NX 025S6 INSURERE: COVERAGES 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 DESCRIIED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD.L POLICY EFFECTIVE UCY Ex RATION LM INSR TYPE OF INSURANCE POLICY NUMSFR DATE(MMfD DATE IMMIDOIYY) LIMITS GENERAL LIABILITY EACMOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISE Ea ocN.n rm I S 300,000 A CLAIMS MADE a OCCUR NPP859748-2 6/15/2006 6/15/2007 MEpaxp(Any one a.,,m) g 10,000 PERSONAL&AOV INJURY 3 1,000,000 GENERAL AGGREGATE S 2,000,000 G8N'LAGGREGATEpp LIMIT APPLIES PER, PRODUCTS.COMPIOPAGC 3 2,000,000 X POLICY JE LOC AUTOMOBILE WA MLITY COMBINED SINGLE LIMIT 8 ANY AUTO (Ea adaaaend) 8 ALL OWNED AUTOS 2152655 11/17/2005 11/17/2006 BODILY INJURY X SCHEDULED AUTOS (Perpason) S 250,000 X HIRED AUTOS BODILY INJURY X NON-0OWN AUTOS (Poea=jden9 S 500,000 PROPERTYDAMAGE S 100,000 (Pen am am GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S MEW MBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE A36REGATE S $ DEDUCTIBLE $ RETENTION S S O C WORKERS COMPENSATION AND Odi M EMPLOYE W LIABILITY 100,000 ANY PROPRIETORMARTNER�xECUTIVE E.L.EACH ACCIDENT $ OPPICERNEMBEREXCLUDED? WC333.s3S4774016 6/15/2006 6/15/2007 rz,L.owAss-EA r:mp4OYEe.IS 100,000 If yw,dcapto un4& 5001000 SPECIAL PROVISIONS ndaw E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVENICLESIEXCLLI&ONS ADDED NY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWn Of Barnstable EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Building Inspector 10 DAYS WRITTEN NOTICE TO THE CERTIFICATR HOLDER NAMED TO THE I.M.BUT 200 Main Street FAILURE TO DO80 SHALL IMPOSE NO OBLIGATION OR NAIMLITY OF ANY KIND UPON THE Ay&ani8, MA 02601 INSURER ITS AGENTS ORREPRFSENTATPAM. AUTHORIZED REPRESENTATIVE Claudine wrighcer/KCD ACORD 25(2001/08) Q ACORD CORPORA710N 1988 INS025(D108).06 AM$ vMP MwWge SakWna,Ina(e60)327-0545 Page 1 of s BOARD OF BUILDING REGULATIONS'f I 4 Li censeCONSTRUCTION SUPERVISOR 1 04 Number;CS 070086 iB}yir,hdat {11/21/1k8 f '}E pi�res 11/21/2006 Tr.no: 7135.0 _ ,f A ' t, Restricted�OO ,,i;� DAMON L KENDALL�� t .54 KOMPASS DR 1 FALMOUTH, MA 02536 Commissioner'' rt Board of Building Regula 'ons and Standards One Ashburton Place -.Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 128405 Type: Partnership Expiration: 4/5/2007 KENDALL & WELCH CONSTRUCTION DAMON KENDALL 54 KOMPASS DR. ---- ---- FALMOUTH, MA 02536 Update Address and return card.Mark reason for change. CAI 0 soM•oaios acases Address . Renewal Employment Lost Card Board of Building Regulations and standards License or registration valid for lndividul use only wil HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 128405 Board of Building Regulations and Standards Expiration: 4/5/2007 One Ashburton Place Rm 1301 Type: Partnership Boston,Ma.02108 KENDALL&WELCH CONSTRUCTION DAMON KENDALL / 54 KOMPASS DR. !�. ✓ ( c� r)_. 