The URL can be used to link to this page

Home My WebLink About0175 BUCKWOOD DRIVE i o � 4 ,i , n ��( �� f II 1 f I 1 I �� Y i i f I �I � �� y - zs y 3iS � u �,. \\ � ��., 4�:�., _ UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box• i TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS,MA 02601 �S�S144?Iilill4�`�ttltttlll�i!�1�!Sk11FiSlt{it-{�ii:��IQI3�?1: d a SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Na Item 4 If Restricted Delivery is desired. b Agent ■ Print your name and address on the reverse X n` ddressee so that we can return the card to you. 6. Received by(Printed Name C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from Item 1? El Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No /7� 3. Service Type 02601 XCertifled Mail ❑Express Mail O Registered AZ Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number U 7006(transferfrom service►abet) l, 110810 0 .0DV►35 2 ! 1 it PS Form 3811,February 2004 Domestic Return Receipt 102595d2-M-1540 � �,� S J �� ti �,� 3-� a - 2� a � 3yN��l�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- i'_7 1 Parcel Permit# � 9& H�=alth Division 1 _v 2 vo-- Date Issued 0 Conservation Division Fee Tax Collector. Application Fee 0 00 Treasurer a Planning Dept. Chgr c iXn' ING SEPTIC SYSTEML ITED 10 #OF BED Rooms Date Definitive Plan Approved by Planning Board Approved By �0�5 Historic-OKH Preservation/Hyannis �'�m"'� Project Street Address Alas ` Village A Owner Gv 17� 11au Address /7.�_ D.erUE Telephone 5��5' • ?-7<9 - 7 S76_ — Permit Request cvvek't QM/1 G&_ (�e_tJcY GOA,'SzXcle=�) f� /1 ,��,-yik_Y 11A%4772%?.cat- ,411E IWY S,4i o A�J A. 1?e_4 L Square feet: 1st floor: existing ' propose nd floor: existing ' proposed Total newer Valuation 160 Q0e7 Zoning District Flood Plain Groundwater Overlay 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 II! YeS Historic House: ❑Yes *gNo 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 I Half: existing new 011 Number of Bedrooms: existing_ new Total Room Count(not including baths): existing .AK new First Floor Room Count : > Heat Type and Fuel: gGas ❑Oil ❑ Electric ❑Other ui X_ gp•. Central Air: ❑Yes `*o Fireplaces: Existing New 0 Existing wood/coal stN : ❑Ye.1 )9 o Detached garage: existing ❑new size ZoYZ_Y Pool:❑existing ❑new size Barn:❑existin ❑new"ke � Attached garage:❑existing ❑new size Shed:X-existing ❑new size Other: rn Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# �S Current Use Proposed Use BUILDER INFORMATION ' --~-�-- Name Telephone Number C �5_Dcc,12 Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S c` i zbrtJ SIGNATURE DATE o5- a FOR OFFICIAL USE ONLY - } PERMIT NO. , DATE ISSUED j MAP/PARCEL NO. ADDRESS t� VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME / INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ; ' PLUMBING: ROUGH FINAL ''. GAS: ROUGH FINAL FINAL BUILDING C1 + DATE CLOSED OUT" ASSOCIATION PLAN NO. 1 - . 1 Doc: 1s018s861 11-16-2005 10:35 ofTME Town of BardWI ABLE LAID COURT REGISTRY Regulatory Services (� Bnxivszna Thomas F.Geller,Director ' AW Le, �.� Building Division o� Tom Per Building Commissioner Perry, g 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT all Z7_ I(We), the undersigned, being the owner(s) of property situated at 175 BUCKWOOD DRIVE in MHYANNIS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book Page , or as Document No. clV zjo© , being shown on Assessors' Map 271 as Parcel 034, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters,is intended for use as a family apartment,for year-round occupancy. The intended and authorized use is for SHARON R. BELL, MOTHER OF OWNER SCOTT HOULE a" associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as 41.1 defined in Zoning Ordinances)which wotild require compliance with the Family Apartment Rules and Regulations. �.. This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation v of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits J reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. r This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use r of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this /00 day of 2006. TOWN OF BARNSTABLE OWNER(S) V1 BIr Build- 9in Commissioner o THE COMMONWEALTH OF MAS rACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), C 04-� C_ #oa& *fit made oath as to the truth of the foregoing instrument,before me. Nota Publi E My Co _V ._ MARY JANE GARNEAU Notary Public vT� i�:.;� `'• qh of TABLE COUNDEEDS TY F N �•� � `. MyCamnhalm Jung' BBI TRY OF ATTEST A TR COPY, V1L1;tip,, .t . •w• '.i�E J`- rye^ 4IVA JOHN F.NIEADE,REGISTER .,.s. Q:word/accessoryagreement BARNSTABLE REGISTRY OF DEEDS The Commonwealth of Massachusetts Depariment of Industrial Accidents `Office of Investigations 600 Washington Street Boston,MA 02111' www mas&gov/din -VVorkers' Compensation Insurance Affidavit: Builders/Contraetors/EI ctri sc3aris {umb bl U 1icant Information game s/prgaaization/Individual). Ale>U Address: �`7� �3c�G�w®�� .D�r`v� ,!-z�Y�.�..U��' ,�?i�--• �Z6� 1. . . City/State/Zip: .,. Phone#� ��`- -7 7 97- sire you an employer? Checkthe appropriate boa:. ,Type of project(required): [� a ea�Ioyer with 4. ❑ I am a general contractor and I %6• New cotlstraetion. Z am employees(fa1T and/or part-time).* have hired the mched sheet tors '7• Remodeling [] I=.a sole proprietor or.pariner- listed on the attached sheet$ and have no employees These sub-contractors have ,8. • • Demolition ship workers' comp.insurance. g, M Building addition 'vworl�g forme in any,'capacity. [No workers' comp.insurance are• ❑ we are a corporation and its 10❑Electrical repairs or.additions officers have exercised their required.] right of exemption per MGL 1 •❑ Plumbing repairs or additions 3 I am a homeowner doig,g all.work myself:[No workers' comp• c. 152, 1(4),and we have no.. IM Roof repairs employees.[No workers' 130 Other insurance required.]t co insurance required.] ... mp. eq J ' Any applicant that checks box#1 must also out the section below showing their workers'compensation policy information: '+ " Flomcowners who submitthis affidavit indicating they an doing all•work an outside contactors must submit a new affidavit mch'eahncg Saah. ccntraetar that check this box must attached an additional sheet showing the name df the sub-contractors and their wcrkae- omp-Pohc3+ f am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and jab site. g lnformaiion. ; Insurance.Company Name: Policy#or Self-ins.Lic.#: Expiration Date•' Job Site Address: ' City/State/Zap: -- Attach a copy of the workers' compensation policy declaration page(showing the policy number and•capitationf a Failure to,secare coverage as required under Section 25A of MGL c. 152 cirri lead to the imposition of erimmalpenalties fine up to$1,500,.00 and/or One imprisonment, as well as•civil penalties in the form of a 8TOP'WORK ORDER and a fine of up t4$250.00 a day against the violator. 