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0340 VINEYARD ROAD
3�� I/,`yG� �a i � � Town of Barnstable - Planning Board Notice of Approval Not..Reguired(ANR)Plan Endorsement 340Vineyard Road,Cotuit—Vineyard Road Trust Owners/Applicants: Vineyard Road Trust c/o Shane.Millon,Baxter&Nye Engineering&.Surveying.. Property Address: 340.Vineyard Road,Cotuit. Assessor's Map/Parcel:' -tMap 016 Parcel 028 Zoning:, RF Residential'P.and RPOD Resource Protection Overlay District At.the regularly scheduled Planning Board.meeting pf June 13,,2016,the Board'unanimously voted to endorse'the plan entitled "Approval Not Required Plan Being a Subdivision of Lot38 Land. Court Plan 11542-Z&Lot 43 Land Court Plan 11542-3 340 Vineyard Road Cotuit MA dated May 12,2016 Y. Y , Petitioners: Vineyard Road Trust . The plan proposed to divide Lot 3.8 and Lot 43 into three new lots.(Lot 71,72,and 73). The original Lot 38 was created by Land Court Plan No.11542-Z`filed with Certificate ofTitle No.3619Aitled. Subdivision Plan of Land in Barnstable dated April 1969.1ater,.there was:another division of land created by Land Court Plan.No.11542-3 filed with.Certificate of Title No.47394:and No.8771,entitled Subdivision of Land in Barnstable,lune 8;1981 that created Lot 43. . The proposed lots front onto Vineyard Road,Barnstable(Cotuit),and contain a minimumof 150 feet of frontage,as required by the Residence F District(Lot 71 contains 157 feet of frontage,.Lot-72 contains. 154.05 feet of frontage and Lot 73 contains 179.18 feet of frontage). There is an existing dwelling and barn on Lot 72 and an existing shed onlot 71. Vineyard Road is a 40.fo.ot wide private road'improved with a dirt traveled way that provides access to.the existing dwelling. Vineyard Road is away created and recorded prior to Subdivision Control. The application and plan were submitted to the Town Clerk's Office on May 27,.2016, and processed in accordance with MGL Chapter 41,Section 81-P,Approval under the Subdivision Control Law Not Required. A copy of the plan can.be found in the Town Wide Drive:TAGMD\Planning Board\Approved ANR &Subdivision:Plans\ANR—016 028 340 Vineyard Road—'Vineyard Road Trust Respectfully submitted.on behalf of the Board, 2k- a- eraBrigh po Da fed Copy:Applicant(c/ ne Mellon,Baxter&Nye) Jeff Rudziak,Director'Assessing Department; Roger Parsons,DPW: Amanda Ruggiero,DPW James Benoit,Information Systems GIS; Town Clerk; . - ANR File i �� i � i I r Town of Barnstable Growth Management Department 10 Anne Miller Buntich,Director Staff Report Vineyard Road Trust Approval Not Required(ANR)Plan Date: June 6,2016 To: Stephen Helman,Chair,Planning Board From: Anna Brigham, Principal Planner Owners/Applicants: Vineyard Road Trust `. c/o Shane Mallon, Baxter&Nye Engineering&Surveying Property Address: 340 Vineyard Road,Cotuit , Assessor's Map/Parcel: Map 016 Parcel 028 Zoning: RF Residence F and RPOD Resource Protection Overlay District A plan entitled"Approval Not Required Plan Redividing Lot 38 Land Court Plan 11542-Z&Lot 43 Land Court Plan 11547-3,340 Vineyard Road,Cotuit MA,dated May 12,.2016, Petitioners:Vineyard Road Trust"'has been submitted for endorsement as an Approval Not Required Plan(ANR). The plan proposes to divide Lot 38 and Lot 43 into three new lots(Lot 71,72,and 73). The original Lot 38,was created by.Land.Court Plan No.11542-Z filed with Certificate of Title.No.3619 titled Subdivision Plan of Land in Barnstable dated April 1969.1ater;there was another division of land created by Land Court Plan No.11542-3 filed with Certificate of Title No:47394 and No.8771,entitled Subdivision of Land in Barnstable,June 8, 1981 that created.Lot 43. According to the Applicant,the purpose of this plan is to divide Lot 38(Land Court Plan 11542-Z)and Lot 43 (Land Court Plan 11542-3)into three new lots(Lot 71 144,499 square feet, Lot 72108,065 square feet and Lot 73 90,285 square feet)as part of an estate plan. ` The proposed lots front onto Vineyard Road,Barnstable(Cotuit),and contain a minimum of 150 feet of frontage,as required by the Residence F District(Lot 71 contains 157 feet of frontage, Lot 72 contains 154.05 feet of frontage and Lot 73 contains 17948 feet of frontage). There is an existing dwelling and barn on Lot 72 and an existing shed on Lot 71: ' Vineyard Road is a 40 foot wide private road improved with a dirt traveled way that provides access to..the_ existing dwelling. Vineyard Road is a way created and recorded prior to Subdivision Control: All three lots shown to.contain a minimum of two acres of uplan.d have a shape factor less than 22,.in conformance.with zoning. Zoning compliance will be confirmed by the.Building Commissioner at the time a building permit for a lot is sought. Property owners are responsible for correcting any zoning violations created by infringement of existing structures into the required yard setbacks prior to any building permits for those lots; however,all existing structures appear to conform to setback requirements The plan as submitted qualifies as an ANR Plan and~it should be endorsed by the Board as: ■ it does'not constitute a subdivision as the lots being-created have the minimum required,frontage on a private way in existence when the subdivision control law became effective in the;Town°of Barnstable;and ` ■ all materials and conditions of Chapter 801,Article IV Approval Not Required Plans,have been submitted and are in full compliance. If the Board agrees,a motion should be formulated to:Endorse the land division plan entitled"Approval Not Required Plan Redividing Lot 38 Land Court Plan'11542-Z&Lot 43 Land Court Plan 11542-3,340 Vineyard Road,Cotuit MA,dated May 12,2016,Petitioners: Vineyard Road Trust" as an Approval Not Required Plan(ANR). The plan proposes to divide Lot 38 and Lot 43 into three new lots(Lot 71,72,and k 73).' Copy: ."Applicant(c/o Shane Mallon,Baxter&Nye) 2 V/ ,. .✓ •;sue.' � _. r`w.r r'` §•i"�-. •��, ... � t>-,�1 F: �r. �� �.r. <�� ,� `..z�Jypm•�ti':� �a4 .���tk�` t`'� �. 'TOA y It .ice: t 00' + �u I. lIA : r Av feet Google Earth 100! metersi 30 (/v SC a r,` l •F. a . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel o 3 zr, b;ARIN ����•� G p Application # Health Division Date Issued 6 a)/,5 Ll Conservation Division Application Fee L Planning Dept. =s ., n ` Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address e��f•D l�i,l/�L/� l�� Village Owner Address Telephone _ID G j,g Permit Request /lL_ �;® 9 tf c494!'6 ! Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _fic�®G>, D 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 Ts No On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ , Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address A ,��%��®[/ ""Ale License #�/®�e E C91��GdIDL Home Improvement Contractor# /� �,5""G •7 Email Worker's Compensation # &G'e 455 1:19 � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE f/b�� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 4 ADDRESS VILLAGE OWNER I s { DATE OF INSPECTION: FOUNDATION c FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r, DATE CLOSED OUT ASSOCIATION PLAN NO. 4 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/Organizadon/Individual): (j Address: � } VG�()� GVC/ City/State/Zi :� ` LAaV 11ti1,b i,( ` < <�� Phone #: Are you an employer?Ch ck he appropriate box: -- l. I am a employer with j ii 4. ❑ I am a general contractor and I Type of project(required): 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' [No workers' comp. insurance comp. insurance.# 9• ❑ Building addition required:] 5. ® We are a corporation and its 10.® Electrical repairs or additions 3.❑ 1 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 re airs insurance required.] t c. 152, §1(4), and we have no p 3a.❑ I am a homeowner acting as a employees. [No workers' 13. Other �ht(.I�(,:�'�.t� general contractor(refer to#4) -- — ----- comp.insurance required Any applicant that checks box#1 must also 0 out the section below showing their workers'co sation" li t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submiitaa new affidavit indicating such. iContxactors that check this boz 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. ber. , I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information, , ( r) 'Insurance Company Name: 'C Policy#or Self-ins. Lic.#: - Expiration Date: Job Site Address:---�' 71 City/State/Zip:_&,�7 � Z Z S' 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 Gerd un the pains and penalties of perjury that the information provided above is true and correct Siena Date: /o / Phone Official use only. Do not write in this area, to be completed by city or town official - �1 City or Town: PermitlLicense # " '" Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical 6. Other Inspectorf 5. Plumbing Inspector Contact Person: Phone#: I From:Roger &Gray In3BraFaxt To:+15087785736 Fax; +'15087785735 Page.2 of 2 03/30/2015 10:04 AM CAPECOD-27 BDELAVVRFAIi( (= ACUI2[7. CERTIFICATE OF LIABILITY INSURANCE; oATE(h:1t:11pDi;'tY() —. 3/30/20 15 ----- ..............THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, 11 HIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR -ALTER THE COVERAGE AFFORDED,BY THE POLICIES3 I BELOW.. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZFL) REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,-subject to I the terms and conditions of the policy, certain policles may require an endorsement. A statement on this certificate does not confer rights to the j certificate holder in lieu of such endorsement(s). I PRODUCER CONTACT - —-------- NAME: _ -....' Rogers&Gray Insurance Agency,Inc, PHONE --- -- 434 Rte 134 nIc No Ext FAIC noO877)816_2_156 South Dennis, MA 02660 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE, _ �NAIC INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER B:SAFETY INSURANCE COMPANY 394fi,s i Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Ins. Co:: 18 Reardon Circle INSURER o:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 INSURER E -- INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:. _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO) INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOW(ICI I i.; ; CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL I HE.TERM:d .. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT R - TYPE OF INSURANCE - - POL C EFF POL C E P —"-'_--'- LTR POLICY NUMBER MfilDO YYYY MM/DD/YYYY - LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ?- 1,DOO,..... CLAIMS-MADEOCCUR CBP8263063 04/01/2015 04/01/2016 PREMISES[Ea occm-oj1ce v, 10000U' MEDEY.P(Any one person) b `',000, ' PERSONAL&ADVINJURY t 1,000,00L, GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE OOU I(10,. X POLICY ECT LOC PRODUCTS- 7 0 COMP/OP AGG- '[ JOJ )C�.,.. OTHER: -- - - ---- AUTOMOBILE LIABILITY - - EO 2BCN 8D SINGLE LIMIT - - - �1,000.0C;B ANY AUTO P TBD 04/01/2015 04/01/2016 BODILY INJURY(Per person) ALL OVvNED rX SCHEDULEDAUTOS AUTOS BODILY INJURY(Per acgdent) ?X HIRED AUTOS IAVOT OWNED - PROPERTY DAMAGE Per accident), - ---- X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $• 2 000 OO C EXCESS LIAB CLAIMS-MADE EXCI0006635000 04/01/2015 04/01/2016 AGGREGATE:. DIED I X I RETENTION$ 10,000 Ag regate WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE I I ER _ D OFFICERIMEANY MBER/EXCLUDEDp ECUTIVE YIN N/A WGE00431900 06/30/2014 06/30/2015 E.L.EACH ACCIDENT 1 000,000. (Mandatory in NH) - - II yes,describe under - E.L.DISEASE-EA EMPLOYEE 5, 1,000,JOU DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY'LIMIT DESCRIPTION OF OPERATIONS'LOCATIONS(VEHICLES (ACOR01,01,Additional RemarNs Schedule,maybe attached if morn space Is required) Workers Compensation includes Officers or Proprietors, Additional Insured status is provided under tlib General Liability and Auto Liability when required by written contract or agreement with the Certificate I1r,lcle;. j- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF,THE ABOVE DESCRIBED POLICIES BE CANCELLED[I[:[-()R Cape Cod Insulation,Inc, THE EXPIRATION DATE THEREOF, NOTICE.WILL BE DELIVER( 18 Reardon Circle ACCORDANCE WTH THE POLICY PROVISIONS. South Yarmouth, MA 02664 AUTHORIZED.REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORN -' — Office of Consumer Affairs_ and Business Regulation - 10 Park Plaza -'Suite,5170 ` V Boston, Massachusetts 02116, a Home Improvement,Contractor Registration Registration: 153567 ` Type: -Private Corporation - Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION,. INC HENRY CASSIDY _- -- - --=----- 18 REARDON CIRCLE _.-------=— ------- SO. YARMOUTH, MA 02664' -------= -------- -__. _, Update Address and return card;Mark reason fur clmnge. 0-Address D Renewal Employment Lost Cnrd SCA 1 :' 20M•05/11 Of(ice of Consumer Affairs&Business Regulation License or registration valid for individul use'onl,y, lTIT HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: �� egistration: 153567 Type: Office of Consumer Affairs and Business Regulation- 1 j 10 Park Plaza-suite 5170 t i``xpiration. 12/151201.6 Private Corporation Boston,NIA'02116 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE g S0.YARMOUTH, MA 02664 Undersecretary N valid wi ut sign' e" tMas's,;chusetts.. Department.of public Safety ..Board of Bulld16 .Re g gulatlons and Standard Consti uctinli Sultcrt ISO11 Llcense: CS 100.988., HENRY E CASSP s 8 SHED ROW J! cst �ailw„t WEST YARMOUTH i '0 0 Expiration Commissioner 1 1/1 1120 1'5_ 'Town of Barnstable Regulatory Services Richard V.Scrsli,Director Building Division ' Tom Perry,Building'Commissioner 200 Main Steet,Hymik MA 02601 www.town.barnstable.m&us i Office: 508-862-4038 Fax: 508-190-6230 Property Owner Must Complete and Sign This Section If Using.A Briilder Y, ,as Owner,of the.subject property„ heriebyauthorize /1S(�1 /O/V co act on mybehalf, in au matters rr.12tive to ikauthorized by:this building Fermat application for_ ---- (Adaofjob). Pool fences and alarms are the r+esponsibilityof the-applicant Pooh are not to be.fled or urilized'before fence is installed and all final inspections are performed and accepted. Signature of Owner v Signature`of Applicant Print Name Print Name Dke Q:FoxMs:Owr MEFNnssioWMLS CAPE COD INSULATION Vf Ilp 1A O MNI 7NNATIOAM SU7NINp70 BATT$T77 OUTTIi7 INSULATION CIIlIN07 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weathei•ization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village 60a-vo4 19-A 9�l�P yam, G�a"y V 1041r Insulation Installed: fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ) Walls ( ) ( ) ( ) ( ) ( ) ciV�r� GVOr ll /per)CO r rl�,o/ Ailt Sincerely 2Hry E ssi r, President Ins ation, Inc. CAPE COD INSULATION KEEP 1111101A55 SIAMIISS SPRAY FOAM SUSPSNDSD RAW OU5111S IN SULA510N CIILINOS 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: S�3%•j/S' . Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village u�e�e P. Zub�uSars<<� 374' N"o Pme 4"o o Cun.NA?�vip Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls (ao ) ( ) (OC) Diver y Gvo r ro r,41 e l Sincerely VHry ssration, sident Insc. CAPE COD INSULATION E I N'--,Rn II! S MII SS !V¢CY/pqM SUS VSNp[p .Alf$ 0 S�if! U iil¢1 IN SUI iION CSIlINO! 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cocl Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance .Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Ma,�.c.o s �ncK s 1 d 4 Cow�Pau C�R� �y.o-r,•►r/` . Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) O ( 3 1 ) ( ) 0�) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) (,V0 r � S Sincerely ry E ssi r, President InsInc. . TOWN OF BARNS'TABLE BUILDING PERMIT APPLICATION Map.. . �f Parcel ® Application # .0 4w��� Health Division Date Issued Conservation Division Application Fe ; Planning Dept. " Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address ��r✓ l/��✓ /�/ Village w� �✓ a� 1 , Owner Vlkl e?A<6 A6Q 717,yew- Address Telephone Permit.Request C�E�L/�%� 441S7-/ iK "Square feet: 1 st floor: existing proposed 2nd floor: existing proposed 6A-Total newlX7A Zoning District _ . /� Flood Plain Groundwater Overlay. Project Valuation CD Construction Type �- °�% Lot Size 41X 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 CE 'E � Basement Finished Area (sq.ft.) fl//9 Basement Unfinished Area (sq.ft) 1/* Number of Baths: Full: existing new Half: existing never r Number of Bedrooms: IW existingnew " - e ul Total Room Count (not including baths): existing new First Floor Room"Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other /Ot Central Air: ❑Yes No Fireplaces: Existing 0 New Existing wood/coal-stove: ❑„:,-Yes °bb'No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name _AX Telephone Number Address Pp 2.0 67P License # Cam-"o5b 057 /W OP40 iFs_ Home Improvement Contractor# I�9 Op o Email�/D Worker's Compensations# 61�OAX-'�,2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /��� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS r VILLAGE OWNER DATE OF INSPECTION: FOUNDATION g Ll�l YJk FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH FINAL + GAS: ROUGH- FINAL FINAL BUILDING DATE:CLOSED OUT C � - A30C1ION PLAN NO. The Commomwaftili of Massachusetdts Department o,f Inn striai Accidents 09we of Investigations 600 Washwg ton Street Boston,MA 02111 wwmmas&gavldia Workers' Compensation Insurance Affidavit: Bugders/Contactors/EIectriciansTlumbers Applicant Information Please Print Legibly Name(Busine&orgauizationadividnao: 14 Address: �� irC Zn�P City/State/Zip: a /A0 a* 3 Phone#: Are you an employer?Chec) the appropriate box: Type ofro project r 4. I�a eneral c-ontractor and i , p ( ���� l AI am a employer with_�� ❑ g 6,. RrNew const action employees(full andlor part-time).* have Hired the sub-contractors 2..❑ I am a sole proprietor or partner- listed on the attached sheet. y- ❑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'camp.insurancee comp-insurariml required.] 5. ❑ We.are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'camp- right of exemption per MGL 12.❑Roof repairs insurance required.]€ c. 152, §1(4),and we have no employees.[No workers' 13-❑other comp-insurance required-]' •'An applicant dirt checks two#1 nanst also fill our the section below showing their wodtere compensation policy iufartmxdozL Homeowners who submit this afdavit indicating they are doing all work and then hit outside contractors mm submit a new affidavit indicatmg such tCoutractars that check this boat must attached an additional sheet showing the name of the sub-cauttscton and state whethar or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy nutmber- I am an employer that is prodding workers!congwnsalion insurance for my employees. Below is the palicy and job site information. Insurance Company Dame: C.. 1-xJeAQL� Policy 4 or Self-ins.Lic.;9: ®/�J��� �""�� Expiration Date: -�j' Job Site;address: 302 elm` g i/ A6 City/StatelZip- �vv-�✓/o'(7, Alo 0� 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 andlor one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250-00 a day against the-violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. � I do hereby certi der the and Penalties ofpeduty tit atthe information prmided above is true �aitd correct. Si e: A' ��/�d✓y�J Date_ d�`'`� Phone#: 6� ' J4.A1g'�7 Official use only. Do not asrite in this area,to be completed by city or town official. City or Town: PermitUcense Issuing Authority(circle one): 1.Board of Health 2.Building Depar_tment 3.City/Town Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Other I Contact Person: Phone#: p.1 Rightfax N2-1 12/12/2013 5:37:51 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATB(MMIOIHYYYY) TNISAIERTIFICATE 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 PRODUCER. CAT IMPORTANT:If the certiticaate holder is an ADDITIONAL INSURED,the poliey(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s. PRODUCER