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HomeMy WebLinkAbout0008 DENVER STREET ,i r �• T r. Application number ....................................... �► NOV 0 L, �� Fee .........�.......� ................................................... KAM :+���\I������L� Building Inspectors Initials.... 16 Date Issued.'...,�� 5,�9 Map/Parcel.............:......................... .......................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: ' NUMBER ,,//�� STREET V AGE � bh'2 h�e Owner's Name: , �/7V M Phone Number 77/r- -/5 - ;:�Ijjg q Email Address: G/M Cell Phone Number 7/.5 - ( Project cost$ 02,000 09 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Viding C� Windows(no header change)#—I_0 Insulation/Weatherization Doors(no header change)# 'Commercial Doors require an inspector's review E-1 Roof(not applying more than 1 layer of shingles), Construction Debris will be going to CONTRACTOR'S INFORMATION. Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY.IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ . *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at_your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: / G) wk- Telephone Number Cell or Work number '7/r- 7/ I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnw+abla. Signature Date // //q APPLICANT'S SIGNATURE Signature Date /✓ �/� All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: - n Ve Y' All I-City/State/Zip: Wq017171,f2401 Phone#: / l5 - 3y 6 "7 Are you an employer? heck the appropriate box: _ Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner= listed on the attached sheet. 7. ,❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition workingfor me"in an capacity. employees and have workers' Y P tY• # 9. ❑Building addition [No workers'comp. insurance comp.insurance. Jequired.] 5. We are a corporation and its 10.❑Electrical,repairs or additions am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.E10 ther . . P comp. insurance required.] *Any applicant that checks box#I 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: 4 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the paug a d penalties of perjury that the information provided above is [ue nd correct Si' afore: i� rDate: Phone#- 7Y Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 4 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia ��r e„� �/ems/ iY U 1-3 ` 0 o0 that sewer has been capped one person will be involved in the must be on file. of Permission. lete the forms issued by the Aeronautics ELL APPLICANT THAT A DUMPSTER PERMIT FROM THE APPROPRIATE m MUMAUDD Ln .. m m Er OFFI . ell "D Certified Mail Fee CO $ Y Extra Services&Fees(check box,add tee as appropriate) .]�{A IVq, I L ❑Return Receipt(hardcopy) $ C Return Receipt(electronic) $ stmark 'Z r ❑Certified Mail Restricted Delivery $ Were C ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ �% �O Postage - - Cr r3Total Postage and Fees S I $ � Sent To �CC' __.Ale -------------`------------------- � Street and Apl IVor l'a Box No. s _?_ rllcl - -------------------------- City,State, :rrONO F.51 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the is A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period, delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service°, available at retail). or Priority Mails service. -Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified.; ■Insultance coverage is notavailable for purchase by name,or to the addressee's authorized agent,^ with Certified Mail service.However,the purchase (not available at retail). of L`ertified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a cVIn Priority Mail items. USPS postmark If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barooded portion—, of delivery(including the recipient's signature), of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. .. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic ROtum Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. Ps Fora,3800,April 2015(Reverse)PSN 7630-02-000•9047 I ® Complete items 1,2,and 3. 7_Ae ■ Print your name and address on the revMM3erseAgent so that we can return the card to you. A dre 'ee ■ Attach this card to the back of the mailpiece, ved by(Printed Name) tery or on the front if space permits. 1. Article.Addressed to,: / D. Is delive ddre different from item Yes Ale— 11a If YES, er delivery address below: ❑No � I I 3. Service Type ❑Priority Mail Express@ Il I Iillil I'll 111I l l I II I Ill l li it Il II II I II I III ❑Adult Signature ❑Registered MailW ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9403 0521 5173 2831 25 11 Certified Mail@- Delivery ❑Certified Mail Restricted Delivery -'e:fleturn Receipt for ❑Collect on Delivery Merchandise n.rlr�o_n�,.�rnt�r_Lrrancfa_r_fcro.ricery ca_Iahe11 0 Collect on Delivery Restricted Delivery ❑Signature Confirmation"' #lsured Mail ❑Signature Confirmation 7 0151064, jsured Marl Restricted Delivery ; Restricted Delivery ver$500) PS Form 3811,April 2015 PSN 7530-02-000-9053 ,Domestic Return Receipt UNITED ST�1 � iQ_k10. Iit%t4 ;,µr. . ram "` :. y{rG,l sS' il'.. aid i Y d. ii w: :Ir•M • Sender: Please print your name, address, a V4®in this box* TOWN OF BA�N93, N I BUILDING DIVISION 200 MAIN ST I HYANNIS,MA 02601 I � USPS TRACKING# I � I I 9590 9403 0521 5173 2831 25 ' Town of BarnstableBuildin (; enxs�`A��e l Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept v MACS 4'/. Posted Until final Inspection Has Been Made. 7g�yo Where a Certificate of Occupancy is Required, such Building shall Not be Occupied until a Final Inspection has been made. mit Permit NO. B-17-4000 Applicant Name: NETTO,AUGUSTO Approvals Date Issued: 12/01/2017 Current Use: Structure Permit Type: Building-Restore to Single Family Expiration Date: 06/01/2018 _ Foundation: Location: 8 DENVER STREET, HYANNIS Map/Lot: 291-308_ Zoning District: RB Sheathing: Owner on Record: NETTO,AUGUSTO .Contractor Name: Framing: 1 Address: 8 DENVER STREET Contractor License: 2 HYANNIS, MA 02601 Est.Project Cost: $400.00 Chimney: Description: restore to single family by taping existing pipes and put up Permit Fee: $85.00 sheetrock on wall in basement Insulation: ` Fee Paid: $85.00 12/1/2017 Final. Date: Project Review Req: . Plumbing/Gas Rough 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. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction;alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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 Final Gas: 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. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough:. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to Covering Structural Members(Frame Inspection) - Low Voltage Rough: &:Insulation 7.final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: . AppIicatioa N mmb&.. �i�,l...�.1.�.. 0C.) T� ' ! I Q; BARNSTABLE Mnss. Permit Fee.......................................Other Fee........................ Total Fee Paid.....Q.� .:. TOWN OF BARNSTABLE Permit Approval by..... .. ...............on......r BUILDING"PERMIT APPLICATION �........................................�............................................ Section 1 —Owners-Information and Project Location Project Address % a-gn l/e✓' Village Owners Name '221)Al� Owners Legal Address_ City State /VM Zip Owners Cell# ��' , '�p�� E-mail Section 2—Stractural Use ❑ Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet 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 ❑ Renovation ❑ Pool ❑ Insulation der—S-Peciiy��f, /0 -622�/� a,22�Z Section 4—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Last updated:l l/7/2017 Section 5 -Work Description A �' K 1 G -C. e 7` Section 6—Project Specifics ❑ Wiring [] Oil Tank Storage . ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑.Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private j Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District [] Old Kings Highway Debris Disposal Facility. I am using a crane C Yes ❑ No Section 7—Flood.done Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. f Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed �! Rear Yard Required Proposed Side Yard Required Proposed i Has this property had relief from the Zoning Board in the past? ❑-Yes 0 No Last updated:11/7/2017 Section 9—Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell# k I understand my responsibilities under the rules and regulations for Licensed Construction Sbpervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. E Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State —zip - Registration Number Expiration Date I understand my responsibilities under the roles and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docimmentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: 'Jn p�t,e,C �Gl. 0-e, yn ejo Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docunientation. by 780 CMR Town of Barnstable. - Signature Date 11' ` APPLICANT SIGNATURE Af Signature - Date - Zq L a 'Print Name elephme Number. 