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HomeMy WebLinkAbout0007 HARRISON ROAD 7qf #X Vxx'#[ ; x 'X �?,,' }r i' .. ' D2 wG ,• •'aJ- L'. A� S •� �.,.. x .. '7. '�,. .•., ,,u .4 � .,4.,7 f ({ 4 C. 1 > r,�'. �'�'a� })' - tS' +:'- yj Al {Y:{ .s..,...:at a.w.+._...e , ..4.:..' t�h�.r,. ,. })..k: !� ,:.. . �.t ..l:,.e�P' .4 ry' ,Z.7 +.f SIi^ - .f7W.•-i 'ail ''1. ay . .. - -- u ..._. .._ ar:. ,.4 t�d •i� , 17'� d .Fr 4 d ¢� e.x.. . ka c #��!S 'r4 ��t .- iti:x•l^ j` 7��, ,n {..:�i e�is M ." �,..`k f` - j `• is �,,, �F �r, c e " � 'A ,I x 0 4 0 ti f. s „ + + i y ��l^r 1 SO'� �� �Q-Y1� �J�� V� i I��)� fe �c�e1� �I7 5� 3492g � _ . . _ _ f 53�yl 4 f 1 C Q-V14- e4- - - - - - � _ _ �s. --� �1 �� ^ � � ���� ; I �� � / I � � r� rs � e� � � �' � � .fir � � � � ��j r ' � f 7 �:. �� 2� . �.. _- J ,.i _ _-. if •�/�/ d ���L �� ��./K 'O "� 2- 9Z7 � 2 AG,eI� BUILDING PERMIT ' PARCEL ID 229 083 GEOBASE ID 14159 ADDRESS - 7 HARRISON ROAD PHONE CENTERVILLE. ZIP LOT UNNUMB BLOCK LOTI sIZE DBA , DEVELOPMENT DISTRICT CO PERMIT 78003' DESCRIPTION RESTORE TO SINGLE FAMILY DWELLING PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY CONTRACTORS: DEVLIN, STEPHEN ARCHITECTS: Department Of Regulatory Services TOTAL FEES: $75.00 BOND $.00 CONSTRUCTION COSTS $500.00 434 RESID ADD/ALT/CONY 1 PRIVATE �l 0:'=_ 1.. * BARNSTABLE, • ;;.. MASS. 1639. r BUILDING DIVISION DATE ISSUED 01/20/2004 EXPIRATION DATE g(j6 s THIS PERMIT CONVEYS NO RIGHT TO OCCUPY'ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. Egli.E CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR =a 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 a, 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 +fit ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. , ® I Wei BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS F; �I2o/0y(7 y� 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I 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 APPROVEDTHE STRUCTION WORK IS NOT4AT-ARTED 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. mow`% 1-4.Q;, y is TION. 4 A ,ter BUILIJIN. G Pr= RMIT l 5 a- 0 y MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA. DATE _ PERMIT# 1 - - -- - - JOBSITE ADDRESS g( r` iOWNER'S-NAME O E L_{ POWNER ADDRESS: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL, ] PRINT CLEARLY NEW: ❑ RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXUTRES-1 FLOORS . Bsmt 1 2 3 4 . 5 6 7' 8 9 10:: 11 12 13 14 BATHTUB CROSS CONN DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS101USAND SYS DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYS • DEDICATED WATER REUSE SYS DISHWASHER DRINKING FOUNTAIN FOOD WASTE GRINDER UNIT FLOOR 1 AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE 1 MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING PC,Vd O r l n n Cyr—/M INSURANCE COVERAGE I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 YES FEI"NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY,: OTHER TYPE INDEMNITY ❑ BOND>❑ OWNER'S INSURANCE WAIVER:I am aware that*the,licensee does not have the insurance coverage required by Chapter 142 of ttie, Massachusetts General Laws,and that my signature on this permit application waives this,requirement. e, CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT ~ I hereby certify that all of the details and information l have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations,performed under the permit issued for this ap lication will be in/•complia with�Vertin t provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER NAME: _ LICENSE# SIGNATURE " COMPANY NAME: ADDRESS: C C7 ram__ _ CITY: STATE: ZIP: FAX: TEL: CELL: b x MASTER❑ JOURNEYMAN CORPORATION❑# PARTNERSHIP❑#0 LLC❑# i TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY r.'f PARCEL ID 229 083 GEOBASE ID 14159 ADDRESS 7 HARRISON ROAD PHONE CENT.ERVILLE ZIP - LOT UNNUMB BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT TYPE B6 04 IPTION MDO �0 ETFATEF OCCPANCY CONTRACTORS: Department of t. ARCHITECTS: P TOTAL FEES: Regulatory Services BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE * SAMSTABLE, • Mass. 039. BUM`BUMN ISION DATE ISSUED 09/16/2003 EXPIRATION DATE Y ,/ , F� TOWN OF BARNSTABLE0 / Z BUILDING PERMIT 1 /PARCEL ID 229 083 GEOBASE ID 14159 t ADDRESS 7 .HARRISON ROAD PHONE CENTERVILLE ZIP — 1 -LOT UNNUMB BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 66157 DESCRIPTION SIN FAM/2 BDRM I PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: CAPRA, FRANK ARCHITECTS: Department of j .Regulatory Services TOTAL FEES: $706. 15 BOND $.00 CONSTRUCTION COSTS $201,984.00 101 SINGLE FAM HOME DETACHED 1T PRIVATE ; }' . • ■AENSIAELE,,• BU ON BY DATE ISSUED 12/31/2002 EXPIRATION DATE iI 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. I` 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 REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- ANICAL TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4:FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS i. 51c)21 &3 JFiT 6 20 N 5�i9/G3 w 6_VA)JV 51b463 Win- 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT k'It ro s 2 OAR,DD(OF HPA TH J OTHER: IC71fi SITE PLAN REVIEW APPROVAL 0,3 5' 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 CONSTRUCT MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I Olt- 3 � a � .� � r Y ' � "r a 11 �� d+a 4 ° � � � �•i� �,� ' '� ?d '�,y raJ� rya b � � �, � ��' t k � �• ���^�" s 4K/,i�fq� ,y �'_�,D as�4 h k" '�,r �Sax+ � >�p.¢ x "' _ .. k Alf OVA is 4 � OWN Y `w. 'ale yon � �,,� � � x d "�i%. �� �i'Y �a��,�t �i�4 �?'Aa `;t Y 1Y F•o. JIV ,a`..'r' ya {,'' .:�g •` ",.c,a=' :> g *.�.¢:y, ' NSA%, 1 isi ALAALA ,_ rVIM=M ma `b __. ..y - t � ._ � � � t ' � � '� � 7 � � � j � ,� � '� �. : i � � ,, � � � ;t 4 � i � .. • � + � 11 t 'fjjjrlj � � -; � � �: .' �' �- i ,�: ` � �. ..9. ` _' _ �, . � ,. ,:, J.,. .:.� _ _ _ �y: � �S rfi '. I I f, 1 4 I ! I •. 1tk 3 4 .. .. �! � � � c `Q � > � � w M P is p ! R a H ' :F��, 'r j —\ a �' 4 A i V I V > C , �. Town of BarnstableM' Regulatory Services Thomas F.Geller,Director *T Av `STABLE Building Division _ y � Tom Perry,Building Commissioner sQQ ��� 8 P 1 �fpt a59� im 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us _ Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: m?,s Permit#: � 7l HOME OCCUPATION REGISTRATION Date: �I o) Z ' 0 Name: WOL S14-0 I Q3 Phone#: Address: C) �`1 La L I S O V) Village: �O Q I/t L 1_e Name of Business: Type of Business: CLG P Yl n (9 Map/Lot: a O- INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. .• There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. •- No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and a �'th the above restrictions for my home occupation I am registering. Applicant: Date: la, Homeoc.doc Rev.5130103 . YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4-years). A business certificate ONLY REGISTERS YOUR NAME in town (which y ru must do by M.G.L. -'it does not give you permissiop to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: -2 l✓(I ti�� �s Fill in please: APPLICANT'S YOUR NAME: (4Z�40J S�qY7? . 4g' SINESS . YOUR HOME ADDRESS: D1- 1-��q yy�e t4 4 S-3 6'+-013 �kvi 1,1 e, ,yw o� TELEPHONE #. Home Telephone Number .5b,3 S - 4,b-- 1 NAME .OF NEW BUSINESS I 'Y)/y� e�WC& TYPE OF BUSINESS �� f?41k7n IS THIS A HOME OCCUPATION? YES,, N.O: Have you been prova Ong .tvt , ADDRESS OF BUSINESS f) 11����S tom. ( ��I,r, tl ,Z� o % AP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200_Mail -(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town: 1: .BUILDING COM.Ml- SJONER'S OFF C This individual ,a j s een ' f any permit requftements that pertain to this type of business. , A thor' ed ature** COMMENT 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business.: Authorized Signature* COMMENTS: � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map k 2 Parcel Q?v Permit# 2 ,312 (0 '�®0 �-5 Zd ( f '=/' 2 - Health Division TABLE Date Issued 0 _ �� � Conservation Division {'� �� �' a� ®.���,�� ��,� 29 9 3 Fee B 3Or- MUST co Tax Collector Appl N� vU IN Treasurer - - :k, �H�BODE AND Planning Dept. ` ISlU Checked WRONMENTALa-r1oNS Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project.Str tAddress Village L + Owner 1 ��� �� 1 �1 Address V d Z�t)-)/-7 HLV n n 1 j Telephone n Permit Request A .I a4vocu, V75ulc6 o-'9 Cite 9ree I I. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation `�` Zoning District Flood Plain Groundwater Overlay Construction Type .( fiQ Lot Size Grandfathered: ❑Yes Cl No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family 0 Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count .' Heat Type and Fuel: ❑Gas ❑Oil I Cl Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:0 existing ❑new size Pool: ❑existing ❑new size Barn:0 existing Cl 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 ,ZjY (ice pj � I!� Telephone Number ��U' -1 0 Address Zcv 1 O k `IG-Ingo License# 041gl / 9A 62, Home Improvement Contractor# Worker's Compensation# to �—u //�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO { fla l/rn c Qr97,16 IriA SIGNATURE I h DATE �� FOR OFFICIAL USE ONLY } PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER - DATE OF INSPECTION: ; FOUNDATION FRAME s INSULATION ` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: 0Y1GH FINAL KR -J_ FINAL BUILDING Q_ p S �-xM sm DATE CLOSED 01 TO ASSOCIATION PLAN,-NO— :? y E-0 '5Z ' rr'Jt �' ''Town of Barnstable Regulatory Services s i u, Thomas F.Genes',Director Building Division Toml)errY, Building Commb"ouer 200 Main Street,jiyaunis,MA 02601 `q wwAown barnstable.ma.us Fax 508 790-6230 offi -e: 508-862-4038 Property owner Must Complete and Sign TMS Section If Using ABuilder as Owner of the subject property to-act on mybehalf; hereby authorize fitters relative to work authorized bytyls.building permit apphcatlon for. -, Favr.......................... (Address of Job) 41 a Date gigna a of Owner wob pit Name ' f4 9 4•i -- _ The Commonwealth of Massachusetts Department of Industrial Accidents office oflnuestigatlons 600 Washington Street, 7 h Floor , --- Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit: Buildin /Plumbin /Electrical Contractors pill! ame: address: l IQ U N [ � �f I ci�v lL f/( U i r 1. state: A zip VG U/ one# Mork site location(full address)' - ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel I am a sole proprietor and have no one Workingin an c aci Buil [In Addition I am an employer providin workers'compensation for my employees working on this job. k�L .5+"'G. t i u! 4 �r � r'K'- (Olt) i�lY tl2mC T3. car. a h.c ^ ° 4 r trg PIN ` ^� k4� y yetr�• �J��7t°$ F 'r r .� i+ { F address f Skd OA,r£J r u r r S a S t L�rL''J i q. b n ,u �✓r#a� -k A�'"�tk�r3 ��$�4F`f�°'`vr N(,. � k. i�fy'Ft`y`F> Sid'.���rz•m� ♦X1iw :K .s"�.n' �,rR. 4 kwt'.ft p;•f'�•;a'9,,��sj�t':k'��n��7�F x a �'s �r r - .: ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have ohces: the followtn workers compensation _ _ __ .. , � .. r.. 4a.. ♦ `1•A. Fk ri,Y vTM'".•�:'i. w;m ov.-i s:>r'.; . "s: Frc .. r... .:' ,<:... .-, _..,.:.• ... ..: :,-Lam..,.. �a;1:C. L f i1 i. vy, -., ✓ .�- k. `4 T a. 1.i„ R � ,i¢SA ._4' !� , !,� ,i h�BdreSS:'-•a�....;tt-s:',Y;i;.�.pr.,:,1^,ba.,::d''.. ,.s�., J. t i ,x.v vi.a �"i6$ 5N , a ;. aastrrahegtdE. �.7 CFLi.. t. r._ .s, r - •%N 3'ry R F Y - �dare�s::>�:,:�,.,:;.:u>,: >F,.. '• ..J_ �-�. '.?L.r_w fi 1 a .r �:.r.. k .. uty 1 M Dfione.15 ,r h ti DtSi�FaII'C&xCOv •• ,o ,.. �.e. .x ` e _ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify un er.the pains and penalties o jury that the information provided above is true and correct Signiture r Date Print name OaL.`v Phone# �C —i��•-d p-� Fig official use only do not write in this area to be completed by city or town official' city or town: permit/license# C]Building Department' ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office OHealth Department contact person: phone#; ❑Other (revised Sept 3003) t t� Information and Instructions Massachusetts General Laws chapter,152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance.coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at-the number listed below. City or Towns . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,71h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406 r 1 `�� "�unirrean,�uea�' ��'✓lc�us�d \ Board of Building Regulations and Standards HOME IMP ROVEMENTCONTRACTOR ReglstratlOn' 131841 expiration.-.-4126/2006 TytR� Private Corporation TRU07tONC0.INC. CENTRAL CAPE CQNI STEPHEN DEVLIN � 261 BLACKTHORN OFF, MARSTONSMILLS,MA 02648 Administrator 1 ji BOARD OF BUILDINd REGULATIONS J License: CONSTRUCTION SUPERVISOR ' Numbec CS O47993 ExPtres 0710412006 Tr.no: 25.0 Restrieti& 0 ;`, STEPHEN J DEVLIN:; 261 BLACKTHORN pR G _ _-J'/y MARSTONS MILLS, MAX 02048 Commissioner t i 4 i, S f - R i 4 � . I i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f Map �I Parcel Permit# 8 oo*3 Health Division aCl)� ����(� ,Nkj,- Date Issued 1l� Dq 3� �T/N Uy ° ` ` ` A r'')TABLE Conservation Division t,� � Application Fee err �� oO Tax Collector Permit Fee Z5� Treasurer -�__,. _vm CTIPTIC SYBTEL'I rdb3JS e Cif 'iSIQ t'- Sl[ i.E®9M COo��PLi.4B+f,- Planning Dept. TITLE 5 Date Definitive Plan Approved by Planning Board r- W r ONMENT CODE PE D' ToYM REGU '•IOZ 3 Historic-OKH Preservation/Hyannis Project Street AddO)2 Ho Y r i­D6 1n -VA Village (eillp"KII 9 I K Owner fi" I f/l Vif 16 (De,L V1® Address Telephone +ermit Request If ®", tZ7 �— oryt Mot - e— Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new -R mot z— Zoning District / Flood Plain `a , Groundwater Overlay 10 Project Valuation , to Construction Type W1�0 0, Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ®`No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUJLDER INFORMATION Name Telephone Number ���' �W Address I �i(C �i�(✓� License# MA Home Improvement Contractor# Worker's Compensation# (0 l-y 0 Wg 1-7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOAtyzo�ht, r SIGNATURE I DATE b4 v o - r • FOR OFFICIAL USE ONLY 1 , PERMIT NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL.BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts r. = Department of Industrial Accidents _ 600 Washington Street Boston,Mass. 02111'. Workers'-. Com ensation.Insurance Affidavit-General Businesses j , ,,,�•,. ,,,�/ / •,,Py ::;'.:I:k... .:"¢eisfn,.• - r 2r' �.y :�. ..-.. i:'+•.f•,�] � nay: _. .. `� ' b. I�t�:.,,� address: Y f �7 1�=FJ1 3 is zip: V/i1 One# i work site location(full address): I am.a sole proprietor and have no one Business Type: 0 Retail❑Restaurant/Bar/Eating Establishment working in any capacity. [IOffice[,] Sales(mcluding.Real Estate,Autos etc.) I an em to er with em to (full& art time: ❑ Other am an.-q ployer providing.workers' compensation for my employees working on this job.. • 7 1. ,�J a .. . ' r' :�. •:P: `r•, fir' °•r' ` BdClre$Sr V'„�K�•�' � '���!•.F"•'9i"":1°g,'•i''v..../t•.•v++ A. or ..`;. phone.'## •-Y `gyp• }��///'`� }11 .lnsiirarice.cOr•:�..' .,...t. }. •!k-•.•=�:�;•:1V:. ❑ I am a sole proprietor and have hired the independent contractors listed below who have t} e following workers' .compensation polices: com f'•0'•' .i'; •k,. '� - -- ti&'one•#�. --- `:•}- J .r...•N• .'•' yed r' 1:... 't.. '..t:�• 'is+•, . iiisurance'co.: - coaipeny nea�eia _- -- - .. ,s.., :�:,• •.'�;il •.fit<.• � ' ci � .... .:ra•:.a:•'1, •,q. ..St ?• t�,:K.. •a••. •ay .t. tt::" .t;�.4r ' -'sur�nce�sb:•+� - •'��" '`o7icv:#">`� '•r'• - Fallure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to s1,500.00 and/or on'e years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do here i u der the pains an allies of pefjury that the information provided above ise and correct. Signature Date ' Print name �� 4�<6L4�� '11� Phone C-checkif nly Inotn this area to be completed by city or town official permit/license# ❑Building Department . ❑Licensing BoLe mmediequired ❑Selectmen's❑Health Depant , on• phone#; ❑Other03) Information and Instructions Massachusetts General Laws chapter�152 section 25.requires all employers to provide workers' compensation for their. employees: As quoted from the law, an employee is.defined as every person in the service 'of another under any contract of hire, express or implied; oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or mare of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer, or the receiver or individual, trustee of an al,partnership, association or other legal entity, employing employees. However the owner of a dwelling house havang'not'more than three apartments and who resides therein, or the.occupant:of the dwelling house of another who employspersoiis to do.maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such.employment.be deemed to be an employer.... MGL chapter 152 section 25 also'states that every state or local licensing agency shall'withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required.. Additionally,neither the commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until h the nisurance requirements.of this chapter have been presented to the contracting . acceptable evidence of compliance wit Authority.. 00000111, Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation.:Please supply company narae, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Departnient•of Industrial Accidents for confirmation of insurance coverage. Also'be sure to sign and date the affidavit. The affidavit should be returned'to the city or town that the application for the permit or license is being requested, not the Department of Industriall kccidents. Should you have any questions regarding the"law"or if you are required to obtain a:workers'.cornpensattonpolicy,please call the Department at the numberlisted.below. City or Towns . Please be sure that the affidavit is cbmplete and.printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event theOffice of Investigations has to contact you regarding the applicant Please be sure to fill.in the permit/license number which will be used as a reference number. The.affidavits,may.bei leturned to the Department by mail or FAX es s other ari angements have been made. The Office of Investigations would like to thank ybu in advance for you cooperation and should you have any questions, please do not hesitate to'give us'a call. The Department's address,telephone and fax number: . :.' , , . The Commonwealth Of Massachusetts Department of Industrial Accidents emee of Wlr®s119suens 600 Washington Street ' Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext:406 of E Tow, of Barnstable ' • ,�'��°� Regulatory Servzdes � a �st.�, # • Thomas P' Geller,Director S6 5�k Buizdiug Division Tom Perry,Building Commissioner ' 200 Main Street, Hyannis,MA.02601 Office: 508.862-4038 Fax: 508-790-6230 Date ' A.FMAYIT XrOME nORO'VEMNT CONTRACTOR LAW SUPPIY,MENT TO PERMIT'APPLICATION MGL 0.142A requires that the"reconstraction,alterations,renovation,repair,modernization,conversion, •improvement,removal,demolition,or contraction of an addition to any pre-existing owner-occupied biding acntainixig at Least one buff not more than four dwelling units or to structures which arc adj scent to •. such residence or building be done by registered contractors,with certain exceptions,along with other requirements, 'Par �-•, • Type of work: -D I I ` 1©1�-� Esti=ted Cost m - Address of Work: �/��®- to , Owner's Name; /ii �( it lJ �lA�� Vic) Date of Appticdtion•- I hereby certify that: Registration is not required for the following reason(s); ' . ork excluded bylaw ob Under$1,000 ' []Building not owner-occupied []Owner pulling own permit , Notice is hereby given that: . • O"ZRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED - CONTRA•CTORS FOR ATPLIC4LE TOME ZUROYEMENT WOMDO-NOT lakn ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c•.142A, - SIGNED UNDERPENALTIES OF PERNRY ' Thereby apply for a permit as the agent of the Mer:~ - �l ll II `/-(� .w. I � s�f 1 Data Co ttactorName RegistrztionNo. OR Owner's Name 4 , Town of Barnstable , Regulatory S erdces # Thomas F,Geller,Director ��A Builclin.g DM81011 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . mm,toft,b arnstable.ma.us , office; 508.862-4038 Fax: 508-790-6230 P� roperty Owner-Must _ - - - --Complete and Sign This Section if using A Builder 0y, �� ,as Owner of the subject property herebyauthorize �'/�`' JI^ 1 1/1 to apt on my behalf,' . in all matters relative to work authorized bythis building permit application for, (Address of Job) tgna=e of Owner Date print Name I Board of Rnewjom and Sa�adards HOME{�P � Y� - in a6e cwp"adw CENTRAL CAPE LN §fEWEN DEVUW:- 261 BLACKTHORN DR. * MARSTONSMILLS.MA 02648 ✓�s'L�oawer+oewre��►o�✓i►.am�ra�neaa� E BOARD OF BUILDING REGULATIONS Ucensw. CONSTRUCTION SUPERVISOR Number .>. 047993 E p, no. 16913 STEPHENJ DEVU4 ter._...:'.. . 261 BLACKTHORN 01�•... ' -' :' ` MARSTONS MILLS, MR' Ac#ngCoembspner (ill a c c,o Co e.