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HomeMy WebLinkAbout0055 PINE GROVE AVENUE 6 i i i i I k f t Town of Barnstable Building a Post This Card So That it is V+sibie From'the Street Approved Plans:Must be BrA Retained on Job and this Card Must be Kept Permit 1 ' e� Posted Until„Final Inspection Has Been Made $." "F Where a"Certificate of Occupancy is Repaired,such Building shall"Not be Occupi d until{a Final Inspectio,",,. been made i Permit No. B-19-4113 Applicant Name: RICARDO TERSAROTTO Approvals Date Issued: 01/02/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/02/2020 Foundation: Location: 55 PINE GROVE AVENUE, HYANNIS Map/Loot: 290-036 Zoning District: RB Sheathing: r Contractor Name:`,.RICARDO TERSAROTTO Framing: 1 Owner on Record: PETERS, EVERETT&REBECCA Address: 55 PINE GROVE AVENUE Contractor License: CS=109137 2 _ ., . HYANNIS, MA 02601 ; Est Project Cost: $ 12,475.00 Chimney: Description: Replace front door&storm door-repair rotted wood Permit Fee: $ 113.62 Labor and material to replace 8 windows Insulation: Fee Paid: $ 113.62 Install 5ft front door wheelchair ramp with h ndrails, �,+ Final: Date. 1/2/2020 Project Review Req: -- Plumbing/Gas �r Rough Plumbing: ,-Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afteraissuance. All work authorized by this permit shall conform to the approved appl cation:and the`approved construction documents for which this permit has been granted. Rough Gas: All construction alterations and an changes of use of building and structures shall be in compliance with the local zoning by-laws and codes. g Y g This permit shall be displayed in a location clearly visible from access street"or road and shall be maintained open for'publicAnspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures-by the Building and Fire Officials are provided on this;permit. Minimum of Five Call Inspections Required for All Construction Work:''' r Service: 1.Foundation or Footing ' Rough: 2.Sheathing Inspection n, _ a 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. " Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: s. . FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: uilding Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen ( ) Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA RE: Insured: DEGRACE, Elizabeth Property Address: 55 Pine Grove Road Hyannis, MA Policy Number: H0362319 Type of Loss: Smoke Date of Loss: 3/7/2008 File#: 107466 Claim has been made involving loss, damage or destruction of the above captioned property,which may either exceed$1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. G. D. BRIDGE Adjuster 3/12/2008 " X i Town of Barnstable *Permit# 3 G F SME►O�� Expires 6 months from issue date O,^ " Regulatory Services Fee '0� RAMSTr+et.t:. Kma $ Thomas F.Geller,Director �t o►may' Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w X-PRESS PERMIT Office: 508-862-4038 J u N 1 4 2001 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION Not Valid without Red X-Press Imprint 'SOWN OF BARNSTABLE -7 PP Ma / arcel Number =ial dress Q� �OR ❑Commercial Value of Work Owner's Name&Address Tele hone Number Contractor's Name "`,'� p / Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Permit Request(check box) Re-roof(stripping old shingles) ���❑Re-roof(not stripping. Going over existing layers of roof) [, Re-side ❑ Replacement Windows. U-Value (maximum.44) Other �Wh re quire ssua ce of thi ermit oes not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc. Sienature expmtrg Town of Barnstable Building Post This Card So That it�s U�sible From:the Street 'A ' roved Plans Must be Retained on Job and:thi;"6 Must be Ke-t "+ -DARN�3'CAClI2. • t k a - :k :� y • �- r' .' pp '. � ��> x xi - ` � p �-z2•. • 163 � Posted UntilFinal•Inspection Has�Been�°Made � � ��e� ��� ,�., ��" ; � �� s' , �# � � ���' `�°� �'" Where a Cert�ficate�of Oecupaney�s,Requiredsuch Buildmgshall Not begecup�ed`wn#il a Final Inspection has been made " Permit sc..,.. -....' ,...,aa; ,..:` .i .�es�.n..�._. �:: ....�s,:..aa......a,. .. ,,.. «*r�.,�,.:^.,.•�`':., .v. .., ..` .;.m.. . ...«-::t�...a.:;t:»«mow,.,...-.X ,.»='.,�x...