5-3 E-ma l-permit-to: Ja n i/ ct ra cc f ( , COI�YJ Last updated:1012017 T 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 dfrecdy to the fire depwftent for approval Section 13— Owner's Authorization H, , 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 j ob) Signature of Owner date i Print Name i i I . - I Last updated:1 ln/2017 BUILDING DEP- NOV 2 g 2017 To�i�of 13AP�1STggE E poog 611, ark 50 fog DEPT To NOV 29 2017 WN(7FSApN _ STA$Lf V f6l� R i The Commonwealth of Massachusetts Department`bf Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): 1Gnz111A Address:` h Iler City/State/Zip: / ` Phone#: � -57 3y� 7 Are you an employer?C ck the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ° ship and have no employees These sub-contractors have" g, ❑Demolition working for me in any capacity. employees and have workers' t 9. ❑Building addition [No workers' comp.insurance comp.insurance. - 10. Electrical repairs or additions Nyself. quired.] 5. ❑ We are a corporation and its ❑ p 3r homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c.152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.]. *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: . Expiration Date-. Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify er the pains andgenalties of perjury that the information provided above is:71ra and correct. Si ature: Date: ',Phone#: l Official use only. Do not write in this area,to be completed by city:or town official _ City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk,4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter,152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of.a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." . Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation'and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write,"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-7274900 ext 406 or 1-877-MASSAFE Fax 9 61.7-727-7749 Revised 4-24-07 www.mass.gov/dia KD-w(j� Page I of 3 -1 s 265:bb$ fJ3--23_2015 2-45 Doc- Ct f;:2�J5823 BARNSTA LE LAhID COURT REGISTRY RECORD'AND RETURN TO: Nile Morin 8 Denver Street Hyannis,MA 02601 Recording Information Area QUITCLAIM DEED Eugenio Ostapechem, Gilberto Serra and Glacyr Terezinha Serra, of 8 Denver Street, Hyannis, Massachusetts, for consideration paid of One Hundred Forty-Five Thousand One Hundred Ninety-Nine and 00/100($145,199.00)Dollars,hereby grants to Nile Morin, o Individually of 28 Cherry Street, Hyannis,Massachusetts 02601. o N a witli QUITCLAIM COVENANTS, w s The land together with the buildings thereon situated in the town of Barnstable (Hyannis), Barnstable County, Massachusetts shown as: LOT 91 On = Land Court Plan 14034-M(sheet 1) a, x This conveyance is made subject to and with the benefit of any rights, restrictions, easements, L reservations, and other encumbrances of record in so far as the same are in force and applicable. Being the same premises conveyed to the grantor by deed recorded with the Barnstable County P. e Registry of Deeds at Certificate 182869, Document 1061708. A ao y h Q L Q.i Page 2 of 3 I, Eugenio Ostapechem, hereby depose and state under penalty of perjury that I am married, that I hereby release all homestead rights and estate that I may have in the property hereby conveyed, that the property is not the homestead property of, and not the principal residence of, any other person and, further,that there are no other persons entitled to the protection of the homestead act. We, Gilberto Serra and Glacyr Terezinha Serra, hereby depose and state under penalty of perjury that we are married to each other, that we hereby release all homestead rights and estate that we may have in the property hereby conveyed, that the property is not the homestead property of, and not the principal residence of, any other person and, further, that there are no other persons entitled to the protection of the homestead act. Grantee herein is prohibited from conveying captioned property for any sales price for a period of 30 days from the sale of this deed. After this 30 days period, Grantee is further prohibited from conveying the property for a sales price greater than 120% of short sale price until 90 days from the date of this deed. These restrictions shall run with the land and are not personal to the Grantee. a Page 3of3 Witness my hand and seal this � day of F2�t 2015. Eugenio Os ech m l a Glac Terezinha Serra ` STATE OFMASSACHUSETTS wM� t7� ss. On this day of.aIV0 Q ,2015,before me,the undersigned notary public, personally appeared, gnct,� gt ltC(6Wf-Sa,4, f I�1i ,and proved to me through satisfactory evidence of identification,which was driver's license,to be the persons whose names are signed on the preceding or attached document,and acknowledged to me that he and she signed it voluntarily for its stated purpose. Notary Public: My Commission Expires: = : .... DAN►EL EYI c ; Notmgl P j, o's bchusetts c � �onwealt}t n>Ex�+itYds.�r) .. January BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 13-23-2015 a i12:45vm Gt1T: 10i:;7 Dn_Y: 1265663 Fee: $392,E5 Cons: $145r199.00 MASSACHUSETTS STATE EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 03-23-2015 B 02:45am Ct1T: 1007 Dor_4: 126566E Fee: $497.61 Cons: $145,197.00 BARNSTABLE REGISTRY OF DEEDS John F Meade, Register may.,•-_. ,y . Total Pages: 2 DoccIP264s968 03-12-2015 12=14 BARNSTABLE LAND COURT REGISTRY IIIn91111�In�191UUIp11�1�611�I��V91Q1 CORPORATE ASSIGNMENT OF MORTGAGE Barnstable,Massachusetts SELLER'S SERVICING#:0707269718 "OSTAPECHEM" SELLER'S LENDER ID#: DP OLD SERVICING#: 322221516 Date of Assignment:February 25th,2015 Assignor:ARGENT MORTGAGE COMPANY,L.L.C.BY ITS ATTORNEY IN FACT CITI RESIDENTIAL LENDING INC at C/O OCWEN LOAN SERVICING,LLC,1661 WORTHINGTON RD,SUITE 100,WEST PALM BEACH,FL 33409 Assignee:WELLS FARGO BANK,N.A.,AS TRUSTEE FOR THE POOLING AND SERVICING AGREEMENT DATED AS OF SEPTEMBER 1,2004 PARK PLACE SECURITIES,INC. ASSET-BACKED PASS-THROUGH CERTIFICATES SERIES 2004-WHQI at C/O OCWEN LOAN . SERVICING,LLC„1661 WORTHINGTON ROAD,STE 100,WEST PALM BEACH ,FL 33409 Executed By:EUGENIO OSTAPECHEM To:ARGENT MORTGAGE COMPANY,LLC Date of Mortgage: 07/23/2004 Recorded: 07/26/2004 in Book/Reel/Liber:N/A Page/Folio:N/A as Instrument No.:974,856 In the County of Barnstable,State of Massachusetts. Property Address:8 DENVER STREET,HYANNIS,MA 02601 KNOW ALL MEN BY THESE PRESENTS,that for good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the said Assignor hereby assigns unto the above-named Assignee,the said Mortgage having an original principal sum of$61,000.00 with interest,secured thereby, and the full benefit of all the powers and of all the covenants and provisos therein contained,and the said Assignor hereby grants and conveys unto the said Assignee,the Assignor's interest under the Mortgage. W cep to o TO HAVE AND TO HOLD the said Mortgage,and the said property unto the said Assignee forever, tY i—¢ subject to,the terms contained in said Mortgage. w ui ARGENT MORTGAGE COMPANY,L.L.C.BY ITS ATTORNEY IN FACT CITI RESIDENTIAL r>Z LENDING INC oo< On FED 252015 Q.00 By ohs ut on cer •ASPASIGMA01020201010:13:19 AM•GMAC40GMACA000000000000004470493•MABARNS•0707209716 MASTATE MORTJISSIGN_ASSN•LET•LETGMAC' Recording Requested By: OCWEN LOAN SERVICING,LLC When recorded return to: Security Connections/WPB 240 Technology Drive Idaho Falls,ID 83401 CORPORATE ASSIGNMENT OF MORTGAGE Page 2 of 2 STATE OF LOP—I COUNTY OF On FEB 151015 before me, Chttstian J.Ferrer ,a Notary Public in and for PAcn, 86PV4 (Ouma in the State of rLOMA ,personally appeared 00 A.8Imn1 ns ,Authorized Officer,personally known to me(or proved to me on the basis of satisfactory evidence)to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity,and that by his/her/their signature on the instrument the person(s),or the entity upon behalf of which the person(s) acted,executed the instrument. WITNESS my hand and official seal, Notary Public Slats of Florida yY Christian J FelTer +� p My Commission FF 062234 �/pntl' Expifas l 2/30I2018 C4 an errer Notary Expires:t2 So/ZaI<o (This area for notarial seat) When recorded return to: Security Connections l WPB 240 Technology Drive Idaho Falls,ID SM01 •ASI'ASIGMAC'0223R01S 10:1119 AM'GMAC4UGMACAOOB000OOOOOW04478483'MABARNS'0707289718 MASTATE MORT_1,SSIGN_ASSN•LET•LETGMAC• BARNSTABLE REGISTRY OF DEEDS John