��o , }-�o�.cr,so� � s r ,: � � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map y �r/�� / Parcel Permit# _51S 2 I' `®�l' �. F`S��BL Health Division PC, C Date Issued Z 3 �� a + p _ a j Application Conservation Division ®I X - Tax Collector / Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project S eet Address Village v Owner rvC. i I o �� in1) Address 2� '�IYi mkyl i9�l M 94 Telephone 9ff,5" Permit Request "r C &0► r_� o(Dm Square feet: 1 st floor: existing proposed b 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /5 Construction Type IND(�� I /QVYl�J Lot Size Grandfathered: Cl Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes U-<o On Old King's Highway: ❑Yes l4o �. Basement Type: &Kull ❑Crawl Q❑Walkout ❑Other Basement Finished Area(sq.ft.) Bf Basement Unfinished Area(sq.ft) Number of Baths: Full: existing _Z— new Half:existing new b Number of Bedrooms: existing 3 new d Total Room Count(not including baths): existing CP new First Floor Room Count Heat Type and Fuel: ' Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 8 No Fireplaces: Existing New D Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size � Attached garage:Plexisting ❑new size Shed:0 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 % � ..— �,„ Telephone Number �202 LJ—7 0 Cky co Q Address Gly &k��D✓kn License# C15? I�wl✓oo l`7 I I IGj MA Home Improvement Contractor# Worker's Compensation# (01-U e'-b_ -JX OZ5g02— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &UPI-tir SIGNATURE rz DATE i FOR OFFICIAL USE ONLY - 36, - r. i ~ PERMIT NO. - S p DATE ISSUED i MAP/PARCEL NO. j ADDRESS - VILLAGE r � � {rs . OWNER .: . 1 � n 1 DATE OF INSPECTION: ; Y S FOUNDATION FRAME o -4 4 INSULATION 021 )6 -0 .4 ' FIREPLACE : ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING, 1� -4 — C " t DATE CLOSED OUT Lw r a ASSOCIATION PLAN NO. s r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 2 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE y 8 8 4- square feet x$64/sq.foot L L x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30,00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) A Permit Fee projcost, The Commonwealth of Massachusetts Department of Industrial Accidents ? =_ office 911layesti9stions t 600 Washington Street Boston,Mass. 02111 Workers Com ensation Insurance davit �ocatio/n1.�� ���✓1`2� Vy t ' -� . city IV" ` �✓� Phone# ❑ I am a homeowner performing all work myself ❑010/5 I am a sole etor and%%/have no one worki>s M ca achy % din workers' co ensation for�ep e 1 es working on this job. 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I'do hereby certify under the pains and penal�tie�s of perjury that the information provided above is true cud correct Signature `G �1'�i J 1 i4> t-, Date f 12:; Phone# 1p' I��nloTl Print name_�i�iYl �1i1/7 Lim '--t--�-�-�- official use only do not write in this area to be completed by city or town official petudt/license,# ❑Building Department city or town: Licensing Board ❑Selectmen's Office ❑checkifimmediafe response isrequired []Health Department contact person: phone#; - ❑Other_ - o v,.eesrosPJA) E, 'Town of Barnstable Regulatory Services BAJ x esi.E. Thomas F. Geiler,Director y nsnss $ , Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IIYIPRO VEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. �j Type of Work: I l rl Estimated Cost 15,00o Address of Work: Owner's Name: r�i n �t 1�I �1 D Date of Application: I hereby certify that: Registration is not required for the following reason(s): mWork excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMTROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: J • Date Contr ctor Name Registration No. OR Date Owner's Name BOARD OF BUILDING��✓� Icense: REGUL,gTIONS CONSTRUCTTION SUPERVISOR Number':CS F 047993 Expires•,02/04/2p04 � Tr.no: 15943 Rejtrlcted .aa STEPHEN J DEVt1N; 261 BLACKTHORN DR MARSTONS M(LLS, MA U2648 ��""'`' Vie. - Administrator ✓fieSIN �arnneanuwa/Ua,o�'✓��a4sac�u�aPlla Board of Building Regulations and Standards HOME INIPRPVEMENT CONTRACTOR Registration: 1;3 t841 r ,-Xxpi"radion; -9126/2004 Tf 'Pilvate Corporation CENTRAL CAPE CO'k MICTION S f%A'EN DEVLIN;... 261 BLACKTHORN DR. MARSTONSMILLS,MA 02648 Aig,gtrp,rar i I . . Town. of Barnstable Regulatory,Serces$ e $ - Thomas F.Geiler,Director se'p' „BLtildillg Division Pfp Tom Perry, Buildlrig..Commissloner, 200 Main Street, Hyaaals,MA 02601 Office: 508-8624038 Fax: 508 790-6230 Property Owner Must.--- ; Complete and Sign This Section If Using A Builder vz f1eJ�l P 11! ra r 0.u ., , .,as C}aner..of tlie.subject property- .. ... . F�}s41 '{ge to'act oa m. beha3f,. ��-hereb authatize y' - �:. V �a ° 15�itters tdative to work autlsorrzesi bp:this builcliag p s t application fox, .., 4 �°t - o - vllte, (Address of Job) , z� V � _ Sigsiadture of Owner Date f' Iv�►�e i_b��C��o Pit N=e ..... ,..qw-.h... ,r .. ,......,... ,.�„ ,•.. ..,,.,.... _ - �.�., g - R twr�+:�>±� .,td,?�, :s,r?fr,�� c,. .`C.... _.. ., Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 Data filename:C:\Program Files\Check\REScheck\#3898.rck TITLE:New Finished Basement CITY: Centerville(Barnstable County) STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE: 12/09/03 DATE OF PLANS: 8-23-2003 PROJECT INFORMATION: Marcio Coelno 7 Harrison Road Centerville,Ma. 02632 COMPANY INFORMATION: Central Construction Company 261 Blackthorn Drive Marstons Mills,Ma. 02648 NOTES: MaCheck by Cape Cod Insulation INC. #3898 COMPLIANCE:Passes Maximum UA=232 Your Home UA=210 9.5%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter• R-Value R-Value U-Factor UA Wall 1:Wood Frame, 16"o.c. 888 13.0 0.0 69 Window 1: Wood Frame:Double Pane with Low-E 32 0.320 10 Door 1:Solid 20 0.280 6 Floor l: Slab-On-Grade:Unheated 120 0.0 125 Insulation depth: 0.0' Boiler 1:'Other(Except Gas-Fired Steam),92 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 Pnergy Code requirements in REScheckVersion 3.5 Release 1 (formerly MECchec4 and to comply with the mandatory - requirements listed in the RESchecklnspection 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 AA Builder/Designer Date I f REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 DATE: 12/09/03 TITLE:New Finished Basement Bldg. Dept. Use Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: � ICI Doors: [ ] 1. Door l: Solid,U-factor:0.280 Comments: Floors: [ ] 1. Floor 1: Slab-On-Grade:Unheated,R-0(uninsulated) Comments: Heating and Cooling Equipment: [ ] 1. Boiler 1: Other(Except Gas-Fired Steam),92 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. � n Vapor Retarder: [ ] ' Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation:" ] Ducts shall be insulated per Table J4.4.7.L Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and MA Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. . Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 T or chilled fluids below 55 T must be insulated to the levels in Table 2. Table 1! Minimum Insulation Thickness for Circulating Hot Water Pipes., Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts V and Less 1.25"to 2" 2.5"to 4" Heating Systems' Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Town of Barnstable Regulatory Services • BA NSTABLE, yQ MASS. g Thomas F.Geiler,Director Up t639. �0 re039 & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office:' 508-862-4038 Fax: 508-790-6230 June 29, 2004 Marcio Coelho 7 Harrison Rd. Centerville, MA 02632 RE: 7 Harrison Rd., Centerville, MA, Map229 Parcel 083 Dear Marcio Coelho: A review of our records, including the permitting history of 7 Harrison Rd., Centerville, as well as Zoning Board of Appeals records, indicate that the use of that address as anything other that a single family home is illegal. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You are hereby ordered to discontinue the use of the above-referenced property as it is now being used and restore it to a single-family home. You have until July 13, 2004 to comply or legal action will result. A building permit must be applied for to restore the layout to accommodate the conversion. You must do this before you make any changes. For any questions, call (508) 862-4034. By Order, &ee auzon Local Inspector Q:zoning5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ `" Parcel Permit# Health Division ^ �� Date Issued — Conservation Division Z (v L p Application Fe�..'�� Tax Collector_Z,�;_� /A/6/ 2___ Permit Fe 6ly, S &, f 5 Treasurer Z �lt��4 SEPTIC S'tl u_1 r-,";"T C n �' IH5TAl.LE�IN CC:€10FLIAj CZ Planning Dept. 't „= VATH TITLE 5 ,� � Date Definitive Plan App oved by Planning Board io 0 o.Z D� ENVIRONMENTAL CODE Atd4 TOM REGULATIONS Historic-OKH Preservation/Hyannis 4- ✓► ' �I l Project Street Address Village �/`�t( Owner �nr�u v; +a-,, 2 Address ( � t� + S U� G�V' �� ✓ Telephone ) Permit Request �o v� PIA, / C0 q D Square feet: 1st floor: existingproposed � � 2nd floor: existing� proposed L Total new Zoning District 1—I?' Flood Plain 11 Groundwater Overlay Project Valuation Construction Type d 4 6-m Lot Size e a 1 Aar Grandfathered: C YeS ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 53/ Two Family ❑ Multi-Family(#units) Age of Existing Structure AI A Historic House: ❑Yes ❑No On Old King's HighAy: ❑lR Flo Basement Type: &full ❑Crawl C ❑Other I �' �- c-, o Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ' Number of Baths: Full: existing new D r'�__ Half:existing � newv Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room C unt P r Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: @'des ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes &Ilo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: t Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Ca'�lo If yes,site plan review# Current Use Proposed Use L BUILDER INFORMATION q C� Name f-A— Telephone Number Address" a-57 License#_ CS 0 k o, 4 3 d T41, A d'XRJ 3 rl- 1M 0' Home Improvement Contractor# r Worker's Compensation# S U 2 I X 5 160�- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE A DATE FOR OFFICIAL USE ONLY — PERMIT NO. J DATE ISSUED i r MAP/PARCEL NO. ADDRESS �'~ " — 1 VILLAGE OWNER c , 1 _ DATE OF INSPECTION: FOUNDATION FRAME INSULATION _}2 Z.- C� FIREPLACE t ELECTRICAL: ROUGHi r FINAL PLUMBING: ROUGH FINAL GAS: ROUGH - ; ~ z FINAL ; FINAL BUILDING - t,r , DATE CLOSED OUT <: ASSOCIATION PLAN ENO. fHE fp�� The Town of Barnstable • RARN5fABLE.MA Department of Health Safety and Environmental Services . SS. 039 �0 pfFO MP+A Building Division �— 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location I 5 ;n ���1 Permit Number L(0 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: , 1 2 ) , A I c 0L k a' `7 - s �G�t I? P r i �3 Y^ (d 1 n c 4oK i _/ GV Y� Please call: (�508-862-4038 for re-17pon. Inspected by I o Date `J ' 7 N6;L C-e hle)-v ) C14 LMOUTH ROAD — ROUTE 28 FA 81.47' ia_ c., v 37.7' Rp W O � 0 EXISANG FOUNDA 77ON Q ' V O O LOT 13 11,600f SF. TOP OF FOUNDATION IS ELEVATION 51.57 (SITE PLAN DATUM). TO THE BEST OF MY INFORMATION, "AS-BUILT" PLOT PLAN KNOWLEDGE, AND BELIEF THE BARNSTABLE, MASS. FOUNDATION SHOWN ON, THIS PLAN LOT 13, PL. BK. 137 PG. 107 HAS BEEN LOCATE vµ F� ys9� GROUND DATE 3122103 SCALE 1"= 20J AS INDICATED R061N y JOB 01-0938 CLIENT SUNRISE CO m 3 ZZ O3 a� SWEETSER ENGINEERING 235 GREAT WESTERN ROAD DATE PROFESSIO AN1URVEYOR Po Box 713 souTx DENNIS, MA ozsso off. 508-398-3922 fox. 508-398-3063 C.• ,S81 PROJ,2391-00\dwg\2391—OO.DWG hr L n 3� TOWN OF BARNSTABLE Board of Appeals _...: .....act: _.........._..............._� Petitioner Appeal No. .... ....... . ° 19 FACTS and DECISION Petitioner ......_........ .. a ..... _, ............._................................. filed petition on . :�.: . . 1964, requesting a variance-" ariance- for premises at .. . ........ , in the village of .... ..t 34..... ........ adjoining premises oinew..: :... .. ... aal 1*...M.G.I. U. _.. :... fri.a. M * �. ........-...................... ............................................................................................ ..... for the purpose of .................................. r ' .... ,....vinjae.... . ...,. ...-........................._.._ e.............' ....Sit....haak.... . . ... ... . .... ... :.... :... :.................. theLocus is presently zoned in _.........................._._............_._._..............<...._...._.................................................._............................_................................................................................................._........................ Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Cape Cod Standard Times, a daily newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town iof Barnstable was held at the Town Office Building, Hyannis, Mass., at ...... .... P.M. , upon said petition under.zoning.by-laws. Present at the hearing were the following members: _ am ................. .D.. X.S _...._... Chairman i At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was had by the Board. On ............................................................................................................................ 19............. the Board of Appeals found "fever' Albeft 8# 14161" - stat6d that he so the proamt Iaqmm r e v * . _ 4 o - .* Beat VGA 30 feet sot ae.-X frem the str"to The vetltlonar 4 . that eomlUzee ftl� tho got back mtArofftotv from Road Vould prealuft hu 00soametime t, , . ate trat be be is °. cot book sty vat t or bU h*wo In much. a asamr vould not be dotrUestal . since,[yy sy�y�ex-I s : : . .{ ,gyp$t to i to all bwM co truc[o l rt tue saw go - _ sot back* t was ., . that tea 16CM40A ot -OW-46'.1w is lot at tha I et". ark of tLe State AlghWAY crosmed a UnIMM A # 31noe the - y required only feet 640t bS .* was of the aplalon Vh s not be datr1matal to tL- Board o a -lone this post. bUt rAt affeetift ses"Any th-0 zonLne ftstrtot In Uhich e.nXwewW� ot the by*UW �WoUld LAWIVO SUbstem the petitioner further flat Velftf CoUld be f h 'Pmvosia or the � _ ,* 41 Board n voted to gVent Restrictions imposed theearl Distribution:— Board of Appeals Town Clerk Town of Barnstable Applicant. Persons interested Building Inspector Public Information By .. ...... . . .. . Board of Appeals Chairman Affidavit of Substantial Financial Interest �I-e-e- I, I I�-v►�. �c� of S,,;,.C- ;� 4e,- , on oath depose and state as follows: 1.. 1 am an applicant for a building permit for the property located at Mapes_, Parcel . The address of the property is -7 I f"I o P,d- . 2. 1 have too % 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 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 Addre AL,6 4. Within the last twelve months, from today's date, which is °d, I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parc I 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 6 building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted () building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received 0 building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury, this day f C . , 200 — 2001-0050/affin 1 O/LOTTERY/AFFI DAVIT, . a�3J0JP!tc 297 MAC/ACMU8B 4 QUITCLAIM,D[CD DHORT FORM(INDIVIDUAL) 10 We, Albert E. Hicks and Thelma W. Hicks, husband and wife, both of Norwood, Norfolk County,Massachusetts for consideration of One Dollar (1.00)--------------------------------Dollars aid, rani tr, tenants Paul I. Hicks and Price P. Hicks, both of 18317 San teanan tso Mission Blvd., Northridge, California, as joint with QUITCLAIM COVENANTS N)elandin Centerville, Barnstable County, Commonwealth of Massachusetts, bound and described as follows: On the North by the State Highway now known as Route 28 eighty-one and 47/100 (81.47) feet; On the Northeast by the junctions of said State Highway and Harrison Road, a private way, on a curve of twenty (20) feet radius twenty-six and 42/100 (26.42) feet; On the East by said Harrison Road on a tangent sixty-seven and 33/100 (67.33) feet, and on a curve of one hundred and twenty-nine and 79/100 (129.79) feet radius forty-seven (47) feet; On the South by Lot 16 as shown on said plan one hundred and twenty-six and 24/100 (126.24) feet and On the West by Lot 14A as shown on said plan ninety (90) feet, and Containing eleven thousand six hundred (11,600) square feet of land be all said measurements more or less. Together with a right of way over said Harrison Road in both directions out to said State Highway and further with a right of way to the waters of Long Pond, a great pond, over said Harrison Road and the 20 feet way shown on a plan dated March 23, 1955 drawn by BEARSE f, KELLOGG and recorded with said Deeds in Plan Book 121, page 87. As the consideration for this Deed is less than $100.00, no , documentary stamps.are affixed hereto. Being the same premises described in a Deed dated October 15, 1962, said Deed being by Irving R. Harrison and Mildred M. Harrison, husband and wife as tenants by the entirety, to Albert E. Hicks and Thelma W. Hicks, husband and wife as tenants by the entirety, and recorded Barnstable County Registry of Deeds Book 1176, Page 211. 10ihtaea.04?..hand s and seal s this......2• d �� ........................................ L M.... Y.; icks...... ....... ........................................ Thelma W. Hicks ........................................ ....................................... �ha�amtnantuaaltq of lassulptertta Norfolk u, May 22, 1980 J Then personally appeared the above named Albert E. Hicks and acknowledged the foregoing instrument to be his free act and deed,before me I v , ��:(�' . ..j . . cam........... \1'�teodore Mantho, rt«ur P6M1< ` My commission e*im March 20, 19 81 iiLWAVLAff 27 M IL 0('T Tv n^rpi- _v ^' 1 C�. . `.. .. FIUI` 4i ^i�_urir RE, �.a v. / /� L e IVu r. 2 2 a=A ARB!°CAW PttRCE#dBE A "Lp- 4*REl~MENT Ce rom the® oe of, Atury 21 A'0Qa.h Realtors 9 steaple street I shp A Cat 0nvns his � r 1+9� 02 64 g 7, PART/da deY Se a bat p02 ANop MAILING �$ P. Hleko A0 Aftefe Sara Fer,�arido Misefoz� a7.vd., 1�o�t r�,dge, CA heRinafferas[led the SaLBR,g9r+ao to B�I,L aAd 91324 (dill in) s1�,�2i 00 Realty Tsu>s t 1600 1a�MoUth Road, Unit 25, Centezvill her+o� sher awled the BUY@R al,f'Ur,ZCKAalk agrees to Bt1 �• � 02 632 t IS fo)lowing�deswtbed prenlia*X a upon tho ferns hereinaRar act ra 2, DMOCRlPTION ¢$d► cent S11, >yle, � �arael of ).aEld iOCRted at 9$ VXL%rieorrMt lrrandilna�udi9 ag, Parco , and as m88�eesaxi ad iz tho Tax .As eoaore Ma n ro►ror recordo ® Bnyd as m c �'C� des ribs ,� a lot coata�na app!:Jifi? a °1 D001,51eok S, ® LLi?Ng3�, lnml>Jded In the aafo a9® 1d��tt of amid x .37 acres of lgn I D N , ahau�orIffag the f ftrea$alirr�ling tv the ` ® tho i<dl e,®HvcWWrss snQ I eo►e0fl�tiPla�faen ! a 60 Y6d� whodenver 9�e ��OW � , aestdRg a ul a do ,A 0 dew a nen:,Ven4�8lbrds, futo or hO WAMe} 10 � d Matt as ti�id- erg e� ® ®hutt0►t Rrrn�aao t�rldtNA A+�o' l91,�h"evlglon�� n ,�arbade ertmp era �6 atlyd all r ro o" eutLT IN, rant�a �r'I ae, f0fiew, gates, trees,subs,plerdo,a" ONLY and d"rai sic r air aandtllor$�g equip" t, vH�ttielam, dlahweshr; IF �• TPTE DIED el lid �I,�m[ae�aro be een e� g ' ' oad�here b �oeltnee d�ipnate�Y th� �and avflfa[ent qquitolilm eed In t► bYweR neiioa!to d flte JiUY�R, MMMMbefero tha dead t4 6e ellvend es Fro j e d;dtd mid d ae ibm Roam rho eonvsY 4 I d and clear rnoard and markslabls CAa fg"M4 dah�t d ab �o�rrg p a � P leha of a eei uiidind and nnfne �2 from otfeumhregeQB, s v�e11e rro��nd��A to) a�toh ts+oo for tha Mat o ee,o�iefr tfien cw�an4 ®r>as sre nat duo an®Pa)►ebh ott! e dSta of the d bP $�etf ds ; t IA 1 M �ko�, AnY liens ter mvnta 41 betteamms asosd aRe the fie aflh[s ag •Rte�t; y 0091O fw 6oeomon ,r�trsa![o a✓gnd II aIF1�Co 74 so ion Mach a� � h'rbli of md�r;ar�fic� ere wtth werer�s use of 12,5 prem[nes;9 as s aa►tsa do rtof pro. florae. qe, , a. P1ANa 1Psaidd d reto ' with the nod inform a t Por��eordbe o+� I�d thpMMjh the 6ELMIR @hall daliversueh plan 6. € ERED A �nBldort, In ad�lt;o to!ha sf Ehe t$ia!o aard sumg;v>o r er; a Era ` to a� p � Oared,said Vinod a ,�I be'h fort r vMfth A ` deed a[ nalrumenio, any,rtos a to e ro e�6�`E app��atl rfinaatQ af71tte. aly el duy ao obtain oae�r 7. pURCMABE pdIQE The a9r W puftaee PXW far Bald ram�es f ib; L e ple b aulno/zoo dFS ao S00($690 900.00) wine e delfam,ofWhiohkamm Soo.On haw been paid 49Qd6p0$i This dy CrIg d 6,490,ao at axecutilcm of 6Z,910.Q 0 are to Is pflidat the tip®ot da a eE d S A A >u2err►ent: Cer 10 cashift tress rY the dined In rea ,ar b3► or abti' r T utat's er bank cneok(s), Cz tea k a e� QonveMafaQ Che¢}; drawn as a AOL69,900.DO TCYAL P��or reascaale2e gn8roerg�, COPYWOMT(p197A,1904,Zeas,1S07,loss a9q FA70R$MON RL:AI.1=b'Z'A BOARD C �tp rQn� 4i TAis maY Pat ba eeelaa'er roare�u�ad�R s cr Revev,1998 Form No, IF'�r2Ik tv pwmir 1=A761 Fr OF V*MPOMar atnio4 Rdel setter� V; Prior F►ess VRit�On Consent WWsp O� 'V L:,. V9 PM c 11 1 v 111 tSCUhN RC iC NO, 4?it 6 P. 3 AS, FOR PERPORMANCEI; dell'veredqj 12:00 OCleak P M. on the January 2003 jehhe 310t DEED(flit in) Barnstabis county deaf P49MY of 0*edij WA1499 atherwige egreed Upon in .1tv 5, POE thli wderftnf. *Hqlv. It 45 isamed that fteg Of the tmtehca of 1;!