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0020 ASH CIRCLE
i . {l-30-o9 o k.2_—Fo �ct�n� (Son-��-1otj aAkl-c r CL4-) Juno -cam C"v" i �u -��`'�s t S—fe mtcs r� C-Cb r; 1 I I I i t �; �. :�.� s9 ��. ,�: �� '. �_ G� �i� �: �y �., f E,. ;: t. i �� �- 'A\ r_ 37 �` �: ►. ,- � Samuel F. McCormack Co., Inc. Insurance Adjusters and Appraisers Samuel F.McCormack Co.,Inc. ADJUSTERS AND APPRAISERS August 6, 2015 Barnstable Town Hall Building Inspector 367 Main Street Hyannis, MA 02601 RE ASSURED: Maureen Moylan LOSS LOCATION: 20 Ash Circle, Cotuit, MA 02635 POLICY NO: 1112251 TYPE OF LOSS: Lightning DATE OF LOSS: 08/04/2015 OUR FILE NO: 15-07576 ' To Whom it May Concern: A Claim has been made involving loss, damage or destruction of the above-captioned,pproperty,-which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 13, Section 6 tom be applicable. If any notice under.Massachusetts General Laws, Chapter 139, Sectio 3B if-;; appropriate, please direct it to the attention of this writer and include a reference to the above- captioned insured, location, policy number, date of loss and claim or file number. Thank you for your anticipated cooperation. Very truly yours, Mark Buckley Adjuster mrb@mccormackadjuster.com cc: Board of Health i 42 Holbrook Avenue, Braintree, MA 02184 1-800-972-5399(781)843-1222 Fax(781)849-8191 One Jonathan Bourne Drive,Suite 7,Pocasset, MA 02559(508)403-2600 Fax(508)403-2602 www.mccormackadjuster.com Zd IMPORTANT MESSAGE For /L A.M. Day 3�� `� Time ✓� P.M. M Of ��'d Q Phone FAX Area Code Number Extension MOBILE Area Code Number Extension Telephoned Returned your call RUSH Came to see you Please call Special attention Wants to see you Will call again Caller on hold Message -ems i Signed awNQtSJ1L.48023 MADE IN U.S.A. r . i AA441 ui ✓ r' ✓ Z i Town of Barnstable FINE Tp� o Regulatory Services BARNSTABLE Thomas F. Geiler, Director nu+ss. 039. .`0g Building Division QED MA'S A Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR AN ACCESSORY ROOM IN BASEMENT ASSOCIATED WITH RESIDENCE I, Maureen Moylan, the undersigned, being the owner of property situated at 20 Ash Circle in Cotuit, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 24376, Page 298, being shown on Assessors' Map 040 as Parcel 079, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory room in the basement to the residence located on the same parcel as above-described, is not intended for and shall not be used as a separate dwelling for occupancy or for rent in any fashion. The intended and authorized use for this room is for personal family use only. This basement room shall not be sub-let or rented in any fashion or manner. This basement room shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations; and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 201_ TOWN OF BARNSTABLE OWNER(S) By: Maureen Moylan wilding Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrument, before me. Notary Public My Commission Expires: i Q:form/accessoryagreement 1HE Town of Barnstable - OF 1p� 'bo Regulatory Services Thomas F. Geiler,Director + BARNSTABLE, MASS Building Division 1639. `0a; 'OrFo3.�a Tom Perry,Building Commissioner 206 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 3, 2010 Maureen Moylan 5 Suburban Road Worcester, Ma Re: 20 Ash Circle, MA Dear Ms Moylan, It has come to my attention that we are not in receipt of a recorded Agreement for the �lcce-ssoT-B-o-om-in-Basement_i-n your_name_as the_ne_w._prapexty_owner.—Enclased-i the corresponding form for you to complete and record at the Registry of Deeds in Barnstable village. Please provide us with a recorded copy at your earliest convenience. Sincerely, . Tom Perry Building Commissioner 1:\20 Ash Circle Ct Moylan deed restriction letter.DOC oFt�r� Town of Barnstable o Regulatory Services BAMSPABLE, Thomas F. Geiler,Director MASS. g 039. a�. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR AN ACCESSORY ROOM IN BASEMENT ASSOCIATED WITH RESIDENCE I, Maureen Moylan, the undersigned, being the owner of property situated at 20 Ash Circle in Cotuit, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 22491, Page 90, being shown on Assessors' Map 040 as Parcel 079, hereby agree, certify,warrant and represent to the Town of Barnstable that the accessory room in the basement to the residence located on the same parcel as above-described, is not intended for and shall not be used as a separate dwelling for occupancy or for rent in any fashion. The intended and authorized use for this room is for personal family use only. This basement room shall not be sub-let or rented in any fashion or manner. This basement room shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this-binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 201_ TOWN OF BARNSTABLE OWNER(S) By: ur ding Commissioner I THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrument,before me. Notary Public My Commission Expires: Q:form/accessoryagreement Bk 24376 P's298 �8696 02-19-2010 a1 01252P QUITCLAIM DEED We, Kimberley M. Quinn of Westford,Massachusetts and Elaine F. Smith,of Reading, Massachusetts,as Trustees of The 20 Ash Circle Realty Trust,u/d/t dated September 27, 2006 and recorded in Book 21438,Page 119 For full consideration paid of Three Hundred Thirty-Two Thousand Four Hundred Fifty and no/100($332,450.00)Dollars Grant to Maureen Moylan of 5 Suburban Road,Worcester,Massachusetts With Quitclaim Covenants The land and improvements thereon in Barnstable Cotuit Barnstable County, (. )� Massachusetts,bounded and described as follows: j v WESTERLY by Ash Circle,as shown on hereinafter mentioned plan, on an arc having a radius of 60.00,there measuring one hundred thirty-four �7 and 00/100 (134.00)feet; NORTHWESTERLY by Lot 10,as shown on said plan,one hundred thirty-one and 49/100(131.49)feet; EASTERLY by Lot 18, as shown on said plan,one hundred three and 00/100 (103.00)feet; and SOUTHWESTERLY by Lot 12, as shown on said plan, one hundred sixty-three and �v 66/100(163.66)feet. Containing an area of 21,800 square feet,more or less,and being shown as Lot 11, on a plan of land entitled: "Definitive Plan `Pineview Village' Cotuit(Barnstable)Mass. Applicant: Dennis Star Construction Co. Scale: 1"= 100' Sept. 21, 1973 Apex Engineering