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Home My WebLink About0011 ALICIA ROAD l l G��'� �D�� ` � �� Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 9/18/14 Town of Barnstable K Thomas Perry CBO .� Building Commissioner 41 -► 200 Main St. Hyannis,MA 02601 RE: Building Permits ' Dear Mr. Perry, This affidavit is to certify that all work completed for 11 Alicia Road,Hyannis has been inspected by a certified Building Performance Institute(BPI) Inspector. Ceiling: Cellulose; R19 under decking+R-30 on top of decking; R-38 in open ceiling area. Walls: R-13 cellulose..dense pack Basement: R-19 fiberglass in box sill of unfinished basement area. All work performed meets or ezceeds Federal and State Requirements. .. - s. Sincerely, -William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel pp. �`3 V A lication Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address u i c i A. Zee ,d I II Village � M t Owner Pt I Ci }. Address 388 �}�I1si,l a Ave, NcP��rn IhR Oa`194 Telephone 5q 0 o Permit Request CE��R11 RA R-30 , aj R' 3� ,�1ps and �,6ec<<rs to ,F�,e r, i N1J � ,19 �! rl�st - a6o b,s_erocn k bnK s,'II. Dwe� --h wal L u16 V 14 « llAlo�s . &AL-otnap d 6asem&5± wh "OEA ►'n.c AA. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5 0 0 0 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---( q.ft) Number of Baths: Full: existing new Half: existing ainew b Number of Bedrooms: existing _new 2 Total Room Cbunt (not including baths): existing new First Floor Room Co&t ? Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other rn 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: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use i APPLICANT INFORMATION- (BUILDER OR HOMEOWNER) Name i I rn �C �,8 ' 3 Q Telephone Number Address ' D N Ii' �yt License# 1-c to a7�6 S 0 A )�dLPtifO& A7 D&6 J L1 Home Improvement Contractor# Worker's Compensation # I&W C3 02 503 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1 Cf M.D W+ SIGNATURE DATE i. FOR OFFICIAL USE ONLY > APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FRAME iY I' FIREPLACE ELECTRICAL ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING" DATE CLOSED OUT ASSOCIATION PLAN NO. The Common>vvealth ofMassachtsels = �-- Department of Industrial Accidents - Office of Investigations �. k , 1 Congress Street, S to 1011 r ,= Boston,MA 0.1114-2017 www.massgov/dia Workers'-Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legible Name(Business/Organi ation%(ndividual) Cape 5ave Inc, Address: 7D:Huntington Ave City/State/Zip: South Yarmouth, MA 02664 Phone#:. 50877398-0398 Are you an employer?Check the appropriate box: Type of project.(required): p 4. I am a general contractor and I 1.0 lama.employer evith 0 ❑ 6. [ New.construction employees(full and/or part-time):' have hired the sub-contractors 2.❑ I am a sole proprietor or partner> listed on the attached sheet.. 7: ❑Retnodeltng ship and have no employees These%sub=contractors have `8. Demolition workingforme many ca,acit >: employees and have workers' y A Y 9. [] Building addition [No workers comp.insurance comp;insurance.. .it, We area corporation and its 10.�'Electrical repairs or additions required.] 0 officers have exercised their I L Plumbing repairs or additions 3. 1 am_a homeowner,doing all work. ❑ myself. [No workers.'comp;. right;of exemptioa per MG.L 12.0 Roof repairs insurance re aired; t.. c. 152, §1(4),,and we have no q ) 13,[✓:.Other Insulation employees. [No workers' comp. insurance required.].. `Any applicant that checks box#I must also fill out-the section below showing their workers'compensation policy inlonnation. t Homeowners who suhmi!this ak .&Vit indicating they are doing all work-and then hire.outside contractors must subtnii a new a davit indicating'sueh. Contractors-that check this box rhilst attached an additional sheet showing the name aFthe sub con'tractorsanrl state wl eiher or clot chose enl11. liAve employees. If the sub--contractors have employees,they must.proyideheir workers'comp:policy number. Lam an employer that is providing workers'con pensation insurance for nzy employees. Belpiv is the:policyund joh tte ; information Insurance'CompanyName: Wesco.Insurance Company -------------- Policy#or Self--ins Lie.#. WWC3085633 _ _. Expirationf)ate: 04/09/2015 Job Site Address: t0 0\_ aaJ - City/State/Zip: ototAla I it Attach a copy of the tvorkerO'compensation policy declaration page(showing the policy numJr;and expiration date).: Failure to secure coverage as required under Section 125A of MGL c. 152 can lead to thenimposition of crimmEil.penalties of a fine tip to 51,500 00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the.violator. Be advised that a copy of this statement maybe forwarded to.the Office of Investigations of the.DIA.for insurance:caverage verification: 1 do hereby certi' under the airs and:"enaldes of er' r that the in orrnution provided above is true und correct Signature . . Date OffrciaJ!4isi6wnly ,1)o not►prilein this area, o.be completed by city or town official City or Town:_ , P.ermit/L►cen5e# t. Issuing Authority(circle one); 1.Board of Health 2.Building Department-3.City/Town'Clerk 4 Electrical Inspector 5.Plumb* h"pector° 6.Other Contact Person: Phone:#: _.. . Aco CERTIFICATE OF LIABILITY INSURANCE /14/,014y ) ��• 4/14/2Q14 THIS CERTIFICATE IS ISSUED AS A:MATTER;OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),.AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder IS an.ADDITIONAL INSURED,the poiicy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the.policy,certain policies may;require an endorsement. A statement on this certificate does not confer rights to the certificate holderin.OeU.of such endorsement(s). PRODUCER CONTNAME: Colleen Crowley RISK Strategies Company PHONED (781)986.