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Home My WebLink About0027 SHAMMAS LANE 7 y e j i NO, 152 113 BLU MAD- U.S.A. ESSELTE o a o a + ^,+-,.. •.*....a.....r,. _ -.'�a'x.yq...._ ,t'�+ .i�.. - A'!"�'¢w.. r.""d",'^..`."�",-., ,---�..,f-'�-°'.py`-�..'.+�... ..�-�r•^,e...r. .�^ -1�-, ,qoq H low get? c (10 YOU WISH TO OPEN A BUSINESS? For Your.Information: Business cer-6fic6tes.[cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you mustda:by M.G..-L.-it does not give you.permission to operate.) You must first obtain the necessary.signatures on this form at 200 Main St., Hyannis. "fake the completed form to the Town Clerk's Office,. 1 st FI., 367 Main St., Hyannis; MA 0.26.01 (Town Hall) and get the Business Certificate that is required by law. DATE: 3 & Fill in please: :•ti;•':::`4f•':',?C�da �'"1_ I. ' APPLICANT'S YOUR NAME/S: �va•+S 4 ""'I'`"'`' `'t`�' "'�)''•>+' 6- BUSINESS YOUR HOME ADDRESS: X'7 tj `$$ jia•,4Eva�,ui.��,,`� TELEPHONE It- Home Telephone Number . .atr�:n.ms�svr•^I` E I N #: �(m -3 �/ ^3 E-NAI'L: /Ic Gar a� �4ct� Cc NAME OF CORPORATION: NAME bF•NEW BUSINESS. (/ -e C 7tq 4 C v TYPE OF BUSINESS Corns 777yc 7-1 �! IS THIS A HOME OCCUPATION?. YES NO ADDRESS OF BUSINESS L-7 S k-.v w� �.a s c.�,a y �yl�,os T�tiJ z�r Ile. MAP/PARCELNUMBER [Assessing) When starting a new business there are several thingsyou must do in order to be in compliance with the rules and regufations of the Town of Barnstable. This form is intended to assist-.you in obtaining the information you may need. You MUST GO TO 200 Main St. - [corner of Yarmouth' Rd. & Main:Street) to make sure you have the appropriate permits anal licenses required to legally o, er@te your business in this town. MUST COMPLY WITH HOME OCCUPATI'I. BUILDING COMM1551DNE 'S OFFICE. RULES AND REGULATIONS. FAILURE TO N This individual has bee of ad of am rm� i requirements that pertain to this type of business. �, \ COMPLY MAY RESULT IN FINES. uthorize Signature** COMMENTS:. a- 2. BOARD OF HE LTH This individual has been informed of the permit requirements that pertain to this type of business, Authorized Signature COMMENTS: i 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. i Authorized Signature** j COMMENTS: '. • `si • rl f, z i Town of Barnstable Building Department Services 'THE Tp Brian Florence,CBO o* Building Commissioner RAMSTABLE. - 200 Main Street,Hyannis,MA 02601 ncwss. 7 i639• �� www.town.barnstable.ma.us Office: 508-862403 8 Fax: 508-790-6230 Approved: Fee: Permit#: r HOME OCCUPATION REGISTRATION Date: -3 Name: ,l 12,r .,i HOC Phone#:.5—Of' z z�� '45—i 7 Address:X 7 .Sky&E tf' cea..`� Village: /l20 io vS �r/�S Name of Business: a/ c._c ib ,q 'd��.w� /f Type of Business: s TQ t,c. o h Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • ' Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • .There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall by employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigne ve read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev.0620/16 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ao� 'P- Map 014 / Parcel Application # 3 3 Health Division Date Issued `l X Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic _ OKH Preservation / Hyannis Project Street Address 7 'ihama= I-a n Village Owner 04h Ut rr Address Telephone Permit Request 'ReX%VC N�JT Ru°A> UINV30/ IP AMQ- I ►'a A-1:-�. - ��pk(-,e— V_-o ox� 0 n Qa" I R e.O A L41 —C-c�r�r, O!1 pD" var- (;Xq:�lVfjt&ltstlZfloeor':'e�xiVs'oting/y*zTprtopco;s�e'd 2nd floor: existin� proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations/000 Construction Type Lot Size d-C_ Grandfathered: ❑Yes �$No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure 1383 Historic House: ❑Yes A No On Old King's Highway: ❑Yes J4 No Basement Type: A Full ❑ Crawl ❑Walkout ❑ Other 2 Basement Finished Area(sq.ft.) ?00 Basement Unfinished Area (sq.ft) ��) o Number of Baths: Full: existing / new -40F _ Half: existing new _ Number of Bedrooms: existinoew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas Jb Oil ❑ Electric �d Other Central Air: ❑Yes ad'No Fireplaces: Existing New Existing wood/coal stove:: ❑Yes ❑ No Detached garage: ❑ existing 0 new size_Pool: ❑ existing new size _ Barn: ❑ existing/s ik;� size_ Attached garage: existing ❑ new siz�o0Shed: (,existing ❑ new size 120Other: RI III DINIn ncOT Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ NOV 18 2016 Commercial ❑Yes b No,, If/yes,, site plan review# TOWN BARNSTABLE Current Use lJ�C�fLl'I77GC�C. Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name T. �x'd1� 11 ( Telephone Number0 Fig Address r License # Home Improvement Contractor# ILO Email ©zlCI�mac eQMWorker's Compensation #l)C-/de)_ &0,68400?-_cXp4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # F DATE ISSUED MAP/ PARCEL NO. - ADDRESS VILLAGE OWNER- . R r 1 o s. DATE OF INSPECTION: , '. E FOUNDATION - FRAME ti r • } INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL x PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ; DATE CLOSED OUT ASSOCIATION PLAN NO. "�' , Town of Barnstable Regulatory Services j ]Richard V.Seall,Diredor Building Division( Paul Roma,Building Commissioner 200 Main StIvA Ibannis,MA M601 www.tawa.barassatableana:us Office: 509-8624038 Fax: 508-790-5230 Property Owner Must Complete and Sign This Section If Ug". A.Builder I._ /...►),)0.ro./.. . �4 R 2 . . ,as Owner of the subject ProPe9 i hereby authorize. e-e4 el, c _ .Gs rur�.7.:err.. • -- _ --to act on my behal f in all matters relative to work authotmed by this binding permit application fox ia N►� (Address of job). **Pool fences and alarms are the responsibslity of the applicant, Pools are not to be Bled or utilized before fence is installed dad aH final inspections are performed and accepted. a I Signature of Owner sig APUCW4 Priszt Name priat Name — _....L_-:_Y.. ..... ........ Date 't i . QX0Wa.0 Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS4)80395 -as A SCOTT MiJRD r'� 42 SOUIH YARllel@() f Dennis MA 0263g Expiration Commissioner 03/13/2017 i C62e�ommcanuea�H�C�/�cratuo�uselld #ExpI e of Consumer Affairs&Business Regulation ME IMPROVE¢M1ENT CONTRACTOR Type: 4 Supplement Card OCEANSIDE, INC. — D.SCOTT MURDOCI�; 217 Thomton Dr A I-lyannls,MA 02601 Undersecretary I i c� l '4CC)RV® CERTIFICATE OF LIABILITY INSURANCE FDATE 03/30l2/30/20IYYYY) 016 THIS CERTIFICATE 1S 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PlToaucER CINTNAMAc Linda Sullivan DOWLING &O'NEIL INSURANCE AGENCY PHONE 508 775.1620 PA'r ADDRB , Jr.ulllvan@dolns.com 973 IYANNOUGH RD. INSURERS AFFORDING COVERAGE NAICy HYANNIS MA 02601 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B: OCEANSIDE INC INSURERC: INSURER D: 217 THORNTON DRIVE INSURER E: HYANNIS MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: 41040 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 D S BR POLIC E SD WV0 POLICY NUMBER MIPOLI DD EFF rM MID° LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PRE GF r,MISE E $ MED EXP(Any oneperson) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 0 j[�T F I LOC PRODUCTS•COMP/OPAGG $ HOTHER: $ AUTOMOBILE LIABILITY I MI7 $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS�EO NIA BODILY INJURY(Par accident) S NON-OWNED—1 HIREDAUTOS AUTOS PROP dTy, A11 E $ $ UMBRELLALIAB OCCUR EACHOCCURRENCE $ EXCESS LIAR CLAIM-MADE N/A AGGREGATE $ DED I I RETENTIONS �/ $ WORKERS COMPENSATION X STA ER 1 AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOWPARTNEWEXECUTIVE VWC10060198022016A 01101/2016 01/01/2017 E.L.EACH ACCIDENT $ 1.000,000 WME A OFFICEMSEREXCLUDED? NIA NIA NIA(Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ 1,000,000 H yyes describe under E.L.DISEASE-POLICY LIMB s 1,000,000 OESI descAbN Under OPERATIONS below NIA DESCRIPTION OF OPERATIONS 1 LOCATIONS/VE81CLES(ACORD 101,Additional Remarks Schedufs,maybe attached irmore specs Is required) Workers'Compensallon benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization Is given to pay claims 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). Tha status of this coverage can be monitored dally by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.goyAwd/workers-compensation/investigatlons/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.' AUTHORIZED REPRESENTATIVE Daniel M.Cro, r ey,CPCU,Vice President—Residual Market—WCRI BMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street;Suite 100 Boston,MA 02114-2017 www mass govMa Workers,Compensation Insurance Affidavit:Builders/Contractors/Eleetricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): n�jea n<.,-'Z,(Cke - , Address:_ c9 J '1 Thory14on -D ri ue, City/Swte/Zip: Q n IS MOB OZ/.O ! Phone#: 1 - 311 O Are you an employer?Check the appropriate box: Type of project(required): 1.[9 am a employer with employees(full and/or part-time).* 7. ❑New construction 1[]I am a sole proprietor or partnership and have no employees working for me in 8. Remodelin arty capacity.[No workers'comp.insurance required.] ❑ g 3,a I am a homeowner do' all work myself. 9. El Demolition . mB y [No workers'comp.insurance required.]t 4131 am a homeowner and will be hiring contractors to conduct all work on my property. I will I 0❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[:]Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp,insurance.$ 13.[:]Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.R'Qther 152,§1(4),and we have no employees.[No workers'comp.insurance required] 7�/ •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. 1 am an employer that is providing workers'compensation insurance for my employees Below 6 the policy and fob site information. /^ 1/� Insurance Company Name: A , T-. M • /�'1 U- yuc r Policy#or Self-ins.Lic.#: WC-- /Op •-&Q19 e- Q - QO/40AExpiration Date: 9 ! Lao/ Job Site Address:Z2-7S.5�M/')?017) City/State/Zip: 4ra�n�expira�fioid2)- Failure Attach a copy of the workers'compensation policy declaration page(showing the policynum to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce r the pains and penalties ofpeduty that the information provided above it true and correct Si tare: ate. Phone#: Official use only. Do not write in this area, to be completed by city or town oJJ3eeial 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#' • ,t T '."��-'� ..}�-�i�.. /�.6f � S �/Ir MA k f �,✓� alf' '.sue'y' , �`. I f i u ��t Town of Barnstable do Building Department - 200 Main Street * � = Hyannis, MA 02601 MASS 9�A ib3� , (508) 862-4038 rFD MPS A Certificate of Occupancy Application Number: 201500843 CO Number: 20150024 Parcel 10: 047162 CO Issue Date: 03/13115 Location: 27 SHAMMAS LANE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: MARSTONS MILLS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APT. FOR INLAWS JAMES HOBBS AND CINDY HOBBS Building Department Signature Date Signed �tHE� TOWN OF BARNSTABLE Building 201500843 BARNSTABLE, Issue Date: 03/09/15 Permit- j y MASS. �ArF 639. s Applicant: MEROLA,FRANK A&TARA M Permit Number: B 20150454 Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/06/15 Location 27 SHAMMAS LANE Zoning District RF Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 047162 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village MARSTONS MILLS App Fee$ 50.00 License Num OWNER Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND FAMILY APARTMENT FOR INLAWS JAAMES HOBBS AND CINDY HOBftIs CARD MUST BE KEPT POSTED UNTIL FINAL REMOVE FRENCH DOORS IN REC RM INSPECTION HAS BEEN MADE. WHERE A ' CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: MEROLA,FRANK A&TARA M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 27 SHAMMAS LANE INSPECTION HAS BEEN MADE. MARSTONS MILLS,MA 02648 Application Entered by: RM Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR. t SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO 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 MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.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 CONSTRUCTIONVORK 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). POST THIS CARD SO THATVISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 B of th ?aOc(— 13� v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map DO Parcel Application Health Division Date Issued l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board t Historic - OKH _ Preservation / Hyannis Project Street Address1 S��v✓�,v►,rs fir, Village 1' M-- ani 0 1%5 Owner fIVt1. Address a-1 S6. ne, s L in Telephone 5 -.2 - n14219 - > Permit Request 4,an)yins c- 04E 0_eax y-,,e, a J�An-es US&.T 100fi jail 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 �. rD Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stove: ❑'Fes ❑No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:`;0 existing _❑ new; size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ._ C� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name a.rw2 Telephone Number Sy�-�a l ,ya, Address Yht,/h✓1,Nti,.f License# V't �S v.� �,'�f. MA Off-( `l Home Improvement Contractor# Email `:MCC x al ��7 `/4 Worker's Compensation # /� I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR —T�v DATE } FOR OFFICIAL USE ONLY APPLICATION# "r DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE 1 OWNER I DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL K PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING AF1X) ®k 3 - 4 • n DATE CLOSED OUT ASSOCIATION PLAN NO. i Town of Barnstable Regulatory Ser°v`A ies '2b4 s 3S2 t33—��2-2015 3= 1 f► ti. RichardV.Scali,InterimDirector ABLE LAND COURT REGISTRY ( NAMg Building Division ; �'0rfo Myr° Tom Perry,CBO,Building Commissioner , 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FANULY APARTMENT We, Timothy D. Barr and Joanna E. Barr the undersigned,being the owners of property situated at, 27 Shammas Lane,Marstons Mills,MA holding title under a deed recorded with the Barnstable County Registry of Deeds of the Land Court in or as Document No. C205573,being shown on Assessors, Map 047 as Parcel 162, 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. 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. The family apartment unit must be occupied only by the property owner or a members of the property owner's family as accessory to an owner-occupied single-family residence.• Occupants of Main Residence: Timothy D.Barr and Joanna E.Barr - Relationship to Owner. Owners `_ Residents of Family Apartment James and Cindy Hobbs yyyy —n Relationship to Owner. father-in-law and mother-in-law _0 s This unit shall not be rented as an apartment or as a single room,or in any fashion,which+retal would- a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Priorto occupof this unlit, affidavits reciting the names of occupants are to be recorded with the building department. This ament 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. n�7 WITNESS our hands and seals this Z N day of Vk4 0-4 C"k 20L. TOWN OF BARNSTABLE: OWNERS: I By. ( � i T' th D.Ban: I omas Perry, BO Joanna E.Barr Building Commissioner r THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date o7 S� Then personally appeared the above-named (owner), and made oath as to the truth of the fore pin instrument,before in °i�t�y 11c OR Notary Public q:wp Ics' , 1 � My Commission Expires:G) �a I SOW 2rAe 9 � Town of Barnstable °* Regulatory Services PJAW ;. Thomas-F. Geiler,Director Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m a.us Office: 508-862-403.8 Fax .50.8-790-6230 .PLAN.REVIEW Z n 1 p p 8 3 Owner: 13.E K k . Map/Pareel: O �6 Z Project Address �-'f SNAiutic�s�J/UT1l("Builder SRE _ The following items were noted on reviewing: � C�D �L—'YC�Ty/GS /Vow Js�fB�1r/1/• ON �-��I, �EQlt�l�� 2 'f7�F/gT E7EG7-6A—- EcQi ),e e-b /N 61�w*6 . Reviewed,by: Date: VZ)gz/S Q:Forms:Plnrvw . ' • = The Commonwealth of Massachusetts Department oflndusiri&Accidenft Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass gov1&a Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organizafion/Individuai)- ::IEkJK►T 1+"1 l�. 4 MA. r —Address: 21 S k(,w%, ,,S L v� City/StaWZip:(41.rt ,P^r ya ) Phone#: S0t• 2-2l -y219 Are you an employer? Check the appropriate box: Type of project(required): 1.El 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- fisted on the attached sheet 7. ❑Remodeling ship and have no employees These subcontractors have 8. []Demolition working for me im any capacity. employees and have workers' 9Buil addition [No workers'comp.insuranc CAmp.e inc��nce J ❑ required_] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12 ❑Roof repairs insurance required..]t c. 152, §1(4),and we have no employees. [No workers' d•a♦t comp.insurance 1equi[r4j *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 wade and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attached an additional sheet showing the Herr-of the sub-contractors and state whether or not those euuttes have employees. If the sub-contractors have employ=,they mast provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the po&cy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: City/Statelzip: 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$1,50D.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 thepains andpenalties ofpeyury that the informationprovided above is true and correct Signature- , 1.,� < Date- Phone#: s Official use only. Do not write in this area; to be completed by city or town oUiciaL t ,i City or Town:: Permit/License# ' Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: t, -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for thew employees. Pursuanttto 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 oa 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 eater into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurancd. requirements of this chapter have been presented to the contracting authority." Applicants I 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 incrrrance. 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 affidayit may be submitted to the Department of Industrial Accidents for confirmation of io=ance 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 Indulaal Accidents Office of Javestigat iom 6GO'Washington Street Baston,MA 02111 TO.#617-727-4900 cxt 406 or 1--877-MASSAFF, Fax#61 7-727-7749 Revised 4-24-07 - vvww.m=_govfdia F Town of Barnstable Regulatory Services nE ri Richard V.ScaIi,Director ' Building Division RARNSrAD= Tom Perry,Building Commissioner MASS En.59- a � 200 Main Street, Hyannis,MA 02601 www.town-barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: I �l( (� I Please Print 70B LOCATION: 02 S�/dN✓Y�Ci S L h i [ /�'1ron l ��Jf number street village name home phone# work phone# CURRENT MAILING ADDRFSS: IM(A rf i_�S Vl 4�.r M�l 0z 10 - --------- city/town state up 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 ofBarnstable Building Department minimum inspection procedures and re emen d that he/she will comply with said procedures and requirements. l Signature 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 persons)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,RuIes&Regulations for Licensing Construction Supervisors,Section 2.1S) 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:\WPFII.ES\FORMS\bui1ding permit forms\MTRESS.doc Revised 061313 � ETti Town of Barnstable Regulatory Services sAuvsrears,.« g, Richard V.Scali,Director 1639 �� Building Division . ........_..............._..........._.............. ..._..... Tom Perry;Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstabIe.xna.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) "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QTORMS:OVINMRPERMISSIOATPOOLS QUITCLAIM DEED KNOW BY ALL MEN BY THESE PRESENTS that We,FRANK A. MEROLA, an unmarried man, of Marstons Mills, AND TARA M. MEROLA an unmarried woman, of Centerville, MA 00 for consideration paid in the amount of Four Hundred Eighty Thousand Dollars and NO/100 ($480,000.00) hereby grant to TIMOTHY D. BARR AND JOANNA E. BARR, as Husband and Wife, Tenants by the Entirety, of a2 7 c 4#P"k-ArS,44^1 . with QUITCLAIM COVENANTS 0 The land with the buildings thereon situated in Marstons Mills (Barnstable), County of Barnstable, Commonwealth of Massachusetts more particularly a described as follows: Lot 8, Land Court Plan 38973D Cn Subject to and with the benefit of all rights, rights of way, restrictions and N easements of record, insofar as the same are now in force and applicable. U a We, the Grantors, named herein do hereby voluntarily release all our rights of Homestead as set forth in M.G.L.,Chapter 188, if any, and there are no other persons entitled to such rights. w Meaning and intending to convey,and hereby conveying the same premises described in a deed dated June 17, 2009 and recorded at the Barnstable County Registry District of the Land Court on Certificate of Title Number 188962 and filed as Document Number 1,118,166.' r SIGNED under the pains and penalties cf perjury this 12th day of February, 2016. `*'�AJA Frank A Merola COMMONWEALTH OF MASSACHUSETTS County. Barnstable On this J21Lday of February,2015, before me,the undersigned notary public, personally appeared Frank A. Merola, proved to me through satisfactory evidence of Identification,which waS—Massachusetts Driv6rs License to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose and who swore or affirmed to the that the contents of the document are truthful and accurate to the best of his knowledge and belief. I -Intary Public ON -�; Wendy J .Higgins ota pub endy J. iggins of Massachusetts My t;omml n Expires: March 16,2018 : !:' ;• -usaa Expires on Marl 2Q18 r 'r t i SIGNED under the pains and penalties of perjury this /Z day of February, 2015. Tara M. Merola COMMONWEALTH OF MASSACHUSETTS County: �c�,lVlS" �G ri On this 11 day of February, 2015, before me, the undersigned notary public, personally appeared Tara M. Merola, proved to me through satisfactory ide ce of identification, which was mc., L icw.re- , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of her knowledge and belief. Notary Public My Commission Expires: i JK1ZO s. D :e. "EXPlq V \\ :0 _ •ti77AF�pJ.`'r'r�` ,f � G o V SMOKY C :"Iv I L r 7REVIEYVE� BARNS BUILDING DEPT. - D, E ' FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING Apo 4�r x .. GcQ coo,-\ 3 e` is t I ► � X i f 11'n lti dl C L&A-1 e 6 ' i • 5 LLJ __j co cc: ::3: . v@ ao �- �� I�III r� C _ �C1 % Sn' 0 11� a cCID 4 r, IT TOIVIIN OF BARNSTABLE �1E� 1=:t► 19 €M, � 28 DIVISION Z n J_n l� T C� Z I I� o r � r o o �e art t.,,, eei((1 Ii i3 `i 1, _ __ ..._. . - —• • .. i" i 3 , I` I, c.i r 47 e t 1� F �tl I1 `fit� ► _ la C 1. C it i G r i tr jT r Town of Barnstable Regulatory Services oFWEE royti Richard V. Scali,Interim Director Building Division an MASS. Thomas Per CBO Building Commissioner Mass. g, Perry, > g 1639 pie 200 Main Street, Hyannis, MA 02601 FD Mp'l 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: My name is e�1/I�V�- & I am the owner/resident of the property located at: 2 �✓ A* G�� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: /7/t 1^' 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,c ill immeekately— notify the Building Commissioner in writing. I understand that no subletting ubleasirugof sC Family Apartment is permitted. I understand that I am required tofle an Affidavit annually with the Bmilding = a Commissioner listing the names and relationship of occupants in said Family' partmer��also, understand that I am required to comply with all conditions imposed by the Z'A Special PerrrF f, and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family artment3&I agf-e 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: - °O rv' 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��ay of p 2014. Signat6re Phone Number Print Name q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services . tqy� Thomas F. Geiler,Director Building Division 'TOWN OF BARNSTAB F MUMSenBM ' Thomas Perry, CBO,Building Commissioner MAM �b � 200 Main Street, Hyannis, MA 036aIJAN 16 PH.12= 38 iOrFo��a Y www.town.barnstable.maxs Office: 508-862-4038 ---- IQ Fax:508-790-6230 DIVITown of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is fiAA"6-J I am the owner/resident of the property located at: 7i=S L,4m&04 1 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 7-e 6 / 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 andlor 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 /�1—day of JA.-" 2013. Signature Phone Number Print Name /' t, q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services oFTME Thomas F. Geiler,Director Building Division B 0"�'UN OF Br:71 IETABLE 'MM& Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 r wo: 508=790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 41!