� Permit No. B-18-4078 Applicant Name: WILLIAM W. CROSTON Ap provals Date Issued: 01/14/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/14/2019 Foundation: Location: 55 PINE GROVE AVENUE, HYANNIS Map/Lot 290-036 Zoning District: RB Sheathing: Owner on Record: PETERS, EVERETT&REBECCA h Contractor Name:; WILLIAM W.CROSTON Framing: 1 Address: 55 PINE GROVE AVENUE F� Contractor:License 100023 2 HYANNIS, MA 02601 Est Protect Cost: $35,000.00 Chimney: Description: Demo and rebuild Kitchen section of house on new foundation. Permit Fee: $22g.5p Insulation: Remodel Bathroom, Replace(8)windows and(2)doors Femme Paid $228.50 Project Review Req: ' Date 1/14/2019 Final: - , U q, �' a U.�r Plumbing/Gas / _ Rough Plumbing: •,Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and�het approved construction documents or which tHis permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zone g by laws and codes. "9 This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open,for publi&iQection for the entire duration of the completion of the same. Electrical work until the com P a " Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals areXprovided on;this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work'shall not proceed until the Inspector has approved the various stages of construction. " rsons contra ' with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: r4Z7Az Building plans are to be available on site \!J2 c Rt:z All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT orationNumber.. .................................................... r BAWSTABMS MA88. Permit Fee.......................................Oti=Fee.................:...... Total Fee Paid TOWN OF BARNSTABLE Pew Approval by. •• � BUILDING PERMIT gq o� — - Map........................................PmreL............................................. APPLICATION Section 1 — Owner's Information and Project Location Project Address �'S" A 'JlA 40C Village�a g cs Owners Name d Y"A ft Owners Legal Address Pv'— City State 9r-r c,, Tap c�� Owners Cell# E-mail Section 2—Use of Structure Use Group ! ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ®'Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck _ Apartment ❑ Sprinkler System ❑ Addition ❑ RetainingwaU ❑ Solar ®Renovation ❑ Pool ❑ bsulation Other=,Specify Section 4 -Work Description A X4",lw to k f z- k T stet nndata&2192019 i 5 Application Number................. ' r Section 5—Detail Cost of Proposed Construction S C P~ Square Footage of Project 1 2& sa Age of Structure '70 Dig Safe Number # Of Bedrooms Existing Z, Total#Of Bedrooms(proposed) . 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist 'Design + Section 6—Project Specifics Wiring . ❑ Oil Tank Storage ❑ Smoke Detectors ®Plumbing ❑ Gas Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Waxer Supply Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: am using a crane ❑ Yes ®"Ro Section 7—Flood Zone Flood Zone Designation ti 044- Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8-Zoning Information Zoning District Proposed Use 5 4- Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed f - , Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes �No ! 4 Last imdated 2/92019 Section 12—Department Sign-Offs Health Department © Zoning Board Of required) Historic District ❑ Site Plan Review(if required ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approvaL Section 13—Owner's Authorization L L...fl� �z�z�, as Owner of the-subject property hereby authorize 13,11 r Z,— s to act on my behalf, in all matters relative to work authorized by this building permit application for: b�'� /✓ ,� (Address of job) Signature of Owner date Print Name DFc r V/V14 ?018 Last=datca:ztsrzois Application Number........................................... Section 9—.Construction Supervisor Name cv ,5 loq, Telephone Number Address 9"ot-,o° 6 City any elf State Ig,-- Tip 026,9/ License Number Z License Type4M 11ti54�Expiration Date f/2,0 Contractors Email_C���R��� ���►�` . � ,a _ill# fVP I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required 780 CMR own of Barnstable.Attach a copy of your license.Signature Date l Vtl Pf— Section-10—.Home Improvement Contractor Name is sy 6W4, &.k Telephone Number 42:")� 2 JI 3,Pf/ Address V e w, l.