HomeMy WebLinkAbout0918 MAIN ST./RTE 6A(W.BARN.) o
HASTINGS. MN
Town of Barnstable Geographic Information System October 31,2011
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DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:156 Parcel:036 h
boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel El
1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:TOWN OF BARNSTABLE(LOMB) Total Assessed Value:$146800
are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:MAKI,FRANK A JR&SUSAN A Acreage:0.31 acres Abutters w E
boundaries and do not represent accurate relationships to physical features on the map Location:918 MAIN STIRTE 6A(W.BARN.)
such as building locations. Buffer S
Aerial Photos Taken April 19,2008
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do 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.
Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and fret the Business Certificate that is
required by law.
DATE: ., .? •1y Fill in please:
APPLICANT'S YOUR NAME/S: ' /qk/ ✓iP
,ik ;i r a"ty'R r" a BUSINESS YOUR HOME ADDRESS:
,Itl i •sri I��lrf' 1a�.4'�.��wmv?iy,!�
I R TELEPHONE # Home Telephone Number
NAME OF CORPORATION: /CI�Cst> f'!dL/J?.s .2
NAME OF NEW BUSINESS• .,� BF e'OD STEM f'/ r�F�%s�' CO.� TYPE OF.BUSINESS /iP�/J
IS THIS A HOME OCCUPATION? YES NO x
ADDRESS'OF BUSINESS 1`/f /lam/�✓Si %a/�/>'�N✓�9Z �• MAP/PARCEL NUMBER 76 (Assessing). .
EQ�/���I,EJ✓T ap/oo
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations 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 appriopriate permits and licenses required to legally operate your business in this town.
1. BUILDING CO ISSIO ER'S OFFICE
This individ al h s neinfor d of n per it requirements that pertain to this type of business..
Au oriz ignatur * �- ~
OMMENT 1
BOARD OF HEALTH
This individual Ver infor e f h pe req nts that pertain to this type of business.
Authorind Si atu e V /
COMMENT
t'
3. CONSUMER AFFAIW(LICE ING AUTHORITY)
This individual hr ed of the licensing requirements that pertain to this type of business.
Authorized S ature*
COMMENTS:
i•%'mot
• ::gip,
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do 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.
Take the completed form to the Town Clerk's Office, 15t FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE: ^' /5' Fill in please:
dG/4�7ih"•�.��� SIdF�h' r^.rr, APPLICANT'S YOUR NAME/S• �/,�iti•F' /� /�J/j'/c/' ✓�.
BUSINESS YOUR HOME ADDRESS:
Cf)lx ���. :•`C�Gt7:b�' 1'1(O�YL'' '7
TELEPHONE # Home Telephone Number _T22
NAME OF CORPORATION:
NAME OF NEW BUSINE55 TYPE-OF.BUSINESS
IS THIS A HOME OCCUPATION?. YES NO=
ADDRESS`OF BUSINESS _ MAP/PARCEL NUMBER -36 (Assessing)
.CQU�.•�i9?.cN%Q i09,EI.S�o,o% /�/,1.ri/f,.���' /C�C- .�C�l/j//I.7/—'—.�i' `
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO POO Main St. - (corner of Yarmouth i
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
i
1. BUILDING COMIVrS�b �njnf
R'S OFFIC
ofThis individu ha pe mit a uirements that pertain to this type of business.,
Auth ized natore**
CO ME TS
2. BOARD OF HEALTH +'
This individual has been informed of the permit requirements that pertain to this type of business. %+
Authorized Signature"
COMMENTS: ;`
3. CONSUMER AFFAIRS (LICENSING AUTHORITY) '`.
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
F ,: TaV
�a
YOU WISH TO OPEN A BUSINESS?
t �l
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form a.t.200 MaiwSt.;.Hyannis.