�Aim xz / A1W / �/41 am the owner/resident of the property located at: ! �(✓� S W� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: `�111 S e Name &relationship to owner: 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 1 am required to comply with all conditions imposed by the ZBA Special Permit andlor 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. i The apartment has been transferred to the Amnesty Program(Appeal No. ) Other / Sworn to under the pains and penalties of perj this b l-"-k day of J6 c-/ 2012. a - �z 7K3 Sipa&re Phone Number Print Name - 9CAn6e a171JA &11f.4 q:forms/famaffid.do c rev 11/08/11 i Town of Barnstable Regulatory Services- Thomas F. Geiler, Director,;•!N OF .. Building Division �ss LK Thomas Perry, CBO, Building CommWi0i'neP M 8: 59 200 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: My name is f 1 am the owner/resident of the property located at: Z!�6 (1a . 4AA- 07 6 Y_ ff The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: M�V Name & relationship to owner: .1. ( /A-,✓ 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. 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 under the pains and penalties of perjury this day of jaej 2011. Signature Phone Number Print Name 4 (J i Town of Barnstable Regulatory Services pFt►+e Top, Thomas F.,Geile,Director' FdS�'�BtE ti Building Divisio>n� , Ati 8. 35 BARNSPABLE, Tom Perry, Building�Commissioner 9 KAss. ie39. 200 Main Street,Hyannis,MA 02601 ArEo �s www.town.barnstable.ma.us DIVISION 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 ' �� I am the owner/resident of the property located at: S�(,�J�'Vl M a-' b"C N�a� spar s �t i1 I s ►��- el au The following members of my family will be the sole occupants of the Family Apartment at the, aforementioned address: Name & relationship to owner: ` Ae Y 1 y— Name & relationship to owner: �,Q 't&V�S Utu'' l a'tA) 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. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to f le 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 un the pains and penalties of perjury this ^ day of1Rv0 2010. Signature Phone Number ii Print Name 1�a � MQ'r0` Q/b l d g/fo rm s/fa m a ffi d Rev:12/08 Town of Barnstable Regulatory Services DIME r Thomas F. Geiler,Director Building Division 'TOWN OF_g,�RNSTABIE BARNSTABLE. Tom Perry, Building Commission?M9 MASS. SEP 29 ` 2 v g 039. 200 Main Street, Hyannis, MA 02601 Tfn �A www.town.barnstable.ma.us DIVISION 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 �r (/� e y I am the owner/resident of the property located at: �.� S A"C� M /'ii /-�_.S C�'�// /e- �l cn �r1s M r `l(f %� O26 YO The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: �� SJ ✓IPS �'l.G Name & relationship-to owner: lSlen 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. 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 under the pains and penalties of perjury this Z 7�� day of 2009. P p J �' ignatiYre Phone Number Print Name bldg/f ms/fa1 Rev: 8 ME �tTti Town of Barnstable Building Department - 200 Main Street ELA MA&S. # Hyannis, MA 02601 9 MASS. �o�A. (508) 862-4038 Certif icate of Occupancy Application Number: 200902370 CO Number: 20080415 Parcel ID: 047162 CO Issue Date: 09102/09 Location: 27 SHAMMAS LANE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: MARSTONS MILLS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT ISSUED TO FRANK MEROLA FOR•THERESE M. DAVIS MOTHER �� o ©9 Building Department Signature Date Signed I Dor c 1 s 1 19 s 308 07-20-200 09 10=27 BARNSTABLE LAND COURT REGISTRY y}. Town of Barnstable Regulatory Services anluvsrAeIA Thomas F. Geiler,Director �b 139. 6 Building Division AlFG MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 -� Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT C) I(We), the undersigned, being the owner(s) of property situated at 27 SHAMMAS LANE, MARSTONS MILLS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable j County District Registry of the Land Court in Book , Page , or as Document No. being shown on Assessors' Map 047 as Parcel 162, 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 THERESE M. DAVIS, MOTHER, OF OWNERS, FRANK & 3 TARA MEROLA, 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 k C 2001 l TOWN OF BARNSTABLE OWNER ) D .r- 9 By. Efuilding Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), I A,1� and made oath as to the truth of the foregoing instrument,before me. Notary Publ c My Commission Expires: i 1 U VK BARNSTABLE COUNTY �:•� 3310j'%. NMypd& PK REGISTRY OF DEEDS COMMORWN001WASISC11111111111110111 A TRUE COPY,ATTEST My CmnmW M Exphas Mar 9,2011 JCJrhj„�JEA:DE,REGISTER n' °'�Wr•�� BARNSTABLE REGISTRY OF DEEDS ' e/B7 .sz h 16 N EX IST/A/G w f` -I s CERTIFIED PLOT PLAN LOCATION �gvsrgSLE�iLlA?STDNs f!/tGs) SCALE . ..! � . .... DATE PLAN REFERENCE -V6 LoT 08 0 F AS i �o E ARb o� Im E. KELLEY N No. 26100 ,0 1 CERTIFY THAT THE GIST[R ASS GROUNDWN ON THIS PLAN IS LOCATED ON THE SHOWN HEREON AND THAT IT CONFORMS THE c L SETBACK REQUIREMENTS OF THE TOWN OF .WHEN CONSTRUCTED. — - - _ DATE- �4 LET 1•��= �G-�/Tio y�-7� - _ —,,.�.� . a/ � REGISTERED LAND SURVEYG'R { 4, sleLsso,'s offioe (1st floor): _ '-J-S- SEPTIC SYS M MUST BE FTNEr Assessor slnap and lot number ......y.�...... �-................ ; 4 ��® IN COMPLIANCE eWQ�o O o Board of Health(3rd floor): Sewage Permit number .....9:7.1.`15.... ................. .— WITH TITLE 5 = BAHd9TODLE,w Engineering Department (3rd floor): '" - ��MVMENI TAL CODE AVM +o rasa � House number ... -15. .... : t� »� A.P,2 1 � �!t e� �.,�'a}9•a`0 ................................. ...... •'� 0 MAI APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only" TOWN OF BXANSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........3. �L D.................................................................................................... TYPE OF CONSTRUCTION ..............V.!!.P.i`D....... f y ......................................................................... --l!/.....��.......19.. J- .................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........� ...... 7 S ...... ...........(M. ...... Proposed Use .....6hq.IE..... .,4w/.q......1�/ /1��/.V� '.................................. .................................................... ;eF Zoning District .......... ......................................................Fire District .......CC��?...© �7........................................... Name of Owner ...C: . ^'T.. ........................Address ....... 1�....4-fAf cI10 Name of Builder ... .. —..`P4 ......... ....: f,�.......................Address Name of Architect C / rQL;......................Address .....,1.` L.'..... Q.......yl� �h'loll-jPdT . ................... Number of Rooms ........7.......................................................Foundation ......... U2 ....!�Bd✓G/ZL'T� J D[>U Exterior ..ft.t...WnT....�t'r %..9.................................Roofing ....4:VV��T ✓'rl //1� ...... ... .. ....................I..��..J�............................... Floors ...C �- ..i.�//lr.y`. ..t� • '!`d a�................... / p /� .... .. Interior ........ g Plumbing .....f �Gl.. �,(? ......�...... �'f� � �uu Heating T1. .. ..�f�.�......................................- ......................... Fireplace .. 10G CSC /�� Approximate Cost Dv p y................../... ...... pp ..... .l.......v......................... . ....... t r Definitive Plan Approved by Planning Board ___ _ __ _______ __ 19 (fi�� . Area .......//..�:. ..'.. ......-...... a Diagram of Lot and Building with Dimensions Fee ........ .... ............................ SUBJ T TO APP OVAL OF BOARD OF HEALTH O 3 I� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......;. ........V� Construction Supervisor's license ...................... C & W Realty Trust 30744 1 1/2 story ................. Permit for .................................... single family dwelling ............................................................... Location ..................2 ..hamm S.........a..s....Lane.............................Marstons Mills .. ............................................................................... C & W Realty Trust `' / r% i l,, Owner .................................................................. Type o.fConstruction .....f..r..a..m...e..... ..................... ............................................................................... Plot ....... Lot ..........#8 ........................................ .... Permit Granled ..........MU..!A....... 19 87 Date of Inspection ...................................-.19 rr Date C mpleted' 19 W 15.1 Lr ca I ,,TMF TOWN OF BARNSTABLE Permit No. .30744 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 NL ,67p• / HYANNIS,MASS.02601 Bond f1 CERTIFICATE OF USE AND OCCUPANCY Issued to C & :7 Realty Trust Address 27 Shammas Lane: 1-iz rscon:i bills, iiass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. January 12, 89 19................. ........../............. ................. Buildin Insp ector _i OF BARNSTABLE, MASSA6HUSETTS F:G.;,.... ' T i v47--l.6? �1 � �� Lester Wade i DATE iLnY 14 APPLICANT 19 87 p�;eT�hs .d PERMIT M ' ADDRESS 5 (NO 'tQ ,Ir•ck Read, Centerville 04355 .1 (STREET) PERMIT TO BUi1.d dv,e],lilt�; 1 r.1 (CONTR'S LICEN31), (TYPE 0i IIAPROVEMENT) ( ) STORY_ at•Yl�;1e ff-mil dwellin�t UUMBER'OF , No. (PROPOSED'USE).• DWELLING UNITS AT (LOCATION) lot It's 27 Shammas LaLle. Z4ar;+Conti r'tlila L("0.) ZONING tZP(STREET( DISTRICT P BETWEEN h j (CROSS STREET) AND ' (ceo,a• �rREcn SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE-BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE ' .. , USE GROUP BASEMENT WALLS OR FOUNDATION REMARKS: Scwnge #87-175 - (TYPE! AREA OR 1416 oq. ft. 9OND VOLUME 80,000 FEE s 99.Ud•(CUBIC/SQUARE FEET) ESTIMATED COST $ ;f OWNER C « Realty Trust ADDRESS 1\yC S �l K AOtl Eill E CVT A.A ' lt'� 1 BUILDING DEPT. 4, I r' r BY !� '_1 ' 1 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PAR,T1'THE�'F. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST AP- PROVED 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 TME.E OBT TIO D OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL •+:. INSPECTIONS REQUIRED FOR A PPROVED PLANS MUST BE RETAINE)-ON JOB AND THIS WHERE APPLICABLE 'SEPARATE ALL CONSTRUCTION WORK: RD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUtREO:;FOR' : I, FOUNDATIONS OR FOOTINGS. DE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS1. PRIOR,TO COVERING STRUCTUELECTRICAL, PLUMBtNG.:"'AND. MEMBERS(READY TO LATH), IRED,SUCH BUILDING SHALL'NOTBE OCCUPIED UNTIL3. FINAL INSPECTION BEFORENAL INSPECTION HAS BEEN MADE, OCCUPANCY. r 's POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSP i ECTION APPROVALS7a. 1 / �dG 1 2 - 2 ---- A/14//s,� 2 l 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT . . 1 OTHER 2 BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT WILL BECOME NULL AND VO.ID.IF C014STRUCTION TOR HAS APPROVED THE vARIODUs STAGES OF WORK IS NOT STARTED WITHIN SI: MONTHS OF DATE THE . D, •, .` coNSTaucnor•- INSPf:CTIONS INDICATED ON THIS•CAgD;CAN BE PERMIT IS ISSUED AS NOTED ABOVE„ ARRANGED FOR BY TELEPHONE OR,WRITTEN NOTIFICATION. a •5C .... nN2.%. ,a,is�,a.r.-"$ibi'=•• ♦.,.,,i !t*C ��16�'(r . .. �. . ,.xs.ta-:rt ._..e ,. _ .... _. .. DATE _ Z CONTINUATION OF ROAD BOND BUILDING PERMIT # The undersigned owner/Contra'ctor hereby agree to maintain their road bond in force until the following work items are completed to the satisfaction of the Engineering Section of the Department of Public Works. loam and seedshoulders as soon as ' weather permits. !// other (explain LOCAT SIGN D �Owner/Contra-ctor 41NEERIN& UTHORIZATIOI ' , SINE Town of Barnstable 0 Building Department - 200 Main Street MRI�SZABIZ. = Hyannis MA 02601 9 MASS. 1639. , (508) 862-4038 �FDMA�A Certificate of Occupancy Application Number: 200902370 CO Number: 20080415 Parcel ID: 047162 CO Issue Date: 09/02109 Location: 27 SHAMMAS LANE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: MARSTONS MILLS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES i Comments: FAMILY APARTMENT ISSUED TO FRANK MEROLA FOR THERESE M. DAVIS MOTHER Building Department Signature Date Signed 1 r r 'I PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE. 'BUILDING DEPARTMENT '00 MAIN STREET IWYANNIS, MA- 02601 = 1, DATE: 06/01/09 r ~ TIME: 09:27 -------------TOTALS----------------- PERMIT $ PAID 50.00 AMT TENDERED:' 50.00 j AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 200902370 PAYMENT METH: CHECK PAYMENT REF:, 1018 f <i TOWN OF BARNSTABLE BUILDING PERMIT:APPLICATION. Map Parcel '` Z '' �r r i i.! B!`rlalc T'j 0 'Application #,PAe (� Health'Division 2099 _ Date Issued ZA2, JUN Conservation Division Application Fee v Planning Dept: ert' it Fee; ON ��' Date Definitive'Plan'Approved by Planning Board Historic - OKH Preservation/ Hyannis P�ct, Project Street Address Z� 1aA(yt yYLdt,S �'Colo-f— Md rSb n,S Ki t , Village Owner 0�^�k rOI.C` Address?0 21(02 : N a,K,hi . HK LfUao1 Telephone 50� 'I�kD 5`�22 _fA4hli k - _'( y O n►a4h�i✓ ` oevrsL M 1�al�;S Permit Request tb' 1S1 StW a Ao �'t s t,atv tv i a 8X$: �'f to 11 (6fay m rw'A41 a S,et o lb a 2*tpt. (a} 'm '�k.e r� fi -hte ,nWCt h-�S w iq� ,v, y✓ ?�v�ct e�rc s S `�s '�s a�4 0►-�-' Square feet: 1st floor: existing ACO proposed 2nd floor: existing proposed Tot rew Zoning District.feS#o�Q.+ti lg Flood Plain Groundwater Overlay Project Valuation Soo Construction Type Lot Size 1• L Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family . I 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 i Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas 'l S Oil ❑ Electric ❑ Other Central Air: ❑Yes ?Q 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:P existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �Y v— ,4 T 2��- Telephone Number Address �a Z� 2 License# 1�ya�.►� S w �� I Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I� SIGNATUFi DATE �� 101 Y _ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER _ v - DATE OF INSPECTION: _ t .. FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING N ® ( •�/ 09 r , DATE CLOSED OUT ASSOCIATION PLAN NO. Doc= 1 . 119,30E 07-20-2009 10_27 t BARNSTABLE LAND COURT REGISTRY Town of Barnstable Regulatory Services RAMsresLe. Thomas F.Geiler,Director �b39. .� Building Division 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 27 SHAMMAS LANE, MARSTONS t^ MILLS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book , Page , or as Document No. pJ , being shown on Assessors' Map 047 as Parcel 162, hereby agree, certify, warrant and (`n 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. S The intended and authorized use is for THERESE M. DAVIS, MOTHER, OF OWNERS, FRANK & TARA MEROLA, 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 20 day of k 1 200_�L. TOWN OF BARNSTABLE OWNER ) —9 By: �. n`J Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), / � K M-�e /Ir-, and made oath as to the truth of the foregoing instrument,before me. Notary Publ c My Commission Expires: BARNSTABLE COUNTY X�. 91,�. Not"p" REGISTRY OF DEEDS a' v�.v {k C�i9AM10I A TRUE COPY,ATTEST JQMrffin :RE,REGISTER �•'• j �t. O 'h/vf `L .11•yyv if BARNSTABLE REGISTRY OF DEEDS v r The Commonwealth of Massachusetts Department.of Industrial Accidents Office of Investigations d 600 Washington Street Boston, MA 02111 �v•�� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): -ty-cL k Address: 601C 2.'1 h 2 I • City/State/Zip: IASI A,,1Lvt i Phone.#: �� Lf 0 �I Are you an empIoyer? Check the appropriate box: Type of project(required): L❑ I am a employer with 4. I am a general contractor and I - . employees(full and/or part-titn.e). * have hired the sub-contractors 6.1 New construction 2.Q I am a sole proprietor or partner-' listed on the attached sheet. T.0 Remodeling ship and have no employees These sub-contractors have g. Q Demolition working for me in any capacity. employees and have workers' 9. n Building addition [No workers' comp.-insurance comp. insurance.$ required.] - 5. 0 We are a corporation and its 10.❑ Electrical repairs or additions 3.'I ,J 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.❑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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy"of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certtyy under the pains and penalties of perjury that the information provided above'is true and correct Si nature: Date: 5 5d o Phone#: '-)Z 1 1 LO Official use only. Do not write in this area, to 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 S.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 LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe 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/licerise 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 fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 TO. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-72777749 Revised 11-22-06 www.inass.gov/dia r Epp THE tp�y Town of Barnstable . Regulatory Services BARNSr,BLF- Thomas F. Geiler,Director 1. Building Division jED MAt Tom Perry,Building Commissioner 200 Maid.Street, Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: (A JOB LOCATIDN: �� S Y `Gf,.VYI.✓YL Q,� number t A street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: PO 211 2 6��D(�h-►'i S F'l!A Leo I ty/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 Persons)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 requi� en Signature ol 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:forms:homccxcmpt pFIKEr, � Town of Barnstable ` Regulatory Services. r ' 'w B& E' r Thomas F. Geiler,Director 'iOrE059616 � 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) i 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 �z�� ' � �� . . , � � :� �_ _ _ _ __� f 07/07/2009 11:10 5083989797 MAZZONI&ASSOCIATES PAGE 02/02 Doc-t.r 11>$•ibb d7�d6--204?9 11=d3 CEPS 188962 BARNSTABLE LAND COURT REGISTRY SPECIAL WAAMANW DEW Bank of America.Na kwd Amoelatlml,as TrmWe for McffM Lymch Dt IM TPranklln Mertgsage Loan Taunt 2007A Mortpge lLom Amea.Baeked Cer9dticabas;Series 2o7-a, having its usad plMo of bUBiness at 13 5 t3auth LeSelle Stimct,Qtitaago,Ii.s o 60 s - for comidemdon paid,slid in AM oDmoideratio n of Your Rmdnd SU4 Tlioasaad Man sand ,Zero Cwte( 000.00) ® E3 C) r- C)l n gmnts tD Frank A.Mot Is and Tara M.Mdreh,husband ad wife,os tenaats by the ammty, �� -- � with SPECIAL WARRANTY COVENANTS the bend in Mar t=Mills(Barnstab 4 MA ch"rapues4Adc==5 ""than e land with t>bo buikiiep thereca situstmd At 21 Shamus Lao,Town of Mammas Th rm Milli(Bamstable),County of Barnstable,Me&%cWsm,026a6 as deamibed in SX=rr"A" r attached hacto snd made apart bereo£ eb I N W I TN B 3 g W H E R E O P. the said Rank of America.Nation Assorhl" a® 'a'nmfte for Merr®Lyn&pkd Fironklin Mortgage Loan Trust 20074,Mortpp Ian Anaaacked CaWleate%Series 20874.has caused its seal to be hereto affixed Ind these presents to be snpW,acknowledged and delivered in itB name and behalf by f ' Eileca Papariella,Amt VP of Home Loan Services,be.under Power of Atti mq rem as Donn nt no. 1 bs and horato duly authorized,Ode 17 day of June 2009: d RMSV LE LAW ACTOURTXREGIMY Date: 07-W7007 0 11 r0aaa e r100— Fee: sit .20 Const $"000o0 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 07-06-20n9 D 11103 m CtIO: 60 Doc*: Mat" Feet $1,242.00 Cons: $460#000.00 f oFTHE ra,,, Town.of Barnstable Regulatory Services BAMSfABLE, MASS. Thomas F. Geiler,Director �A i6gq. �0 TE1639. Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 April 25, 2007 Mr. Marcio Coelho 27 Shammas Lane Marstons Mills, MA 02648 Re: Illegal Apartment: 27 Shammas Lane Marstons Mills, MA 026548 Map: 047 Parcel: 162 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. r Sincerely" `-- da Edson Amnesty Zoning Enforcement Officer Building Department G gforms:zoning3 I alp -- f tcS � nn �`cr� -737-37z g TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 iT cel;`.. Applic atibh # Health'Divisi6n 711 Date Issued Conservation Division _.,Applibati6h, Fee Planning.Dept; ermit Fee. Date DeTinitive Plan Approved by Plap' ning Board Historic OKH Prq'servation Hyannis Project Street Address Ans L_—A.K)-e_,. Village tMAS Owner 14" Address Telephone Permit Hequest 09gA 13e_,AJf&AM Ate cA- '_b9: JNq CPA..') FLeo 4—,±Q &P16110-I&M, &2aM,& .&IEv— Pke,-c- 4. ex�'?Lc4A Omn u-) I St"�� Rmms -rrj _B�~ajr Square feet: 1 st floor: existing a%OC)I6roposed 2nd floor: existing$proposed' Total new Zoning District' Flood Plain ._Groundwater,Overlay Prpj'ect Valuation (01006 Coristruction Type L6t Size__. -A Grandfathered: Ll Yes' U No If yes, *attach supporting documentation. Dwelling Type: Single Family <O Two Family L3 Multi-Family(# units) Age of Existing Structure l Q 88 Historic House: Q Yes Q No On Old King's Highway: 0 Yes Ll No Basement Type: Q Full U Crawl Q Walkout Q Other Basement Finished Area (sqft): (650 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing 10 new First Floor Room ount Heat Type and Fuel: Q Gas tr5ii' Q Electric L3 Other Central Air: L3 Yes 0416 Fireplaces: Existing New Existing wood I stove.:60 Yes? Ll No Detached garage: Q existing Ll new size—Pool: L3 existing Q new size Barn: Q e 'sting 4ne\A,9.)size— c1r, Attached garage: 246 x6fing L3 new size —Shed: Q existing Q new size Other: Zoning Board of Appeals Authorization Q Appeal # Recorded Q Commercial Ll Yes L] No If yes, site plan review# Current"Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address/) License g/"75 (z ;Z32: ,!�Avtivwl Pig 07i Home Improvement Contractor# Worker's Compensation # 2_0O CONSTRUCTION DEBRIS 7 RES LTIN ROM THIS PROJECT WILL BE TAKEN SIGNATURE DATE t FOR,-OFFICIAL USE ONLY APPLICATION# ti DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE" OWNER rt DATE OF INSPECTION: FOUNDATION FRAME � INSULATION >. FIREPLACE R ELECTRICAL: ROUGH FINAL ' i PLUMBING: ROUGH _ FINAL GAS: ROUGH FINAL =- FINAL BUILDING A ��' 0p� _ DATE CLOSED OUT ASSOCIATION PLAN NO. - 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): 1 8 Address 0- Qg�....�1,5' City/State/ : 20 Phone.#: SOS OL776' 5a2--0/ Are yo n employer?Check the appropriate box: Type of project(required): L I am a employdi with 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).*' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [ eaiodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and:have workers' 9. Building addition (No workers'comp.insurance comp.insurance.; required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and'we have no employees.(No workers' ME]Other comp.insurance required] 'Any applicant that checks box#1 must also fill out the section below showing their workers'cornpm ation policy infomtation. t Homeownas who submit this affidavit indicating they we doing all work and then line outside contractors must submit a new affidavit indicating such. - tConvw=that check this 6a&it attached an additional sheet showing the name of the sub oatiactors and state whether or not those entities have employees. ff the sub{cntactois 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.#: 7,00 l tAJ L 94 30 Exp' ation Date: Z S b Job Site Address: 24. sk.-I oiAf" City/State/Zip: MJ%V_VkopJ 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- imprisonment,as well as civil-penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day aga" a vio . Be advised that a copy of this statement may be forwarded to the Office of Investieations of the DI r ins coverage verification. I do herZbtify u r th pa' s and pena erjurg%that the information provided above is true and corn ct Sin r Date: ems! G _ Phone#: Official iKe only. Do not write in!Iris 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#: �1HE Town of Barnstable Regulatory Services EAMBT"BLS, ' Thomas F. Geiler,Director eua9. i63q. 10� �F1639.,IN 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 t&vem , as Owner of the subject property hereby authorize Uto act on my behalf, in all matters relative to work authorized by this building permit application for. Address of ob 0� S ature of Owner D to C.��t�tAirw't ' Print Name If Property Owner is applying for permit please complete the . Homeowners License Exemption'Form on the reverse side. Q:FORMS:OWNERPERMISSION r Town of Barnstable �1HE ; o Regulatory Services T Thomas F.Geiler,Director + iARN6TABLE, 9 MASS.q, 16.9. ,0� Building Division AlfD I"u'�A 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 e DATE: 10B LOCATION: number street village "HOMEOWNER": name home phone# work phone tl CURRENT MAILING ADDRESS: 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 OIT 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.I-A 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. Signature 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/eertifieation for use in your community. Q:\WPFILES\FORM S\homeexempt.DOC f Z/YofruireinogwReg�ulatioofi/sa/ntdB Standards Construction Supervisor License License: CS 66737 Ez iration 25/2010 Tr# 18678 >j . y�GF ,Rtestr� on. " MARK A DEDECKO ' 2 IVY LN _ SANDWICH, MA 02563 Commissioner Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registrai ,n 149627 Epw26/2010 Tr#� 262603 AZT....... :.......