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F - ,. . �. _ � - -tc f EVE Town of Barnstable Regulatory Services * IMMSTABLE, Mass g Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 11, 2011 Sunriver Builders Daryl Shumway 202 Marion Rd. Middleboro, Ma. 02346 RE: 22 Collins Ave., Centerville Map: 190 Parcel:-086 Dear Mr. Shumway: This letter is in response to application number 201103954 to finish the basement at the above referenced address. The construction documents submitted are incomplete because compliance with headroom and ventilation requirements are not provided. Based on a phone conversation it is my understanding that the headroom would be less than six foot five inches at the duct work system. Based on this information your application is not approved at this time and we are unable to issue a permit. Respectfully, 4e L. Eon— Local Inspector (508) 862-4034 Q:zoning5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel _Application # Health Division Date Issued Conservation Division Application Fee 44, Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 7 Historic - OKH Preservation / Hyannis l Project Street Address Cat<k'sn 1 C',te'y` Village '}N-s -e. Owner h 11^ (�<<� Address O� ��r��, - C e (.�•S t�KC�� tr�v, 1c'. INtA- i. eA Telephone Permit Request T dakfah i tk tip���/ �i t�� �-1-.'EP✓i 6�✓ C I f/► 4 . Square feet: 1 st floor: existing proposed 2nd floor: existing propose Total new Zoning District P( (�n Flood Plain Groundwater Overlay P.coject Valuation 36,°'o`er Construction Type ( waire-- Lot Size a R supporting documentation. Dwelling Type: Single Family — Age of Existing St icture ? r`- '- 's Highway: ❑Yes ❑ No Basement Type: u 1f---- / Basement Finished Areas -E-{fvADR!D° ? i.ft) �® ( q- 0 F -D M -T ACA °_A—K new Number of Baths: Full: exist_ _�.--_----- Number of Bedrooms: LOWS C,H �Qm Count Total Room Count (not incluc -=_-- - Heat Type and Fuel: L� �St�} g12y !/ Central Air: �Oes ❑ No - * /co l stover ©Yet,❑ No Detached garage: ❑ existing ��- - �� existing 4❑ new Vie_ Attached garage:,I�existin ` — Proposed Use 1: , ,�w. CA S�' ?ERMIT PAYMENT RECEIPT a. AWN-OF-BARNSTABL-E - '�ILDING EPARTMENT APPLICANT INFORMATION 0 MAIN TREET ANNIS, 02601 (BUILDER OR HOMEOWNER) E: 07-27/11 < , 12:50 _ Telephone Number i---------- ---TOTALS----------------- 1 T $ PAID 50.00 License # S �: Home Improvement Contractor# /��Zr � , �NDERED: 50.00 v R I PLIED: 50.00 , / Worker's Compensation # t173 -®36741c) TION NUMBER: 201103954 REFH, HECK ING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Town of Barnstable Building Department - 200 Main Street BMWSTABLE, Hyannis, MA 02601 MASS 1639. , (508) 862-4038 rFv nna'�°i Certificate of Occ" upancy Application Number: 88309 CO Number: 20060158 Parcel ID: 190086 CO Issue Date: 12104/06 Location: 22 COLLINS AVENUE Zoning Classification: RESIDENCE D-1 DISTRICT Proposed Use: VACANT Village: CENTERVILLE Gen Contractor: CURRAN, PHILLIP Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: l2 /off Buddi ep rtment Signature Date Signed TOWN OF BA.RNSTABLE -. BUILDING PERMIT PARCEL-,11) 190 088 GEOBA.SE ID 11248 ADDRESS 22 COLLINS AVENUE PHONE CENTERV I LLE Z I T? _ , LOT F3 BLOCK LOT SIZE DSA DEVELOPMENT DISTRICT GO� PERMIT 88309 DESCRIPTION 4 BDRM SIN FAMZATT GAR DECK PERMIT TYPE BUILD TITLE NEW RE IDENTIAL BLDG Pt4T CONTRACTORS CURRAN, PHILLIP Department of ARCHITECTS: Regulatory Services TOTAL FEES- $1, 194.10 BOND $.00 dF CONSTRUCTION COSTS $283,440•00 , �► 1 Sl: iGLE FAiM HOME DETACHED I. PRIVATE snRivscA6>IE, MAM 1639. BUILDING DIVISION , BY - DATF,,T SSUED 11/3.0/2005 EXPIRATION DATE J { THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. JiLM010216--sent 2-10§EEfl=j-j j:j 43 gnus BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS u� � � 4�2rrC• =1,,. 1t earic 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT v i!l Kk o ohs / OF HEAL H' OT ER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. U � � `pfTHETp��p� The Town of Barnstable BARE. *MASS. A r Department of Health Safety and Environmental Services Y i639. �0 pTFOMP�a Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice i Type of Inspection r'nu. I Location C) iu-s Ay-s— Permit Number 0 7 Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: ti Please call: 508-862-4038 for re-inspection. Inspected by I R Date 1 �l0 °F1HET°��� The Town of Barnstable BARNnABLE. Department of Health Safety and Environmental Services 7 MASS. $ P �J i639- �0 prFo Mpg' Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice , Type of Inspection 1'r nG i Location S. AV-e. Permit Number 3 Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: rD IJetk max spa.. 2x`3 16"9"t lip 6, c.., Please call: 508-862/-4038 for re-inspection. Inspected by 1 -- Date p`pF THE�p�p The Town of Barnstable - - '• BARNSTABLE. Department of Health Safety and Environmental Services 7 MASS. 0 prED M Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �N C\r- t d a >n Map/Parcel: 1 �I 0 6 t (p Project Address: 21 Cry l I V S NV e- Builder-() t l i ,O l 'l )y r q Vl The following items were noted on reviewing: C,c� . 2. Pr()t111 �-'0- C,olIaY Ie- I vry 1-i ra (+ -/4 k o� J (2-ck'ZM 4 (2-1 c 2 h -�e -�J Drov t t >r -e C (2' !� e Q SI n a CnU 5 Reviewed by: Date �Jl] q:building:forms:review Iry TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ® Parcel. ©�� `� Permit# FS Q �f Health Division .= �' 2�`°S—' il6k Date Issued- ( - j L Conservation Division Lt D 5 Fees�9 Tax Collector re 0 D �Q Treasurers e �S1P4 Planning Dept. CheClted P�co?WPLI -f. ES Date Definitive Plan Approved by Planning Board �A5 -7 A��`p o e wly; L A..::�s �, 4 t� I h9a �E'—c u2 U( �P ^, � � Historic-OKH' Preservation/Hyannis S �frL II Tf Project Street Address a n 1�-n I L Village Ip Owner %o ddress Ir�2,� 2_ Telephone 3 s3 6 Permit Request f A Ol 6 et kA)00 Square feet: 1stpoor: existing proposed 2nd floor: existing o proposed Total new—in—Tt Valuation ,%b 000 Zoning District Flood Plain C Groundwater Overlay NO Construction Type ry, Lot Size 12, 3 00 q 'f. Grandfathered: es ❑ No If yes, attach supporting documentation. s= Dwelling Type: Single Family C]' Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No . On Old King's Highway: O=Yes 7❑ No Basement Type: ®'Full ❑Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 1' Half: existing new Number of Bedrooms: existing . new Total Room Count(not including baths): existing new /0 First Floor Room Count Ft eat Type and Fuel: M Gas ❑Oil ❑ Electric ❑Other e t yp _ Central Air: 2/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 'BUILDER INFORMATION Name KIA. 1t y ��` � Telephone Number Address License# 0 3 °?S 6977 b Home Improvement Contractor# Worker's Compensation# Li1G . bb ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I f _ FOR OFFICIAL USE ONLY s' . . MIT NO. DATE ISSUED p ' MAP/PARCEL NO. ADDRESS VILLAGE " OWNER DATE OF INSPECTION:FOUNDATION fir!��o'S� 0 p k- FRAME 1�s//'® 060 ale INSULATION `� / '® (o PIZ- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL F. r ay 1 GAS: ROUGH FINAL FINAL BUILDING 0 O6 yl0(4 DATE CLOSED OUT ASSOCIATION PLAN NO. ' • ti RESIDENTIAL BUILDING PERMIT-FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of ContractorBuilder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 2 4 4 D�-, square feet x$96/sq,foot=2.3 S x.0041— plus from below(if applicable) —' ALTERATIONS/RENOVATIONS OF EXISTING. SP�,,CE. — --...----------- square feet x$641sq,foot= x.0041= plus from below(if applicable). QARAGES'(attached&detached) -0 square feet x$32/sq.fL_ 4 3 Z x.0041= 7 S . S ACCESSORY STRUCTURE>120 sq.ft. Ld 3 4 >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) 6� Deck �_x$30.00= �d (number) _ Ga Fireplace/Chimney �_x$25.00= 2 S (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee :.1.O ° u e u c c Western Surety ° n u , u n u n u G LICENSE AND PERMIT BOND F For County, City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. il u KNOW ALL PERSONS BY THESE PRESENTS: BOND No. L&P•4 .19 e6 97 Thatwe, Phil. Currn Builder Inc. of the i'own -of of Dennis State of Massachusetts , as Principal, ll and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Massachusetts , as.Surety, are held and firmly bound unto the Town of Barnstable , Stateof MaGgachnsettG , Obligee, in the amount (Valid only when a County,City,Town or Village is named as Obligee) of One Thousand XXXXXxxxxxxxxxxxxKxxxxxxxxxxxxxxDOLLARS ($_1 .nnn _nn ), (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed Street Opening 22 rol 1 i ns , Rarnstable, MA by the Obligee. NOW" H 7rRF FORE, if the Principal shall faithfully perform the duties and.comply with the laws and r "P ordinances•(mgluding all amendments), pertaining to the license or permit, then this obligation to be void, olIz�v�ise to, ein u1n full force and effect for a period commencing on the 1 a t h day of �, ct°ober .4. 2005, and ending on the.lath day of + �O c t n h P ram'i " o n n Fn F , unless renewed by continuation certificate. jThisbo ray be�� rminated at any time by the Surety upon sending notice in writing to the Obligee and to {the p I, n 'c,��e��of the Obligee or at such other address as the Surety deems reasonable, and at the expira- tioTk4'Ufi ty i� e' ®(;3'S) days from the mailing of notice or as soon thereafter as permitted by applicable law, whic is bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this i a.t r, day of--gE t-o e .n 5 Drincipal Principal Countersigned WESTERN SURETY E T Y C O N Y F TG • f• By By o Resident Agent President ACKNOWLEDGMENT OF SURETY STATE OF.SOUTH DAKOTA i ss (Corporate Officer) P n f F County of Minnehaha G n On this day of ,before me, the undersigned officer,personally b appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer,being authorized so to do,executed the foregoing ; instrument for the purpose therein contained,by signing the name of the corporation by himself as such officer. ; IN WITNESS WHEREOF, I.have hereunto set my hand and official seal. n SD. KRELL S NOTARY PUBLIC R 8 $FAT' SOUTH DAKOTA SEAL Notary Public, South Dakota My Commission Expires 1 13 0-2006 1 Western Surety Company • 101 S. Phillips Ave. r Form 849A—2-2001 +Go"%6)"'OG We-- ` �y +, Sioux Falls, SD 57104 9 1-605-336-0850 ' F F il F ACKNOWLEDGMENT OF PRINCIPAL il (Individual or Partners) u STATE OF n F ss y F r County of ' F il n ' On this day of ,before me personally appeared r F il i r " 6 F D G il F il n known to me to be the individual— described in and who executed the foregoing instrument and F , n F acknowledged to me that_he_ executed the same. Fr il My commission expires Notary Public . - t ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. My commission expires Notary Public r r F �r n F 0 1�1 F CLfA' n F n n r F n V W F a r F I�i Fri V] r n D 1 Z °' F a n a rn 1 r ce , z z -1 0 fi a i r u Affidavit of Substantial Financial Interest Cf'CRIV\ of�1 �rr�� YU 1.4,M�&r'), , on oath depose and state asfollows" 1. 