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Town of Barnstable _ Building
'r _. N:, -' Y pp £ob and this Card•Must be Kept I
gnxvSrwH Post This Card So That it is Visible,From the Street A roved'Plans Must beRetamed on J
"'^ ;Posted Until Final inspection Has Been Made. _ erjl
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Fo ° Where a Certificate;of Occupancy is Required,"such Building stiall'Not be Occupied`:until a Final inspection has been.made� ,
Permit NO. B-19-4153 Applicant Name: JOSE DE BRITO Approvals
Date Issued: 12/26/2019 Current Use: Structure
Permit Type: Building-Addition/Alteration Residential Expiration Date:. 06/26/2020 Foundation:
Location: 147 CEDAR STREET, HYANNIS Map/Lot: 328-175 Zoning.District: MS Sheathing:
Owner on Record: BAYRIDGE REALTY LLC Contractor Name_: Framing: 1
Address: 16 KINGS WAY Contractor License. 2
HYANNIS, MA 02601 Est. Project Cost: $30,000.00
Chimney:
Description: add 1 full bath on 1st floor where bedroom will be removed .Add 1 Permit Fee: $ 203.00
full bath in basement. Fee Paid:' $ 203.00 Insulation:
add exiting door in basement. finish wall and Fceilings In basement. Final:
adding bedroom in basement. upgrade smoke detectors >`�-_ - Date..,r t` 12/26/2019
.Approved egress in bedroom.Smoke upgrade per code RMCK.'
Plumbing/Gas
Rough Plumbing:
Project Review Req: 4. Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. I
i 6 '� Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work:' Service:
1.Foundation or Footing . ''
2.Sheathing Inspection x y Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
II Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Application Number....... ...................
BARNSTABLE, &3
MASS. Permit Fee.......j�IR.... ..................Other Fee:........._..............
039.
TotalFee Paid............. ................................................. ......
ee
Permit
*,0... !:� ..........0,.....
TOWN OF BARNSTABLE Pe it App�oval by ..... . ......... ......
BUILDING PERMIT
Map............ .........Parcel......... ...................
APPLICATION
Section 1 — Owner'sInformation and Project Locatio n'
`�'T�- r4e---c—t Address' IL0 Ce-dae .3
Own
ers Name C L i T3
52 10
&;eis Legal Address S aW E-
City _State p` co
Owners Cell# E-mail
Section 2 =Use of Structure
Use Proup_, r-1 Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
Single Two.Family Dwelling
-1��S.ecti'on-A-lToi—of-P-e-rm-ii,-"
E] New Construction ❑ Move Relocate E] Accessory Structure, ❑ Change of use
El Demo/(entire structure) El Finish Basement 0 Family/Amnesty 0 Fire' Alarm'
Rebuild El Deck Apartment El Sprinkler System
❑ Addition ❑ Retaining wall Solar
Renovation ❑ Pool D Insulation
Other Specify
&&tidfi 4=Work Description
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Last updated: 11/15/2018
Application Number....................................................
� 'Section 5—Detail
Cost of Proposed Construction Square Footage of Project
Age of Structure Dig Safe Number
C#-9�oms Existing T ro wed)
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
9.
° Section 6—Project Specifics
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Suppression
❑ Heating System ' ❑ Masonry Chimney ❑ Add/relocate bedroom
' 1
Water-Supply ❑ Public ❑ Private,
Sewage Disposal- ❑ Municipal ° ❑ On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane ❑ Yes ❑ No
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑
Section 8—Zoning Information
4
Zoning District Proposed Use Lot Area Sq. Ft. 1
Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site)
-----------------
Setbacks Front Yazd Required Proposed
Rear Yazd Required ' Proposed
Side Yazd Required Proposed
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ . No
Last updated: 11/15/2018
a
Application Number...........................................
Section 9= Construction Supervisor
Name Telephone Number
Address r-City Sta ee Zip
License Number License-Type lhipiration Date
Contractors Email
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license.
a
Signature Date
-"Section 10—Home Improvement Contractor '
Name Telephone Number
I--AddressCity "State �' zips -
i
Registration Number Ekpiration Date
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature t`Date_
Section 11 —Home Owners License Exemption
Home Owners Name: n
Telephone Number Cell or Work Number
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 78 MR and/the Town of Barnstable.
Signature Crll v Date
APPLICANT SIGNATURE
[--_Signature - - r _--Date 2 1 0—� 9
-ire,
- Print Name _ oS� t- �-� Telephone Number
�E=mailpermit to: hoa Wo n.Ae- i r-o
Last updated: 11/15/2018
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board (if required) ❑
Historic District ❑ Site Plan Review(if required) ❑
Fire Department ❑ „
Conservation ❑
For commercial work,please take your plans directly to the fire department for approval
Section 13 — Owner's Authorization ,
j
i
as Owner of the subject property hereby
authorize . - to act on my behalf, in all
matters relative to work authorized by this building permit application for:
(Address of job)
Signature of Owner .� - date
Print Name
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i Last updated: 11/15/2018
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Approved by
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Permit
FIRE DEPARTMENT DATE
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REMOVE WINDOW 6 INSTALL DOOR
FULL BASEMENT EGRESS,WINDOW O sC9�'Y
REGRADE & INSTALL CONCRETE EGRESS STAIRS
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CHAIR_APPRDVED ON 1211.6119
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The Commonwealth of Massachusetts
Department of IndustrialAccidents
Office of Investigations
600 Washington Street 4
° Boston,MA 02111
www mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual):Jb -- �e ,i
Address• 1.10
City/State/Zip: 11 1 �01 Phone#:
Are you an employer?Check the appropriate bog: 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.El I am a sole proprietor or partner- listed on the attached sheet7. ❑Remodeling
ship and have no employees These sub-contractors have g• ]demolition
workingfor me in an capacity. employees and have workers'
Y aP t3'• 9. ❑Building addition
[No workers'comp.insurance comp.insurance.$
required.] 5. We are a corporation and its 1011 Electrical repairs or additions
3.` I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself[No workers'comp. right of exemption per MGL 12.0 Roof repairs
insurance ed.]t C. 152,§1(4),and we have no
employees.[No workers' 13.0 Other.
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. •°
I am an employer that is providing workers'compensation insurance for my.employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a .
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of '
Investigations of the DIA for insurance coverage verification.
I do hereby certify under th pains and penalties ofperjury that the information provided above i`sLtrue and correct'
Si mature - Date:
Phone#
Offtc1al use only. Do not write in this area,to be completed by city or town official
City or Town: Per #
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and inchrding 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 operates 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 mmrber 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 bum 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 Mwsachusetts
Dgwtmemt of Industrial Accidents
Office of Investigations
600 WMhington Street
Boston,MA 02111
Tel.#617-727-4400 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
www.mam.gov/dia
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Town of Barnstable
Regulatory Services
°FtMe r°y� Thomas F.Geiler,Director
Building Division
* BARNSTABLE. • Tom Perry,Building Commissioner
9 MASS. g
039. ♦0 200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Notice of Zoning Ordinances Violation(s) and Order to Cease, Desist and
Abate: Ronaldo Ribeiro and all persons
having notice of this order. As owner/occupant of the premises/structure located at 147 Cedar Street;
Map 328 Parcel 175 ,you are hereby notified that you are in violation of the Town of Barnstable
Zoning Ordinances and are ORDERED this date,April 27, 2007, to:
1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the
above mentioned premises.
SUMMARY OF VIOLATION:
Violation of Town of Barnstable Zoning Ordinances: Chapter 240-24.2-4
Illegal operation of a beauty
salon In Medical Services
District.
