Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1917 SERVICE ROAD
I q 17 dew cQ , 6 :A UPC 12543 Nowt WARTINGS. wig __., .. .. :.-t�.:.�.t.:�s,",__ •--__-. ._� �,.�-- -`,":=—'^"±;.----'.-.r•�-+.---.r-.. __ �,�..w�.,...a�a�N>,,..��:iieau.ur"F' -'...-.-.. -,.... ..,�+^t-n-.: _ -- -,..r,.._,� ,-••1-+r�,., , +.-;_•,_.-�.+. oil, 77 7Y .r' yf I Wells Fargo Bank,N.A. I Home Campus MAC: 170012-01G Des Moines,TA 50328-0001 Ph:877-617-5274 07/29/19 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street Hyannis, MA 02601 Regarding Property Registration at: _ 1917 Service Rd_ West Barnstable, MA Tax Id: 194-045 Dear Sir/Madam: The property above has been paid in full and the lien released;therefore,Wells Fargo no longer has interest in the property and is no longer the responsible party.Please update your registration records. Sincerely, Angela Pryor Research/Remediation Analyst a 0 Wells Fargo Bank, N.A. svog ts Angela.L.Pryor@welIsfargo.com me • �1Y- Town of Barnstable 367 Main Street, Hyannis, MA 02601 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which.the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information)and the first paragraph,,of o 0 section 2(foreclosing party, court, etc. and foreclosing party representative, but pot other-- representatives and attorney) so that the Town can review the exemption and,uftbate its -1; records: N/A J n Section 1 —Property Information Property Address: 1917 SERVICE RD. WEST BARNSTABLE MA 02668-00003 ^' Assessors Map#: 194 Parcel#: 045 Land area and description unknown Building(s) description and contents Single Family Dwelling ' Occupied: Yes Occupant(s)(if borrowers so state and include name(s)) unknown borrower deceased Phone: (877) 617-5274 email: codeviolations@wellsfargo.com other: Fax:(866)512-0757 Vacant: n/a Date: n/a Anticipated Length of Vacancy: n/a Last occupant(s) )(if borrowers so state and include name(s)) unknown Phone: (877) 617-5274 email: codeviolations@wellsfargo.com other: Fax:(866)512-0757 Has possession been taken no If so, please explain and complete and file the maintenance and security plan form(unless exempt as stated above) See attached Vacant Building Plan Section 2—Foreclosing Party Information Foreclosing Party(full name/title) Wells Fargo Bank, N.A. Foreclosure Case Court: 18 SM 002480 Docket# 384168 i I Date filed: 04/13/18 Current Status: ACTIVE Foreclosing Parry's representative(s) for property (entry, management,repair, etc.)(name, title,): Wells Fargo Bank, N.A. Company (if different from foreclosing.party): n/a Address: n/a Phone: n/a email: n/a 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: See above Company(if different from foreclosing party): N/A Address: N/A Phone(s): N/A email(s): N/A other: N/A Name,title, other: N/A Company(if different from foreclosing party): N/A Address: N/A Phone: N/A email: N/A other: N/A Attorney representing foreclosing party Michael S Driscoll, Esq. Firm name(if different from attorney's name): HARMON LAW OFFICES PC Address: 150 California St. j Phone(s): 617-558-8402 email(s): unknown 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. Amy Rogers,Wells Fargo Bank,,Digitally signed by Amy Rogers,Wells Fargo Bank,N.A.,VP Loan Documentation 04/18/18 N.A.,VP Loan Documentation da?e2018.04.1811:40:17-05'00' Date: Name:Amy Rogers,Wells Fargo Bank,N.A., Title: VP Loan Documentation I 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 21174 DATE(MMIDDIYYYY) ACo CERTIFICATE OF LIABILITY INSURANCE 3/25/2015 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 Wells Fargo Certificate Service Center Wells Fargo Insurance Services USA,Inc. PHOIAICNE 404-923-3719 FAXA/C 1-877-362-9069 No 3475 Piedmont Rd E-MAIL wfis.certificaere ues wesar ADDRESS: t t llfo.com q @ g Suite 800 INSURERS AFFORDING COVERAGE NAIC tI Atlanta,GA 30305 INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: Wells Fargo Home Mortgage INSURER C a division of Wells Fargo Bank,N.A. INSURER D: 90 South 7th Street, 14th Floor INSURER E: Minneapolis,MN 55402 INSURERF: COVERAGES CERTIFICATE NUMBER: 8901677 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DPOLIDIYYYY MM LTR DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY A MWZY 304056 04/01/2015 04/01/2020 EACH OCCURRENCE $ 10,000,000 CLAIMS-MADE MOCCUR DAMA ET RE TEED PREMISES Ea occurrence) $ 10,000,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY S 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 10,000.000 X POLICY❑PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG S 10,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION S S A WORKERS COMPENSATION MWC 302638 04/01/2015 04/01/2020 X STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑N NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1.000,000 IL yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION Wells Fargo Home Mortgage, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN a division of Wells Fargo Bank,N.A. ACCORDANCE WITH THE POLICY PROVISIONS. 