Co., Inc. Sandwich,Mass."which plan is duly recorded in Barnstable t0 County Registry of Deeds in Plan Book 282,Page 27. `J Together with the right of way over the Ways shown on said plan in common with all others legally entitled thereto. Said premises are conveyed subject to and together with the benefit of all easements, rights of way,reservations,rights, grants,stipulations, and other matters of record,if any thereto, and particularly the matters set forth or referred to in the Confirmation Decree in Case No. 37930,duly recorded in the Barnstable County Registry of Deeds in Book 2129,Page 149. MASSACHUSETTS STATE EXCISE TAX 00'OS�+Zccg ;suo0 SL'Lb8 :add Date: COUNTY REGISTRY OF DEEDS Date: 02-19-2010 8 01:52pm 9698_:9}oQ LZ6 :41a.1 Cti4: 927 Doc*: 8696 wdZS:TO a OTOZ—bT—ZO :BIDG Fee: $IY137.15 Cons: $332r450.00 S0330 30 ANISI93S AINA05 31WISH09 Xdl 3S IOX3 AINf103 318d1SNSV? Please Return To: Ahalt,Bali&Brodeur,P.C. 38 Front Street Worcester,MA 01608 Bk 24376 Pg 299 #8696 For Grantors title see Deed recorded in Book 21438,Page 124. Witness our hands and seals this /r ilay of February,2010. Kimberley M. Quinn,Trustee Elaine F. Smith,Trustee COMMONWEALTH OF MASSACHUSETTS Middlesex, ss. On this f' lay of February,2010 before me,the undersigned notary public, personally appeared Kimberley M. Quinn and Elaine F. Smith,Trustees,proved to me through satisfactory evidence of identification,which were J 4- to be the persons whose names are signed on the preceding or attached document,and acknowledged to me that they si ed it voluntarily for its stated.purpose. Notary Public, My commission expires: b\ Mark J.simeola V��` Notary Public �` � Commonwealth of Massachusetts My commission expires Dec.27.2013 gARNSTABLE REGISTRY OF DEEDS Town of Barnstable .THE ram, Regulatory Services . Thomas F. Geiler,Director BARNSTABLE, 1 Building Division 1 39. Thomas Perry,Building Commissioner prFD M°�a 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January 29, 2010 RE: 20 Ash Circle, Cotuit To Whom It May Concern. This correspondence is in regards to the area located in the basement of 20 Ash Circle, Cotuit Map 040 Parcel 079, This area.is to be used for per family use only. By allowing this area to remain, it is not to be construed in any manner that the Building Division is allowing a separate dwelling,unit to be condoned or allowed. This area is to remain for the.convenience and pleasure of the homeowner only and is not to be sub-let or rented in any fashion or manner. This affidavit shall be recorded at the Registry of Deeds and remain in effect until such time that there is either zoning relief obtained or zoning allows this type of use. Sincerely, Thomas Perry, CBO Building Commissioner agree to this restriction. Homeowner oFt�r� Town of Barnstable Regulatory Services ` = Thomas F.Geiler,Director BARNSTABLE, • , y MASS. 4,,, 1639• ,� Building.Division TFD MA'S A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 5.08-862-4038 Fax: 508-790-6230 AGREEMENT FOR AN ACCESSORY ROOM IN BASEMENT ASSOCIATED WITH RESIDENCE I, Elaine Smith, the undersigned, being the owner of property situated at 20 Ash Circle in Cotuit, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 22491, Page 90, being shown on Assessors' Map 040 as Parcel 079, hereby agree, certify,warrant and represent to the Town of Barnstable that the accessory room in the basement to the residence located on the.same parcel as above-described, is not intended for and shall not be used as a separate dwelling for occupancy or for rent in any fashion. The intended and authorized use for this room is for personal family use only. This basement room shall- not be sub-let.or rented in any fashion or manner. This basement room shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 201 TOWN OF BARNSTABLE OWNER(S) By: Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrument,before me.. Notary Public My Commission Expires: Q:form/aceessoryagreement i TOWN OF BARNSTABLE :.00ATION SEWAGE # p7 - ,f VILLAGE z;X/ ASSESSOR'S MAP & LOT OKb' INSTALLER'S NAME&PHONE NO. VyY-YW I SEPTIC TANK CAPACITY :'.Aoa ",-We LEACHING FACILITY: (type)-7- � � (size) A//�X NO. OF BEDROOMS BUILDER q OWNE PERMIT DATE: ,3 COMPLIANCE DATE: Z 2rI ? - I Separation Distance Between the: _ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility z✓ Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by l�r�s/<., S1Jay TOWN OF BARNSTABLE V LOCATION r� SEWAGE# _ ►-)c VILLAGE OR v ASSESSOR'S MAP&PARCEL B" aTAttt S NAME&PHONE NO. r�'t �� ► C g. �11 SEPTIC TANK CAPACITY 000 LEACHING FACILITY-(typ ) Cp �iJ,11 ^� (size) NO-OF BEDROOMS OWNER PERMIT DATE: CC;�r4I3I-�*,� DATE�� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching.Facility(If any wells exist on Feet site or within 200 feet of leaching facility) Edge of Wetland and Leaching FacilityFeet (If any wetlands exist within 300 feet of leaching f ity) Feet FURNISHED BY , Sao • � L'i I ,l,/,/,/`/,f,/,/`/./`/./././`/,F`J./,/./,f./`/./`/`/./,!,/,/,/./, \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ .\ \ \+ \ \/\f\/\I\I\/\/\/\/\/\ 37 43 40 47 ROM (TUE)FEB 16 2-010 12:52/ST. 12:52/No.8303355179 P l a ■ AHALT , BALL & BRODE UR , P . C . Q 38 FRONT STREET , SUITE 300 5 o WORCESTER , 'MA 01608 --. co PHONE : 508 - 797 - 3700 w F.AX : 5 0 8 - 7 5 4 - 1 9 0 5 � cry TO: FROM: ( ) William S. Ahalt DATE: ( ) Charles P. Ball ( ) Lawrence A. Brodeur FAX ( ) Jade Bredberg NUMBER: fc� g��b ( Michelle Hippert TOTAL PAGES: (including cover sheet) RE: r 7C ❑ PLEASE REPLY ❑ VIA FAX AND MAIL, VIA,FAX ONLY i r i FROM (TUE)FEB 16 2010 12:52/ST. 12:57-ZH . SSO335517S P 2 02/108/2010 18: 58 1088884367 DA PAGE 02 aii2�d/2819 18:16 1699084367 DA PAGE 83 Bk 24356 Pw32 613 . K72=0$-2U 10 a"1 1 2 =SGJtc► Town of Barnstable Regulatory Services - aaaltstraar� Tbomos V.Geller,Director Bollding Division Tom perry,BaiWing CommWaslonN 200 Malt Suet, Hyattais,MA 02601 Office: 509-862.4038 Fax: 508-790-6230 AMEMENT FOR T���IN BASEMENT ,A.SSOC T RUIDENCE , 1, Elaine Smith, the undersigned, being the owner of progeny situated at 20 Ash Circle in Cotuit, MA, holding title under a deed recorded with the Barnstable County Regiody of Dieeds in Boole 22491. pate M being "vM oil Assessors'Map 040 es)Parcel 079,hereby agree,ceirtlfy,won-ant sad