13e advised that a copy of this statement may�e forwarded to.the Office of Imrestigatidns of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofPe ry that the information provided above is true and correct. atnre: Date•' d/ 3 Phone#: Official use only. Do not write in this area,to be completed by city.or fawn official City or Town• P ermhUcense# Issuing Authority(circle one)i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 5.Other Contact Person: Information aiid Instar�uctions 152 f wires all employers to provide workers' compensation for their employees. Massachusetts General Laws chapter is defined as"...every person in.the service of another under nay contract of" re, pit to this statute, an employee , express or implied,dral or '" two or more ' n, porporatton or other legal entity, an3' ed as:"an ju i431 ,paMersl}ip,•,assoaatio ' lc er or the le er is defm An emp Y ed in a joint enterprise, and inching the legal representatives of a deceased emp Y , the foregoing•engag other le al entity,employing employees. Hovte�er:tl�e of association or g receiver or trustee of an individnal,Partnership' ant of the owner of a dwelling hous a having not more than three apartments and who resides therein,on the ore aF house of another who employs persons to do manate'Lmce,construction or repair yPoikron such dweilumg house dyr we t•her�shall notbecause of such employmentbe deemedto be an,employer." or on the grounds or bu-nding app urtchapter 152,§25C(6)`also stalest"every state;or local licensing agency shall withhold the issuance or MGL aP permit too erate a business or to construct buildings in the ltommonwealth for arty Tenewal of a license or p P. licant who not produced acceptable evidence%of compliance with the insurance coverage required." ter 152, 25C states"Neither$he commoi;wealth nor any of its-political subdivisions shall aPi MGL chap .. § (� AdditionaIly, enter into any contract for the performance of public work until acceptable evidence of com��iance with the msusance 1egniremeuts of-this chapter have been presented to the contracting authority." Applicants ensation af$d4 completely,by checking the boxes that apply to Your situation and,if. please fill out the workers' hone numbers) along Certificates)of . s supply sub-contractors)name(s),address(es)and p with no emp19yees other than'the eces arY,DPP � partnerships necessary, Liabigi (�) cares C or Limited tY insurance. Limited Liabmlity Comp (LL ) or LLP does have hers or p artaers; are not required to carry workers' compensation insurancc. an D Cartment of Industrial met wired. Be advised that this affidavit may be submitted ep employees,a.policy is required. . Accidents for confirmation of insurance coverage,, Also be sure to sign and date the af#3davit: The affidavit sho turned to the�y ar town that the application for the permit.or license is being requested,not the Department of b e re uestions regarding the law ar if you are required to Industrial Accidents. Should you have any q companies should,=ter their compensationpolicy,please call the Department at the number listed below.. Self-insured self-insurance license number on the appropriate line. City or Town Officials provided a space at the bottom Please be sure that the affidavit is complete and printed legibly. The Department has provi the licant. of the affidavit for you to fM out in the event th�Offic�w be used as as reference f Investigatiois has to number regardingct you I•ntia� �licant' Please be sure to fill in the permit/lmcense numb 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" applicant should write"all locations in_____(city or P stamped or marked by the city or town may be provided to the town)."A SPY of the affidavitmathas been offcialfu applicant as proof that.a valid affidavit avitm=Itbe filled out eadh is on file for;future p ermitSorn �ted to any6enses..Anew ainess venture year.Where a home owner or citizen is obtaiwng a hcense o p complete this affidavit (Lt. a dog license or permit to bum leaves etc.)said person is NOT required to eration and should you have any questions, The Office of Investigations would like to thank you in advance for your coop please do nothesitate to give us a call. The Departraenes address,telephone and,fax mmben The Commonwealth of Massachusetts ' L�epa�tnent 6f h1clUstrial.Accidents Office of Investigations , f 400•Washington Street - Y '$oStdn,MA 02111.• 'Tel. #617-727-4900 ext 40.6 or•1-877 MA.SSA�FE Fax#617-727-774 T2Pnr;aPA 5-2645 www.mass.aov/aa o�tHErq,,� Town of Barnstable Regulatory Services ' Thomas F.Geiler,Director 61.�a 1 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - - .-Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, . improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied _ building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: lS�1&46e l' Estimated Cost/7_ 0 K Address of Work: 02ew Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): 7Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied �wner pulling own permit Notice is hereby given thaCt: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Dat Owner's Name Q:forms1omeaffidav Town of Barnstable p�SHE T� P` o� Regulatory Services s�nivsTwsr�, Thomas F.Geiler,Director NAM Building Division sbj9• °Tfc Tom Perry,Building Commissioner 200 Maier Street, Hyannis,MA 02601 www.townb arnstablema.us i nee: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE' JOB LOCATION 5 yG LcJbb/� t7A/ street Yi Y/it.Il�l S / village number //a✓Le7�8- 7g6s-/t'oS-Zzt-773 "IiOMEOWI�TER home phone# rk pbone# name CURRENT MAII.NG ADDRESS: cityltown state 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 Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to' be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) ibility for compliance with the State.Building Code and other The undersigned"homeowner"assumes respons applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and regairemen Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMMOWNER'S ExEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor:' aware that they are assuming the responsibilities of a supervisor(see Appendix Q, Many homeowners who use this exemption are un Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly whc4 the homeowner hires unlicensed persons. In this case,out Board.cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several took,. you may care t amend and adopt such a formlcertifrcation for use in your community. SMOKE DETECTORS REVIEWED „ BARNS LE BUILDING DEPT. DATE FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING c + C � —�� aft 46wbmdw me In ��Mm i co W LL o � 49 i Is . I { 3 � i f Y yry 7 k 4 iW+�x�iY1C1iaY�iet-+Wtd�ASi 6+�r'�.,'XfK4�a�:'Ada'e�{�?4.:'��R'�iY?�F�'b;�EatK�st9'17iQ6�etiID.' .. . eft ... � a�+war�wu�s?�s Jf x r SF z � d . _ �rym�e++�+.a,.a:x�w.w,wn++w.+w+�,•he»��dMr++m�rw�ww•"a ®�% . O 0 .n III"aaa` 1 �` . �.. 2-ow Im OOM aw 42 3GO sfr GARAGE FRAMING RIDGE VENT / 2*6 COLLAR TIES; 48" OC 30 YR ARCHITECT STYLE ASPHALT SINGLES - 1/2" SHEATHING ► 2*6 SINGLE PLATE 3/4" FLOOR SHEATHING - PRIMED FASCIA TRIM e � ' 114"TJI: 16" OC VENTED.SOFFIT PRIMED FREIZE �=DOUBLE TOP'PLATE. j 1/2 WALL SHEATHING i 2 * "OC 6 WAL L STUD 16 NATURAL WHITE CEDAR SINGLE SIDING I %SINGLE BC`70M PLATE i*4 AND 1*5 PRIMED CORNER BOARDS ► 2*8{' PT SILL PLATE . . 1 ��GRADE-�s I SILL.SEAL 48" FROST WALL: MIN. 8" ABOVE GRADE �4" CONCRETE FLOOR 8" BY 16" FOOTING '; . H o u C.e —1 flk HY VP 5 , 3 (�P 3 O Ye-AA SP Z7- SW A,�$ TLI Gel t t � - 1 � y , �,.yy-g,�.� � � „� s } .. �+� �� v �,., .��, p�� f �� . g ' �, . . � � . �I I . �. __ __ __ � f ± O f i m v O 49 ,�•�-I is � � � W J [ � � { . � � � t . � t ' � ;fir GARAGE FRAMING RIDGE VENT /2*6 COLLAR TIES; 48' Qr 30 YR ARCHITECT STYLE ASPHALT SINGLES 1/2 SHEATHING ►.d` ----2*6 SINGLE PLATE 3/4" FLOOR SHEATHING PRIMED FASCIA TRIM A�✓ / .14"TJI: 16" OC VENTED SOFFIT-------'- l'► PRIMED FREIZE '-'--DOUBLE TOP PLATE 1/2 WALL SHEATHING ► --2*6 WALL STUD; 16"OC NATURAL WHITE CEDAR SINGLE SIDING SINGLE BOTTOM PLATE, 1*4 AND 1*5 PRIMED CORNER BOARDS ► ' 2*8 PT SILL PLATE ��--GRADE---___,, t SILL SEAL 48" FROST WALL: MIN. 8" ABOVE GRADE 4" CONCRETE FLOOR 8" BY 16" FOOTING •. _� �} �. ) .�� PC�,� � rq �� skti Slss.s.,, - 4 ss t crcF Y3: r f �"+J 1 � - n``s' �'i§ .� �,r'�4>r e ,� ��,�� Y;�Y �-'+;•. �4x°' i a�� '' � ?�n ��.�- yl �. `L° ss 1 9 family F? .'`ttk t�4 -.:. .$ � s :�:.�Z',^s:. `,'. a .4!t t,+ ..` .,,.r � ��3,Y y.�_t• 3.a �zs aj�s : +j f 2 P ,F. r n s x x4iA-rt 7 s r� A d' ` ' ,�, s t��ry� ��.� • e • t, �.�tiF i �.r f f t �i's^��e�' 1 73 k� a tty�^'*cu€:X�.s1ssl°�'H� - ••• � - �"��5:�°9 j�.�TS �� h�j�p�s S� �qU�: " he t'l�'kFE f k•S s § rl� c�}?�t� k � r x #�'7��.�dr� 1 � � (Lx i_ �"�hri'� r ::{3`5.s. ir, x ,€ r,s f .k -ze ::' x c f4. r-•r cy,r r ; 1h. .r .c,,� ...a .0 ; A i s .i a-� s �, .� h'4 � � r •e r5 k n C 1 Y�, � t� >v" a ..;As, ds fix. .. < s: x � .L 4 wc� 4 t�F'3"'�F° 4 ¢r-t Y ' l `• � �,�'+) ;� ��, rk a p �? � _ - ^'•3., 1� +.G.63 rt `�`a a�. . f �,Y r°- i.r^t S r� t - C� D //// F F O x 3 + peal' ei 88298 ;e ;b=' 'Building Permit New 'a as t• Houle IhAargi iarite&Scott A 175 Buckwood DriveY 1 age Hyannis MA 02601 � ec � 271034 �•.