The URL can be used to link to this page

Home My WebLink About0030 SCORTON HILL ROAD NO. 152 1/3 ORA 0 0 0 0 r� f S,I I• S #, 1 . a i rya r a p. a s 3i `Y V4 � � a ,- IF �y -44 of I'gr..,.,�vs . �� "alp Aw _t ems: 4. aWU _ v , FF z� c S &J-4 / 2�A� , �¢r fr. k Y 3 ,� r l y - a ) 613i � 6-� ^ti i' c � � .. ` _!.- . I � 1 �a. i. � _ ' , - �� -`- ��:a, � 4 �`��• C '$ __ � � 1 a Idl31 1 6-) a i� h 0 t yY. � 613t � � 6�31j0-� v � 4 f 1 1 f- s 4, 10 �3t � O� A �� b.- ;;_� .. -_ _. _., - , - -, .. .�r � �- t ;� ?� � `-Y i��' ti �<f�� _ F. .�ti � �� t Yb�'�,.-o' s" t �° i �. r �u� -s .a �,.r-.:yam �w �� u a �:�, '�` "-, �r �� E'A b \. hl f' '- I b J,�I � b-7 .sh a;( r f r ..r c ) () �,�� j 6� A � r � I 4 1 N l• I� _ .�`' � - *1107 _ � 'fit; �� !� '�, �' s.� :+:. `,' 7� ,c�3,167 ,a '. .��M iy� f .. i � � �� p�� j I`�� 'E� �� a '`r:�'�i",� _— �.� �, � ��i IIY i � �� ' � •r F yA�i I Y � �-1 �. -u ryr.� - '- 'L �_ .. _'�.if. � � c k,� a 0 a t v l }� :i �b� _ `�� f _N .�' �. '�7�- _ �- r -rr- '. S';• +. 1G�3` la, iI i . , _ � �� - - s"s" �� !� ��_�� tr ..�-�r---_--.-�-- .'F r -'�'-_ �.�� «l o► NAME OF OFFEND-' dole, BAR 76380 TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY,STATE,ZIP CODE � y / L J }IANS. S 1 (•� �1 /� ``L t - I �`' \\. I I^) \Y 4 t �'L f /\�-N 't 1 / 1/ \ tl d UJI TIME AND D TE 0 VIOLATION 1 LOC ION OF V OLATION >+ f Z ` NOTICE OF ( - '_, (A.M. ,�P. .)ON I ! zob �" C� �Cde�-a'or� SI N TG E OF.ENF10161 PERSO / ENFORCING DEPT. 1 BADGE NO. w VIOLATION OF TOWN _ P O o I H�R'EBY ACKNOWLEDGE RECEIF COATION X a ORDINANCE Unable to obtain signature of offeq er. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu REGULATION 1 You may elect to a the above fine,either b a Q ( ) y p y y appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, ly before:The Barnslable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a fi! Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST �Y BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this ti( citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of$ Signature NAME OF OFFEND 'I BAR 7 6 3 8 0 ' Y ck v RE TOWN OF ADDRESS Of OFFENDER I BARNSTABLE CITY,STATE.ZIP CODE.- ` O/F IME► , 8:. OFFENS I 1 HAN\,TARI.E. ` nl MASS. 16sq•�e LLi p C TIME AND D TE 0 VIOLATION .71fW'd LOC ION OF V .ATION - . y `> NOTICE OF (A.M. P. .)oN - // 20 $' SI Or-ENFO PERS �- EN ING DEPT. I BADGE•N0. W v S VIOLATION ) �/ . o OF TOWN ~ > < II H BY ACKNO LEDGE RECEIP OF C ATION X a � v ORDINANCE Unable to obtai sign to of ff ec THE NONCRIMINAL FINE FOR THIS OFFENSE IS ~ � r Date mailed J Z L LU > OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL � z DISPOSITION WITH NO RESULTING CRIMINAL RECORD. REGULATION a (1)You may elect to pay the above fine,either by appearing in person between e:36 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W , before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P. Box 2430, � L Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. - a Q u C i (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST '� f RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn.21D Noncriminal Hearings and enclose a copy of this citation for a hearing. 3 If you fall to pay the above offense or to request a hearing within 21 days,or if( ) y p y q g ys, you fall to appear for the hearing or to pay any floe determined at the hearing to be due,criminal complaint may be Issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment In the amount of$� Signature a. O Assessor's•:offioeti°(1st floor): ///_ /1 SINE Assessor's map'and lot number ............................................. �o >o`` Board of Health (3rd floor): Sewage Permit number ............................ � L BAHII9TODLE; Engineering Department (3rd floor): +oo Ma}9• �+ House number a APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........�% }'� I:�...C ....................................................................................... TYPE OF CONSTRUCTION .........A<0?lz...z. !n' ................................................................................... .........................