CONTACT ' NAME: HORGAN INS AGCY INC PHONE FAX PO BOX 250 (AA No,E)M: (AIC,No): HY.4NMS,MA 02601 E,MAJLADDRESS:, , 28XBF INSURERS)AFFORDING COVERAGE NAI C S INSURED INSURER A. COMWENTAL CASUALTY COMPANY A IENTERPRISES INC INSURER B: INSURER C: INSURER D. PO BOX 2056 INSURER E: COTUIT,R A 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: NDCA FNYRC�FRQETJr,Tt3iMORC01�iIONOFNJYCONTRACTOROTHERDOCLIAENTVVHRFSPECTTOV*KHnlSGERTFICATEMAYBEISSIADORMAYPERTAPiTERCIA NCE AfiR7R0EDByyeEO UCJESDFSMBEDHMNMMXLIECTTOALLTFEIMAEXCLLOCNSANDcoN TIIONBOFSiJ pOLIOE&L&MSHOWNMAYHAVE&EINFIEDUCEDBY PAID CLAIMS, IVSR ADO SUB POLICY UP OATS POLICY DIP DATE LTR TYPEOFt+AS1RAPLE L q FOLK:YNJNBER (MILDDNYYY) (M16DDNYY1ry LIM GENERALLIABIUTT EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ C AlMS MADE OCCUR. REMSES(Ea acctrrence) D EX P(Any am person) $ ERSONAL 6 AOV WJURY i C%Dft AGGREGATE LWIITT APPLIES PER; ENERAL AGGREGATE E aOUC+' PROJECT O LOC RODUCTS-COMPrOPAGG $ AUTOMOBILE LIABILITY CON161NEOSINGLE S " ANY AUTO LIAT(Ea accaan) ALLOWNEDAUTOS 130DI LY INJURY S SCHEDULCAUTOS ' Per Pe—) HIRED AUTCS BODILY INJURY $ NON-OWNED ALTOS (Par aceidem) PROPERTY DAMAGE $ Par'aceidert) UMBRELLALIAB []OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE y 71 DEDUCTIBLE 5 AErENTION S g A WORKER'S COMPENSATION AND VuC STA7UTpFN OTTfA EIMPLOYER`SUABILITY YM UB•OZ76M74213 07ri1Tf2013 07116l2O14' X LAd15 IWNPRgPE RTOR'PARTNEFREXBOUTNE OFRCEI"ANIt3St DCG1t1 XD? O WA E.LEACH ACCIDE.YT S 500,D00 ( Ytit'M E.L.DISEASE•EA EMPLOYEE $ 500,D00 M desfte vdw , OESCRIP11CN0=0FERATiOnt'atelow , E.LDISEASE-POLICYLMNT 6 500,000 DESCraPTION OF OPERATIONS/LOCATIONS/VEHCUESMESTRICnONr3fSPECIAL ITEh1S THIS REPLACES ANY PRIOR CE.ATIFICATE ISSUED TUTHE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. M:?286 MAIN STCOTUIT CERTIFICATE HOLDER CANCELLATION TOWN OFBARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BUMMING DEPT BEFORE THfpPIRATIONDATETHEREOF,NOTICE WILL BE DELIVERED 20G NIALN ST W ACCORD"E WITH THE POLICY PRO AUTFIOE g�SE HYMNIS,M-.k 02601 'Z[ f Art,/PRATIVE ACORD 25(201DIOS) The ACORD acme and logo are registered marks of ACORD 1g-10 ACORDCORPORATION. All ri9 served, i %1re o„rau��zc«e«/f1 n�.C�lt� urn/rrr cfls "License or registration valid for mdrvedul use onl t office of Consumer Affairs&Busifiess Regulation { g y' — OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: w — egistration 109606 Ty;*:,:,.,,. Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170. '. ;expiration 9/21l2014' Private Corporatioi Boston,MA 02116 5; A-1 ENTERPRISES INC PETER POMETTI 140 LITTLE RIVER RD COTUIT,MA 02635 Undersecretary Not valid without signature , r . Massachusetts--Department of Public Safety i Board of Building Regulations and Standards tConst'ruction Supervisor. �L.icense: CS-050457 PETER M POIMET-.�TI PO BOX 2056 Cotuit MA 02639- J. .• - >rfa➢� Expiration - Corr➢msssivner '- 04/19/2016 t , r DCIC0 6 2,.932. 03_t 6-1996 02.52 BARNSTRBI_E LAND COURT RECHEITRY DIET DECLARATION OF TRUST ESTABLISHING THE VINEYARD ROAD TRUST. j The undersigned, WILLIAM W.-LLOYD of Rochester, New York and H. GATES LLOYD, III of Haverford, Pennsylvania, hereby declare that any and all property and interest j in property that may be acquired hereunder(the "Trust Estate"); shall be held in trust for the sole benefit of the beneficiaries for the time being hereunder, upon the terms herein set forth. The said WILLIAM W. LLOYD and H. GATES LLOYD, III shall be the original Trustees hereunder. The term"Trustees"wherever used herein shall mean the Trustee or Trustees named herein and such person or persons who hereafter are serving as Trustee or Trustees hereunder, and the rights, powers, authority and privileges granted hereunder to the Trustees shall be exercised by such person or persons subject to the provisions hereof.. .l. The term "Beneficiaries" wherever used herein shall mean the beneficiary or beneficiaries listed in the Schedule of Beneficial Interests this day executed and filed with the Trustees, or in the revised Schedule of Beneficial Interests, if any, from time.to time executed and filed with the Trustees. The Trustees shall not be affected by any assignment or transfer of . any beneficial interest until receipt by the Trustees of notice that such assignment or transfer has in fact been made and a revised Schedule of Beneficial.Interests shall have been duly executed and filed with the Trustees. Any Trustee may without impropriety become a beneficiary hereunder and exercise all rights of a beneficiary with the same effect as though he were not a Trustee. The trust hereby established may be referred to as THE VINEYARD ROAD TRUST. 2. The Trustees shall hold the principal of this Trust and receive the income therefrom for the benefit of the beneficiaries, and shall pay the income to the beneficiaries in proportion to their respective interests at least annually. The Trustees may open, maintain, and, at will, close out any checking and savings accounts and safe ,deposit boxes in any bank,-banks, trust companies, federal savings and loan associations, and other banking, lending or other financial institutions;and the Trustees may deposit funds and other assets of the Trust in such institutions and such safe deposit boxes, and may disburse such funds on checks signed by the Trustees or by any person or persons authorized in writing by the Trustees so to do, and may withdraw such f funds and other assets on instruments of withdrawal signed_ by the Trustees or by any person or persons authorized in writing by the Trustees so to do. Each such institution shall honor all checks and other instruments signed by such person or persons authorized by the Trustees so to sign and permit such person or persons to have access to such safe deposit boxes; and such institutions may rely fully on the Trustees'signed-authorization so to do, so filed by the Trustees with said institutions., 3. Except as expressly provided in Paragraphs 2 and 4 hereof, the Trustees shall have LAW OFFICES OF no power to deal in or with.the Trust Estate except as directed by the beneficiaries.. When, as - HN R.ALGER,P.C. ifand to the extent.specifically directed by the beneficiaries, the'Trustees shall have full power 41N STREET and authority; which they shall exercise, to buy, deal in and manage real estate, improved or BOX 449 i OSTERVILLE,MA unimproved,-to sell,convey,assign,mortgage or otherwise dispose of all or any part of the Trust 026SS-0449 - 4 • i E Estate (including without limitation the full power and authority to delegate to any person or persons acting singly or together with others and whether or not serving as a Trustee hereunder), full power and authority to sign checks, drafts, notes, bills of exchange,-acceptances, undertakings and other instruments or orders for the payment, transfer or withdrawal of money _ ifor whatever purpose and to whomsoever payable(including those drawn to the individual order of a signer, and all waivers of demand,protest, notice of protest or dishonor of any check,note, bill,draft or other instrument made, drawn or endorsed in the name of the Trust) and as lessor or a lessee to execute and deliver leases and subleases and to borrow money and to execute and deliver notes or other evidence of such borrowing and to grant or acquire rights or easements and enter into agreements or arrangements with respect to the Trust Estate. Any and all instruments executed pursuant to powers herein contained may create obligations extending over any periods of time including periods extending beyond the date of any possible termination of �II the trust; and the execution of all contracts, conveyances, transfers and all other instruments f relating to the Trust Estate, or any part thereof by one Trustee within ninety(90) days after he or she becomes the sole Trustee shall always be sufficient.. Notwithstanding any provisions contained herein, no Trustee shall be required to take any action which will, in the opinion of such Trustee, involve him in any personal liability unless first indemnified to their satisfaction. Any person dealing with the Trustee shall be fully protected in accordance with the provisions of Paragraph 6 hereof. 4. The Trust may be terminated at any time by the holder or holders of that percentage of the beneficial interests herein specified below by notice in writing to the Trustees and the other beneficiaries, if any,but such termination shall only be effective when a certificate thereof signed and acknowledged by the Trustees hereunder shall be recorded in the Registry of Deeds; and the ! Trust shall terminate in any event twenty(20)years after the death of the original Trustees above !� named. In case of any such termination,the Trustees shall transfer and convey the specific assets constituting the Trust Estate, subject to any lease, mortgages, contracts or other encumbrances { on the Trust Estate,to the beneficiaries in proportion to their respective interests hereunder. The . percentage of the beneficial interests required to terminate the Trust shall be not less than seventy-five(75%) percent. 