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0297 COMPASS CIRCLE
o� 17 Co��aSs Ci r, o � 4 . Town of Barnstable Building P..,ostThisyGard SoThat it is,sUis�ble Frorn.the Street s.A, ,roued_Plans'Must be?Retalned<onaob§andthls;Card,Must be Kept • tA1tN SABI.B: .: M*. �`,y�,; � .. �'' ,`�„"� �S`��� � �"C � �...r tY PP A � v. � �. :,°�, € 1 a�� � &i- °�t�_:_�5�� \C � Permit Posted Until Final Inspection Has 6eenMade eot�s �Wherea Certificatef Occupancy is Required,such Building:,shall*Not bye Occupied�until a Emal Inspection�hase�en made �, 163 Permit No. B-18-197 Applicant Name: RETROFIT INSULATION, INC. Approvals Date issued: 02/01/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/01/2018 Foundation: Location: 297 COMPASS CIRCLE, HYANNIS Map/Lot 310-432 Zoning District: RB Sheathing: Owner on Record: HADDAD,VILMA Contractor Name:°RETROFIT INSULATION, INC. Framing: 1 Address: 134 ENSIGN ROAD ; �Contractor License 160461 2 CENTERVILLE, MA 02632 Est�Project Cost: $2,984.00 Chimney: Description: Weatherization w Permit Fee: $85.00 Insulation: Project Review Req: Fe Paid,:,° $85.00 �� ate 2/1/2018 Final: � zR i dcvr - Plumbing/Gas fr Rough Plumbing: lbl- n 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. ;. ;, .= Final Gas: All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning by Taws and codes. This permit shall be displayed in a location clearly visible from access street or roaMV d and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. W Electrical ; ,. '. _ Service: The Certificate of Occupancy will not be issued until all applicable signatures by"Ahe"Build ng'and Fire OfficialsRare provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: s 1.Foundation or Footing h Rough: is �= . 2.Sheathing Inspection Final: 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel_ /cJ.� TOWN OF BARNSTABLE Application lication #� Health Division 711,18 JAN 22 FB 2: 50 Date Issued __Zlz_j� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board? ¢7TO Historic - OKH _ Preservation / Hyannis Project Street Address 9 7 Ca-^0/4 rs C��r C fie- ,�i4 n�Ni'_s- bj.+ Oi-Go f Village Owner V1'1niAAWf► !Q LI'44oNk(L0 ) Address �'v,H�•4�f C� rC �e__ Telephone (�7 SZ 1 — kq(o S Permit Request 00 L, 7--6)a M e � . I &! (/CN 4-r a) JT-4 _Q)67::i�- Vd--4r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatiol g . oo Construction Type t Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑.new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) -- -- Name ;Iba h Ott �� �'����� Telephone Number Address 00 6 a X / 0 -J— License# /0 oL 7 1 f�n__I C_y ti c Home Improvement Contractor# 6o 0 Y 6/ Email 1 oe-rC, �j oft wM Worker's Compensation # V ! w ov O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �� SIGNATURE DATE / FOR OFFICIAL USE ONLY APPLICATION # - DATE ISSUED MAP/ PARCEL NO. . ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION f, } FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 e Boston,MA 02114-2017' www mass.gov/dia NA'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information - - Please Print Legibly Name (Business/Organization/Individual):RetroFit Insulation f Address:PO Box 105 City/State/Zip:Seekonk, MA 02771 r phone#:508-989-6436 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 1 employees(full and/or part-time).* 7. New construction 2. I am a sole proprietor or partnership and have no employees working for me in ❑ '8. ❑Remodeling any capacity.[No workers'comp.insurance required.] - 3.F1 I am a homeowner doing all work myself.[No workers'comp:insurance required.]t 9. ❑,Demolition 10 Q Building addition 4.01 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.f_1 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. .. 13.[] repairs re airs These sub-contractors have employees and have workers'comp,insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. OtherWeatherization 152,§1(4),and we have no employees.[No workers'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 andjob site information. Insurance Company Name:STAR Ins. Policy#or Self-ins.Lic.#:V9WC802160 Expiration Date:8-2-18 Job Site Address.297 Compass Circle City/State/Zip:Hyannis, MA 02601 Attach a copy,of the workers' compensation policy,declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 and penalties of perjury that the information provided above is true and correct Signature: Date: 1/10/18 Phone#:508-989-6436 Official use only. Do not write ' t is area,to be completed by city or town official. 