F.Meade,Register 7 D4c: 1 s 265 s 669 03-23--2015 2-45 BARNSTAL'LE LAND COURT REGISTRY MORTGAGE DEED (To Secure Note) MORTGAGE(herein"Mortgage")made this 23rd day of March,2015,by and between Nile Morin of 28 Cherry Street, Hyannis,MA 02601 (whether one or more, herein "Mortgagor"),and EMERALD FUNDING,INC.having a mailing address of P.0.Box 95,Centerville,Massachusetts 02632 (herein "Mortgagee"). Mortgagor is indebted to Mortgagee in the principal sum of One Hundred Sixty Thousand and 00/100 Dollars($160,000.00),which indebtedness is'evidenced by Mortgagor's promissory note .dated March 23,2015,(herein"Note"),providing for payments of principal and interest as provided therein. To secure to Mortgagee(a)the repayment of the indebtedness evidenced by the Note,with interest thereon, and any and all extensions, modifications and renewals thereof and substitutions therefor,(b)the payment of all other sums,with interest thereon,advanced in accordance herewith to protect the security of this Mortgage, (c) the performance of the covenants and agreements of Mortgagor contained herein, in the Note and in all other documents,instruments and agreements executed in connection therewith or as security therefor,and(d)the payment and performance of all other indebtedness and liabilities whatsoever of Mortgagor to Mortgagee,whether direct,indirect, absolute or contingent,due or to become due,now existing or hereafter arising,including,without limitation,all indebtedness and obligations evidenced by promissory notes,guarantees,overdrafts and reimbursement agreements for letters of credit(other than indebtedness to which Title I of the Consumer Credit Protection Act applies),Mortgagor hereby grants to Mortgagee,with MORTGAGE COVENANTS, the real property located'at 8 Denver Street, Hyannis, MA, more particularly described in Exhibit A attached hereto. TOGETHER WITH all improvements now or hereafter erected on said real property,and all easements, rights, appurtenances and rents, and all fixtures now or hereafter attached to said real property, all of which, including replacements and additions thereto, shall be deemed to be and remain a part of the Property covered by this Mortgage(all of the foregoing,together with said real property,hereinafter referred to as the"Property"). Mortgagor covenants that Mortgagor is the lawful owner of the Property,is lawfully seized of the same in fee simple and has the right and power to mortgage,grant and convey the Property;that the Property is free from all encumbrances,except the encumbrance(s),if any,identified on a report of title to the Property delivered to Mortgagee in connection with this Mortgage;and that Mortgagor will warrant and defend title to the Property against all claims and demands of all persons,except as aforesaid. Additional Covenants of Mortgagor and Mortgagee: 1. Payment of Principal and Interest. Mortgagor shall pay when due all indebtedness secured hereby at the time or times and in the manner specified in the Note,this Mortgage or any other instrument or agreement evidencing such indebtedness. 2. Charges; Liens. Mortgagor shall pay when due all taxes, assessments, water and sewer rates,and all other charges and liens of every nature which may be levied,assessed or imposed upon the Property and, upon request,deliver receipts therefor to Mortgagee. 3. Preservation and Maintenance of Property. Mortgagor shall keep the Property in good repair and shall not commit waste or permit impairment or deterioration of the Property. If this Mortgage is on a unit in a condominium or a planned unit development,Mortgagor shall perform all of Mortgagor's obligations under the declarations or covenants creating or governing the condominium or planned unit development, the bylaws and regulations of the condominium or planned unit development,and constituent documents. 4. Mort a or's Obligations Under Senior Mortgage Mortgagor shall pay when due all sums secured by and shall perform and observe all of Mortgagor's covenants and agreements under any senior mortgage and any instrument secured by any senior mortgage. Mortgagor shall not alter, amend or otherwise modify any senior mortgage or the repayment terms of the debt secured thereby and shall not do or fail to do anything which results in an increase in the amounts secured by any senior mortgage. 5. Hazard Insurance. Mortgagor shall keep any improvements on the Property insured against loss by fire,hazards included within the term"extended coverage",and such other hazards as Mortgagee shall specify from time to time by notice to Mortgagor,and in such amounts and for such periods as Mortgagee may require. The amount of such insurance shall be in no event less than one hundred percent(100%) of the full replacement value of the improvements on the Property, shall include a standard mortgage clause in favor of Mortgagee,and shall require at least twenty(20)days' written notice to Mortgagee prior to cancellation thereof. Mortgagor shall maintain general accident and public liability insurance in such amounts as Mortgagee shall require, naming Mortgagee as additional insured and requiring at least twenty (20) days' written notice to Mortgagee prior to cancellation thereof. All amounts due under any insurance policies relating to the Property shall be paid to the Mortgagee alone,to be applied first toward reimbursement of all costs and expenses of the Mortgagee in collecting such proceeds, and, at the option of the Mortgagee, either toward payment of the indebtedness secured hereby, whether or not due and payable, or to the repair, restoration, rebuilding or replacement of that part of the Property so damaged or destroyed under such terms as Mortgagee shall deem appropriate. Mortgagee is authorized and is hereby appointed the true and lawful attorney irrevocable of Mortgagor to adjust and compromise any losses without the consent of Mortgagor,to collect,receive and receipt for any amounts received in settlement of losses,and to endorse Mortgagor's name upon any draft or check in payment thereof. 6. Condemnation. The proceeds of any award or claim for damages, direct or consequential,in connection with any condemnation or other taking of the Property,or part thereof, or for conveyance in lieu of condemnation, are hereby assigned and shall be paid, subject to the rights of the holder of any senior mortgage, to Mortgagee. Mortgagor will not enter into any agreement for the taking of the Property, or any part thereof unless Mortgagee shall first have consented thereto. 7. Protection of Mortgagee's Security If Mortgagor fails to perform the covenants and agreements contained in this Mortgage, or if any action or proceeding is commenced which materially affects Mortgagee's interest in the Property, then Mortgagee, at Mortgagee's option, without notice to Mortgagor,may take such action as is necessary to protect Mortgagee's interest and disburse such sums as Mortgagee in its sole discretion shall elect. Any amounts disbursed by Mortgagee pursuant to this paragraph shall be payable upon demand,shall bear interest from the date of disbursement at the rate provided for in the Note,and,with interest thereon,shall be secured by the lien of this Mortgage. Nothing contained in this paragraph shall require Mortgagee to incur any expense or take any action hereunder. 8. Inspection. Mortgagee may make or cause to be made reasonable entries upon and inspections of the Property,provided that Mortgagee shall give Mortgagor notice prior to any such inspection. 9. Transfer of the Properly Assurances Mortgagor shall not make, directly or indirectly,any mortgage,pledge,hypothecation,sale,lease for more than one(1)year,assignment or other transfer of the Property or any part thereof without the written consent of Mortgagee. 10. Default: Acceleration. Upon Mortgagor's breach of any covenant or agreement of Mortgagor contained herein,or if any representation or warranty made by Mortgagor to Mortgagee herein shall prove to be false or misleading in any material respect when made,or if the Property or any interest therein shall be conveyed, encumbered or otherwise transferred in any way, or if any insurance required to be maintained hereunder shall be cancelled, terminated or lapse, or if any portion of the Property shall be damaged, destroyed or condemned, or if any default or Event of Default occurs under any instrument or agreement now or hereafter secured by this Mortgage (hereinafter an "Event of Default"), Mortgagee at Mortgagee's option may declare all of the sums secured by this Mortgage to be immediately due and payable without demand or notice. In the event that any indebtedness secured hereby is evidenced by a note payable on demand, the foregoing Events of Default shall be inapplicable to such indebtedness, and the only Event of Default hereunder shall be the failure of Mortgagor to pay such indebtedness in full after demand for payment thereof is made by Mortgagee. If such note is modified at any time so that the obligations evidenced thereby are payable other than on demand,the foregoing Events of Default shall apply to such note from and after the date of such modification. 