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0029 BAYBERRY LANE
8.4 b �e y �� ka TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A�4 Map i Parcel 179 TOWN OF PA@,NSTABLE Application # Health Division 1 I J � •, L i I ! Date Issued Conservation Division Application F e Planning Dept. Permit Fee I Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis C DM E- Project Street Address 2 q J6ay BM c� Village CA,14- Owner RV I 7#-G�W-V &P44- Address Telephone Permit Request"'' ID•�b/� ka ro. Se1y pV S 3 f Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(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 Author' ation ❑ Appeal # Recorded ❑ Commercial ❑Yes ®'No If yes, site plan review# Current Use Ul}�i�eti� Proposed Use ej-d _ APPLICANT INFORMATION '/ 1 '(BUILDER OR HOMEOWNER) �i� Name Tab" Vary Q — Co�-y >�� Telephone Number s " a 2_ Address ��. �a 0C ?-q License # C S— f O' 01 A- o7- g5' Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L � T � ?Il SIGNATURE DATE �y x FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: - FOUNDATION FRAME r it INSULATION 1 FIREPLACE i ELECTRICAL: ROUGH FINAL 4 T PLUMBING: ROUGH FINAL �- GAS: ROUGH FINAL` = FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. ' I r k of '�'ovvn of Barnstable - x Regulatory Services v et Thomas P.ceiter,:'Director. Building Division u Toro Perry, Building Commissioner et Street,.Hyannis,MA 02601 www.town.bar.nstabNmns.us Office: 508-862=4038 Fm: 508-790=6230 Property Owner.Must Complete and S. gn Th s. Section zf-Using A Builder. I; U, rL-I '-R 0 YYIa ;as'Owner of the.subject property hcrcbq authorize,c l��l.t.l,l �O 10-ir to'act on.:my.behalf, is all,maitets kchtive:to-Work-authorized.by tiWs bu4cli6 :pepnit appitcsdon::for. ign,atuxe £O =t Date:. Pdnt..Name If Property Owner is applying:fot peirrait please complete t e, Yomeo ers.Licerise. Excmptiou-Porm.on the reverse side. r , f > 'fassachasetts-Depariment of Public Safety •.�-^�Roa,-d of Building Regulations and StandaPds Cdn.tructiun Supenisiir License:CS-107947 JOHN VREELAND. ` ltrEE w 48 QUASRNET ROA,QF1t' k Mashpee MA'02649, ' 4 Casrvttissfoner 04125/2018, Fold,Than Detach Along Ali Perforatlons `Q COMMONWEAL p`Rh`.�."`"``. MASSACHUSETW'_'�� .' O MECTRICIANS '< flSSUES;,THEtOLt OWING'LI CENS REGISTERED MASTERIELECT,RPCa:AN ,•A ,� _.rams }` w,COTUIT�SOLAR'LLC a 4RANC 1 J,BRADY UR PO e0X' 1366; "PLYMOUTH 2 r MA 02361;366 �' n Office of Consumer Affairs and Business Regulation 3 }= 10'Park Plaza - Suite 5170 Boston', Massachusetts 02116 Home.lmprovement Contractor Registration Registration: 146216 Type: Supplement Card COTUIT SOLAR Expiration- 4/8/2017 JOHN VREELAND P.O.. BOX 89 - COTUIT.- MA 02635 Update Address and return card:Mark reason for change. Address- ^;'Rcnewnl ,i Employment !' L:ost Card `_��('•'f f,:irl:Ir:(J/!'i(i,�/f/"�rtfiflle'�f/.ii�fi ' T=6frare of Coosumif Af ilm&116ini%s Regulalion License or registration.vaiid for individui use only l)ME IMPROVEMENT CONTRACTOR. before the'espiration date.if found return to: Office of ConsumerAffairs and RusinmRegulation jr 'Registration:.-145275•=- Type: 'fr%Y;v 10 Park Plaza-Suite 5170 . Expiration: 41&2017 Supplement Card Boston.AlA 02116 COTUITSOLAR 3800 FALMiDUTH RD. MARSTONS MILLS.MA 02648 Undersecretary Nntv.lid i4thoui signature _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 s� www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Cotuit Solar LLC Address: P.O. Box 89 City/State/Zip: Cotuit, MA 02635 Phone #: 508-428-8442 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 12 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 10.0 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 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no Solar PV Installation employees. [No workers' 13.❑■ Other 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. Insurance Company Name: Travellers Insurance Policy#or Self-ins. Lic. #: 6HUB-4988P868-16 Expiration Date: 3-26-2017 2 �a City/State/Zip: Cr �1,� �S r Job Site Address: v to u-r_ o v T� 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 r the p 'ns an p alties of perjury that the information provided above is true and correct. 7 Si ature: Date: Phone#. 5084 88442 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 M Ago CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/18/2016 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(ies) 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 endorsements. PRODUCER CONTACT NAME: Lauren DON BUNKER INS.AGENCY PNCNE 781 312-7206 Fax A/C No ADDRESS: Lauren@donbunkerinsurance.com P.O BOX 221 INSURERS AFFORDING COVERAGE NAIC# HANOVER MA 02339 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA(THE) 25666 INSURED INSURER B COTUIT SOLAR LLC INSURERC: INSURER D: 3800 FALMOUTH RD INSURER E: MARSTON MILLS MA 02648 INSURERF: COVERAGES CERTIFICATE NUMBER: 38425 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 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICYNUMBER MM/DD MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE ToPREMISESS Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JET LOC PRODUCTS $ POLICY❑ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED (P N/A BODILY INJURY(Per accident)AUTOS AUTOS ) $ HIRED AUTOS NON-OWNED PROPERTYDAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED7 NIA NIA NIA 6HUB4988P86816 03/26/2016 03/26/2017 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay Gaims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Conrad Geyser ACCORDANCE WITH THE POLICY PROVISIONS. 3800 Falmouth Rd AUTHORIZED REPRESENTATIVE Marston Mills MA 02648 Daniel .CrcLNky,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i m Cotuit Solar LLC Project: System: 10.66 kW DC (STC) Site Plan ���\ �/ 508-428-8442 Paul Zachery Roma 41 - 260w modules Revision: March 21, 2016 PO Box 89 29 Bayberry Lane 41 — Enphase M-215 COTUIT SOLARL.' Cotuit MA 02635 Cotuit, MA 02635 microinverters S&!,AR IMooA V POLO 04AATT-W ! 8/16p ss IKX'Now 1X° xtIa� Iy x a$wq -� 9ke#v�tSn(� 9�Y GAW. Ltrta -"-mom •ZNvo PhF'MtIL • 'rYPs�Itto McVN4=*1G ��ySH F Pv p/rNs•/ J SA. CY N A James A. Clancy, PE 601 Asbury Avenues National Park, NJ 08063 Massachusetts PE Lic#46775 Cotuit Solar LLC Project: System: 10.66 kW DC (STC) Attachment Plan ��►�// , 508-428-8442 Paul Zache Roma 41 - 260w modules PO BOX 89 ry Revision: March 21, 2016 Q 29 Bayberry Lane 41 — Enphase M-215 Scale: (OTUIT SOLAR. Cotuit,MA 02635 Cotuit, MA 02635 microinverters i JAMES A. CLANCY PROFESSIONAL ENGINEER 601 ASBURY AVENUE NATIONAL PARK, NJ 08063 (856) 358-IM FAX: (856) 358-15U Construction Code Office Date: March 21,2016 Re: Cotuit Solar LLC,3800 Falmouth Rd.,Marston Mills,MA 02648 Subj: Paul Zachery Roma Residence,29 Bayberry Lane,Cotuit,MA 02635 We have provided an inspection and review of the residence roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We have found the residence to be of wood frame construction bearing walls with a rafter framed roof system. The main roof is of 2x8 @ 16" o.c. and is sheathed with 1/2" eat-ply sheathing and a single layer of composite shingles. The existing roof structure bears directly upon the exterior stud framed wall system. The existing rafters as installed meet the required load/span ratings with sufficient capacity to carry the minor additional load of 4#/sf imposed by the proposed solar array per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters below. Rail attachment points to rafters shall be staggered each row with exception to the first fastener row from the gable end which is attached to two adjacent rafters. Silicone caulk shall be applied between the angle foot of the mounting system and the existing roof shingles at each foot location. Typical mounting detail sketch attached. When installed per the above specifications the system shall exceed 110 MPH wind & 30 PSF snow loads as required by Massachusetts 780 CMR table 1604.11. Should you have any further question or comment please feel free to contact our office. Respectfully, OF HIES A. GN NCY .46775 ca J es A. Clancy Professional Engineer ONAL�� MA License#46775 F n �O D • o� CanadianSolar MAKE THE DIFFERENCE 0 ®000' QUARTECH MODULE THE NEXT GENERATION MODULE 1 II I Canadian Solar's new Quartech modules have raised the module efficiency to a new standard in the solar industry.It introduced innovative four busbar cell technology which demonstrated higher power output and higher system MLILI�i reliability. Our worldwide customers have embraced this next generation modules for their excellent performance,superior reliability and enhanced 'Black frame product can be provided upon request. value. PRODUCT KEY BENEFITS QUARTECH MODULE I NEW TECHNOLOGY Higher Energy Yield . Reduces cell series resistance •Outstanding performance at low irradiance • Reduces stress between cell interconnectors • Maximum energy yield at low NOCT • Improves module conversion efficiency • Improved energy production through reduced • Improves product reliability cell series resistance Increased System Reliability PRODUCT&MANAGEMENT SYSTEM I CERTIFICATES* IEC 61215/IEC 61730:VDE/MCS/CE/JET/SII/CEC AU/INMETRO/CQC • Longterm system reliability with IP67 junction box UL 1703/IEC 61215 performance:CEC listed(US)/FSEC(US Florida) • Enhanced system reliability in extreme temperature UL 1703:CSA I IEC 61701 ED2:VDE I IEC 62716:TUV I IEC60068-2-68:SGS environment with special cell level stress release PV CYCLE (EU)I UN19177 Reaction to Fire:Class 1 technology IS09001:2008 1 Quality management system ISOTS16949:2009 I The automotive industry quality management system Extra Value to Customers IS014001:2004 I Standards for environmental management system OHSAS18001:2007 I International standards for occupational health and safety • Positive power tolerance up to 5W 'Please contact your sales representative for the entire list of certificates applicable to your products • Stronger 40mm robust frame to hold high snow & load(5400 Pa)and wind load(2400 Pa) SNP 5 PV ( E BBAf '%`�E ?4, VE C � ..�.._._ � �1O • Anti-glare project evaluation •Salt mist,ammonia and blowing sand resistance apply to seaside,farm and desert environment CANADIAN SOLAR INC. • 25 year linear performance warranty • 25 year performance warranty insurance Founded in 2001 in Canada, Canadian Solar Inc., (NASDAQ: CSIQ) is the world's TOP 3 solar power company. As a leading manufacturer of solar modules and PV project developer with about 7 GW of premium quality P—r modules deployed around the world in the past 13 years,Canadian Solar is autput one of the most bankable solar companies in Europe,USA,Japan and China. 97% Added value from vearranty Canadian Solar operates in six continents with customers in over 90 � countries and regions.Canadian Solar is committed to providing high quality sons solar products,solar system solutions and services to customers around the world. 0 years 5 10 15 20 25 li i f t - QUARTECH Z�r CanadianSolar MAKE THE DIFFERENCE j ELECTRICAL DATA I STC MODULE I ENGINEERING DRAWING(unit:mm) Electrical Data CS6P-250P CS6P-25SP CS6P-260P _ --_-- _- -.--_ --. Rear View Frame Cross Section Nominal Maximum Power (Pmax) 2515,1W 255 W 260W Optimum Operating Voltage(Vmp) 30.1 V 30.2 V 30 4V rOptimum OperatingCurrent(Imp) 8.30A 8.,6 8.56A Open Circuit Voltage(Voc) 37.2 V 37.4 V 37.5V Short Circuit Current(Isc) 8.87A 9.00A 9.12A sertmnA-A Module Efficiency - - 15.54% 15.85% 16.16% Operating Temperature 40"C-+85°C I 35.0 Maximum System Voltage 1000V(I EC)/1000V(UL)/600V(UL)_ Maximum Series Fuse Rating 15 A -•-- ---•-- Application Classification ClassA Power Tolerance 0^'+S W I Under Standard Test Conditions(STC)of Irradiance of 1000W/m',spectrum AM 1.S and cell temperature of 25C. I 11.0 ELECTRICAL DATA I NOCT Electrical Data CS6P-250P CS6P-25SP C56P-260P )Nominal Maximum Power (Pmax) 181 W 185 W 189VJ , Optimum Operating Voltage(Vmp) 27.5 V 27.5 V 27.7V _7 -- - - - - _ - -__ _J `Optimum Operating Curren_t(Imp)___ 6 60 A ___.6.71 A _6:80A Open Circuit Voltage(Voc) 34.2 V 34.4 V 34.SV -.. __-- _ ___ _ . --_, CS6P-255P I-V CURVES `Short Circuit Current(Isc) 7 19 A _7.29 A 7.39A j Under Nominal Operating Cell Temperature(NOCT),irradiance of goo W/m',spectrum AM 1.5, ambient temperature 201C,wind speed 1 m/s. 10 10 9 g MODULE I MECHANICAL DATA 8 a Specification Data T -.- --- 7 Cell Type Poly-crystalline,6inch Cell Arrangement 60(6 x 10) <6 T<5 Dimensions 1638x982x40mm(64:Sx38.7x1.57in) =5 — ms Weight 18.5kg(40.8lbs) 4 "4 Front Cover _.__ 3.2mm tempered glass 3 _ 3 Frame Material Anodized aluminium alloy —1000W/m2 —5T Junction BOX IP67,3 diodes 2 =RoOw/800w/m2 - 2 —Zse - Cable 4mm'IEC/4mm'&12AWG 1000V UL1000V —45C 12AWG(UL60OV),1000mm(650mm is optional) —40ow/m2 0 0 Connectors MC4 or MC4 comparable o s 10 15 20 25 30 35 40 0 5 10 15 20 25 30 35 40 45 Standard Packaging 24pcs,504kg(quantity and weight per pallet) voltage(v) voitage(v) Module Pieces Per Container 672pcs(40'HQ). TEMPERATURE CHARACTERISTICS Specification Data Partner Section (Temp'erature Coefficient(Pmax)"'r Temperature Coefficient(Voc) -0.34%/aC Temperature Coefficient(Isc)�- .-p,065_%/C__ Nominal Operating Cell Temperature 45±2 C PERFORMANCE AT LOW IRRADIANCE Industry leading performance at low irradiation,+96.5%module efficiency from an irradiance of 3000W/m'to 200W/m'(AM 1.5,25'C) As there ore different certification requirements indifferent markets,please contact your sales representative for the specific certificates applicable to yourproducts.The specification and key features described in this Datosheet may deviate slightly and are not guaranteed.Due to on-going Innovation,research and product enhancement,Canadian Solar Inc.reserves the right to make any adjustment to the information described herein at any time without notice. Please always obtain the most recent version of the datasheet which shall be duly Incorporated Into the binding contract made by the parties governing all transactions related to the purchase and sale of the products described herein. 20 I a 4 Enphase®Microinverters EnphasUM215 1 Aa Ii 1y; h f 4 4 The Enphase® M215 Microinverter with integrated ground delivers increased energy harvest and reduces design and installation complexity with its all-AC approach. With the advanced M215, the DC circuit is isolated and insulated from ground, so no Ground Electrode Conductor(GEC) is required for the microinverter.This further simplifies installation, enhances safety, and saves on labor and materials costs. The Enphase M215 integrates seamlessly with the Engage® Cable, the Envoy® Communications Gateway", and Enlighten®, Enphase's monitoring and analysis software. PRODUCTIVE SIMPLE RELIABLE - Maximizes energy production - No GEC needed for microinverter - More than 1 million hours of testing - Minimizes impact of shading, - No DC design or string calculation and millions of units shipped dust, and debris required - Industry-leading warranty, up to 25 - No single point of system failure - Easy installation with Engage years Cable [0,1 enphase® sA® E N E R G Y C us 1 Enphase®M215 Microinverter//DATA INPUT DATA(DC) M215-60-2LL-S22-IG, M215-60-2LL-S25-IG Recommended input power(STC) 190-270 W Maximum input DC voltage 48 V Peak power tracking voltage 27 V-39 V Operating range 16 V-48 V Min/Max start voltage 22 V/48 V ^ Max DC short circuit current 15 A OUTPUT DATA(AC) @208 VAC @240 VAC Peak output power 225 W 225 W Rated(continuous)output power 215 W 215 W Nominal output current 1.03 A(A rms at nominal duration) 0.9 A(A rms at nominal duration) Nominal voltage/range 208 V/183-229 V 240 V/211-264 V Nominal frequency/range 60.0/57-61 Hz 60.0/57-61 Hz Extended frequency range' 57-62.5 Hz 57-62.5 Hz Power factor >0.95 >0.95 Maximum units per 20 A branch circuit 25(three phase) 17(single phase) Maximum output fault current 850 mA rms for 6 cycles 850 mA rms for 6 cycles j EFFICIENCY CEC weighted efficiency,240 VAC 96.5% CEC weighted efficiency,208 VAC 96.5% IPeak inverter efficiency 96.5% Static MPPT efficiency(weighted,reference EN50530) 99.4% Night time power consumption 65 mW max MECHANICAL DATA Ambient temperature range -40°C to+65°C Dimensions(WxHxD) 171 mm x 173 mm x 30 mm(without mounting bracket) Weight 1.6 kg(3.4 Ibs) Cooling Natural convection-No fans i'Enclosure environmental rating Outdoor-NEMA 6 Connector type M215-60-2LL-S22-IG: MC4 M215-60-2LL-S25-IG:Amphenol H4 FEATURES )_Compatibility_ Compatible with 60-cell PV modules. Communication Power line Integrated ground The DC circuit meets the requirements for ungrounded PV arrays in NEC 690.35. Equipment ground is provided in the Engage Cable.No j additional GEC or ground is required.Ground fault protection(GFP)is I integrated into the microinverter. j Monitoring Enlighten Manager and MyEnlighten monitoring options Compliance UL1741/IEEE1547,FCC Part 15 Class B,CAN/CSA-C22.2 NO.0-M91, 0.4-04,and 107.1-01 Frequency ranges can be extended beyond nominal if required by the utility To learn more about Enphase Microinverter technology, [e] enphase® visit enphase.com E N E R G Y 0 2015 Enphase Energy.All rights reserved.All trademarks or brands in this document are registered by their respective owner. MKT-00069 Rev 1.0 professional Toffous ProSolar® RoofTrace SOLAR products"` Intteert217 ek Bonding and Grounding Guide . UL2703 (Patent Pending) i Applies to GroundTrac®and SolarWedge® mounting systems which utilize the RoofTrac® rail/clamp design. For RoofTrac®Rail Bonding Splice No buss bar • Drill 1/2"holes at bottom of rails with 1/2""10 Irwin Unibit®using the rail support as a hole location guide. • Insert 5/16"bolt through support holes and hand ° thread into thread rail splice insert. Fasten to 15 ft-Ibs. I ° For Bonding Module Frame and Clamps to Support Rail Green lock washer indicates • Fasten pre-assembled mid-clamp assembly to module electrical bond frame,to 15 ft-Ibs. Module Frame Design: I double wall,aluminum, 1.2"-2.0"tall,0.059"-0.250" thickness, UL1703 or equivalent tested module. UL467 standard tested bonding equipment for use with Professional Solar Products(ProSolar®)support rail. Bonding of module to RoofTra&rail via ProSolar®rail channel nut using buss bar. Bonding of RoofTra&rail to RoofTra&rail via ProSolar® UL467 tested universal splice kit(splice insert and splice support). Assembled Self-bonding Self-bonding Mid Mid Clamp With SS Bus Bar Clamp Fastened on Rail Grounding of RoofTra&rail via Ilsco SGB 4 rail lug. (solar module not shown) System to be grounded per National Electrical Code(NEC). See NEC and/or Authority Having Jurisdiction(AHJ)for grounding requirements prior to installation.See final run(racking to ground electrode)grounding equipment installation instructions for specific installation information. COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2015:All information contained in this manual is property of Professional Solar Products(PSP). TileTra&is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTra&and FastJack®are registered trademarks for PSP and are covered under U.S.patent#6,360,491.RoofTra&bonding designs patent pending. ProSolar®UL2703 Bonding and Class A Fire Rating Page 1 of 4 i professional SOLAR ProSolar® RoofTrac® products Bonding and Grounding Guide (Patent Pending) 1 1 I � Can be placed under module to hide connection 'j-'� if desired For Grounding Connection • ILSCO SGB-4 rail ground connection Basic Wiring Diagram -T RoofTrocm Universal Rail Bonding Splice / Grounding Lug Grounding Lug COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2015:All information contained in this manual is property of Professional Solar Products(PSP). i TileTra&is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTra&and FastJack®are registered trademarks for PSP and are covered under U.S.patent#6,360,491.RoofTra&bonding designs patent pending. ProSolar®UL2703 Bonding and Class A Fire Rating Page 2 of 4 i Listing Constructional Data Report (CDR) 1.0 Reference and Address Report Number 100779407LAX-003 I Original Issued: 14-Se -2012 Revised: 28-A r-2015 Standard(s) UL Subject 2703-Outline of Investigation Rack Mounting Systems and Clamping Devices for Flat-Plate Photovoltaic Modules and Panels. Issue#2: 2012/11/13 Applicant Professional Solar Products, Inc. Manufacturer Professional Solar Products, Inc. 1551 S. Rose Avenue 1551 S. Rose Avenue Address Oxnard, CA 93033 Address Oxnard, CA 93033 Country USA Country USA Contact Stan Ullman Contact Stan Ullman Phone (805)486-4700 Phone (805)486-4700 FAX (805)486-4799 FAX (805)486-4799 Email s(ftrosolar.cgm Email s@prosolar.com Page 1 of 63 This report is for the exclusive use of Intertek's'.Client and is'provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms,and conditions of the agreement. Intertek,assumes no liability to any party, other than to the Client in accordance with the agreement,for any loss,expense or,damage occasioned by the use of this report.Only the Client is authorized to permit copying or distribution of this report and then only in its entirety.Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material,product or service must first be approved in writing by Intertek:The abservations and test results"in this report are'relevant only to the'sampletested.This report by itself does not imply that the material,product or service is or has ever been.under an Intertek certification program. ProSolar®UL2703 Bonding and Class A Fire Rating Page 3 of 4 Report No. 100779407LAX-003 Page 2 of 63 Issued: 14-Sep-2012 Professional Solar Products, Inc. Revised: 28-Apr-2015 2.0 Product Description Product Photovoltaic Racking System Brand name ProSolar The product covered by this listing report is a rack mounting system. It is designed to be installed on a roof. It will be secured by means of Fast Jack or Tile Trac attachments, depending on the type of roof it is intended to be installed upon. The Rooftrac mounting system is comprised of support rails and top-down clamping hardware. This device can be used on most standard construction residential roof-tops. This system is in compliance with the mounting, bonding and grounding portions of UL Subject 2703. This system has the following fire class resistance ratings: Class A for Steep Slope Applications when using Type 1 or Type 2, Listed Photovoltaic Modules. Class A for Steep Slope Applications when using Type 2, Listed Photovoltaic Modules with or without the wind skirt. Class A for Low Slope Applications when using Type 1, Listed Photovoltaic Modules when a minimum of 12"gap between the roof surface and the bottom of the module is maintained. Class A for Low Slope Applications when using Type 2, Listed Photovoltaic Modules when a minimum of 14"gap between the roof surface and the bottom of the module is maintained. RoofTrac has different types of bonding and grounding, below is a list of them: Bonding of module-to-Roof Trac rail via Weeb PMC Description Bonding of module-to-RoofTrac rail via ProSolar rail channel nut using buss bar Bonding of module-to-Roof Trac rail via Ilsco SGB-4 lugs Bonding of Roof Trac rail-to-Roof Trac rail via Weeb Bonding Jumper-6.7 Bonding of Roof Trac rail-to-Roof Trac rail via Ilsco SGB-4 Lugs Bonding of RoofTrac rail-to-RoofTrac rail via ProSolar UL 467 tested universal splice kit(Splice Insert and Splice Support) Issuance of this report is based on testing to PV module frames with a height of 1 1/4 inch to 2 inches The grounding of the entire system is intended to be in accordance with the latest edition of the National Electrical Code, including NEC 250: Grounding and Bonding, and NEC 690:Solar Photovoltaic Systems.Any local electrical codes must be adhered in addition to the national electrical codes. This product investigation was performed only with respect to specific properties, a limited range of hazards, or suitability for use under limited or special conditions. The following risks and other properties of this product have not been evaluated: electric shock, Ultraviolet light exposure. Models RoofTrac Model Similarity N/A Fuse rating: 20 A Mechanical Load: 30 PSF Fire Class Resistance Rating: Ratings Class A for Steep Slope Applications when using Type 1 and Type 2, Listed Photovoltaic Modules. Class A for Low Slope Applications when using Type 1 and Type 2, Listed Photovoltaic Modules Mechanical load was tested using 60 Cell Canadian Solar Modules model CS6P with 40mm Other Ratings frame height and maximum span of 48 inches using 4 inch and 6 inch TileTrac or FastJack posts with 1-1/2 inch tall RoofTrac rail.And maximum span of 72 inches using 4 inch and 6 inch TileTrac or FastJack with 2-1/2 inch tall RoofTrac rail. ProSolar®UL2703 Bonding and Class A Fire Rating Page 4 of 4 ED 16.3.15(1Jan-13)Mandatory 02� .8 v NOTES. ' w-POLE `�r��i ZED THE RADIUS NOTED ON PLAN 159-91 IS INCORRECT, THE 84� y 444 CORRECTED RADIUS IS ON / PLAN 301-100. J Y 0 ` �u-PDLE c� ICBIDH MUND ?B A�9 633 1 ?, (T7WN WATER) 'S p 1 395, e s a EXISTING. h FOUNDATION 436, M T.0.F. EL 36.3 0 �i �1 BSS,<h h caizaa " LOT 5 AIM 19-124 23,648f S.F. N - cp , 0.54 ACRE cr - 152 49' 60.00. CB/DH LOT Cl calmMUND, / MUND AIMl9-l06 .24'50.yl BENCHMARK (VACANT LOT) S74 eat co BENCHMARK4?�B i I� roP OF co _ �rak asn/c�sJ CB/DH MUND LOT C2 - 1 JY 9-177 A A/LOT 4 ( WN WATER) (70ON WATER) FLOOD ZONE N/A FO UNDA TION CERTIFICATION RES ZONE. "RF" TOWN BARNSTABLE SCALE• 1'=30' PLREP 159-91 ELEV 36.3 SETBACKS- 30-15-15 I CERTIFY THAT THE ABOVE ®� YANKEE SURVEY CONSULTANTS FO UNDA TION IS LOCATED ON ���`�' _T_ S'sc e P. 0. BOX 265 THE GROUND AS SHOWN, AND IT'S POSITION DOES S'EP"=y s UNIT 1, 40B INDUSTRY ROAD CONFORM TO THE ZONING LA T� v [)0 L= MARSTONS MILLS, MASS. 02648 SETBACK REQUIREMENTS OF V JJ✓ TEL• 428—0055 BA_RN_S_TA L_E _ -: e FAX 420-5553 C,� c -- ak9=°k-- wr ®a JOB STEPHEN J. DO YL , R.P.L S. DA TE.• OCT. 5, 2004 NUMBER 53645FND SDS BI•c 22926 Ps52 g27713 Town of Barnstable OF THE Tp� ,P' o Regulatory Services BARNSTABLE Thomas F. Geiler,Director 9 MASS. �A 039• A�0 Building Division . Tf�MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 29 BAYBERRY LANE, COTUIT, MA, holding title under a deed.recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Courtin—B.00k Page , or as Document No. being shown dh Assessors' Map 019 as Parcel 124, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for SUZANNE ROMA, SISTER OF OWNER, P. ZACHARY ROMA associated with the residential use on the same premises. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit 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. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. 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. 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 200S. TOWN OF BARNSTABLE. OWNER(S) By: Building Commission THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Ada �•r h d Then personally appeared the above-named (owner), �AL t:� r�� G(, L4 and made oath as to the truth of.the foregoing instrument, befor e. Public My Commission Expir s: W OM J.MEEPU Notary Public COWAONwEALTM OF MASSACHUSETTS BayberryW9 My Commission Expires FBbruary 8,2015 A4 A X2 5 ro/QaOA D �. ..o•o,'zo"c- - .e° ,. IIT'a :e..� ,ssw .J .sr.os- •eo.z. w •.• •. A. FLr� --_ N V` j • 2 y • r l� 1`8 •ram•' � �e 8 P ,./�T e 0 3 so.800 f• d w° •K w 4 eq•a5! ?8 P i. �`+ �eww•e v I�aa ie ''a °�' ♦ � 0 w.I 0 8 �.A, 'a+e a •a b ♦ _ ao.•ae� •!oti t a 27./OOI.' /4 1 • e j•+•oo`a^. ` � y w1�... '•C' w e9•o.ioN � / e t. \i •. 6 Ao J 1 p`. a .� •o /6 0 � .. 91 ,o 22 590 OF �A EL b 'fb.�' ' 0 N • eq,50'( 14 +49ee is :''�� �• ee tee' y 04,( O.V e=»� ''_ • a4>•soh � aso cb,_ ` - Y q e A O le Q r, -fib\ n;• ,,.a„!.^q' _, •C/ 1 _^ .,t:;_r 0,0- .. . f • "I 4 '0. � n F � ♦ w 4 _ y �• ♦1 ,JVADIV/�V/ON PLAN t'sa s�OSS+ j s•°q t OF LAND /N co7wr BARNSTA8LE �a, �� •o o° � Z roa \I 1 9 7 2 ^ a ^R ^ •t'FF �� " 0 DAMES P. SOUZA _ '•.�� t'� � �w b p • 4/o ? t_.._..NARILCI',�Nl.l ♦ DATL y - 4' / 1 4• e'b• III;:ISIRY:IF(Ff.1) 3CAL I E: .•' L p I IN 100 FT II AVGV3F 1960 Le' y I /`q HJ•�M I~ M I CNARLE3 N 3AVcQY C0 A / {.�•roKl)F'U ENGINEEeS - 3vQve Voas L 1 _ COTVIT•FALMOUTN. MAO$. /� PLAN q0.•OOTJ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map-0 I '7 Parcel 0"4P Application# ZO62-9O 0 Health Division'/ Date Issued zZ Conservation Division Application Fee ✓1"O Tax Collector Permit Fee Treasurer ,57 Planning Dept. Date Definitive Plan Approved by Planning Board s Historic-OKH Preservation/Hyannis Project Street Address 4Ad I= Village COT-0 Owner P, ZAC4&P=y Address 5A&%1 t Telephone O r Permit Request • $0-flLy A eT- Seh f Ge)rf <MU c 710 7 CHEN — S6E PEA&4rr 4t- 7974 Raub-14 pL_vm BfEc-Cc r� i su sn E hEc-it5t7Qes 1164r 56"7tc- 5"16- I ofS o w NAP, :f ZAK 12011y� Square feet: 1 st floor:existing proposed 2nd floor:existing propose "Aura ne wl�'® Zoning District h F" Flood Plain Groundwater Overlay S lS 2 Project Valuation 0 Construction Type !— 4® u s 49- S:1 , P-F - 769' Lot Size /4 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Ik 3 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) 1 -7 �J-O Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing�_ new 0 Total Room Count(not including baths):existing new_� First Floor Room Count S� Heat Type and Fuel: kas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Plo Fireplaces: Existing '�\ New Existing wood/coal stove: KYes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:)(existing ❑new size 7 al? 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 p Name O co m 6 Telephone Number Address S _ l C7. License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z-P+N D/9 L-L SIGNATURE DATE 41,E r!e)s' FOR OFFICIAL USE ONLY OPLICATION# - DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER � I 'DATE OF INSPECTION: FOUNDATION FRAME ® - INSULATION FIREPLACE w ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT. ASSOCIATION PLAN NO. r. i The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: e�- 9 R � �� � f=/4�`( City/State/Zip: G0 TU l7, Phone.#: S� �" 6 0 Are you an employer? Check the appropriate box: 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. 7. emodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑Building addition [No workers' comp.insurance comp. insurance.t equired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3!Q(,j I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions V myself. [No workers'comp. right of exemption per MGL 1-2.❑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 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. tContractors 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 tip 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under a pains and penalties of perjury that the information provided above is true and correct Si ature: A4�� Date: Phone M Official use only. Do not write in this area,tb be completed by city or town offccial. 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#: j 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 j 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(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-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 I Department of Industrial Accidents Office of Investigations 600 Washington Street ' Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia t Town of Barnstable �pFSHE tti y�P Regulatory Services BARNSrABLFE Thomas F.Geiler,Director MASS. 9, 1639' ,• Building Division �rFD �n Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION !� f� Please Print DATE: A — v ge— JOB LOCATION: aq l�/T Y �� �7 a l C� / number �/� street S village �,/ J "HOMEOWNER': ZA11— P V txf S�� J ('0 ( /G, // -SCOT name (( home phone# work phone# CURRENT MAILING ADDRESS: P 0 Cl�.x I T y, C-0 TO IT-4 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings 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. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there 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 homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with 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 requirements. gignaAre of Hom er Approval of Building Official Note: 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. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. \ Q:forms:homeexempt 1 f r Town of Barnstable Regulatory Services rMMASS. Thomas F.Geiler,Director 1639. �0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A-Builder 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 WNERPERMISSION i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map q Parcel Permit# , .79 7 13 G ` Health Division (�D) '7 J 16 1 7 ADa"i Cons.ervation Division -771-:7 Applicattiq�Fe Tax Collector ii��74 -711-�16 V Permit Fee Treasurer Planning Dept. /A-. MPTIC SYSTEM MUS-r C�_ 0 W-iSTALLED IN COMPL�NICF Date Definitive Plan Approved by Planning Board O)Li r i tcc,? INITH TITLE 5 Historic-OKH Preservation/Hyannis HIV'IROMMENTAL CODE ANO REGUI L110-NIZ s NtF Project Street Address 4 Village C OT-V Ir Owner (Trl 1-2, n 6 A /&14/ Z4 ,Peeddr'emss ' 0 C-W-7-P-P, Y T- &-I- R-b C oT-11 Telephone 4 Permit Request 4— H o uge� L Square feet: 1 st floor: existing. proposed 1-7 2nd floor: existing proposed /40 Total new 7 !;16 Zoning District R Flood Plain' Groundwater Overlay Project Valuation 01 Construction Type FP-)4 64 C Lot Size r4 A)Grandfathered: XYes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#units) Age of Existing Structure Historic House: C3 Yes $No On Old King's Highway: CJ Yes XNo Basement Type: �Full 0 Crawl 0 Walkout El Other Basement Finished Area(sq.ft.) Basement Unfinished Area.(sq.ft) '7 yS; tr 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: )4Gas Q Oil 0 Electric Q Other Central Air: 0 Yes )(No Fireplaces: Existing New Existing wood/coal stove: 0 Yes 0 No Detached garage:CJ existing 0 new size Pool:0 existing, C3 new size Barn: 0 existing 0 new size Attached garage:0 existing Xnew size W S FShed:0 existing 0 new size Other: Zoning Board of Appeals Authorization Q Appeal# Recorded Q Commercial Q Yes 0 No If yes, site plan review# § 240-47.1. Fafy ape? t ..[Added 11-18-2004 by Order No. 2005-0261 The intent of this section is to allow within all residential zoning districts one temporary family apartment unit occupied only by a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. A family apartment may be permitted, provided there is compliance with all conditions and procedural requirements herein. A. Conditions. A family apartment shall comply with and be maintained in full compliance with all of the following conditions: (1)- The apartment unit shall not exceed 800 square feet or 50% of the square footage of the existing single-family dwelling, whichever is less. The Zoning Board of Appeals may allow up to 1,200 square feet by a special permit finding. In any case, the apartment shall be limited to no more than two bedrooms; (2) occupancy of the apartment shall not exceed two family members; (3) The apartment shall be located within a single-family dwelling or connected to the single- family dwelling in such a manner as to allow for internal access between the units. The apartment must comply with all current setback requirements for the zoning district in which it is located. (4) At no time shall the single-family dwelling or the family apartment be.sublet or subleased by either the owner or family member(s). The single-family dwelling and family apartment shall only be occupied by those persons listed on the recorded affidavit. . (5) When the family apartment is vacated, or upon noncompliance with any condition or representation made including but not limited to occupancy or ownership, the use as an apartment.shall be terminated. A building permit must be applied for to remove all cabinets, countertops, kitchen sinks and appliances from the family apartment; and the water and gas service utilities must be capped and placed behind a finished wall surface. B. Procedural requirements. Prior to the creation of a family apartment, the owner of the property shall make application for a building permit with the Building Commissioner providing any and all information deemed necessary to assure compliance with this section including, but not limited to, scaled plans of any proposed remodeling or addition to accommodate the apartment, signed and recorded affidavits reciting the names and family relationship among the parties, and a signed family,apartment accessory use restriction document. (1) Certificate of occupancy. Prior to occupancy of the family apartment, a certificate of occupancy shall be obtained from the Building Commissioner. No certificate of occupancy shall be issued until the Building Commissioner has made a final inspection of the apartment unit and the single-family dwelling for compliance and a copy of the family apartment accessory use restriction document recorded at the Barnstable Registry of Deeds is submitted to the Building Division. (2) Annual affidavit. Annually thereafter, a family apartment affidavit, reciting the names and attesting that the property is the year-round family relationship among the parties and primary residence of the property owner and family member(s), shall be signed and submitted to the'Building Division. 'L'OWN .OV BARE 8TAEAT..!,' G'11KOBASE ID 1 71.8 S 29 JT3AYBFRRY '4 ONE, )TUIT C)C DRA DF DISIRICT C71' IT 73740 DEECT P)TION 4BR.W/2CAR G.,.��C-,E,2`0PTE1K ..RrI 4 POIRCIR'ES B U'jr 1,D TIT1'_j-'T_ NEW RES1Dt'.N'j.'IA1'., BLDC7' PMT 1^0 14 RIA R S ARCHIUDCTS: Department of TOTAL FEES: Regulatory Services $1.1 911.99 BOND ' $.00 CONSTRUCTION COSTS $421,211.6.00 .101 SIRGLLe FAM HOME DE�TACFIEID w PRIVATE ,�' T RMtN BLE, MAS& BUILDING DIVISION BY DATE ISSUE!) 08/20/2004 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL I I NSPECTION APPF19VALS 8MM (Zi �v / (3 e-,Jw1 ZC" 2 2 2 716 A � /�? �/O� l beds 3 1 HtATING INSPECT APPROVALS ENGINEERING DEPARTMENT 2 HEALTH OTHER: 0V e-, /�J/�U SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS HE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS OUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. NO TES: 'CLU-pmr -054 r�q�� THE RADIUS NOTED ON PLAN i sue' 159-91 IS INCORRECT, THEB4 64 Y LA1►r� CORRECTED RADIUS IS ON �y PLAN 301-100. L__15.13' ,epoLr iCB/DN S12 MUND A/M.91 �33 tp 2s2� (717WN WATER) N n°� O 1 46�, 3gs• a 64 EXISTING h FOUNDATION 43 6' T.0.F. EL 36.3cl 0 rw o '= P� ?S•S• h �• A cv -GARAGE- LOT 5 AIM 19-124 23,64Bf S.F N cp , 0.54; ACRE - ' 49' 60.00 -CB/DH LOT Cl ND MUND m AIM 19-106 (VACANT LOT) 574-24,50�� BENCHMARK K ��93Oy era¢agar fc[s) BENCHMARK mP OP CB _ 11✓✓ e[ax riar(c[s) CB/DH MUND LOT C2 LOT 4 AIM 19-177 AIM 19-136 (7DWN WATER) (MWN WATER) FLOOD ZONE N/A FO UNDA TION CERTIFICATION RES ZONE- "RF" TOWN.