1 am an applicant for a building permit for the property located at MaD Parcel The address of the property is L14-If V_- 2. 1 have o % legal or equitable interest in the real property which is"the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is 2-1 'z� , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name ' Address S1. ens��n W rN J at , og?3 the from toda s date, which is of �-1 6�1 have had 4. Within the last twelve months, y' a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel - — Address • 5. Within this calendar year, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest.. 6. Within the last ten days, I have submitted D building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted d building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received C7 building permits for property in which I have a 1% legal or equitable interest. perjury, this2l da of t , 2001� Signed under the pains and penalties of p j ry, y 2oo1-oo5o/affin 1 Q/LOTTERY/AFFIDAVIT Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheckSoftware Version 3.4 Release I Data filename:C:\Program Files\Check\MECcheck\Curran-22 Collins Avenue.cck TITLE:New Residence CITY:Barnstable STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: l-or 2 Family,Detached - ----, HEATING SYSTEM TYPE:Other(Non Electric Resistance) DATE:09/07/05 DATE OF PLANS:09/07/2005* PROJECT INFORMATION: 22 Collins Avenue Centerville,MA 02632 COMPANY INFORMATION: Phil Curran r COMPLIANCE:Passes Maximum UA=438 Your Home=405 7.5%Better Than Code Gross Glazing Area or Cavity Cont.. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1384 30.0 0.0 48 _ Wall 1:Wood Frame,16"o.c. 2521 131.0 0.0 179 Window 1:Wood Frame:Double Pane.with Low-E 245 0.330 81 Door l:Solid 58 0.310 18 Door 2:Glass 40 0.340 14 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1384 19.0 '0.0 65 Boiler 1:Other(Except Gas-Fired Steam),84 AFUE 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 MECcheckVersion 3.4 Release i a and to comply with the mandatory requirements listed in the MECcheckInspection 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 the design load as specified in Sections 780CMR 1310 and J4.4. 1 } 92. el BOARDOF BUILDING REGULATIONS License CONSTRUCTION SUPERVISOR r+ NUm'be� CS I �.. _ 003751 + t° + y_ Eves 06f25/2006 'Tr..no: 26581 estr ted PFitLLIP'E CURRl�N f `, PO;BOX 3 ` ,# Gommis +t 1 �ptF1E l Town of Barnstable ° Regulatory Services BARNSfAB° I'a' ' Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 - Property Owner Must' Complete and Sign This Section If Using A Builder A-I,rnd%� as Owner of the subject property hereby authorize Phillip Curran to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:FORMS:OWNERPERMIS SION AI;110:11® ER7F �►TE :F [ RAtE DATE,MM\D�;YY) —11-05 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ROGERS & GRAY INS AGCY I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 434 ROUTE 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 160 SOUTH DENNIS MA 02660 COMPANIES AFFORDING COVERAGE COMPANY F 26FXY A HARTFORD UNDERWRITERS INSURANCE COMPANY INSURED COMPANY BOLTON, BRIAN B 63 BARNACLE RD COMPANY YARMOUTHPORT MA 02675 C COMPANY D COVERAGES 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 NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM\DD\YY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE F1 OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ 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 S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ................................... ..................................... .................................... ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND STATUTORY LIMITS EMPLOYER'S LIABILITY (UB-7254B64—A-05) 02-23-05 02-23-06 EACH ACCIDENT $ 500,000 THE PROPRIETOR/ INCL 500,000 PARTNFE=ECUTIVE DISEASE—POLICY LIMIT $ OFFICERS ARE: RX EXCL DISEASE—EACH EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECULL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER, AFFECTING WORKERS COMP COVERAGE. IEI,Lf1'F.tO :...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 I PHIL CURRAN BUILDER INC LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR P 0 BOX 3 WEST DENNIS MA 02670 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 13D 2:5 S:.3/g3) ..::; :.. :.. SAC PORATJ .1 9 ' CERTIFICATE OF INSURANCE =DATE(MMIDDrfY) FWDUCER TM9 CERTIMCATE IS ISSUED A5 A MAT TER OF 11V1,i ORMATION ONL Ah'P Beuson Young&Downs Insurance DOss xoTNFEM N��UPON THE w IM nM CCOV MTORDa�BY THE w'. Agency Inc POLICIn Z= 49 Main Street COMPANM5 A7P' ORDING COVERAGE West H&mdch, MA 02W. rum Manley B Boyce COMPANYLvrm A AlM. Mutual IILSurance Co Q O Box 209 South Dennis, MA 02660-0209 COVERAGES THIS IS TO CERTIFY THAT THE POT<ICM OF MURANCE LISTED BELOW HAVE BEEN 1SSURA TO n`IE Z URED N jQW-V 8 THE POLICY PERIOD INDICATED.NOTwrrH3TAK=G AA''4'TMQU= ?aN ,TF.Rlv1 OR CONDITION OF ANY CON I ACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTMCAT9 MAY RE ISSUED OR MAY PERTAIN,TT NSEMANCE AFFORDED BY THE POIICTM DE$(BiFiLD HEREIN 13 SUBJECT TO ALL T2E THRLL9, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIAH'I'6 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAms, CO C+(ri tCY E 9nCUVE 4ULICv zXpll ATi L TTtP&OFLw61�t4NC$ PaIdCY�'QAS68R DATH(MbUCWM DATE(WMDNY) LDdm GEKOLAZ '(Y I 009"AGGREGATE S MIv> IAL GI NNML UASIUTY --T U X'r-00h PLOP AGC+. S h=E=:]0C= PUWVAI.&ADV.IWL&Y $ w=G $do WK&A CY011 PART. EAG'R OCCU"4NC3 S I _ fDtII DAW1G6(MymxBea) ; $ iJbhP.WM(Agftmov.4 Arromomr,LUBD:'1TV COOTKED SINGLE ANVAUTO LMT S ALL O V A'Sa AUTOS aoniLY mU{JRY I E ,MD[A ED ATOS ft PON" HIRED AUTOS NXnLY nimy VZWNEDAUTOS I uddL4U s OARAGg ljQl LrN PROMTYDAMA08 S EXCESS IJcABILIrY9 ai octuaAs+ce S MURR&A Fmm fY:4CrATE S fiR THAN UMBRELLA LA FORM ORIMR'SCMMWUTIONAkW A `� ygt$+Y E&EM rr A 70099MO12004 10/M=04 10/0 MOS EACKACCINM s 1Qp,000 AI=ASE-?OLJCY umrr $ Soo o00 FE cm&M, HIM= DIS6An sAoi T►{PLOYS& S Q=m I DESCRMION OF 0FE9ATlQW4AC&TjO"9VEIDcT $Q&L ITEM., MRTIF'ICATZ HOLDER CANCELLATIQN SHOULD ANY OF ME ABOVE tMSCRMW POI.TCMS gs CANCELLED SEFOU nM PHIL CURRAN BUILDER, INC. WIRATION DATE THMEOF, TEE ISSUR Q COMPANY WILL FWDEAVOF TO MAIL 10 DAYS WRI'rI'EN NOTICE TO TH5 CIrRTTCTICATE HOLDHR NAMED T4 THE LEFT,BUT FAILU=TO MAIL SUCH R'OTICE SHALL ASPOSE Nro OBLIGAnoN QR P.O. BOx 3 LIABILITY OF ANY KIND UPON TRV WMPANYI M AGENTS QYt REPR&SLVT,r,TTVBS, AU7HOII=RUFaMMATIVE i WEST DENNIS,MA 02670 Apv-Ub-Un' U.7i:U'&f-^ OATE(MNJDDIY'1YYI ABM CERTIFICATE OF LIABILITY INSURANCE a 6/2015 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McShoa insurance HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELCMI. Osterville,. Ma. 02655 .508-420-9011 INSURERS WORDING COVERAGE I NAIC# .. , INS A&E Concrete Forms, Inc . INSURER A: WOrceStAY Iaaurauce Company RED' , INSURER B' Amerjean International COIM a iea 32 eeneral Holoway Rd. INSURF..kC: _1 South Yarmouth, Ma 02664 WSURERD: ;508-104-9046 INSURER E: i COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTA1ITHS7ANDIN 3 I ANY REQUIRCMENT,TERM OR CONDITION CF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED Oft 1 MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUC I POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIL)CLAIMS. INEF.'�►DD'L '' PpL'CY EFF��DIVE t' ICj=1IRATI(1N LTR NERD TYPE OF INSURANC POLICY NUMBER Dh7C MMJ SPI TE I ND /Yv LIMITS OtNEWSL i.IABiLITY I i EACH OCCURRENCE S i r OOO .000 GF TO R[N7L X COMMERCIAL OLNEHALLIARRITY is _500, .!290 1 CLAIMSMAOF X,GCCUR MEDEX,N(Anvonapewn) _ S U MvD A 1TBI 04/04/05 I 04/04/06 141460NN_8_ADVINJURY 5 1,0 ,OQo GENERAL ACGHtOATE... is 2 L000 ,000 .GENLAGGREGAILLFMITAPPiIES PER:� I(f.PkODVMSICONP/0'?AGG IIS 2 600 �Od4 POLICY ) I IOC ) I I AUTOMOBILE LIABILITY, COMBIN6DSINGLCDMIT t--I ANYAUTO fFa...G..... ! ALL OWNFDAU705 BODILYINJURV S 250 ,000 L X SCHEDULED AUTOS fR A ]I,1 HIREDAUTO& TBI 104,04,05 04/04/06 I BODILYINJUII ! 500,000 X NON-OWNtDAUIOS I fPG18CtitletllJ ! . I PROPERTY DAMAGE{Persedden ! 100,000 q t GARAGE LIABILITY i AUTO ONLY•EAACCIDFNT $ ANVAUTO OHAN EAACC 5 UTOON AGG 5 i CXCESSAlNaRELLA LIABILIIY FAGH OCCUHRENC,.E-- S _ OCCLM CLAIMSMADE I ACCRECATF. .. ..- — ! ... HDEDUCTIBLE IRETENTION S TA WQRKLRSCQN1t'ENSRTK7NAPiD I X. OTH- TORYLIMITS 1 ER CMPLOYERS'LIABILtTY TBI 04/04/05 04/04/06 jr-C.L.CACH ACCIDENT $ SO0 000 ANC'PRO(IF�4FTOiUPARTNERlEXECUTIVE ]l 0rr16twu0NhfR(XCIVI),01 E L DISFASF.FA FNPIOYE S 500 000 lip Ea S PEC IAL PROVISIONS WOWE.L.DISEASL-POLIS Y lltli ! 500,000 OTHER i I i ffSCRIF%nON OF OPERATIONS)LOCATIONS lVFticLEY 1 EXCLUSiONS ADDED RYF.NDORSEMENT/SPECIAL PROVISIONS =� I I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE t:ANGbLLkU BF7.0RF THF.E:tPIRATIO 1 : pkxil Curin Builder Inc. DATE THEREOF,TIIE ISSUING INSURER WILL ENDEAVOR TO MAIL10 UAYS YIRITTFN P.O. Box 3 NOTICE TO THE C&PTIFICAT6 NOLDSR NAMED TLI THE LEFT,BUT FAILURE TO DO c0 SHALL W Dennis, Ma. 02670 IMPOSE NO OBLIGATION OR LIAN1.117Y OF ANY KIND UPON T14E INSURER,ITS AGENTs OR REPRESENTATIVES. I 5 0 8.3 9 8-8 9 2 6 f am riTHOR17Fr)RPPRF$F.NTAt!VF I i ACOR025(20D1108) V ACORD CORPORATION 1988 � I Client#: 6997 ROBERTBOUR CERTIFICATE OF LIABILITY INSURANCE ,Z;o„4°"Y' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Feitelberg Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 222 Milliken Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES -BELOW. P.O. Box 3220 Fall River, MA 02722 INSURERS AFFORDING COVERAGE INSURED INSURER A: Acadia Insurance Companies Robert B. Our Co. Inc. INSURER B: Construction Industries Compensation _ 24 Greatwestern Road INSURER C: P.O. Box 1539 INSURER D: N. Harwich, MA 02645 -- -- INSURER E: 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. INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MWDD/YY DATE MMlDD/YY A GENERAL LIABILITY CPA1301Q913 12/01/04 12/01/05 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $250000 CLAIMS MADE u OCCUR MED EY.?(Any one person) is5,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE 1$2,000,000 GEN'L AGGREGATE LIM IT APPLIES PER: PRODUCTS-COMP/OP ASS $2 000,000 17 POLICY x JPEC JECT X LOC A AUTOMOBILE LIABILITY MAA130144013 12/01/04 12/01/05 COMBINED SINGLE LIMIT(Ea accident) $1r 000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) I$ X HIRED AUTOS BODILY INJURY $ X' NON-OWNED AUTOS (Per accident) I PROPERTY DAMAGE (Per accident) I$ i GARAGE LIABILITY AUTO ONLY-EA ACCIDENT Is_ OTHER THAN ANY AUTOEA ACC I AUTO ONLY: ASS j$ A IEXCESSLIABILITY CUA130142913 112/01/04 12/01/05 EACH OCCURRENCE $10,0'000 OCCUR CLAIMS MADE AGGREGATE j$1 O 000,000 $ DEDUCTIBLE _ RETENTION $ —I$ WC STATU- OTH- B WORKERS COMPENSATION AND WC0008554 101/01/05 101/01/06 LX MORY LIMITS._.