Take the completed form to the Town Clerk's Office, 15t FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
;7i.!: 18;iIrg �f ,. •.� DATE: .3 .? Fill in please:
icmnre�.1'r'�ft��Irryw,,, yes � APPLICANT'S YOUR NAME/S' .�/�iF/ ✓�
BUSINESS YOUR HOME ADDRESS: 1T
d u r*ski i� fit1i� . {c1
i�y �rIl,1DY'' nnnFl�Jmf�44- -3��? ^/r.7Y/� �
Cl �i9�£n/STisfG/ /liA" GS
TELEPHONE # Home Telephone Number � - _Z- S1-2�,-"
NAME OF CORPORATION: /l7/'�//�Gyl//�1F�Yi
NAME OF NEW BUSINESSi�.� TYPEOF BUSINESS ,�P��si
IS THIS A HOME OCCUPATION?. YES IVO _ '
ADDRESS`OF BUSINESS dam` l/�9 /�7�%i✓S� %��/l�/!i✓i9�� MAP/PARCEL NUMBER /`-'f� O_�E� (Assessirig] .
/17�11
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations 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 and licenses required to legally operate y u business in this town.
'I. BUILDING CO 1VIISSIO ER'S OFFICE
This individual h s n_t14.Qr d of n per it requirem nts that pertain to this type of business..
Au oriz ignatur
OMMENT '
BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Y
i:rt`�i ly,
Authorized Signature*
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY) y, `
This individual has been informed of the licensing requirements that pertain to this type of business. j
Authorized Signature**
COMMENTS:
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates(cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signature~ on this form at 200 Main St., Hyannis. TT
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is fC
required by law.
DATE: Fill in please:
e
APPLICANT'S YOUR NAME/S:
BUSINESS YOUR HOME ADDRES -a D� eef G rb.
q Er
TELEPHONE # Home Telephone Number
NAME OF CORPORATION.- -
NAME OF NEW BUSINESS �S'r� TYPE OF BUSINESS t=ycc,vrt �-eL
IS THIS A HOME OCCUPATION? YES N /ADDRESS OF BUSINESS /�t4,�` S f e ofh r/L6/(' 4�B MAP/PARCEL NUMBER � (Assessing) .
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations 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 and licenses required to legally operate your business in this town. C
O
1. BUILDING CO ISSION R'S OFFI Ef
This individ al h s b inforFn d 6f ny pe mi req�uirem nts that pertain to this type of business.
� p J S
Au orize Sig ature*
C MINAENT i C
�(
2. BOARD OF HEALTH 2
This individual ha i f rmed p r it ire s hat pertain to this type of business.
Authorized Signat e**COMMENTS: MUST 100MpLY WITHALL
i
MATERIALS REGULATIOM.g
3. CONSUMER AFFAIRS [LIC SING AUTHO ITY)
This individual has b n ' formed of t ensing requirements that pertain to this type of business.
Aut orized Signat /e
COMMENTS:
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Parcel Detail rnn � C)� Page 1 of 4
Cam '"
v�oE ENE07
MASS. 7
T� Mar 0.' - -� !__.����t'�i�i�' 1.�`.•� �V�lG Eu 00� �L;
Logged In As: Parcel Detail Monday,October 31 2011
Parcel Lookup
Parcel Info
l Developer l
Parcel ID 156-036 Lot
Location 1918 MAIN ST./RTE 6A(W.BARN.) l Pri Frontage l
Sec Road Sec l
Frontage
Village IWEST BARNSTABLE l Fire District W BARNSTABLE l
Sewer Acct l Road Index 0955
Interactive
Map
Wt-J�o
- Owner Info
Owner ITOWN OF BARNSTABLE(LOMB) l Co-Owner MAKI, FRANK A JR&SUSAN A
Streetl 1881 OAK STREET l Street2 Il
City JW BARNSTABLE l State MA zip 02668 Country
Land Info
Acres 10.31 Use STORE-WD FRM MDl zoning VB-B Nghbd C105
Topography l Road
Utilities I Location
- Construction Info
Building 1 of 2
Year 1920 l Roof l Ext WOOD FRAME (
Built Struct Wall
Living 734 Roof AC NONE
Area l Cover Type . l
Bed
Style Store Wall FInt -__j Rooms
Int Bath 1
Model Commercial l Floor Pine/Soft WOO Tl Rooms 0 Full
Heat — Total