teprerene to the Town of Barnstable that tho aceeswry morn in the basemoot to the rtsideme located or the'same parcel as abov"cocribed, is not intended for and shall not ba and as a separate dwe'lligg fbr occupanry or for rent In soy fashion. r� The intended and authorized use fair this room is-for peraosal (atnily use only. This basement room shall not be sub-let of rented in any% Aion or meaner.This basement roots shall not be rented as an trpVtnent cc as a sinsle mom,or 14 arty►fasblon,wbich metal would be a violation of the Town of Darustsble'e rules,regulations,and �S zorAnt ordinances. ThIs Agreement shall be dely recorded or filed at the Barnstable County RegJK7 of Deedi/Land Ceart tar the purpose of alerdng fun re ownen of The property of thls binding Agreamat eoacarDing the use of the property as harsh 61#104,Whit\#ball run with the land and bludbl;Mitre"net* The consideration for olds Agoameut is the isar"of a buildibd permit and/or cetdficatt:of occupancy by dw Toga o(Buutable Building Mpdtmsat M WITNESS our hinds and seals dim n� Dt:• day of F%-_6't+.q 4-Y 201 b. TOWN OF BARNSTABLE ui ommiatimcf niE COMMONWEALTH OF MASSACHUSETIC BARNSTABLE COUNTY,SS Date CD/L Tben paaottally appeared the above-named (oar w), l and �?.. made oath as to the truth of dta fioragoitlg lasentmenk before me. otary publiv My Cotmmiuion Expires: Mark J.simsola Notary PuMo Corrunom&"th of Maaaschuaetta My Commission Mpina Dec.27,2013 : Q:Ibadaoeattaryt#rsnatnt. BARNSTABLE REGISTRY OF DEEDS - FROM <TUE)FEB 10 2010 12:53/ST. 12:52/No.S303355179 P 3 01/24/2010 18:10 1088884367 DA PAGE 02 Town of Barnstable Regulatory Services Tbonm F.Geller Director { i Building Division +61� TAoenu Ferry.aaiWins Comiabdoner 200 Mein Sweet, Hymnis,MA 02601 Office: 50"624038 Fax: 508-790.6230 January 29, 2010 RE: 20 Ash Circle, Cotuit To Whom It May Concern. This correspondence is in regards to the area located in the basement of 20 Ash Circle, Cotuit Map 040 Parcel 079. This area is to be used for peisonal family use only. By allowing this area to remain. it is not to be construed in any manner that the Building Division is allowing a separate dwelling unit to be condoned or %allowed. This area is to remain for the convenience and pleasure of the homeowner only and is not to be sub-let or rented in any fashion or manner. This affidavit shall be recorded at the Registry of Deeds and remain in effeet until such time that there is either zoning relief obtained or zoning allows this type of use. Sincerely, Thomas Perry, CBO Building Commissioner I agree to this.restriction. '146meowner Gy f 01/24/2010 18:10 1088884367 DA PAGE 03 Bk 24356 Po32 0-6613 02-08-2010 a 12 0 50F3, r Town d Barnstable Regulatory Services j Tbomes F.Geiler,Director �.� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax. 508-790-6230 AGREEMENT FOR AN ACCESSORY ROOM IN BASEMENT ASSOCIATED_WITH RESIDENCE r W 1, Elaine Smith, the undersigned, being the owner of property situated at 20 Ash Circle in Cotuit, MA, C' holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 22491. Page 90. being shown,on Assessors' Map 040 as Parcel 079,hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory room in the basement to the residence located on the same. parcel as above-described, is not intended for and shall not be used as a separate dwelling for occupancy or for rent in any fashion. The intended and authorized use for this room is for personal family use only. This basement room shall not be eub-let or rented in any fashion or manner. This basement room shall not be rented as an apartment or as a �O single room,or in any fashion,which rental would be a violation of the Town of Be witable's rules,regulations,and Z--clo zoning ordinances. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use t of the property as herein stated,which shall run with the land and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or cenificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this %X day of ri r`�—2010. U) TOWN OF BARNSTABLE OWNER(S) CD co .9 "$ui ding Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date Then personalty appeared the above-named (owner), and made oath as to the truth of the foregoing instrument,before me. otuy Public My Commission Expires: Mark J.Simeola Notary Public Commonwealth of Massachusetts My Commission expires Dec.27,2013 Q:(ondaccel9otY�glbNttent - BARNSTABLE REGISTRY OF DEEDS f 4 - r. _ , a. � •{ ..mot ���'�t"` �' r 1 r .a.'?'• ' r -' • ,.r ;e 4.r. _`j tr x,. - "1 F 3 r �. t+ NOISIAIG"J' „ 0 h :01 WV 8- 833 OIGZ 319VISMS,Jo Nmol. I 1 c� 188 PAGE:. 102-319 ',LOSED: - 193 RENEW PAGE: 07-059 DISCPAGE: MA ZIP:.' 02630 ^J r LAST: SMITH � . . ZIP:•:. ZIP: PAGE 03 01/24/2010 18:10 10888f4367 DA Town of Barnstable Regulatory Services � �am i Thomas F.Geiler,Director �. Building Division . Tom Perry,Building Corwin@sioner. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR AN ACCESSORY ROOM IN BASEMENT ASSOCIATED WITH RESIDENCE I-, Elaine Smith, the undersigned, being the owner of property situated at 20 Ash Circle in Cotuit, MA, holding title under a deed recorded with the Barnstable County Registry. of Deeds in Book 22491. Page 20 being shown,on Assessors''Map 040 as Parcel 079,hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory room in the basement to the residence located on the same parcel as above-described, is not intended for and shall not be used as a separate dwelling for occupancy or for rent in any fashion. The intended and authorized use for this room is for personal family use only. This basement room shall not be sub-let or rented in any fashion or manner. This basement room shall not be rented as an apartrnent or as a single room, or in,any fashion,which rental.would be a violation of the Town of Barnstable's rules,regulations, and zoning ordinances. This Agreement @ball be duly recorded oir filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein elated,which shall run with the land find binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of t'rt'r 201(�. TOWN OF BAR14STABLE OWNER(S) By: � �••f 4�'-t� F= S vn i �u 5t'z E "Bui ding Conuniesioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date rle Then personally appeared the flbovc-named (owner), F-lo.: e and made oath as to the truth of the foregoing instrument,before me. otary Public My Commission Expires: Mark J.Simeola a ,= Notary Public Commonwealth of Massachusetts My Commission expires Dec.27,2013 Q*rm/acc a$9 oly a gre=vnt 73274121 13 O '4,9 •. � N i EL AINE'F s 39"RIM IDE CDR READING;MAf y , •01867.361=1���t � ssy � � •y'.