__ER.-1 EMrLGYERS'LIABiU'IY E.L.EACH ACCIDENT $100,000 E.L.DISEASE-EA_E_MPLOYEE $100,000 _ E.L.DISEASE-POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Excavation Contractor, Septic and Water Main Installation, Concrete Manufacturing CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Phil Curran DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3D_DAYS WRITTEN P.O. BOX 3 NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT,BUTFAILURE TODOSOSHALL West Dennis, MA 02670 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. WDPRP ENTATIVE ACORD 25-S(7/97)l of 2 #S64963/M64797 CL3 © ACORD CORPORATION 1988 AC®RD- , CERTIFICATE OF LIABILITY INSURANCE OP ID s DATE(MM/DDIYYYY) MORRI-1 1 03 29/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Edward J. McGrath Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 1003 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dennis MA 02638 - Phone: 508-385-2454 Fax:508-385-5991 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Commerce Insurance dmipany . INSURERB: CNA/Western Surety Robert Morrison INSURERC: 49. Melville Rd INSURERD: S Yarmouth MA 02664 ( INSURER E: PAXl1 t 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER 0 I C EF IVE POLICY EXPIRATION DATE MMIDD/DDIYY DATE MM/DD/YY LIMITS GENERAL LIABILITY s EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY XJ3386 05/24/04 05/24/05 PREMISES(Ea occurence) $50000 CLAIMS MADE "'J OCCUR MED EXP(Any one person) $5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2000000 POLICY 7 PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ - NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO FA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER B EMPLOYERS'LIABILITY 16S59UB820X770004 12 2p ANY PROPRIETQRiPARTNERlEXECUTIVE / /04 12/20/05 E.L.EACH ACCIDENT $100000 OFFICER/MEMBEREXCLUDED? E.L.DISEASE-FA EMPLOYEE $ 100000 If yes,describe under SPECIAL PROVISIONSbetow E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION PHILCUR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Phil Curran Builder Inc.PO Box 3 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR W. Dennis MA 02670 REPRESENTATIVES. AUTHORIZED REPRESE TI t E.J. McGrath Insurance A enc ACORD 25(2001/08) ©ACORD CORPORATION 1988 I I'IHK—�4—G1!]b7 lb:3y KULatKS ZS UKHT,l.Ul'lll LIINt5 1--WJ0J7t3Je4G t-.l-1l/Uz ClIentO.38690 CALD51,111 'ACORD,. CERTIFICATE OF LIABILITY INSURANCE o�se o�R""""I mopudeR IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ropers&Gray Ins.AOency,Inc ONLY AND CONRRS No Ri4HTS UPON THE CERTIFICATE ND,EXTEND OR 434 Route 134 ALTER THE +COVESRAGE AFFORDED BY TS CERTIMATE DOES NOTHEPOLICIES BELOW. P.0.Box 1601 South Dannio,MA 026BU-1601 INSURERS AFFORDING COVERAGE NAIC M � IHsuRED INSURER A: LlbertY MUtUPI WIC P001 ' Brian S.Caldwell&Stephen Boyson INSURER A. dba Brian Caldwell Electrician INSURER C: 41 Huckleberry Path INSURER D: Harwich,MA 02OU INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 155UEP TO THE INSURED NAM90 ABOVE FOR THE POLICY PERIOD MPICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH R69PECTTO WHICH THIS CERTIRCATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLIC16S DFSCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS.E)(CLU510NS AND CONDITIONS OF SUCH POLICIES.AGGREGAII:LIMITS SHOWN MAY HAVE BEEN R9tCUCEO BY PAID CLAIMS. LTR S TYPE OF INSURANCE POLICY NUMBER PnATE III OLICY EPr PO CYt7IRWO1 LIMITS GENERALLY EACH OCCURRENCE S COMMERCIAL GENERAL LIAMLITY OA GE TO RENTED 5 n CLAIMS MADE 7OCCUR MIED W(Any Qm permn) fi PERSONAL L ADV INJURY 5 GENERAL AWMATE S GEN%A0EG 0RATE41 MIT APPLIES PER: PRODUOTB•COMP/OP AGO S ?OLICY j { L6C AUTOMOBILE UABiL1TY QW81NED SINGLE LIMB' S ANY AUTYS (En atdtllflt) ALL OWNED AUTOrp +30DILY INJURY SCHEDULED AUTOS (Pe'pv) S HRM ALTOS $C04Y:INJURY $ NON-OWNED ALTOS (Per"dme) PROPERTY CAMA13E S (Pe;$Odom) GARAOI:UAIRLITT AUTO ONLY-EA ACCIDENT 3 ANY AUTO. O1WrR THAN EA AgO $ AUTO ONLY AGO S EXCESSNYBRELLA LLABILTY EACH OCCURRENCE $ OCCUR OLAIM6MADE AGGREGATE S OEDUCTIHLE i A TENTION S S A woRKE1i compswATRHVA►A7 WC531S3"2W14 11/25/04 11/25105 0T COVE"LmLrry E L.EACH AOOIDCNT s100 uuu OFFICRDPR tMEMBERR Exq.UDED7 ECUPIYE El.DISEASE•EA EMPLOYEE 5100 000 PROVLSMS Melva nye�detct+6a El DISEASE•POLICY LIMIT e100 000 sPECU,L OTHER DESCRIPTION OF OpiRATIONE!LOCATIONY 1 VEHICLES 1 E=LUMONS AMD 6Y EMS 0FVJ94T1 51PEC9AL PROwBION5 "Supplemental Name" First Supplemental Name applies to all policies.Brien 8.Caldwell First Supplemental Name applle9 to all policies-Fifet Supplemlental Name applies to all policies-:Stephen (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ARM DEECRIND POLI028 BE CANCELLED 1100 (THE E%PIRATION Phil Curran SWlders,Inc. DATE THER90F,THEI$SUMKJURERVALL ENDEAVOR TOMAIL jfl oAYaWRITTEN P.O.Sox 3 NOTKZ To THE CUWICATC HOLM YAMED TO THE LEFT,Bur PAA009 ro 00 SO SHALL West Dennis,MA 02670 IMP NO ORLIGAYION oR UABIUTY OP ANY HIND UPON THE INSURER,ITE AGENTS OR REPRPSENTATIVO, A(IWORIM REMNNTATIVE Oka, 41&sw�asm ACDRD 20(2001108)1 Of 3 *15067 WOB G ACORD CORPORATION 1988 Client#,581245 2HARWICHHE ACORD,. CERTIFICATE OF LIABILITY' INSURANCE 04106105�) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling &O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St:PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED - INSURER A. Ohio Casualty Group Harwich Pori Heating&Cooling Inc. INSURER B: Safety Insurance Company 461 Lower County Road INSURER C. Guard Insurance Group _ Harwich Port,MA Q2648 INSURER D: INSURER E: 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 MAYBE ISSUED OF. 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 NAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICYEFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MIDDNY DATE MMJDDlYY LIMITS A GENERAL LIABILITY BLOO552878849 09101104 09101/05 EACH OCCURRENCE $1 000 000 )( COMMERCIAL GENERAL LIABILITY PREMI ES i RENTED S100 000 d CLAIMS MADE X I OCCUR - MEO EXP(Any Dna person) £1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000.000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO s2,000,000 POLICY JEC LOC I B AUTOMOBILE LJAEILITY 3150304 09/01/04 09101/05 COMBINED SINGLE LINK ANY AUTO I(Ea accIder l $1,000,000 ALL OWNED AUTOS - BODILY INJURY $ X SCHEDULEDAUTOS (Per persae) X HIRED AUTOS I BODILY INJURY X NON-OWNED AUTOS I (Per awdwl) $ PROPERTY DAMAGE $ (Pa'ac6de;u) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO _ OT}1ER THIN EAACC S AUTO ONLY: AG^u $ A EXCFrSAJMBRELLAUABIUTY BX00552879949 09/01104 09101/06 EACH OCCURRENCE s2,000,000 X OCCUR CLAIMS MADE I AGGREGATE s2,000,000 DEDUCTIBLE - $ X RETENTION $10000 $ CSTATU- oER C WORKERS COIIIPENSATIONAND IHAWC538646 O9101/04 09109/05 W RY EMPLOYERS'UABIUTY ANY PROPRIETORIPARTNERIEXECUTPJE E.L.EACH ACCIDENT $SOD QOO OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500 000 IF yes,describe under SPECIAL PROVISIONS bBlow El DISEASE-POLICY LINK s500,000 OTHER a DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES I EXCLUSIONS ADDED BYENDORSEMENT I SPECIAL PROVISIONS - Operations performed by the named Insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Phil Curran Builders DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL in DAYSWWTTEN PO Bo)(3, -' ' NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL West Dennis,MA 02670 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIMO R PRESENTATIVE i.+awur .ac14�m ACORD 25(2001108)1 of 2 #37832 o LS1 © ACORD CORPORATION 1988 DATE(MM\DD\YY) S CERTI FICA T:E :OF !NS RANCE . 03-08-05 ........ . PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BRYDEN & SULLIVAN INS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 217 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SOUTH DENNIS MA 02660 COMPANIES AFFORDING COVERAGE COMPANY 75BKG A CONTINENTAL CASUALTY COMPANY' INSURED COMPANY MONGEAU, MICHAEL B 77 TRADERS LANE COMPANY WEST YARMOUTH MA 02673 C COMPANY D cavERacaEs ...::: .. 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LT R DATE(MM\DD\YY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ 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 $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-48OX760-9-05) 03-04-05 03-04-06 STATUTORY OMITS THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PART INCLNERS/EXECUTIVE DISEASE—POLICY LIMIT $ 500,000 OFFICERS ARE: RX EXCL DISEASE—EACH EMPLOYEE S 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. °C£RTIICATE HOLDER: Ci41+ICEL1AT10 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 PHIL CURRAN BUILDERS INC LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR PO BOX 3 W DENNIS MA 02670 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD_25 Ct? 993 CD-RD-,v CERTIFICATE OF LIABILITY INSURANCE DATE(MM/D 0-c; PRODUCER, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9 Y� HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES_BELOW. Osterville, Ma. 02655 INSURERS AFFORDING COVERAGE -4 1 INSURED Brian C. Kissling INSURERA: National r n Mutuil In INSURER B: 97 Town Brook Road INSURERC: W. Yarmouth, Ma 02673 INSURERD: INSURER E: 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. INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY _ EACH OCCURRENCE $500 ,000 X COMMERCIAL GENERAL LIABILITY T FIRE DAMAGE(Any one fire) $5000000 CLAIMS MADE r 7X OCCUR MED EXP(Any one person) $10 ,000 A MPJ65151 01/09/05 01/09/06 PERSONAL BADVINJURY $ GENERAL AGGREGATE $1 .000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1 ,000,000 POLICY F1 PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO (Ea acccident)INED INGLE LIMIT $5 O 0,O O 0 ALL OWNED AUTOS , BODILY INJURY $ X SCHEDULED AUTOS (Per person) A X HIREDAUTOS M9J65151 02/27/05 02/27/06 BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $1 OCCUR L1 CLAIMS MADE = AGGREGATE $1 .000 .000 CUJ65151 01/01/05 01/01/06 $ A DEDUCTIBLE $ RETENTION $ 10 ,000 $ TORY LIMIT WORKERS COMPENSATION AND WC S LIMITS OER TH- EMPLOYERS'LIABILITY WCJ65151 01/16/05 01/16/06 E.L.EACH ACCIDENT $ A E.L.DISEASE-EA EMPLOYEE $1 E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Phil Curin Builders, Inc. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1-0_ DAYS WRITTEN P.O. BOX 3 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL West Dennis,Ma. 02670 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. 