�� c x Convert newly constructed garage to family apt. Ins. Insp. 11/22/05. y ' t Doc= 1s0189-861 11-16-2005 10:35 Town of Bare ABLE LAND COURT REGISTRY Regulatory Services �( snnivsTesre, Thomas F.Geiler,Director 039. .�' Building Division v �Eo Tom Perry,,Building Commissioner v k 200 Main Street, Hyannis,MA 02601 A Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT O 7' I(We), the undersigned, being the owner(s) of property situated at 175 BUCKWOOD DRIVE in �- HYANNIS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book , Page , or as Document No. q 47 q0© being shown on Assessors' Map 271 as Parcel 034, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters,is intended for use as a family apartment,for year-round occupancy. The intended and authorized use is for SHARON R. BELL,MOTHER OF OWNER SCOTT HOULE associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as N defined in Zoning Ordinances)which would require compliance with the Family Apartment Rules and Regulations. �., This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation v of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits J reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. r This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use r of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of / 200�7 TOWN OF BARNSTABLE OWNER(S) By. Bui ding Commissioner o THE COMMONWEALTH OF MATACHUSETT BARNSTABLE COUNTY,SS Date //I L1<01tj t4Then personally appeared the above-named (owner), 17lLC.CC� i/( '� . Ad��/ made oath as to the truth of the foregoing instrument,before me. Not4Publiff My Co .,,�... MARY JANE GARNEAU 1 :' Notary Public .:, "� ' ; �:/ Cartanoeweal�I of TABLE COUNTY �`��, s Juice TRY OF DEEDS w ; 8` A TR COPY,ATTEST .... , JOHN F.MEADE,REGISTER Q:word/accessoryagreement k'; �.��,a , BARNSTABLE REGISTRY OF DEEDS A 0�� r�.e� U i Town of Barnstable °Ftr+E Regulatory Services Thomas F. Geiler,Director BARN BLE,$ Building Division i639. ♦0 Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 December 15, 2008 Marguarite & Scott Houle 175 Buckwood Drive Hyannis, Ma 02630 Re: Violation of Zoning Code Chapter 240 Section 14 Single-Family Residential RC-1 Zone Locus: Map 27.1-034 175 8uckwood Drive, Hyannis Dear Mr. and Mrs. Houle: It has come to my attention that you have not completed the required process..in order to secure approval of the proposed family apartment located above your detached garage. It is necessary that you.finalize this process in order to avoid the issuance of a cease and desist order and subsequent court action. Additionally, a question has arisen with regards to the eligibility ofyour_application It is imperative that you contact me by Dec. 23, 2008 in order to confirm your intentions. -I may be reached directly at 508-862-4027 in the event that you want to discuss this matter further. Your anticipated cooperation is appreciated. cerely, Robin C. Anderson Zoning Enforcement Officer J:\Coinplaint Inv Reports\115 Buckwood Restore to SF Houle letter.doc s oFt Ta,, Town of Barnstable Regulatory Services BAR►SrASLE, MASS. Thomas F. Geiler, Director 1639. o;;rA�O 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 MEMORANDUM - TO: Robin FROM: Lois DATE: .5/28/08 RE:. Family Apartments Status: New Do these require enforcement? I have not checked with the building inspectors on these. 342 High Street, WB %;; ZZ/0 B Colleen Cassidy o�Permit issued issued 4/19/06, no inspections. 175 Buckwood Drive, Hyannis ` Marguarite & Scott Houle Permit 88298 was issued 11/9/05. There was an insulation 'inspection in 2005. See notes attached—this was referred to Linda. 61 Fleetwood Path, Marstons Mills Mario Oliveira L Permit 200703806 was issued 7/30/07 to replace window in basement.'No inspections. s ,,_,r Appeaf`or Permit No 88298 Appeal Building Permit Status New W`^d yC i1& - ,.F` wA, '" �� ... .;.sr.� "ta . .�.da�-�..N�, .*�'.as.w. ,.. ��. �_-w _ ;gym;,•. �P °f�� .,H}.�'`c�s�,��" �*-t a � ,,�, � �'. " Applicant Houle Marguarite&Scott 4 � + tzs - �' »�� Addt1 ,175 BuckWood Drive ��' _ Ullla a tH aMIS MA 02601 s^ 'F°a" IN '` a Aff Receivedn®Map Par 271034 Zornng � 4 : ,.,✓.k qax xW�f.'�,t, R �r Y ��§r r t r'`S z ";t'�r� sa ?� ,F„�,vy�`r+✓ �'"'s � � tF ry:, E ;N3 a :..�fCc'' '"L�.,E �n�,��7"`s -' s,F- - kZ ^2 4 .�, Decision "*.,c f� ''w r E 3 Notes Convert newt constructed garage to family apt. Ins Ins x sus ; s Y 9 9 Y P p• 11/22/05. Follow up 12/06. 3/1/07 VM, 3/13/07 talked to } 4 owner,still hasn't completed work or connected to house,has M z" - - no money, mother-in-law living there 3 months a year. ° Referred to LE 5/27/08 memo to Robin K - - �� x c �� v,�� x .� � 9'�"��rT � y s tr"•'' ; - a� a�-vn W `*rY�A rs:�� . 175 ti�cdccv-� Df V Y �a �A Vie° $0 2016-$452,000 2015-$324,300 2014-$324,300 2013-$324,300 $12,300 2012-$290,400 2011 -$290,400 $212,200 2010-$296,300 2009-$315,000 $452,000 2008-$315,000 2007-$315,000 011/-Use Code:3160 92 Fiscal Year 2017 TAX RATES HERE 28 .36 Use Code:3160 ate Book/Page: Sale Price: 8-02 27596/251 $450000 rtydisplay screen I 7.asp?ap=0&searchpar... 11/14/2017 i �� 25 Anderson, Robin From: Deese, Tammy <tam my.deese@suez.com> Sent: Thursday, April 18, 2019 11:36 AM To: Anderson, Robin Subject: HYANNIS WATER RECENT SHUT OFFS 25 SKATING RINK RD SHUT OFF DATE 2/20119 76 KELLEY RD SHUT OFF DATE 2/13/19 175 BUCKWOOD SHUT OFF DATE 11 20 18 Cf r 257 MITCHELL'S WAY SHUT OFF DATE 11/20/18 , 657 YARMOUTH RD SHUT OFF DATE 2/26/19 ** 62 BAXTER RD WAS TURNED BACK.ON DUE TO CLAIMS OF 80 YEARS OF AGE AND BED RIDDEN FEMALE HOWEVER .SERVICE TECHS NOTICE SEVERAL YOUNGER FAMILY MEMBERS AT THE ADDRESS SEVERAL TIMES . WE ARE ALSO IN RECEIPT OF A LETTER STATING THIS PROPERTY WAS SOLD AT AUCTION.SO AT THIS TIME THINGS ARE A LITTLE FUZZY WITH THIS PROPERTY. ALSO SPOKE WITH HANS REGARDING OUR CONVERSION YESTERDAY. HE ADVISED ME GOING FORWARD TO EMAIL ALL APROVED SHUT OFF ADDRESSES IN ORDER TO KEEP YOU IN THE KNOW.. THANKS FOR YOUR HELP TAMMY DEESE COLLECTIONS CLERK 508-775-0063 X3516 Before printing a copy of this email,please consider the environment. This email and any attachments are confidential and intended for the named recipient or entity to which it is addressed only. If you are not the intended recipient, you are hereby notified that any review, re-transmission, or conversion to hard copy, copying, circulation or other use of this message and any attachments is strictly prohibited_ Whilst all efforts are made to safeguard their content, emails are not secure and SUEZ cannot guarantee that attachments are virus free or compatible with your systems and does not accept liability in respect of viruses.or,computer. problems experienced. SUEZ reserves the right to monitor all email communications through its internal and external networks CAUTION:This email originated from outside of the Town of Barnstable! D_on t click links,open attachments or reply, unless you recognize the sender's email address and know the content is safe! 1 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ®`� _ {` Permit# J,iealtb-Oivision Date Issued 44uea�aWn Division Fee S ®� Ili r o�,Tax Collectd�� Treasure "� -�AV ^9 1 Planning Dept. �J Date Definitive Plan Approved by Planning Board kl+r as-914H r Pmsewa#oAkiyannis Project Street Address 11 �1 C,ICUJ 0oJ Village `S t Owner iU L.L- Address S4A e E Telephone o23-157 Permit Request �S rwiP A�Rve)i� Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Costol—�, SM Zoning District Flood Plain Groundwater Overlay Construction Type UJO, AX— Lot Size Grandfathered: ❑Yes @1 o If yes, attach supporting documentation. Dwelling Type: Single Family�ax ;Two Family ❑ Multi-Family(#units) ` Age of Existing Structure Historic House: ❑Yes R(No On Old King's Highway: ❑Yes Colo 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 d 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 0 