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HomeMy WebLinkAbout0067 CAPTAIN COOK LANE �D� CC1�,��Ci t r1 CDb� �n� Q \,, �I i dk Ctlzs 1L 0 t-z R I S E Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 Wednesday, p September 19, 2012 Town of Barnstable Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 RE: 67 Captain Cook Lane; Cie, MA 02632 Barnstable Building Permit#: 201205157 Dear Mr. Perry, This affidavit is to certify that the weatherization measures listed below are completed at V, and have been inspected by a certified Building Performance Institute (BPI)-inspector. The following contracted weatherization work was completed;this permit can be closed. ➢ Perform 4 man-hours of labor and materials seal air leakage through the attic space and weather strip and insulate the attic hatch. ➢ Install a 9" layer of R-30 unfaced fiberglass batts to 360 square feet of attic space. ➢ Install one Therm-a-dome(or equal) R-14.insulating stair cover with a perimeter of plywood. ; ➢ Install [1] insulated hose(s) and soffit mounted vent(s)to exhaust existing bathroom fan(s) Install ventilation chutes in(18)rafter bays to maintain air flow. E All work performed meets or exceeds Federal and State Requirements.Sincerely, ,., Erik J.Nerstheimer; Field Supervisor c RISE Engineering Residential Installations Department RISE Engineering; A Division of Thielsch Engineering CSL 1004591HIC 120979 401-784-3700 .'800-422-5365 . Fax 401-784-3710 CASE #: 132542 CHECK #:01�o 13� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 274 Parcel 014/OAW. pplic io Health Division Date Issued Conservation.Division Application Fee $50.00. Planning Dept. Permit Fee $35.I00 Date Definitive Plan Approved by Planning Board Q_@)ell SlI Z! Historic - OKH Preservation/Hyannis Project Street Address 67 CAPTAIN COOK LANE; CENTERVILLE, MA 02632 Village Owner EDMUND J/MARIE T WALSH _Address 67 CAPT. COOK LANE; CENTERVILLE, MA 02632 Telephone_(508) 775-7387 Permit Request WEATHERIZATION WORK: PERFORM AIR SEALING MEASURES; INSTALL UNFACED FIBERGLASS BATT INSULATION TO 360 SF OF ATTIC SPACE (R-30) ; INSTALL AN EASILY MOVED, INSULATION COVER FOR THE ATTIC ACCESS FOLDING STAIR (THERMADOME) ; INSTALL 1 INSULATED EXHAUST HOSE WITH SOFFIT MOUNTED FLAPPER VENT TO EXHAUST EXISTING BATH FAN; INSTALL VENTILATION CHUTES IN ATTIC. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1,231.40 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ®'Crawl ❑Walkout ❑ Other_ Basement Finished Area (sq.ft.) Basement Unfinished Area (sggt) a Number of Baths: Full: existing new Half: existing _ ` 1 new Number of Bedrooms: existing `new Total Room Count (not including baths):-existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ' • ❑ Oil ❑ Electric ❑ Other_ Central Air: ❑Yes ❑ No Fireplaces: Existing, New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing :❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new 'size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes U.No If yes, site plan review# Current Use RESIDENTIAL Proposed Use RESIDENTIAL APPLICANT INFORMATION (BUILDER OR HOMEOWNER) RISE ENGINEERING; A DIVISION OF Name THIELSCH ENGINEERING Telephone Number 401-784-3700 X6133 Address 1341 ELMWOOD AVENUE License # CSSL-100459 EXP. 3/28/14 CRANSTON, RI 02910 Home Improvement Contractor# 12097.9 EXP. 3/25/14 _ Worker's Compensation # 3730961-01 EXP.. 1/1/13 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YARMOUTH,TRANSFER STATION• 50 0 SHO ROAD• SOUTH YARMOUTH MA 02664 . SIGNATURE A DATE ERIK NERSTHEIMER FOR RISE ENGINEERING w " ` FOR OFFICIAL USE ONLY APPLICATION# t -:DATE ISSUED MAP/PARCEL NO... �4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: -• FOUNDATION FRAME INSULATION., FIREPLACE t 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:R l".. ROUGH r, .. FINAL .