11 '' 1 � FALMOUTH,MA 02536 Administrator Not valid without signature rp�4 Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Kendall & Welch Report Date:07/20/06 Data filename: Untitled.rck Energy Code: Massachusetts Energy Code Location: Cotuit,Massachusetts Construction Type: 1 or 2 Family, Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 11% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 309 School Street Kendall&Welch Colony Insulation,Inc Cotuit,MA 02635 PO BOX 1478 28 Jonathan Bourne Drive North Falmouth,MA 02556 Pocasset,MA 02559 508-563-1062 508-563-6049 Ceiling 1:Flat Ceiling or Scissor Truss: 1080 30.0 0.0 38 Wall 1:Wood Frame,16"o.c.: 1240 13.0 0.0 88 Window 1:Wood Frame:Double Pane with Low-E: 140 0.350 49 Door 1:Solid: 21 0.350 7 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 1080 19.0 0.0 51 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 Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of 0 dde&dDesl ' ad as speci iry Sections OCMR 1310 and J4.4. Company me Date Kendall&Welch Page 1 of 4 i REScheck Software Version 3.7.3 Inspection Checklist_ Date:07/20/06 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.350 Comments: N° Floors ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed._ ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1• Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: 4 ❑ Materials and equipment must be identified so that compliance can'be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned`space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturers installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Kendall&Welch Page 2 of 4 r • Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ Alt heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletabie sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Kendall&Welch Page 3 of 4 y • ' Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness In Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" • 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range ff) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Kendall&Welch Page 4 of 4 r � tHEr TOWN OF : BARNSTABLE Application Ref: Building 361* BARNMASS.BLE, * Issue Date: 08/14/06 Permit y MA �� Applicant. DAMON L KENDALL Proposed Use: Permit Number: B 20060884 on Date: 02/11/07 cation 309 SCHOOL STREET Di Expirati Zoning strict RF Permit Type: RESIDENTIAL ADDITION/ALTERATIO p Parcel 020135 Permit Fee$ 188.60 Contractor DAMON L KENDALL llage COTUIT App Fee$ 50.00 License Num. 070086 Est Construction Cost$ 46000 narks — —-----—------ D NEW MASTER BEDROOM WITH A BATH APPROVED PLANS MUST BE RETAINED ON JOB AND —'- —_---— ----—--— THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A er on Record: PARKER, NATALIE P 8r CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH ress: 154 TOWER AVE BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL NEEDHAM, MA 02494 INSPECTION HAS BEEN MADE, ication Entered by: NL Building Permit Issued BY FCR'vltJ CONVEYS NO RIGHT 1'Q OCCUPY ANY,STREE T ALLY OR SID);WALK OZt ANY PART THEREOF,EITHER TEIv1F0RARIT;Y OR;FERMAMANEN 1T.;Y; O 1CHEMENTS ON PUBLIC PROPER Y NOT SPLCIBICAL[Y PERIv1ITTED UNDER THE BUILDING CODE MUST BE APPROVED:BY fAE;7` ET OR ALLY GJt:4DES AS WELL AS DEPTH AND LOCAT101*1�F PUBLIC SEWERS Mi#Y Bl:O$TAINED FROM-THE D);PART�4EN'C OF PiJBL1C;WOR U L7ICI4 ION: SSU.