Grade Average l Type( l Rooms l
Stories Heat None 'l Found-
I
Fuel ation Poured Conc.Gross 870 l
Area
Building 2 of 2
Year 1960 l I Roof �`�'�I Ext WOOD FRAME l
Built Struct I Wall
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10448 10/31/2011
Parcel Detail Page 2 of 4
Living 360 Roof�� AC NONE ❑X Click for Building Detail
Area Cover I Type
style Cottage I Int Bed
Wall Rooms`
Model Commercial Int Floor Pine/Soft Wood Rooms Bath 10 Full+ 1/2
Ilea, Total
Grade jAverage I Type I Rooms
Heat IStories I - I Fuel None 'I Found-ation Conc. Slab
Gross 360
Area
Permit History
Issue Date Purpose IPermit# Amount IInsp Date Comments
Visit History
Date Who Purpose
03/18/2011 00:00:00 Jeff Rudziak In Office Review
Sales History
Line Sale Date Owner Book/Page Sale Price
1 12/15/1987 TOWN OF BARNSTABLE(LOMB) 6068/248 $0
2 03/15/1984 SANDI'S ICE CRM &FD SHOP INC 4039/334 $0
3 12/15/1981 BORDEN,CAROLINE E 3410/299 $0
4 12/15/1978 STEEVES, MARY E TRUSTEE 2836/056 $0
5 MADEIROS,THOMAS J 0009/214 $0
Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2011 $22,300 $0 $0 $124,500 $146,800
2 2010 $31,800 $0 $0 $124,500 $156,300
3 2009 $32,000 $0 $0 $139,100 $171,100
4 2008 $32,000 $0 $0 $139,100 $171,100
6 2007 $32,000 $0 $0 $139,100 $171,100
7 2006 $31,500 $0 $0 $139,100 $170,600
8 2005 $20,600 $0 $0 $107,800 $128,400
9 2004 $28,600 $0 $0 $80,900 $109,500
10 2003 $15,600 $0 $0 $82,200 $97,800
11 2002 $15,600 $0 $0 $82,200 $97,800
12 2001 $15,600 $0 $0 $82,200 $97,800
13 2000 $15,000 $0 $0 $80,600 $95,600
14 1999 $15,000 $0 $0 $80,600 $95,600
15 1998 $15,000 $0 $0 $80,600 $95,600
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10448 10/31/2011
Parcel Detail Page of I
16 1997 $29,400 1 1 I $29,400
17 ••• $29,400 1 '.1 1 $29,400
18 1995 $29,400 .1 '.1 1 $29,400
• 1994 $27,200 1 1 1 $27,200
1 19930 '.1 '.1 '.1 $27,200
21 1992 $29,100 1 1 1 $29,100
22 1991 $41,300 '.1 1 1 $41,300
23 991 $41,300 1 '.1 1 $41,300
24 •:• $41,300 1 1 1 $41,300
25 •:: $32,600 I '.1 '.1 $32,600
• 1987 $32,600 1 1 1 $32,600
•:• 611 1 1 $0 $32,600
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Parcel Detail
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• 10448 10/31/2011
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8m2836 057
c3fi}90 •
STATUTORY NOTICE OF LEASE
in accordance with
Massachusetts General Laws Chapter 183, Sectionl�
1
LESSORS: Mary K Montagna, Paul C. Brown and '
Edwin F. Taylor, as Trustees under
the Will of Parker Lombard (Barnstable
Probate Case No.9-7.14
) , of Town Office
Building, Main Street, Hyannis, Barn-
stable County, Massachusetts;
LESSEES: Thomas J. Madeiros & Dorothy A. Madeiros t
both of 350 Main Street, Barnstable ;
(Ostervill.e) Barnstable County, Massa- i
chusetts; i
PREMISES: 13,870 square feet of land situated at the
northwest corner of the intersection of
Navigation Road and Route 6A, Barnstable
(West) Barnstable County, Massachusetts,
being more particularly described as
follows:
Beginning at a nail on thenortherly sideline of
Navigation Road, a tangent distance of 19.81'
feet northeast from its intersection with Route
6A; thence by a curve to the right with' a radius
of 20.00 feet a distance of 31.23 feet to a nail;
thence N 43023'30" W a distance of 119.25 feet
to a point; thence N 46*36130" E a distance of
100.00 feet to a point; thence S 43023'30" E
a distance of 140.00 feet to a stake on the
northerly sideline of Navigation Road; thence
by said road on'a course S 47008150/, W a dis-
tance of 80.19 feet to the poitiNof beginning
and containing an area of 13,870 (.31 ac.)
square feet more or less.