5 0 8-3 9 8-8 9 2 6 Fax AUTHORIZED REPRESENTATIVE ACORD 25S(7/97) ©ACORD CORPORATION 19 8 Client#:42270 NORTSEA ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMI DN" PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION' Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0. Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Ohio Casualty Group Northern Sealcoating and Paving,Inc. INSURER B: Arbella Protection Co P.O.Box 995 20 Candle Lane INSURER c: American Home Assurance Dennis Port,MA 02639 INSURER D: INSURER E: 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. LTR INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MM/DDIYY /Y DATE MMIDDY A GENERAL LIABILITY BL00653312747 01/22/05 01/22/06 - EACH OCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES occurrence $50 000 CLAIMS MADE OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2 00Q 000 GENT AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG s2,000,000 POLICY F7PRO LOC PRO- JECT B AUTOMOBILE LIABILITY 59140400002 01/21/05 01/21/06• COMBINED SINGLE LIMIT $1,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS ' BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY _ EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ C WORKERS COMPENSATION AND WC6644904 - 04/01/05 04/01/06 OR LIMIT ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT s500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEEI$5001000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Phil Curran Builder,Inc. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _L DAYS WRITTEN P.O.Box 3 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL West Dennis,MA 02670 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CORD 25(2001/08)1 .of 2 #15204 WOB © ACORD CORPORATION 1988V A Client#:4597 CCINSUL ACORD-- CERTIFICATE OF LIABILITY INSURANCE U6/TE 23/04° Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THEfCERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED Cape Cod Insulation Inc INSURER A: Peerless Insurance Company INSURER B: 455 Yarmouth Road INSURER C: Hyannis,MA 02601 INSURER D: INSURER E: 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MM/DDIYY DATE MM/DD A GENERAL LIABILITY CBP9587416 04/16/04 04/16/05 EACH OCCURRENCE $1 UUU 000 X COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED $1 OO OOO PREMISES Ea o RENTED CLAIMS MADE 5XI OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 UUU 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY BA9587917 04/10/04 04/10/05 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS _ BODILY INJURY $250,000 X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $500,000 X NON-0WNEDAUTOS (Per accident) PROPERTY DAMAGE $1 OO UUU (Per accident) r GARAGE LIABILITY _ AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WC9584216 06/30,103 06/30/04 WC STATUS OTH- T RY IMITS R EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER(EXECUTIVE 06/30/04 06/30/05 E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS FAX#1-508-398-8926 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION I Phil Curran Builder Inc. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1n DAYS WRITTEN P.O.BOX 3 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL West Dennis,MA 02670 IMPOSE NO OBLIGAQ§@%*&g/0F,%,tI'YiFR►@"TyE))@URER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAV41E By: ACORD 25(2001/08)1 of 2 #10916 CBR a .© C D CORPORATION 1988 U4/Ob/.4000 bb:41 ObJLi—I CG-1 bb/ IH5 I tMN 1N5 YHKIpIUU 1 r1 r'Hl»= CJ1/6J1 ADjQRD,- CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDM-M PRppUCER (50g339$-6033 FAX c50$)760-1667 04/06/2005 Eastern Insurance Cr up LLC ONLY AND CCON ERS NO RIGHTS UPON HE CERTI OF FICATE ION One uth,Atlantic Ave ALTER THE COVERAGE AFFORDED BY THE P AMEND,ER.THIS CERTIFICATE DOES NOT EXES BELOW. TENDOR Yarnauth, MA 02664 Cynthia Jenks INSURERS AFFORDING COVERAGE " NAIC# • INSURED MI Cape Garage Door Inc NsuRERA• Hartford Casualty Insurance:"Co C/O Kent Vienne u INSURERS: Arbella Protection 6S2 Main Street INSUAERC: DenniSport, MA 1 12639 INSURER0: INSURER E; OVE ES THE POLICIES OF INSURANCE ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NDTWITHSTANDIN ANY REOUIREIIIENT,TERM OR ONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCI AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND OONDITXJNS OF SUCH POLICIES.AGGREGATE LIMITS HOVVN MAY HAVE BEEN REDUCED By PAID CLAIMS. 7F- OFINSURA E POUCY NUMBER - PQUCY EFF LIMITS BILITY EACH OCCURRENCEC1AL GEN LIABILITY AMAGETO REIMS MADEED btXrURMED exr(Anv one Perean)PERSONAL&AW INJURYn� GENERALAGGNEGATE $ UGML AGGREGATE LIMIT LIES PER: Pq PRODUCTS•CDMP10 (te $ POUCY Teri LOC AUTOMOBILE UABIUTY ANY AUTO COMBINED SINGLE LIMIT {Ea eotltlenl) ALL OWNED ALTOS X SCHEDULED AUT06 BODILY INJURY B B (Per parw) 100 000 HIRED AUTOS 16274400000 12/04/2004 12/04/2005 BODILYINJURY NON-OWNEDAUT06 (Peracelder&) $ 300,00 PROPERTY DAMAGE $ (Per accident) 100,000 00,00 IGARAGEUAWLITY I AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN FA ACC $ AUTO ONLY: AGG $ EXCES$)()IpBRELLA LIAR EACH OCCURRENCE $ OCCUR D CLA MADE AGGREGATE S S DEDUCTIBLE I RETENTION S j WOR1@R8 COMPENSATION AND X WC STATU• OTH- EMPLOYER6'LIABILITYER I A ANY PROPWETORIPARTNER/EXE NE / 04/OBWBCIH1942 04/Z9 2005 29/2006 E.L.EACH ACCIDENT 6 1004000 OFFICER&IEMBER EXCLUDED? E.L.DISEASE EA EMPLOYEE 3 10(),000 H yy68,dem6be under BPEGAL PROVISIONS below E.L.DISEASE-POLICY UMT $ SOD,00 OTHER DESCRIPTION OF OPERATIONS I LOCATI NC I VTri•IICLEO1 EXCLUSIONS ARCED BY ENDOR9EM8NT!SPECIAL PROVISIONS Evidence of Insurance I TIFI ATg-HOWER CANCELLATIOhl SWOULb ANY OF THE ABOVE bl=R[00 POLICIES BE CANGRLLXC BEFORE THE s EXPIRATION DATE THEREOF.TWB ISSUING INSURER WILL ONPEAYOR TO MAIL 10 SAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT, Phil Curran Bui l rs Inc BUT FAILURE TO MAIL SUCW NOTICE SHALL IMPOSK NO OBLIGATION OR UAI3IUTY PO BOX 3 Of ANY KIND UPON THt INSURER,ITS AGENTS OR REPRESENTATIVES. West Dennis, NA 670 AYTHGRIZ REPRESENTA C nthia 7 Jenks j ACORD 25(2001108) FAX.: 08�338•-8926 CpRp0RATI0N 1988 — . TOWN OF BARNSTABLE BUILDING PERMIT PARCEL-,ID 190 086 GEOBASE ID 11248 ADDRF,SS 22 COLuINS AVE14UE PHONE CENTERVILLE ZIP LOT $ BLACK LOTSIZE DBA DEVELOPMENT DISTRICT CO PERMIT 88309 DESCRIPTION 4 EDRM,/SIN FAM-eATT GAR/DECK PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDrG P jT CONTRACTORS: CURRAN, PHILLIP Department of ARCHITECTS: � � �"oawr�C�Yra� Regulatory Services TOTAL FEES: $1, 194. 10 BOND $.00 CONSTRUCTION COSTS COSTS $28,5,440.00 01 SINGLE FPY1 HOME DETACHED I PRIVATE QF * BARNSTABLE, MASS. '0r 1639. I ` ' ' • .. FD IIAO� BUILDING DIVISION BY DATE . ISSUED 11/10/2005 EXPIRATION DATE � , • _. <,,�� _�{; , , .'. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR'PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED,UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR + ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED "< FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS PERMITS ARE t REQUIRED'FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. i - r I j BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 i 2 2 2 i , 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT,PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION.. NOTED ABOVE. ' TION. 100 00' 0 L V V 14.3' D 40 o 14.0' 0 EXISTING FOUNDATION L0T 8 l0 12,300.0 t S F. 120-00' ENvE ............ ........... lNS V COLL OP OF FOUNDATION IS ELEVATION 102.48 (SITE PLAN DATUM). TO THE BEST OF MY INFORMATION, "AS--BUILT" PLOT PLAN KNOWLEDGE, AND BELIEF THE CENTERVILLE, MASS. FOUNDATION SHOWN ON H S PLAN LOT 8, 22 COWNS AVE. HAS BEEN LOCATED UND DATE 11Z23�, 05 SCALE 1"=20' AS INDICATED. JOB 01-00 CLIENT CURRAN i1 23 05 ,f' .b SWEET'SER ENGINEERING =' 235 GREAT WESTERN ROAD DATE PROFESSIONAL; _ VEYOR PO BOX 713 SOUTH DEMS, MA 02660 }+ ff. 508-398-3922 fox. 508-398-3063 - o- ;r LAW OFFICES OF THEODORE Ao SCHILLING, P.C. 1550 FALMOUTH ROAD,SUITE 10 CENTERVILLE,MA 02632 TELEPHONE: (508) 775-0700; FAX: (508) 775-0792 www.lawcapecod.com EMAIL: law®cape.com October 13 , 2005 Thomas Perry, Building Commissioner Town of Barnstable 200 Main Street t Hyannis, MA 02601 Re: Lot 8 - 22 Collins Avenue Plan Book 137, Page 89 Assessor's Map 190-86 Centerville, MA Dear Tom: Enclosed herewith please find my "Affidavit" certifying that I have examined the Registry of Deeds records for the above-captioned lot and that it has been in separate ownership since 1969 . I, therefore, believe that it is a buildable lot for zoning purposes under our bylaws . If this is not satisfactory in any w p e e contact me. Very tr y y u eod r 1 in TAS :mcp Enclosure A:\Perrylet.10-13-05.doc AFFIDAVIT I, THEODORE A. SCHILLING, Attorney at Law since 1974, practicing primarily in the examination and certification of titles, on oath, depose and say that: 1 . I have examined the records at the Barnstable County Registry of Deeds as concerns 22 Collins Avenue - Lot 8 on a plan filed in Plan Book 137 , Page 89 ., 2 . My title examination indicates that Lot 8 has been in separate ownership since October 15, 1969, which was the date of recording of the conveyance of Lot 9 on said plan. Lots 9 and 8 were conveyed together by Deed in ' Book 1298 , Page 28, on May 17, 1965 . Lot 9 separated away by Deed in Book 1452 , Page 296 . 3 . I have examined all of the abutting lots and properties . From 1969 to date, I find there has been no common ownership of land abutting Lot 8 . 4 . Attached hereto is an abstract of title from which this report is taken as evidence of the work involved. WITNESS my hand and seal this da f Ober, 2005 . Th ore A. Schilling Attorney at Law . Suite 10 - 1550 Falmouth Road Centerville, MA 02632 Telephone: 508-775-0700 BBO No. 445620 I THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS . October, 2005 Before me, the undersigned Notary Public, personally appeared Theodore A. Schilling, proved to me through satisfactory evidence of identification, which is personal knowledge, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. Notary Public My commission expires : LLl 7J r-Z 8 t A:\Affidavit.doc i ij i�f .fib. Bk 1039-cl-00 1 . • I ill!„ �T F ti t • ,I III .'1 ;f a: 11 M AREIIC MY■R7TR QUITCLAIM D[[O INDIVIDUI.L KOMD FORM sea George T. Hosea I ci . 