5. Any Trustee hereunder may resign by written instrument signed and acknowledged fby such-Trustee and recorded in the Registry of Deeds. Succeeding Trustees to fill a vacancy I caused by resignation or death may be appointed by an instrument or instruments'in writing signed by the beneficiary, or a majority of the beneficiaries, as the case may be, whose interest . or interests therein was or were represented by such Trustee who resigned or died as shown in the thesrapplicable Sche-d-�-le c fP Aeficina 'Interests, provime-d in each case that such instrument { or instruments or a certificate by any Trustee naming the Trustee or Trustees appointed, shall be recorded in the Registry of Deeds. Upon the appointment of any succeeding Trustee,the title i� to the Trust Estaic;ssa da scab �j Ja.and;�=:e za�:v;a;,suc,aaciti531 va any a.viiYv3arif.i,uc`�i'sLL'd in said succeeding Trustee jointly with the remaining Trustee or Trustees, if any. Each succeeding_ { Trustee shall have all the rights, powers, authority and privileges as if named as the original Trustee hereunder. No Trustee shall be required to fwiash bond. This Declaration of Trust may x 4 be amended from time to time by an instrument in writing signed by the holder or-holders of that percentage of the beneficial interests herein specified below and acknowledged by one or more of such Trustees or Beneficiaries, provided in each case that the instrument of amendment or a certificate by any Trustee setting forth the terms of such amendment shall be recorded in the Registry of Deeds. The percentage of the beneficial interests required to amend the Trust shall be not less than seventy-five(75%)percent. 6. No Trustee hereunder shall be liable for arty error of judgment nor.for any loss arising out of any act or omission in good faith, but shall be responsible only for his own willful breach of trust. No license of court shall be requisite to the validity of any transaction entered into by the Trustees. No purchaser, transferee, pledgee, mortgagee or other lender shall be under any liability to see to the application of the purchase money or of any money or property loaned or delivered to any Trustee or to see that the terms and conditions of this Trust have been complied with. Every agreement, lease, deed, mortgage or other instrument or document executed or action taken by the sole Trustee or a majority of the persons appearing of record to be Trustees hereunder shall be conclusive evidence in favor of every person relying thereon or claiming i thereunder that at the time of the delivery thereof or of the taking of such action this Trust was in full force and effect,that the Trustees'execution and delivery thereof or taking of such action was duly authorized, empowered and directed by the beneficiaries, and that such instrument or document or action taken is valid,binding, effective and legally enforceable.' Any person dealing with the Trust Estate or the Trustees may always rely without further inquiry on a certificate signed by any person appearing from the records of the Registry of Deeds to be a Trustee hereunder as to who is or are the Trustee or Trustees of the beneficiaries hereunder or as to the authority of the Trustees to act or as to the existence or,nonexistence of any fact or facts which _ constitute conditions precedent to acts by the Trustees or which are in any other manner germane to the affairs of the trust. 7. The term"Registry of Deeds shall mean the Registry specified below, provided, that if this Declaration of.Trust is recorded or filed for registration in any other public office within or without the Commonwealth of Massachusetts, any person dealing with portions or all,of the, Trust Estate as to which documents or instruments are recorded or filed for registration.in such I other public office.in order to constitute notice to'persons not parties thereto may rely on the state of the record with respect to this Trust in such other public office, and with respect to such portions or all of the Trust Estate the term "Registry of Deeds" as used herein shall mean such a other public office. As used herein the "Registry of Deeds" is the Bamstable County Registry of Deeds.. ti wx/ .. • ' i . T IN WITNESS WHEREOF, the said WILLIAM W. LLOYD and H. GATES LLOYD, III have hereunto set their hands and seals this' day of I ,.19 q6 IZ WILLIAM W. LL045 • H. GATES LLOYD, COMMONWEALTH OF MASSACHUSETTS County of Barnstable Date: P� XV Then personally appeared the above-named WILLIAM W. LLOYD and H. GATES LLOYD, III and acknowledged the foregoing instrument to be their free act and deed, before me • ••• No Public t y Commission Expires RESIGNATION OF TRUSTEE Vinevard Road Trust u/d/t hlv 24,19% I,William W.Lloyd,am the Trustee for the Vineyard Road Trust u/d/t July 24,1996. ' S Bur-su ant to thC' Vineyard Road Trust,"Arty Trustee hereunder may resign by written instrument signed and acknowledged by such Trustee as recorded in the Registry of Deeds."(See paragraph 5 of said Vineyard-Road Trust). NOW THEREFORE,I,William W.Lloyd,hereby resign as Trustee of the Vineyard Road Trust. l hereby certify that the beneficiaries of the Trust have duly appointed the following named successor Trustees to act together:, - Alice B.Lloyd,Lallie B.Lloyd and Elizabeth P.Hobson Witness may-hand and seal this day.of -' i .L16yd,Trustee STATE OF t°"✓ C U�V ..,Ss . ?�l 9 ,2013. y of�4 ,2013,before me,the undersigned notary public, personally appeared 4lc ku+�✓r�l 0 d roved to me throw satisfactory evidence f i p through ry o identification, which was N-�1- to be the person•whose name is-signed on the preceding or attached document,and who swore or affirmed to me that the act of signing was his free act and deed before me. otary Public My commis expires: ;;;:•i,,; l:;;iL. stateof New York. 1 eo10 -j(,,(j -,E5050372 f- octobar 10, ?41 =r O , T� i#' Town of Barnstable Regulatory Services "` ' '. 10 Richard V.Scali,Director Building Division : ` Thomas Perry,CBO _k' Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.uis ' Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I Elizabeth P. Hobson, Trustee, Vineyard Road Trust as Owner of the subject property hereby authorize Peter Pometti/AI Enterprises to act on my behalf, in all matters relative to work authorized by.this building permit application for: 340 Vineyard Rd, Cotuit MA (Addtess of Job) Signature of Owner Date Elizabeth P. Hobson, Trustee, Vineyard Road Trust Print Name. If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILEMRMS\building permit formsMTRESS.doc Revised 061313 I`` dF TOWN OF BARNSTABLE BARNS ]" ,� Town of Barnstable 21,E4 11'Y 20 ,,,a 0 1 � �A Regulatory Services Richard V.Scaly Director Building Division V _ - Thomas Perry,CBO V 1 CFI#D 11 Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r I Alice B. Lloyd , Trustee, Vineyard Rd Trust as Owner of the subject property hereby authorize Peter Pometti/AI Enterprises to act on mp behalf, in all matters relative to work authorized by this building permit application for: 340 Vineyard Rd., Cotuit MA (Address of Job) Signature of Owner Date Alice B Lloyd, Trustee, Vineyard Road Trust Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPHLESTORWbuilding permit forms\EXPRESS:doe Revised 061313 TRUSTEE CERTIFICATE PURSUANT TO M.G.L.ch.184§35 _ Vineyard Road Trust aWa-H.Gates Loy d"otult Trust u/d/t juiy 24,1996 We, Alice Lloyd, Lallie Lloyd and Elizabeth Hobson (collectively, the "Trustees"), do hereby state that we are the sole trustees of the Vineyard Road Trust (hereinafter referred to as the`i rust")and certify further'as follows: 1. The Trust is a revocable intervivos trust. it is not a testamentary trust. ?. William ♦ y lval i1,VL , V1✓• 3. We are the current trustees and we have not been removed from office as of the date hereof. L in the event of resignation or death of one or more of the trustees,the remaining trustees shall continue to act. • 4. Pursuant to the provisions of the Trust, the Trustees shall pay over the principal and income pursuant to the directions of the beneficiaries. 5. Pursuant to the provisions of the Tnist, the-Trustees shall have full power and authority to borrow money and to sell,exchange or otherwise dispose of all or any part of the trust property and to mortgage or lease all or any part of it by one or Tore mortgages or leases for a term or terms which may extend beyond the date of any possible termination of the trust;to execute and deliver discharges,partial releases, assignments and subordination of mortgages and to make other agreements or arrangements concerning mortgages and mortgage obligations; to grant or acquire rights or easements and enter into agreements or arrangements with respect to the trust property; and to acquire property and leasehold interests in property; all as may be directed'by all of the beneficiaries, provided that the Trustees shall not be required to take any actions so directed which in the opinion of the Trustees will involve them in any personal liability unless first indemnified to the satisfaction of the Trustees. 6. No fact exists which constitutes a condition precedent to acts by the Trustees or . which are in any manner germane to affairs of the Trust 7. The Trust has not been revoked or terminated. 8.n Unless sooner terminated,the Trust shall terminate ninety(90)years after the date ' of this Trust instrument. SIGNED under the pains and penalties of perjury this ay of 2013. Alice Lloyd Lallie Lloyd Elizabeth Robson STATE OF plR E 3eV CO on this `� day, of 1;t c%)*.N 2013, before me, the undersigned notaryublic personally appeared Alice B. Lloyd who proved to me through satisfactory evidence of identification, which was W h 0rlvert4ce!,seto be the person whose name is signed on the preceding or attached document,and acknowledged to me that she signed it voluntarily for its stated purpose. s oracct+L�+c Notary Public Ro r Wanee�ss' My commission expires: 'y- o l—I-*! �orpNrr> •�uaeori�are�aw . ,,yr�.,, cry �0�"-1•�N . . - t b SIGNED under the pains and penalties of perjury this day of 13.eh%- Alice Lloyd fi r • t �11?e Lloyd Elizabeth Hobson STATE On this day of 2013, before me, the undersigned notary public, personally appezeg t B. Lloyd who provea to me through satisfacto vi f identification, which was be the person whose name is.signed the pre or attached document,and acknowledged to me that she signed it voluntarily for its stated p ose an gi�g Pu c My commission expires: t l • *� b' •* r li STATE OF I�t9�-Sba c-L` On this 9 day of 2013, before me, the imdersigned notary public, Personally appeared La)ffe Lloyd who pro to me through satisfy of identification, which was ate OruPe..fi 'I .r to be the person whose name is sig6ed on the p or attached document,and acknowledged to me that she signed it voluntarily for its ted � �,�•�••. � Notary lic �' a� r',•�• My commission expires: • • *� • STATE OE 49126A�A _ On this 17r9< day of g 2013, before me, the undersigned notary public, personally appeared Elizabeth Robson who proved to me through satisfactory evidence of identification, which was Ai aen(ad to be the person whose name is signed on the preceding or attached - document,and acknowledged to me that she signed it voluntarily for its stated purpose. r KEVIN KOELBEL + Notory Public,Stet•of Arizona � Maricopa County N Public My Cemmleiion Expires My Commission expi : ` July 08,20tt3 expires:July s i ' SIGNED under the pains and penalties of perjury this led ayof TdJy 013. '��T Alice Lloyd l llzabefh Hobson STATE OF On this day of . 