--"/.----...-19- � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / � lYA Location .... ....... 0.�.......: .� .....`.....�.�..................................................................... ProposedUse ........ ........ 1� n?>......................................................................................... .............................. Zoning District ... ..... a .. .........................................................Fire District ...........<....?.�..•............................... ........................... Name of Owner 4.......................................Address �,� ...... Name of Builder`Z�.,! /�J...... ...........Address Nameof Architect ..................................................................Address ..................................�................................................... Number of Rooms ......... ....................................................Foundation ........�QN,4. '�/.�............................................... Exterior ..... ........:.. ..................................Roofing .............. ��?�lr?. f.................................................... Floors .f.Y< .....rroo ................... Interior ....... 1 °G '6. ............. C� —1 Heating ...................c...............................................................Plumbing .................................................................................. Fireplace ..................................................Approximate Cost ........ SDO �...................... .................................................. Definitive Plan Approved by Planning Board --------------------------------19--------- . Area Diagram of Lot and Building with Dimensions �PQ K 7� 2J' aN �98� Fee ............................................. � SUBJECT TO APPROVAL OF BOARD OF HEALTH v '40 s � i i V i r T 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 ... .. Beilman, EF EE I A=111-021--:7, 30653 No ................. Permit for .,,REMODEL & ADD TO. ...................... .........Single...F.ami.lvv.....Dwelling...... ..... .. . .. .. Location ...3.0...S.c.or.t.on...Hill....Road .......... .. .. .. .... .. .... ..... .. . .... .. .. West Barnstable ................................i.............................................. Edward Beilman Owner ..... .................................................... Type of Construction .....F.r.a.m.e......................... ............................................................................... Plot ............................ Lot .............................. , , Permit. Granted. .....April...........:... ..22,..................19 87 , bate.of Inspection ....................................1,9 Date Completed ......................................19 rt-1 .F Y Application to JPPE�P f VAN . c E'S Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a o CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, p' Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs y . _ accompanying this application for: rr a i ' • 60 {, +, CHECK CATEGOES THAT APPLY: v 1. Exterior Building Construction;, ❑ New Building Addition ❑ Alteration KITCFN ENLARGEMENT 181 a 4-4 4' � Indicate type of building: ❑'House El Garage ❑ Commercial ❑ Other 0-0 u "Z. Exterior Painting: ❑ u o k ID a 03. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign' O 0 +'4. Structure: El Fence ❑ Wall ❑ Flagpole El Other 0 V El u o (Please read other side for explanation and requirements). U_i5_86 �$4+TYPE OR PRINT LEGIBLY DATE Page & Line 300-2 d . .0ADDRESS OF PROPOSED WORK 3D SCORMON HTLL RD- ASSESSORS MAP NO. V Edward & Edwina BEILMAN Parcel No. 111-621- 000 3 OOWNER ASSESSORS LOT NO. en � � 0 30 Seorton Hill Rd W. B�. 