�810N AND Pull p0magala I ON OF of"'d PM?nlns ;E-r" Of 89 tenzints jjA4 t*b0j6iIVQ)% Qt the time Qtthedqhve Ott oz. wrld'ilch as tiley ftc; V Of the dand ftd vqaPt -reln em,r6monere praftles to be 4S he MVided,Is reftch v list of bi CIS#and ac AW,end( In Cam exec tad Mil M ! In the®Berne am#//am,if 0.1y) - p1jarl 110%yllllallan Of Sold it's'"f' The VUYRR Shall MAI led to G@ Wfth"V'81011 lRdNment n%ato Ina ­0 d In onkinto 11810MIna whether th ftnAl'110'"ally W&r'0%1 I'MMIGGs odor lathe clal[ve qMIS 4 ri Iftmof camp 160 With th4 %of the left,of thlis&Is To P R if ths's"M mall to 49111h L,to give two ar 0 TILE WMIGIN herein oil J em f 4101'.16 delliMppalg8gian of ihe :6 vilt, at fhb '? provio 0 a tie lerunded ano all other All Z!41,"en 4CO43=fflanla A*14ndar 114 the Pinisax do not ns of the chef wm"Llt R!"W"to 1110 IRS IN hmw U egg the figII of eftrft tb 19MOV6 th VIMN gill 091'qFSOMeM 311 be valid . y Qq or to 4011V WO ezeL, to pmrwsaa ton Im W the role a h; erpoo We masonablo re ram, ja ItIft FOIS!,aa 11 hamin op to make tha 9 at rl 9180 NW. b%-fn wh1oh eVant 1 6 ar;LLA -aid L""M1tnrlitfoq 6f to I or or before the lame ra Paftrma= fte f6"Peft"ance hs, all 6 Wde ra Ing I r4up '0 P If 1.1the t F CIRM 1ITLIS d 66 lime Me 44OR&I it' PH 11 ffal af fbil VW Wm, I timl a on,Or 2 ac the 611O.Mv wq Premm"Snell gromy#24118 ON "I ar Nat COW*) at& c a 14M 51%maeftes M64 chllrrlr rw5ale an iwo foment AN 010 a QII 0 1 I rato 1 9"16 4 S111 9I.M.15JIV,then 211d III,%pooeng Shall be Val, wtthtaut he it, BUY a As h I a re t% 1 CL a 646 q,;L0 The I'Llyg mell tale JIMK: 21 Be ;P qfw OW41 WMEGa j"fhelf MR0,kh 1�r1theawfle ch sm L Mae In amrg 04110 The 11 Men an 4to& Ora Sea 9 All hAve been ch1lase MILE eonvey auch 1ho a LLER has pmVvjg�rediridm. on fh Sam.% in* 'v 0,%*f t IrLDIstahheall,Wnlese il;� dher "Wr or assfull to vie 81jYER1 dellve We an Zmy Of the dead,all OMOU1119 re"Mcl of L I inumme" sw elly amourft reole'"Ably 000111911 bY 1ha I*farm V if pamid warg4 I �40?"14 me"1116 on d 1111"o t pe a d I a&MI a re'fh. Nal it`h,"Is 111n to Pro a Wds or a pan 10 IW3 102 a ISO$tv ra,11T ton Donor to ray,Us o dam 10 PUNhaaa 11"so Paid Owr or feel;arw ifid mole and Aar Pat 16IN10410r,111 Noel,01%val 400 a a MONOR un"ffluenciv ovaNded by the,BERL r any p4rggl mWago", 42L 60%91LANCE F 11MMICOXTAftm of is 40ad 1w the eyvin or I'lls flonihoo jig I b1%eh It he dogma,,to be New(suen to�nar am,oa an flftcftorev;re4Sg4, bythe terc"D =ht-end ebl"t14, lieCQp W to OwNrMoo'IfO 01MV61Y Of taldeed, MCINLY To Liflable the JILIEft to make iwMw TM .Vncs 4g h@*fl wwIdedy fhe dGuy . at the OLMMILE 'a low .tirn.of UrmUl" 609 4ftthispurchnala I -orherm FW4edih4to il rhoo ge,go 48. INSURANCE Whilf the OO owl RY"6ftht,40441 the IIELLER chair mgnia-ta jnq�Umflw on add Amaunt of GovemSe AM and Warl4od Croverage ands 07 Ole tv RDAs preeeat:Zynaurec4. agree 10, AWUsyMCNTS calla d rants,line eld ;% "gle and newer'woo charge year, 019 1 ho ap OF got florth beloW,en�0-pomt1no.otpences(if Oned and W91 ValWe sh v for the fhprl"Jach C111 I be d4ited, 151 amount% M of peftrm2mca lof jhie; Primhagr-p";e pWA a of aft2i 1 Odded to or dip% %� r; ri ajoll jhL, Mae Mabbe, arjrmrlt rentAl t MG of dwN I ,Y be the Padd d shall oa App 4 IT and MG Vrlc�cl(!mod wts.for rth the 1%bteA&arj'- All 01ght reserved. +. (/ j I�I� I F Dk/j;Tv nr1,j!i 1/ r:.r('nN r,r �/� i. �. �. l'J I'� -�,5�'�-I: .'�I\1 � � \[\{n.v j�, 75 i:[1I 0. � � �cd j. A I/ v.9 NA ry Liu i UAr i�_aHIV RE, .� N0, o '17, 'ADJ ^ ,74;05 P. 4 4 E1�i�V1�f�17 lP the arnounE of said taxes is not tmowri ASOF IIt�Aeg &CEO �pAcriionsd on ,r3 basis of a tyCeO aaaessed far cV they shag at thA time of the delfv of the da®d the ATED T�� as r�,ero a3s tht new laic�e;a end v8f the d7r�c2ding tTacal year,VAth a roe arllo apportfopad shall the won=-n�be 49eerteinad;and, Mho taffies Whlah P�tobement rea9onstbIs cost of obtAlnipg{he gdg��d�y a��emanE,the pan3y►shelf spa abfigated t i Ir+rtl e gems, ,aNgli be aAAa�orted b!w e�i 00 h rt a% PMt�ooa the xQr¢ed, PMCWIMO�foram ebatanWt t1r,l�,SUMI.t ad Maher te, �Ro►4SR's SEE A Drol;eeg fee fbr praressienol" (�llllnfeeWt�h Mass of �6i994.00 oi�arer�oun/ar Is due the SELLSRls C®atusy 21 R� gr� R�al��ra,to be Aorasnb +afsr with century 21 C bb-t�owd , bza� on 60/SO name la r�pcosdod atzd t o co5, ration ZP Ref an ��� th �elle�, Bre�oro be �a� a deed � (�� the 8i�ke a ✓tic into 19. WA * The Omkort,hamod hereineaatu;� 1 Re WOn!(6)tAtlhQ Brokar(e�la(el+�defy lloe�n®�eng�at Red3�or� x xxr,�e xurex�;� � euah tits Cbrr►► ORwaalth of Meacwhatett& P0. �RrP081T ���sxa�rxxi�ss �Iflo na All depasU made t undA>•a>tetl be hold to esQrow Ceti 1 aoig, araW ag ®u eat to the ieRna of >ti@ ea iiQaZto�a� t tns'inoe ell ■nd anal a d!� Aeta�+e11 �,emtiYER �e °�n"y gyp® oh! wntad EbrataeA t the d�ELGQI�9Ad a �p®fi ° v the anew ct�ns 'u�uahYtOn 21. D��� Ir tie�t,itr�R>ahail l�il to faiHlll the tt�aAAFIW! 66 a for ah bones reiahwd by tlByy ; t�id whin iia�llnteepeo�,rnada h Irevnddr @io Bar&�d #hro ePn'CMdM army s�6tertsren heteof,thm o thin thiryr a elf a�ad thfs e othonarterlwt I ID � hazl b® the dallersT eo1ft � excludiva reme a►t+ laity or �' 7hL E '8 0(f®9hen9 CR QEh�xg is artd fnteroMs in s:terprSm tQ Z evin in oafs dark end to rala er�d aQrtvay all e�tulo �and 2$, p*R AB 7ha emker gmod RerelnlaltrEll thfa;e h aznf d b of / � Qr0 8►Iq aParty he�1�,11f6a*an1 ipnn(rd Voln aY Omani Met on madtRae�ogB 24. 61 rRUeABILt ®l* If iha wEL� or GUY�R e�erde to - PdA0lpai ar saleto a oE+aeln !In a r�vnrenta of �c are sh®rohalgererb pe �ie�e ba bound�r�d t short ri io a<at►�oply dta eE �RICIA ,ale, imp ;he�n$en lacy at�►t shell be pQroonal�r Ir�bfe foa�eV I ebl `o ff► �g t�tton,�Aro6>s er P6, ��w�TN'tM�D �"�lreR aaknewiod'es tilalthe 6{/YER has of h® fdAcrtmeed to y to� has he pled u anUWEl9h$ M 1 i t►aneealloe e�aar fe(elleWigadd�bR(wel�All�i Oj�l�ted 11tP ffRa�rs Wei hearfhe or 2 �praserttotr®Fie, dent ar Hof o;Ifidi'��(e-by � e �r whoa aaeb war ermpmaRp- AW 0"J vMa 19499 26, CONT7N0 IA ortterta hel frn®rase tyre ttf�tioll of a id pfalliieea the BU1/J t3hell t'U1UBE QY bank or olhpf ti6tftdtioge mo agd lean arils ' apply for a QOelvan� dosp raw IfAof �•tell gpd t t;Ptlorta, lta tl�e 8at �a Ned for =not bo obtained en ar before E e A a commh me"6ua�h to n irr 9Abt io thie a rearnert bw wtibeRr'M e to the a ER may t2trn�atm I°irrahc pp rH� °the�cpfret�orl 0 a' *�O �.wrotrl ed and s �I�9 As ofth ettfs meadd�fin art P I FdrIhOmet>��Q 'bm Voitl wlhoet n•eourae to a reo atpto, !�n 0 sha!{cease an4 tcs�graenfentp e a arts t�abtalnm >zt lase the w04t v It a BtiYER by deem®tft4 have Q�) �pp�iaetton WlltvrMing to th@ faregefnp P iatotla3 an bt tti u fn�ts a aornpfelo man"Jo testa a:opyrlSAti� �9r$,988�,1�tii,�®t3717885.tOsl1 Qta3ater aaebon Rat�ate�Beard, An dghte►urved. Pepe 2 OCT. i I. 20 1 �"JPM �F_NTURV 21 RLGhN cc ;-,,NO. 7l7>-� F. • i cti)(rc! P�j uCfVlu(1C LI ftCOHIV iC, /43�L sc 27. OCNSTRUCTrON T*Ingtrament, axecufed in multiAlm aoUnt OF AGREEMENT f�rp�Ffe,fs to be eonstvad ae 8 Mmssaehusetts con4raet, is to���Yfgc!s6 t tealQd Ina fU15DAt,Bata ro"the enl[m eontrect betWean�►D p0rfif35f ie bindt�l 'and enUr"to the benefit o f�Q partfes h"t0 And their r, active host devf�00� exe tars ad InI' mtam,suocessart�fd osafggs,@f!d m�►be Ca4 a 91 ti upon Paet►urner�t exacutaf�by both the rSEI.I.E and the BUY@(�� fC two of 1"a oro mended oF1 b e 6�Yt3R thoPr oblig�Iont hereurldef s� !t 6s Dint�tl 6tVIt M The as h t Y written gsed on �s a matf�ar of ea►tvertlonoo sn are of tQ bt eeft�dl3rod a ►sono afa hamQd ttes er used in �tRA8ling Otte InIm of the p®rlbs to� Pt eft�il6 agraAment or to be� zs, L1WD PAINT The paft`iet taknowledso that under MaattohnAetl�Igw,whe guars ahiid arc �t of is &dano tR arty r9gppderttlal reRlitas In whieft any PA�nt, a8ter er other gceeatlbla ntat�Q� weans danpero�fa"locale of lea the er oP tars pfe#1Mit rdus3f romeve cr >rdre undt!r or oth2�trtaterlal ao as to r+�km d xtt lil0 tm ahlldrAn tut VMS(yams es@ge, per golf P41nt,pigs* as. Iq The e�R•tt®I!,tf �fte of the dellve of thg deed doll g 09 PIS ®i!�ortt;iwq 1 old®n�fiiaoa �fRr lJt®fNd vtAth epp�avbd t�0 ddieoc®rs 410oh� 1 meted e� �a�Af,elllr�tt ttsvaA�6eM a arm t iq�tm"Plit�le law, ►dPPST dG, AADDJTIONN The inittgled ffd@rs, a„ys atttclt®d henato�are in P1�t31�s$lON6 AMed:mt a $tfi ®rated here►n b!Yranoa, ached. � to buyer real►tvSa ¢n a 3t oa iett;r= �rfeaa ef;bt:or110 b3 was atat;iri a el vadss the 'Poona op�,��pa o� harder t_m oaetn� bt $8 �a ttsth a pex TOM U a n f lttier as mrah 81� 200'; latov, ad ealee atea��beg nu aw 0Q � 46t4d NOvesaber 3o. j9ps FOR RRSIDEt�I�L�ROP�RiY L�►ri PAINT g FAR NO�FI4�i 0 =�i op NAND st�NED 1VOTi01a 1'tt a leg®I ss cat rites binding obllgetfons, !f ft®f ondeflstood,mntult an gilofn�, ESE (or spouso) Per ee P. Idf.cloe ' DELLER TexPaver 144* ER ®e �alfiy rust eu 741"mID TarcpdyAr I4� d 6 Cgra 3� 221 Regalia Real Cent= 21 Cab -Nowa r_WFght® 1078,"K,489B, t8t3T,798R,1981 cruderBastan RrW V&bta ward. All right rQeervpd, Page 4 TV 10 0CT. I. 2002L y ' r�N'V1- ;\ �FV L I \rl�� i ;9,:j\iV'. l � 1za �. U �� PP,Al KY 21 -REGAN REI ;91u�lUVl �06� r. 6 sxo � 'v • 1 AUM Aidw_? 1{ = r aum, qco: arm "d sum q ► dew to'*oi wham °r mi tam tolked "emdMfol to loplic psi mw io preps mi ft4 Ce is wa 90}i easelgoo am row l4ams og b to ru mamms[� n 9tdi' to ua8et oad has + via oars' e do mbs al' a timppq ,�� S 41 skepr onle di am �of ' '� + [aao �iea� �f IVol�t �oodar� ®9 ' �Y d° °la.�pe WO ee a ad"lhow"dw Rk an ctrcdk% ei b�al� the ! wo WA ji mob%ogle mQ eel °u �� two Pm"h.Ad'be��o�roa W4 e�tet, �6d U d; Oa or beta di ft am eel se Mhft";ep l� MCI 0, 1, q0[ezz�m���foc�� )1 pmff �t1 e � deb�*a my 94143 Cd got ILS lfstali i�$'1byDJi 9 ` 8mt011� ro bib" r i °M I" Q-CE_NTURY 2 i RE AN RE. ; , N0. 7/7z4 F. I � s, 1Pi�� T„ "civIuRr [ I_ntuHlV RE .r. N�0. 3 -P, c V[ s. 10 ljPl �x e10ENTlJRY 21 Ii UN ,e�m«v. � r, 7----- W, sea SeP�r 6�aAps Id bdoi a" flo u � 9� ¢mil ap p I r� Town of Barnstable °FINE Tpk� Administrative Services Treasurer's Office 4 4 snxxsrns , + 230 South Street y MASS. i6393q. g Hyannis A 02601 �0 M Jeffrey A.Cannon,Treasurer Tel: (508)862-4653 Fax: (508)862-4717 February 27, 2003 Sunrise Realty Trust 1600 Falmouth Rd. Unit 25 Centerville, MA 02632 Attn: Sunrise Realty Trust Please be advised that we are in receipt of the enclosed check issued by you on January 8, 2003. You should be aware that your name has been added to a return check listing that is circulated to all Town departments. Because this debt remains outstanding, it has incurred a penalty fee of$25.00. Please arrange to satisfy this obligation with cash, a money order or a bank check in the amount of$681.18. Failure to pay the amount due within 14 days from the date of this letter, will permit the Treasurer's Office the right to pursue criminal action for collection as permitted by law. All arrangements to satisfy this obligation need to be directed to the department that accepted the original returned check. In this case it would be the Building Dept. Your cooperation is greatly appreciated. Sincerely, Debra C. Rockwood 0 Division Assistant J rJ � � T ' PETER M. DAIGL Attorney ai.Law 6 Center Place ' 1550 R.A,28 e -Centerville,MA 02632, Telephone 508+771#1444 Facsimile 508#771#8286 October 8, 2002 Thomas Perry Building Commissioner Town of Barnstable 367 Main Street Hyannis, Ma 02601 Re: 79 Harrison Road, Barnstable (Centerville) Assessor's Map 229, Parcel 083 Plan Book 121, Page 87 Owners: Paul I. Hicks and Price P. Hicks Dear Mr. Perry: With regards.to the above-captioned lot, please be advised that Assessors' Map 229, 083, is shown in Plan Book 121, Page 87 dated March 23, 1955 filed in the Barnstable County Registry of Deeds. The plan was drawn by BEARSE & KELLOGG and is containing eleven thousand six'liundred'(?11,600) square feet or land be all said measurements more or less. According to the referenced plan, the subject lot, Lot 13 abuts Lot 14A & 15A to the West--identified as Map 229, Parcel 079, and by Lot 16 to the South--identified as Map 229 Parcel 082. Harrison Road and Falmouth Road/Rte 28 also bound the subject lot. It is therefore, my understanding that the first zoning change of RD-1 that affected the buildability of this parcel was the change to 20,000 square feet in 1969. Prior to that the minimum lot size was 10,000 square feet. S ZONING HISTORY At the time of the zoning change in 1969, the RD-1 zoning district, or minimum sq. ft. increased to 20,000 square feet, no lots were held in common ownership. Since that time,no lots:abntting the aubject-lot have;been held in.common.ownership Therefore, it is my opinion this lot is buildable. Thank you for you consideration of this matter. R esa submitted, ;Daigle PMD/hpr r i CONVEYANCING HISTORY LOCUS: LOT 13 (MAP 229,Parcel 083) is presently owned by Paul I Hicks and Price P. Hicks by virtue of a deed dated May 22, 1980 and recorded in Book 3101 jage 287. The Hicks purchased from Albert E. Hicks and Thelma W. Hicks who took by way of a deed from Irving R. Harrison and Mildred M. Harrison dated October 15, 1962 recorded in Book 1176, Page 211. ABUTTERS LOT 14A'&,15A(Map 229,'Parce1079)'is'presentlyFowned by Maureen M. Hem by virtue of a deed from Peter A. Hem and Susan L. Hem dated February 25, 2000 and recorded in the Barnstable;County Registry of Deeds in Book 12848, Page 079. Peter A. Hem and Susan L. Hem received the property along with a 1/2 interest to Richard W. Scanlon and Anne H. Scanlon in a Executor's Deed dated February 14, 1989 and recorded with Barnstable County Registry of Deeds in Book 6629,.Page 264, and also a deed dated December 22, 1989 and recorded with Barnstable County Registry of Deeds in Book 7022, Page 218 conveying the property for consideration of$1.00 from Richard W. Scanlon to Anne H. Scanlon. The Hems purchased the property from Marjorie F. Shorey the executrix of the Will of Elizabeth C. Hicks recorded and dated above. The late Elizabeth C. Hicks and the late J. Fred Hicks purchased the property from Irving R. Harrison and Mildred M. Harrison in a deed dated November 8, 1962 and recorded_ in Book 1179, Page 189,with Barnstable County Registry of Deeds. LOT.16 (Map 229, Parcel 82) is presently owned by Ashok Aggarwal by virtue of a deed from Sunita Aggarwal dated December 8, 1999 in Book 12711, Page 308. Ms. Aggarwal received the property from Brian D. Griffiths, Trustee of West Barnstable Trust in a deed dated January 11, 1984 and recorded in Book 3983; Page 145. Mr. Griffiths received the property from William J. McHenry, Jr. in a deed dated December 30, 1983 and recorded in Book 3974, Page 129. Mr. McHenry received the property from Edward A. Coomey and Lillian H. Coomey in a deed dated June 6, 1972 and recorded in Book 1671, Page 168. Mr. &Mrs. Coomey received the property from Tallent J. Long and Hazel M. Long in a deed dated November 15, 1971 and recorded in Book 1557, Page 129. Mr. &Mrs. Long received the property from Robert G. Dowling, III and Mary Jane Dowling, in a deed dated July 15, 1971 and recorded in Book 1519, Page 428. Mr. & Mrs. Dowling received the property fromRobert"G. Dowling, III in a deed dated October 11, 1966 and recorded in Book 1348, Page 1185. TOWN OF SARNSTAWA- MASSA r v� lot r'. G P 1.Of AG St, K D'K A2 r �.. �Al.MOVTN -ROAD/RTE 2b p ,. si •sS* m a n0 o,27K •iK II ror • 19 ��1 �vv � : /as 10 µ.me � � .a2AG � •� � '� P 0° as • " ,rK i WAC P Ila usAc t Is2K r 0AK W 4£, r 1 e� 90 ; u i k �• its c i �. © 0 . I py s O as� - • of- d Kam,,+ C � Juc a AW • iA23 h- aIp AAC r\�M px Ave n MIANry Lai } ( ® ^ me1D d F 39 .29K ® s O Ar4 2 ® 59AC • J J J .0 ®i 3 11 Y QQ a_I � J2� J• S t 4r1"e. � O t ♦ M o � 1 I O It O s y Ab soft •A.r� p �® .75aw•"v �yC TOG+e > F' s h .AM OL W art Ilb .77AC?otr+- 1 10, MtrA11lo YNodl Tlt oll[c, O/THE Sgl.Ir> r •AIM•TAOL( OWD 01 AStp.OM 458 Y AVIS AIRMAP INC. MA••ACNY! m COIIMCTIofl fit! : ior 1 +1 MAawACHUSKY"QUITCLAIM Uaaa aMORT FORM (INnIVInUAL) 881 11 = accx3983 Pic; 14S 704440 $ - ' I, BRIAN D. GRI FITHS, TRUSTEE of WEST BA.Mg ABLE TRUST, under declaration of Trust ; duly recorded at the Barnstable County Registry of Deeds in Book 3386, Page 10 f " of 110 West Main Street, Hyannis, Barnstable County,Dlassachusetts *k e ,for consideration paid,and in full consideration of Seventy-nine Thousand 6&JJ0ftxJ539qdfiftxft0Aoocddo= Five hundred (S79r500.00) Dollars ) rl fi £ t grant to Ashok and Sunita Aggarwal (husband and wife) ; t. e 1 0 ty rz , of 60 Harrison Road, Centerville Barnstable Coon , Mass. with quitrlatm rournants thelandic together with the buildings thereon situated in Barnstable (Centerville), " -. Barnstable County, Massachusetts, more particularly bounded and described as follows: Ai aA (Description and encumbrances,if anyl I•, ' FASI'EFtI,Y and ' �s S0Ll`I1 ASI'E y by Harrison Road, one hundred forty-six and 85/100 (146.85) feet; SOUTHWESTERLY by Lot 17A, as shown on plan hereinafter mentioned, one hundred twenty-seven and 83/100 (127.83) feet; t NDKT42, HWfSTMY by a portion of Lot 15A, as shown on said plan, fifty-two and 00/100 1 w (52.00) feet; and NORTHERLY by Lot 13, as shoran on said plan, one hundred twenty-six and 24/100 (126.24) feet. -. Containing 13,200 square feet, be the same more or less. i((! Being LOT 16 on a plan of larri entitled "Plan of Lots 13 & 16, Centerville, Barn- i ( '* p . stable, Mass. owned by I. R. Harrison, Scale 1" = 40', Septenber 24,-1A51 Nelson f' Reaie - Richards Law,PSuBookeyrs, Centerville,107. Mass." filed in Barnstable County e9s try li The above-described premises are conveyed together with an appurtenant right of way E r to be used in corrron with others who are now or may later be legally entitled there- I.I, '* x 9 to over the twenty-foot Way running fran Harrison Road along the Northwesterly side- 4' line of Lot 6A1 to Long Pond, all as shown on plan of land entitled "Re-Subdivision ..., of Lots 14-15-17-6A-6B and 7, Land in Centerville, Mass. property of I. R. Harrison dated March 23, 1955, drawn by Bearse & Kellogg," filed in Barnstable County Registry e. of Deeds in Plan Book 121, Page 87. J. i1. � h The granted premises are conveyed subject to a twenty-foot building lime as said line i 2 �) is shown and delineated on the plan of land first above mentioned. For my title, see deed fran William J. McHenry, Jr. to me dated "� ®d recorded with the Barnstable County Registry of Deeds in Book 3974, Page1�9 ; ) �'Miinrea land and sal this day of (/ .. ....... �9 MONWEALTH OF A,IA._ACHUSA ITS I 7 .• F e ee ' i I "B = i•�� I l ............................................................................ { �' T AnttE .:,I � I B I. Z s'-- - V wgr mammonwraltl; at lRalasarlfusrtts v V K ' Then personally appeared the above named 8Q-1 QV Q • �j-�2l f i 7 V_S, 7Aus.-I and admowledged the foregoing instrument to be WN aEt and d for e '`"�' s' Notary Public—Jnsti � r My commission mires . ('Individual—Joint Tenants—Tenants in Common.) CHAPTER m SEC.6 AS ATTENDED BY CHAPTER 497 OF 1969 Vr Evcty deed ppresented for rcvnrd dull contain or have endorsed upon it the full name.residence and post office address of the grantee r and a recital of the amomt of the fsdl consideration thereof in dollars of the nature of the other consideration therefor,if not delivered W for a specific monetary tam.The full considastion shall man the total price for the conve►ance writhoat deduction for any liens or yk"w b } erNvm ranter warmed b►the grantee or remaining thereon. All such endorsements and recitals shall be recorded as part of the deed °i Failure to comply with this section shall not affect the validity of any dad. No register of deeds shall accept a deed for recording unk" p r.- it a in compliance with the requirements of this section F w NWlAfth d JAk 1184 y thy, MAGYACNUr[TTf QUITCLAIM 0990 @MORT FORM (INDIVIDUAL) 881 accx3574 foci 129 SIG233 i _. I, WILLIAM J. MCHENP,Y, JR: """ of 37 Wade Street, Brighton, .Suffolk County,Massachusetts, i 3 y being unmarried,for consideration paid,and in full consideration of Sixty-five Thousand and 00/100 ($65,000.00) Dollars grant to BFIAN D. GRIFFITHS,TRUS EE of INF13T BMV-STABLE TRUST, under declaration of " Trust duly recorded at the Barnstable County Registry of Deeds in Book 3366, Page 10 t of 110 West Main St.,Hyannis,Barnstable County,Massachusetts with quitrlutut rouruunt1i i f the land fh together with the buildings thereon situated in Barnstable (Centerville), 1 },. Barnstable County,Massachusetts, more particularly bounded and described as follows: -'�• :? { [Description and encumbrances,if amyl s. EA=RLY and ;.. SOMEAS1'ERLY by Harrison Road, one hundred forty-six and 85/100 (146.85) feet; S0U71b M-7ERLY by Lot 17A, as shown on plan hereinafter mentioned, one hundred w _ ) twenty-seven and 83/100 (127.83) feet; 23 NORTHWE.SPERLY by a portion of Lot 15A, as shown on said plan,' fifty-two and 00/100 s (52.00) feet; and NOTCHERLY by Lot 13, as shown on said plan, one hundred twenty-six and 24/100 (126.24) feet. 7 i o1,o', Containing 13,200 square feet, be the same more or less. .L Being 107 16 on a plan of land entitled "Plan of Lots 13 & 16, Centerville, Barnstable, Mass. owned by I. R. Harrison, Scale 1" = 40r, September 24, 1957 Nelson Bearse - Richard Law, Surveyors, Centerville, Mass." filed in Barnstable County Registry Of d� Deeds in Plan Book 137, Page 107. The above-described premises are conveyed together with an appurtenant right of way E4:... to be used in camion with others who are now or may later be legally entitled thereto ➢� aver the twenty-foot Way running from Harrison Road along the Northwesterly sideline s of Lot 6Al to Long Pond, all as shown on plan of land entitled "Re-Subdivision of Lots 14-15-17-6A-6B and 7 Land in Centerville, Mass. Pro perty of I. R. Harrison dated March 23, 1955, drawn by Bearse & Kellogg," filed in TL=trnstahle Canty Registry of Deeds in Plan Book 121, Page 87. The granted premises are conveyed subject to'a twenty-foot building line as said line " is shown and delineated on the plan of land first above mentioned. a` •. '* p 1 r. f For my title, see deed from Edward A. Cooney & Lillian H. Cooney, husband and wife, to me, dated June 6, 1972 and recorded with Barnstable County Registry of Deeds in Book 1671 , Page 168. tr 1'c Mum hand seal a of 19 �f 3 —.... .. _. ......... j �:ll..t.. ha and this......