Said land is shown and delineated on a plan
entitled "Town of Barnstable, Plan of Town Land
at Navigation Road, West Barnstable, Scale 1"
.100', July 8, 1965, Wilfred F. Taylor, Town
Engineer", which plan is on file inthe Town
Engineering Dept., in' Folder 13 #4.
JOHN F.THIBBITTS
ATTOAN[T AND
GOUN[[LLOA AT LAW
[[[MAIN AT[[[T
NTANNI[.MA[[.O[ADI
nL.wln Tn aeoo
I
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i
Bw2836 w[ 058
TERM: TEN (10) YEARS commencing on
January 1, 1976 with a option to '
extend said lease for two (2)
additional terms of five (5)
years each from the date of
expiration thereof.
Signed and Sealed this day of December. 1978.
LESSORS
Mary Montagna, Trustee U W
of Parker Lombard
-C. Bro , Trustee U W
of Parker Lombard /
pproved as to rm: Edwin )P. Taylor b W of
Parker Lombard
LESSEES
�s J
Dorot y A. Ma eir f
i
COMMONWEALTH OF MASSACHUSETTS
Barnsta December , 1978 fl
} Then personally app RY K. MONTAGNA, PAUL C. B 1
and EDWIN F. TAYLOR, Trustees as aid, and edged
the foregoing instrument t d deed, before
me,
Notary Public
My Commission Expires
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss December '%",1978
Then personally appeared THOMAS J. MADEIROS & DOROTHY A.
MADEIROS and acknowledged the foregoing instrument to be their
free act and deed, before me,
Notary Public
J OHN F.THIBBITfS My Commissio Ex •res t' %q Zy� tj;�
ATTDIIN[T AND
CDDN/[LLDA AT LAW
///MAIN/T[[R \ •
M fAMMI/.MA//.
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600ftONGE 299
ASSIGNMENT OF LEASE
KNOW ALL MEN BY THESE PRESENTS that MARY E. STEEVES,
. TRUSTEE of SEEK NO FURTHER REALTY TRUST, of 886 Main Street, Barn
stable, Barnstable County, Massachusetts, Assignee from the Lessee
named in a certain statutory Notice of Lease from Mary K. Montagna;
Paul C. Brown and Edwin F. Taylor, Trustees under the Will of.
Parker Lombard to Thomas J. Madeiros and Dorothy A. Madeiros dated'
December 5, 1978, which Notice of Lease is recorded with Barnstablo'
Registry of-Deeds in Book 2836, Page 57, for good and valuable
consideration acknowledged herewith, does hereby assign, transfer
and set over unto CAROLINE E. BORDEN of Januit Street, Sandwich,
Barnstable County, Massachusetts, my interest as Lessee of the
land referred to in said Notice of Lease.
By the execution of this instrument, ALFRED B. BUCKLER,
GLORIA W. RUDMAN, and.JOHN C. KLIMM, Trustees under the Will of
Parker Lombard, Town Office Building, Main Street, Hyannis, Barn-
stable County, Massachusetts, hereby assent to this Assignment.
In consideration of this Assignment of Lease, the said
CAROLINE E. BORDEN does hereby agree to assume all of the terms,
conditions and agreements contained and set forth in the lease and :;
to be bound thereby.
IN WITNESS WHEREOF, this instrument is executed and
sealed on the /� day of December, 1981.
i
Mary E teeves, Trustee of
Seek No Further Trealty Trust, '
Assignor ;
Caroline E. Borden, Assignee
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i 004SUQp�Gc 3W
A5 w TN4�$-5 Alfred B. Buckler, Trustee u w
TIP 4L4. of Parker Lombard
i Gloria W. Rudman, Trustee u w
of Parker Lombard
•e
J hn C. Klimm, Trustee u w
of Parker Lombard
Commonwealth of Massachusetts
;'Barnstable,ss. December 1981
Then personally appeared the above-named Mary E. Steeves
Trustee of Seek No Further Realty Trust, and acknowledged the fore
:going instrument to be her free act and deed; ore me
Notary public
My Commission Expires-
i
Commonwealth of Massachusetts
Barnstable,ss. December 17 1991
Then personally appeared the above-named Caroline H.
