Loading...
HomeMy WebLinkAbout0011 OLD TOLL ROAD r oxftw NO.152113 0RA MAM N USA ESSUTE i; �� - - --_-_ � F Il 61�col Aaaress: 225 Washington Street I Name of Present Certificate Holder: Simon Property Group Name of Agent, if any SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTAB BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02 PLEASE NOTE: 1) Application form with accompanying fee must b thereof to be certified. 2)Application and fee must be received b official shall be notified within ten (10) days of any change in the FOR OFFICE USE ONLY: CERTIFICATE# IC-18-139 Town of Barnstable Post This Card So That it is Visible From the Street:Approved Plans Must be Retained on Job and this Card Must be Kept Shed MAM Posted Until-Final Inspection Has Been Made. - =°sue -� Registration �• Where a Certificate of Occupancy.is Required,such Building shall Not be Occupied until Final Inspection has been made. -� Registration Number: B-20-379 Applicant Name: HARRIS,COURTNEY B&JEFFREY SCOTT Approvals Date Issued: 02/18/2020 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 08/18/2020 Foundation: Location: 11 OLD TOLL ROAD,WEST BARNSTABLE Map/Lot: 109-069 Zoning District: RF Sheathing: Owner on Record: HARRIS,COURTNEY B&JEFFREY SCOTT' Contractor Name:',. Framing: 1 Address: PO BOX 294 Contractor License: 2 CENTERVILLE, MA 02632 Est. Project Cost: $0.00 Chimney: Permit Fee: $35.00 Description: 12x16 Shed ; Fee Paid: $35.00 Insulation: Reviewer's Note:192 Square Feet Date: 2/18/2020 Final:} - , .�- �'`� Project Review Req: : � Plumbing/Gas } Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing i 2.Sheathing Inspection - Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "Pers trading with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department c Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Toga of Barnstable ��E t Building Department Services ti Brian Florence, CBO AAIDISTA=*ram = Budding Commissioner MARI ��� 200 Main Street, Hyannis,MA 02601 ED www.town.barnstable.ma us Office: 508-862-4038 Fag: 508-790-6230 AD Per# sl FEE: 35.00 NG SBIM REGISTRATION T%N of Z�20 RB+MENTIA T,ONLY BqR 200 square feet or Iess 0 I b I 1 12c� V.�eS 001-Y-\ S [.e Y" Location of shed(address) Village ¢ CO U� I-�.�►%�S �� (o OSI SCANNED Property owner's name Telephone number FEB 182020 (2x ( �o Size of Shed Map/Parcel# a �� A 012 � Sig attire Date Hyamnis Main Street Waterfront Historic District? / Old King's Highway Historic District Commission jmisdiction9 V You must file with Old King's Highway Conservation Commission(signature is required) Sign off boors for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WTTHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PIY—ASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPAN EED BY A PLOYPLAN Q-:bms-sbcdreg REV:08/6/17 C,0lit �firv� �.r r i S w� D Cl N!" p Z c � `S � Q a o ul cl) � d z LOCUS MAP SCALE 1*-20W* / �• L O c S ZONING SLUMARY eeoc / ZONING OMTRW71 IF DLSIIECT MN.LOT S1E 67.120 S.F. 47 MIN.LOT FRONTAGE 15W M9 SETBACK 15 III.REM gI6ACN 13' MAX SU6DNNO HMORT 3W SITE IS LOCATED MRM THE RESQJRCE \ PROTEMON OVERLAY OISMCT 9Te E MOVELOCATED LAY D THE AQAFEt PROTECTION OVERLAY DLSIRICT ffi LOT 73 42S.F �Y EXISTING CONDITIONS SITE PLAN O #11 OLD TOLL ROAD \\ WEST BARNSTABLE \ WE9ARED FOR \ COURTNEY HARRIS UM OCIOM 6.2017 wo e4m 1?N;+ ,i ft - S,sle1•-2W cftd7 e»g4la" 7 Ivnd sF. 'jt� 4 0 10 xo w 40 30 FM ale Yah S*�O(We 64 DCB 07-288 MWOUVAPORT AM cm;v ,7-xaa i Home Posts Reviews Videos Baby Goat •g. of . • - Cod Due to the potential s • s morning be held at the farm in West Barnstable under the big top A&- Registered participants please refer to your email for the address and details.' W: `RYY r � 1 f ,v li i i pFIKETp Complaint Call Report Printed On:8/16/2019 O� �.2639. 11 OLD TOLL ROAD, WEST BARNSTABLE "rED W, Case# C-19-666 Case#: C-19-666 Address: 11 OLD TOLL ROAD,WEST Date: 8/9/2019 BARNSTABLE Owner Info: Property Info: HARRIS, COURTNEY B & MBL: JEFFREY SCOTT PO BOX 294 109-069 CENTERVILLE MA 02632 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Unlawful Commercial Activity, Medium Priority Phone Complaint Summary: Goat Yoga reportedly continues. Class was reportedly held today 8/9/19. FB post listed rain location the 'farm'. See attachment Action History: Action Taken Date Description Fee Inspector Close Case 8/16/2019 Spoke to Owner Has $0.00 bowerse made arrangements for future rain issues Inspector Assigned to Complaint: bowerse Filed by: sheas Comments: Comment Date Commenter Comment Date: 8/16/2019 Town of Barnstable i 1 FIHETp,� Complaint Call Report Printed On:8/16/2019 11 OLD TOLL ROAD, WEST BARNSTABLE M;A64 O s639• `04 �fpMP+° Case# C-19-552 Case#: C-19-552 Address: 11 OLD TOLL ROAD,WEST Date: 7/8/2019 BARNSTABLE Owner Info: Property Info: HARRIS, COURTNEY B & MBL: JEFFREY SCOTT PO BOX 294 109-069 CENTERVILLE MA 02632 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Unlawful Commercial Activity, Medium Priority Walk-in Complaint Summary: GOAT YOGA BEING CONDUCTED HERE Action History: Action Taken Date Description Fee Inspector Close Case 8/16/2019 New location for $0.00 bowerse business No violation present Inspector Assigned to Complaint: bowerse Filed by: sheas Comments: Comment Date Commenter Comment 7/10/2019 andersor Owner Courtney came into Bldg Dept on the morning of 7/10119 to obtain a business certificate and home occupation registration. RA spoke to her about the violation and advised that a notice of violation would be sent out to her. -stressing that she cannot do this activity in a single family zone. We discussed farm status and exemptions. She does not qualify for agricultural exemption but goat yoga is not an agricultural use anyway.We discussed her charitable work and then the appeal process available to her. RA asked Paul (Planning)to come up to speak to her about applying for relief(use variance). Paul determined that a Home Occup by SP was not appropriate. Ultimately, she asked Paul if she needed to cancel her class on Thursday. Courtney had left the building by the time Paul asked me about the status of the enforcement action and as a result he said he would call her to clarify that she cannot continue inviting the public to her property. Date: 8/16/2019 Town of Barnstable f Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BABSTABLE 200 Main Street, Hyannis, MA 02601 1639.2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Ordinance Violation(s) and Order to Cease, Desist and Abate: Courtney Harris P.O. Box 294,Centerville MA 02632 and all persons having notice of this order: As property owner or tenant of the property located of 11 Old toll Road, West Barnstabie,MA Assessors Map 109 Parcel 069,you are hereby notified that you are in violation of The Town of Barnstable Zoning Ordinance Chapter 240-Zoning, and are ORDERED this date 7/11/2019,to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On or around 7/9/2019, 1 received creditable evidence a violation of the Barnstable Zoning Ordinance §240— 14 Specifically,Business use in a RF residential district Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: Cease and desist the violation. And, if aggrieved by this notice and order, you may file an appeal with the Town Clerk of Barnstable, specifying the ground thereof within thirty (30) days of the receipt of this order (in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If, at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires will be taken. By Order, Edwin Bowers Local Inspector Received by Date f Anderson, Robin From: Wackrow, Paul Sent: Wednesday, July 10, 2019 12:06 PM To: 'courtneyharris08@gmail.com' Cc: Anderson, Robin Subject: Old Toll Road Courtney, I followed up with the Building Department and was informed that no further classes may take place. Further questions on enforcement may be directed to Robin Anderson (508-862-4027 and cc'd on this email). Regarding a potential permitting path, I examined applicable exemptions and it appears as though a use variance through the Zoning Board of Appeals would be needed. As we discussed,the Zoning Board must make three findings on Variance Applications: • There are unique circumstances relating to the soil conditions, shape, or topography of such land or structures and especially affecting such land or structures but not affecting generally the zoning district in which it is located • A literal enforcement of the provisions of the ordinance or by-law would involve substantial hardship, financial or otherwise, to the petitioner or appellant • That desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of such ordinance or by-law The Zoning Board of Appeals application for a variance can be found here under Forms and Applications. Use variances are only granted in rare instances, and I would encourage you to speak with our Zoning Board of Appeals Planner Anna Brigham prior to filing (508-862-4682) Please feel free to reach out with any questions. Regards, Paul Wackrow,Senior Planner O 00E"CFMfNT0 Planning& Development Department I Town of Barnstable U = 200&367 Main Street I Hyannis,MA 02601 3 Paul.Wackrow@town.barnstable.ma.us 508-862-4703 1 �1 N i Baby Goat Yoga of Cape Cod I