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HomeMy WebLinkAbout0181 BARNSTABLE ROAD 181 Ahm)srXR "Won a , . r Town of Barnstable Building ., •. PostbThis,Card So,That rt•is UisibleFrom the�Street A , roved Plans,Must�be�Retalned on,Job and,this Card Must be,Ke, t „•; , • M" �elyam Posted�Until Final Inspection Has;Been Made. ,z 163iM .y; ._. �: ..° ..< > „ >g,� t �. 5 F.� !3 : . �. .: �.. ;¢ £. .. illy �: Where a'Certificate"of:Occupancy?�s�Requ�red such BuLtlmg hall�Not�be�®ccupied�unt�I�a�Final 1"'nspect�on has been made �` _>, �:�«iacar.:a:;>ao .:aa ..7;�:.tea•:'�:3»�.a.,....r.. <.�.,. a�.,H4:�.a a' �.Ka '�: ?::a�:.:. .:.:.:.z.;<�6;�",3� :,« a,;�:..�z,.�:�,.:r«:;�a>.»�:: >�w�?�..�>;:...: �.�a>..>.:. Permit NO. B-19-2073 Applicant Name: Thomas Hague Approvals Date Issued: 07/05/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 01/05/2020 Foundation:. Residential Map/Lot 310-152 Zoning District: HG Sheathing: Location: 181 BARNSTABLE ROAD, HYANNIS Contractor;Name ,Thomas Hague 'Framing: 1 Owner on Record: WELLS FARGO BANK, NA,TR _ ntractor Lice1nse 188853 2 Address: 464 HIGGINS CROWELL ROAD Oftw•� - � Est ProjgctCost: $10,000.00 Chimney: WEST YARMOUTH, MA 02673Permit Fee: $ 101.00 � i� ' Insulation: Description: Basement Remodel, Finished walls, New CeilingtNewr�F,loor to xFee Paid:` $ 101.00 create a tv room and playroom s Date 7/5/2019 Final Reviewers Note:Wall insulation must be code complliant�RMCK r; Plumbing/Gas Project Review Req: R Rough Plumbing: $ ; Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months°after issuance. All work authorized by this permit shall conform to the approved application and the°approved construction documents for which this permit has been granted. Rough Gas: = . ' All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road"and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are provided on this permit. ' Minimum of Five Call Inspections Required for All Construction Work:' � s �t � � � � �` Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: .. , 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Person ntracting with unregistered contractors do not have access to the-guaranty fund" (as set forth in MGL c.142A). r� Building plans are to be available on site Fire Department --� '%? All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �?-14 p� Application Number.... ..................... ....................... T OF A STABLE � � p � �-� MAS& $ Permit Fee............... ......................Other Fee..... ............... 01E1 Total Fee Paid...................................................... TOWN OF BARNSTABLE7 1 "Fen—nit Approval by....... �`.�`...I......On....... . .5 `�.... BUILDING PERNUT { o Map........................................ .arcel............ .................... APPLICATION Section 1 — Owner's Information and Project Location Project Address --4-6�dA�. ___ n�D`e ( Village Owners Name_ &t , I { Le gal e al Address g .161(b C- L R QaECC-K�t YcAr IYIo, J �A� Q City State 4 \�' Zip c "L Owners Cell# 576 5 5 2-3 g 3 Z 8 E-mail �� t corn u Section 2 Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation ' Other-Specify P Section i4 - Work Description a C,e w a o ('f q +V CAA a OM. s , I i Application Number.................................................... Section 5—Detail Cost of Proposed Construction 000 Square Footage of Project/Q Age of Structure Dig Safe Number #Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method 0-MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstrAiS isor CS-107853. .4plres: 10/28/2009 Z. THOMAS HAGUE;,, 7 7 CURVE HILI�ROAO SOUTH YARMO, TH MA,- 266�?` jo I • Commissioner lI Office of Consumer Affairs&Business Regulation . HOME IMPROVEMENT CONTRACTOR T,fREa:?IndMdual Rer�tstcttne_ Expiration 1021€t 853 : 09/11/2019 THOMAS HAGU THOMAS HA ';(atJE-_��PW,= � 7 CURVE HILL'§60 '" SONARMOUTH`1rAAL b:A6 Undersecretary The Commonwedlth of Massachusetts Deparhnent of IndustrialAccidents , Office of Investigations 600 Washington Street Boston,MA 02111 wwM.massgov/dia a Workers' Compensation Insurance Affidavit:Builders/ContractorsXlectricians/Phumbers Applicant Information Please Print Legibly Name(Business/organizaiionandividual): WUt- COIAN+f�O-n Address. C c'��E/� �j►U� Fj City/State/Zip: Phone#: -7-7 L/ O Q q S Are you an employer?Check the appropriate box: project r 4. m a general contractor and I �a of p (required): 1.El I am a employer with- I a ❑ g 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. Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor mein an capacity. employees and have workers' Y aP tY• , 9. El Building addition [No workers'comp.insurance ' romp.instn~ance.t . . required.] 5. ❑ We are a corporation and its 10.ElElectrical repairs or additions 3.ElI am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t w _ C. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tConhactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie,#: 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 un the pains of perjury that the information provided above is true and correct. Si Date: 15 1 L3 I/M 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#: 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,MCIL 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 regarx1ing the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Dgwtment of Industrial Accidents Orfce of Xnvestigatit 600 Washington Street Boston,MA 02111 - Tel.#617-727-4400 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 VWwW:mass.gov/dia. q d, S e ro � ID � C � � cs-" f� . P d A Application Number........................................... Section 9- Construction Supervisor Name IOO E `' % �A-lQ Telephone Number `T W CMG yS' Address ` 7 C,, /Orl City State Zip (11 y License Number C /074?s3 License Type Expiration Date ZIo l Contractors Email 1`1 , u c Co , C f. Cell # 7 7/ 5W 0 -5' I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. ' Signature Date .� l Section 10—Home Improvement Contractor Name r Telephone Number Address City` State Zip f Registration Number 1$82 S Expiration Date t 1 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 -Home Owners License Exemption Home Owners Name: Z4A roc - Telephone Number 568 52-�-q3 5�Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. k Signature Date 5�3 APPLICANT SIGNATURE Signature Date Print Name Telephone Number E-mail permit to: Section 12—Department.Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ _ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire departmerii for approvab Section 13 Owner's Authorization as Owner of the subject property hereby authorize o M to act on my behalf, in all matters relative to work authorized by this building permit application for: is / _6_qLnAq.We ri F' H"A a A At,r5' 14A (Address of jo Signature of Owner date Print Name 1 e I I { ------------ 0s, n 4� Q► r Application Number........................................ .................... MASIL �XJ N Permit Fee.......................................Other Fee........................ TotalFee Paid............................. ................................. ...... TOWNOF BARNSTABL APermit Approval by............... .................on........................... BUILDING PERMIT Map..........................`,..........Parcel................... ...................... APPLICATION Section 1 — Owner's Information and Project Location Project Address le Village klq Owners Name 274 4 rot Owners Legal Address ' ' tYc,r-mc, Cityw2ZEState M A— Zip dZ Owners Cell# E-mail e—&U 4O 22 Z(fe) Va 60 ' (?.m Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire struc e) Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar ❑ Renovatio ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description ' :1 \ � t w r 'o F ,# .` ,�.�. � ,Q � r... �.. �� .:� .I� . N • . � Y -gyp � a rT u .CAI CAL. C¢n i 0 � N 1 O ' O C- . � I I i , V �. 014 tA V F O cs QL QL o 3 �J p J N d � RtaC.► il; a f Application number 1.. Fee....................................�.. ` .` .- ... .. . ?............... ca + tARMABI& • ���nel� NAMBuilding Inspectors Initials....................................... 63 ,F2 14AR 22 2019 Date Issued........................ - ��yyLL II- "STA Dp C �,1F��� �C Map/Parcel............ . TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: R OF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: &CASAM ble uI A i R ( �� STREET Number Owner's Name: . �.m ��-Lt-f L�'Q.1'l� Phone Number Email Address: Cell Phone Number Project cost$ �� �� Check one Residential V Commercial _ r OWNER'S AUTHORIZATION As owner of the above property I hereby authorize -rWA to make application for a building perm in accordance with 780 CMAJ Owner Signature: Date: 31d-)- 11J TYPE OF WORK Siding Windows(no header change)#_LL ED Insulation/Weatherization Doors(no header change)# Commercial Doors require an inspector's review 0 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to YarMW4 T s5jer CONTRACTOR'S INFORMATION Contractor's name "rk QAA Ct S H r&"e Home Improvement Contractors Registration(if applicable)# 1!.1 88 S (attach copy) Construction Supervisor's License# /y 7 8 5 _ (attach copy) � ild '`Email of Contractor el �o� n„c ,' C`-li l 1,` one number ALL PROPERTIES THAT HA STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X I X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3.30 pm4.30pm.Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANTS SIGNATURE Signature Date 3 Aall All permit applications are subject to a building official's approval prior to issuance. r Y r. L Commonwealth of Massachusetts` Division of Professional Licensure Board of Building Regulations and Standards Cosnstrg1 . i§b]PeTV1'sor CS 107853 - J74 _ Expires: 111l28120019 7 _ THOMAS HAGUE �* 7 CURVE HILL�ROAD `" SOUTH YARMOU�TH MAXl12664 ` Commissioner Office of Consumer Affairs and Business Regulation One AshburtoPlace - Suite 1301 Boston, Massachusetts 02108 . Home ImprovemenMntractor Registration G� r / Type: Individual THOMAS HAGUE ,' Registration: 188853 Expiration: 09/11/2010 7 CURVE HILL RD. SO.YARMOUTH, MA 02664 sCA 1 CA 20M-05A7 Update Address and return card. The Commonwealth of Massachusetts Department of Industrial Accidents MW Office of Investigations ' 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information p Please Print Legibly Name(Business/Oro nizationflndividual): '<hQPvM HCA-ejV4 e Address: City/StaWZip: o" rm 0�6 6 Phone#: - 17 Ll 5a2.1 " 0 a 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(fiill and/or part-time).* have hired the sub-contractors 6. ❑New conshuction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.$ 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions myself. [No workers right of exemption per MGL comp. p p 12.❑Roof repairs insurance required.]ti. - c. 152,§1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. 1 am an employer that is providing workers'compensation insurance for,my employees. Below is the policy and job sife information. Insurance Company Name Policy#or Self-ins.Lic.#: 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 4e pains andpenalties of perjury that the informationprovided above is true and correct: Si atiae: Date: Phone#: 7 y' 001 4, Official use on . Do not write in this area,to be co leted b c' or town official ff � _ _ � y �' ff 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#: Informa tion and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is deed as"...every person in the service of another under any contract of hire, express or implied, oral or written." An=Tloyer 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-contractor(s)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies 9J Q or Limited Liability Partnerships(LU)with no employees other than the members or partners,are not required to cagy 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 Industrr1a!AcLii.den s. I oT, d�'oi.i Lnav-a iy u4�stims ree gar t e I, —i f yn„are rccu:irod 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 permitilicense number which will be used as a reference number. In addition, an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been-officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn 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 Massarhusetts- Depmt eat of Industrial Accidents office of Investiptims 600 WashimPg Sh=t Boston,MA 02111 TeL#617-727-4900 ext 406 or 1-977-MASSAM Fax#617-727-7749 Revised 4-24-07 www-m- ,pv/dia. mor t ORTGAG E C ► February 1, 2019 Barnstable Town Building Dept. 200 Main Street Hyannis MA 02601 m N N Re:181 BARNSTABLE RD HYANNIS, MA 02601 - — - - -- - - - - To Whom It May Concern: This letter is to advise that we no longer have an interest in the above referenced property as the property has sold as of 1/15/2019. Please remove this property from your registration records accordingly. Feel free to contact us if you have any questions. Sincerely, Brittany Jernigan Agent on behalf of JPMorgan Chase Bank, N.A. Mortgage Contracting Services Code Compliance Department 350 Highland Dr. Ste. 100 Lewisville,TX 75067 Codecompliance@MCS360.com Page 1 of 1 350 Highland Dr. •Suite 100•Lewisville,Texas•75067 8l3.387.l 100•www.MCS360.com t 'j gd 4. Parcel Detail Page 1 of 4 i B,tP 45 YAtil.k. f ceQ'01 E ,., .... " Logged in As Parcel Detail Friday,March 22 2019 Parcel Lookup • Parcel Info _.._..