-4400 AlC No:tT61)963-4420 15 PaCella Park Drive ecrowley@risk-strategies.com ADDRESS- SuiteZ4,0 INSURER($))AFFORDING COVERAGE NAIC t Randolph Mh ,02368 INSURERA:Seleetive Ins. oE, America irdsuREO INSURER B:Safet Insurance Company 3618 Cape Save, Inc INSURERC:WesCIO Insurance Company 7 D Huntington .Ave INSURERD 1 INSURER E South Yarmouth M& 62664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL14 41 4 752 4 3 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 MAYBE 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'MAYHAVE'BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF DDL R _. -"POLI EFF- POLICY E - LTR POLICY NUMBER MMIDD MMIMIY LIMITS GENERAL.LIABILITY _ - . ... _. EACH OCCURRENCE $ 1,000,000 X COMMERCIAL,GENERAL LIABILITY DAMAG.PREMI ES Ean� $ 100,000 Pr CLAIMS-MADE Q OCCUR 19944.80 0/16/2013 0/16/2014 ME EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $. 11,000,000. GENERAL AGGREGATE $ 2,000,000 GENI AGGREGATE LIMIT APPLIESPERI PRODUCTS-COMP/OP AGG .$ 2,000,000 . POLICY X PRO- X :LOC AUTOMOBILE LIABILITY Ea BINEaccidenf L LIMP 1 000 000 IxALL OWNED SCHEDULED 208200 1/6/2013 1/6/2014 BODILY NJURY{Perexdant $AUTOS X AUTOS.. ... ) . . NON-O@MIED PROPEY' RIy1AGE HIREDAIJTOS X AUTOS PeraeaRTdentD' X UMBRELLA LIAB X' OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS:MADE A AGGREGATE $ 1,000,000 BI 1994480 0/16/2013 0/16/2014 QEC! fiETENTIDN': � C WORKERS.COMPENSATION fficers Included For WC STATU- I ER OTH-' :AND EMPLOYERS'LIABILITY Y:1 N; - X- RY I. ANY PROPRIETORIPARTNER/EXECUTIVE overage OFFICERIMEMBER EXCLUDED? �, N/A: E.L.EACH ACCIDENT $ 500 000 (Mandatory in NH) 3085633 ./9/2014 /9/2015 EYL•DISEASE'-EA EMPLOYEE 500,006 It yyeeS.describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION FOevAdenSJ LOCATIONS!VEHICLES;AtlachAC0RD101,Additlonall�m m arksSshedule,iforespaceisrequlred) Issued as ce of .insuranoe. Issued as: evidence of insurance. Thielsch Engineering, Inc_ is listed as,additional insured as respects General Liability as required by written contract.. CERTIFICATE HOLDER CANCELLATION msong@capelightCompatct.Org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light ConpaCt ACCORDANCE WITH THE POLICY.PROVISIONS: Attn: Margaret song PO BOX 427/SCH AUTHORIZED REPRESENTATIVE 3195 Main Street Barnstable, MA 026,30 -chael Christian/CLC ACORD 25(2090l05) O 1.988.101Q ACORq CORPORATION. All rights reserved. INS025(201005).01 The ACORD.name and logo are registered marks of ACORD I Office of Consumer Affairs and Business Regulation 10 Park Plaza =Suite 5I1 Boston, Massachusetts 02116 may., Horde Improvement Contractor Registration Registration 171380 Type Corporation Expiration: :3/14/2016 , Tr# 249649 CAPE SAVE-INC. i 4. WILL-IAM McCLUSKEY - �Qb 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address:and return card.Mark reason for changer scn t'i zoM-os/ii D'Address Renewal Employment "Lost Car-777777 UlL6 l(007!/i72042Cl/2CL4iL QfUI�CCC:SJCGCtlIIrJPi1.� ~ Office of Consumer Affairs&.Business Regulation , "' License or registration valid for individul use only OME%IMPROVEMENT CONTRACTOR * beforeahe expiration date.:If found return to., { egistration: j71380 Type 'Office of ConsuJ. mer Affairs and Business Regulation Expiration 3 14/2016 Corporation 10 Park Plaza-Smte 5170 t ,271 $oston,MA 02116 CAPE SAVE INC. ids t WILLIAM McCLUSKEY {„.. s 4 ' 7-D HUNTINGTON AVENUE SOUTH YARMOUTH,MA02664 Undersecretary Not vali ithout signature x 3' 1 f Massachusetts -Department of Public Safety Board of Building Regulations and.Standards Construction SuperF;isor Spcci►Its License: CSSL-102776 WILLIAM J MC CUSKE 37NAUSETROAL ~� West Yarmouth gA"02 Expiration Commissioner " 06/28/2015 i �A 9 " 460 West Main Street Housing j°= Hyannis, MA02601-3698 AssistanceTel: (508)771-5400 Fax(508)775-7434) Corporatism TTY on all lines Cape Cod Free Weatherization ! Your tenant has requested and is eligible for weatherization of your rental home through government funding. This will be provided at no cost to you. Program regulations permit us to spend around $2,500- $7,500 in materials and labor per dwelling unit. Program regulations require us to weather-strip and caulk doors and windows; insulate attics, sidewalk and floors. 'All work is, professionally .done by established private contractors. We will conduct a final inspection to make sure that all work is completed to specifications. If you request, you will be informed of the estimated measures before they are done and provided with a list of the actual measures and costs following the completion of the work. We also need proof that you own the property. A copy of a CURRENT T`AX-:BILL OR DEED listing you as the owner will satisfy this requirement. Please fill in all blank areas of the enclosed agreement and return with the proof of ownership as soon as possible. If we do not receive the enclosed form within two weeks, we will do a basic energy audit of the home, but no weatherization work can be recommended or done. If you have any questions please call Suzanne Smith at 508-771-5400, ext. 123. LANDLORD: TENANT:`- l S)6 "1 —/Z email: •� �if�v °� l�f email•< � i�� 7K --T a PHONE:(home) r�� PHONE: (home), (Cell) TENANT/PROPERTY OWNER/AGENCY WEATHERIZATION AGREEMENT 1. The Parties