362 2333 4 SHOME ADDRESS TEL. NO. co; rqFULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public . u o street or way. (Attach additional sheet if necessary). ALIEN BECKER 10 Scorton Hill Rd TED BAUCHMAN 45 Scorton Hill Rd EWRRE:T PAANANFN 145 Main W. Barn. CYNTHIA 1 ATZAI AS 50 Maint W. Barn. o u N 3 o AGENT OR CONTRACTOR STAN ST. PESTER w TEL. NO. 362 3484 to VCunuaqUd ADDRESS c: a M DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). n of Ealargaent of ' kitchen area oApprox size: 14 X 18 with Gable Roof sidiag of cedar shingles .both to conform 0 h to existing structure. .P414 u Si nedC� �' / ?�`�� 9 , Owner-Gowtfeetor.=ftgeitt 14 3 pace •for C ttee use. in F' Date The Cer ' icate is hereby Date uj Time 2,_F_tu� 1-o a, T f1. F V,. 2 �4 1986 d Approved IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. - • � Disapproved ❑ i i i - - Assessor's o a and floor): _ � • SYSTEM MUST BE �0*�"E Assessor's map and lot number ............................................ �� Board of Health (3rd floor): r . ^ TALLED IN COMPLIANCE Sewage Permit number ........................... Q�BTH TITLE 5 i 13As39Tsnce. Engineering Department (3rd floor): ° �`�q?��p_ SOT aj'." moo 639 House number .................................................:...................... 0 All k, APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING - INSPECTOR APPLICATION FOR PERMIT TO ............. :o. .. ........................................................................................ TYPE OF CONSTRUCTION ........ ..................................................................................... ................................................ 19.. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the follow.ing information: Location ��........ �nioi zl a�........./. G......!!.!.�1..?.......... N ......:....................................... ................ .................... i ProposedUse ........ ................................................ ............ ........................... .............................. Zoning District ...... ................. ....Fire District ........... Name of Owner6/ �°. c�k�ir s........... ..'........ ............ /Address ..- Q......S ...... ........... Name of Builder\ ...........Address Nameof Architect ......`........................................................Address .................................................................................... Number of Rooms .......... ....................................................Foundation ......... ....... G 6 ................................... ........... Exterior .....C..0 :.Gs' '.........�5!!/,zyq....eir'..................................Roofing .......... rrJv�.. !� .................................................... ,......D.Y.r.. ............. sG� Floors ........��'�{i.' -� �raa .................................Inter�or ....................��.. .... ............................................... Heatingl ... ...........................................Plumbing .................................................................................. Fireplace ...................................................................................Approximate Cost %cS�,i"Q�� ........... ........................................ ........ Definitive Plan Approved by Planning Board --------------------------------19-------- • Area .� .......... Diagram of Lot and Building with Dimensions x 7t". ay' 198 9 9 Fee ....................................................................... SUBJECIT TO APPROVAL OF BOARD OF HEALTH-- -- h. 1 sn t I � I p I I 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstable regarding the above construction. ` I Name . .. .. ... :... .. .. ..tisQi�-.r:r.................. Construction Supervisor's License BEILT MAN, EDWARD No ..30653 Permit for Remodel.. &.. ...AD.D.. TO .. ....... .. .... . ..... .. Single Family..Dwelling.,,,,,,.,. .................................. .. ..... LocatioA 3...0.....S..c...o...r...-no...n...H..i.l..l...R.oad .......... W' est...J�.aX aq.t ab,e.... ............ . ................................ EDWARD BEILLMAN Owner ...... ....... ------- ............. Type of,Construction Frame.......................... ..................................................................... ...... Plot .......MM.................... Lot .......... ........ ....... Permit Granted ......Apr11...2.2............jq 87 1;47 Date of Inspection ...... ................19 Date Completed .................19 1.61 U, F�- kv Town of Barnstable tPermitg,;& Expirxs 6 months from' date Regulatory Services Fee MAS& T'homas F.Geiler,Director °eta Building Division Tom Perry,CBO, Building Commissioner CJ' 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY / Not Valid without Red X-Press Imprint Map/parcel Number- /`�� L oTa� Property Address es7` Residential Value of Work 'vC Minimum fee of$25.00 for work under$6000.00 Owner's Name do Address Contractor's Name T �� - S v�17a� z1o.T� Telephone Number SdS—5 5PS — 7-:�101'3 Home Improvement Contractor License#(if applicable)c ��3 ASB 59 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: El [am a sole proprietor X-PRESS PERMIT ❑ I am the Homeowner .JUL 2 9 2008 (5E�4 have Worker's Compensation Insurance Insurance Company Name ��G,-,, � S /Q TOWN OF BARNSTABI.E Workman's Comp.Policy# ��7 tUCJ err; Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) �� / �/ /,�jQN •,/J ��/ i /� /p��p /� / e-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) �QJVSl�1_in _ _ °Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc ***Note: Prope Owner musf sign Property Owner Letter of Permission. Hom mprovement Contractors License is required. i; ?,(;ui SIGNAT'UR . Q:Forms:expmirg Revise071405 i a Town of Barnstable o Regulatory Services S B-MMSTABM MAsa $ Thomas F. Geiler,Director. TFo.59. & - Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 as Owner of the subject r p operty hereby authorize c a CL to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signs e er Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. The Commonwealth of Massachusetts Department oflndustrial Accidents Office oflnvestigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers}Compensadon Insurance.Afiddavit;,Builders/Contractors/EIecMcians/PIumbers A-Pplicant Information Please Print Le 'bI Name(Business/Organization/lndividual): i �GTIa/✓ v.yr- 1 j��c. -Address: /o S r� .� �✓� 59�• City/State/Zip: Phone.#: 3-D Are you an employer?Check the appropriate box: 4. I am a Type of project(required): I am a employer with�_ ❑ general contractor and I employees(full and/or pad-time). have hired the sub-contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or ps rtner- listed on the-attached sheet. 7. ❑Remodeling. ship and have no employees These sub-contractors have S. (�Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance cam.insurance.$' 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions '3.❑ I am a homeowner do' till work officers have exercised their • � 11.❑Plumbing repairs or additions mtysel£ [No workers'comp. right of exemption per MGL 12.❑Roof repairq insurance segnired.]t C. 152, §1(4),and we have no employees.[No workers' .•13.❑Other comp.insurance required.] 'Amy applicant ffi&checks box#I must also fill out the section belowshowing their work m,compensation policy information. t homeowners who subrot this affidavit indicating[bey are doing all work and then hire outside contractnm must submit a new affidavit indicating such. iContractors that chock this box must attached an additionalsheet showing the name ofthc sub-contractors and state whether or notthose cutitics have MMIoyees. If the sub-contractors f we employees,they mast provide their workers'camp.policynumber. lam an employer that is provlding workers'compensation insurance for my employeem Below islhe policy and f ob site information. Insurance Company Name: �j' Policy#or Self-ins.Lic. Expiration Date:__6� 8' ,,& 9 Job Site Address:,Z_3 V C e�j�,7 (✓r—4 City%State/Zip:�z�i'" Attach a copy of the workers'compensation policy declarafion page(showing the policy number and expiration date),. Fare,to secure coverage as required under Section 25A ofMG'L c. 152 can lead to the imposition of criminal penalties of a fine lip to$1,500.00 and/or one-year imprisomnen4 