• BARNSTABLE SCALE: I 30' PL REF 159-91 ELEV.• 36.3 SETBACKS 30-15-15 I. CERTIFY THAT THE ABOVE —. �@ YANKEE SURVEY CONSULTANTS FO UNDA TION IS LOCATED ON �'„ P. 0. BOX 265 THE GROUND AS SHOWN, AND s;FpLi=;a S UNIT 1, 40B INDUSTRY ROAD IT POSITION DOES 1 � J. s CONFORM TO THE ZONING LA TO �;��_ MARSTONS .MILLS, MASS. 02648 SETBACK REQUIREMENTS OF FAX 420—TEL 428—5553 55 BARNSTA LE ��__ r� ` v JOB STEPHEN J. DO YL , R.P.L.S. DATE OCT. 5, 2004 NUMBER 53645FND SDS Town of Barnstable do Building Department - 200 Main Street t BARNSTABLE, * Hyannis, MA 02601 MASS. A.a �' (508) 862-4038 0 MA Certificate of Occupancy Application Number: 200802280 CO Number: 20080283 Parcel ID: 019124 CO Issue Date: 03130109 Location: 29 BAYBERRY LANE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: COTUIT Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: C.O. FOR FAMILY APARTMENT FOR SUZANNE ROMA - SISTER Building Department Signature Date Signed °FtNEtp�� TOWN OF BARNSTABLE BuildIing Application Ref: 200802280 • • Permit MUMSTABLE, Issue Date: 05/22/08 MASS. 16 3�a�� Applicant: ROMA,JEAN M Permit Number: B 20081059 Proposed Use: SINGLE FAMILY HOME Expiration Date: 11/19/08 Location 29 BAYBERRY LANE Zoning District RF Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 019124 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village COTUIT App Fee$ 50.00 License Num Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 1 BEDROOM FAMILY APT,2ND FL,FOR SUZANNE ROMA, SISTER THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ROMA,JEAN M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 653 INSPECTION HAS BEEN MADE. COTUIT, MA 02635 Application Entered by: RM Building Permit Issued By: lfftr k THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR-SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 ki Aeating Inspect n Approvals Engineering Dept 7g71+O Fire Dept 56C 2 Board of Health -7 9'7 y�o BA L ijj N 0 '.RN,!"vAB1J-1- B. ? T 713 '0.-L9 '1'24 U"'P"0.131kS'?' ID. BAYBEfffiff liz"RE Z h? F`T.Gh1E 0 0 T Jl'T K SIZE BLOCK LOT DEVELOPMENT DISTRIcT Imo'?: DE"A PRP 78740 � D ESC RIPTION 4BR-W/?CAR VA RAGE, PORCRE13 PERMIT TYD BUILD TIT LE NEW RESIDENTIAL BLDG PMT CONTRACTORS: Department of. ARCHITECTS: Regulatory Services TOTAL 1FEES: $1,911-99 $.00 BOND 216.00 CONSTRUCTION COSTS $421, _' 101 SINGLE "FAM HOME DETACHE-D I PRIVATE ZfD BARNSTABLE, M.ASS, D MP BUH DING DIVISION BY DXfE T C,;SUED 08/20/2004 EXPIRATION DATE WALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLEY OR SIDE CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR THIS PI IC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS CROACHMENTS ON PUBLIC DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM ION RESTRICTIONS. ALLEY GRADES AS WELL AS D FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION PERMIT DOES NOT RELEASE THE APPLICANT F MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 1.FOUNDATIONS OR FOOTINGS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- 2.PRIOR TO COVERING STRUCTURAL MEMBERS PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. (READY TO LATH). OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 3.INSULATION. OCCUPANCY.4.FINAL INSPECTION BEFORE OC APPROVALS ELECTRICAL INSPECTION APPR VALS APPROVED A RETAINED NED N AN HERE APPLICABLE, SEPARATE PARAT]E IT REQUIRED RED FOR PERMITS M EQ MECH_ ELECTRICAL, PLUMBING T 1 0 JOB 10 0 WHERE AND------ N FINAL N IN FF A N E 0 N :RE]FIED PPROV PLANS UNTIL L I SP CT H CARD KEPT CERTIFICATE E F C BING A IS C C I T 0 OC U P AS CBEEN MA BUILDING SHALL NOT B AN ICAL INSTALLATIONS. I:Ft AN Y I REQUIRED, 0 S B M 7FI - S QU' 'C LL I SP CT 'MUM 0 ' ON WO K OR ALL CONSTRUCTION FOUNDATIONS 10 R FOOTINGS M BERS STRUCTURAL A MEMBERS 0 T COVERING STRU L S INSPECTION HAS BEEN MADE.0 1 2 ERR ER I PRIOR T C To i). OCCUPIED READY L 'UPIED UNTIL 3 INSULATION. I 8�OCCUPANCY. T 4.FINAL INSPECTION E ON BEFORE • PLUMBING INSPECTION BUILDING INSPECTION APPROVALS ..... Z�/ Da 1��`�`�b ��t(/C 6 L , JUI.G A6wth i'w �40 6 2 2 j��Gc,y e !� Ca '7/a� � 2 0 lvA-A z IE'�jlajZEFIING DEPARTMENT H ATING INSPECTION,APPROVALS. 3 HEALTH 2 SITE PLAN REVIEW APPROVAL HER: IF CON- INSPECTIONS INDICATED ON THIS- CEED UNTIL PERMIT WILL BECOME NULL AND VOID WORK SHALL NOT PRO WITHIN SIX CARD CAN BE ARRANGED FOR BY THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TION.TELEPHONE OR WRITTEN NOTIFICA- NOTED ABOVE. TION. Ise WX AppaDdh I Table 1s.2-lb(caattaued) extad with FOOD Ewell pi-�c�ptiYe Paekaget far doe tnd Tt+o-Faa►i1i'Rccideatiil Snildtaat H hffMIML7M Hcattng/Cmling 14i,43c hiL1M Calling Well F1o0r � � p< ctet Eoprncru EMcienc? SUb C31az�r►B A-value r . R•valuar C}laang r WaII A='CA) U•valucA R-vbluca A•��� A.yalue 5'701 to 6500 Hating Degrrs Da 6 Normal 38 13 19 10 6 Narrnal Q 12'/4 0.40 30 I9 19 10 6 z5 AFZ1E A 121/8 0.57 13 19 10 Normal 5 IV/. 0.50 31 tl/A NIA gg 13 6 Norma•! 15%, 0.36 10 T � 19 19 IS AFUE u 15'/1, 0.46 38 13 29 N/A NIA I % 0 IS AFVE Y 30 19 14 10 N0msa1 W 131/4 0.52 3 25 N/A NIA la'/. 0.32 31 NIA Normal Y 1Sy, 0.42 S 13 25 NIA 6 44 AFttlr 18Y• 0• 30 lg 14 ID 6 90.AFVE l a% a.50 1, LI- N ADDRESS OF PROPERTY. 2• SQUARE FOOTAGE OF ALL 'XTERIOR WALLS; ' O' 3• SQUARE FOOTAGE OF ALL GLAZING' ' 4. a GLAZING AREA(#3 DIVIDED BY 02): 5, SELECT PACKAGE(Q--AA-see chart abovo): . O RMORE INVOLVED METHODS OF DETERMINING g�RGY REQUIREMENTS N0•TE- ARE AVAILABLE. ASK[1S FOR THIS INFORMATION .Al BUII,D ING INSPECTOR APPROVAL: N0; YES; q-f0cm5-t9 80303 a PA �� Affidavit of Substantial Financial Interest u/ zA�� o���� � 3E#14 4 , 2oaH A � of To r_#CrAy FREE P-- , on oath depose and state as follows: cote i r, "0 o '3-6 1. 1 am an applicant for a building permit for the property located at Map /9 , Parcel The address of the property is aq �} 12R �-l9 �6 , co��T 2. 1 have /0-0 % 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-'u Ly S, Sao �, the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address -=--- - �4. Within the last twelve months, from today's date, which is T Y!�I �i�°°41.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/Parcel r1 b N C Address 5. Within this calendar year, I have submitted 0. 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 Q. building permit applications for -- property in-which I have a 1% or greater legal or equitable interest. = Within this month, I have submitted O building permit.applications for:property in. . - which I have a 1% legal or equitable interest. , - - 8. Within this month, I have received building permits for property in which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury,.this day of T U LY , 2004 2001-0050/affin 1 Q/LOTTERY/AFFIDAVIT ' l j ifs 1 /� I I '1 I I I O O O O CO I O 0 0 0 N I I u7 Lf3 u7 Lo 1 N tV N t0 S VJ O Cn ¢ a ¢ N C_� W LLJ 1-- O C� W Z r H OC W J'W O i W� OC m = co 1 m ¢ H N GO 1 S f x N ¢ W W Z d OC co O 1 Y--1 0 •• S .. S GC W f•• ¢ O u7 I ¢ W cm T ¢ O to S \ I S GC W O W W ¢ m N I W 1--1 1--1 = OC a ca x - I !A C J 1— i W = " VJ 1 Z a ¢ H i— f— O 1-4 1= 1-4 I 1— W d W V x x F-4 W W S x J x W W I S Z J S S W O H O }• ¢ I•-d I W S S S a ¢ -cc G. d N S O f— ; M. ¢ 6 Ci ¢ a a Town of Barnstable ermit:o206 06 oF1He rol, Regulatory Services ate: y�P�-• ~� Thomas F.Geiler,Director s^ ^B Building D1V1Slon ee a`� 60 y Mass. g 1639..aim Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner. Phone: -Z Install at: L — L N q ��l R �dze l L� Villager 6 /-� a 7 o M Map/Parcel: 0 / 9 Date: 1 - 7 - 0 6 2) ;; co Stove `o :;0 A. e /Used u1 B. e: adiant/Circulating ^' a C. Manufacturer: w (4 Lab. No. ccdo r i k D. Model No.: Chimney A. New/Existing (If existing,please note date of last cleaning)_ 12 C7- y F m T- B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: L P�D�CiZ7� U L Lf B. Sub Floor Construction: t/, o ✓,l le- G- ALy Installer Name: Address: S /4&4 Phone: S o4 v`1 Location of Installation: 54 yLt APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 jQ ` •�... X•�"4.t�+yy'_._"%f :�°�- 'I fi. k. h:�'d�'9i^. X�` b-'-r`i:'.A � w .ly�� z = I 7i n 11 f Xr y' yl s' �' �-• �#A� `� CAA .J .tom/KiT } .A,: �, �- � �.• � �r3. +ter# ;ti. ,fit ,•. 1�� •+ �. tJ.. d y 1�.c �S.�a rot 1��.. � � �.';�+.`tip� .,•d( ��• Y t S, �1 r�T�✓=. r Y , �1HE Town of Barnstable Building Department - 200 Main Street * MAXLE ► AB • • Hyannis, MA 02601 9 MASS 16,9. at. (508) 862-4038 Certificate of Occupancy Application Number: 78740 CO Number: 20060171 Parcel 10: 019124 CO Issue Date: 12/15106 Location: 29 BAYBERRY LANE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: VACANT Village: COTUIT Gen Contractor: CONTRACTOR UNKNOWN Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed TOWN OF BARNSTABLE - � BUILDING PERMIT PARCEL ID 019 124 GEOBASE ID 713 ADDRESS 29 BAYBERRY LANE PRONE COTUIT t ,ZIP - LOT BLOCK LOT SIZE ! DBA DEVELOPMENT DISTRICT CT PERMIT 78740 DESCRIPTION 4BR.W/2CAR GARAGE 2OPEN PORCHES .FIREPLACE PERMIT TYPE BUILD TITLE NEW R SIDENTIAL BLM PMT CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $1,911-99 BOND $.00 dU CONSTRUCTION COSTS $421,216.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE- 0 " • snwvsrAs�. MASS. RFD MP'�A BUILDIQ DIVIS O BY DATE ISSUED 08/20/2004 EXPIRATION DATE TOWN OF BARNSTABLE '•' -'' " BUILDING PERMIT PARCEL ID 019 124 GEOBASE ID 713 ADDRESS 29- BAYBERRY LANE PHONE COTUIT K 'ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 78740 DESCRIPTION 4BR-W/2CAR GARAGE 20PEN PORCHES .IFIREPLACE PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: I .; Department of ARCHITECTS: l i y Regulatory Services TOTAL FEES: I $1,911:99 BOND W$.00 CONSTRUCTION COSTS $421,216.00 101 SINGLE FAM HOME. DETACHED 1 P�RIVATP * BAMSPABLE, * ` RFD MP'�A BUILDING DIVIS O BY �DATE -ISSUED , 08/20/2004 EXPIRATION DATE . - THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED*BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK:1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 2. PRIOR TO COVERING STRUCTURAL MEMBERS PERMITS ARE REQUIRED FOR HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- I (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- ANICAL INSTALLATIONS. I 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPR VALS 1 :.iOi1oj `Ft.. c1R 4 v LP En G /►ear•Hy �ick«3�•n Zor+ 2 E 2 811U,i S//1) IV 2 r� 2 1�16 GcS I U 7_//1/0150 � ten`, 3 1 HATING INSPECT)OI APPROVALS ENGINEERING DEPARTMENT 2 HEALTH j 1 VIM D OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. r I I , !I I I I _ I I I I ' I i rr I I I I I I I I I I • I I ' I ' I I I I • I I " I I I I I I I I I �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .�1 Parcel 04 Permit# 797 17'a Health_Division 4 —3` (o -` 7 5�e��- Q �" "�I L�r ¢ADat6V e�Asa �a Conservation Division ��e / �� a n ���� JUL ( � A�plic�io J Fee Tax Collector�i�- ��/3�6 S` Permit Fee /�• �� Treasurer A)o �"'� ° P`�'"W �o /� SEPTIC SYSTEM MUST��e Planning Dept. �/ r Kk} 3/ WSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board N xT� u�c1, �• ��, i�_-1 14 t ? TITIX s Historic-OKH Preservation/Hyannis ENVIRONMENTAL CODE , AND r JM RFGUt 4'r 2`�L Project Street Address q Q 4Y 446e-QY NC Village C oT-u iT Owner (T('&� /'7. /Qo�119 ZIPW41 zi��Gr�T�a- dress q O Cf/C�R y 7'Qt"'�V Telephone S 41 $' 2 S 9 4 C ®�—O�.'6 Permit Request A y 14- 6 A- F�o o /Z tv ®o,� P kA 016 14 o v a Square feet: 1st floor: existing proposed 1`7 a 2nd floor: existing proposed 0 6 O Total new a 7 �® Zoning District R F Flood Plain Groundwater Overlay Project Valuation / 5�� °�'° Construction Type Lot Size 7',41 4-rr S P� V/• ^4,4)Grandfathered: Ayes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes A No On Old King's Highway: ❑Yes XNo Basement Type: A Full ❑Crawl ❑Walkout ❑Other J Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 7 �1* y S f' Number of Baths: Full: existing new�1 c�l Half: existing new Number of Bedrooms: existing new —I Total Room Count(not including baths): existing new_ First Floor Room Count Heat Type and Fuel: )4Gas ❑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 7ag"SPShed:❑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 ue- {C o o Al#9 Telephone Number Address ® C- TREE I-D License# c S C 07V tT'! N4 o°u�S— Home Improvement Contractor# I 1 }^ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P—N S r*18 e-6 T IZff 0S i= "k- 5 ro , LA-0-6 f=► 4 L SIGNATURE DATE -7q- FOR OFFICIAL USE ONLY PERMIT NO. '— DATE—ISSUED MAP/PARCEL NO. A ADDRESS VILLAGE OWNER DATE OF INSPECTION: , FOUNDATION FRAME s INSULATIONS � FIREPLACE ze ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , • FINAL BUILDING ' DATE CLOSED OUT "• ASSOCIATION PLAN NO. s, c. r The Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street x Boston,Mass. 02111 Workers' Comensation Insurance Affidavit-General Businesses panic• ns:p�.•v:�,'�,��. �.0 . � '� �''� .. ,_ .... .. -._.;, . address: TO C H C"Y T—QF E 2-b city C OTV t T-J SW state: iP: 0 v—!.r phone# 5-6 �' 0 r�1¢— work site location full address): gY 9 o51e..1e L 4 N t- C B--rU t 7-1 M4#9 O -a-6 I am a sole proprietor and have no one Business Type: El Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an t m // loyees(ull�& rt m%. ❑Other o% � &IllI�/%%/%/ ZI%/%%%%%�i. LJ I am an employer providing workers'compensation for my employees working on this job. ' company name: 2. city: Phone#: instirance.cb:1. ;.: I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: coinpeny name: r• address;.:.'' city: insurance eo. company nariYe: insurance co. = 'o7icv 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 ce i under the pains and enalties ofperjury that the information provided above is true and correct L' Signature Date 7 Print name P V �— P�, D W) lrt Phone# S� 4 `&� 3 _official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Buflding Department ❑Licensing Board ❑check if immediate response is required []Selectmen's Office i []Health Department contact person: phone#; ❑Other (leveed Sept 2003) . r Information and Instructions a. 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 P.toY s 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 Departrnent 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 perrnt/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 Oilice of InllesdWens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 I r �FTM`�°w� The Town of Barnstable - SARMASS.NSTA LL Department of Health Safety and Environmental Services '•���' Building Division 367 Main Street,Hyannis,MA 02601 .e: 508-862-4038 508.790-6230 PLAN REVIEW Owner: (1-r Map/Parcel: o1 0/ Project Address: ew'y 1W Builder: The following items were noted on reviewing: All"yoeml Pf YT To 7'�;A�Peeap, IyA57e)e -ev keeo f doe k h T A,-77-a17 7,vTO 1%UN,U,P y Fj'ThIR R eli e v E 01o1z erg SI/1 bo Reviewed by: /�%► Date: r Town of Barnstable h Regulatory Services s STOL ' Thomas F.Geiler,Director suss. ' Building Division _ Tom Perry, Building Commissioner - 200 Main street, Hyannis,MA 02601 office: 508-8624038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Mu,f 2gch'#x ppav'd the.subject pxopextp_ ._.._..._... .: hexeby authorize f.)19 U L -4G ,- U 8M to`act on xny..behalf,. in all matters relative to work authorized-by this building•permlt-application for: (Address of job) ' # stye U�yt_c� 7 57- o jS' eof Owner Date Pi94 l z/A'-4,w RUI'm -,,7E✓AN . rn PMt Name �I IBAA ID O'F B License: fLQING RE✓f" CONST.•: V�ATIONS RUCTION SUP Number�Es,. ERVISOR _ , 052325 Biithd = �a��(•16l0��??gq 7 r.k,�-:_•-fir:•, Tr.no: 11730 Poe PAUL COTUIT, MA HERRY THEE>F2D; 02635 Administrator ` t r -ucs�c UNITED CASUALTY AND SURETY INSURANCE COMPANY LICENSE AND PERMIT BOND For County,City,Town or Village Only. Not Valid for Contract,Performance,Maintenance, Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. KNOW ALL MEN BY THESE PRESENTS: BOND NO: 001982 That I, Paul Roma, 90 Cherry Tree Road, of the Town/City of Cotuit, State of MA 02635, as Principal, and UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation duly licensed to do business in the State of Massachusetts,as Surety,are held and firmly bound unto the Town of Barnstable,367 Main Street,Hyannis, MA 02601, State of Massachusetts, as Obligee, in the amount of SIX HUNDRED DOLLARS ($600.00), 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 CONDITIO' T OF THIS OBLIGATION IS SUCH,That whereas,the Principal has been licensed and/or issued a permit for the purpose of opening and/or occupying a public way located at 28 Bayberry Lane,Cotuit, MA 02635 by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and comply with the laws and ordinances(including all amendments),pertaining to the license or permit,then this obligation to be void,otherwise to remain in full force and effect for a period commencing on the 171h day of June,2004,and ending on the 17th day of June,2005,unless renewed by continuation certificate. This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee and to the Principal,in care of the Obligee or at such other addresses the Surety deems reasonable,and at the expiration of thirty- five days(35)days from the mailing of notice or as soon thereafter as permitted by applicable law,whichever is later,this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. / Dated this 17`h day of June,2004 . , Paul Roma -Principal Witnessed UNITED CAS COMPANY By ' By Todd S.Carr n,President ai Attorney-in-fact ss: ACKNOWLEDGEMENT OF SURETY STATE OF MASSACHUSETTS County of Suffolk On this 17`h day of June,2004,before me,the undersigned officer,personally appeared,Todd S.Carrigan, who acknowledged himself to be the aforesaid officer of UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation,and that he as such officer,being authorized so to do,a cu d the forgoing instrument for the purpose therein contained,by signing the name of the corporation b sudi officer. IN WITNESS WHEREOF,I have hereunto set my hand n o Timothy M.Carrigan _ Timothy M.Carrig n, Notary PubliCo s u L DIres $ePtember 3,2010 I "esle No: 183404 Bond No: 001982 UNITED CASUALTY AND SURETY INSURANCE COMPANY BOSTON,MASSACHUSETTS Principal: POWER OF ATTORNEY Paul Roma 90 Cherry Tree Road KNOW ALL MEN BY THESE PRESENTS: Cotuit,MA 02635 That UNITED CASUALTY AND SURETY INSURANCE Obligee: COMPANY,a corporation of the State of Massachusetts,does hereby Town of Barnstable make,constitute and appoint 367 Main Street Todd S.Carrigan of Boston,Massachusetts Hyannis,MA 02601 its true and lawful Attorney-in-Fact,with full power and authority,for and on behalf of the Company as surety, to execute and deliver and Effective Date: affix the seal of the Company thereto, if a seal is required, bonds, June 17,2004 undertakings, recognizances, consents of surety or other written obligations in the nature thereof,as follows: Contract Amount: Any and all bonds, undertakings,recognizances,consents of surety or other N/A written obligations in the nature thereof and to bind UNITED CASUALTY AND SURETY INSURANCE Bond Amount: COMPANY, thereby, and all of the acts of said Attorney-in-Fact $600.00 pursuant to these presents,are hereby ratified and confirmed. This power of attorney is signed and sealed by facsimile under and by authority of the following Resolutions adopted by the Board of Directors of UNITED CASUALTY AND SURETY INSURANCE COMPANY at a meeting duly called and held on the 1 st day of July, 1993 which Resolutions are now in full force and effect: Resolved that the President,Treasurer,or Secretary be and they are hereby authorized and empowered to appoint Attorneys-in-Fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof, with power to attach thereto the seal of the Company. Any such writing so executed by such Attorneys-in-Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected Officers of the Company in their own proper persons. This power of attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of UNITED CASUALTY AND SURETY INSURANCE COMPANY,at a meeting duly called and held on the 1st day of July, 1993: That the signature of any officer authorized by Resolutions of this Board and the Company seal may be affixed by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond,undertaking,recognizance or other written obligation in the nature thereof;such signature and seal,when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF,UNITED CASUALTY AND SURETY INSURANCE COMPANY has caused these presents to be signed by its proper officer and its corporate seal to be hereunto affixed this 22nd day of February 2002. UNITED CASUALTY AND SURETY INSURANCE COMPANY Timothy M.Carrigan,Treasurer State of Massachusetts,County of Suffolk as: On this 22nd day of February in the year 2002 before me personally came Timothy M.Carrigan to me known,who,being by me duly sworn,did depose and say:that he resides in the State of Massachusetts;that he is the Treasurer of UNITED CASUALTY AND SURETY INSURANCE COMPANY, the corporation described herein which executed the above instrument;that he signed his name thereto by the above quoted authority;that he knows the seal of said corporation;that said seal affixed to said instrument is such corporate seal,and that it was so affixed by authority of his office under the by- laws of said corporation. Notary Public—Do ald 1.Hemberg My commission expires:7/18/2008 1,Timothy M.Carrigan,Treasurer(Surety)of UNITED CASUALTY AND SURETY INSURANCE COMPANY,certify that the foregoing power of attorney,and the above quoted Resolutions of the Board of Directors of July 1, 1993 have not been abridged or revoked and are now in full force and effect. Signed and sealed at Boston.Massachusetts,this 17th day of June 20 04C' . 