2413,•before me undersigned notary public, personally appeared Alice B. Lloyd who proved to me thro tisfactory evidence of identification, Which was to be the pa-son naum is signed on the p►eceeLing or attached document,and acknowledged to me that she ' it voluntarily for its stated purpose. - Notary Public my commission expires: RESIGNATION OF TRUSTEE Vineyard Road Trust u/d/t July 24, 1996 1, H. Gates Lloyd,Jr., am the Trustee for the Vineyard Road Trust u/d/t July 24, 1996 recorded with the Barnstable County Registry of the Land Court;at Document No. 672932. See also Trustee ' Certificate recorded at Document No. 682877, Certificate of Title. No. 141624, for my appointment as Trustee and resignation of H.Gates Lloyd III. - Pursuant to the Vineyard Road Trust, "Any Trustee hereunder may resign by written instrument , signed and acknowledged by such Trustee as recorded in the Registry of Deeds"(See paragraph 5 of said Vineyard Road Trust). NOW THEREFORE,I,H.Gates Lloyd,Jr.,hereby resign as Trustee of the Vineyard Road Trust. I hereby certify that the beneficiaries of the Trust have duly appointed the following named successor Trustees to act together. Alice B.Lloyd,Lallie B.Lloyd and Elizabeth P.Hobson Witness my hand and seal this . day of YL- ,2013. H.Ga Lloyd,Jr.,Trustee STATE OF✓'iIGG - u.�a�e- S • ,ss . . � '2013 On this day of 2013,before me,the undersigned notary public,personally appeared H. Gates Lloyd, Jr. proved to me through satisfactory evidence of identification, which was to be the person whose name is signed on the preceding or attached document,and who swore or affirmed to me that the act of signing was k6s-fBee act and deed before me. Notary Pu uc '`J/ My co ssion expires: l�f vl 19 From: Kim Maisenbacher km@mailaw.com Lf Subject: Trustee dots Date: May 20,2014 at 12:34 PM To: Lallie Lloyd lallie.11oyd@gmail.com Lallie: No gaps at the Land Court re: Vineyard Road Trust Trustee Terry and Bill original trustees Doc#672932-1 Terry resigned and named Gates as successor Doc#682877-1 Gates resigned Doc# 1 220 872 - Bill resigned named the three successors Doc# 1220 871 Good luck next week and I will look forward to-meeting you in'Boston on the 3rd Kim MAISENBACHER & CAPOBIANCO, Lc° Trust, Estate, Tax, Charitable and Business Planning i 101 Arch Street, 9th Floor Boston, MA 02110 747 Washington Street, 2nd Floor. Holliston, MA 01746 Telephone 508 376-2255 Fax 508 376-2254 Offices located in Boston,Holliston, Cape.Cod and Bonita Springs,Florida ' Circular 230 Notice.,PURSUANT TO FEDERAL REGULATIONS IMPOSED ON PRACTITIONERS WHO RENDER TAX ADVICE("CIRCULAR 230'), WE ARE REQUIRED TO ADVISE YOU THAT ANY TAX ADVICE CONTAINED HEREIN IS NOT INTENDED OR WRITTEN TO BE USED FOR THE PURPOSE OF AVOIDING TAX PENALTIES THAT MAY BE IMPOSED BY THE INTERNAL REVENUE SERVICE. IF THIS -ADVICE IS OR IS INTENDED TO BE USED OR REFERRED TO IN PROMOTING, MARKETING OR - RECOMMENDING A PARTNERSHIP OR OTHER ENTITY, INVESTMENT PLAN OR ARRANGEMENT, THE REGULATIONS UNDER CIRCULAR 230 REQUIRE THAT WE ADVISE YOU AS FOLLOWS: (1) THIS WRITING IS NOT INTENDED OR WRITTEN.TO BE USED, AND IT CANNOT BE USED, FOR THE PURPOSE OF AVOIDING TAX PENALTIES THAT MAY BE IMPOSED ON A TAXPAYER; (2) THE ADVICE WAS WRITTEN TO SUPPORT THE PROMOTION OR MARKETING OF THE TRANSACTION(S) OR MATTER(S)ADDRESSED BY THE WRITTEN ADVICE,AND(3) THE TAXPAYER SHOULD SEEK ADVICE BASED ON THE TAXPAYER'S PARTICULAR CIRCUMSTANCES FROM AN INDEPENDENT TAX ADVISOR. Disclaimer Notice: This e-mail, including attachments, may include confidential and/or proprietary information, and may be'used only by the person or entity to which it is addressed. If the reader of this email is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this email is prohibited. If you have received this email_in error,, please notify the sender by replying to this message and delete this email immediately., = t Y:;eya u:oa d 1 rust-a,'lu'a U.Gates Lloyd"COU&T rust r/dIt suiy 24,1990` TRANSFER OF BENEFICLIL INTEREST 'the undetsiped Lloyd Dixon Limited partnership certifies that they are the sole Beneficiaries of the Nominee Trust established under Declaration of Trust dated July 24, 1996 and that the following beneficial interest therein is transferred on this date from Lloyd Dixon LLP hereunder to the following Members: Beneficial Interest ercenta e Alice Lloyd 33.33% Lallie Lloyd 33.33% ` Elizabeth Hobson 33.33% Executed as a sealed instrument this day of , f L � 2013, .Lloyd Managing Member Lloyd Dixon LLP , Managing Member Cotuit Bay Investments State of �-✓ 0 y On this A day of , 2013, before me, the undersigned notary public,personally appeared William W.Lloyd,prdved to me through satisfactory evidence of identification, which was l�,L , to be the person whose name is signed on-the preceding or attached document,and who swore or affirmed to m. the act of signing was his free act and - deed before me. otary Public My commission expires: %o A01 z.1�3 s1Ci�tCM1aSiY F Ct?SNAIil)T PIG'},'tC r,j}}if•.?i4IleofNeimYork ;t G.E5050372 }':{a t'.�iltssSi•;.vii:.:zMpU?^�ttt)t10T Sf1.� • Town of Barnstable' Regulatory Services Richard V.Scali,Director Building Division` Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable ma.us Office: 508-862-4038 s Fax: 508-790-6230 Property Owner Must Complete and Sign This Section . If Using A Builder Lallie Lloyd d + • I, Y ,as Owner of the subject property hereby authorize Peter Pometti to act on my behalf, in all matters relative to work authorized by this buiUng permit application for: 340 Vineyard Road, Cotuit MA (Address of Job). 4/29/14 Signature of Owner Date Lallie B Lloyd Print Name _ L If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAW FILESTORMS\buildingpermitformslEXPRESS.doc Revised 061313 j , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (4 Parcel �a (� _ Application # 1 � Health Division Date Issued Conservation Division Application Fee Planning Dept. _ Permit Fee l3 Date Definitive Plan Approved by Planning Board Historic.- OKH _ Preservation / Hyannis Project Street Address 1� � UQ1� J Village _ Owner �d C� �c Address Ro 60X 100�a L�2fi�. C?ao5 Telephone Permit Request o r V7 Cl Y0 W I{ e c �0 lfpd t rx� eva-Ll -4p� T-o W S C/ P6=19 h � la �bs # U 5 . Square feet: 1 st floor: existing proposed 2nd floor: existing_ proposed Total new Zoning District Flood Plain_ Groundwater Overlay o Project Valuation 0?Q 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 (sgft) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new _ Half: existing _ new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new .First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New _ Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑x�ilting ❑mow size Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other: t,9: l Zoning Board of Appeals Authorization ❑ Appeal # _ Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name {rf s Y 1 Telephone Number {®��� Or Address S v(IAA License # I NZ 15 F2 87 r Home Improvement Contractor# I4lo cR Colu( r P ko3 5 _ Worker's Compensation # UQ� 164 l ga ra ay y ALL CONSTRUCTION DEBRIS RESULTING FROM7HIS PROJECT WILL BE TAKEN TO a r-wSialo to SIGNATURE_ (�`% � _DATE� 2 � FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED a= _.•' t.� MAP/-PARCEL NO. t ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME =y 'b INSULATION FIREPLACE e ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL k GAS: a ROUGH - -- FINAL FINAL BUILDING V1"16 DATE CLOSED OUT k ASSOCIATION PLAN NO. {. Town of Barnstable DIME, Regulatory Services Richard V. Scali,Director BAMMB Building Division BARNSTABLE alb i639• `� Thomas Perry,CBO 1639-2014 Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 September 2, 2014 Christopher Peterson PO BOX 89 . Cotuit, MA. 02635 RE: 340 Vineyard Rd., Cotuit, Map: 016 Parcel: 028 Dear Mr. Peterson, This letter is in response to application number 201405468 submitted to install solar panels at.the above referenced property. Unfortunately,the application can not be approved at this . time because the construction documents submitted have an expired.engineer's stamp. Please do not hesitate ao contact this office with any questions. Respectfully, J L. uzon ocal Inspector effre lau ezon town.barnstable.ma.us (508) 862-4034, t _ a� - The Commonwealth of Massachusetts ; .nnt-.or .r 1 �' Department of Industrial Accidents r ) z f Office of Investigations I Congress Street, Suite 100 . r Boston, MA 02114-2017 � fr www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le gib t Name (Business/Organization/Individual): I` Qr Address:._ r City/State/Zip: Cc4ui , daV s Phone #: 56? 4a 9-R4`T o;� Are yqean employer?Check the appropriate box:to Type of project(required): employees(full and/or part-time). 1:Ell am a employer with d� 4• ❑ I am a general contractor and I P y * 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' comp.insurance.1 9. ❑ Building addition [No workers' comp. insurance P• required.] 5. ❑ We are a corporation and its MR 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 13.