11. Remedies. Upon the occurrence of any Event of Default hereunder,Mortgagee shall have the following rights,which rights shall be cumulative and not exclusive and in addition to any other rights granted to Mortgagee under this Mortgage: (a) Mortgagee shall have the right forthwith,at its election,to exercise any and all rights and remedies available to it at law or in equity; (b) Mortgagee,at its option,without obligation to do so,without notice to,or demand on, the Mortgagor and without releasing Mortgagor from any liability under the Note or this Mortgage, may make any payment or perform any act which the Mortgagor is obligated to pay or perform under the terms of this Mortgage. In making any such payment or performing any such act,the Mortgagee may incur any liability and expend whatever amounts it may deem necessary. All such amounts, without notice or demand,shall be immediately due and payable to the Mortgagee by the Mortgagor with interest thereon,to the extent permitted by law,at the lower of the maximum rate permitted by law or five percent(5%)above the interest rate set forth in the Note,and shall be secured hereby; (c) Mortgagee may,as a matter of right,have a receiver immediately appointed for the Property and the earnings,revenues,rents, issues,profits and other income thereof and therefrom, with all such powers as the court making such appointment shall confer; (d) Mortgagee shall have the right to cause one or more appraisals of the Property to be undertaken,the cost of all such appraisals to be borne by the Mortgagor;and (e) Mortgagee shall have the right forthwith,at its election,and without further notice or demand (except as otherwise specifically provided in the Note or any documents, instruments or agreements executed in connection therewith) and without the commencement of any action to foreclose this Mortgage, to enter immediately upon and take possession of the Property without further consent or assignment by Mortgagor,with the right to lease the Property,or any part thereof, and to collect and receive all of the rents;issues and profits, and all other amounts past due or to become due to Mortgagor by reason of its ownership of the Property and to apply the same,after the payment of all necessary charges and expenses in connection with the operation of the Property (including any managing agent's commission,at the option of Mortgagee),on account of interest and principal amortization under the Note,taxes,water and sewer charges,assessments and insurance premiums with respect to the Property, and any advance made by Mortgagee for improvements, alterations or repairs to the Property or on account of any other indebtedness hereby secured. And Mortgagor hereby irrevocably appoints Mortgagee as its attorney-in-fact to institute summary proceedings against any lessee,tenant or other occupant of any portion of the Property who shall fail to comply with the provisions of the Lease or with any covenant,agreement or condition applicable to the possession or occupancy of the Property by such lessee, tenant or other occupant. If Mortgagor or any other persons claiming by,through or under it,are occupying all or any part of the Property, it is hereby agreed that Mortgagor and such other persons shall either immediately surrender possession of the Property to Mortgagee and vacate the premises so occupied or pay a reasonable rental for the use thereof,monthly in advance,to Mortgagee. Mortgagee shall be entitled to collect all reasonable costs and expenses incurred in pursuing the remedies provided herein, including, but not limited to,reasonable attorneys'fees. This Mortgage is upon the STATUTORY CONDITION and upon the further condition that all covenants and agreements of the Mortgagor contained herein,and in the Note,shall be kept and fully performed, for any breach of which or upon the occurrence of an Event of Default, the Mortgagee shall have the STATUTORY POWER OF SALE. Mortgagor will, upon Mortgagee's request, execute such deed or deeds confirmatory of such sale or sales as Mortgagee may deem necessary or advisable. Any sale of the Property at public auction pursuant to the statutory power of sale contained herein may be held upon the Property, or at such other place, if any, as may be designated by Mortgagee. 12. Mortgagor Not Released,Forbearance by Mortgagee Not a Waiver. No extension of time for payment or performance of the Note,this Mortgage or any other instrument or agreement secured hereby granted by Mortgagee to Mortgagor shall operate to release, in any manner, the liability of Mortgagor. Any forbearance by Mortgagee in exercising any right or remedy hereunder or otherwise afforded by applicable law shall not be a waiver of or preclude the exercise of any such right or remedy. 13. Successors and Assigns; Joint and Several'Liability Co-Signers: Captions, The covenants and agreements herein contained shall bind,and the rights hereunder shall inure to,the respective heirs,personal representatives,successors and assigns of Mortgagee and Mortgagor. In the event there shall be more than one Mortgagor,all covenants and agreements of persons executing this Mortgage as Mortgagor shall be joint and several. Any Mortgagor who signs this Mortgage but . does not execute the Note(a)is signing this Mortgage to mortgage,grant and'convey the Mortgagor's interest in the Property under the terms of this Mortgage,(b)is not personally obligated to pay the sums secured by this Mortgage in excess of the value of such Mortgagor's interest in the Property, (c)agrees that Mortgagee and any other Mortgagor may agree to extend,modify,forebear or matte any accommodations with regard to the terms of this Mortgage or the Note without notice to such Mortgagor and without such Mortgagor's consent, and (d) waives presentment, demand, protest, notice of protest, notice of dishonor, notice of non-payment, and all other defenses available to a surety,endorser or guarantor under applicable law. The captions and headings of the paragraphs of this Mortgage are for convenience only,and are not to be used to interpret or define the provisions hereof. 14. Security Agreement. It is the intent of the parties hereto that this instrument shall constitute a Security Agreement within the meaning of the Uniform Commercial Code as in effect in the Commonwealth of Massachusetts(the"Uniform Commercial Code")with respect to all Leases, rents, insurance policies,condemnation awards,fixtures and other personal property of Mortgagor now or hereafter located upon or affixed to the Property,and all replacements thereof,substitutions therefor, additions thereto and proceeds thereof (hereinafter referred to collectively as the "Collateral"), and that a security interest shall attach thereto for the benefit of the Mortgagee to secure the indebtedness evidenced by the Note and secured by this Mortgage,and all other sums and charges which may become due hereunder or thereunder. Mortgagor warrants and covenants that: (a) Except for the security interest granted hereby, Mortgagor is, or upon acquiring rights in any of the Collateral will be;the owner of the Collateral free from any other lien, security interest or encumbrance;and Mortgagor will defend the security interest of the Mortgagee in the Collateral against claims and demands of all persons at any time claiming the same or any interest therein. (b) No financing statement covering any Collateral is on file in any public office, and at the request of Mortgagee, Mortgagor will join with Mortgagee in executing one or more financing statements pursuant to the Uniform Commercial Code in form satisfactory to Mortgagee and will pay the cost of filing or recording the same in all public offices wherever filing or recording is deemed by Mortgagee to be necessary or desirable. (c) The Mortgagor hereby authorizes the Mortgagee to file financing and continuation statements with respect to the Collateral without the signature of the Mortgagor whenever lawful. (d) In the Event of Default under this Mortgage and to the extent permitted by law, the Mortgagee shall have the option of proceeding as to both real and personal