-FINAL BUILDING 1. DATE CLOSED OUT _ l P d t ASSOCIATION PLAN NO. - i The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 t Boston,MA 02114-2017 www.mass.gov/dia p Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): RISE ENGINEERING;A DIVISION OF THIELSCH ENGINEERING, 1341 ELMWOOD AVENUE a ' Address: ° City/State/Zip: CRANSTON, RI 02910 `i Phone#: 401-784-3700 . ' Are you an employer?Check the appropriate box: Type of project(required): 1.2 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 h' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.:. required.] 5. ❑ We area corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work.and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'.comp.policy number. I am an employer that is providing workers'compensation.insurance for my employees. Below is thepolicy'andjob site information. Insurance Company Name: THE PRESTON AGENCY,INC. , Policy#or Self--ins.Lie.#: 3730961-01 Expiration Date: 1/1/13 Job Site Address: City/State/Zip: 67 CAPTAIN COOK LANE Centerville,�MA 02632 . 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'Offce of Investigations of the DIA for insurance coverage verification. I do hereby cerfl un r t ains d enalties o !: 'ug that the information provided above 's true and correct. Si nature: _._ — _.._ =- _':-.. Phone#: 401-784-3700 x1633 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#: } Division of Thielsch Engineering;Inc. 1341 Elmwood Avenue. 1 Cranston,Rhode Island 02910 RISE { ENGINEERING DEBRIS AFFIDAVIT Debris resulting from•this work shall'be disposed of in a properly licensed'solid waste disposal facility as defined by MGL Chapter 111 Section 150A.. If the debrisvill not be disposed of as indicated below,the holder of the permit shall Notify the Building Official in-writing as to the location where the debris will be disposed. 780 CMR Section 111.5 The debris will be disposed of in: Yarmouth Transfer Station; 50 Workshop Rd; S. Yarmouth, MA 02664 Location of Facility. 67 Captain Cook Lane;Centerville, MA 02632 Name of Property Owner/Location of Proposed Work,- RISE Engineering; A Division'of Thielsch Engineering Name of Contractor/Agent 1341 Elmwood Avenue; Cranston, RI 02910 Address of Contractor/Agent Signature . Erik Nerstheimer for RISE Engineering Date Disposal Affidavit 2006 f e Federal ID#05-MS629 RISE ENGINEERING Rl Contractor Registration No 8186 a A division of Thielsch Engineering MA"Contractor,Registration No 120979'. CT Contractor Registration No 620120 1341 Elmwood Avenue,'Cranston;RIA2910 �+ (401)784-3700` FAX(401)784-3710 CONTRACT:, i � � � � .. Page: - 1 .. ; �' +• PROGRAM THIS CONTRACT Is ENTERED INTO BETWEEN RISE ' 1 •. K - CLC-RCS - ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW - CUSTOMER - - + iA _ J PHONE - - - DATE Client C Marie Walsh - (508)775-7387 06/11/2012 "132542. SERVICE STREET - BILLING STREET - 67 Capt Cook Lane '67 Capt.Cook Ln SERVICE CITY,STATE,LP 'y BILLING CITY,STATE,ZIP• t �{ Centerville,MA 02632 ," Centerville,Ma.02632 `v "L!w - 1 A JOB DESCRIPTION Provide labor and materials to seal areas of yourhome against wasteful,excess air leakage. This work will be performed in concert with'the use of special tools and diagnostic tests to assure.that your home will be left with a healthful level of air exchange and indoor air quality.'. , Materials to be used to seal your home can include caulks,foams,weatherstripping and other products: Primary areas for sealing include air` leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) $280.00 Provide labor and materials to install a 9"layer of R-30 unfaced fiberglass batts to 360 square feet of attic space. $568.80 Provide labor and materials to install an easily moved,insulating cover for the attic access folding stair. A small flat surface of plywood will be created around the opening within the attic. This will allow the cover's integral weather-stripping to restrict air leakage:. $220.00 Provide labor and materials to install l insulated exhaust hose with soffit mounted flapper vent to exhaust existing bathroom fan(s), $105.00 Provide labor and materials to install ventilation chutes in(18)rafter bays to maintain air flow. $57.60 RISE Engineering will apply all applicable;eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible ` measures,the Cape Light Compact offers 75%incentive,not to exceed$4,000 