2- Timothy M.Carri n,Treasurer RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 /�®0 Residential Addition $ 50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE `7 o� lllr square feet x$96/sq.foot= GI7 ��L' O x.0041= S-S phis from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) O �r oG square feet x$32/sq.ft.= 2.�. �gE� x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 �W 0'q >500 sf-750 sf - 50.00 / >750 sf- 1000 sf. 75.00 >1000 sf= 1500 sf - 100:00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITSi 60 Open Porch x$30.00= (number) . Deck..-. ... x$30.00= (number) Fireplace/Chimney . x$25.0.0= S. (number) Ingrodnd Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: T CAN (Z o " A Site Address: .Applicant Address: go c-14EK2 `/ 'SEE kb, City/Town: C OT- u (T Xi A a 'E t.- C a T u t To H n o-, 6 �r Use Group: Date of Application: g' —/ff" oq- Applicant Phone: S—o �{'� a,S9 �L Applicant Signature: Compliance Path(check one): Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1b): w Heating Degree Days(HDD65)from Table J5.2.1a: 7 (For items d. through i.,fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area J-6 40 sq.ft f. Wall R-value R- ( 9 b. Glazing Area' 360 sq.ft. g. Floor R-value R- q c. Glazing%(100 x b=a) 1 'S, 6 4 % h. Basement wall R- t O d. Glazing U-value U- i. Slab Perimeter R- 6 e. Ceiling R-value R- t 0 j. Heating AFUE S� ❑ Component Performance:"Manual Trade-Off'(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet,if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a.Gross Wall+Ceiling Area sq.ft. b.Glazing Area' sq.ft. c.Glazing%(100 x b-a) ❑ ADDITION with Glazing%(c.)up to 40%may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration' Ceiling, I Wall Floor Basement Wall Slab Perimeter Depth 0.39' R-37 R-13 R-19 R-10 R-10 4 ft t Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,ind including any access openings.) ❑ "SUNROOM"addition(greater than 40%glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: , Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s)for Denial: (provide additional details as needed on back side) ATTORNEY'S AFFIDAVIT DATE: July 14, 2004 . PROPERTY ADDRESS: 29 Bayberry Lane, Cotuit, MA Owner: Bjork-Cotuit Realty Trust ABUTTING PROPERTIES: 43 Bayberry Lane, Cotuit, MA Owner: Gerald R. Muller and Pamela H. Muller 130 Guimquissett Road, Cotuit, MA Owner: Charles A. Bowler and Pamela M. Bowler 90 Cherry Tree Road, Cotuit, MA Owner: Paul K. Roma and Jean M. Roma 74 Cherry Tree Road, Cotuit, MA Owner: Stephen R. Holuk and Rita L. Holuk Reference is made to a deed from Lawrence V. Bjork and Mary M. Bjork to the Bjork-Cotuit Realty Trust dated April 23, 1997, recorded with the Barnstable Registry of Deeds on May 30, 1997 as Lot 5 on the plan of land entitled"Subdivision Plan of Land in Cotuit, Barnstable Mass. for James P. Souza Scale 1 in. = 100 ft. Date August 1960, Charles N. Savery Co." covering the premises known as 29 Bayberry Lane, Cotuit, MA. Reference is also made to all properties abutting the premises known as 29 Bayberry Lane, Cotuit, MA, specifically: 1.) Reference is made to a deed from Daniel L. McCarthy, Trustee of Daniel L. McCarthy Family Trust to Gerald R. Muller and Pamela H. Muller dated March 31, 1980, recorded with Barnstable Registry of Deeds on March 31, 1980 as Lot 6 on a plan of land entitled"Subdivision Plan of land in Cotuit Barnstable Mass. for James P. Souza Scale 1 in—100 ft Date 11 August 1960 Charles N. Savery Co. Engineers-Surveyors Cotuit, Falmouth, Mass." covering the premises known as 43 Bayberry Lane, Cotuit, MA. 2.) Reference is made to a deed from Robert H. Quinn and Marjorie Quinn to Charles A. Bowler and Pamela H. Bowler dated August 16, 1982 recorded with Barnstable Registry of Deeds on August 19, 1982 as Lot C 1 on a plan of land entitled "Plan of Land in Cotuit, Barnstable, Mass. for Charles N. Savery Drawn by R.S.J. Scale 1 in. =40 ft. Checked by R.P.B. Date: December 29, 1975, Charles N. Savery, Inc. Registered Civil Engineers & Land Surveyors 712 Main Street Hyannis, Mass." covering the premises known as 130 Guimquissett Road, Cotuit, MA. 3.) Reference is made to a deed from James P. Souza, and Elizabeth M. Souza to Paul K. Roma and Jean M. Roma dated August 21, 1972,. recorded with the Barnstable Registry of Deeds on August 29, 1972 as Lot 4 on plan of land entitled "Subdivision Plan of Cotuit, Barnstable, Mass. for James P. Souza Scale 1 in. =100 ft. August 11, 1960 . 1 Charles N. Savery Co. Engineers-Surveyors, Cotuit, Falmouth ;Mass." covering the premises known as 90 Cherry Tree Road, Cotuit, MA. 4.) Reference is made to a deed from William L. Mattos to Stephen R. Holuk and Rita L. Holuk dated November 8, 1991, recorded with the Barnstable Registry of Deeds on November 8, 1991 as Lot C2 on a plan of land entitled"Plan of Land in Cotuit, Barnstable, Massachusetts for Charles N. Savery Drawn by RBJ Scale: 1 in. =40 ft. Checked by R.P.B. Date: December 29, 1975, Charles N. Savery, Inc. Registered Civil Engineers & Land Surveyors 712 Main St. Hyannis, Mass." covering the premises known as 74 Cherry Tree Road, Cotuit, MA. I certify that as of the date specified above, Lot 5 on the plan of land entitled "Subdivision Plan of Land in Cotuit, Barnstable Mass. for James P. Souza Scale lin. _ 100 ft. Date August 1960, Charles N. Savery Co."covering the premises known as 29 Bayberry Lane, Cotuit, MA was non-conforming before the minimum one-acre lot size went into effect and so is buildable and complies with zoning regulations. BY: %.Ak 61ALZ4. -1/1y/0 4 J ed Correia, Esq. Date BBO# 657509 51 Sherman Street New Bedford, MA 02740 (508) 997-1881 2 r TITLE ABSTRACT REPORT Property: 29 Bayberry Lane, Cotuit, MA Owner: Bjork-Cotuit Realty Trust Abutting Properties: 43 Bayberry Lane, Cotuit, MA Owner: Gerald R. Muller and Pamela H. Muller 130 Guimquissett Road, Cotuit, MA Owner: Charles A. Bowler and Pamela M. Bowler 90 Cherry Tree Road, Cotuit, MA Owner: Paul K. Roma and Jean M. Roma 74 Cherry Tree Road, Cotuit, MA Owner: Stephen R. Holuk and Rita L. Holuk Examination Begins: May 22, 1953 Examination Ends: July 9, 2004 at 2:00 P.M. This Title Search was prepared solely to determine whether Lot 5 on the plan of land entitled "Subdivision Plan of Land in Cotuit, Barnstable Mass. for James P. Souza Scale 1 in. = 100 ft. Date August 1960, Charles N. Savery Co." covering the premises known as 29 Bayberry Lane, Cotuit, MA is buildable. This Title Abstract Report is based upon information obtained from the records of the Registry of Deeds and/or Registry of Probate for the County or District wherein the property, and abutting properties, are located, available for the time period indicated. -7 / o y J red Correia, Esq. Date BBO# 657509 51 Sherman Street New Bedford, MA 02740 (508) 997-1881 29 Bayberry Lane Cotuit, MA °2p �r s Ij aUIrCLAIND®IINDIVIDUALt••a l! I, JAMBS G. SOUZA, of Barnstable (Cotuit), Barnstable Camty,Nknadwwtts, -bring smarried,fot coadderadon paid,grant to RICHARD A. I MP and I.""-mil Al SBID', husband and wife, as tenants by the entirety, both of 284 Nest Squantum Street, North Quincy, Norfolk County, Massachusetts, • abut with gnKdahn tm:eaauts the land in\Barnstable (Cotuit)9 Barnstable County, Massachusetts, bounded and described as follows: (Description and ee bmnw,if any) NORTBSRLY by the southerly sideline of Bayberry Lane, one hundred fifty and 13/100 (150.13) feet; EASTERLY by Lot C, one hundred one and 69/100 (101.69) feet; SOUTHEASTERLY. '. '" still b Lot C, one hundred fifty-two and 491100 (152.49� feet; SO[TIfDESTERLY by Lot 49 forty-two and 16/100 (42.16) feet; and NOR711WBSTERLY; by Lot 6,one hundred seventy-four and�33/200 (174.33) feet, containing an area bf 23,100 square feet of land, more or less. Together with a right of way over Bayberry Lane and Quimquisset Road only, as shown on plan hereinafter referred to, in common with all others entitled thereto. Said premises are shown as LOT 5 on plan of land entitled "Subdivision Plan of laud in Cotuit BarnsTaSie Mass. for James P. Souza Scale: 1 in.= 100 ft. Date 11 August 1960, Charles N. Savery Co.,,, which said plan is duly filed in Barnstable County Registry of Deeds in plan book 159, page 91. No building &hall be erected upon the premises or any exterior alterations made thereto without the approval, in writing, plans and location for same the of the but such a y grantor, his heirs or assigns; pproval. shall not be unreasonably withheld. In the event the grantor shall sell the premises abutting Lot 5, no building shall, be erected upon the said abutting lot's or any exterior alterations made thereto without the approval,' in writing, of the plans and location for same by the grantor,his heirs or assigns; approvalbut shall not be unreasonably withheld. Being a portion of the premises conveyed to me by Edwin S. Mycock, Trustee, dated May 1953, recorded in said Barnstable Registry in book 852, page 257. mom ajA345 PAU 1193 70 g saa.1345 w 1194 I, Elizabeth M. Souza, k of said grantor, James G. Souza w ife release to said grantee all rights of dower an and other interests therein. 9gaesos......onr......hand sand sealathis............... �:........................dayof Se�itemberr..19...66 ................................................................................... % ... .:.y .._...._. ............................................................................. ......................................................................._.......... . i r r i f� f ft CDtunnu eat*of Aaeear4usata . e Barnstable, ss. September 19 66 t. k f 71m personally appeared the above named JAMBS G. SOUZA and acknowledged the foregoing instrument to be his free act and deed,before me Edwin S. Mycoc Now i %� Novemb 15, 9 . Mr CommiaeiGm Fipiro ................................................,19 9 MSEP 806— ivzm r i y M.G.L - Chapter 184, Section 23 Page 1 of 1 GENERAL LAWS OF MASSACHUSETTS PART . REAL AND PERSONAL PROPERTY AND DOMESTIC RELATIONS TITLE I. TITLE TO REAL PROPERTY CHAPTER 184. GENERAL PROVISIONS RELATIVE TO REAL PROPERTY Chapter 184: Section 23 Conditions or restrictions; term of years; applicability Section 23. Conditions or restrictions, unlimited as to time, by which the title or use of real property is affected, shall be limited to the term of thirty years after the date of the deed or other instrument or the date of the probate of the will creating them, except in cases of gifts or devises for public, charitable or religious purposes. This section shall not apply to conditions or restrictions existing,on July sixteenth, eighteen hundred and eighty-seven, to those contained in a deed, grant or gift of the commonwealth, or to those having the benefit of section thirty-two. Return to: ** Next Section ** Previous Section ** Chapter Table of Contents ** Legislative Home Page Y bW14W R?A wE, RICHARD A. KEMP and HBIAN'KRMP, husband and wife as tenants by the entirety, both of 32 Tamarack Road, west Dennis, Massachusetts, in consideration of TH29B THOUSAND DOLLARS ----($3,000-00) -------- grant to L►WRENCE V. SJORK and MANY Y. BJORK, husband and wife as tenants by the entirety, both of 36 Coronation Drive, Dedham, Norfolk County, Massachusetts, with QUITCLAIM COVENANTS, a certain parcel of land situate in Barnstable (Cotuit), Barnstable County, Massachusetts, bounded and described as follows! NORTHERLY by the southerly sideline of Bayberry Lane, one hundred fifty and 13/100 (150.13) feet; EASTERLY by Lot C, one hundred one and 69/100 (101.69) feet; SOUTHEASTERLY still by Lot C, one hundred fifty-two and 49/100 (132.49) feet; SOUTHWESTERLY by Lot 4, forty-two and 16/100 (42.16) feet; and NORTHWEST M Y by Lot 6, one hundred seventy-four and 33/100 (174.33) feet, containing an area of 23,100 square feet of land, more or less. Together with a right of way over Bayberry Lane and Quimquisset Road only, as shown on plan hereinafter referred to, in common with all others entitled thereto. Said premises are shown as LOT S on plan of land entitled: "Subdivision Plan of land in Cotuit, Barnstable Mass. for James P. Souza Scale 1 in. s 100 ft. Date August 1960, Charles N. Savery Co." which said plan is duly filed in Barnstable County Registry of Deeds in Plan Book 159 Page 91. No building shall be erected upon the premises or any exterior alter- ations made thereto without the approval, in writing, of the plans and location for same by James G. Souza, his heirs or assigns; but such approval shall not be unreasonably withheld. In the event the said James G. Souza shall sell the premises abutting Lot 5, no building shall be erected upon the said abutting lots or any exterior alterations made thereto without the approval, in writing, of the plans and location for same by said James G. Souza, his heirs or assigns; but such approval shall not be unreasonably withheld. Par title reference, see deed of James G. Sours to us duly recorded in the Barnstable Registry of Deeds in Book 1345 Page 1193. WITNESS our hands and seals this JIB day of 1969. —�.]/�� , J Richard A. Kemp Hewn Kemp jig COMMONWEALTH OR MASSACHUSETTS Barnstable, as �le c /� , 1969 Then personally appeared the above named Richard A. Kemp and Helen Kemp and acknowledged the foregoing instrument to be their free act and deed, before me tary Public ;2 e0 A o u c :ato - My Commission Expires: �� Ci Llk r.i:i� •.pass:;'1`I i::'TS YDi r.Ti) : 6J tiCISE 04-Y79 w BoA459 PACE R 75 P�g•p Ji,M 's- RNU HiliO& ' L 1� Bk = 10778-13:31 30141 OE----813-19'3-.r' le U3 -- 5$ QUITCLAIM DEED WE, Lawrence V. Bjork and Mary M. Bjork, Husband and Wife, now of 274 School Street, Barnstable,Village of Cotuit,County of Barnstable,in the Commonwealth of Massachusetts, 02635, for nominal consideration(less than One hundred($100.00)dollars)hereby grant to the said Lawrence V. Bjork and Mary M.Bjork,Trustees of the`BJORK-COTUIT REALTY TRUST"created by instrument dated April 23, 1997, and recorded herewith,with quitclaim covenants, all of our interest in a certain parcel of land situate in Barnstable(Cotuit),Barnstable County,Massachusetts,bounded and described g as follows: F 2 4 NORTHERLY by the southerly sideline of Bayberry Lane,one hundred fifty and 13/100(150.13) r feet; EASTERLY by Lot C,one hundred one and 69/100(101.69)feet; SOUTHEASTERLY still by Lot C, one hundred fifty-two and 49/100(152.49)feet; %j SOUTHWESTERLY by Lot 4,foray-two and 16/100(42.16)fat;and NORTHWESTERLY by Lot 6,one hundred seventy-four and 33/100(174,33)feet; Containing an area of 23,100 square feet of land,more or less. Together with a right of way over Bayberry Lane and Quimquisset Road only, as shown on plan hereinafter referred to,in common with all others entitled thereto, Said premises are shown as I.ot 5 on plan of land entitled:"Subdivision Plan of Land in Cotuit,Barnstable Mass.for James P. Souza Scale 1 in.= 100 ft.Date August 1960,Charles N. Savery Co."which said plan is duty filed in Barnstable County Registry of Deeds in Plan Book 159,Page 91. No building shall be erected upon the premises or any exterior alterations made thereto without the approval,in writing,of the plans and location for same by James G. Souza,his heirs or assigns;but such approval shall not be unreasonably withheld. In the event the said James G. Souza shall sell the premises abutting Lot 5, no building shall be erected Qupon the said abutting lots or any exterior alterations made thereto without the approval, in writing, of the plans and locations for same by said James G. Souza,his heirs or assigns;but such approval shall not be unreasonable withheld. For our title see deed of Richard A. Kemp and I. Helen Kemp to us dated December 31, 1969, and recorded with Barnstable Registry of Deeds in Book 1459,Page 874. Witness our hands and seals this 23rd day of April, 1997. ` Lawrence V. Bjork Mary M. l4jork f� ............ COMMONWEALTH OF MASSACHUSETTs Barnstable,es .,',�,:••Apnt�237 ' Then personally appeared before me the above-named Lawrence V.Bjork an M*r>J 'BjorMd ac ged the foregoing instnunent to be their free act and deed before me. F Nothry Public:Kathleen My commission expires: �v,r MSTABLE REGISTRY OF DEEDS 1� Bk 16920 P9192 *57577 05-15-2003 0`1 10 t 4r3ot ACCEPTANCE OF SUCCESSOR TRUSTEE "Bjork-Cotuit Realty Trust" WHEREAS, April 23, 1997, Lawrence V. Bjork and Mary M. Bjork executed the above referenced trust agreement as Trustees; WHEREAS, the`Bjork—Cotuit Realty Trust" dated April 23, 1997 is recorded with the Barnstable Registry of Deeds in Book 10778,Page 26; WHEREAS, Article Fifth of such trust agreement provides that the successor Trustees to the survivor of the said Lawrence V. Bjork and Mary M. Bjork shall be Jean M. Roma, now of and James L. McCarthy, now of, or the survivor of them; and WHEREAS, Lawrence V. Bjork died or. January 4, 1998 and Mary M. Bjork died on April 10, 2003, NOW THEREFORE, We, Jean M. Roma and James L. McCarthy, Massachusetts do hereby declare that we accept appointment as successor Trustees of the `Bjork - Cotuit Realty Trust" dated April 23, 1997, and that we will hold all property, real, personal, or mixed, which is a part of said Trust, in trust for the sole benefit of the beneficiaries of said Trust and upon the terms and conditions as set forth in said Trust. IN WITNESS WHEREOF, We, Jean M. Roma, now of P.O. Box 653, Cotuit,MA 02635 and James L. McCarthy, now of 27 Genevieve Rd., Weymouth, MA 02189 have set our hands and seals this 18`{'day of April, 2003. JEA M. ROMA S L. cCAR Y COMMONWEALTH OF MASSACHUSET Barnstable, ss April 18,2003 Then personally appeared before me the above-named Jean M. Roma and James L. McCarthy, who are personally known to me and who he foregoing to be their free act and deed. TY.-ra. E�Nf p No ary lVal My commissioke�� a 009 ItU BARNSTABLE REGISTRY OF DEEDS Bea 18795 Pa 137 053293 07-06-2004 S 09232a ACCEPTANCE OF SUCCESSOR TRUSTEE "Bjork-Cotuit Realty Trust"dated April 23,1997 WHEREAS, on April 23, 1997, Lawrence V. Bjork and Mary M. Bjork executed the above referenced trust agreement as Trustees; WHEREAS, the "Bjork-Cotuit Realty Trust' dated April 23, 1997 is recorded with the Barnstable Registry of Deeds in Book 10778,Page 26; WHEREAS,Article Fifth of such trust agreement provides in pertinent part: "FIFTH: Any Trustee hereunder may resign by written instrument signed and acknowledged by such Trustee and recorded in the Registry of Deeds wherein this Trust.is recorded. Any Trustee hereunder may be removed by written instrument signed by the Beneficiaries and acknowledged by one or more of them and recorded in said Registry of Deeds. In the event of the death or resignation of the survivor of Lawrence V.Bjork and Mary M.Bjork, as sole Trustee, the successor Trustees shall be Jean M. Roma, now of the Village of Cotuit, Massachusetts and James L. McCarthy, now of Weymouth, Massachusetts, or the survivor of them as sole Trustee. In the event of the death, resignation or removal of a Trustee hereunder, a successor or additional Trustee may be appointed by an instrument in writing signed by the Beneficiaries and acknowledged by one or more of them, provided that in each case such instrument, and in the case of such appointment, the acceptance in writing, signed and acknowledged by the Trustee so appointed, shall be recorded in said Registry of Deeds. Upon the appointment of any successor Trustee, the title to the trust property shall thereupon without the necessity'of any conveyance be vested in.said successor Trustee jointly with the remaining Trustee or Trustees, if any. Any successor Trustee shall have all rights, powers, authority and privileges as if named as an original Trustee hereunder. No Trustee shall be required to furnish bond,or if a bond be required by law,no surety on such bond." WHEREAS, Lawrence V. Bjork died on January 4, 1998 and Mary M. Bjork died on April 10,2003; WHEREAS, Jean M. Roma and James L. McCarthy accepted appointment as successor Trustees pursuant to that certain Acceptance of Successor Trustee, dated April 18, 2003 and recorded in the Barnstable County Registry of Deeds in Book 16920,Page 192 on May 15,2003; WHEREAS, James L. McCarthy has resigned as Trustee pursuant to that certain Resignation of Successor Trustee,dated and effective as of this-t day of-4pr4 2004; WHEREAS, Jean M. Roma, in her capacity as Beneficiary and p�ursNto Article Fifth of said trust,hereby appoints Paul Zachaag�''Roma,now of the Village of Cotuit,Massachusetts as successor Trustee effective as of this A'L7 day of)tpq 2004; NOW THEREFORE,I,Paul Zachary Roma,nbw of the Village of Cotuit, Massachusetts do hereby declare that I accept appointment as successor Trustee of the "Bjork-Cotuit Realty Trust'dated April 23, 1997, and that I will hold all property,real,personal, or mixed,which is a i Bk 18795 Pg 138 #53293 part of said Trust, as of this date or which may be transferred to me as Trustee of said Trust, in trust for the sole benefit of the beneficiaries of said Trust and upon the terms and conditions as set forth in said Trust. IN WITNESS WHEREOF, I, Jean M. Roma, set my hand and seal this a day of April 2004. JEAN .ROMA COMMONWEALTH OF MASSACHUSETTS ss 22004 Then personally appeared before me the above-named Jean M. Roma, who.is: ly known to me and who has acknowledged the foregoing to be her free act and deed: �z+ M .1 Notary Public: N: My commission expires: i IN WITNESS WHEREOF, I, Paul Zachary Roma have set my hand and seal this day of Xp4l,2004. AUL ZA Y OMA COMMONWEALTH OF MASSACHUSETTS yy" 11 IN f ne,c. ,ss Acpril 2004 Then personally appeared before me the above-named Paul Zachary Roma, as Trustee, F who is personally known to me and who has acknowledged the foregoing to be his free deed. Notary Public: I ' My commission expires: r I BARNSTABLE REGISTRY OF DEEDS 43 Bayberry Lane Cotuit, MA i t MA88ACN UaeTTs QUITCLAIM DaRD SNORT FORM I INDIVIDUAL)081 ' 1 1, JAMES O. SOUZA, also known as JAMES P. SO11ZA y of Barnstable (Cotuit), Barnstable County,Massachusetts, being somarried,for consideration paid,grant to JAMES P. SOUZA and ELIZABETH M. SOUZA husband and wife, as tenants by the entirety, both of Main Street, Ba,rnstable (Cotuit), Barnstable County, Massachusetts Xf with gathloldt rsuertanto dttMfl#1pc (Dwriptim and aI=.bIuwce%If any] Certain parcels of land situated in Barnstable (Cotuit), Barnstable County, Massachusetts, and being shown as LOTS 2, 3, 4. 6, 21, 22, 24, 25. 26, 27 and "A", as shown on plan of land entitled, Subdivision Plan of land in Cotuit Barnstable Mass. for James P. Souza $cale: 1 In- . 1f10 ft. Date 11 August 1960 Charles N. $every Co. Engineers - Sur- veyors Cotuit - Falmouth, Mass.", which said plan is duly filed in i Barnstable County Registry of Deeds in Plan Book 159, Page ql. I Together with the fee in the streets, rondo, lanes, avenues and ways as shown on said plan, subject to the rights of others who may be legally entitled thereto to use the same. So muo)i of Lot "A" as is included within the limits of Shell Lane, is subject to a Taking by the Town of Barnstable, recorded in said Barn- stable County Registry of Deeds in Book 1154, Page 169. For my title see deed to me of Edwin S.IMycook, Trustee, dated May 220 1U53, recorded with Barnstable County Registry of Deeds in Book 852, Page ?.57. No excise stamps are hereto affixed as none are required by law. JESd( Ydf]61104l�]l3hTdFX lmlD!lmtXX10f6tt1O�Xdbt1�1S7Qt XfW ��f116Dm()OOQ#DfObl(E91fOt1W(Of�CXE1O1 my hand and seal this.....P.3..................day of.......................May............19....68 ....................................::........... .................... ....... ...............:....:.......................................................... ............................................................................... Mho Qlommatitaralth of if<uasurhuaetts Barnstable es. May ,2_) 1968 Then personally appeared the above named James P. Souza and acknowledged the foregoing instrument to be his free act and deed,before me Edwin S. My000k Notary Wblic tK Y My mmmininn ecpirct Nov- L or 15, is 6 MAY% 1968 ANG ni'+I,I.G ("Individual—Joint Tc cants--Tenants in Common—Tenants by the Entirety.) L - (►'1V !� 806 .i 27 ,., ;;' We, JAMES P. SOUZ.A and ELIZABETH M. SOUZA, husband and wife, as tenants by the entirety, both of Main Street, Barnstable (Cotuit), Barnstable dE County,Maomhueette, &mcVw diffMK for roneideration paid,grant to 'DANIEL L. MCCAHTH" and MARGUERITE BA. McCAn 8oudhusband and wife, as tenants by the entirety, both lk County, Massachusetts m!t with Oddaim CODUMb theland•a in Barnstable (Cotuit), Barnstable County, Massachusetts, bounded and described as follows: Northerly by the sideline of Bayberry Lane, one hundred forty-seven and 31/100 (147.31) feet; Easterly by Lot 5, one hundred seventy-four and 33/100 (174.33) feet; Southerly by portions of Lots 3 and 4, one hundred eighty and 00/100 (180.00) feet; and Westerly by Lot 7, one hundred ninety-two and 37/100 (192.37) feet. Containing 30,000 square feet of land, more or less. Said premises are shown as LOT 6 on plan of land en- titled, "Subdivision Plan of land in Cotuit arnatabla Mass. for James P. Souza Scale: 1 in 100 ft Date 11 August 1960 which said plan Charles N. Savory i Co. Engineers - Surveyors Cotuit, Falmouth, Mesa.', Is duly filed in Barnstable County Registry of Deeds in Plan Book 159, Page 91. Together with a right of way over Bayberry Lane# withgtheset Road Grantors�andRally Marsh Road, as shown on said lant others lawfully entitled theret in common o. Being a portion of the premises conveyeddinrdeed of In James G. Souza to James P. Souza et ux, dated May 2.3, 1968, said Registry in Book 1401, Page 894. LA KI p,r1/1 eat M��.aY�N eendn/ ............................................................... r................................................._� l i f i 1 Vitam our hand! ..deals thin Y /' day of �('n 1 1969 Barnstable es. ;��(T �/ 1969 i Then personally appeared the above named James P. Souza and Elizabeth M. Souza end acknowledged the foregoing instrument to be their free sot and deed,before me Edwin S. mycrocic amyy lic—tm xakomnx My commission expires Nov, lber 15, 9 69 loll r f M 1 i9fi4 iUlll hunli�l I I r Boay=3 au 0 Z....r..6T7.QUITCIAW OZZO WORT FORM aNOrVIDUAu 80115871 i i, DANIEL L. McCARTHY, surviving tenant by the entirety, �. of Quincy (Wollaston), Norfolk Caanty,Maaadmm being snnuarkd,for= 'a on paid,and In fall aonsidaadon of one Dollar ($1.00) TEE of DANIEL L. MCCARTHY undet xY TRUSTO DAN]IEL�tL��.��M as pond;'1�453 7Pa d ff o dedL t Norfolk of e L dtb�; s tlatLtlatm rnttettaafa f Norfolk County, Massachusetts, if theleadin Barnstable (Cutuit), Barnstable County, Massachusetts, bounded and described as follows: 1 13 NORTHERLY by the sideline of Bayberry Lane, one hundred forty-seven and 31/100 (147.31) feet; EASTERLY by Lot 5, one hundred seventy-four and 33/100 (174.33)feet; !. -00UTHERLY by portions of Lots 3 and 4, one hundred eighty and 00/100 7 (180..00) feet; and WESTERLY by Let 7, one hundred ninety-two and 37/100 (192.37) feet. 'i Containing 30,000 square feet of land, more or less. ! Said premises are shown as LOT 6 on plan of land entitled, "Subdivision Plan of land in Cotuit Barns�a le Mass. for James P. Souza Scale: 1 in = 100 ft Date 11 August 1960 Charles N. Savery Co. Engineers - Surveyors Cotuit, Falmouth, Mass.", which said plan is duly filed in Barnstable County Registry of Deeds in Plan Book 139, f! Page 91. Together with a right of way over Bayberry Lane, Guimquisset Road and Rushy Marsh Road, as shown on said plan, in common with the Grantors and all others lawfully entitled thereto. i Being the same premises conveyed to Daniel L. McCarthy i and Marguerite A. McCarthy, husband and wife, as tenants by the entirety, by deed of James P. Souza et ux dated February 4, 1969 and recorded at Barnstable County Registry of Deeds, Book 1427, Page 338. Consideration for this transfer being less than One Hundred Dollars ($100.00), no documentary stamps are required. For my title see Estate of Marguerite A. McCarthy. r I Mww.AY.....hand and Beal this ei.qhteenth day of...............$Pri?A.........�9.Z . Daniel L. McCarthy i ............................................... .......................... ............................................................................... t Wo4MMmmwd* ofMamdw Norfolk, M April 18 19 78 Theo ptxearoally appe&W the.hove named Daniel L. McCarthy and atltavwledgad the foregoing imtttiment to be Wie rsxc btYnte{.. ore me My mmmldtiaacgpbm November 26, t9 82 (0bdMdwl—Jomt Tama—Tem b in Cammoa—Toasts by the Batirdy.) i` CRAM&tea SSG 6 AS AhMND a BY CKAFM 497 Or t9a Br�mr deed o�nmtad fa Owd dMH—t-a t am mdomd apoa k the!all oup,raidma and post d6a.ddma of&A ' and a mdhl d me too=of the tan amddemdw-1 to doll ur she aurae et tm aura mmldad i—ttedar,it an tmOtmnmdp�eodagd�m�m��uad�yf�aaL�'Bb tan mmdma000 dhda M=the WW pdfa for the OMMS m V�d�far a"not w . 1Nkta a am�pl/Fhb�b.ertim�l.th urn.AB adt mdmmmts dad aedet4 dhdu be«mndW a put d the dmd. it h in marpdioa Vft the eaWemmu d ttttd d�i0y d deed.ti0lTaldOR d deeds badl dRert a deed for terosdi.o®Im Uft 4 FMODRDED MAY 9 IN i _ g • BOUX74PAGE W 06879 DANIEL L. MCCARTHY, Trustee of Daniel L. McCarthy Family Trust under Declaration of Trust dated April 18, 1978 and recorded in Norfolk County Registry of Deeds in Book 5453, Pages 502 to 507, an attested copy of which is to be recorded herewith etc xeaaUWNmttnt"JMK in consideration of FIFTY-FOUR THOUSAND and 00/100 ($54,000.00) DOLLARS grants tto. GERALD R. MULLER and PAMELA H. MULLERI q((fb444 4yd wffe dr kemallff i0y +4& C64fiRer•y r bofk of 43 Bayberry Lane, Cotuit, Massachusetts with quitclaim cobenatds the land in Barnstable (Cotuit), Barnstable County, Massachusetts, bounded and described as follows: NORTHERLY by the sideline of Bayberry Lane, one hundred forty- seven and 31/100 (147.31) feet; EASTERLY by Lot 5, one hundred seventy-four and 33/100 (174.33) feet; 41 w SOUTHERLY by portions of Lots 3 and 4, one hundred eighty and v 00/100 (190.00) feet; and WESTERLY by Lot 7, one hundred ninety-two and 37/100 (192.37) m feet. �+N w Containing 30,000 square feet of land, more or less. m Said premises are shown on LOT 6 on plan of land entitled: "Subdivision Plan of land in Cotuit Barnstable Mass. for o James P. Souza Scale: 1 in - 100 ft Date 11 August 1960 Charles v u N. Savery Co. Engineers - Surveyors Cotuit, Falmouth, Mass.", which said plan is duly filed in Barnstable County Registry of Deeds in Plan Book 159, Page 91. Togetlier with a right of way over Bayberry Lane, Guimquisset Road and Rushy Marsh Road, as shown on said plan, in common with the Grantor and all others lawfully entitled thereto. For title, see deed dated April 18, 1978, to the Grantor recorded in Barnstable County Registry of Deeds in Book 2703, Page 042. t Executed as a sealed instrument this 3 i: day of March 19 80 Toe 46sus onfoealth of Aaasachttsetts BARNSTABLE, ss. March J f, 1980 Then personally appeared the'above named DANIEL L. MCCARTHY, Trustee of the Daniel L. McCarthy Family Trust and acknowledged the foregoing instrument to be his f '�'.'� qC! • ' Before me. am A:SA•C�HUSETTTS ��. •� i,. t pray Puexr v S a tay COMM ,••J 19 �/ tlsnrN Z& ZE5 r�RY QJ' J . MAR 3180 l 130 Guimquissett Road Cotuit, MA (b � i �,;•rV:r�s I WE, C1.UIRLE8 N. SAVERY and MARIAN F. SAVERX, husband and i wife, as tenants by the entirety, both of the Village of Cotuit, ..Town and County of Barnstable, Massachusetts, for consideration I paid, grant to CHARLES N. SAVERY, individually, of said Village i 7 e M of Cutuit, Tuwn and County of Barnstable, Massachusetts, with .:Quitclaim covmnante a certain parcel of land situate in Barnstable (Cotuit) aforesaid, bounded and described as follows: o m c SUUTFIWESTL•'ItLY By the sideline of Maple Street, One Hundred i [� Soventy-Six and 08/100ths (176.08) fsetr >$ uai :No By Lot 4, One Hundred Sixty-Five and 00/10Othsl (165.00) foot; �v y ; NORTHWESTERLY again By Lot 5, One Hundred Fifty-Two and 49/1O0ths Q -,.. (152.49)feet; 1.m N v NORTHWI+STGRLY again By Lot 5, One Hundred One and 69/100tha (1p1.69) still feet; N{ o NORTHIsRLY By the sideline of Bayberry Lane, One Hundred Eighty-Two and 99/100 (182.99) feet: NORTt1L'A6Tl:RL1' By the sideline of the intersection of Bayberry Lane and Quimquisset Road on an arc 25.00 feet, Thirty-Nine having a radius of and 27/100ths (39.27) feet; I SOUTHEASTERLY By the sideline of Quimquisset Road as shown on hereinafter-mentioned plan, Three Hundred Fifty-Six and 22/1O0ths (356.22) feet; SOUTHEASTERLY still By the sideline of the intersection of Quimquisset Road on an arc having a radius of 25.00 feet, Thirty-Nine and 27/100ths (39.27) feet; containing an area of 1.85 acres, more or less. Said premises are shown as LOT "C" on plan of land entitled "Subdivision Plan of Land in Cotuit BARNSTABLE Mass. for James P. Sousa Scale: 1 in. = 100 ft. Date 11 August 1960, Charles Jam N. svmry CO. Engineers - Surveyors Cotuit - Falmouth, Mass." to be recorded herewith. Together with a right of way over the streets and ways as shown on said plan, and over Shell Lane to Main Street, in common with all others entitled thereto. Frinei&,leemnto 40 Court Street Boston Massachusotts I • r 1 it !; i; For title reference, see Deed from James G. Souza to us i dated December 13, 1960, and recorded in Barnstable Country !. Registry of Deeds, Book 1103, Page 592. i. For consideration of this Deed, being less than $100.00, no Revenue Stamps are required. WITNESS our hands and seal this 29th day of August 1969. it ;. CHARLES N. AVC�•R MARIAN F. SAVERY�— COMMONWEALTH OF MASSACHUSETTS i`BARNSTABLE, 88. August 29 , 1969 1' ' I.' i; Than personally appeared the above-named CHARLES N. -SAVERY and MARIAN F'. SAVERY and acknowledged the foregoing instru-1 i'ment to be their free act and deed, before me I! \ I! Peter W. Princi, N tary Public ' My Commisdion Expires: May 8, 19751 I; !! 1 SEP 2.10 i' ! 