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HomeMy WebLinkAbout0006 BOB WHITE RUN (� gaF� Wh�YE �u�1 � . � � .j . I Frey�OsG[rP� S /o�io�/6 t � � �. 3 �� � ,t � i :3 ` i � I. I' -� 'I 3 S j 3 .� . ' I 1 ,� i ,?? S o i . . ,; "� �� I� j i 3. � i �� . i i Wells Fargo Bank,N.A. 1 Home Campus MAC: F2303-04J Des Moines,IA 50328 Ph: 877-617-5274 6/23/2017 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street Hyannis,MA 02601 J Regarding Property Registration at: - 6 BOB WHITE RUN COTUIT MA 02635 Tax ID/Parcel#: 010/027 Dear Sir/Madam: The property above was transferred to Federal National Mortgage Association as of 6/15/2017. Please update your registration records to reflect Wells Fargo Home Mortgage is no longer the responsible parry. t Thank you for your assistance in this matter. Sincerely, Tuan Nguyen Wells Fargo Bank,N.A. z; Tuan.Nguyen3@wellsfargo.com Co. C�*. V3 ' ram— w b� REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with. of Barnstable Code.chapter 224 . sections 224-3 and 224-4. Please:complete one form for each property in foreclosure ,(section 224.-3)or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim.you are.exempt from registering under Massachusetts law,please state the reason(s) and complete section F (property information) and the first paragraph of section 2 (foreclosing party;court, etc. and foreclosing party representative,but not other representatives and attorney)`so that:the�Town can review the exemption and update its records: Section 1 -Propertyformation Property Address: Tc �5�� �+U i t.., r-v-) Assessors Map# Parcel#: G kCX:3 4'1 Land area and description .`1 l 1S Building(s) description and contents tr {c •�^ni 1 mot' Occupied: Occupant(s)(if borrowers so state and.include name(s)) Phone email: other: �7 Vacant: Date: Anticipated Length of.Vacancy: -�' Last occupant(s))(if borrowers so state and include name(s)) Phone: : email: other: Has.possession been taken: If so,please explain and complete and file.the maintenance and.security plan form(unless exempt as stated.above) Section 2-Foreclosing Party Information Foreclosing Party(full name/title) arwa Foreclosure Case Court:.':Zorr%=4,=b�'. Docket.# � (ZAU Date filed: Current Status: Foreclosing Party's representative(s) for property(entry,management,repair, etc.)(name, title,): W`11.� Company(if different..from foreclosing party): Address: _ Phone; : email.:: other If an exemption is claimed;please do not complete the remainder. - pther;representative(s) (if foregoing'representative is:primarily responsible for property and/or foreclosure and is.most likely;to be able to address town matters concerning the property and/or foreclosure;please so state and do not.complete.. -- contact information(i. e.."none"or"see above")). . Name,title,other: _—VV6 Company(if different from party): eactc y c�c� Address: ' C1 r - C Cler� ,.'l t�C W' 1.= 3 . Y _ ( � ) its Mwuasr�acrti.c�.�other- Phone s A% '3�SIo��St email s :. Name, title,.other: Company (if different from foreclosing party): Address:. - Phone: email: other: Attorney representing foreclosing'party:.: . Firm name(if different from attorney's name): Address: Phone(s).. email(s)': other: I acknowledge that the information provided is accurate and correct. `X also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224.of the Cod:of the Town.of Barnstable. Celt- Date; Naive:..... . I hereby,certify:that the above=named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable; Date: Building Commissioner,Town of Barnstable Wells Fargo Home Mortgage MAC F2303-04J • " One Home Campus "` + • • • Des Moines,IA 50328 Ph:877-617-5274 October 10,2o16 2Z Town of Barnstable CD Attn: Robert McKechnie v �' Building Department 200 Main Street Ln Hyannis,MA 026o1 r �.r rn Completed Property Registration for: 6 BOB WHITE RUN COTUIT MA 02635 TAX ID: Dear Sir/Madam: Please see the attached property registration form and use the below contacts to expedite any future requests. Code Violations: CodeViolations@WellsFargo.com Property Registrations: Registrations@WellsFargo.com General Property Preservation: Property.Preservation@WellsFargo.com Call Toll Free: 1-877-617-5274 For questions regarding purchasing a Wells Fargo property please contact 1-877-617-5274• Sincerely, TuanNgtxyen Wells Fargo Home Mortgage- I MAC No012-o1G One Home Campus Des Moines,IA 50328 Tuan.Nguyen3 @wellsfargo.com Wells Fargo Home Mortgage is a division of Wells Fargo Bank,N.A.©2016 Wells Fargo Bank,N.A.All rights reserved.NMLSR ID 399801 i -� I r Town of Barnstable, 367 Main Street, Hyannis, MA 02601 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been.taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information)and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party. representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: N/A Section 1 —PropeM Information Property Address:6 BOB WHITE RUN COTUIT MA 02635 Assessors Map#: n/a Parcel#: n/a Land area and description Lots 19, 20 and 21 Building(s)description and contents n/a Occupied: Yes Occupant(s)(if borrowers so state and include name(s)) JAMES WALDER c/o Wells Fargo Bank, N.A. as mortgage loan servicer Phone: 877-617-5274 email: codeviolations@wellsfargo.com other: fax: 866-512-0757 Vacant: No Date: 'n/a Anticipated Length of Vacancy: n/a Last occupant(s) )(if borrowers so state and include name(s)) n/a Phone: n/a email: n/a other: n/a Has possession been taken no If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) see attached vacant building plan Section 2—Foreclosing Pally Information Foreclosing Party (full name/title) n/a Foreclosure Case Court: n/a Docket# n/a Date filed: n/a Current Status: n/a Foreclosing Party's representative(s) for property (entry, management, repair, i etc.)