Scheduling and Booking Website Page 1 of 4 n � I I _T 1L__T6 0 - ' =o - �-F A R M s l�J Baby Goat Yoga Of Cape Cod Show on map Book Now About us Baby Goat Yoga of Cape Cod at Oh Ma Goats Farm is a baby goat yoga class for all fitness levels and goat enthusiasts! What is baby goat yoga you ask?It is a fun,relaxed,beginner-level yoga class in the company of adorable baby goats! It's pretty difficult to take yourself too seriously when there are baby goats involved,which makes this class a great way to break away and relieve stress. Our certified yoga instructor Tonya leads the class as the bouncy kids have free rein to interact with you in your practice. They may hop on your back,burp in your ear,or relax on your mat just as you are settling into a pose. The goats here at Oh Ma Goats Farm in West Barnstable,Ma are Nigerian Dwarf Goats.They are a petite breed known for their friendly nature,entertaining antics,and dairy production.The 8 goats that are participating in the class were all born in May 2019 and are very small and cuddly.We do have a number of adult goats on the property but they will not be included during yoga.While we do not offer dairy products(milk and cheese),there may be an assortment of soaps,body products,or other farm-made confections available for sample or purchase. No experience is needed.Just bring a yoga mat or beach towel,some water,sunscreen,and an open mind! Feel free to email us with any questions,comments,concerns,or special requests.We strive to make this the experience of your summer. Classes are$25 per person and are held every Saturday and Thursday at 9am.Space is limited and reservations are required in advance.Please no children under 9 years of age.Participants under 18 will be required to have a waiver signed by a parent or guardian prior to arrival to the class. Interested in holding a private party or corporate event?We can host groups both big and small(up to our 25 person capacity).Email or call for more information. Namaste, Courtney and Tonya 'we are deeply focused on the care of our baby goats and their mommies and daddies.There is nothing inhumane about the practice and you can rest assured our little fur balls are having a blast growing up in a safe,social,and nurturing environment. Opening Hours Contact us Sun closed Phone +7748360599 Mon closed https:Hcapecodgoatyoga.simplybook.me/v2/ 7/8/2019 � r,���t���. L�� , � •list + . 1 f � low DI 41.,-l.', Q Ao CO { y� ti r, i- � 1 1 Baby Goat Yoga of Cape Cod Scheduling and Booking Website Page 3 of 4 s OS�-R Yl i f Py _i 4 P� a r \�v i i \ ®OpenStreetMap https:Hcapecodgoatyoga.simplybook.me/v2/ 7/8/2019 Baby Goat Yoga of Cape Cod Scheduling and Booking Website Page 4 of 4 i i https://capecodgoatyoga.simplybook.me/v2/ 7/8/2019 i Complaint Call Report Printed On:7/8/2019 BAMSTABL 0 11 OLD TOLL ROAD, WEST BARNSTABLE �p t6J9 `00 .f°Ma+° Case# C-19-552 Case M C-19-552 Address: 11 OLD TOLL ROAD, WEST Date: 718/2019 BARNSTABLE Owner Info: Property Info: HARRIS, COURTNEY B & MBL: JEFFREY SCOTT PO BOX 294 109-069 CENTERVILLE MA 02632 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Unlawful Commercial Activity, Medium Priority Walk-in Complaint Summary: GOAT YOGA BEING CONDUCTED HERE Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: bowerse Filed by: sheas Comments: Comment Date Commenter Comment 3 i ,r Date:. 7/8/2019 Town of Barnstable r,; r Printed On:7/10/2019 Complaint Call Report 11 OLD TOLL ROAD, WEST BARNSTABLE Case# C-19-552 Case#: C-19-552 Address: 11 OLD TOLL ROAD,WEST Date: 7/8/2019 BARNSTABLE Owner Info: Property Info: HARRIS, COURTNEY B & MBL: JEFFREY SCOTT PO BOX 294 109-069 CENTERVILLE MA 02632 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Unlawful Commercial Activity, Medium Priority Walk-in Complaint Summary: GOAT YOGA BEING CONDUCTED HERE Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: bowerse Filed by: sheas Comments: Comment Date Commenter Comment CC�t) I oe -6 g Y Date:: 7/10/2019 Town of Barnstable Town of BarnstableBuildin 9 1 ris ,hdh UfiCtfot o Ce'- rd So�"'Th�at�t`ic•suVpias�nblye�.,Fr:omqthe St;reet- �Approv' e,dr�.P lansoM ustb"e'uRpetame d ionJobix sand.a.phisCardIVsl;,uas.t.. be; Ke«p:t ; Permit Permit No., '. Bfi8466 Applicant Name: WALTERR WARREN Approvals Date•Jssued :Ol/23/2018 Current Use: Structure '-Permit Type:°,Building'-,Siding/Windows/Roof/Doors Expiration Date: 07/23/2018 Foundation: Location:�, 11 OLD TOLL ROAD,WEST BARNSTABLE Map/Lot 109 069 Zoning District: RF Sheathing: Owneron Record:::HARRIS,COURTNEY B&.iEFFREY SCOTTC ntracto�Namea,WALTER R WARREN Framing: 1 :Address: PO BOX 294 -MR� q a. Contractor License 176505 2 CENTERVIL'LE MA 02632 � � .� �� `K r Est Project Cost: $30,000.00 Chimney: � � :Description: re-roof,windows&trims Permit Fee: $ 153.00 ���` Insulation: " Fee�Paid $-153:00 :Project Review Req: ate 1/23/2018 Final: nVIM 'a'� r r;�.. •.�- Plumbing/Gas v � � ? v b, Rough Plumbing: sue " r'-� _£, Building Official Final Plumbing: This permit shall-be deemed abandoned and invalid unless the work authorized`y�this permit is:commenced slz months af#erYissuance. Rough Gas: dt"V w ' � All-work authorized by this permit shall conform to the approved application�a°nd}the`approved constructiordocuments'forwMch this permit has been granted. Final Gas: All construction,alterations.and changes of.use of any building and structures shall be in compliafnce'with the local zornn&by lawstand codes. This permit shall be displayed.in a location,clearly,visible,from access street or'roadvand shall be maintained open for public inspection for the entire duration of the a �C - work untibthe completion of the.same. � Electrical . � mm � � ��� x �s � WON e Service: The Certificate of:Occupancy..will'not.be issued until all.applicable signatures by the Building and Fire Officals are,provided on.this.permit. w Minimum of Five Call Inspections Required foPAII Construction Work: f ��R � (.:Foundation or Footingg ' g � " Rough: 2.Sheathing-Inspection Final 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed .4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.`Prior to Covering Structural Members(Frame Inspection). 6.Insulation 7.Final Inspection before Occupancy Cow Voltage Final: Health 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. Final: ":Persons contracting,with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Buildinglans.are to be available on site Final: P All Permit Cards are the property of-the APPLICANT-ISSUED RECIPIENT ��►,E Town of Barnstable t# y✓"/ �r -/��d Tres 6 months from issue date ` Building Department ee tea Wk — : .wruvsresi.s : Brian Florence,CBO d �# A , VF ' ,0$ Building Commissioner rf0 MIS A 200 Main Street,Hyannis,MA 02601 18 2L www.town.bamstable.ma.us '�►-+VV Office: 508-862-4038 �~ To�:1� 0�- BARMS 98-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number Zi� 9 Not Valid without Red X-Press Imprint Property Address 0.0 O I 1910ad, Residential V e of Work$ 3 C), OVU . 6D Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addresss Uv✓i-,Vt�6 ¢ _Tp I /h,•/� S ljU 0Ir;1 %`O?/ /1ccc WrSf �a�tiS�ZSle Contractor's Name G4j ��?� �'11�t✓d[�✓ Telephone Number -5 36 7"-J-Zl 7(0 Home Improvement Contractor License#(if applicable) / 7 63-O S Email: P S Oj JS�JC)u it'Al Cy3r1-.1yi5. (d e"I Construction Supervisor's License#(if applicable) C S y 9*orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name ✓l l-1 V e- J­Ws 1 /VJ Workman's Comp.Policy# 7 P.J_U ', ] r 0 ! Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) AP/a c e ,�',c.t v�, " trYt 11r1m P . by A./to ��'�'�i �'k e 4% R, Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to f"�j f�{ (0 / ❑Re-roof(hurricane nailed)(not stripping.--Going over existing layers of roof) �� �'hV��� ��G P /�- /,AG ❑ Re-side 7 �. Replacement Windows/doors/sliders.U-Value a 30 (maximum.32)#of windows #of doors: jI,E,���t-e "f�n� �'► �vYI'le wr`� .�2�j�����-o.� �Uti�f? j'� P , �, �-{ 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i..c Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILESTORMMEXPRESS2017 I cr the Comuzomvear h qfMassadlrusetts Department of ladustrid Accidents ' Office oflFimestigations 600 Washington Street Boston,AL4 02H1 imnumasagovfdia "Faskers' CampensatsanInsm-ance Affidavit:BmflderslC,ontr'actarsMechicianslPhunbers APPIkant Informatsan Please Print Are you an employer?Chick the appropriate bom Tyke of project(regained). 1.❑ I am a employes. 4. ❑I am a general contractor and I 6- ❑New construction employees(full andibr part time)_* have hiredthe sub-contractors 2.�am a sale proprietor or partner- listed onthe attached sheet y- dig ship and have no-employees These sob-contractor have 8-. Demolition Vircaing for Hite employees and have worms' wadaers'co comp.fimarance# 9. ❑Building adxiiiicn required] 5- ❑ We are a corporation and its 10.❑Electrical repairs cr additions 3.