2. COMMENCE immediately,action to abate this violation.
SUMMARY OF ACTION TO ABATE: Cease all professional beauty
services. .
And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by
filing an appeal with the Town Clerk of Barnstable, a Notice of Appeal(specifying the ground thereof)
within thirty(30)days of the receipt of this order(in accordance with Chapter 40A Section 15 of the
Massachusetts General Laws).
If,at the expiration of the time allowed,action to abate this violation has not commenced, further action as
the law requires will be taken.
By order,
e
V
Robin C. Giangregorio
Zoning Enforcement Officer
Q/FORMS/viozonel j
YOU WISH TO OPEN A BUSINESS?.
For Your Information: `Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which
p ) 1"FL., 367
you must do by M.G.L.-it does not give you permission too operate.) Business Certificates are available at the Town Clerks Office,
Main Street, Hyannis, MA 02601 (Town Hall)
DATE: Fill in please:
Ls APPLICANT'S YOUR NAME/S: �Q
BUSINESS YOUR HOME ADDRESS:
TELEPHONE # Home Telephone Number
NAME OF CORPORATION:
NAME OF NEW BUSINESS TYPE OF BUSINESS f �
IS THIS A HOME OCCUPATION?- YES NO 7 (Assessing]
ADDRESS OF BUSINESS MAP PARCEL NUMBER ���� � � / �` ( 9)
When starting a new business there are several things you must do in order to be incompliance with the rules and regulations of the Town of ,
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO.TO 200 Main St. - (corner of Yarmouth .
Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
F
1. BUILDING CO ISS NER'S OFFICE MUST CO Y WITH HOME OCCUPATION
This individ al h s enf, e o ny ermit requirements that pertain to..this '��� bGl1LATl®NS FAILURE
COMPLY MAY:RESULT 1M FI,tdl , T®
A hcarize i na e** "
OMME TS '
i.
2. BOARD OF HEALTH
This individual has rmed of the e it r ui ments that pertain to this,type of business. MUST COMPLY NTH ALL
KAZARDOUS MATERIALS REGULATIQI�IS
Authorized Signa re**.
COMMENTS:
:4
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has Lie n'-'for. d of the licensing requirements that pertain to this type of business.
Authorized Signature*
x
COMMENTS:
a ,
Town of Barnstable
oFtt+e
Regulatory.Services
ram,
�. ti Thomas F..Geiler,Director
Building Division
BARNSCABLE, `
y MASS. g Tom Perry,Building Commissioner
�
=639.� ��prf039 a 200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#:c�L f X Le: 1- I
HOME-OCCUPATION REGISTRATION
Date:
Nanac: 1 "`��y " y E( ' Phone #' b ' 71 Ce3
Address: 1 Village: t+Y l�
} �, -
Name of l�usiuessi-------------------------- ------_--------------- ----------------=
— -- --- - ----- _-_._. _. - --- ----- - ----
'hype of business: C j 57 -Ot (
INTENT: It is the intent of this section to allow[lie residents of the Town of Barnstable to operate a [ionic occupation
«6tliin single Family dwellings,subject to the provisions of Sectiou 4-1.4 of the Zoning ordinance,provided that the activity
sliall not be discernible from outside the dwelling: there shall be no increase in noise or odor;uo Visual alteration to the
premises which mould suggest anything other thwi a residential use;no increase ii traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building hrspector,it customary honie occupation shall be permitted as of right subject to the
Following conclitiolas:
• 1'he actiNrity is carried on by(lie permanent resident of a single family residential d welling unit,located withift
that dwelling unit..
• Such use occupies no more than.400 square feet of space.
• There are no external alterations to the dwelling awlrich are not customary.in residential building's;<iud there is
no outside evidence of such use:
• No traffic will be generated in excess of normal residential volumes:
• The use does not-involve the production of oflensive noise,vibration,smoke,dust or otlicr particular matter,
odors,electrical disturbance,heat,glare,liunaidity or other objectionable effects.
a There is no storage or use of toxic or liarardous,materials,or flammable or explosive materials, in excess of
normal laouseliold quantities.
• Any need for parking generated by such use shall be rnet on the same lot containing the Customary Honae
Occupation, uul not within the required front yard.
• Where is no exterior storage or display of materials or equipment.
"there are no commercial vehicles related to the Customary Honae Occupation,other than Due van or Dire
pick-up truck not to exceed one ton capacity,and one trailer not.to exceed 20 feet i1i length and not to
exceed it tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Custonruy.Honre Occupation..
• If the Custonaauy_I Irnrae Occupation is listed or advertised as a business, the street a(dress shall not be
included.
• No person shall be employed in the Customary Home Occ•upatiou Svlro is'not a pennancnt resident of the
dwelling unit.
I, the undersigned, have read lid agr vv a tl at v restrictions for nay honie occupation I ana registering. {
Appkatrt: Date: ts) 65 V
Honicoc.doc 1?6-.01/3/08
Town of Barnstable *Permit`2 �/ &
U
--- Expires 6 mo ih o n issu��I
Regulatory Services Fee
RAMSTAJIM
MASS' Thomas F.Geiler,Director
163q.
prEO MA't�
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number q G/
Property Address ����
[Residential Value of Work$ M®O0 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address ace-.,r[,An& C-
Contractor's Name ,1�1 nl k � Telephone Number 15�0 9—Y7-7—7 o—
Home Improvement Contractor License#(if applicable) f j 7-3 Email: d K.gw-- " d 44
P-mj�yj*y-��"''�
Construction Supervisor's License#(if applicable) CIS O/ 3
orkman's Compensation Insurance A
Check one: n �����
❑ I am a sole proprietor 2
the Homeowner f
I.have Worker's Compensation Insurance n TORN
Insurance Company Name N 6 U V-%& ► VJ A t�S�✓G`+� ,1 '
Workman's Comp.Policy# UG— Tb —] C 3® A 13
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Requ t(check box) J f � S �
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to w_w I,+PC
❑ e-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
replacement
e-side
Windows/doors/sliders.U-Value i (maximum.35)#of windows
#of doors: a
❑ Smoke/Carbon.Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
p of the Home m ment Contractors License&Construction Supervisors License is
re red.