09-23-1996 IC 09 ■03 �i t'i �r; ! of 102 Mellen Street, Brockton, Plymouth County,Massachusctis, r I � being unmarrfeC for consideration paid,and in full consideration of less- than one hundred dollars' I„ c ($lDO.00) Sheridan =aC:c llicgaie A./and Timothy J. Sheridan, husband and wife. `as tenants by + ,; , the entirety ' I I I r of 22 Webbers Path, West Yarmouth, Massachusette, with pt[t![i8ttnittUtpatltti the land in Barnstable (Centerville), Barnstable County, Massachusetts, more particularly bounded and described as follows: [Description and encumbrances.IranyJ Being Lot Number as shown on a "Plan of Lots in Centerville. Barnstable,'Mass. `ilia belonging to Cheater C. Wilcox" dated March 19. 1957, recorded with Barnstable Registry of Deeds. in Plan Book 137 at Page 89, as follows: �• Ili ��' �. 1 BEGINNING at a point, bounded Southerly by Collins Avenue as shover. on said plan, I „ one-hundred twenty (120) feet; thence pr Westerly by land now or formerly of Charles W. and Lisa C. Bright, one-hundred III ' sixteen (lib) feet; thence " y• ��-� Northerly by Lot ,y land now or formerly of Ida F. Anderson, one (100) feet; thence Easterly bJsaid. jl�j�il ' iA�Y'S$M�vA' aF's .Lot 49 as shown on said lan One Hundred Thirteen and ninety-nine Ulmu one-hundredths (113.99) feet. p Containing twelve thousand three hundred (12,300) square feet, more or less. j For my title see Dees from George T. Moses, grantor. to George T. Moses and f Ruth E. Moses. grantees, recorded,Barnstable County Registry of Deeds, Book 275C. Page 176. Also see Deed to George T. Moses, grantee, dated January 18. 1971, recorded Barnstable Registry of Deeds. Book 1498, Page 175. Consideration for this-deed is less . than S100.�00.• i' . .i ; ' n. I �.•1•SrF M ICI itOr f I I RETURN''T0: • Attorney Joseph I. Sousa , 45 Bristol Drive South'Easton, MA 023751 ! I i °" r �k t t y k,+• l' flu I , qo go REPORT BUYER: OWNER: A t c� ,&U A /h t; DESCRIPTION: TITLE REFERENCE: 103 RQ-1 ASSESSOR'S MAP/PAGE: ( °l4 Fb LOCUS IS SUBJECT TO: X04, . fia- --A( 13 �t.c s f10 in C.ohAt co ewrto ^ iqb� h c LOCUS HAS BENEFIT OF: ACCESS: p+c, q i-� QUESTIONABLE MATTERS: I II I. I 606r I2y8 i 028 r JU( C We, Norman F. Pay, Chester C. Wilcox, Jr. and Eduard H. Xneale, Jr., Trustees under the will of Cheater 0. Wilcox, late of Boston, Suffolk County, Massachusetts, by the power conferred y by said will and every other power, for consideration paid, grant I I� to George T. 'Moses, Joseph G. Grant and John A. Ronan, as they are Trustees of Montello Trust under a declaration of trust dated May 9, 1963 and recorded With Barnstable Deeds in Book • i 1279 at Page 504, two parcels of land with the buildings thereon shown on a "Plan of Lots in Centerville, Barnstable, Naas. i. belonging to Chester C. Wiioox% dated March 19, 1957 by Nelson Bearse, Richard Law, Surveyors, recorded with said Deeds in Plan I i, Book 237 at Page 89, described as follows: Paroei 1 is bounded: 0OUTHRASTERLY by land now or formerly of Wequaquet it Associates, Inc. Two Hundred Fifty- four and 43/JOo t254.43) feet; SOUTHEASTERLY by Wilcox Lane, by two lines, Sixty- I° and SOUTHERLY eight (68.00 feet and Eighty-six and 22/100 (16.22) feet respectively; !� WESTERLY by Lot 2 as shown on said plan, One 1i }jundred Thirty-four and 65/100 (134.65) feetj SOUTHERLY by said Lot 2, Twenty (20.00) feetj WESTERLY By Lot 5 as shorn on said plan, One Hundred Twenty-six and 92/400 (126.92) feet, and NORTHERLY, by Collins Avenue, as shown on said NORTHEA32LLY, plan, by two lines, Two Hundred FAST and. Twenty-seven and 60/100 (227.60) SOVPHFA.MALY feet and Forty-nine and 64/100 (49.04) feet respectively; Containing 52,450 square feet and comprising Lobs 3, 6 and 7 as �•iill shown on said plan. . ii J• I) 2, ♦ If e Parcel 2 is bounded: SOTTHERLY by Collins Avenue, Two Hundred Thirty-two (232.00) feet; WESTERLY by land now or formerly of Charles W. and Laths C. Bright, One Hundred Sixteen (116.00) feet; l NORPHEW ly land now or formerly of Ida F. Anderson, Two Hundred Twelve '(212.00) feet, and FASTS= by Lot 10 as shown on said plan, One Hundred Thirteen and 99/100 (113.99) feet, ii containing L5,068 square feet and_aomprising_Lot8�tnd 9 as show Ii on said plan. Being a portion of the premises conveyed to said Chester C. Wilcox by deeds of the Inhabitants of the Town of Barnstable, dated November 29, 1956 and December 9, 1957, and recorded with said Deeds in Book 960 at Page 366 and in Book 993 at Page 437 respectively. Said premises are conveyed subject to taxes assessed as of January 1, 1965. WITNESS our hands and seals this 12.4" day of March 1965. rnCIrJ:n'J'i!IA L'.1 Of P,:.AC2l'SL i3 aA P, ."v rue ees an ATorosa ZAIMH OF MASSACHOSETTS j March 1 , 1965. Then personally appeared the above-named Norman F. Fay, and acknowledged the foregoing instrument to be his free act and deed as trustee as aforesaid, before me, 00 ,t 6..OD Notary 4 y "'•. BDGN��:jt1 029 'vi`''`•`'y,`+`04�v v �•y�i``•`q t7 v- f 11 aP1AY 171965 Atl6ift�aRutU s',�Afn�ts�,�, -•,4, ooi 5 29� 18977 1 61a of Brockt0 , Masa.,aa Trustees ot—R0'FtM--LoxTRUMunder a Declaration of Trust dated #ay 9 1963 and duly recorded with Barnstable County rRe§ stry of Deed d#oois W9, 'age 504 by the Power contained in said/ ;(,•,b�assnct,useus, fmconsIderaiianpald.g,anl to GEORGE B. SCALES and LILLIAN P.- SGALES, husband �snd wife, as tenants by the entirety, both of Hypnnis, Barnstable County,tiassachusetts w[th trlxtm trrnmanliar / d,elantiX,with the buildings thereon, situated in Centerville,Barnstable County,14sovoahusetts and bounded and described as follows:- A certain Lot on the Northerly side of Collins Avenue,Centervi.11e, Raps„and being 7:4i%-No�9 6n a "Plan of Lots in Cent ervil le,Barnst able County,Beionging to Chester C.Wilcox,Soale .l inch - 50 feet,March 19, 1957 Va lson,.Bear$o,Riohard Law,Surveyors I recorded with Barnstable gou4y Registry of Deeds in Plan Book 137,Page 89, and,aocording to said Plsn,boundod and described as follows;_ :3OU7'FC tLX;. by Collins Avenue 112 feet; RAZERLX.,- by Lot #10 on. said Plan 113,99 feet; i? 72M,X:- by land now or formerly of Ida,F'.Anderson,as shown on said Plan 112 feet; 6 LY:. by Lot No.8 on said Plan 113.99 feet, Cou Q05-J12,768 square feet according to said Plan.' Bain g a3 portion of the promisee conveyed by Norman T�'.l�ay Qt ��, �a, Trus.oe under the Vill of Chanter CjUloox by Deed dated and duly recorded with Barnstable County Registry of 'Doeds, k�•1298, Page 28, rho. 444pial 00001rris v s OLOIXI, 4,W I"aLlov',s r rA f 1 s - _ c aw=_ Nximut as a suabd Ina m this. 0 day U—SE2'-T-EMBID-0' ..19-69- . a i I �11,r�nmmanmr�ltll>if�i�lirfjiirAaliis • PLYND'UTi1, SEIVE M 3 su 6�, non&wnw-aU-v ap;wrred dip aim"named GEORGE T. NOSES, •JOSEPH G. GRANT and J00 fi.HO'tAN, TRU3sTIMS of t9ONTELL0 TRUST 40ta Wkwadaclgpd 0110,iarepnUM in%UUmanl tra ira their, trra aw aml dvvd. ��� .Y ry PuMM • 0 OCT 15 19P now MY commission 401Ares Ja nalry 1" l�76. . `ySr fII 1 MASSACNUSIE TS QUITCLAIM DIEW SNORT FORM llNDMOUALt set 01726 George T. Hoses, Joseph G. Grant and John A. Ronan, trustees of ntello Trust, a Massachusetts trust dated May 9, 1963, and recorded with fnsta a eeds in Book 1279, page 504, Brockton, Plymouth County,Massachusetts, °Jnd-mwrkd.foraonsWeratioepaid,and in full considecationof the sum oti one dollar tKto GEORGE T..MOSES of-49B'Mellen Street, • �po2 Brockton, Plymouth County, Massachusetts, with. gttttelatmrattrttattls landin Barnstable (Centerville), Barnstable County, Massachusetts, . re particularly bounded and described as follows: [Description and enmmbemmN if an,] ing•Lot number 8 as shown on a "Plan of Lots in Centerville, rnstable, Mass. belonging to Chester C. Wilcox" dated March 19, 1957, corded with Barnstable Registry of Deeds, in Plan Book 137 at Page 89, follows: GINNING at a oint, bounded Southerly by Collins Avenue as shown on id plan, one-hundred twenty (120) feet; thence sterly by land now or formerly of Charles W. and Lisa C. Bright, e-hundred sixteen (116) feet; thence rtherly by land now or formerly of Ida F. Anderson, one hundred (100) et; thence sterly by Lot #9 as shown on said plan One Hundred Thirteen and ninety- no - one-hundredths (113.99) feet. staining twelve thousand three hundred (12,300) square feet, more or ss. BEING a portion of the premises conveyed to said Grantors by ed of Norman F. Fay et al, Trustees under the will of Chester C. Wilcox, to of Boa ton, Suffolk County, Massachusetts, recorded Barnstable gistry of Deeds, Book 12989 page 28. ��quired.Consideration for this deed is such that no tax stamps are :xxattdec v(tpiol astoabo� xxee�tllxiglmtttiEc axd� a�mi�ofbnaofemebr#ir>aeooc 111daw....A.p.T...h&nd s and seals this....... y ......day of.. ......19....71 i ...............................I............:. MONT 0... UST ...................... � , .........................._.............................................. BY,� Y �li T r ustee Tiusfee idar G2tmtawttttrralt4>� . Trustee . Plymouth sa January 18, 1971 Then Personally appeared the above named . Joseph G. Grant and admowledged the foregoing instrument to be his free act and eed before me a .. .. Notary Public—IiifdStiCF147�isYa�tXX 1438 175 rri a mumon egka April 22, 1975 t (*Individual—joint Tenants—Tenants in Common—Tenants by the Entirety.) i CFIAP7E8 Is) SEG 6 AS AMENDED By CUPM 497 OF 1%9 Every deed/rnenend fat record*A8 motain or haw endoned upon it the full Dame,nsidmm and post ohm address of the matte full ama;dm6 tnd a recital of ft Naome of*A on Weed in down or the as=of the other mr idenNon therdor,if pot delireced for a Mwdk awmaq nm.The full masidentfon shli mesa the toW price for the m_ATanm without deduttiaa for say Hero or to- an ataussed br the S mtee or temsiaioa thercm All ruck eadoronnems and recital atoll he spaded ss Pon L dmL ' o t le G=V IY with Ibis sectim chit Rot sleet the aaiidiq of my dad Ple resister of dada shall accept a deed for rased�uatrn mmgiaaoe with the nquurmmq of this sacim. d1Os I JAN 271,971 i t Barnstable County Registry of Deeds RECORDED LAND BY NAME John F. Meade REQUESTED BY (RG)...:...Ted Schilling INQUIRY PRINT REQUEST PAGE 1 -SURNAME/GIVEN NAME......MOSES GEO PRINTED: 10/06/05 11:31:56 RG340RP TYPES OF NAMES..........*ALL TOWN: BARN. ^' DOC TYPES...............*ALL ALL YEARS BY NAME INDEX DATES...Jan 1,1971 thru Dec 31,2001 - TRANSACTION #: 373606 $1.00 -------------------------------—------------------------------- DATE TIME SURNAME DESCRIPTION _. RECEIVED . INST# RECEIVED GIVEN NAME REVERSE PARTY BOOK-PAGE DOCUMENT TYPE TOWN OTHER VFY ***GRANTORS *** MOSES 01-02-1990 31 9:23:00a GEORGE J (&W) COURTYARD VACATION CLU 7010 287 ].MbRTGAGE BARN UNITS 107 109 TIME 9 Y 03-28-1988 15598 1:13:00p GEORGE S (&0) PLYMOUTH FIVE CENTS SA 6190 306 LFINANCE STATEMENT CNTY SLIP NO 560 Y 05-26-1972 14455 GEORGE T (&0) AMESBURY, KENNETH (&W) 1657 276 «ED BARN 44 CENT 126/103 Y 07-19-1978 20494 GEORGE T MOSES, GEORGE T (&W) 750 17 DEEDX. BARN 8. 