_.� �...... d Y .�M� l .......................................................................... � � '�' .... ....... t (r ` X4r (dammanwrultl) of Masour(luartta js s •t i �i"STA�zt C ss. 3vt2"' ''11 J�L 19 �3 Then personally appeared the above named W`t t 1/�/"" J . ��C T1 t-k/e,9 J Q-- and acknowledged the foregoing instrument to be free act and deed before me COMMONWEALTH OF MA;`,nG1U5ETi; r a Not _L2ublic—Justice of the Peace A flQU,Lt rr-11, My commission expires �VtV t Z.91� fi 19 ,{_ i 93j t _= 1 4 8. 2 V, - ! --_— t l ✓)1/j `-- Tenants—Tenants in Common.) CHAPTER 183 SEC.6 AS AMENMED BY CHAPTER.197 OF 1969 a Every deel presented for record shall contain or hive endorsed upon it the full Dame,residence and post office address of the grantee "and a recital or the an dollar or of the full consideration thereof in dolla or the oarure of the other consideration therefor,if not delivered for a specific a re onerary Sum.The full consideration shall mean the total prim for the conveyance without deduction for any liens or encumbranmi assumed by the grantee or remaining thereon. All such endorsements and recire.Is shall be recorded as part of the deed. Failure to comply with this section shall not affect the validityof any deed.No register of deeds,shall accept a deed for recording soles v s i it is in compli.MCC with the saquitemens of this section. •. rL DE 30 83 s MMaAGHUa[TTa QUITCLAIM D[[D INDIVIDUAL ILONO P011M1 •[f - BOOK 1671 PACL 168 WH4 j� We,' EDWARD A. COOMEY and LILLIAN H. COOMEY, husband and wife; as p tenants by the entirety, both t of 53 Pompano Road, Yarmouth, Barnstable County,Massachusetta ` '" ! x sg�uia>�wa►Mall,for consideraaon paid,ondin full coasiderstionof Forty Thousand and no/100ths ($40,000.00) Dollars i grantlto WILLIAM J. McHENRY, JR. , of 37 Wade Street, Brighton, Suffolk County, Massachusetts (which address is both the residence and post office j xi address of said Grantee) with qultrluitn rournants g, j thelandiaoc together with the buildings thereon situate in Barnstable (Center- ville) , Barnstable-County, MaSsacl�uselts, poe particularly bounded and (Dacnpnon A 1 encum[Inc",i ny, ` described as follows: t+ 1 EASTERLY and SOUTHEASTERLY by Harrison Road, one hundred forty-six and 85/100 I ! i �t l (146.85) feet; � w SOUTHWESTERLY by Lot 17A, as shown on plan hereinafter mentioned, one hundred twenty-seven and 83/100 (127,83) feet; NORTHWESTERLY by a portion of Lot 15A, as shown on said plan, fifty- two and 00/100 (52.00) feet; and ai I NORTHERLY by Lot 13, as shown on said plan, one hundred twenty-six ., and 24/100 (126.24) feet. Containing 13,200 square feet, be the same more or less. Being LOT 16 on a plan of land entitled "Plan of Lots 13 & 16, Center- ville, Barnstable, Mass. owned by I. R. Harrison, Scale 111 = 401 , Septem- ber 24, 1957 Nelson Bearse - Richard Law, Surveyors, Centerville, Mass." jj filed in Barnstable County Registry of Deeds in Plan Book 137, Page 107. r- The above-described premises are conveyed together with an appurtenant ' right of way to be used in common with others who are now or who may later ! jII' I i � be legally entitled thereto over the twenty-foot Way running from Harrison j! Road along the Northwesterly sideline of Lot 6A1 to Long Pond, all as shown on plan of land entitled "Re-Subdivision of Lots 14-15-17-6A-6B and 7, LI ! Land in Centerville, Mass. Property of I. R. Harrison dated March 23, 1955, r, ' drawn by Bearse & Kellogg," filed in Barnstable County Registry of Deeds in Plan Book 121, Page 87. The granted premises are conveyed subject to a twenty-foot building line as dill Il I N said line is shown and delineated on the plan of land first above mentioned. For our title, see deed of Tallent J. Long et ux. to the Grantors dated November 15, 1971, recorded with Barnstable County Registry of Deeds in Book 1557, Page 129. ,iul;�l I :1 x COALMON ,TALT11 OF kAP.1.'P.(7f1lrr7TS VAI rf; r }w (*Individual—Jolnt Tetunb—Tenants in Common—Tenants by the Entirety.) aV 1 MAsaACHUI[TTa QUITCLAIM DaaD aMOnT FORM (INDIVIDUAL) fart 000>r1:iS7 r�cf 129 2G8G1 We, TALLENT J. LONG and HAZEL M. LONG, husband and wife as tenants by the entirety, both of 19 Harrison Road, Barnstable(Centerville), Barnstable Counry,Massachusetts, Hr Rt for consideration paid, and in full consideration of Thirty thousand and no/100ths Dollars ($30,000.00) '. t. granrscto EDWARD A. COOMEY and LILLIAN H; COOMEY, husband and wife as 'tenants ,{ by the entirety, both of 53 Pompano Ruad, Yarmouth, Barnstable County, V;'"li, r S#c Massachusetts, (which address is both the / with n{trhtltntapennnte ; � ( Granttees� and post office address of sai37 8 the land in Barnstable (Centerville), Barnstable County, Massachusetts, to- gether with the buildings thereon, bounded and described as follows: } (Description and encumbrances,if any) - ' ( EASTERLY and SOUTHEASTERLY by Harrison Road, one hundred for and et ! 6¢ 85/100 (146.85) feet; SOUTHWESTERLY by Lot 17A, as shown on plan hereinafter. mentioned, one �• V hundred twent y-seven and 83/100 (127.83) feet; tom} NORTHWESTERLY by a portion of Lot 15A, as shown on said plan, fifty-two s� � } and 00/100.(52:00) feet; and NORTHIIRLY by Lot 13, as shown on said plan, one hundred twenty-six and 24/100 (126.24) feet. Containing 13,200 square feet, be the same more or less, �f Being LOT 16 on a plan ofland entitled 11 Plan of Lots 13 & 16, Centervil '' ? Barnstable, Mass., owned by I.R.Harrison, Scale 1" = 401 , September 24, $957.SNelson Bearse - Richard Law, Surveyors, Centerville, Mass.', filed in n table C E ounty Registry of Deeds Y in Plan Book 137, Page 107. • gf yw�� I The above-described premises are conveyed together with -an appurtenant right s s of way to be used in common with others who are now or who may later be legally entitled thereto over the twenty-foot Way running from Harrison ! Road along the Northwesterly sideline of Lot 6A1 to Long Pond, all as shown +fiFt, on plan of land entitled "Re-Subdivision of Lots 14-15-17-6A-68 and 7, f � * Land in Centerville, Mass. Property of I.R.Harrison dated March 23, 1955, J drawn by Bearse & Kellogg,,, filed in Barnstable County Registry of Deeds in Plan Book 121, Page 87: mot ' The granted premises are conveyed subject to a twenty-foot building line as +i said line is shown and delineated on the plan of land first above mentioned, �i f.. �1 For our title, see deed of Robert 0, Dowling, III, et tax, dated July 15, r!' t I971., recordod with Barnstable County Registry of Deeds in Book 1519, Pagti 428, ri iiilttlree r ?� our....hand s and selll a this....... Aity of ...... ..19.71. } I y COMMONWEALTH OF MASSACHUSETTS •,;��.C�t, � -� � ''` . .�a.t ✓ r 68. 40— �.............. / o es—itosr ....................................................................... ' fatly MOMM011mr01114 of Ofteetirllttartte Barnstable, 1971 . * f Then personally appeared the above named TALLENT J. LONG 11) and acknowledged the foregoing instrument to be his act an eed,before me tri P -TR)e rl SyK t Notary li—yN. . ...ybC31SlR S xx r NOV ISM I A=i�'i�ssd1 my commission eaplrn �1.e, ��'�'tq hI� -•' 1. /) (+Individual—Joint Tenants—Tenants in Common—Tenants by.the En if rely,) i. CIIIAPTER Is!SEC.6 As AMINDHD BY CHAPTER's97 OF 1969 !+I andEvery deed presented for record shill contain or have endorsed upon It the full name,resldence and poet office address of the#Ignite j g recital of the amount of the full consideration thereof In dollars or the nature of the.other consideration therefor,If not delivered for + yPr a specific monetary sum.The full consideration shall megn the total price for the conveyance without deductlon for any Henn at ea• Il; cumbrances assumed by the grantee of remaining thereon. All such endanements god recltgh shall be recorded or anyPart liens 1s deed. P` ks� Failure to comply with this section shall.twt affect the validity of any deed.No register of deeds shall accept a deed for recording unless lir� It is.In.compliance with the re9ulremenb of this section. s� S. r ausarecrusarva ounrcutr oaw asaoar roar ttrotvroursU aa+; 15567 eon MS yALf 4.28 WE, ROBERT G. DOWLZNG, III and MARY JANE DOWLING, husband i wife, I H. of Centerville, Barnstable eotnnty,Massachtlsetts, >EkSBf;fY+LyXx�xfor consideration paid,and in full consideration of Forty-one "thousand dollars (41,000.00) U ' i grants to TALLENT J. LONG and HAZEL M. LONG, husband and wife as o z f tenants by the entirety of 2 par 3 Drive, Yarmouth, Massachusetts with qultrialm rournants r' X x�i the land in Barnstable (Centerville), Barnstable County, Massachusetts, ^' ID—,iptioo and m—b—a,if anyi together with the buildings thereon, bounded and described as follows: 3 EASTERLY AND SOUTHEASTERLY by Harrison Road, one hundred forty-six and 1S 85/100 (146.85) feet; SOUTHWESTERLY by Lot 17A, as shown on Plan hereinafter mentioned, one hundred twenty-seven and 83/100 (127.83) feet; �A ! NORTHWESTERLY by a portion of Lot 15A, as shown on said plan," fifty-two and 00/100 (52.00) feet; and NORTHERLY by Lot 13, as shown on said plan, one hundred twenty-six and t 24/100 (126.24) feet. Containing 13,20'0 square feet, be the same more or less. y" x� r fi ! Being LOT lfi on a plan of land entitled "Plan of Lots 13 i 16, Centerville, 4 ' Barnstab�Mass. owned by I.R.Hartison, Scale 1" = 40', September 24, ` 1 I 1957 Nelson Bearse - Richard Law, Surveyors, Centerville, Mass." filed in Barnstable County .Rcgistry of Deeds in Plan Book 137-at.Page 107. .I The above described premises are conveyed together with an appurtenant right of way to be used in common with others who are now or who may later be legally entitled thereto over the twenty-foot way running from Harrison Road along the Northwesterly sideline of Lot 6A1 to Long Pond, all as shown } on Plan of Land entitled "Re-Subdivision of Lots 14-15-17-6A-6B and 7, t 3 Land in Centerville, Mass. Property of I. R. Harrison dated March 23, 1955, drawn by Bcarse i Kellogg," filed in Barnstable County Registry of Deeds r rapt in Plan Book 121 at page 87. The granted premises are conveyed subject to a twenty-foot building line tit �l; as said line is shown and delineated on the plan of land first above mentioned. t + 3 nb t G. Dowling ITI For title reference is made to deed from] R E6 Robert G.D6wling III et ux. I of October 11, 19{6, recordej in the B. Sta�1e pee�Y 1348, v a 1185. 'r t &nrnn our.hands and sra.s thu..... ��+� Jay of .... 1O71... t �� °• 1 '� C.�OiMIM1ON■WEA`LTH Of■MA`SSA/CHUSET�TSS .�.. •• .. ••••/ " '�^""'�•''��""""""' ... .............. �= da­ 'p4 3. 8- __..... ��r# oa� � _.. tZfFe Qiaamtlmmett124 of}flarlear)ntsrl2s ` Barnstable ss, /f 1971` Then personally appeared the above named ROBERT G. DOWLING, III , .+ and acknowledged the foregoing instrument to be his free act and deed,before e �i QQ -- Notuy Public-1 i of the Peas M 999 sly eemmiaioa tepires O� � `'I.% I (alndiviclud—joint Tenant:--Toga tta.in-Common—Ttunts by the Entitety.) i _ I CHAPM 1E)SEC IS AS AMPMM BY CRAFTER 497 OF 1%9 Every deed pmenced for baa record x ,amain or haft endorsed upon it the full n c-mideoce and you office address Of the�ran E re ..- , and a recital of the amount of the full cumidetatim thereof io dollars or the nature of the whet comidcration therefor,if not delivered for yy a rpKifie mooetuy sum The full comidenuon shall mean the total price for the conveyance without deduction for any Gens at en• esunbranm usumtd by the Enntet or termenuyt theteoa All such enJonemenn and recitals thall be recopied is pan of the deed. Failure to comply with thL rction shall not affect the validity of soy deed.No reaista of deeds shall accept a deed fa ncordina unlar h b IS compliaoct with the requirement of this aectioo. I; ROhMT 0. WJLl11G, III, 3: at Barnstable (Centerville), Barnstable huaatta, • b+i" =mwri.{for eowidasUan paK pant to ROB V-T O. WdLI11G, III and sr. I MY JANE UOWLIX, husband and wife, as tenants by the entirety, both =!, at said Barnstable (Centerville?, � + N»land in Barnstable (Centerville) Barnstable County, sach se tYcs, together with the buildings thereon, bounded and described as follows: Easterly and Southeasterly by Harrison Road, 146.35 feet; Southwesterly by Lot 17.i, as shown on plan hereinafter mentioned, 127.33 feet; Northwesterly by a portion of Lot 15A, as shown on said e plan, 52.00 feet; and Northerly by Lot 13, as shown on said plan,. 126.24 feet. Containing 130200 square feet, be the same gore or lose. Being LOT 16 on a plsn of lend entitled "Plan of Lots 13 & 16 Center- ville, Barnstable A:ass, Owned by I. R. Harrison, Scale 1" �in', September 24, 195f Nelson Bearse-Richard Law, Surveyors, Centerville, Mass," filed in B,rnstahle County :*.eElstry of Doeds in Flan Boo' 137 at Page 107. }, The above described premises arp conveyed together with an appurtenant right of way to be use(: in common with others who are now or who may later be legally entitled thereto over the twenty foot Way running from Harrison :oad along the Northwesterly sideline of Lot 6A1 to Long Fond, all as shown on ;Inn of land entitled "F.e-Subdivision of Lots 14-15-17- 6A-6B and 7 Land in Centerville, lass. Property of I. R. Harrison date March 23, 1355, drawn b•i Bearse h Kellogg" filed in Barnstable County Registry of Deeds in Plan Book 121 at Page 87. ranted The • g premises are conveyed subject to a twenty foot building line as said line is shown and delineated on the plan of Land first above mentioned. For my title reference is made to a deed from llarlan a B. H.iys et ux to me dated August 1. 1966, recorded with Barnstable Coun y Deeds in Book 1342, Page 1032. "', fri�Csix�ld�nmtn+Gt � I Vitam MY head and seal thin 7 day a October, lY 66. 1- y Mt arh0fMulchus�ll$ 1 •�- n Barnstable, „• October 4 19 66. : f Th-Pem"HYappmedtheabonsamd Robert G. Dowling, III 4 1, c ` aresols[iodn meat to bs froe net and deed,befon am sod aekaowledsed the r his f �.. 1. .� Newp ratty 3 1(fy eommiedaa e:pirea rf f "I IS wliM U3 OCT 1 11966 MUM L r - ��0>;31O1 Peci 287 :3 r.. .rY 11462 y NA$SACNUfaTTf DUITCLAIN D[[D SNOUT FORM IINDIVIDUAL.) ,Y S; We, Albert E. Hicks and Thelma W. Hicks, husband and wife, both of Norwood, Norfolk County,Massachusetts x s for consideration of One Dollar (1.00)--------------------------------Dollars aid, rant to Paul I. Hicks and Price P. Hicks, both of 18317 San erngando Mission Blvd. , Northridge, California, as joint tenants with QUITCLAIM COVENANTS thelandin Centerville, Barnstable County, Commonwealth of Massachusetts, =� bound and described as follows: On the North by the State Highway now known as Route 28 eighty-one and 47/100 (81.47) feet; On the Northeast by the junctions of said State Highway and Harrison Road, a private way, on a curve of twenty (20) feet radius twenty-six and 42/100 (26.42) feet; On the East by said Harrison Road on a tangent sixty-seven and 33/100 (67.33) feet, and on a curve of one hundred and twenty-nine and 79/100 (129.79) feet radius forty-seven (47) feet; A �.; On the South by Lot 16 as shorn on said plan one hundred and twenty-six and 24/100 (126.24) feet and X On the West by Lot 14A as shown on said plan ninety (90) feet, and Containing eleven thousand six hundred (11,600) square feet of land be all said measurements more or less. Together with a right of way over said Harrison Road in both directions out to said State Highway and further with a right of s: 4 way to the waters of Long Pond, a great pond, over said Harrison Road and the 20 feet way shown on a plan dated March 23, 1955 drawn by BEARSE $ KELLOGG and recorded with said Deeds in Plan Book 121, page 87. ` a ( I As the consideration for this Deed is less than $100.00, no documentary stamps-are affixed hereto. r• i r Being the same premises described in a Deed dated October 15, 1962, said Deed being by Irving R. Harrison and Mildred M. ! Harrison, husband and wife as tenants by the entirety, to Albert E. hicks and Thelma W. Hicks, husband and wife as tenants by the entirety, and recorded Barnstable County Registry of Deeds s., Book 1176, Page 211.E t l 3111tnrss. our .hand s and seal s this.... ,da�o AltieiG �.;Hicks...... .r�... I ........................................ Trielmac4f-.,1n..�'Y.�[I:GrC:Q—(%.. W. Hicks I` ....................................... J. 470(IIotnutonwraltll of Owwar4usets Norfolk u. May 22, 19 80 Then personally appeared the above named Albert E. Hicks t and acknowled the foregoing instrument to be his 8� So� 8 free act and deed, before me . eodore htantho, Now Ic Mr commission ex0res March 20, tS 81 Ii UAULUMAY 27 S� .fit Know all men by these- presents that we, IRVINC R. HARRISON and MILDRED M. 1 RRISON, husband and wife as tenants by'the entirety, bot_. of GEN_ T.tR -ViLLE in the Town and County of BARNST and-Commonwealt 1176h of MgS _ Cn'II5 T5, for consideration paid grant to ALBERT c:,.EICKS and THEZI+fA W. HICKS, husband and wife as tenants by the entirety, both of NORWOOD in the County of NORFOLK and said Commonwealth with QUITCLA.IY COVENANTS the land situated in said C&,'TFRVILLE as shown as Lot 13 on a plan en- titled "PLAN of LOTS 13 & 16, CENTIMVILLEA BARNSTABLE, MASS, owned by I. R. HARRISON- dated Sept. 24, 1957 drawn by IM SON BASE -- RICHARD LAW, Surveyors and recorded with BARNSTABLE.Deeds in Plan Book 137 Page 107 and bounded and described as shown on said plan as follows: On the North.by the State Highway now known as ROUM 28 eighty- one and 47/100 (81.47) feet; On the. Northeast by the Junctions of said State Highway and HARRISON Road, a private way, on a curve of twenty (20) feet radius twenty-six and 42/100 (26.42) feet; On the East by said HARRISON Road on a Lament sixty-seven and 33/100 t (67.33) feet, and on a curve of one hundred and twenty-nine and 79/100 (129.79) feet radius forty-seven (47) feet; f` On the South by Lot 16 as shown on said plan one hund-red and twenty- t sly. and 24/100 (126:24) feet and 1' az On the west b Lot = i y 71�A as shown on said plan ninety (90) feet, and 1 r Containing eleven thousand six hundred (li'600) square-feet of land I be all said measurements more or less. 2 E_ Together with a right of way over saidRkISOA Road in both di- rections out to said State Hlghway and further with e right of way to the waters of L0NG Pond, a great p-nd, over said EPRRIS0N Road and the 20 foot way shown or, a plan dated March 23, 1955 drawn by BEARSE & KELLOM, ijI s a__a recoraed with said Deeds in Plan } Book 121.Rage 87. ( h Witness our hands and s;.als tai V 1Saay of October, 1962 k. f r �4. THE C6I.5riCI\WrfJ,TR CF' PASLACrTJSE2"?'S BAR F&TABLE SS. October iS =I � 14b2 a Then personally appeared the above nzned IR"trIic3 R. HAFRISON and 1r1LLR �~ :art. M. HARE-ISON and acknowledged the foregoing instrument to be their free act r, EI , and deed, before me, ` C0R1h10M_'JL Ct II OF:-:1.S.,n�?CSE TS - .•::. -� G::01'{S-E BLANEY Nota_+•yDE ED"S +, LXCISED^y commission expires NlajcEr 2;�+ 9{�8 v H �m f Barnstable, ss., Received October 15, 1962, and is recorded. r , tv " AC x a - -4 F' 'x BK 12848 PGO r 9 1 128 7 QUITCLAnt DELLD WE, PETER A. HERN and SUSAN L. HERN, both of 40 Liberty Pole Road, Hinggham, MA 02043, and ANNE H. SCANLON, of Carver Road, -Plymouth, MA 023b0, all as tenants in common, For consideration paid and in full consideration of ONE HUNDRED FORTY- FIVE THOUSAND AND 00/100 ($145,000.00) DOLLARS it rant to MAUREEN M. HERN, individually, of 1970 Commonwealth Avenue, Brighton, MA 02135, 000 ,:. with quitclaim covenants �I "M. The land with the buildings thereon situated in Barnstable f ; (Centerville) , Barnstable County, Massachusetts, shown as Lots 14A and III << 15A on a plan entitled: "Re-Subdivision of Lots 14, 15, 17, 6A, 6B & 7, Land in Centerville, Mass., Property of I. R. Harrison", dated March 23, 1955, drawn by Bearse &-Kellogg and recorded in Plan Book 121, Page 87, and bounded and described as follows: 5�- I On the North by the State Highway now known as Route 28, seventy (70) feet; Vol { On the East by Lot 13 as shown on said plan, ninety (90) feet; On the Southeast by Lot 16 as shown on said plan, fifty-two (52) feet; On the South by a Way and Lot 17A as shown on said plan, one hundred thirty-four and 91/100 (134.91) feet; On the West by Harrison Road, a private way on a curve of eight hundred and eleven and 46/100 (811.46) feet radius one hundred and fifty and 24/100 (150.24) feet and on a tangent of five and 76/100 (5.76) feet; and ' On the Northwest by the junction of said Harrison Road and said State rs, Highway on a curve of fifty (50) feet radius sixty and 90/100 (60.90) feet, and containing eighteen thousand two hundred and fifty (18,250) gl square feet of land, be all said measurements more or less. " Together with a right of wad over said Harrison Road and said State Highway and further with a right of way to the waters of Long Pond, a great Pond, over said Harrison Road, and the 20-foot way as shown on 1.01 due t: said plan. For title, see Deeds recorded with the Barnstable County Registry of yy Deeds in Book 6629, Page 264, and Book 7022, Page 218. s' WITNESS our ands and seals this 25th day of February, 2000. 