Commercial ❑Yes 44 If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name C' P 1 ZZ j. 3m ,,pg Telephone Number j8 Address 14 qS-,Aleozym,1 W, License# 0.7 2 741q ' I�Lc�y� U <r Home Improvement Contractor# Worker's Compensation# � 211Y-11 1/f6.Vi ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO (��YYLIiI.t�°t��La SIGNATURE Jlidli,( .L 41, AA1PduAE— DATE • l FDR OFFICIAL USE ONLY {, - e �; ., t _a , •. of r - _ y .. `�. _ R _ PERMIT NO. E _ DATE ISSUED MAP/PARCEL NO. ADDRESS °`\- VILLAGE OWNER - r t DATE OF INSPECTION r F FOUNDATION � FRAME f� • - +� ,-, i . ` f � , INSULATION - FIREPLACE + ELECTRICAL: ROUGH FINAL '. PLUMBING: ROUGH } FINAL' - GAS: ROUGH ^a ,+ FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION iPLAN NO. 4 f The Town of Barnstable _. . . aAsi�srABli+ • 9 �0C' Department of Health Safety and Environmental Services . Building Division -367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only ' Permit no. Date t AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW ' SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction,,alterations, renovation, repair, modernization, conversion, improvement, removal, demolition,or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: fP R ��1� sk Est. CostT — - Address of Work: ,�`7u�`" � � d e,jN1/ AkL4 a 5 Owner's Name j, 041 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under 51,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH. UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR.GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. eti P OR Date Owners Name --- The Commonwealth of Massachusetts Department of Industrial Accidents == , Office oflnYestigations s; _ +y 600 Washington Street Boston,Mass. 02111 ��'••��,,,,,,,,,,{��,,,,�� ' � ��j%%%%%%/% 'cation Insu `'Y%////////%%////////%%%//////%%%%%%�/%///O//////%%�///%%"!"'.... 2�'nncaut;rrtfaAM ruratz/I �,' �////%%'/ /,�/ name: 51f M6AJ -B l '7 '3c(�c��tC_ 01)Its > J)n t y�' location: city L y�t/,i phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one world,n in any capacity �Q I am an employer providing workers' compensation for my employees working on this job. comnnnv name• / E =JUPO 4&✓iS AA17, lCo 5 j cwAl 9cJ. address: ,::. . :.... .... .... city- CO Z-U t r MA 40At'i .3.5 phone#- C.�aa) �l�S 9si8 insur•tnce co. 229 �ly'l[�( I'1�� , nnlicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comnnnv name• - -- address- city phone#� ............ , insarnnce cn. ...... .. olicv#.. catnnanv name- address* city phone :::::.....::.:::. ..... . #= imurance co. Rag :... MO.NO %i%///% Faffurc to secure coverage as required under Section 25A oC MGL 152 can lead to the imQosition of criminal penaitles of a fine up to 51.500.00 and/or understand that a one yeah'tmpnisonment well rs civil penalties in the fon�rt of a STOP WORK ORDER and a tine of 5100.00 a day against me I copy of this statement may be forwarded to the OtIIce oC Investigations of the DIA for coverage veriticatioa I do hereby certify under the pains anddppennalties perjury that the information provided above is true-and correct Si�ature!/��.�o(.c.� - Date 'ao' - Print name __Phone# ofllcial sue only do not write in this area to be completed by city or town official city or town: permit/llcense# ❑Building Department ❑Licensing Board ❑check if immediate response is re!!�led ❑Selectmen's Office ❑Health Department contact person: Phone#• ❑Other (muea 9l95 PJA) ✓he Uoiwnzonurea`t� o`��-G`aetacicc eCZ i 1tP ART'NE HT: IF _ `h=� l i :0N.�IRUf?i0a SU%hsV R. ,taa Number: CS 037459 10_ ,!'101i �x r HUNAS``=.CtiFi'_s HOME I� MPROVEMENT CONTRACTOR", , Registration* 100740 6415 NEWTO?JN ?0 '3ty0e��` PRIVATE CORPORATION ` COTUIT, "F ,� ; Expiration 06/23/00 7,7 CAPIZZI HOMEfIMPROVEMENT, INC as=Capuzi, Sr ADMINISTRATOR e? Newton Rd Cotuit' MA 02635 ✓fie �%a�cv»z��zcaeallf. o� l`a::aacl u�ett DEPARTMENT OF PUBLIC SAFETY - s, CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted Tc- ee THOM:A,S X 'GAPP_tI JR 'rFizr'280 PERCIVAL OR W BARNSTA8LE, MA 02668 ��'` a r'�, � ✓fee �a»vinanurealC� a`'�.Glcz�l�czc�u:te.Ct DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number Expires: Restricted Ti.• 00 FREDERICK-..V' RASCH III 1 H 0 BOURNE RO PLYMOUTH, MA 02360 i RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE " New Buildings $100.00 Residential Addition $50.00 " Alterations/Renovations $50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) . square feet x$32/sq.ft.= x-.0041= ACCESSORY STRUCTURE>120 sq.ft. ' >120 sf-500 sf $35.00 >500 sf-750 sf .50.00 >750 sf-_1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet`x$96/sq. foot= x.0041= STAND ALONE PERMITS - Open Porch x$30.00= (number) t Deck x$30.00= (number) Fireplace/Chimney i x$25.00 (number) Inground Swimming P601 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00- (plus above if applicable) Permit Fee Projcost Rev:063004 i Town of Barnstable ��cSEtPr 200 Main Street, Hyannis MA, 02601 508-862-4038 a Application for Building Permit P g Appli on No: TB-17-4165 Date Recieved: 12/1/2017 Job ca ' 334 BUMPS RIVER ROAD,O ERVILLE Permit Fo : lding-Smoke Detector- e Alarm Dection System Contractor's Name: Thomas J Lee State Lic. No: 172 Address: 31 CAPTIVA RD, WALPOLE, MA 020812042 Applicant Phone: (413)507-0010 (Home)Owner's Name: MCDONALD,FRANCIS J JR TR Phone: (Home)Owner's Address: 11 CORNELL WAY, WAQUOIT,MA 02536 Work Description: INSTALL(3)WIRELESS SMOKE DETECTORS AND 2 WIRELESS HEAT DETECTORS WITH HARDWIRED SIRENS(2)AT EXISTING HOME Total Value Of Work To Be Performed: $0.00' Structure Size: 0.00 0.00 0.00 Width Depth Total.Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Thomas J Lee 12/1/2017 (413)507-0010 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $0.00 Date Paid Amount Paid Check#or CC# Pay Type i Total Permit Fee: $35.00 12/1/2017 $35.00 132330 _ Check Total Permit Fee Paid: $35.00 �' ��' �" �__„ r'r��y � Ems" � �" � �� a � • �1HEl°� Town of Barnstable Regulatory Services 9 MAS"s,. Thomas F.Geiler,Director ` l6. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us , Office: 508-862-4038 Fax: 508-790-6230, Permit no. Date AFFIDAVIT r HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, ` improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more,than four dwelling units or to structures which are adjacent to ' such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost 3.1c`000 Address of Work: Owner's Name: Date of Application: 6 -7-c�_5- I hereby certify that: _ Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ' uilding not owner-occupied "s Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.'142A. SIGNED UNDER PENALTIES OF PERJURY :. I hereby apply for a permit as the agent of the owner: „ Date Contractor Name - Registration No. Date Owner's Name QIon-mhomeaffiday. a -- The Commonwealth of Massachusetts -_ - Department of Industrial Accidents Office of Investigations 600 Washington Street, 7`h Floor Boston,Mass. 02111 y_ Workers'Compensation Insurance Affidavit:Buildin�.VPlu ymbing/Electrical Contractors. ^r+•�1)�l:a'�t �r^ 'a j 3:t:: � _.C'a.Cin -� v[ .el. 3 +�S. name: address: f 75— ®eQ-`te— city hYf""-"S' state:' tate /VII zip OZ6&` phone# ate �7g 786 work site location full address a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel ❑ I am a sole proprietor and have no one workin in any ca�aci Building Addition .c. Cn(..'.I:IF.�d1.' •Ci"f)'f"'.`�✓.��°.:.fa A;.�'_':L Y.,`;:' 3P�rlh ) �!„+ •S:rw ,ry Y.'. 14: kA:i �'.M'!. .gj !v li�i. 4�.C.' '' .''..: C.n.'...,4Y g`•:'.Y':�•.:fig;t:'F':i•`.n w`..1'n.•....i��'•��:::�in�?!4v":?"vc�..��`i,�"r�..•.'d•'•�y'.�:`:;`.'c�.,;Ci"r:�9•si'l.• I am an employer providing workers'compensation for my employees working on this job. company name: address:' city phone#• insurance co. olic # EM::Y3UM:3x.�>a-7��kiG.M:'`'fi�ii::r°:Y;`cra.'&'8tb4: cLai��M,:'Gb `.&c,"' �.':-•• ji. I'=' • '�.•" ,q�Lt;;s�'�.4�ec11•i#:.'�r'='`�d::` fL:•'�`�:•"....;ii-'nr'.4ia,z:«T:i:i:K..;%sCw-:'a,.;::ds•:ia�v?::'t� a��. ...7f. ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers'compensation polices: company name: address: city: phone M insurance co. olic # ;fiisl ': Ps%'•t.i43')i:a ,Ft }` = :1' b. r t ti• a. 3$'.i ..?ic%2 Pq,•�.; wi7 . a r:i.:. .:'w::�'":'+�.. J�. •J:Cte:-:•.�e�;�4f:�Y.!`:t. 'company name: address: city: phone M insyurance co. oli # ts; fl+"aalt;Sial;,- nANK I� w : -0 Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition 'of criminal penalties of a fine up to$1;500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. ' I do hereby certify under the pains and penalties of perjury hat the information provided above is true and correct. Signature Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑check if Immediate response is required ❑Licensing Board ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (reviscd Sept 2003) Information and Instructions Massachusetts General Laws chapter 1.52 section 25 requires all employers to provide workers' compensation for their . employees. As quoted from the"law", 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 section 25 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,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. 21 .',' :'*�i�. e> ., .,. .:c'"y'`" .' ?. - Y: !:' 'rr' .•',"• `•.'"y4. a" * ^i,,;tx,'+' i? :} y.;6�PF!�-},••? ''g'•; .Y . k. •'. Y. k ! ¢.� .tilp 'r,. �*nE+iSY Ma Applicants Please fill in 'the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address.and phone numbers along with a certificate of insurance as all affidavits 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. rc, q:'$r•Err d?�$?r. .a?<t7;r�. s. ,�:"��-':ham, �.�. :�.'• 'k.�`:�i�.,i"vr."a`',cTh',.......;:.7>°.`�f`•"'7°'i Sj`,J:.::• a:•::' •.• .# ro-. ;�.�,� ,u �• _ _ :��3. •t;•.. a:..r. '4K�x § e..r.v,:.4'r6'.tn,;,>',�y y. .P-? rh8rr..M'•ay.4w•'x�, �,bt.."c'�r'Ts''�.riEx�d't•uAir'ici��[X*t'Ac`ti'�y..� �:•Y.•i'a '..L.aY�fd,vZyA`, �"fi�,','t ./ ..f`C.,a...dr•',�:::.1�"i�,+`t.:}.•S..�i:.c'•,F`r,5�,.>•.LE:X'NA„';r:`,:in��u_.F+�:>.. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ya.t'k'. ...�:>x..•' r _ - a:ci.rn.r Yt •Mtn waE>, .ey"'; 5.'•,u':;:4-. .i ..�i';�!�'.'...._••• 'iF*,�:ti'r9""�.ai°�•.:• �r3� -'Mtiri� ta.?cr :yYa,''.;'�.'`�.S,+q .!ci.rtii ate ' .. E ,.: r+3:. j :• .a, °T•G '•^=.r r. yv•:`•S- r. ,,r, .•t.''�"i• "i rr.S RA MO'd':N'a•. ..aa is .E.y ��''�q.,x r�{. '4:• '.4 v... .rP 'lf: r .sir 'y.•'�a..};,,£. a(..iy;M +'ri�;�.� .''-,` ` t lk,,t�'•RSw ^' 'i'.- `.�.r.�` �,xt�`' � sra. ",f�•a4 Y'e�w S` ! r ` w.a:�i'F' .,f The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7a'Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-49000 ext.406 AFT Town of Barnstable Regulatory Services • anxrisznBr.B. Thomas F.Geiler,Director MAM 0 9. p,0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: _D m JOB LOCATION: number street village.. "HOMEOWNER": Sct, - v.Gt —5aS'•77V-79-6,.5— S C,5-cZZ1-z_Z name home phone# work phone# CURRENT MAII IING ADDRESS: Sv�r td city/town state 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 suvervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner ' Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board-cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forrns:homeexempt w Application number.. .......L ...L.I. ..�... APR0 9 Fee............................................................................. SAMNAMWAKS` • Building Inspectors Initials... .. .... .................... . 10� t;AHM IABL[ Date Issued........�(.....b..l......................................... / i1 Map/Parcel......�.............. ... ....�....................... TOWN OF BARNSTABLE EXPEDITED PERNIIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION P-ROP-ERTY INFORMATION Address of Project s I{,/(,kj�✓c 08 NUMBER STREET VILLAGE Owner's Name: * �� ,p�c�,t/�tl �C��„ Phone Number 4, 13 Email Address: 1 JS�c,✓ Lb(, Cell Phone Number Project cost$ Check one Residential �(// Commercial V OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for rdin g pe in accordance with 780 CMR. Owner Signature: Date: t^o:_ TYPE-OF;WORK�y4 I/t Siding 0 Windows (no header change)# El Insulation/Weatherization I)Mors (no header change)# Commercial Doors require an inspector's review t�.! Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE 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* 4 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 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 Fuel source being used LP tank 20 lbs. or> Yes No____, if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required. 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 pm-4:30pm. 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---j Homeowner's Name: Lk�;) ��Q9VUr�/,��e o ✓fvV� Telephone Number ( (_ 2t� �.� Cell or Work number W 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 inspecti/Qi procedur , specific inspections and documentation required by.780 CMR and the Town of Barns ble. 1 Signature Date T PLICANT'S-SIGNATURE Signature Date All permit app ' 6itions are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nari1e (Business/Organization/Individual): t)i\o iA1b,,J_ �j`a Address: 21r t�wL✓l 1 (.,,J � IL ^�/� }� City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 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. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y P tY• # 9. ❑Building addition [N orkers' comp.insurance comp.insurance. e . ed.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.-- rI am-a,homeowner doing all work officers have exercised their I I.0 Plumbing repairs or additions mysel-£ [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other - comp.insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 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: Jobt"Site A,ddress: S Il ...City/State/Zip: �p ( l 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 formr�e coverage verification I do hereby certi �nderthepa' aid penalties of perjury that the information provided above is true and correct. Signature:" 'Date ,Lk— Phone d #: 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#: i Am 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 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 Department of Industrial Accidents Office of Investigations 600 Washington,Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mm.gov/dia Wells Fargo Bank,N.A. MAC F2303-04J One Home Campus p Des Moines,IA 50328 Ph:877-617-5274 June 30,2016 r Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street Hyannis,MA 02601 ` Completed Property Registration? for: - 175 BUCKWOOD DR HYANNIS MA 026oi-2117 TAX ID: 271-034 Dear Sir/Madam: Please see the attached property registration form for the above property and use the below contacts to expedite any future requests. Thank you for your assistance in this matter. Code Violations: CodeViolations@WellsFargo.com Property Registrations: Registrations@WellsFargo.com General Property Preservation: Property.Preservation@WellsFargo.com r:7 Call Toll Free: 1-877-617-5274 - For questions regarding purchasing a Wells Fargo property please contact 1-87�:,6 17-5274 Sincerely, Angela Pryor Research/Remediation Associate m WPII.Fara_n Rank.N.A. c Angela.L.Pryor.@wellsfargo.com One Home Campus,F2303-04J ,Des Moines,IA 50328 . } Town of Barnstable, 367 Main Street, Hyannis, MA 02601 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records:, N/A Section 1 —Property Information Property Address: 175 BUCKWOOD DR HYANNIS MA 02601-2117 Assessors Map#: 271 Parcel#: 271-034 Land area and description lot of 10,890 sqft (or 0.25 acres) Building(s) description and contents single family home of 973 sgft Occupied: yes Occupant(s)(if borrowers so state and include name(s)) Marguarite Houle c/o Wells Fargo Bank, N.A. Phone: 877-617-5274 email: codeviolations@wellsfargo.com other: fax: 866-512-0757 Vacant: no Date: 6/30/16 Anticipated Length of Vacancy: n/a Last occupant(s) )(if borrowers so state and include name(s)) n/a Phone: 877-617-5274 email: codeviolations@wellsfargo.com other: fax: 866-512-0757 Has possession been taken no If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) see attached vacant building plan Section 2—Foreclosing Party Information Foreclosing Party (full name/title) n/a Foreclosure Case Court: n/a Docket# n/a , f Date filed: n/a Current Status: n/a Foreclosing Party's representative(s) for property(entry,management, repair, etc.)