SIGNA
Q:\WPFILES\FORMS\buildin-g—pe—rmi—t Orms\FMMSS.doc
Revised 060513
EM
ailo
;f
Mass. Corporations, external master page Page 1 of 2
William Francis Galvin
Secretary of the Commonwealth of Massachusetts
HOME DIRECTIONS CONTACT US Search sec state ma.us Search
Corporations Division
Business Entity Summary
ID Number:453929643 Request certificate New search
Summary for: BAYRIDGE REALTY LLC
The exact name of.the Domestic Limited Liability Company(LLC): BAYRIDGE REALTY LLC
Entity type: Domestic Limited Liability Company(LLC)
Identification Number:453929643
Date of Organization in Massachusetts: 11-29-2011
Last date certain: 11-30-2030
The location or address where the records are maintained(A PO box is not a valid location or address):
Address: 96 SUMMIT ROAD
City or town,State, Zip code,Country: PLYMOUTH, MA 02360 USA
The name and address of the Resident Agent:
Name: DENNIS KERKADO
Address: 96 SUMMIT ROAD
City or town,State, Zip code,Country: PLYMOUTH, MA 02360 USA
The name and business address of each Manager:
Title Individual name Address
MANAGER JENNIFER CAMPBELL 96 SUMMIT ROAD PLYMOUTH, MA 02360 USA
MANAGER SUSAN MASCI 21 HAYDEN DRIVE FOXBORO, MA 02035 USA
In addition to the manager(s),the name and business address of the person(s)authorized to execute
documents to be filed with the Corporations Division:
Title Individual name Address
SOC SIGNATORY DENNIS KERKADO 96 SUMMIT ROAD PLYMOUTH, MA 02360 USA
SOC SIGNATORY FRANK MASCI 21 HAYDEN DRIVE FOXBORO, MA 02035 USA
The name and business address of the person(s)authorized to execute,acknowledge,deliver,and record
any recordable instrument purporting to affect an interest in real property:
Title Individual name Address
REAL PROPERTY SUSAN MASCI 21 HAYDEN DRIVE FOXBORO, MA 02035 USA
REAL PROPERTY DENNIS KERKADO 96 SUMMIT ROAD PLYMOUTH, MA 02360 USA
REAL PROPERTY FRANK MASCI 21 HAYDEN DRIVE FOXBORO, MA 02035 USA
REAL PROPERTY 1JENNIFERCAmPBELL 196 SUMMIT ROAD PLYMOUTH, MA 02360 USA
r Consent r Confidential Data r Merger Allowed r Manufacturing
View filings for this business entity:
ALL FILINGS____
Annual Report
Annual Report-Professional
Articles of Entity Conversion
Certificate of Amendment l
http://corp.sec.state.ma.us/Corp Web/CorpSearch/CorpSummary.aspx?FEIN=45 3 929643&... 8/29/2013
f -
E k 27650 P-o l4g �49958
MASSACHUSETTS STATE- EXCISE TAX
" BARNSTABLE COUNTY. REGISTRY-OF DEEDS -
Date: 08-28-2A13 a M.4.7ati
CtIQ: 424` Docv: 4995E
Fee: $342.00 Cons: $100,000.r30
Prepared By:Stephanie Lackey
Please return to: Liberty Title&Escrow Company.
EARNSTABLE COUNTY EXCISE TAX
I350 Division Road, Ste. 302 , BARNSTABLE COUNTY REGISTRY OF DEEDS
West Warwick,RI02893 Date: P-28-2 i13 a 10:47am
Ctlga 424 Doc s995E
Fee, $270.0r, Cons: $100,000.00
QUITCLAIMDEED
THIS DEED, made this G,z day of i U ,2013,by and between Deutsche
Bank National Trust Company, solely as Truste'i for Harborview,Mortgage Loan Trust
Mortgage Loan Pass-Through Certificates,Series 2007-4,of 1661 Worthington Road,Suite 100 West Palm
Beach,FL 33409,hereinafter referred to as"Grantor",party of the first part;and Bayridge
Realty,LLC,a Massachusetts limited liability company with a mailing address of 96 Summit
Road,Plymouth,MA 02360,hereinafter referred to as"Grantee",party of the second part.
That for and in consideration of the sum One Hundred Thousand and 00/100 Dollars
($100,000.00), the consideration received therefore by-the Grantor for the conveyance made
hereby,-a- geed-ern r - , the receipt and sufficiency of which are
hereby acknowledged, Grantor, subject to the matters described herein, does hereby grant,
bargain,sell and convey to the Grantee, in fee simple,and with QUITCLAIM COVENANTS,all
that certain lot or parcel of land, together with the improvements thereon and appurtenances
thereunto, as described below. Said property being situated in the City of Hyannis, having an
< address of 147 Cedar Street and being more particularly described as follows,to-wit:
E The land, together with the buildings and improvements thereon, situated in the Town of
BamstaGle {Hyannis), County of Barnstable and Commonwealth of Massachusetts, being
situated on the southerly side of Cedar Street, being Lot numbered 3, as shown on plan of land
entitled "Subdivision of Land in Hyannis, Mass., Property of George H. Edwards, G.F.
°-' Clements, C.E." which said plan is recorded with the Barnstable County Registry,of Deeds in
Plan Book 14,Page 61,more particularly bounded and described as follows:
v Northerly by said Cedar Street, as shown on said plan,fifty (50)'feet; Easterly by Lot number 4,
as shown on said plan, one hundred fourteen and 21/100(114.21)feet; Southerly by Lot number
7,as shown on said plan, fifty (50)feet; and Westerly by Lot number 2, as shown on said plan,
Pone hundred thirteen and 67/100(113.67)feet.Containing 5,697 square feet,more ore less.
v
Q Subject to restrictions, reservations, easements and covenants of record, insofar as the same are
in force and applicable.
a
o -
a` Being the same premises conveyed to Deutsche Bank National Trust Company, solely as Trustee
for Harborview Mortgage Loan Trust Mortgage Loan Pass-Through Certificates, Series 20074
by Foreclosure Deed dated July 9,2013 and recorded July 29, 2013 with the Barnstable County
Registry of Deeds in Book 27577,Page 52.
• f �
t.
Bk 27650 Pg149 #49958
Address: 147 Cedar Street,Hyannis,MA 02601 "
Tax ID#: Map 328,Parcel 175
This conveyance is made in the usual course of business of the Grantor and does not constitute
the sale of all or substantially all of the assets of the Grantor.
Witness the following Signatures and Seals, .
Deutsche Bank National Trust Company, solely
as Trustee for Harborview Mortgage Loan Trust
Mortgage Loan Pass-Through Certificates,
Series 2007-4 by its Attorney in Fact Ocwen
Loan Servicing,LLC
BY: Chris Heinichen
Printed Ndme: Contract Manager
State of flby tl
County of ful
I hereby certify that on this Vday of ry V , 2013,before me,the subscriber,Notary
Public of the State aforesaid,personally appeare, Chris He161ehen -its signor of
Ocwen Loan Servicing,LLC on behalf of Deutsche Bank National Trust Company, solely
as Trustee for Harborview Mortgage Loan Trust Mortgage Loan Pass-Through
Certificates, Series 2007-4, 'whose name is subscribed to the within instrument, and
acknowledged the foregoing deed to be his/her act under authority of the Grantor and the free act
and deed of the Grantor, and also certify, under penalties of perjury, that the consideration
recited herein is true and correct.
ojamioorbbiE
te of Florida FF 008181iC:17 Jami DoroUala
My ission Expires:
r
Y OF DEEDS
BARNSTABLE REGISTR •
THE Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
6.19. ' 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
Property Owner Must
Complete and Sign This Section
If Using A Builder
� Ll(. Gti1ni`S ",c� as Owner of the subject property
hereby authorize f/�1�►✓�t5 . to act on my behalf,
in all matters relative to work authorized by this building permit
10( Cedar S
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
4ture o
(f ke,11- `1✓71
Print Name Print Name
Date
Q:FORMS:OWNMERNSSIONPOOL.S 62012
I
I
Town of Barnstable �-
°� Regulatory Services
t A�ATRT�RiR �
a Thomas F.Geiler,Director
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:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAII.ING 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
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.
,a
The undersigned"homeowner"certifies that he/she understands the Town of Bamstable Building Department minimum inspection
procedures and requirements and that he/she will comply 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.