5U15AN L"MraRN— - --'-' COMMONWEALTH OF MASSACHUSETTS Barnstable, ss February 25, 2000 8624022 Then ersonally appeared the above-named Peter A. Hern Susan L. * k :. p Hern, and Anne H. Scanlon and acknowledged the foregoi nstrument ;y to be their free act and deed before me. ell. wlJr F4.+d MA02«� Notary Pu is - e ecca C. Richardson �tsxs My commission expires: 11/26/04 1 F y t. T •' BOOK 6629PAGE 264 07595 .- s i _EXECUTOR'S DEED I I, MWORIE F. SHOREY, of #1 Patton Street, Rochester, New Hampshire 03867, Executrix under the Will of ELIZABETH C. HICKS, late of Barnstable (Centerville), Barnstable County, Massachusetts, (Probate N87P-0627-E1), 4" Will of the said Elizabeth C. Hicks, and by power conferred by the . every other power, for ONE HUNDRED SEVENTEEN THOUSAND AND 00/100 ($117,000.00) DOLLARS paid, grant an undivided one-half interest to PETER A. HERN and SUSAN L. a. HERN, as joint tenants, of 7E Beals Cove Road, Hingham, Plymouth County, d Massachusetts, and an undivided one-half interest to RICHARD W. SCANLON and ANNE H. 3CANLON1 as joint tenants, both tenants 1 Carver n common Road, 5 Plymouth, Plymouth County, Ma with QUITCLAIM COVENANTS, The land in Barnstable (Centerville), Barnstable County, Massachusetts, shown as Lots 14A and 1GA on a plan entitled: "Re-Subdivision of Lots 4 14, 15, 17, 6A, 6B & 7, Land in Centerville, Mass. , Property of I. it. Harrison", dated March 23, 1955, drawn by Bearse & Kellogg and recorded in Plan Book 121, Page 870 and bounded and described as follows: y On the North by the State Highway now known as Route 28, seventy (70) feet; � On the East by Lot 13 as shown on said plan, ninety (90) feet; On the Southeast by Lot 16 as shown on said plan, fifty-two (52) feet; v ` On the South by a Way and Lot 17A as shown on said plan, one hundred thirty-four and 91/100 (134.91) feet; a On the West by Harrison Road, a private way on a curve of eight hundred and elven and 24/100e(150 24) feet O and 8on 11.a )tangent feet rofiu five neand u fiftyndred and 6/00 (5.76) feet; and On the Northwest by the junction of said Harrison Road and said State Highway on a curve of fifty (50) feet radius sixty and 90/100 (60.90) feet, and containing eighteen thousand two hundred and fifty (18,250) r.: . square feet of land, be all said Measurements more or less. 41 Together with a right of way over said Harrison Road in both directions iK'�• out to the said State Highway and further with a right of way to the # waters of Long Pond, s great Pond, over said Harrison Road, and the 20-foot Way as shown on said plan. i For title, see deed dated November 8, 1962, and recorded in Barnstable Registry of Deeds, Book 1179, Page 189. WITNESS my hand and seal on this 14th day of February, 1989. P Marjorie. Shorey, Execu ix DEEDS RE:G 01 of the Es ate of BARNSTjiLE Elizabeth C. Hicks 4 °•iAX 246.76 CLACK 266-.76` i i•i 4848A000.15::39 7,14 EXCISEJAX '`n` T - Qc�c 70290, �F �i8 e01- MASSACHUSETTS QUITCLAIM DEED SNORT FORM (INDIVIDUAL) SSI I, Richard W. Scanlon of Plymouth, Plymouth County,Massachusetts, ; t; being unmarried,for consideration paid,and in full consideration of ONE and----no/100 ($1.00) Doll F. P� grant to Anne H. Scanlon • of ;r of 298 Carver Road, Plymouth, Plymouth County, MA with r[ntislatm rmruntlie f� totel unt1da all of my right, title and interest in [Description and encumbrances,if my) the land in Barnstable (Centerville), Barnstable County, Massachusetts, shown as Lots 14A, and 15A on a plan entitled: "Re-Subdivision of Lots ;r 14, 15, 17, 6A, 6B & 7, Land in Centerville, Mass. , Property of I. R. Harrison", dated March 23, 1955, drawn by Bearse & Kellogg and recorded in Plan Book 121, Page 87, and bounded and described as follows: 'r On the North by the State Highway now known as Route 28, seventy (70) feet; 3 On the East by Lot 13 as shown on said plan, ninety (90) feet; e On the Southeast by Lot 16 as shwon on said plan, fifty-two (52) feet; On the South by a Way and Lot 17A as shown on said plan, one hundred y N i thirty-four and 91/100 (134.91) feet; du On the West by Harrison Road, a private way on a curve of eight hundred and eleven and 46/100 (811.46) feet radius one hundred and fifty and w" 24/100 (150..24) feet and on a tangent of five and 76/100 (5.76) feet; and U On the Northwest by the junction of said Harrison Road and. said State AT Highway on a curve of fifty (50) feet radius sixty and 90/100 (60.90) feet, and containing eighteen thousand two hundred and fifty (18,250) square feet of land, be all said Measurements more or less. C� Together with a right of way over said Harrison Road in both directions V\ out to the said State Highway and further with a right of way to the r waters of Long Pond, a great Pond, over said Harrison Road, and the \ 20-foot Way as shown on said plan. For title see Book 6629, Page 264. 'a !o 39Wtrne .Iny.........hand and seal this...........off.�� y ..nn tCn/ rt .......des of...G ............................19.5u ............................... ..................................... ............ .......................................................... ai Richard W. Scanlon E` .......................... ........ ............. .........1� .— alfl! QI[IIIIItC1IItt1IIlftl�l[ DS �fr988tE}ttsr1i11 �a! �. E ss. 19 Then personally appeared the above named Richard W. Scanlon ;eta: and acknowledged the foregoing instrument to be his free act and deed before me �1/**il'_�_ticc ................ of the Peace My commission expires �{,_ 19 f ('Individual—Joint Tenants—Tenants in Cocoon.) a CHAPTER 183 SEC 6 AS AMENDED BY CHAPTER 497 OF 1969 'z� Every deed presented for record shall contain or have endorsed upon it the full name,residence and post ogee address of the grantee Zand a recital of the amount of Lite 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 remaining thereon. All such endorsements and recitals shall be recorded as put of the deed. _.f. Failure to comply with"section shall not affect the validity of any deed. No register of deeds shall accept a deed for recording wr:c" it is in compliance with the requirements of this section. RfCO,fitCJAN iz 90 V • 4. •' BOOK 6 6 2 9 PAGE 265 THE COMMONWEALTH OF MASSACHUSETTS y { , Barnstable, as: February 14, 1989 •r�. � W Then personally appeared the above-named Marjorie F. Shorey, Executrix d; as aforesaid, and acknowledged the foregoing instrument to be her free act and deed, before me Notary Public ((�� My commission expires: 14'� i � f i } r B - RECOUD FES 14 69 • r.. •i n a0XZo�eT*s oa:aASSA r.. Barnstable so ovemcer w:;; 1179 ;..j, Then personally appeare a above named Joseph E. ldahoney a and acknowledged t Yoretroing instrument to be his free act and � :i deed, befb me _ �a /C � t _ ..... e ✓Po tot y Pub Yi g W commis sii expires Oct. 5/ 1968. Barnstable, ss.; Received November 8, 1962, and is recorded. Knox all men by these presents that we TRYING R. HARRISON and HARRISON, husband and wife, tenants b the entirety, both of C �pl�gM. in the .Down and County of BARNSTABLE and Commonwealth of MASSACHUSETTS, for conaideration paid, grant to J. FRED HICKS and h'LIZABErH C. HICKS, husband and wife as tenants b �e � y the entirety, both of EIrTGLEWOpD is the n; County of.BZRGEN and State of NEW JERSEY with quitclaim covenants the land in said Centerville shown as Lots lU .and 15A on a.. plan entitled: r "Re-Subdivision of Lots 14, 15, 17, 6A, 6B & 7, Land in Centerville, Mesa., Property of I. R. Harrison" dated March 23, 1955 drawn by Hearse 1Leilogg and recorded in plan Book 121 Page and bounded and des-cribed as follows: e 87 is On the North by the State Highway now known as Route 28 seventy (70) i, feet; On the East by Lot 13 as shown on said plan ninety On the Southeast by Lot 16 as shown on said plan ifty_twoe(t52) feet, On the South by a Way and Lot 17A as shown on said plan one hundred -d and thirty-four and 91/100 (134.91) feet; +, On the West by Harrison Road a private way on a curve of eight hundred f and oloven and 46/160 (811.46) feet radius one hundred and fifty and 24/ 100 (150.24) feet and on a tangent of five and 6 10 a. 7 / 0 6 On the Northwest by the Junction of said Harrison Road 7and fsaid State Highway on a curve of fifty (50) feat radius sixty and 90/kOO'(60.90) x. feet and containing eighteen thousand two hundred and rift v c feet of land, be all said Measurements more or less. y (18250) square is j Together with a right of way over said Harrison Road in both directions out to the said at Highway and further with a ri„ht of way to the waters 0 U of Long pond, a great pond, over said Harrison Road and the 20 Foot Way to shown on said plan. h N � Witness our hands and seals this to& B z w k, � Z ILV of Novembe , 1962 o'+ rn THE COMMONWEALTH OF MASSACHWEPTS m Barnstable, sat E November 8 , 1962 �. p a M Then personally appeared the above named R. HARRISON and m rrn acknowledged the foregoing instrument to be his free act and deed,` before me, p s T3 w DEL !___s'.�=;.� GBORG o ary (� z M9 Camai Salo n e o MerCch 2, 1968 Jc J _LIC ,p i `pf1NETp�� The Town of Barnstable BARNSrABLE. ' Department of Health Safety and Environmental Services 7 MASS. 0a 059 �0 p�FO MP+a Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: s Map/Parcel: Z C 3 Project Address: I-I�.rr l'So h �� Builder: The following items were noted on reviewing: V Q tk `NI�C. CA r Le i,3 l 0 C 6t Yl P .—1 C(QC CI v 13L 11&A Cj Reviewed by: 0 0 AA Date: C 1 t t #uildinglorms:review a The Commonwealth of Massachusetts _- Department of Industrial Accidents Office offa�estfgatioos ' _ — 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: (2& (, location 0 0 r city ` V s ` * -- bi A phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one worldng in any capacity I am an employer roviding workers' compensation for my employees working on this job.:::. rom e ` <''?<i?2`"2`i''i` 'i% `a: [iiYi: ;iyi?::i ;:2 ::i;i;%%ii:>::i'!isti'' :. at%:<i> iY`;i;}i::[5; ..:..... ..:..................:... ............ cites �tisuiran "alicv I aRole ftropri�etor, neral contractor,or homeowner(circle one)and have hired the contractors listed below who have the followin workers' compensation polices; g ::::::;:<.::.:<.;:... ........................ m an :name:. : fig . '> :.�.;:.: :: :.:......:..:.......:,.. ......:..::::>:>::::>: . . ........ ......... :::. .... ..... ............ ......... . ........ ..... . addt�e ...:........... ti . ... .. .................. . ................. one.#.:;<:;:. ::. .......:::.:.... �l�............... ...... ««€<>>>< ..............:. ..................:;.;:.;.::: ........... .. ::::.::::::.;:.:: ................... :::::.:,::......:............. ::;:::::...:::::::::.:::::::.:::: ::.: ....::...... .............................:.:t. ..i.. .... v. .... .t •.}:: ...... ;.'•<,:. :.,; O�rCP 5501 ::>. ;::>:::::::;; :<>.....::... ..... . ........ . . ......... .. ... .. 'tine . ......... .......... ... . ............b �. game to aecme coverage as required raider Section ISA oI MGL 152 can lead to the imposition of criminal penalties of a fine up to SI,SOO.00 and/or one years'imprisonment as weIl a,civfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me: I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby a under the p penalties of perjury thin the information provided above is true and correct Si Date -- Print name -� Phone# official use only do not write in this area to be completed by city or town official city or town. permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑5electnren's Office ❑Health Department contact person: phone#; _ ❑Other Oevised 9195 PJA) 7 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants ;r Please fill in the workers compensation affidavit completely,by checking the box that applies to your situation and numbers along with a certificate of insurance as all affidavits may be supplying company names, address and phone it submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and t: r date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents of(1ce of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET 21 o4- � ZC� 4J5� NEW LIVING SPACE 2 U , 1370 square feet x$96/sq.foot= ( / O x.0031= �� pus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x .0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. h >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 .0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck i _x$30.00= 30 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) - Permit Fee ' proj cost QFEKE-US!E QXLY PROPERTY ADDRESS: r s o _ALCULATION FOR PERMIT COST TYPE OF ROOM ETC NO] j . ADDITION - ALTERATIONS BATH it BED ROOM CERTIFICATE OF OCCUPANCY COMPUTER ROOM L Z DECK OPEN 4 Z DECK WITH ROOF 2 5�2 DEMOLITION DEN DINING ROOM FAMILY ROOM . _ FIREPLACE FOUNDATION ONLY GARAGE NO. OF BAYS f GREAT ROOM KITCHEN LAUNDRY ROOM LAUNDRY ROOM LIVING ROOM MUD ROOM. _ OFFICE PORCH CLOSED PORCH OPEN REROOFING SHED ~ STORAGE AREA SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVE GROUIS D SWIMMING POOL ING WINDOW REPLACEMENT y Permit Number MECCheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.1 Release la Checked By/Date CITY: Centerville , STATE: Massachusetts HDD: 6058 CONSTRUCTION TYPE: 1 or 2 Family, Detached i HEATING SYSTEM TYPE: Other(Non-Electric Resistance) ' DATE: 10/25/02 DATE OF PLANS: 1/24/02 PROJECT INFORMATION: 7 Harrison Road. COMPANY INFORMATION: Capra/Gatewood,Builder COMPLIANCE: Passes Maximum UA=261 Your Home=252 - 3.4%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 884 C00 1.0 30 Wall 1: Wood Frame, 16"o.c. . . 1080 L13-:0] 1.0 84 Window 3: Wood Frame,Double Pane 42 0.340 14 . Wall 2: Wood Frame, 16"O.C. 480 13:0-1 1.0 23 Window 1: Wood Frame,Double Pane 144 0.340 49 Window 2: Wood Frame,Double Pane 34 0.34 . Door 1: Solid 21 0. 0 12 340 0 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 884 1LO j 1.0 40 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 MECcheck Version 3.2 Release la The hearing load for this building,and the cooling 1�au -aypfoptiaie,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool thebuilding shall be no greater than 125%of the'design load as specified in Sections 78OCNIR 1310 and AA Builder/Designer ... .Date .. J ~ . MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 10/25/02 Bldg. Dept. Use I I Ceilings: Ceiling 1: Flat Ceiling or Scissor Truss,R-30.0 cavity+R-1.0 continuous insulation Comments: Above-Grade Walls: ( ) ( 1• Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity+R-1.0 continuous insulation Comments: ( ) I 2• Wall 2: Wood Frame, 16"o.c.,R-13.0 cavity+R-1.0 continuous insulation Comments: Windows: [ ) I I. Window 3: Wood Frame,Double Pane,U-factor:0.340 I For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ] No Comments: ( ] I 2. Window 1: Wood Frame,Double Pane,U-factor: 0.340 I For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No I Comments: ( ] I 3. Window 2: Wood Frame,Double Pane,U-factor: 0.340 I For windows without labeled U-factors, describe features: . #Panes Frame Type__Thermal Break? [ ]Yes [ ]No I Comments: Doors: ( ] I 1. Door 1: Solid,U-factor:0.0.10 - I Comments: Floors: 4 ( l I 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space, I R-19.0 cavity+R-1.0 continuous insulation Comments: Air Leakage; ( =) I Joints,penetrations,and all other such openings in_the building envelope that are sources of au leakage must be sealed. ( l I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements ' Type IC rated, ''°. •;. ;. „ - " ,' manufactured with no penetrations between the inside of the recessed fixture - and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. I 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 a Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1:0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping ystem Types Range(F) 2 Runouts 1 and Less 1.25 to 2 2.511 to 411 Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TOLD (Building Department Use Only) j L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or,1.57 lbs/ft2 pressure difference and shall be labeled. . I - Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1: - Duct Construction: [ ] I All accessible joints, seams,and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] ( All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the levels in Table 2. i j F G G G G ADD G a o f tl G G , fi J Western Surety D G ' G G 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. G KNOW ALL PERS NS BY THESE P ESENTS: BOND No. L&P-4 3�15 7® 13 G That we, I e k u , of the _Mw^ of 62,14 fCA VU1 T, , State of � , as Principal, ll and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State o 5sx , as Surety, are eld and firmly bound unto the o , State of MR_519 coil S , Obligee,in the amount (Valid only when a County, Cit ,Town or Village is named as Obligee) of Live ✓t� kY d 0/)Q j?S — DOLLARS ($ � ), OT 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 CQNDITION OF THIIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed r Ylp Pep— 1 roy-H�. �o/Z by the Obligee. ' NQ,W°T `EUEFORE, if the Principal shall faithfully perform the duties and comply with the laws and �ti_.,;' * -wf ordlxl�anees.(lncludg all amendments), pertaining to the license or permit, then this o ligation to be void, 0,%2wi'set�O e n full force and effect for a period commencing on the day of =�► : �`�' Ir, o`2DD , and ending on the day a0Q 3 , unless renewed by continuation certificate. Mi b nd ay b germinated at any time by the Surety upon sending notice in writing to the Obligee and to • A . *- t g Pr�y">nclpal, m career&the Obligee or at such other address as the Surety deems reasonable, and at the expira- tion'�P aMpty-,V ` ) days from the mailing of notice or as soon thereafter as permitted by applicable law, which`e ery s4_,,this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions 9f;the Principal. Dated this *1`. day of an-teRv, lie M/4 bg&� Principal Principal Countersigned WESTERN S U eR E T Y C O N Y G 6 f• By By G Resident Agent President G r a t u ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA l ss (Corporate Officer) a f F County of Minnehaha On this day of ,before me,the undersigned officer,personally appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN G 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. y G g SD. KRELL S 1 �1 NOTARY PUBLIC �� SF AT' SOUTH DAKOTA gFAT' Notary Public, South Dakota My Commission Expires 1130-20061 Western Surety Company • 101 S. Phillips Ave. a Form 849A-2-2001 Sioux Falls, SD 57104 • 1-605-336-0850 ' FRT ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners)OF 4 F ss F J Y County of ", tl F U R On this day of ,before me personally appeared u Tl F " f " F tl F " F " F G U known to me to be the individual_ described in and who executed the foregoing instrument and G G F acknowledged to me that_he_ executed the same. My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the ,r 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. Y My commission expires Notary Public r. r• G \ R A ^ R i C: f r H F G o CL c G E 1+N R P V G '^ R G Z FV ^ a G i E z a o mc, w lco F 1 DRAFT 12-18-01 CERTIFICATION OF COMMON OWNERSHIP AND CONTROL C7 I Np►��i61 h,, Val hereby certify and state that I do not own and/or control,nor do I have any beneficial or legal interest in any real property that is contiguous to or within the same subdivision as the lot or lots that are the subject of this subsurface wastewater discharge application. I agree to notify the Board of Health in the event that I acquire Iownership and/or control or any beneficial or legal interest in any real property that is contiguous to or within the same subdivision as the lot or lots which are the subject of this subsurface wastewater discharge application. . Signed under the pains and penalties of perjury: Print Name Signature Date ...='�I ✓JLC L�J69ILl126iLUM.Cl�UG O� cZJ,�1QC1uaet i BOARD OF BUILDING REGULATIONS !License: CONSTRUCTION SUPERVISOR Number: CS 012430 Expires:06/16/2004 Tr.no: 25823 Restricted: 00 FRANK G CAPRA 40 COPPER LNG-� CENTERVILLE, MA 02632 Administrator 00-35,000 d enclosed space (MGL C.112 S.601.) 