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CERTIFICATE OF LIABILITY INSURANCE Fo7i27i2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780862 '_ - CONTACT Diane Carvalho - NAME: HUB International New England PHONE - FAX 222 Milliken Boulevard (A/C,No,Ext): (A/C,No): Fall River,MA 02721 aI DRlEss:diane.carvalho@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of South Carolina 19259 INSURED - - INSURER B:National Liabifily&Fire Insurance Company 20052 RetroFit Insulation,Inc. INSURER C: PO BOX 105 - INSURER D: Seekonk,MA 02771 I - • INSURER E - - INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE WVD POLICY NUMBER DIYYYYI (MMIDDrYMi LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 � EACH OCCURRENCE $ CLAIMS-MADE ❑X OCCUR S 2187•653 08/15/2017 68115/2018 DAMAGEPREMISES TOEa RENTEDoccurrence $ 100,000 ` MED EXP(Any oneperson) $ . 5,000 PERSONAL&ADV INJURY $ 11000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY jRCT LOC PRODUCTS-COMPIOP AGG $ T 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accid.nti $ ANY AUTO A 9100182 08/11/2017 08/11/2018 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X HIRED X NON-AWNED - PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE S 2187653 08/15/2017 08/15/2018 AGGREGATE $ 1,000,000 DED RETENTION$ B WORKERS COMPENSATION - PER STATUTE OERH AND EMPLOYERS'LIABILITY Y212017 08/02/2018 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE FICER/MEMBER EXCLUDED? � N/A 9WC802160 08/0- E.L.EACH ACCIDENT $ % (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If qS describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ' i r DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) s CERTIFICATE HOLDER CANCELLATION r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE .WILL BE DELIVERED IN 40 Sylvan Road ACCORDANCE WITH THE POLICY PROVISIONS. 02451 AUTHORIZED REPRESENTATIVE, ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Town of Barnstable °Ft"er�,o Regulatory Services Thomas F. Geiler, Director + BARNSfABLE, 9�A b S. �0� Building Division recnM�s Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: Z G/C>7 -_ LOCATION: a 1'7 44 F'r?V U(47 v UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISC ONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES' re,� LOCAL INSPECTOR 7 tlt-- -� -�.c9'htk:,. ._cL /1..23 �.�y,l l•o. l c�?c. SIGNATURE OF RECIPIENT i ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM 0 PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE, A AREA DO PORAOBASEMENT PARA 0 ; PROPOSITO DE DORMIR. i INSPETOR LOCAL ASSINATURA DO RECIPIENTE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION.. Map b Parcel 22 'Application# � Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee - Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project-Stye dress'���� SS et l�GAG f r-Villag,6-1 dfmN 5JP�b(P ' 0� wn�FShn A 6 L kase r-Address- �11� GO 'C.i pe c,te ( of S 9 Telephone S09)11 0202 5 Permit Request /2C-4 & J,1414 t..,r- �-4e1 � ����/�i�6, �1 J"T-C"��[1 ��"�yL�lU��`•� ��� f�cY�G'Z�f D/t)=.�/t1.:iliy� -- Square feet: 1 st floor:existing proposed 2nd floor:existing proposed "' Total , Zoning District Flood Plain Groundwater Overlay ' (Project Valuation Construction Type _n T Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation: Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other t Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use - Proposed Use - BUILDER INFORMATION Name Telephone Number x �Zf�2 2 5' Address C'yi ' SS Cl�C� License# WWX41m,15 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE_. DATE., E IV- 2-7_ 07 4 F FOR OFFICIAL USE ONLY r� t r APPLICATION# 9 `DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING I y DATE CLOSED OUT i 4 ASSOCIATION PLAN NO. f The Commonwealth of Massachusetts Department of Industrial accidents Office of Investigations 600 Washington Street Boston,M4 02111 , www.mass.gov/dia Workers' Compensation Insurance.Affidavit;•Builders/Cont -actors/EIectr1dans/Plumbers � Applicant Information Please Print Legibly ess/Organization/Individual):,, E 5)o pi c—L Iz n i+ ' C`AdcIress 71 Gorr V#q SS le CA e ,C--City/State/Zij 4K A n.k_S M.19 not�0l Phone,##:L503)-10 - ad.501 Are you an employer? Check the appropriate box: -Type of project(required):• 1.