90 South 7th Street, 14th Floor Minneapolis,MN 55402 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) Barnstable, MA Vacant Building Plan Current status of the Building: The building is secured; all doors and windows are locked. If the property utilities are on when we find the property abandoned, we will transfer the utilities into our name and leave active. If we find the property to not have any utilities we winterize the property according to investor/insurer guidelines. Plan of action for exterior building maintenance: We inspect and maintain our properties. We work to keep the property secure and free of any health hazards and/or debris. Wells Fargo also schedules our grass cuts twice a month. What improvements are planned? If the property is in need of repair to avoid a code violation, we will review and take any appropriate action. If there are insurable damages, we will file an insurance claim and review for repairs. What is the scheduled date of re-occupancy? Approximately 90 days after the foreclosure sale is confirmed. Building to be sold or rented? The building is to be sold. Certificate of Occupancy: The buyer will be responsible for re-certification and occupancy inspection with the city. Is property to be demolished? There are no current plans for demolishing the property. The city will be notified if there is a change of action. WELLS FARGO BANK, N.A. CONTACT INFORMATION For questions or concerns regarding a property registration issue please contact the Property Registration Department. Property Registration Department Registrations@welisfargo.com For other inquiries please route applicable requests to: Building and Code Compliance Department CodeViolations@wellsfargo.com Utility Bills ConvUtilitvPmt@wellsfargo.com HOA or Condominium Dues or Fees HOAPmtRequestFH@wellsfargo.com Tax Related Requests: TaxGatekeeper@wellsfargo.com REO property inquiries PASAPinguiries@wellsfsargo.com Insurance Claims HazardClaims@wellsfargo.com General Property Preservation Property.Preservation@wellsfargo.com For questions regarding purchasing a Wells Fargo property please contact 1-877-617- 5274. You may also contact our dedicated property preservation call center at 1-877-617-5274 Monday— Friday from 8:00 AM —9:00 PM EST. Please note all legal documents should be sent to our legal mailing address below: Wells Fargo Bank, N.A. 1 Home Campus MAC F0012-01G Des Moines, IA 50328 f Wells Fargo Bank NA MAC Foo12-o1G One Home Campus • ' Des Moines,IA 50328 Ph:877-617-5274 04/18/18 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main St. Hyannis,MA 026o1 Completed Property Registration for: i9i7 SERVICE RD WEST BARNSTABLE MA 02668-0000 TAX ID: 04945— _ Dear Sir/Madam: Please see the attached property registration form and use the below contacts to expedite any future requests. Code Violations: CodeViolations@WellsFargo.com Property Registrations: Registrations@WellsFargo.com General Property Preservation: Property.Preservation@WellsFargo.com Call Toll Free: 1-877-617-5274 For questions regarding purchasing a Wells Fargo property please contact 1-877-617-5274. Sincerely, ,Amy Rogers, Wells Fargo Home Mortgage MAC Fo012-o1G One Home Campus Des Moines,IA 50328 -amy.l.rogers@wel.sfargo.com - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Ll Parcel O B Application. Health Division Date Issued Conservation Division �AR 6 ?O' Application Fee Planning Dept. OwN OFe�A 6 Permit Fee 2(� Date Definitive Plan Approved by Planning Board �S 4&46 Historic - OKH _ Preservation/ Hyannis 10 E'rv+pa-L Project Street Address Village EST 6,4 STPty- (� Owner Address Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ,(W Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new f Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name d Telephone Number ' g .gg$ •��� -- Adaress (=1 License # C S- ri Home Improvement Contractor# ��53 Email \ M1oQj'JrdiQ`4,� Porker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 6 SIGNATURE DATE ` FOR OFFICIAL USE ONLYV: APPLICATION # r_ DATE ISSUED' V =- MAP/ PARCEL NO. = ADDRESS VILLAGE - OWNER - DATE OF INSPECTION: FOUNDATION S OAVS t/�i�f,9 KB6�) ® Q l FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: . ROUGH FINAL GAS: ROUGH. FINAL FINAL BUILDING: F DATE CLOSED OUT ASSOCIATION PLAN NO. Massacinuse-s -Oeoarrrent a?