as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of luvestiLrations of the DL4,for insurance coverage verification. Ido hereby ce an r thepains•andpen& es ofperju)y that the information provided above is true acid correct: Sitmatur . Date: rh ly. Do not write in this areaYb be completed bycity or town official Permit/License# rity(circle one): alth 2.BuildingDepariment 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector License or registration valid for individul use only J/ee-�mbwnaouae�0a_�✓l�mt¢r.Gu+�dd Board of Building Regulations and Standards before the expiration date. If found return to: s HOME IMPROVEMM CONTRACTOR Board of Building Regulations and Standards Reptatratton:. One Ashburton Place Rm 1301 15g5g� Boston,No.02108 Exp>iratipr►: 21aP2010 Tir# 264153 10e: Private Corporation T.L.HCfCHCOCK•'SERVICESINC. TED HITCHCOCK 105 FERNDOC RDA Not with t signature HYANNIS.MA 0266a Adudnlstrator rs �� Boar oI` uifIin' a ns an g - One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 158587 Type: Private Corporation Expiration: 2/8/2010 Tr# 264153 T.L. HITCHCOCK SERVICES INC. TED HITCHCOCK 105 FERNDOC RD HYANNIS, MA 02668 Update Address and return card.Mark reason for change. Address (] Renewal Employment ❑ Lost Card • sori•aro;•Pca:�en I 04/14/2008 15:15 508-790-0249 GOL.DMAN & ASSOC. PAGE 02/UZ ACORD CERTIFICATE OF LIABILITY INSURANCE As DATE(NMIDD/YYWI HI�50 1 04 14 08 PRODUCER THUS CERTURCATE IS ISSUED AS J HIATTER OP INFORMATION GOLDbW 6 ASSOCIATES INSURANCE ONLY AND CO%I`ERS NO RIGHTS 11"M THE CERIl l ICATE FINANCr L 3SRVICES INC. HOLDER.THiS CERTIFICATE DOE NOT AMEtiD.EXTEND OR 933 E'ALmuTH RD. ALTER THE COVERAGE AFFORDE 7 BY THE POLICIES BELOW. HYAMXS MA 02601 Phone:S08-775-6010 Past:S08-790-0249 INSURERS AFMRDING COVERAGE _ NAIC S INBUREO - VaURER& ESSEX INSQRAPKM_CO elsuma: PILGRM nmwn -m CO. T. L.CBriN HCOCK CON8TRIICTIOV INBVAEar. GRANITE m9m 11490PIURM CO 10 IN HY75',NLQISQ2601 gR9uRE1tD aLSRRRr-Re COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSLJRED NAEAEO ARM FOR THE POLICY PEi00D INDICATED.NOT'an ISTANDIRG ANY REQUIRENtENT.TEM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W(Itt RESPECT TO WHICH THIS CERTWICATE MAY HE C:;M 0 OR MAY PERTAIK THE 0WRANDE AFFORDED BY*M POIJGW OEBGRIBW HUM N BUW=70 ALL VIE T016,MIAMMM AND MOM tO OF M= POUCtM ACGIM"TE LIMIM SHOLVU NAZI RAVE SEEN REDUCED HY PAID CLAM LTR Va'R11 Typeormsumce POLICY NUWME R OAia DATEJUNVOMM _ LRTRH GENERALLIABILITY EACHI CC JRRENCE a 1000000 A X rX MUAM9tCMGEKERA.iwaLJTY *3CP2332 07/28/07 07/28/08 PAt30 $50000 CLAMIS MOF ® ZTYRERM OCCUR alert E P((.uya,e pmcelq s 5000 PERSC JAL BADV MWRY 21000000 GEC 1J. EGATE 32000000 GWL AGGREGATE LURT APPLIES PER: FROM:r.-COMPMPA e 22000000 POLICY El ECT LOC AUTOMOBILE UABUTY COdJ81•tA 89J01F L61dIT 13 ANYAUTO PGC10008214230 12/20/07 12/20/08 ALL OWNED AUTOS HOD0.' INJURY s 25000Q SCIEDULEDAUTOS (P-pe— S HtREDAUM amw PuURv X NON-0LUNEDAUTOB (p-00 do* 3 5000Q0 PROPS fn DAMAGE 4250000 (Parser Need) GARAGELUIBL.TTY AUTOI Nl-tJ1ACt�ENT S ANY AUTO OTEEF THAN EAACC 3 AUTO'hW- AGO b tDtCE6GRIMST4MIAUARUM EACH.C_CAIRENCE s OCCUR CLAIMS MADE AGGRJ GAIE S DEDUCTIBLE RETENTION R 3 WORRENSCOMMISAIMAND TC.wRaAddTS ER C AN�PRaowEtOwPEMPLOYOW� 2246969 03/28/08 03/28/09 EL.JTA 41/ 3500000 OFFICERAJEt08ERF�(CLUDEOT ELOU:�F-EAEMPL s 500000 It a�eumelrmer — SPCGALOROViStONSOetmw ELDI!A_E-POLWYLWT 3 500000 OTHER DE9QRIPTIONOFOPERA710HStt00ATPAldS/VElDC1Esi BY R99NENi/Sa'ECRALPROUIsdnN3 TIE C8R72I`ICMM HOLDER IS LISTED AS AODITIOML INSORSD ATINh ACCORDING :0 THE POLICY PROVISIONS CERTIFICATE HOLDER CANCELLATION _ CARAMT SRO=ANY OF THE ABOVE DESCRIBED P01qMSBEGANCELLEDHEFORd1 THE PX IRATWN DATEivene r.imma@dGdNSHRER9m NDsmmiaToWR 30 DAYDfAMITM NOTICE TO THE CERTIFICATE HOLDER NAfXE3 TO THU LEFT,MR FAILURE TO 00 BO SHALL WOSENDOHLRIATEONOR LIABILITY OFAR' IMID UPON THEIJLSURER,ITS AGENTS OR A D APMENTATIVE A2� ACORD 2S(20IMB) O ACORD CORPOPATIOPS 19M I Cape Cod Cooperative Bank 11399 25 Benjamin Franklin Way B k 7 7 25 P S 42: 4 2 P Hyannis,MA 