137/89 Y 09-23-1996 .54066 9:03:00a GEORGE T SHERIDAN, TIMOTHY (&W) 0399 1 DEED4 BARN 8 137/89 Y 01-27-1971 1725 GEORGE T-TR (&0) RONAN, JOHN A 1498 174 DEED✓ BARN 5 COLLINS AV CEN 137/89 Y 01-27-1971 1726 GEORGE T-TR (&O) MOSES, GEORGE T 498 175 DEED BARN 8 COLLINS AV CEN 137/89 Y 01-27-1971 1727. - GEORGE T-TR (&0) GRANT., JOSEPH G 1498 176 . DEED✓ BARN 7.COLLINS AV CEN 137/89 Y 01-27-1971 1728 GEORGE T-TR (&0) KELLIHER, RICHARD J 1498 177 DEED(,-7 BARN 3 WILCOX IN CEN 137/89 Y 06-15-1971 12678 GEORGE T-TR (&O) KELLIHER, RICHARD W 1514 1087 DEEDI/ BARN -3 WILCOX IN CNT 137/89 Y *** GRANTEES w** .. MOSES 01-02-1990 30 9:23:00a GEORGE J (&W) - COURTYARD VACATION CLU 7010 284 TIME SHARING DEED BARN UNITS 107 109 TIME 9 Y 09-18-i987 64563 8:27:00a GEORGE S (&0) RED BROOKHARBOR CLUB, 5933 109 LEASE CNTY SLIP NO 522 Y 03-30-1988 15987.10:19:00a GEORGE S (&0) RED BROOK HARBOR CLUB 6193 140 LEASE CNTY SLIP,NO 560 Y 06-25-1990 31690 3:00:00p GEORGE S (&0) PLYMOUTH FIVE CENTS SA 7205 216 TERMINATION FINANCE STATEMENT CNTY SEE INSTRUMENT . Y 01-27-1971 1726 GEORGE T MONTELLO REAL-(TRS &0) 1498 175 .DEED BARN 8 COLLINS AV CEN 137/89 Y .06-06-1972 15543 GEORGE T (&0) MONTELLO FEDERAL SAVIN 1663 138 DISCHARGE CNTY 1514/100 _ Y .07-19-1978 20494 GEORGE T (&W) MOSES, GE_ORGE .T r 2750 176 .DEED BARN 8 137/89 Y 04-2.1-1972 10361 GEORGE T-TR (&0) ,LEONARD, HELEN M (&H) 1636 10 DEED .BARN -2 5 137/89 Y ------ RUN TOTALS ------ 10 GRANTORS LISTED 8 GRANTEES LISTED - 1. ! eous 2750 w.i 176 MASSACHU8ETT8 QUITCLAIM DEED SHORT FORM(INDIVIDUAL)881 I, George T. Moses 20194 of 102 Mellen Street, Brockton, Plymouth County Massachusetts, being unmarried,for consideration paid,and in full consideration of less than $100.00 i grants to George T. Moses,and Ruth E. Moses as husband and wife by the entirety • Of 102 Mellen Street, Brockton, Massachusetts with gntttintm tatrennntri thelandin Barnstable (Centerville), Barnstable County, Massachusetts, more particularly bounded and described as follows: [Dwaiption and ennlmbmnon,if anyj Being Lot number 8 as shown on a "Plan of Lots in Centerville, Barnstable, Mass. belonging to Cheater C. Wilcox" dated March 19, 1957, recorded with Barnstable Registry of Deeds, in Plan Book 137 at Page 89, as follows: BEGINNING at a point, bounded Southerly by Collins Avenue as shown on said plan, one- hundred twenty (120) feet; thence Westerly by land now or formerly of Charles W. and Lisa C. Bright, one -hundred sixteen (116) feet; thence Northerly by land now or formerly of Ida F. Anderson, one hundred'(100) feet; thence Easterly by Lot A9 as shown on said plan One Hundred Thirteen and ninety-nine - one- hundredths (113.99) feet. i Containing twelve thousand three hundred (12,300) square feet, more or less. For my title see Deed to me dated January 18, 1971 and duly recorded in the Barnstable Registry of Deeds, Book 1498, Page 175. Consideration for this deed is less than $100.00 i 1 � I ftneffs•r.7a Y.hand and seal this..........!. .....h:....day of...... I,Y......................19... � ................. ............... / .................................... ......................... ................I............................................... ....... ............... ............................................ h �vararanruaulill of �aitusatllusetls Plymouth, 197� Then personally appeared the above named George T. Moses and acknowledged the foregoing instrument to be his free act and deed,before me t hard J.Sash/a N Pubh'c-jU98 re My commission expires March 31, 1983 i (*Individual-Joint Tenants—Tenants in Common—Tenants by the Entirety.) CHAPTER 103 SEC:6 AS AMENDED BY CHAP1'Flt 491 OF 1969 . B°Qy dad PttamOed for taord ehaB cmmiD or hne mdorxd npon it the fall mme,midma and pmt oBm add:,ae of the gaotee. and a reciml of the amoaot d the full mmidaatloo thereof iD dolled a the native of the other mDsideruioD Chador,i(not delivered 'for a apcdlicmvoet�tom.The fall ooatidention sballttlean We total prig for rho convepaoce without deduction for airy liem oc _ encumbranm arenmed the greats or rtlmini8g theavD:All rudl tmdoneolmts and rcdlal9 rhall be mmrded of part Of the deed. Failure m comply with tbia section shall net alto theTalidiry of a�dad.No tegistxt of deeds shall arapt a dad for recording udtss it it in compliance with the regoieemmb of thb ration. . . , FANDED "JUL 1 91978' Barnstable County Registry of Deeds RECORDED LAND BY NAME John F. Meade REQUESTED BY (RG).......Ted Schilling INQUIRY PRINT REQUEST PAGE 1 SURNAME/GIVEN NAME......MOSES RUTH PRINTED: 10/06/05 11:37:48 RG340RP - TYPES OF NAMES...........ALL - TOWN: BARN DOC TYPES..............:*ALL ALL YEARS BY NAME INDEX DATES...Jan 1,1978 thru Oct 6, 2005 #70140 @ 11:29 TRANSACTION #: 373632 DATE TIME SURNAME - DESCRIPTION RECEIVED INST#- RECEIVED GIVEN NAME REVERSE PARTY BOOK-PAGE DOCUMENT TYPE TOWN OTHER VFY -----------------------------------------------------------------------------------------------------------------------------------—------------------------------------------ *** GRANTORS MOSES 08-07-1996 .A4901 8:43:06a RUTH - 10334 79 DEATH CERTIFICATE BARN COLLINS AV Y 08-07-1996 44902 8:43:OOa RUTH E - 1033 80 ESTATE TAX RELEASE BARN 2750/176 Y *** GRANTEES *** MOSES 07-19-1978 20494 RUTH E (&H) MOSES, GEORGE T 2750 176 DEED BARN 8 137/89 Y ------ RUN TOTALS ------- . 2 GRANTORS LISTED _ 1 GRANTEES LISTED ek = 1 v 304--079 44901 ST'AFAMAD W"VICA,.aP bEAYN R-OMTTW Or YRAL RECORDS AND WATNTMe .• . MIDDLE LAW aTAI . >!!% DATE OFOEATNIa1►.Oaµri.) ' IWth Moses F , April 4, 1996 /MACE OFDEATH(DyyFawy COMRYOFDEATH - „OSPNALOROTaMER MNBTRLTTp11-Ala11a(Bwabaals,,M»rwM/wi�Sar, a Brockton 4b Plymouth +e Good Samaritan Medical Center PLACE OP DEATx,c4oipYra+al - ALI, Q}�c "�W=WAR WAS DECEDENT OFNWPANICORIfiM _ 7 RACE Aa +.•baa..ale•) DECEDENT g'SEDUCATN ]LIY7aa,$aufyMrb Nc.r6 A;r+rcra ClllaiL Mc.) (Sy.a1yX ENINSae(Dr PaOM,.Ora6a Ca'^ObsOl. �u NO DYES ._ . . TJ C IF-4.s.,. ACE- aNWay IlI10ER,DEAR UNDOI,DAY DADS „S. [�'e tt1, M1. MARRED,NEYEn MARRED LAST SPOUSE Iff ftU v..l*n.srs) - Usua OCCUPATgN .WIDOWED OR ORAbRCED. KIND- BUSWEW OR WDUBTRY - ,: Married ,T Geor a T. Noses 14. [�� T�pD, ��'y���� NESIOENCE•No.ST..e7TTROWN.00UNTr,BTATp t OpVNTRY -r!`er ,.q��t InduZVOODE _ +6. 102 Mellen Street Brockton PI ., }-�T PATNEA-FVLLNAME ^' 1'Y' 160 STATF OFWRTN(aA.IYIM MOTHER.NAME (GIVEN) DAAWEN) STATE OF BIRTH(7Adb IAL ,6 IA)Uis oushingJ Aa�..eovey) ,7 MA. „ Cora (unknarm) �'"`��'" IKORMANr'BNAME ,a MA. MA4W0 ADDRESS•W. 57.,CT'/rOwN,STATE.ZIP COOS RELATpNy,P ,� George T. Moses 102 t�el,�en St. Brockton, MA. 02401 „xlusband URIAL CREMATION _ O DONAT MENT S RMRigYALFAOMSTAT. H Lisa Waitt Beldher - 6105 9sD DONATaN O oTN sPEc: evOs,T ( ' KY7 aaaNr, LOGS a..l, , �7 tea aaa Brockton MA. fMa Day.ri� OF FAC ril 9 1996 2WbWaitt Funeral come 850 N. Main t. p PART I.E wAwvra Li.W4%w0_0k l_VwC..Wes0_. A. 02401 Do nawoAry Ula K,.aa Woy:q,iucAuwdlac a,r..pra eyarrat N„cAa Man laaw.. Us any aAa taus m aad Ipa(alAvvpAAl0110lTORTDPE lidtY. APwa•aa.s MMny MIVAIM CAUE!(Find - Sara, C-"MaO..a, r Eaaea6,e6Ra6pI AMNMAS b In eaaul) .. Far PMhn11RMn e.IwR.M,w I,R,,E ,. Failed Moore Prosthesis w'1b*rp MMaT,ad)A. CAM(0 LIlOB11LD # Hip fracture k9mwoww"MAD in a+N LAST. at PART S•D,Aa,,jvmca ta,aNHr„ouK,buvq gd"th wA.,.wWllrq in—w9.sl,.SN.n M Pan 1. WASAUPEWOR ED? NEREALE PA F,ND6MfIB /T PERFORMED? AVAILABLE PIIIORIO b - (YNa,N.) COMPLETION OF CAUSE (�T,Yes O DFATH7 fr-.M J V r WAS CASE REFERRED 134 MAIS-ROF DEATHTOM DATE OF PUVRV ((YW&Aby Ca}NATVRAL ❑NDMICIOE OCOULDNOTSEOETERMWEO (AIa,D.,,ri, iBlE OF WJWIY WJURY AT WpTK '1 e s ([�jAOCIOENT 0 SUICIDE ❑PENDWO WESTMMTION AMoA1p OEM NOW MJURYOCCVRI-D - o ft F WN.�y. � M Sze A—. LOGTgN fN..a SL,CAy/IoavL 8Wa1 --� - S.rrbd7.sSo 01.o.NL.aati. - Q 360 3e.7o a el O.N. AnAARb ST.OnIMDaNtd.wKeafbnanSHrYNagbatihnMmyCPA,—YUAncw .tOwAm `•J G dank MOPm.bWWWab BNa w(UadyO , I^ A,L, • fslP'se.a V 1 prT1 ;1996 R0 2„'"� _ p M 37b : r+EOMMa.D.r.n, ,TOUR OF DEATH �70 NAMEMATTlNDWGPMMYSK:WIiNOT CERTial;R 77e M . 36O '. a PFIONOUNCEbMNiAD fab.,Da,,W) PRONOUNCED OEADp1.) NAME AND ADDRESS OF CERTIFYYMO PNYBICWa0q 1F.DMCAL ExAMINER(T)y�arMnU 67a !70 M LICENSE NO.OFCERTFER 36 WAS THERE AN FLN. i YES.DATE I PROW UAICEVENT? PROa10UNf:ED YES.TIME �� MOI NAME OF PRONOIINCRO RMWERED NURSE . . PRONOUNCED a,ab Na NAME aoe Oft M OF: DATE OF RECORD ., L 6fOWIITLRE APR 0 8 1y96 A' I certify that I am the City Clerk of.Bro�kt�T;y2�A nd,I have custody of records of births, marriages, and ,4e4fh .re uitr�ed 8j►:.,law..go be kept in my office, and I certify that the abo-W49'. 4,4Uid records. WITNESS MY BAND AND SEAL OF TBQ CI 14; BI � TH DAY OF July 1996 FEE $5.00ERK T A15 sti/ 1�n vc_ ; `rM1.. .. �lllral,r.• 5 f FfY 9DEEDS runwk THE COMMONWEALTH OF MASSACHUSETTS ' DEPARTMENT OF REVENUE ESTATE TAX BUREAU,'P.O.BOX 7023.BOSTON,MA 02204 08-0 f__1 0915 C BE3 =43 VCERTWICATE RELEASING MASSACHUSETTS ESTATE TAX LIEN (FILE IN TRIPLICATE WITH COPY OF RECORDED DEED.) DECEDENT'S MR)OLE LAST NAME MAIL TO:(" FIRSiNAME IwTUL NAME III. . Ruth E. Moses AVOREss Attorney Joseph I. Sousa PROBATE COURT OATEOFOEATH M.STREET) 45 Bristol Drive DOCKET No.None 4 4/96 DITYOATO""' South Easton, MA 02375 / SSTTATE RESIDENCE(DOMICILE)AT TIME,OF DEATH CODE 102`Mellen Street Brockton, MA 02401 This Certificate releases t e lien of the Commonwealth of Massachusetts imposed by Chapter 65C of the General Laws, on any and all interests which the Decedent may have had in the property described below Vacant lot of land in Town of Barnstable located on Collins Avenue, Barnstable, Massachusetts, containing 12,30.0 square feet, more or less. REAL ESTATE (full legal description riot necessary) Location of property __ Collins Avenue Barnstable, Massachusetts 02630 NUMSER STREET CITY OR TOWN 2IFCODE . a _ M As described by Deed dated July 12, "1978 - and recorded in Barns talbivovoEEDs Book No. 2750 _ Page No. 176 O1 0 As described by certificate of Title No.. recorded in Registered Land Section for County /�'t�,•/ �� �j�fforner ;Tose�h S'. SCLy4 � ' . _ COMMISSIONER OF REVENUE Sc-T41 �usFfln B►s /L1 A Od32j� By 20064740-172W6 , - Chief.Estate Tax-Bureau BARNSTABLE REGISTRY OF DEEDS sk 2 1039C-1-001 S 40BB ' MASBACHUH[TTB QUITCLAIM D[[ AL D INDIVIDU ILONO FORMi 062 George T. Moses 09—.23-19 3G IR 09 e 0 i Of 102 Mellen Street, Brockton, Plymouth County,Massachusetts, being unmarried,for consideration paid,and in full consideration of. ,less than.one hundred dollars ($100.00) Sheridan granpto Michele A./and Timothy J. Sheridan, husband and wife, as tenants by the entirety of 22 Webbers Path, West Yarmouth, Massachusetts., with guitclatm coutustdo thclandin Barnstable (Centerville), Barnstable County, Massachusetts, more particularly bounded and described as follows: [Description and encumbrances,if any) Being Lot Number 8 as shown on a "Plan of Lots in Centerville, Barnstable, Mass, belonging to Chester C. Wilcox" dated March 19. 