property in accordance with its rights and remedies in respect of the real property, in which event the default provisions of the Uniform Commercial Code shall not apply. The parties agree that in the event the Mortgagee elects to proceed with respect to the Collateral separately from the real property,ten(10) days'notice of the sale of the Collateral shall be reasonable notice. J � (e) Mortgagee may exercise any and all other rights of a secured party under the Uniform Commercial Code. (f) The Mortgagor agrees that, without the prior written consent of the Mortgagee,the Mortgagor will not remove or permit any of the Collateral to be removed from the Property unless the same is immediately replaced with unencumbered fixtures or articles ofpersonal property, as the case may be, of a quality and value equal or superior to those which they replace. All replacements,renewals,accessions and additions shall become and be immediately subject to the security interest of this Mortgage and this Agreement and be covered thereby. (g) The Mortgagor shall,from time to time,on request of the Mortgagee,deliver to the Mortgagee an inventory of the Collateral in reasonable detail,including an itemization of all items ]eased to Mortgagor or subject to conditional bill of sale, security agreement or other title retention agreement. 15. Assignment of Leases and Rentals Mortgagor hereby transfers,assigns and delivers unto Mortgagee all leases,subleases,occupancy agreements,licenses,concession agreements and all other agreements or tenancies, however denominated, whether written or oral, now or hereafter existing with respect to any portion or portions of the Property together with any amendments,' renewals or extensions thereof and all leases,subleases and tenancies in substitution therefor(all of r - which are herein collectively referred to as the"Leases");all rents and other payments of every kind due or payable and to become due or payable to Mortgagor by virtue of the Leases,or otherwise due or payable and to become due or payable to Mortgagor as the result of any use, possession or occupancy of any portion or portions of the Property(all of which are herein collectively referred to as the "rents"); and all right, title and interest of Mortgagor in and to all guarantees of any of the Leases. TO HAVE AND TO HOLD the Leases,the rents and said guarantees,together with all the rights, privileges and appurtenances now or hereafter in any way belonging or pertaining thereto (singly and collectively,the"Assigned Leases"),unto Mortgagee,its successors and assigns,forever, subject,however,to the terms and conditions as hereinafter provided: (a) Mortgagor does hereby authorize and empower Mortgagee to collect the rents as the same shall become due, and does hereby irrevocably direct each and all of the lessees, sublessees, tenants or other occupants of the Property to pay to Mortgagee, upon demand by Mortgagee,the rents as may now be due or payable and/or shall hereafter become due or payable. (b) No such demand shall be made by Mortgagee unless and until there shall have occurred an Event of Default hereunder or under the Note and that, until such demand is made, Mortgagor shall be authorized to collect or continue to collect the rents. (c) Mortgagor's right to collect or to continue to collect the rents as aforesaid, shall not authorize collection by Mortgagor of any installment of rent or any other payment (exclusive of security deposits) more than one (1) month in advance of the respective dates prescribed in the Leases or otherwise for the payment thereof without the written consent of Mortgagee. (d) No lessee, sublessee, tenant or other occupant of the Mortgaged Property making any payment to Mortgagee pursuant to this Section 15 shall be under any obligation to inquire into or determine the actual existence of any default claimed by Mortgagee. (e) Mortgagor does hereby constitute and appoint Mortgagee, while this assignment remains in full force and effect, irrevocably, and with full power of substitution and revocation, its true and lawful attorney, for it and in its name, place and stead, to enter and take possession of the Property by actual physical possession without the commencement of any action to foreclose under this Mortgage or to exercise any power of sale it may have hereunder and to do, execute and perform any act,deed,matter or thing whatsoever that ought to be done,executed and performed in and about or with respect to the Property as fully as Mortgagor might do;provided, however,that this assignment shall in no respect operate to place upon Mortgagee any responsibility or obligation to take any action whatsoever with respect to the operation,control,care,management or repair of the Property and that any action taken or failure or refusal to act by Mortgagee shall be at Mortgagee's election and without any liability on its part except for its willful misconduct, and provided further that Mortgagee shall not exercise_any of the above rights or powers until an Event of Default shall have occurred hereunder. (f) The Mortgagor will,from time to time,promptly upon demand,deliver to the Mortgagee a true and correct schedule of all Leases then in effect,showing the name of the tenant, the space occupied,the rental rate and the expiration date of the term. (g) Mortgagor will not, without in each case having obtained the prior written consent of Mortgagee thereto,(i)cancel,terminate,or accept any surrender of any Assigned Lease, or amend or modify the same directly or indirectly in any respect whatsoever,or(ii)agree orconsent to the assignment or subletting of any Assigned Lease without in each case having obtained the prior written consent of Mortgagee. 16. Governina Law. This Mortgage shall be governed by,and construed in accordance with,the laws of the Commonwealth of Massachusetts. IN WITNESS WHEREOF,Mortgagor has executed this Mortgage as a sealed instrument as of the date first above written. WITNESS: c� By: Jo W. Kenney,Esquire orm COMMONWEALTH OF MASSACHUSETTS COUNTY OF BARNSTABLE On this 23 d day of March,2015,before me,the undersigned notary public,personally appeared Nile Morin,proved to me through satisfactory evidence of identification,which were MA Drivers Licenses,to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily and that it was his free act and deed. 1p?of ublic: John W. Ke ey y commission expires: 1/18/2019 n ' ' f EXHIBIT A 8 Denver Street Hyannis, MA 02601 The land together with the buildings thereon situated in the town of Barnstable (Hyannis), Barnstable County, Massachusetts shown as: LOT 91 Land Court Plan 14034-M (Sheet 1) For title, see Deed filed with the Barnstable Registry District of the Land Court as Document No. , a L (08 , Certificate of Title No. _ O BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register cy gpm , w y .^ ` `+ ,► !•� * �L s .e' ` ►fir z. 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DIVISION Page 1 of 2 Anderson, Robin From: nicholson [nicholson323@comcast.net] Sent: Sunday, January 11, 2015 11:16 AM To: Anderson, Robin Subject: Re: 8 Denver Street Dear Ms. Anderson, FYI, these pictures were taken today. There are still commercial vehicles being parked across the street from us. This vehicle, as you can see, does not have an inspection sticker. The name of the Company printed on the door is New Look Painting. Please look into this issue for us, thank you. Steve & Sarah Nicholson, 67 Hamden Circle, Hyannis 508-827-7336 From: "Robin Anderson" <Robin.Anderson@town.barnstab le.ma.us> To: "nicholson" <nicholson323@comcast.net> Sent: Monday, November 10, 2014 4:28:17 PM Subject: RE: 8 Denver Street Mr. & Mrs. Nicholson, Please be advised that I received the photos you emailed this afternoon. We will take a look at the property. Wp6in Robin C. Anderson Zoning Enforcement Officer Town of Barnsta6Ce 200 Main Street Hyannis, NA 026o1 5o8-862-4027 -----Original Message----- From: nicholson [mailto:nicholson323@comcast.net] Sent: Monday, November 10, 2014 12:12 PM To: Anderson, Robin - Subject: 8 Denver Street Dear Ms. Anderson, My husband and I live at 67 Hamden Circle, Hyannis; we bought this house in June 2014. 1/12/2015 Page 2 of 2 f I called you earlier today and left a message for you at the town hall at X4027. We are concerned about the person living at 8 Denver Street; he seems to be running at least three businesses at his home. We think this because of the several vehicles, trucks, vans and cars that he has parked in his yard and his driveway. Attached are some pictures that we took yesterday (11/9) with the three latest vehicles. There are been other vans and trucks there off and on with different markings and advertisements on them. We are concerned not only about the appropriateness of running commercial ventures from a residential home, but about chemical contamination of the environment, illegal activity and of course our property values. Is there anything that you can do to help us with this issue? Thank you, Stephen & Sarah Nicholson 67 Hamden Circle, across the street from 8 Denver. 