$(,- City Ad%-,�W/A State Zip o924-0Y Registration Number M-P i3 Expiration Date 4171 M iz, I understand my responsibilities under the rules and regulations for Home Improvement Cofactors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re qamy 780V?7n of Barnstable.Attach a copy of your HLC...Signature Date II'/If,- Section 11—Home Owners Incense Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature - Date APPLICANT SIGNATURE Signature Date Print Name ��e'l� �v-Yi -S' "`� Telephone Number i �— lrow � Van ^� G'a°E-mail permit to: _ ��` 0 S' A('J/'I �'� S �muma Section 12 —Department Sign-Offs Health Department ® Zoning Board(if required) Historic District ❑ Site Plan Review(if required) Fire Department El Conservation v For commercial work;please take your plans directly to the fire departrnent for approval Section 13—Owner's Authorization L f� ���z� as Owner of the-subject property hereby authorize /3;-b Cv,,44 to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner daze • i Print Name Lest mdeled:2/92018 i i r Office of Consumer Affairs&Business Regulation Mass.Gov Page :1 of 2 Mass;gov ®ff0ce of Consumer Affairs and ' . v Business rm% s _.. Kegulauon (OCABR) HIC Registration Complaints Registration # 100023 Registrant WILLIAM W. CROSTON Name WILLIAM CROSTON Address 55 SUOMI RD City, State Zip HYANNIS,:MA 02601 Expiration Date 06/07/2020 Complaints Details . _. No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search Site Policies Contact Us https:Hservices.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=100023 7/9/2018 TOWN OF BARNSTABLE PERMIT CHECKLIST Sign off hours for Health and Conservation are 8-9.30 a.m. and 3:304:30 p.m. A complete permit application includes filling all sections 1-13 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS ❑ Site Plan showing setbacks of proposed and existing structures ❑ Commercial—One complete set of full sized plans one reduced 11"x17" (plans may require a stamp by an architect or engineer). ❑ Residential - 5 Sets of floor plans no larger than 11"x 17" smoke/co detectors marked ❑ Worker's Comp. Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council (IECC) ❑Letter of financial Interest for new houses only(not required for rebuild after teardown) ❑ Performance bond made out for$4.00/foot of road frontage (new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: ❑ Gas ❑ Electrical ❑ Water ❑ Sewer(if required) 3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location ❑ Construction plans showing framing detail (if new framing), Pools—Barrier details, pool specs (engineers design) ❑ Workman's Comp Affidavit and policy (if required) . FAMILY APARTMENTS ❑ Section 1 Plus: ❑ Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. a I The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ' //►1 Please Print Legibly Name(Business/Organization/Individual): ayl Address: P.. 0'. may !3 City/State/Zip: X 14-%-119 P-m 0-2G ff-- Phone#: C�� 7-�/ J PV Are you an employer?Check the appropriate box: Type of project(required): L® am a employer with ' ,7 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp,insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'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 pomp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: W t=e. 6�'�4'?�4 13 l to ze!F� Expiration Date: Job Site Address: �'r drl v�� Atlr- City/State/Zip: 4 t& �21� 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 certifymger the pains penalties of perjury that the information provided above is true and correct Signature: Date: 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 Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C( )states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you'regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Briton,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia , c. Commonwealth of Massachusetts ®� Division of Professional L•icensure Board of Building Regulations and Standards Constr4Cti6A-l§ pervisor CS-014112 _ , Eicires: 04/25/2020 ^� r _ M W OS WILLIA CRTO' 66 SUOMFRD%; ' HYANNIS MA 02604.E t � 02 � Commissioner � II Client#: 13660 2CROSTONWI -ACORD,. CERTIFICATE OF LIABILITY INSURANCE 0 ATE(MMIDDIYYYY) 