C:\Users\decoHik\AppData\Local\Microsoft\windows\Temporary Intemet Files\Content.Outlook\QRE6ZUBN\EXPRFSS.doc
Revised 053012
j
,n -
ip,- <
The Comme mpedA qfMassdchUseft
Deparhaent of radrrstrirrl Accidents
OUTIce oflmrfsti�Tans
�. ,. 600 Wasshingtim Slree.t
1r'oston,MA 02 I
ww",anassgovMia
Workers' Compensatian Insurance Affidavit:Builders/Contractors/BectriciansJPlumbers
APPIkant Information Please Print Legibly
Name(BusmesslOrgattizatiam/Individialy: �C'in tl S - � �� G B-C_
z
tee-; w w►✓�i �-.
q"i [StatrJZip: ' v1n d,/r Phone#
Are ya an employer?Check the appropriate biz: Tie of project(regmre4:
L&4 am a employer with 4_ ❑Kant a dal contractor and 1
employees(full and/or pa r * Have him the sub-co�racfoss 6. O News�on
2_El am a sole proprietor orpartner- listed on the attached sheet: .7- ❑Remodeling
ship and ha<<e m employees These sub-oonttactors have 8_ Ilemolition
working for me in any capacity. employees and have workers' Q_ Bu din addition
[4.workers.' comp_innuanre comp.ineuranco g -
reqaiie&] 5. We area corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised�esr I LE]Plumbing repairs or additions
right t.of es�eatp tsars per MGL
myseT£[Na worloets'�P- � 12..0 ltoofzepairs.
insurance ]1 c_152,§l(4�and we have as
employees-[No workers'. 13.0 other
comp_insurance require -]
�1�cy agpl[aut tint checks box#1 Est also fill out the section below showing Lea waders'compensation policy anfnrmafea'c.
ffomeoamers who submit this off lam i mNcating dLey sse doing al1vul n d dice hug ont ide contactors za st summit a aM affldxvk md'iramg wrIL
ZGmitactors that check this bus mast attached Fa additional sheet dhuwing the name of die sub-coutiamocs state whether Dinar these entities hne
emplayees. If the sob-contactors Jim employees,the}—9 provide tb&warkrss'comp.policy maabm
I am art empin)er that isprovHkg workers'cony mnmEon d hmmance far nzy enrptnyees. Below is the paHey and job site
information.
Insurance Company Name- CiT/� UA&Aya` eyl>
Policy;g or Self-ins.Lie.# u I / I FxpustionDate:
Job Site Address: . l Ln (So City,'State//Zip: of YM °d of
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 o€MGL c 152 can lead to the imposition ofcriminil penalties of a
fine up to$1,500.00 and/or one-yearitnprisosment,as well as civil penalties in the fbrm of a STOP WORK ORDER"and a fine
of up to$250_00 a day against the violator- Be advised that a copy of this statement maybe:brwarded to the Office of
In'trestigations of the DIA for insurance;covrerage v ergcation_ 4
I do haff"oby c,er ' i t 'ns and pen es ofperjuty that the information provided abour is and correct
Siena Daie:
Phone#:
OBEcial use only: Do not write in this area,tar be cowmpieUd by city or town ojjic&L .
City or Town: PeridtUcehse#
Issuing Authority(circle one):
1.Board of Health 2.Binding Department 3.Cit frown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.athtr
Contact Person: Phone#:
6
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Piusuantto this statute,an anployee 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 gr ands 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 ofpublic work until acceptable evidence of compliance with the insn-a„ce
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 cant'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 retumed 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 pem:itlliceuise 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 Gommaaweaith of Massachusetts
Departmmt of Industaal Accidents
Office of kvestiptiwis
600 washboon S`ireet
Boston,MA 02111
T(,-L#617-727-49W W4€16 or 1-877 MASSAFE
Fax#617-727-7749
Revised 4-24-07
www.mas&gov/dia
w �
Rightfax C1-1 2/21/201:3 q :4U:1G An rr%vrj tit
CERTIFICATE OF LIABILITY INSURANCE DaTE(MMIDDIYYY)n
T IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT HO DE
R 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 PRODUCM 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
he terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to
he certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT t
NAME:
DOWLTNG&ONEIL INS AGCY PHONE FAX
973 IYANNOUGH ROAD (A/C,No,Ext). (AIC,No):
EMAIL .
73YANNIS,MA 02601 ADDRESS:
76RNJ INSURER(S)AFFORDING COVERAGE NAIC A
INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COLQANY
KREC LLC INSURER B:
INSURER C:
INSURER D:
10 ATLANTIC AVE INSURER E:
WBST YARMOUTH,MA 02664 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
TH 1 G FY TFIXT T14V PO CES 01 RA ED BEW ONE OM ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NDICATED.
NOTWITHSTANDING ANY REQUIRRIAENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE 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. IJMrrS SHOWN MAY
HAVE BEEN REDUCED BY PAID CLAIMS.
NSR ADD SUB POLICY EFF DATE POLICY ELP DATE
LTR TYPE OFINSURANCE L R POLICY NUMBER RA MD\YYYY) IMM4DDIYYYY) , LIMITS
GENERAL LIABILITY ACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR. AEM SES Ea occurrence)
MAGE TO RENTED $
QD
E EXP(Any one person)
RSONAL&ADV INJURY S
GEN'L AGGREGATE LIMIT APPLIES PER'
NERAL AGGREGATE $
POLICY 0 PROJECT❑LOC RODUCTS-COMP/OP AGG S
AUTOMOBILE LIABILITY COMBINED SINGLE $
ANY AUTO LIMIT(Ea accident)
ALL OWNED AUTOS BODILY INJURY S
SCHEDULE AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE S
(Per accident)
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE' $
DEDUCTIBLE $'
RETENTION $ $
A WORKERS COMPENSATION AND X WC STATUTORY OTHER
EMPLOYER'S LIABILITY YIN U8-5(147P3OA-13 02M52013 02ti52014 LIMITS
ANY PROPERITORRARTNERIEXECUTNE a N/A E.L.EACH ACCIDENT S 1000,000
R/MEMBEREXCLUDED IManda '}
lay rn NN} E.L.DISEASE-EA EMPLOYEE $ 1,000,000
1Manda '
ESCRIMON OF er
O E.L.DISEASE-POLICY LIMIT S 1.000,000
D..SCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES}RES-MCTIONSISPECIAL ITEMS
THIS REPL,AC$S ANY PRIOR CERTIFICATE ISSUED TO THE CERTTFICATE HOMER AFFECTING WORKERS COMP COVERAGE.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONIr ` N
AUTHORIZED REPRESENTATIVE
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORO 1998-2010 ACORD CORP s resQrved.
`4
y
k..i ._,f 5 i I:t:li-:,� .t.ilil..ii
DENNIS KERKADO
96 SUMNQT RD
Plymouth MA 02360
['_,t�runis su.'rie'i 02/26/2014 '
% o,av„rc�, a�zBa -1 � * License or registration valid for individul use only
s � Office`o �o sumcr airs smess e u a .on
i before the expiration date. If found return to:
I — HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation
4 Registration: 171230. Tyne:.
�I Expiration 3/1%2014 LLC 10 Park Plaza-Suite 5170
Boston,NIA 02116 .
< G LLC.
I
DENNIS KERKADQ ;
96 SUMMIT RD W
/J gym-•
PLYMOUTH,MA 02360 ' Undersecretary ANot valid without signature
e
+ Bk 25544 Pa 103 4-33913
`, V•�_ R"�7—><711-2[]11 a 03= 42P
DOCKETNUMBER Trial Court of Massachusetts a
EXECUTION 201 125cv000sa5 District Court Department
CASE NAME CITIBANK (SOUTH DAKOTA) N.A. vs. HAYDEE T.RIBEIRO A1K/A HAYDEE TERE7JNHA SILVA
JUDGMENT CREDITOR($)IN WHOSE FAVOR EXECUTION IS ISSUED CURRENT COURT
P01 CITIBANK (SOUTH DAKOTA) N.A. Barnstable District Court
Main Street
P.O.Box 427
Barnstable,MA 02630-0427
(508)375-6600
JUDGMENT CREDITOR(OR CREDITOR'S ATTORNEY)WHO MUST ARRANGE SERVICE OF EXECUTION FURTHER ORDERS OF THE COURT
P01 KENNETH C.WILSON
LUSTIG,GLASER&WILSON,P.C.