(name, title,): n/a Company (if different from foreclosing party): Wells Fargo Bank, N.A. Address: 1 Home Campus, MAC F2303-04J, Des Moines, IA 50328 Phone: (877)-617-5274 email: Codeviolations@WeIlsFargo.com other: fax: 866-512-0757 If an exemption,is claimed, please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so state and do not complete contact information(i. e. "none" or"see above")). Name, title, other: see above Company(if different from foreclosing party): n/a Address: n/a Phone(s): n/a email(s): n/a other: n/a Name, title, other: n/a Company (if different from foreclosing party): n/a Address: n/a Phone: n/a email: n/a other. n/a Attorney representing foreclosing party Firm name (if different from attorney's name): Orlans Moran PLLC Address: P.O. Box 540540 Waltham , MA 02452 Phone(s): (181) 190-7800 email(s): info@orlansmoran.com n/a I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Angela Pryor,Research/Remediation Digitally signed by Angela Pryor,Research/ Associate,Wells Fargo Bank,N.A., Date: Associate,Wells Fargo Bank,N.A. G/40/1 G g Date:2016.06.30 09:00:44-05'00' - Date: 6 vJ 6 Name:Angela Pryor - Title: Research/Remediation Associate I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4, requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner, to bring the property into compliance with the,, maintenance and security standards contained in Code subsection 224-4(B) within thirty (30) days of a notice from the Building Commissioner., Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4, please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property N/A Town of Barnstable, 367 Main Street, Hvannis, MA 02601 (1) Registration date: 6/30/1 s If not registered, please complete the registration form and state date of filing or anticipated filing N/A (2) If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated.)N/A (if in possession or ownership must be certified as accurate twice annually in January and July). (3) Describe any hazardous materials on the property as that term is defined in MGL c. 2 1 K and the date(s)and method(s) for removal as approved by the Fire Chief UNKNOWN (4)Method(s) and date(s) all windows and door openings secured(or will be secured) UNKNOWN - If left secured, name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property WELLS FARGO BANK,N.A. F2303-04J 1 HOME CAMPUS, DES MOINES IA 50328, 877-617-5274 (5) Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property UNKNOWN (6)Name(s), address(es) and contact information of person(s) responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance"in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances WELLS FARGO BANK,N.A. F2303-04J 1 HOME CAMPUS, DES MOINES IA 50328, 877-617-5274 i t (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity, please state: Date of approval UNKNOWN Date(s) electricity turned off UNKNOWN on if applicable UNKNOWN Date(s) water turned off UNKNOWN on if applicable UNKNOWN (8)Name(s), address(es) and contact information pf person(s) responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances WELLS FARGO BANK,N.A.,F2303-04J 1 HOME CAMPUS,DES MOINES IA 50328 j (9)Name, address, telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in-the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner WELLS FARGO BANK,N.A.,F2303-04J 1 HOME CAMPUS,DES MOINES IA 50328,877-617-5274 (10) Date(s) certificate of liability insurance on the property filed with the Building Commissioner SEE ATTACHED EVIDENCE OF INSURANCE (11) Date(s) cash or surety bond of at least $10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee N/A (12) Date(s) scheduled for inspections with the Building Commissioner and Health Director, who may at his.or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance UNKNOWN or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance UNKNOWN (13) Date(s) when the property was sold, or is anticipated to be sold, to the foreclosing party. If neither,please explain UNKNOWN I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of. chapter 224 of the Code of the Town of Barnstable. Angela Pryor,Research/Rernediation.Digitally signed by Angela Pryor.Research/ Remedialion Associate,Wells Fargo Bank,N.A. Associate,Wells Fargo Bank,N.A. Data:2016.06.3009:03:31-05'00' Date: 6/30/16 Name: Angela Pryor Title: Research/Remediation Associate I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable i t 21174 DATE(MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 3/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Wells Fargo Certificate Service Center Wells Fargo Insurance Services USA,Inc. NAME:PHONE 404-923-3719 FAX 1-877-362-9069 AIC No 3475 Piedmont Rd E-MAIL wfis.certificaere uest wesfar ADDRESS: t ll o.com q @ g Suite 800 INSURERS AFFORDING COVERAGE NAIC# Atlanta,GA 30305 INSURER A: Old Republic Insurance Company 24147 INSURED - INSURER B: Wells Fargo Home Mortgage INSURER C a division of Wells Fargo Bank,N.A. INSURER D: 90 South 7th Street, 14th Floor INSURER E: Minneapolis,MN 55402 INSURER F: COVERAGES CERTIFICATE NUMBER: 8901677 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT., TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY POLICY NUMBER MMIDDIYEFF YYY MM/DDY EXP IYYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY MWZY 304056 04/01/2015 04/01/2020 EACH OCCURRENCE $ 10,000,000 A Al TO CLAIMS-MADE �OCCUR 'REM MI (E.occur ence $ 10,000,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 10,000,000 M'OTHER: L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ 10,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED L SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY accident) YDAMAGE $ HIRED AUTOS AUTOS UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A AND EMPLOYERS' YERS'LIABILITY IONILIT MWC 302638 04/01/2015 04/01/2020 X STAPERTUTE ERH AND EMPLOYERS'LIABILITY 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑N N I A (Mandatory in NH) E.L..DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION Wells Fargo Home Mortgage, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN a division of Wells Fargo Bank, N.A. ACCORDANCE WITH THE POLICY PROVISIONS. 90 South 711 Street, 1411 Floor Minneapolis,MN 55402 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) 1 ' Barnstable, MA Vacant Buildin>3 Plan Current status of the Building: The building is secured; all doors and windows are locked. If the property utilities are on when we find the property abandoned, we will transfer the utilities into our name and leave active. If we find the property to not have any utilities we winterize the property according to investor/insurer guidelines. Plan of action for exterior building maintenance: We inspect and maintain our properties. We work to keep the property secure and free of any health hazards and/or debris. Wells Fargo also schedules our grass cuts twice a month. What improvements are planned? If the property is in need of repair to avoid a code violation, we will review and take any appropriate action. If there are insurable damages, we will file an insurance claim and review for repairs. What is the scheduled date of re-occupancy? Approximately 90 days after the foreclosure sale is confirmed. Building to be sold or rented? The building'is to be sold. Certificate of Occupancy: The buyer will be responsible for re-certification and occupancy inspection with the city. Is property to be demolished? There are no current plans for demolishing the property. The city will be notified if there is a change of action. f e WELLS FARGO BANK, N.A. CONTACT