1; is i� iE aw i Prtaet g Lecomte 40 Court Street M'assaehvaetts MA69ACNUBOT•QUITCLAIM Da6D LONo FORM tINDMDUALI••• 36,2282 tA-.: 107 218289 I, CHARLES N. SAVERY, Grantor, of Putnam Avenue, Cotuit, Barnstable County,Massachusetts, being=morried,ffauamid t /not for monetary consideration, and there being no stamps required, grant to Newcomb-Rich, Inc., a Delaware corporation, • having its usual place of business at 1300 Gulfshore Boulevard, Naples, Collier County, Florida, >1d with qundatm ctmrnsub the land in the County of Barnstable, bounded and described as follows: [Description and enrumbn=M if w7j PARCEL 1: A parcel of land on Asa Meigs Road.in the Towns of Sandwich and Barnstable, containing 9.4 acres, being Parcels A and B as shown on a plan for Charles N. Savery, dated December IS, 1972, and recorded in Plan Book 290, page 72, in the Barnstable Registry of Deeds. Also see deeds from Charles N. Savery and Marian F. Savery to me dated August 29, 1969, recorded in Plan Book 1450, page 490, and another deed dated November 17, 1975, recorded in Plan Book 2264, page 108, both recorded in said Registry. PARCEL 2: A parcel of land on the Westerly side of Putnam Avenue in the village of Cotuit, Town of Barnstable, containing 19.9 acres, as shown on a plan of land for Charles N. Savery Petitioner, dated September 30, 1970, recorded in Plan Book 243, page 111, in the Barnstable Registry of Deeds. Also see deed from Charlottte Parker Crocker to Charles N. Savery dated January 9, 1968, and recorded in Plan Book 1404, page 84, in said Registry. PARCEL 3: A lot of land on the Easterly side of Putnam Avenue in the village of Cotuit, Town of Barnstable, containing 0.50 acres, being Lot 2A on a plan of land for Charles N. Savery, dated December 30, 1957, and recorded in Plan Book 211, page 87, in the Barnstable Registry of Deeds. Also see deed from New England I Cranberry Sales Company to me dated January 31, 1951, recorded in Plan Book 779, page 181, in said Registry. PARCEL 4: A lot of land between Bayberry Lane and Cherry Tree Road in the village of i Cotuit, Town of Barnstable, containing 1.85 acres, being Lot C on plan of land for James P. Souza, dated August 11, 1960, and recorded in Plan Book 159, page 91, in the Barnstable Registry of Deeds. Also see deed from Charles N. Savery and Marian F. Savery to me dated August 29, 1969, recorded in Plan Book 1450, page 491, and deed from James P. Souza to them dated December 13, 1960, recorded in Plan Book 1103, page 592, all in the Barnstable Registry of Deeds. ` PARCEL 5: The land with the building thereon and shown as Lot 140A on a re-subdivision plan of land in Cotuit, Town of Barnstable, for Charles N. Savery et ux, dated October 10, 1955, and recorded in the Barnstable Registry of Deeds, Plan Book 124, page 95. This parcel is located on Grove Street, Cotuit. PARCEL 6: Lot 143AA, being located on Grove Street, Cotuit, as shown on a plan of land in Barnstable, village of Cotuit, Massachusetts, for Charles N. Savery et ali, (•Individua1-j01atTen8Dta-Tena0t8 in Common-Tenants by the Entirety.) ' CHAPTER 183 UQ 6 A8 AMENDED BY CHAPTER 381 OF 1967 Rvay deed presented for record aha6 curtain or 1Mve eodoned upon it the full Came,midcam and port office addma of the Fafum to comply with this oath=shall not afar the vdidity of soy deed.No register of deed)ahaa crapt a deed for remediaip=less it h In compliance with the rognacc ems of this a ctiom I 1� g 3COA2282 tact 108 PARCEL 6 continued dated July 27, 1965, and recorded in Barnstable Registry of Deeds, Plan Book 196, page 47. PARCEL 7: Lots numbered 133A and 134A, being located on Grove Street, Cotuit, as shown ! on a plan, re-subdivision plan of part of land in Barnstable, Cotuit, Massachu- setts, for Charles N. Savery et ux, dated October 5, 1956, and recorded in Barnstable County Registry of Deeds, Plan Book 124, page 9S. PARCEL 8: i A parcel of woodland lying Westerly of Chase Road in the Easterly part of Sandwich, containing 12.23 acres and shown on a plan of land for Charles N. Savery dated January 16, 1974, and recorded in the Barnstable Registry of Deeds in Plan Book 288, page 97. For my title, see deed from Frank W. Anderson to me dated August 29, 1969, recorded in Book 1450, page 487, in said Registry. i Also see deed from David A. Pfaeler to Frank W. Anderson, recorded in Plan Book l 1444, page 71, in said Registry. PARCEL 9: Two parcels of land situated in (East) Sandwich, Barnstable County, Massachu- setts, being shown as Parcel A, containing 1.37 acres, and Parcel B, containing 11.87 acres, on a Plan of Land in (East) Sandwich for Charles N. Savery, dated i November 4, 1970, and recorded in the Registry of Deeds for the County of Barnstable in Plan Book 263, page 29. For my title see deed from William A. Burke and Bobbie J. Burke to me dated November 17, 1975, and recorded in Book ! 2264, page 107, in said Registry. I 1 i I' + i i I .f 3Q0h22V- tA.;j log husband of said grantor, Wife relax to said grantee all fights of tenancy by the curtesy dower and homestead and other interests therein. 11fteos; MY Jmd and seal this................... of Atqvft.t 75 .................................................................................... 4 -el<6-4�n .................................................................................... ......................................................:.............................. ................................................................................... ..................................................................................... Barnstable as. December , ig 75 Then personally appeared the above named CHARLES N. SAVERY : and acknowledged the foregoing instrument to be HIS free act and deed,before sae ........... iiouq4 Public My Commission Epirex 197.1— AUhULuUEC3175 (THE FOLLOWING IS NOT A PART OF THE DEED,AND 15 NOT To SE RSOOEDED') CHAFTER 183,SECTION 11,GENaEAL IAws A deed in substance following the form entitled "Quitclaim Deed" " when duly executed have the force and effect of a deed in fee simple to the grantee, his heirs and assigns, to his and their own use, with covenants on the put of the grantor,for himself, his heirs, executors, administrators and successors, with the grantee, his heirs, successors and assigns, that at the time of the delivery of SUCh deed the premises were free from all encumbrances made by him, and that he will, and his heirs, executors and administrators shall, warrant and defend the same to the grantee and his heirs and assigns forever against the lawful claims's d &Jnands Of all Pemins claiming by,through or under the grantor,but against none other. i QUITCLAIM DEED 14604 KNOW ALL MEN BY THESE PRESENTS, that NMfCOMB-RICH, INC., a ccrporation duly organized under the laws of the State of Delaware and having an usual place of business in Naples, Collier County, State of Florida, for the consideration paid of SIX THOUSAND FIVE HUNDRED and 00/100 ($6,500.00) DOLLARS grants to ROBERT H. QUINN and MARJORIE QUINN, husband and wife, as tenants by the entirety, whose residence and mailing address Is 13 Eaethill Drive, Hudson, Hillsboro County, New Hampshire 03051 with QUITCLAIM COVENANTS, the land situate in Cotuit, Barnstable County, Massachusetts, bounded and described as follows: NORTHERLY by Bayberry Lane, as shown on hereinafter mention plan, one hundred eighty-two and 99/100 (162.99) feet) NORTHEASTERLY by an arc at the intersection of Guimquiseet Road ' and Bayberry Lane, the radius of which is twenty- five and 00/100 (25.00) feet, as shown on said plan, a'distance of thirty-nine and 27/100 (39.27) feet► EASTERLY and SOUTHEASTERLY by Guimquiseet Road, as shown on said plan, two hundred thirty and 43/100 (230.43) feed SOUTHWESTERLY. by Lot C2, as shown on said plan, one hundred ninety and 20/100 (190.20) feet] NORTHWESTERLY by land of Lawrence V. and Mary M. Bjork, as shown on said plan, sixty and 00/100 (60.00) feet: and WESTERLY by land of Lawrence V. and Mary M. Bjork, as shown on said plan, one hundred one and 69/100 (101.69) feet. The land being conveyed herein is shown as LOT Cl on a plan of land entitled "Plan of Land in Cotuit, Barnstable, Mass. for Charles N. savory Drawn by R.S.J. Scale: 1 in. - 40 ft. Checked by R.P.B. Date: December 29, 1975, Charles N. Savery Inc. Registered Civil Engineers s Land Surveyors 712 Main St. Hyannis, Mass." said plan is recorded in Barnstable County Registry of Deeds, Book 301, Page 100. For title reference, see deed to grantor recorded with Barnstable County Registry of Deeds, Book 2282, Page 108. IN WITNESS WHEREOF, NEWCOMB-RICH, INC. has caused this instrument to be signed and its corporate seal to be hereto affixed by CHARLES N. SAVERY,. its President and Treasurer, duly authorised this day of , 1976. ." NEWCOMB-RICH, INC. oft STAFF and o p g"7 6 t+ •�EA By 11MRXKr"AT Vr 3 Vrr quidopg— n,run,r1:1r •'�.d�AS�40• C es V ryr r rruuu.r,uS.ww, •.... a�a and Treasurer of two typewritten pages i• o� g ,aV 2359 +:: 299 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS , 1976 Then personally appeared the above named, Charles N. Savery, as President and Treasurer of NEWCOMB-RICH, INC. and acknowledged the foregoing instrument to be the free act and deed of said corporation, before me, N tary c MY Commission Expirest ;2'J-4TA CM h L=TH OF MASSACIIUTT6tiT6 o Page 2 of two typewritten pages STAFF and xamex� c ATTONMNTN AT%AW TIN MAIN STAUT N T.VIMIN.M"41.NSNNI RUCORDED JUKE 25, 1976 B00K=PIGE 309 21835 WE, ROBERT H. QUINN and MAR7ORIE QUINN, Husband and wife as tenants by the entirety, both t of Hudson, New Hampshire, (baoodfimubasim in ooasidantlon of EIGHT THOUSAND AND NO/100THR DOLLARS ($8,000.00) paid, , t grant to CHARLES A. BOWLER and PAMELA M. BOWLER, husband and wife r as tenants by the entirety, both i of RFD 9, Box 291, Pinecrest Drive, Bow, New Hampshix Q3301 afUi gatt{clittta ssbenattts the land Jt situate in Barnstable (Cotuit), Barnstable County, Massachusetts, bounded and described as followst NORTHERLY. by Bayberry Lane, as shown on hereinafter mentioned plan, one hundred eighty-two and 99/100 (182.99)feet; NORTHEASTERLY by an arc at the intersection of Guimquisset Road and f i Bayberry Lane, the radius of which is twenty-five and i F 00/100 (25.00) feet, as shown on said plan, a distance of thirty-nine and 27/100 (39.27) feet; EASTERLY and t SOUTHEASTERLY by Guimquisset Road, as shown on said plan, two r ? hundred thirty and 43/100 (230.43) feett SOUTHWESTERLY by Lot C2, as shown on said plan, one hundred ninety and 20/100 (190.20) feet; NORTHWESTERLY by land of Lawrence V. and Mary M. Bjork, as shown on laid plan, sixty and 00/100 (60.00) feet; and WESTERLY by land of Lawrence V. and Mary M. Bjork, as shown on said plan, one hundred one and 69/100 (101.69) feet. The land being conveyed herein is shown as LOT Cl on a plan of land entitled "Plan of Land in Cotuit, Barnstable, Mass. for Charles N. Savery Drawn by R.S.J. Scale: 1 in. - 40 ft. Checked by R.P.H. Date: December 29, 1975, Charles N. Savery Inc. Registered Civil Engineers 8 Land Surveyor! 712 Main St. Hyannis, Mass." Said plan is` recorded in Barnstable County Registry of Deeds in Plan Book 301, Page 100. For title see deed of Newcomb-Rich, Inc. to us dated h 1976 and recorded with said Registry in Book 2359, Page 298 on June 25, 1976. Execvtad a a sealed instrument this 16th da Of August 19 82 'Rob uinn � Qr sue. �'!(yl/6�til� Li.LA3•�t.04 t ,. Marjorie Quinn ` STATE; OF NEW HA(+IPSHIRE ss. August 16, ....... 1982 Than personally appeared the wave named Robert H. Quinn and aeknoMedVd the foregoing untrument to he i f ee My commission expiry ;pt6taco�f;ba0lse aeotto��.t>Enmuw►.naan t�lorc p��Y Nq' gkr;W.s0waatl,ar�,9YI Kt�6,40 AUG is42 t 90 Cherry Tree Road Cotuit, MA f - 852 I, Edwin S. Mycock, Trustee, *under a Declaration of Trust dated 2 S 7 ' i February 3, lggs duly recorded with Barnstable County Registry of Deeds,. df Barnstable.( yannis), Barnstable County,Massachusetts, being mnwrried,for consideration paid,grant to James G. Souza, of Barnstable (Cotuit), Barnstable County, Massachusetts, with gnwiafm taveuants the land, with 'the buildings thereon, situated in Barnstable (Cotuit), tnese.t,em and eeenm6rwce,,if mr] ' Barnstable County, a''assachusetts, bounded'and described as follows:- Easterly by Main Street, one hundred t:renty-eight and 13/100 (128.13). feet; Southerly by lands now or formerly of Roberti:. French, Trustee and of Joseph S. Condinho,' seven hundred nine and 50/100 (709.50) feet; Westerly thirty—three (33) feet; Northerly one hundred thirty-two (132) feet; Nesterly eighty-two and 50/100 (82.50) feet by land of said Condinho; and Northerly by lands of sundry adjoining owners as shown on the plan hereinEfter entio_ed six hur_cred eighteen and 75/106 (618-75) feet. All of said boundaries are determined by the Land Court as shown on Land Court Plan #15287A, dated April 1932, drawn by Nelson Bearse, Surveyor, and filed inthe Land Court at Boston, a copy of .shich is filed in Barnstable County Registry of Deeds in Lend Registration Book 12, 'age 256 with Certificate of Title No.3116. The above described land is su-uject to any possible statutory rights in said land growing out of the debts or settle- ment of the'Estate of one Joseph S. Condinho,' late of said Barnstable, who died on or about November 27, 1937, if claimed and e;tforced td.t`_in the ti-me allowed by law. Being the registered land as shown on Certificate of Title lio.L3 a Z , Land Court Case No. 15287. Also the three following described :parcels of un- registered land situated in Barnstable (Cotuit), aforesaid, bounded and described as follows: FIRST.PARCEL Land in Barnstable (Cotuit Hi,hground), Barnstable j County, Massachusetts, bounded and described as follows:- Beginning at the Northeasterly corner of the premises, by an old way and at the Northwesterly corner of land now or• for- merly of Ulysses A. Hull, formerly of Fred Williamson; thence Southerly by land now or fortt;erly of.said null to lend of the estate of James E. Rothwell; thence Westerly by land of the said James E. (: Rothwell estate and swamp to a point about sixteen (16) feet from the, upland; thence-again Southerly by swamp of the said James E. . Rothwell estate and said hull to an old white pine tree; thencg i Westerly,by land or swamp formerly of Frederick Rogers to the old. 4'- road leading to Qu.unaquissett, so-called; thence* Vlesterly crossing k Quimaqui'ssett road by land- supposad to be of said Rogers to the Rushy Hirsh Road; thence Northerly by said Rushy Marsh Road.to land is nbir or"formerly-belonging to the estate of John A. Morse and Charles L•.4ifford, undivided; thence Easterl-y ..by. said Morse and Gifford land_to-s.aid.'Qiximagtiiasett..ttoad; thence Easterly.by the old way, ".first,mentioned, by land supposed.to be..df the estate of said°John A. ffiorse::to.the .point_oP beginning., :ice: - i r ::;'852 Beginning.at.the Northeast carner..of;tha granted par-. cel by'land'now or formerly of James. E. Rothwell and Ulysses A:. .Hull, - sgid corner being four hundred sixty-eight and .55/100 .(k68.55) feet 2 5 8' Westerly from the Main Street; thence Southerly by land now or for- merly of said Ulysses A. Hall .tvo huridred'twenty-nine (229) feet' said course being at right angles 'with s aid Rothwell�s land before mentioned; thence Westerly by land now or formerly of A. C.- . Nickerson about two hundred sixty-five (265) feet to a white pine tree; thence Northerly by land now or formerly of said James E. Bothwell about two hundred thirty-two (232) feet to a stake; thence' *Easterly by land now or formerly of said James E. Rottwell two hundred fifty-three and 45/100 (253.45). feet to the first mentioned corner or point of beginning.- THIRD PARCEL: Beginning at an iron stake on the 0,uimaquissett Road at the northwesterly corner of the granted premises; thence Easterly. by land now or formerly of James E. Rothwell,,five hundred eighty- three and 7/10 (583.7) feet to the southwesterly corner of the homestead lot now or formerly of Ulysses A. Hull; thence southwesterly one hundred thirty and 5/10 (130.5) feet on a line parallel with Plain Street and about four hundred forty-one (L4.1) feet therefrom; thence Westerly parallel with the northerly boundary line to the said 6;uimaquissett road; thence North-masterly along said road to the point of beginning. Or however otherwise said parcels or any of then may be. bounded.or described, be any or all of said measurements or contents more or less. There is excepted from this conveyance land conveyed by William S. Condinho at ux to Francis H. Chardonait, by deed dated June 25, 1947 and recorded 'm:ith Barnstable-County Registry of Deeds, Book 674, rage 553; also land conveyed to Edward S. Savery at ux, by deed dated May 11, 1950 end recorded with said Barnstable Deeds, Book- 762, raga 464; also premises conveyed to Edith h. Turner, by deed duly recorded with said Barnstable Deeds;. also'premises conveyed to Karl J. Jokele, by deed duly recorded with said'Barnstable Deeds; and excepting also any other conveyances of record made by V�Illiam S. Condinho at ux, or by this grantor. For my title, reference is :jade to a deed to m6 from 'iiillian S. Condinho at ux, by deed dated February 3, 1949 and recorded with Barnstable County Registry of Deeds in Book 713, Page 434. Nominal consideration. Subject to mortgages and liens of record. x � • r t�ffiC��fe7t9�tg5�( ' Uttar" m9 hand and seal this of M-Y, 19.53 mlY &MMatutauk of Mammett u Y. Barnstable, ss. Hay ol 19 53 Then personally appeared the above named Edwin S. b7ycock, Trustee and acknowledged the forgoing nent to be his ' free act and'deed,before. Virginia'fdscEacher' AU t... ' sirs 31; �' x''s�.J:�a <�� :.Y�, .�-53.'sl;:�n.:. �_=�if...4�y!:'�:�':: ::c`:� 'ss`s"'r:..'i„t"..c:::•. ) n BARN STABLE COUNTY REGISTRY OF DEEDS - A TRUE COPY,ATTEST �._ - `DE R G Barnstable September Received September, l 1953 and is recorded: ' �5z 2g9 1 Boston, Iraesachusetts, March 10, 1953 At the regular monthly meeting of the Board of Directors of the Boston Federal • i Savings and Loan Association held'on March 9, 1953, a duorum being present, on notion tt' duly Made and seconded, it vms unanimously is "RESOLVED, That the President, Treasurer or Assistant Treasurer of this Association is hereby authorized and empowered for and on behalf j: of this Association to execute, ao:mo:,ledge , and deliver ail deeds, incl'udin_ foreclosure deeds, certificates of possessicn for pur- poses of foreclosure of any mortgage,, con- tracts, leases, releases, partial releases, extensions and dicharges of mortgages." !' A true copy. Attest: As(sistant Secre'ta.-y<'-= I certify that the following persons are officers of said Association: '' LP LP Edmond F. Dagnino President w Robert H. Taylor Treasurer Arthur A. Perrin, Jr. Assistant Treasurer i- d) a� Assis"tahz`Secretary, i C.OBMOAAEALTEj OF MASSACHUMTS Barnstable,ss. Imo' 'March 10,'1953. Then personally appeared the above=iiamed'John J. Herlihy,Aasistant : Secretary, and acknowledged the foregoing. to be-the free act and deed of r the. Boston-'-Federal Savings and Loan Association,C Before me- \/ Virgi: Mac4q)WipEj7:#o arY r.izblic My Comm.Exp..Augus't:31 �956 Barnstable, ss.,.Received'September 1, 1953, and is recorded.. i. k l I I r: t MA99ACNUBRTaDUITCLAIM099DaNORT PORN I INDIVIDUAL)eel i'•Np cs I. JAMES 0. SOUZA, 0130 known as JAMES P. SOUZA of Barnstable (Cotuit), Barnstable County,Massachusetts, being mnnarrled,for consideration paid,grant to JAMES F. SOUZA and ELIZABETH M. SOUZA, husband and wife,Bastena es by the entirety, both of Main Street, Barnstable (Cotuit), • County, Massachusetts with galtrinim inarttnnts Xf (Dnrriptim and mnvmbmnce&if.ay] Certain parcels of land situated in Barnstable (Cotuit), Barnstable County, Massachusetts, and being shown as LOTS 2, 3, 4, 6, 21, 22, 24, 25, 26, 27 and "A", as shown on plan of land entitled, Subdivision Plan of land in Cotuit Barnstable Mass. for James F. Sousa Scale: 1 in. a 100 ft. Date 11 August 1960 Charles N. Savory Co. Engineers - Sur- veyors Cotuit - Falmouth, Mass.", which said plan is duly filed in Barnstable County Registry of Deeds in Plan Book 159, Page 91. Together with the fee in the street9, roads, lanes, avenues and ways as shown on said plan, subject to the rights of others who may be legally entitled thereto to use the same. So much of Lot "A" as is included within the limits of Shell Lane, is subject to a Taking by the Town of Barnstable, recorded in said Barn- stable County Registry of Deeds in Book 1154, page 169. For my title see deed to me of Edwin S. Mycook, Trustee, dated May 22, 1953, recorded with Barnstable County Registry of Deeds in Book 852, Page ?57. No excise stamps are hereto affixed as none are required by law. IiDI�]GIkDC�� 7mlit38lXXlt> '(8it[ElXt�t1�]iSXtt X�1t1��(JO]Q�D(ED](0000047(Oflt}1C)CE(0( Ettnagn...m3..,..hand and seal this.....a73..................day of........