� (THU)FES 4 2010 12:17/ST. 12:17/H0.S3033SUOUG P 1 AHALT , BALL & BRODEUR , P . C . .3 8 FRONT STREET , - SUITE 300 WORCESTER , MA 01608 PHONE : 508 - 797 - 3700 FAX : 508 - 754 - 1'905 TO: FROM: ( ) William S. Ahalt (. . ) Charles P. Ball DATE: �1 / ( ) Lawrence A. Brodeur `FAX 5 j U- 77 0— ( ) Jade Bredberg NUMBER: 3� ichelle Hippert TOTAL a PAGES: (including cover sheet) RE: ❑ PLEASE REPLY ❑ VIA FAX AND MAIL VIA FAX ONLY I i FROM (THU)FE8 4 2010 12: 18/ST. 12:17/Ho.83O33S5O56 P .2 01/2"10 18: 10 1088884367 DA - PAGE 02 Town of Barnstable -TOWN OF BARNSTABL Regulatory Services P Tboaus F.GdW,Director . 7010 FE8 -4 P11 12: 17 . 1 � } Building Division NAAS �* Thou=Pertq,Daildiag.comminkfter 200 Mein Street Hyannis,MA 02601 DIVISION- „ Office: 509-862-4038 Fax: 508.790.6230 January 29, 2010 RE: 20 Ash Circle, Cotuit To Whom It May Concem, This correspondence is in regards to the area located in the basement of 20 Ash Circle, Cotuit Map 040 Parcel 079. This area Is to be used for personal family use only. By allowing this area to remain, it is not to be construed in any manner that the Building Division is allowing a $Operate dwelling unit to be condoned or allowed. This area is to remain for the convenience and pleasure of the homeowner only and is not to be sub-let or rented in any fashion or manner. This affidavit shall be recorded at the Registry of Deeds and remain in effect until such time that there is either zoning relief obtained or zoning allows this type of use. Sincerely, Thomas Perry, CBO . Building Commiesioner . I agree to this restriction, 7� Homeowner 11 - r NNILS Page 1 of 3 Listing Summary Listing #20907131 20 Ash Cir, Cotuit, MA 02635 0 Active (08/15/09) DOM/CDOM:2/2 $345,900(LP) Beds: 4 Baths: 3 (2 1) (FH) Sq Ft: 2416 Lot Sz: 0.500ac Town: Barn Yr: 1983 Remarks VALUE PACKED, Possible IN-LAW +Well maintained on Picture Report Listing Violation a quiet Cul-de-sac in sought after Cotuit! 2,416+-sq ft, Cert. 4 bedrm septic & 7/09 roof. The 1st floor offers Fireplaced living, Formal dining w/slider to '03 deck, Eatin kitchen, Master w/ 1/2 bath, 2 more bdrms &full bath. Completely finished walkout w/it's own heat zone, Sunroom ell to 2nd driveway, open Family/dining, Kitchen w/out stove, Den, 4th bedrm, Full bath & Ldy. Plus attached Garage, many Ceiling fans & Shed. Buyers are welcome to verify all listing information. ., Additional Pictures 112All 0 s Pictures(31) See Map Location Description North of Route 28 Agent Linda Davis Hiller M (ID:UOT6)Primary:508-280-4411 Office William Raveis RE&Home Serv.(ID:RAVE)Phone:508-428-3320,FAX:508-428-0875 Property Type Single Family Property Subtype(s) Single Family, Residential Status © Active(08/15/09) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 2.5% 5% No Facilitator Comm 0% Listing Type Excl.Right to Sell Owner Name The 20 Ash Circle RealtyTruste County Barnstable Tax ID 040-079 Beds 4 Baths (FH) 3(2 1) Approx Square Feet 2416 Sq Ft Source Agent Estimated Lot Sq Ft(approx) 21780 Lot Acres(approx) 0.500 Lot Size Source (Assessors Records) Year Built 1983 Listing Date 08/15/09 Directions to Property Route 28 to Lovell's,R on Pineview,L on Dogwood, R on Ash Circle to#20 at the end of the Cul-de-Sac. Listing Page Commission-Other 0% Showing Instructions Appointment Req.,Call Listing Agent,Yard Sign General Page Zoning Res School District Barnstable Year Built Desc. Approximate http://ccimis.rapmis.conVscripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 8/17/2009 of ListingPicture Gallery — #20907131 ;�:?•xl [ rr;�.�� •tom.x�r�#.. 'pia `�T`y'`•„�`�►a, 4•` •�{1^�'•. -� "O�•I art'.`_' ,��t� j�\l'�• ii �; ��I � - �� )� ,•`� Thy /. c wa .�SZr�fr►+�r�.� - ��'�\c t'S t 'r�;• ���_ . fk* as r `i'f•� ,}i'' :•rf•'. �;�,. � 'S •4 r M, LS Page 2 of ` ,• - 'jam rn � -. - .. r- i w f fir{ y• �t , .:rr i♦.• a _ i ' .rx y . .p • • . • • • .p •• : • 11' MLS Page 3 of htt e� i � r • . • • • • • • • . • •• : • • 119 i MLS Page 4 of 11 y � r T 7 { 1 http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/17/2009 MLS Page 5 of 11 eye-�tT'. irA CJ "rox' i .Al http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/17/2009 .MLS Page 6 of 11 6 60! f - 1�- r� http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/17/2009 MLS Page 7 • �1J htt r •i J � • . • • • • • • • • . • •• : • • 11' MLS Page 8 of 11 s - I I la r i r http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/17/2009 ,MLS Page 9 of 11 t I � � Ii Sd . http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/17/2009 ,MLS Page 10 of 11 I Lv 1, tit lik- 71 1 , http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/17/2009 r e ,MLS Page 11 of 11 wetV Information has not been verified,is not guaranteed,and is subject to change.Copyright 2009 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved Copyright©2009 Rapattoni Corporation.All rights reserved. Generated:8/17/09 10:57am F a 'JERED err xt4attonMLS http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPictureDescriptio... 8/17/2009 e' MLS Page 2 of 3 Total Rooms 10 Total Levels 2.0 Basement Baths 1.5 Level 1 Baths 1.5 Level 2 Baths 0.0 Level 3 Baths 0.0 Basement Yes Basement Description Finished,Full,Interior Access,Walk Out Foundation Concrete Foundation Width 28 Foundation Depth 26 Fndation Wing Width 20 Fndation Wing Depth 24 Irregular Yes Lot Depth 0 Lot Width 0 Topography/Lot Desc. Cleared,Gentle Slope Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage Yes #of Cars #1 Garage Description Attached,Direct Entry,Door Opener Parking Description Paved Driveway Year Round Yes Separate Living Qtrs Yes Sep Living Qtrs Desc Basement, In-Law Apartment Waterfront No Water View No Convenient To Conservation Area,Golf Course,Major Highway, Public Tennis,Shopping Miles to Beach 2 Plus Beach/Lake/Pond Loop Beach Water Access Bay,Beach,Deep Water Access,Lake/Pond,Ocean,Public, Ramp,River Beach Description Bay,Lake/Pond,Ocean Beach Ownership Public Street Description