(name, title,): n/a Company(if different from foreclosing party): Wells Fargo Bank, N.A. Address: 1 Home Campus, MAC N0012-01 G, Des Moines, IA 50328 Phone: (877)-617-5274 email: codeviolations@WeiisFargo.com other: fax: 866-512-0757 If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily;responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title, other: see above Company(if different from foreclosing party): n/a Address: n/a Phone(s): n/a email(s): n/a other: n/a Name,title, other: n/a Company(if different from foreclosing party): n/a. Address: n/a Phone: n/a email: n/a other: n/a Attorney representing foreclosing party Jamie Welch, Esq. Firm name(if different from attorney's name): ORLANS MORAN, PLLC Address: P.O. Box 540540, Waltham, MA 02454 Phone(s): (781)-790-7800 email(s): n/a other: n/a I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Tuan Nguyen,Research/ /Digitally signed by Tuan Nguyen,Research/ G Remediation Associate,Wells Fargo Ram Assodate.Wells Fargo Bank,N.A. 1 0/1 0/20 1 6 •Bank,N.A. "Dafe:2016A0.10 12:09:59-05*00' Date: Name:Tuan Nguyen Title: Research/Remediation Associate I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable i _ 21174 CERTIFICATE OF LIABILITY INSURANCE DATE 3/2MM 5/201( 12101YYYY) 5 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 t6 the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Wells Fargo Certificate Service Center Wells Fargo Insurance Services USA,Inc. PHONJC_EIA N 404-923 3719 ac No): 1-877-362-9069 3475 Piedmont Rd AIL ADDRESS: wFis.certificaterequest@wellsfargo.com Suite 800 INSURERS AFFORDING COVERAGE NAIC# Atlanta,GA 30305 INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B Wells Fargo Home Mortgage INSURER C: a division of Wells Fargo Bank,N.A. INSURER D: 90 South 7th Street, 14th Floor INSURER E: Minneapolis,MN 55402 INSURER F: COVERAGES CERTIFICATE NUMBER: 8901677 REVISION NUMBER: See below 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 POLICY NUMBER IMMIDDIYYYYI, MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY A MWZY 304056 04/01/2015 04/01/2020 EACH OCCURRENCE $ 10,000,000 CLAIMS-MADE MOCCUR DAMAGE To P RENTED REMISES Ea occurrence $ 10,000,000 MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG S 10,000,0 00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY Peraccdent AUTOS AUTOS ( ) g HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ g A WORKERS COMPENSATION MWC 302638 X STATUTE 7 ERH AND EMPLOYERS'LIABILITY 04/01/2015 04/01/2020 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 1,000,000 OFFICER/MEMBER EXCLUDED? ❑N N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES IACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION Wells Fargo Home Mortgage, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE a division of Wells Fargo Bank,N.A. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 90 South 7th Street, 14th Floor Minneapolis,MN 55402 AUTHORIZED REPRESENTATIVE 9" The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) f Barnstable, MA Vacant Building Plan Current status of the Building: The building is secured; all doors and windows are locked. If the property utilities are on when we find the property abandoned, we will transfer the utilities into our name and leave active. If we find the property to not have any utilities we winterize the property according to investor/insurer guidelines. Plan of action for exterior building maintenance: We inspect and maintain our properties. We work to keep the property secure and free of any health hazards and/or debris. Wells Fargo also schedules our grass cuts twice a month. What improvements are planned? If the property is in need of repair to avoid a code violation, we will review and take any appropriate action. If there are insurable damages, we will file an insurance claim and review for repairs. What is the scheduled date of re-occupancy? Approximately 90 days after the foreclosure sale is confirmed. Building to be sold or rented? The building is to be sold. Certificate of Occupancy: The buyer will be responsible for re-certification and occupancy inspection with the city. Is property to be demolished? There are no current plans for demolishing the property. The city will be notified if there is a change of action. UT a D A WELLS FARGO BANK, N.A. CONTACT INFORMATION For questions-or concerns-regarding a property registration issue please contact the Property Registration Department. Property Registration Department Reitistrations@welisfareo.com For other inquiries please route applicable requests to: Building and Code Compliance Department CodeViolations@wellsfargo.com Utility Bills ConvUtilitvPmt@wellsfargo.com HOA or Condominium Dues or Fees HOAPmtReauestFH@wellsfargo.com Tax Related Requests: TaxGatekeeper@wellsfareo.com REO property inquiries PASAPinguiries@wellsfsargo.com Insurance Claims HazardClaims@wellsfareo.com General Property'Preservation Property.Preservation@wellsfargo.com For quesssons resardsns purchassns a Wells Fargo propersy please consacs 1-877-617- 5274. You may also consacs our dedscased propersy presersasson call censer as 1-877-617-5274 Monday— Frsday from 8:00 AM —9:00 PM EST. Please nose all lesal documenss should be sens so our lesal maslsns address below: Wells Fargo Bank,N.A. 1 Home Campus MAC# F2303-04J Des Mosnes, IA 50328 oFSMe ro,�, Town of Barnstable *Permit#,;�000 0DIE6b Expires 6 months jrom iss a da Regulatory Services Fee '1P. snartsTAs[.t:. Thomas F.Geiler,Director 94iArE 6nw+"•0� Building Division v Tom Perry,CBO, Building Commissioner IY 200 Main Street,Hyannis,MA 02601 �" 1 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint 'Map/parcel Number d �� Property Addresses f,�0' ���J�l !y ( ( Residential Value of Work lo,.;1 Q,,5 D Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address -�jI y!1."