02601 f!3--��'"'�-� -f,� File No: 11593 Property Address : 30 Scorton Hill Road,West Barnstable,Massachusetts 02668 [Space Above This Line For Recording Data] MORTGAGE ' DEFINITIONS Words used in multiple sections of this document are defined below and other words are defined in Sections 3, 11, 13, 18, 20, and 21. Certain rules regarding the usage of words used in this document are also provided in Section 16. (A) "Security Instrument" means this document, which is dated March 4, 2008, together with all Riders to this document. (B) "Borrower" is Theodore L.Hitchcock. Borrower is the mortgagor under this Security Instrument. (C) "Lender" is Cape Cod Cooperative Bank Lender is a corporation, organized and existing under the laws of Commonwealth of Massachusetts. Lender's address is 25 Benjamin Franklin Way, Hyannis,Massachusetts 02601. Lender is the mortgagee under this Security Instrument. (D) "Note" means the promissory note signed by Borrower and dated March 4, 2008. The Note states that Borrower owes Lender Two Hundred Eighty Thousand and 00/100 Dollars (U.S. $280,000.00) plus interest. Borrower has promised to pay this debt in regular Periodic Payments and to pay the debt in full not later than April 1,2038. (E) "Property" means the property that is described below under the heading "Transfer of Rights in the Property." (F) "Loan" means the debt evidenced by the Note,plus interest, any prepayment charges and late charges due under the Note, and all sums due under this Security Instrument,plus interest. (G) "Riders" means all riders to this Security Instrument that are executed by Borrower. The following riders are to be executed by Borrower[check box as applicable]: 0 Adjustable Rate Rider ❑ Condominium Rider ❑ Second Home Rider ❑ Balloon Rider ❑ Planned Unit Development Rider 0 Other(s) [specify] EXHIBIT"A". IN 1-4 Family Rider ❑ Biweekly Payment Rider MASSACHUSETTS—Single Family--Fannie Mae/Freddie Mae UNIFORM INSTRUMENT Form 3022 V01 (page 1 of 16 pages) 01986-2tM8 Standard Snlutinns.Inc.7R1-324-055n FNMt¢MA ^ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel Application # evo � 7 r� Health Division r' Date Issued v� • . . r� Conservation Division—��o Application Fee Planning Dept. 7 Permit Fee C) Date Definitive Plari Approved by Planning Board Historic - OKH Preservation /Hyannis P_ro��e&Street'SAdciress ,ill Sc �-d7�pi vy . Ac�Yvosn-i t .ram • Telephone- S-Ug -_7 7 -7 7 6 9 Permit Requester K 1 T Sial L. gtyzs e max' b.,03 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new . Zoning District Flood Plain Groundwater Overlay Project-Valuatiori"1 PCX). Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: O Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number--of-Bedrooms- Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No �J Detached garage: 0 existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing if nevtzi size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: cif Z, CIO Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ > Commercial El Yes ❑ No If yes, site plan review# <ti w Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name- umber Adder-ress' �( ( .S�J 7 �f;�� w i�,h 0) License # Home Improvement Contractor# /661 � Worker's Compensation # A W C 7 Gad/qd/ I ci dF ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C c s e I/ CA 12i�- ro y ff S c-►-Q i c= e 62,� An m A. W rn CA �SIGNATUREF' JC' , / /�� ie='Jv�-� DATE Q' — . `I - O F FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP/PARCEL N0. .ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION •FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH } FINAL PLUMBING: ROUGH s FINAL ! `GAS: ROUGH- FINAL t FINAL BUILDING O ' DATE CLOSED OUT f'_ ASSOCIATION PLAN'NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations '600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print LeLyibly Name(Business/Organization/Individual): So Y 1—_,/ Address: 6)( 1 S 12 City/State/Zip: ,S� u, toc ojrbg Phone.