Cul-De-Sac, Paved Interior Page Fireplace Yes Number of Fireplaces #1 Master Bedroom OxO Level: First Floor Mstr Bdrm Features Ceiling Fan,Closet,Private Half Bath,Wall to Wall Carpet Bedroom#2 OxO Level:First Floor Bedroom#2 Features Ceiling Fan,Closet,Wall to Wall Carpet Bedroom#3 Features Ceiling Fan,Closet,Wall to Wall Carpet Bedroom#4 OxO Level:Basement Bedroom#4 Features Wall to Wall Carpet Laundry Room OxO Level:Basement Living/Dining Combo No Living Room OxO Level: First.Floor Living Room Features Bow/Bay Windows,Ceiling Fan,Fireplace,Wall to Wall Carpet Dining Room OxO Level:First Floor Dining Room Features Closet,Dining Area,Sliding Door,Wall to Wall Carpet Kitchen OxO Level: First Floor Kitchen Features' Ceiling Fan,Dining Area,Vinyl Floor Family Room OxO Level:Basement Family Room Features Wall to Wall Carpet Other Room 1 OxO Level:Basement Other Room 1 Type 2nd Kitchen Other Rm 1 Features Dining Area Other Room 2 OxO Level:Basement Other Room 2 Type Den Other Rm 2 Features Closet,Wall to Wall Carpet Other Room 3 OxO Level:-Basement http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 8/17/2009 MLS Page 3 of 3 Other Room 3 Type Sun Room Other Rm 3 Features Sliding Door,Wall to Wall Carpet Appliances Dishwasher,Range-Gas,Refrigerator,Stove Hood Floors Tile,Vinyl,Wall to Wall Carpet Interior Features HU Cable TV,Dry/HU-E,HU Washer,Linen Closet Exterior Style Ranch Pool No Dock No Energy Saving Feat Storm Windows,Storm Doors Exterior Features Deck,Screens,Yard,Outbuilding Roof Description Asphalt Siding Description Clapboard,Shingle Mechanical Heating/Cooling 2 Zone Heat,Natural Gas,Hot Water Water/Sewer/Utility Cable,Septic,Electricity,Gas,High Speed Internet,Telephone,Town Water Hot Water/Water Heat Natural Gas LegaVTax Annual Tax $2551 Tax Year 2009 Land Assessments $147400 Improvement Asmt $132700 Other Assessments $18800 Total Assessments $298900 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed No Mass Use Code 101-Single Family Title Reference-Book 22491 Title Reference-Page 90 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Unknown The listing contract has not yet been validated by MLS Staff. Information has not been verified,is not guaranteed,and is subject to change.Copyright 2009 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved Copyright©2009 Rapattoni Corporation.All rights reserved. Generated:8/17/09 10:55am A'OWERED BY RagattonMLS http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 8/17/2009 oFt► rq,,, Town of Barnstable Regulatory Services vEBLAAAJRWN MASS.`Eg Thomas F. Geiler, Director 16,39prA�O Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 December 22, 2009 Attorney William S. Ahalt 38 Front Street, Suite 300 Worcester, MA 01608 RE: 20 Ash Circle, Cotuit Dear Attorney Ahalt, This correspondence is in regards to 20 Ash Circle in Cotuit and the affidavit that was presented for my signature. As we have stated on the phone and was clearly expressed to your client going back many months the zoning for this area of Town allows for single family house only. For myself or any one else in my department to agree to and sign this affidavit would in effect be granting a variance to the Zoning By-law which I am sure you are well aware that is beyond the authority of this office. Respectful , I qbmas Perry, CBO Building Commissioner r ROM (TUE)DEC 8 2009 P 7 t ' AHALT , BALL & BRODEUR , P . C . 38 FRONT STREET , SUITE 300 WOR.CESTER., MA ' 01608 PHONE : 5 0 8 - 7 9 7 - 3 7 0 0 FAX,: 508 - 754 - 19.05 4 o p TO: '►" F �' ' w ROM: (William S. Ahalt CO( ) Charles P. Bally - - v DATE: ( ) Lawrence A. Brodeur r9 FAX �— ( ) Jade Bredberg 0rn NUMBER:JG� •_� (� �,j C) ( ) Michelle Hippert TOTAL PAGES: (including cover sheet) RE: .V Cut CLI 0, ❑ PLEASE REPLY D VIA FAX AND MAIL ❑ VIA FAX ONLY G�- S CAI G� l FROM (TUE)DEC 8 2008 13:54/ST. 13:53/No.9303355513 P 2 i AFFIDAVIT I, Maureen Moylan, state and aver the following: .v 1. 1 wish to purchase 20 Ash Circle, Cotuit, Massachusetts from Kimberly M. Quinn and Elaine Smith Trustees of the 20 Ash Circle Realty Trust. 2. 1 understand that the basement of.this property has been improved without benefit of building permits at some time in the past and prior to the current owners ownership. , 3. As an un-permitted improvement, the Town of Barnstable, seeks to address the use of that improved basement area and to make it conform to the Town's Bylaw. 4. .By this Affidavit I.am representing to the Town that I will occupy.the premises as a single family, primary residence and that I will not rent the improved basement area to any other person(s) or have any person(s)move in to that improved basement area on a permanent basis. Further, I will not use the improved basement area as a second living quarters for another individual whether related to me or as a non-related tenant. I state that the improved basement area will be reserved fo.r my exclusive use and/or for the use of family and friends. 5. 1 also am willing to sign an annual affidavit, comparable to the one currently being used by the Village of Cotuit, stating that the improved basement area is for my personal use and the use of family and friends and not as a rental or permanent living quarters for another. r FROM _ (TUE)DEC 8 ZOOS 13:U4/ST. 13:UOZHo.83033SS513 P 3 Syr. ► 6. If I am ever found to be in noncompliance with the terms of this Affidavit.I. agree to remedy the situation as the Town-directs including the removal of any plumbing services which are to be capped behind a finished wall. Signed under the pains and. penalties of perjury. Maureen Moylan Date COMMONWEALTH OF MASSACHUSETTS WORCESTER, ss December 2009. On this day of December, 2009, before me the undersigned notary public, personally appeared Maureen Moylan proved to me through satisfactory evidence of identification, which was photo identification to be the person whose name is signed on the preceding document, and acknowledge to me that she signed it voluntarily for its stated purpose. Notary Public: My commission expires: i Message Page 1 of 1 Anderson, Robin To: Christopher Olsen (colsen@cotuitfire.org); (dpierce@cotuitfire.org) Subject: 20 Ash Circle, Cotuit Hi Guys, There is an illegal apartment in the lower level of 20 Ash Circle. The owner represented that"everything is fine". I advised the appraiser that this unit needs to be removed as it was created without permits and is contrary to the single-family zoning ordinance. It is my understanding that the property is about to be sold. Please let me know if you schedule an inspection in order that we can discuss options. Thanks. �Rq&n Robin C Anderson Zoning Enforcement Officer Town of BarnstabCe 200 Main Street Hyannis, MA 026oi 5o8-862-4027 11/20/2009 Assessor's map and lot:number ....40.........1...