1957, recorded with Barnstable Registry of Deeds, in Plan Book 137 at Page 89. as follows: BEGINNING at a point, bounded Southerly by Collins .Avenue as shown on said plan, one-hundred twenty (120) feet; thence Westerly by land now or formerly of Charles W. and Lisa C. Bright, one-hundred sixteen (116) feet; thence Northerly by land now or formerly of Ida F. Anderson, one-hundred (100) feet; thence Easterly by Lot A9 as shown on said plan One Hundred Thirteen and ninety-nine one-hundredths (113.99) feet. Containing twelve thousand three hundred (12,300) square feet, more or less. For my title see Deed from George T. Moses, grantor, to George T. Moses and Ruth E. Moses, grantees, recorded Barnstable County Registry of Deeds, Book 2750, Page 176. Also see Deed to George T. Moses$ grantee, dated January 18; 1971, recorded Barnstable Registry of Deeds, Book 1498, Page 175. Consideration for this deed is less than $100:00. RETURN TO: Attorney Joseph 1. Sousa 45 Bristol Drive South Easton, MA 02375 i ('Individual—Joint Tenants—Tenants in Common.) C/ Bk t 10395-002 54060 31ttlle$5—Illy hand and seal this 1 Rth day of September 19-9fi— G GE� MOMS� ' t imbc(111m lnnweultb of Ma ssucbuaetts Bristol SS. September 18, 1996 Then personally appeared the above named George T. Moses and acknowledged the foregoing instrument to be his free act an4 deed,before me JOB Sousa, Notary Public--SlpaCKg(bCflk= _ My commission expires December 86 1998 A ' r BARNSTABLE REGISTRY OF DFEDS CHAPTER 183 SEC.6AS AMENDED 8Y CHAPTER 497 of 1969 - Every deed presented for record shall contain or have endorsed:upon It the full name,residence and post office address of the grantee and a recital of the amount of the full consideration thereof in dollars or the nature of the other consideration therefor,if not delivered for a specific monetary sum.The full consideration shall mean the total price for the conveyance without deduction for any liens or encumbrances assumed by the grantee or retraining thereon.All such endorsements and recitals shall be recorded as part of the deed.Failure to comply with this section shall not affect the validity of any deed.No register of deeds shall accept a deed for recording unless It is in compliance whh the requirements of this section. Barnstable County Registry of Deeds RECORDED LAND BY NAME John F. Meade REQUESTED BY (RG).......Ted,Schilling INQUIRY PRINT REQUEST PAGE 1 SURNAME/GIVEN.NAME......SHERIDAN MICH PRINTED: 10/06/05 11:32:30 RG340RP TYPES OF NAMES............ALL TOWN: BARN - DOC TYPES...............*ALL ALL YEARS BY NAME INDEX DATES.:.Jan 1,1996 thru Oct 6, 2005 #70138 @ 11:24 TRANSACTION #: 373609 $1.00 -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- DATE TIME SURNAME DESCRIPTION RECEIVED INST# RECEIVED GIVEN NAME REVERSE PARTY BOOK-PAGE DOCUMENT TYPE TOWN OTHER VFY -------------------------------------------------------------------------------------------------------------------------------------------------`---------------------------- *** GRANTEES *** SHERIDAN 01-30-2004 7218 12:50:02p MICHAEL J (&0) CITIZENS BANK OF MASSA 18173 182 DISCHARGE - 15505/325 09-23-1996 54066 9:03:OOa MICHELE A (&H) MOSES, GEORGE T 10399 1 DEED BARN 8 137/89 Y --- -- RUN TOTALS ------ _ 0 GRANTORS LISTED 2 GRANTEES LISTED ' AJ 0 <d e L� ens Barnstable County Registry of Deeds RECORDED LAND BY NAME John F. Meade REQUESTED BY (RG) .......Ted Schilling, INQUIRY PRINT REQUEST PAGE 1 SURNAME/GIVEN NAME......SHERIDAN TIM PRINTED: 10/06/05 11:32:48 RG340RP TYPES OF NAMES..........*ALL TOWN: BARN DOC TYPES...............*ALL ALL YEARS BY NAME INDEX DATES...Jan 1,1996 thru Oct 6, 2005 #70138 @ 11:24 TRANSACTION #: 373611 $1.00 ---------------------------- -=-----------------------------------------------------=------------------------------------------------------------------------------------------ DATE TIME SURNAME DESCRIPTION RECEIVED INST# RECEIVED GIVEN NAME REVERSE PARTY BOOR-PAGE DOCUMENT TYPE TOWN OTHER VFY ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- *** GRANTEES*** - SHERIDAN 09-23-1996 54066 9:03:00a TIMOTHY J (&W) MOSES, GEORGE T 10399 1 DEED BARN 8 137/89 Y ------ RUN TOTALS ------ 0 GRANTORS LISTED 1'GRANTEES LISTED Acm "Pk(,/ r : iMv coo- '.... 1' /2 `9A ..._- c. .. .. 3f AC /7/-70 9 A ¢y _ H - G Y �N 2 so•s AvE 17 s S loo 7 I48 S'7 -r€- -' , L2l •.. o' i� 89 2 A` s/nc 'b� aa.� L24: rJ O O IJ o -e: '.3, �^ .23Ac /6.5 Zi _ QQgo Ac '14' - [ds- 120-5 p , :41 At K'ICCOX Lj.6 3v - h +pw L A I 33:5 -"kz'y✓,� - t 36oe e P�� L36 _ .46Ar- w6 S N I E 95 •N T loo .t ' .35 aC.. 0. - �\ m Ag AC. 94 - ( .. �, 36« ��pa.-i ZSIF . © 83 r ' 4egC a ( � . 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Go uc:> Ors loc.o� oj0�� A 7 c 750 t b 0!Q —.Avgu, 5 .a I- . d Q /8 bN �Qs�f 0v, tlto -. m aQ W n /137S sa ry a �INV l9•10w y .. �! /oo•oo /oaoC J NN o- PIN ' J Z W Q o ?� 8 ol /3500 c o m a 3 c,n:tc�s m N /5'.70o 1b ro 2b250 o /20•pp a mN°fo' 80• r 2ra5O 94c _N P'30.w 8G•22• �.(,�� (N//.COX 9).. vc.. •8 'N 'J � s ea's2. �_ LANE a `t 35A 3 7' Eretr V` QO v A,yroive LARNSYABLE Rz-IISTAY CF D5GD� 1 PLnry Or,. LOTS I N GCNTLFtVILLF.&RAU BLE,MASS- RECORDED Be�o.va�n.o To I GHEST'ER C. WILCOX, 1 ! SCALE I INCH.50 Fr. WIARCH 19,I957. +��yrM or µ.�4 jI Na�sa+ Brim sa.R.c"-no LAW. 5uFkvwYOR6 0/ ��. e aiC..1qD uw ND SIN\ CENTEriV.'�= MASS. 5o70 IL I Er,, I. 2006. 2,�1 M:D vRPE HOME CENTER CCNTRACTC�'P NO 506 p �Qo7rOUr 14:9e 901-09-74V MFS PACE 66006 P'`Jv f UND, U.M. INC?. CI.ASSIMEID d5P4 FR-S PLYWOOD j AWPA 027•99 INTERIOR TYPE A(H IJ ARCH WOOD.-PROTECTION =FR -STANDARD D-1 TOREp 13Y: UCTS INSPECTION DRIC' ON" 1 MID-STATES WOOD PRESERVERS, INC. SIMSBORO, LA N ER-303 ll DAT ' r f. J - MMJSN F A a A 0 D 01 +vt r 1 H C V i l -C 11rJEC, 1. 2DO6s 2:49AM Mi!) CAPE HOME CE-VER CONTRACTOR No. �Gv � 1ro2rOc7 ' 11430/20fa6 1449 9(31-459-7497 MFa rHat 011�6 ar f9ax Not® � F ° PImnB# � � i r option option 0 FIRE RETARDANT • � INSULATED DOOR _ PANEL, a LOW FLAME SPREAD * YEAR ROUND ENERGY SAVER .�: ... �,. SETTER HEAT AND COOL AIR RETENTION MEMPHIS FOLDING STAIRS, INC. 2727 FAXON AVENUE � P.O. BOX azo3cl5 MF-MPHIS,TN 38182.0806 A N909911tY Whore PHONE: ( 09) 469m1 I51 r k Flra And/Or Insulatlon Codes EXIT# FAX: {901} 458.74a7 MPS WESSITE:w ww.memph Into Idingstrlre,coy► i, 20V6e M MID CAPE HOME '. i ER. P0�1T IC TO 11,00121006 M.09 991-09-7467 Mom. E;Af,�E 0210�i The fire retardant plywood door panel is Added inside plywood door panel is a 314' chemical) treated to provide kwar thick glass isocyanurate foam plROC Y sandwiched between 1,5 mil aluminum foil Ignition, low flame spread, and lower faders, laving an R value (aged) of 6. s smoke production, r A real energyy saver In the have, Insulatic will save energy through better heating and cooling as a result of l air retention � ;y year round mare �� i Specify; Code i✓ (FIregard) or T (Thermogard)_when ordering, Example: Excel F or T or Excel FT for bath options, Mernphls Folding Stairs Is the nation's pre-mist designar and builder of quality folding allic stairs, Facilities ape years ahead of the industry, which enables MFS tc supply stairs of unmatched quality and safety to o,.jr cuatomera,Many outstanding features are now standard on every stall• produced by rVIF s A few of these are as follows, �c��it#read design Wider tread Pattern - batter tradtlon ® Steel Rods finder each tread UNI-FRAME construction where each good Fill! width plane hirtge or metal part braces another * used edge iurnber parts ® Southern Yellow Pine wood parts ® Finished nillwork appears ooe Distributed BY 2 kkkkkskskYk:kk* F *skskkk �:jkkkkkkk*,kk* k� kkkkk�* kk*� k**s� kkk* kkk* kk�S:kkYkkkrksk��* * k * TRANSACTION REPORT * NOV- 17-2006 03 : 22 PM FOR : JOANNE CURRAN 508 398 8926 SEND * DATE START RECEIVER P:A,dJES TIME NOTE * NOV- 17 03 : 21 PM 15082401897 2 1112" OK �I-�, i � n _ AIM 4 .! .. 4 I•r CONTRACTOR ei:� 1 1L�U, C, 1: 2001, iAIM MID CAE H()ME C=N EK CONTRACTOR ;0, �0;; f z 1�Lei���� ��:�� s�1-ass®7aa� ►��� Pam d:�f�� q �C*DAir 0 iP �lspAN! q .asp$, ,I .`"x ! .•6�r1L4' '�` ri<14;ttli ., ,,red 1!a. fir,; .?, •Idi ' kA;�UFA(:TUAZR l� Hoover Treated Wood Pmducts, Inc.. a PO 110x 746 Thenuon, QA 30,829 ,Ir Phone{(800)$J2.9663 Th1g'MrU4111pea MOM the mahu- FAX, (106)59"32E faCturer4 auegertM prapFleUfy IrMOWCA In WhIWMWW Wkh Iha OBI"M 609 lvn ro m"t Tits m>sr+• f,itwturor Is solely rospatillble for owism and relere��. '' .I 1. SECTION 411 I, ,try ts.�:'t.'w,l' I^;,:%.f• ,,,. s .,l.. FlI -RETARDANT Tl'!EATO WOOD Thl�s doeument lncowymteB C5I M drivAl of',9604e ptIndpiea of'creso mferenees to Division 1 sectlom L` for pros Jmn)l requVe ngriw to avow repetition and duplitatlon, and to other spatlficatien sectiO4 fur RaVated Work,Class refemces rmot be edited tomference caniv thox suctions used In the Pro)oct Mantle{. Thla Section covors fiwmtardant bated wood net e;aposed to the wvathet. i U. FARI Z GENERAL A. Pre-ratardaPt treatrr er%t for wood framing,deekinp,sheathing,blacliti1%platforms,and n,is,ellarevus l wood. Fife-retardallit tutmen;req"AlromTnts should be expressed In the vahous wctlans whore the wed itself M Is Ap®clfled, Buch at thost 1111ted below, -- -..-- � A. Seddon, 06100--Roue-h Carpentry; Wood iram.1 , docking, and sheathinE, � n ' B. Sectidw 06110—Wand Framing. Pre aswrlhl@d components. C. Section; 06126—Wood DecklnE„ PI Sectibh: 9613'l•��ias�y 7ii�bat Fr�rrinE. 1 , , '. 111. Sacdon. 0613S—Timber"flu " Z! r F. Section; 06951�'v1c►d Cl+vordtAI joists, �® 0 Section: W93--P18ted Corti acmd Wood Trusses. m DO H. Sectian; 06796-PlvwVSts,ljp „ 11►fir.',�F{•1' '• Ilr�.�, " r.°'"� '', I. • � I Saedtin;062'00--Finish Caf ntrYr 4veed"trim,n oldi.; ie oQr, renew and 81AY Iight:Frames. ",' US RMti N'68 T_S6 0. Include only reference standarda which are tq be Cited Mthih text!zf this Sestlon, Edit Article balow, adding and deleting as requlred fur Proiece'ghd prodUuf seler.Wil. l - rk��IAaUAe1C°tuassa ar.kaa�aroA rrr��Re. ' '._.: .. G�irel�l�e.old &�i` I�d��OrY+M . 4; t•x� aa•:-.. +t .r �r 1 rtrt/ry+�ppyrr { 'f V6ia�VY * TRANSACTION REPORT * NOV- 18-2006 05 : 54 PM * FOR : JOANNE CURRAN 508 396 8926 * RECEIVE * DATE START SENDER PACES TIME NOTE * NOV- 18 05 : 19 PM 7722292687 4 215011 OK .r rr, Y1,T� ^grL ` �V� LVT1 20 u L.FJIAM L ICLR C ONTuuA nrI OR NO. 5(4 f .