508-827-7336 1/12/2015 4 f ' �� < < � 1 r 'i E �, r a . _ Dv,cn 1 s24�'r232 46-1$— 01 1 :51 BARNSTABLE LAND COURT REGISTRY APN#:#:MAP 291 LOT 308 Prepared by: Fred Jeune When Recorded Mail To: OCWEN LOAN SERVICING,LLC 5720 Premier Park Dr, West Palm Beach,FL 33407 Phone Number:561-682-8835 ASSIGNMENT OF MORTGAGE MASSACHUSETTS This ASSIGNMENT OF MORTGAGE from ARGENT MORTGAGE COMPANY LLC BY ITS ATTORNEY-IN- FACT CITI RESIDENTIAL LENDING,INC., whose address is c/o Ocwen Loan Servicing, LLC.'5720 Premier Park Dr, West Palm Beach, FL 33407("Assignor")to WELLS FARGO BANK,N.A.,AS TRUSTEE FOR THE'POOLING AND SERVICING AGREEMENT DATED AS OF SEPTEMBER 1, 2004 PARK PLACE SECURITIES, INC. ASSET- BACKED PASS-THROUGH CERTIFICATES SERIES 2004-WHQI whose address is c/o Ocwen Loah Servicing, LLC. 5720 Premier Park Dr,West Palm Beach,FL 33407("Assignee"). For good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the Assignor does by these presents hereby grant,bargain,sell,transfer and set over unto the Assignee,its successors,transferees and assigns forever,all of the right,title and interest of said Assignor in and to the following instrument describing land therein,duly recorded in the Office of the Public Records of BARNSTABLE County,State of MASSACHUSETTS,as follows; Mortgagor: EUGENIO OSTAPECHEM Mortgagee: ARGENT MORTGAGE COMPANY,LLC Document Date:JULY 23,2004 Amount:$244,000.00 * ' Recording Date: JULY 26,2004 " Instrument Number: 974855 Certificate number:173839 , Property address: 8 DENVER STREET,HYANNIS,MA 02601 This Assignment is made without recourse,representation or warranty. IN WITNESS WHEREOF the Assignor has caused these,presents to be executed in its name,by its proper officer thereunto duly authorized,the day of 2014 AR NT MO E OMPANY LLC o B ITS A EY-IN- ACT C IRE TIAL NDING, INC. Si ed,sealed and d livered in the presence of: NAME: •Ar�A9 �•PQIIZJO ; TITLE: Vice President wvw LQAA STATE OF FLORIDA )' )ss. COUNTY OF PALM BEACH ) The ore otn instrument was acknowledged before me this �11— day of 2014, by �•Arias Vice President at ARGENT MORTGAGE COMPANY LLC BY ITS ATTORNEY- IN-FACT CITI RESIDENTIAL LENDING,INC.,on behalf of the company. He/she is personally known to me. Notary Public— ChristIM I FOW State of Florida Notary Public State of Florida ' Christian J Ferrer My Commission FF 062234 � o41 Expires 1213=016 BARNSTABLE REGISTRY OF DEEDS 0. File Edit View Insert Format Records Tools Window Help ael., _ 9 x vK P<; Violations lNettoAugusto close AcctNo: CitationNo: Ord: Chapter'Aiticle Section "`"' <� 23309 FVM 9 221 -Jj Chapter 240: ZONING-11 RB RD-1 and RF-2(Al)Residential Districts I' 11'rincipal permitted uses in the RB,RD-1 and RF-2 districts Offense: Illegal apartment in basement ? f Violation Date/Time. Location of Offense Yltage r _ , 06/06/2016 'f 1500 8 Denver Street Hyanrns f _ IssueDate. Enforcing Dept Issued By BadgeNo F 06/28/2016 16uildmg IAnderson Robin j 1 P.aymPrz,Y,� <, x Fine BalanceDue: Disposition_ 100.00 l3ff- i Paid CitatienNo PayDate CheckNo: CheckAmt CashAmt 1 � 1 �+ ✓� / 79387 Ol/1.1/2017! 0,00 1.00 00_ 79387 10/30/2017 Voided B - Docket No_ �r z,�y. m _. s, 16254C000742 Record: 14 1 F1 / /11► of 1 2nd Notice_: Show Cause Hearing Date Arraignment Date. Comp'hiance Heanng!Date PretnalrDate Jury Trial Date 08/15/2016 900 0AM 9Al2/02/26 90AM 9 5 00 AM�, 09/15/2016 p on Arraignment Drsposi�mn fiance Dtspostt�n Pretrial DtsposRton Jury,Tnal Dtsposdton Final Notice: Show Cause Dies ositi _ Yf as Y x Comments Date- �� Arraign/ReportRequest 9 00 AM a INACTIVE:Heanng tD posttlon S Hear,Req 4¢ tT Record 11 1 i t_�..,.,. 9587 1�11 ►CIE` of 14237 Bares NUM s ten.M� 3 t .P P war Monday, Oct 30,2017 04:00 PM Message Page 1 of 1 Anderson, Robin To: Scali, Richard Cc: Smith, Tracey; O'Connell, Timothy Subject: Court Today Magistrate Hearing 12/2/2016 8 Denver - Augusto Netto Zoning Violation BAR 79387 Illegal apartment No show Found Responsible. Ordered to pay within 20 days. 70 Lewis St- Paul Fichter - Health Violations The 9 citations heard today are to be held in abeyance pending the appeal of another 9 citations issued by Tim on a later date. Fichter will appeal the next 9 in order to obtain an appeal date. Fichter ordered by magistrate to resolve matters with town officials and obtain successful re-inspection Fichter must resolve all issues before the hearing date of the next set of 9 citations or otherwise be held responsible for all 18. He must also work to correct zoning violations discussed today and cited previously (and paid previously). Subsequent inspection to be joint inspection with Health, Building, Zoning & Fire. ptg61R Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026o1 5o8-862-4027 12/2/2016 DATE: November 30, 2016 TO: Building File FROM: R. Anderson, Chief Zoning Officer RE: Complaint of Illegal Apartment LOCUS: 8 Denver Street, Hyannis Owner: Augusto Netto, 17 Uncle Al's Rd, Hyannis This property is situated on the corner of Denver Street& Handen Circle.. The corresponding street file contains a number of complaints and violations concerning the use of the lower level of the subject dwelling. Augusto Netto purchased the property in Dec. of 2015. Property History 07/14/1977 Building permit#19654 to construct a 6 room, one story dwelling. 03/13/2007 Exit order issued for illegal/unsafe bedrooms 08/17/2007 Agreement recorded LC Reg for family apartment 08/27/2007 Building permit#20702787 Create family apt/remove illegal bedrooms 05/08/2006 Photo 02/24/2008 CO—family apartment - Ostapechem 04/20/2008 Conveyance Ostapechem to Ostapechem and Gilberto & Glacyr Serra 04/,22/2008 Family Apartment letter sent to Gilberto Serra 10/13/2011 Letter of complaint 11/10/2011 Letter of complaint 01/27/2014 Letter of complaint 10/08/2013 Photos of Lower level apartment 02/19/2015 Violations issued to Eugenio Ostapechem (#79032 & #79033 paid) Feb/March Disucssed illegal status of basement with Nile Moran, RE Agent 03/23/2015 Conveyance Ostapechem and Gilberto &Glacyr Serra to Nile Moran 2015-2016 Property vacant—foreclosure process begins 12/23/2015, Conveyance Moran to Netto 06/23/2016 Complaint received. Reported to site with Tom McKean. No one responded on first floor. Walked around and knocked on rear entry. A young woman answered. She stated she lived there with her parents in the apartment: They are not related to occupants on the first floor. She didn't know the identity of the landlord. I left my card and requested she ask her parents to call me or notify the landlord to call me. 06/28/2016 No contact from owner or tenant—issued citation#79387 . 10/13/2016 Woman attempted to secure an express permit unable to issue due to-non-resident owner&zoning violations. t THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY. ORIGINAL (s) m A � pATA NAME OF OFFENDER`" .BAR° �90 +�31 -•III - TOWN OF ADDRESSOFOFFEND v�, mil' BAR TABLE CITY,STATE,ZIP CODE nin i MV/MB REGISTRATION NUMBEFI U j - MASS IDS TIME A- PATE OF VIIOLAT , ' F.YIOLATION ,r+- NOTICE OF A. / P.M.)ON 20 t a I SIGN A F,Nf-0RC -SQN I G DEPT ,,,+- I -'+ BADGE N0 'A• �; w. .I - - VIOLATION 7l l y I - - OF TOWN I HER BY ACKNOWLEDGE RECEIPT OF CITATION X c _ ORDINANCE Q- nable to obtain s' natur f often er. .THE NONCRIMINAL FINE FOR THIS.OFFENSE W s w Date mailed _ OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a - 4,;, a si erA - DISPOSITION WITH-NO RESULTING CRIMINAL RECORD. REGUL-. ION - _u�v „�_,,,- :P..M Monday-through'Fnday legal holidays excepted 'rw W" or or postal note to Barnstable Clerk PO Box'243 . , e11111IIIIIIIIIIIIIIII11laquest to DISTRICT COURTDEPARTMENT FIRST r _ `D Noncriminal Hearings and endow a copy offhls I A. Signature p Agent 4 Complete items 1,2,and 3.Also complete r the hearing orto pay arry fine determined afthe Y item 4 if Restricted Delivery is desired. �( p Addressee I Print your name and address on the reverse o De live m pat so that we can return the card to you. B. Received by(Printed Nae) the amount of$ I Attach this card to the back of the mailpiece, a ... a Y t, or on the front if space permits. D. Is delivery address different from item 1? [3 Yes If YES,enter delivery address below: I--]No T . Article ddressed to: e n o Q.S�a f e� t l�✓t ,led 3`5 TclG-/74 's� U z �� 3. Service Type �' Certified Mail® C7 Priority Mail Express'" , ❑Registered 'E F:Return Receipt for Merchandise`� � , I - ❑insured Mail ❑Collect on Delivery �. 