==.o::c Sate Board of Buticting Regu ano^s ar S_andaras :ceise CS404344 MARK W BUELL PO ROX 453 MONUM14T BLEACH B!<A_2S53 0410212016 `'• 9 JW Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration - Registration: 175338 - -- Type: Corporation Expiration: 5/8/2017 Tr# 266679 MAYBRUCK HOME IMPROVEMENT; LLC MARK BUELL 9 HERRING POND RD. _ PLYMOUTH, MA 02360 - Update Address and return card.Mark reason for change. sCA 1 c: 20,',ri-osr i Address ❑ Renewal Employment Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only aFHOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: G , :Registration: :.175338 Type: Office of Consumer Affairs and Business Regulation --_Expiration:-;.-.5/8/2017:. Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 RUCK HOME IMPROVEMEW1:LLC. MARK BUELL 9 HERRING POND RD:: PLYMOUTH,MA 02360 Undersecretary Not valid without signature Control No: 34424 THE COMMONWEALTH OF MASSACHUSETTS • DEPARTMENT OF LABOR ` DIVISION OF OCCUPATIONAL SAFETY 19 STANIFORD STREET,BOSTON,MASSACHUSETTS OZ 114 LEAD-SAFE RENOVATION CONTRACTOR LICENSE MAYBRUCK HOME IMPROVEMENT 9 HERRING POND RD PLYMOUTH MA 02360 LICENSE: LR000335 EXPIRES: Wednesday, February 17,2016 IN ACCORDANCE WITH M.G.L.C. 111. § I9713(b)AND 454 CMR 22.04,THIS LICENSE IS ISSUED BY THE MASSACHUSETTS DIV. OF OCCUPATIONAL SAFETY TO THE CONTRACTOR ABOVE FORTHE PURPOSE OF FNGAGING IN LEAD-SAFE RENOVATION AND MODERATE-RISK DELEADING WORK. THIS LICENSE IS VALID FOR A PERIOD OF FIVE(5) YEARS. • THIS LICENSE MIST BE MAINTAINED BY THF.CONTRACTOR IN ACCORDANCE WITH M.G.L.C. 111. § 19713(b)(2) AND 454 CMR 22.04 WHEN ENGAGED IN LEAD-SAFE RENOVATION AND MODFRATF-RISK DELEADING WORK. FATHER E. ROWE,ACTING COMMISSIONER Pnnted an Recycled Paper ' 1 ' MAYBHOM-01 THANNULA ACO�'O" CERTIFICATE OF LIABILITY INSURANCE' DATE(MM/DDn'YYY)9/30/2015 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 OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED RESENTATIVE 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: H.J.Knight International H CON E Ext:(781)966-3700 AX No:(781)966-3701 30 Braintree Hill Office Park EIL Braintree,MA 02184 ADD MAREss:info@knightint.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:ROckhlll Insurance Company INSURED INSURER B: Maybruck Home Improvement INSURER C: 9 Herring Pond Road INSURER D: Plymouth,MA 02360 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEADDL POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A I X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR GENL010800-02 09/2212015 09/22/2016 DAMAGE TO RlEwreu_ PREMISES Ea occurrence - $ 100,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 rGEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT $ LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per..dent UMBRELLA UAB OCCUR EACH OCCURRENCE $ --I(EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 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 PROOF THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LI DATE(MM/DD/YYYY) ��I�I� II���II�C� , 09/24l2095 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 LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED RESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. PORTANT: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: PHONE Automatic Data Processing Insurance Agency,Inc. ac No End: FAlC No 1 Adp Boulevard E-�wL Roseland,NJ 07068 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC INSURED INSURER A: AmGUARD Insurance Company 42390 MAYBRUCI4 HOME IMPROVEMENT LLC INSURER B: 9 HERRING POND RD INSURERC: Plymouth,MA 02360 INSURERD: INSURER E• INSURER F COVERAGES CERTIFICATE NUMBER: 393774 RE1/ISION 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 TYPEOFINSURANCE INSO WUD POUCYNUMBER POLICY Ig�p EXP LIMITSCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-ME F—IOCCUR PREMISES Ea occurrence S MED EXP(Anyone person) ' S PERSONAL&ADV INJURY S GENT AGGREGATE LIMIT APPLIES PER POLICY❑PROJECT- ElLOC GENERALAGGREGATE S OTHER.