^ti:aola®ea au:F�9 9C3-46�-7497 Mr�S PAGE 04106 A. ASTM b 1201—Test Method for Hygrp.icdoit properties of_PU' 96tardant Wood and Wood Base Products. v B, �ASYM F 841(t:L72-M(NFPA Z55)JU13C Standard No,�4241—Standard'rest Method for Surface Burning C1'erarteristtes of Suilding MatePale-Extended 90NMinute Testa ' Adak C. ?American W90d Preservers Association (AWPA)Standard C aa—Structural Lumber Fira-Ketardarit lresltment by Pressure Processes, ' D, American Wood Preservers A6saciati6n IAVFA)Standard C 27--Plvwwd, Flre°Astardant Treatment by Pressure Pr0006191, - - E, Military SpecificzVon MILL-19140E Lumber and Plywood, Plre-Reardant Treated. F underwriterb Laboratories, Inc, (LW—Building Materials Directory, Seetlons 0 1tv acid 9VGV, Do not request submittals if t1r;awinp sufficiently deserlbe t'1e products of Ws'section, or If propifetary epeclfying techniques are used.The review of submittals increami the pos6iblilty of unirmtertdad Varia- tion; to drsvAnos, thereby Increasing the 5periflet't liability: 1.04 WISMITTALO Submit product data Bander pmvis,ons of 59ction (01300,)J.—j r 0. Submit a certificate from L6 Supplier of fire-retardant btated lurnber of plywood:attesting that the wand rs PYIRC-CUARDO Third fr,Rnersitlon Flre-Retardsnt 1'reoted Wood. C, Sabmit Nat:enal Evaluation Report discussirm;high tetr+peratura strength t€stinl;flame spread, coy - roaion, Ar;d hygroscopic proorties , 1.05 gUALITY ASSVR NCi A. Treatment plant; Compan"wned or licensed by Hoover Trsatad Wood ProduCb, Inc. 8. Lumber and plywood: Identify each piece with Underwriters Latboratorias,'Ihc; marls rertiiylng sur- fact burning characters hies, Interior type A In accordance with AWFAb G10(Lumber)or A"'Pk C-r Tlywoodb k;ln-dried aft®r ttaotrrasnt(KDAT). Identification mark shall also Indicate monitorltma by Timber Prod+act5 Inspogtion, Inc., in accordance with Hoover Standard NOD., 1,06 DELIVERY, STORAGE AND kANDLING A. _ Delive'r, store, and;handie undo,I wavislon of Scctl>sn 016M. ' 0. Kelp materials dry during deilvvy and sta> ge.Protectyagaihst exposu4 tpg.weather acid from cuntact with damp or wct swrfacag. Roof sheathing should be covered with felt or roofing the'§arne.day it Is.Installed, If Witted during wjnstna(;tion, allow to dry before enclosure.. PART 2 PRODUCTS ;• Spurify only theae species of wood and plywood mellgibla for UL listings In 11t,"Building Materialx Direc. Southern Pine,Douglas Plre,HernlPlt Spit cj Flmipir,White Pine,Ponderma Plhe.Pl wd, 'Sp i Southern Plne, Douglas Fir)When using firvetardant chemlea,ls in roof,epplicatione, iocal building coda �° '' vent'.lttian requirement; crluxt be adhered to; ' ' _ 4 A, "y.PYR041JA06 Third Cerrer(Agu Fire-Retar4rit Treated Wvud,ae rnanufarwred by one of Hoover i Treatmed 'Wcod Products, f-he.'a treating plants 6r-oha of RF licensed- producers. - zi,DEC. 1, 2`itl6:1 2:12AM ,MID CAPE HOME CEiNTER CONTRACTOR S �coUioo7 ld/0/2006 14:05 MF5 rAGE, 95/K 1 ,i���i.jt�l�le•FR11d } . A. Each pieee of lumber and plywood shall beer the UL C)aselflcation Mark eer*Yirtiq,a flamespreard rating of 29 or less in the IUL 7231[ASTM 6 84]rrNFPA 255j 11unnei'TeW', and wham the fast is ex- tended for 20 additional minutes 00 minutes total),the flame:front shall not extend more than 10.5 ' feet from the center line of the burner and there shall be no aMence of significant pivgrdnNe eornbustion. B. Lumber devign values and piywood span ratings shalt be r cWized by Issue"m of a National Evelua- iian Report which shall lnalude evaluation of Strength testing for roof appllcntlons. G in addition to UL monitpriq for flamespread cerdfiaatiae,production and kiln drying after treat want Shall be ntonitored by Timber products Inspection RP;, D. Smoke toxicity shall be no more than that of unbeAved wood. E, All lumber shai!be kiln died after treatment to 19 percent or less moisture conten and all plywood to 15 percent or less moisture content F. Treatment formulation sfialp contain ne halogens, sulfates, chlorides or ammonium phosphate, reatmant shall qualify as Typp'►A 1 treatment lnar-hygroscopic)in actor.Jance with AWPA C 20 and, C 27, PAR7 3 'EXECUTION 3,01 GOGRAL A. Discard pieces with defeco which might impair quality of work, 3.02 FIELD CUTS A, End cuts,drilling holes,and joining euts are permitted.do not rip or mill fire-mu Want treated lumber; Flr-retardant MOW plywood can be cut In any direction, l:N0 OF SECTION F ' l , 6 a __M..-.. Lo f Q J. 5 X t i + -- - - ,, ooi 2 p ; I It �•` � I I I cry� a ` i � � I i .. T! rl qn ij d i yrI zti: I, r r d , ' �� `------- - -. ..'_w.-) __. - ��; �--. _.. .._ ' � - .4-._ .. .. �.r�• '����' __ ---- -•-_-.. -_�-... — -'-� �'/--_..__ .. �- 1---. ` ,_--ate---_•Z J '—• -- _ - -- 1. (!-'/ ol L41 rl IL - -� I_ I a -- -- -- ---- - - - - --- -- - - - - - -- -..__.._ t, ...... p ITE - FTF - - Ell I _ - -- • i } PBAR OKE DET�CTO REV/IEyW•E UD , BUILDI EPT. DATE i FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING _.mot ; A • i - I J � i j x , � O p �F. 30, tea � • jo o SIV -- - - z rl -�- - ! w 1 > ! i _ • d c /(o %t'. JY"GAG l . Tr • I O i oo - X -ip I I 1 {n l x.. If "a A i _ 1UH1 ' a p � ' IIT[1L1 fi �R► 4z a I I I _ I I ; h Cif,� ! ! � • El- Jill II II , I /SArFE4T y„ ALL.) UTT-�1f� f � po(JTf 'x-`►:n _► D a� 'rA A-I)L(f 12.0 OM j�� �ti,' �j�),- ota S 44.0 x 6 rA,c.�A :-,�� bfi►G� \\ a 3°X 6v w����-2. 11 -14, s e �, C_ 77;Ll P / S 6, .57VlJ tr 7-AA41L.� --- � - �ID �0�� i x u /x S c aD'S lie a X-7 p Ixy /,A-1 rr)"JT oA) f- f ,o j�4L/ T-r&k. r2,oN-r 4 3y_,vim Dxy SHOE -- ��o 1t�� X►U I X' TF2/� �G b►'L /&'loc. (ARPC,E- �... IZ N ► L.LA P 60Pt. 4 i 2�)DEy CO)G 50/NC. Lf--� 5 TTtV, - y 0V 4=k ! ( Ja rs. 9 �a T-4 /�G r3 R g'y ' Mix aX '0 �?7- D Y 5 A-T� p RA T- o�X - x. P T, j 1 L L ll�tl C t,J/ //o X l� i�3' "co�JC Cv c • I ® V „ ,� 1 .,��' %-1-7vr- s '� 4 - �ni - pnM r9�<!�� 1 ( Jars A(3 i . Ll �� 1 �• _ LA il�j �0 1 ry { I I _ 13 llo , ► I ; f 20 FT. MINIMUM FROM CELLAR SOIL 'MST P 1099� TOP OF FOUNDATION DATE OF SOIL TEST JUN- 41 2005____ 102.30_ 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE CLEAN SAND SOIL TEST DONE BY DARREN MEYIR_____ ELEV. _ _ _ WITNESSED BY _Q_DESM�RA -------- CONCRETE INSPECTION PORT 08SERVATM HOLE I ELEV.=__97 90 OBSERVATION HOLE 2 ELEV.-__98.50 COVERS 4" SCHEDULE 40 PVC PIPE LOAM AND SEED PERCOLATION RATE _4.._�__ MIN./INCH AT MIN. PITCH 1/8' PER FT. __60__ INCHES PERCOLATION RATE _ <_�_ MIN./INCH IN C HORIZON 2" LAYER OF DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 1/8" TO 1/2" WASHED STONE 6.00 4" CAS? IRON PIPE 97.23 �1� fi4�l�6 MIN. VENT 0-5 � A LOAMY SAND 10YR3/2 I NO I 0-7 A LOAMY SAND 10YR3/2 NO (OR EQUAL) MINIMUM 5-34 I B LOAMY SAND 10YR5/8 7-36 B LOAMY SAND 10YR5/8 PITCH 1/4" PER FT. Z TEE 34-120 C MEDIUM/ 2.5Y6/4 10% COBBLES 36-123 C MEDIUM/ 2.5Y6/4 10% COBBLES FLOW LINE 94.23 COARSE SAND LOOSE COARSE SAND LOOSE ELEV. _ PUP_ -TM N. 22 ° 7_11- ° ° I ELEV. _ _"50_ LEVOEL ° ELEv. _ _ ��_ GAS 6" SUMP ELEV. ° 10' ELEV. _ _�2.�0- BAFFLE ELEV. _ _ -�Q_ � hy' DIS I RIBU I IT ON ELEV. - LIQUID OUTLET BOX _�,Zli_ DEPTH TEE (TO BE PLACED ON FIRM BASE) � HIGH CAPACITY INFIL TRA TORS WTH STONE z 4 FEET 14 INCHES TO BE WATER TESTED IN AN 11 4d' 10 " TRENCH FORMATION '00 5 FEET 19 INCHES ^♦♦'' '' ���� IF MORE THAN ONE OUTLET In NO WATER ENCOUNTERED AT __ 120" ELEV. _ __gZ�D NO WATER ENCOUNTERED AT __123" ELEV. 7 FEET 24 INCHES 1� G ANK (TO BE PLACED ON FIRM BASE) SOIL ABSORPTION WELL ONE N(A 8 FEET 34 INCHES SEPTIC 3/4" TO 1 1/2" CLEAN SYSTEM (SAS) INDEX DOUBLE WASHED STONE ADJUST FREE OF FINES & SILT DESIGN CALCULATIONS USGS PROBABLE WATER TABLE ELEV. _ ___�_ NUMBER OF BEDROOMS 4 SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. = _____ GARBAGE DISPOSAL UNIT NOT TO SCALE BOTTOM OF TEST HOLE ELEV. _ _QI,4Q_ TOTAL ESTIMATED FLOW ( 110 0AL/toR./bAY X 4 fit.) .�Q_ GAL./DAY REQUIRED SEPTIC TANK CAPACITY GAL. ACTUAL SIZE OF SEPTIC TANK GAL. SOIL CLASSIFICATION DESIGN PERCOLATION RATE MIN./IN. EFFLUENT LOADING RATE GAL./DAY/S.F. LEACHING AREA SO. FT. (11 X48)+(59=10/12) LEACHING CAPACITY (AREA X RATE) A&A GAL./DAY 625.33 X 0.74 RESERVE LEACHING CAPACITY 4U46 GAL./DAY 1,00.00' \ LIMIT OF 5 _ NOTES: OVERDIG---- \ 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. 48.00, 6 1 TITLE 5 AND THE TOWN'S RULES AND REGULATIONS FOR - 11 THE SUBSURFACE DISPOSAL OF SEWAGE. r \ I o I 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO f RESERVE SA i o i WITHIN 6" OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE 95.4 USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL �04.4 BOX\ 95 3 BE MORTARED IN PLACE. 1500 ALLON 6)- 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH L - J� SEPTI TANK \ _(9 DEEDED OR ZONING REGULATIONS OWNER / APPLICANT IS TO DECK \ i OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 9 � 6 S UTILITIES CALLHOWN ARE"DIG-SAFE" T1APPROXIMATE ONLY,233 ATALIEOAST CONTRACTOR PRIOR TO COMMENCING WORK ON SITE. 1108- --- -- __'- 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION __ 14,10, IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER IMMEDIATELY. 8. PARCEL IS IN FLOOD ZONE - 9. LOT IS SHOWN ON ASSESSORS MAP _��Q_ AS PARCEL x 104j7 I y00.1 PROPOSED DWebLING 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND \ \\ FOR A MINIMUM OF 5' AROUND SOIL ABSORPTION SYSTEM AND BE 4 BEDROOMS 1 /198�� REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255:(3). \ 97.9 � 98.8 \ \ S>�� I \ \ I TEST 1 JOdh , ZH OF \ SOIL iA'�1 T.A. t \ o TEST 2 �., ' p1 APPROVED. BOARD OF HEALTH N I LOT 8 . � No Du. i1 II\ 8 12,300.0 f S.F. \\ 101.0 I 105.4 I , , DATE AGENT • \ 1 . � 120.00' , ,\ _ 98.8 PROP08ED SEPTIC DESrGH FOR < 101.1 .o __ P CUR RAN Ew A 103.9 I J - �u2 ^ / VE /v vE 100.00 �- LLINS PROJECT LOCATION t nT g �o� LI , . _ 22 Ca p► ., 8.4M la RE T MARSH OMI 4 F 23 GREAT WEST RN ROAD LEGEND: 508_ P. o. aox i 3 EXISTIN OOxO 398-3922 SOUTH DENNIS, MASS. 02660 EXISTI G CONTOUR ----00---- ROUTE 28 FINAL SPOT ELEVATION DAB SEPT. 14, 2 00 SCALE 2 Q' FINAL CONTOUR SOIL TEST LOCATION !� UTILITY POLE -0- TOWN WATER -Wes+■ -W- REVISED FJ08 N0. .�. CATCH BASIN `/.•� 6281 00 GAS LINE G " CESSPOOL O C.P. / CLEAN OUT --- C.o. LOCATION MAP REVISED SHEET 1 OF 1 C- \S8�PRalI6261-00\d*V�6261-:o&DMG 62005 SWEETSER ENGINE lAA c� �c i {{ !�.'F1.b.,•e iiff-.�w''. Am er, 'C CE • 127 AL oo �e 111 Ise �4v [ OL �� E /5S 00 Qaa:26..73 {a TIN ?S�o c C.0 a•75��3 So ' 38S 30' wi4 Cox LANF ti �53• ,s 7. EYE LY/r t s �:IF SVM/yER G'RO, Y � ✓pNN r 4 i C re ski.r_ i •' �11� F _14_P_!�!----( �-° 1 ----- 4 \!S i YS CF T � � 1.�� ��!�' L.• C?�",�: � � �• 6�L.or . G►�r.� c� TO I t.,. C C> �`�s Sin ' Nr-IrS4>iwi bz�-�FL, R/`�{NhF{n L8.101f i hi.t SQti o:Ai'JL � +t •� `%ON B�Ar�tSt � A � LAVA( J C � sNoL Bch"7tnY•LLc. M: _ ..__..... 5070