__.._...__........�.. .......... Parcel ID 310-152 _ ­ ( Developer Lot �� � Location 181 BARNSTABLE ROAI Pri Frontage Sec Road I r Sec Frontage Village Hyannis ( Fire District HYANNIYS ) Town sewer exists at this address,Yes i Road Index 0076, r , Interactive Map Owner Info _ owner?WELLS FARGO BANK,'I�m�Owner oo �%ZAHRAN, EMAD`.��� ._._.__.... .,.,.�..._.�. .__...�....._ �._„_..._...�._ Streetl464 HIGGINS CROWELII Streetz - city WEST YARMOUTH j State iMA;„-- :-.:.,.� .I Zip 02673 � .. ...,..,.:w.I country i n" Land Info ... ... ................................. Acres F0.20 I use Single Fam MDL-01 I Zoning IHG I Nghbdt 0104 Topography Level Y _ I Road IPaved utilities All Public WI Location Rear LOcatlOn w.nu� Construction Info Building 1 of 1 � d.� F. .u:.. ...... Year��927 "". Root`Gable/Hip wM Wood Shingle Bunt Struct� ' Living 1034 Roof As 4h/F GIs/Cm AC None Area 1034 I Cover p p".I Type a I Style Conventional I Wali Drywall m� Rooms j3 Bedrooms �J Model Residential I Int Hardwood I Bath ,1 Fu11-0"Half Floor Rooms Heat` - - ". .� Total a ` Grade AverageI Type Hot Water L Rooms 6 ROOms Stories 1 StOry Heat Fuel Gas F ation COnC. BlOok Gross 2348 Area • Permit History Issue Date Purpose Permit# Amount I insp Date I Comments Visit History _ Date Who Purpose 11/2/2017 12:00:00 AM Susan Ricci Cycl Insp Comp http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=25701 3/22/2019 Parcel Detail Page 2 of 4 5/20/2003 12:00:00 AM Paul Talbot Meas/Est 5/1/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 9/15/1987 12:00:00 AM ME Meas/Est Sales History, _._. ............. ,.__ ..... _... Line Sale Date Owner Book/Page Sale Price 1 10/18/2017 WELLS FARGO BANK, NA, TR 30835/156 $260,000 2 8/31/2001 DEROSA, TRACEY J 14196/58 $150,000 3 10/25/1996 MULLIN, JOHN R TR 10452/327 $1 4 3/20/1996 MULLIN, JOHN R 10107/249 $1 5 12/6/1967 MULLIN, JOHN R & CORA T 1386/62 $0 6 1/15/2019 ZAHRAN, EMAD 31781/319 $175,000 Assessment History Save Year Building XF Value OB Value Land Value Total Parcel # Value Value 1 2019 $92,700 $22,100 $10,900 $82,000 $207,700 2 2018 $70,200 $22,300 $11,200 $86,300 $190,000 3 2017 $65,100 $23,000 $10,700 $66,000 $164,800 4 2016 $65,100 $23,000 $10,700 $68,300 $167,100 5 2015 $70,500 $24,800 $10,900 $64,400 $170,600 6 2014 $70,500 $24,800 $11,200 $64,400 $170,900 7 2013 $70,500 $24,800 $11,400 $64,400 $171,100 8 2012 $70,500 $24,200 $10,500 $64,400 $169,600 9 2011 $101,400 $0 $8,200 $64,400 $174,000 10 2010 $101,300 $0 $8,500 $99,100 $208,900 11 2009 $99,100 $0 $6,700 $135,700 $241,500 12 2008 $115,400 $0 $6,700 $141,300 $263,400 . 14 2007 $114,600 $0 $6,700 $141,300 $262,600 15 2006 $100,500 $0 $6,900 $141,900 . $249,300 16 2005 $90,400 .$0 $7,100 $94,700 $192,200 17 2004 $73,300 $0 $7,200 $94,700 $175,200 18 2003 $68,400 $0 $7,400 $26,700 $102,500 19 2002 $68,500 $0 $7,400 $26,700 $102,600 20 2001 $68,500 $0 $7,400 $26,700 $102,600 21 2000 $57,000 $0 $7,700 $20,400 $85,100 22 1999 $57,000 $0 $6,200 $20,400 $83,600 23 1998 $57,000 $0 $6,200 $20,400 .$83,600 24 1997 $50,100 $0 $0 $20,300 $72,300 25 1996 $50,100 $0 $0 $20,300 $72,300 26 1995 $50,100 $0 $0 $20,300 $72,300 27 1994 $50,200 $0 $0 $21,600 $74,000 28 1993 $50,200 $0 $0 $21,600 $74,000 29 1992 $57,100 $0 $0 $24,000 $83,600 30 1991 $65,400 $0 $0 $39,000 $109,200 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=25701 3/22/2019 Parcel Detail Page 3 of 4 T? 31 1990 $65,400 $0 $0 $39,000 $109,200 32 1989 $65,400 $0 $0 $39,000 $109,200 33 1988 $45,200 $0 $0 $16,500 $65,100 34 1987 $45,200 $0 $0 $16,500 $65,100 35 1 1986 1 $45,200 $0 $0 $16,5001 $65,100 Photos Y a { 1�w d S http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=25701 3/22/2019 Parcel Detail Page 4 of 4 WE � n j h t . 1 � a �j§ IAIR (��j )gy 3j ! r F, l 44M v http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=25701 3/22/2019