�NCE OF TH1S PLRti41T DOES NOT RELEASE THE APPLICANT,FROM SHE,CONDITIONS"OFANY,,-APPLIQAI3LE SUBDIVISIQN RESTRICTIONS AS [UM CF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTTRUCTION WORK: DATION OR FOOTINGS. FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. G&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. OI;TO COVERING,STRUCTURAL MEMBERS(READY TO LATH). ULATION. AL INSPECTION BEFORE OCCUPANCY. APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. T WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF THE PERMIT IS ISSUED AS NOTED ABOVE. NS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). A DING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS WcK �/Z 12 14 vE nhfr - s 2 I L 2 r, f 1 Heating Inspection Approvals Engineering Dept e ,a 1 ®(,® 2 n a Z �p s Bof Health Town of Barnstable Regulatory Services HAIINWABL.E. Thomas F.Geller,Director KAM � Building Division 'OtEo rub Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 PLAN-REVIEW Owner. Map/Parcel.,�rs 7`l'e �c �o Parcel. Da o `3 `� �' Project Address 30 S`ff*v c— 'Sr- Builder: j''4MoW h154":4"l-tz' The following items were noted on reviewing: ?OFF A1Ew N M 13tf 6 kUUA /(Ja z Gov r��N 6- At-i/V !fX u AC ,'/ Z€ i-s 3l 41§7 x ya Reviewed by: Date: JO D 6 Q:Forms:Plnrvw `pF,MEA , The Town of Barnstable BA Aq.1; LE. MASS • Department of Health Safety and Environmental-Services 7 . g a679' �0 ATFDMA'�s, Building Division - 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Tn c Location 30 +�az, S-� GTe Permit Number 7-0 1 Owner Builder C ly One notice to remain on job site,one notice on file in Building Department. The following items need correcting: /r /V o T 1N T6 �So'FF l 7-_., CAM Ef1A-(IC A V 2 /3 Wr k 1&J Nl f4-T,u P A-2-z OF H-otls G- - 1►V ��T o cTo " C'o ea vv, LAN.�(NGs Ar Raz'44- Or-w zbna( ' PVC -To %c Ak1N (Ins(t y- gZtrbt-�C—p X f11J� Z LAJ ILL (�F C7�-6 r'kf r\ R re 0 Please call: 508-862- Inspected b V�"`���C � r Y Date /D (zA °FTNEr°w�°� The Town of Barnstable BARE. MASS A Department of Health Safety and Environmental Services . 0 i63 q' �0 prFOMA+e Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of InspectionfN ( �( Location 3u 9 Se-MornL, �5-� �-�- Permit Number Owner Builder /1 E7t/D69t L 6t/ One notice to remain on job site,one notice on file in Building Department. The following items need correcting: V r/ E `r-1 &0G- L7 <� lt.k u-i-t �E Coles P �'C (,h F QNc rA-K► 6G -Iv(s tbCLI=-s U /-GL c c. �)6 cs)rz1 V(l S T a✓ L�"u_ C- r� N a' A-r c>-kToyY. ILJ,ro vaq LL . &Aq- a �. (o &u h1B r 6 ' �-- (q (o Please call: 508-862- for re-inspection. Inspected by .-� �'/ Date �� U�c I. I. pll � - - - ■ � I i �•_�■� q�-.-, v_ u___.i_u_n_■/_n�se_.�, ,I_ UWA umn_v/_ . -_, e_■i�■i� .�'. 'i•___■. „_� -�, `� _ � j ._:._ '�1 :�:�_ 1� 1• L f ::•�_ � i ''■iwi�i �■i�■i�i�u'�ri�i�o��:; !'iei/�niQe'.� �■�� i:�■i�■ii i■i�_s \ �a : ___.._.._.� S/ro�' I � ' •rmr'nTr-ST:� ' T:2 al. Bull.- T:�.:3JvT \ �:•wiw:•�-��i•S` ° w:•� ;�l�i■k�:°�:°�:•����Win_-_ •___u_v_u_-_-_o_u_n_n_■•_n_u___-_oa:_�-: :�■i�■iiei u_■/ r - ■�■i�n�■ia■i�uri• o ' ------'-----'■ - - J �•:_u_•v_u_T: •:iT:�T:�T:�T:�-i..z-` -�•���T:S i_ � - _ _ _ _ _ i•�:�:•�_• •i i�n��ice■ •i�ei'_-■i�i e_u_■i_■i_■i_n_■ •iv_n_u_vi_■i_ora=a� I:�iis■i�n_u�•_u_u_si_n 5��, © - -- • -- :�T:O•:�ui•u� i� �� ' _i. u__�u_u _ _ •.SiiT._/■_T:�•:_•. __ _ _ _ - /iiii:�T:ii:i •_:•n� ::wi�■i_u_■e_■i■= a'� 'u�n_vi�■ ____-_v___■•_ _e•�i�i�� iii■i�ei�■i�■i�■i�■ -_n_n_n_e\_■ia'`:_�� �• - -i_u_n_n_o :a 'I���,� �i - - -_T-d' ���i - _:•�•-_'r-� - �•_Tv--_u-•_�•-.r�i.r--_i: i:� _ _ _ _ _ _. i�T:ii:i::�T:�=���>�-.