❑ I am a employer with 4. [] I am a general contractor and I employees(full and/or part- have hired the sub-contractors 6. ❑New construction . 2111 am asole proprietor or partner- listed on the-attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have S. Demolition worlds for me in an capacity. employees and have workers' g Y P tY t . 9. 0 Building addition [No workers' comp.insurance comp.insurance. required] 5. Q We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3..�I am a homeowner doing all work 11.[�Plumbing repairs or additions myself; [No workers' comp. right of exemption per MGL 12,[-j Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' :•13.0 Other comp..insurance.required.] . n +Any applicant mat checks box#I must also fill out the section below showing their warkas'compmsation 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 providb their workers'comp.policy number. law an employer that is providing workers'compensation insurance for my employees Below 1s 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 maybe forwarded to the Office of Investigations of the DIA.for insurance coverage verification. I do hereby certify:ender the pains•and penalties of perjury that the information provided above is true and correct: Sienatur �� Date: Phone#: 15�1 2 2 Offzcial use only. Do not write in this area Tb be completed by city or town official City or Town; Permit/License# Issuing'Authority(circle one): ' 1.Board of Health 2.,Building Department 3. City/Town CIerk 4.Electrical Inspector S.Plumbing Inspector ' 6. Other, Contact Person: Phone#: . �oF11HETo Town of Barnstable, P Regulatory Services �anxMs�r.E� Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal;demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. e - Type'of Woik: Estimated Cost Addrss f WoIk: a �=,Owner's'Name Date-of Application: I hereby cerh'fy-Ahat: - Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 ; ❑puilding not owner occupied O_Wq pulling-own permit- Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby ,apply,for a permit as the agent of the owner: Date. ' Contractor Name Registration No. OR Date Owner s°Name"--- Q:foims:homeaffidav a , �OpTHE,p� Town of Barnstable Regulatory Services • =AMSrABLE, Thomas F. Geiler,Director MASS. Pqp 1639. .�� Building Division rED MA'1 A , 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`UiCATTO ,r�QYY}Iq a SS L'//2 G I�i -J2/US fib�e number `street w �} village "HOMEOWNER .+ SY>7A L RASA Cbj 4 - aZ 5.Z. name home phone# work phone# CURRENT MAILING ADDRESS: ,_,_.. - 5 f9 rri� U 6 VA.&P 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 requirements. . i Signature-17 meown`er Approval of Building Official Note: Three-family dwellings containing 35,600 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. p I �r, v eJ I t 1 {F n r s >. #' 01`/01 /2003 e` v : _ a � � II ► �`�< . . 1 �.. : :,S'... t � 3 1 / w^#*` ,� •• � -- p 00 � — 0, pa �� n . . , . .. �_ _� � � � .�s �� P�: ��- � � 4 t �_ , / 0 O ;� n 1 F a Y - "E •� t 111 �3� R 7 aid M - kk o f , 1 s r s j 1 . 1 !' l a i y t r j ., - . � - .. � .. ,. 3 � - i .. � - � i _ - � i - V - ' - - t (/'�\O 1 .. � _ � - - € . . ..f C (� � Q _ \J I �J ,' f � i - � _ _ � � � . �, I ..� I �� ^�' . . _ _ �, � � �. . - � - , . - � . � . �� � ' �� - : �, \ ,,�� Au ��L f�d1e k -1�0 A76 • y 7' -AN - - �c tires i.c. — A_771C U fV � x 4 Parcel Detail Page 1 of 3 HE (�y IIARNSITABLL Mh5S i Logged In As: Parcel Detail Monday, Octo Parcel Lookup Parcellnfo Parcel ID 1;310-432 I Developer C Lot LOT 46-A --� I Location i297 COMPASS CIRCLE Pri Frontage 128 Sec Road Sec I Frontage village'HYANNIS I Fire District(HYANNIS Sewer Acct� _._..__._�..I Road Index 10340 z K Interactive g Map Ia Owner Info Owner IROSA, ESMAEL & I Co-Owner FSILVA, IVONE F Streets C'297 COMPASS CIR Street2 City 1HYANNIS I State MA zip 10260011 1 country C S Land Info Acres�0�.23 use gle Fam MDL-01 I zoning RB Nghbd 0105 Topography 1Level Road Paved Utilities!Public Water,Gas,Septic ( Location —� — Construction Info Building 1 of 1 Year;�9.-1-.---------1 Roof!Gable/Hip I Ext i Wood Shingle I Built 1 Struct Wall i r EffectM_ ___�_ _ -! Roof __� AC Area ;1054 I co, jAsph/F GIs/C 1. mp I Type None I , o, style;Ranch rywa I Int Dll I Bed Bedrooms— Wall . Rooms Int;..__.._._ _ _.____� Bath Model ;Residential _ I Floor! I Rooms 11 Full I Heat Total . Grade!Average. I Type Hot Water IRoomsI Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=25950 10/1/2007 Parcel Detail Page 2 of 3 Heat _�� Found-i Stories 1 Story I OiI �. Poured Conc. Fuel r ation .r Permit History Issue Date Purpose Permit# Amount Insp Date Comments Visit History Date Who Purpose 10/19/2004 12:00:00 AM Paul Talbot Meas/Listed 5/13/2003 12:00:00 AM Paul Talbot Meas/Listed 3/19/2001 12:00:00 AM Paul Talbot Meas/Listed 10/15/1987 12:00:00 AM ME Sales History Line Sale Date Owner Book/Page Sale P 1 7/15/2004 ROSA, ESMAEL& 18830/060 2 9/19/2002 ROMANSON, WALTER A& MARY D 15614/051 3 9/3/2002 ROMANSON, WALTER A 15545/134 4 1/15/1990 ROMANSON, WALTER A& BONNIE G 7018/066 5 9/15/1983 ROMANSON, WALTER A 3853/216 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $110,800 $8,300 $0 $161,800 ; 2 2006 $97,300 $8,300 $0 $162,000 3 2005 $93,500 $8,200 $0 $128,100 ; 4 2004 $75,800 $8,200 $0 $96,000 5 2003 $68,500 $8,200 $0 $35,400 ; 6 2002 $68,500 $8,200 $0 $35,400 7 2001 $67,800 $8,200 $0 $35,400 8 2000 $51,100 $7,800 $0 $21,700 9 1999 $51,100 $7,800 $0 $21,700 10 1998 $51,100 $7,800 $0 $21,700 11 1997 $60,000 $0 $0 $18,600 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=25950 - 10/1/2007 Parcel Detail Page 3 of 3 r 12 1996 $60,000 $0 $0 $18,600 13 1995 $60,000 $0 $0 $18,600 14 1994 $58,600 $0 $0 $22,400 15 1993 $58,600 $0 $0 $22,400 16 1992 $66,600 $0 $0 $24,800 17 1991 $71,900 $0 $0 $40,400 18 1990 $71,900 $0 $0 $40,400 19 1989 $71,900 $0 $0 $40,400 20 1988 $51,400 $0 $0 $17,500 21 1987 $51,400 $0 $0 $17,500 22 1986 $51,400 $0 $0 $17,500 Photos f http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=25950 10/1/2007 Building Detail Page 1 of 1 � ' F �ih55 ate( s, °t v Logged In As: Monday, Octo Building detail Parcel Lookup Parcel Detail Error: LoadOBGrid: EXECUTE permission denied on object 'getOB', database 'TOB>1_Production_Property', owner 'dbo'. Building 1 of 1 Ai " # ° ` 4 - wtdsi'M+xi{''ffi.E Code Description Gross Area Effective Area Living Are BAS First Floor 864 864 BMT Basement Area 864 156 WDK Wood Deck 336 34 Extra Features Code Description Units Unit Price Year Built Value Commen FPL1 Fireplace 1.00 3,000.00 1995 $2,600 BFA Bsmt Fin-Aver 432.00 15.00 1995 $5,700 Out Buildings http://issgl2/intranet/propdata/BuildingDetail.aspx?PID=25950&BID=26901&N=1&NN=1 10/1/2007 o ; 'Town of Barnstable Regulatory Services + BARNSTABLE ,•jj 9 MAss, Thomas F. Geiler, Director �AIEoM Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Building Department Checklist Date: ilk Location: 21 7 Geb�d- Year built: Zoning district: ceiling height (7' basement; 7'3"house) after 1973 only sleeping room (70 sq. ft.) smokes egress _ carbon monoxide detectors # sleeping rooms # sleeping rooms allowed septic or town sewer #kitchens ? apartment exit order ` car count and 11cense plate # fire separation if needed mechanicals: make up air proper work clearances µ other 06 No building permit needed electrical permit needed plumbing permit needed ' •^ .... „,+tint'"*�"e.,, ..3.. .. .. '�i/•'j. .. -•4., ,�• .� ...-,� ,ry �..,., - 'r• ..lrs.- .- ___..-+,v.sti.,.1s..a."y 'ryr,.ti.^..�.,w..,ta-�,:i��.'.r . `pp fHE Tp�� 0 Town of Barnstable ? 9ARNSTA9L6. ` Regulatory.Services MASS. - '°TEOM >�er Building Division 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection AJ 6, SST Location °Z` �o /°r�-ssizC L� Permit Number Owner �os. Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: ? ry A<" i �00 K oN urI `/r laak 30rt-Err-;?, AD0pyL AtUS IA.) Cyccr� Lev �1u-lV Es Ojz p�ie� Please call: 508-8624M, for re inspection Inspected by Date i Assessor's map and lot number .�. .r/.... ".......:.,.. ) . ............ Sewage Permit number ........................................................ Z 33AH39TADLE• i House number . 90 MAM .....,_......................... 1639 00 �11 MAI TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO - ��<-�" .................................................................................................................................. TYPEOF CONSTRUCTION .. ...............................................................:............................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora,,permit according to the following information: Location ........... .............:...................`....:...................../....................................................:........:.....:.................................... Proposed User .. • ...... .. .. ..... ..Zoning District ...................................................Fire Districtc .--.......... ' ........................ .. Name of Owner ., r.� .r,� Ylil,������......... .... ........ .......Address.... ...... ...... i Nameof Builder . !! �. .�...5� .......Address rr.....:. .....:................. ........................................... ....................................... Name of Architect ......................Address..... ..... Number of Rooms ........ ..................................................Foundation ...................0-d' ................... .................................... C� Exterior w.•'.:....................................Roofing ..... !. ........................................... Floors ,'�/ice- � �A f.`.�.y.���............. ..........:�.,._.........................Interior,.,.... ..................................... ........................................ Heating .................. Plumbing ............................................ .......................... ................................................. Fireplace ......::..........................................................................Approximate Cost ......,....... ............................. ......................... Definitive Plan Approved by Planning Board ________________________________19 Area ................. Diagram of Lot and Building with Dimensions Fee r � ........................__.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...c.f�N•...,......:: 1. ?.%':r:> ......................... Theo Construction Co. , Inc: A=310-432 No ...2Ug8... Permit for ....one...story............ single family dwelling................... Locakion 297 Compass„Circle............... .......... Hyannis ............................................................................... Owner ....... ... Theo C.onstructi. . . ...on..Co:.,...1AC, ........ . ...... . ........ . .. ..... Type of Construction .►....frame.................. ................................................................................ Plot ......... .•......... Lot ... 44A. ......... Permit Granted .... ...Apri1..1C1.•.••.•.•••••19 79 Date of Inspection .\.'.*`-:...........................19 Date Completed ............ ...............19 PERMIT REFUSED ..!`.................................. 19 ......... . ................................................. 5 ............................................................................... Approved ................................................ 19 ............................................................................... ....................".......................................................... TOWN OF BARNSTABLE Permit No. 's17 RA-- 1 Building Inspector cash OCCUPANCY PERM IT- � Bond X "No building nor structure shall be erected, and-oo land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." ; Issued to X pn ['�sah� r,n#it�v �' � r p Address AAA �9� y r -•� • Jlernr rr.�e x Wiring Inspector �` cf / nL Inspection date L11-7 Plumbing Easpecto 1� � ;` � Inspection date ' 7 Gas Inspector � � Inspection date Engineering Department Inspection date C 17 THIS PERMIT WILL NOT BE VALID,(/AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. /7 / �I kk 0 1977, Building Inspector t �F9'eY Cf RTiFY F HAT THIS FOUNDAT!ON IS LC "Tr;) �W THE LO-1 AS SHOWN AND W,,';j1A,TUNS RLGARD1:`;G SETBACKS krzom s-cRLE_T LINES AND WT LINES. t I E N ;•. '� AT1[Z4 r 4 K ! z i^ f _zi 2� 00 1; ra L �I ;\3 i .Y t r.r• O in -� �0-00 r,S'0 79 f/ /p SEPTIC SYSTEM MUST BE Aessor's map and lot number ... .. _�......7(&-):C' INSTALLED iN CO ►PLIAI �A /L TTfuLE II ST CF THE Sewage Permi number �°i g a' ..................... SANITARY CQCE AN d g� A; ��[ vNS• Z BAHBnSeTADL i House number ....... .�.y....7 , E, .� 90o i639 ♦� ,per �0 t^3 'E0 MAY A,- TOWN 'OF BAoR NSTABLE BUILDING -11SPECT0R APPLICATIONFOR PERMIT TO 1...I................................................................................................ TYPEOF CONSTRUCTION ... ........................................................................................................ .:... ......,�.�. /.,� 19......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for afpermit according to the following inf9 motion: Location ..... /f` /,J�.... .. ... !........ L ..................................................... .......................... ProposedUse .......................................................................... ZoningDistrict < ..................................................Fire District .....y.. .... ....................................................... Name of Owner ... ............. r�i. !!?..................Address,_... . ..... ... w�v Nameof Builder ... .. ?.... .. .... i1. .F ................Address�� ...................................... . ......................................... Name of Architect �" ..Address............................................................... ..1..,. yl �.�% , Number of Rooms ........ ..................................................Foundation ', ...................................................... Exterior ... Fie'!'r. .. -1,. ............... ................Roofing ... ;�:1�r+'? - r Floors . .:......!i. . .. .......�........�...d..�...................lnteriorti...,.. ....:. ..,,f�........�................................................................................................. Heating .. ............. .. - ........................................................Plumbing .... ...........Z�. ...+.:........................................................ Fireplace .... ................................:...........................Approximate Cost F r. . �. .,��.... ........ tl Definitive Plan Approved by Planning Board ________________________________19-------- Area ��� /f� Diagram of Lot and Building with Dimensions Fee �.................. .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH .LXJ'IWa I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........................ Theo eonstruction Co. , Inc. - t" ! . Vr .. No .2-11.8.4.... Permit for .........orle—S. Q..Y. ..... single family dwelling ............... .............................................................. L a c CIN-40 n ...........297...C.oTpa.s.s..C.i.rcle.............. ... . .. .. . ........ ...........................H .annis...................................... t Owner ...............Theo Construction Co. ,Inc. ................................................... Type of Construction ....................frame ...................... ................................................................................ Plot ............................ Lot ..........#4.6.A............. Permit Granted ........AV-ni-1...14..............19 79 Date of Inspection ............................. .......19 Date Completed ......19 ojo PERMIT REFUSED ................................................................. 19 ............................................................................... ................................................................................ ................................. ............................................. ............................................................................... Approved ................................................ 19 ............................................................................... ............... ............................................................ Town of Barnstable, 367 Main Street, Hyannis, MA 02601 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If.you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information)and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: N/A Section 1 —Propem Information Property Address:297 Compass Circle, Hyannis, MA 02601 Assessors Map#: N/A Parcel #: 310-432 Land area and description lot of 10,018 sqft (or 0.23 acres) Building(s)description and contents single family home of 864 sgft Y Occupied: Occupant(s)(if borrowers so state and include name(s)) Esmael Rosa C/O Wells Fargo Bank, N.A. Phone: 877-617-5274 email: codeviolations@wellsfargo.com other: N/A Vacant: N Date: 10/23/2015 Anticipated Length of Vacancy: N/A Last occupant(s))(if borrowers so state and include name(s)) N/A Phone: N/A email: N/A other: N/A Has possession been taken No If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above)see attached vacant building plan Section 2—Foreclosing Party Information Foreclosing Party (full name/title) Wells`Fargo Bank, N.A. Foreclosure Case Court: Docket# ` Date filed: Current Status: Active Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name,title,): Wells Fargo Bank, N.A. Company(if different from foreclosing party): Wells Fargo Bank, N.A. Address: 1 Home Campus, MAC F2303-04J, Des Moines, IA 50328 Phone: (877)-617-5274 email: codeviolations@weusFa�go.com other: N/A If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title, other: N/A Company (if different from foreclosing party): N/A Address: N/A Phone(s): N/A email(s): N/A other: N/A Name,title, other: N/A Company (if different from foreclosing party): N/A l Address:►N/A Phone: N/A email: N/A other: N/A Attorney representing foreclosing party N/A Firm name(if different from attorney's name): Orlans Moran PLLC Address: P.O. Box 540540, Waltham, MA 02452 Phone(s): 781-790-7800 email(s): info@orlansmoran.com other: N/A I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. t Digitally signed by Brittani D Brittani D Coleman�q!eman 10/23/2015 Date.2015.10.23 10:48:07-05'00' Date: Name:Brittani D Coleman Title: Research/Remediation Associate I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable l MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4, requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner,to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B)within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4,please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property N/A Town of Barnstable, 367 Main Street, Hyannis; MA 02601 (1) Registration date: 09/18/2015 If not registered, please complete the registration form and state date of filing or anticipated fling N/A (2)If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated)N/A (if in possession or ownership must be certified as accurate twice annually in January and July). (3)Describe any hazardous materials on the property as that tern is defined in MGL c.21K and the date(s)and method(s)for removal as approved by the Fire Chief UNKNOWN (4)Method(s) and date(s) all windows and door openings secured(or will be secured) UNKNOWN If left secured, name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property WELLS FARGO BANK,N.A. F2303-04J, 1 HOME CAMPUS, DES MOINES IA 50328, 877-617-5274 (5)Location(s)and date(s) "No Trespassing" signs posted or to be posted on the property UNKNOWN (6)Name(s), address(es) and contact information of person(s) responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance" in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances WELLS FARGO BANK,N.A. MAC F2303-04J, ONE HOME CAMPUS, DES MOINES, IA 50328 (7)If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity,please state: Date of approval UNKNOWN Date(s)electricity turned off UNKNOWN on if applicable UNKNOWN Date(s)water turned off UNKNOWN on if applicable UNKNOWN (8)Name(s), address(es) and contact information pf person(s)responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances WELLS FARGO BANK,N.A.,F2303-04J,ONE HOME CAMPUS,DES MOINES IA 50328 (9)Name, address, telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner WELLS FARGO BANK,N.A,F2303-04J,ONE HOME CAMPUS,DES MOINES IA 50328,877-617-5274 (10)Date(s) certificate of liability insurance on the property filed with the Building Commissioner SEE ATTACHED EVIDENCE OF INSURANCE (11)Date(s)cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee N/A (12),Date(s) scheduled for inspections with the Building Commissioner and Health Director,who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance UNKNOWN or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance UNKNOWN .(13)Date(s) when the property was sold, or is anticipated to be sold,to the foreclosing party. If neither,please explain UNKNOWN IPacknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of ' chapter 224 of the Code of the Town of Barnstable. Digitally signed by Brittani D Coleman Brltt}anl D Cole man•Date:2015.10.2310:48:33-05'00' Date: 10/23/2015 Name: Brittani D Coleman Title: Research/Remediation Associate I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable f L WELLS FARGO HOME MORTGAGE v CONTACT INFORMATION For questions or concerns regarding a property registration issue please contact the Property Registration Department. Property Registration Department Registrations@wellsfargo.com For other.inguiries please route applicable requests to: Building and Code Compliance Department CodeViolations@wellsfargo.com Utility Bills ConvUtilityPmt@wellsfargo.com HOA or Condominium Dues or Fees HOAPmtRequestFH@wellsfargo.com Tax Related Requests: TaxGatekeeper@wellsfargo.com