�.j............May,...........19....68 .................................................................... ;. Y...i.. ............. ........ C./ ....................................................... Mhe QJ0mnt011wralth of tHuasurhugettn Barnstable ss. May e2_3 i9 68 Then personally appeared the above named James F. Sousa and acknowledged the foregoing instrument to be his free act and deed before me C..y...cf.......t� Edwin $. My000k IVomry'1 b d My tommiuinn t,Fim Novem or 15, is 6 & MAY% 1968 ANII H!MR ('Individual—Joint Tenants--Tenants in Common—Tenants by the Entirety.) BARNSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST i ISTER• ennr 17I2 vast 012 246i0 j WE JAMBS P. SOUZA AND ELIZABETH M. SOUZA, husband and wife, as ten- ris by the entirety, both Main Street, Barnstable, (Cotuitj, i Barnstable County,Malswhotetm, bd"9W—*4 for twnddeeaHan PaK gent to PAUL K. ROMA and JEAN M. ROMA, husband ; and wife, as tenants by the entirety, both V Massachusetts { of 48 Lake Avenue,.Woburn,Middlesex County, / ,vlth 66"uffmm* thelandtn Barnstable, (Cotuit), Barnstable County, Massachusetts, bounded and described as follows: j SOUTHERLY by the sideline of Cherry Tree Road, one hundred twenty- + five and 00/100 (125.00) feet; WESTERLY by Lot 3, one hundred sixty-five and 00/100 (165.00) feet NORTHERLY by a portion of Lot 6, and by lot 5, one hundred twenty- t five and 00/100 (125.00) feet; and EASTERLY by Lot "C11, one hundred sixty-five and 00/100 (165.00) t feet. Containing 20,625 square feet of land. Said premises are shown as LOT 4 on plan of land entitled, "Subdivisio Plan of Land in Cotuit, Barnstable, Mass. for James P. Souza Scale 1 in. = 100 it. August 11, 1960 Charles N. Savery Co. Engineers - Surveyors, Cotuit - Falmouth, Mass.", which said plan is duly recorded in the Barnstable County Registry of Deeds Book 159, Page 91. Together with the fight of way in co®mgj3;�gi'th the 9;antor and all i others lawfully entitled thereto ovet &A;:ip'"Tree'Road, Guimquisset # Road, and Rushy Mash Road as shown on said plan for all purposes j for which public woe are used in the Town of Barnstable. Being a portion of the premises conveyed to us by deed-of James G. I Souza, alias, May'23, 1968 and recorded in Barnstable County Registry of Deeds, Book 1401, Page 894. The monetary consideration for this deed is FOUR THOUSAND AND 00/100 ($4,000.00) DOLLARS. COMMONWEALTH OF MASSACHUSETTV 1 JDS �,XOIHIE- "44 t _ ... .. XWm our hands and aml sthia 21st day of A uat' 1972 I W �k�amtosegttq of o w W, 0 w ' Barnstable ee. August �e14 1972 tL L) iThen personally appeared the above named JAMBS P. SOUZA and ELIZABETH M. SOUZA J O a ! FHW, L Z 3 Z and oekrowkdged the fomlBalnB inatnlmeM to their free act end ir Q w mom¢ Nataro Au6tu • Kceo eel rz4 7txc i M 7 1 9t 1r-G'. i RECORDED AUG 291972 MAecrf ay, 19117 74 Cherry Tree Road Cotuit,MA W , 01A RLES N. SAVERY and MA}IlAN F. SAVERY, husband and E .wife, as tenants by the entirety, both of the Village of Cotuit, i .Town and County of Barnstable, Massachusetts, for consideration SAVERY, individually, of said Village paid, grant to CkIARLES N. s, i N of Cotuit, Tuwn and County of Barnstable, Massachusetts, with i > m .,quitclaim Covenants m certain parcel of land situate in Parnatable o m (Cotuit) aforesaid, bounded and described as follows: w � SOUTtI1dE6TL1tLY By thm sideline of Maple Street, One Hundred i Seventy-Six and 08/100ths (176.08) feet; > uoi NOR'PtttdESTLRLY Hy Lot 4, One Hundred Sixty-Five and 00/100thel (165.00) feet; u one Hundred Fifty-Two and 49/100tha NoRTHWESTL•'RLY again By Lot 5, (152.49)feet; uNORT@iWES'1'GRLY again By Lot 5, One Hundred Oneand 69/100tha (101.69) still feet; NORTHERLY By the sideline of Bayberry Lane, One Hundred Eighty-Two and 99/100 (182.99) feet, NORTHEASTERLY By the sideline of the intersection of I Bayberry Lane and QuimquisseL• Road on an arc having a radius of 25.00 feet, Thirty-Nine and 27/100ths (39.27) feet; I 50U'PHEA6TCRLY By the sideline: of Quimquisset Road as shown on hereinafter-mentioned plan, Three llundred Fifty-Six and 22/100ths (356.22) feet; SOUTHEA6'1ERLY still By tile uissetsideline Roadoon the an are havingintersection Quimqa radius of 25.00 feet, Thirty-Nina and 27/100ths (39.27) feet; containing an area of 1.85 acres, more or lose. Said premises are shown as LOT "C" on plan of land mntitlmd "Subdivision Plan of Land in Cotuit BARDISTABLE Mass. for l 1 in. = 100 ft. Date 11 Augu James P. st 1960, Charles Sousa Scale: N. svmry Co. Engineers - Surveyors Cotuit - Falmouth, Mass." to be recorded herewith. Together with a right of way over the streets and ways as shown on said plan, and over Shell Lane to Main Street, in common with all others entitled thereto. Princi&.Leoomto 40 Court Streot Boston Ittassaehusotts � B i; FJ1G..g•It�:°:�... ; For title reference, see Deed from James G. Souza to us i dated December 13, 1960, and recorded in Barnstable Country !. Registry of Deeds, Book 1103, Page 592. i. Por consideration of this Dead, being less than $100.00, '- no Revenue Stamps are required. '• WITNESS our hands and seal this 29th day of August 1969. it z ay ,. CHARLES N. AVER i ! MARIAN F. SAVERY I� COMMONWEALTH OF MASSACHUSETTS HARNSTABLE, SS. August 29 , 1969 1: Then personally appeared the above-named CHARLF.S N. SAVERY and MARIAN F. SAVERY and acknowledged the foregoing instru-i i! mant to be their free act and deed, before me Peter W. Princi, N tary Public I` My Commission Expires: May 8, 19751 (i �! SEP 2�1 1g69 � I` i i r i• FRtlaei Se l eeOfflto 40 court Stroat Boston Mamahusetts 4 � MA69ACHUG TTY QUITCLAIM Demo LONG FORM I INDMOUAU Oet 3ooa2282 tA,; 107 2�289 I, CHARLES N. SAVERY, Grantor, of Putnam Avenue, Cotuit, Barnstable County,Massachusetts, berngsmomarried,fauiotmitt c o/not for monetary consideration, and there being no stamps required, grant to Newcomb-Rich, Inc., a Delaware corporation, a having its usual place of business at 1300 Gulfshore Boulevard, Naples, Collier County, Florida, rmf with quittlalttl tovZ11a1R8 the land in the County of Barnstable, bounded and described as follows: (Description and eocum6note,if any] PARCEL 1: A parcel of land on Asa Meigs Road.in the Towns of Sandwich and Barnstable, containing 9.4 acres, being Parcels A and B as shown on a plan for Charles N. Savory, dated December 15, 1972, and recorded in Plan Book 290, page 72, in the Barnstable Registry of Deeds. Also see deeds from Charles N. Savery and Marian F. Savery to me dated August 29, 1969, recorded in Plan Book 1450, page 490, and another deed dated November 17, 1975, recorded in Plan Book 2264, page 108, both recorded in said Registry. PARCEL 2: A parcel of land on the Westerly side of Putnam Avenue in the village of Cotuit, Town of Barnstable, containing 19.9 acres, as shown on a plan of land for Charles N. Savery Petitioner, dated September 30, 1970, recorded in Plan Book 243, page 111, in the Barnstable Registry of Deeds. Also see deed from Charlottte Parker Crocker to Charles N. Savery dated January 9, 1968, and recorded in Plan Book 1404, page 84, in said Registry. PARCEL 3: A lot of land on the Easterly side of Putnam Avenue in the village of Cotuit, Town of Barnstable, containing 0.50 acres, being Lot 2A on a plan of land for Charles N. Savery, dated December 30, 1957, and recorded in Plan Book 211, page 87, in the Barnstable Registry of Deeds. Also see deed from New England Cranberry Sales Company to me dated January 31, 19S1, recorded in Plan Book 779, page 181, in said Registry. PARCEL 4: A lot of land between Bayberry Lane and Cherry Tree Road in the village of i Cotuit, Town of Barnstable, containing 1.8S acres, being Lot C on plan of land for James P. Souza, dated August 11, 1960, and recorded in Plan Book 159, page 91, in the Barnstable Registry of Deeds. Also see deed from Charles N. Savery and Marian F. Savery to me dated August 29, 1969, recorded in Plan Book 1450, page 491, and deed from James P. Souza to them dated December 13, 1960, recorded in Plan Book 1103, page 592, all in the Barnstable Registry of Deeds. PANEL 5: The land with the building thereon and shown as Lot 140A on a re-subdivision plan of land in Cotuit, Town of Barnstable, for Charles N. Savery et ux, dated October 10, 1955, and recorded in the Barnstable Registry of Deeds, Plan Book 124, page 9S. This parcel is located on Grove Street, Cotuit. PARCEL 6: Lot 143AA, being located on Grove Street, Cotuit, as shown on a plan of land in Barnstable, village of Cotuit, Massachusetts, for Charles N. Savery et ali, (*Individual-Joint Tenants-Tenants in Common-Tenants by the Entirety.) CHAPTER 183 SEC.6 AS AMENDED BY CHAPTER 581 OF 1967 Bwery deed praeotd for record&hall contain or lave melon d upon it the full name,mideoce and port off=address of&a eraneee. Pafure to mmply with tbir&oboe dhaE not affect the nudity of toy ded.No register of dad&&hell ampt a deed for ..6V oohs 8 is 1Q eomA-=with the mQuiumean of this woloo. ' t 3iOA2282 IAGi. 108 PARCEL 6 continued dated July 27, 1965, and recorded in Barnstable Registry of Deeds, Plan Book 196, page 47. PARCEL 7: Lots numbered 133A and 134A, being lccated on Grove Street, Cotuit, as shown ! on a plan, re-subdivision plan of part of land in Barnstable, Cotuit, Massachu- setts, for Charles N. Savery et ux, dated October 5, 1956, and recorded in Barnstable County Registry of Deeds, Plan Book 124, page 95. PARCEL 8: i A parcel of woodland lying Westerly of Chase Road in the Easterly part of Sandwich, containing 12.23 acres and shown on a plan of land for Charles N. Savery dated January 16, 1974, and recorded in the Barnstable Registry of ' Deeds in Plan Book 288, page 97. For my title, see deed from Frank W. Anderson to me dated August 29, 1969, recorded in Book 1450, page 487, in said Registry. i Also see deed from David A. Pfaeler to Frank W. Anderson, recorded in Plan Book k 1444, page 71. in said Registry. PARCEL 9: Two parcels of land situated in (East) Sandwich, Barnstable County, Massachu- setts, being shown as Parcel A. containing 1.37 acres, and Parcel B, containing 11.87 acres, on a Plan of Land in (East) Sandwich for Charles N. Savery, dated November 4, 1970, and recorded in the Registry of Deeds for the County of Barnstable in Plan Book 263, page 29. For my title see deed from William A. Burke and Bobbie J. Burke to me dated November 17, 1975, and recorded in Book 2264, page 107, in said Registry. I i i - C, 300a2282 rxj log husband of said grantor, Wife release to said grantee all rights of tenancy by the curtesy dower and homestead and other interests therein. 10Wwoo.......PY hand and seal this................... of Aq.st*n 75 .................................................................................... ............. ....... .................................................................................... ......................................................:..........!..................... .................................................................................... ...................................................................................... Barnstable as. December , 19 75 Then personally appeared the above named CHMES N. SAVERY and acknowledged the foregoing instrument to be HIS free act and deed,before < 0. Otary PU 1C d, —W --2 My Commission Expires 19T— gt'UU�,U'LU UEC 317S (-R FOLLG=NG IS Nor A PART OF THE Dam),AND U NOT TO BE RECORDED) CHAPrBR 183,SEcnoN it,GaNaPAr IAws A deed in substance following the form entitled "Quitclaim Deed" &hall when duly execoted have the force and effect of a deed in fee simple to the B—tee, his heirs and assigns, to his and their own use, with covenants on the part of the grantor, for himself, his heirs, executora, administrators and suomum,, with the grantee, his heirs, suocessors and assigns, that at the time of the delivery of Such deed the premim were free from all encumbrances made by him, and that he will, and his heirs, executors and admiaWrators shall, warrant and defend the same to the grantee and his heirs and asaip3 forever against the lawful rjoinm'and demands of All Pemim;claiming by,through or under the grantor,but against none other. eon 2613 FAc( 3n QUITCLAIM DEED 1'i91a KNOW ALL MEN BY THESE PRESENTS, that NEWCOMB-RICH, INC., a corporation duly organized under the laws of the State of Delaware and having an usual. place of business in Naples, Collier County, State of Florida, for the consideration paid of FIVE THOUSAND and 00/100 ($5,000.00) DOLLARS grants to 4 WILLIAM V. MATTOS and CECILIA P. MATTOS, husband and wife,, as tenants by the entirety, whose residence and mailing address is s 24 Farley Street, Nashua, New Hampshire 03060 with QUITCLAIM COVENANTS, the land situate in Cotuit, Barnstable County, Massachusetts, bounded and described as follows: i. NORTHERLY by land of Lawrence V. and Mary M. Bjork, as shown on said plan, ninety-two and 49/100 (92.49) feet; and NORTHEASTERLY by Lot Cl, as shown on said plan, one hundrad ninety and 20/100 (190.20) feet; SOUTHEASTERLY by Guimquiseet Road, as shown on said plan, one hundred twenty-five Pnd 79/100 (125.79) feet; and by an arc at the intersection of Guimquisset Road and Cherry Tree Road, the radius of which is twenty-five and 00/100) (25.00). feet, as shown on said plan, a distance of thirty-nine and 27/100 (39.27) feet; SOUTHWESTERLY by Cherry Tree Road, as shown on said plan, one hundred seventy-six and 08/100 (176.08) feet; WESTERLY by land of Paul K. and Jean M. Roma, as shown on said plan, one hundred sixty-five and 00/100 (165.00) feet. The land being conveyed herein is shown as LOT C2 on a plan of land entitled "Plan of Land in Cotuit, Barnstable, Hasa. for Charles N. Savery Drawn by R.S.J. Scales 1 in. a 40 ft. Checked by R.P.H. Date: December 29, 1975, Charles N. Savery Inc Registered Civil Engineers a Land Surveyors 712 Main St. Hyannis, Mass." Said plan is recorded in Barnstable County Registry of Deeds, Book 301, Page 100. ROBERT A. BIANCHI 2NX%w ZT=k - Page 1 - Wo0M[YI a ur 712 iml t70[KT M711NW&WAS&O1001 i � g 9W3 au � For title reference, see deed to grantor recorded with Barnstable County Registry of Deeds, Book 2282, Page 108. IN WITNESS WHEREOF, NEWCOMB-RICH, INC. has caused this instrument to be signed and its corporate seal to be hereto affixed by CHARLES N. SAVERY, its President and Treasurer, duly authorized this /7 day of )_k4j , 1977. NEWCOMB-RICH, INC. •... ••••..,,, By -tfiar es N. S eE e and Treasure FA".tA COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS )'_� /7 . 1976 Then personally appeared the above-named, Charles N. Savery, as President and Treasurer of NEWCOMB-RICH, INC. and acknowledged the foregoing instrument to be the free .act and deed of said corporation, before me, Notary Public My Commission expires: CommO ALTH OF MASSACHUSETTS I 1 1. 4 O 1 ROBERT A. BIANCHI �MUNKNINX AT10AAa17 AT uM )la MAIN PART P.0•sox 1aa .NtANMIa.MAJL 02001 ,. 2 RECORDED MAY 2 3 677 vivaPlw.... . .. r OOOK3807 PAGE 1Q�ewaNv.R►rR GYerae uM DRRO iiIORT/,ORY eNeeveev>,W N1 2'783'7 W zim v. MATTOS AND CECIT.TA P. MKIM, husband and wife, both of Cotuit (Barnstable) Barnstable County,Manschuatb being 4bma►ried,for coadderation paid,and in full eoae)deration of Ten Thousand ($10,000.00) Dollars ( grants t0 WiLT.TAM L. MAMTCG • of 82 High Road, Newbury, Massachusetts with quttriaha caornaats the land in Cotuit (Barnstable) Ocnu]ty, Massachusetts, bounded and described as follows: EDeKliption and enwmbnnae,,it my) NORTFMMY by land of Lawrence V. and Mary M. Bjork, as shown on said plan, ninety-two and 49/100 (92.49) feet; and NORMENSTERLY by Lot C1, as shaven on said plan, one hundred ninety and 20/100 (190.20) feat; 3OUTHEASTERLY by 6laimquisset Road, as shave on said plan, one hundred twenty- five and 79/100 (125.79) feet; and by an arc at the intersec- tion of Guinquisset Road and Cheesy Tree Road, the radius of which is'b enty-five and 00/100 (25.00) feet, as shave an said plan, a distance of thirty-nine and 27/100 (39.27) feat; SR11MESTERLY by Cherry Tree Road, as shown on said plan, exact hundred samty- six and 08/100 (176.08) feetr WESTERLY by land of Paul K. and Jean M. Rana, as shown on said plan, oats hundred sixty-five and 00/100 (165.00) feet. The land being omweyed herein is shown as IM C2 cn a plan of land entitled "Plan of Lard in Cotuit, Barnstable, Massachusetts, or axles N. Savory Drawn by Psi Scale: 1 in. = 40 ft. Checked by R.P.B. Date: Deoeaaber 29, 1975, Charles N. Savory inc. Rogistsred Civil Engineers & Lana Surveyors 772 Maim 9t. Hyannis, Mesa." Said plan is recorded in Barnstable County Registry of Deeds, Book 301, Page 100. For our title see deed to us fran the Newomb-Rids, Inc. A copy of which is recorded in the Barnstable County Registry of Deeds in Book 2513 Page 320. [T qF MA"SAEtt)15Ftib .-.:�: 'Rat] '.•=•y-..- :. ., �ttuesa ...Gnaw.hand a and seal a this...-....... .ST...._day of........�X.............................19. ............... ................................I............. ............... ... ..�..,..,, .................................................................................... WILU M V. MUMS CECILIA P. MAT OS ........................................................................................ ...........................,...........................................,........................ • ��' �iUJtRaOtppaia( of AkwatUAM HAiaMME, ss, JULY It%a� 1983 Then pexxmWy appeared the above named WnZZ M V. MATMS and CBC n TA P. 14MM and acknowledged.the foregoing instrument to be their free act ed•dead,Woz4au •-y Sit J*. 24, ..., ,..,n, ,,� •. • � va�N F;. Tt p'of;a,j;w/ o•; s4 f i f eladlvldad—jolat Teaaob—Temb in Cam,) f +.,�R p V4 V`•' CHAFM 18)SM 6 A$Al=Mi BY CRAM 07 OF �adsead' •bassos ee dtiad Itfbe All, er ear aMtlew at ft bw hr d Ivlloot t000�m�Via1�,ieWm sot e8e�� W�p�a1j44t j .a b to mm0lteeee rA6 6r Md of e!kb adlaa, CUDE0 .' . ;.. a=7749 rAq 003 5415Z WILLIAM L. MATTOS i F_SS tF X County,Musaahusette of in consideration of Fifty-Five Thousand:. and no/100 Dollars ($55,000.00) grant to Stephen R. Holuk and Rita L. Holuk, M TXUAATi S /Sy'rMC ZA/rIuhTy 4N10 &r-AC _rEiUi9AXrS' 'd COANkOD of 1 Aspen Circle, Wilbraham, Massachusetts with gwtolaiat tobeuants tlLatlttXdlbsxx I the land in Cotuit, Barnstable County, Massachusetts, bouneed and described as follows: .I NORTHERLY by land of Lawrence v. and Mary M. glork, as shown on said Plan, ninety-two and 49/100 (92.49) fast; and I NORTHEASTERLY by Lot Cl,as shown on p1tl plan,she hundred ninety and 20/100 (190.20) feet; • 80UTNERSTERLY by aujoQuisasit Road, as 79 00 (125.7 shown 0) feet; and% an are at the Intersection of Ouimpuiseet Road and foot, aa ry Tres Road, the shown on sold Plana(as which diata of nce of thirty-nine and 27/100 (39.27) feet; SOUTHWESTERLY by Cherry Tras Road.ae shown on said plan.one hundred saventy-aix and 08/100 (176.08) feet; WESTERLY by land of Paul K. and,Jean M. Rosa.as shown an said Plan,one hundred sixty- five and 00/100 (105.00) fast. The land being conveyed herein 1s shown as LOT C2 on a Plan of land entitled"Plan of Land in Cotuit, Barnstable, Masxchusetts, for Charles N. Savory Drawn by RSJ Scale: 1 in. a 40 ft. Checked by R.P.B. Date: December 29, 1975.Charlms N. Savory Inc. Registered Civil Engineers a Land Surveyors i. 712 Main St. Hyannis, Map." Said Plan is recorded in Barnstable County, Registry of Deeds, Book 901, Page 100. t TITLE REFERENCE: See Dead of William V. Mattes and Cecilia P. Mottos to William L. Matta*"too July 21, 1983 and recorded with amid Barnstable County Registry of Deed*, Sock 3807. Page 102. Executed as a sealed instrument this day of � L 19 91 i� C�; » WrrlT>K am L. Nfitt6s Z;}:m 0 i a, i o in. c a cco te: the Camotdaealth of ?llassnsflLrsctts Essex s,, JI�o✓. 