INFORMATION For questions or concerns regarding a property registration issue please contact the . Property Registration Department. Property Registration Department Registrations@wellsfargo.com For other inquiries please route applicable requests to: Building and Code Compliance Department CodeViolations@wellsfargo.com Utility Bills ConvUtilitvPmt@wellsfargo.com HOA or Condominium Dues or Fees HOAPmtRequestFH@wellsfargo.com Tax Related Requests: TaxGatekeeper@wellsfargo.com E REO property inquiries PASAPinguiries@wellsfsargo.com Insurance Claims HazardClaims@wellsfargo.com General Property Preservation Property.Preservation,@wellsfargo.com For questions regarding purchasing a Wells Fargo property please contact 1-877-617- 5274. You may also contact our dedicated property preservation call center at 1-877-617-5274 Monday— Friday from 8:00 AM —9:00 PM EST. Please note all legal documents should be sent to our legal mailing address below: Wells Fargo Bank, N.A. 1 Home Campus MAC# F2303-04J Des Moines, IA 50328 4�OFIKE Tp� Town of Barnstable ', Regulatory Services t '" MASS. Thomas F. Geiler,Director y nss. g 1639..,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 July 15,2005 Scott Houle 175 Buckwood Dr. Hyannis,MA 02601 Re:Building Permit Application Dear Mr. Houle: The permit application request for a garage that was submitted to this office has been denied because of the dormers. If you would like to resubmit your plans without the dormers we will do another review for the permit. Thank you, Thomas Perry Building Commissioner TP/AW Page 1 of 1 Anderson, Robin From: HoulSctt7@aol.com Sent: Wednesday, January 28, 2009 9:15 PM To: Anderson, Robin Subject: Re: Scott Houle 175 Buckwood Dr. Robin, sorry for the delay I spoke with my builder today about the plans. He said that he will have them to me next week (First week of Feb.). As soon as I get them I will submit my application. Scott Houle In a message dated 1/26/2009 8:10:32 A.M. Eastern Standard Time, Rob in.Anderson@town.barnstab le.ma.us writes: Hi Scott, Thanks for the update. Any idea when you would be ready to apply so I can inform the Building Commissioner and justify not pursing enforcement at this time? Thanks again for the update. It makes it easier to argue on your behalf. W96in Robin C. Anderson Zoning Enforcement Officer Town of Barnstable 200 -%lain Street Hyannis, NA 026o1 5o8-862-4027 -----Original Message----- From: HoulSctt7@aol.com [mailto:HoulSctt7@aol.com] Sent: Sunday, January 25, 2009 8:50 PM' To: Anderson, Robin Subject: Scott Houle 175 Buckwood Dr. Robin, Just wanted to keep you updated as per our conversation the 2nd week of January. I had a builder here on Thursday 1/15/09 to go over the project(connecting the house to the garage). He is working on some plans so I can submit the application for a building permit. Scott C. Houle 175 Buckwood Drive Hyannis, MA. 02601 From Wall Street to Main Street and everywhere in between, stay up-to-date with the latest news. From Wall Street to Main Street and everywhere in between, stay up-to-date with the latest news. 3/13/2009 Page 1 of 1 Anderson, Robin From: HoulSctt7@aol.com Sent: Sunday, January 25, 2009 8:50 PM To: Anderson, Robin Subject: Scott Houle 175 Buckwood Dr. Robin, Just wanted to keep you updated as per our conversation the 2nd week of January. I had a builder here on Thursday 1/15/09 to go over the project(connecting the house to the,garage). He is working on some plans so I can submit the application for a building permit. Scott C. Houle 175 Buckwood Drive Hyannis, MA. 02601 From Wall Street to Main Street and everywhere in between, stay up-to-date with the latest news. r 3/13/2009 I. Page 1 of 1 Anderson, Robin From: HoulSctt7@aol.com Sent: Sunday, January 25, 2009 8:50 PM To: Anderson, Robin Subject: Scott Houle 175 Buckwood Dr. Robin, Just wanted to keep you updated as per our conversation the 2nd week of January. I had a builder here on Thursday 1/15/09 to go over the project(connecting the house to the garage). He is working on some plans so I can submit the application for a building permit. Scott C. Houle 175 Buckwood Drive Hyannis, MA. 02601 From Wall Street to Main Street and everywhere in between, stay up-to-date with the latest news. 1/26/2009 Message Page 1 of 1 Anderson, Robin To: HoulSctt7@aol.com Subject: Permit Status Scott, I' have not seen a building permit application relative to connecting the family apartment unit over the garage to the main house as we discussed in prior emails. You must submit an application for said permit or apply to the ZBA. I need a reasonable date certain certain from you otherwise I will be forced to pursue enforcement action. if you choose not respond as directed I may issue citations.in the amount$100.00 daily for each infraction. I am confident that you will make every effort to comply though. Wp6in Robin C. Anderson Zoning Enforcement Officer Town of BarnstabCe 200 Main Street Hyannis, -MA 026ol $08-862-4027 3/13/2009 °FINE Town of Barnstable °^ Regulatory. Services • BAMSrnBLe, • „AS& Thomas F. Geiler,Director 039. ♦0 'Oren Ma+" 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 November 23, 2011 Scott and Marguarite Houle 175 Buckwood Drive Hyannis, MA 02601 Family Apartment Dear Mr. and Mrs. Houle: This is a follow-up to the above referenced property, regarding an open building permit number 88298, which you applied for in November 9, 2005. Our records indicate you have not had a final inspection on this property and we need to know the status of your property and if you intend to go through with the Family Apartment or go into the Amnesty Program. You have until December 14, 2011 to resolve this issue, or you will be fined up to $100.00, per violation, per day. Please contact me if you have any questions at 508-862-4039 Sincerely, Brenda Coyle Division Assistant Enclosure cc: Robin Anderson Zoning Enforcement Officer is N ry , � .# ' — _ Appeal or Permit No. 88298 Appeal Building Permit Status, .New Last n- _ Fgst a x� x Applicant Houle Marguarite&Scott 1 Addr s g Hyannis .. MA 02601 a�� st# � a Addr2 175 Buckwood Drive Willa e e, x cS � � Z - F.W A"Received a € Map Par 271034 + Zomng. +' Sk Decix � ision � a Notes: Convert newly constructed garage to family apt Ins Insp. � 11/22/05. Follow up 12/06. 3/1/07 VM,13/13/07 talked to owner,still hasn't completed work or connected to house has z3 # n6 money,mother-in-law living fliers 3,months_a year. .f'r Close 'Referred to LE. 0v,_.<e", _-'_'�.'- '�°a.r '"t.'" %,.. ta? �' `: fi •k '� .gin._9 r " +�' b.w.,r '." si.�`i.: J. 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Parcel 3 `t- I Permit# _ Health Division �. A3�� TAB Date Issued _ Conservation.Division �e L� Fee_ J NE �. l j Tax Collector Application Fee Treasurer __ Planning Dept. l510 Checked in iGSYSTEM 00 #OF Date Definitive Plan Approved by Planning Board Apnrnv.,Qd Historic-OKH Preservation/Hyannis 1�1 Project Street Address / 76- ✓�. WQ AXAVe— 1YXIAAt P c 624m/ Village Yr4AAZZ;S� Owner /Jit SaMi i e Ar A a vCe- Address 17.5' 10&-rK oeO B&. te- dlY o4A Telephone ,5 87 - '772. 7S'' 5-- Permit Request U1"z0A%vo eezW .=2a PC i4 �a�6f'i�f�c_ — i�E� S 7-*7V b1,oV Square feet: 1 st floor: e ' in proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ?r Two Family ❑ Multi-Family(#units) Age of Existing Structure 3? yeses Historic House: 0 Yes ?*Jo On Old King's Highway: ❑Yes ,,6Rlo Basement Type: XFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq•ft•.) Basement Unfinished Area(sgd1 Number of Baths: Full: existing new G Half: existing lb new Number of Bedrooms: existing new e) Total Room Count(not including baths): existing 9 new�_ First Floor Room Count Heat Type and Fuel: �bas ❑Oil ❑Electric 0 Other Central Air: ❑Yes 1�910 Fireplaces: Existing _� New 0 Existing wood/coal stove: ❑Yes >'No Detached garage:O existing Xnew size ZLXZ Pool: 0 existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size ShedrAexisting 0 new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name x�LGe Telephone Number 4—®11- 776'- 79'9� Address /7—T -.