1A-Masonry only 1 G-1&2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DIG SAFE CALL CENTER: (888)344-7233 aC RK CERTIFICATE OF LIABILITY INSURANCI&sROW PDE-1 DATE(MM/DDNY) PRODUCER 06/25/02THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Drake,Swan Crocker Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE a Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 14 Lot's Hollow Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orleans MA 02653 Phone: 508-255-3212 INSURERS AFFORDING COVERAGE INSURED µ INSURER A: Massachusetts Bay Insurance INSURER B: Crowell Construction, Inc. INSURERC: PO BOX 309 INSURERD: South Dennis MA 02660 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. - - - INSRi� POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE b 1000000 A X COMMERCIAL GENERAL LIABILITY ZDN579352602 05/01/02 05/01/03 FIRE DAMAGE(Anyone fiire) b 50000 CLAIMS MADE a OCCUR MED EXP(Any one person) b 5 000 PERSONAL BADVINJURY b 1000000 GENERAL AGGREGATE b 2000000 GEWL AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMP/OP AGG E2000000 POLICY JECT F-1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO ADN5941678 05/01/02 05/01/03 (Ea accident) b ALL OWNED AUTOS X�SCHEDULED AUTOS BODILY INJURY b 1000000 (Per person) X HIRED AUTOS X j NON-OWNED AUTOS BODILY INJURY E 1000000 (Per accident) I " PROPERTY DAMAGE $500000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO ' (�I OTHER THAN EA ACC b ! i AUTO ONLY: AGG b EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE b DEDUCTIBLE b RETENTION E" b WORKERS COMPENSATION AND TS ER EMPLOYERS'LIABILITY TORY LIMI E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE b E.L.DISEASE-POLICY LIMIT b OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Grading Excavation of land CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION GATEWOI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Gatewood Homes 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1600 Falmouth Road Suite #2 5 LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF Centerville MA 02 632 ANY KIND UPON THE INSURER,ITS AGENTS ORREPRESENTATIVES. ACORD 25S(7/97) " ACORD CORPORATION 1988 `4 M��.vnc{„ va��� �� c�v� v� ���u��� ��wv�v►�w� 05/10/2002 PRoout dR (S08)S40-2400 FAX (508)540-6671 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray & MacDonald Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth, MA 02540 INSURERS AFFORDING COVERAGE Courtney Finigan INSURED Dennis D. Crowley - INSURER0. Markel Insurance Co 388 Main Street INSURER a. St.Paul Insurance Co. Wareham, MA 02S71-2117 INSURER C. 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. INSR LTR TYPE OF MSURANCE POLICY EFFECTIVE- POLICY NUMBER DATEIMMDDrM POLICY EXPIRATION DATE LIMITS GENERAL LIABILITY 3CG9240 12/03/2001 12/03/2002 EACH ocaRRENcE $ 11000,000 X COMMERCIAL GENERAL LIABILITY - FIRE DAMAGE(Arty one rtre) $ CLAIMS MADE a OCCUR MEO E)P(Any one person) $ . A ." PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,000 POLICY - LOC -AUTOMOBILE LIABILITY COMB94ED SINGLE LIMIT $ ANY AUTO (Ea emdent) ALL OWNED AUTOS GODLY WJURY g SCHEDULED AUTOS (Per person) HIRED AUTOS BODLYINJURY N0 4OWNED AUTOS (Per accident) t PROPERTY DAMAGE .' (Per accident) $ - GARAGE LIABILITY - - - - AUTO ONLY-EA ACCIDENT $ ANY ALTO - - - EA ACC $ . OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $. RETENTION $ g WORKERS COMPENSATION AND - 22X714501 12/03/2001 12/20/2002 TORYL,ATS ER EMPLOYERS'UABS.ITY - E.L.EACH ACCIDENT $ - 1Q0 00 B ___ E.L.DISEASE-EA EMPLOYEE Is 100,000 E1-DISEASE•POLICY LIMIT IS S00 OO OTHER DESCRIPTIONOFOPERATtONSILOCAflONSVEHICLESIEXCLUS04AODEDBYENDORSEMEM7SPECW PROVLSIONS CERTIFICATE.HOLDER ADDITIONAL INSURED;WSURERLETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBM POLICIES BE CANCELLED BEFORE THE GateWOOd Homes . EXPIRATION DATE THEREOF,THE ISSIRNG CON PANYWILL ENDEAVOR TO MAIL , . tP� Attn• 'Paula 0 DAYSW RRT EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT w BUTFAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600•Falmouth'Road Suite'25' " ' OF ANY KIND UPON THE COMPANY.ITS AGENTS OR REPRESENTATIVES. Centerville, MA AUTHORIZED REPRESENTATIVE �altdlAt�t ZAUit N Courtney Fini an CLF ACORD 25-S(7197) J ©ACORD CORPORATION 1988 -FAX. (508)778-S603 r. Client#: 16197 2BUSYBE1 O� CERTIFICATE OF LIABILITY INSURANCE 7 o$IO (MM DD/rY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling &0' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 West Main St. PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ' Hyannis, MA 02601 INSURERS AFFORDING COVERAGE INSURED INSURER A:Hanover Ins. Company Busy Bee, Inc.P.O. Box 50 INSURER B:Associated Employers Insurance Compa INSURER C: East Sandwich, MA 02537 — —— ---- --- INSURER D: - i 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. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/Y DATE MM/DD/YY LIMITS i Q GENERAL LIABILITY OHN643998500 06/14/02 06/14/03 EACH OCCURRENCE $1 OOO 000 _ X I COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Anyone fire) $300 OOO i CLAIMS MADE OCCUR IVIED EXP(Anyone person) $15 000 i X IPD Ded_250 PERSONAL&ADV INJURY $1,000 000 I _____._—_:__— GENERAL AGGREGATE s2,000,000 �G-..i AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2000,000 POLICYI jRCT F LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO (Ea accident) . ALL OWNED AUTOS • SCHEDULED AUTOS (Per pBODILYe son)URY $ -� HIREDAUTOS j BODILYaccident)NON-OWNED AUTOS (Per RY $ -—-""--- - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ ANY AUTO I i OTHER THAN EA ACC $ _ AUTO ONLY: AGG $ EXCESS LIABILITY_ EACH OCCURRENCE $ - - OCCUR CLAIMS MADE AGGREGATE $ $ _ j DEDUCTIBLE $ RETENTION $ B i WORKERS COMPENSATION AND WCC5002932012002 06/27/02 06/27/03 IT WOCSRYLIMITATU- oTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $100,000 E.L.DISEASE-EAEMPLO_YEE_ $100,000 - E.L.DISEASE-POLICY LIMI�$500,000 ! OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS AD DED BY ENDORSEMENT/SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER ; AD DMONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Gatewood Homes DATETHEREOF,THE ISSUING INSURER WILLENDEAVORTO MAIL10___DAYSWRITTEN 1600 Falmouth Road Suite 25 NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHELEFT;BUTFAILURE TO DO SO SHALL Centerville, MA 02632 IMPOSE NO OB LIGATION OR LIABILITY OF ANYKIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S(7/97)1 of 2 #27283 - S--�© ACORD CORPORATION 1988 Uate: 04/26/200Z rime: 12 :25 PM TO: R 9, 1-508 778-5603 R & G Fa& Page: 002-003 C e t 5 SILVFRA1 ACORn_. CERTIFICATE OF LIABILITY INSURANCE o4i2M6io2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers & Gray Ins.Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 640 Iyanough Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Route 132 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601-1999 INSURERS AFFORDING COVERAGE INSURED Frank Silva INSURERA: Travelers Insurance Company Dba Frank Silva Concrete Forms INSURER B: 27 Misty Harbor Lane INSURER C: East Falmouth, MA 02S36 INSURERD INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED Of MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SU POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR POLICYEFFECTIVE POLICY EXPIRATION LTR TYPE OFINSURANCE POLICY NUMBERDATE M/DD YY DATE MM DDIYV LIMITS- A GENERAL LIABILITY 168073OY9276TIA02 03/05/02 03/05/03 EACH OCCURRENCE S300 OOO COMM RACIAL GENERAL LIABILITY PIKE DAMAGE(Any one Erej S 3 0 0,O O O CLAIMS MADE NJ OCCUR - MED EXP(An one rson) s5,000 PERSONAL&AD V INJURY S 3.0 0 O O O GENERAL AGGREGATE s600 000 GEN'LAGGREGATELIMMAPPLIESPER: PRODUCTS -COMP/OPAGG S600 000. PGLICY , LOC AUTOMOBILE LIABILITY - . COMBINED SINGLE LIMIT S ANY AUTO (Ea wcidnt) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS S (P pexsoni HIRED AUTOS BODILY INJURY S NON-0WNED AUTOS � (,Pa az ideN) PR OPERTYDAMAGE S (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT S ANY AUTO EA ACC S OCHERTHAN AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S _ S DEDUCTIBLE , S RETENTION $ S WORKERS COMPENSATION AND WC STATU. CITH- nITS EMPLOYERS'LIABILITY - E.L.EACH ACCIDENT S E.L.DISEASE -EAEN'IPLOYEE S E.L.DISEASE -POLICY LIMIT S - CIT R DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES,IEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Concrete forms CERTIFICATE HOLDER I 1ADD.ALINSUREDONSURERIETTEPu CANCELLATION SHOULD AN Y OFTH EAB OVE DESCRIBED POLICIES B E CANCELLED B EFORETHE EXPIRATION GateWood Homes I,.1 1 DATE THEREOF,THE ISSUING INSURER WILLENDEAVOR TOMAI Q DAYS WRBTEN 1600 Falmouth Road_ SUIte.25 NOTICETOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT,BUTFAB.URE TODOSOSHALL Centerville,MA 02632 IMPOS ENO OB LIGATION OR LIAB B,ITYOF ANY KIND UPON TH E INS URERITS AGENTS OR - - REPRESENTATIVES, AUTHORI ZED REPRESENTATIVE ACORD 25-S(7197) 1 of 2 #360 CJK 0 ACORD CORPORATION 1988 f SEP-13-2002 12:05 RIDER RISK SPECIALISTS 1 508 564 7272 P.01i01 09 C OR DL � �"�" '" � � Y vk � ° 1 t 1` r DATE IMM/DD/YYI 3 02 A PAODUCEA THIS CERTIFICATE IS ISSUED AS A,MATTER OF INFO TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE RIDER RISK SPECIALISTS �°,ERTTHR. E COVEERAAGE AFFORDED BY THOT E POLICIE BNLE OW INSURANCE AGENCY, INC. COMPANIES AFFORDING COVERAGE P.O.BOX 115 COMPANY -- CATAUMET MA 02534-0115 A ESSEX INSURANCE COMPANY INSURED COMPANY MONUMENT INSULATION., INC 6 GRANITE STATE INSURANCE CO. 223 COUNTY ROAD COMPANY BOURNE, MA 02532 C COMPANY D 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 16 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 I�CTWE Pouf ETNPIRATION LIMITS LTA DATEPYWDD" DATED MMO/YY) GENERAL LIABILITY - - GENERAL AOTLREOATE 5110001000 X COMMERCIAL GENERALVABtUTY PRODUCTS-COMPNOPAGG $500 000 CLAIMS MADE X❑OCCUR PERSONAL 6 AM INJURY S500,000 A OWNERS&CONTRACTOR'8PROT 3CJ5003 8/23/02 8/23/03 EALmoccuRRENNx f500 000 __•..... FIRE DAMAGE Om an Qm) s5 O O O O MED DIP tv"m one mr3on) f 5 0 O 0 AUTOYO6ILE LUBIUIY ANY AUTO COMBINED SINGLE LIMIT f ALL OWNED AUTOS BODILY INJURY di SCHEDULED AUTOS (Pe'Pe—) MIRED AUTOS �— BOLALY INJURY f NON-0WNED AUTOS (Per acddenO PROPERTY DAMAGE f OAMOE LIABILITY AUTO ONLY-EA ACCIDENT f ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EKcE%3 uAS4ftY EACH OCCURRENCE f UMBRELLA FORM AGGREGATE f _ OTHER TI-UN UMBRELLA FORM S WOMERS COMPENSATION AND X TA EMPLOYERS'LIABILITY I EL EACH ACCIDENT f 1 O O 'O O O c ' B PHEPRRs�Eor,�irTTrE % INCL WC 536 46 67 9/5/02 9/5/03 ELOISEABE-POLIO LIMIT $500 000 OFFICERS ARE: ExCL EL DISEASE•EA EMPLOYEE f 100,000 OTHER OMMIOMON OF OPERATIO &gACATIONE11pNCU"PECIAL ITEM - : . .....-e:ta.... :o:r.:;a:i::ai:"':::i:«,<'i ..... ..,..,...._,............... .. ...............:. w:,.iab�"ts'P SHOULD ANY OF THE ABOVE DESOTaBm rotmFs BE CANCEL LEI)MPOM THE GATEWOOD HOMES E)MINATIOM DAM TNEMW. THE NbMMM COMPANY WILL ENWAWJN TO MALL :1600 FALMOUTH ROAD 125 VAT*alff N noTLce TO THE compIcAm"DUMB""ED To THE LIFT, CENTERV I LLE, MA 02632 BUT rmw TO MAIL MOTTN&SMALL I E NO OBLIOATU011 OII UAI U1Y OF OR REPRE�TTATMES. A .. .....r.n....,...-..t..r.a..n.>.s.s.s-....vw r..:.•i..�..-n.;.:.:,:..r.:-,r_y....... .. .....:..:i. •a TOTAL P.01 4 , - 09/03/2002 15:14 5083982224 PL&B PAGE 02 Policy Number. Date Entered' 5/13/2002 ACORD,. CERTIFICATE F f DATE(MNYDD/YYYY) O LIABILITY INSURANCE 9/3/2002 PRODUCER , s SLICKLEY 239 ROUTE 28 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. hox 160 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR DENNISPORT, MA 02639 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (508)1398-2223 -- INSURERS AFFORDING COVERAGE 1 NAIC III INSl7Re0 8 6 8 Conarote► S:UAICN IN9URANCI: CObIFANY ... _...... ..-..�---- INSURER A ---- � Patrink K. OrCutt db6 INSURERS: 17 Dixon Drive _wSURER C: I Ma9hprle, HA 02649-3192 INSURER D---1 --- 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 TERNS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGkrE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION1 - L ..TA WII TA GENERAL LIABX.ITY EACH OCCURRENCE $300,000 A COMMEPo::IAL GENERAL,LIABILITY SCP 31154553 3/21/2002 3/21/2003 EN PRE,WSES Ea o nce $ CLAIMS MADE 13 OCCUR MED EXP(Any one person) y 10,000 700 006 _. .....____.___...,.....—__.._..:._. - PERSONAL 6 ADV INJURY $ , - .....___..,,,____.....__—.._.. ..._. -'• """ ` GENERAL AGGREGATE $ 600,000 OEN'LAGGREG.4iE LIMIT APPLIE9PER, PRODUCTS-COMPIOPAGO I POLICY J'IPER?i LOC - - AUTOMOBILE LIIABILITY -ANY AUTC. - COMBINED SINGLE LIMB (Ee eccldent) ALL OWNED AUTOS - -- - -- BODILY INJURY $ SCHEDULED AUTOS (Per parson) _ HIRED AUT-:)S - ` BODILY INJURY $ NON-OWNED AUTOS _ - (Per oWdent) - --"-._--..._._._....:.._.___._... PROPERTY DAMAGE .. I (Par acc)denl) $ GARAGE UABILI Y - I AUTO ONLY-EA ACCICENT $ - _ ANYAUTO jA -HAN .EA ACC $LY. AGO $ -- EXCESSIUMBR$'IJJn LIABILITY _ EACH OCCURRENCE 8 _ OCCUR CLAIMS MADE - AOOREGATE $ __... RETENTION $ ---......_ y......_...--- .... $ WORKERS COMPENSIifION AND WC STgTU- OTIY EMPLOYERS'LIAeIUTI' TORY11CG1L4 ,_I_F� •_ _ A ANY PROPRIETOR/PARTNERrEXECUTtvE C 55750542 3/21/2002 3/21/2003 'E_L.EACHACCIDENT OFFICER/MEMBER EXCLUDED) IL ym.dow1be order - - E.L.DISEASE-EA EMPLOYEE $ .SPECIAL PROVISIONS C®Itxv OTHER E.L.DISEASE-POLICY LIMIT $ _ — ie COaCPTIT F&PE AVO1 CCiOnONS r VEHICLES r EXCLUSIONS ADDED BY ENDORSEMENT r SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ATTN: 0af1 - i SHOULD ANY OF THE ABOVE OESCRIBSD POLICIES BE CANCELLED BEFORE THE EXPIRATION -antefeeed DATE THEREOF,THE IBBUWG INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Homea NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 30 SHALL 1600 Falmouth Aoad IMPOSE NO OBLIGATION OR LIABILITr OF ANY KIND UPON THE INSURER,ITS AGENTS OR Centervi.ile, HA 02632 REPRESENTATIVES. AUTHOROED REPRESENTA E /^J ACORD 25(2001/08) 0ACORD CORPORATION 1088 DATE(MM\DD\YY) CERTF�CATE �F �NS�JRANCE - -09 ,O 02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE KAPLANSKY INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 208 WASHINGTON STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FAIRHAVEN MA 02719 COMPANIES.AFFORDING COVERAGE COMPANY 75STM A THE TRAVELERS INDEMNITY COMPANY OF ILLINOIS INSURED COMPANY VELARDI, GEORGE DBA C & V B CONSTRUCTION CO COMPANY 151 STURBRIDGE LANE OSTERVILLE MA 02655 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. S CLAIMS MADE FI OCCUR. PERSONAL&ADV.INJURY S OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE S FIRE DAMAGE(Any one fire) S MED.EXPENSE(Any one person) S AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) S HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per Accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLAFORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-924X528-9-02) 08-22-02 08-22-03 STATUTORY LIMITS THE PROPRIETOR/ INCL TIVE EACH ACCIDENT $ 100,000 PARTNERS/EXECU DISEASE—POLICY LIMIT $ 500,000 OFFICERS ARE: RX EXCL DISEASE—EACH EMPLOYEE S 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO .THE CERTIFICATE HOLDER AFFECTING WORKERS COMP�'COVERAGE. CERTIICATE HOLDER ';:>:::::: CAfiiCELtAT1ON ::::...::.,:: ..::; ..::: ............................._.........._..................................:::.:::.:_:::. 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 GATEFALMOUTH ROAD STE 25 HOMES 1600 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 1600 FAL CENTERV I LLE MA 02632 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 2S S(3/93j ... .. ® CARD CORPORATION 993 r ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID LI DA04/2DD/YY) SFI-1 04/26/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Norcross & Leighton Cape Loc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C:'J.McCarthy Ins.Agency,Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 437 Station Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. So Yarmouth MA 02664 Phone: 508-394-0946 .Fax:508-7 60-1407 INSURERS AFFORDING COVERAGE INSURED INSURER A: National Grange Mutual Ins. Co INSURER B: ,.DMS Fireplace Shop Inc INSURER C: 277 Whites Path INSURERD: n.. .:South Yarmouth MA 02664 ,.. :. 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 -TYPE OF INSURANCE POLICY NUMBER PO CY EFFECTI PI ,LIMITS DATE MMIDDNY DATE MMIDDNY GENERAL LIABILITY { EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY BP124922 ro F OZ/1Z/O2 '02/12/03 FIRE DAMAGE(Any one fire) $ 500000 CLAIMS MADE a OCCUR WED IXP(Ariy one person) $ SOOO PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $2000000 4' - '. GEN'L AGGREGATE LIMIT APPLIESPER: T }' PRODUCTS-COMP/OP AGG $ZOOOOOO PRO- t. r �� POLICY JECT LOC y.. ;. <. ";:.� �� ¢. ._ 1 . AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $' ' ANY AUTO Ea accident ALL OWNED AUTOS - t BODILY INJURY t.:. $+: SCHEDULED AUTOS v + (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ ^ _. (Per accident) 45 GARAGE LIABILITY , AUTO ONLY-EA ACCIDENT. $ , ANY AUTO r OTHER THAN ?r EA ACC $ 'n AUTO ONLY: e AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 1,OOO,OOO A X OCCUR CLAIMSMADE CUI24922 05/11/01 '''O5/11/02 AGGREGATE $ DEDUCTIBLE ` r! $ ][ RETENTION $ 10,000 °} fib' k $ ,I WORKERS COMPENSATION AND v TORY L OTIH- IMITS ER EMPLOYERS'LIABILITY — A WCI42527 ' 02/12/02 02/12/03 E.L.EACH ACCIDENT " $ 500000 E.L.DISEASE-EA EMPLOYE $500000 ¢ ' E.L.DISEASE ICY LIMIT $500000 f OTHER , DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS x � A r. _r r u f 1 .t.... k .i. r ti 2,p ✓ r �, s `' r-:` ,rk9- x::+ * t t, r _ t .�i w ,,:c '~3 CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER " CANCELLATION tz-, + `, *. + ''•` _ _i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Y 7 �. _ • DATE THEREOF THE ISSUING INSURER.WILL ENDEAVOR TO MAILDAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL GatewoodM Homes 1600 Falmouth Road, Ste `25 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR '_;Centerville MA 02632 REPRESENTATIVES. , AUTHORIZED REPRESENTATIVE r,F s ? Bob Lindquist ACORD 25-S(7/97) OACORD CORPORATION 198E `. 08/23/02 11:18 FAX 5087900249 GOLDMAN ASSOC z of t' CE �► RTIN A A 1►i �� �'► cRSo DATE 113/02 PRODUCER THIS CERTIFICATE B ISSUED AS A MATTER OF INFORMATION (;OIZZMAN 6 ASSOCIATES I.T;TC)tA'TCE ONLY AND CONFERS NO RIGKM UPON THE CERTiriCATe FINANCIAL SERVICES INC_ HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 933 FALMOUTH RD. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. KYAWIS NA 02601 lsfione: 5(36-775-60I0 FeE:50B=?90-02d9 INSURM AFFOROIN4 COVERAGE iM3lJ v IN6URERA ESSEX INSURANCE CID PBURE R& LIBERTY MUTUAL INSURANCE CO. _.._.. ..- REITH DOUCETTE INSURERc: 154 TJc'%SET STRIP IN6URERD _ MSHFEB NA 02649 1 MKIRER E: COVERA601 TIC i OLK&A OF m"PANCE USTED BROW HAYE BEEN i6SLIW TO THE QED W;M D A60A FOR TW POLE RFRM Mi2ATED.N0TWM4Tw4tWG ANY REGMEMENT,TERN OR CONOTTION OF My OONTR iLT OR OTHER DOCUMENT WITH RESPECT TO"4CH THIS CERTFICATE MAY a"Lizu OR MAY PERTAIN,THE 04SURANCE AFFORDED UY THE POLICIES DESCRIBED HEREIN B SUBJECT TO ALL THE TERMS,E7[CLLISIONS AND CONORIOfB OF SUCH POI.ICSS_AGMGrATE LAM GHUSYN MAY 1MVE OEEN REDUCED BY PAIDWSR LTR T'I'm OF IRBR>•.trUWA POLICY MullumR '-- F'AW D VrfX&dV' Y-Mrl yam- G€I r�M LIAGLAT - EACH OCCU..:. %CE f 30()000 A X o=mzRcj4 avarALLa m 3=2365 09/27/01 08/27/02 FIRE DAMA :E("cmfto) sXCCLUDED —]CLAW MACE a OL^t t4 WD E KP(ft me bra) f EXCLUDED PERsON&&ADY MAURY s 300000 GENERALAGCAFGATE f 600000 GEM AGCAEGATEkMTAPPLM6PER; PRDDucr3.ccMPmPAGG f 600000 POLCY PtrF u]C AUTT,IMOBC�LIJ►6itJT1f ANY Auto tExuaa+ca slt�le t t:Tf I s ALL OWNED AUTOS E41T�!Y!IdlllRY SCHE0ULED AUT06 (peg HIREDAUTOS - - - 80MY PLAMY s NON47 DALTT03 _I (Pe►1�fAenO ME DAMAGE a GARAGE UMUN , AUTO ONLY•EA ACCIDENT f ANY AIJTO OTHER THM EAACC f Ai,To OY: AGG f EXCEbB LIABILITY EACH DC;URRENCE f OCCUR F—I MAW MADE AGGREGATE f MMJCTWE RETENTION f f WOIRlOM O&W—m—3ATION AND TORYLm6TS ER B DMRAYERRi'RJABamr I C-2318339636-012 04/23/02 04/23/03 €-LEACmA xT s 100000 E.L.DMEASE-EA E^ 1100000 EA-DISEASE,POLICY UMIT s 500000 . OTHER OES¢RVfM OF OPE'RATICN5%=A USION6 ADDED BY ENDOPAMENTISPESRAL PYir,VIBIOMB CERTIFICATE HOLDER INI AoortIOMAL sI6URED;016UffOt tETT6N CANCELLATION VW SHOULD ANY OF THE ABOVE DESCRIBED POLCM BE CANCMJJW 02FORE THE EMDIRATION GATIZ DATE THEREOi.THS ISSUING INSURER%%%L EHIDEAA%VR TO MAL �—OATS YITZtIIEH MOTC!70 THE CERTIFICATS HOLDER NAMED TO THE LEFT,BUY P"AM-W DO SO LYILL .- GATEMOD Hcros INC m, FAX 508-775-5803 IMPOSE NO�RJQATMORUAMMOF ANY TONGUPONTHEMUREFLIT3AGWIMOR 1600 FAINDUT8 ROAD .. ATTYEs. CENTERVILLE MA'02632 AM 'TA At GER M ' �y 0 CORDDAM A M2 0 i o n PRODUCER r THIS ,CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION 2 OLDS CAPE COD INS AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 435 MAIN' STREET _ COMPANIES AFFORDING COVERAGE HYANN I S ... MA 02601 COMPANY - - A HINGHAM MUTUAL FIRE N+suRED -- — COMPANY - - - DALE E DOWHOWER a TRAVELERS INSURANCE 46 SPUR LANE co C ANY MARSTONS MILLS MA 02648 COMPANY L D •`�T I ::..::...+..',:n;:.:....:.:..:.`: .::.'...:::'i:" .i:' l.�.+::.' :;VSf•: sv.H:..: -y.n-.. ::i:..' :•L..: THIS 16 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 POUCIES DESCRIBED HEREIN 19 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 EiFECiNE POLICY EXPIRATK)N LDltlg LTR DATE(MWDDMY) DATE(MWDD/YY) GENERAL LIABILITY ART 9 9 0 0 2 4 3 0 4/0 5/0 2 0 4/0 5/0 3 GENERAL AGGREGATE s 2 0 0 0 000 ` COMMERCIAL GENERAL LIABILITY . PRODUCTS•COMPj0P AGG t 2, 0 0 0 V 0 0 0 CLAIMS MADE �OCCUR - PERSONAL A ADV INJURY 41, 000 O O O OWNER'S A CONTRACTOR'S PILOT - EACH OCCURRENCE ___ E 1! 000, 000 - FIRE DAMAGE o MED EXP(Any One omean) A 11000 AUTOMOB"LIABILITY 4 ANY AUTO - - COMBINED SINGLE LIMIT 8 ALL OWNED AUTOS - - BODILY INJURY _ '-•`•, SCHEDULED AUTO$ (Pm person) 8 HIRED AUTOS , BODILY INJURY 9. NON-OWNED AUTO 8 (Per aoold"t) PROPERTY DAMAOF I{ ' GARAGE LIABILITY - AUTO ONLY•EA ACCIDENT 9 ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT 6 AGGREGATE S EXCESS LIABILITY - EACH OCCURRENCE i UMBRELLA FORM AOOREOATE i OTHER THAN UMBRELLA FORM WORKER8 COMPENSATION AND 7PJUB509X576501 04 08 02 04 08 03 X EMPLOYERS'LAABBlIY /. / / / TORY_LIM)L8. :.> EL EACH ACCIDENT _ 10 0 0 00 THE PROPRIETDRr � EL DI8EA8E•POLX;v LBAIT 5 0 Q, 000 PARTNERSIEXECUYWE - OFFICERS ARE: EXCL - EL DISEASE-EA EMPLOYEE 100, 000 OTHER DESCRIPTION OF OTERATIORS1LQCATWNSIVE"MEBISPECIAL ITEMS W L Frei �suC 4.7ry P - k. •t5`'.: �;CAl1�Et "1!IigY.iVN'. •v vY:..•..R..S.At,..x.-W6e.2t..w..f...,-:4 ....:::..::..:..:..:..�..:�.:.:::n,:•t:s.::..:.'::ie�:.:ei�n•... :;:P{:t�•s....•... ... ...w.<..n..,....v•.n..:......:..�•..:..:...:.....�.�.. i .v...,!!•.v:.�:•n!•.vm.. wr:..•f..i'J.:r:�:!..'l.'