❑ I am a homemmer doing all wads officers have exercised their 1 L❑Plumbing repairs or addititms. myse f[No yaikers'gyp- right of won per MGL 12-❑Roofrepaim insurance required]f c.152, §1(4h and we have no employees-[No workers' 13-❑Other comp_insurance required] #AnyWffrza d_wtchedsboaKum porLCYiafn=1fi b Ebmenmem who suba3tt this of ulava i-c—g they are doing air cram and char hEm made conmLct= submit anew afH2J&iadica3iue such. TCantzactps ff=ehm1,this b=must attarhed as additional sheer shewmg thaname of&e sob-cantacmm and sty wheth"ar not tbuse eafities ham employees.Iftbesnbtaatactmhaseemplayees,t5eynusrpmvidedudr wmken'iM=p.palicpaumbez I am an eutpiayner€Jratisprvuidirig workers'cougmnsdian insurrance for irry�eaupfolves $eloav is f to policy and job site inforraafiars Insurance COMP' any Nam: t V e 14 y S ' r ... P4ficy or Self-irns Iic_-4L 9X� 7 ExpiratiauDate_ / Job Site Address DQ�J/ /� - -Ctty/Statel7.tp.- �� Attach a ropy of orkers°compensationpolicydeclaratioa page(showing the policy number and expiration date). Failure to secure coverage as requiredundes Section 25A of MGL a 157 can lead to the imposition of criminal penalties of a fire up to$1,500 00 andror one-year, onmerd,as well as civil penahies.in the form of a STOP WORK ORDER and a fine of up to$250-00 a dap against the violator..Be advised that a copy of this sWement maybe forwarded to the Office of I nvestiga#iom of the DIA for insurance coverage verification- Ma hereby csrfiff a •the ' s q& paM97qf_v&Yury that trio urfbrnratiaupravi&d above is buee of correct Sitrmatare- Phone ik ` ?�P. � �U v v Ojoiciat use ady. Do riot orrice in tins area,to be corupleted by city artot4n a i'rciat r City or Town: PermibUcense 4 Lssaing Aa1hority(lade one): '.h L Board of Health 1 Building Department 3.CSitya own Clerk_4.Electrical Fuspector S.Plumbing Fnspector 6.tither q Contact Person: phone#: iaformation and Instructious MR&Sacirasatts Ge'aeral Laws cbapUEr 152 regnaes all employers to provide waIkers'eompeasation for their employees. parmM,Mt.m this state,an errrplay=is defined as.'.every person in.fiie service of another under any contact of express or implied,oral or wry." An.Moyer is dzfi ed as"an individual,pa:tae�,associaton,corporation or other legal erltify, or any two or more of the foregoing engaged is a joint a uprise,and inclnd'mg the legal representatives of a deceased employer,or the recejv=or trustee of an k&TIcIng pmtnea p.association or other legal entity,employing employees- However the owner of a dwelling house having not more than tb=apartments and who resides therein,or the occupant of the - dwelling house of anger who employs persons to do maintenance,r- s mr tion or repair work on such dweMng house or on the grounds or burldmg appnrtenaotthereto shall not becanse of sash employment be deemed to be an employer." MGL chapter 152,§25C 6)also sues that'every state or local licensing agency shaII withhold$e issuance or renewal of a Hem se or permit to operate a business or to construct btuddiags in the commonwealth for any. applicant who bas not produced acceptable evidence of compliance with thxe insurance.coverage required-" Additionally.MC=L chapter 152,§25CM states'Nei ffim the conru=Weahh nor jay of its is political subdivisions shall ear into any contrad for the performance 0fpnblio wuzkuntil acceptable evidence of compliance with the umn-ancce., req jre enfs of this chapter.have been presented to the eo—„t+a�, autho&}:" APPHCZU-ts - Please fill o�C± the worms'compensation affidavit completely;by chug the boxes that apply to your situation and,if necessary,supply sob-confractor(s)name(s), address(es)and Phone mlmber(s)along with.their certificate(s)of insurance. I=ited LmbiD4 Compames(LLC)or Limited l iabdity Parinerships(LLP)within employees other.i the members or partners,are not required to racy woriceas'compensation insurance- If an LLC or LLP does have egnployees, a policy isrmpired. Be advised that this affidavit maybe snbmitti--3to the Department ofIndustrial Accidents for conf=ation of hLmz= a coverage. Also be sure to sign and date the affidavit. The affidavit should bezutomed to the city or town that the application for the penult or license is being requested,not the Depa meat of . Eadastriaj Ascidel Shouldyou have any questions regardmg the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listEd below. Self-fimur d companies should enter their self-i sarance license number an the appnogriate line. City or Town ofa-cials r _ Please be sate that the of ddzvit is complete and printsd.le�ly- The Department:has provided a space at the bottom of the affidavit for you to ffil out in the event the Office of Investigatin s has to contact you regErdmg the simlicant Pleas a be sra a to fill in the permitfiice e,munber wbich will be,used as a reference number. Iu addition,sa applicant that must submit muhtple permit/Iicense applications in airy given year,need only submit one affidavit indicating cm:r ent policy mfo=mation(if nwzssay)and under`Job Site Address"the applicant should wiite'aII locations in (may or town)-"A copy of the-affidavit that has been.officially stamped or ma 3md by the city or town maybe provided to the applicant as proof that a valid affidavit is on fide for fotm 'pezmits or licensees A new affidavit must be filled oirf each year.Where a home owner or citizen is obtaining a license or permit not related tQ any business or commercial venin= (i_e_ a dog license or permit to bum leaves etc.)said person is NO T req�zEd to Complete this affidavit The Oiice of Investigations would like to thank you in advance for your coaperaiion and should you have any questions, please do not hesitate to give us a call The Dej aFtin ant's address,inlephone and fax numbea_- 'TIa CG=tonweaItbE of MaS aCh - DegaIt m eat of 1u� Awidents Off lCe.of It.Ve&Ukatio.= �4�arshing�n Stc Rostov MA Q1II Tf,-L 4 617- -4900 QEt 406 car 14M-MASS<4M Fax#617 727'7� Revise424 07 M2aS5_9PgId f l FTHE Teti Town of.Barnstable Building Department ass. ' Brian Florence,CBO pTE1 39. a Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This.Section If Using A Builder I, ,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. Signatureof Owner.. .- -. -- _...__ . _ . _. ....- .Signature of Applicant Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS Rev:10/17 1VWU V1 "UILLOLauic �pFTHE Tqk� Building Department ' Brian Florence CBO - b • ?swtuvsrnata, Building Commissioner MASS. `0$ 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: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityho*n state zip code The current exemption for"homeowners"was extended to include owner-ocgoied.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 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 to amend and adopt such a form/certification for use in your community. A`ORV CERTIFICATE OF LIABILITY INSURANCE DAO/08`�"� o°°'8"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTNAME Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY PHONE(AIC,N 508)775-1620 a No. ADDRESS:E-MAIL Isullivan(ddoins.com 973 IYANNOUGH RD INSURER(S)AFFORDING COVERAGE NAICM HYANNIS MA 02601 INSURERA: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B: SAND DOLLAR CUSTOMS LLC INSURERC: INSURER D: 23 WHITES PATH SUITE 1 INSURER E: SOUTH YARMOUTH MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER: 227738 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. IL SR TYPE OF INSURANCE t11S S POLICYNUMBER POLICY ID IYYY PMIDDIYOLICY Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE DOCCUR PREMISES(Ea occurrence) $ MED EXP Any one person $ N/A PERSONAL 6 ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ RPOLICY a JECTT LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILEUABILnY aBINEDS MI $ (EaANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS er accident $ UMBRELLA UAS OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE WA AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X I STATUE ER AND EMPLOYERS'LIABILITY YIN — A OFFCRERIM MBEREXCLUDED'? CUTIVE NIA NIA NIA 7PJUB1K09898817 12/15/2017 12/15/2018 E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 It yes,descrbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay 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). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwdMrorkers-wmpensationAnvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tom Garvey ACCORDANCE WITH THE POLICY PROVISIONS. 4 Robbins Road AUTHORED REPRESENTATIVE Harwich MA 026454�y, Daniel M. CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. AOORD 28(2014101) The ACORD flame and logo are registered manta of ACORD - e i sachusetts DePaAment of Public Safety 80wd bfi Bunting Reguli ions and gtandards Lkense:CS-0"633 Construction Supervisor WALTER R WARM.gt 40 ALEUNDER YARMOUTH poRy �. Lipp�-�r "AA CAI-- Expirattion. SsfbneT 09=4018- Office of Consumer Affairs and Business Regulation One Ashburton:.Place- Suite 1301 Boston, M -'ahusetts 02108 Nome lmprovem 4iMactor Aegistra6on WALTER a >pw S�srnent Caro R WARREN L`= = 17 40 ALEXANDER DRNE : R < YARMOUTHPORT, MA 026T5 ' ' _- w e `y, f 4y.4� soA 1 a 2D 7 tlpdste Address and return card. 0"lc9 of Consumer IdfWm a R%Wa@on HOME IMPROVEMENT CONTRACTOR RsgbbvMon valid for UtdI►tdual use only TYIR.PoWnwit Card before the expkaflon dote. 0 found return to Mom Et6tltli OfBoe of conamw Affair and Bualness Regulation "p pt g 10 Pwk flew-Suite 5170 WALTER R fin.MA 02116 D/B/A NORT!t.). 