=s L 1 tJ�q r^ Contractor's Name ,3',22y'(,c Otg al. wl Telephone Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor �®��� 2-Tam the Homeowner PRESS g'® R ❑ I have Worker's Compensation Insurance Insurance Company Name JAN a 0 2008 Workman's Comp. Policy# TOWN OF BARNSTABLE Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 2Re-roof(stripping old shingles) All construction debris will be to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side . ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other.town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. p,flf s 1111(i SIGNATURE- Q:Forms:buildingpermits/express Revisel12807 J \ 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 Leeibly Name(Business/Organization/Individual): Address: 10 City/State/Zip: ra Yi�_1 35 r Phone.#: 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 2:0 I am a sole proprietor or:partner- listed on the attached sheet. 7. .❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ 9. ❑Building addition [No workers'-comp.-insurance comp. insurance. rr uired.] 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 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.C3 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 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 subcontractors and state whether or not those entities have employees. If the subcontractors 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true an correct Si ature: <?etz� Date: '-fie (� c� — - . Phone#: t5 a^ — 171 Official use.only. Do not write in this area,tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation'for their.employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency,shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(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 LW or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in _(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The:Commonwealth of Massachusetts Department of Industrial Accidents 4ffee of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia t� Town of Barnstable r�ti Regulatory Services aAerrsrAet E Thomas F.Geiler,Director y MASS. 1639• Building Division �JEO WllAt p 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 Please Print DATE: —ye)- 5 q— �j JOB LOCATION: 6 /J 66 (_t.I k1'g5 1 ,rJ number 11 street qq t village / "HOMEOWNER`i 1QC �� J LZf�L ��4^ Slab 6st``5 2 7 l - � �7` ��r Alt ,�- name home phone# ` work phone# CURRENT MAILING ADDRESS: Cs 2 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. Al Si ature of Homeowner 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:foT7ns:homeexempt Ft rqi, Town of Barnstable ti Regulatory Services s"xrrsresi'e nines. Thomas F.Geiler,Director iOTEn rrw'�" 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 Mus Complete and Sign This ection If UsingA Buil r as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized b this building permit application for: (Addres 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:FORM&O WNERPERMISSION ID � t i i d t Y •.r si•Y=-s srr ti t V r f 1. � � r v l�Y 0 :►, I� � � � � � � h 1� e�� � �o r,•s,�ra sc.� � � � � � vIt °o e c 1-4 It ry O ' I t I Q ro oil l AsAessor's'�map and lot' number_ .... .. a S 4 .../D,� c ./. EV C SYST-1 I�l�• ST gE. IRISTALLIrC 4 GC`i? .1AP3CE Sewage Permit number :.................................. ................. \kiITH F� P vt F1 11 STATE ..� SA;,�ITPr t`t CDR-. AND To TOWN O B A�RI STAB L E � r EABESTADLE, i M 9 .e0� �UILDIHG INSPECTOR 0 39 f < APPLICATION FOR PERMIT TO ......0 ....... ?!P.. TYPEOF CONSTRUCTION ..................... 15��.P...... !................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to, the following information: Location ..... t .�.r?' .' ... .. ....� li�?l .�F.....��✓.. ............................................................................................. ProposedUse .............J�!( J.415 ..4*_O.J! 5, .........:.................................................................................................................... Zoning District ...............,:> ...........................................Fire District ............. ..... ........ Name of Owner ....... ...........................Address ........ �,.,........... ....... ....� fyRrYE/� Name of Builder ......... ......•••�`��4f./..�.`G....... .�.�.f C�.+..L!.:.Address .......6�....�1.�.�-.. :+...�:�,t.�.�..J:�LA.ef:....... Name of Architect ... - !... .ems ...........................Address ...... '�is�- ... .. .d�,QL� ......... ................,... Number of Rooms ....... y................................Foundation ...... iUG:...........:............................................ Exlerior .................:.: .....................................Roofing ........ ? !!4.'