- PRODUCTS-COMP/OPAGG s UTOMOBILE LIABILITY s COMBINED SINGLE MIT S Ea accident ALL ANY AUTO BODILY INJURY(Per person) S AUTOS AUTOS SCHEDULED HIRED AUTOS NON-OWNED BODILY INJURY(Per accident) S AUTOS PerraE dart SAGE S UMBRELLAtJAB S OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE g DEO I I RETENTIONS AGGREGATE WORKERS COMPENSATION S AND EMPLOYERS'UABIUTY YIN x STATUE ER ANY A OFFICER/MEM ER EXCLUDED?ECImVE ❑Y NIA N MAWC69S982 EL EACH ACCIDENT S 100,000 (Mandatory in NH) 09/22/2015 09/22/2016 If Yes.describe under E.L DISEASE-EA EMPLOYEE S 100,000 DESCRIPTION OF OPERATIONS belmv E L DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 • THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. l i AUTHORIZED REPRESENTATIVE a A©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 40 UVThe Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia. Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians&lumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Lndividual): uCL11C� ,� �rnClY'�UP`n1P Address: \nc pOn� �oG City/State/Zip: pV„ NA Phone Are you an employer?Check the appropriate box: Type of project(required): I nm a employer with _employees(full and/or part-time).* 7. []New:construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required_] 8. ❑Remodeling 3.®t am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. twill 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 5.rl 1 am a general contractor and L have hired the subcontractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.* 13-DRoof.re airs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.�.Dther - 60 152,§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. *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 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �^ Policy#or Self-ins.Lic.#: Expiration Date: q. a Q Job Site Address: City/State/Zip: , Attach a copy of the workers'compensation policy declaration page(showing the policy number;and expiration kae 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 certify under th ins and penalties of perjury that the information provided abov is true and correct Signature: Date: k -Ag IlP Phone#: 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#• o� Ty Town of Barnstable Regulatory Services ' E A1S711}CPIATa i WA g► Rirhzrd P.Sca14 Di ed br BuU&mg Division tCamPen7,Bmffdb3g,Conmdsdaner 200 Main Street,Hyajs,MA 02601 www townlarnstabk-emus Office: 509-9624038 Fa= 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject pz1°PeltY byaLl�loi(TP iD Q to act on mybelialf in all matters relative to work audio&-ed bythis bml�pest application for. . ti (Address of Job) 'Pool fences and alars are the respons.ibE7 of the applicant Pools are not to be fr7led or 4�d before fence is installed and all final ' inspections.are per[b=ed and accepted. -,:S• of Owner- S• 24LAppTTra Print Name Pri=Name Dare . QFox�rs�wi��at,�sror�ooLs ' r Tam of Barnstable Regulatory Services ova r � Richard V.Scafi,Director a -f B�IdimgbvMon Z M&MzQlLU Tom Perry,d�.7 ing . CommTaainner 200 Main Street;, Hynds,MA 02601 `rm www;tntvmbarm�Ir_ma-IIs - Office_ 508-962-4038 Fax: 508-790-6230 ' - Hon�owr�sLrc��orr •DATE:. .. JOB IIX A OK-- sitrtt �� . anmbQ- h®kph=.#• wo�cp&one# CURRENT ADDRE.SS: - d rip code The current exemption for`-homeowners"was extended to inclpde owner-occupied dweIImas of sit tmits or less and to aIIoW homeowners to engage an individual for hire who does notposscss a license,pt oyidEd that the;owner acts as spRamsor- DEFRu11ON OFHOMBOWNT Person(s)who owns a parcel of land on which he/she resides or intend-to reside,an which there is,or is intended to be,a one or two-- Emily dwelling,affa.chtd or detached stroctmes accessory to such use and/or farm structures. A person who constructs more than one home in a two-yew period shall notbe cousidrred.ahomeowner. �uh`homwwner".shall mbmitta the B-Icing Official on a form acceptable to the BTalr mg Official.thathrlshe shall be resoonsmle for all sachwoIrkpesfi= mmdarihebMIdh.a;permit (Scctian 109.L1) The undersigned`homeowner"assumes re?MMIIUy for ca�Iiance withthe SYa Bmlding Code and other applicable codes, bylaws,roles and rrgul�•iD=- - f t , mtownez"ratifies thatbe/she undmstands the Town ofBarnstable Building Depazfmcnt inspection 'Ihe undmsigned`hn procedures and regni=ements andthat he/ ill she w complyy withsaid procedures anal emees. rerpffi . Sigaat=efH=cow= - AppmrZ efBm7crmg Official • Note: Three famtay dwr-UkV containing 35,000 cubic feet or larger wMbe roquiredto comply with the Star Breading Code Section 127.0 Constrnrknn ConiiuL _ •�_ ' % 1•, •.HOnIDAwI�$'S E IIOI�I The Code states that:'aAtiyhomoowner�perfarmmg work for which abuYTrThT permitis reqniredshallbe erempt from the provisions of this section(Section 109-U-Licensing of constrmc ion Supervisors);provider/that if the homeowner engages a person(;)for bire.to do such work,that such Homeowner shall act as supervisor." b any homeowners who use ffiis e=mpfion are nnaware.that they are assuming the responmIlU ies of a supervisor (see Appends Q,Boobs&Regulations for Licensing Construction Supervisors,Section 215) Tbh lack of awareness oftca rwalts in serious,problems,parficularly when ffie homeowner hires unlicensed persons. In this case,our Board cannot proceed agamstythe=licensed person as it would with a lien csed Supervisor- The homeowner acting as Supervisor is vIffiaately responsr'ble To ensure fitat ffie homeowner is fgUy aware of his/her respoasibrTiiies,many conuauni0es require,as part of ffie permit application,,fibat the homeowner certify iiiat he/she understands the me ponsffixTrEies of a Supervisor. On ffie Last Page of this issue is a form currently used by.several towns. Yon may can t amend and adopt mch a fo rm/g= i =LfIon for use in your commvaiiy. �wpF�OB2��p�fu�.s1II�EESS.doa Rmised 06U 3-3 an t Ti 4g -,ps , - WSLi JuLsr f ConsarVWon 11/14/14 Thomas Perry, CBO Town of Barnstable Building Division 200'Main St Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, . This affidavit is to certify that all work completed for insulation work at 1917 Service Rd (application#201407047) has been inspected by a certified Building Performance Institute(BPI) Inspector.- All work performed meets or exceeds Federal and State requirements. Sincerely, Conor McInerney ? ConserVision Energy .. y CO w �- M - 376 ROUTE 130,SUITE C SANDWICH,MA 02563 508-833-8384 WWW.CONSERVTODAY.COM ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map %mow Parcel awe Application # Health Division Date Issued ILI Conservation Division Application Fee Planning Dept. Permit Fee Date-Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address \c% \-�. s z� . ♦�.de. Village Owner Address Telephone__3��. Permit Request a7 oS ! i5 b� C� Al � ♦ C� I, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation zo—oc a 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 \S%y Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout Q Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing z new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas CI'Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: r Zoning Board of Appeals Authorization ❑ Appeal # Recorded L4VaE Nd d a_ Commercial ❑Yes ❑ No If yes, site plan review # f Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number d,a- Address 3�'� �c�t 30 -sA.��♦�.�.� , .,.-A License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE�i��'?/ DATE /S FOR OFFICIAL USE ONLY f APPLICATION# ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ` FRAME -- - -- - �JINSQLATION-:- FIREPLACE ' ELECTRICAL_ ROUGH FINAL E PLUMBING: ROUGH FINAL x GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ivu,mmuss.gor/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Let'ibly Name (Business/Organization/individual): ConserVision Energy Address: 376 Route 130 Suite C City/State/Zip: Sandwich, MA 02563 Phone #: 508-833-8384 Are you an employer? Check the appropriate box: Type of project(required): 1.[ 1 am a employer with 8 4. ❑ i am a general contractor and l 6 ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ Ian a sole proprietor or partner- listed on the attached sheet. % ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.) 3.❑ t am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152.. §1(4),and we have no 12.❑ Roof repairs insurance required.]` employees. [No workers' 13.