REO property inquiries PASAPinguiries@wellsfsargo.com Insurance Claims HazardClaims@wellsfargo.com General Property Preservation Property.Preservation@wellsfargo.com For questions regarding purchasing a Wells Fargo property please contact 1-877-617- 5274. You may also contact our dedicated property preservation call center at 1-877-617-5274 Monday— Friday from 8:00 AM -9:00 PM EST. Please note all legal documents should be sent to our legal mailing address below: Wells Fargo Home Mortgage 1 Home Campus MAC# F2303-04J Des Moines, IA 50328 Vacant Building Plan Current status of the Building: The building is secured; all doors and windows are locked. If the property utilities are on when we find the property abandoned,we will transfer the utilities into our name and leave active. If we find the property to not have any utilities we winterize the property according to investor/insurer guidelines. Plan of action for exterior building maintenance: We inspect and maintain our properties. We work to keep the property secure and free of any health hazards and/or debris. Wells Fargo also schedules our grass cuts twice a month. What improvements are planned?. If the property is in need of repair to avoid a code violation, we will review and take any appropriate action. If there are insurable damages, we will file an insurance claim and review for repairs. What is the scheduled date of re-occupancy? Approximately 90 days after the foreclosure sale is confirmed. Building to be sold or rented? The building is to be sold. Certificate of Occupancy: f The buyer will be responsible for're-certification and occupancy inspection with the city. Is property to be demolished? There are no current plans for demolishing the property. The city will be notified if there is a change of action. 21174 ���® DATE(MMDD/YYYY) �.. CERTIFICATE OF LIABILITY INSURANCE 3/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - NAME:CONTACT Wells Fargo Certificate Service Center Wells Fargo Insurance Services USA,Inc. W PHONE 404-923-3719 1 C No: 1-877-362-9069 3475 Piedmont Rd ADDRESS: wfis.certificatere uest wellsfar o.com ADDRESS: 4 @ g Suite 800 INSURERS AFFORDING COVERAGE NAIC# Atlanta,GA 30305 INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: Wells Fargo Home Mortgage INSURER C a division of Wells Fargo"Bank,N.A. INSURER D: 90 South 7th Street,14th Floor INSURER E: Minneapolis,MN 55402 INSURER F: COVERAGES CERTIFICATE NUMBER: 8901677 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBRPOLICY LTR POLICY NUMBER IMMIDDIYYYYI IMMIDDIYYYY) /LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 10,000,000 q MWZY 304056 04/01/2015 04/01/2020 DAMAGE TO D CLAIMS-MADE FR_1 OCCUR PREMISES EaENTE occurrence) $ 10,000,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. $ 10,000,000 JECT X POLICY PRO ❑LOC PRODUCTS-COMP/OPAGG $ 10,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 'YIN MWC,302638 04/01/2015 04/01/2020 X STATUTE ER PER AND EMPLOYERS'LIABILITY 1,000.000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION Wells Fargo Home Mortgage, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE a division of Wells Fargo Bank,N.A. THE EXPIRATION DATE THEREOF, NOTICE WILL BE -DELIVERED IN, g ACCORDANCE WITH THE POLICY PROVISIONS. 90 South 7th Street, 14th Floor 4 Minneapolis,MN 55402 AUTHORIZED REPRESENTATIVE 10 9(__ ,ws. The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved: ACORD 25(2014101) Wells Fargo Home Mortgage MAC F2303-04J One Home Campus Des Moines,IA 50328 Ph:877-617-5274 October 23,2015 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street Hyannis,MA 026ox Completed Property Registration for: 297 Compass Circle Hyannis,AMA o260x TAX ID: 3 0 32 v M,!. �` � Dear Sir/Madam: Please see the attached property registration form and use the below contacts to expedite any future requests. Code Violations. CodeViolations@WellsFargo.com Property Registrations: Registrations@WellsFargo.com General Property 3Preservation: Pro art 3.Preservation@WellsFar o.com Call Toll.Free: 1-877-617-5274 For questions regarding purchasing a Wells Fargo property please contact 1-877-617-5274• Sincerely, �BrittaniD Coleman � � ,. Wells Fargo Home Mortgage MAC F2303-04J One Home Campus Des Moines,IA 50328 �brittam.d coleman@,wellsfargo,com 4 ,w� m' r ' wig 0 n , V d -- - =3 --ENEWMEN ME y f 4rb ` 4 ' 3 297 Compass Circle, Hyannis 9/26/07