per"calendar year. $113.55 RISE Engineering will apply all applicable,eligible incentives to this contract.,You will be billed only the Net amount_. Currently,for eligible measures,the Cape Light Compact offers 100%incentive. , -$280.00 1 1 2012" WE AGREE HE URNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF *�*T o Hundred Thirty-Seven 85/100 Dollars y $237.85 UPON FINAL INSPECTION AND APPROVAL BY LSE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 7%WILL BE CHARGED MONTHLY ON ANY. - UNPAID BALANCE AFTER DAYS.SEE E FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. - DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES' i AUTHORIZED SIGNATURE-RISE ENGINEERING • C TOMER ACCEPTANCE /I NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN, DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE ` r 'SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE.WORK DAYS.- - - AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE •" , - B5/ Loop Up Print Page 1 of 3 . Owner Information -Map/Block/Lot: 274/0141 OAW.-Use Code: 1020,. Owner Map/Block/Lot 274 /014/' GIS MAPS WALSH, EDMUND J`& MARIE OAW Owner Name as of T Property Address 1/1112 67 CAPTAIN COOK LN' , 67 CAPTAIN COOK LANE CENTERVILLE, MA.-02632 Co-Owner Name `Villager Hyannis Town Sewer At Address: No . Assessed Values 2012 Map/Block/Lot: 274/ 014/OAW- Use Code: 1020 2012 Appraised Valuer ,2012 Assessed Value Past Comparisons } Building. $ 151,700,, $ 151,700 .Year : Total Assess Value: r Value Extra $_0 $ 0 - 2011 - $ 152,400 Features: 2010 $ 155,600 Outbuildings: $ 1,000 $ 1,000 2009 - $ 217,900 Land $ 0 $ 0 2008 - $ 217,900. .Value: 2007 - $ 217,900 2006 -'.$ 355,500' 2012 a $ 152,700 _ $ 152,700 Totals Residential Exemption Received= $88,785 ` . Tax Information 2012 - Map/Block/Lot: 274/014/ OAW - Use Code: 1020 . Taxes Hyannis FD Tax $ 4 (Residential) 342.05 Community Preservationk $ 16.14 Act Tax Town Tax (Residential) ,' 538.16 Fiscal Year 2012 TAX RATES HERE 896.35 . Sales History - Map/Block/Lot: 274/014/OAW Use Code: 1020 History: Owner: Sale Date Book/Page: Sale Price: WALSH, EDMUND. J & MARIEf T 12/15/1998 , 11917/035 $1 http://town.barnstable.ma.us/Assessing/printl2.asp?soarchparcel=2740140AW 8/1/2012 THIEL-1 CERTIFICATE OF LIABILITY INSURANCE oPID:_27 DATE(MMIDDIYYYY) 01 L1.3/12 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 401-886-8000 CONTACT . The Preston Aggency,Inc. NAME: 1350 Division Rd Suite 303• 401-885-1700 H NN Ert: AAX No E-M PO BOX 810 AIL East Greenwich,RI 028-18-.081V ADDRESS: Judith A.Wright CPCU AAI ARM INSURERIS)AFFORDING COVERAGE NAIC# INSURER A:Zurich-American INSURED Thielsch Engineering,Inc. INSURER B:American Guarantee&Liability Thielsch Group Inc. AtIHi Tech Realty Inc. INSURER c:Twin City Fire-Hartford, 195 Trent Ave ux INSURER D:North American Capacity 195 Frances Avenue - Cranston,RI02910 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF'INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE - POLICY EFF POLICY EXP - LTR POLICY NUMBER IMMIDDIYYYYI iMMIDD/YYYYI - LIMITS GENERAL LIABILITY - - - - EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY .X 3730962-01 01/01/12 01/01/13 LIAMAGTo PREMISES Ea occurrence E 300,00 CLAIMS-MADE EK OCCUR MED EXP(Any one person) E 5,00 PERSONAL BADVINJURY E 1,000,00 r GENERALAGGREGATE s 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E 2,000,00 POLICY I X IPRO- LOC Emp Ben. E 1,000,00 AUTOMOBILE LIABILITY - (Ea ( Oa acINffi)SINGLE LIMIT: $ 2,000,00 A X ANY AUTO 3730963-01 01/01/12 01/01/13 BODILY INJURY(Per person) E ALL OWNEDP SCHEDULED AUTOS AUTOS - , BODILY INJURY(Per accident) E HIRED AUTOS ent AUTOS NON-OWNED PROPERTY DAMAGE E Per accident E X UMBRELLA LIAB X OCCUR EACH OCCURRENCE E 10,000,000 B EXCESS LIAR. CLAIMS-MADE AUC-4857188-01 01/01/12 ' 01/01/13. AGGREGATE - $ 10,000,000 DED RETENTIONS $ WORKERS COMPENSATION T RY L MIT ER AND EMPLOYERS'LIABILITY X YIN A ANY PROPRIETOR/PARTNER/EXECUTIVE 3730961-01 - . 