1 IMPROVEMENT i 4 WALTER WAF#4WJK,7 f 40 ALEXANDER'1 v t YARMOUTHPORT,MA 02875 undmecretM Not valid w*M-919fre 'Sand Dollar Customs LLC • ' 23 Whites Path New Homes Estimate Suite G2 Renovations MA 02664 '+ � Restorations Date Estimate# i 508-694-5618 • 1/21/2017 6 Name/Address Harris,Jeff&Courtney I Old Toll Road W.Barnstable Ma. 02668 Project i Description Qty Rate Total y Construction Supervisor License#91653 Home Improvement Contractor License# 176505 Moderate Risk Lead Certificate#MR-001576 Lead Paint Renovator Certificate#R-I-18398-09-00120 Workers Compensation and Liability Insurance to be mailed to homeowner by insurance company upon signing of contract. I accept the above ptonosal and give permission to work on my home. Owners Signature:_ ----� Date:I/S/ g Builder: Date: / / Total a" �- Assurant Use Only PID# 1013605 ASS URANT® November 2,2016 Attention: Town Of Barnstable Assurant Field Services(AFS)is working on behalf of our clients to ensure compliance with ordinances requiring vacant/foreclosure property registration. Client's Name: CTTBank Closed Reason: Unknown AFS previously registered a property located at: Street Address City State Zip Folio Number 11 Old Toll Rd West Barnstable MA 02668 000109-000000-000069 This letter is to serve as notice that the property has either been sold to a new owner,the property is now occupied,and/or foreclosure has been rescinded.AFS does not represent the new owner and has not been provided any further information or documents. Please de-register this property and send confirmation of de-registration to the email address listed below or by mail. Assurant Field Services Attn:Property Registration 101 W.Louis Henna Blvd.,Ste.400 Austin,TX 78728 Lu C la eb.williamson@assurant.com F� Tha k you for your time and attention to this matter. G ASSURA-iT' Field Services 101 West Louis Henna Boulevard,Suite 400 Austin,TX 78728 Town of Barnstable Attn Bldg Dept 200 Main St Hyannis,MA 02601 1013605 135958 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has s been taken (section 224- CD —a 4). Please file the original with the Building Commissioner and a copy with;Nei Chief of: the Fire District in which the property is located.. •s: o If you claim you are exempt from registering under Massachusetts law,pleases ate the a reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other-- representatives and attorney) so that the Town can review the exemption and update its records: N/A Section 1 —Property Information Property Address: 11 Old Toll Rd, West Barnstable MA 02668 Assessors Map#: 109 / 069 Parcel#: 109069 Land area and description Single Family Building(s)description and contents YB 19851 Occupied: N Occupant(s)(if borrowers so state and include name(s)) Phone: 800-468-1743 email: vpr@fieldassets.com other: Vacant: Y Date: 2/23/2015 Anticipated Length of Vacancy: Until sold Last occupant(s))(if borrowers so state and include name(s)) HIRSCHBERGER STEVEN M c/o OneWest Bank Phone: 800-468-1743 email: vpr@fieldassets.com other: Has possession been taken No If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) P• Section 2—Foreclosing P Information ( Foreclosing Party(full name/title) OneWest Bank Foreclosure Case Court: N/A Docket# N/A Date filed: 6/29/2011 Current Status: Post-Filing Foreclosure Foreclosing Party's representative(s) for property(entry,management,repair, etc.)(name,title,): Leah Collins -Bank Rep Company(if different from foreclosing party): Property Manaqer: Assurant Field Asset Services Address: 101 W Louis Henna Blvd., Ste 400, Austin, TX 78728 Phone: 800-468-1743 email: vpr@fieldassets.com other: N/A If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name, title, other: Cindy Silva Company(if different from foreclosing party): AFAS c/o NE PROPERTY MANAGEMENT Address: 268 MAMMOTH RD Lowell. MA 01854 Phone(s): 978-821-9806 email(s):vpr@fieldassets.com other: N/A Name,title, other: N/A Company(if different from foreclosing party): N/A Address: N/A Phone: N/A email: N/A other: N/A Attorney representing foreclosing party N/A Firm name(if different from attorney's name): N/A Address: N/A Phone(s): N/A email(s): N/A other: N/A I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. h, Date: 07/15/2015 Name: Roibn J. Brown Title: AFAS Authorized Agent 4r �t 1 �r f I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable i ti 0 E , r it �. ASSURANT Specialty Assurant, Property' I field Asset Services. _ 101 W. Louis Henna Blvd.,Ste 400 Austin,TX 78728 . Statement of Intent Building Plan: Property Address: 11 Old Toll Rd West Barnstable, MA 02668-1301 Property Status: Vacant or Occupied Vacant Property: Property is secured and will be maintained. Property will be listed for sale. Bank Contact Information: OneWest Bank 2900 Esperanza Crossing Austin, TX 78758 Property Manager: Assurant Field Asset Services 101 W Louis Henna Blvd., #400 Austin,TX 78728 F P: 800-468-1743 w t �j 101 West Louis Henna Boulevard,Suite 400,Austin,TX 78728 800-468-1743 I FieldAssets.com i�`'. I Voyager Indemnity Insurance Company Blanket Real Estate owned A Stock Insurance Company Policy - Declarations PO BOX 50355,ATLANTA, GA 30302 POLICY NUMBER: BRE-0000105 ITEM 1. NAMED INSURED: LENDER NUMBER: 0766 OneWest Bank, FSB MAJOR NUMBER: 5557 888 East Walnut Ave. ACCOUNT CODE: N/A Pasadena, CA 91101 ITEM 2. POLICY PERIOD October 1, 2010 12:01 a.m. standard time at the address of the named insured and continuing until cancelled. ITEM 3. MAXIMUM LIMIT OF LIABILITY: PROPERTY: $5,000,000 REO LIABILITY: $1,000,000 per occurrence, $2,000,000 per eligible collateral, per policy anniversary year FLOOD: $1,000,000 ITEM 4. COVERAGES: DIRECT PHYSICAL LOSS subject to all terms of this policy. ITEM 5. RATES : Property: Residential: $ 0.050 per$100 of Dwelling Coverage per Month Commercial: $ 0.20 per$100 per month Liability: $ 0.0125 per Month per property (not applicable to Commercial Properties) Flood: $ 0.11 per$100 of Dwelling Coverage per Month ITEM 6. DEDUCTIBLES. ,The following deductibles shall apply to each and every loss reported hereunder: Property: $2,000 or 2% Wind, Hail or Hurricane for Eligible Collateral located in Florida; $1,000 or 1% Wind, Hail or Hurricane for Eligible Collateral located in the states of Alabama, Arkansas, Georgia, Hawaii, Kansas, Louisiana, Mississippi, North Carolina, Oklahoma, South Carolina or Texas; $1,500 Vandalism & Malicious Mischief— Residential $5,000 Vandalism & Malicious Mischief—Commercial $1,000 All Other Perils, Residential & Commercial Flood: $1,000 ITEM 7. ENDORSEMENTS attached to policy at issue: BR 0011 0510 DP 00 03 07 88 BR 0024 0808 BR 0003 0907 BR 0004 0907 BR 0005 0907 BR 0029 0510 N1531-0295 N9758-1107 N9757-0508 CP13000A-RO310 ITEM 8. TAXES & FEES SURPLUS LINES PREMIUM TAX 3% STAMPING FEE 0.25% "This insurance is issued pursuant to the CA INS § 1760 through CA INS § 1780, and is placed in an insurer or insurers not holding a Certificate of Authority from or regulated by the California Insurance Commissioner." Countersigned at Santa Ana, CA This 5th day of August. 2010 Surplus Lines Agent: Authorized Rep` 'senfative TrackSure Insurance Agency, Inc. —Lic. #SL0590637 Laurie J. Potter,2677 N. Main St., #600, Santa Ana, CA 92705 BR 0002 1107 016066688 LICENSE OR PERMIT BOUD KNOW ALL BY THESE PRESENTS,That we, Assurant Field Asset Services, LLC as Principal,and the Liberty Mutual Insurance Company p,1<ss" c cu,.rtion, as Surety,arc held and firmly bound unto Town of Barnstable, MA .s e, in the sum of Ten Thousand and No/100--- P i llars(S 10,000.00 ) for which sum,well are truly to be paid,we bind ourselves,our heirs,executors,administra_ors,success rrs in'asigns,jointly wi severally,firmly by these presents. Signed and sealed this 10ih day of July 2015 THE CONDITION Or THIS OBLIGATION IS SUCH,That WHEREAS, the Principal his been or is•'lout tc 'ie :;r:nter's,licenss .; permit to do business as 11 OLD TOLL RD WEST BARNSTABLE, MA 02668 by the Obligee. NOW,Therefore, if the Principal we`.l and truly comply with c pplicable local ordin..nces,sn:c.n�uct'aisin:ss in conformity thcr,with, then this obiigat;o.to bs void;oth_rwise to remain in full [force zad effect. PROVIDED,HOWEVER; I.This bond shall continue in force: ❑ Until or urit'si the Cate of cxi�ir^.ti.n.f any C ontinu:tion C'crtifie..t executed by the Surety OR [n Until ran_-eled as herein p:cvided. 2 This bond rnuy be crnceled by the Surety by the sending of novice in wining to tl,e i-•__ Wien,r,.t less th:-r thirty *.ys therc,.:Ier,liabs'Ity hcreL nder shall terminate as to subscqu.rn r.cts or orniss;o.s of the Prineipa.. Assur2-:.