#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction ployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.# required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. 1 Insurance Company Name: Policy#or Self-ins. Lic.M A Ili e ?0 X9 I P d U aY Expiration Date: Ud C/ Job Site Address: City/State/Zip: tJJ �iGY tJ�7ct,b 1'e� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). CEO-VG 3 Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Phonek M — F31 IOfficial use only. Do not write in this area,to be completed by city or town official.ity or Town: Permit/License# ssuing Authority(circle one): .Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone M . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract form the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary,supply sub-contractor(s)name(s), address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and:under"Job Site Address" the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-$77-MASSAFE Fax# 617-727-7749 Revised 1.1-22-06 www.mass.gov/dia � G -�— �^„/fie T�onv�naruueizlCl,a�✓�,a�r�c�iuzd ^. `-, ,• ry . tiaard of Biiilding l egulatious antl Sfandards �. i'' License or registraiioti•valifl for indiVidul us"My. t NOME IMPROVEMENT CONTRACTOR hefure the ekp ration date. -If found.return to: '1?qqii &of Building RegulatiQgs ar 4iandards Registration 1 0363 ;;.. 'Jtie Ashburton Place$m 1301. Ex�gjrationc:3/27/2008 B -r •% oston,Ma.02108 Type r`3A i. -kEtNE'CONSTRUC- ION 1 84 KNOTT AVENUE ^-` SANpI/NICH MA 02563 Dqtyidministrator i —valid without sigrature't — SOAP;D OF BUILDINR G' License:.CONST, EGULATIONS UCTION SUPERVISOR to t Number: CS'.i"�''.•`049941 i. Expires 05/29/2008, Tr. no: 25217 Restricted:."1G BARRYM KEENE 84 KNOTT AVE/PO BOX 1517- SANDWICH, MA:02563, >. G'" '- ' ;_- ommiss r Y' �oFZHEr° Town of Barnstable r r Regulatory Services * BARNSrABLE, r MASS, Thomas F. Geiler,Director Fo;9;. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 T-C. C 00 as Owner of the subject property Ae-r--by authorize C q;Y%-�%` .eat to.act_on my behalf, in all matters relative to work authorized by this building permit application for: n (Address of Job) i nature-of Owner-' /Date- -,---/ - ---_ _ ( 2 -" - Prinf_Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM&O WNERPERMISS ION Town of Barnstable ZHE Tp�� y�P Regulatory Services + BARNSTABLE, Thomas F. Geiler,Director MASS. i639• A,0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-7907-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: J,W LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemptions fo`,,homeb Anvers"was exten ed to/' clude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire wh oes not possess a license,provided that the owner acts as supervisor. DEFINITIO OF HOMEOWNER Person(s)who owns a parcel of land on which he/she es'des or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached st ctures accessory to such use and/or farm structures. A person who constructs more than one home in a tw9-,year p riod 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 res onsible for all such work performed under buildinpermit. (Section 109.1.1) The undersigned"homeowner"assumes respo sibility for con liance with the State Building Code and other applicable codes, bylaws,rules and regulatio S. The undersigned"homeowner"certifies th he/she understands th Town of Barnstable Building Department minimum inspection procedures and,requi ements and that he/she ill comply with said procedures and requirements. Signature of Homeowner Approval of Building Official 10 Note: Three-familydwellings 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 •ermit is required shall be exempt from the provisions of this section(Section'109.1.1 -Licensing of construction Supervisors);provided that if tT 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,Section2.15) 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 =r �(✓I 1 �j 4.0� $�-�-�► KI 40 L P X s o� `r O 36 N N t� . ` . �rV( �'1 L� ��U ry( �--� O N ,n � � ) —J '� -y V "� �� ' � � � r c � �.� 2 ��/�s Ll� � Qoo+^t i