® Other Weatherization comp. insurance required] °Any applicant that checks box 41 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 altidavit indicating such. tContraclors that cheek this box mum attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance./or my employees. Below is the policy and job site information. Insurance Company Name: CSBS/WORKCOMPONE Policy#or Self=ins. Lie. #: 6011316349 Expiration Date: 03/11/2015 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the forth of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. I do hereb tify t der th pc 'ns nd penalties of perjury that the information provided above is true and correct. Date: — '4- Phone 4: 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 TE(MMIDO/YYYY) Ace CERTIFICATE OF LIABILITY INSURANCE °A o3//7r17r2014o1a 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). CONTACT PRODUCER NAME: CSSSIWORKCOMPONE PHONE FAX PO BOX 946580 t.C.No,Est): (A/C.ML No): MAITLAND,FL 32794-6580 Aa ADDDRR ESS: Phone-877-724-2669 INSURERIS)AFFORDING COVERAGE NAIC It Fax-877-763-5122 =E, ontinental Casualty Company 20443 INSURED CONSERVISION ENERGY 376 ROUTE 130 ontinental Casualty Company 20443 SUITE C SANDWICH,MA 02563 ontinental Casualty Company 20443 COVERAGES CERTIFICATE NUMBER: 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. NSAI CYEFF LIMITS LTR TYPE OF INSURANCE WSR .UO POLICY NUMBER MMn)D MMIAO/WY 51,000,000 GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300,000 PREMISES(Ea occunance) CLAIMS-MADE ®OCCUR MED EXP(An ono person $10,000 A Y N 6011316335 0311112014 0311112015 PERSONAL 8 ADV INJURY 81,000,000 GENERAL AGGREGATE 32,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS.COMPIOP AGG $2,000,000 POLICY JECT M LOC COMBINED SINGLE LIMIT $1,000,000 AUTOMOBILE LIABILITY (Ea accident BODILY INJURY(Per person) LAN AALL AUTOSULEO N N 6011316335 0311112014 03111I2015 BODILY INJURY(Per accident) NOt�WW"F0 PROPERTY DAMAGE AUTOS (Par accident) B OCCUR EACH OCCURRENCE 1,000,000 D CLAIMS•MADE N N 6011316352 03/11/2014 03/11/2015 AGGREGATE1,000,000 TIONS 10,000 WC STATU• OTH• WORKERS COMPENSATION TORY LIMITS ER AND EMPLOYERS'LIABILITY $100,000 ANY PROPRIETORIPARTNER/EXECUTIVE YIN N N 6011316349 0311112014 03111/2015 E.L.EACH ACCIDENT E OFFICERAAEM13ER EXCLUDED? ❑ $100,000 (Mandatory In NH) E L.DISEASE-EA EMPLOYEE It yus.descnbu undat $500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMrr DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD tat,Add+uwul Remarks Sdhedule.d more space is raqutrao) Certificate Holder is added as an additional insured as provided in the blanket additional insured endorsement. CERTIFICATE HOLDER CANCELLATION Ise Engineering SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1341 Elmwood Ave THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Cranston,RI 02910 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD cac4885 to+di"dY R SACZOO1 mass save c.:.;v:s:a�^.yL7cx:gL Ilscenty .i PERMIT AUTHORIZATION PORN/ owner of the property located at: (Owner's Name�pdnte f (Property StrW Address) (Cityrtown) hereby authorize the Mass Save Home Energy.Services Program assigned_Participating E Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. I d • r Owne s Signature . .I 1 a Date 1 FOR CSG OFFICE USE ONLY i ! Conservation Services Group has assigned the following Mass Save Home Energy Services j Participating Contractor to the above referenced project: OI s "%NE.v t Participating Contractor Date i Rev.12132011. ...E t Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Super%kor Speciulh License: CSSL-102778 CONOR D MCMANEYArM 39 SLASCONSETiWlrs SAGAMORE BEACH.MA 02562 . Expiration Commissioner 08/19/2016 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 7l-EfME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: epiration: gistration: 171251 Type: Office of Consumer Affairs and Business Regulation 3/1/2016 Partnership 10 Park Plaza-Suite 5170 Boston,MA 02116 CON-SERVE ENERGY CONOR MCINERNEY 376 ROUTE 130 SUITE C gam_ 1 SANDWICH,MA 02563 Undersecretary Not valid without signature Parcel Detail Page 1 of 3 • 5 'STALILL .y MASS, . Logged In As: Parcel Detail Octobeerd15 2014 I Parcel Lookup Parcel Info Parcel i194-045 I Developer LOT 1 ID' Lot Location 1917 SERVICE ROAD Pri 150 Frontage Sec I Sec F- — Road Frontage Village FWEST BARNSTABLE I Fire[W BARNSTABLE �I District Town sewer exists at this Road 2101 address ,No — I Index Interactive Map Owner Info Owner[RESTORATION' SOLUTIONS LLC Co I �%KENNETH P ROGERS Owner Streetl 11917 SERVICE RD I Street2 I City IWEST BARNSTABLE I State LAJ Zip�2668-186 Country Land Info Acres 1.00 I Use Single Fam NIH-01 I Zoning RF I Nghbd ro105 I . Topography Below Street I Road Paved Utilities Public Water,Gas,Septic I Location Construction Info Building 1 of �1 Year 1984 I Roof Gable/Hip Ext Wood Shingle Built Struct Wall Living�- ) Roof Asph/F GIs/Cmp I AC Heat Pump Area Cover Type Style I Ranch IInt Nall Drywall I Rooms Bed 3 Bedrooms rCarp I zF R et ullModel( ta Floor Rooms �I Heat Total http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=14077 10/15/2014 Assessor's map;and lot.number` ,� Z3Q UCJ +� OF THE t0 IAl Sewage Permit number :..