o this greem are the following: � + �9`9r (hereafter known as Tenant), (print o r tenant's name}n (hereafter known as Property Owner) (print your name) and Housing Assistance Corporation (hereafter known as Agency). In consideration of the mutual promises hereafter stated,the Parties agree as follows: 2. The date of Agency's signature will be the effective date of this Agreement. i 3. Property Owner and Tenant consent and agree that the Agency may do the following with respect to the property located at{street town} /�/� RZ�i ,ems' unit# , and currently leased or rented to the Tenant: a) Enter the premises for the purpose of performing a Weatherization inspection. b) Enter the premises to perform Weatherization work which the Agency determines in its discretion is necessary and appropriate as a result of the Agency's inspection of the property and in accordance with the appropriate priority list for the type of dwelling. The Agency and the Agency's contractors may also enter the appropriate common areas of the building for the purpose of accomplishing the Weatherization work. The Agency and representatives of the Commonwealth of Massachusetts, Department of Housing & Community Development (DHCD) may further enter the property to inspect any and all work hereunder. The Agency will provide reasonable notice of the timing of the Weatherization work and inspections. The Weatherization work will be performed in accordance with the Property Owner's consent as further specified below: INITIAL:O.NLY:ONE.OFTHEFOLLOINING:**'' I consent to performance by the Agency and its contractors of any Weatherization work determined necessary and appropriate by the Agency as a result of its inspection of the property. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of work. I will provide a separate consent to performance by the Agency and its contractors of Weatherization work following my receipt of the Agency's inspection report and a statement of the estimated work and associated value. This additional consent will be sent under separate cover as Attachment A. I understand that the Agency will provide a detailed statement of the actual work performed and the associated value at the completion of the work, 4. The Property Owner understands and agrees that.any and all work,. including related.;repairs.for which the Property may also be eligible,.will be performed at the Agency's discretion. The Agency estimated completion of the Weatherization work by the end of 2013. 5. If the Property Owner is required to make repairs to the property prior to the commencement of Weatherization work by the Agency,the Property Owner will be notified by the Agency and will be required to make the repairs as soon as possible. Except where the Property Owner receives a written extension from the Agency,time is of the essence in the performance of repairs by the Property Owner. 6. The Property Owner and Tenant authorize the Agency to receive a statement from the fuel supplier/utility supplier as to the quantity of fuel/utilities used at the above address in each of the past three years and the future three years. The information is to be used only to determine the cost effectiveness of the Weatherization Improvements. 7. The Property Owner agrees that the rent for the dwelling unit will not be raised because of any increase in the value thereof due solely to the Weatherization work performed. 8.-'In consideration of the Weatherization work hereunder, the Property Owner further agrees that upon the effective date of this Agreement and during a period extending through 2013/2014, approximately one year from the time the work is completed, eo.dv a) The present rent $ per month will not be raised for any reason. (The rent amount must be filled in). Heat included in rent?Yes— No—>C_ However,this Paragraph(8a)will be waived by the Agency in writing If,and only lf,the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. Please state which Housing Subsidy program your tenant is on and through which Agency: b) The Property Owner will not institute any summary process action for possession except in the case of non-payment of rent or other good cause related to the Tenant(or any successor Tenant). c) In the event the Property Owner decides to sell the premises, Property Owner shall comply with one of the two requirements below: --The Property Owner shall not sell the premises unless the buyer agrees(with a copy forwarded to the Agency) in writing prior to sale to assume all obligations of the Property Owner set out in this Agreement;or --The Property Owner shall pay the Agency an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed in the premises as of the date of sale. Said amount shall be paid to the Agency immediately upon sale. 9. (Applicable only if Tenant's heat is included in rental payment and blanks are filled in) At the end of the period set forth in Paragraph 8 above, the rent shall not be raised more than % per for an additional period of one year,. and the provisions of 8b and 8c above shall continue In effect for such period. However, the rent provisions of this Paragraph 9 may be waived by the Agency in writing if, and only if, the premises are leased under a state or federal rent subsidy program, in which case the actual rent charged by the Owner shall conform to the standards of the rent subsidy program. 