01/01/12 01/01/13 E.L.EACH ACCIDENT - E 1,000,00 OFFICER/MEMBER EXCLUDED? ❑ N/A _ (Mandatory In NH) , E.L.DISEASE-EA EMPLOYE E 1,00000 If es,describe under � � DESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY LIMIT E 1,000,00 C Property Section 02UUNHE6930 01/01/12 01/01/13 Property see belo D Professional Liab DVL000026802 01/01/12 01/01/13 Prof Liab 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) - When required by a written contract. CERTIFICATE HOLDER CANCELLATION . TWNHARW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF,. NOTICE WILL BE DELIVERED IN Building Division ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis,MA 02601 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo-are registered marks of ACORD Details Page 1 of 1 Licensee Details Demographic Information Full Name: ERIK S. NERSTHEIMER Gender: - M Owner Name: License Address Information Address: 228 Gleaner Chapel Rd. Address 2: City: North Scituate State: RI ipcode: 02857 Count United States License Information License No: CSSL-100459 License Type: CSSL-IC -Insulation Contractor Profession: Building Licenses Date of Last Renewal: 4/24/2012 Issue Date: 5/6/2009 Expiration Date: 3/28/2014 License Status: Active Today's Date: 4/25/2012 Secondary License: Doing Business As: Status Change: 18 Prerequisite Information Licensee: NERSTHEIMER, ERIK S. Relationship: Attribute Of License No: CSSL-100459 Discipline No Discipline Information Documentum http://elicense.chs.state.ma.usNerification/DetaiIs.aspx?agency_id=1&license id... 4/25/2012 Office ri of Consumer Affairs d Business Regulation - - :- --:� 10 Park Plaza - Suite 5170 Rt —aTz- Improveme Boston Massachusetts 02116 nt Contractor Registration Repistration: 120979 `-' Type -Supplement Card THIELSCH ENGINE RING Expiration: 3/25/2014 ERR I "Lim 1341 ELMWOOD AVE CRANSTON,.R1 02910 u Update Address and return card.Mark reason for change. ' SCA 1 0 .20M-05/11 'Address Renewal Employment Fj Lost Card ✓lie �L'077LY/2PJ1fC�6!!l��O/�n��CU:ilGCJ2 RIJl'l - - - - VMExpiratiqn:-:.3/25/2014 ce of Consumer Affairs&Business Re ulationg License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:Office of Consumer Affairs and•Business Regulationegistration.::;i 20979:.: Type: 10 Park Plaza-Suite 5170 Supplement(ward Boston,MA 02116 THIELSCH ENGINEERING ERIK NERSTHEIMER .. r 1341 ELMWOOD AVE` CRANSTON, RI 02910 Undersecretary Not valid without signature Control No: 3 4 2 4 4 THE COMMONWEALTH OF MASSACHUSETTS 3' DEPARTMENT OF LABOR e DIVISION OF OCCUPATIONAL SAFETY 19 STANIFORD STREET, BOSTON,MASSACHUSEM 02114 LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER _ e RISE Engineering A Division of Thielsch Engineering, Inc. J 341 Elmwood Avenue Cranston, RI 02910 WAIVER: LW000672 EXPIRES: April 1 5 2015 IN ACCORDANCE WITH M.G.L. C. 1+11, § 197(B) AND 454 CMR-22.03 3'` THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER IS ISSUED BY THE DIV. OF OCCUPATIONAL SAFETY TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF PERFORMING LEAD-SAFE RENOVATION WORK. THIS LEAD-SAFE RENOVATION CONTRACTOR LICENSING WAIVER MUST BE MAINTAINED BY THE CONTRACTOR IN ACCORDANCE WITH M.G.L. C. 1 l 1, § 197B(b)AND 454 CMR 22:04 WHEN PERFORMING LEAD-SAFE RENOVATION WORK. a HEATHER E. ROWE,ACTING COMMISSIONER Pnnted on Recycled Paper - JUN-06-2001 14:16 BRRNSTRBLS HOUSING. 15087789312 P.01 "a s?� •` cphune5 1-7?T?Sarnstable Fax(5()Si) 77K.9312 aaasn� _ Leased Huusing Dept.(504 1 77(429-' off Housing Authority y.. IaG South Street • Hyannis,Mass. ZONING VERIFICATION TO: Gloria Urenas FROM: Robert Hooper, Leased Housing Coordinator RE: Legal Rental Unit Verification Date: �.�.¢1-------------------- Address: 1-�G - - Q �~L�,-- Village: Unit Type: _���� Bedroom Size: 1.2 Map & Parcel No.: 9 .27j 01�/ The owner of the above listed property is entering into a contract with us for the rental of the property as listed above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list reason here: ---------------------------------- ----------------------------------------- ank Y u for our assistance in this matter. Sig ature / Print name G' Date__ --------�------�--�— VIA FAX: 790-6230 MRVP Section 8 Rev.9/98 E.�.c;uol Finu;in;(�pPrsr[[�ni[y ���en�� TOTRL P.01