�.............. FTHEr e C SEPTIC SYSTEM MUST B➢: �° °'`♦ P -"Sewage Permit number ...........................7.............................K • INSTALLED IN COMPLIA House number Z o WITH TITLE 5 i EAHBSTAnLE, b4G................................... NABENVIRONMENTAL CODE A °' 169. e0� T UI TIONS TOWN OF BARNSTXH K BUILDING INSPECTOR - .! - . APPLICATION FOR PERMIT TO .....0 C. ................ ............... .... ... .............. ... ....r .. ..,.......................... TYPE OF CONSTRUCTION .... ..... ................. ..... .................................................................................... ............W.7....................19...& TO THE INSPECTOR OF BUILDINGS: r t The undersigned hereby applies for a per it according to the following information: Location ...........C7.3 .............�'4�!.!...................... .fe......... .:�"' ............................................... ProposedUse ............ ..`. . . ... ............ y�................................................................................................... ZoningDistrict ..................................................Fire District ................................1..... ....................................... oName of Owner . . .. . ....................4.!!!... ...............Address 44�t .. ..... Name of Builder .. . ..................... ....... .... . . ...............Address 31 � /P......... . .... Nameof Architect ..... ........................................Address .... ....! .. .............................................................. ..... Number of Rooms ....Q..?.....VV.............................................Foundation ................... . ......0 .................................... Exteriord",jz .......................................Roofing ........... ... ... ............................................................... Floors ....................Interior ...... Heating ....+I,I !.v'.`�4 .........................................................Plumbing ..................................................................................... Fireplace .........1..!..W. ................................................................Approximate. Cost . ®.v:w �I . .. .............................. Definitive Plan Approved by Planning Board -----------____--_-----------19 , Area /OV..Q s............................ rio Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �. t 1 e � OCCUPANCY P ITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... '........ Construction'-Superviso.r's License ....0.1......./...3..?..F WOOD, MORBIT No 28491.... Permit for ...Build. ...P.orch......... ............. .... . .... . . ...... Sin&�j�jggkily..)A,wgXjing...................... ............... .... .... Location ...ZQ..M.h..QiX.QIP................................. ..................C.Q.tui.t................................................ Morbit Wood Owner .................................................................. ✓ Type of Construction .........Frame...................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ......0 ctob e r...7 .............19 85 Date of Inspection .............. ......................19 Date Completed 19 L Assessor's map,and lot number ... {..Q.�.. .%. . _ CF TN E TO -.,,Sewage Permit number ......:...�....'.............................::`.:..;... ` Z 136H39TSDLE, i V ..House number ...................!�...1 u . . NA66 900 t3 6 9. 0� ljlJG ,o� �0 i t �E0 YPY a• TOWN OF .BARNSTABLE • i `' � BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... ...... y7 !/'!!,......../ .r.. .A.. :............................... TYPE OF CONSTRUCTION -. �.........17.................... 9.8 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per it according to the following information: Location ............... .................... .A........b .. .. ProposedUse ............ .........:.....,......................... ....................:............................................................................... Zoning District .............. ..................................... Fire District ........................................................ .. .: .:J.........;... Name of Owner .. ...........................9./.!.'.. ...............Address .40....... ".. IAA• aa"&Name of Builder . .. ... ...... / .�.....Address /.......................... . ......�..................................� Nameof Architect .... >s..........................................Address ...r.v ......................................................................... Number of Rooms ...c .ry�.--...........................................Foundation `!! !'.!. ^'T!s.....Cl„ .................................... Exterior .!!�!...0.................... x-.....................................Roofing ..L'`... .................................f...................................... Floorsv.�.....................................................................Interior ..��`�..... ................... ....... � Heating. ...f^ ............Plumbing Fireplace .........!..!.b ..M..........................................................Approximate. Cost .7::.�O w .........................................................I L..! ' Definitive Plan Approv, d by Planning Board -------------------_-----------19 . Area Iry ................................... R -I*f DO Diagram of Lot and Building with Dimensions Fee // SUBJECT TO APPROVAL OF BOARD OF HEALTH Ja.. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town;of Barnstable regarding the above construction. Name .�........... ............ ................. Construction Supervisor's License ... . WOOD, MORBIT A~40-79 . ~~ o ..... Permit for ....)Build..�orcb--. ........Si�mle..FamiIv.Dwell _______. 