[ ther employees. [No Workers'. comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have . employees. If the sub-contractors have employees,they must provide Their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Q a 6 4g Expiration Date: t� Job Site Address: 34© V1 City/State/Zip:UeTW 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.r 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 eains and penales o perjury that the information provided above is true and correct Phone M. -7 4 %�d 2t Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• nignziax nl—G %/%/ZVI% 1 :411:1ZI PM MAUL L/UUL Yax Server CERTIFICATE OF LIABILITY INSURANCE EA:TE(MMIDDDmrm FICATE 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:H the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the erms and conditions of the policy,certain policies may require and endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s PRODUCER CONTACT NAME: DON BUNKER INS AGCY PHONE FAX 51 MILL STREET BLDG F (A/C,No,Ext): (AIC,No): HANOVER,.MA 02339 . ADDRESS 73JCD INSURER(S)AFFORDING COVERAGE NNIC 9 INSURED INSURER A: TRAVELERS INDEMNYTY COMPANY OF AmERICA- COTUIT SOLAR LLC INSURER 8: INSURER C: INSURER 3800 FALMOUTH RD E- INSURER E: MARSTON.MILLS_MA 02648 INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THEM TO CERTIFY THAT THE POLICIES OF I1MRANCE UsTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RFAUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LFMIT SHOWN MAY HAVE BEEN REDUCED BY PAZ CLAIMS. - NSR -- ADD SUB - POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE. L R POLICY NUMBER (MMDDIYYYY) (IJMJDD\YYYV) LIMIT - GENERAL LIABILITY CH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE DAMAGETORENTED S OCCUR. REMISES(Ea oactuence) ED D(P(Anyone person) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER ENERAL AGGREGATE Is POLICYEj PROJECT❑LOC RODUCTS-COMP/OP AGG IS AUTOMOBILE LIABILITY. COMBINED SINGLE S ANY AUTO LIMIT(Ea accident) ALLOWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERIYDAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS'-MADE AGGREGATE S DEDUCTIBLE $ RETENTION$ S A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN US-498SP868-14 =62014 0312612015 LIMITS ANY PROPECER1ME RORPARTNEREXECUT[VE a NIA E L EACH ACCIDENT S 5Q0,000 OFFICERMEMBER IXCLUDED� (Mandatory in NH) EL DISEASE-EA EMPLOYEE S 500,000 If yes,dcsaibe untim - - DESCRIPTION OF OPERATIONS bNow EL DISEASE-POLICY LIMIT S 500,000 DESCRIPTIQN OF OPERATIONSILOCA-nONSIVEHICLESIRESTRICTIONSISPEGAL TEEMS THIS REPLACES ANY PRIOR CERTIFICATE LSSUED TO THE CFR'RTRCATE HOLDER AFFECTING W ORICERS COMP COVERAGE CERTIFICATE HOLDER CANCELLATION CONRAD GEYSER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 3800 FAL.MOUTH RD BEFORE THE EXPIRATION DATE THEREOF,NOTICEWILL BE DELIVERED IN ACCORDANCE WrTH THE POLICY PROVISIONS. AUTHORIZED REPRESENT ..ft MARSTON MILLS,ILIA 02648 :;: : ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reSerVed. 9 &xe lea�m"Mvealw /�qc/ff Office of Consumer Affairs and Business Regulation 10 Park Plaza-. Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 146276 Type: Supplement Card COTUIT SOLAR Expiration: " 4/8/2015 CHRISTOPHER PETERSON 3800 FALMOUTH RD. MARSTONS MILLS, MA 02648 Update Address and return card.Mark reason for change. sCA1 0 20M-05111 Address n Renewal Employment Ej Lost,Carc � irrnerrll�r/',= ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only I HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation ,rRegistration::146276 Type: �= 10 Park Plaza-Suite 5170 Expiration: 4/8/2015..... Supplement Gard Boston,MA 02116 COTUIT SOLAR CHRISTOPHER PETERSON P.O.BOX 89 COTUIT,MA 02635 Undersecretary Not valid without signature T. :iubbc ,r -tIal �f Boa-i of 3u 6,d:n 3 ._�. CS 102975 CHRISTOPHER C PETERSON � 41 THATCHER HOLWAY'ROAD- MARSTONS M]9A S MA 02648 �'.€77SiLit�' 10/07/2014 _ i 'k' Office of Consumer Affairs and Business Regulation � J 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 146276 Type: DBA Expiration: 4/8/2015 Tr# 237642 COTUIT SOLAR CONRAD GEYSER P.O. BOX 89 COTUIT, MA 02635 Update Address and return card.Mark reason for change. SCA 7 .:a 20M•05/11 Address Renewal Ej Employment Lost Card ,rsvernn.nracaAl,ri✓'ll r.;:;nc�ri r.//` , `. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only �T r>1OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Kilyegistration 146276 Type: Office of Consumer Affairs and Business Regulation 1 l� kExpiration 4t6t2015,- DBA 10 Park Plaza-Suite 5170. Boston MA 02116 COTUIT SOLAR CONRAD GEYSER ` 3800 FALMOUTH RD.':. MARSTONS MILLS,MA 02648 Undersecretary Not valid without signature Nape r�#*4VOL s Spruce-Pine-F4r T Sim 2xs • �.0 x Bow" _ tic - � - ..�., }'h°�►i"a't P .j ROW Type r�a#ts�s Snow koad) • tx � 1t�a� --...,,,,,,R �I Defletti°n Linut ;ta►iso ��� w V_ �, ,, j' service conditions? Exterior ExposuTe tncisedlwlber? - � i • t Snow Load�sfj 3� ��•1T � J1 k` ' �._ if`.y x�,..,^+.w rnrt ✓a^,.rr x may.y w *n r y t w r "`"' Thf:Maxlmum Hortzontal�Spa�a is 777 77 4 ; nc im u M , r a t ar 'Vts+�h V&i&nu aumum bung ler>gth of 0 82� � ® + t 'regeured at each enc�of a fY Rk ►°r VA x pit+f f Skies pttice-Puce-F�r .r. t^C `,�mot. . Crrade o.2 Size 20 solar modules lag bolted into rafters every 4ft. Roof consists of klod wofElwticityr(E) i nn oo�s� 2x8 rafters 2ft on center with a 11 ft's an. Maximum allowable Pendir�Strewth(FD) 1388 62 psi horizontal span is 11'8". Stre h LF } 25 psi - - �ShearstrengtA(Fv) �zss�s psi Cotuit Solar LLC Project: ` System: 6kW DC (STC) Site Plan 508-428-8442 Lallie Lloyd 20 LG 300w Modules Revision: August 11, 2014 � 340 Vineyard Road 20 Enphase M250 Microinverters cr. PO Box 89 Cotuit, MA 02635 Scale: COTUIT SOLAR,, Cotuit MA02635 i %p 171412:19p Cotuit Solar LLC 508-428-8.441 p.1 f - , TOWN OF ST Fax Cover. S..hest : "IJI SEP 17 Date: f 1(0 Dec I � Tr, Pages (not meludinb eQ e heed: IL • 509-9"28-9442 - Fa '508- 28-844- i F Notes: - F"� Tfi _PKCosl- 20lay �� ea ��- 3 � D i�� . .r, ef t�s n �� ate - ,e. : ro� eC- a - 1 - - 5 w . 50+,AX ffovv4c PRegotA E _ _ �~— S�ecics Spruce 'i jGM& No 7 rMt4 OFFtY:K ti'/`i ( lliemher Type Rafters (S nov�o ad) .. . .T._i R � 1 "`• � Detlertfv $H�A�rFhz Ire Wet serncb,cesiditio:ns7 �, Ma , 00 " Ecterior E�ostue: Ln 4' NO i ' Smr Lo Alt oUw, Ud q .� �.` Die Mam,um Horizontal Span is: i 'XN70 MFTER \ 11 ft* 8 with a rr:uiimn heariV length of 0.92 ut. `required At Bach end of the member 7YPeA� - .. ... S W -M bus'�X46 Pt opeity Value JanmA C4tnsy,PC h,>e a� '� t�El P1/ P A 9 Species pnu�a_P -Fir 01 Asbury Avenue �s"t uri R P •sd+gyp- F-k4 Ne!iona!r ask,NJ oeaea — Grede ;No 2 LWsachusat!s Uc n 46775 K, 20 solar modules la bolted into rafters ever 4ft. Roof`consists of I J g Y N.edul►�ofFJa_ttu:ity(E) ...i 140QOC�,1 W rafters 2ft on center with a 11ft span. Maximum allowable -" ) nr�n,Strergth(Ft,)horizontal span is 11'8". se !i3ss.rs2 t o [Besn�Str.t�gth(F�,} ..._ U '.Shear5�ret�t}►tFv} i1S5.25 si Project: System: 6kW DC (5TC) Site Plan Cotuit Solar LLC Lallie Lloyd 20 LG 300w Modules 508-428-8442 340 Vineyard Road 20 Enphase M250 Microinverters Revislon: September 17 2014 x 89 ,COTU(T SOLARn, Cot Bt MA 02635 Cotuit, MA 02635 Scale: - — a - u T ° LO ' Life's Good .t Y✓+C� µ. LG Electronics,Inc.(Korea Exchange:06657KS) is one of the globally leading companies and technology innovator for electronics;information ® and communication products. LG Electronics currently employs more than 91.000 people r worldwide in 117 companies.In fiscal year 2011 a ism HU M� �® turnover of 48,97 billion USD has been achieved. LG is one of the world's largest manufacturers of mobile phones,flat screen TVs,air conditioners, washing machines and refrigerators.As a future- oriented company,LG relies on the technology of renewable energies and is expanding it.The entire range of high quality solar products are being manufactured in LG's leading production site Korea. �Un M � DVE C ul US cc PV`CYDCLE 4.8— mom xMOW � s ? ® = LG's High'Efficient Cell Technology Reliable Warranties Driven by LG's own N-Type technology,LG's high- LG stands by its products with the strength of a -= efficiency modules will provide customers with high u�oar.„�� global corporation and sterling warranty policies. Celli chnology economic benefits. Together with a 10 year product warranty a 25 year linear performance warranty is offered. 100%EL Test Completed Positive Power Tolerance lfffl�v� All LG modules are tested at various stages of the LG provides rigorous quality testing to solar modules ._ production by Electroluminescence inspection.The ° to assure customers of the stated power outputs EST=+ EL inspection detects cracks unseen b the naked P Y Pxihve of all modules,with a positive nominal tolerance Power Tolerance eye. starting at 0%. 6sk9 Light and Robust p V Convenient Installation With a weight of just 16.8 kg,LG modules are LG modules are carefully designed to help installers proven to demonstrate outstanding durability benefit from quick and easy installations throughout L"+9hi 8.Robesf Convenient against external pressure up to'5400 Pa. carrying,grounding,and connecting stages of modules. r iiri Y , I Mechanical Properties ®Electrical Properties(STC2) Cells 6 x 10 300 W 295 W 290 W 285 W 280 W _..._...__......-.:..:... ................................. _......._....... ....... Cell vendor LG Maximum power Pmax(VA 300 295 290 285 280 Cell type Monocrystalllne _. ......__.... - ..... - ._.-..- -. _ -. 2 MPP voltage Vmpp(V) 320 319 318 316 31.5 Cell dimensions 156 x 156 mm .. _...__..._...................---.................._..........:..__......:.__`-.....--:.._........_..__..._........_.............._..............-_.-........_............_...... MPP current Impp(A) 9.42 9.30 9.19 9.09 8.97 Cellbusbar 3 .-....... _...:__........... ....._..............._..............._............__.................. Front cover Glass Open circuit voltage Voc(V) 39.5 39.3 39.2 39.0 38.9 _.._._.. _....... ......