12109/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING:INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED;the policy(les)must be endorsed:If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain'policies may require an endorsement.A statement on this.certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MIACT; Dowling 8 O'Neil Insurance Agy: W810.EMI:508 775.1620 ITANC,No): 5087781218 973 Iyannough Road ADDRESS: P.O:BOX 1990 INSURER 8 AFFORDING COVERAGE. NAIL 0 Hyannis,MA 02601 .... INSURER A:NOM InaYrance Company 14788 INSURED INSURER B:Assoclatod emptoyon Insurance company 11104 William W.Croston DIB/A INSURER C: William W.Croston Building Contractor INSURER 0:: P.0.Box.138 IN E Osterville,MA 02656 INSURER F COVERAGES CERTIFICATE NUMBER: ' REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING-ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE:INSURANCE:AFFORDED SY 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. Lqg� ADDL SUB Pooi�,ICY E POoLICY EXP LIMITS 'TR TYPE OF INSURANCE POLICY NUMBER MM/DD MIYUDDIYYYY A GENERAL LIABILITY X. MP039676 10/1312019 EEAACCHp�OECTCUR�RENCE $1000000 X COMMERCIAL GENERAL LIABILITY:: PREMISES Ea occ ED,.,. $500 OOO CLAIMS MADE a OCCUR MED EXP Any one person) $1 O OOO 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 X JE_PRO X LOC COMBINED SINGLE LIMIT $ A AUTOMOBILE LIABILITY M9039676 10113/2018 10113/201 Ea:acddent 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X .SCHEDULED BODILY INJURY(Peraccident) $ ALIT AUTOS NON-OWNED PROPERTY PRO PerERTYP accident)DAMAGE $ X HIRED AUTOS X AUTOS $�1► 7. A UMBRELLA LIAR X OCCUR CU039676 10/13/2018 10113/2019 EACH OCCURRENCE $5 000 000 EXCESS LIAR CLAIMS-MADE AGGREGATE s5,066,000 DED I X RETENTION 10000 $ B WORKERS COMPENSATION WCC5OO50193162O18A 9/08/2018 09I081201 X. TORYwe STATU- orH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPART.NER/EXECUTIVE Y I N E.L.EACH ACCIDENT $1 00O 000 OFFICERIMEMBER EXCLUDED? N I A .(Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $1 00O 000 If yes,descAbe under E.L.DISEASE-POLICY LIMIT $1 00O 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES(Attach ACORD 101,Additional Romarks Schadulo,If more space Is required) *"Workers Comp Information"* Proprietors/PartnerelExecutive.Offlcers/Members Excluded:William W.Croston,Sole Proprietor The White Cliffs One Condominium 8r TDG Management Inc.are named as additional insured for general liability when required by written contract. (See Attached:Descriptions), CERTIFICATE HOLDER CANCELLATION The White CIIffB One Condominium and SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TDG Management Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 4 Preston Court Suite 101 Bedford,MA 01730 AUTHORIZED REPRESENTATIVE 4 to- a 1988.2010 ACORD CORPORATION.All rights reserved. #5224658/M224667 ACORD 25(2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD: RPSW1 301-011 Plan for reconstruction of .00 damaged block foundation. 9r—Op rr Will remove damaged block foundation,and replace with j 8"poured foundation wall, j with 16"x10"footing. j j Red Dashed line ` o i Represents o� Ij � Foundation i that needs to be replaced. j 8't f 8" N i Existing Block i Foundation irandas Excavating LLC,P ox 234 I 5 Pine Grove,Hyannis Mass j 55 Pine Grove ~ j —12120118 1/2 1:1 I lidi7i y Plan for Construction of new 8"x4'wall,with 16"00" footing. i i I New 8"A' wall with 16"x10" footing. I 8 I if CD N*1 I iIrandas Excavating LLC,P ox 234 6 Pine Grove,Hyannis Mass t i 55 Pine Grove 2r� 12/20/18 /2 1:1 ' seumn�su�. �:e.:amms:��aat-.:au.r.� ��'`� ����� r��ltllr•'�I•• q"nN Tit r y ! Y ��• 1 r 1IVA, _ r 1 2 L\`t-- , diem- N. fit.�..... WL • 7 1 — ' � _�, 1 �.�VL •}�1 V � �,�--.,•` ._.�\ � �j Y� '.Li V�S.�M�M { .J`rL.�'..' '�. r.,f _ x _ t ; 1 •r f ,, i�' •... 5 j _- ; / _._ J\�J f" P.� L„1 ..`4 l4' 't�V_ L '-L' - — 1 5Dept r 44 TLk -r • � pr t1` permit r r r 7 IL411 R to io bo !,. aYT Y' --�`a"` �*' �• , 1+6.7��.� s '� i � r�.-•---I--. �e .--, a .W .� _ - + i t I ^ 5 r i r �,�: _..—.-..,,..-•a"�"""-`."".......,..:;a:�•-�'�' � sir 5 I '-- 3-� -i,� - ` � ;� �� .yam.._... ... _..� fl _ ._�_. _ .__--- ,..........._....___.__-._..�____..._...__.___...,.«..._. d Y♦�r� -. ,. s�1 t r , 1 IF k 4. } CL 1-4W-JILL rloV •�1 _ 1 I �i r