� ......................... ...........::.. C'> /Q Z BAHBSTABLE, i House number ........................................L.�. ...................... q MA66 �� i639 e OR a. TOWN OF BARNSTABLE : BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....Constrm.t...Dwelling....................................... TYPE OF CONSTRUCTION ........... Wood„frame...... ................................................................................... ......... an•...3.1.....................19..84. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ILot 1 Service Road, West Barnstable ............................................................................................................................................................................. ProposedUse ...Si?1 1.....f3i11.11y...................................................................................................................................... Zoning District Res. Fire District Centerville-Osterville Name of Owner James K° Smith.............................Address ...........H)raraxxtis...................................................... ............................ Name of Builder .Jame S...R....Smith..............................Address .............................................................................:...... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms 6 .....................Foundation .....poured„Concrete ............................................. .... .. ................................................. Exterior ....C7.a.U,board..&..wFC.�.S.o.................................Roofing ...........a IJ a .......................:.............................. Floors hardWO©d...........................................................Interior d.r,.VW4.1.a... .. _ .. . .... ......................................./............ Heating ..—g3s„Warm air................................................Plumbing .........z..bat�13...................................................... Fireplace .. ?n.S'........................................................................Approximate. Cost .........5.5.,nn0........................................ 3 Definitive Plan Approved by Planning Board -----------_______-----------19________. Area .. � `.................................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 26X50 f-- � 14x24 gwm garage I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above .constructions Name .. r........ ..................... j 5190 Construction Supervisor's License SMITH, JAMES K. A=194-023 26067- One Story NO .................. Permit for .................................... Single Family.. ing ........................................ .................... Location ;Lf......1.9.1.7...S.er.v.ic.e...Ro.ad .. .... .. .... .. ..... . West Barnstable ........... ................................................................... Owner ....James K. Smith ............................................................. Type of Construction .:FX9k!RQ............................. ................................................................................ Plot ............................ Lot .................................. Permit Granted ...February 9, .......19 84 .............................. Date of Inspection ........... ..........................19 Date Completed .... ............... ................19 411- TOWN OF BAR,NSTABLE Permit No. Building Inspector Cash ---____-- • +S61 � OCCUPANCY PERMIT Bond Issued to _ Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date o Board of Health Inspection date 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. i 19; -� .... .. ........ ... .. ......... ......_._.. ...... . Building Inspector I ' :.