10. The Parties agree that the terms of this Agreement are incorporated into any other lease or agreement between the Property Owner and the Tenant, and between the Property Owner and any successor Tenant, and if there is any conflict between the provisions of this Agreement and the provisions of such other lease or agreement, the provisions of this Agreement shall govem. However, if such other lease or agreement, including without limitation a lease or agreement under state or federal rent subsidy program, contains stronger.protections for the Tenant, such:stronger protections.shall.apply. 11. For breach of this Agreement by the Property Owner, the Property Owner shall reimburse the Agency in an amount equal to the cost, as certified by the Agency, of the Weatherization materials installed and labor performed on the premises, as well as attorney's fee and court costs. The Property Owner may also be liable for damages to the Tenant in accordance with applicable law; in such instance, the Property Owner shall reimburse the Tenant for attorneys fees and court costs. Without limiting the foregoing, the Agency may at its option terminate this Agreement, by providing written notice to the Property Owner and Tenant, in the event of breach by the Property Owner or Tenant. . 12. Performance of the Weatherization work hereunder by the Agency is contingent upon the availability of funds to the Agency from the commonwealth of Massachusetts and the federal government, as well as the eligibility of the Tenant under WAP program requirements. The Agency may terminate this Agreement, by providing written notice to the Property Owner and Tenant, if the Agency determines that the unavailability of funds or ineligibility of the Tenant warrants termination. " . The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agree ent and shall have a rigs/ht of enforcement. � air, A Property,-lfner's:Signature: ate Phone: �� Address: ✓ Tenant Signature Date'_1 t LA Agency Approved Weatherization Company All Cape Energy / Adam T. Incorporated / Cape Cod Insulation Cape Save Frontier Energy Solutions / Lohr&Sons Inc. / Resolution Energy Agency Signature Date `��! � a �-�,`' v� � ��5 V � � � .. .. r _ t TOWN OF BARNSTABLE Building �tHE Tpw 201103120 * BARNSTABLE, Issue Date: 06/20/11 Permit 9 MASS. �ArFO N319. A Applicant: DE MACEDO,FRANCISCO Permit Number: B 20111238 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/18/11 Location 11 ALICIA ROAD Zoning District RB - Permit Type: RESIDENTIAL ADDITIC--N/AL'^TERATIO Y Map Parcel 292230 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ 50.00 License Num OWNER Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMOVE EXISTING BEDROOMS IN BASEMENT ALREADY DONE THIS CARD MUST BE KEPT POSTED UNTIL FINAL BY PREVIOUS OWNER-3 BEDROOMS TOTAL IN HOUSE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: DE MACEDO,FRANCISCO BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 11 ALICIA ROAD INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: JE Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY,,OR SIDEWALK ORANY PART THEREOF,EITHER TEMPORARILY PERMANENTLY,ENCROACHMENTS ON PUBLIC PROPERTY,.NO_ SPECIFICALLY PERMITTED UNDER THE:BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION: STREET.OR ALLEYGRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERSIMAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE�SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). ft BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V Application # e�-(_) Health Division Date Issued ol-d Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner �v�3P n! (�Es l E l� Address Telephone 6 L-S70 CP /f Permit Request 2i YVi '�' �P �� ' c d'x.4-3 m) i e , Jl w J 3- /3 p ek r-.Sf n m Ln Squar feet: 1%t floor: existing proposed 2nd floor: existing proposed Total new it ZoninDistrict Flood Plain Groundwater Overlay rn ProjetValu_-a—Tion Construction Type Lot S�_z-_e �' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwetiin T �Le: Sin le Fmil ❑ Two Family ❑ Multi-Family # units 9 Yp 9 - Y Y Y ( ) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) . Basement Unfinished Area (sq.ft) Number'of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other 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: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) e p � G Name �� S �- Tele hone Number !o/ Address A ,��irl License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION'DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO OV M OS SIGNATURE IN DATE 3 }}r � 4 _-1 FOR OFFICIAL USE ONLY 4 APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER I DATE OF INSPECTION: ,- FOUNDATION I FRAME INSULATION FIREPLACE ,4 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ~ GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 4 ASSOCIATION PLAN NO. The Commonwealth of Massachusetts - Department artment o Industrial Accidents t CJi 'Office of Investigations' 600 Washington Street Boston,MA 02111 www,mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/PIumbers Applicant Information Please Print Legibly Name'(Busincwos rganizationdndividual): ?cn?, b Ye A�d_dres5:=� IZ lI`F'llZ mil ' Pi City/State/Zip 1)ZYA-71-n L_? Phone#: 4e4*71 �d7 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 employees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t` 17• El Remodeling ship and have no employees These sub-contractors have .8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9 ❑ Building addition y [No workers' comp. insurance 5. ❑ We are a corporation and its 11 j required.] officers have exercised their '1 0•❑ Electrical repairs or additions 11 T3. I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or addition_s myself. [No workers' comp. - c. 152, §1(4),and we have no 12.