�rT............................................. Floors ................Interior ........M zf. Heating .............. ...................:.............Plumbing ......,2-.40'54t rAr'.................................................. Fireplace t. . ..F..........................................:.......Approximate Cost .......................... •O Definitive Plan Approved by Planning Board ------�'�_------------19__�_�_s� Area .....�..... . . d.. Diagram of Lot and Building with Dimensions 0 -2' Fee ............................D.............. SUBJECT TO APPROVAL OF BOARD, OF' HEALTH JLt s 2 t/, S/ G -zO T/9 2 0 � • 2/0 00 S',F • V, 1_ 7 G 40, (.,Q' ��y � r !� •.'era '. � /� f0 ' f / _. ..:.... W ,wuL 5'0 29, kI hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar ' g he above o construction. ` Name .. .% .. l!..4. . .... ...... ..�...Q..C.' ................ Terila, I. C. 17846 one story, )=Mo"................ Permit for .................................... � single family dwelling ..... ............................................................ Bob White Run Locatio4�............................................................ Cotuit ............... ............................................................... I. C. Terila Owner .................................................................. frame Type of Construction .......................................... . ................................................................................ Plot............................. Lot .......... f July 24 75 Permit' ........................................19 Date of Inspection ....... Date Completed .......19 PERMIT REFUSED ... 19 ................................................................. ............. ........................................ ....................................... ............................................................................... ............................................................................... Approved ........................................ 19 rx ............................................................................... ................................................... ....... ................... /000 Mil N D Z a �• ..40+ r N yo�s x re'c CA V 4 'Qo zy { P t� t P-G A� .�'/�/C�lid'/./✓Cr' {� i CFivT�i�viGL E /`IA,SS' t . � � � ._ - - _- _.__ � .�._. .� -�l�t��i✓fz.'3• ,���try Ck.-...— I� Asseuor's map and lot number .....:..................................... Sewage Permit number .......................................................... FTMEtO�♦ TOWN OF BARNSTABLE BAUST"LE, i "b BUILDING INSPECTOR O•Fp YPy a APPLICATION FOR PERMIT TO .......:....:....:.....::.. ......... TYPEOF CONSTRUCTION .........................:..:........:.............:..:......:::..................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................................................................................:..................................................................................................... ProposedUse ..................::....:..............:.....:............................................................................................................................... Zoning District Fire District ....................................... Name of Owner ..........................:........: ......:.........................Address Nameof Builder ........................:...........................................Address .............................................:....................................... Name of Architect ....I .. . ......._............................................Address ...........:. Number of Rooms ..........:.......................................................Foundation ................::............................................................ Exlerior ....................................................................................Roofing ...................:................................................................ Floors ......................................................................................Interior ....................................... .............................................. Heating ..................................................................................Plumbing .....................:............................................................ Fireplace ..................:.......,.......................................................Approximate Cost .................:.................................................. Definitive Plan Approved by Planning Board ________________________________19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee . ......................:...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. i Name . .............................. ........:...:................................ 1v-2o � . 24-48 No'--l7-8-4-6.. Permit for .....om—e—.�.�����--- `4 w a /� family dwellig� --------------------------'' � Location _.Dob..�61te_�oo________. Cwtolt � --------------------------' I. C_� Terlla __________. _ � ................................................................../ � l9 ^ ' — ' `~' ' ' � � Permit" Granted" °jA^y � � Date of Inspection --- Completed � � ' E14MIT REFUSED ---- lA � ----' ------------------- � ----.�r—^'----^----^^------~'\ � ' ` ^—~----------------^---'---- ) . � v /'--------------------'—'---^'' ' 8 � U . . Approved _!—�---------.K.--. 19 *zr- ---------------.—.---------. � ------------------. . � ______,.. m