-:�T oeo License# ,,G/S!!¢,v,�•� i,� o Z6 oI Home Improvement Contractor# t Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO , ,,s, ? tie SIGNATURE DATE FOR OFFICIAL USE ONLY s i PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE i OWNER i DATE OF INSPECTION: FOUNDATION jg�GC> FRAME INSULATION FIREPLACE 4 ELECTRICAL: ROUGH .., FINAL ' PLUMBING: ROUGH 'i FINAL c1 GAS: ROUGH F' FINAL FINAL BUILDING1a ` DATE CLOSED OUT/ ,r ASSOC_ IATION PLAN NO. °fTHE T TOWN OF BARNSTABLE BARNSTABL .6 9 a MAY BUILDING INSPECTOR � a. APPLICATION FOR PERMIT TO ......iT��..9/d..�............... ?R�.� �................................................. TYPEOF CONSTRUCTION '.......................o .A7.................................................................................................. 4............................�`/..1 ......19.� . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location (>G GC>f1 G Proposed Use ........! /1T l��O..,Q/.e� .....r �.� 1� ......Y ... N�'�.sC�.7 ..... L-;L'ZWIY........................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner . .&Tlj.,1t..t.Ttyy g (!Fll'' ...Address .... `—.... ,n.t�'wQG.Q..... R......11M.,41,4/.15........ Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation ........aP7.jV9.A-. —A........................................... Exterior ........... X&Alov.A ..................................Roofing .............:�O� 14/..Gtx A ...... �.1 ............. FloorsAN..CXAA-k. ..........................Interior .................................................................................... i Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ...... .0.0.................................. Difinitive Plan Approved by Planning Board ------------------------- ��® 7' S Diagram of Lot and Building with Dimensions i #LOT L oT 97-� q LOT � �, �� —�--- d ----- 367 _ � 5 _ /3� 6 r Pop -RPC�� D o CAR �.`'�'' CYr RH6�t 8RF�2 wkr ® Q+ � a ��, ��P � [ a o R. hereby agree to conform to all the Rules an egu ations o n rns a egar g e a ove construction. vdme ... .......... ..... ...... � �' Jones-Henry, Arthur & Janice 35�... Permit for .. add breezewa�r & No .....1..... .... .........�ara�e to. durellir�................... Location .......1 Rockwood Drive ........................................... , ......................HYann;s......................................... Arthur & Jake Owner + , Type of Construction ...................frame............ ................................................................................ Plot ............................ Lot ................................ f Permit Granted ....December..23„ 19 70 I i t Date of Inspection ............... ...e.............19 i Date Completed .. 19 I 1 f PERMIT REFUSED ................................................................ 19 f f .............................................................................. .............................................................................. r Approved ................................................ 19 ............................................................................... .................... ....................................................... August 12,t;2005 From: Mrs. Marguarite Houle To: Mr. Thomas Perry Subj: Building Permit Application Dear Mr. Perry as we discussed on Wednesday morning I submitted a permit application to construct a garage at my home on Buckwood Drive in Hyannis. The garage will have a unfinished storage area upstairs that includes a rear dormer. As I explained to you the reason I require such a large storage area is because of my seasonal business I need a place to store my equipment and supplies during the off season. I also will be using the garage to store my husbands snow removal equipment. Sincerely, Marguarite Houle cz SOIL TEST L O G $OILEEOVALUATOR: DAVID DR COUGHANOWR.` RS WITNESS REQUIREMENT WAIVED NO VARIANCESµS.OUGHT DESIGN CALCULATIONS GROUNDWATERNO TEST PIT I PARE NTMAERIAL= ENCOUNTERED LDOUTWASH � a ELEVATION 62.8 +- PER AT 55 in 2 MIN/INCH IN C SOILS. DESIGN FLOW: 2 BEDROOMS X 110 GPD - 220 GPD (USE 330 GPD- MINIMUM DESIGN FLOW) SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC. TANK (MINIMUM ALLOWED) O-4 FILL DISTRIBUTION BOX: USE 3 OUTLET D-BOX. 4-6 O LOAM 10 YR 2A NONE FRIABLE 6-7 E LOAMY SAND 10 YR 4/2 NONE FRIABLE SOIL ABSORBTION SYSTEM: A 24 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH I _ Abot ( 24 x 12.5 ) - 300 of 7-12 A LOAMY SAND 7.5 YR 3/4 NONE FRIABLE A s d w - ( 24 ; 24 + .12:5 {'12.5 ) x 2 - 146 of 12-34 B LOAMY SAND 10 YR 4/4 NONE LOOSE Atot - 446 sf ' Vt 0.74 x .446 330:04 GPD 34-144 C MEDIUM SAND IO YR 6/3 NONE LOOSE USE A 24 ft 02.5 f.t . x,,2 f:t GALLERY. Vt - 330.04 GPD > 330 GPD REOUIRED GROLMWATER ADJVSTMENT EXISTING GROUNDWATER LEVEL LEACHING.� BASED ON TOWN OF BARBSTABLE GALLERY GIS DEPARTMENT RECORDS. INDICATED GW 31.00 CONSTRUCTION DETAIL . INDEX WELL AIW-230 DRYWELL UNIT STONE ZONE D 8'-6'x 4'-10'x 2`-9' READING DATE DEC. 2004 3. .2 ft EFF. DEPTH READING 245 24.0 f t ADJUST)"ENT 5.5 ADJUSTED GW 36.5 rn NOTES • , N u's nl 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS 3.5' 8.5' 8.5' 3.5' OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 24.0 ft NOT TO 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES scALF BEFORE EXCAVATING FOR SYSTEM, 5) EXISTING LEACH PITS TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2.-0' BEFORE PITCHING DOWN `t 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK SEWAGE DISPOSAL SYSTEM PLAN 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO .NOT "` -TO SERVE EXISTING DWELLING PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. A > SHARON B. HOULE 1 1) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE- ON A LEVEL 175 BUCKWOOD DRIVE HYANNIS. MA STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH t SIX INCHES OF, CRUSHED STONE HAS BEEN PLACED TO, MINIMIZE, UNEVEN SETTLING 1 2) SEPTIC TANK TO BE PUMPED DRY AT TIME `OF SYSTEM REPAIR AND CHECKED EC 0 TECH . ENVIRONMENTAL 1 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE, r i1TV TDIee�Ir`1 C /`1DD/�1 C CAAl11W1/`H MA 02567 `1 I I\I/\IVVLG L II�I+LL J�11VV/111.f7 11 VL.JVO - - , ETE-1915 FEB 15, 2005 2/2 � f PLAN REFERENCElu 24 ft x 12.5 ft x 2 ft LAND COURT PLAN 35404-A c° 0 LOCUS LEACHING GALLERY 144.09 ft ASSESSOR'S MAP: 271 N °o LOT: 34 z J Y 0 V Z m id OUTS 28 o..Z� O � �/ � T � ., R HYANNIS. MA o� b9l -o 0 0 ? Q J 'LOCUS MAP N O 16.2 ft pcfl O 3 NOT TO SCALE wm � a m lO NIC) �� WATER LINE CONrOURS 63 r } ' , 60 G,ONC. 63 M NIMALGGRADING PROPOSED �I QD - PAT/O LEGEND EXISTING LOT 24 - UNPAVED l DRIVE WA Y SOOT GALLON o 0 SEPTIC TAW Ill/ D-BOX � AREA - 10776 s{ - ,. — — — TEST PIT 143.30 ft ��- 63 BEtic�H MARK E�EAc GPiT (0,1 PLAN PK FAIL IN DRIVE ELE`✓frTION - 62.00 TREE J 1n f t USGS: DATUM ASSUMED -MASER R�ERS Ta Z>AMETER*SCALE: 2O IN 14CI-ES. LETTER DEP40TES TYPE P "AK M-MAPLE P-PtlE FLOW PROFILE VENT PIPE F TOP OF FOUNDATION RAISE COVERS TO WITHIN EL - 64.10 +- 6 in OF FINAL GRADE ONE INSPECTION RISER FOR LEACHING GALLERY I 2' LAYER OF I/8- z D-BOX 1/2- STONE 3- DROP SEWAGE DISPOSAL SYSTEM PLAN $ FLOW LINE — -TO SERVE EXISTING DWELLING I�- _ 4_ 4e- GA;S� 1 / PRECAST ai.�•_11/4- SHARON B. HOULE BAFFLE 4 DRYWELL �� srONE_, DA�1 175 BUCKWOOD DRIVE HYANNIS. MA +— 6 in BOTTOM OFSTONE SOIL ABSORPTIONEXISTING BASE 59.38 LEACHING SYSTEMEXISTNO - �_v-oo 10G ECO-TECH ENVIRONMENTAL s9.55 GALLERY , ��As 43 TRIANGLE CIRCLE SANDWICH MA 0256 EwSTM EXISTING s9.25 5.00 ft • '� .��$�� 1000 GALLON (END VIEW) s�.�5 508 364-0894 EXIBT►� SEPTIC TANK 35 {i a> 5 ft 12.5 ft - 'y ETE-1915 I FEB 15. 2005 1/2 b> 14 ft i nVJL�J TCV ��3V.J - ^ ^ Tur PLAN ►I 1! TA nr /•NID nr rn ♦ ArT m • 1 1 a■rr& r SEASONAL HIGH �b I,�� Gt✓U .5 BEARS THE�STAMP AND SIGNATURE OF THE DESIGN ENGINE GROUNDWATER ORIGINAL PLANS INTENDED FOR SUBMITTAL TO THE BOARD OF HEALTH WILL BE SIGNED N BLUE AND STAMPED N RED. • ..