�._ ........::: �^ f i .yrt "=....... Si:�"" .. .�z CAPE HARBOR FfOI S IUc- MARK DEDECKO : 759 FALMOUTH Rom-; MASHPEE, MA 02649 ��"'- nistrator , d 1... e • -,�� n _ A',T/ �'-.. �. 4, a .. � _ ... } OCT-21-2008 17:15 From:MARK SYLVIA INS 5OB4209227 To:508 775 9200 P.1-11 CERTIFICATE OF LIABILITY INSURANCE o 10121/2008 MGM= 5OS 4264WO Tm CERY01CAT6 18 UUMI)A8 A MATTER OF INFORMATION MARK W_SYLVIA INSURANCE AGENCY ONLY AND CONFM NO Rf6HTS UPON THE cawnFICATE T7'1 MAIN STREET HOLOM THI C9n 4CATE DOEG B T! MPOI.ICIEExB BELOW OSTERVILLE.Ml1 02665 INGURERS APFORDOM2 C*VMGE NAIL s - r�_uaari Neu�w FARLA FAMILY CASUALTY._ I INSURANCE,,. _._. . CAPE GOD CUSTOM HOMES INC PO BOX 15A a gffl a MASHPEE.MA OMB ilm mo —_---- - . NDUAER e TH8 POLICIES OF;I6URANCE LISTED BELOW HAVE BEEN ISSUED TO THE ROMEO NANED ABOVE FOR THE POLICY PMUOD INDICATED.NOTWITMSTA"004 ANY REQUIREMENT_TE M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WFM RESPECT TO WHWH TM W(r[FICATE MW BE 03UED OR MAY Q�q TAPI THE YrBURANCE AFFORDED BY THE POLICIES OESCRIBED HERON IS SUBJECT TO ALL THE TERMS.WWLLI=m AND CONDITIONS OF SUCH POLICN.'S•Af.�ii1EGATQ IYTS SNDYYN MAY HAVE BEEN REDUCED BY PAID CLANS. _ . -•-_-•-_ • roueYlllne�a WaL A • UAGUM �O _ • 1000000 Tzr• s 300000 �'""�'"` 2001 LA3237 1125r2006 1 vZ5r2m — 4"'A' U wE Ill was POMONALAAMMURY i 1000000 Ms- carLAo�PeoATBLrrTAwvec�sR veoDIIGTe_Gp�IWOAA9O i _—_10D000O voLICY Loe 1►IftOMODINUADLITYcammmmmAuWr 1 ANrAIAO ALL&MM AW06 a&nwlnr • SCitEDULWAUTOD --- - --• HMAUT03 Yw.Rr • E�9�e • ��LIiYJT� AYTOONLY-�11AtCfDENT � ANYAIRO O7►WA TNiW �«� i ---- - - AN MCC AGO • I{�AIJADRIIY EAC�IOCC{pAtHL! i -•• - - OCG1lR CLAMMADI! AOOREOATL! - • MAXTOR RDiaNTiDN i i A naNAlo cunn 2001W6430 091251200E 00/25/2009 X n+cTxt a L AOGIDEIR _ t j000.000 F p�peAee.eA _ i 1,000,000 r +d+ DLpeeAee-soLlcruIllT • 1000000 ... .off . i . OQRCIMMI011 Or OP«UTA11M/IODATION•/YlM�1 mIQIdRW11D ADDIp dv bO01q�Qlt I iIEGML CARPENTRY DETACHED DWELLINGS CERYWICATE HOLDER CANIC131ATION i .. .. •IOIJLOAMYorTI�Aii0Yd0[aCAe�PaLIG60OlSCANCELLL'ODO�ONB111GC1INMiID11 OATn TNWADr."m Mae""AW WRL,MAYOR TO NIML DAY•WPffM LL OWN OF BARN$1'ABLE NdI'°N TO � °aN""moo t°Tltc Lorr°1r I41aoaD to Do a0 a1M TOWN MAIN STREET dome No m or ANY N urON TNa wounk I"Aoalm OR 200 flame i HYANNIS MA 02601 ACORD 26 N20011081 0 ACORD CORPORATION ION i jeptem6er 16, 2004 Town of barnsta6le building Dept. Hyannis, MA 02601 To Whom It May Concern: 1, Marcio Coelho, as owner of my primary residence at 27 5kammas Lane in Marstons Mills do here 6y state that I will not use the finished space above the garage as an in-law apartment or rental unit. I have completed the departments' request to create a minimum 5' opening in my first floor plan to allow me to continue with the finished garage construction. Sign this the 1 7tk day of 5eptem6er, 20o+. Marcio Coelho CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE & EMERGENCY SERVICES 1926 1875 Route 28•Centerville, MA 02632-3117 508-790-2380•FAX:508-790-2385 John M.Farrington,Chief Glen S.Wilcox,Fire Prevention Officer Craig E.Whiteley,Deputy Chief Martin 01.MacNeely,Fire Prevention Officer September 23, 2004 TO: Building Department Bill Kelly Town of Barnstable 200 Main Street Hyannis, MA. 02601 In accordance with MGL 148, Section 28A, the Centerville-Osterville- Marstons Mills Fire/Rescue Department brings to your attention the following potential violation(s) of 780 CMR: Massachusetts State Building Code for your review and/or interpretation of same. NAME/BUSINESS: Residential — Marcio Coelho l ADDRESS: 27 Shammas Lane, Marstons Mills OBSERVANCE: Illegal basement bedroom. Basement room used as bedroom, emergency egress is small casement windows. Thank you, Rrc.b0t.Y\A.-(kvFire in Mac Neely C e Prevention Officer 4strict "Commitment to Our Community" f wParcel Detail Page 1 of 3 TH 07 Logged In As: Parcel Detail Tuesday, Februa Parcel Lookup Parcellnfo Developer'----� Parcel ID '047-162 Lot LOT 8 Location;27 SHAMMAS LANE I Pri Frontage Sec Sec Road JRACE LANE I Frontage 175 village,MARSTONS MILLS I Fire District C-O-MM Sewer Acct I Road Index 2103 Interactive Map Owner Info Owner;GUALBERTO, PAULO I Co-owner Streetl `27 SHAMMAS LN I Street2 City -MARSTONS MILLS �I State MA zip 02648 Country Land Info Acres 11.20 Use Single Fam MDL-01 zoning ,RF y Nghbd 0105 Topography Level I Road ,Paved utilities,Septic,Gas,Public Water ( Location Construction Info Building 1 of 1 Year i 1988 -) Roof;Gable/Hip I Ext!Wood Shingle-- Built Struct Wall Effect r3453 I Roof iAsph/F GIs/Crn I Ac I None Area -- --� Cover Type - - - style;Cape Cod I In Drywall Be@Edro;-rns c v wall Room C Model IRes� idential I In Floor(Hardwood Rooms `4 Bath F Grade!Average Plus I Heat(H'ot Air I Total f I Type Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=3364 2/24/2009 Parcel Detail Page 2 of 3 L. WK, T g. ;W B19 S ,i-Slbl ; ,ci,:. Stories�1 1/2 Stories I Heat Oil `) Found- Poured Conc. Fuel ation -Ff4. ISA Permit History Issue Date Purpose Permit# Amount Insp Date COmmE 11/22/2004 Remodel 80773 $500 04/10/2006 00:00:00 06/03/2004 Addition 77026 $25,000 10/04/2004 00:00:00 10/23/2003 Wood Deck 72449 05/06/2004 00:00:00 06/05/2003 New Addition 69281 $90,000 05/06/2004 00:00:00 03/06/1996 Remodel 13638 $1,500 01/11/1997 00:00:00 FGR TO 05/01/1987 1330744 $80,000 01/15/1989 00:00:00 MM 11/: Visit History Date Who Purpose 08/11/2008 00:00:00 Nancy Finch In Office Review 07/08/2008 00:00:00 Karen Perry In Office Review 04/24/2006 00:00:00 Paul Talbot Meas/Est 04/10/2006 00:00:00 Martin Flynn Meas/Est 08/19/2005 00:00:00 Paul Talbot Meas/Est 10/04/2004 00:00:00 Martin Flynn Bldg Permit Completed 11/15/2002 00:00:00 Paul Talbot Meas/Listed-Interior Access 02/15/1997 00:00:00 Lloyd Kurtz Meas/Listed-Interior Access 03/15/1989 00:00:00 ME Sales History Line Sale Date Owner Book/Page Sale P 1 04/26/2007 GUALBERTO, PAULO C182924 2 06/18/2002 COELHO, MARCIO C165628. 3 12/05/1996 FAY, TIMOTHY & BROOKE TRS C142886 4 01/15/1996 FAY, TIMOTHY J & BROOKE C C139486 5 01/15/1996 PIMENTA, LORETTA E C117459 6 05/15/1989 MICHEL, JEAN D & C117459 7 12/15/1986 CONSALVO, JOSEPH & C109317 8 05/15/1986 YOUNG, DAVID W TRS C106313 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=3364 2/24/2009 Parcel Detail Page 3 of 3 J II 9 104/15/1983 I SHAMMAS, SERGE I C91492 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2009 $318,600 $27,100 $1,000 $185,400 2 2008 $344,400 $27,100 $1,000 $148,700 4 2007 $419,600 $27,100 $1,000 $148,700 5 2006 $438,800 $19,500 $1,000 $151,500 6 2005 $333,400 $19,300 $1,000 $141,700 7 2004 $144,400 $18,900 $1,000 $141,700 8 2003 $127,000 $2,800 $1,100 $57,800 9 2002 $127,000 $2,800 $1,100 $57,800 10 2001 $127,000 $2,900 $1,100 $57,800 11 2000 $100,500 $2,900 $800 $39,200 12 1999 $100,500 $2,900 $800 $39,200 13 1998 $100,500 $2,900 $800 $39,200 14 1997 $96,100 $0 $0 $33,600 15 1996 $96,100 $0 $0 $33,600 16 1995 $96,100 $0 $0 $33,600 17 1994 $97,200 $0 $0 $45,400 18 1993 $97,200 $0 $0 $45,900 19 1992 $110,500 $0 $0 $50,400 20 1991 $104,100 $0 $0 $61,600 21 1990 $104,100 $0 $0 $61,600 22 1989 $78,100 $0 $0 $61,600 23 1988 $0 $0 $0 $18,000 24 1987 $0 $0 $0 $18,000 25 1986 $0 $0 $0 $18,000 Photos /. 416 "P http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=3364 2/24/2009 I MLS Page 1 of 3 Listing Summary Listing #20811300 27 Shammas Ln, Marstons Mills, MA 02648* Active (12/24/08) DOM/CDOM:50 $499,900 (LP) Beds: 3 Baths: 4 (3 1)(FH) Sq Ft: 2939* Lot Sz: 52272sgft* Town: Barn Yr: 1988* Remarks Large bank owned cape with 3 car garage Picture Report Listing Violat with finsihed rooms above. being sold as is! K R Additional Pictures i Pictures(3) See Agent Jack P Creaven Jr I (ID:UODQ)Primary:508-737-3728 Secondary:508-428-2300 x28 Other:508-737-37: Office RE/MAX Classic(ID:CLAS2)Phone:508-428-2300,FAX:508-420-0469 Property Type Single Family Property Subtype(s) Single Family Status Active(12/24/08) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 3% 0% No Facilitator Comm 0% Listing Type Excl.Right to Sell Owner Name BANK County Barnstable Tax ID 47-162-0-0-BARN Beds 3 Baths (FH) 4(3 1) Approx Square Feet 2939* Sq Ft Source Assessors Records Lot Sq Ft(approx) 52272• Lot Acres(approx) 1.200 Lot Size Source (Assessors Rec( Year Built 1988* Listing Date 12/24/08 Directions to Property Race lane to Shammas. Listing Page FSho7ng ion-Other 0% Instructions Call Listing Agent General Page Zoning RESIDENTIAL Year Built Desc. Actual Total Rooms 9 Total Levels 1.5 Basement Baths 0.0 Level 1 Baths 0.0 Level 2 Baths 0.0 --Lsvet-3-Bsths 9.0 Basement Yes http://ccimis.rapmis.com/scripts/mgrgispi.dl]?APPNAME=Capecod&PRGNAME= 2/12/2009 MLS Page 2 of 3 Basement Description Finished,Interior Access Foundation Concrete Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth. 0 Lot Width 0 Topography/LotDesc. Level Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage Yes #of Cars #3 Garage Description Attached,Direct Entry,Door Opener Parking Description Paved Driveway Year Round Yes Separate Living Qtrs No Waterfront No Water View No Convenient To Conservation Area,Major Highway,Shopping Miles to Beach 2 Plus Beach Description Ocean Beach Ownership Public Street Description Paved Interior Page Fireplace Yes Number of Fireplaces #1 Master Bedroom OxO Level:First Floor Bedroom#2 OxO Level:Second Floor Living/Dining Combo No Living Room OxO Level: First Floor Dining Room OxO Level:First Floor Kitchen/Dining Combo No Kitchen OxO Level:First Floor Family Room OxO Level: First Floor Floors Hardwood,Tile,Wall to Wall Carpet Exterior Style Cape Pool No Dock No Energy Saving Feat None Exterior Features Deck,Exterior Lighting,Yard Roof Description Asphalt Siding Description Shingle Mechanical Heating/Cooling 2 Zone Heat,Oil,Hot Air Water/Sewer/Utility' Septic,Town Water Hot Water/Water Heat Oil Legal/Tax Annual Tax $3429 Tax Year 2008 Land Assessments $148700 Improvement Asmt $344400 Other Assessments $28100 Total Assessments $521200 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Special Asmt Pending Unknown Mass Use Code 101-Single Family Title Reference-Book C#182924 Title Reference-Page 0 Underground Fuel Tnk Unknown http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 2/12/2009 MLS . Page 3 of 3 • Lead Paint Unknown Asbestos Unknown Flood Zone Unknown The listing contract has not yet been validated by MLS Staff. Denotes information autofilled from tax records. Information has not been verified,is not guaranteed,and is subject.to change.Copyright Year—Cape Cod&Islands Multiple Listing Service, All rights reserved Copyright©2009 Rapattoni Corporation.All rights reserved. Generated:2/12/09 3:20pm. POWERED BY Ra' tt6nW.Up. . I http://`ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= .2/12/2009 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 9 Map Parcel"' Applicatiori #1,00. 0,21 Health"Division -Date Issued Conservation Division '.Application Fee -f- Planning.Dept. Permit Fee, Date Definitive Plan Approved by Planning Board Historic ' OKH Preservation Hyannis Project Street Address Village 06(rgkoh& kills -Ole Address kit &Z&61 Owner 0-iA V PO Jqb 2 Telephone Permit Request A 11X T UWlf'fj W,-il lv: ...,. w I V UA !me&.5 A-S recyire, TO, I r /e. -Z e;-1 4141 r C V PW64-o-1 1v orcveld )'wfo Tu4es vnq RUSH 19411-zAe-e- IT Square feet: 1st floor: existing2 i Dbproposed '2nd floor: existing '93 iO proposed ,' Total new Z6hing District Flood Plain Groundwater Overlay Project Valuation —Construction Type Lot Size Grandfathered: U Yes Ll No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family Ll Multi-Family (# units) Age of Existing Structure I 9R) Historic House: Ll Yes ClAo On Old King's Highway: Ll Yes U No Basement Type: 14 Full Ell Crawl LI Walkout LJ Other Basement Finished Area (sq.ft.) TS-1) 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 10 new First Floor Room Count Heat Type and Fuel: Ll Gas XOil Ll Electric LJ Other Central Air: Ll Yes V No Fireplaces: Existing New Existing wood/coal stove: Ll Yes Ll No Detached garage: LJ existing b new size—Pool: U existing Q new size Barn: LJ existing LJ new size Attached garage:Aexisting U. new size —Shed: Ll existing LJ new size Other: Zoning Board of Appeals Authorization Q Appeal # Recorded U Commercial Ll Yes ANo If yes, site plan review,# Current Use SWe Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �CeTelephone Number 0 151 Address 6b License# 4V OU\44 Home Improvement Contractor# Worker's Compensation # JS ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -119VA L)O, SIGNATURE DATE r FOR OFFICIAL USE ONLY . y APPLICATION# DATE ISSUED MAP/PARCEL NO. - . --ADDRESS VILLAGE ; - 1 OWNER. 4 DATE OF INSPECTION: - �Nad' << bay c7lR&I „FOUNDATION - FRAME -.?Fem ae ` Y0 71, o 'INSULATION 6< -7/ob D ve— f FIREPLACE , ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL _GAS: ROUGH FINAL = FINAL BUILDING DATE CLOSED OUT - ASSOCIATION PLAN NO.- ' ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations, 600 Washington Street Boston, MA 02111 tvww.mass.gov/dia 'davit: Builders/Contractors/Eleatricians/Plumbers Workers' Compensation Insurance Af Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: 0 60X 31( a City/State/Zip:�AVLVLn i S fA f" 021A01 Phone.#: '50' Are you an employer? Check the appropriate box: Type of project(required): 4. I am a general contractor and I • 1.El I am a employer with � 6. ❑New construction employees(full and/or part-tim.e).* have hired the sub-contractors 2.0 I am a•sole proprietor or•partder- listed on the-attached sheet. T. E]Remodeling ship and have no employees "These sub-contractors have g. 'Q Demolition working for me in any capacity. employees and have workers' 9.XBuilding addition [No workers'•comp.-insurance comp. insurance. required.] 5. We are a corporation and its 10.[�Electrical repairs or additions officers have mn 3`�;I am a homeowner doing all work h exercised.their I LE]Plumbing reairs or additions p myself. [No workers' comp. right of exemption per MGL 12.❑R66f repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Othpr' 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.#: 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). J Failure fo secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crim 41 penalties of a fine tip to$1,500.00 and/or one-year in3prisonment, 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 hereb ce yy an=hndpenalties of perjury that the information provided above is true and correct. Si ature: erg �/, / �a � Date: •°� Phone# J" 0"e �"1 14 U (' "' �--7 Ltd Official use.only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health '2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:' Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or ti istee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C( )states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),-addresses)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 nuntber 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 permilt/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 bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations. 600 Washington Street Boston, MA 02111 Tel, #617-727-4900 ext 406 ar 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable " Regulatory Services s t;wtwMar a Thomas F.Geiler,Director 9q, 16.19. ,�� Building Division AIFn I�r Tom Perry,Btiilding Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION i Please Print DATE: pp J ,�f �C7 JOB LOCATION: ' "Y!'l `-��"r� , K�So� S r/( number street village � "HOMEOWNER": name ! (�( �h/ome phone# work phone �j # CURRENT MAILING ADDRESS: I� j I (P 2- o.. 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 recwiremenlih Sig 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/cenification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC I u DIME� Town of Barnstable Regulatory Services. a.uwsz"sie.Huss. Thomas F. Geiler,Director � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.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) I Signature of Owner Date Print Name If Propea Owner is applying for permit please complete the . Homeowners License Exemption Form on the reverse side. Q:FORM&O WNERPERMISSION I rr• � i ® - D e STANDARD FORM PURCHASE & SALE AGREEMENT From the Office of: RXX X CLASSIC 161 LOVELLS LANE KhRSTONS MILLS HA 02648 This day of , 20 PART iES FINANCIAL ASSRT SERVICES INC. AND MAILING 1300 QUAIL STREET NEWPORT SEACS CA 92660 ADDRESSES hereinafter called the SELLER,agrees to SELL and frillln) FRANK A. MEROL:A AND ^rARA M. MEROLA 624 FLI*rf STREET FARSTONS MILLS Mr". 02648 hereinafter called,the BUYER or PURCHASER,agrees to BUY,upon the terms hereinafter set forth. 2 c^.ESCRt?TION the following described premises: (rill in and inciude 27 SfWAXAS LADLE MARSTORS MILLS MA 02648 hilt;reference) AS DESCRIBED AT THE 'SARNSTABLE REGISTRY OF DEEDS "LAND COURT CERTIFICATE # 182924. TOWN OF` l3ARNSTABLE ASSESORS ?LAP 47, PARCEL 162. 3. BUILDINGS, Irciudf�d in the sale as a part of said premises are the buildings,siructu�ems, and improvements now STRUCTURES, thereon,and the fixtures belonging to the SELLER and used in connection therewith including,if any, itvtPROVEMENTS, all, wall-to-wall carpeting, drapery rods, automatic, garage door openers, venetian blinds, window FIXTURES shades, screens, screen doors, storm vdindovrs and doors, avrnings, shutters, furnaces, heaters, ti(in or delete) heating,equipment,stoves, ranges,oil and gas burners and fixtures appurtenant thereto, hot water heaters, plumbing and bathroom fixtures, garbage disposers, electric and other lighting fixtures, mantels, outside television antennas, fences, gates, trees, shrubs, plants and, ONLY iF BUILT IN refrigerators, air conditioning equipment, ventilators, dishwashers,washing machines and dryers; and but excluding 4. TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER.or (fill in) to the nominee designated by U7e BUYER by written notice to the SELLER at least seven 'include Here b,specific CALEAIDAR days before the deed is to be delivered as heroin provided, and said deed reference any raslric6ons, shall convey a good and clear record and marketable*title thereto,free from encumbrances.except easements,rights and a. Provisions of existing building and zoning latas; obligg>arions in party.halls no! b. Existing rights and obligations in party walls v.hich are not the subject of written agreement; included in(b), leases, c, Such taxes for the then current year as are riot due and payable on the date of the rnziniclpa!and othor liens, delivery of such deed; other encumbrances, and d. Any liens for municipal betterments assessed after the date or this agreement; make proulsion to prntect e. Easemonts, restrir,.tions and reservations of record.if any,so long as tiro same do not SELLER against OWIER:- prohibit or materially interfere with the current use of said premises; breactr of SEI LER's covenants in leases, where reces&ary. 5• FLANS If said deed refers to a plan necessary to be recorded therewith the SELLER snail deliver such plan with the deed inform adequate for recording or registration. 6. PURCHASE PRICE The agreed purchase price for said premises is s 460,000,oo (fillln)space is allowed to Four Hundred $a.xty Thounand spell out the amounts if desired 5,000.00 have been pairs as a deposit this day anddollars,of which S 4S5,000;00 9rA to be paid dt the time of delivery of the deers In cash,or by certified, noshir.,Cs,r,,heckfs). S 3c0,000.00 TOTAL 2)i979•2005 OREAT'ER,130STON REAL ESTATE BOARD All righk rc7�cprvarl. Form 10:WnD RU•OTI)r5 s ;3 a rcra vaa crea a..lY�xCl[=eeavtn.,.:rg o-vacas. ,.-rarxy ie copy.a4nc p=oe oce.o a:,e oa, roc h.iced•by yz;.ca,.ar?nr-y, pj • .,. 3fp]t�6';�• ;7. REGISTERED TITLE in addition to the foregoing, ;the title to said premises is mgisterted, said dead 4-:Mal! be i,z form sufficient to entitle the BUYER to a Certificate of Title of said premises,and the SELLER shall deliver with said dead ai)instruments,if any,neeess2ry to enable the BUYER to obtain such Certificate of Tide. S. TIME FOR Such deed is to be delivered at 2 o'cLaGk-49- Mach PERFORMANCE, 20 09 ,at the BAP14STABLB CO'UM* P.3016TRY OF D2?EDS DELIVERY OF DEED (ill in} Registry of Deeds,unless olhervAse agreed upon in writing. It is agreed that time is of the essence of this agreement. 9. POSSESSION and Full possession of said premises free of ail tenants and occupants,except as herein provided,is to CONDITION of PREPASE be delivered at the time of the delivery of the deed, said premises to be then (a) in the same (attach a lief of condition as they now are, reasonable use and wear thereof excepted, and (b)not in violvtion of exceptions, if any) said building.and zoning laws,and(c)in compliance with the provisions of any instrument referred to in clause 4 hereof.The BUYER shall be .nutted personally to anisr said prsrrises prior to the delivery of the deed in order in determine whether the midition thereof complies with ffie terms of I his clause. -3. EXTENSION f'O if the SELLER shall be unable to give title or to manse conveyance,or to deliver possession of the PERFECT TITLE premises, all as nereln stipulated,or if at the time of the defivany of the head the premises do not OR MAKE PREMISES conform with the provisions hereof,then any payments mode under this agreement shall be forthwith. CONFORM refunded and at,'rather obligations of the parties hereto shall cease, and this agreement shall be fCnange pedcd of time If void without recourse to the parties hereto, unless the SELLER SHALL use reasonable efforts to desired). remove any defects in title,or to deliver possession as provided herein,or to make the said premises conform to the provisions hereof,as the case may be,in which event the SELLER shall give written notice thereof to the BUYER at or betore the time for performance hereunder,and thereupon the time for performance hereof shalt be extended for a period of thirty CALENDAR days. 11. FAILURE TO PERFECT If at the expiration of the extended time the SELLER shall have failed so to remove any defects In TITLE OR MAKE: title,deliver possession,or make the premises conform,as the case z-nay be,all as herein agreed, PERNIISES CONFORfeil,efe, or if at any time during the period of this agreement or any extension thereof, the holder of a mortgage on szid premises shall refuse to pemtft the insurance proceeds, if any, to be used for such purposes,Liten any payments made under this agreement shall be forthwith refunded and all other obligations of rise parties hereto shall cease and this agreement shall be void without recourse to rite parties hereto. 12. BUYER's The BUYER shall have the election,at either the original or any extended time for performance, to F_EGTION TO accept such title as the SELLER can deliver to the said premises in their then condition and to pay ACCEPT TITLE therefore fhe purchase price without deduction, in which case the SELLER shall convey such,ti4.ie, except that in the event of such conveyance in accord with the provisions of this clause,if the said premises shall have been damaged by fire or casualty insured against, then the SELLER shall, ;finless the SELLER has previously restored the premises to their former condition. either a. pay over or assign to the BUYER,on delivery of the deed: all amounts recovered or recoverable on account of such insurance,less any amounts reasonably expended by the SELLER for any partial restoration,or b. if a holder of a mortgage on said premises shall not permit the insurance proceeds or a part thereof It.)be used to restore the said premises to their fcrme3r condition or to be so paid over or assigned,give to the BUYER a credit against the purchase price,on deiivery of the deed,equal to said amounts no rec*vered or recoverable and retained by the holder of the said mortgage less any amounts reasonably expended by the SELLER fat any partial restoration. 13. ACCEPT"At•1r.;E The acceptance of a deed by the BUYER or hEc norWnes,as the ease maybe-,shall be deem-ad ro OF DEEM be a full performance end discharge of every agreement and obligation. herein contained or ^.xpressed,eXCEM1.such ass are,by the dorms hereof,to be parforMed after the demlivery&said deed. 14. ME OF MONEY TO To enable the$Ef-l_ER to make conveyance as herein provided,ih- SELLER may, at tpte time of CLEAR TiTI..E delivery of the datim, o9a the purchase money or any portion thereof to clear the title of ery or all encumbrances or interests,provided that all instruments 6o procured are recorded simuftaneousiy With the delivery of said deed. '*••� �•.