.:Borden, and acknowledged the foregoing instrument to be her free
::act and deed, before as
Notary Public
My Commission Expires: / /Y f
-'2-
( -„�o.rn OMIT W
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. 1�LUJi1rLU
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000K.4039 FAu 333
10901
ASS1GNMENTAE-LUS6
KNOW ALL MEN BY THESE PRESENTS that CAROLINE E. BORDEN
of 37 Pimlico Pond Road, Forestdale, Barnstable County,
Massachusetts, Assignee from Mary E. Steeves, Trustee by
virtue of written Assignment of Lease recorded at the
Barnstable County Registry of Deeds at Book 3410, Page 299,
the said Mary E. Steeves, Trustee being the assignee from the
Lessees named in a certain statutory Notice of Lease from
Mary K. Montagna, Paul C. Brown and Edwin F. Taylor, Trustees
under the Will of Parker Lombard to Thomas J. Madeiros and
Dorothy A. Madeiros dated December 5, 1978, which Notice of
Lease is recorded with Barnstable County Registry of Deeds in
Book 2836, Page 57, for good and valuable consideration
Of Pr,060.00,
acknowledged herewith, does hereby assign, transfer and set
over unto SANDI'S ICE CREAM 6 FOOD SHOPS, INC., a
Massachusetts corporation with an address of 106 Old Toll
Road, West Barnstable, Massachusetts my interest as Lessee of
the land referred to in said Notice of Lease.
By the execution of this instrument, JOHN C. KLIMM,
MARTIN J. FLYNN, and JEFFREY D. WILSON, Trustees under the
Will of Parker Lombard, Town Office Building, Main Street,
Hyannis, Barnstable County, Massachusetts, hereby assent to
this Assignment.
In consideration of this Assignment of Lease, the said
SANDI'S ICE CREAM 6 FOOD SHOPS, INC. does hereby agree to
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wox4039 FACE 334
assume all of the terms, conditions and agreements contained
and set forth in the lease and to be bound thereby. For
authority see Corporate Vote recorded prior hereto.
IN WITNESS WHEREOF, this instrument 'is executed and
sealed on the /b day of March 1984.
_-
Caroline E. Bo den, Assignor
A13
V J� l it am A:- ---en,/r- --F-
Trea ref, As�gnee
l own unsel
Sandra L. Allen,-Pres#dent, Assignee
Jo- ry C. Rlimm, Trustee u/w of
Parker Lombard
�—
Martin J. Flynn, us Trtee u/w of
Parker Lombard
�U=--- --------
. Wilson, Trustee u/w of
;bard
-2-
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wuK4039 ► t 335
Commonwealth of Massachusetts
Barnstable,se Date:
Then personally appeared the above named WILLIAM A. '
ALLEN and SANDRA L. ALLEN annd acknowledged the foregoing
instrument to be the free act and deed of Sandi's Ice Cream 8
Food Shops, Inc., before me,
No 2- youtil i
My Commission expires:
Commonwealth of Massachusetts 3
Barnstable,ss Date: March 14, 1984
Then personally appeared the above named JOHN .C,' OLD, !�
MARTIN J. FLYNN and JEFFREY D. WILSON,. Trustees; q9� �t1�iyy'.
Will of Parker Lombard, and acknowledged the
instrument to be their free act and deed, before me,;,� ����••o,,:!o
` am
ca
1l_'+__C(-- •�11 y ~. •`'rA
Not:7m
- ublic �'• �:":'a'ao
� ,
My ssion expires: Februar' 4.':
Commonwealth of Massachusetts
Barnstable,ss Date:
Then personally appeared the above named Caroline E.