_.. _......_..... . Dimensions(L x W x H) 1640 x 1000 x 35(mm) Short circuit current Isc(A) 10.0 9,91 9.80 9.68 9.56 ...-_-.. .............. .__,........ . .......... ._ '....._... ....... .. .......... __ ._..... ....__.... ......--I.. Static load 5400 Pa(snow) Module efficiency(%) 18.3 18.0 17.7 17.4 17.1 ........................................._._..................._.......,............................... 2400 Pa(wind) _._._.._.......................... . ....... .. .......... . . ................ ....... Operating temperature(°C) 40-+90 ., Weight 16 8±0.5 kg Maximum system voltage(V) 1000 Connector type. MC4 connector IF 67 .. ........ "' - - -- --YP L engt Maximum series fuse r9 A)tin 15 Junction box IP 67 with 3 bypass diodes .._h of.._ cab I.es.. 1000 2 x-. _._... __._.....min- ._...... ._ .._._... Power tolerance(%) 0-+3 Frame Anodized alJminum 2STC(standard rest Conditions):Irradiance 1000 W/mz,module temperature 25`C,AM 1,5. Application Class:A(according to IEC 61730),Safety Class:II The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion. Certifications and Warranty Certifications IEC 61215,IEC 61730-1/-2, 19 Electrical Properties(NOCT) 15014001,ISO 9001, ......._.... 300 W 295 W 290 W 285 W 280 W OHSAS 18001, ....._. _...._...- -._.._.__ UL 1703 Maximum power(Pmpp) 220 216 213 , 210 206, .....__..-._ _ .._. ._ - . ........ .. ._. _._ ......... _. ....._..... ........ Product_warranty 10 years MPP voltage(Vmpp) 29.3 29.2 29.1 28.9 28.8 - - ... _ Output warranty of Pmax (Measurement tolerance.3%) 25 years linear warranty MPP current(Impp) 7.51. 742 7.33 725 715 ......... ........ ...... ........ -. ..,......._. .. ... . ...... .._.' Ist year:97%,2nd-25th year.-0,7%/a,25th year 80,2% Open circuit voltage 36.5 36.3 36.2 - 36.0 35.9 . ...... Short circuit current(Isc) 8-08 7.98 7.89 7.80 7.70 ® Temperature Coefficients p Efficiency reduction <4.5 / (from 1000 W/mz to 200 W/m') " NOCT 45±2°C _........ .."... 'NOCT Nominal0 tin Ceil Temperature): Pmpp 0 42%/K ( Operating Irradiance 800 W/m',ambient temperature 20 .... ....... ....._.... ........ _......... wind speed 1 m/s Voc. -031%/K _.... 10 to __..........._.................. _..........................._ ...................... Isc 0.03%/K ®"Dimensions(mm) m 19 Characteristic Curves 5.5'4.0 X vi 1000 G 10 - 1000 W 4x Drain holes) Size of short side 28 22 9 960 m 4.0`7.5(Y view) Distance between mounting holes Long side fame Short side frame 18 U 8 Soo W 4x Drain holes - 7 a Junction box 6 600 W ?J4.3 ' 5 12.Grounding holes 4 400 W 08.0(Z view) T 8.Mounting holes 5.5 3' (--y 2 20o W I� a1 i v 1 - 1000 � 1 \R7.5 , Cable length _ - Detail X O 5 10 15 20 25 30 35 40 Voltage(V) c - rn - _ 4.0 `c 2 �. 140 E O E O c x O [ O [ O o ,p- ° m w a m --- Isc, a � N DetailY , o m ? 100 ----_------___.---_.._____ c c 08.0 Vocw m O O T Pmax 60 -----------..---.--------------_-------------------------------------------- _ I DetailZ O f 40 ---------------------------- N m 20 - -...-_---------------------------------------------------- O O -40 -25 O 25 50 75 90 Temperature(°C) The distance is between the center of the mounting/grounding wholes. 11 ��''11 LG Electronics Deutschland GmbH. L � .EU Solar Business Group All specifications of this data sheet comply with DIN EN 50380.Berliner StraRe 93 Subject to change without notice. 40880 Ratingen,Germany Status 02/2013 Email:solar@Ige.de Document-DS-NIC-G3-EN-201302 Life's Good www.lg.com/uk/solar Copyright©2013 LG Electronics.All tights reserved. ❑j'� r r 71 -Tjr tf o � , ter irw LL — ' s r , a } �j a c, } Y ry M ! u3 1'"tn .� ^Rt9n"."'^R —,P`���'�? g!r.�.�. ._ _ ,,,a.� ^' ��'t,.,wtwr" :."t�.. b�":a,"r " .",U+py,�'.�.'�'— t... '� �;•"1`;;� a. • • . 1 r Town of Barnstable Regulatory,Sery Icesi �t�• tuaxsT�sts. t p suss 1 Tho etas F.Ceiler,Director �rFnv'�¢+y' Building Division i Tom ferry, Building Commissioner 200 Main Strcct, Hyannis,MA 036-11 u1ArVVJ %'n.barnstable.ma.us i i Pax; 08-790-6230 j 1 Property Owner A-lust Com()Iete and Sign This Section. If lJsinu A Biii.lder l---- �� hoe f�� i._. � - 0 m^r o,thr_�r:b ec_t iooe ��� ,, ++ C l � It= avthorire_- ,.E:'_rU.�'� u act on zn bclra_t, ----- --- S if, n. a�I mittcrs rclat-i.v c c.o w,)r_% ara1:1.>.rizt-11 I.) thi:. IN ']l Lr.:; ocrrtiir al:j!icddon fo! � 1 1((IIf { • tii.2nahire nt Uwncr (�it�� .r prE;lt?slam^ i If Property Qw-ncr is applying forpermit pIr•--a c eomplete the Homeowners. License Exemption Form on the rccensr_ side. l•d l£96869 ewoH e96:90 bt 60 Inf Tower of Barnstable 2. ulato r e1-vzc r 1.311 MAS& ° ' Thomas F.Gciler;Director $ FB039. A .. uildi g l3 vision Tom Ferry, Building Commissioner 00 Main Strett, 14, aannis,MA.02601 st vw.to a t►r�.r€xstat l�xiams Prop rty Corner N'Tu r Complete arid. Sign, ` bis Section l o as Owu of t e subject ptoptry hrrrby authorize �+1 J�3t+V to act oil n6y beh inaR.MaItters reb.tive,to warp-a th-oLized by this building pctrwf applcadon for, ilk j tibizout ? 'R 01 cis of fob) .. ..�. 1 1 igna e of ovvixer Dawte dot Na. if Pt etty Ow-occ xs app"g for pel;�it p ea c comp ete tla.e owto" :em License Exemption,Form, on trse reven,c side. i PROJECT NAME: ADDRESS: PERMIT# L4 6'�p PERMIT DATE: Mrn: LARGE ROLLED PLANS ARE IN: BOX + lam SLOT Data entered in MAPS program on: BY: q/wpfiles/forms/archive COTUYT SOLAR F.O. Box 89 o Cotuit; MA 02635 508-428-8442 s Fax 508-428-8441 ® ltA,rbV.Coltijzsolar.co,-n November 20,2014 Town of Barnstable Regulatory.Services Building Division i. change.tl2e Construction Supervisor's License from Christ as Principal of Cotuit Solar officially request to Vreeland.#107947 on aI1-Cotuit Solar projects:This chap epher Peterson#102975 to Jobn building Puts'in the Tow-n of Barnstable: g aPPlies to the following open solar . 250 Windswept Way Oster viIle 77 Winter St Hyannis 26 Little River Rd Cotwt ' 170 Capes Ttail West Barnstable . 55 Hilliard's Hoy' Way West Barnstable 51 y Queen Anne Lane Cotuit �- 32 Kimberly Way Cotutt 340 Vineyard Rd Coturt Please see attached.CSL and suPP lement cn arY HIC Iicense for John Vreean . Pe e contact Cotuit Solar office with quest Y ions or for more informatio n' ld1 - M Regards, • � _ - I M Conrad.Geyser r Bi���9Bg® . . Qudit rel.ewable energy }y.�q��. myy�� QQstall l�YsF��L.3GXs , �pyiRi�y motion a Service s cert*0314a9 40 Photovoltaic Solar �hter�tal.-wind, ��a�--s aloz.a.i Conrad Geyser CerwsT032407-13 Conrad Geyser: r - _ = = CS-107947 JOBN VREELAND 48 QUASEMT ROAD _ .Kashpee RYA 02649 04125/2018 : . g Office of Consumer Afairs anCd�B�u�sines Regula tion s 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home hnproveme-ut`'Contractor Regis trati6n Registration_ 146276 COTUIT SOLAR Type: Supplement Card EXPiration:;41sI2015 JOHN VREELAND =` 3800 FALMOUTH RD. MARSTONS MILLS, MA 02648 SCA 1 � 2oM-0a111 Update Address and return card.Mark reaso. ' Address Renewal �J Employment ��c �cai�uroirriicir�/�n/�(:f( �' Otlicc or Consumer Affairs&Business Regulation License or registration valid€or indiwdul nse only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: € �� 1r�$Registration 146276 Office of Coasu�ner Affairs and Business Regulation Expiration.. Type 4/8/2015 10 Parlc Plaza-Suite 5170 COTU[ SOLAR Supplement Card Boston,MA 02116 - JOHN VREELAND` < P-O:BOX 89 U-ign. COTUM MA 02635 Not valid �l&l�$ , CAPE COD . Y` INSULATIONS --¢ ® -- HUROLASS 31AMLISS SPRAYTOAM SOPINOID • RATTS OUTTIRS INSULATION. CSILIN05 1-800-696-6611 • • `�' - CO Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis,.MA 02601 Date: q / } Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed-below. Cape Cod Insulation did this,in accordance to the specifications listed on the building permit application'. All work has been inspected by a certified Building Performance .Institute (BPI) inspector. All work preformed meets or exceedsFederal & State Requirements. Property Owner.',4` Property Address Village has Y °�� - lo vl�ttyo 40 Insulation Installed: Fiberglass Cellulose R-Value Restricted - Unrestricted Ceilings Slopes Floors Walls O c;�a�.✓(spRa�.uAo� Div e►^� (v©r ll /per)ro y Sincerely VHry E ssration, sident Insc. -. T `�+... _ _ .-�^"°......f^ti.✓�"'�-w-.,,.r^.�'�..^.ti.�^y`^.*.�.r+..-r+'^-...-�+'�.m+.--�+...-r.'+�J'�...�.....I'b��ti^^'v+�'.+....rvr....-+S"+W.,,,I-•era.+'.�...��..,-�-..++-�"1r. '"ti-.-� Assessor's map and lot number /� — " 7 J ............................... UprIc cysyft INSTALLEDIN Sewage.Permit number (�...... 6�� �1 �i �V .I I�NC' S>'1m, STTE Qy�F7HETp�y TOWN OF BARNS' M.. Z BASB9TODL8, i 9� Q pYa`e� BUILDING INSPECTOR pp,I APPLICATION FOR PERMIT TO .... D zi?....... . . ...... :... ... .u!!'�.......................... r; TYPE OF CONSTRUCTION ... .FG� .......l�ra �.4...Q..........�5�..6 ...................................................... 7� 1C ! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . .,.y1 se..y�W..4...../? ....................... .L .;.. .............................�.Q� ....................... ProposedUse ....... Ile.M4..0..........Sh4-d._..... ................................................................................................. ZoningDistrict ....... ..r.........:..............................................Fire District .-0,07.'.r.............................................................. Name of Owner ....Address Bagels...a...$ . .................. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ........ .........................................................Foundation ........ . 'f /j............................................... Exierior ....................................................................................Roofing .................................................................................... Floors ...............................Interior .................................................................................... Heating. ..................................................................................Plumbing ..................... ..................