4. Restricted Delivery?(Extra Fee) ❑Yes IWMB REGISTRATION NUMB v 2. Article Number 7 014 12011 11001 0358 2455 • , (transfer from service/abeQ Domestic Return Receipt ` o , PS Form 3811,Ju1y2013 , , I T ND DATE CIVIOLATIO9 +'+�"' L OF VIOLATIONI NOTICE OF a(9:M./. )ON —` 20 l ? T I VIOLATION SIGNAybR OFENFORCI a{ ENE D A f M- BADGE NO ti�il - f.: OF TOWN I HER ACKNOWLEDGE RECEIPT OF CITATION X 'Q ,a l� d .f4 3 7 h THE NONCRIMINAL FINE FOR THIS OFFENSE IS i W w EGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1),OR OPTION(2)WILL OPERATE AS A FINAL t D.D _ 1 e ppearing in person between 8:30 A.M.and 4 00 P.M Monday through Friday,legal holidays excepted Lail nnls,MA 02601,or by mailing a check mdney order or postal note to Barnstable Glark PO Box 2430 - n AYS OF THE DATE OF THIS NOTICE. +•''`' ' t 'At '+ 1 P. /' { • l r i al proceeding yyoou may do,so by mak rig wr tten request to DISTRICT COURT DEPARTMENT FIRST' AIN STREET,BARNSTABLE,MA 02630 Attn:21D Noncriminal Hearings and endow a copy of this , al t* t.� _ 1} - Postage $ t a hearing within 21 days,or 4 you fail to appear fortheheanng brto.pay any fine d�terml�ned at the. d against you. 4 _ Certified Fee mark... m �P Y�I _ ss to the offen Return Receipt Fee V se charged,and enclose payment ,the amount of$ - :3 (Endorsement Required) Restricted Delivery Fee O (Endorsement Required) o i ru Total Postage&Fees rq ::1- Sent To chi ----- �r1 S N;j t,Apt. o.; / J.1 n d- n �7 or PO Box No. -- - � • (.,c.� �' c,� (,UG�S (��C,Q�.�m�� row �.��lv��n ^�� Alf NAME OF OFFEND BAR 79387 I'r TOWN OF ADDRESS OFOFFEN y� 1n � I. BARNSTABLE CITY.STATE,ZIP CODE. l IIA N9\TABL[. OftESE f `. n Uj .6 67q. �� fO MKk� W yn D T 10TION LO VIOLATION W . t NOTICE OF (A.M./ P.M ON 20 . VIOLATION SIG T E EN E O E r � DGE N0. w y I. OF TOWN � I HER CKNOWL DGE RECEIPT OF CITATION X a j' ORDINANCE nable to obtain signa o j g'r. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S ~ Date mailed (p w �r w 11 OR YOU HAVE THE FOLLO NG ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a- I DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION 1 You may sled to a the above fine,either b a Baring In arson between 8:30 A.M.and 4:00 P.M.;Monday through Friday,legal holidays exae tad, Q j before:The Barnstable Clerk,200 Maln SUeel,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, J Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE a ((2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ' 9ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation fora hearing. (3)I1 you fall to pay the above offense or to request a hearing within 21 days,or N you fall to appear for the hearing or to pay arry fine determined at the J hearing to be due,criminal complaint may be Issued against you. 9 ❑ 1 HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment In the amount of$_ Signature OF OFFEND PTO N'CyF - ADDRESS OF OFF BAR. '997 `BA STABLE CITY,STATE,ZIP CODE G REGISTRATION ER u • It 'AaIX. B SE W ' d O w TION i:.NOTICE OF A.M./P.M ON 20 L ON t noN w VIOLATION SIG A RE FORCING �0 G ET Q ADGE NO. LLJ l f ( to 1 I HER Y ACKNOWLEbGE RECEIPT OF CITATION ORDINANCE able to obtain signature o offe d r. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Qr� ~ � 's ,OR Date mailed J , YOU HAVE THE FOLLOLLJ 6NGALTEZ1IVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. U (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Bamstable Clerk P.O.Box 2430, LU i R Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. t' CL ; ((2 If you desire I contest this matter Ina noncriminal proceeding,yyou mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST S BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn.21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. ' (3)If you fail to pay the above offense or to request a hearing Within 21 days,or If you fail to appear for the hearing or to pay any fine det [[[ . ermined at the hearing to be due,criminal complaint may be issued against you. ❑ I.HEREBY ELECT the first option above,confess to the offense.charped,and enclose payment in the amount of$ < Signature DATE: November 30, 2016 TO: Building File FROM: R. Anderson RE: Complaint of Illegal Apartment LOCUS: 8 Denver Street, Hyannis Owner: Augusto Netto, 17 Uncle Al's Rd, Hyannis Conveyance: Purchased 12/23/2015 This property is situated on the corner of Denver Street& Handen Circle.. The corresponding street file contains a number of complaints and violations concerning the use of the lower level of the subject dwelling. Augusto Netto purchased the property in Dec. of 2015. Permitting History 07/14/1977 Building permit#19654 to construct a 6 room, one story dwelling. 03/13/2007 Exit order issued for illegal/unsafe bedrooms 08/17/2007 Agreement recorded LC Reg for family apartment 08/27/2007 Building permit#20702787 Create family Apt/remove illegal bedrooms 05/08/2006 Photo 02/24/2008 CO—family apartment- Ostapechem 04/20/2008 Conveyance Ostapechem to Ostapechem and Gilberto & Glacyr Serra 04/22/2008 Family Apartment letter sent to Gilberto Serra 10/13/2011 Letter of complaint 11/10/2011 Letter of complaint 01/27/2014 Letter of complaint 10/08/2013 Photos of Lower level apartment 02/19/2015 Violations issued to Eugenio Ostapechem 03/23/2015 Conveyance Ostapechem and Gilberto &Glacyr Serra to Nile Moran 2015-2016 Property vacant-foreclosure process begins 12/23/2015 Conveyance Moran to Netto 06/23/2016 Complaint received. Reported to site with Tom McKean. No one responded on first floor. Walked around rear and knocked on door. A young woman anserwed. She stated she lived there with her parents in the apartment. They are not related to occupants on the first floor. Left card and request to have owner contact me. --,06/28/2016 No contact from owner-issued citation#79387 10/13/2016 Woman attempted to secure an express permit unable to issue due to non-resident owner& zoning violations. RAlf, _j4Le_��T NAME OF OFFEND BAR (� Q 'r TOWN OF „ J o ADDRESS OF OFFEN 7 gAcry- 11 BARNSTABLE CITY,STATE,ZIP CODE �( I .... '' df Im - MV/ REGISTRATION NUMBER IIAN\.l'ARI.C. DIE SE \ i „Ass lta rAat ` O LU D T 10 TION - LO VIOLATION '� W NOTICE OF (A.M./ P.M)ON b 20 VIOLATION 3HER EN Ct" E E r * DGE NO. W N O i. OF TOWN CKNOWL OGE RECEIPT OF CITATION X a ' ORDINANCE le to obtain signatur o e Fa— T THE NONCRIMINAL FINE FOR THIS OFFENSE IS I i , Date mailed Moly LLJ OR YOU HAVE THE FOLLO NG ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. y REGULATION (1)You may elect to pay the above fine,either by appearingg In person between mailing8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holida exoepted, w Hyanni ThMA 02601 bW THIle N TWENTY-ONE(200 Main 21 DAYS OF E DATE OF THIS NO710E.a check,money order or postal note to Barnstable Clerk P.O.Bcoc 2430, CL I �2)If you desire to contest this matter in a noncriminal proceeding,.you maqq to so by making written request to DISTRICT COURT DEPARTMENT,FIRST )RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTAEILE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this i citation fora hearing. (3)If you Fail to pay the above offense or to request a hearing within 21 days,or N you fall to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. !� ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature llff¢.y w-tf rah; ry{Tr )kr 4y NAME OF OFFEND _ ; BAR � la PTO N,O F} ADDRESS OFOFF - + 7' ��,;`BA STABLE CITY,STATE;ZIP CODE �tt tall ' �(m r MV/M8 REGISTRATION NUMBER' '..IIAN\ti1A01.! .r 0 SE \ . RFD IAICr�� - UjCL t _ TION LU ' NQfiICE OF (A.M.i P.M oN 20 ` o I TIDN W VIOLATION BIG A flE NFORCING �0 d EPT Q ADGE N0. LtJ ( ( U) OF TOWN I HERBY ACKNOWLEDGE RECEIPT OF, CITATION X ,,, :ORDINANCE nable to obtain signature o offe d r. o ( Date mailed THE NONCRIMINAL FINE FOR THIS OFFENSE IS 0R YOU HAVE THE FOLLU LO NG ALTERNA IVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a i REGULATION DISPOSITION'WITH NO RESULTING CRIMINAL RECORD. W , (1)You may elect to pay the above fine,either by appearing in person between 8:30.A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, r» before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a dheck,inoney.order or postal note to Barnstable Clerk,P.O.Box 2430, 1J1I Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. E. CL i If you desire to contest this matter in a noncriminal proceeding,yyou maayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST x 9�Ron foi a h DIVISION,COURT COMPOUND,MAIN STREET,BOu STABLE,MA 02630, ift 21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If You fall to pay the above offense or to request a hearing within 21 days,or if you fail to appear for hearing to'be due,criminal complaint may be Issued against you. the hearing or to pay any fine determined at the K i �i ❑ I-HEREBY ELECT the first option above,confess to the Offense.Y. charged and.en'close payment in the amount of$ Signature t U DzoUz - i �i J � .. ,• r VAC ur ..: �`i�t �T - _+sue 64�IGi �� "_+•!..