••� .-.� �......,.. s... Yn r ntaPat,IIL..e ..� .._�,l?lie ♦..snWc ,u rvvw..,.f,Y .,r,.�..•r.A s,A env nail'. hw .ease Dv A.l.,the. olrt— 15.iNSURANCE Until the delivery of the.dem,the SELLER shall maintain insurance on said premises as oCows: 'Insert amount,list additional Type of Insurance Amount of Coverage types of insurance and amounts a. Fire&Extended.Coverage S as agreed) b. C.AS PRESENTLY INSURED � 16.ADJUSTMENTS Collected rents, mortgage interest, water and sewer use charges, operating expenses (if any) (fist operating expenses, if according to the schedule attached hereto or set forth below, and taxes for the then vurrent fiscal any,or attach schedule) year, shall be apportioned and fuel value shall be adjusted, as of the day of performance of this agreement and the net amount thereof shalt be,jtl<;fed to or deducted from,as the Casa may be,the purchase price payable by the BUYER at the time of delivery of the deed.Uncollected rents for the current rental period shalt be apportioned if and when collected by either party. 17.ADJUST MFNT OF If the amount of said taxes-1 is not known 3t the tit'ne of the detivrary of the deed, they shall be UNASSESSED AND apportioned on the basis of the taxes assessed frir the preceding fisrai year,with a reapportionment ABATED TAXES as soon as the nAw tax rate and valuatian can be ascertained: and, if the taxes which are to be apportioned shall thereafter be reduced by abatement, the amount of such abatement, less the reasonable cast of obtaining the same, shall be apportioned between the parties, provided that neither party shall be obligated to institute or proser:ut© proceedings for an abatement unless otherwise herein agreed. 18.BROKER`s FEE A Broker's fee for professional services of $23000,00 (6t14-7 fee with doilar amount or is due from the SELLER toREM-ax CLASSIC WHO WILL PA: r:..rr IX GROVER Lac percentage;also name of REAL 3E-STXTE $13600.00 T-7 AM WHEN DEED IS RECORDED. Brokerage tirm(s)) the Broker(s)herein,but,if the SELLER pursuant to the terms of clause 21 hereon retains the deposits made hereunder by the BUYER,said Broker(s)shall be entitled to receive from the SELLER an amount equal to one-half the amount so retained or an amount equal to the Broker's fee for professionat services according to tots contract,whichever is the lesser. 19. BROKER(S)WARRANTY The Broker(3)named hetcinR6rdM CLASSIC AND 11MITLIN GROVER Gt3AC REAL ESTATE- (fill in name) warrant(s)that the Broker(s)is(are)duly licensed as such by the Commonwealth of Massachusetts. 20. DEPOSIT All deposits made hereunder shall be held in escrow by RE>5 K CLASSIC (fid in name) as escrow agent subject to the terms of this agreement and shall be duty accounted for at the time for performance of this agreement. In the event of any disagreement between =he parties,the escrow agent may retain all deposits made under this agreement pending instructions mutually given in writing by the SELLER and the BUYER. 21. BUYER'S DEFAULT, If the BUYER shall fail to fulfill the BUYE;R's agreements herein,all deposits made hereunder by the DAMAGES BUYER shalt be retained by the SELLER as liquidated damages unless within thirty days offer the time for performance of this sgreemeat or any extension hereof,the SELLER othenarise notifies the BUYER in writing. 22. RELEASE BY The SELLER's spouse hereby agrees to join in said deed and to release and convey ail statutory HUSBAND OR WIFE and other rights and interests in said premises. 23. BROKER AS PARTY The Broker(s)named herein joins)in this agreement and becomeis)a party hereto,insofar as any provisions of this agreement expressly apply to the Broker(s), and to any iamendments or modifications of such provisions to which the Sroker(s)agree(s)in writing. 24, LiA31LITY OF If the SELLER.or BUYER executes this agreement in a representative or fiduciary-capacity,only the TRUSTEE, principal orthe estate represented shalt be bound,and neither the SELLER orBUYER so executing, SHAREHOLDER, nor any shareholder or beneficiaryof any trust,shall be personally liable for any obligation,express BENEFICIARi'etc. or Implied, hereunrer. 25. W ARRANITIES AND The BUYER acknowledges that the BUYER has not been influenced.to enter into this transaction REPRESENTATIONS nor has he retied upon any warranties or representations not set forth or incorporated in this (fid in)it none.state'none%if any agreement or previously made in writing, except for the following additional warranties and tcEtes,W%dicate by whom each representations,if any,made by either the SELLER or the Broker(s): viarranly or reprebentation was NONE maae torn.was Czeeted toy -JACK Cif CAVIM i Lftti ,i-FOWB, t V*1419 io enyyrigAt Prateeted'and aey rot bo be6d Ly any tithe,"r¢y. 25,CON T iNGENCY CLAUSE in order to help finance the acquisition of said premises,the BUYER shall apply for a conventional (omit if not provided for bank or other institutional mortgage loan of aA4949,ss--. :3,8 at prevailing in Offer to Purchase) rates, terms and conditions. If despite;he BUYER's diligent efforts a commitment for such loan cannot be obtained on or before March 15th , 20 09 , the BUYER may terminate this agreement by written notice to the SELLER andior the Broker(s),as agent(s)for the SELLER,prior to the expiration of such time,whereupon any payments made under this agreement shall be fOrttlVdI i refunded and al;other obligations of the parties hereto shall cease and thie agreement _diall be void without recourse to the parties hereto. In no event will the BUYER be deemed to have used diligent efforts to obtain such commitment unless the BUYER submits.a complete mortgage loan application conforming to the foregoing provisions on or before March act 20 09 27. CONSTRUCTION This instrument,executed in multiple counterparts,is to be construed as a Massachusetts contract,is OF AGREEMENT to take effect as a sealed instrument. sets forth the entire contract between the parties,is binding upon and enures to the benefit of the parties herato and their respective heirs,devisees, execrators, administrators, successors and assigns, and may be cancelled, modified or amended only by a written Instrument executed by both the SELLER and the BUYER.if two or more persons are named herein as BUYER their obligations hereunder shall be joint and several. The captions and marginal notes are used only as a matter of convenience and are not to be considered a part of this agreement or to be used in determining the intent of the parties to it. 28.LEAD PAINT LAW The parties acknowledge that, under Massachusetts taw, whenever a child or children under six years of age resides in any residential premises in which any paint,plaster or other accessible material contains dangerous levels of lead, the owner of said premises must remove or cover said paint, plaster or other material so as to make it inaccessible to children under six years of age. 29. SMOKE DETECTORS The SELLER shall,at the time or the delivery of the deed,deliver a certificate Iron•,the fire department of the city or town in which said premises are located stating that said premises have been equipped with approved smoke detectors in conformity with applicable taw. 20. CAR3ON IvtONOXiOE For properties sold or conveyed eerier March 30,2006.the Seller shalt provide a certificate from the DETECTORS fire department of the city or town in which the premises are located,either to addition to or incorporated into the certificate described above, stating '.hat the premises have been equipped with carbon monoxide detectors in compliance with M.G.L. c_ 148 § 26F1/2 or that the Premises are otherwise exempted the Statute. 31. ADDITIONAL The initialed riders,if any,attached hereto,are incorporated herein by reference. PROVISIONS 1. SALE Ctal'V`I'INGENT UPON BUYER COMPLETING HOXE INSPECTION WITHIN 15 DAYS OF THE SELLER SIGNING THE CONTRACT. 2. SALE CONTINGENT UPON PASSING TITLE t/ SEPTIC INSPECTION REQUIRED BY LAW. 2. SEE ATTACHED ADDENDUMS WHICH ARE PART 4P THIS CONTRACT. FOR RESIDENTIAL PROPERTY CONSTRUCTED PRIOR TO 1978;BUYER MUST ALSO HAVE SIGNED LEAD PAINT "PROPERTY TRANSFER NOTIFICATION CERTIFICATION" NOTICE: This is a legal document That creates binding obligations. If not understo consult an attorney. SELLER: BUYER: Print Name: Print Name:FRelM A. HERCLA Taxpayer ID/ Taxpayer.07 SELLER(or Socuse): BUYER:_ Print Dame: Print. Name:TAIUk N. MERot,_� Taxpayer ID/ Taxpayer BROKER(S) itt-'a'Torn-- Crested by 3AC7 CiiSAVffiT veiny a-IORW- a-DORMS 16 C,1rrfrigbt protaetad and pay not be uacd by tiny ocher party. ♦ ' CART SON GROV R Extension of Time for Performance PURCHASE AND SALE AGREEMENT Date: "/''�7 02 The Purchase and Safe Agreement dated , 20�,between BUYERS and SELLERS .;rZZ a CfG(I A5561-3 SerlllG�� & for the property located at 19-7 SWYnh'D iQ S /I v1arskn MlY S . is hereby amended in accordance with the paragraph(s)checked below. ctw)es,-/Wiwi dPpps,- will be hod-t eruakG-e �F die bvyw-aloes roo f pe'�vrm an complzi-e 4ransoc h6i on or- 6-eir mdy 31-a2�9. Financing Contingency—Loan Application: The time for submitting a complete loan application under the Financing Contingency clause of the forgegoing agreement is extended until: Date: 20 Financing Contingency-Loan Commitment: The time for obtaining a commitment for financing under the Financing Contingency clause of the foregoing agreement is extended.until: Date: 20 Delivery of Deed: The time for performance(Delivery of Deed)of the foregoing agreement is extended until: Time: a:UD am/@m on Date:/3 2000 All other terms and conditions of the above referenced Purchase and Sale Agreement remain unchanged f and in full effect as executed. TIME IS OF THE ESSENCE. BUYERS and SELLERS are advised to seek legal counsel relating to any terms of this extension that are not understood and hereby acknowledge receipt of a copy of this extension. Seller Date Print Name Signature Seller Date Print Name Si nature �-- ` Buyer `s t`� f'i /n� ` n �� _:{A_�^ Date 1 �) Print Name SOq ure Buyer Date G !L fL Print Name Signature Extension to Purchase and Sala Agreement 9-20W Original!Company Corry!Sewer Copy I Buyer Copyright®GMAC Home Services.LLC i �I I J • , y t s r e �r �. L%" A v' v *AliIK .� .S" ,..o '� ( G� 3 Poo 5IAN o Ri 10 -e L 1119 t 14110 oF1ME ram, Town of Barnstable Regulatory Services • • BMWSTABLE. v MAC, g Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 18, 2009 Jack Craven 167 Lovel's Lane Marstons Mills, MA 02648 REF: Bank Owned Property 27 Shammas Lane, Marstons Mills, MA 02648 Map: 047 Parcel: 162 Summary of actions required to satisfy 1.) The Town of Barnstable Zoning Ordinance, 2.) The Massachusetts State Building Code, and 3.) The State Regulations regarding sewage disposal systems (regulated/enforced by The Town of Barnstable Health Department). 1.) This property was found to be in violation of The Town of Barnstable Zoning Ordinance 240-14 for the RF Zoning district. As part of the corrections to be made, the property had to be restored to a single family dwelling or a permit for a family apartment over the garage could be obtained by the purchaser. 2.) The permit for a family apartment would be allowed with compliance with the State of Massachusetts Building Code, with particular compliance with 780 CMR 5311.4.1 two exits required and 780 CMR 52, definition of a"dwelling unit". These sections require proper egress from the area above the garage. Proper egress was not observed when inspected. 3. The Town of Barnstable Health Department determined that the property was limited to three bedrooms. Our observation showed 5 on the property. To bring the property into compliance 2 bedrooms had to be eliminated. One was located in the basement which had to have a 5' or larger opening installed to eliminate it's use as a sleeping area. It is my understanding that the modifications necessary to bring the others into compliance were decided through conversations with the purchaser, yourself, and this office. The State of Massachusetts Building Code, 780 GMR sections 51 through 120 inclusive, governs the changes in construction. S iinccjerely, Robert Mc echnie Local Inspector { w �oFYrowti Town of Barnstable Regulatory Services IURNSTABLE, Thomas r. Geiler, Director MASS. a i639. cb Building Division Tom.Perry, Building Commissioner MO Main Sheet, Hyannis, MA 02601 wfv}v.town.barnstable.ma.us Office: 508-962-4038 Fax: 508-790-6230' PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: ATTN: FAX NO: FROM: DATE: PAGE(S): Z— (INCLUDING COVER SHEET). r F1HE r Town of Barnstable Regulatory Services + BAMSTABLE, 9 MASS. Thomas F. Geiler,Director QjA 039. �0 �Fo►,,�+° Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 18, 2009 . Jack Craven 167 Lovel's Lane Marstons Mills, MA 02648 REF: Bank Owned Property 27 Shammas Lane,Marstons Mills, MA 02648 Map: 047 Parcel: 162 Summary of actions required to satisfy 1.) The Town of Barnstable Zoning Ordinance, 2.) The Massachusetts State Building Code, and 3.) The State Regulations regarding sewage disposal systems (regulated/enforced by The Town of Barnstable Health Department). 1.) This property was found to be in violation of The Town of Barnstable Zoning Ordinance 240-14 for the RF Zoning district. As part of the corrections to be made, the property had to be restored to a single family dwelling or a permit for a family apartment over the garage could be obtained by the purchaser. 2.) The permit for a family apartment would be allowed with compliance with the State of Massachusetts Building Code, with particular compliance with 780 CMR 5311.4.1 two exits required and 780 CMR 52, definition of a"dwelling unit". These sections require proper egress from the area above the garage. Proper egress was not observed when inspected. 3. The Town of Barnstable Health Department determined that the property was limited to three bedrooms. Our observation showed 5 on the property. To bring the property into compliance 2 bedrooms had to be eliminated. One was located in the basement which had to have a 5' or larger opening installed to eliminate it's use as a sleeping area. It is my understanding that the modifications necessary to bring the others into compliance were decided through conversations with the purchaser, yourself, and this office. The State of Massachusetts Building Code, 780 CMR sections 51 through 120 inclusive, governs the changes in construction. Sincerely, Robert Mc echnie Local Inspector i . oF1HE ram, Town of Barnstable Regulatory Services BMWSTABLE KASS. g Thomas F.Geiler,Director q'ATe039. 6. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 18, 2009 Jack Craven 167 Lovel's Lane Marstons Mills, MA 02648 REF: Bank Owned Property 27 Shammas Lane, Marstons Mills, MA 02648 Map: 047 Parcel: 1.62 Summary of actions required to satisfy 1.) The Town of Barnstable Zoning Ordinance, 2.) The Massachusetts State Building Code, and 3.) The State Regulations regarding sewage disposal systems (regulated/enforced by The Town of Barnstable Health Department). 1.) This property was found to be in violation of The Town of Barnstable Zoning Ordinance 240-14 for the RF Zoning district. As part of the corrections to be made, the property had to be restored to a single family dwelling or a permit for a family apartment over the garage could be obtained by the purchaser. 2.) The permit for a family apartment would be allowed with compliance with the State of Massachusetts Building Code, with particular compliance with 780 CMR 5311.4.1 two exits required and 780 CMR 52, definition of a"dwelling unit". These sections require proper egress from the area above the garage. Proper egress was not observed when inspected. 3. The Town of Barnstable Health Department determined that the property was limited to three bedrooms. Our observation showed 5 on the property. To bring the property into compliance 2 bedrooms had to be eliminated. One was located in the basement which had to have a 5' or larger opening installed to eliminate it's use as a sleeping area. It is my understanding that the modifications necessary to bring the others into compliance were decided through conversations with the purchaser, yourself, and this office. The State of Massachusetts Building Code, 780 CMR sections 51 through 120 inclusive, governs the changes in construction. Sincerely, Robert Mc echnie Local Inspector MLS Pagel of 3 a Listing Summary Listing#20811300 27 Shammas Ln, Marstons Mills, MA 02648* Active (12/24/08) DOM/CDOM:50 $499,900 (LP) Beds: 3 Baths: 4 (3 1) (FH) Sq Ft: 2939* Lot Sz: 52272sgft* Town: Barn Yr: 1988* Remarks Large bank owned cape with 3 car garage Picture Report Listing Violat with finsihed rooms above. being sold as is! ti .A Additional Pictures dYrr.1` '� �_ - w!.1• �+ i t: r) ;, Pictures(3) See I Agent Jack P Creaven Jr (ID:UODQ)Primary:508-737-3728 Secondary:508-428-2300 x28 Other:508-737-37: Office RE/MAX Classic(ID:CLAS2)Phone:508-428-2300,FAX:508-420-0469 Property Type Single Family Property Subtype(s) Single Family Status Active(12/24/08) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 3% 0% No Facilitator Comm 0% Listing Type Excl. Right to Sell Owner Name BANK County Barnstable Tax ID 47-162-0-0-BARN Beds 3 Baths (FH) 4(3 1) Approx Square Feet 2939" Sq Ft Source Assessors Records Lot Sq Ft(approx) 52272• Lot Acres(approx) 1.200 Lot Size Source (Assessors Rec( Year Built 1988* Listing Date 12/24/08 Directions to Property Race lane to Shammas Listing Page Commission-Other 0% Showing Instructions Call Listing Agent General Page Zoning RESIDENTIAL Year Built Desc. Actual Total Rooms 9 Total Levels 1.5 Basement Baths 0.0 Level 1 Baths 0.0 Level 2 Baths 0.0 Level 3 Baths 0.0 Basement Yes ti http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME= 2/12/2009 i MLS Page 2 of 3 Basement Description Finished, Interior Access Foundation Concrete Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Topography/Lot Desc. Level Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage Yes #of Cars #3 Garage Description Attached,Direct Entry,Door Opener Parking Description Paved Driveway Year Round Yes Separate Living Qtrs No Waterfront No Water View No Convenient To Conservation Area, Major Highway,Shopping Miles to Beach 2 Plus Beach Description Ocean Beach Ownership Public Street Description Paved Interior Page Fireplace Yes Number of Fireplaces #1 Master Bedroom OxO Level:First Floor Bedroom#2 OxO Level:Second Floor Living/Dining Combo No Living Room OxO Level:First Floor Dining Room OxO Level: First Floor Kitchen/Dining Combo No Kitchen OxO Level: First Floor Family Room OxO Level: First Floor Floors Hardwood,Tile,Wall to Wall Carpet Exterior Style Cape Pool No Dock No Energy Saving Feat None Exterior Features Deck,Exterior Lighting,Yard Roof Description Asphalt Siding Description Shingle Mechanical Heating/Cooling 2 Zone Heat,Oil, Hot Air Water/Sewer/Utility Septic,Town Water Hot Water/Water Heat Oil Legal/Tax Annual Tax $3429 Tax Year 2008 Land Assessments $148700 Improvement Asmt $344400 Other Assessments $28100 Total Assessments $521200 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Special Asmt Pending Unknown Mass Use Code 101-Single Family Title Reference-Book C#182924 Title Reference-Page 0 Land Court Cert# 0 Underground Fuel Tnk Unknown http://ccimis.rapmls,.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 2/12/2009 MLS Page 3 of 3 °! Lead Paint Unknown Asbestos Unknown Flood Zone Unknown The listing contract has not yet been validated by MLS Staff. Denotes information autofilled from tax records. Information has not been verified,is not guaranteed,and is subject to change.Copyright—Year—Cape Cod&Islands Multiple Listing Service, All rights reserved Copyright©2009 Rapattoni Corporation.All rights reserved. Generated:2/12/09 3:20pm P'6LVERFA:gr nm Rapa,ttosz LS http://ceimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Ca*pecod&PRGNAME= 2/12/2009 IME Town of Barnstable BARN STABLE. ' Regulatory Services MASS 039. Building Division prFO MAC� 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice a�9E-E¢lrR'�t©NS Type of Inspection `?F c? `ramy Location 07 YNAvhA4#s L 4am kt Aok- Permit Number byr1-1&Z Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: ® 4-oo a.T wh w7- A-5&e'v G4-r '0& G IZ E74T&-6 !N OFFI C E a -TPA-4 E' Fj R SE6Er2 q rl onf &e,-4c hW A V f► ,A k cxS 4AJb QP&N-N6-S !N .G,9096E- `J l �JfYSC-rn�A/> f7A7Gg�W� 1v// 41200,0+ A4--.A f /90.7-#- ,vo KtVr*WW . 0 13"w-yo-lx- 3 P�Rv�►r (020I 9�o 0 a �° Ys ,v ,' c a� ZaI S0-773. Please call: 508-862-4038 for re-inspection. Inspected by �SZLHr '(/l�� ,�0{ ''� Date .�4.i4>�n 111+.�w..+s...1{.d"'�'."��'ij �C'''4/'Le� .d4'„r/:sII-,'Nw-+ .•f.lh• ' -r. r�,•.'. . ... .. ti..�pni+a:i,.i!^ . -y r ;. ..__ •x.t.Y..�s ns`^•, -�y .��, . . '.�", ��.:r-44-.�_-ram `oF.NE. ti Town* of Barnstable BARNSTABLE. Regulatory Services MASS s6)9• �0 Building Division p�FO MAC a. 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice 08:5C-K URl°lcNS Type of Inspection ��FQccE5r;s% 8y /'i2SPrz-c77dE Location a 7 YNp P-hM As L A&m /u rik- Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: �p�9/lT�dte-N7 '/.�01J� GA2r9Cg� eRe~��t� /N OFFICE lfsP&4E. 2 F,R� sEPE f'zq Ti onf 8�E4C bliFb d y Hz5,'rr b u crrS 4n1A OP&&v-"-s /N 6410,1966_ &y Z/ ,t°��1oD� �4wwA / /3/��'ff— ,yo klTrtylirw #C-,zC . PE-PMI r�692�I A140 OPT �°C,PyxiYs KV, r)'U'9 .77dL6 (o q2�l #f o�73 Please call: 508-862-4038 for re-inspection. Inspected by Date 27 Shammas Lane, Barnstable, MA 02648 (MLS# 71677948) - Barnstable MA Real Estat... Page 1 of 9 NewEnglandMoves. com BESWEN LALBROKER1GE 27 Shammas Lane MA 02648 1'rl 1�1 LpAndiR4:/twww.newenglandmoves.com/ID/939109 Basic Information Price: $499,900 w Type: e-----------Single Family - --------------------- :1. Bedrooms: 3 ------------------------------------------------- �s Bathrooms: 5 Full 1 S � -------------------------------------------------- Lot Size: 1.20 Acres1 a ------------------------- r - Living Area: 3,079 Sq.Ft. t � ------------------------------------------------- " MLS ID: 71677948 -------------------------------------------------- Where you can you find a home with over 3000 sqft,an acre plus of land,3-car garage and the perfect in-law apartment on Cape Cod for under$500,000?It's right here so don't miss this incredible opportunity to own a 13-room Beautiful Contemporary Cape situated on a lovely piece of property. Listed By:William Raveis R.E.