�jo.................................. Fireplace .............Approximate Cost �. Q.Q.. ...................................................................... ........ ...^.................................. Definitive Plan Approved by Planning Board ------------------_-------------19________. Area 4./7.-Z..... Diagram of Lot and Building with Dimensions Fee ........... J.5........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH - t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi the above construction. Name .. ... .: ..................... Lloyd, H. G. III No ..P�.... Permit for ....��qve & repair ........................... s tor%e...sh!e4............................................ ................... Locatio ..........Vin....... ........................ Cotuit ............................................................................... Owner III H. G........................ ..... ........... Type of Construction ..........frame....................... ........... ................................................................................ Plot ............................ Lot ................................ Permit Granted February 24 75 Date of Inspection �7............... 19 Date, Completed ..............19 PERMIT REFUSED ................................................................. -19 ........................ .................. .................... . ................................................................ ............. . ................................................................................ Approved ................................................. 19 ............................................................................. ............................................................................... Assessor's map and lot number ............................... Sewage Permit number ` *7HE.r°�°,� TOWN OF BARNSTABLE EAUSTULE, 6 i " 9 BUILDING INSPECTOR am a' APPLICATION FOR PERMIT TO .. ..... .................... �.................................. TYPE OF CONSTRUCTION r ams!. ..........................l `''.........��.�j.��..........`............ ......................................... .... .............................19 . .. r TO"THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies for a permit according to -the =allowing information: Location ... � i !'1 ..', t" 1.I t !' ....................................... t Proposed Use ........ .....'.. ........ G .G .......... `?............................................................................................I......................... f.. .,�. icz Zoning District ...................Fire District ..C! + Name of Owner ....� aC'�'....: �,1 �r- . �..�. ::...... .Address .......���rr=' r /',�>1.� + _ .` a.. ... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......................................................Foundation fi Exlerior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..........................................................:.......................Plumbing .................................................................................. .0 Fireplace ..................................................................................Approximate. Cost ...41...... ..... J. ....: Definitive Plan Approved by Planning Board ---------------_-----_________19________. Area �n'.............� =.:..f.. �..... 4 Diagram of Lot and Building with Dimensions Fee ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardingtthe above construction. j l Name ....: ... ../.s ..-'- .......✓. ................... Lloyd, H. G. III (o�� No .. 17592 Permit for move.. ...& repa. .ir ... ......... .. ...... . .... - storage shed (moved from Sandwich) ..................................................................... ........ LocationfC ' Vineyard Road Cotuit Owner .................................yd................................. Type of Construction ...........fra............................... Plot ............................ Lot ................................ Permit Granted Fyebruary 24 19 75 .......... _ Date of Inspection J...............................19 Date Completed ..................................19 PERMIT REFUSED ............... ............................................ 19 ............./............................................................. ....................... ....................................................... � (06n;p6Approve ...................... ... 19 ............................................................................... ............................................................................... �ZNE WWWWA Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section I£Using A Builder I. Alice B. Lloyd , Trustee, Vineyard Rd Trusj as Owner of the subject property hereby authotize_ Peter Pometti/Al Enterprises to act on my behalf, in all matters-relative to work authorized by this building permit application for: 340 Vineyard Rd., Cotuit MA (Address of Job) I Signature of Owner Date Alice B Lloyd, Trustee, Vineyard Road Trust Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPF[I.E 0RMS%uildiagpcnnitfvims\EXPPYSS.doc Revised 061313 Town of Barnstable .' - Regulatory Services Richard V.Sca%Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508=790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ..,Elizabeth P. Hobson,Trustee, Vineyard.Road Trust,,as Owner of the subject property hereby authorize....P.eter..Pometti/AI"Enterprises -.to act on my behA ` in all matters relativel to work authorized by this building permit application for: 340 Vineyard Rd, Cotuit MA (Addtess of Job) _y y, Signature>of Owner Date Elizabeth P._, abe _Hobson,Trustee,_Vineyard Road Trust Print Name If Pro a Owner is applying' for ermi lease coin lets the Homeowners License:Exem Exemption Form on the. P rh',. Permit,P P. P - reverse side. QAWPFILESIFORMS\building permit for=\EX'RESS doc Revised 061313 _ fz. LOT 34 In LOT 25 BARNSTABLE PLANNING BOARD \ L Q PL 18194 - 0 L Q PL.18194 - M � 'APPROVAL UNDER THE SUBDIVISION CO6 DAVID C. MUGAR CONTROL LAW NOT REQUIRED - € D 7 CERTIFICATE 170138 DATE .- LOT\ 147 PEPPERCORN LANE LQPL18194- M �kg1 Q V N • ' Mae _ aL NOPPd�T �� W an ww w LL G PI. SWAY . L r DEEDED RK;FT7S OVER LOT 22 AS �' 0. I �NO WEIIIIIINGION INS S TOi M�BVICE WITH ZNINGWWWE 40 CROSSWAY L1C LIES WITHIN 300' AWW t�Ei+nFlCA 193483E i LAND COURT DOCUMENT ERCORN LANES a5-3371•18- E �°j1y3j FOR REGISTRY USE — — �,gti LOCUS MAP Seale:1'=2000' d0,+ 100.01 S 8536.58- E 528.58• GWEBAL NOM: I c I I 428 5 M ME L4 SIp�M ON 9NM M E ASSESSOR LAP 016 AS IMROEL W LOT 89 CURRENT ZOWJD AT IOCIS W L Q PL 11542 - 10 ObEiMr D67R1CTS I .�i IA, MOD-RE9DURCE NOT�CTbB OAEFI AY BMW 1 HEIM cam TINT 7"s PLAN MEW COTUIT VINEYARD LLC n m n AP-AOUFFR PROTECTION m TEES NUATIONS of DEEDS OF THE I MNMIN cTA71ENr REGIAAE118N1S CEIMCATE 20e73o �. I N PROPOSED' LOT 71 LOT t88 PEPPERCORN LANE TOTAL AREA: 144,499± S.F. I11r-4 L G PL 11542 = 8 MININU1 FmN - 150 INm WDn!- I IBVW AREA. 1,191 S.F. es�-s MINIMUM LOT ARFA:07.120 SGINRE FEET . > ID: EM-7 -CELE.N.KAGAN. UPLAND AREA: 143,308E S.F 3.3E Acres FRONT SEIM-3W SWE a REAR SETBACK 15' SIWNE N YALLON RPLS I z SHAPE FACTOR 21.6 tea DIF2 CERTIFICATE: IBM73 . MINA � THE=5 FRMIGE ILL BE NO FROM WEYARD ROAD LOWE LL THE=6 ACCESSES WWL BE TAIER FiDM WNEWID ROM 21 'ROAD LOT 38 m AHEM mm COW.>� w LAND COURT PLAN 11542-Z WEYARO I"iR a, / USA mmm LOT 43 Po BOX TOM it LAND COURT � 3'fe- �' COW..ML am -MMWA/ PLAN 11542-3 IhJ �lA D COURT MLE RAN 11512-I M7EM APRI 18� LOT 70 N 00 t8• WD COW PLAN 1150-3�DATED:,ARE B 1901 00 LQPL11542 - 10 LOT 70 U.C. W W .� LC.FL 11542-Z CERTIFICATE 208739 rN W ,� LG PL 11542-2 `D PROPOSED LOT 1� ," ` 4T - LG PL 115" 188 PEPPERCORN LANE I C :m AREA: 108,085E S.F. 2.5E Acres NO SHED �� LLt C IL 11542-8 I Er Est LC.PL 11542-10 Z 'o EfOSTING « ` 3 LC PL 18194-L Z DWELLING J _ LC.PL 1819" _ 134p / � _ _ _ � � ?' / L t.PL 1819", / \\ \ ��� n -FASaEFIF 05-16-0 -DOCIAENf 13=1 j� v!, �STING SHED \ � S'WE CAPE a WEYAAD ELECTRIC CO,a NW BRAD 7EI.E WDW' AND TELEGRAPH CO EASEMENT -RCHf aF 1EAY 02-08-70 -DOL'UENf 138,491 RIGHT OF WAY N CUM OVER LOT 40 SHAPE'FACTOR 19.4. \ // KnMD DOMEA7DN I.C.PLAN iPEWOIBm BY BAXTER ME,NC.Aft 18,2014. LOT O f f FLOOD ZONE 11FONATI@t L Q PL 11542 3 . I "�zes' / tack 6 NAPPED ON PANELS 25=1 0752 J e 25=1 0754 J BOTH HATED JUY 1&2014 AND APPEARS m tE W@N ZONES AE(ELJIj ZONE X(SIAD j' LLOYD. NINA W., JAL4ET:s. GEORGE W., HELE N H.W. N - -. - AND ZONE X(W-SHADED) � PROPOSED LOT 73 , N aF 04 l EltnFICATE 19o4O8 1 &RING SI:Iaw Smim ARE IEASUAFD V ABQME GRADE TRIM CORNER BMW 42 BAILEY,ROAD '�, c°ba AREA: 90,285E S.F. 2.1E Acres { � �� v ME . SHAPE FACTOR 18.4 / �� SHANE �� APPROVAL NOT REQUIRED PLAN Redlvidl Lot 38 Land Court Plan 11542•Z $ n9 LEGEND: - `� � 9ALLC iN &Lot 43 .Land Court Plan 11542.3 svMlfaL . CmjmA7KN q �: O.486-..87 COINICNETE BOUNDv a � CONCRETE�IM OW N 0 SB ETA BOUNDSM (2)UNDERGROUND TELEPHONE TELEPHONE MARKER I, \ `� ' 9: t<` 34O VINEYARD ROAD ♦ SIX STAKE CABLES w SEE L C. PI. 11542-3 I ♦ MAC MAGNETIC SURVEY MAL LOCATION PER INSCMP71CN ON SEE DEGL 10 TELEPHONE / \ CONK,MA COTUII'FIRBDISTRIC r. FD NOT,FOUNDF TELEPHONE MARKER PLAQUE RIFAW MR cSET N 8421.30• W 3s6.es• , MAR1fEO"RE Vineyard Road Trust Rcoo BAXTER NYE ENGINEERING&SURVEYING do / Rem PN9f2881IN18I . t \ rvWm 78 Saint�3id Fl amens,MmwhasM 02601. 'E' Q Phone-(509)771-7502 ' Fax-(508)771-7622 � 1 IFw-8• IFw-� Ca �. 100 0 60 200 IFW- mimmmw IFW-6 IA COMFY ACCORDANCE WM THE LAND ND �N `ti �a iFw-S qb} / SCALE IN FEET \ LATE 05112116 IFw-1o' OR BETWEEN DECEIIBER 2,2015 AND DEYf1�R A 201& ' � W \�g.N, . IFW-4 2 SCALE 1' 100' ■I�W IFW-11 � AIL '� �f• IFW-3 _ R NO. Nfr Nwr REMAW dAA9D NNAE'R REDISIE'RED PROFESSIONAL LAND SUR&= DATE ..NIL Ak IN-2 �.\2015\M\SURWAwksht\2015--095LCdwo \ / 2015-095