•.e'd Ass--[Services, LLC �`rinci�al fly Lib ly'.1L:1Vz;Insuralc.a Company, By D Ann K aidosty Attorn:.y-in-Pact LICENSE OR Liberty Mutual surety 450 Plymouth Road,Suite 400 PERMIT BOND Plymouth Meeting,PA 19462 Bond 016066668 LICENSE OR PERMIT BOND KNOW ALL BY THESE PRESENTS,That we, Assurant Field Asset Services, LLC as Principal,and the Liberty Mutual Insurance Company ,a- Massachusetts corporation, as Surety,are held and firmly bound unto Town of Barnstable, MA as Obligee;. in the sum of Ten Thousand and No/100--- Dollars($ 10,000.00 ) for which sum,well and truly to be paid,we bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally,firmly by these presents. Signed and sealed this 10th day of ,July 2015 I THE CONDITION OF THIS OBLIGATION IS SUCH,That WHEREAS,the Principal has been or is about to be granted a license or permit to do business as 11 OLD TOLL RD WEST BARNSTABLE, MA 02668 by the Obligee. NOW,Therefore,if the Principal well and truly comply with applicable local ordinances,and conduct business in conformity therewith, then this obligation to be void;otherwise to remain in full force and effect. PROVIDED,HOWEVER; 1.This bond shall continue in force: ❑ Until ,or until the date of expiration of any Continuation Certificate executed by the Surety OR ® Until canceled as herein provided. 2 This bond may be canceled by the Surety by the sending of notice in writing to the Obligee,stating when,not less than thirty days thereafter,liability hereunder shall terminate as to subsequent acts or omissions of the Principal. Assurant Field Asset Services, LLC Principal 77 By Liberty Mutual Insurance Company. By D-Ann Kleidosty Attomey-in-Fact S-0908/LM 10/06 XDP THIS POWER OF ATTORNEY IS NOT VALID UNLESS.IT IS PRINTED-ON:RED BACKGROUND.: This Power of Attorney limits the acts of those named herein;and they have no authority to bind:the Company eiceptin the:manner and to the:ex_tent herein stated.' - =-Certificate No:7031941 First National lnstirance Company of America - General Insurance Company ofAmerica Safeco Insurance torripany-of America POWER,OF ATTORNEY. KNOWN ALL PERSONS BY THESE PRESENTS: -That First Natrona(Insurance-Company of-Arnerica,Gerierakrisurance Company of America and.Safeco Insurance Company of-... America are corporations duly organized under-the laws of the State-of New Hampshire(herein collectively called the"Companies',pursuant.to and by:authority,hereinset forth does = hereby narlte,Constitute and appoint,Brooke A-Knowle§ []-Ann Klaidosty Gary D-Fkhind'.Sharon:T Pnitc•Sylvia lyl-nelP'Williarti G-IVlnndy all of the city of Atlanta state of iGA -each:--.in'dividually If there tie more than one named Its trueand iiwi lattomey in;fact to make execute,seal,acknowledge_ and deliver,for and on its behalf as suretyand.as its act`and deed=ariy:and all undertakings 6onds,.recognizances and`6ther surety.obligatioris.in pursuance of these.presents and shall be as binding upon the Companies as i.if ey havebeeft dulysigned$y the president and attested by thesecretary afthe-Companes in then own proper persons. - -AN WITNESS WHEREOF this Power of Attorney-has beerisbscribed:b anauthorized officeror officia�oftlie:Com anies`and the co orate seals'of the Com anies have been affixed --....Y r Y P...; rP P , thereto this.23rd day of June= CE E CO - -- " ' - = � - _� First Nat>orial Insurance Company of America 6 1928':o :1923 Z 1953= T General nsurence Company ofAmerica .. yhAMY`��P��a d> hAMP`��\��l� JtiAMY`����3- - SafecO Insurance-Company Of of :y - _ _ ' ! David M Car y Assistant Secretary :N :STATE OF.PENNSYLVANIA `s-s COUNTY OF MONTGOMERY - - C yOn this 23rd `day of June kl5= before me personally appeared David M Carey who_acknowledged himself to be the Assistant Secretary of First:National v" rJ y Insurance Company of Arrlerica,.General Insutarice_Company of America and.Safecoansarance Company:of America;and thathe as sucfi,being authorized so to do execute the:. =�tA 0:.2 foregoing instrument the purposes.therem he co contained by signing on Behalf of trporations by himself asa duly authorized officer. _ >d:w ca . - dO AN WITNESS WHEREOF,I.have hereunto subscribed my name and affxed my notarial seal.at Plymouth Meeting,Pennsylvania on the day and year first above written O G '3 P pqs COMMONWEALTH OF PENNSYLVANIA: -- _Q �' M y T O �Q o oNIVp = Notanal Seal 14�4, Q N d o i v Teresa Pastella Notary Public %� i p-� °F Plymoult 7wp Montgomery Counly By My CoinmiWon Expires March-Mar 2017 Teresa Pastella Notary.Public C: Member Pennsylvania Association of Notaries _ _ a,E Y lC c_y This`Power of Attomey is:made andezecuted`pursuanLto and by authority of the following By-law and.Authonzahons of Firsl-Natlonal Insurance Company of America, Generaf N a d>:+r InsuranceCompany ofAmerica,and S_afeco"Insurance:CompanyofAmerica;:which are now,in full force and-effect-reading as follows: Q1 to _ - - - - - - _ -- _.,�•,,� c cr ARTICLE IV OFFICERS' Section 12 Power of Attorney^Any officer or othet offiaal_of the Corporabon"authorized for that.purpose imwriting by the Chairman of the President and=_- d p C subject to such limitation as the Chairman or the:President:may prescribe,'shall appoint such attorneys iri-fact;as may be:necessaryao act m behalf of the Corporation to make;execute :a E; seal,acknowledge and deliver as surety any and all undertakings bonds recogmzances and ottier surety otiligatlons Such attorneys ii fact;_subik.I.o the limitations set forth in their.::-; .respective powers of attorney,-shall have full power to bind the Corporation b-theiraignature and executed;such instruments shall be as:binding a"s;if signed"by the President and �___ L attested to.by the Secretary. Any power or authority granted to anyrepresentative or:attorney in-fact;underahe-provisions of thlS article maybe revoked at any tune byaheBoard-thee-C> B'v Chairman the President or by the officer or officers granting such power orauthority _ = r_N �:ao Certificate of Designation-The President of the Company acting pursuant to the Bylaws of the:Company,authorizes David M Carey Assistant Secretary to appoint such attorneys m;w M O: fact as may b'.necessary to act on.behalf of ihetompang to make`execute,seal;acknowledge anddeliver_as suety any grid all undertakings,bonds recogmiances and other surety: O 00 o0.0 bligations - - = : c�.- .071 `Authorization L-B .unanimous co seht::df:the Com an 's:Board of.Directors,-the Com an;consents that=facsimile or-mechan Ball:"e''roduced si nature.of any-assistant ecr_eta of the Goinpany;wherever appearing upon a certified "copy of any'power of attorney issued by.the Company;in c'oiinection withsurefyltionds, shall be:valid'and-"binding upon. -the Company with the same force and- effect as though manualiyaffixed - = GregoryW.Davers ort the undersi ned A§si"slant SecFet'`of Firs: ational I"sun rice Com n rri a "n r I I f po ,t - g ary, - t N _ n- a pa y.ofA ene,:Ge e a-nsurance Company ofAmerica and Sa eco Insurance Company _ofAmerica do hereby.-certify that the originalpower of attorney of which lhe:foregoing is a full true an:d correct copy of:ttie:Rdwer ofAttomeyezeeuted bysaid Companes is in full force and effect and has not been revoked = { IN TESTIMONY WHEREOF,(have hereunto set my hand and affixed the seals of said Compamesthisday of 4.`�u�. - 20 JRpNCFCp': cE CO Hp GE COMP 4'S�oaP°Rqr�,o �P oR°or2yr 9y p�oRYOR4r'4,y �-�_ , By rn 1 Oo 193 's 1928: , rY Gre o W:Daven ort=AssistarifSecreta a. 9 P ry fL� NAMY`'� - `_. :41�of 200 POA-FNICA,GICA&SICA LMS 12V4 122013-3:Company.. r o�• ',,,�,�� TOWN OF BARNSTABLE Permit No. 27409_ Building Inspector xAU Cash 'lo 19 X OCCUPANCY PERMIT Bona —---____- Issued to Philip hirschberger Address Lot 73, 11 Old Toll Road, West Br-rnstable Wiring Inspector i, ' /� Inspection date < Plumbing Inspector f �� Inspection date r Gas Inspector Inspection date XEngineering Department - Inspection date Board of Health ' ' Inspection date ! j 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. ..... ............................ ......................„.................._.... Building Inspector a oF1"KE Town of Barnstable *Permit# Expires 6 months from issue date ~; Regulatory Services Fee * snaxsTABIA • MASS. i63 Thomas F.Geiler,Director y. �0 RFD MA'I A Building Division �®����� Tom Perry,CBO, Building Commissioner PFN;&Mj7 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us nrT 05 2016 Office: 508-862-4038 I (�w���� O)� Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT' I * NuVWUB IABL� Not Valid without Red X-Press Imprint Map/parcel Number 109-069 Property Address 11 Old Toll Rd W Barnstable ❑Residential Value of Work$ 4500.00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Courtney Harris POB 294 Centerville MA 02632 Contractor's Name Richard Tupper Telephone Number (5 08) 778-0111 Home Improvement Contractor License#(if applicable) 1 7 Ad 3 a Email: adminotupp rrn com Construction Supervisor's License#(if applicable) CS-0 6 9 0 5 8 JRWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name AE I C Workman's Comp. Policy# WCC 5 0 0 5 5 9 3 012 016A Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side l [1 C ® Replacement Windows/doors/sliders.U-Value (maximum .35)#of windows #of doors: 3 G� ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. e Improvement Contractors License&Construction Supervisors License is i� SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 ACo I CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) tft � 10/3/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lora FitzGerald Southeastern Insurance Agency, Inc. PHONE (508)997-6061 F No:(508)990-2731 439 State Rd. E-MAIL ADDRESS:lfitz@southeasternins.com P.O. BOX 79398 INSURERS AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURERAArbella Protection Insurance 41360 INSURED INSURER B Boston Insurance Brokerage Inc Tupper Construction Co LLC INSURER C: 546A Higgins Crowell Road INSURERD: INSURER E: West Yarmouth MA 02673 INSURERF: COVERAGES CERTIFICATE NUMBER:2016-17 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. ILTR TYPE OF INSURANCE DD POLICY NUMBER POLICY POLICY M/LDI D/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ RENTED- A CLAIMS-MADE �R OCCUR PREMISES AGE ToEa occurrence) $ 100,000 9520045208 11/1/2016 11/1/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY EST LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 1020009389 12/1/2015 12/1/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ Uninsured motorist BI split limit $ 250,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $' WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? NIA B (Mandatory in NH) WCC5005593012016A 10/3/2016 10/3/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Informational Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tupper Construction Co. , LLC ACCORDANCE WITH THE POLICY PROVISIONS. 