&Home Services,Michelle Tucker Interior- J Number of Rooms: 13 ------------------------------------------------------------------------ Interior Features: Cable Available, French Doors ------------------------------------------------------------------------ Fireplace: Yes ------------------------------------------------------------------------ Fireplace(s): 1 ------------------------------------------------------------------------ Appliances: (Sign In) ------------------------------------------------------------------------ Flooring: (Sign In) ------------------------------------------------------------------------ I Rooms Bathrooms Total Bathrooms: 5 ----------------------------------------------------------------- --- Full Bathrooms: 5 ----------------------------------------------------------------------- Master Bathroom: Yes ----------------------------------------------------------------------- Bathroom 1: Bathroom-With Shower Stall,Flooring- Stone/Ceramic Tile,Main Level,Dryer Hookup-Gas, Washer Hookup,First Floor ----------------------------------------------------------------------- http://www.newenglandmoves.com/Printing/PropertyDetal is.aspx?PropertyID=939109&Is... 6/30/2014 L _ ,27 Shammas Lane, Barnstable, MA 02648 (MLS# 71677948) - Barnstable MA Real Estat... Page 2 of 9 Bathroom 2: Flooring-Stone/Ceramic Tile,First Floor Bathroom 3: Flooring-Stone/Ceramic Tile,Second Floor Bedrooms Total Bedrooms: 3 ----------------------------------------------------------------------- Master Bedroom: Flooring-Hardwood,French Doors,Main Level, Exterior Access,22X16,First Floor Bedroom 2: Closet,Flooring Hardwood,20X14,Second Floor Bedroom 3: Closet,Flooring-Hardwood, 16X12,Second Floor Other Rooms Living Room: Fireplace, Flooring-Wood, 18X12,First Floor Family Room: Ceiling-Cathedral,Ceiling Fan(s),Closet,Flooring- Wood,Main Level,Cable Hookup,Deck-Exterior, Exterior Access,High Speed Internet Hookup,21X16, First Floor ---------------------------------------------------------------------- Kitchen: Pantry,Countertops-Stone/Granite/Solid,Main Level, Kitchen Island, Breakfast Bar/Nook,Cabinets- Upgraded,Remodeled,Stainless Steel Appliances, 12X13,First Floor Dining Room: Flooring-Wood,Breakfast Bar/Nook, 13X12,First Floor ----------------------------------------------------------------------- Laundry: Bathroom-Full,Flooring-Stone/Ceramic Tile,Dryer Hookup-Electric,Washer Hookup,First Floor Home Office: Ceiling-Cathedral,Flooring-Hardwood,French Doors,Main Level,Cable Hookup, Deck-Exterior, Exterior Access,High Speed Internet Hookup, Recessed Light, 18X14, First Floor Inlaw Apt.: Bathroom-Full, Bathroom-With Tub&Shower, Closet,Flooring-Hardwood,Dining Area,Balcony/ Deck,Countertops-Upgraded,20X28,Second Floor Exercise Room: Flooring-Stone/Ceramic Tile,Basement Foyer: Ceiling-Cathedral,Closet,Flooring-Wood, 17X5, First Floor ---------------------------------------------------------------------- Media Room: Flooring-Stone/Ceramic Tile,Basement Bonus Room: Closet/Cabinets-Custom Built, Flooring-Hardwood, 11X20,Second Floor Additional Information Year Round: Yes ------------------------------------------------------------------------ Exterior Exterior Features: (Sign In) ------------------------------------------------------------------------ Color: cream ------------------------------------------------------------------------ Parking Garage: Yes Attached Garage: (Sign In) ------------------------------------------------------------------------ Garage Description: Attached ------------------------------------------------------------------------ http://www.newenglandmoves.com/Printing/PropertyDetails.aspx?PropertyID=939109&Is... 6/30/2014 i 27 Shammas Lane, Barnstable, MA 02648 (MLS# 71677948) - Barnstable MA Real Estat... Page 3 of 9 Garage Spaces: 3 ------------------------------------------------- Parking Features: Paved Driveway ------------------------------------------------------------------------ Location Area: (Sign In) County: Barnstable Neighborhood: Millview Acres ------------------------------------------------------------------------ Driving Directions: Rt.149 to Race Lane to Shammas Lane,on left side down long driveway ------------------------------------------------------------------------ Dist.to Beach: 3/10 to 1/2 Mile(Miles) ------------------------------------------------------------------------ School Information Elementary: (Sign In) High: (Sign In) Community Community Features:Public Transportation,Shopping,Walk/Jog Trails,Golf Course,Medical Facility,Conservation Area,Highway Access,House of Worship,Public School ------------------------------------------------------------------------ Heating&Cooling Cooling Type: (Sign In) Heating Type: Hot Water Baseboard,Electric Baseboard,Oil,Propane H eating Zones: 3 ------------------------------------------------------------------------ Water Heater: Oil ------------------------------------------------------------------------ Utilities Electric: (Sign In) ------------------------------------------------------------------------ Sewer: Inspection Required for Sale ------------------------------------------------------------------------ Water: City/Town Water ------------------------------------------------------------------------ Utility Description: for Electric Oven,for Electric Dryer,Washer Hookup Structural Information Architectural Style: Cape ------------------------------------------------------------------------ Description/Design: Attached Construction: Conventional(2x4-2x6) Exterior Const.: Clapboard,Shingles ------------------------------------------------------------------------ Basement: Yes ------------------------------------------------------------------------ Basement Desc.: Full,Finished,Interior Access Foundation Size: 44x71 ------------------------------------------------------------------------ Roof: (Sign In) Square Feet: 3,079 ------------------------------------------------------------------------ Sq.Ft.Source: Public Record ------------------------------------------------------------------------ http://www.newenglandmoves.com/Printing/PropertyDetails.aspx?PropertyID=939109&Is... 6/30/2014 27 Shammas Lane, Barnstable, MA 02648 (MLS# 71677948) - Barnstable MA Real Estat... Page 4 of 9 Year Built: 1988 ------------------------------------------------------------------------ Lot Features Lot Size(Acres): 1.20 ------------------------------------------------------------------------ Lot Size(Sq.Ft.): 52,272 ------------------------------------------------------------------------ Frontage: Cul-De-Sac,Dead End ------------------------------------------------------------------------ Lot Description: (Sign In) Zonin g: (Sign In) ---------------------------_----_------------------------------------------ Water Features Beach Ownership: Public Green Features Energy Features: (Sign In) ------------------------------------------------------------------------ Financial Considerations Price: $499,900 ------------------------------------------------------------------------ Price Per Sq.Ft.: $162.36 ------------------------------------------------------------------------ Tax Amount: $4,185 ------------------------------------------------------------------------ Tax Year: 2014 ------------------------------------------------------------------------ • r i E t I i I http://www.newenglandmoves.com/Printing/PropertyDetalls.aspx?PropertyID=939109&Is... 6/30/2014 27 Shammas Lane, Barnstable, MA 02648 (MLS# 71677948) - Barnstable MA Real Estat... Page 5 of 9 qj, http://www.newenglandmoves.com/Printing/PropertyDetails.aspx?PropertyID=939109&ls... 6/30/2014 Barnstable, 02648 (MLS# • •4i Barnstable . Real Estat... '. ." • of • Lz i a htt • • ' ' o•- ' op- • • 1•: • 1 1 ' 27 Shammas Lane, Barnstable, MA 02648 (MLS# 71677948) - Barnstable MA Real Estat... Page 7 of 9 I �Sr .-rw r1 law. � Nraroa 13W _I J 7n http://www.newenglandmoves.com/Printing/PropertyDetails.aspx?PropertyID=939109&Is... 6/30/2014 i 27 Shammas Lane, Barnstable, MA 02648 (MLS# 71677948) - Barnstable MA Real Estat... Page 8 of 9 I Aednw:.s -. -7 I 1 I s c T;,hber way wQ� �a PrS pa/h O/d Fa�� Qao n, m Cu as Race t. V ° ho �° U Little Po d Race Ln Gt `aov \fie` ca172 P� m �a `Qa Race Ln aQa Pe a� ° ca � a �. � ✓o� 9iy p x -n PS vc e`QaiF 9a 6/ackhornR G\°e� ,�yQ 0 f�S'a1h, a a 9 d a 9 Map data©2014 Goo le The property listing data and information(in part)set forth herein were provided to MLS Property Information Network,Inc.from third party sources,including sellers, lessors and public records,and were compiled by MLS Property Information Network,Inc.The property listing data and information are for the personal,non commercial use of consumers having a good faith interest in purchasing or leasing listed properties of the type displayed to them and may not be used for any purpose other than to identify prospective properties which such consumers may have a good faith interest in purchasing or leasing.MLS Property Information Network,Inc.and its subscribers disclaim any and all representations and warranties as to the accuracy of the property listing data and information set forth herein. ©2014 Coldwell Banker Residential Brokerage.All rights reserved. Operated by a subsidiary of NRT LLC. Equal Housing Opportunity.Equal Housing Lender. Here an just some of our Itome loan financing options: 15 Year Fixed 20% 99 282 4*1, 0 4.139% 0 2 958 15 Year Fixed 5% 24 995 4% 0 4.139% 103 3 513 30 Year Fixed 20% 99 980 1 ,4.65% 0 4.722% 0 2 062 30 Year Fixed 5% 24 995 4.65% 0 4.722% 309 2 449 These financing scenarios are for illustration purposes. Contact your mortgage representative today for an actual financing scenario based on your personal income and assets. Call now for a pre-approval loan decision: 800-793-5626 NE Moves Mortgage is the mortgage affiliate of Coldwell Banker Residential Brokerage.We offer a wide variety of loan programs and financing options including some of the lowest rates in the industry. Please call us toll-free at 800-793-5626. NE Moves Mortgage,LLC Equal Housing Lender.MA Lender/Broker License#MC0022-1601 Trapelo Road,Waltham,MA 02451;NH Lender/Broker License#11360 http://www.newenglandmoves.com/Printing/PropertyDetails.aspx?PropertyID=939109&Is... 6/30/2014 f 27 Shammas Lane, Barnstable, MA 02648 (MLS# 71677948) - Barnstable MA Real Estat... Page 9 of 9 MB"Licensed by the New Hampshire Banking Department";RI Licensed Lender:License#20052011 LL;RI Licensed Loan Broker License:# 20052012LB;ME Lender License#SLM2431;ME Lender License#SLB4665;CT Lender/Broker License#8731;CT Second Mortgage Lender/Broker License#11581. @2014 Coldwell Banker Residential Brokerage.All rights reserved. Operated by a subsidiary of NRT LLC. Equal Housing Opportunity.Equal Housing Lender. All information deemed reliable but not 113 • • ej guaranteed bC&X-Iry RFAITOft RESIDEWIAL BROKERAGE http://www.newenglandmoves.com/Printing/PropertyDetails.aspx?PropertyID=939109&Is... 6/30/2014 �0 Hylloi 9iWls;lJuVR `to r -� I (3 � r � � � � � r + � s �- � 3 � f° �' No. J S565�'.S VIA' v`�' ' /✓ �� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: i �\ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Ye ZIPPI for i2; oga1 &pgtem Construction ermft Application for a Permit to Construct( ) Repair(,4 Upgrade( ) Abandon( ) ❑Complete System❑Individual Components Location Address or Lot No, Owner's Name,Address,and Tel.No. Assessdr's Map/Parcel Q' I •1("-7 Installer's Name,Address,and Tel.No.li=�FrP�<<<< (`1't��%�� Designer's Name,Address and Tel.No. Si 6�0 3or.Zi.» (Lwvc��a:,l-c..lv� �.,1 L��io•z� C."��.�1,� �l�1 S 31 3 ��<J, Type of Building: Dwelling No.of Bedrooms Lot Size 5A 1`A-S I-- sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.tequi .d) 3.3 c) gpd . Design flow provided 3 S `1 gpd Plan Date Ili 2G c Number of sheets Z Revision Date Title j 5� �•wn Jri Size of Septic Tank i 0 0 O E.>L i.�TiL� t-Type of S.A.S. (�� S_(61 4 Description of Soil iEi! p(ir.t r Gt t L e Nature of Repairs or Alterations(Answer when applicable) Date last inspected: % o a c, Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system'in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boazd o ealth. Si 4 Q Date 5 Application Approved by Date Application Disapproved y: Date for the following reasons Permit No. Date Issued �• ` I THE COMMONWEALTH OF MASSACHUSETTS AIfl BARNSTABLE, MASSACHUSETTS a a'1�1 I v mom Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ()C) Upgraded ( ) Abandoned( )by' atlffit,�S ( ) has been coos cted/in ac fordance i with the provisions of Title 5 and the for Disposal System Construction Permit No. !/ �j dated Installer GV14_1A)j1_ GVk1<4-0-i1-05 L\ L Designer Ea7('1Ad-,Llk A10A #bedrooms T Approved design flo//j gpd The issuance of this permit shall not be construed as a guarantee that the system w ifm c4ion as de/signed. fU/'tom rL�-Date �' ''�! !� Inspector { I — ———---—————————————————— No. :'�. r/,-t/ .,�/I Fee THE COMMONWEALTH OF MASSACHUSETTS �UBLIC HEALTH DIVISION—BARNSTABLE,MASSACHUSETTS A I� Disposal :�)pstem Construction Vermit Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon � All ( ) System located at �n r ..• S�r7tr,.�t- ✓�l-t(/ and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with.Title 5 and the following local provisions or special conditions. //�� Provided:Constructiolnmust a completed within three years of the date of this/e 1 t1 tt-4 4',? j !� Date %lt/� Approved by ,1 ��-' i s - 7/8/09 Bob, Frank Merola called Tuesday re the family apartment permit application for 27 Shammas Lane, MM. Are you holding that permit application? I see they have paid a $50 application fee on 200902370 for a family apt with construction. He said they now own the property, his wife will be in on Friday with the deed. I'm not sure where you stand on the other permits. I've prepared an Agreement for Family Apartment in case you are ready to approve the permit application. If so and if Tom is here to sign, it would save them a trip—just leave me a copy signed by Tom and give them the attached instruction sheet. If the Agreement needs revision, Debi or Jen can do that. �a pk� ao©4�zd'��— � T PE Q)e. ?ICKEO AL)O. T G�1LG coiv7.y�-c.z- occ�Dw�tl�2 Re,: z©ogozgel¢. . . r ,•�.r, ' i � r X..� K-* File 'Edit Tools Help I� Detail...........; plicatiore 244942374 +s Applicant I OWN-PROPERTY OVI I' Ius _ OwnerCollect , 4437$,t 1 _ artment 6344-BUILDING DEPARTMENT — �It GUALBERTO, PAULO ,Close/Derry Contractor ject/Activity 544-TAM ILYAPTW/CONSTRUCTION 1j= 1 Workflow cription 1 INSTALL SLIDER FOR EGRESS,FAMILY APT FOR MOTHER,THERESE M. i B ` __,. - Parking/Misc usiness cription 2 DAVIS, m~ _ �- �^ ^ _ __ Fees effective 4ti/41/L449 1pt{ �i Assigned to _J Business Mast F erty/Use Non_Conforming D eat s/lAsc Permits f ► Reactivate � ._..�._--__. _�� __�-, anon 27 Unit E>astin use 1414 1t. . SINGLE s Adjust Fees - _-=� =:Fs;; et SHAMMAS LANE �i..._ zoning RF-RES1D F[ el 447162 memo i l niciparty MM MARSTONS MILLS 1 'Misc Chgs _ '- -- — division tT floodzoneL.. ' I _t !i# Paymt'History w /Section/Phase 4 Proposed use 1414 �__11_11 SINGLE Au;History hween zoning RF-RESID F r Summ Permit and - memo f ation desc Copy APp flood zone �t PermA Alerts i ii Link Ins s rerequisites 110 Hazrd/Restr -�Names j(�Bonds F Sub AddrsT j 23 Text y ��Plan Review p rior History Inspections Violations ; (d- Reviews ��Open items i��Warnings ��Find Related ri 11 of 13 r'1 N s51 0 _ JJ Maintain project/activity detail for-the current application. I f 1 � N5'f File Edit Tools Help � I Detail Application 1200902406 1�+1 ' Applicant I OWN PROPER: i Status A j A.CTIVE_ , Owner —34� - - Department CloselDeny De artment ILDINGDEPARTMENT64 -BU - _ —- GUALBERTO.PA Pioject/Activity i3 -RESDENTAADDITION/ALTERATIO If-� � ��___ _ _._�. .-_. �. ,._..`�_ '�_.� :�..._ .Contractor Workflow Desch ion 1 EGRESS FROM GARAGE PER BUILDING CODE T Business j - 1 Description 2 _J Fees effective 46l02l2U�9 !� Parking/Misc — - - - Assigned to fr Business Mast __ -- - - - -- - - -- Property/Use Jon-Conforming Dates/Misc T P�ermts Reactivate { 4 - --- Y T i Location T 27 Unit asting use 1010 -'I . V SI ,Adjus4 Fees a +I I! Street SHAMMAS LANE _Il... zoning RF-RESID F Escrow J ,jParcel 047162 �� memo _-�- ��-- Municipality MM-MARSTONS MILLS IIT + Misc Chgs � - I -- Subdivision �I : + flood zone r I Paymrt History , 4 a� Lot/Section/Phase l� � � Proposed use 101ai... f SI y r Audit History Between i� zoning RF RESID F J Summ Permit j and memo ; # Location desc LOT 8 _ f Copy App ; .------- _ -�� flood zone - I I , tt Permit Alerts - - 1��Prerequisites ��Hazrd/Restr ( Names Bonds Sub Addrs ��( Text F Plan Review Link In _ _ -- - + �Prior History Inspections ~ Violations �[��"Reviews 1i�Open items �Warn ngs Find Related r _ r —T !r'Maintain project/activity detail for the current application, OF BARNSTABLf] Mj File Edit Tools Help I{ ...........Detail...........; Application 24B942884 , +s Applicant GC GENERALG (� J Cow Ilect Status AY] ACTIVE -- Owner -- Department 6-5 BUILDING DEPARTMENT I _ _ - _ _�_ _ GUALBERTO,PA Close/Deny _ Project/Activity Z -RESTORE TO SINGLE FAMILY Contractor MARK A DEDECN_. _ WoricFlow Description 1 JQPEN WALL BETWEEN MASTER BEDR.M&D_EN 1ST FL.OPEN WALLS Business ---- Description 2 BETWEEN ROOMS IN BASEMENT TO COMBINET� j Fees effective 4�f23fZ009_ __� - ---- Assigned to 16... JrBusiness Mast _ { Property/Use Non-Conforming DatesfNlisc Permits j ��Reactivate � � Location 27 Unit 6dsting use 1Q1Q 1,.. ;� Adjust Fees _--- -.-RESID— -- Street SHAMMAS LANE _ il.., zoning RF F I! Escrov� Parcel 7162 - - - - - memo - - 3� r Misc Chgs Municipality N1M-NiARSTONS MILLS III- _ S -.� - - — Subdivision flood zone I... P w ory � ij�� Proposed use 101Q 1[� 1 SI Lot/Section/Phase r3 �IJJt _11 li rAudit History- Between !� zoning Rf-fiESID F II Summ Permit and j� memo i� Location desc LOT 8 _ Copy APP flood zone rFPermr�Zs I I (c3 Prerequisites Hazrd/Restr� Names 1� Bands Sub-Addrs Text i�[ Pian Revtew Link Insps 1. _ _ r ti ' !-ry --. p ions Reviews !��Open items s Warnings 4J Find Related_ Prior Histo Ins ections i IT Maintain projectlactivity detail for the current application. I i �.s 1 � bpi y r l r e r 10/15/2013 ROBIN ANDERSON SPOKE WITH MARIANA COSTA REGARDING THE PROPERTY LOCATED AT 27 SHAMMAS LANE, MARTSONS MILLS. MARIANA COSTA IS MISREPRESENTING THE PROPERTY BY STATING IN THE AD, THAT THIS IS INCOME PROPERTY. ROBIN REQUESTED THAT SHE SEND OVER A NEW AD FOR OUR FILE. I ALSO STATED THAT OWNER NOW HAS TO RESTORE TO A SINGLE FAMILY OR THE NEW OWNER NEEDS TO APPLY FOR THE FAMILY APARTMENT. AMNESTY OR FAMILY APARTMENTS ARE NON-TRANSFERABLE TO A NEW OWNER AND THEY NEED TO APPLY. Appeal or Permit No: 200902370 Appeal: Building Permit Status: Family Apt Last First Applicant: IMerola IFrank Addr: Addr2: 27 Shammas Lane Village: . Marstons Mills MA 1 02648 Aff.Received: 01/16/2013 Map Par. - 047162 Zoning: Decision: CO issued 9/2/09 Notes: Apt:Therese M.Davis(mother-in-law),2010:Mark Davis (father-in-law). 12/17/2012 Frank Merola called and stated he was going through a Divorce and would be final in February 2013.He was inquiring about the Amnesty Program and gave Gore Cindy Dabkowski's name and number.Also gave him the 27 Shammas Ln, Marstons Mills (Barnstable), MA 02648 (MLS# 21309131) - Marstons Mills (B... Page 1 of 4 �• NewEnglandMoves.com Careers Contact Us About Us ,' ': '�l' I� Ir Search over 123,700 listings in Massachusetts,New Hampshire,Maine and Rhode Island Property Search Agents @ Offices Buying Your Home Selling Your Home Relocation Welcome,Guest sign to Save Searches,Listings.and get Email Alerts My Properties My Searches HOM E BAS E inbox Home>Massachusetts>Barnstable County>Barnstable>Marstons Mills>27 Shammas Ln Property Detail Learn more about Marstons Mills(Barnstable),MA Property Assistance Property Details Maps&Directions Community Info Nearby Schools 27 Shammas Ln Tweet Marstons Mills, MA 02648 Open House: Saturday,October 19,2013 11:00 AM-1:00 PM f; (Basic Information 1 Coldwell Banker Price: $499,900 Get Pre-Approved Residential Brokerage Type: Single Family 866.339-6533 Bedrooms: 3 Contact Us t � Bathrooms: 5 Full Lot Size: 1.2000 Acres l Living Area: 3,079 Sq.Ft. Similar Listings MLS ID: 21309131 / /� quest More Information -- V 1 Whistleberry Dr edule a Showing Mars ns Mills,MA $479,90013 ads 12+Baths <Prev 1 of31 Next> I-- 105 Whi leberry Drive li L Be stable,MA $479, 3 Beds 12+Baths �21- 00 J 31 , M View All La r e hotos I Live Your Dream At An Affordable Costl Unique Opportunity Awaits Your Calll ould you ap 'ate a higher standard of privacy g with spacious living,for a MUCH more AFFORDABLE monthly cost?This sprawlin temporary Cape features a LEG sq.ft IN- LAW apartment which can bring in$1200/month towards your mortgage.Do a math,by ren ing is o II cost you roughly 74 Great Hill Road about the same a home for$290,000 would.Pictures say it all.Beautifully t on a 1.2 acre lot w/3 sheds car garage,hardwood Sandwich,MA throughout,65 ft deck overlooking fenced in back yard,upgraded kitchen w/ less applian ite countertops&breakfast bar $499,9001 3 Beds 12+Baths opening to grand family rm.w/cathedral ceilings&skylights.1st 8. more> N_N ., O� I/ghrittd - �� oppre Bonom Ry f 198 Mockingbird Ln Marstons Mills,MA $489,00013 Beds 12+Baths JAK http://www.newenglandmoves.com/property/details/787837/MLS-21309131/27-Shammas-Ln-B... 10/15/2013 27 Shammas Ln, Marstons Mills (Barnstable), MA 02648 (MLS# 21309131) - Marstons Mills (B... Page 2 of 4 Lib stons it �Qp. -t Aii held c r1 So/� 68 Libeny Ln Marstons Mills,MA C r=$499,000�s i t+`Baths a e z car �a�erA�kt� j ° �111 j! } � / �pebbre p slit Lake M r. �. f 29 1 o�( o• a \� �+reeld Ln bus eck 9d ,IL c f A:: �e n n ✓! �, ' Is V I i Ile 19 VT 1 l Js. o Du°4a pad o t3ainrooms '_ -- r� ,._.. . - _J�. _ Annual Taxes [$4,185__ - - Total Bathrooms: 5 Annual Insurance Full Bathrooms: 5 Estimate Payment Bedrooms Total Bedrooms: 3 $2,200 per month Bedroom 1: 17 x 16 $99980dprn$399920rror�age Bedroom 2: 20 x 13 Get Pre-Approved Bedroom 3: 16 x 12 Other Rooms Have A Question? Living Room: 22 x 12 Request more information about 27 Shammas Ln— Family Room: 13 x 21 How May We Help You? Kitchen: 12 x 12 � Dining Room: 12 x 12ti J Laundry: First Floor First Name I Exterior - - —_v-- - _ _ --' Last Name Exterior Features: Deck,Exterior Lighting,Fenced Yard,Private Storage, Email Prof.landscaping,Undergroud Sprklr,Yard, Outbuilding Phone Submit rParking ---- Garage: Yes Attached Garage: Yes Garage Description: Attached,Direct Entry,Door Opener Location Area: Barnstable County: Barnstable Utilities http://www.newenglandmoves.com/property/details/787837/MLS-21309131/27-Shammas-Ln-B... 10/15/2013 27 Shammas Ln, Marstons Mills (Barnstable), MA 02648 (MLS# 21309131) - Marstons Mills (B... Page 3 of 4 Water: Lake/Pond � Ask us about a home warranty Utility Description: Oil,Hot Air,Private Sewerage,Septic,Town Water Listed By:Bayside Realty Consultants,Clark,Kimberly t Structural Information Architectural Style: Contemporary Basement: Yes BasementDesc.: Finished,Full,Interior Access Roof: Asphalt Square Feet: 3.079 Year Built: 1988 Lot Features Lot Size(Acres): 1.2000 Lot Size: 1.2000 Zoning: Residential Water Features— Water Front Type: No Financial Considerations Price: $499,900 Tax Amount: $4,185 Tax Year: 2013 Link to This Listing: I http://www.newenglandmoves.com/lDn87837 Originally Received:9/29/2013(16 days ago) Last Refreshed:10/15/2013 2:10 PM Total Views:33 (as of 1 0/1 412 01 3) i Nearby Listings Real estate for sale near 27 Shammas Ln ma 1529 Race Ln 1529 Race Ln Barnstable,MA 02648 Marstons Mills,MA 02648 $369,900 $369,900 3 Beds 12+Baths 3 Beds 12+Baths 191 Camelback Rd 191 Camelback Rd Barnstable,MA 02648 Marstons Mills,MA 02648 $339,000 $339,000 3 Beds 12+Baths 3 Beds 12+Baths Recent Sales Recently sold properties near 27 Shammas Ln i 11 Shammas Lane 178 Camelback Rd i Barnstable,MA 02648 Barnstable,MA 02648 Sold for$390,000 on 6/1/2012 I Sold for$262,000 on 7/20/2012 3 Beds 14+Baths 11 Acres i 3 Beds 12+Baths 1492 Race Ln —� 177 Camelback Rd Barnstable,MA 02548 Barnstable,MA 02648 Sold for$219,000 on 3/29/2013 Sold for$246,000 on 8/31/2012 3 Beds 1 1+Baths I 1 Acres 3 Beds 12+Baths Newest Listings In Marstons Mills(Barnstable),MA Cities S Communities near Marstons Mills(Barnstable),MA 91 Saint Catherine Ave$259,900 Osterville(Barnstable)(117) 153 Hickory Hill Cir$409,000 Oyster Harbors(Barnstable)(3) 194 Arrowhead Dr$99,900 Cotuit(Barnstable)(91) 4352 Main Street St$549,000 Centerville(Barnstable)(148) http://www.newenglandmoves.com/property/details/787837/MLS-21309131/27-Shammas-Ln-B... 10/15/2013 27 Shammas Ln, Marstons Mills (Barnstable), MA 02648 (MLS# 21309131) - Marstons Mills (B... Page 4 of 4 `M67 Shootflying Hill Road Ex$289,900 27 Shammas Ln,Barnstable,MA 02648(MLS#21309131)is a Single Family property with 3 bedrooms,5 full bathrooms.27 Shammas Ln is currently listed for$499,900 and was originally received on Sunday,September 29 2013.Want to learn more about 27 Shammas Ln?Do you have questions about finding other Single Family real estate for sale in Marstons Mills or Barnstable?Contact a Coldwell Banker Residential Brokerage agent to request more information.You can also browse Marstons Mills real estate listings. .L•^Co.�.�Disclaimer:All data relating to real estate for sale on this page comes from the Broker Reciprocity(BR)of the Cape Cod&Islands Multiple Listing Service,Inc.Detailed information about real estate listings held by brokerage firms other than Coldwell Banker Residential Brokerage include the name of the listing broker.Neither the listing company norColdwall Banker Residential Brokerage shall be responsible for any typographical errors,misinformation,misprints and shall be held totally harmless.The Broker providing this data believes it to be correct,but advises interested parties to confirm any item before relying on it in a purchase decision.Copyright®2013 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved. Home I Careers j Contact Us j About Us I Site Map I Our Fair Housing Pledge I Terms&Conditions( Privacy Statement j Consumer Fraud Alert Property Search i Agents&Offices I Buying Your Home I Selling Your Home I Relocation Massachusetts Real Estate i Massachusetts Realtors i Maine Real Estate I Maine Realtors I New Hampshire Real Estate I New Hampshire Realtors I Rhode Island Real Estate i Rhode Island Realtors Boston Real Estate Portland Real Estate Providence Reel Estate I National Real Estate Barnstable Real Estate I Barnstable Condos ( Barnstable Realtors Barnstable Rentals I Marstons Mills Real Estate I Marstons Mills Condos I Marstons Mills Realtors I Marstons Mills Rentals Some community,school,and location information powered by Onboard Informatics(www.onboardinformatics.com).Information presented on these web pages is deemed reliable but is not guaranteed and should be independently verified by the users of this site.Onboard Informatics makes no warranty,either expressed or implied,as to the accuracy of the data contained within or obtained from this Web Page. @2013 Coldwell Banker Residential Brokerage.All rights reserved.Operated by a subsidiary of NRT LLC.Equal Housing Opportunity.R6 Equal Housing Lender, Unauthorized duplication,use,or linkage is prohibited, w r tt it Listing data is derived in whole or in part from the Maine IDX&is for consumers'personal,noncommercial use only.Dimensions are approximate and not • guaranteed.All date should be independently verified.