Borden and acknowledged t foreg ng instrument to be her
free act and deed, before
.'.No- ary lc
y Commission expires:
-3- '
1984
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5=60F1:-N1GE 248 6 ry i69
ASSIGNMENT OF LEASE,
KNOW ALL MEN BY THESE PRESENTS that Sandi s Ice Cream ./
Food Shops, Inc. a Massachusetts corporation with an address of
518 Main Street, West Barnstable MA 02668, Assignee from
Caroline E. Borden, Trustee by virtue of written Assignments of
Lease recorded at the Barnstable County Registry of Deeds at
Book 4039, Page 333, Assignee from Mary E. Steeves, as recorded
in Book 3410, Page 299, the said Mary E. Steeves, Trustee being
the assignee from the Lessees named in a certain statutory
Notice of Lease from Mary K. Montagnna, Paul C. Brown and Edwin
F. Taylor, Trustees under the Will of Parker Lombard to Thomas
J. Madeiros and Dorothy A. Madeiros dated December 5, 1978,
which Notice of Lease is recorded with Barnstable County
Registry of Deeds in Book 2836, Page 57, for good and valuable
consideration which is acknowledged, does hereby assign,
transfer and set over unto Susan A. Maki and Frank A. Maki,
Jr., of 881 Oak Street, West Barnstable MA 02668 its interest
as Lessee of the land referred to in said Notice of Lease.
By the execution of this instrument, William T. Friel
Martin J. Flynn, and Francis I. Broadhurst, Trustees under the
Will of Parker- Lombard, Town Office Building, Main Street,
Hyannis, Barnstable County, Massachusetts, hereby assent to
1 this Assignment.
t
In consideration of this Assignment of Lease, the said
Susan A. Maki and Frank A. Maki, Jr. do hereby agree to assume
all of the terms, conditions and agreements contained and set
forth in the lease and to be bound thereby.
I
BOOK6068 PAGE 249
IN WITNESS WHEREOF, this instrument is executed and
sealed on the -�"-day of Decenwr , 1987.
Sandi's Ice Cream & Food Shops, Inc.
f,
usan s , Assignee an ra 1, Allen, President,
Assignor
' i-
/ .�X4 by
ran Maki, r.; ss g—nee William Aw-%T55, reasurer,
Assignor .
Assented to:
am r e , rus ee u w
of Parker Lombard
APPROVED AS TO FORM: /±
' r n yn , rustee u w
of Parker Lombard
15Tw-F7Counse
ranc s 1. Broadnurst,
Trustee u/w of
Parker Lombard
py.
TI
BY3
BOOKMPACE 250
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, ss: DecemiJur�b, 1987
Then personally appeared the above nained William A. Allen
and Sandra L. Allen and acknowledged the foreguing instrument
to be the free act and deed of Sandi ' s Ice Cream be hood Shops,
Inc. , before inc.
N t• y .0 I
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My con isst ti expires:
'rill's Ul)I\1�1t.)Nwh,AL:1'II OF MASSAUIUSI I"I'S
r table, SS:
Docombur .I'.;l h , 1987
SS i Then ;,crsonal I•y appeared tile above named 'Mi I I lam 'I'.
p�tiel , Martin J. Flynn and Francis I . Broadhurst, 'trustees
under. the M I I of Parker Lombard, and acknowledged the
,•, ,I.
Eoteboin u:
;; instruniit to be their free act and deedas
t .
aforesaid, before tire-
I
Notar0� 14
I ire r ri ffun
1•ly corn,ission expires: •january 22, 1.993.
I'lili CX1�Yvk)NWI:AL'I'll OF 1MSSAOIOSi:I"I'S
1987
Ilarns tab le, ss :
'rile,, persona I I y appeared the above ,allied Susan A. Mak i
and Frank A. Maki , Jr . and acknowledged the forego i,g
instrument to be their frec,act and deed, before tile.
-.
%Nut,
My cumri sioil expires:
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map�Jr� Parcel Application# �� 16�
Health Division
Conservation Division Permit#
Tax Collector Date Issued 3 G�
Treasurer Application Fee A�? �0
Planning Dept. Permit Fee
Date Definitive Plan App e y Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address 9 J S C-1 CA
Village W enat 5a 'n S±ELb 1 c
Owner Address I O mK ;Sf
j Telephone
Permit Requests b-br-►fl Sr j nqleS Bn. CP_— T—nn f \aC��a w 1 .
S 1 0��
sm- fe Sh1 CA i
Square feet: 1st floor:existing 3aL proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation al 000, 00 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 1A Historic House: ❑Yes ❑No On Old King's Highway: AYes ❑No
Basement Type:,❑Full ❑Crawl ❑Walkout ❑Other nOne
Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) O
Number of Baths: Full:existing D new Half:existing cl 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 i
Central Air: ❑Yes Cpo Fireplaces: Existing New Existing wood/coal.stove: ❑LYes Ji No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size,
'( cr,
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: -
1
c.�
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _.