546A Higgins Crowell Road West Yarmouth, MA 02673 AUTHORIZED REPRESENTATIVE Ashley Paiva/AMP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r7rrt 4m i ` The Commonwealth of Massachusetts Department of Industrial Accidents d . I Congress Street, Suite 100 t Boston,MA 02114-2017 V V www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Tupper Construction Co LLC Address: 546A Higgins Crowell Rd City/State/Zip: West Yarmouth, MA 02673 Phone#: 508-778-0111 Are you an employer?Check the appropriate box: Type of project(required): 1.[ I am a employer with 10 employees(full and/or part-time).' 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. LRemodeling any capacity.[No workers'comp.insurance required.] IM I am a homeowner doingall work myself t 9. ❑Demolition y [No workers'comp.insurance required.] 4.[:]1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.EJ Plumbing repairs or additions 5.0 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.� p Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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:AEIC Policy#or Self-ins.Lic.#: WCC5005593012016A Expiration Date:10/3/17 Job Site Address: // 61 1 C'`/ Zi City/State/Zip:uzoA/1/7� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure 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 certi n ei. ains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#:508-778-0111 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#: Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite-5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 178434 Type: LLC Expiration: 4/1W018 Tr# 419291 TUPPER CONSTRUCTION CO, LLC. RICHARD TUPPER — 546 A HIGGINS CROWALL RD W. YARMOUTH, MA 02673 -------- -- --.-- Update Address and return card.Mark reason for change. sCA r a 20M. trr C Address a, Renewal [� Employment Lost Card r'-1�t• lJir!/1I/If-/t(PI II���i:/�((lIJ1IR'�/Ir('��' - Office of Consumer Affairs&Business Regulation License or registration valid for individual use only w � HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 178434 Type: Office of Consumer Affairs and Business Regulation Expiration: 411&7018 LLC lop -Suite 5170 oston, 21 TUPPER CONSTRUCTION CO,LLC. RICHARD TUPPER 546 A HIGGINS CROWELL RD W.YARMOUTH,MA 02673 CCUndersecretary Not td without signature BUILDING PERFORMANCE INSTITUTE, INC_ 107 Hermes Road,Suite 210 Malta,NY 12020 (877)274-1274 www.bpl.org 'r Richard Tupper P BPI[DO:W40940 ° (SEE REVERSE SIDE FOR DESIGNATIONS AND EXPIRATION DATES) Massachusetts -Department of Public Safety Unrestricted-Buildings of any use group which Board of Building Regulations and Standards contain less than 35,000 cubic feet(991m)of Construction super►isor enclosed space. License: CS-N9058 Richard S Tupper - 546 A Higgins CrdveD:9N F s west Yarmouth 113A *VJ Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. �,,`.,.d►. c. " "' Expiration For DPS Uoensing information visit: www.Mass.Gov/DPS Commissioner 1201/2016 TU PPE R CONSTRUCTION CO.u.c 546A Higgins Crowell Rd West Yarmouth, MA 02673 Phone 508-778-0111 Fax 508-778-5010 Registration#178434 License#069058 Date: 30 Attn: Building Department I hereby authorize Tupper Construction Co., LLC to pull the permits necessary to complete the project described on the attached permit application form. Thank you, Owners' Signatures QJ Print Owners' Names: Street Address: J` Ql a _M h �a WCZt 0�nS �LQ M"> 003( -3a- Commitment Number: 160214979 After Recording Return To: Seller's Loan Number: 1224013 ServiceLink, LLC 1400 Cherrington Parkway Moon Township, PA 15108 PROPERTY APPRAISAL (TAX/APN) PARCEL IDENTIFICATION NUMBER 109-69 QUITCLAIM DEED CIT Bank,N.A. formerly known as OneWest Bank N.A.formerly known as OneWest Bank, FSB,whose mailing address is 2900 Esperanza Crossing,Austin,TX 78758,hereinafter grantor, for$300,000.00(Three Hundred Thousand Dollars and Zero Cents)in consideration paid,grants and quitclaims to COURTNEY B HARRIS and JEFFREY S HARRI91,1usband and wife as tenants by the entirety, hereinafter grantees,whose tax mailing address is P.O.Box 294,Centerville,MA 02632, with Quitclaim Covenants: ** Jeffrey Scott Harris THE LAND IN BARNSTABLE (WEST), BARNSTABLE COUNTY, MASSACHUSETTS, TOGETHER WITH ANY BUILDINGS THEREON BOUNDED AND DESCRIBED AS FOLLOWS: NORTHEASTERLY BY OLD TOLL ROAD AS SHOWN ON HEREINAFTER MENTIONED PLAN ONE HUNDRED SIXTY AND 32/100 (160.32) FEET; SOUTHEASTERLY BY LOT 72A AS SHOWN ON SAID PLAN TWO HUNDRED FIFTY- ONE AND 52/100 (251.52) FEET; SOUTHWESTERLY BY LAND OF OWNERS ` UNKNOWN AND LAND NOW OR FORMERLY OF WILLIAM F.BODFISH AS SHOWN ON SAID PLAN TWO HUNDRED NINE AND 83/100(209.83)FEET;NORTHWESTERLY BY LOT 74 AS SHOWN ON SAID PLAN TWO HUNDRED TWENTY-FIVE AND 76/100 (225.76)FEET.CONTAINING 42,002 SQUARE FEET,MORE OR LESS,AND BEING LOT 73 AS SHOWN ON PLAN ENTITLED,"TRAILVIEW,A SUBDIVISION IN BARNSTABLE, MASS. OWNED BY: SEA-LAKE CORP. SCALE: 1" = 100' OCT. 2391975 EWALD ENG. CO., INC. FRAMINGHAM", WHICH SAID PLAN IS DULY RECORDED WITH F :w Property Address is: 11 OLD TOLL RD WEST BARNSTABLE,MA 02668 Seller makes no representations or warranties, of any kind or nature whatsoever,other than those set out above, whether expressed, implied, implied by law, or otherwise, concerning the condition of the title of the property prior to the date the seller acquired title. The real property described above is conveyed subject to and with the benefit of All easements, covenants, conditions and restrictions of record; in so far as in force applicable. The real property described above is conveyed subject to the following: All easements, covenants,conditions and restrictions of record;All legal highways;Zoning,building and other laws, ordinances and regulations; Real estate taxes and assessments not yet due and payable; Rights of tenants in possession. TO HAVE AND TO HOLD the same together with all and singular the appurtenances thereunto belonging or in anywise appertaining,and all the estate,right,title interest,lien equity and claim whatsoever of the said grantor, either in law or equity, to the only proper use, benefit and behalf of the grantees forever. Prior instrument reference: Book 29740,Page 265. i i Executed by the undersigned under seal on AUG ) 4 24i_ 2016: This conveyance does not constitute the sale or transfer of all or substantially all of the grantor's assets within the Commonwealth of Massachusetts CIT Bank,N.A. formerly known as OneWest Bank N.A. formerly known as One Bank,F By: Name: Se n Costarell AVID Its: STATE OF MAR COUNTY OF TRAMS AUG 2 4 20;5 T i' N Ce foregoing instrument was ackwledged b ore me on 2016 by , o& 5TAi`Q`� its � i V � �Tr3 OA on behalf of CIT Bank, N.A. formerly known as OneWest Bank N.A. formerly known as OneWest Bank, FSB who is personally known to me or has produced as identification,and furthermore,the aforementioned person has acknowledged th signature hi ee and voluntary act for the purposes set forth in this instrument. '01 STEPHEN YELVERiON '.`�_Notary Public.State of Texas r `" Notary i 9r'-..••�iP`� Comm.Expires 08-24-2017 - Notary ID 128018214 tTEPHEN YELVERTON This in men prepare y: Nowell Bloomenthal Esq., (Massachusetts Bar Number: 046760), 935 Main Street#3, Waltham, MA 02451-7437 and Jay A. Rosenberg,Esq.,Rosenberg LPA,Attorneys At Law, 3805 Edwards Road, Suite 550, Cincinnati, Ohio 45209, (513)247-9605 Fax: (866)611-0170. Assessor's map and lot number .. �.�.9... 1�....,/........ / N QUO`T E T��t Sewage Permit number ........ ...� �� .................... Z BA"SiABLE, i House number ...........: ......................................................... s rasa �� 16 3 q' �00� TOWN OF BARNSTABLE BUILDING INSPECTOR _ APPLICATIONv�/ - ��s /„ �i...!� .� �S FOR PERMIT TO .... .............................. ......... ryTYPE OF CONSTRUCTION .............. ........ ...... ............................................................. ! ............................../// v....19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ` Location �vT �3 U L/� /!/�✓ </1/..�✓T ..../I/1.1i/J/..LC ProposedUse ............................ lame.....�� ..........:....................................................... ..................... Zoning District �� ..Fire District lv............... ..... ...................................... ..........................