©2013 Maine Real Estate Information System,Inc.All Rights Reserved This web site does not display complete Listings.Certain Listings of other real estate brokerage firms have been excluded. Coldwell Banker Residential Brokerage-180 Main Street.Saco,ME 04072 The data relating to real estate for sale on this site comes from the Broker Reciprocity(BR)of the Cape Cod&Islands Multiple Listing Service,Inc.Summary or thumbnail real estate listings held by brokerage firms other than Coldwell Banker Residential Brokerage are marked with the SR Iogo.This site was last updated 10/1512013.All propenies are subject to prior sale,changes,or withdrawal. http://www.newenglandmoves.com/property/details/787837/MLS-21309131/27-Shammas-Ln-B... 10/15/2013 Town of Barnstable Regulatory Services BMWSTAB„ems. Thomas F. Geiler, Director �A s63q. rFD�Ap�a Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 September 2, 2009 Mr. Frank Merola 27 Shammas Lane PO Box 2762 Marstons Mills, MA 02648 Re: Family Apartment Dear Mr. Merola: Enclosed is the Certificate of Occupancy for your family apartment. Please complete the enclosed Family Apartment Affidavit and return it to me. Thanks. Sincerely, Lois Barry Division Assistant Enclosure faco 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION / /A . map �Parcel ll/ Uf�JW ,�� Permit# �&.44 r A" Sr I Health Division a _ f 84� �aPtE�ssued Conservation Division ?X: 0- 26 P1; ?A Gcation'Fee Tax Collector Permit Fee Treasurer501 UT`Q�l1 1 ^SYSTEM MUST E gwfij JI.E® COVPLI�NC;,: Planning Dept. V=TITLE 5 Date Definitive Plan Approved by Planning Board ER9W RONMENTAL CODE A'':T®WN 62EGUL `t4Z Ia Historic-OKH Preservation/Hyannis , 0 Project Street Address Z-1 !'ZW W KYYJ�2 (k) Village �1�t -57 M-11115 Owner MQYC1 b CffikiQ Address ► nay Llil Telephone Permit Request 720 vo Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation* ODD ' Construction Type W Lot Size 1 2 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Er Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O�No On Old King's Highway: ❑Yes 2 o Basement Type: V611 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing 2 new l Half:existing new Number of Bedrooms: existing 7J new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas Oil Cl Electric ❑Other Central Air: ❑Yes C*lo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:0"e'xisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name /Yl I Y1 Telephone Number 9M-_D(O" t0(AP0 Address Z101 Qcl 11 117✓Yl 2K License# 0+9�1J MQy!M 1n"3 IM f 11,17 MA d74C04K — Home Improvement Contractor# 12?Ja J Worker's Compensations# (0 L/-U 25 -7?C C7 W 0Z. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE A)OJA Q 1, ZOa�- 5 FOR OFFICIAL USE ONLY PERMIT,,NO- DATE-ISSUED MAP/PARCELNO. ADDRESS_ _ VILLAGE OWNER DATE OF INSPECTION: 1 "FOUNDATION h FRAME C INSULATION /t/ O/ FIREPLACE ELECTRICAL: ROUGH FINAL ' u PLUMBING: ROUGH ' ` FINAL. r GAS: ROUGH : FINAL- - ; r FINAL BUILDING DATE-CLOSED-OUT %:ASSOCIATION PLAN NO. Z' RESIDENTIAL BUILDING PERMIT FEES 'APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 .S✓ Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE , I square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE ry / $BOG Sl square feet x$64/sq.foot d x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$%/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) p 7� Permit Fee O projcost Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release le Data filename:C:\Program Files\Check\REScheck\#4216.rck PROJECT TITLE:New Custom Addition with attached Garage and Room Over CITY:Marstons Mills STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:05/18/04 DATE OF PLANS:05-01-2004 PROJECT DESCRIPTION: Marcio Coelho 27 Shammas Lane Marstons Mills,Ma. 02648 DESIGNER/CONTRACTOR: Central Construction Company INC. 261 Blackthorn Drive Marstons Mills,Ma. 02648 PROJECT NOTES: MaCheck by Cape Cod Insulation INC. #4216 COMPLIANCE: Passes Maximum UA=316 Your Home UA=301 4.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1356 30.0 0.0 47 Ceiling 2:Cathedral Ceiling(no attic) 138 30.0 0.0 5 Wall 1: Wood Frame, 16"o.c. 1501 13.0 0.0 103 Window 1:Wood Frame:Double Pane with Low-E 120 0.340 41 Door 1: Solid 60 0.280 17 Door 2:Glass 40 0.320 13 Door 3: Glass 20 0.280 6 Door 4: Solid 6 0.070 0 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 661 19.0 0.0 31 j� Floor 2:All-Wood Joist/Truss:Over Unconditioned Space 801 19.0 0.0 38_ Furnace 1:Forced Hot Air,82.7 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other caIVulations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in RES checkVersion 3.5 Release 1 e (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date REScheck Inspection Checklist Massach"setts•Energy Code REScheckSoftware Version 3.5 Release le DATE:05/18/04 PROJECT TITLE:New Custom Addition with attached Garage and Room Over Bldg. Dept. Use I Ceilings: [ ) I 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: [ ] I 2. Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Ab6ve-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ ) I 1. Window 1: Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] I 1. Door 1: Solid,U-factor:0.280 Comments: [ ] I 2. Door 2:Glass,U-factor:0.320 Comments: [ ] 3. Door 3:Glass,U-factor:0.280 Comments: [ ] I 4. Door 4: Solid,U-factor:0.070 Comments: I Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: [ ] 2. Floor 2:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,82.7 AFUE or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ) I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. i ' Vapor Retarder: ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. y Table 1 Y Minimum Insulation Thickness for Circulating Hot Water Pipes. • Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25 to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 j and Brine Below 40 1.0 1.0 1.5 1.5 I NOTES TO FIELD (Building Department Use Only) tHET Town of Barnstable Regulatory Services ? rsr�neis.$ Thomas F.Geiler,Director 9 039. Building Division �A�fD MPy a Tom Perry, Building commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 509-862-4038 Property Owner Must Complete and Sign This Section If Using A Builder Movico Coe l pip ,as Owner of the subject property � � �V�i to act on my behalf, hereby authorize in all matters relative to work authorized by this building permit application for. 2'1 mil"hQw�w 4t, (Address of Job) Date Signature of Owner ✓c6 (fhb Print Name Q:FORM S:0WNERpERMIS S I0N a ✓/ee r��, wveu�ea o�,/�acoar/u�aelt Board of Building Regulations and Standards HOME 11 �'. EMENT CONTRACTOR Re,`gIiW.atlon-1'3f1841 Yi �tl _9/26/2004 on^ I =-p ate Corpo ration I CENTRAL CAPE COkkSStUGTION 9%ffEN DEVLIN; 261 BLACKTHORN MARSTONSMILLS,MA 02648 '1 -r4st1 er 1 OTI �omvino�uuea�!/c o�✓�aoocac/uraeka 1 t< BOAR D'OF BUILDING REGULATIONS k License: CONSTRUCTION SUPERVISOR Number,:G,,S3, 047993 F I i Gi Ex 4LQQgr Tr.no 16913 Restnctedc,�00_-' STEPHEN J DEVLIN",,' ="M1' i 261 BLACKTHORN DR, MARSTONS MILLS, MR�O?_648 Acting o miss ner :, �i µF E f Tout n of Barnstable o� Regulatory Services Thomas F.Geller,Director 1659• Building Division 'OIfD MAy k Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 , Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date . AFFIDAVIT HOME 7MPROvENMNT CONTRACTOR LAW SWPLEMEHT TO PERMIT APPLICATION MQL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,converscuP led improvement,removal,demolition, ion, or construction of an addition to any pc-existing owr� bu0ding containing a least one but not more than four dwelling units or to structures which are adj scent to such resideace*or building be done by registered contractors,with certain exceptigns,along with other requirements. Estim4tea Cos* 'Type of Wozk• i� r address of Work: Owner's Name' �q��6 ,oil�o • Date of App iication: - . I hereby certify that; Registration is not requited for the following reason(s): ❑Work excluded bylaw ❑Job Under$1,000 []Building not owner-occupied ' []Owner pulling own permit Notice hereby given that: OWNERS PULLING THEIR OWNRIEME IlYIPROYEMENT WOR7DO�NOT ELM FOR APPLICAB ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A, SIGNED UNDER PENALTIES OF PERJURY Ihereby apply for apermit as the agent of the owner; '�l � r1� RegistrationNo. ontractor Name Date OR r Owner's Name I > r The Commonwealth of Massach usetrs - `• ► _`1 ( Department of Industrial Accidents 600 Washington Street Boston Mass. 02111 v Workers' Compensation Insurance Affidavit l t n t ti 6 n - - - _ nam 11 IV locatirr, ci ya rr Q I am a homeowner per=or:nir_g all worts myself. I am a sole proprietor and have no one working in any capacity am an emplover prop:c og workers' compensation for my employees working on this job. cOmoanv name: ' } address: cir:: !L///6/� U [ ) a I :j ohone»... (��!!__ - insurance co L v l( fls polio Fy��>� �CJ /�[ !S?"/rs Q I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following wor'.:e.,' c-omt:ensation polices: comnariv name: address: phone 1- insurance co. oolicv`-' ----------------- comnan name: add re<s: city: ohone=: insurance co. oolicV= •a.ttach sd_didons['she' r if n _- c_a r-�•--'-�": • "''�.i - - ---_- _ _— F:tiiur: to secure coverage as r_q_ircd under 5ection 25A of-NIGL 152 can lead to the imposirion of cn:ninal penalties of a fine up to 51--;00.00 and/or one •cars'imprisonment as -c:: as civil penalties in the Corm of a STOP WORK ORDER and a fine orsioo.00 a dos-against me. I understand that a coPy of this statement mac be "er-arded to the Ofrice of Invcstigations ofthe D1A for coverage vcrificicon- 1 do hereby ifr under tfce sirs and penalties of perjur•that the inforrrtation provided above _s truee aid correct. Pint namr // [✓r l ( � (-'� P`c `. otTicial use only do .na: r..c in -his area to be completed by cin'or town ofLcial tt cir, or to-n permittlicense'- .9uildin,Departctcat r C [L:ccnsin; 302rd t7 r C.ched,ifimmediatc r:<------- - - qquircd [scicc:mca:i0MIC: e [Health Dc;artmcn: t conract persnn Phone ' r:Other 2 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION fgjfV 4v� Map f Parcel t � Permit# ko 7 7 3 `Health Division v 7'I /Sf' U' BA RNNSTABLE Date Issued r Conservation Division G 1,_: 3 0 aN 1 : 17 Application/Fee Tax Collector b Permit Fee v2 S• O O Treasurer 61V iSlON Planning Dept. Date Definitive Plan Approved by Planning Board L1wm To� OF 90RONS Historic-OKH Preservation/Hyannis Project Street Address aVY1 V1�1GZ� Village t" Ias V`!;ft 1')'__:) M 1 1 ,17 MA Owner "a l��il �� /) D Address Z� 1'i✓��t� �9 Telephone Permit Request A v.) 6+ CO-wevl-r ka�,OMl -t G�G(G1 lA ova V-) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay i 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: Cl 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 O Total Room Count(not including baths): existing new First Floor Room Count QJ - Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other i 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 lached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number . Address License# ri 1 MA Home Improvement Contractor# 1"31 nap`'i4 Worker's Compensation# (� K U ft25_1 X 11 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Atteg-v fl&" it a>tl�l SIGNATURE V-) DATE V_1 log L/ r , 2 F' FOR OFFICIAL USE ONLY 1 PERMIT NO. - f ; DATE ISSUED - MAP/PARCEL NO: ADDRESS ' VILLAGE , OWNER ' DATE OF INSPECTION:— FOUNDATION FRAME f I,NSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL .! GAS: ROUGH M FINAL - '.1 FINAL BUILDING c I f DATE CLOSED OUT ' L ASSOCIATION PLAN NO. The Commonwealth of Massachusetts . „ r - Department of Industrial Accidents' � �•_ � r 0�968 6f�tla�', a t 660'Washington Street Boston,Mass. 02111'. workers' Com ensatii000nn•.Insurance Affidavit-General Businesses �� :."'y1 :.-,,,,.�.�. .rt�er-N.�i,r apy�. .. .i.• .y. ,,.'ai. � ,.,.u~•,�dY) �2 Me: .�, .n ,� ;li'/X� ' •�. ,'� t` , — .•ice Z� L VVIYnat, IiVI - - a c' lty work site locations full address ❑ I am.a sole proprietor and have no one Business 7�.pe: ❑Retail❑Restaurant%Bai/Eating Establishment working in any capacity. 0 Office 0 Wes(including-Real Estate,Autos etc.)' ❑ tam an em toyer with em to ees(full& art time . ❑ Other %/ %//// /%%/%/�%%%%// employer providing Workers' compensation for my employees worlang on thian s i!./4• � ,?il .r"1�%.�.;� 'F''•'{t��r' _ r •, it ''\:Y: �;i .'' � :�i t„�• i',_ A. Co an 'It t' ��:. ;i. NFt: r•,:t r. ";.�.' t •t., •'1 ,.,•. �.-.'t:- ;:., •.�. >i%t j; :Y- S.'.:ire ;•�:•: .i F>; �•"'••i'r• •.�� :'•.•. � '•�✓]l�/�•�i�y�} '.}•'• '��•%,•.yt!�✓y�'J}r/•, �• ••i�'s}��`�i•' ..>.•� - •> •" �•L s+•: tl'•.' e.'L t:•. .,ti.... r7`LA�,..r t•. address' f Z' r: a� �� t rt• � .� 1•; ��y � 1 .�, - 1 tr +,1'.;.L.v.L.. � 7 t.}, ..'�'•�.'•�.!•' )• ': y� L / �—�',��(y� ♦F'v /J;•�•��/uf•,a{�, ..i:., h ... fl':� ,•\;•. .•(R1�11: ••/�J�]'Cn` .."t�.,;..li��{�••tO\�•�' �lloriC•�#::�; �lu ''r•• '�' ''� ,%L3/•d.tr✓ii'�'• •r.i �• �\•.,. ;N'. �� •J��Ii •'�; :'!.:..:y ;.,• •t'��,f•L%'�:+�:;. t. Disc.'.#' �•. ,r!' f�•.'��._�. fns'urance.cbs: �::� %. / r ' I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: ti :- t . .' i• ' .•< ''i?.: 1''•; ''�;' i:'I :}l :::yt:�.S� :,YX:iY...t,,..t�\� A;t:;�`:%- •�'. Com}tiII IlEIIT�: :i. z )••:_r•> ' f , '+•4" _ _ 7``� ;a': .. •:af'. :. jy'_•�• •��F:i,.tt r:: '.1• - �:t'- �1;rryfi 't�'�•'r •1��• .r.,:.;r..4 . \• �• .f.a' .ti_t•" :7r••,Z•:•..•,n4e;�I•, i•'.1 h41•' t': •.lj• .i-;, •�i .•�.i.R t::' '.fib: :1•• •f,� .'L, Cl .+ -� ,. :1y1•;• l•' ,''.:. •, is-• �iti•�:• � :�.,� •. r", 'rh'a+''vY.':'�. i.r:;�• a. 'f`.•:' •1,•. .\: .i � t': �' 't �t r:��}•.', ,• ',�;' ':i y7, y:t:'.rr::tt% v,.e:'.°.�'•'�:,i,V,y;;i�•;' 'olia #� : ,••. d'�:2 ro:":'?:'•�,;t• ..f• \,'•. ..; iusurance'co. r. ,'k-.f.,.:ti �'+ :t f•.;.;... ��1J•'r: .yi,:, .i••..•r..!tes•.. .••;,n::'j•'t•.• . t�"•.f:r.:C •�•L•�'�.:i.�i\: ..f`; •i%•i;q�. .•ram :7:. _.C. coin an narlde: • . .+ ;. 4 t. ,4.. !i•i.'°• 'tit,.t� S•. ..'.- tj .T•LL<.•' •+ -1•t,,,.t . loIIe*: Cl' :' i.17 ; ' :;J+:a,i• .1: '+S::t: 1. :•t'•:7.�' ;.• •:i.};•, :'i•y> :r!t ,/'.. •'S -.:os..;i^,t'••ty :1. r .:\. ,;i:,:. ,':'?•' ••�. ;a:e... t: •,' ' a��'�,•• • f' ,•-n•.. "t•,: :,I:i•�'.' 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'O11Cy:}f-i �" I•' cb:'!: gnsureaee00V 1� Fauure to secure coverage as required tinder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or off years'e yes'impr{somnent as well as civil penalties in the foim of a STOP WORK ORDER and a fine of$100.00 a day against me- I understand that g COPY of this statement maybe forwarded to the Office of investigations of the DIA for coverage verification I do hereby rtify�under the /pain stand penalties of perjury that the information provided above is fr�_correct.A V )ate Sigaattue Phone# _/ � l t� (04 Print named%Y Af'ofricial use only do not write in this area to be completed by city or town official 7 permft/license# ❑Building Department . city or town: ❑Licensing Board ❑-check if immediate response is required ❑Selectmen's OfTice ❑Health Departmeni contact person• phone#; ❑Other _ : (rev�edSegllW3)' Inforniation and Instructions. to era to provide workers' compensation for their. yiassachusetts General Laws ch4 Ater 152 section 25 requires all etr� , y P gmployhlitees, As quoted from the `law", an employee is.defined as every person ui the service of another under arty contract of hire; express or implied; oral or written. - p association, corporation or other legal entity, or any two or mare of An employer is defined as an individual,partnership, the foregoing engaged in a'Joint enferprise, and including the legal representatives of a deceased,eniployer, or the receiver or association or other legal entity, employing employees. 'However the owner of a trustee of an individual,partnership,. dwelling house having not'iriore than three apartments and-who resides therein, or fhe.occupant of the dwelling house bf - another who employspersms to do.maintenance, construction or repair work on such dwelling house or on the grounds or b g appurtenant thereto shall not because of such.employment.be deemed to bean employer.... MGL chapter 152 section 25 also•states fhat•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 n Ito ane contract for the performance of public work until commonwealth nor.any.of its political subdivisions shall e y . dence of compliance with tie insurance requirements.of this chapter have been presented to the contracting . acceptable evi authority. Applicants Please fill, ,in .the workers' compensation affidavit completely,by checking the box that applies-to your sitriation..,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. - lso•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 T?epar=ent of Industrial Accidents-. Should you have any questions regarding the"law" or if you are required , obtain a workers'•compensation policy,please call the Department at the nurnbef listed.below. City or Towns . Please be sure that the affidavit is complete and printed legibly. The Deparhment has provided a space at the bottom of the affidavit for you to fill out in the evetifthe Office of Investigations has to contact you regarding the applicant Please be sure to fill_in the penrntllicense number.which will be used as a reference number. The.affidavits,may.be.returned to the Npartment b}�.�Of FAX•unless other:arrangements have been made. The Office of Investigations would like to thank yvu in advance for you cooperation and should you have airy questions,' please do not hesitate to give us a•eall.- Vol The Department's address,telephone and fax number: The Commonwealth Of Massachusetts- Department of Industrial Accidents WIN of Wesfipbons 600 Washington Street Boston,Ma. 02111 fax M. (617)727-7749 phone#: (617) 727.4900 ext:406 Tdwa of Barnstable • ' • °; Regulatory.Services ana sr, Thomas F.Geller,Director ss �''OrFD 59. 1,� Bnflding Division • Tom Perry,Building Commissioner' 200 Maim Street, Hyauais,MA 02601 Office: 508-862-4038 Fax., 508-790-6230 permit ao, • Data . AF=AVIT ' SOME VOROYEMENT CONTRACTOR LAW SUPPLEMENT TO PERMI'x APPLICATION • MQL 0.142A requfres that the"reconstruction,alterations,renovation,repair,modemization,conversion, •improvement,removal,demolition,or construction of an addition to my pie-existing owner-occupied bua&ng containing at least one but not more than four dwelling units or to structures which aro adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. VDU • Type of Work: If2 Fsti=ted Cost - Address of Work: Z� �-✓� '� Owner's Name• Date of Application:, I hereby certify that: Registration is not required for the following reason(s): ' l excluded by law . oo Under$1,000 ' []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: • OVMRS PULL IG THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CoNTIUCT`ORS FORAPPLICAB•,X,E HOME MPROYEMINT WORKDO NOT RkYE ACCESS TO THT ARBITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A, SIGNBD UNDBRPBNALTIES OF PLRMY ' I aereby apply foi&permit as the agent of the ovmer: Date Contractor Nune Revistration No. OR , Owner's Name Town of B axxastable °f•sHa r "o�, Regulatory Services Thomas F.Gener,Director qq, s6�9• �•� Building Division j0r�e � TomYerry, Building Commissioner . 200 Main Street, $ya=is,MA 02601 . arnstablemaus -- Pam 508-790-6230 office; 508461�038 Property Owner Must _. -Complete and Sign TMS Section --. • if Using ABuilder �t.V1� ,as Owner of the subject property i� to act on mybelialf; _.. hereby authorize on for. in nTnatters relative to work authorized by tbis bang permit applicad (Address of job) - - �Z)1Z� �c .Date. - Siature of Owner Main,) p t7-- Name Board of B-fidIA9iF s8nfatiaa+and S *ds IT color �f� j . t3,1841 I -tea -Q� CENTRAL CAP _ N 261 BLACKTHORN DR- �4_• MARSTONWILLS,MA 02648 t r BOARD OF BUILDING REGULATIONS Lj : CONSTRUCTION SUPERVISOR F 04 3 f 16913 STEPHEN DEVUI![. 261 BLA � - N}ARSTONS MILLS, MR'flZB48: SEP. 23. 2004(FRI) 08:13 CENQTERVILLE FIRE 5067902385 FACE-2 tsr. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE & EMERGENCY SERVICES t 1926 1875 Route 28.Centerville, MA 02632-3117 508.790.2380•FAX;508.790-2385 John M.Farrington,Chief Glen S.Wilcox,Fire Provonlion Officer Craig E.Whiteley,Deputy Chief Martin OT.Mackoety,Fire Prevention Officer September 23, 2004 TO: Building Department Bill Kelly Town of Barnstable 200 Main Street Hyannis, MA. 02601 In accordance with MGL 148, Section 28A,.the Centerville-Osterville- Marstons Mills Fire/Rescue Department brings to your attention the following potential violation(s) of 780 CMR: Massachusetts State Building Code for your review and/or interpretation of same. NAME/BUSINESS: Residential — Marcio Coelho ADDRESS: 27 Shammas Lane, Marstons Mills OBSERVANCE: Illegal basement bedroom. Basement room used as bedroom, emergency egress is small casement windows. Thank you, Yllartin Mac eely e Prevention Officer 4C.0. Fi4istrict "Commitment to Our Community" .Parce-1 Detail Page 1 of 3 rajel d Yf� �." .Y4!- " +s... "Y }._ � 4t .T !L'+ i/!?1!(!FYY - 3f��I "5' yp{�i� tri 4-.i:��m'Pe Logged In As: Wednesday, Ap Parcel. Detail Parcel Lookup Parcel Info ........_.............---._...._..._..._._...---.._.._...._.............................._............._...._..__........_..........._............-..---........_................ __..................._.....:............................_........_..._.__..........................._....._......_....... Parcel ID 3047-162 I Developer(LOT 8 Lot Location 27 SHAMMAS LANE Pri Frontage 130 Sec Road !RACE LANE I Sec Frontage 1175 ...............__.._....................................................._:....................................................................._....._...................................................................... ........... ......... ....:............... .................... villageMARSTONS MILLS Fire DistrictiC-O-MM ..................._......................................_..._._...:..._-..._.................................._.__._......._........_...................................... -_.-_.._......_........__._........................_..................................._.........._.............__...._.... __ ... Sewer Acct Road Index 2103 r a Interactive - Map Owner Info ... ............................................................................................... _.. Owner[COELHO, MARCIO Co-Owner ............................._...._..:--.._..... .._.:.._....__...:.._..........................._.._..--._..__._.._................:..._...... _ _ .............. ........ ....... .............. ........ ...... .............._...__._.................. _....._..._..... _......._.....__..._ Streetl 127 SHAMMAS LN Street2 City'MARSTONS MILLS, State MA Zip 02648 Country Land Info .:..............................................................................................................................................................................................................................................:................................................................................................. Acres 1.20 use Single Fa MDL=01zoning Nghbd 10104 Topography Level Road Paved Utilities Septic,Gas,Public Water Location; Construction Info Building 1 of 1 Year ... ------- Roof ...... .._....._ Ext ...........................................................................:..._ Built1988, Istruct able/Hip Wall Wood Shingle Effect 4384 Roof As h/F GIs/Cm AC None Area _ I Cover — P Type .. . 1 ... ...................................... Bed(.5 Bedrooms .. ........ . nt_Ca a Cod W [Drywall Rooms I Model Residential I Int Hardwood �� Bath 4 Full Floor - Rooms - - --- ---- Grade,Average Plus I eat Hot Air _ Total Type Rooms http://issql/intranet/propdata/PareelDetail.aspx?ID=3364 4/25/2007 Parcel Detail Page 2 of 3 .� d lb m J: 6F0�b w;� AS N3�BMT .........._............_.... a4 P;i n 7 stories 1 1/2 Stories Heat �� Found- Poured Conc ' ----------- -----� Fuel�._.. .._._._.._._�__. , ation ______.—_.