.:.' _.:. .........:'Yi::. n.r....: .... I~ SHOULD ANY OF THE ABOVE DEBCRSTEO POUCM W CANCELLED BEFORE THE GATEWOOD HOMES . ,] ' { ;. a EXPIRATION DATE THEREOF,TITS 188UIN0 COMPANY WRJ.ENDEAVOR TO MAIL ID—DAYS WR)TTEN NOTICE TO THE CL'RTIPICATE HOLDER NAMED TO 7NE UPT, . 1600 'FALMOUTH ROAD UNIT t2 5 BUT FAB,URE TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIMATION OR UABLITV CENTERV I LLE MA 02632. ,, 'OF ANY K91D UP THE COMPANY.,ITS AOEMB OR REPRESENTATIVES. A ..._ MF A .. ':i:«,::•.,.,.....:. .:.:.::.. .... .:'n.i✓:<:•�n:. v�.c?v:x.v:-,f:y� ;.;:c::j y t , AGORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) ' T. 06/24/2002 PRO (S08)997-6061 FAX (508)991-3283 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE outheastern Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 662 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 79398 INSURERS AFFORDING COVERAGE N. Dartmouth, MA 02747 INSURED R 7 Bevilacqua Construction INSURER A: Arbella Protection Insurance Company PO Box 629 INSURERB Forestdale, MA 02644 INSURERC: 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 TYPE OF INSURANCE POLICY NUMBER rArIKAIIV DATE(MM/DD/YY)t"rVivr DP_UATE(MM/DD/YY) LIMITS GENERAL LIABILITY 9500018147 07/15/2001 07/15/2002 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY r PECT RO- .- ' LOC S �* t AUTOMOBILE LIABILITY 96852400001 02/21/2002 02/21/2003 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ A 250,000 X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) 500,000 PROPERTY DAMAGE $ (Per accident) 500,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE - $ OCCUR El CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 9088680402 04/27/2002 04/27/2003 X TORY LIMITS I I ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ A 100,000 E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLEb/EXCLUSION$ADDED BY ENDORSEMENT/SPECIAL PROVISIONS or any and all operations performed during the policy period. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Gatewood Homes Inc. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, . 1600 Falmouth Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Suite 25 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REP SENTATIVES. Centerville, MA 0 2 6 3 2, AUTHORIZED REPRESENTA VE Helen Gagne FAX: (150)877-8560 c 06/24/2002 09:46 FAX 5087471736 KARL-CROWELL-INS ZO1 ACORD CERTIFICATE OF LIABILITY INSURANCE _ o6n�a2 PRODUCER THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION Kad Cmwell bmrwma,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTMATE 20 NoTlfi SL HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTFaiD 508 747 7744 OR ALTER THE COVERAGE AFFORDED BY THE PQLlCIES BELOW. Plyinouth MA02360 INSURERS AFFORDING COVERAGE INSURED DAVID BROWN INSURER A: LEGION INSURANCE COMPANY CAPE COD CUSTOM FLOORS INSURER B: 1600 FALMOUTH ROAD STE 34 INSURER C: CENTER9ILLE MA 02632 INSURER D: COVERAGES THEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEOTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIODINDICATED.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 INSURANCEAFFORDED BY THE POLICIES DESCRISED14EREIN IS SUBJECTTOALLTHETERMS.EXCLUSIONSANDCONDITIONS OF SUCH POuCIES.AGGREGATE uMITs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DtBR TYPE OF INSURANCE POLICY NUMBER r POLICY EFFECTIVE POIIGY E1PNU17f?N � OEHERAL LIABILITY EACH OCCURRENCE COMWRC14 GENERAL LIABILITY FIRE DAMAGE An Res f CLAWMADE ❑OCCUR MED EXP ore eon f PERSONAL&ADV INJURY f GENERAL AGGREGATE GEN'L AG,GRECATE LIMIT APPLIES PER: - - PRODUCTS-COMPIOP AGG 6 IFrT POLKr PRO- LOC AUTOYOBaE LLABIUTY COMBINED SINGLE LIMIT ANY/WTO (Essomdmn) f ALL OWNED AUTOS - SCHEDULED AUTOS BODILY INJURY f (Per WWI, HIRED MJTOS NONdWNED AUTOS BODILY INJURY 6 - (Per Booiden) PROPERTY DAMAGE f (Per awdenl) GARAGE LIABUTY AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN EA ACC f AUTO ONLY, AGG EXCESS LJAAUTY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE f DEDUCTIBLE f RETENTION 6 f WORN,ERB 001 x WC BTATU- 10TH• A EMPIOT113W WRILTTY WC60934811 05/25102 05r15103 E.L.EACH ACCIDENT d100 OOO E.L.DISEASE•EA EMPLOYEE f1OO 000 E.L.DISEASE-POLICY LIMIT 3500 OOQ OTHER OESCRIP'TION OF OPERATIONMACAr4NSNEHICLESMCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER_ CANCELLATION GATEWOOD HOMES,INC. 514OULD ANY OF THE ABOVE DESMBED POUCIES BE CANCELLED KFORETHF EXPIRATM I=FALMOUTH RD. SUITE 15 DATE THEREOF.THE LUUINO INSURER WILL ENDEAVOR TO MAIL 10 _DAVS WRTTM FAX(08)TM5603 NOTICE TO THE CERWICATE NOIOER NAMED TO THE LEFT.BUT FAIIUNF TO DO BD SHALL CENTERVI1 r e: mA Q2632 � ' IMPOSE NO OBLIGATION OR LIADIUTV F ANY THE DISUIIER,R5 Af.0i1$OR ������r REPRE6PP+TATRIEa " AUTHORIZED REPRr;SfllTAT7(�,W/? ACORD 253(7197) 0 AGORD CORPORATION 1M ACORQ. CERTIFICATE OF LIABILITY INSURANCE 06/24i2002 PRODUCE 508)994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 414 COUNTY STREET HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEW BEDFORD, MA 02742-5911 INSURERS AFFORDING COVERAGE INSURED Frank Capra INSURER A: Maryland Insurance Company PO Box 664 wsURERB: Continental Casualty Co West Hyannisport, MA -02672 _._-.__ INSURERC: -- - _. .. 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. POLICY EFFECTIVE POLICY EXPIRATION ILTR TYPE DANCE POLICY NUMBER DATE MMIDDIYY DATE MIDDIYY LIMITS XNER"'� �a CP35868257 12/13/2001 12/13/2002 EACH OCCURRENCE $ 1,000,000 RAL LIABILITY FIRE DAMAGE(Any one fire) $ 300,000 OCCUR MED EXP(Any one person) $ 10,000 A PERSONAL&ADV INJURY $ 1,000,000 i GENERAL AGGREGATE $ 2,000,000 GEN'L AGGR, �LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY g PRO- LOC 1 JECT 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 EA ACC $ OTHER THAN , AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR FI CLAIMS MADE ' AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 6S59UB861X7516O2 03/22/2002 03/22/2003 TORvuMRs OER EMPLOYERS'LIABILITY B E.L.EACH ACCIDENT $ 500,000 E.L.DISEASE-EA EMPLOYEE $ 500,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE • - • HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION 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 LEFT, GateWOod Homes BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Falmouth Rd Ste 25 OF E COMPANY,I EN RE ESE TfVES. Centerville, MA 02632 AUTHORIZED REP AT ACORD 25-S(7/97) �J►�9 a� ©ACORD CORPORATION 1988 {r ., lip yy r, ! w k E i_ , .a. Y F ,r� ,u� �t w • v uu—,J4. Sy. .'irr reY a *F..,�7•t Fe d a .�'�.. a M ,y y .,. ,i & ',"` 'a•9 e a e�:'_ _"- kr k q. • S y, 4 1,. } S�r .,'#fie ,�;. ! �' a��;,. •st� - R� a ?, +' �}.^�'`TM'w. � `�� e 71 r 1 _ .. �..._. �, Fy"; �,,� °' _ ""`rep.." l'�• k '.• T i�- - Ft e• k` * � �� � h� G n m i G�t�:1i�, �'1q"'� r e, n.�a�WF r�rt�. .�"'e � tc�',w �:i _t to �1. � �� Harrison ----C-'v i I I e �i " } x" x 4 5 � 5 rt� 5V t {{ ii k ty TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �� 4 Application Health Division _ = Date Issued 3 d Conservation Division " . Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �z/36h Historic - OKH Preservation / Hyannis Project Street Address 477 4aaaftA `Ra. Village Ce_fXA_Crvt Owner 1 tv�,. t`caltw_,V- Address ' R-A U0 I gwsplsMI(1S P Telephone_Gue 36-7- e1 2-6 Permit Request P y0fC A-t! S;nA Lk Cam:A� > Rev k%A6►�n tr ,n Square)feet st floor-lexisting proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 11Z-'�P.;roj_c.Valuations :0 Construction Type .Y �- Lot gize Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single-Family 0 Two Family ❑ Multi-Family(# units) Age of Existing Structure ' Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) k..,=::ZName., _ _ ,, Telephone1,Rl0-mber-50?- 36-1 Utz Addressyl � a�cc%T►� P"A_ t53 License # PkA 0-Z-ej$'1_ Home Improvement Contractor# Worker's Compensation # . ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -41- SidNAYURE_ DATE ILI)7-1-Z II A � l -5 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED -� i - MAP/PARCEL NO. . ADDRESS VILLAGE OWNER v DATE OF INSPECTION: r., ,,::,FOUNDATION + FRAME INSULATION '' s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL :GAS: , _: ROUGH ui,r FINAL -:FINAL BUILDING! -,q DATE CLOSED OUT ASSOCIATION PLAN NO. 1 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia' U. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Bus_in�s/Organization/Individual): dress:- ftfkc.� 1.n8 City/State/Zip: -A,LL_S k,A bzb Phone.#: !S�Z �67 8l7� Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* - have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g, "❑Demolition working for me in any capacity. employees and have workers' [No workers' comp..insurance comp.insurance. # 9. ❑Building addition r quired.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions a![� I_am a-homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractor;must submit a new affidavit indicating such. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing.the policy number and expiration date). Failure to secure coverage.as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to.the Office of . Investigations of the DIA for insurance coverage verification I do hereby certify under th ains andpenalties ofperjury that the information provided above is true and correct afore:---� J a .Date"") 02 ;L9 I j Phone#: Official use only. Do not write in this area,to be completed by city or town official .City or Town: Permit/License# Issuing Authority(circle one); 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - Contact Person: Phone#: Information and Instructions f Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house of on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the.insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and.phone number(s) along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete"and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. hi addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicadt should write"all locations in (city or town)."-A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: _Tile Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 >t; wWw.mass.gQv/dia ' Town of Barnstable P�o4��r � . yam. o Regulatory Services a�xxsrwsts Thomas F. Geiler,Director buss. .� Building Division Preo �M Tom Perry, Building Commissioner 200 Main-Street,_Hyannis,MA_02601 wwv.town.b arrtstabl e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print JOB LOCAM7 i.-'.--­. Cawu�►501 ��� . ct 0ow—r u e1;1- number strxt village name home phone# work phone# i CURRENT MAILING ADDRESS: Cei)-ervi-ile Meg city/town stater ap coda The current exemption for"homeowners"was extended to include owner-occupied dwellinZS of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor_ DEFDG77ON OF HOMMOwNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which tfiere is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a bomeowner. Such "homeowner"shall submit to the Budding Official on a form acceptable to the Building Official, that be/she shall be responsible for all such work performed under the building permit (Section I09.1.1) The undersigned"homeowner'assumes responsibility for compliance veith the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies-that.he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re Te-me `""`""'`Signature of Home Approval of Building Of5cial Notr: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMMOwNER'S LXEmmbN .The Code states that "Any bomeowner performing work for which a building pcmvt is rsquired shall be exempt from the provisions of this scction.(Scetion 1 D9.1.1 -Ucarsing of construction Supcnzsors);provided that if the homeowner engages a pa-son(s)for hire to do such work,that such Homeowner shall act as svpa-visor." Many homeowners who use this rxcmption arc unaware that they arc assuming the responsibilities of a supervisor(set Appendix Q, R.ulcs&Rcg'ula.�ons for Licensing Construction Supervisors,Section 2.15) This lack of awareness often msults in serious problems,particularly when the homeowner hires unlicerrscd persons. In this ease,our Board cannot proceed against the unlicensed person as it Mould with a licensed Supervisor. The hori cownrr acting as Supervisor is ultimately responsible To ensure that the homeowner is fuIly aware;of his/hrr msponsibilitirs,many communities require,as part of the permit applicatian, that the homeowner certify that hchhe understands the rrsporuibilitics of a Supervisor. On the last page of this issue is a form currznt)y used by several towns. You may care t amend and adopt such a for-mlccrtification for use in your community... 1 Q:forms:h om ccx cmp t 1 . • 1 t Town of Barnstable a� Regulatory Services HAR%6TA LY- f MAss_ Thomas F. Geiler,Director Building DIVISIOII Tom Perry, Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.b arnstab I e.ma,us Dff ce: 508-862-403$ Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ,.as Owner of the subject.property hereby authorize 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 If Property Owner.is applying for permit please complete the Homeowners License Exemption Form on the reverse side: . Q:FORMS:O WNER.PERMISSI0T1 • • • STANDARD FORM PURCHASE & SALE AGREEMENT From the Office of: This .2- "' day of October 2011 1. PARTIES BANK OF AMERCICA HOME LOANS AND MAILING ADDRESSES rtalled the SELLER, agrees to SELL and (fill in). Timothy W. Perry, 699 Race ,Lane, Marstons Mills, MA 02648 MA , ._.. nereinafter called the BUYER or PURCHASER,agrees to ;❑pFon the terms hereinafter 9—e toitn, 2. DESCRIPTION the following described premises: . (fill in and include 7 HARRISON RD CENTERVILLE MA 02632 title reference) A CERTAIN PARCEL OF LAND AND BUILDINGS CONTAINED .THEREON KNOWN AS 7 HARRISON RD, CENTERVILLE(BARNSTABLE), MA AND FURTHER -DESCRIBED AT THE BARNSTABLE REGISTRY OF DEEDS IN BOOK #25727 AND ON PAGE#49267 3. BUILDINGS, Included in.the sale as apart of said premises are the buildings,structures,and improvements now STRUCTURES, thereon,and the fixtures belonging to the SELLER and used in connection therewith including,if any, IMPROVEMENTS, all wall-to-wall carpeting, drapery rods, automatic garage door openers, venetian blinds, window FIXTURES -- shades screens;screen-doors-storm=-windows--and--doors,-awnings,-shutters,-furnaces;=-heaters, (fill in or delete) heating equipment, stoves, ranges, oil and gas burners and fixtures appurtenant thereto, hot water heaters, plumbing and bathroom fixtures, garbage disposers, electric and other lighting fixtures, mantels, outside television antennas, fences, gates,trees, shrubs, plants and, ONLY IF BUILT IN, refrigerators, air conditioning equipment, ventilators, dishwashers,washing machines and dryers; and ALL but excluding STOVE IN KITCHEN 4. TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER,or (fill in) to the .nominee designated by the BUYER by written notice to the SELLER at least seven 'Include here by specific CALENDAR days before the deed is to be delivered as herein provided, and said deed reference any restrictions, shall convey a good and clear record and marketable title thereto,free from encumbrances,except easements, rights and a. Provisions of existing building and zoning laws; obligations in party walls not b. Existing rights and obligations in party walls which are not the subject of written agreement; included in(b),leases, c. Such taxes for the then current year as are not due and payable on the date of the municipal and other liens, delivery of such deed;. other encumbrances, and d.. Any liens for municipal betterments assessed after the date of this agreement; make provision to protect e. Easements, restrictions and reservations of record, if any,so long as the same do not SELLER against BUYER's prohibit or materially interfere with the current use of said premises; breach of SELLER'S "f• covenants in leases, where necessary. 5. PLANS If said deed refers to a plan necessary to be recorded therewith the SELLER shall deliver such plan with the deed in form adequate for recording or registration. 6. PURCHASE PRICE The agreed purchase price for said premises is$ 245,000.00 (fill in)space is allowed to Two Hundred Forty-Five Thousand spell out the amounts if desired dollars, of which $ 11,000.00 have been paid as a deposit this day and $ .00 PAID WITH OFFER TO PURCHASE $ 234,000.00 are to be paid at the time of delivery of the deed in cash,or by certified, cash ier's,check(s). OR BY ATTORNEY IOLTA CHECK $ d t0---0 'TOTAL ©1979-2005 GREATER BOSTON REAL ESTATE BOARD All rights reserved.. Form ID:RA700 PD:03/06 EQUAL SOUSING OPPOO7UNI" 7. REGISTERED TITLE In addition to the foregoing, if the title to said premises is registered, said deed shall be in form �. sufficient to entitle the BUYER to a Certificate of Title of said premises,and the SELLER shall deliver with said deed all instruments, if any, necessary to enable the BUYER to obtain such Certificate of Title. 8. TIME FOR Such deed is to be delivered at -3 o'clock P M.on the 23RD day of NOVEMBER PERFORMANCE; 20 11 ,at the BARNSTABLE CNTY. ROD OR AT THE BUYERS LENDERS ATTORNIES OFFICE DELIVERY OF DEED PROVIDED SUCH OFFICE IS IN BARNSTABLE COUNTY (fill in) Registry of.Deeds, unless otherwise agreed upon in writing. It is agreed that time is of the essence of this agreement. 9. POSSESSION and Full possession of said premises free of all tenants and occupants,except as herein provided, is to CONDITION of PREMISE be delivered at the time of the delivery of the deed, said premises to be then (a) in the.same (attach a list of condition as they now are, reasonable use and wear thereof excepted, and (b) not in violation of exceptions, if any) said building and zoning laws,and(c)in compliance with the provisions of any instrument referred . to in'clause 4 hereof. The BUYER shall be entitled personally to enter said premises prior to the delivery of the deed in order to determine whether the condition thereof complies with the terms of this clause. 10. EXTENSION TO If the SELLER shall be unable to give title or to make conveyance, or to deliver possession of the PERFECTTITLE premises, all as herein stipulated;or if at the time of the delivery of the deed the premises do not OR MAKE_PREMISES conform with the provisions hereof,then any payments made under this agreement shall be forthwith CONFORM refunded and all other obligations of the parties hereto shall cease, and this agreement shall be (Change period of time if void without recourse to the parties hereto, unless the SELLER elects to use reasonable efforts to desired). remove any defects in title,or to deliver possession as provided herein,or to make the said premises conform to the provisions hereof,as the case may be, in which event the SELLER shall give written notice thereof to the BUYER at or before the time for performance hereunder, and thereupon the time for performance hereof shall be extended for a period of thirty CALENDAR days. 11. FAILURE TO PERFECT If at the expiration of the extended time the SELLER shall have failed so to remove any defects in TITLE OR MAKE title,deliver possession,or make the premises conform, as the case may be, all as herein agreed, PERMISES CONFORM,etc. or if at any time during the period of, this agreement or any extension thereof, the holder,of a mortgage on said premises shall refuse to permit the insurance proceeds,if any, to be used for such purposes,then any payments made under this agreement shall be forthwith refunded and all other obligations of the parties hereto shall cease and this agreement shall be void without recourse to the parties hereto. 12. BUYER's The BUYER shall have the election,at either the original or any extended time for performance,to ELECTION TO accept such title as the SELLER can deliver to the said premises in their then condition and to pay ACCEPT TITLE therefore the purchase price without deduction, in which case the SELLER shall convey such title, except that in the event of such conveyance in accord with the provisions of this clause, if the said premises shall have been damaged by fire or casualty insured against, then the SELLER shall, unless the SELLER has previously restored the.premises to their former condition,either a. pay over or assign to the BUYER,'on delivery of the deed, all.amounts recovered or recoverable on account of such insurance, less any amounts reasonably expended by the SELLER for any partial restoration,or b. if a holder of a mortgage on said premises shall not permit the insurance proceeds or a part thereof to be Used to restore the said premises to their former condition or to be so paid over or assigned,give to the BUYER a credit against the purchase price, on delivery of the deed, equal to said amounts so recovered or recoverable and retained by the holder of the said mortgage less any amounts reasonably expended by the SELLER for any partial restoration. 13. ACCEPTANCE The acceptance of a deed by the BUYER or his nominee, as the case may be,shall be deemed to OF DEED be a full performance and discharge of every agreement and obligation herein contained or expressed,except such as are,by the terms hereof,to be performed after the delivery of said deed. 14. USE OF MONEY TO To enable the SELLER to make conveyance as herein provided,the SELL ER at the time of CLEAR TITLE delivery of the'deed, use the purchase money or any portion thereof to clear the title of any or all encumbrances or interests,provided that all instruments so procured are recorded simultaneously with the delivery of said deed. UNLESS ARRANGEMENTS HAVE BEEN MADE TO OBTAIN SUCH INSTRUMENTS SUBSEQUENT TO CLOSING CONSISTENT WITH USUAL AND CUSTOMARY CONVEYANCING PRACTICES 15. INSURANCE Until the delivery of the deed,the SELLER shall maintain insurance on said premises as follows: *Insert amount(list additional Type of Insurance Amount of Coverage types of insurance and amounts a. Fire&Extended Coverage *$AS PRESENTLY INSURED as agreed) 'b. *$ C. *$ 16. ADJUSTMENTS C�Heeted-�et�ts,- gage-interest, water and sewer use charges, apefet+rig-expeesee-fi€-afty�- (list operating expenses, if according to the schedule attached hereto or set forth below, and taxes for the then current fiscal any, or attach schedule) year, shall be apportioned and fuel value shall be adjusted, as of the day of performance of this agreement and the net amount thereof shall be added to or deducted from,as the case may be,the purchase price payable by the BUYER at the time of delivery of the deed. Uncollected rents for the current rental period shall be apportioned if and when collected by either party. 17.ADJUSTMENT OF If the amount of said taxes is not known at the time of the delivery of the deed, they shall be UNASSESSED AND apportioned on the basis of the taxes assessed for the preceding fiscal year,with a reapportionment ABATED TAXES as soon as the new tax rate and valuation can be ascertained; and, if the taxes which are to be apportioned shall thereafter be reduced by abatement, the amount of such abatement, less the reasonable cost of obtaining the same, shall be apportioned between the parties, provided that neither party shall be obligated to institute or prosecute proceedings for an abatement unless otherwise herein agreed. 18. BROKER's FEE A Broker's fee for professional services.of $14087.50 (fill in.fe_.e-with_dollar_amount or,=___,_ ,is__due from the_SELLER to LBs REALTY GROUP wa0_WILL.=PAY CRAIGVILLE REALTY percentage;also name of $7350.00 BUT ONLY UPON TRANSFER OF TITLE AND FULL PAYMENT OF THE Brokerage firm(s)) PURCHASE PRICE AS PROVIDED FOR HEREIN. th e B ro ke r(s)h e re I n, dta#tJaa L€�i-pe��t o-tdae#ems-®€�1a 2.1-f� o r�tai+as4iaedepo�,ifs a+xtia+aca#- !_ka-acne°k�if_t�_aeao��t-so--reE�i�d-ar--a+�-asxat-.�+aJ-#e•�ta�-Bra-#�-#4r f {�s®f�i��-Ica+d -aa�r4d'seg-ica.t .aasetx �.a�ta�4�a�c.aaita®.das��as, 19. BROKER(S)WARRANTY The Broker(s)named herein LBS REALTY GROUP AND CRAIGVILLE REALTY (fill in name) warrant(s)that the Broker(s)is(are)duly licensed as such by the Commonwealth of Massachusetts. 20. DEPOSIT All deposits made hereunder shall be held in escrow by. LBS REALTY GROUP, INC (fill in name) as escrow agent subject to the terms of this agreement and shall be duly accounted for at the time for performance of this agreement. In the event of any disagreement between the parties, the escrow agent may retain all deposits made under this agreement pending instructions mutually given in writing by the SELLER and the BUYER. 21. BUYER's DEFAULT; If the BUYER shall fail to fulfill the BUYER's agreements herein,all deposits made hereunder by the DAMAGES BUYER shall be retained by the SELLER as liquidated damages t�aabese-eroitl --lEaa# days-e#te�te ta�a•,�ert: fi ��##r �ee�et-�•eRgr•ese��si�saa-� €;44��E�-kE�-efASmse�eet�SeB-tae BUNIEFHr.yri g.'AN THIS SHALL BE THE SELLERS SOLE AND EXLUSIVE REMEDY AT LAW OR IN EQUITY 22. RELEASE BY The SELLER's spouse hereby agrees to join in said deed and to release and convey all statutory HUSBAND OR WIFE and other rights and interests in said premises. 23. BROKER AS PARTY The Broker(s)named herein join(s)in this agreement and become(s)a party hereto,insofar as any provisions of this agreement expressly apply to the Broker(s), and to any amendments or modifications.of such provisions to which the Broker(s)agree(s) in writing. 24. LIABILITY OF If the SELLER or BUYER executes this agreement in a representative or fiduciary capacity,only the TRUSTEE, principal or the estate represented shall be bound,and neither the SELLER or BUYER so executing, SHAREHOLDER, nor any shareholder or beneficiary of any trust,shall be personally liable for any obligation,express BENEFICIARY,etc. or implied, hereunder. 25. WARRANTIES AND The BUYER acknowledges that the BUYER has not been influenced to enter into this transaction REPRESENTATIONS nor has he relied upon any warranties or representations not set forth or incorporated in this (fill in)if none,state"none';if any agreement or previously made in writing, except for the following additional warranties and listed,indicate by whom each representations, if any, made by either the SELLER or the Broker(s): warranty or representation was NONE EITHER STATED OR IMPLIED made FM el 26.CONTINGENCY CLAUSE In order to help finance the acquisition of said premises,the BUYER shall apply for a conventional (omit ifmtprovided for bank or other institutional mortgage loan of $ SEE ADDENDUM at prevailing in Offer to Purchase) rates, terms and conditions. If despite the BUYER's diligent efforts a commitment for such loan cannot be obtained on or before SEE ADDENDUM - , the BUYER may terminate this agreement by written notice to the SELLER and/or the Broker(s), as agent(s)for the SELLER,prior to the expiration of such time,whereupon any payments made under this agreement shall be forthwith refunded and all other obligations of the parties hereto shall cease and this agreement. shall be void without recourse to the parties hereto. In no event will the BUYER be deemed to have used diligent efforts to obtain such commitment unless the BUYER submits a complete mortgage loan application conforming to the foregoing provisions on or before SEE ADDENDUM 27. CONSTRUCTION This instrument,executed in multiple counterparts,is to.be construed as a Massachusetts contract,is OFAGREEMENT to take effect as a sealed instrument, sets forth the entire contract between the parties, is binding upon and enures to the benefit of the parties hereto and their respective heirs,devisees,executors, administrators, successors and assigns, and may be cancelled, modified or amended only by a written instrument executed by both the SELLER and the BUYER.If two or more persons are named herein as BUYER their obligations hereunder shall be joint and several. The captions and marginal notes are used only as a matter of convenience and are not to be considered a part of this agreement or to be used in determining the intent of the parties to it. 28. LEAD PAINT LAW The parties acknowledge that, under Massachusetts law, whenever a child or children under six years of age resides in any residential premises in which any paint,plaster or:other accessible material _ _, contains=dan:gerous_levels.of_lead,_the owner of_said premises must remove or_cover said._paint,-_-__ plaster or other material so as to make it inaccessible to children under six years of age. 29. SMOKE DETECTORS The SELLER shall,at the time of the delivery of the deed,deliver a certificate from the fire department of the city or town in which said premises are located stating that said premises have been equipped with approved smoke detectors in conformity with applicable law. 30. CARBON MONOXIDE For properties sold or conveyed after March 30,2006,the Seller shall provide a certificate from the DETECTORS fire department of the city or town in which the premises are located,either in addition to or incorporated into the certificate described above, stating that-the premises have been equipped with carbon monoxide detectors in compliance with M.G.L. c. 148 §26F1/2 or that the Premises are otherwise exempted the Statute. 31. ADDITIONAL The initialed riders,if any,attached hereto, are incorporated herein by reference. PROVISIONS FOR RESIDENTIAL PROPERTY CONSTRUCTED PRIOR TO 1978,BUYER MUST ALSO HAVE SIGNED LEAD PAINT "PROPERTY TRANSFER NOTIFICATION CERTIFICATION" NOTICE: This is a legal document that creates binding obligations:' If not understood, consult an attorney. SELLER: BUYER: T Print Name: Print Name: Taxpayer ID/ Taxpayer ID/ SELLER(or Spouse): BUYER: Print Name: Print Name: Taxpayer ID/ Taxpayer ID/ BROKER(S) :. TI T JEC LE - A ? r i { PREPARED FOR j. ' Central Construction Company, Inc. Steve Devlin -President ®; r r+ ''� 261 8laddhorn Drive'•Marsfons Milk,MA 0264$•508-420-1340 i SCALE = L a DATEDWG NO rT DESfGN SS/JGIJ-!+% DRAWN l - JOB NO. SHEET OF i r . Imo• 0 \ V). - Z5 NU i R r , t II `� IN Cl IS �. t} d . ............. a � N � C A . � > D z R om � to 30 rn lot Sf oil =►ion s �1� r �4 ji : OAn faa i► pay • � :x °' M� �� o Psi RpOp � p0 ;r� • • A 00 0 M Sii ��'� . t St 1 1 � •I : '�� `� �j ` I •ems ����' yP •Rico PIP b ' 0 ' IV �AP . - •�•. v►o'p. p00 on.is r rd Is O My 1` rl O f0� ,o � �gp w� a �¢ 0 N•.. . -- 1 ��i • . i F � � u�t•Ar 1p twin ison 0�9 M L • 1 �� !y. VI 0 fwiL� � �s i�� Di I � •� r <Y Imp �• WiOtr a e t 0 � � �= 1E0 iRaiO • � i qo � r 1 ti8 4� 14 94 6 � /S y W - t�•Zoo ,tip'• 30 P °Or 3�.49 .� Q i(ii� i lA� c;f� ryst► T� ��,. BOARD OF SURU'l OF BAn+iaTaLE �.F'r• Z4, 19 S'7 PLAN Or Lorrm 15.f !G CcNTERVII.L .,6ARNS!A0", MASS. OwNta by R. WAFMIsor*4 s�.►LE l [N=40 Fr. Supr ?A,1957 NSb Ir+ a""&•RIGMA4p LAW. SWbVILY"s � CjGVTRRVI LwLB. MAIS. NELMW !EI►115q RICHARD N►W , N SURVEYORS 6 Ilk b CENTEfW" VAM NELSON M ' M 9pc'S T. 4;0 SuRld 5/4o ' f i' 1 CAN S74 7E e ' 9s 76 It • ?S' • �/� y0. 1b *), 'v'viS �as0 4 . 12 s�6O R. HARR/SON �. J � / e, e. ♦S/w rb 40 ti8 .�" N . / •56 O / I % aR � S w A ='°' / 9840'#' E ry0 � N Z P � p w. V. w o •� <000 i i� 6 1 �� 37,920°• C• v ^1 SUBDIV151ON OF LAND the a;; __ r" _,A l f ....r�Py CENTV2WLLE- 18AQNSTA8LE-/MASS ' AS SURVEYED FOR B^AnD C. ��: D s..e:>: . . 1 fire Q. H A a a E s o N �� . ..._.. . :.�_. _ , • ., APA24V"s scale: 1m0wd0ireef- April 17. ►956. 8esr" 9 Ke/%gq- C.,vi/Engineers. C.ENTaftYI64F-CAPtCOD • 107 t• - • • '� 4 „ w r „ , IA C -C vi . t I • r FRONT ELEVAi-ION , - ALE. 4 ., k LU a ` > Z 1 .4 } L O r li , a- u t,' Y i C� » v ' i” � U a a h: r , 1 SH L J L EET REAR ELEVATION, 3 Name Tn SCALE: I/4" = i'-00 I' JOB: 0206 9 r , f DRAWN BY: KW DATE: InA102 5� �12 12 .. pr . . RAKE _, r J N r nl. f i >n t , ; , , < , x u' - 14 Ul _- i L———i . • LEFT ELEVATION �. LJ SCALE: 114" 1'-012 " s, ' d6 12 12 12 h 12 w , _ O u e ro r 'n -.. .. ...1.. :.. .._.. ....... .. ` Qn W W y, VI co .. .. I. x t Yi .f.:. .:..... .. . ... _ F. ,.. X..:.e ,. , � •. ...w .y... ,. „ :.. a a.,,...:'. 1 r r r E SHEET RIGHT ELEVATION A2 SCALE: 114" 1'-0° 0206 - .Eld DRAWN HYr KW DATE! 1/24/02 ' n;a ------------ 4 41_en 12'-4° 11'-2u 81_2r 11�- tl cv DECK* s w ' s AND 2432 _ r AND 2432 J 6Q SLIDER ' ® LITE Lu CIE 2-0 KITCHEN. 00 m A N/ AUND Y '` V BULK HEAD 23'-2" 3'-4 3'-b" 3'-I1 141_Ou m _.. 1 AND. 2446-2 rn ISLAND 7 I-FLD -. - BREAKFAST rllF- d in 2 AND. 24,16 r 2 ¢ AL $ t J _ Z S 2 RATE c - —-- — w ?n D : n ;(3),9.,1/4"I-VL's'ABOVE-FC "', DN 1 GARAGE _ CONCRETE SLAB N — — _—- 4-On R q. PITCH TO DOOR _ r.. q. .,•_. - _ - (VAULTED CEILING.) N, BEDROOM 5Q o _ o BI-FLD LIV ING, FAMILY � x9 0^� T .H+ DOOR � a 0 151_8" -62u 2'-4" 0 12'-6" AND. 2446 AND. 2446 .. 3. AND 2446 AND. 2446 t: , 1 at. , i , ;" x _ 1_10 , . 1,. n 3.,,..- a:,... <. , .. ... ,..a.r y ,..- ., ... G. ... -.. •, ,:. ,. - J .. . ...+. ,..x .. ,.:.,. ?'.. ... _ ,.. '. .. ,,, .::: .�.t-fir,. 1 n >.� � - r 14 ..a , . ... ....... :.... ,.. ... „ .. :'r r. .. ,. '•' .n .,- 'X.,.'r. Y, v A r. 1. .4 } .am• w.e.:i4 h-�+1 U 4 r. .?. ..�. .... :.R.F,•. :Y'.. .. ,. f..5 : .., n «f ,F: ., r...5,. .e9 .. ,.. .ki� �..� e e, { *' F TZ T SCALE: 1/4" = f'-O" .r SHEET 4 MOK E DETECT®R �n� arX Y AEI ,IOB: 0206 BUILDING DEPT. DRAWN BY; Kw DATE, I/24/02 a .' ® W 0 - _— 46'-0tl {i ~ S ..'AND. 2432 _ _ AND- 2446 Qcl 10 LU 14'-2 1/2' AND. 244 V BATP BATH 1 — BEDROO! 1 4 L O _ - 2 `��.,P a MASTER � BEDROOM ® L � AND. 244 • - I WALK-IN - I h - CLOSET C E55 4' KNEE WALL A - � LINE OF CEILING CLIP ABOVE _ - - 3-1 OPEN TO� ...._BELOW - AC 4' KNEE WALL03 :0 - ' r , u' 0 , I. ,m u_. _ --- x „ x , ,,t`; ....... .. ..tl.- ..: v:' .., 1 :.fi..^t•F.is..1 :.:a,-. � _..: _ 'J;+' 4 F`:�:�l , �.. ..->;; � .. ;. •d'' ., .- a 4:tr,,.• , .' ...» .::'.' � .. i - .J _ .. -SECOND FLOOR FLAN. , +� /gyp T, SCALE: 1/4" = I'—D" i:e��d®K. ET ACTORS O. SHEET t,E SUILDING'DEPT. Joe: 0206 DRAWN BY: KW .. . DATE: 4/25/02 - r U • 34'-O" R _ 1 _ ..II'-4" 31_4rc p". gl_p" to,_2" " 161_00 e. `- ;2^ZY'! s�T-2x6-GIRDER7� 4 SNCRETE PIER 48"BELOW K FT} GRADE TYP 6s c, r b o d a Q µ , WW I ------ ---------- - F- ul ul } -----------------..-- --- ------- 1 DROP WALL I' _ 1y.1 I I B'x7'- " CO CRETE WALL .;. I I UNDER SLAB t— .- 9 R I6'x10° CON . FOOTING I HILC.O 'G" I I _ - _ LL o i i 8 xi6nxl0°CONCRETE FOOTING BULK HEAD I I ,c 1N FULL BASEMENT. n� i O L-———-! - - 3 I/2° CONCRETE SLAB L 61-01 b,._e ro-s — 6'-a" �7-0"� I GARAGE I ! _ 4" CONCRETE SLAB I I O Y .. PITC OWARD.DOOR I ( ' _- — ------ ---- - F t I Ft I " m ' al --+--®-1 - 0._+----+-�-+-- - cla ! I L -P T POCKET l I " ! - 3=2x12'GIRD I v I ' 39/2" DIA. STEEL COLUMN —J ! 30"x30'x12 PAD TTP. - I I I I i L—, —— DROP WALL UNDER SLAB I '- CONCRETE WALL I I .. I6°xI& CONT. FOOTING .. , — O I , ENTR7 �N .- ,.. x .-.:r:.. , A'• .,... . ,-.v.. ' .,. is ,.., +Z- .4 - '..: :,. , ,.�. ..r._.., } ._.. ,•.,�:,r .•.eye. ,. .„_ .x..'a. :,.,x ..,. ,.•�,; ..,. ::.„. :. . _ r W STEP m - :. ... 1 • +.p :r v. , ,.., .. r. ... .. 14 O". .,. 6 O .. .'t I u 1 'n 14-0 2-3 `s"'q-6 .v '�a r 2_3 n w W. : s 4 O en— YMO°KE 544EET w DETECTORS O �{ >• 9n* 4'4 CHI ) FOUNDATION CLAN A5 • - r, _ JOB: 0206 711 SCALE: 1/4" : KW E BUILDING DEPT. DRAWN BY DATE: I/24/02 --------------- .20-01 131-0° 131-01 _ E RIDGE VENT'. m e g - 202 RIDGE BOARD SHINGLES - , � . ASPHALT ® O - 5� `b. O S t 5/8' CDx SHEATHING ' °' R30tiFI5ERGLA55 INSUL. uC S! U 2x8 5® 16_,O.G. . �21 _ Ix3 STRAPPING s -: �•^-•- -,. 1,2. GYP. BOARD _ / Mir AI AIN AIR SPACE 5 11, PLASTER FINISH I .w .. FINISH FLOOR - CONT..VENTING DRIP EDGE - ' - 3 40 PLY 5UBFLOOR - '-' - Ix5 FASCIAX. - •^"t' - Ix5 SECOND MEMBER - _2x10'S,@ 16' O:C. - ALUMINUM GUTTERS AND DOWN SPOUTS -- - FRIEZE BOARD AND MOULDINGS INISH STAIRS 13R - M 5/5' 2x4 EXT. STUDS @ I6" O.C. - - • 3-2x12 CARRIERS - R13 F.G. INSUL. - - -' 1/2' PLYWOOD SHEATHING 4'WRA - TYV P RE D CEDAR CLAPBOARDST.N. ----- '--- -' - - -- -- m - (FRONT ELEVATION ONLY) FINISH FLOOR W.C. SHINGLES 5' T.W. SIDES C REAR ' o 1 3/4' TtG PLY 5UBFLOOR 7n G" FIBERGLASS INSUL. - 2_ZKIU , tt2S` U2S2Rtu \ 2cio's a 16" O.C. 2R12S2S2S2fUU P.T..2X�SILL + SILL.SEAL "�22z81GIRT _ L-3 2irtO.GIRP - P.T. 4x4 P05T I _ �j 1�IL,��_ ,--ANCHOR AT 8' MAX 12 " CONCRETE PIER I I z -2x12 CARRIERS U r _ - 3 1/2' LALLY COLUMNS - - - B'x7'-9' CONC. WALL5 - - - - - cDAMP PROOF BELOW GRADE 1/2" CON 3 C. SLAB -01 30. , [ i�l Lu . r 41to- d"•,: n 4. -<+r -t.-. - : ..'. .ter:.�•£ � .. _ • t , a. �. ... ,a - ,... r., a_,.• x:. ......l..., :.:. ..,. w: ...1 Imo.,. .1 CROSS �SECTION _.. ... . s AF Y i SCALE: 1/4 1-O 41, i 1 , SHEET 0206 DRAWN BYY KW DATE: I/24/02 i 7.0 _ AW-00 12'_408'-2" III_8a cli J . lu N z ® O DECK x lu u W "l ND. 2432 ::: .n AND 2432 6Q SLIDER I I rLITE. _ p t y i cl F 2� W , 1 KITCHEN- A I-I/ UND 7 "kI V 00 � , — 3'-4 3'-6" 3'-II 14'-OP m �.. BULK NERD 23'-2" O I-FLD ,r- f AND. 2446-2 in ISLAND - � x o - BREAKFAST 2A" - M1 :B - t 2Q AND. 2446 3 - a 2A -m AL S 2$ w : s N `J r _ a°x t m RATF .;, � GARAGE — •--_' ' "-0 '—' "" (3) 9 1/4, LVL�rABOYE;FL, .'fir CONCRETE SLAB t s.. __ hyam- — ————— — 4'_OP xf PITCH TO DOOR N *- t�Q s t LOSE IN. � .� /S 6 Y w (VAULTED CEILING) BI FLD 51 BEDROOM / LIV IN - Al lI L O.N. DOOR - u M� b 5�.' - 'a v 3Q AND 2446 D. 2446 "` AND 2446 AND. 2446 " t I i-1 .. .. n. .:. .. -.... P-:Vr• rn 1 P - .... ,. . _. s q'_O" 5'-10" 71_.2"..; r:Z r2 _ _ _ .5 10 A O •=s 0 iH .iNNY .... .:.. .: -.. .,.ti.: :.,. ... y .v A ...• ..`�._ w _ . .,.. tea+ .., ..•.. ... .. .... ... -: .: _- _ .... .. ..,.. ... R .. .,_ :,. .... .. .. .. .... .- , .. a ,... w� U ':r's.. ,,.:.. .. .. ...a. v� is .:.:. .. ..... .... ...... -,. .. ... .. : LOOK' :PLAN b FIRST F. �' P '•. i_'P "`"'t" SHEET t Y SCALE I/4 1 O ... f.3 4 SMOKE DETECTORS s Y Nf v",, � DRAWN-BY.._Kr!' w M - e- pe lla DEFT. ,. Fr c La _ DA?Ek. 1%24/01 �IA9G 4 � g 26'_0" ---- 42. I - I Z i^ I m N Iep A IZ Q r ' In 3 o ' Im N. N 44. I ' I N I IA v D J. I � DoI(i) L N 1Z J �j �. O - III�IIIIII III�I rn. w D � r D n i i N � � , i Z � Jlij i t s r P �'I III II I11 I � � t .,. .. .. �: �- ..:... :.:,...I t.i;. � .. .. _A.,.0..,,. „ � r i, � 7�.. ,j� w '�tsucils.�s' r L•� r t r.�m .. _ !_ � I I:I n I O� F a'S:e{' i� K�..EiV''fis/Y GA�es�Vjy�:�5•v'4� I'13i: m 3m ° i r I N r �i I r I F�: C m I p [,I I ..�.� n Q D 22--0" pptrn� N ril I; m F 7 Harrison Road Y' .m Centerville .1VIA WILLAM. FE®�� b .. m N " N PLAN 11 VISTA CIRCLE S CENTERVILLE,MA 02632 PtIZ2�5( 1 �� Cext-V-r0 rA lk A c�2 YYL.2►�l � W t r� rl vl VQ c — j.. tA _ I • _,F- Ap , ,A :c cc+ :.. NIL is i cl 1p �r. 4CC S 1, Cf � - cM PK �4AtL / ^J .2O�GJ DATE OF SOIL TEST _ Z P ©i 7 -7 7 TEST -2 _.� TOP OF FOUNDATION 20 FT. MINIMUM FROM CELLAR 4•PVC VW4T Y11'E SOIL TEST DONE BY 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE — WITNESSED BY ____ cLv „.fTif.v tBan.J ,3 v f/ ELEV. _ /,co 10 FT. MINIMUM _ FAW111)FLAT BARK - - CONCRETE CL.LAN SAND GitkE GrthkowN OBSERVATION HOLE 1 ELEV.=�� _ OBSERVATION HOLE 2 ELEV.=_qG�2 WITH CAJI23JN�31 I�Ftlb _ INCHES PERCOLATION RATE _ _ MIN./INCH AT 'Lo INCHES COVERS 4" SCHEDULE 40 PVC PIPE - L(1M�1 AtJi� L tJ' A PERCOLATION RATE < 2_ MIN./INCH AT 'f Q *Go ---_ ��`�� 2'LAY,atUr DEPTH HORIZ TEXTURE COLOR MOTT. OTHER MIN. PITCH 1/8" PER FT 1/8'TID 112'7w10E DEPTH HORIZ TEXTURE COLOR MOT7. OTHER 1 � WASkUD S7GWE Q r-� ��/� � 3 4" CAST IRON PIPE 61.�V - �,' Ma \ �- " L..a-�. / Oyu / -- A 1mw ,� Y f o• y oY.t (OR EQUAL) MINIMUM \ --� 2�■ ."s 9 /� �o �i Q - q PITCH 1/4" PER FfF \ I 6'2Ti17 -- t 3'uAx LINE -L_�-_ 4 ':�^ 4 _ v �y -ELEV _ '�4•� oo V ° I G 'p�X i" o i o 0 0 0 0 0 0 0 r�J��. ELEV - _ I vEL o 0 0 0 0 0 0 o n I" CoarseELEV = GAS ELEV. ' c SUMP EL v = .80 BAFFLE E - -- o 0 0 0 0 0 ��� C2 Sc�nrLr DISTRIBUTION F. �' _ Euv — LIQUID U OUTLET ``V - 2 DEPTH I BOX Y-7-f �00 GAL DRYWEL- (OR LQUAL, L� I zo I TEE (TO BE PLACED ON FIRM BASE; WITH STOP&IN A I _ 4 FEET 14 INCHES TU BE WATER TESTED ' . �WATER ENCOUNTERED AT _ 2 L_ ELEV. _ _3L_G �/Q WATER ENCOUNTERED AT _/2O 5 FEET 19 INCHES I IF MORE THAN ONE OUTLET !3 C S K T)LEtJCH FO1tA1ATi(.N , ( - ELEV. 6 FEET 24 INCHES 1500 GALLON h 7 FEET 29 INCHES I (TO BE PLACED ON FIRM BASE) SOIL ABSORPTIONw •_"-�- 8 FEET 34 INCHES ; SEPTIC TANK 3/4" TU 1 1/2" CLEAN , DOUBLE WASHEC STONE SYSTEM (SAS) "� -- LEGEND: DESIGN CALCULATIONS FREE OF FINES & SILT ADJUST_ EXISTING SPOT ELEVATION OOxO NUMBER OF BEDROOMS SEWAGE DISPOSAL SYSTEM PROFILE uxs PROBABLE WATER TABL-E Fl EV - ` _ EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNIT o__ �. FINAL SPOT ELEVATION TOTAL ESTIMATED FLOW Ofi.8hRVFD WATER TABU( / / )ELEV ` _ _- _ _ GAL./DAY NOT TO SCALE JorromOFTBS-i'buLEEL6V - �tZ FINAL CONTOUR 0 ,330 SOIL TEST LOCATION REQUIRED SEPTIC TANK CAPACITY LSO° GAL. UTILITY POLE ACTUAL SIZE OF SEPTIC TANK /1�OG GAL. TOWN WATER SOIL CLASSIFICATION CATCH BASIN �® DESIGN PERCOLATION RATE <_5 _ MIN./IN. GAS LINE --- EFFLUENT LOADING RATE _Q2-1- GAL./DAY/S F CLEAN OUT ___C LEACHING AREA / 3Xzf�� 74 ,�� 77_ SQ. FT. CESSPOOL C P LEACHING CAPACITY (AREA X RATE GAL./DAY 477 ,c .RATE RESERVE LEACHING CAPACITY 2 GAL./DAY �� MOUTH ROAD NOTES: c_._ NOTES: R 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.28 TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE lJ DISPOSAL OF SEWAGE. 2 ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO 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 3 USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS 4 ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARFD IN PLACE NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH BlT B/KE PATH DEEDED OR ZONING REGULATIONS OWNER / APPLICANT IS TO _ OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY _ 6 I-TILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR IS TO CALL "DIG--SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS ' PRIOR TO COMMENCING WORK ON SITE 7. CONTRACTOR iS TO VERIFY GRADES AND ELEVATION`.: AS WELL AS Fe e e !, SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION S.A.s• `� IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER '�8: 3J IMMEDIATELY. S B. :N FLOOD ZONE C__ tU ROLL IUNSUIOTABLENMATERSALOSHALASSESRS APBE REMOvEASFR FROM -- 83 _• D 0 UNDER, AND " -- ------ - FOR A MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM, I I 0 I AND BE REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255: (3) i j I (I.E. TITLE 5) IF ENCOUNTERED BELOW S.,A S. PIPE INVERT 7 �,- ELF so.6'jNG✓D), �' �N OF a +t��r ;4 . `/ D 21 V,dW A/ [f�01 �pw tt wMsrwtC us '� `•r '7� CRAIG c'yG AQ it�i. �.13 rnR _ - — \ ■ SHORT rv., !� w Lt •; 4 APPROVED: BOARD OF HEALTH CIVIL No. ZZ483 � F;uT, DATE AGENT - --- - -— --- ID w ��Q "" PROPOSED SEPTIC DESIGN 1 R x Ar FOR SUNRISE REALTY TRUST 11,600t S.F. i , 20 ! i /• , Loc. LOT 13 HARRISON RD. BARNSTABLE, SASS. CRAIG R SHORT, R X ___----- w 235 GREAT WESTERN ROAD I 508- P. 0. BOX 1044 '�m,.fz> 'v 398-8311 SOUTH DENNIS, MASS. 02660 !� DATE �a� SCALE 1 �, = 201_ � — — REVISED JOB NO. -LOCATION_ MAP --� REVISED [SHEET 1 OF 1 t C SB PRO✓ 2391-00 dw 2.J91-00.DWG 0 2002 CRAIG R. SHORT, P.E.