�. ................... ............... .... ..... ...... Nameof Owner ........../�. ..�........................... .................Address ...... .,�........................... .........,:.... .... ./ ..... ^Name of Builder ..........2�x ...... :........................Address ..,.......5!.......... ..........,.................r............ l Name of Architect �'J` � Address 'w��� / ....��/� �'�'' �� / ....................... ;1 Number of Rooms .........:.........�1........................................Foundation ..,.. Exterior ... !�J/ iJ oL // Roofing / /l��� 7" ..................... ........... ....... ............... ............ Floors !.....:.......................,................... .............................Interior .................. Heating .......' .... ......... .......... ......... ................................Plumbing ................. _.J............................................................ Fireplace .............tb......,.�'...........................................Approximate. Cost ...............................................�n ` ..................... Definitive Plan Approved by Planning Board -----------_______---------__19________ Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name/.. Construction Supervisor's License .................................... G HIRSERGER �PH�LIP ES A 109-69 Y No ...27409... Permit for Itao„Story,,,,,,,,,,,,,,, ..................... Location Lot..J.3.......II..O d..TalI..Road........ ................ eat.B==table.............................. Owner ..... . , P..Hirs.C. r................... Type of Construction ...FrMe............................ ............................................................................... Plot ............................ Lot ............................... Permit Granted January 10, 197 8'5 ............ . . ....... Date of Inspection .................................99 Date Completed ......................................19 ; e • ( '• YASSACHY•[TT"QUITCLAIM O[[O"Y CORPORATION (!ONO FORM)tN 4 — 1 s000,2338 (s:: 124 1058'7 SEA-LAKE CORPORATION, x a corporation duly established under the laws of the Commonwealth of Massachusetts, ''ICI and having its usual place of buginess ac P. 0. Box 264, Sandwich, Barnstable l {:: !'• County,Massachusetts for consideration paid,and in full consideration of $13,300.00, gratin to JXN HARRIS ROSENBAUM, of 297 West Main Street, Barnstable (Hyannis) , Barnstable County, Massachusetts, A with quIldifint rcvrnattle + thelandin Barnstable (West) , Barnstable County, Massachusetts, together with any buildings thereon,1, bounded and described as follows: •i ,,.•)II (Uewriptlon And.acumLrwn.,if Guy NORTHEASTERLY by Old Toll Road as shown on hereinafter mentioned it plan, one hundred sixty and 32/100 (160.32) feet; ( P e Y SOUTHEASTERLY by Lot 72A as shown on said plan, two hundred fifty- one and 52/100 (251.52) feet! SOUTHWESTERLY by land of Owners Unknown and land now of formerly of William F. Bodfish as shown on said plan, two hundred nine and 83/100 (209.83) feet; and t NORTHWESTERLY by Lot 74 as shown on said plan, two hundred twenty- five and 76/100 (225.76) •feet. 1i ;ac Containing 42,002 square feet, more or less, and being LOT 73 as shown' on plan entitled "'TRAILVIEW' a Subdivision in Barnstable, Mass. Owned �i by: Sea-Lake Corp. Scale: 1"=100' Oct. 23', 1975 Ewald Eng. Co., ) j Inc. Framingham", which said plan is duly recorded with Barnstable ff' County Registry of Deeds in Plan Book 301, Page 99. ft Together with a right of way as appurtenant to said lot over the ways i as shown on said plan, in common with others who are now or may here- after be entitled thereto. Subject to an Easement to the New England Telephone and Telegraph Company et al dated February 8, 1974, duly recorded with Barnstable County Registry of Deeds in Book 2005, Page 57. The grantors specifically reserve a right of way ever so much of said lot as by implication of law lies within the limits of any way as shown on said plan, reserving also to the grantors the right to grant 4 easements to public service corporations for the installation and ` maintenance .of public utilities in, over, under, along and upon any �? private way as shown on said plan, and anchors and guys to support lines. in said ways and on land adjacent thereto. x' Being a portion of the premises conveyed to Sea-Lake Corporation by ' Robert A. Faulkner, Trustee of The Wright Realty Trust et al, by deed I° dated May 5, 1972, duly recorded with Barnstable County Registry of Deeds in Book 1650, Page 133. COMM.ONWE if OF I,A.SAC.4USET1S' 3 U. 18 RIL dZ .1 i E I 1 Avow 300,2338 ;1vi 125 ,. .I In wittirss wi rrrnf, the said SEA—LAKE CORPORATION, i 1 i has caused its corporate seal to be hereto affixed and these presents to be signed, acknowledged and ; delivered in its name and behalf by Paul J. Lynch, President and Treasurer, ilex hereto duly authorized, thisl' day of in the year one thousand nine hundred and seventy-six. Signed and sealed in presence of0 by C For•,corpprate•._authoritX,•see _..._..._.._ � .--' ..L. •• i✓�rs4- �.� j� : ;, vote duly recorded with x* Paul J. Lynch,�Pres nt anN. }ti 5 tare ; Barnstable County Registry Jam% of Deeds in Book 2195, S . f Page 39. _ _�.__ _. _ •:ff-�rr;0� j r' Elie Coullnauwraltll of Massarliusr1fs Barnstable, Ss. 197,4 I i tThen personally appeared the above named Paul J. Lynch, President and.,, -.. t Treasurer as aforesaid, and acknowledged the foregoing instniment to be the free act and deed of the said SEA- • CORPORATION, before met`,rr .' ..�71. •.� N otuy Public � ` 1pp(��y( RA ELAND i My ntaanistion expires MY COMMISSION I7tPIM[7t►.Y'l\Qy,• FWRUNlY0.1970 r � .I w CHAP TM 183 SEC.6 AS AltfUM13)BY C11APl7R 497 OF 1969 Every Aced presented for remrA r6..11 eomin or hse.endorsed upon it the full rutmt,Midenee and pace oflet sddrm of the Maim sod � a reciul of the smouct of the full enmiders6on thereof in dollars or the nature of the other tvtuidm600 therefor.if trot delieced foe a apcditc monetary sum.71te full consideration Dull eoean the total price for the connyaace without deduction for may liens of encumbrances auurneJ by the areotee or rtnuicinrt thereon.All such endorsnnenn eel recitals shall be recorded as part of the deed.Fdlure to comply with this sectino absll nor alfecs the validity of eery Jd c d.No tteistet of dtods slrsll amps a deed for eecordina antes It Ice is compliance wrtb the p • reQuir®mta of this section. RECORDED MAY 14, 1976 I _ Z Z.5 74 - j N W 'p i -7Z,4 WILLIAM o NYE i. No. 19334 t9k� Tl-/AT T/VE S.�/OG✓it/,yE.2EO.C/COMpL yS �//Thy SC�1 L G-�/ fo ' O.q _ � - 7`".U� S1,O,,!F4 /E A SE'TB.4 Ck .2EQ!//.2EM67A17S Off" TZ/,g T�wit/�F ,l �SrzIGT�� A�c/o COCA r�Z::> W/Thy/N Th�E �Loaa�G4/y ,4�.f l��t/ o�✓,¢ �°='G//a .� io-2-7 JA 7'E=/-C2- f ,BA X7-AE,E2E /V/y /it/C. Tf�//S .�.C�4.v/S �(/a�' B-QS J G:�/ .4�f/ .2EG/STE,eEO L.Q. /O SU•eVES2�t� /V-5 e, 4/.-cX17 Sv eVEY 0��45'ETS s/,�aL✓�1/S�,rov�� �oT B� 1 l/.SEp 70 oET�.�itil/•t/E .�-UT�./�t/ES A�.�,L-/C.4/✓Ti%!/G//'��%�SG.�.�`aGv� .. k .. }, .. «; __ ..s,r -ai._i.i_:,lr.,••• •... J y,- ......x�-...:.{�r....ram._ _. r. -*.., + •�i...:r-+!...�»�-t`- . o• TOWN OF BARNSTABLE permit No. t2740 •}`________ • , Buildang Inspector 1 Musa i r r Cash - --- -- /Y\ f f ,•)P OCCUPANCY PERMIT Bond Issued to xPhiiip Hirschberger Address Lot 73, 11 Old Toll Road, WestBarnstable L Wiring inspector Inspection date' Plumbing inspector, Inspection date Gas Inspector n Inspection date XEngineering Department. , ' L Inspection date O. r� Board of Health ,ti �Gd-G c s� Inspection date L 6S Ay , 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 MASSACHUSETrS STATE BUILDING CODE. 19_ Building Inspector ` °•.� TOWN OF BARNSTABLE BUILDING DEPARTMENT t ssaa�r : TOWN OFFICE BUILDING rua '639. �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit .has been issued for the building authorized by BuildingPermit #.»._...p �© .». �....._ _.»......... _.........»» ».»».... ..»...»»»»»».»»» issued ,to /..._....... .... ........ ..............................._................. Please release the performance bond. aoflx3�:0 P�c� 13y MAsOACHUSCTTO QUITCLAIM OCKO $MORT FORM (INDIVIDUAL)Oft `..,1 1U.883 Jan Harris.,Rosenbaum `+ of Rhode Island of the city of Providence , County of Providence , State Xfdltix'Xs�fdf being unmarried, for consideration paid, an,4 in full consideration of Seventeen Thousand ($17 , OOQ) Dollar! grants to Philip Hirschberger a�t'd BettyZ.. . Hirschberger husband and wif8 i as joint Tenants , both of 137 Bristol Avenue , Barnstable (Hyannis ) with qui rlatm rournan2s Barnstable County, Massachusetts the land in (Description and encumbrances, if any] The land in Barnstable (West) , Barnstable County, Massachusetts, together with any buildings thereon, bounded and described as follows : NORTHEASTERLY- by Old Toll Road as shown on hereinafter mentioned plan, one hundred sixty and 32/100 (160. 32 feet; ) SOUTHEASTERLY by Lot 72A as shown on said plan, two hundred fifty-one and 52/100 (251. 