❑ Roof repairs' insurance required.] t. employees. [No workers' - comp. insurance required.] 13.❑Other 'Arty applicant that checks box 91 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. #Contractor;that check this box must 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 for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: t Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers,,compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, , �I do hereby certify under the pains 'and enalties of perjury that the information provided above is true and correct Si aivre ✓�� 'f�l , Date-----� 1 J' 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): I. Bo ard d r of Health 2. Building n Department rdme n t 3.City/Town Clerk 4 . Electrical Ins pector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information. and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal g employees.YP entity,em to in 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 P p compliance with the insurance coverage required. Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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 obbdn ing 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 hke 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.4 The-Commonwealth of Massachusetts r Department of Industrial Accidents Office of Investigations 600 Washington Street Bogton,MA 02111 Tel. # 617-727--4900 ext 406 or 1-977-MASSAIFE Revised 5-26-05 Fax# 617-727-7749 wWWmasa.gov/dia Town of BarngtaWeI Of SFlE Regulatory Services ' nnarzsrAsLE Thomas F. Geiler, Director BuiIding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, ARIA 02601 www.t6wn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION hiPlease Printn . number J vj� j street villagz .•HOMEOWNER": �'//�-/ n`ame" gy� home phone# work phone# CURRENT MAILfNG ADDRESS: / le e— city/town zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or.deta.ched 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_ i The undersigned"homeowner"certifies that he/she understands the Town of Bamstable Building Department minimum inspection procedures and requirements and that he/she will.comply witirsaid procedures and requirements. �Signaou-e of Ho, wncr - Approval ofBuiidin Official PP g Note: Three-family dwellings containing 35,000 cubic feet or Iarger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any hbroeowner performing work for which a building permit is required shall be cxanpt 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(sec Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.)5) This lack ofawareness 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 hc/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by scvml towns. You may care t amend and adopt such a form/ccrtification for List in your community. Q:forms:homccxcrnpt �K OF THE Tp� P� y • ataxlTA Afc " Town of Barnstable PIED��k Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry, C30 Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma'.us Office: 508-862-403 8 Fax: 508-790-623 0. • fi Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application For: (Address of Job) Signature f re o gn Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:1Users\dccollik\AppDatalLociAMicrosoft\WindowslTcmpomry Intcmct Filcs\Contcnt.DudooktDDV87Ap.Z1EXPUSS.doc Revised 072110 r` 1 a 4 1 54 Au vie YL C 5e f., rA) � N - V . f Ly r v 3 r VE ri Town d Barnstable *Permit# C)� Expires 6 months from q*M&date Regulatory Services Fee lA MAJIM ; MAss Thomas F.Geiler,Director S Building Division ` PERMIT Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us SARNSTAFILe Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number c�? cn�,96 Property AddressS. A . %Residential Value of Work � � ' `� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address. _) n�, '"1 Contractor's Name Telephone Number �d •- Soo Home Improvement Contractor License#(if applicable) 0, j Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor .; ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# . Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will betaken to Re-roof(not stripping. Going over existing layers of roof) ( Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *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.. A copy of the Home Improvement Contractors License& Construction Supervisors License is re re TGNATURE: :IWPFILESTORMSIbuilding permit forms\EXPRESS.doC .evised 070110 i r. The Commonwealth of Massachusetts Department of Industrial Accidents .j Office of Investigations or 600 Washington Street Boston,MA. 02111 www.mass gov/dia Workers' Compensation tnsarance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legiblv Name (Business/Organization/Individual): Ic Address: D-S V 0 4 City/State/ZiP:'. 41 Phone#: Are you an employer?Check the appropriate box: Type of project(required): -W am a employer with 4. ❑ 1 am a general contractor and I 6 ❑New construction employees(full )part-time).* have hired the sub-contractors 2.( I am a sole proprietor or partner- listed on the attached sheet t Remodeling ship and have no employees These sub-.contractors have S. ❑ Demolition working for me in any capacity. workers' comp: insurance. 9. ❑Building addition [No workers' comp. insurance 5. El We are a corporation and its 10 ❑ Electrical repairs or additions required.] off icers fficers have exercised their 3.❑ I am a homeowner doing all work *right of exemption per MGL 11.❑ Plumbing repairs or.additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑Roof repairs insurance required.] t. employees.[No workers' comp. insurance required.] 13.0 Other *Arry applicant that checks box it I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must 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 for my employees. 'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: ItALA. C-4 0 1—o) 0; 14 t'S ty Ci /State/Zip; Attach a copy of the workers' contpensatton policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a.STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify UnA&r the pains and penalties of perjury that the information provided above is true and correct` Si afore: -- Date: Phone#: 6 Official use only. Do,not write in this area,to be completed by city or town official Cityor Town: Permit/License# _ Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town CIerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other . Contact Person: Phone#: y Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written. An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of.a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has.not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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 permittlicense 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 (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike 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 1-877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www.mass.gov/dia EVE '-.'Town of Barnstable f f Regulatory Services f � v" M Thomas F.Geiler,Director , Building Division Tom Perry,Building Commissioner 200 Main Street;Hyannis,MA 02601 wwwtown.barnstabTe ma.us Office: 508-862-4038 _ k Fax: 508-790-6230 x Property Owner Must h Complete and Sign This Section If Using A Builder i J U , as Owner of the sOject Property P P rty hereby authorize c. rl ,�, �� °to act on my;beh ,alf'i in all matters relative to work auhorized byti buidgpenrmit application for. : A k k,�,k ck LQ 4-kc (Address of Jo ) ",patumof Da Print Name If Property Crier is applying for permit please complete the Homeowners License Exemption Form on'the reverse side:e Q:F0RMS:0 WNERPERMISSION i of zr•u=ram, Town of Barnstable Regufato•ry Services y •w uttxsniarE Thomas F. Geiler,Director _ p. •.erg Building Division CEO MA{� Tom Perry,Building Commissioner 200 Mairi•Street,_Hyannis,MA_02601 www.town.barristable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOhdEOGV'NER LICENSE=MFTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: eity/towM state rip code The current exemption for"homeowners"was extended to include owner-occupied•dwellizigs 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_ DEF7NrrION OF HOMEOwh'ER Parson(s) who owns a parcel of land an which he/she resides or intends to reside, an 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 constrgcts more than one home in a two-year period shall not be considered a bomeowner. 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 Dcpartmt nt rnmnn=inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signatirm 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 Fxxm TION .The Code states that: "Any homeowner perforating work far which a building pa rdt is requited shaD be exempt from the provisions of this section.(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner rngages a persons)for hire to do such work,that such Homeowner shall act as supervisor."' Many homeowners who use this rxanption are unaware that they an assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licauing Construction Supervisors,Section 2.15) This lack of awareness bftett 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 f my aware of his/her responsibilities,many communities rrquire,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 cutrcntly used by several towns. You may care t amend and adopt such a fomt/certification for use in your community, Q:forrns:hom=xcmpt Board of Building Regulatiods and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR R before the expiration date. If found return to: Registration: 138653 Board of Building Regulations and Standards Expiration: 5/1/2011 Tr# 283921 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 COMPASS REALTY DEVELOPMENT CORP MICHAEL DEDECKO 25 CARLETON DR. MASHPEE,MA 02649 Administrator Not valid without signature �a '6. Massachusetts- Department of Public Snfch Board of Building Rc!'ul:itir►m and Standard...Construction Supervisor License License: CS 65891 Restricted to: 00 MICHAEL A DEDECKO PO BOX 2384/CARLTON DR MASHPEE, MA 02649 Expiration: 11/9/2011 < mmisioner Tr#: 8038. 1 b i Bk 19717 P9108 24004 04--13---2005 09 a 03ca 0 SUBORDINATION OF HOMESTEAD I,Francisco F. deMacedo,declarant of a Homestead dated May 5, 1999 recorded with the Barnstable County Registry of Deeds in Book 12253,Page 065, hereby agrees \ that said Homestead and rights created thereby shall be and hereby are subordinate and junior in right to a Mortgage given by Francisco F. deMacedo and Marlei Miranda °p deMacedo to Washington Mutual Bank,FA,dated April 8,2005 and recorded Joe simultaneously herewith, and to future advances thereunder,to the same extent as if the latter mortgage had been executed and recorded and all advances made thereunder prior to the`execution and recording of the subordinated Homestead. EXECUTED AS A SEALED INSTRUMENT THIS 8th DA F April, 2005. "'ancisco F. deMacedo Z 4hereby sent. o said Subordination of Homestead. da deMacedo COMMONWEALTH OF MASSACHUSETTS Barnstable, ss April 8,2005 On this 8th day of.April 2005,before me,the undersigned notary public, personally appeared Francisco F. deMacedo and.Marlei Miranda deMacedo proved to me through satisfactory evidence of identification,which was their Mass Driver's License, to be the persons whose names are signed above, a d acknowledged to me that they signed it voluntarily for its stated purpose. NfCriQrgs u Citti IZ IV 1(JsCITTr tary Public cft'^ofteahhotarY public of Ma My commission expires: 1/31/08 fiesJag3 2008 BARNSTABIE REGISTRY OF DEEDS a �a � 3 e °� I QUITCLAIM DEED We,Francisco F.de Macedo and Marlei Miranda de Macedo,as husband and wife, tenants by the entirety,both of 11 Alicia Road,Hyannis,MA 02601. In consideration of Ten And 00/100($10.00)Dollars, Grant to Francisco F.de Macedo,individually,of 1 I Alicia Road,Hyannis,MA 02601. With Quitclaim Convenants The land together with the buildings thereon situated in Barnstable.(Hyannis), Massachusetts,bounded and described as follows: NORTHERLY: by the Southerly sideline of Alicia Road,as shown on plan hereeinafter mentioned eighty and 00/100(80.00)feet; EASTERLY: by lot 101,as shown on said plan,one hundred forty-one and 85/100(141.85)feet: SOUTHEASTERLY: by land now or formerly of Simon Gesin,as shown on said plan,forty-two and 07/100(42.07)feet: SOUTHWESTERLY:by land now or formerly of said Gesin,as shown on said plan,sixty-three and 14/100(63.14)feet; WESTERLY: by lot 103,as shown on said plan,'one hundred and forty and 0 551100(140.55)feet; Being shown as LOT 102 on plan of land entitled"Hyannis Willows"Subdivision Plan ON of land in Barnstable(Hyannis),Mass.For Copley Turnpike Trust Scale 1"= 100'July 1972 Barnstable Survey Consultants,Inc West Yarmouth,Mass.Duly filed in Barnstable County Registry of Deeds in Plan in Book 261,Page 37.Excepting and excluding from the above the fee in the Alicia Road adjacent thereto. There is conveyed as appurtenant to the above described premises a right'of way over all of the ways as shown on said plan,and a right of way on Megan Road,Connemara Circle,Athlone Way and Eldridge Ave.,as shown on plan 27099-B sated July 1972 drawn by Barnstable Survey Consultant Inc.;Survey,as modifies and approved by the Court, and filled in the Land Court in Boston,a copy of which is filled in the Land Registration Office,Barnstable Registry District, said rights of way to be used in common with others now and thereafter legally entitled thereto to all purpose to which way are commonly used in.the Town of Barnstable. There is reserved to William E.Dacey,Jr.,Trustee of W.E.D.Realty Trust a right of way so much of said lot as lies within the limits of Alicia Road to be used by him r r Bk 24813 - Pg 70 #45202 �F I And other who are now or may hereafter become legally entitled to use same for all purposes for which ways are commonly used in the Town of Barnstable. The above described premises are conveyed subject to an Easement to New England Telephone and Telegraph Company et ali dully recorded in the Barnstable County Registry of Deeds in Book 1740,Page 323.. Subject to all rights, reservations,restrictions and easements of record,insofar as the same remain in full force and effect: , For title reference,see deed dated May 7`s, 1999 recorded in Book 12253,Page 54. IN WITNESS WHEREOF,Grantor has executed this Quitclaim Deed on O O ,20/67. F ncisco F.de Macedo 0 arl M.de Macedo Massachusetts,ss. COUNTY o Barnstable, ss. On this day of , 20 , be me, the undersigned notary public, personally appeared Francisco F. de Macedo, proved to me through satisfactory evidence of identification,which was fn"L- to be the persons whose name is signed on the preceding Quitclaim Deed and acknow iWged to me that he signed it voluntarily for its stated purpose. ��'.��t�A,too K�c�►i�, NOTARY PUBUIC MY COMMISSION EXPIRES: �: Massachusetts, ss. o�'°r'�u�► � COUNTY of Barnstab_le ss. . I,io On this .day of 20 before me, the undersigned notary. public, personally appeared Marlez M. a Macedo, proved to me through satisfactory evidence- of identification,which was to be the persons whose name is signed;on the ,preceding Quitclaim Deed and acknowledged to me, that she signed it voluntarily for its stated purpose. s� A. NOTARY-PUB I MY COMMISSION EXPIRES: f?Y P1�:tt• ,��a�� DEEDS BA%STABLE REGISTRY OF 1' Building Department 200 Main St. ' Hyannis, Ma. 02601 9'� 1%- 02 1A $ 00.4 10 0004606238 JUN05 2007 MAILED FROM ZIP CODE 02601 �a Francisco DeMacedo 11 Alicia Rd. Hyannis, MA 02601 o ADDRESSED RETURN TO SENDER NOT tJF In I VIERIQE3LaE AS ADORESS �... .. UNABLE TO FORWARD E3C: 02601400200 *09E9--06465-•05-38 �.�� .��.`�6��`C�`Ek00� - �i161fIlillllillilllillull'IIll�I1ll�iti11�1�1�l19�iJllll ll 1� J'� r ti._, r ��` .r... �\ r� • �� ....^� / '.... �� 1 J� � 1 �. �` ,..�. �, �,..... ,� ! �� ,+, .� � J f - A �FTME Tp Town of Barnstable Regulatory Services + BARNSTABLE, « Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 5, 2007 Francisco DeMacedo 11 Alicia Rd. Hyannis, MA 02601 RE: EXIT ORDER J 11 Alicia^d Map : 292 Parcel : 230 Dear Property Owner/Occupant This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 121.0 and 780 CMR 3400.5 you are notified that the basement bedrooms are declared dangerous and unsafe and their use must cease immediately. The property must be brought into compliance or be subject to criminal prosecution as provided for by 780 CMR 118.4. A building permit is required to bring the property into compliance and must be applied for by June 19, 2007. You may call this office at(508) 862-4034 with any questions. Thank you for your anticipated cooperation in this matter. By Order, r L. auzon Local Inspector C c' �. a w- Co } N rn Q:zoning5 �FTHE Tpk, Town of Barnstable Regulatory Services r r N • BARNSTABLE. • � v MASS. �, Thomas F.Geiler,Director �p 1639. ♦� IFDM+01 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 5, 2007 Francisco DeMacedo 11 Alicia Rd. Hyannis, MA 02601 RE: EXIT ORDER 11 Alicia Rd. Map : 292 Parcel : 230 Dear Property Owner/Occupant : This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 121.0 and 780 CMR 3400.5 you are notified that the basement bedrooms are declared dangerous and unsafe and their use must cease immediately. The property must be brought into compliance or be subject to criminal prosecution as provided for by 780 CMR 118.4. A building permit is required to bring the property into compliance and must be applied for by June 19, 2Q07. You may call this office at (508) 862-4034 with any questions. Thank you for your anticipated cooperation in this matter. By Order, J fr L. Lauzon Local Inspector Q:zoning5 �P�oF194E, Town of Barnstable y Regulatory Services 9 MASS. � Thomas F. Geiler,Director MASS. a �plED MA`S p�0 Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION: MCI CL Under the provisions of 780 CMR, the State Building Code, Section 3400.5.1, you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. SPECTOR C aay SIGNATURE OF IPIENT ti k - , r^ { x i 14 Ever - "MOT-14 Kim tV Net y, g Via 'I lids r" t t Am pap ZI K is { ° u r i y 11 Alicia Rd., Hyannis 5/19/07 We 4 � "fi ��t� �a�': �. m � f � � �•'� a f. s V' W6 a �.� '� �',u � far, ,. WAY, s a £..- s r° a i#lk � ,E-"`€ wool 'AAJ !rG'Pa s' pul, f ., rz+"r` ',.. s ,•"'t�k �, r i ' + %tr• t '; Si. % :; ar'"` • "y ' r ' . a, ,. m t_, a 3.7r PAN � � r ..�r pgt F` ua� 11 Alicia Rd. , Hyannis 5/19/07 : � w t t ti f z e qA t wv, ft A ��iRIYt. R � Nil lil c a - t -1 -1 n 1 r%-ra t#0 ul04, i r�,r� r► y; q r L y t �u a WVC .i �I a`k' PIt 11 Nicia Rd., Hyannis 5/19/07 9), THE.l TOWN OF BARNSTABLE ii • i 8ARNSTSDL& i t. 639. . BUILDING INSPECTOR Di Om a APPLICATION FOR PERMIT TO .. �� /�� zz_�S/,!... .............................................................................................................. TYPEOF CONSTRUCTION ....................................................� Ie9l"................................................................................. ..........19 . TO THE INSPECTOR OF BUILDINGS: a Awa The undersigned her by applies for a permit accordin�-to the following infor n: Location G �, ;� //,� OGtJS° / �1./�/�f� ............................................... ......... ....................................... . ............................................ Proposed Use ..............,1................ ................... .......... `i....° .... ...............r..��•.............................. �....................................... Zoning District led Fire District4��/.................................. . ... .................. ............... Name of Owner K111 !n.. ........�r..... ddress ...''...�.e... 1�:. � �� /i Nameof Builder .............................................e.............��...Address .................................................... ..............�............. Name of Architect i� i/ ✓i `. r�.............................................r r ..................................................................Address ...................... .............. Numberof Rooms ................112V. ..........................................Foundation .A......... ....................... ..... ......................... Exlerior4��1' 4�,( r ..0 r�:.:4�ofing .. ice? ........................................... A Floors � '6. 'l!......................Interior � ....................... Heating l..G�..L�� ... �/....( 1 '.l... !- .Plumbing ........... ............. � �.... c9-.�, ...................... Fireplace ......./.................................................. ...........Approximate Cost ......G#.. V.. ...�...................... .. Difinitive Plan Approved by Planning Board _` 1 ___19 Diagram of Lot and Building with Dimensions i �/ y 4 F Z tU y ` . 3 �1 rr,� Q 'zi; V 30 co® a- w , I hereby agree to co to all the �es and Regulations of a Town of Barnstable regarding the above construction. d Name ..: ....... ................. :................ ....................... - Dacoy. A]-liem E. Jr. . ' ]�� one story No —...�..�..-' Permitfor .................................... -_-~_- -_-_-° _--___-`g ---------'----'---....... -----'—' U Alimia Romd Location �.�—.----..'_--................................. ips -------.��--.`----.—...,.---.. Owner ...........Williard.B...Da ._��___ Type of Construction -------.��9*�--.. � ----'—^—^^-----'-------'—^---''' P ��m�Plot --------_. Lot ---.�°°"�---- ^ January Y ' . > ^ 29 �� Permit Granted --.��..�.�--.---��..lA '~ Date of Inspection -------- . lQ ' Date Completed * .~~6 � . . / . . PERMIT REFUSED > > .--..—'--.--.--..------- lg ' ..........................................:.................................... | . ' ^----^^~^^^^~^^^^'~^'~~^^^^^—'^^—'~—`' � .—.---_—.—_---~..,.,..~—.-....—.,,..^—... ' ^ � '----------------'—''---^--^—^'' / � Approved ................................................. 19 , -------'----------^^--'---'-- ` ----'------^^---''----^--^—^-- `. � ��