�j1►.IsLE FAMILY - B O �. pAI Y FLOW s 330 G.P <jEPT1G TP►JK = a30x15o'/• = A9�G.P. ... 1 a o O GAS.-j.� ��c.1E• - 1 01'SPoSAL -217.4 s..xr. X Z.o, 4-52. To7;4 L Z>E.S/Gi✓ c aES/�.✓ .�E2000-4`T/O�✓ .C-472�7,• / "IAI ZI 1�/.t/ R1CHARD ^i• AI AN r �•�t• '� o BAXTER �,i ,io W. No.2.(A3 JONES HI No. 25100 O ' _ 4 / To P FN�• /48 Z 'T6vT r vi sfiv� loov INS. �O�M✓ D1ST. �IJ�. /�lo.Z fat.. SC�T�L '4 e.4*4,ye LEacu • - " ' '4 1Nv. 1NY. � to PIT . w1Tu /38.2 LAW s 3/q•I Yi , SAIJp WA SN G D 6TvN6 0 ' w; 132 CEQ.T1FIGD P1-cT PL.AW P R.O P I LG L o G A71 o N Wo' SCALE SGALG l�o r,(Jar�. . •-. . .. p L A N RE j=EtzEN cE• G E a7 F Y 'f H nT "f N E ��c15T11.lG F�*l�5 N o vY N �{5,R601,1 GOMP�-`(5 1rJITN'TN� S l oE�IN f AuD S6'[FaAGK R.6QvIR.6MENT> OF 'T1.1I=' � i5/ �c,,e.TA/ti1Es/�$IN/> To W N Or- 1342nISTA s A N v 1 S PLAIN " pA TF_,t� ,SE�l•' /� 1.OGp.TED •W1TNI�..TN•6 FLooD AI1N DAT Elei- �1f�26U'v.A►..D su V-vrcYoes R. Tull PLWQ 15P KILT 5t'5c o o►d AN 0STE2.VILLFs IN • �'Ss• 51-?_vMENT SvQvE`( � 'r NE oI:F.SETS APP Suou� cT �.�►.lE. I.ICA�T ��CSI�•• �'"l�T� Ll__ r = *tjSEDTCO pETE.R/^111E �. 5 - .5,�, ✓/cam 2 --�ItK ISo . /SZ • _ `�I ��SGo � Q �Ac. a . • . /y8- -" � � e`er`�`� � � i �v .'" �N AFA-IS'T: f �%A yy� Pik i % N, 10, lop 4-1 OF INV- .:p n fi1CHARD LAN y! BAXTER } � JONES v, fya 2-04340 r 25I00 OP 4; l- . . 1XJ . 'i se /• .. 9.. ...v I �y� . �FTNEt�� Assessor's map and lot number ► ., P[/ > C Sewage Permit number ...Dl...— ....... ....... .... ...... . • '�' Z BAUST' LE. i House number ........1....<. �. �� `� ... ........... Y 9 � �p 1639. \00� ►r . ' CFO ui a' TOWN OF BARNSTA'BLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....Constri�...t...Dwelling........................................................................ TYPE OF CONSTRUCTION ...........Wood... 'raA�e.................................................................... ................. ' Jan....31.....................t 9.84. r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot 1 Service Road, West Barnstable ....................................................................................................................................................................................... ProposedUse ..... ingle fami1y ................................................................................................................ Zoning District Res. Fire District Centerville-Osterville . James K. ' Name of Owner .............................m?....................................Address ............ Y.a ...................................................... Name of Builder .James...R....Sm th..............................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms 6 oured..concrete Foundation ......P........ ................................................... Exterior ....C.14p:?Q@.rd..$�...W....Q..A m.................................Roofing ............a.,qP 1aIt...................................................... Floorsh4rawQ0...........................................................Interior ............dry. all...................................................... Heating ..94;$..WArM...air ..:Plumbing .........2...?a :......:.............................................. Fireplace ..one..................................... ....................Approximate. Cost .........5.5 0q0 /6 36 s Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ....................... .............. Diagram of Lot and Building with Dimensions Fee �r SUBJECT TO APPROVAL OF BOARD OF HEALTH 26x50 14x24 gzam garage 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 . GLhc, .... .. ......................... Construction Supervisor's License 5190 . .................................... f`SMITH, JAMES K. �Jo 26067 Permit for ..One,_.Sto.. ......S.ing.le...Family...Dwe.j•j ire• Location ..LA.t....11F......3-917...S.ervice...Road .................Wes.t...Barr stable....................... James. K. Smith Owner ...............................................::................. Type of Construction ...F.r.ame.......................... .............................................. ........ .................. Plot ............................ Lot ................................ Permit Granted ........February 9, 9 8 4 .................. ....1 Date of Ins pection 19 VDate Completed ...... .../Z...........A9 yy s J o