19 91 Then personally appeared the above named WilliaM L. Mattos f •and acknowledged the foregoing lmirument to be his ,free ct and dn ' Normr PublfrMy commission expire „ 19e`_7 "" 7' t 5. 4 .2 J. d t RECONED Noce 891 i I ' y a 1 ' f f ' f . j f• F F i' f Town of Barnstable OF 1HE TQ� do Building Department Services Brian Florence, CBO iAMSTABLE. MASS. g Building Commissioner i639• �0 �1F0 MA'S A 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: o My name is I am the owner/resid'ent of they ,z, property located at: LJ The following members of my family will be the s#occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: '%7_QiinP ] !Ipm,L Sly' ky Name&relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of ^ yl 2019. - -3b , Signa e Phone Number Print Name q:forms/famaffid.do c .rev 11/08/13 i Town of Barnstable °k 'tio Building Department Brian Florence, CBO • sAxxsrneL& • ass g Building Commissioner . t6sp �0 '°lFn 39 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family Apartmentavit I, being on oath, depose and state as follows: My name is Z A I am the owner/resident of the property located at: aq ��OLIAV)Vrrq AAIA The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: e — Name &relationship to owner: Sal C= Name &relationship to owner: The Family Apartment will be the primary year-round residence for the bove-idenf iec family members. In the event that the listed relatives vacate said apartment, I w I immediately zz notes the Building Commissioner in writing. I understand that no subletting or bleasingf sa Family Apartment is permitted. _ o0 I understand that I am required to file an Affidavit annually with the Building orn Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pins and penalties of perjury this 10 � day of a 2018. Signature Phone Number Print Name �/�u/�,q�%>✓��o/✓�/� q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services �TME Richard V. Scali,Director Building Division BAMSTABM Paul Roma,Building Commissioner i639' 200 Main Street, Hyannis,MA 02601 ED MA'S www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 LU Town co Barnstable Family Apartment Affidavit I,king-an oath, epose and state as follows: -aGha ,r,�cc_ M�narne is I am the owner/resident of the 47pert:'ocated a"� bef- - kao P I,-, The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: cc Name &relationship to owner: 3 U Zan n Q Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit- and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there-is no longena Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of GLn 2017. 5dg) 3Ga- 9// Sijnahe Phone Number Print Name Ro,1,9 q:forms/famaffid.doc rev 11/08/12 \ Town of Barnstable Regulatory Services ofTMEti Richard V. Scali,Director Building Division A sse Thomas Perry, CBO,Building Commissioner o.39.,�A � 200 Main Street, Hyannis, MA 02601 o www.town.barnstable.ma.us Office: 508-862-4038 Fax:, 508-799=6231R'. -o Town of Barnstable Family Apartment Affidavit W . N I, being on oath, depose and state as follows: My name is nZ I am the owner/resident of the property located at: �1 �i.i�6ZN r Za_4'Lt Co IC The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: C Name &relationship to owner: c�GGZG n hP 20114 p► r t C .r Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: 1 he apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of n 2016. P 5D? -36 -;7tt Sigsrat4Z Phone Number Print Name_/ q:forms/famaffid.doc rev 11/08/12 i Town of Barnstable oFt►+E r Regulatory Services Richard V. Scali,Director TOWN QP BARNSTABLE BARNSTABLE. » Building Division `bprFo �a Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 DIVISION Fax: 508-790-6230 I Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �- Or�la.rn -A �D Yy1.Q I am the owner/resident of the property located at: a.q a 2 r r^c,r L o-o 2 cc) The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner:�SUZOOLY 2,0i2nO — 2 I3te r Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to der the pai and ties of perjury this day of UCU 2015. - 3 4 g(? Signature Phone Number Print Name r Tomp\_ q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services of loy, Richard V. Scali,Interim Director Building Division TOWN OT P3ARNISTABLE �ssB� ' Thomas Perry, CBO, Building Commissioner n 9� 2 i4 JAIN -8 Am, !0: 00 pr i639 Ate` 200 Main Street� Y �H annis MA 02601 FD MA'S www.town.barnstable.ma.us Office: 508-862-4038 O } �a 7508`-790-62-30 �tdi Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is " .I am the owner/resident of the property located at: an of -In 5 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 5 Lk n n Q 0 vrl a - 51 S h r Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this f day of J an U a 1014. 5 60 30 0 - Li0i ) t Signature Phone Number Print Name P 2 Q,C ) q:forms/famaffid.do c rev 11/08/11 i Town of Barnstable Regulatory Services rod Thomas F. Geiler,Director Building Division ! • sawn "LEI • � ` ` Thomas Per CBO Building Commissioner' � � mass. Perry, > g Ar 1e39. �0 200 Main Street, Hyannis, MA 02601-,�, www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 D!!. ,'.- . ...- Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is r aAA , 2aCkA+ Q-o`vA I am the owner/resident of the property located at: tU ✓I L The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: � 2 Q n✓A P ►'►� ' �� S ✓ Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to der the p 'ns and penalties of perjury this day of 2013. d2! — 5d 4 340 '-�[ / gnature Phone Number Print Name q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services of W Thomas F. Geiler, Director Building Division VA OF �r 7 :GABLE ` SS. Thomas Perry, CBO,Building Commissioner pr 039. ���� 200 Main Street, Hyannis, MA 026Q 1 -,; �, Y el,i! 10 r 1i 9: 21 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NION Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is O 1 am the owner/resident of the property located at: Z ct �cu ,act 02 S The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: A 22 io OI R Wo m a — S kSjrv- Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this '7 day of 3CUf\tk0.rLA 2012. L0 s 3eoo -g911 SignaturV Phone Number Print Name f. zC., q:forms/famaffi d.do c rev 11/08/11 Town of Barnstable Regulatory Services oFTME Thomas F. Geiler,Director Y�I T 9 Building Division BARNSTABM ' Thomas Perry, CBO, Building Commissioner '"'IMAM t639. a��� 200 Main Street, Hyannis, MA 02601 FD Mp'l www.town.ba rn sta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable, Family Apartment Affidavit I, being on oath, depose and state as follows: My name is P9661. .WACkaiq rn.W. I am the owner/resident of the property located at: 2 S ko—v► e— The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: St&2,a nri Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Afdavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to der the pa' s and penalties of perjury this day of L2011. �50 � 360 S gnature Phone Number Print Name Rt U I Z a Q Town of Barnstable Regulatory Services - F1HE 1° Thomas F. Geiler,Director Building Division TOWN OF BARNSTABLE B $ Tom Perry, Building Commissioner 1639. 1 3.ch 200 Main Street,Hyannis,MA 02601 KNO JA N 14 AI i 9: 01 www.town.barnstable.ma.us r Office: 508-862-4038 DNlV fON Fax: 508-790-6230 I Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is r'�)4YU � ►YYCL I am the-owner/resident of the property located at: 79 (_�)�_ � P �(iA 421035 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: mo 1 Ste_r- Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also j understand that I am required to comply with all conditions imposed by the ZBA Special Permit t and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain, f The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day ofg&6 2010, g - 360 V/ !/ Sig ure Phone Number Print Name Q/bldg/forms/famaffid Rev:12/08 E:k 2292E P's 52 �27713 05-21-20. 08 a 02 _ 09g:1 Town of Barnstable IHE Tp� P o Regulatory Services T • r BARNSTABLE, Thomas F. Geiler,Director MASS. g - q,A 039. a,0 Building Division rED MA'S " Tom Perry,Building Commissioner '. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 . AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 29 BAYBERRY LANE, COTUIT, MA, holding title under a deed.recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Courtin Book , Page , or as Document No. , being shown on Assessors' Map 019 as Parcel 124, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment,-for year-round occupancy. The intended and authorized use is for SUZANNE ROMA, SISTER OF OWNER, P. ZACHARY ROMA associated with the residential use on"the same premises. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit"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. Prior to occupancy of this unit, affidavits reciting the.names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. 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. 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 2005-. TOWN OF BARNSTABLE OWNER(S) .Gti1 _ Building Commissions THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), �u��Cr( 0 G( i.� and made oath as to the truth of the foregoing instrument,before e. Public My Commission Expir s: WVM J.MEEKEN Notary Public COMMO WEALTH OF MASSACHUSETTS BayberryW9•. - My Commission Expires. ' February tf.2015 1 + XS rp-I" T +xs TYP 6 f a / W C \ 2oor-LNG.. SN'N"6 S /xS rRIM DTo &-AR. we j'rTW — � �� �qR.APR""I LEF 7- ELE VAr,oly F ROt'll- ELCVATIDN 4 axra Rfoe-, w%RIDGE v&ror ; i SMOKE DETECTORS REVIEWED , dXlo RAF'>"t=RS /a n L y rsF* =ELT' BARNSTABLE BUILDING DEPT. DATE ASPHnL'r POOF SH/N4LE5 TlIP �a n )KOD R106-L TYP c LA Ps 'a FIRE DEPARTMENT DATE r,-P j > _ � 30TH SIGNATURES ARE REQUIRED FOR PERMITTING RA,-r. 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FP-A)41NG- w qx 8 N E AaL IrIT ALL 6)(r, WALLS F{►cEo R i4 o H �c r kR�FT G� ALL 5 v Q sL }ST !L FGuoR Y4 " -+ G orr , H) �A2AGe t rlrRy 5-rAI/Z S = 4 xs NEgaER 9/ 91 Iz a v' I rFL, FRA"IING.- SCALE•tAPVROVED RY: I DRAWN DT DATE' REY6ED T 7( 1 R 11%cAek% L}II(Lc CoTv/7. p DRAWING NUM13ER !� G OF8 IJJI.g3�^.11. •'JCA°i-i ?Sod c P . 03MA3d :aAVO A0 NMVtlO :AB 03AOaddV � I Z 11 '31W�5 �v Q �e �? �►' .—_—lib_b ---->• �bo1C� I ' = , � tt tn 1 I I Nu11.dO Ol P °o�e ore F fc14 c p-�lececn-L r—ai ac rnj. �- L o I s t, �3 LS oo�� „- I lj 0/1 L +. 111b�1 FRT oe,� q C-- > r+J 9-7 a � 5 0 p �do ^lX ,1 82 �IX�J tc 9, lz i i9t i M o- Ol ,D axro �-or.rr ( S r $QrD6•. f wr/ salsr 144H&CP2 R Rr" sofST-s W9 �• rt G �' — — — — TYP Z•oiST N A�►GEk S I Jr wrFat- FRD�T rsrl=C aXH SvPf'o¢r wNLL r KD 04 1 0 1=- t JJC 16 3-o15T- i 3Tt � PL)l I �rSn 16'b r T�� r f /S j3RID41r1(.� 2%C 6 5 f JDO-T wALt_ F2ooy rarFC -, p(jo ToiST S g�fDCs- 'OL /16 rYP � BRtoG, t f I I -- --'— ' — Rt�U1r)C- --- — X /o I�oG B TYP S�C0Hc2eTE i "( FILLED yA�4Y , n o N So Pc F6"r2 ag s A) 9LL rLooK SofSTS = 'Ylo /6 oc- - or! ( C �cFTG AcL o PENlr(Gs- fFND GaBLt= ENDS a/axro r�P J g � Gx to BED`'`'► 1 C) 14LL ExT w<)LLS FP-d7"Jr/c- b) qLl /rrr wALLS = s.r,f F,P-14"IInl(-- E) K P I r"T FAcE6 90 9 all uo mL GS Su r3 FLo-Ok = � ' rtC— PLY G) K FT Ff1cEn P,�c �+� o� I-IL c1f�IN6- - I r FkA d"11!` 6- S Abe: µ e^I , AVPROvm OT DRAWN BY DATE R6 MED -. PrC f7 Nsr;Cp©�( o a sr a BA• 6c=S2 L/1N caTuli Mf>) DRAWING NUMDEA c- 8 or 8 NOTES.. -POLE � �j COTUIT THE RADIUS NOTED ON PLAN 31 R,B� Tom. 44 159-.91 IS INCORRECT, THE 31 32 CORRECTED RADIUS IS ON ; , c„ ?v PLAN 301-100. GOLF COU s 133 ,.-35 L-150J3, n / i O � � ' / U—POLE BRYAWS� h 34 j�, r--36----------------- LOT 5 -- i .1CB/DH BAY AIM 19-124 F1�UND Locus 23,648E S.F. �60 _ LOT 6 / 0.54 ACRE �� AIM 19-133 1� `�� i j 1� / �s0• , 36 �� cys�vrse (TOWN WATER) I LOCUS MAP � � � � // � .i � gyp• � �,/ �O PLAN REF 159/91 'AW28 I ,� y i r° ZONING: RF pp '; ASSESSORS MAP 19 PAR. 124 / \ ,,;, '; i � / i ; �• \ SETBACKS: 30-15-15 P,Qp 27gg�R�gg 44 5' pill O T :w If ° �s . ' �' , �s: SITE & SEPTIC PLAN . ` .060 S / I G O LOCATED AT.• �, i ;��° 4 °� 29 BA YBERRY LANE /� 3 - ti COTUIT MA ;GARAGE,;' % �� /R \ '. ���• O p O PREPARED FOR. o ems, ZAK ROMA / IfO LOT Cl 35 1 AIM 19-106 If �° 9� SCALE: 1"=20' /Nc 152.4 (VACANT LOT) / If s _ l 00 JUNE 4 2004 27 ,� / � �s;� . ; � ,- 0- 60 CBIDH REV- JUNE 22 2004 34 / / tT CB/DH I ; I�� 3 ;' i FOIIND REV FOUND , ' rk � 28 � � � � 33 �►��p�,tH oFyss REV ..� .24'50"W BENCHMARK ors' �Gis r,.9 sy, : H oi. r TOP OF P F YANKEE SURVEY CONSULTANTS 31 S74 ELSV 3a3t (CZS) i o STEPHENC 30 �. ' ti UNIT 1, 40 INDUSTRY ROAD 0 BENCHMARK stz fs 2� LOT C2 ; DOYL N •' o B GCE P. 0. BOX 265 7l�P OF CB _. 9 f Q .. MURPHY " MARSTONS MILLS, MASS. 02648 s�V �g:LOT 4 u D (TO WATER) JF ss` No.749 CB DH � p � AIM 19-4 �u 8 V S. �fGISTEa TEL• 428—0055 FAX 420—5553 TT (TOWN WATER) SHE'D- qN/r PA, " SHEET I OF 2 JOB,# 53645 L L20' MIN. T.O.F. ELEV.= 36' 10 MIN. �. 4" SCHEDULE 40 P.VC �+ CONCRETE COVERS MIN. PRrH 1/8 PER FT 2"LAYER OF CONCRETE COVER WASHED SPONE EL=33' 6" MAX �6" MAX �/ . .4" CAST IRON PIPE 6' MAX B" MAX (OR EQUAL MIN/MUM 11 P/7rH 1/4 PER FT. CLEAN SAND FLOW LINE h 1!0" EL=30 MIN. 14" o00o O o000 INVERT �2.0'� o,00 0 0 0 0 0 0 0 0 0 0 0 0800 ,O - 3L0' ADD CAS INVERT 6 SUM LEVEL o00 0 0000000000o g EL.-___ BAFFLB „o 0 0 0 0 0 0 0 0 0 0 0 0O, , INVERT EL,=30.5' IN INVERT o° o 0 0 0 0 0 0 0 0 0 0 0 8 =27.2' EL.=30.75 CL.=30' ___ EL.=z9.75 _ DISTRIBUTION 4 (3) 500 CAL LEACH/NC CHAMBER 4 1500 GALLON BOX EL.=2&z• 12.8' X 33.5' TRENCH FORMATION PTIC TANK TO BE WATER TESTED /F MORE THAN ONE OUTLET SOIL ABSORPTION o PLACE ON 6" S7t7NE SYSTEM SAS' PROFILE OF 3/4" 7V 1-1/2" DOUBLE WASHED SMNE SEWAGE DISPOSAL SYSTEM NO OBSERVED WATER TABLE (511 712 0 0 4) EL=_ZL_5'_ t• NOT TO SCALE OBSERVATION HOLE I ELEV.=34___ -• PERCOLATION RATE SB MIN./ INCH AT 4�_ INCHES OBSERVATION HOLE 2 ELEV 335'_ DEPTH RORIZ TEXTURE COLOR M07F OTHER DEPTH ffORIZ TEXTURE COLOR MOTT. OTHER ia. 0-3" O ORGANIC 0-3" O ORGANIC .� 3"-7" A SANDY LOAM lOYR 6/2 3'"-7" A SANDY LOAM IOYR 6/2 7"-30" B LOAMY SAND LOYR 6/8 7"-30" B LOAMY SAND 10YR 6/8 30"-138 Cl MEDIUM SAND 10YR 7/4 30"-144' Cl MEDIUM SAND 10YR 7/4 ERC 4,2" NO WATER ENCOUNTERED NO WATER ENCOUNTERED SOIL TEST GENERAL NOTES DATE OF SOIL TEST 5/17/2004 SOIL TEST DONE BY BRUCE G. MURFHY, RS. WITNESSED BY: DAVE STANTON, RS. 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. P# 10704 TITLE 5 AND THE TOWN OF - ARNSLIRLE--_- RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2) ONE WITHIN 6"' OF FINISHED GRADE, OTHERS BWITHIN 1UCHT2'",O DESIGN CALCULA TIONS.- 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 4 WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN NUMBER. OF BEDROOMS . . . . . . . 5 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE GARBAGE DISPOSAL . . . . . . . . . NO USED UNDER OR WITHIN 5 FT. OF DRIVES OR PARKING AREAS. INSTALL TOTAL ESTIMATED FLOW 4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL (3) 500 CAL LEACHING CHAMBERS ( 110__GAL/BR./DAY x __ 4 BR.) 440 GALIDA Y . BE MORTERED IN PLACE. WITH 4' STONE ALL AROUND 12.8' X 33.5' 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH PROPOSED SEPTIC TANK CAPACITY 1500 GAL �. DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY SOIL CLASSIFICATION . 1 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR * INSTALLER TO NOTIFY YANKEE SURVEY DESIGN PERCOLATION RATE < 2 MIN./IN. IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS 48 HOURS BEFORE INSPECTION EFFLUENT LOADING RATE . . . . . . 74 GALIDA Y/S.F. PRIOR TO COMMENCING WORK ON SITE. LEACHING CAPACITY (AREA X RATE) 454 GAL/DAY 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS (33.5X12.8X. 74)+(33.5+33.5+12.8+12.8)X2X. 74) 454 GALIDA Y SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. 8) PARCEL IS IN FLOOD ZONE- ''" _. 9) LOT IS SHOWN ON ASSESSORS MAP _LL- AS PARCEL _124__. SHEET 0 OF 2 453645, L L pi: 1 BAf{tJS��1ME tliLWtNa D ,E i pliT-15-"7 CAI �f �SAp�D��o�'pE�f�7"fNGN � TarD4�— lD p IIJ! V 1 (—- ' 2 G Tw < —�-- r3���o f2 i to CARBON MONOWEALARMS Y MUST BE INSTALLED PFR. I 3 t ai is a MASSACHUSETTS B6i DING,GODE /U BE�2 06cal - a83ro T'2oalo-� rw 70 to-S •j•cJ aoa ro-a d I i ) rI a3 a �-6'/1" �3 7 --, — r'� 10 - WALL f / OPT(orrylflC 7jgu I ( ,; • /� 6 i+ 20 PC)S ' 6-1>-; P 'J-� ..... � � I 31o4aa 0 Li 7"0 �X I S'TT/�l G — ;— 771 a , F La0;2 AL.A,1'11 I OMW N 9T DATE: REV RED O Po SG' :'10 V • B/�YB��.�'• DINE ��Tvi�- f=?C� • DPAWING NUMfA ,. PG ar 8 1 I� r� r �Ai a LIP a vi 70 I � 1 � r 1 a _ I W% I i 10 Til tV r- 7�1 n - I, ✓ mE ` � 3v � i i O r£ C m 0 O o -o I d 1 7,7 1 01 I 77 � • o I p•a o _ _ , n j S Fi,E��'..x�h.d r •. 0 � M Vj VI ' ' I ata (") I t r { o r rn 6 r k !it ru v C OP pr w n w. I I I Ln US I { I .� z r r v ^ • V\ �l a ; I I 41 A l I I I I I �• r y o I rt� x mi w L I I — I q O :v -4Tr ° OcE I � z V 4 W q, 91 '01 co A Syr a `' x h G Rm � tZt LID � z y y h 71 ram. NOTES..• , -POLE '� COTUIT THE RADIUS NOTED ON PLAN 159 91 IS INCORRECT, THE 31 6°�• 1 LJL�� e�' ; 32 Y L� , 'CORRECTED RADIUS IS ON J� 1� � C,,,T„r PLAN 301-100. I I 1 p/ N/CNCRDUNQS COLD COURSE fill; 1*4 ... Z l -3� 30 ,'' U--POLE BRYAArm E 4 34 (---36-----_----- �" LOT 5 ` '-- ; ICB/DH BAY i 9 FOUND I' , AIM 19-124 I 29 I 1�� �' /r 23,648E S.F. = Locus LOT 6 0.54 ACRE i05 AIM 19 133 1�d` �; j '� ' / �s O 36 1 ,P = cNSRRrrnss (TOWN WATER) ' I I LOCUS MAP PLAN REF 159/91 ZONING. RF ' IA C.P.O.D.: „AP„ `\ ASSESSORS MAP 19 PAR. 124 i I r SETBACKS. 30-15-15 27 Po 4g /' % ► 2s5. , 060 o P4�� o SITE & SE'PTIC PLAN h / % ' �' G�' ' LOCATED AT.• -; 4., /k �� ,ti� 29 BA YBERRY LANE' i'l�`' -n 33� �', 4°°pOR�y °� 1 CO TUIT, MA / G , o PREPARED FOR. -- - i // `� '/ �yL' ` 11 TP/1 ' ; , p , ,��, ,, - ZAK ROMA . - o ,. w 35AIM 19-106 - r LOT Cl 33 : 9 SCALE. 1 =20 152, (VACANT LOT) ,�' 'Es;% � 1�p- 60-00 27 JUNE 1, 2004 / / , RE JUNE 22, 2004 / �� 34 — CB/DH CB/DH I , ; ; FOUND REV.' 33 FOUND I` '; •� • REV 28 �\ ; 32 A-;?4 0"w BENCHMARK `o�'���IST;z sgy�� �F r Nil• 31 S7 S��s OFC BSI o�� srEPHE�vo _ 4s, c YANKEE' SURVEY CONSULTANTS ; " y : `o� sr;ucE y�� UNIT 1, 40. INDUSTRY ROAD BENCHMARK ¢2 f6,2� LOT C2 a q D0Y`E i , G. P. O. BOX 265 TOP OF CB 30 F,. � . � h1JRf`!-1Y ��� ELEV 27.9t (c.LS) CB/0 AIM 19-177 �F. , No.74s MARSTONS MILLS MASS. 02648 LOT 4 FOUND (TOWN WATER) q u q v °� O AIM 19-138 , Sq ti rsT t \�� TEL 428-0055 FAX 420-5553 (TO WN WATER) SHEET 1 OF 2 JOB# 53645