20 Ash Circle iocohon ---------------------. ^ ' Cotuit ' ---'r---------------------'' .~._� Owx`e, — .�Wo�d_____________ Type of Construction� .������---.------� � . � � . —.-------..-----.----------.. ' Plot ......................... Lot ................................ � ` �x ...................................October78^� Permit Granted ', A Dote of |nxpecion ------------lV ~ ' ' � Date Completed -----_------'lP � . . . ' ^ . . . , , ' ` ^ - . ' . ' ' . . ` /'H�use number .................................... ......................... V SAM t639- TOWN OF BARNSTABLE INSTALLED IN TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Name of Owner ..Den.nis...Star...Cons.truction..Q9.R.A....Address .24..Grp-at..Pand.Dr--.,..S....Yamouth,..Ida....... Nome of Builder -.�.ai.r.e.......................................................Address .................................. ' ` Nome of Architect ----------------'—'A66res -----------------------.----. | � Number of Rooms --------------------'Foun6o/ion - .-couzjmte�-------------. �Exie,io, ------'5:;��.. -----------'RooGng --- . ......................................... Floors ......................PIy.WQQ.d................................................Interior ..........shaetrock...................................................... Heating .. ----'-`---..-----�F1um6ing --.�J./%'�atho-----------------� 1 ' � Fireplace ..................zoe.........................................................Approximate Cost ..............25°oog......................................... ' DefinitiveSept. 2l P|on Approved 6v Planning Board ^ 19-73---. Area -- d�-' Diagram of Lot and Building with Dimensions Fee ___�}_ �.. ___. SUBJECT TO APPROVAL OF BOARD OF HEALTH � � | | | � � | � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS . | hereby agree no conform to all the Qu|sm and Regulations of the Town of 8ornmo6|e regarding the above construction. ''--- -'—'--p~----'',~'~-''~~-''~~-----'~ 016681 , Construction Supervisor's License ------------ � _ DENNIS STAR CONSTRUCTION .................25019 Permit for .........one St. St ry.. .... .................. Single Family Dwelling ............................................................................... Location ....Lot...11,. . .......2.0...Ash . . .. ..... .. .......... Cotuit ............................................................................... Owner ,-.P.en.n.1 s....Star. . ...Construction. .uc.t io.n .. .... .. .... .... .. .. ....... .. .... .... .. .... .. Type of Construction Frame ............................... .. .. .... ................................................................................. Plot ...................... Lot ................................ Permit-'Granted .....APxi.1...2.9..............19 83 Pateoi Inspection ....................................19 �1-30-9w Date Completed ......../..................... 7- �,pT,Z I I II " U 13 PLAN SHOWING -FOUNDATION LOCATION oN 0 - -W U ._ _ C_OT UI T, M_ ASSACHUSE T_T S ah 5 U) OWNED H r DC'/Y/V/.S ,�Ti9TZ CG�.I`T.� • �' q w �m V: _ — — — - - ZQQOW. SCALE � .�_ 4Q aa � Nw nLIRMAN GROSSntAn - - HEG15TFREO LAND SURVEYOR z�> -jL - -- _ ..— - - tLU) 0� --_ N o �Jn 0Z �� 1 HEREBY Gf R'IF f TMAr THIS FOUNQ4T ION ES LOCATF_ D a e� s ON T74E LOT AS SH06*%' ANO CONFORMS TO THE TOWN 0,�N OF� H'z w v, OF BARNSTABLE ZON.NG REGULATIONS HEGAROING NORMAN yam:,, � <Z o GROSSMAN ! SETBACKS FROM STREET LINE 5 AND LOT LINES No 12775�p 4okA \ l � � �`9 fClsj�9- SURGE i NORMAN GROSSMAN R L 5 DATE • JI { o�rnrr 2501-- TOWN OF BARNSTAl3LE permit No. � - Building Inspector suarrw Cash • • clue .., ----------------------VV---------- �a 39 /l OCCUPANCY PERMIT Bond ---_----_-___--------------- issued to Denn, 4 Soh COYLt4tAUCtiO 1 Address tot #11 20 AAh CiActe, C0t'u4t Wiring Inspector / Inspection date Plumbing Inspector ( � Inspection date Gas Inspector t_f . Inspection date Engineering Department Inspection date .--� 4'Board of Health 7 �c E-*G Inspection date THIS PERMIT WILL NOT BE4ALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 1163 OF THE MASSACHUSETTS STATE BUILDING CODE. %fly/,✓........ RI .......... . 19_ '� .....................,. . :..............._..................................m.._. ...._. ... Building nSpector E FROM TOWN OF BARNSTABLE BUILDING DEPARTMENT Mt. Fuse" Lah.teine 367 MAIN STREET HYANNIS, MA 02WI . Town Ctehk Phone: 775-11211 SUBJECT: FOLD HERE DATE 110, 1984 MESSAG.E Wohk .>a.6 been eorapteted undeh Bu td i:ng .FeAtit 025019 4 ven►iot Sza t ConetAuation). Pte"t keteam_ Bond ' SIGNED (' DATE _ - REPLY �•rt • .^r ti� r'y ._ '. _ ,_ 1.. .. rf)�;�, s.t t ' �.F?L`[A �/,LV(..i' Assessor's map and lot number .. �".... ... ........ c� o 0 / ®O� �V {/ /GNU ✓Jt� fUwr( �K/G� 4P O ' Sewage Permit number ....... ..,,,,...,... . ................................. J SAWSTODLE, i House number ............... ::?�...............la`..�.a.......................... so rasa ._ Op�1639. 0 YAY TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............Construct..................................... TYPEOF CONSTRUCTION .....................kbad..Rrame.............................................. .......................................... G4 Ez ............................. ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ... Lot ll..Ash......Circle. . ., ..Cotuit..,.........Ma. ...... .... ....... .... ... .. ............. ................................................................................................................ ProposedUse ..........Residential....................................... .............................................................................................. :.Zorii gt�.�°Distnct ........ ...........................::............................Fire District ....C.?.uat.,...Ma.................................................... Name-oOwner .Der.mis...cStar...Constrwt10n..CO. ....Address .24.. ?pd..Dr_a r..S.�...Xsi?wlUth,...Ma<...... Nameof Builder same.......................................................Address ......................................... Nameof Architect .........................................................Address .................................................................................... Numberof Rooms .A.............................................................Foundation ....90.umi..Qo1'I Ite......................................... hin Exterior ....................cedar...s le........