-- NI k Permit History Issue Date Purpose Permit# Amount Insp Date ComlT 11/22/2004 Remodel 80773 $500 4/10/2006 12:00:00 AM 6/3/2004 Addition 77026 $25,000 10/4/2004 12:00:00 AM 10/23/2003 Wood Deck 72449 5/6/2004 12:00:00 AM 6/5/2003 New Addition 69281 $90,000 5/6/2004 12:00:00 AM 3/6/1996 Remodel 13638 $1,500 1/11/1997 12:00:00 AM FGR T 5/1/1987 B30744 $80,000 1/15/1989 12:00:00 AM MM 11 Visit History Date Who Purpose 4/24/2006 12:00:00 AM Paul Talbot Meas/Est 4/10/2006 12:00:00 AM Martin Flynn Meas/Est 8/19/2005 12:00:00 AM Paul Talbot Meas/Est 10/4/2004 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only 11/15/2002 12:00:00 AM Paul Talbot Meas/Listed 2/15/1997`12:00:00 AM Lloyd Kurtz Meas/Listed 3/15/1989 12:00:00 AM ME SalesHistory................................--- ............:. Line Sale Date Owner Book/Page Sale P 1 6/18/2002 COELHO, MARCIO C165628 2- 12/5/1996 FAY, TIMOTHY& BROOKE TRS C142886 3- - 1/15/1996 FAY, TIMOTHY J & BROOKE C C139486 4 1/15/1996 PIMENTA, LORETTA E C117459 5 5/15/1989 MICHEL, JEAN D & C117459 '6 12/15/1986 CONSALVO, JOSEPH & C109317 ; 7 5/15/1986 YOUNG, DAVID W TRS C106313 8 4/15/1983 SHAMMAS, SERGE C91492 AssessmentHistory--..__.._..._........... - ----........................_......__........................_.........._....---------.._..............................__....... http://issql/Intranet/propdata/ParcelDetail.aspx?ID=3364 4/25/2007 Parcel Detail Page 3 of 3 Save# Year Building Value XF Value OB Value Land Value Total Pare( 1 2007 $419,600 $27,100 $1,000 $148,700 2 2006 $438,800 $19,500 $1,000 $151,500 3 2005 $333,400 $19,300 $1,000 $141,700 4 2004 $144,400 $18,900 $1,000 $141,700 5 2003 $127,000 $2,800 $1,100 $57,800 6 2002 $127,000 $2,800 $1,100 $57,800 7 2001 $127,000 $2,900 $1,100 $57,800 8 2000 $100,500 $2,960 $800 $39,200 9 1999 $100,500 $2,900 $800 $39,200 10 1998 $100,500 $2,900 $800 $39,200 11 1997 $96,100 $0 $0 $33,600 12 1996 $96,100 $0 $0 $33,600 13 1995 $96,100 $0 $0 $33,600 14 1994 $97,200 $0 $0 $45,400 15 1993 $97,200 $0 $0 $45,900 16 1992 $110,500 $0 $0 $50,400 17 1991 $104,100 $0 $0 $61,600 18 1990 $104,100 $0 $0 $61,600 19 1989 $78,100 $0 $0 $61,600 20 1988 $0 $0 $0 $18,000 21 1987 $0 $0 $0 $18,000 22 1986 $0 $0 $0 $18,000 Photos S - M �k1 X ^ http://issql/intranet/propdata/ParcelDetail.aspx?ID=3364 4/25/2007 i a1�'�� . • . - TOWN bi? "BARNSTABLE • - - BUILDING PERMIT 3 � PARCEL ID 047 162 GEOBASE ID 32702 ADDRESS 21 SHAMMAS LANE ,PHONE (508)428-778 MARSTONS MILLS ZIP — LOT 8 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 80773 DESCRIPTION ADD 2 WALLS TO CURRENT PERMIT PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV a i -CONTRACTORS: DEVLIN, STEPHEN Department of ARCHITECTS: Regulatory Services TOTAL FEES: $75.00 BOND $.00 CONSTRUCTION COSTS $500.00 434 RESID ADD/ALT/CONV 1 PRIVATE 1.,,0 ; +► BARNSTABLE, • MASS. i6g9. RFD MP'�A BUILDI' G D ISIO BY L DATE ISSUED 11/22/2004 EXPIRATION DATE . - a TOWN &' BARNSTABLE `» ! BUILDING PERMIT PARCEL-ID-04r AID-. GEOBASE ID 32702 ADDRESS 27 SHAMMAS LANE PHONE (508)428-778 MARSTONS MILLS ZIP - "LOT 8 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 80773 DESCRIPTION ADD 2 WALLS TO CURRENT PERMIT PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV I I 2ONTRACTORS: DEVLIN, STEPHEN Department of 'kCHITECTS: Regulatory Services TOTAL FEES: $75.00 BOND $.00 �1ME CONSTRUCTION COSTS $500.00 434 RESID ADD/ALT/CONY 1 PRIVATE • BANHSTABLE, • MASS. 03g6 BUILD ,GV ISION =' BY ( / DATA ISSUED 11/22/2004 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 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU FOR - ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPRO S ELECTRICAL INSP T PROVALS 1 1 � t J I I C I I 2 2 � I i i 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS 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. BUILDING P ERMIT STEMS U NIT X 92:9 , 52 x l 7.4 �. 105.g� -_l 1 7 137 M47 141 139 ., M4..7 ;^ f, ( 1.52 142 �; 9,3 -- - Assessor's offioe (1st floor): y CF 1NE G Assessor's map and lot number ............................................ Board of Health (3rd floor): WQ o Sewage Permit number ..... n.17� ... .................. "' Z 99H39fADLE, i Engineering Department (3rd floor): a7 �JS o0 "6 9.a`� House number 3 ...................................... ......:......,................ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only ft° TOWN OF BARNSTABLE BUILDING - INSPECTOR APPLICATION FOR PERMIT TO .........& j D... .............................................. .. ..... ...................... . ........................... TYPE OF CONSTRUCTION ...................6D........F-9>f-f` r......................................................................... �/ 1 Z3.......19..... TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for /a permit according to the following information: Location ........ b� .Sf/f ......r ........... '1..:.. '�!.�...�:.. .) 51A Proposed Use ..... ..� / / 5./Q. .................................. ................................................... Zoning District ............... .....................................................Fire District ....... ...�................... Name of Owner ...C.f bl�.a .71Z-U.� ........................Address .......5..../!!Y"S./!�.�/�..'� �. lC- Name of Builder ........!!.". ......................Address .. /..£`S �.....G ✓///� Name of Architect ..., 7LJ�... ��.:......................Address ..... / df!]��/f di2T Number of Rooms Foundation ..g.....dcl2�U Ce.....GiePl�' Exterior ...?b..f....G.vkll.-F....MD.!te .................................Roofing ....fISP�/�fiLT ........................ .... .................................. Floors CAP--...CIA), h�do� Interior SY/E�I"Qo�i� P/me ��M ...... ., y....,...:......... . t................ rieating .. f l............................�..............:.:..........Plumbing .....�.......//... � .............. Bff S ..................... FireplaceG/'4 Approximate Cost �D �.......... ........... Definitive Plan Approved by Planning Board )9 Area ............. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD-'OF HEALTH y!, 7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above iconstruction. I { � 7, 1 1 Name ........ .. ...................................................................... Construction Supervisor's License ...D`..�.'-�.�' ............... C & W Realty Trust A=47-162 No ....30744 Permit for ..... ....... single family dwelling.................. Location .............2.7...S.hammAs...LA.n.e.................. ............................U4r�s.t.qn.s...Mills..................... Owner ...............C...&...W..Re.alty...Trust............ Type of Construction ................frame................. ............................................................................... Plot ............................ Lot ..........#8.................. Permit Granted ............M4.y.. ................19 87 Date of Inspection .................................'...19 Date Completed ......................................19 .f/;i4 rA Folo U i i G./u//J 74O Ck F ice TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map —L� Parcel I coz� Permit#. l� U Health Division �~ � �0 3 ftlzm VIVLy Date Issued T04#1,' 6 BARNSTABLE 1Jb Conservation Division � � Application Fee �� Tax Collector _ '0 ; �t1j -3 (✓;� 2: Q Permit Fee ---3 y g I y3 Treasurer (.L/ SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANC` Planning Dept. ' '�"-'Bi,,�iSl� ENVIRONMENTAL CODE ANL WITH TITLE 5 Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 2-1 � Iv vrgf? (X) ' Village MOKIMn�2 YVI/1 lb ►vbti IL&4k Owner mrc I b alylbAddress "V1 C 21e2 AODyE Telephone ''` Permit Request I�tc11�.W Md I OVI 3-MA/ 00 r001, — 2LD� WaC Square feet: 1 st floor: existing 1,200 proposed 2nd floor: existing 11000 proposed O Total new :3; ( Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type INO0 �2Zn-rL Lot Size Z GZGre� Grandfathered: ❑Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes On Old King's Highway: ❑Yes El"No Basement Type: ❑Full lalirawl Cl Walkout ❑Other Basement Finished Area(sq.ft.) D Basement Unfinished Area(sq.ft) N JA Number of Baths: Full: existing L- new Half:existing O new O Number of Bedrooms: existing 3 new O Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: E(Gas ❑Oil ❑ Electric Cl Other Central Air: ❑Yes Flo Fireplaces: Existing New D Existing wood/coal stove: ❑Yes 0160 Detached garage:❑existing ❑new size Pool:❑existing ❑new size -O Barn:❑existing ❑new size Attached garage:O existing 21"new size 6l(00 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 INFORMATIONot�l r Name I'1 V , l 1� Telephone Number ''J "1I ug "W(g0o �I Address I (om-I ATM /K) DY License# CGJ D'-101 � MO kt2T 02 (M 11142 , MA Home Improvement Contractor# I � Worker's Compensation# MAU�J�1Z�X59�I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'Y)fil G SIGNATURE 1/� DATE ��lf V1 2-a.20pr FOR OFFICIAL USE ONLY r 1i PERMIT NO. DATE ISAUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 22�0� INSULATION '�.E FIREPLACE ELECTRICAL: ROUGH FINAL yo PLUMBING: ROUGH_, FINAL" GAS: ROUGH FINAL.r° 44 e . FINAL BUILDING " DATE CLOSED OUT E ASSOCIATION PLAN NO. ° The Commonwealth of Massachusetts - Department of Industrial Accidents 0111ce ollneesttgations . _ t 600 Washington Street , -_ , Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name D Nen V)o location:2�1 "/V la�/✓1►�r1Q� �i� ✓�� IMa114 MA 6Zco�S city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one worlds in ca achy / /%%%%%%/%%%%%%%////%%%% %%%/%//%%%%/%/%%%��0�/%%///////%/G%///%///%%�%%%/%%%%%%%�%%//%%///%//G%%/ I am an employer providing workers' compensation for my employees working on this job.::}.:}±.}:}.?.::??:?±:: }.+}} } an •:name.:.. .............. :roan .......... _ ....................,.......:.............:.....:....................:.:...: dss .�::.::.;:.. :....::.:...:::::..::::.�:.:.::::,..�.�:::.:::.::::::::::::.:.:;�.�,{::.:;::.:.}±:?..:?.:«.:;:.:«.::?:?.}:<;.:?.:; Alt:;:#:::: ��•:��,.'.." 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I am a sole proprietor, general contractor, or homeowner Ircle one)and have hired the contractors listed below who have the followin. workers' co ensation polices: ``eti? i' ><>'` Y" ;'?[' ?€}^ isi<i `€i €€€<c€€c:€: €€€€' €i5%?`€`•.€i2 €Sf�i?S??i!' i [5ii;iiijf i €9€:?`i€ i€:€k;}; i%;:€i:'i;i::;';;ii;:;:;%i:i; i::isi: i?i;<:a;;i;<.;:it:i;:;:;a.<.:;i:c:;:;c«i:.v?::::.::;:::;:::.: :com an.:::nam .}.::::.:...........:.....:..... ..... ........... ........................... ..........:.:::n...:...... ............................r.........................................:.........:•:w::................m:::.+.4:W:i:•iAi}:•r.}i:?.wn;{+{n':i":2:•i:v:; v:[..: :.:::.....:::::::::•;•ii}i:•:}::::::::::::::::::::::.v:::{;ti•}}}:vY:i:•:nv:::•:::::::::????•}iy}:???v}ii:?v.:v:•:::::.�::::?:^i}:.±}:}}}}:{::i}}}}}:^:{;!?•}i:!�:?:i:J:!vCS:vv:^}}}}}:??•}i;i}i}}:;4?i;:.;4;;{::{{{?i•:�}}:•}:p}:4:!^:?{4}}}:•:;;??••^:•}}}}:!vr.............. .ad�ess ::LL±:iii:::iv}:??4:•iii}}i:•ii}}}i:L?ryi4:^}:???•i:::::::::::•::::::::•::v:::•.................................... .....}} :::...;.:}:::....iiii:i:;ssiiii:::'•:•s;:::,::':%::.'•;::::.};:::.'•:::::;;;::}:::iiii:<}:Y::}:?:::iSiiiii:?L: ii:;}:•i::;:is ia:?::2::5 iiii:iii:%a::i:L$L<:•:.j�;: L� `Q;i�i':::.•:.:;'.;.; :i;:;:;ti .€�i;€ .:i€i€?s:'�;i°p'i'•:',.�€:%'''•�<�L:�Li<?i::�; ;.[?�•'r',''�•„�? 1F� :::�:::;:::::?:i�S::iii:$ifi�i:�i•�iiR�:? ':t�:i?'ii:::'••iFC3:L:.{�i:`i?�:ii:•:i�i:i:�iiiii i}iii:�i:'vi$:ii:i:v: :4?iiii iLr�}::i::ii::L+`:iiiiiiiLi:'{:iiii:<±i}yi''rii}::Lis?ii:�n' :•i:>}:::?3.r...:r... ..................:.........:.............:....... ::::::....::::v:?::}:4:v;•;}}}i:':i}::•:4:h..........:.v::::::nv::::::fi:::.w:.....:.............:..........:..,..::....., ................ ..... �Yigiirartee�ca:>:isi::i::iiiisz<:<::>:<z::<:::i:>:i•<•;;:>};;:;::i±::}:.}:.}:;:.;:?.>:.}:.:.}:.:.}:.}±:.::;.}:.:.} .::.�::::::..:. bli ..#............. .. .............:.....:. :%Lr'ci>:�:2%:`:�' :�:%�:•':%:`%a:� s�:�:?:; :�':25::� ��2: ':;+.::::::�.isr2�::2�� :%�:::��2�:'��`�::: ::�r:%�:;:; :;<:;?::::::: Li3:;:%2;:;L:�:�:;;:; ::�:i;;��i<�:ir:�3i:;:i::�:y::u:;ii:;:i �:2?'� adifr s z<' <ei' ��lt'tY11Ce. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a ilne up to S1,500.00 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 Oice of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is jtrue and correct Sipnlhire Date Print name - Phone# �v'UAW � 1?40 official use only do not write in this area to be completed by city or town official city or town: permitilicense# ❑Bullding Department ❑Licensing Board ❑checkif immediate response is required ❑Selectrneies Office ❑Health Department contact person: phone#; ❑Other : (revised 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. 1 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 and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P ease be sure to fill in the permrtllicense number which will lie used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InvestlgauOns 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 egt. 406, 409 or 375 l °FZME�p� Town of Barnstable Regulatory Services BAaxsresL4 ' Thomas F.Geiler,Director rsess� o�.prfo;. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work: ".27 Myr Estimated Cost qQ QC0 Address of Work: Owner's Name: �{�� Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: �IZFSt b * 2k lir^ U 1 l ►� I�?10111 Date Contractor Name Registration No. OR Date. Owner's Name � sC- �c - � qG-0 i r f' v RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings_Additions $50.00 50 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSI EET NEW LIVING SPACE D q 7 ySD square feet x$96/sq.foot x.0031= a plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft._ 4 x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch C x$30.00= (number) Deck x$30.00= (number) Fireplace/Chnnney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming-Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee LOT 15 LOT 14361-91 _ NB97;3 55"F. ' , o � a 1V8973"55"F. 187.56' o V. .`.....r� •: "3 LOT . S0't MOR i w v, .58.52:.'-.5.5"C RA r� LA NA OIPNER.• 9ROO" ACRES REAL71' TRUST TIMOTHY & BROOKE FAY TRL►STgA HAS ZONE- `:flH'" This MORTGAGE INSPECTION �° is o FLOOD Use oni 'LONE'- Tl TOWN: -yAE5TyS-M"y — — — REGISTRY OWNED SEE' ABOVF,_ — — —. -- — DEED REF: - - -- — -BUYER- ffAE92G"ELd0 SCALE:1 bu' [T. DATE: ._06./1 PLAN REF: L art r�itN_ —_ YANKf:f: SURVEY i HFRRRY CERTIFY TO dtllLfJPJ�1'= == . .__THAT THE BVII,DING +►a CONSULTANTS SHOWN ON THIS PLAN IS LOCATED ON THE GROUND ASPAM SHOWN AND THAT ITS POSITION DOES CONFORM A. ,� 40D (SUITE 1) '1- -filh 'LUN1Nd"LAW 51 ft3ACK Rl' WREMENI'S OF TM uml a INDUSTRY ROAD TOWN OF ___BA[IJVS!'�f�1.8 AND THAT N&3'10Y0 MAEMONS M=. MA. 02648 IT DOES NO?' Lll: w1TH1N THE SPECIAL FLOOD HAZARD TEL 428-0055 AtceA AS SHOWN ON THE H.U.D. MAP DATED Q/-W/m__ FAX 420-5553 250001 0015 C TH15 PLAN NOT b1ADE FROM UlditiliT .7,7444 JF p PLS-------- SURVEY NOT TQ DE USED FOR F'E1dCR5 ►fG I . r I °FIB r Town of Barnstable Regulatory Services • snxxsrnBcs, • MASS. $ Thomas F.Geiler,Director 16J9. ATFDMA'I� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, MOVC110 CodhD , as Owner of the subject property hereby authorize P � V< < to act on my behalf, in all matters relative to work authorized by this building permit application for: 21 �hGt►mw�ah (,Y, (Address of Job) S ature of Owner Date PK:I a alhQ Print Name a a Q:FORMS:OVJNERPERMISSION 74 �arrvnzar� a�✓� aac/u�ae Board of Building'Regulations'and Standards HOME IMPROVEMENT CONTRACTOR Re'gist�aton:=j?31.841 _xpi tfon '9/26=04 IM; ' �=TYPe-Q&0 ate Corporation CENTRAL CAPE 06N8T_RIJ.CTI0N fftWEN DEVLA } i 261 BLACKTHORN DR.'-- MARSTONSMILLS,'MA 02648 � I �� T007YI/IJLp�Z(I/ OL�/vGQ4d¢C{7.UGP.�6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Numbe'-".CS. 047993 i EzPires02Y0472004 Tr.no: 15943 Restricted 00 i STEPHEN J DEVLINR_<=_• ;! • i`i 261 BLACKTHORN�DR' }T,• MARSTONS MILLS, M.... 8 � Administrator r Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 Data filename:C:\Program Files\Check\REScheck\#3616.rck TITLE:New Custom Addition with Three Car Garage CITY:Marstons Mills STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:05/29/03 DATE OF PLANS: 05-10-2003 PROJECT INFORMATION: Marcio Coelho 27 Shammas Lane Marstors Mills,Ma. 02648 COMPANY INFORMATION: Central Construction Company INC. 261 Blackthorn Drive Marstons Mills,Ma. 02648 NOTES: MaCheck by Cape Cod Insulation INC. #3616 COMPLIANCE:Passes Maximum UA= 125 Your Home UA= 123 1.6%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 288 30.0 0.0 10 Ceiling 2:Cathedral Ceiling(no attic) 224 30.0 0.0 8 Wall 1: Wood Frame, 16"o.c. 592 13.0 0.0 37 Window 1: Wood Frame:Double Pane with Low-E 43 0.340 15 Door 1:Glass 80 0.310 25 Door 2: Solid 20 0.240 5 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 490 19.0 0.0 23 Furnace 1:Forced Hot Air, 87.4 AFUE i I i .,COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requifements in REScheckVersion 3.5 Release 1 (formerly MECchec4 and to comply with the mandatory requirements listed in the REScheckInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date l f REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 DATE:05/29/03 TITLE:New Custom Addition with Three Car Garage Bldg. Dept. Use Ceilings: [ ) 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: [ ] 2. Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ( ] 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ J 1. Window 1: Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ J Yes[ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor: 0.310 Comments: ( ] 2. Door 2: Solid,U-factor: 0.240 Comments: ]Floors: [ ] 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: ]Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air, 87.4 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 c&n(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. r o Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer mafouals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4AT1. Duct Construction: [ ] I All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. I Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) I i �r TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. j DATE JOB. LOCATION Z ? N,9mMAS L-ri In g2ST0NS V IL�s Number Street address Section of town"HOMEOWNER-TNLI J• -FA Name Home phon . Work phone . - PRESENT MAILING ADDRESS M)grz5roA'5 V)11Z LS ,q - 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 Stat Building Code -and other applicable -codes, by-laws, 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. HOMEOWNER'S SIGNATURE ;,. APPROVAL OF BUILDING OFFICI Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. I i HOME OWNER' S EXEMPTION ! The code state that: Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner-''actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,. man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. 4 The Conrmotwealtlt of Massachusetts Department df Industrial Accidents & Qll/coofIMWSM211ons ; � r•;�' 600 I1 ashin,,ton Street Bt►ston.Mass. 02111 Workers' Compensation insurance.AMdavit .ARnit--c -.t m— r """' Please PR1NT le bly4'�` antomahon• ' • • -- .._ _._... . .. o �o U I am a hor4ownerperforming all work myself. I am a sole proprietor and have no one work-in-in any capacity lam an employer providing workers' compensation for my employees working on this job. cnmp,B,py name• ' address: cih• nhnne#• - incor�nce co pulley# I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company n•tme• address• phone#• insurance co nohey# L''"'=`:: �.--:-!%:-• — . - r,r,.•7-.•a:..•ary.-•y-'.�.y►-•-T�•,.,f�'!�.'s�.� -f7arl+aq�el�r�►:iiRS�r+ *r-�••�!.r• ..9�*�!�'�"`—.'•?.r ctimnam•name• - address! citx. phone#: — insurance co policy a Atiach additronsfsheet if gee ..».:- y:.z "�sg_t'_'-�+ �'.p" —`:.,'•r`r`' �._,: .= Failure to secure coverage as required under Section 3A of h1GL 152 can lead to the imposition of criminal penalties of a tine op to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a slue of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of investigations of the DIA for coverage verification. I do hereby certif}}•under pa and penalties ojpery'ur.r that the information pm ded above is ime and correct Si_enatum ate 2 9 Print name' I nip ' one# �2�''7 oRcial use only do not write in this area to be ompleted by city or town oRlcial it/license t Building Deportment chiortown• perm O Licensing Board ` check if immediate response is required CSeleetmen's ollice _ D11eailb Department contact person: phone*; riOther Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employces. 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 emplitrer is defined as an individual, partnership, association,corporation or other ;u-gal entity, or any two or more o: 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 1'52 section 25 also states that even•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 common++•ealth 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 hav been presented to the contracting authority. ^'!':••'�'�'��r. 73 , fTii�.,�t ia. yli.:� ,,.. ^•�I��; %',� ��+ :Co:�.�.utiirjr�..• �:. #' . Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying-company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. wins ^Se'( ,,,,>'ii.•S.. <. . ... .. - City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. 77 i.w.4�.:� ... � _ r•w.J� .. -. 7.7. 4Vf• —�4'�..: _ :.'V 'in4.:-. The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 v. The Town of Barnstable10 �P Department of Health Safety and EwAronmeIIfti Services Building Division 367 Main Street,Hyannis MA 0=1 Off cc 508-790-6M Ralph Cmssa F= 508-775-33" Build.;"g Cammt: For ofEce use only Pczmit no. Date AFFIDAVIT HOME DwROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERKM APPLICATION I MGL a 142A requites that the"teaoastructim alterations;maoadM=pair,modernization,conversion, imp:vve:aent..reato�al. demolition. or ooasuucdon of an addition to any pm-edst ttg owns occupied building containing at least one but not more than four dwelling units or to snucm=which are =nt to such tesideaoe or building be done by registered e=z=rs,with certain ea=PnOns,along with other. tequitzmeats. Type of Work: Est. Cost Do , d� Address of Work. Owner.Nante: ' Date of Permit Application: a 7 I hereby certify that: Registration is not required for the following r ason(s): Work ecduded by law _ _ob under SI.000 BuMng not o =-occupied putting own permit Notice is hereby ghen th= OWNERS PULLING THEIR OWN PEMMIT OR DEALING �N�OT�AA�ACCESS TO THE CONTRACTORS FOR APPLICABLE HOME tWROVMdENT ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PEFJURY I hereby apply for a permit as the agent of the owner. Date Conu==name Regisuatbm No. J Map 01 Parcel ZZ-,a;,�ermit# } onservation Office(4ih floor)(8:30- 9:30/1:00-2:00) 1 a►d".1G Q Date Issued J Board of Health(3rd floor (8:15 -9:30/1:00-4:45)�'�� 7 Fee Engineering Dept. (3rd floor) House# �� lG �r.O ( � BIKE P SE P MUST BE D. 19 INSTA II�PLIAG��'— - LE ENVi'�30AJMENTA. , L Cf--- TOWN OF BARNSTABLE Building Permit Application Project Stree ss ►' Village ' tf Owner ' �—ZZ Address Telephone Permit Request r �h First Floor square feet Second Floor square feet. Estimated Project Cost $ 4Q2 D� Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type / Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure 2 Basement Type: Finished Historic House �� Unfinished ' Old King's Highway Ad Number of Baths c;2— No.of Bedrooms Total Room Count(not including baths) First Floor c /1�Heat Type and Fuel �.,�J Central Air Fireplaces 1 Garage: Detached / Other Detached Structures: Pool Attached ✓ Barn None Sheds Other Builder Information Name t Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I SIGNATURE DATE 1 9 BUILDING PERMIT DENIED FWR FOLLOWING REASON(S) y f: FOR OFFICIAL USE ONLY E P MIT NO. D TE ISSUED s. r-t P/PARCEL NO. 1 r� b ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL o FINAL BUILDING ,�r� 7v, F DATE CLOSED OUTS ASSOCIATION PLAN r , 49) .D . i " is ro. A 0 t ; D . 0 0 r* Pik -K- 1 0 4 T _e I : its U_- 40� o klo co" T, A g ACRES A 1: 7:0. in t • W 0 o XN 14 I 69 N 860.19 20#W_- ; n ' ' , GO :?- eo ✓ � v12;78 .W Re (FND) r j C40f 4 0; ` +. ,'.��}'1' ,.}?• ' Y4 •.+ sue;-' � / �;iit ' " z o, - 30.00, *�. , 19 v !,.jj#R8(FND) V 263.?9 240.00 e1.038 ACRES:i,:: V, V v "it 8 N1355 O X" w T. T-o CAL R 4, i-OF BARNSTABLE t 40 LOT w ?'T, 'flitDo! Al;RES 'NOMINEE TRUST- ro 0) "1 Jlp :�, I j'fl' BLUEBERRY N Lc...3 a 9 7 3 Q�i �0631 �a. , ; h .N ( t ;�. rIV LO �cne.:A ACRES' 1w '40 t GLEt AIUI y V !JosEPH l , t, i9se W A t A LC 8FyJ ; A$ 4N0 1 , 9 '0' '97 top 40 71 54 94 'Re ;:120.61, ■ % �'i' ' ' ).:. 1 1. A 54 v6- Ai.6 215.00 1. 3.21 22 11 9.5p 50 3 5 N 05*22' 994 At 147.63 .85. S -A 57 t Re (FND 8R8 (IFND) ; I. -IN -A D" CB f FNW DH Re Z084.32 PUBLIC RACE LANE . ,Aj o,79 6r jL 1 0, -9 9�97 3 *9 %SUBDI V1 SION—`-,P �.`O F PLAN - LAND 1 N BARNSTABLE /c%�� .�� -'30, -,fig � . �: : • •� � . �. ' FEET TO AN ' l NCH /0 ED'HUNDR g .,: ,SCALE' QF QN E 'CUM EDWAR KELLEY, AND'..SURVEYOR . 