P.O.BOX 9127
NEEDHAM,MA 02492-9127
A TRUE COPY ATTEST:
JUDGMENT DEBTOR AGAINST WHOM EXECUTION IS ISSUED
001 HAYDEE T.RIBEIRO A/K/A HAYDEE TEREZINHA SILVA
147 CEDAR ST.
HYANNIS,MA 02601
C TO THE SHERIFFS OF THE SEVERAL COUNTIES OR THEIR DEPUTIES,OR(SUBJECT TO THE LIMITATIONS OF _
G.L.C.41 §92)ANY CONSTABLE OF ANY CITY OR TOWN WITHIN THE COMMONWEALTH:
The judgment creditor(s)named above has recovered judgment against the judgment debtornamed above in the amount
shown below.
WE COMMAND YOU,therefore,from out of the value of any real or personal property of such judgment debtor found within
your territorial jurisdiction,to cause payment to be made to the judgment creditor(s)in the amount of the"Execution Total'
shown below,plus additional postjudgment interest as provided by.G.L.c.235§8 on the"Judgment Total'shown below
commencing from the"Date Execution Issued"shown below at the"Annual Postjudgment Interest Rate"shown below,and
to collect your own fees,as provided by law.This Writ of Execution is valid for twenty years from the"Date Judgment
Entered"shown below. It must be returned to the court,along with your return of service,within ten days after this judgment
has been satisfied or discharged,or after twenty years if this judgment remains unsatisfied or undischarged.
41
1.Judgment Total $6,322.15
V
2.Date Judgment Entered 06/08/2011
3.Date Execution Issued 06/20/2011
4.Number of Days from Judgment to Execution (Line 3-line 2) 12
5.Annual Postjudgment Interest Rate of12.00%/365=Dally Interest Rate 0.032877%
6. Postjudgment Interest from Judgment to Executi�Qf(Lines 1x4x5) $24.94
0 7.Postjudgment Costs(if any) ��!,...,.URTi4 '; $0.00
8.Credits(if any) ,• $0.00
9. EXECUTION TOTAL(Lines # f<, ;in e) $6,347.09
LEVYING OFFICER: (a)Add daily interelt honi^dathefcv on Issued. --
(b)Add your fees as.provided*by law.
TESTE OF FIRST JUSTICE +r,,,,,,�U DATE EXECUTION ISSUED CLERK-MAGI$ ASST.
WITNESS: , Hon.W.James 0!Nelll 06/20/2011 �(
Date�me Printed: 06/20/2011 11:09 AM FORM N0.
t 3�2�03
Bk .25544 Pg 104 #33913
Barnstable ss. July 1 2011,:,
By virtue of this Execution No. 201126 CV 0505 issued by the Barnstable
District Court, the original of which is in my hands for the purpose of taking this
real:estate, I have this day levied upon, seized and taken all the right, title and
interest that the within named Judgment Debtor Haydee T. Ribeiro a/k/a
HaY dee Terezinha Silva now has in and to the real estate, situate within the
County of Barnstable and described as follows in Book 15426 Page 35 at the
Barnstable Registry of Deeds:
'fie land, together with the buildings and improvements thereon, situated in the Town of Barnstable
(Hyannis),County of Bamstable and Commonwealth of Massachusetts,being situated on the southerly side
of Cedar street,being Lot numbered 3,as shown on plan of land entitled"Subdivision of Land in Hyannis,
Mass,, property of George H. Edwards, G.F. Clements, C.E." whieb said plan is recorded with the
Barnstable County Registry of Deeds in Plan Boob 14,page 61.
The within is a true copy of this Execution and the above so mucli of my
return as relates to the levying upon, seizure and taking of this real estate on this
Execution.
Lustig, Glaser&Wilson, P.C.
P. O. Box 9127
Needham, MA 02492 9127
Attorney for Creditor ier nnedy- by
Deputy Sheriff
BARNSTABLE REGISTRY OF DEEDS
. . Bk 24078 Po 349. 059080
1�-1 d-2��L79 a'1 1 1 = 14at
COMMONWEALTH OF MASSACHUSETTS
(SEAL) LAND COURT ' 3 j
DEPARTMENT OF THE TRIAL COURT
08 MISC 403550
To: Case No.
R
onaldo Teixeira Ribeiro ��� � �
Haydee Terezinha Silva ,,
and to all persons entitled to the benefit of the Servicemembers Civil Relief Act:
Mortgage Electronic Registration Systems,Inc.
claiming to be the holder of mortgage
covering real property in Barnstable(Hyannis),numbered 147
Cedar Street
given by Ronaldo Teixeira Ribeiro and Haydee Terezinha Silva to Mortgage Electronic Registration
Systems, Inc.,dated February 8,2007,Recorded with the Barnstable County Registry of Deeds at Book
21777, Page 205
has filed with said court a complaint for authority to foreclose said mortgage
in the manner following: by entry and possession and exercise of power of sale.
If you are entitled to the benefits. of the Servicemembers Civil Relief Act and you object to such
foreclosure you or your attorney should file a written appearance and answer in said court at Boston on or
before
NOV a p
or you may be forever barred from claiming that such foreclosure is invalid under said act.
Witness, KARYN F. SCHEIER Chief Justice of said Court on
SEP 2 5 2009
Attest:
Deborah J. Patterson
Recorder
A TRUE COPY
ATTEST
�6 o ar&�n 1'''l
n.a
RECORDER
BARNSTABLE REGISTRY OF DEEDS
. C)����
B.k 25438 .'P's 299 `24728
0-5--16--201 1 ai 03=23p
DOCKETNUMSER Trial Court of Massachusetts
EXECUTION District Court Department
201125CV000277
CASE NAME CITIBANK(SOUTH DAKOTA) N,A. vs. RONALDO T.RIBEIRO AIK/A RONALDO TEIXEIRA RIBEIRO
JUDGMENT CREDITOR(S)IN WHOSE FAVOR EXECUTION IS ISSUED CURRENT COURT
P01 CITIBANK(SOUTH DAKOTA) N.A. Barnstable District Court
Main Street
P.O.Box 427
Barnstable,MA 02630-0427
(508)375-6600
JUDGMENT CREDITOR(OR CREDITOR'S ATTORNEY)WHO MUST ARRANGE SERVICE OF EXECUTION FURTHER ORDERS OF THE COURT
P01 KENNETH C.WILSON
LUSTIG,GLASER&WILSON,P.C.
P.O.BOX 9127
NEEDHAM,MA 02492-9127
JUDGMENT DEBTOR AGAINST WHOM EXECUTION IS ISSUED A TRUE COPY ATTEST;
D01 RONALDO T.RIBEIRO A/K/A RONALDO TEIXEIRA RIBEIRO
147 CEDAR ST.
HYANNIS,MA 02601 '
r DEPUTY SHERIFF
TO THE SHERIFFS OF THE SEVERAL COUNTIES OR THEIR DEPUTIES,OR(SUBJECT TO THE LIMITATIONS OF .-
1".L.c.41 §92)ANY CONSTABLE OF ANY CITY OR TOWN WITHIN THE COMMONWEALTH:
The judgment creditor(s)named above has recovered judgment against the judgment debtor named above in the amount
shown below:
Q. WE COMMAND YOU,therefore,from out of the value of any real or personal property of such judgment debtor found within
-�-- your territorial jurisdlcbon,to cause payment to be made to the judgment creditor(s)in the amount of the"Execution Total"
shown below, plus additional postjudgment Interest as provided by G.L.c.235§8 on the"Judgment Total"shown below
commencing from the"Date Execution Issued Shown below at the"Annual Postjudgment Interest Rate"shown below,and ,
�- to collect your own fees, as provided by law.This Writ of Execution is valid for twenty years from the"Date Judgment
g Entered"shown below, It must be returned to the court,along with your return of service,within ten days after this judgment
has been satisfied or discharged,or after twenty or 9 y years if this judgment remains unsatisfied or undischarged: `-
1.Judgment Total
$3,248.21
2.Date Judgment Entered 04/14/2011
3.Date Execution Issued
04/26/2011
4,Number of Days from Judgment to Execution (Line 3-Line 2) 12
5.Annual Postjudgment Interest Rate of 12.00%/365 W Daily Interest Rate 0.032877%
6.Postjudgment Interest from Judgment to. ecution(Lines lx45) $12.81.
7.Postjudgment Costs(if any) ' 54 $0.00
8.Credits(if any) � �. $0.00
, ,
9• EXECUTION TOTALfiLrne ,E., niisLirte8j r '$3,261.02 •,
LEVYING OFFICER: (a)Add daily Int4I& 1 date execution issued. G
(b)Add your fe iwj&�d bX 1aw;
y
TESTE OF FIRST JUSTICE / DATE EXECUTION ISSUED CLERK-MAGISTRATE/ASST.CLERK
WITNESS: Hon.W.James O'Neill 04/26/2011
Date/rime Printed: 04/2612011 10:15 AM -` q FORM NO.
Bk 25438 Pig 300 #24728
Barnstable ss: May 10, 2611
By virtue of this Execution No. 201125 CV 0277 issued by the Barnstable
District Court, the original of which is in my hands for the purpose of taking this
real estate, I have this day levied upon, seized and taken all the right, title and
interest that the within named Judgment Debtor Ronaldo T. Ribeiro, aka
Ronaldo Teixeira Ribeiro now has in and to the real estate, situate within the
County of Barnstable and described as follows in Book 15426 Page 35 at the
Barnstable Registry of Deeds:
The land, togAer with the buildings and improvements thereon, situated in the Tow» of Barnstable
(Hyaaais�County of Barnstable and Commonwealth of Massachusetts,being situated on the southerly side.
of Cedar St=4 being Lot numbered 3,as shown on plan of land entitled"Subdivision of Land in Hyannis,
Aim, Property of George H. Edwards, G.F. Clements, C.E." which said plan is recorded with the
Barnstable County Regishy of Deeds in Plan Book 14,Page 61.
The within is a true copy of this Execution and the above so much of my
return as relates to the levying upon, seizure and taking of this real estate on this
Execution.
Lustig, Glaser&Wilson
PO Box 9127
Needham, MA 02492 Y-5 lt'o
Attorney for Creditor Jean A. Marshall
Deputy Sheriff
i
BARNSTABLE REGISTRY OF DEEDS
Z, �5 - W 0 PL, 6.,L / E 1U7 tPOE
Town of Barnstable
Approved Regulatory Services Apo PO
PP _
Fee 100 Thomas F.Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
04116
` 02 Horne Occupation Registration
Date:
Name: /"/ �i�i �IJ�Z �a L IJG� Phone#: (SOY)
OY)
Address: T �/�"�� - Village: rl at S
Name of Business: i2p, f G I �� SA �0N
Type of Business: T� I��P- Cg Map/Lot: —
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation, and not within the required front yard. .
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation, other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in e Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,have read and agree a ove restrictions for my home occupation I am registering.
Applicant: Date: v
Homeoc.doc
S._. C� c �,�L G, � -- �, CLie 1VT Iq OM �
F �. T
TO ALL NEW BUSINESS OWNERS
Fill in please: YOUR NAME: VYC� cJ _ -(�// !V/v l5
APPLICANT'S �' '�
S SS YOUR HO . DDRES�:
(5,I� Q 3 Telephone Number Home
4TELEPHONE r� ` TYPE O1 *0
NAME OF NEW BUSINESS
BUSINESS
IS THIS A HOME OCCUPATION? MAPIPARCEL NUMBER .
ADDRESS OF BUSINESS
starting a new business there are several things you.must do in order to be imao need. Once yohu have obtaineduthteorequ red own
When s g
of Barnstable. This form is intended to assist you in obtaining the information you y
natures listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor - Town Hall) or if you get the business
Sig n ,
certificate first you MUST go to the following officeMa nkStre t) and you wi the I find gthe following Its and offices:enses..
GO TO 200 Main St. — (corner of Yarmouth Rd.
1. BUILDING INSPECTOR'S siness.This individual ha en infor �FICE
of any permit requirements that pertain to this type of bu
uthonzed Sig ature
COMMENTS:
2. BOARD OF HEALTH -
This individual has b en informed of the permit require entbsthat pertain to this type of business.
Authorized Signature
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature
COMMENTS:
x�
certificate
ust
Business certificates (cost$20.00 foF 4 years). A businessu mus ONet hatth through coSTERS mpletion (whichUR NAME in the town
o plet on of the processesfrom the various
do by M.G.L. -it does not give you permission to operate -you g
departments involved.
Town of Barnstable,-MA Page 1 of 3
6d
Town of Barnstable;MA
Tuesday,February 12,2013
§ 240-24.1.4. MS Medical Services District: + ,
[Added 7-14-2oo5 by Order No. 2005-1001 ,
A. Permitted uses.The following principal and accessory uses are permitted in the MS
District. Uses not expressly allowed are prohibited.
(1) Permitted principal uses.
(a) Single-family dwellings. '
(b) Two-family dwellings.
(c) Business and professional offices. -
(d) Nursing homes.
(e) Medical/dental clinics.
(f) Hospitals (nonveterinarian).
(g) Bed-and-breakfasts.
(h) Multifamily housing totaling not more than six dwelling units per acre or12
bedrooms per acre. ,
(i) Mixed-use development.
(2) Permitted accessory uses.
(a) Family apartments.
'(b) The following uses shall only be permitted as ancillary operations,to a
hospital, nursing home,or other medical-oriented facility:
[1] Personal services, such as barber or beauty shops.
[2] Banking services.
[3] Restaurants.'.
4ttPiHecode360.com/printBA2043/form?guid=6558665 2/12/2013
Town of Barnstable, MA Page 2 of 3
[4] Pharmacies.
B. Special permits.
(1) Permitted'principal,uses as follows, provided; however,that a special permitshall
not be required when the applicant has obtained a development of regional
impact approval,'exemption or hardship exemption from the Cape Cod
Commission:
(a) Nonresidential development, including nursing homes,with a total floor area ,
greater than io,000 square feet.
(b) Mixed use developments with.a total floor area greater than 20,000 square
feet or greater than lo,000 square feet of commercial space. #,
'(2) Multifamily housing proposing to create seven or more dwelling units'per acre or
13 or more bedrooms per acre and including at least 25%of workforce housing
and totaling not more than 12 units per acre. Multifamily housing in the MS
District is not required to provide inclusionary housing pursuant to Chapter 9 of
the Barnstable Code.
C. Dimensional,bulk and other requirements.. (NOTE: For hospital uses:the'maximum
building height provisions set forth in the table below may be extended to no more
than 85 feet or a maximum of six stories not to exceed,85 feet;and,the maximum lot
coverage requirements set"forth below shall not apply.)`
Maximum
Minimum Yard Building
Setbacks Height' ,
Minimum Minimum
Lot Area Lot Maximum
Zoning (square Frontage Front Rear Side Lot
District feet) . (feet) (feet) (feet) - (feet) Feet Stories' coverage'. F.
Medical 10,000 50 202 i0
2 102 38 3 8o%
Services
NOTES:
The third story can only occur within habitable attic space.
2 See also-setbacks in Subsection C(i) below.
(1) Setbacks.
(a)The front yard landscaped setback shall be 10 feet.
http://ecode360.com/printBA2043/form?guid=6558665 2/12/2013
Town ot Bamstable, age o
(b) The SPGA may reduce to zero the rear,and side setbacks for.buildings to,
accommodate shared access driveways or parking lots that service buildings '
located on two or more adjoining lots.
(2) Site access/curb cuts.
(a) Driveways on Route 28 shall be minimized. Access shall not be located on
Route 28 where safe vehicular and pedestrian access can be provided on an
alternative roadway,or via a shared driveway,or via a driveway °
interconnection. On Route 28, new vehicular access, new development;
redevelopment and changes in use that increase vehicle trips per day and/orW
increase peak hour roadway use shall be by special permit.
a°
(b)Applicants seeking a new curb cut on Route 28 shall consult the Town
Director/Superintendent of Public Works regarding access on state highway
roadways prior to seeking a curb-cut permit from the Massachusetts
Highway Department,and work with the Town and other authorizing.
g Y P g.
agencies,such as the MHD,to agree on an overall access-plan for the site a
prior to site approval.The applicant shall provide proof of consultation with. °
the listed entities and other necessary parties.
'(c) All driveways and changes to drivewayson. Route 28 shall:
[1] Provide the minimum number of driveways for the size and type'of land
use proposed;'
[2] Provide shared,access with adjacent development where feasible;and
[3] Provide a driveway interconnection between adjacent parcels to avoid
.short trips and conflicts on the main road:
D. Site development standards. In addition to the site development standards set forth
in §240-24..1.10 below,the following requirement shall apply: r
(1) Landscaping for multifamily:housing.A perimeter green space of not less than io
feet in width shall be provided,such space to be planted and maintained as green
area and to be broken only in a front yard by a driveway.and/or entry walk:
t x
r
http://ecode360.com/printBA2043/form?gud=6558665 2/12/2013
�-Barnstable Assessing Search Results Page 1 of 2
"
Home: Departments:Assessors Division: Property Assessment Search Results
New Search
f .. —New Interactive Maps >>
I�.
Owner: 2007 Assessed
Values:
RIBEIRO, RONALDO TEIXEIRA&
147 CEDAR STREET Appraised Value Assessed Value
Map/Parcel/Parcel Extension Building Value: $ 142,500 $ 142,500
328 /175/ Extra Features: $0 $0
Outbuildings: $ 1,000 $ 1,000
Mailing Address Land Value: $ 137,000 $ 137,000
RIBEIRO, RONALDO TEIXEIRA&
SILVA, HAYDEE TEREZINHA Totals $280,500 $280,500
114 SPRING ST
HYANNIS, MA. 02601
Tax Information:
Tax information is currently not available for 2007
Construction Details
Building Property Sketch PI' grty sketch & A
Building value $ 142,500 Interior Floors Pine/Soft Wood
Style Conventional Interior Walls Plastered _
Model Residential Heat Fuel Gas
Grade Average Minus Heat Type Hot Water
Stories 2 Sty w/UAT AC Type None ' '
Exterior Walls Wood Shingle Bedrooms 4 Bedrooms
Roof Structure Gable/Hip Bathrooms 2 Full
Roof Cover Asph/F GIs/Cmp living area 1584
Replacement Cost $189977 Year Built 1928
MKI
Depreciation 25 Total Rooms 8 Rooms
Land
http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?mappar=32... 4/27/2007
Barnstable Assessing Search Results Page 2 of 2
CODE 1010
Lot Size(Acres) 0.13 AsBuilt Card N/A
Appraised Value $ 137,000 _
_ View In Maps
Assessed Value $ 137,000
Sales History:
Owner: Sale Date Book/Page: Sale Price:
RIBEIRO, RONALDO TEIXEIRA& Jul 31 2002 12:OOAM 15426/035 $ 100
RIBEIRO, RONALDO TEIXEIRA& Feb 15 2002 12:OOAM 14828/246 $ 100
RIBEIRO, RONALDO TEIXEIRA Feb 15 2002 12:OOAM 14828/235 $ 162,000
MCGUIGGAN,WILLIAM D Dec 11 2001 12:OOAM 14559/264 $ 130,000
JENKINS, NATALIE R Jul 15 1990 12:OOAM 7223/209 $ 1
JENKINS, NATALIE R Sep 15 1989 12:OOAM P1310-El $ 1
SEARS, RUBY R Mar 15 1989 12:OOAM 6645/193 $ 1
SEARS, CEDRIC T 524/251 $0
Extra Building Features
Code Description Units/SQ ft Appraised Value Assessed Value
FGR1 Garage-Poor 240 $ 1,000 $ 1,000
Property Sketch
Legend
BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished)
BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished)
CAN Canopy FUS Second Story Living Area UST Utility Area (Unfinished)
(Finished)
FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story
(Unfinished)
FCP Carport GRN Greenhouse UUA Unfinished Utility Attic
FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story
(Unfinished)
FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck
FOP Open or Screened in Porch TQS Three Quarters Story(Finished)
http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO7map.asp?mappar=32... 4/27/2007
Town of Barnstable
FTHE 1pw
Regulatory Services
Thomas F.Geiler,Director
Building Division
BABNszABM
MASM& Tom Perry,Building Commissioner
0 9. �m
iOrEv .�s 200 Main Street, .Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: °6)
Permit#:
HOME OCCUPATION REGISTRATION g j q C) 1
Date:
Name: A-t-blo M-Fc-1 fLo Phone#• 5;-09 �'� 1 6(?31
Address: IA C G � Village: �"� Y 4"A�)� S
Name of Business: Gw}r COD ✓£x-)!)) ICJ M
Type of Business: .✓e-l�o Map/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
r..
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,have ead gr a th the above restrictions for my home occupation I am registering.
Applicant: Date: lei• D6
Homeoc.doc Rev.5/ /03
DATE: ---`"
Fill in please: ftf-g-'I'mto�
APPLICANT'S ,
BUSINESS ft, YOUR NAME:
YOUR HOME ADDRESS: C,E
TELEPHONE ,: - 5 —
NAME OF NEW BUSINESS Tele hone Number Horpe �
IS THIS A HOME OCCUPATION?
BUSINES /V / t.
Have you been given approvalf ______^,_YES NO S rom the building division? ��
ADDRESS OF BUSINESS
When starting a new business there are , things you must do in order to ~ AP�PARCEL NUMBER<
Barnstable. This form is intended to assist You,in obtaining the information you may need. Once below, you may a I for a business certificate at the Town Clerk's O be in compliance with the rules and regulations of the Town of
y PP y e you have obtained the required signatures, listed
have all the required permits and licenses.. Office [Ist floor-Town Hall). You MUST go to the following office to make sure you
GO TO 200 Main St. - (corne of Yarmouth Rd. &
1- iBUILDING CO IS lON in Street) and you will find the following offices: -�
This individual h b 'S OFFI
nfor d of an r uirern nts that pertain to this type of business.
or d Sign re**
COMMENTS:
.2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
COMMENTS:
Authorized Signature** `
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this
s type of business.
COMMENTS:
Authorized Signature*
'
Business certificates [cost$30.00 for 4 years). A.business certificate ONLY REGISTERS YOUR
-it does not give you permission to.operate-you must processes from the various departments invollvv get that through completion of the OUR M.G.L.
NAME in the town [which you must do
**S/GN/F/ESAPPROI/AL FORA BUS/NESS CERT/F/CATEO/VL Y.
ed.
p
i
'r,e
of Town of Barnstable *Permit# a�3
O` Expires 6 months from issu ate
Regulatory Services Fee
NAM
Thomas F.Geiler,Director
�EDMA'tp�
Building Division
Tom Perry, Building Commissioner X-PRESS
® ®
200 Main Street, Hyannis,MA 02601 PERMIT
1
Office: 508-862-4038 AUG 1 9 2004
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDEITO 6 OMRNSTABLE
Not Valid without Red X-Press Imprint
Map/parcel Number �`,bC z
Property Address
Residential Value of Work Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address M&-)- 2L DA`mncar�
l Gt✓�4 6Z ' — -}F�I,�9-.AyA1 15 —
Contractor's Name Telephone Number
Home.Improvement Contractor License#(if applicable) •.0
Construction Supervisor's License#(if applicable) 10-
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side
❑ Replacement Windows. U-Value (maximum.44)
'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home ovem Contractors License is required.
Signature
Q:Fomts:expmtrg
Revise063004
1 -� /-
('�v� ,
��
�.
,.,Assessor's Office(1st floor) Map 3 P- Lot 17.E Permit# 6 0
Conservation Office(4th floor) 7/Z Date Issued 7- a5-
Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) �'7` Fee
Engineering Dept.(3rd floor) House#1 INST'ALLE ' : . PL9ANCE
Plannin ept.(1st oor/School Admin. Bldg.) ii'��,�:.3 � T
' 'BARfJbTA ye,y. -� N j
Defi ive PI pro d by Planning Board 19 - M" :
t6y9•
1
TOWN OY BARNSTABLE
Building Permit Application
Pro ct Street Addr I Y2 &4 4 k ._r-G—
Village �/A A1,0I X
Owner IJr3 Al iQ R N Ki Nr } Address /dG o,(-p �,C,( R D
Telephone 2 2 y>,Z s Ly,�s! A4 rs A eAr
Permit Request A-Z f)#4 c e it,,.,�?�o ✓s �,��-���,o,er ,f' w,+,U
Total 1 Story Area(include 1 story,garages&decks) square feet
Total 2 Story Area(total of 1st&2nd stories) /do e) square feet
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered?
Zoning Board of Appeals Authorization Recorded
Current Use /eCs,9,n,,1i� Proposed Use S's+.+,x-
Construction Type—��eC>
Commercial Residential
I
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Go Basement Type: Finished
Historic House //0 Unfinished
Old King's Highway y6
Number of Baths No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached. U Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE ^^� �L DATE e 7 0? s
BUILDING PERMIT DENIED Fbt THE FOLLOWING REASON(S)
t
FOR OFFICIAL USE ONLY ,
o
9300
PERMIT NO. I
DATE ISSUED 7/2 5/9 5
MAP/PARCEL NO. 328 175,
ADDRESS 147 Cedar Street VILLAGE Hyannis
OWNS$ Natalie R. Jenkins
DATE OF INSPECTION:
FOUNDATION
r
FRAME
INSULATION °
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDI'NG.
DATE CLOSED OT:_-
. , ;U -
ASSOCI'ATION PLAN NO.
°
• TOWN OF BARNSTABLE y
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print. ,
DATE 2 '-
JOB. LOCATION J'j
Number Street address Section of town
"HOMEOWNER" -lat 44 .0
Name '
Home phone Work phone
PRESENT MAILING ADDRESS
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 such homeowners to engage an in-
dividual 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 re-
side, on which there is, or is intended to be, a one to six 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
y 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 workp
performed under
p the building permit.. (Section 109.1.1_)
The undersigned "homeowner" assumes responsibility for compliance with the Stat
Building Code -and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department minimum P inspection procedures and requirements
and that he/she will comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING ,OFFICIAL 67
Note": Three family dwellings 35, 000 cubic+-feet, or larger, will be required to comply. with, State Building Code Section 127. 0, Construction'.Control
HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner performing work for which a bui61 lding
permit is required shall be exempt from the provisions of this section
(Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that .if
Home Owner engages a person(s) for hire to do such work, that such Home Owne
r
shall
act as
supervisor. ".or
P .,
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see, Appendix Q, Rules and Regulations
for .licen.sing Construction Supervisors,Section 2. 15) . This lack of awarenes
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it .would .with licensed_:.S,upervisor..,,...°The. Home "Owner-`actin
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities,. man
communities require, as part` of the permit application, that the Home Owner
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.
care to amend and adopt such a form certification for use in your community.
The Town of Barnstable
Department'of Health Safety and Environmental Services
.e Building Division
367 Main Street,Hyannis MA 02601
s „
Office: 508-790.6227 Ralph Cmssen
Fax: 508-775-3344 Building Commiss
e
For office use only
Permit no._
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A ralunes that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement, reni=4 demolition, or construction of an addition to any pre-casting owner occupied
building containing at least one but not more than four dwelling units or to S=c=w which am adjacent
to such residence or building be done by registered contractors,with certain exceptions, along with Other
'
T of Work: •s &V IAAQW R�s.S/,� 1 Fit.Cost o o
Address of Work: t Y 7 11.4ahAs
Owner.Name: "L-AA-%
Date of Perrnit Application: AR t Z
I hereby certify that:
Registration is not required for the following rrason(s): M1
Work excluded by taw
' Job under SLOW
Building not owner-occupied.
Owner pulling own permit
Notice is hereby gi<'en that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED ACC
ACMRS
TO THE
FOR APPLICABLE HOME IMPROVEMENT WORK . DO NOT HAVE
ARBTtRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
E SIGNED UNDER PENALTIES OF PERJURY
i hereby apply for a permit as the agent of the owner.
Date Contractor name Registration No.
OR '
7 9�
/—Date t?wner's Warne
11:02•'94 17:02 $817 i2i i122 DEPT II\'D ACCID . l ,
r o\
ME�,; ContJnvitwPaI L of Madjaclul4effi
�ofJR�tlltBft�o�,J'Ii�d(a'LQL✓VCCiQQfKi
600 W.J., I=.,Sh-d
&Ion, Maaacl{cc�& 42f f f
James J.Campbell � -
Commissioner
Workers' Compensation Insurance Affidavit
with a principal place of business at:
/d G eA
(GtI►/StateJZEa)
do hereby certify under the pains and penalties of perjury, that;
() I am an employer providing workers' compensation coverage for my employees workin
this job.
Insurance Company
Policy Number
O I am a sole proprietor and have no one working for me in my capacity.
O 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired tf
contractors listed below who have the following workers' compensation policies: .
Contractor Insurance CompanyipoGcy Hum
Contractor
Insurance Company/Policy Num,
v.}
P
o
N u m
Contractor �, � � -. Insurance Company/Policy
O /---'( am a homeowner performing all the work myself.
1 wmitmEm:«at a cotrf,bf&,is s=tvnent will be fo.."rded to Me Office of imesdgadons,of the otA for coverage verification and that future,.
co:er:ge=rec irtd under Socrion ZSA of MGL 152 can lead to the imposition of criminal penIWM CO of a fine of up to S 1,500.00.
Years' imprkerr..ent as weir as civil penalties in the fora:of a STOP WORK ORDE1t:nd a fine of S too.o0 a day against me.' s
Signed this day of 21,2 , 19
Licensee/Permittee Building Department
Licensing Board
Selectmen Office
Health Department
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