� �• _ _ _ fir. - ■• ■_n__�■ �_\� � •_n_n_■i_o_u_\iwuwl�■n�n_u_■i_��w■��� = i_u_�i�u�n :ua '-�_ �■•�� �—J■\el, e• __ •_� I®,a ■I - . - • pII ` 9 BARNSTABLE BUILDING 1 IfATE. • •- •- �� •- DEPARTMENTFIRE ,ATEi • • J • BOTH SIGNATURES ARE REQUIRED F Man 1% n wi . .•ice-_■_ EAll- _�:%�:i — � �iwo�■i_ei-u_.i--■ice%-�i�_■. •. • 111 4 ` ` .Ii1111111111111Nlllll6l�(+I ® ® e_.•_n_.._.��. !h::�.:_�:, ii•�! .3.,.:' .. _ _..S .,�■■■' -----•--•--- , >' " II 1 I� -_T:�T:�- - i_ r � ! rr■ : 111'; I:�■_ _ _:ice■ , iii�■i�i•�■is. .: \ •��i�■i�■i_e n_•ems■/ n_! ■a s� 111 •:_ - - - - :o�,:_;:_a ®se:•�' � .-�,:_■g � (CAI�( sTss_•._..�:._ -a:T:_T: FXISTING O " , •se rseirii�■i�■i�o�.iwum_ �_v�■i oo ■ is 1 ice■ S_TS _ i BEDROOM ;'( :�■•_-�-PO ■i_— ■�a � ■��1�i/I®O ■�_■�� �' sa1_ar-_�—•r-_- �r-i• O aY - •-a FIIII III v■ ■ ■e_ °_r•_■:�ri-.•_ _IriO_K-' �'�1■�_■i_■i_.i0 ••- 1 . ti 1 11 / NEW i��a:i:i:iT-••a:� ■■■;L'7CC:C'�:� �■■■'.�i■r'�.:' ®■III■■■, -_ ._. .._..-.=�T / . � • _ � _ :���v__o.--�■-i_n_ i oe_i.��e�■ :■■iwi__ t i�i_■e�®_i�u �" :iCa:'I:Pi:T. a:■:'ll:l �;Irr --•■ •.�I�I�f:=:o• ii �- � Y Ii��j[_ _ � -�� /• =min_ _■ ■ia�■i•I• i/_r_■� ��!� aa:■�Oi / , �. •iS�SiT:i' '-aSSLn_ir_iaT:L'1CSSr•rrur_iras�■5r• ®�® �"�. •+il■r�Y{_.+ice■.YO-�__ - � � ._� ••-■i_ii_uZ■t�.1/_u_i•-ii-Si`n_■1_■i_n_n=■a I ii_■i�■e ■. �iiaii • O anlr ■stirar/ :ssti�" �� :�:•_r•.�' -:sT._ � a -•_ • Ff;zoposEo RESTORATION - _ - • 54RWABLE MA, w. BIDING' _-_ - a' — • U U - TYVEK OR EQUAL .. I/2"PLY.SHEATHING SHINGLE STARTER . 2Xr.FIT.SILL 04 q 1 SILL SEALER2-5 TOP RING 2"CLEAR ------------------ ------_-'------- - ----'------ S •; - ----- - - 5/8'X@"ANCHOR BOLTS . b'O,G. SILL DETAILS T4 P';-AN ,' ��.. NEW 2X8's FLOOR FRAMING PLAN F200F FR; iMINCx PLAN ti. . RIDGE VENT 2XIO RIDGE - - _ - - ASPHALT ROOFING . 2Xe.RAFTER5 o Ir."O.C. - - I5�ASPHALT PAPER. - .. . 0 1/2'PLY.SHEATHING - .. - - - .. 15e ASPHALT PAPER - - _ - 1/2'PLY,SHEATHING .. ASPHALT SHINGLES R30 IN8UL. - - - ---------- - . -- -- - .. ® - � � . . . . IX3 STRAPPING DRIP-EDGE I/2'WALLBOARD I/2"WALLBOARD 2X47e a 16'O,C. W,I_G. M/BATH- - 5"-GUTTER R13 INSULATION co - - 1/2'PLY,SHEATHING II ^ TYVEK WRAP OR EQUAL SIDING 3/4"T/G PLY, - - - NAILED/&LUED, - — ✓ - - p(8 FACIA . <—2XI0'6 m 16"O.G, 1T 3400 VENT .. . j191NSUL, ® IX SOFFIT BASEMENT : EAVE u(�I/2EIZE R MLDG, .. .. a"CONC.SLAB r EAVE DETAILS � GROSS.SECTION DETAILS (A) I M r MISS ROBELLO PROPOSED RESTORATION DATE REVISION DRALIAKMY PAGE SCALE 1' .�' 309 SCHOOL STREETI 01-12-O" k •s�-of >r4./o" Jf3 DCa.BI !7s _ g (COTUIT) BARNSTABLE MA. �� NP4pGKdMp pRq�M6A 11AVH f§WGKl6Q AE6W lele Ef7JP L�hYE PIN ALL fL 6NAGf MSR MdD ®rOP A1160AgP67E"""ee D1 All R0911 Ne'Nl�LLIX ®O6GW/NAI7LOIB VHPAT OP/K I P4 IN ZBe DLiBJ960g1O tx u auua�+o caace wrm aQcwanrPa.e oEuca+e rur"nr es ws o user navrreaecs wt cuwe O cel nvresosrswxwmercaucea�.ca+zrnaxe.um.tccEPriecs au�iovrnreneenw.aca®,�nsrcwees�slv.e=