1 .9.86" - AUGUST.�:?'...18 , :L" ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel , „ {, Permit# Health Division O �E-Gr Dat'e'Issued 1072103 Conservation Division OCT 2 0 Pia 2:Application Fee Tax Collector ,. Permit Fee Treasurer �6 C1!`,`fSIGN __p-n_0_8_"Tq MUSTB5 Planning Dept. WST'AUID IN COMPLIANCE 5 Date Definitive Plan Approved by Planning Board �NlIIF�®Bdt�E s ANL Historic-OKH Preservation/Hyannis TOWN REGUUT IONS Project Street Address 2 I '/ha ryi ma 2 Lri Village M,t/ I "Mi0f2 1 �� Owner iUGt✓C I D � Address 7-1 � 1Giy►-�ma5 �/Vl Telephone _ Permit Request Ylr°W V lUa b bacc a yyw r.✓Ad rh Ov, — conmey-�,,t, 7s-r Vo IGi m6i tD fin 1 (Inav/ &y,1ie-a Y)cf, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type w 0 C'151 Lot Size < Z Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family J Two Family ❑ Multi-Family(#units) Age of Existing Structure ( "J ,�2 Historic House: ❑Yes 9 o On Old King's Highway: ❑Yes D I o Basement Type: Cg Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new Half:existing new f7 Number of Bedrooms: existing ¢ new 0 Total Room Count(not including baths): existing D new 0 First Floor Room Count Heat Type and Fuel: M Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes LgNo Fireplaces: Existing I New 0 Existing wood/coal stove: ❑Yes Flo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:2/existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name I Telephone Number �6125-1_1(0- LV 10(90 Address 70 1 License# YVI/GI� VlG1 111h VI/1A QZCO46 Home Improvement Contractor# Worker's Compensation# r—L7 r7$25 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Atli vltlCe Ywa°tll SIGNATURE l' DATE C) . DZ " O� FOR OFFICIAL USE ONLY PEg,MIT NO. DATE ISSUED n MAP/PARCEL NO. ADDRESS VILLAGE OWNER - l Z • ,f DATE OF INSPECTION: - FOUNDATION Sono ®�b13�103 G� 63�Q� <� FRAME INSULATION 5V FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING -z/y ,i DATE CLOSED OUT - a ' ASSOCIATION PLAN NO. The Commonwealth of Massachusetts —= Department of Industrial Accidents -= — ' - Office oflo�estigalioos _ 600 Washington Street ` Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: MO Vl/1 O �1 t'/�V)Q location. Z- 1 O)M Yn city Il�/�/.(/�� "SY1`') (/l/I�l I-leg MA (52(a 45� shone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one worldn m' ca icity I am an em 1 rounding workers' compensation for my em�loyees.worldng on this job.. .•,••••.•. v:•:v)}:h;•}::)):;•:?v ?:$$Y$}:{.j'?$J:•}.: •.n•.: •.::: 'J••.;+4:;•:4:}: ":tv'.;}::v,v :.........v:•:••::•:nt:J:$':{::: ti:%:j•:'v$ivryiii<n{:•:$:�iT:tin%:%:•$}�?$$$$:v:ii$$$%$:$$$;$$::$�$+�:::':,•';`'$i:•v:%•::�}:i�i, {i%:�;::}:•}±$$%: :+ �+.;?+.-.;.:± •;�,' :•:�'+�:;i:�•��.�.�.�.�.,.ti��:.titii:';:;:;:;:i:$:;:,v'j?�:??'•Y::iiY!:::}i)'!;::;i:;�:;:;:;�$:;ti::;:�iy.4X{!•}:;:;::;$:;:jvv}::{:•.:v:::m:nvn•::::::::v,;. .COIItp }'':ti):-}:•:::�•>:.)±:;::.:{:-):•}:}:•}••:•:;;:•:tin:::{?•+:n:•}}: :{J:4;)'•}:{?;tiJ:v:J:G{Ji:r•:{•r:i.}w:x:n,:v.v;±}}±ti?'v:,•:••:v.:::.,.. .......... ............... ...::... ..::: :::.v:::.vr ; ....::•::::xJ'•}v::xh}:•}}$$:::: .<i{:t:;!{{i.:: r.... .:... ..i...v::::v.: .:... ..............,r.. ...........t...... .4.w:}::::.rr..w.J}•vb))?:}...x::{.;G^::nv::v.J::•}:•r:::{.}?•.v::n4vnvT:,,.::rr.....1,:::.v:::}}::::?;}:}}', ..v.nn..r.......:• .r.. .n........... ................r.. .................................... :... v......v:.v::x'v .....>:::.v::r .r.n............... ... ............ .................:...... :::}..... •.:......{...... ,:•:::}'•}:{ti• .{�-};•}::{}:i{-)\G}:;J.:v}{v$?`:4ii::j:$: {...........:-::: :::Y.••:•..:.:. , r.. .. •:. x••.:.....r................. .;.v..... n....V.v .:..:........... •. •.•v ..........r{ :. ..... .}:... .. .. ............. .. .....v..x....,,. ..x. ..r.. ..{............,v..:n n..T.:'::v.}}):%}y,{•}:•):?L.}})±:$ >,:�{;:{<.}:i•}vx.,..vV}:+:•i}:•}v:{:: ..n......:!.:n..v.. ...... .v .+ - ...:n,r. ... .n......:... \- :)...........n....v.}.v:;}::.....:...............v. ...5.:.......... :•x.:.....•.;...., } v:.... f•::. :.. :. rr... .: .: : w:+:•:n?,:v. :... ..:•::{•.v:::::.v.:............... r .....n. .nnv::n:h:}:{{:t•}';; :.n+�...:..v:..:::::{:::• itddrt:sS � 7✓• � ) .. ............... ...........n........................• ... ...r:.. }:ti"•}}: n::rnv::n.v.:nun:: nv.:...?y... .......:...............f..........,.... ....... n.n... iv ........::..::.v::r..{...n.v.. .. .r:.;. :b%{;$:$;y ?; ................. ....... .. .... .. .r...............n....................:..............i•.,,••.v::::::::::.vn,:':v:}:•:{•i):•i±)•{::::: .. 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JX...v...... .... $ nr:f::h't.S;'}:ry^`$i{?::{,v}}�ry•3i•::''�:ii±:l:w:.y:...::.{. ...............v.....:!n:..:.............r.f...n:•:rv:+?v. r..........n.....r.r...v....:M. ...........n...... .. ... .,.:... .v.ti?............................. :}::xx...{{{{?h:{•:L???{?{•}:•}�•.:...... ::.v;:.}}:{{>.tSv±}:;h'Fr•...:......: •r. • .. :•:r,-::•.:i..,arr:n•.t•::•?::::{-•;?:.i:•:.::•:•::.,•::,.........::..............n..t....::::::.,......,...:.�::::::::. .:::.:.;•Y):{`:•: 0�� # run:ranee:cur'i:;)>$:.:J±::.}:i..,.�,•:?.:}.::.!::�%,;.,.:.....,.....r..�:::::::.:r::::,.�.�:.. ..... FMn=to secure coverage as required under Section 25A of MGL I can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as wen as civil.penalties in the form of a STOP WORK ORDER and a fine of 5100.00 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. 1 da here. fy under the pains and penalties of perjury that the information provided above is ttpr--ue and. eorred Signature r) Date Print name 12 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office QHealth Department contact person: phone#; � U.--- .• Ucy;Led 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or ienewal 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 and ' su 1ym8' company names, address and phone numbers along with a certificate-of insurance as all affidavits maybe PP � y . . 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 Departmentof Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and Printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the penanitllicense number which will be used as a reference number. The affidavits may be retim '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 Olflce of InvesugauOns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . °F114E►af• Town of Barnstable Regulatory Services BMMSTABM ' Thomas F.Geiler,Director Huss. 9`bAT163 � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME 51PROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. A J�s} /n/, wr n � UJ f � Type of Work:l��/` yw 1W IL' "r^�" Estmaattedd Cost °111� Address of Work: Owner's Name: WI�VC�� I.C/� V)D Date of Application: b f O C)'32 I hereby certify that: i Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PER.NUT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICAB M LE HOME EY2ROVEENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: lb - - �� {- �,► 'ice.°,U i r. 17?7 l�5/4 1 Date Contractor Name Registration No. OR Date Owner's Name QSormshomeaffidav �oF1KME rok, Town of Barnstable Regulatory Services • BARNSTABLE, • v MASS. $ Thomas F.Geiler,Director Qp .s6Jq �0 iOrF1639 ' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Maw"ID adhQ , as Owner of the subject property hereby authorizepm `� V< < to act on my behalf, in all matters relative to work authorized by this building permit application for: 21 �l'�Gt►rw�a� (,h � (Address of Job) Zo S ature of Owner Date Print Name Q:FORM&O WNERPERMISSION r SL Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Re.gi§tratlon;___131841 r;Ezplalton:_'9/26/2004 jj ypei.;:Frivate Corporation CENTRAL CAPE Q.NS.T.RU;CTI,ON 9ftWEN DEVLIN'<:,..''. 261 BLACKTHORN DR.`-- MARSTONWILLS,MA 02648 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number:.CS. 047993 i t' Expires 0210412904 Tr.no: 15943 _ Restricted:j.00 STEPHEN J DEVLIN 261 BLACKTHORN DR MARSTONS MILLS, MA 02648 Administrator r LOT 15 LOT 14 ►��, IVB97.3 55"F :? �_ cz, }YB973"55"F 187.56' lZ ,� .y......_s LOT 1 .7 SU3-: �}w�J 0 e G✓ . .S8.15 "5.5"V, RA s . 01'NEk BR00AT ACRES REAM TRUST 17MOTHY & BROOXE FAY TRUST Zv1Vi This �MORTGAGE INSPECTION ��U e on FLOOD LONE'- TOWN: -VA—jW — — — REGISTRY OWNER SEE A-SOYF_— — DEED REF: — — — — -- — —BUYER. -AMago_G"JMW SCALE 1 6U', C'T. DATF: ._ ,115�_42. -- — — — — PLAN RED': L(,' 389=l3 — I HF:RFRY CFRTiFY To d(tttClJZ► L�••• aka, � YANKI�`:P SURVEY - 1U-AT "1iii 1311ILUl1G_ r+►ti CONSULTANT` SHUWN ON THIS PLAN IS IAOATED ON THE GROUND AS .SIIOWN AND TIIAT ITS POSITION DOES CONFORM L 40D (SUITE 1) 11-6 -rills ZONING .LAW s>UfBAUK REQUIREMENTS OF THE mfr4T"wi a INDUSTRY ROAD 'CUMIN Ut' _ BAAW—'; ' . AND THAI' HARSTO.NS M111Z. DMA. 0264-8 IT DOES NOT uE w1TiiIN THE SPEOW, FLOOD HAZARD � TEI; 428-0055 ,1itEA AS SHORN ON THE H.U.D. ASAP DATE;D_"V-66-- Cc, 't — aiie 250001 0015 G' FAX 420-5.55:3 T33d I'LAN :NOT m"E FROM UM ;3�944� JF` P IT1IE�r ------- SUR Y NOT TO DC USED FOR .MCFS 1 TC . , _ ... ..._ .. .. . r ._ '� a i s ti . . 1 �.; . . �. .. � A � t ! ` .. 1 1 ..J _ 3 , t n x a ,t >. d j r � . l � .. � ! I r 9 j' 1 J .. i• ''. J r Jt( 1 ]. y r � 1 r �: J � r 1 . i. . � �� ) j ��/AV, �. �+ _ j .. a J :1 �� rt: �, I ' .,, �1 .�,. �1 r �� n, Town of Barnstable do Building Department Services Brian Florence, CBO RAMSfABL- • Tr1. r M^ g Building Commi4's .eio e rEo �a 200 Main Street, Hyannis, MA 02�MTABt f www.town.barnstable:ma.us 22 r, Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable FamilYP "A art em nt Affidavit ' I, being on oath, depose and state as as follows: . My name is :::522 l 7u H/l • A-(L-t- I am the owner/resident of the property located at: [,/1 L L f� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 3,A-d-t ZS 3 S - :F A�-`n4 2-fR z(J L--A LA) Name &relationship to owner: G/107 LA--%A. C±2 A!3 5 3 N L—A"") 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.]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 apeurtrent has been transferred to the Amnesty Program(Appeal No. Other Sworn to under the pains and penalties of perjury this �-j' day of A t,) 2019. for -ZzI - ly 7- Signature Phone Number Print Name �:::EL A-VL-k _ q:forms/famaffid.doc rev 11/08/13 Town of Barnstable Building Department Brian Florence, CBO • MMNsrnai.E. • MASS. Building Commissioner �� 03y. n Street, Hyannis, MA 02601 200 Mai /t®//V RFD MA'S� ^ www.town.barnstable.ma.us ✓q v osp7. /�/ Office: 508-862-4038 TOpft': �?$366230 Town of Bamstable Family Apartment i avit I, being on oath, depose and state as follows: My name is /m o-n-i/ I am the owner/resident of the property located at: Sh 4 m✓►n&s The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: �r _ Name &relationship to owner:�1 ,A 1-A yz,5 ii142 6 b 5 �F 4 2l cr—,�- j e w Name &relationship to owner: �i VD Y �r 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 D 72 day of 9d4V1,.1- 2018. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services of Richard V. Scali,Director TOWN OF BARNSTABLE Building Division "B Paul Roma,Building Commissioner 7011 ,1�: 1MJUS ( ] AN ; 34 039. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is f t n^.�'t W-A � � I am the owner/resident of the property located at: 2," cSh a&of a,.i Lan— Gt v'S t`�✓t5 �'W�i T� �Z�e�/g The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: -Ta nGS flb b bs Name &relationship to owner: ei e%dy A665 MVTkef--�'l - btwl 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. 1 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 °� *� day of 2017. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services ~� Richard V. Scali,Director s RAMSzABM `r Building Division M 1659. a Thomas Perry, CBO, Building Commissioner FD MA'S 200 Main Street, .Hyannis,MA 02601 www.town.barnstable.m a.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 /�I�� `� ��2�Z / I am the owner/resident of the property located at: C2� �� 4 VIN/-I o f L I f/1/i.'�c 5 A-v►t.s /V1 A v 2 6�fFf The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Ck vn -L.S t Name &relationship to owner: -4- (40 :zz The Family Apartment will be the primary year-round residence for the llbove-identifie w 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 'ubleasing�f sa Cn Family Apartment is permitted. N I understand that I am required to file an Affidavit annually with the B'riding _ M Commissioner listing the names and relationship of occupants in said Family Apartment7+l alsd 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 2015. Signature Phone Number Print Name -� tom.-, /k✓�� q:forms/famaffi d.do c rev 11/08/11 i Town of Barnstable .�`"f rO'yy Regulatory Sex°~c�l'Ues p 2brr r 3S2 03-0?_2015 3 e 16 MNSTABLE LAND COURT REGISTRY �,� Richard V.Scali,Interim Director MASS. Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 I Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT We, Timothy D. Barr and Joanna E. Barr the undersigned, being the owners of property situated at, 27 Shammas Lane,Marstons Mills,MA holding title under a deed recorded with the Barnstable County Registry of Deeds of the Land Court in or as Document No. C205573, being shown on Assessors' Map 047 as Parcel 162, 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. 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. The family apartment unit must be occupied only by the property owner or a members of the property owner's family as accessory to an owner-occupied single-family residence. i Occupants of Main Residence: Timothy D.Barr and Joanna E.Barr Relationship to Owner. Owners : Residents of Family Apartment James and Cindy Hobbs C)l CD —n 9 - Relationship to Owner. father-in-law,and mother-in-law This unit shall not be rented as an apartment or as a single room,or in any fashion,which re tal would:Fe a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occup of this iiAt, affidavits reciting the names of occupants are to be recorded with the building department. This agr ement shall4pe 7-- updated whenever a change occurs or every calendar year. co 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 Z day of OU4 C"-- 20L� TOWN OF BARNSTABLE: OWNERS: i By: 1 r T' th D.Barr Tlfo'mas Perry, BO Joanna E.Barr Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date o� S Then personally appeared the above-named (owner), i Wand made oath as to the truth of the fore pin instrument,before m �:�'. J ��LEFq:wp Iles Notary Public My Commission Expires:Q f a r lflsl pow�'eS I I b l a ® 2 52 tt U) S 89013'55"fW x 361.93' cn 187.56' S 89013'55"W HSE.NO.27 t LOT 8 52,143 SF. r DO 4 15.2'CD Cn 00 � z EXISTING 0 DWELLING Cal N _ � N r DECK c o � •i "1 certify that the foundation shown on f this plan is as it actually exists on the l ground and that it conforms to the town of Barnstable zoning regulations regarding PLOT PLAN OF LAND yard setbacks." LOCATED IN . `�y� OF a�4. MARSTONS MILLS,MASS. DAVID �� PREPARED FOR date.July 14,2003 o CHARLES CENTRAL CONSTRUCTION SANICKI flood zone c[non-hazard] 28085 shammasln#27 9fCrSTE ° Q DATE:JULY 14,2003 SCALE: 1"=30' 89.43' ` W.L LAND CAPE & ISLANDS ENGINEERING ?S 85°22'S5"E L=85.5T MASHPEE,MASS. T iI S 89013'55"W x 361.93' cn r 187.56' S 890 13'55"W 1 .P . HSE.NO.27 LOT 8 52,143 SF. 0 tip° 15.2' �000 al J N o .s 10,. G' 00 - M EXISTING N ' ° DWELLING Q. c5 N o - ' r DECK j 9 o _-1 � k I 7 certify that the foundation shown on j this plan is as it actually exists on the ' ground and that it conforms to the town of Barnstable zoning regulations regarding PLOT PLAN OF LAND yard setbacks. OF LOCATED IN M�SJq�y MARSTONS MILLS,MASS. _ DAVID PREPARED FOR • C -( date.-July July 14,2003 CENTRAL CONSTRUCTION SANICKI �, 1 flood zone c[non-hazard] 28085 shammas In#27 ��'�F 9E�1STER�° oQ DATE:JULY 14,2003 SCALE: 1"=3 0' %.43' ikNq�No� CAPE 8L ISLANDS ENGINEERINGMASHPEE,MASS. S 85 '55"E L=85.57' T bt7 {i .- �— -- - ' d'�X/ _ 4e H - V% i 714 i PR PARED FOR Construction Company, Iral i _ i x .mot r-^ r•. u lin President _Trl _� I r a l atons milk,MA 02648.5081t201340 4 i chi r .'J`�..__..- n. - 1 1 (- i DWG NO. N ' L { U=%1._ a i '✓�i i j�_ —'— ._— -' t _ _ - DRAWN Ell li — Ino kin SHEET OF PROJECT TITL 2,� -� oo r CL e/4 9 9 s 2i 2`(c(6 : \ O O :I t I 00 ! a .. i !.o' • � -•_ �-rye . L � ON) ► a' I \ / PREPARED FOR _.—J._... ... -------._ I I is I struction Com an ,. : Central Con p � i 2-4 LN I J it 1 i Steve S Devlin •President 261 eladdhorn Drive•Marstans Mills,MA 026.48.508 420 1: . ---------.----- �I ------- � SCALE I 0 _.._. . DATE DWG NO_ DESIGN CHECK DRAWN __ cNFF-T C cd 00 '" 0 t I � 1 ' l_ I j� J. 6 � _4____ — �,,( s g PREPARED FOR 6G2 a/./ t�lh d I�I I ;, � per'•% �. Central Construction Company, — Steve Devlin President I � I -- 261 Blackthorn Drive•Marston At,MA 02648.50842M 340 g SCALE 0 A- 1_ 1 DATE DWG NO. i -- DESfGN S GULL, CHECK DRAWN JOB NO. SHEET OF — u�KAWN I T im Nn SHEE I t� CZl T co W i S co T LP s n 3 o f S iJ� A ry. L� Dow G VA — - --Y N D p to Z r -R c+ , r. d � I wrou..PoU-T � heakcv Ln ��' Fu•nac c �3 N�fZ t O EC TI TLE ,. j3�wk, r rNiSf� �L I vel ... ...\\ \ - NEW SMOKE DETECTOR RE ighjk T.�S � .._.. .. ��.. ....._,._ul.._....—�=---..:.._------•----.... - ? •' , 4'r fin/ 'M� iU,f � ARE NOW LAW. EVEN THE ADDITION OF A, ' SMOKE DETECT09 S O.K. �� ''�... :.; - ' I ( �*►'� NEW BEDROOM WILL TRIGGER AN UPGRADE OF THE SMOKE DETECTORS ; FOR THE WHOLE HOUSE. YOU MUST Rr�sTABLE DINO DEPT. PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE APPROPRIATE y - PR PARED FOR . PERMIT AT THE FIRE DEPARTMENT. �.; ' � 2y,_ : G_ CI� Cy�>, Nu —z5) \ I 1 " � , Construction Company, I: i !in •President .. 508420-1340 atons Mills MA 0264800 o FrT • _ -. lit DWG NO. I .. . I ��— -----------�' --,—•-- -- - �I -�-- _ !_ � _ -- - ' ,I . DRAWN ..., PROJECT TITLE °0 � O'ycG�r j Ivi'✓� c'� m ?VOID ; 5" r —t _, :z Iro IN cc- *16 S I PREPARED FOR IU— I L�3 zY3 T 24 3.1 Central Consfruction Company, --- i Steve Devlin •President 261 Blackthorn Drive•Marstans Mills,MA 02648.508420.134 SCALE,� 1 DATE / Z b DWG NO. DESIGN rS�1�r;vl.r4 CHECK ' DRAWN mF3 NO SHEET OF _77 -Ici� fir 1 i i i j •. I — , I _ Ik PREPARED FOR __- b 'Z,i i r Centr®I Construction Company, In( Steve Devlin •President + 261 Blackthorn Drive•Morstons Mills,MA 02648.508420-1340 S SCALE / 0 DATE DWG NO. DESIGNGbLh CHECK DRAWN JOB NO. SHEET OF lila)m ) J. J-P�� P t 11 I � o 0 � a Q Co f . 4e N o / y � _ s PR PARED FOR Lon C,LCUe FNU {onstrudion Company, In tin President o rstons 10,MA 02648.508 4201340 .. ! (y / CXt off'�,� ;..r�._.......''•,7_�f.'�.----.___...._.. j �:.' { .:� ...� I _ , I •"s 1 - i fl I " DWG NO. I 2 - — I -- -- ------�—._ _ DRAWN SHEET OF li — — ilio ►an � PROJECT TI TL / I ^d r d�� • d bov't wa e -� o0 9 9 I MUD b S; 2jk4C O 000 ', 3 yrro 7 -- ,• I PREPARED FOR o IF - ! _ !: _ Central Construction Company, t i ZY3ta ..... LW3t j 1� 2`i3(0 j �I C 7ZG tiL �' Steve Devlin president - I -- -...... _ 261 eladctharn Drive•Marstarts Mills, 02648•.508-420-t: i SCALE,-q __-- O DATE l Z b DWG NO. OESfGN 1 'I�Gvi CHECK DRAWN CNFFT C �� tS OO Y . OOI1 I.1`✓w tC . L'' i - l f ; / l C PREPARED FOR Central Construetion Company, ll Steve Devlin.•President 261 Blackthorn Drive•Marston Mills,NIA 02648.508-420-1340 SCALE 0 DATE DWG NO. DESIGN S ✓�J GULJ� 7 i CHECK J DRAWN SHEET OF JOB NO. -' - UKAWN i lnA NOSHEET' O X w i Oo s cp t 71 o � s P ` � a S � p r.F L� VJ Dow Q Cl IR c r I U+ D a v O -� �U w o c�7 P hea fu.nuc c N H O e- y1 S Sz S �( y � . TITL• , I PROJECT i hi `Uj" 'b" ij • '1--. PREPARED FOR LL ' ��4v7�_. � •'`UY�. .. _. _._ I � �I:�If�' ..__. -3--(,.�C.--� �, I. _-._..��it'l.�U._.... . '---ff-`�-`r i Central Construction Company, I L�(31a LN?w y . 2_4310 C�1 iZ?dlA1L— ,� ' _ S Devlin Presider .: �G t 261 Bladdhorn Drive•Marston Mills,MA 026.48•.508-420-1340 i SCAL1=. O i DWG NO.: DATE 'DESIGN Uii ': CHECK i DRAWN SHEET OF. inp Nn 1� i i� FPROJECT TIT '� ��IA > ,r�6'riMo.i�cl f -. 7 l �}1 441 �if S�vµlS � y . H�+ +So x '�• Cam. Y ��91 '' �I Gi. �.: 'r!r ! r (1? t - y�j � ys ! _ ' l a1 1 •gY1» 1 - 1 r.. 24 ..- -1 x --�; �s Qd-- h x -��v k)s. s : 1 ass =z s. , O D ' i . 00 �'0 SF 2L-cc V) 1 PREPARED FOR "(X, -i Central Consfruction Company, ZY3 i a Lit w 24 3 0 Stew Devlin Prai&n rove • -'--- v 261 BWahom Onus•Mastaas t�IYIA 02618 508 42QI ' ! SCALE - ,� ! O _;....._..._ ._.._. _...._.. i DWG NO. DATE \ DESIGN '1) � " � � � CHECK ` DRAWN cHFFT C PROJECT .TITLE I.e r I �-- I 1� - . ; - _ �� V ✓(J�l. vl i.J i7 �Q_V r .s• t 40 ii l NEW SMOKE DETECTOR RE T,S(, P. ARE NOW LAW. EVEN THE ADDITION OF A\ ----- - DETECTO S O.Ka SMOKE NEW. BEDROOM WILL TRIGGER AN . \' UPGRADE OF THE SMOKE DETECTORS ' 1 FOR THE WHOLE HOUSE. YOU MUST RNSTABLE DING DEPT. 4". PLAN ACCORDINGLY AND HAVE YOUR PR PARED FOR ELECTRICIAN TAKE OUT THE APPROPRIATE PERMIT AT THE FIRE DEPARTkL / \ s , i 1 ' Company, i d I i ,� T%%\.:v'i�'y:-'rt3•c. •. 'e. _ _ .. . ^ . r� .. Constru �ion W F s « 1 lin President as o I rstons Mills,MA 02648 50BA20-1340 I s it r i c' \ •;It f 1 I 1 ! .4 DWG NO. —_ --- ____ ------ I Mi 1 —7 — 1 ..._........ _t _ ; I I : .DRAWN �41 � PROJECT TITLE DFFW6 i r " f _ 1{ `�' .. •�\ ,^.\ 'e ' 9 '� C.�_��.. �rQ S lam' i3"� _ OF eTJ — ZIP cc : j7 S� I 4 s: i ' - SPARED FOR o 24310 - e C®r�s c n p® y, i Central' tr.0 t�® `C®a n i Steve Devlin •President dt 261 Blackthorn Drive•Morsions Mills,MA 02648.508-420.134 SCALE— LI r 1 DATE / Z' DWG NO. 117 DESIGN CHECK DRAWN 1. ►m NO SHEET OF C"'A, to! f OO� Ul Ji I -- - J. cl ,� ^� ✓�Gr^.�)Cv I { i r ' ♦J �- � ! I Ste' .1 1 � .. PREPARED FOR f Central Con ti n Company, r I I Steve Devlin •President I 1 261 Biackthom Drive•Marsions Milk,MA 02648.50BA20-1340 SCALE g 0 DATE DWG NO. f DESTGN S✓�J GULi� CHECK DRAWN JOB NO. SHEET OF Cnmmarrial. n Vac ri Kr.. ic,,,. ram_. PROJECT TITLE i. �) �;. . . . 20 7 L � Z Qsb �' 't I iT" :Io Ak s i7�C. S4dt - � I ! :� I PREPARED FOR • r . I — t I , : J L�13 i o Lu3 I v 1 i 3..., 10 Central,C® s ucf�®n` ompany, I nSteve Devli •President 261 Blackthorn Drive•Marstons ills,MA 02648.508-420-134 sCALE � o � f -_a141 I I DATE DWG NO, f j DE SfGN CHECK E K DRAWN im No SHEET' OF — c- PROJECT TITLE 1t� -ice-r 090 LiQ i p tAlj Q'C C.:R211 r • +`., Ali r ` _ i y s � . E` PREPARED FOR ff t. Central ti n' C®m any, Im Steve Devlin •President 4 ! ! ! 261 Blackthom Drive•Marstons ffi&,MA 02648.508420-1340 S / . —.CALE g O vi- iz� DATE DWG NO_ DESIGN S✓✓J GAL/� I : CHECK DRAWN JOB NO. SHEET OF • 1 PROJECT TITL �aC X "MG'v"•"�-�i'1 fJ hJs• +41+ S �•�vJ1-SS i I I I t � - { 1 tl I _ il'\�110 SOX L PREPARED FOR • i L li i i i (• Central Construction Company, 1 S Devlin •President --- --�—- ! 261 Blackthorn Drive•Marsions Mills,MA 026.48.508A20-1340 SCALE i r O DATE ! 5,170 DWG NO.: i DES[GN i�'Uil .a j CHECK j DRAWN I .inR Nn SHEET OF. -- -- - . I , �, � �r�'�'�'•., 2?�� l�" PROJECT TITLE tiD { j� ( t .' %. 2`l S�l�._ti•n.�ti.�_.._tea�_s_,.__... HIP ft 011 e _ - f \ / '. R RE - t y \� N NEW SMOKE DETECTO _ ARE NOW LAW. EVEN THE ADDITION OF A'- SMOKE DETECTO S O.K: NEW. BEDROOM WILL TRIGGER AN . UPGRADE OF THE SMOKE DETECTORS FOR THE WHOLE HOUSE., YOU MUST RNSTABLE DIN¢ DEPT. PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE APPROPRIATE �� j �. PR PARED FOR , PERMIT AT THE FIRE DEPARTMENT. , - ( � _ :,.. - C®rostructe®n Company, An -President , rstons Mills,MA 02648 508-420-1340 f � s��i Si l r N� �:"ter i.'--{.:U S-C---•---- .. �" y t � � --; v F; � _ '�� t• •�.?r' I. _ t ; �..� .C�::�:d:._5.{�....,�— i .'.pry - -•� , �.�., 1i �, �� ! ..�. ��L s - i- J 1 S ' t ; DWG NO. ici — L DR-AWN PROJECT TITLE l� 1 1 ti 1. ...._�. .. 1 TF _ 1 . A loL t PREPARED FOR -?—(i ZwLfZJ1Zu 2 t(L�f t CIAO. - - s4n��:. . .'s,.�- - •--- cy✓I S!` +fin at r " _� !1 onstr too Ce tra uc on'Company, m LZ Steve Devlin •President _ _... ._...._.. 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SHEET OF. - ! _. i J x PROJECT TITLE r - G _.. _ �<' 11. f i V\:6J i T — j + .; Viij, m hIc'S. h i6 l 3D.A-30 AID t I eAl TZ `. J. :� t �—�• t u" i I �t o'_`_-"'fir�I 4! I ` Y { PREPARED FOR s1�1'�G[ `rr1.,Ell'r.aL� ((NL.MitiJ> - I i Centr®I Construction Company, Ina Steve Devlin •President �. 261 Blackthorn Drive•Marstons Mills,MA 02648.508A20-1340 � _ ! SCALE 0 t DATE DWG NO. DESIGN CHECK , J . DRAWN !. ,IOR NO SHEET OF • y I PROJE*CT'I.Tt-TL'E f - 1 , I . . . U. P REP1ARf=D. FOR r j ,Central Construction :Compvny, .Iiic_ (' Steve Dem6im -Pm7denr' ! 261 Bladdfim Drive•Marstom MM�,MA 02W 508-420-1340 ` SCALE 0 r DATE +�{ DWG ND. • DES IGN . l� CHECK � . np owns ..,r .. .. a .• : : .. .. .. j •: PROJECT:.TI 7LE s r r L , i.. ' �C�iswc . �4.-r t•�.3uc'G - •_; lam- _.., / PREPARED. FOR , a { -- �. Central Cots• :ruc. n' Cflm�rcany, Inc f Sreve.l�i[in -Praidenr 261 BhKkffi m Drive.-Marstm Ms,MA 02648.50842 -1340 A-b 1 DATE DWG NO. s' t ... 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