�.......................................Roofing ...........dSn a.t..Sh1.X1cr.le......................................... FloorsS?1 d................................................Interior ..........51.w_ek C ......................:.... ......................... _ Heating .................. ....................... +..................Plumbing 1.1../..2.Hatt z.................................................... Fireplace ..................Q11e..............................I..........................Approximate Cost ..............25,0.(10......................................... Se Definitive Plan Approved by Planning Board _----_21 ____=------19__73, Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ... ..... ............ ..��rs�1?e.............. 016681 Construction Supervisor's License .................................... DENNIS STAR 1ONSTRUCTION A=40=79 No ..�5 0�9 permit f r .One Story .................................. Single Famil Dwelliri� Location .Lot.„1,1�,.,2. , Ash Circle Q.to............... .................................... Owner Dennis Sta Construction Type of Construction ...F a:ne ............................................. .................................. Plot ............................. Lo ................................ April 29, 83 Permit Granted .................. .....................19 Date of Inspection ............... ....................19 .Date Completed ................. ....................19 0/0 Ll I l 1O 10 } I . 2 �t r Town of Barnstable *Pere# � Expires 6 monrlrs from issue r Regulatory Services Fee « an tNWABLE, « 9� S. t639. Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ((�� Not Valid without Red X-Press Imprint Map/parcel Number n—Io O- Property Address (,Lt�N( � r7l,l 4—:2 00'V,("k , lq- Residential Value of Work �0r-0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address d6 as H cj r(( i-e_ �- Contractor's Name S Telephone Number Z I -333 - I(�2' Home Improvement Contractor License#(if applicable) q Construction Supervisor's License#(if applicable) p�i S D �JC>� PERMIT 0workman's Compensation Insurance ���� Check one: — 4 2009 ❑ I am a sole proprietor AUG ❑ I am the Homeowner I have Worker's Compensation Insurannc((ee� TOWN OF BARNSTABLE- Insurance Company Name ��P_ �.Li�►7 Workman's Comp.Policy#_ 01 `7 51 1O o2 -3 4 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) (�i,rn a►���-r�c��e� �1-��log- ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\MY7NB4IL\EXPRESS.doc Revised 100608 i The Commonwealth of Massachusetts kviDepartment of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): - dffiAR `( Address: Mt S- City/State/Zip: I�" Phone #: i R l -3 37- l aCD 1 Aree u an employer?Che k t e appropriate box: Type of project(required): 1.LJ I am a employer with 4. ❑ I am a general contractor and [ 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' insurance.$ 9. ❑ Building addition comp.[No workers' comp. insurance P• 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 I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.N? Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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. {{l� Insurance Company Name:__kp u— I T Policy#or Self-ins. Lie.#: C'L( _�j`�gO� 3`1 Expiration Date: O Job Site Address: S fT 1 ',( 'L , �,�-T City/State/Zip: rn 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 cer i y under the i and penalties of perjury that the information provided above is true and correct. Si nature: Date: V / o 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#: i AWE snwvsTnsi.e. ASS 1` ,.� Town of Barnstable 'O�En►an+a Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, y, III�.� , ��, ,as Owner of the subject property hereby authorize , 41 &6 • to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Jot) ; Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\MY7NB4IL\EXPRESS.doc Revised 100608 MAI A1Tairs&'Busin �s RegulAion HOME IMPROVEMENT CONTRACTOR Registration: 133534 Expiration: 7/6/2011 Tr# 285921 Type: Private Corporation ANTHONY'S CONSTRUCTION&ROOFING CORP. GARY ANTHONY 142 EAST STREET, UNIT A E.WEYMOUTH,MA 02189 Undersecretary Board of Building Regulati sand tandar s Construction Supervisor License License: CS 81581 Expiration: 11/13/2009 Tr# 9616 .,4" Restriction: 00 GARY ANTHONY 307 PLAIN ST HANOVER,MA 02339 Commissioner From:Kofi Sakyi At: North Star Insurance Service FaxID:NorthStar Insurance To:Town of Barnstable Date:8/4/2009 03:14 PM Page:2 of 2 OP ID KS DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE ANTHO-1 08/04/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NorthStar Ins. Services, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 300 First Ave, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Needham MA 02494 Phone: 781-431-2500 Fax:781-431-6134 INSURERS AFFORDING COVERAGE NAIC# INSURED 114SURERA: CNA Insurance Companies An INSURER B: NGM Insurance Company thony's Construction & Roofing Cor INSURER C: Scottsdale Insurance Company 142 EAst St.-gn-it A Weymouth MA 02189 INSURER D: ACE American InsuranceCompany 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_NSRC TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MMIDD/YY) LIMITS i GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 C X COMMERCIAL GENERAL LIABILITY CLS1489967 04/09/09 04/09/10 PREMISES(Eaoccurence) $ CLAIMS I4ADE X❑ OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ A ANY AUTO 4016462812 04/09/09 04/09/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ 250,000 X SCHEDULED AUTOS (Per person) X HIREDAUTOS BODILY INJURY $ 500,000 X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ 100,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY' AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ !i WORKERS COMPENSATION AND TORY LIMITS ER EMPLOD A14YPR PRIETABILITV WC6973133 07/18/09 07/18/10 E.L.EACH ACCIDENT $ 100,000 AIJY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION BARNSTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of Barnstable 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE House Account ACORD 25(2001/08) ©ACORD CORPORATION 1988