52) feet; SOUTHWESTERLY by land of Owners Unknown and land now of formerly of William F. Bodfish as shown on said plan, two hundred nine and 83/100 (209.83) feet; and NORTHWESTERLY BY Lot 74 as shown on said plan, two hundred twenty-five and 76/100 (225.76 feet.) : Containing 42, 002 ,s qguare feet, more or less , andtwbeing;-.�Lot� 73 as shown on plan entitled TRAILVIEWA a Subdivision in Barnstable ass"* Owned ,by:, Sea-Lake Corp. Scale : 1' * 100' Oct. • 23► 1975 Ewald Eng6' Co: ,, Inc`:= _ -•- 4 Framingham" , which' said plan is duly recorded with Barnstable°:County Registry of Deeds in Plan Book 301, Page 99. " - --- Together with a right of way as appurtenant to said lot over the ways as shown on said plan, in common with others who are now or may hereafter be entitled thereto. Subject to an Easement to the New England Telephone- and Telegraph Company - et al dated February - ,- 1974,- dgt�,y recorded with Barnstable County _ Reg.istry of Deeds in Book � 'Paae 57.. Subject to easements and rights of way of record. Being the same premises conveyed to Jan Harris Rosenbaum by Sea-Lake Corporation .by deed dated May 14, 1976, duly recorded with Barnstable County Registry of Deeds in Book 2338 .of Page 124, o? pper�, ilt2ttrus h ... hand and seal this .......................... day of ...... .......... 1 aV Y ... 9.......... .............................................................................. r, ,r,....... .... .... .... ... . .. ............. ............................................................... ........... ........ ............................... ............... .............................................:................................ .............................................................................. C,4r (l ommonwrdI4 of OzisourttuorIls lgGt/'hS �� 9 ss. /� -�3� 19 �d -Then personally appeared the above named Jan. Harris Rosenbaum and acknowledged the foregoing instrument to be his free act • nd deed, before me `D COMMONWEALTH SSACHUSETTS I)]EE ;;dry Public— , m �_ 3 8}N (M My commission t xptTt, 19 fee_ 3 8. l 6=;m ,us—Tenants in Coin:non—Tenants by the Entirety.) CHAPYEI, 183 SEC. 6 AS AiiLENDL•D BY CHAM'Elt 497 OF 1969 Every deed presented fnr record shall contain or have endorsed uron it the :u!! nnmc•, resi•.!:nc:and pJ t o`c-c address of the grantee '.r and a r:cital of II;: amuunt of thc• full cansidcration th:rcof in j0l!.trs or tl'.,: u.thtrc i:` the of:tcr consideration t:,^.refor, if not delivered for 4 i specific monetary sum. Thr It r:-gsidcI:tion shall mein t!:e :otal prier. :. r die :onveynna without Jeducuon for any liens or en- cZunbrancn assrtnt:d by thr ,rantte't•r rcm.tinin-4 0xv.- n. All st;ch cndo srwe ;its and rc-iwls slidi he recorded ac part of the deed. failure to comply with this vtctir.n sh.Ill not alTect lift• t-Aidirh• of aey urd. \„ rer;ister of eed q.-oJs sha;l--icrpt a d fur recording unless it is in compliance with the requirc•ruer.ts of !his smtion. UL� MAY z ,8a t / (THE FOLLOWING IS NOT A PART OF THE DEED, AND IS NOT TO BE RECORDED) CHAPTER 183, SECTION 11, GENERAL LA.ws A deed in substance follawirg the foes, red "Quitclaim Deed" shall when duly executed have the force and effect of a deed in fee simple'to the grantee, his heirs and assigns, to his and their own use, with covenants on the part of the grantor, .for him,.elf, his heirs, executors, administrators and successors, with the grantee, his heirs, successors and assigns, that at the time of the delivery of such deed the premises were free from 2!1 encumbrances made by him, and that he will, and his heirs, executors and administrators. shall, warrant and defend the same to the grantee and his heirs and assigns f ms orever against-the lawful dai and demands of all persons claiming by, through or under the grantor,but against none other. n.. b 01 J p� I' o J x K r!r p r+• _ P. U) C C Z E m.� rr'n ti w 44. J :J �O S3N33M H31id"i S0330 30 A81S1938 J . ; . _A'!.M3 318VISN8n9 n � { �j J (Please1 — print or type) �Js 11tl • Jo MONULTY AND HOPKINS, P. G. ATTORNEYS AT LAW POST OFFICE BOX 457 1441 ROUTE 132 BARNSTABLE, MASSACHUSETTS 02030 617-771-8000 THOMAS J. MCNULTY,JR.* JOHN B. HOPKINS *ALSO ADMITTED IN NEW HAMPSHIRE December 10, 1984 Y Mr. Joseph DaLuz, Building Inspector Town of Barnstable Town Office Building Hyannis, MA 02601 Re: Lot 73 Old Toll- Road, Barnstable (West) - Plan Book 301, Page 99 owned by Philip and Betty Z. Hirschberger - Our File 4442 Dear Joe: Confirming our conversation of December 3rd, fi understand that you are satisfied that this lot meets the necessary criteria for total area in effect at the time of, the plan (October 23, '1975) . Title to Trailview subdivision was in Sea-Lake Corporation; Sea-Lake sold Lot 73 to Jan Harris Rosenbaum on May 14, 1976 by deed recorded in Book 2338, Page 125; because the referenced plan was an "ANR", the' three year period applies with regard to the one acre requirements imposed in the 1974 town meeting. The Sea-Lake to Rosenbaum transfer eliminated any question of contiguous ownership and preserved the buildability of the lot as far as area is concerned. We thought you might want to have copies of the two deeds for your file. Joe, thanks for taking the time to talk about this;. if anything else is needed, please let us know. Otherwise, I take it that Mr. Hirschberger has provided the required documentation for the permit. Sincerely, McNULTY �HOPKINS, P.C. By TJM:nmc Thomas J. McNulty, Jr. cc:Mr. Philip Hirschberger Assessof's map and lot number ..�.�)....1..`.....1�?.... ...... SEPTIC SY Effl MUST BE OFTNEtO —G� INSTAIIE® IN COMPLIANCE Q� ``♦ Sewage Permit number ............ . ........ .0.0..........�� wiTH TITLE 5 t BaSasTenLE, Frouse number .......... . .....1�............................................... ENVIRONMENTAL CODE AEt'. MAea f L� TOWN REGIJI.A$IGWS °o,�,o 63 9.a\0m TOWN OF BARNSTABLE BUILDING I•,NSPECTOR _ ` APPLICATION FOR PERMIT TO ........... o/yJT2vLj tiG..'..... .11 A�4.�r TYPE OF CONSTRUCTION .......... l� !�....... 1... ... ................................... d! .........................//..�0...19.",,".. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 11 LocationLys v ��` ��� ��.....�.T.... - ......................... .//... .................r... ........................ J......... ProposedUse 1�......................................................................... ........................................ Zoning District ........................................Fire District .. .../........ Name of Owner 1�. .. G ..........Address .'.-'�!...... ....... f�> ......... `. %/ .f........ ....... ,Jl �........ Name of Builder .......... ?... r................Address ......�K....... �.....� �.......... Name of Architect ylG ..................Address /2..:"Z......../ .......lv ..........�`...�.... Number of Roo s Foundation ...................... . ............. ................................................................ Exterior ............ .. o �v... .1.�....................................Roofing .:.. °'` T................................................ Floors (�!����'� d` dlio' �..........�.....:...Interior ...................�G.�....F.......:"........ ...................... ..... . ..................... / ' Heating ............../-C�C......................................................Plumbing ..................... /f .......................................................... Fireplace ............. �f ...........................................Approximate. Cost .........��..®G..a............................ Definitive Plan Approved by Planning Board __� i`S_19 Area � O Diagram. of Lot and Building with Dimensions Fee ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH TONS . o� �0 ID OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... .... .................. ................. Construction Supervisor's-License ....:.......................:....... Y tF'IRSCHBERGER, PHOILIP A, r No .,.27409.............. Permit for ............. , .,' Single Family Dwelling ........................ 1.11 cation Lot 73 11 Toll...Road......... West Barnstable ............................................................................... Owner ......Philip.Hirsdibercrer ......................................... Type ,of Construction J!); ............................. ............................................................................... Plot ............................ Lot ................................ .. ............. .... Permit Granted ...J.arluary..10.,.............19 85 Date-of lnspection/7:.F ................19 Dat6 Completed ..�3447...............I "a0l".�00 3 s �Axx, E Awl u > Q f 5 I�5A L— I In- lot.�_ N cxx> , sin is wrc 111� �� t 5.6 8o Teo kA 5F =�6P17 � �/ / / � � �` low, y elX-4:: l �------ 70 17, 711-1 �� t�2- laGSSt� t — g,C 1 i c. ucz 1a.hL ............................c 1 wa cac S 1#JV, IIN IM/ l k.v S cP n L G1,0 lOt•7. IE>�,ib i6 .cPti ' a 8 el SCA - ctd ` t , Q P1r c4a �o - � - 95-0 -- �/ - `1S,7 wA,5HCO I Tb PE -/G = q, .0 -,� �!>•7 vu Sty i t"1�.PaU� Ivl� `Z t i�t. I v ' �-IG.t. Q Na uuntT � ' I DC Fckc '[ S Z "m lu�/ O'C14 ,DeoP to wicku" 1 QSKn R% TA Ar Cl D Wit' � k ucR MSS o>e- n4 E, T ti fit? ;3 r .r q �'�f�`s'r.0 t �'� ��COtLES� �l� .3GQ"� �/>�.' tU:� 2��v"_.- ✓4 No. 19334 O .. iJ =_23 v, a