Commercial ❑Yes ❑No If yes,site plan review# rn
Current Use OFFI65 Proposed Use
9U1 DE iN nFA4AN ON
Rame fnar L MA 4- Telephone Number 6 )2L
Address S7K\ ;5'hfte_-, License#
l;c) • �G�n S} b a , - D (Q Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Boume L_axial-b l I
SIGNATURE . /2 DATE /,,������
FOR OFFICIAL USE ONLY o •�
w ,
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. "
R
ADDRESS". VILLAGE
r OWNER
DATE OF INSPECTION:
1 ,
FOUNDATION
FRAME
q
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
t „ v
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL .9
i o
FINAL BUILDING
DATE CLOSED OUT ;
'f ASSOCIATION PLAN NO.
f
the C'ommonwealih o.Jmassacnusetts
Department of Industrial Accidents
Office of Investigations
a' d 600 Washington Street'
Boston, MA 02111
www.mass.gov/dia '
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LeEdbly
Name (Business/Orgmization/Individual): . F 1'"cu^YY Mc& i
Address: $ 1 O OLK_ YVIV
City/State/Zip: Boirnab hLe KKLat Phone t C S d J 3(0 2- q Lfat
Are you an employer? Check the'appropriate boa: -Type of pioject(required):. .
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction .
2.❑ I am.a:ole proprietor or partner- listed on the'aitached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition ,
working for me in•any capacity. employees and have workers' 9,..❑Building addition
[No workei s' comp.insurance comp,insurance. ,
required.] 5 ❑ We are a corporation and its 10.❑Electrical repairs or additions
3. I amahomeowner doing.a officers haveexercised their.;ill work 11.❑Plumbing repairs or additions '
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
c. 152 .
insurance required.]t ' §14( )'and we have no
employees. [No workers' ..13:❑Other
comp.insurance required.]
''Any applicant that checks box#I 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 anew affidavitindicating such.
tContractors that check this box must attached an additional sheet sbowing the name of the'sub-contractors and Mte whether or not those entities have
employees: If fhe sub-contractors have employees,they must provide their workers'camp.poli6ynumber.
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:
lob Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page'(showing the polity number and expiration date).
Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Off ce of
Investigations of the IDIA-for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and.correct.
Si afore: Date: d'
Phone#: S
rTIsf,,�,u,yii,n,g,:,Ais,uet7hh,nrnity
icial u oly,. Do not write in this area, tb be completed by city or town official.
or To : Permit/Lice ase#
(circle one): ' ' �•
:1..Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
' v r
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,
lied, oral or written."
express or imp
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
i:eceime. nr t U tee•of an individual,.partnership.association or other legal entity, employing employees. However the
owner of a dwellfug•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 ins�ance
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), address(es)and phone number(s) along with their certificates)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. B.e advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit.or.license'is being requested,not the Department of
Industrial Accidents.. Should you have any questions regarding the law.or-if you are required to obtain a workers.'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate-line.
City or Towli 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 ventute
.(i.e. a dog license or permit to bum leaves etc.)said persozl 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 questio._,f
please do not hesitate to give us a call.
The Department's address,telephone-and fax number;
The Eommoimw al#h of Massw,,usutts
t~pazt4nent of riustrl ACC2C4ntS'
Office of InYestigations
600 Washingtari Street
Boston,MA 02111
Tel.It 617-727-490.0 ext 4.06 or 1-M-MASSAFB
Fax#617-727-7749
Revised 11-22-06
www.macs.gavl6a '
pF'THE ram, Town of Barnstable
Regulatory Services
BARNSTABIE, Thomas F.Geiler,Director
y MASS.
`bA i679. `$ Building Division
lf0 MP't 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
DATE: °'Il a4�6-7
JOB LOCATION: �'7, 6A w i 2wr in 5AZA ble
number street village
"HOMEOWNER": �C.IK�� MQ�k-� 651015� - yL�C�s 0
name home phone# work phone#
CURRENT MAILING ADDRESS: +O + Box
city/town state zip code
The current exemption for"homeowners"was extended.to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to
be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work Performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature w Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feel or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results.in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt