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lv4 St- r �� I i r r i L O Zj(oil b cF t1K*E tom, ~G� Application Number.................................................................. SCANNED * BABNSTABLE, 9 MASS. $ r� o� Permit Fee.................................Zoning Distrio........................ ie39• TotalFee Paid..................t.............................................. ...... TOWN OF BARNSTABLE Permit Approval by.................................On........................... BUILDING PERMIT Map.......................................Parcel............................................. APPLICATION Section 1 —Owner's Information and Project Location Project Address (p 0,ljrmgf- :5�: e.vkAL5 Village Rx,- rvtn;�Lt Owners Name,2 c etc,r" Owners Legal Address (0q City G. ��i S State t Zip Owners Cell # 0T— (o n U E-mail Cd 2.010'qff �U PW IL. c(-0,41 F— Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet a ❑ Commercial Structure under 35,000 cubic feet 9 Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/ Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar 0 Renovation ❑ Pool ❑ Foundation Only Other—Specify Section 4 - Work Description 7'e-V1 av6z .O �ln e�- -v 0 v +- 0 1 2 w Lr- t) ry i^'(/ 4- At yt c �r�u w tug S ln! e [ Last updated: 12/I/2020 Application Number.................................................... Section 5— Detail Cost of Proposed Construction 2 00 O Square Footage of Project Age of Structure Ot ti Dig Safe Number # Of Bedrooms Existing Total # Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Ef Public ❑ Private Sewage Disposal IQ Municipal ❑ On Site Historic District [ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: CJI 0 1 am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8 — Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated: 12/1/2020 Application Number........................................... Section 9 - Construction Supervisor Named C��,.��/��-,/ Telephone Number Address City State Zip License Number Licens a Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Mass!5.bu.,setts State Building Code. I understand the construction inspection procedures,specific inspections and documentat' r MR and the Town of Barnstable.Attach a copy of your license. Sign Date Section 10 -Home Improvement Contractor I Name Telephone Number Address City State Zip Registration Number Expira ' n Date I understand my responsibilities under the rules and regulations r Home Improvement Contractors in accordance with 780 CMR the Massachi etts State Building Code. 1 understand the con ction inspection procedures,specific inspections and documentatio and the Town of Barnstable.Attach a copy of your H.I.C... Signatur Date Section,11 -Home Owners License Exemption Home Owners Name: Telephone Number �j 0Yi �O$-D - 1-1 Cell or Work Number Cjo;r-, .2 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 requi A-b) 780 CMR and the Town of Barnstable. Signatur�- - Date APPLICANT SIGNATURE Signature Date Print Name �J Q �� ele hone Number Al �� p o E-mail permit to: J erc,t pl 2 0 l O'er/ 6? hO 7-M W 6, Coo Last updated: 12/l/2020 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 I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work auth ized by this building permit application for: Address of job) Signature of Owner date Print Name Last updated: 12/1/2020 I F JQk ne Commonwealth of Mass=huse& Department of IndusftidAccUents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Phrmbers AvOcant Information PIease Print Les?dlzly, Name(Budn=MrpnizetiowbdMdud): --5,3S e. CP-cr r A o_�.1-V Address: City/StaieJZip: H—f— v26 Phone:#: , 6-rU Are you an employer?Cliecic the appropriate bow - — Type of project(required): 1.Q I am a employes with - 4. ❑I am a genmd oonlractm and I employees(full and/or part-tune)* have hoed the�S 6. []New canstrncti� 2.❑ I rim a sole proprietor or partaea listed on the attached sheet 7. R�odeIing ship and have no employees These have 8. ❑Demolition worldng for me in any capacity. 1mipIoyees and have workws' 4. ❑Building addition [No workers'comp.i mmmce C=P.hona ice# ] 10.❑Electrical 5. Q We are a corporation and ids trical repay or additions 3. I em a homeowner doing all work offices have exercised their 11.Q Phtmbing repairs or additions myself No workers'comp. right of exemption per MCiL 12. Roof a tomlanco required.]t c.152,§1(4),and we have no Q irs mmplayeesrENo wo- 13.Q Oilier warp.insoraaca requa ed] l _ *Any appU=nt that chwJm box 91 mast also 511 out the section below showing their workms'compensation policy inkrzaatica 1 t Homeowners who submit iris affidavit indicating they we doing all work and then hire outside= adon most submit anew affidavit iodic a ft such ;Contractors that chack this box must attached an additional shed sbcwfng the.name of the sob-contractors end stab vybadw or notthose entities have employees. Iftho sub-contraotm have eanployew,they must pru ido their wattem'comp,policy number. . I am an employer that isproviding workers'compensation insurance for my employees Below is thepolicy i ndjob site information. IBsmaace CoinpanyNtune: Policy#or Self-in.Lie.4k Expiration Date: Job Site Address: _ city/gip- Attach a copy of the Workers'compensation policy declaration page(showing the policy number and Mi ation date). Faflum to secure coverage as required under Section 25A of MQL o.152 can lead to the imposition of maim l penalties of i fine up to$1,500.00 and/or one-year imprisrmn►eot,as well as civil penalties inthe tmm 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 stat=ent may be forwarded to the Office of Investigations of the DIA for insurance coverage verifica ion. I do h c under e p and of perjury drat the information provided above is true and correct Sim Date: Q 1rg 2 I Phone#: — — Oj?ckl use only. Do not write in this area,to be completed by eity or town offidal City or Town: Perlmf ffileense# Issafng 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#: Town of Barnstable E Building Department &, Brian Florence CBO ' Building Commissioner t�nss• 200 Main Street, Hyannis,MA 02601 ap�e www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ------------------------------------------------------------------------------------------ ---------------------------------------------------------------------------------------- HOMEOWNER LICENSE EXEMPTION DATE: Please Print ` 1, JOB LOCATION: V� i� -5� (�. number f� street village "HOMEOWNER": JVJ+-A'c_ name home phone# work phone# Q CURRENT MAILING ADDRESS: ✓h` M e city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as 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. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department mini mu �unrementsd that he/she will comply with said procedures and uire S. Signature of Hom owner 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 to amend and adopt such a form/certification for use in your community. Barnstable Property Maps Page 1 of 1 •ill Zv ♦ r , -. 3 21 308225 , , 4° 3#83 38 308224 �4. ?�3 9 24 '- #.3: Tools #?44. 308 213 ri 308227 3081$8 3082^12 ' x r #4., �. 308223 '� � - �, #115t`�• 8229 308187. 308203 308209 308230 #127 '< 308185 #64 08246q. 308184 308233 #61 #16. 30823'I. 308255'. a F i 308,1 yf ..08,18, T, 308232 308264 ..�"' ':. #ail ' #60 30oi27 # _ �� 307126 _ t5 � 3071 f ( .'3, ` 30'137 . 30i'I S0 ,,07128 W : } _ J 30712a ,,� 3�0?270 N� � #2i � .13 ?26g '� 307134 eta Y 31 30771 307132 ',� F 307148 34 r 130 #60 �,•ti = �,#37 9Q,► 3071"100107 0 16? �. a Basemap 100ft https://gis.townofbamstable.us/Html5Viewer/Index.html?viewer=propertymaps&run=FindP... 3/2/2018 i 4 (�bC,E o 0ousc- CASE ST 1 ��►u a e7 c 10 5"oke 0 5�caZ c"Z 1 � � T e��"or I. HOUSC .1 � � brow �- o 43 �z�/,�d" Town of Barnstable le *Permit it c� ® - Expires 6 mon hs fro issue date Building Department Servicee� ,�, wee snxxsTesLM Brian Florence,CBO 9cb 0 9. � Building Commissioner2 .�., 200 Main Street,Hyannis,M�A,O ,�f� iv J www.town.barnstable.ma.us Office: 508-862-4038 6/41Y�u�/AcE508-790-6230 EXPRESS PE�RMIT APPLICATION - RESIDENTIAL ONLY Valid without Red X-Press Imprint Map/parcel Number ��CJ� C.�// Property Address C� r—/V7 ,V_ QE yQ_tq tI 13 Op �- ❑Residential Value of Work$ ®©0© Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address J 1? �q `rtj t �Q C Q� �'� ff yo r Vt i s M.A., b Z 6 O 1 Contractor's Name —Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: Va m a sole proprietor m the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ roof(hurricane nailed)(not stripping. Going over existing layers of roof) 4 Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is SIGNAT Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 08/16/17 • 27m CommormeaWr ofM assachusettr Departtnewt crflftrdastrialAcridients O) cC Of1M.WS#9afi0= 600'WashfiWon&treet _ 21 stun,AA 02111 invin ratcrss_garldia Warkers' Campenmfiw Insm=ce Affidavit BnildermICtantractursElectdcL n s1Rjm3hers Applicant.. uftrrmaf n /�PleasePriimtL effif I�$ncirtP a�347 �•(®s (ge-f ?VAC r6' Address; fC vt✓�1� C� Z�'q Phone' ._03 - l Areyouanemplayer?Cherktheappropriateba= ' T of project r L❑ I am a em 1 v,ith 4 ❑I am a general contractor.and FI}e e ] auctim d}: P� * I�ehiredtise suir-coahra�Eos 6. ❑2de�cflnstmcfa� employees(full andfor part-time)-* ❑I am a sole propdetod orpa:tner- Tisted onthe,attached sheet. �. ❑Remadedfug These sub-contractors have ship and have no employees � S. ❑Demolifion W�!ryn v f0fMM employees andhare Wo6mrs' --D and�13`- $ 9. ❑S•uildtIIg addition O Wodms' comp.insurance COMP-insufanrs. required] 5- ❑ We are a corpomfi„a and its 10❑Electrcal repairs or additions 3. homeovmer doing all work officers have exercised the 11-0 Plumbi agrepaiss or adrlifiom. _ of�8,,,.,f,on per M(M ;;mmy-self A Yd�1CPdS "�""� 7' epaliS a c.152.§1(4�and we have no sll oche r employees_[NO ores' �-❑Other cone_instimm raT imd_1 r6sy apg&a��at cT�ed3haz�i mmst also ffioaffithe secGoab�Tawshatdag die¢'wo$cex�aompeasatinupali�yia�tmsnoa ' #Mmevmaerswho submit skissf5darulbrx.Mm they am&ingRuvralaudt5Mldxautddecoamciersamd5a5sm]CaneWs daezt aSs,rTi fCaalmctMffutchecYih€sboxmustft'l, anaddifionsl shed s'horvnsg the--of@iesob-crocus t0Mandsitewhelhaarnotftseemitieshne emp9ayen.Ifthesnb-caa-bactashave emptoyea%t6eymIIsI pmw-dethek wadmm'•comp•pormy nu mbm I arrt all eurpLOyer fhclt ispmiffn,workers'campemnfimi bmirancs for my empTDIves Saloon is f tepvficy and jola site ilfft7t7tlQfiDfL Insmartca conlpallY NE Mne: Po-&cy or Self-ins Lic_¢ Fkpim ioaDate: �dr cify/state�lltp: Attach a copy of the workers°coaapensationpoRcy-dechration page(showing the policy number and expiration date). Fail=to secure coverage as required under Se-ckon 25A of MQ.a 157 can lead to the imposition of criminal penalties of a fine up to$L500-00 aadfor one-year imprisonment=as well as cif penalties,ia the farm of a STOP WORK ORDERaud.a Sae of up to$2510a a dap against the violator. Be advised that a copy of this statement nmy be forwarded tca the Office of Investigations of the DL4 far iflsUrance coverage s frcation. Irfo ter ttdPenatfies of payary th&flis iczfarscaffairproti&d a5m%it bars acid cmrest Siffiatu _ �I3ate �Z ©Z Phone 0&—bd um mily. Do not orrice in f ds axed,&be ca'rrspletesd by cif artonra offi iat City or'Tozea: PermitMicease# Issning?l utlmr4(cacIe one): L Board of$ealffi Building Departmeent 3.CitylTuvm Clerk 4.Electrical Inspector 5.Plucmbmg Inspector f.Other Coact Person: Phone#: -- 6 armatian and Tas C ons ' M-ac��Gciamral Laws chaps I52 ryes all employers tr provide warkes'=nPeusstzon fM fhei=employees_ `� easaain.ihe service of another Bader any coairact of hire, Pmsaanttn this statute,as�Tapee is domed as- _.eveayp express or implied,*oral or writt=7 An.employer is defined as`pan indi4idzral,parfnenfiT,association,corporation or other legal e�y,or any two or more of the fnrrgoing=gaged is a Joint else,and inclndmg the legal relaesa,fmf=of a deceased employes,or the rmc;oivrrr or trastee of an kff VidnaL P ,association or other Iegal entity,�oYmg employees- However the own=of a dwelliagvousebavmgnotmcretrmt73=- arhmmfsmdwhoresidesffimmic,(3tlheo aftho- dweIImg house of anon who employs persons to do cc,cons uct'o"or repair woik on such dwelling hume' or oa the grounds or bm7dmg appmt= thereto innnotbcmnse of such emphlymedbe deemedto be an employes" MGL chapter 152,§25C(6)also sf9tcs that aeverp state or local lieu agency shall withhold the issuance or rmew'al of a ficease or permit to operate a business or to mnsfract buildings=a the con=Dnwealth for airy a-pplicantWho has notprod'nced acceptable evidence of compHianmvjtTi the insurance.coverageraqused. AdrmionaI y,MCTL chapter 152,§25dM states=N6 thez$ie commanmM nor;Ey ofits political subdivisions shall emir min any contract mrthe pmrflmmm=of -ablio wontuatl acceptable evidence of complianeewn t$e instnanca.. regn CELfs of this chapt EZ have been prese=�Cd in the Mnfr1mg.mlffioay:' APPH=r& Please fll oil the worl =7 compec salon affidavit completely,by chzc�tbs boxes ffizt apply to your situation and,if nec,essa�,amply snb {s)name(s), addresses)and phonenvmber(s)along w&thmr of in5tlr-ance. L dLiah-Uy Compa=es'(LLC)or LimitedLiability Pm�rships(LIT)`wr&rno employes oi3iet i the members or paxinex-4 are not r mquired to Gary workers'compeosafiaa.issuaance- If an LLC or LLP does have employees,apolicy isre4uired. Be adviseafnt this affida.Ykmaybe snhmit[nd to the Depadaneat of Industrial Accident for confirmation of ios�ce coverage: Also be sin a to sign and dais ire afadavit_ The affidavit should be-retomed to 1he city or town that the application for the pennit or license is being requested,not the D epaatmeat of Industial_AA cirT�,i� ShonIdyoa have arty gnestions regarding rite law or ifyon are regained to obtain aworicers' compcnsationpoHicLpleasomnthoDeparimentatffio== r-rHsfedbelow Self-msozedcampaniesshonlden rtiieir s elf-insorance license m tuber on the,appropriate Ime. City or Town O$cials r Please be sure that rite a$davrt is complete andp d legibly. The Deparimestlm provided a space at the bottom. of the:affidavit for you to f Il out m the event ibe Office oflnvm-Egatioas has to comactYouregardmg the applicant Please be sire to fMiathePen .iY icrosmcomber whichwMbe;used as areference mlmben Iu addition,an aPPhc that must submit B1.vltiple peunitlI"caose applications m aay gm=year,nmei only submit me affidavit indicating c crent policy infomation[if necessary)and under"lob S9te—d&c&'the applica t should write "all looaticns in (arLY or .town)"A copy of the affidavitt3iathas been officially st mped.Or ma±edbythe ehy or torn may be provided to me applicant as proof that a valid affidavit is on file for 5ffine'pemits or licenses_ Anew affidavit unist be filled oiot dash year.There a home owner or cifrmn is obtaining a license or pm3nit not related to any business or commercial yenfuro - (ie. a dog licenseorpermittobnmle vesetc.)saidpmrsonisNOTxegfzEdtocompletethisaffidavit The Office of Invesiigad=would lam to thank you in advance for yom cooperation and should you have ray questions, - please do nothws to gimus a call The Deparfmmfs addrms,telephone and fax - ' Depa�m�c�fxndlA��nts ' . GQ4-Waeh2gk Sty RMtM .l&oil II .Tfl-1.�617-' -4 =t 4-06 car 14M MA&�A� Revise4244)7 _TM ��►+� Town of Barnstable Building Department Services • R�RINCP��.A_ s „AM �, Brian Florence,CBO 5 Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using ABuilder I ,as of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by ' ding pem2it application for. (A(deof Job) **Pool fences and alarmsresponsibility of applicant Pools are not to be filled or tefore fence is install and all final inspections are perfo. accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:09/16/17 Town of Barnstable Building Department Services Brian Florence,CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maus 1659. Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION D TE'�ZA2_ QZ 0 �.O Q ' - Please Print t:'J_QB LocATION o n cs number s village "HOME—WOE-71j©sue ��r name home phone# work phone# C0iRM_U_MAU--NGADDRESS: C hayt?- gr . cityhown 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. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proced uir eats that he/she will comply with said procedures and requirements. Signature of H n owner 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:1wPFa ES\FORMS\building permit forms\EXPRESS.doe 09/16/17 J f Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language'; Assessing Division property Lookup Results - 2018 367 Main Street,Hyannis,MA.02601 «BACK TO SEARCH« 3Print Owner Information-Map/Block/Lot:308/230/-Use Code:1010 __..._......_.._........._....._....__........... ._......._..... ..._--- _. ..........._..... __......._.. . .._.. _.._........_._....._ _.._.__._......._........._._ _........ Owner ry � lJ Owner Name as of 111 7 RIVERA,JOSE Map/Block/Lot GIS MAPS 47 SOUTH STREET 308/230/ Property Address NANTUCKET,MA.02654 64 CHASE STREET Co-Owner Name Hyannis Town Sewer At Address:Yes GIS Zoning Value:RB Assessed Values 2018-Map/Block/Lot:308/230/-Use Code:1010 W `� 2018 Appraised Value 2018 Assessed ValuePast Comparisons Building $98,300 $98,300 Year Assessed Value C fin, n Value: 11 - nf'yv\ Extra $22,400 $22,400 2017-$279,000 Features: 2016-$279,800 IN �`Jj✓\\V 2016 $291,500 3 2014-$291,600 t/ 2013-$297,300 Outbuildings:$25,900 $25,900 2012-$292,800 2011-$299,300 U _ Land Value: $132,000 $132,000 2010-$302,300 r 2009-$325,900 2018 Totals $278,600 $278,600 2008-$336,600 O( 2007-$336,000 1 �D Tax Information 2018-Map/Block/Lot:308/230/-Use Code:1010 h 01— / Taxes ✓� i Hyannis FD Tax(Commercial) $0 Hyannis FD Tax(Residential) $749.43 Fiscal Year 2018 TAX RATES HERE ' Community Preservation Act Tax $80.32 Town Tax(Commercial) $0 1� Town Tax(Residential) $2,677.35 CP , $3,507.10 Sales History-Map/Block/Lot:308/2301-Use Code:1010 http://www.townofbamstable.us/Assessing/propertydisplayscreenl 8.asp?ap=0&searchparce... 3/2/2018 r Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 History: Owner: Sale Date Book/Page: Sale Price:. RIVERA,JOSE 2017-11-29 30928/242 $325000 MALLOY,GERALD P JR 2009-03-30 23570/51 $320000 COBLYN,JONATHAN S&AMY B 2004-01-05 18093/79 $335000 VETTERLEIN,FREDERICK 1998-07-31 11608/63 $124000 DOTTRIDGE,KENNETH C ESTATE OF 1998-07-31 11608/62 $0 DOTTRIDGE,KENNETH 1998-07-31 11608/61 $0 DOTTRIDGE,KENNETH C&MARY KATHLEEN1940-02-21 563/36 $3800 Photos 308/230/-Use Code:1010 ti,6�qa Sketches-Map/Block/Lot:308/2301-Use Code:1010 .............. ........................................................_..........................__......................................................_...................... f AsBuilt Card N/A Constructions Details-Map/Block/Lot:308 1 230/-Use Code:1010 Building Details Land Building value $98,300 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $163,834 Bathrooms 1 Full-1 Half Lot Size 0.25 (Acres) Model Residential Total Rooms 6 Rooms Appraised $132,000 Value Style Conventional Heat Fuel Gas Assessed $ Value 132,000 Grade Average Heat Type Hot Water Year Built 1911 AC Type None Effective 40 Interior Floors Hardwood depreciation Stories 2 Stories Interior Walls Plastered Living Area sglft 1,572 Exterior Walls Wood Shingle Gross Area sq/ft 2,688 Roof Gable/Hip Structure http://www.townofbamstable.us/Assessing/Propertydisplayscreenl 8.asp?ap=0&searchparce... 3/2/2018 i i % Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 Roof Cover Asph/F GIs/Crop Outbuildings&Extra Features-Map/Block/Lot:308/230/-Use Code:1010 Code Description Units/SQ ft .Appraised Value Assessed Value WDC Wood Deck w/o 120 $1,500 $1,500 railings FPL3 Fireplace 2 story 1 $4,100 $4,100 FGR2 Garage-Avg-Wd 900 $24,400 $24,400 Shingle FOP Open Porch-roof- 192 $4,700 $4,700 ceiling BMT Basement- 804 $13,600 $13,600 Unfinished ....._......-_--_-.._____________.._----.......-..__...._______-__--_-__ Sketch Legend Property"Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio APrint . .............. s ontaCt =Director Edward F.O'Neil,MAA t P 508-862-4022 IF 508-862-4722 http://www.townofbamstable.us/Assessing/pro ert dis la screenl8.as ?a =0&search arce... 3/2/2018 P Y p Y p p p Message Page 1 of 2 Anderson, Robin From: Anderson, Robin Sent: Tuesday, May 30, 2017 8:54 AM To: Roma, Paul Subject: RE: 64 Chase Street Paul, There is nothing in the street file to indicate there is a problem at this location-absolutely no history on the property. I did check with Health and determined that the property is a duly registered rental. FYI: This complaint seems to be more appropriately referred to DCF&police. The civil matter appears to be in process according to information provided below. 0�96& Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis;MA 026oi 5o8-862-4027 -----Original, Message----- From: Roma, Paul - Sent: Tuesday, May 30, 2017 8:10 AM - :To: Anderson, Robin Subject: FW: 64 Chase Street Anything for us? 'From: Ells, Mark Sent: Monday, May 29, 2017 10:01 AM To: MacDonald, Paul; Scali, Richard; Roma, Paul Cc: Weil, Ruth; Clyburn, Andy Subject: Fwd: 64 Chase Street Sent from my Verizon, Samsung Galaxy smartphone ------ Original message -------- From; Jen:Cullum<jenlcullumkyahoo.com> Date: 5/29/17 9:59 AM (GMT-05:00) To: Mark Ells <mark.ellsgtown.barnstable.ma.us>, Chief Paul MacDonald <chiefgbarnstablepolice.com> Subject: 64 Chase Street Hello: 5/30/2017 .�y Message Page 2 of 2 There is a serious problem at this address. The owner of the house has begun eviction proceedings as.the couple living there is squatting. They are dealing drugs out of the house and growing marijuana in the basement. Bags of money have been discovered in the door by the property owner. Chemical waste is stored outside. Allegedly there is a child that lives in the house part time. She is losing all of her summer rentals at this point. The owner says there is an active file on this at BPD. Could we please look into this asap? Would a BIRST would be appropriate?The neighborhood and the property owner are suffering. the names of the tenants are. John Quinlan Kayla Bangerter The name of the owner is Stacey Malloy. She can be reached at 508-944-1742. told her I would have a reply by end of day Tueday. Thank you for your attention to this matter. Jen 5/30/2017 Town of Barnstable Bin Post This,Card,So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept �nuvsrae�e, - -. Posted Until'FinaIrInspection Has Been Made. er 1 w s63Q. � ° Where ai,Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final tnspection,has been made. 'Permit No.. B-17-4202 Applicant Name: Jose Gerardo Approvals:: Dateassued: : 12/06/2017 Current Use: „ Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: „ 06/06/2018 Foundation: Location: 64 CHASE STREET, HYANNIS Map/Lot 308-230 LL. Zoning District: RB Sheathing: O _ �.,� wrier on.Record: Jose Gerardo Contractor Name:`�; Framing: 1 ' Contractor License: ` 2_ Es t.st. Project Cost: $2,300.00 Chimne ' .. Y� Description: reroof Stripping old shingles i Permit Fee: $35.00 Insulation` S _ Project Review Req: I Fee Pai'd:;; 3500 ._ ! I , Date. 12/6/2017 .::: Final: . a Plumbing/Gas i (tough Plumbing: _ ,Building Official.. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly.visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work:t 1.foundation or Footing: ough: R 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final' 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Volt 5.Prior to Covering Structural Members(Frame Inspection) . age 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). ,. Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Coo EcktJ ��E r mt Town of Barnstable *Permit p�'pF Oh, t Building Departure e 6manthsrrom issue date Brian Florence,CBp �At a639BLASS aim Building Commissioner ep 200 Main Street,Hyannis,MA 0260 48118 www.town.barnstab Office: 508-862-4038 �j �+Qh,Ulql Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL Y�1-�Y Not Valid without Red X-Press Imprint Map/parcel Number L Property Address �� c �/f G s� s 4 YY04 tq 0 1 t /11-4 D Z Co D 1 o� ❑Residential Value W k'$> 3©'01 Minimum fee of$35.00 for work under$6000.00 Owner-s==Name=&Address i �9 Q f C(r© Q M i VQ ra c tl C( sP 1/,Vo4 0 �� , o�Gd �2 601 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one ❑ I am a sole proprietor [ II am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. fPen -t Re-quest(check b xo )) ❑'Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town departrnent regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is . e ui SURE QAWPFILESTORMSMPRESS2017 Ab The Commomweafth of Massadlrtrsetts Deprarbwent o,f7t dad--trial Accidents - Offwe ofInne3 igations ' 600 WashhIgtort,S`treet _ Boston,MA 02M Workers' Compensation Insurance Affidavit Bader-dCnntx-actnrsMectdcians/Plumbers Apphcant Iufarmaf un Please Brbzt CI���(snsmessfDrgan�r�anllncl�nal� �— '1 Q G�1 � O � 1��►�'I Ate• 4 1_1_/ C oz.C,V � Yi i�e tau an glover?Ch e ck the appropriate bam ' T f r oat a general comfmctor aad I �o project ect] (required)_ L El I am a employer with 4. ❑I g 6. ❑New construction. employees(full aodfor part-time)-* liave 1=edthe sub-contractors 2.❑"I am a sole prupdetar arpart=- listed on.the attached sheet 7- ❑Remodeling ship and have no employees- These sob-comfractars have &,❑Demoaan wcii7 g forme in any capacity. employees and hav wodLers' 9. ❑Build-mg addition -n g' comp-instxace C0119-msuranm 5. ❑ We are a corpora6 m and ifs 10-0 Electrcal repairs or adcli ons offices have esescised fir 3_ I area homeoumer tieing all tfiork 1L❑Plumbingrepaus or adc€itiorrs• myself[No wroiT='comp- ri 1Sz §I{ dz a have no r MGL 1 ❑Roof repairs. ins rrance ie�Ed]i employees_[No wo&,ers' a El Other cow_msoras me required.] ;Any appticw3tdmtcbec33BaaR—sislsaf cuttheseetionbelowshusdagiieaao&eiecompmsafiouporicyinfm=timL Mmeawnerswho submit this sf8datft kl5atmg they sx &kg agwnaY sad tfie hEm autsi&CVUt aCtMxmast sabmit a new afndXdt mdifx6r suds ZCantmm ff cher3,ila5bmtmuststtar-h toadditionalsheetsSouiagtbe�eoftt�esubco�sckxsandstyewLethetarnottfinseeotItiesha employees.Iftbesvfr"ca tmdmnh=eempIayee%dLeymustpiwidethe!r warken'tomgpalicynumber- I aryl an enrpl�r flint ispraf.� tt*ark¢rs'conrperzsrdian irzszirarma form}T atripl��,ees .$elaav is f7�crpt7�icy and jab she irzformalian. • Insurance CompanyName: Policy 4,:,F or f--ins_Tic_ E�piratiom Dafe: Job Site Address Qi VStatdz p: Attach a.copy of the workers'compensatioupoliey-decIaration page"(showing the policy number and eipiratlon date). Faiinre to secure coverage as req*edundes Section 25A of MGL a 152 can lead to the imposition of criminal penalties of a fine up to$1,54D:OD anNor one yeasimprisottmed,as well as ciO penalties in the form of a STOP WORK ORDERand a lime of up to$MOO a day against the violator. Be adsdsed that a copy of this stafement maybe forwarded to the Office of _ luvestrgati=ofthe DIA for insurance coveragevedficatiam_ .I do hereby c tder t s andpsnaWes o;fFmj�tj 'th&tlje iuforma#i nprot id abm�a is b ue uiid _ rrect ;Yiffiatnce_� �Date_� / Z" �JT �� • O,oiai use onl. Da nat rsrke fn dds area,robe celnpieted by dl�?qrtotrn affrcial. City or Town- PermiflLi,cense# IssWn Amf Grity(circle true): L Board of Health 2.Buil ng Department 3.#ft}l£own Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: IP— -- 6 . information and Iasi 'ct�ons Ma ss:aZ]race#ts General Laws ch ptza 152 regal=all mnpIoy=to provide was'compeasHjion fior fbea e3ployees- pt-to this fie,an ezq7Iayr--is&Eire d as.6_evmypmson is$ie service of anrrther mder any confract of hire, egress or implied Oral or vlit� An eznp&gg a is defined as"air indiyiffiA 2=taer93jP,association,corporation or other legal entity,or any two or more of the foregoing®gaged in a Joint ,and i achjrjmg the legal represe a afives of a deceased employes,or the receiver Cr ttustee of an mdiyidaal,part1M:shzp,association or other legal entity,employing cMPloY(--m However the owner of a dwelling horse havnig not more fbm#tree e�an apartmd who resides therein,or the o=Tant of the - dweffing house of anofer who employs persons to do m afi t man ce,const uct on or repair work on such dwelling horse urEeoa�therei 3 shallnotbecanse of Bach employmeutbe deemedto be an employer." or on the grotmds or bnzl Mg app Mt7states that¢every stale or local licensing GL chapter I52;§25C( also st a�cY slaaIl witTlhold ffie issuance ar renewal of a$cease or permit to operate a business or to consfract buRdmgs in the commonwealth for any applicant has not produced acceptable evidence of compliance wn the ims a ice_-oveJrage required" Additionally,MGL chapter 152,§25C(7)states-Neither fhe c=a=wcalth nor any ofits political subdrvi_sions shall etP tofbiowo avideneofcampli�cewithheincrrance. sink anyapene umE re jirm3jenf�of this d apter.bavE been presentedb the contacting authOW- ApPfican-is Please f01 oirt the worl=, compeasation affidavit completely;by checldag ae boxes!hat apply to your situation and,if necessary,s-oPPIY snlrconixactor(s)name(s), addresses)and phonen=ber(s)along withtheir=tdacatt(s) of InsurEnCe. Limited Lia?ilffY ComPames(LLC)or L=tedLiability-Parftm=2 ips(LIP)withno employees other than.the members or pEtaex,=not required to cany workers'compeasaf ion insurance If an LLC or 112 does have . employees,apolicyLsregmred- Be advised ihatthis affidayitmaybe snbmiife to the Dd ep of Industrial Accidents for confamation of insnz-mce coverage: Also be sure to sign and date the affidavit. The affidavit should be-retuned.to the city or town that the application for the pemoit or license is being requested not the D ep a dm.eat of ITdistrjal t4_cadm:ts. Shouldyou have aay gamtions regmdmg the Iaw or ifyon are regm=d to obtam a worl=3 ca.mp=Sa±iOU Policy.,Please call the Departro-ent at the nimaber listmdbelow. Self-k u cdcompaniessboulcimfrxtheir self-i suran ce license nouiber on the apt line. City or Town Officials Please be sore that the affidavit is complete andprhted.legibly. The Departmenthas provided a space of the bottom of the affidavit for you tn.Ol out in the event the Office of lnvestigations has to coact You regarding the applicant Plus e be mire to fOl in the pen�itllicrose number which will be used as a reference number. In addition,an applicant that must submit multiple pemWHceose applinadons in any given year,need only submit one afFidavh indicating policy inbnmatian(if nrcessaiy)and under`Job Site A a&css"the applicant should write"aU locatli ns is (c'[Y or town)"A copy of-the affidavit that has been officially stamped or mlmked.by fhe city or frown maybe provided to the - applicant as proof that a valid affidavit is on file for futoi 'peunz s or licenses Anew affidavitm„ct be filled ovt each year.-Where,a home owner or citizen is obtaining a ficense or permit notrelated tQ any bnsh=s or commercial v� (Le. a dog license or permit to bum leaves etc-)said person is NOT regoired to complete this affidavit The Office oflnvesiigalims wouldhIO--in tbankyou is adv-mce for your cooperation anal shouldyon have any questions, please do not hesitate to give vs a caIL The Departnenf's address,ir--lephone and fax number; Thu-CaMMM I*Ofllaswlhusetl�-- - ` �4f�ud�ciak.Accide�.ts . Of ice vat 7XIX�egfrgatto-= 6w will - Rwtou=IA Ed111 2`a 4 617.727-49Qa cmt 4-06 or I-977 MA SAS Fax 617`27 7M Revised 4-2-4-07 w w mass-gQgfcTie °FZHE T� Tpwn of.Barnstable Building Department * sAxxsxABM Brian Florence,CBO MAIM v� 1639. a,�� Building Commissioner prEp Mln 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This.Section r , . If Using A Builder 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) **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. Signature of Ownet Signature of Applicant Print Name Print Natne Date Q:FORMS:OWNERPERMLSSIONPOOLS Rev:10/17 lVrrli ViL y>Kl11►7v[iR11V �o4iHe r � Building Department - o,� Brian Florence CBO * anivasreBLE, Building Commissioner M"� $ 200 Main Street, Hyannis,MA 02601 039. ATFD MA'1 A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION, Please Print � P—O 0GAT-ION r4� ��— �y N ��s , . - number street village p name home phone# work phone# CURRENT-MAILWCr=ADDRESS:"` C C/na,J::g: _ _—�MIA n✓) e ' • city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied.dwellings of six units or less and to allow homeowners to engage an individual.for hire who does not possess a license,provided that the owner acts as 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. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection.procedures and requirements and that he/she will comply with said procedures and re uir • Sgnatur ofHomeowner�j • 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 to amend and adopt such a form/certification for use in your community. and Title Association ALTA Settlement Statement—Combined Adopted 05-01-2015 �Y / Collins&Cabral, P.C. ALTA Universal ID: 1047 Falmouth Rd.,Suite#3 Hyannis, MA 02601 File No./Escrow No.: CC17-1092 Print Date&Time: 11/29/2017 9:46 AM Officer/Escrow Officer: Christopher J.Collins Settlement Location: 1047 Falmouth Rd.,Suite#3, Hyannis, MA-02601 Property Address: 64 Chase Street Hyannis, MA 02601-4518 Buyer: Jose G. Rivera Seller: Gerald P. Malloy,Jr. Lender: Home Point Financial Corporation, ISAOA/ATIMA Settlement Date: November 29, 2017 Disbursement Date: November 29, 2017 Additional dates per state requirements: Seller Description Borrower/Buyer Debit Credit Debit Credit Financial Lender Credits to Home Point Financial Corporation, 38 ISAOA/ATIMA 3,02 8 325,000.00 Sales Price of Property 325,000.00 Deposit including earnest money 10,000.00 Loan Amount 319,113.00 Prorations/Adjustments 307.14 City/Town Taxes 11/29/2017 to 12/31/2017 307.14 5.04 Sewer not yet billed 1/1/0001 to 1/1/0001 5.04 Loan Charges to Home Point Financial Corporation, ISAOA/ATIMA Broker Compensation POC L$7977.83 Other Loan Charges Appraisal Fee POC(Borrower)$530.00 ` Final Inspection Fee POC(Borrower)$180.00 Mortgage Insurance 5,488.43 Impounds Homeowner's Insurance Premium 12 mo to UPC 1,355.04 Prepaid Interest$32.79 per day from 11/29/2017 to 65.58 Copyright 2015 American land Title Association File#:CC17-1092 All rights reserved Page 1 of 3 Printed on 11/29/2017 9:46 AM L "" Disdos wing,. Ur@ Closing Information Transaction Information Date Issued 11/24/2017 Borrower Jose G.Rivera Closing Date 11/29/2017 47 South Shore Road Disbursement Date 11/29/2017 Nantucket,MA 02654 settlement Agent Christopher J.Collins Seller Gerald P.Malloy,Jr. File it CC17-1092 211 East Highfield Road Property 64 Chase Street Baltimore,MD 21218 Hyannis,MA 02601-4518 Sale Price $325,000.Ob Contact . • SELLER'S TRANSACTION 'REAL ESTATE BROKEL2Bj M'gDue fo Seller a!Cfosrng $325 307.14 Name _ Seaport Village Realty 01 Sale Price of Property _$325 000.00 Address 02'Sale Price of Any Personal Property Included in Sale 128 Main Street,Hyannis,MA 02601 =03 x+ License ID 04 Contact Juan Marichal 05 _ Contact—License ID 06 _ Email capecodlrealtor@gmail.com 07 Phone (508)771-1994 08 Adjustments for Items Paid by Seller in Advance — REAL ESTATE BROKER(S) 09 City/Town Taxes 11/29/2017 to 12/31/2017 _ $307.14 Name 10 County Taxes to Address 11 Assessments__ to 12 _License ID 13 — —T Contact 14 _ Contact_License ID 15 Email 16 Phone tJ DtiefromSelleratCloStng: $241','697:39 SETTLEMENTAGENT` 01 Excess Deposit Name Collins&Cabral,PC 02 Closing Costs Paid at Closing(J) $22,352.09 Address 1047 Falmouth Road,Hyannis,MA 02601 03 Existing Loan(s)Assumed or Taken Subject to _ _ — 04 Payoff of First Mortgage Loan to Salem Five _ $219,340.26 _License ID 05 Payoff of Second Mortgage Loan — — _ Contact Christopher Collins 06 Contact License ID 649828 t 07 — Email ccollins@collinsandcabral.com ==08 Seller Credit Phone (508)815-3422 _? Adjustments for Items Unpaid by Seller 14:City/Town Taxes to "AS County Taxes to }' 16 Assessments to 17 Sewer not yet billed to $5.04 Questions?if you have questions about the 18 loan terms or costs on this form,use the contact 19 information below.To get more information CALCULATION or make a complaint,contact the Consumer Total Due to Seller at Closing(M) $325,307.14 Financial Protection Bureau at Total Due from Seller at Closing(N) ($241,697.39) www.consumerfinance.gov/mortgage-closing Cash ❑ From©To Seller $83,609.75 CLOSING DISCLOSURE PAGE 1 OF 3 ' YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years], A business certificate ONLY REGISTERS YOUR NAME in town (which you most do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the.Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. �t, ! DATE: Fill in please.• k 'tY'� ir APPLICANT'S YOUR NAME/S:__ _ 1G ;tL.w GI4fL4h1'1- 13K�f16ER'Z"�� BUSINESS YOUR HOME ADDRESS: (,�,1.•A TELEPHONE # Ho e Te a hone Number t 'Z ` P �-,++ •i�r'«"t'rt'.r q: E-MAIL- to , com NAME OF CORPORATION: NAME bFNEW BUSINESS 1 TYPE OF BUSINESS ' IS THIS A HOME OCCUPATION? YES NO ✓ nn ADDRESS OF BUSINESS. Q, S'4 f>h 01 MAp/PAAOEL NUMBER U O [Assessing) When starting a new business there ore several things you must do in order to be in compliance 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 130 TO 200 Main St. — (corner of Yarmouth Rd. S Mann Street) to snake sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSI NER'S OF�df This individ I e i or �"r quir erns that twin to this type of business. 11 lout or d igna re** OMMENT 2. BOARD OF ALTH ! This individual has been informed of the permit requirements that 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: Town of Barnstable Regulatory Services ; CFSHE r� Richard V. Scali,Director Building Division EAMSTABLE, v MASS. g Paul Roma,Building Commissioner 1639. �m 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATTON REGISTRATION Date: T Name: "i 1A Phone#: &I Address:� Village: S f MA OLop I Name of Business:TnAye 00*1ne �. TypeofBusiness: 1pol' n 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 are 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 d lling unit. I,the unde sig d,have r ead d a e ith the above strictions for my home occupation I am registering. Applicant: AA Date: 6 Homeoc.doc ev. 2 Town of Barnstable Regulatory Services 'SHE Tp� o Richard V.Scali,Director' Building Division s+ asass Tom Perry,Building Commissioner s63q. ,0 �Eo rat 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: ]Permit#: ` cl HOME OCCUPATION REGISTRA'I`ION s-^15 Date: Name: eiNN &CCAA)� Address: 151 `( -G� S�/ 'Gf Uyl/NF S—1�� ��C�JV� Village: Name of Business: l W&g GJ ' ,)O A AA10 (P'J rL1UC. (0A) Type of Business: ►EGA Map/I..ot 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: ' 0 The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit 0 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. 0 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. 0 There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. 0 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. 0 There are no commercial vehicles related to the Customary Home Occupation,other than'.one van or one pickup 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. 0 If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. 0 No perso shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling t I,the undersigned, e read and agr *th the above restrictions for my home occupation I am registering. Applicant Date: Homeoc.doc Rev.103 13 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 you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1-FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: y, Fill in please: l APPLICANT'S YOUR NAME: �C�tVrJ.r�, )<� '�CC��J) f' > t,' BUSINESS YOUR HOME ADDRESS: ASC- 5 �' go TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS OL 0 • 65 AA)0 CA ,0 Wl� K TYPE OF BUSINESS 0s C�I A) IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS G" f�5 v S - �✓ �' / ( 'CJ MAP/PARCEL NUMBER��� , When starting a new business there are several things you must do in order to be in compliance 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. 1. BUILDING COMMISSIONER'S FICE This individual has bee ed ny permit requirements that pertain to this type of business. MUST CQMpLY MITI-I RULES AND REGU HOME CCCUPATIQN Authori�d Signa e �o �� GOMPLY MAY R�SSULTII& FAILURE Tp COMMENTS: o co.—e r^ c� cR��4 �P C� IAI � iF 2. BOARD OF HEALTH This individual has been informed of the permit requirements that 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: C� =r t o Town of Barnstable *Permit# So 7 0 �•u Expires 6 months front issue date Regulatory Services Fee <;� 5 : Q� i639 t16 Thomas F.Geilery Director • `0�' Building Division X-PRESS P Tom Perry, Building Commissioner 200 Main Street,.Hyannis,MA 02601 N 0 V 10 200 Office: 508462-4038 Fax: 508-790-6230 TOWN'OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint. ,lap/parcel Number C) 'roperty Address Co Residential Value of Work_ Qt.Q 0 Minimum fee of•$25.00 for work under$6000.00 .)wner's Name&Address �C) �I S �ontractor's_Name `Q Telephone Number_ iome Improvement Confractor License#(if applicable) 1 ` a V7 -1 construction Supervisor's License#(if applicable) ]Workman's Compensation Insurance Check one: t ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Comp 7"o ion Insurance hsura+ce Comp yName an s\- Norkmaa's Crimp.Policy# '�, >% 0 GC) 2opy of Insurance Compliance Certificate'must be on file. ?ermit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to Nk8,J ❑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 tows department regulations,i.e.Historic.Conservation,etc. ***Note. Property r must sign Property Owner Letter of Permission. Home tractors License is required. Signature 2:Forms:expmtr5 tewcO63004 r� w °FTME, 'Town of Barnstable Regulatory Services s�xsrnB Thomas F.Geller,Director 9 Buss. eG N1 61 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 ABuilder I ,as owner of the subject property hereby au orize: to act on my behalf, in all matters relative to work authorized bythis ding permit application for: CoXA,- A-5 y� (Address of Job) ( d Sign a a of Owner Date Print Name n•FBA 7uT C•n W NFR pFR MTC SLON v I i --- ✓�ie'Coommo�zuiec��i a�✓�aaoaclivaella BOARD OF BUILIPIN:G REGULATIONS { License C-'NSTRUCTIO'N SUPERVISOR Number 035037 56 Tr.no: 13079 I Re i DEAN F STANLE`ly� � 1 r F I 3'159 CA.Ty-11N LIJAhf ��.,/>' a y C'ENTERVILLE, IVIA 02632� �` ���"`�`� Administrator s Ir � �`ee �o�rrmzanusea�t a�✓�,Cuaacfiuoelld � Board of Building Regulations and Standards ' HOME IM,�OVEMENT CONTRACTOR Registraii n. 32149 /2006 _ — idual DEAN F.STANL � a DEAN STANLEY , 359 CAPT.LIJAH R' CENTERVILLE,MA 02632 Administrator