+.. - d _ _.- a C✓� �..:Sv� M-'�',.;4^'�`F- '�� � � ''T a '";" "'^. _ -9w".-" y�,�...........«�y;,:',i,•9'TrP .. rig 4, O f. • - �: " __ : � ':.a .-F�+S-- � ""� ., 5� -�e•`Y;3s� - _ - .'-'Y+-'!` �• . *. ..__ �n.`y '"er a.. 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That day,Saturday before we visited the site, her mother was over with her grand-daughter, nephew and some friends and sisters that day.They did not have school that day and it was a day to have her daughter's friends over with, the trampoline . The basement has a playroom and a laundry, along with a couch and bed. Her cousin is staying in the basement. She is visiting from Brazil for another month. It.is not rented. From: Anderson, Robin Sent: Thursday, June 23, 2016 9:52 AM To: McKean, Thomas Subject: - Did you ever from the landlord at 8 Denver? 0�96& Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 6/24/2016 J CD Iva- o'�i..C(CIA'Al—, c N co w r .�oT vs qTT; -44-140 7-.3/ .CaTr O !4� a b OY 14 g7- •h O ,Ad , o� f r off. WX bop ' , k .5.. ' 0. z - NORMAN ww GROSSMAN ca ' d dIV 12775 L�4 •r V O � IF Assessors map and lot number ,�. m �; Y s SEPTIC SYSTEM MUST SE � —nj 9INSTALLED COMPLIAN CE Sewage;Permit number. ............ .... 1NITL-I ARTICLEI STA � 9 .Y � I � TE SANITARY CODE A T z�Vl t. �; fTMETO�� w fir TOWN OF BARNS-TT j LIE u? i B9SBSTSDLF4 i fl _ 10 Y BUI.LDING t INSPECTOR .•i T MABa °� _ 639. W pn { APPLICATION FOR PERMIT TO '� s-a ,,•� i r.:� .............. .may.. ..�.. ..: .............. ........... ....................................... TYPE OF CONSTRUCTION ....: � !I> -C, ��1......�, 1, ... � 2�m�F f... .....�. 19..�� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the the following information: Location ...... .........4......... . ..........P.�..Ap. /C'./�.. / �,...�1� �.....�........... ........... ProposedUse .................� ........................................................................................................ ZoningDistrict ........................................................................Fire District ......%...�................................................................... Name of Owner � % ��.� •tYd. �y/! dress ..........'.:_.J.....r. !~ ..rl�lrr' -a!�L �•� ' Name of Builder % "..e<c�€!......... .. .��, .. T�✓.Address ............ .. «.�L•2��c ;L,'���i���f................ Name of Architect ....Address r--................... Number of Rooms ..................." ...............................Foundation ..... t%. ..lS l-:.... '. Exterior ... !� !.... i� ..,.: �.�� ....Roofing ........ .... Z ..... :�. ���. .... Floors (!! aa! �L��.................................Interior ..........�:y.. . ...����� ........................... Heating 1 .. .��.YL ��.:I .........Plumbing ......:.... ... - ............... . p ...........Approximate Cost / . '. Fireplace ................. ..:........ .... �... ... .... .. ....................... 0 ,t , . Definitive Plan Approved by Planning Board -----------------------------19-----__. Area ......../.'Cd.om.� ................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH z' 'PI7 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. 12,.`�. ?...... �� Z• ..v: ✓e .. Cedar Acres Realty Trust J No10.654........ Permit for .Dvalliug:1 ............ A..814 R........ .................................. Location... ..�� .at........................... s . Y .D@IiVe7l. � -Hyannis Owner „�edaz Acres RRalty Trust r F Wood Fr®me Type of Construction - • n ", r . Plot -..:. Lot ...........: i r c } Permit Granted`................tA.......5........19 77 Date of Inspection ........ ............................19 Date Completed ....19 .PERMIT REFUSED - ............................:.................................... 19 k , r. .................. ......................................................... _ +i ................................... , ............................;. ..................... .: ........... �•� i..� ' - ' � .. •fit rApprovecl ............................................ 19 t y ................................................................... .... -L x Assessor's map and lot number '"�. ..................................7 ;eWage Permit number TOWN OF BARNSTABLE *THE tp�4 .' � i BAHH9TSDL8, i ' 9° i m BUILDING INSPECTOR ( C 639_ \0� �FQ YF�a'. APPLICATION;FOR,PERMIT TO ................. . r ............................................................................ TYPE OF CONSTRUCTION ..........1... . ......I............................- . r ....r! rC/'f .. 7 c a r ............ .. . - - ....................................� e. ...19....�..f �U TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........L ....................................? '...i<<..... . ...................................... ~:.... ............ .. ProposedUse ...................... ...:..., .r.... o !`1. .-......, f,.r........................................................................................................ Zoning District .................Fire District .............................................................................. Name of Owner .. ...........................`.. .. .._ !.... I�� , f '' ^`tom,,,Address ............... �/F .r ........'.n.�' ' '`l.. ...... Name of Builder ...... !.....' fr ...... . . s.t ......Address ...............................t .................................... � r Nameof Architect .................................................................Address ..................,................................................................. 1 Number of Rooms .....................� /...............................Foundation .... r/ ...... ...f .. .nf:f...( .f:r.?.... ... Exterior "..:...!. !...............................................Roofing�. At, r•% Y .........................1 h o ,, Interior '...:........•_r �, - r� ff!.-'! Floors :................................................................. ............... .1....: ..... Heating .......................... ..................... 1.' r.........Plumbing .................... ... '� ...................... ...............................Approximate Cost .........................r*Fireplace ................................................... � ........................................... Definitive Plan Approved by Planning Board -----------_____—-----------19--------. Area .......................... Diagram of Lot and Building with Dimensions Fee ""' ' ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH � r j 1 I 'r _ f `` I. hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above I;V construction. Name !...1'.. . ....... ....../i........:...'.; ...c...`.... Cedar Acrei Realty Trust fr > No .19654 ............P)Permit for ..WP-111mg......*........... .......................................................... lot 91 Denver St. Location ................................................................ ................................ Owner ...Rea ty...T.rust.............. Type of Construction ........�'Wood.-Frame......... .......................................... ..................................... A 291 308 Plot .......................... Lot ................................ Permit Granted ..(..............Oct.....5........1977 Date of Inspection ..........................19 Date Completed ......................................19 PER 14USED .......................17.............................. 19 ................ ..... .............. . ..... ... ::::. ............. . .. . .. .. . ...... . .......... ........ ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Town of Barnstable s Regulatory Services a a y 'M SBBI'E'$ Th om as F. Ge R er,D it ect or - 1619• '�Enr,►o+" Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.townbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 March 13,2007 Mr.Eugenio Ostapechem 135 Dunns Pond Rd. Hyannis,MA 02601 Re: 8 Denver St. EXIT ORDER Dear Mr. Ostapechem, Under the provisions or 780 CMR,the State Building Code,section 3400.5.1,you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. Your cooperation in this matter is appreciated. Sincerely, Paul Roma Local Inspector Things to do today . . � ❑ v 71rq-- �L,..js ❑ c3--/3-6 508.428.870 1�`�TNG Fx 508.428.8524 info@lujeanprinting.com ®a Plant: P CJ 4507 Rou 28 Cotuit,MA 0te 35 ®~ Mail: coMPA� P.O.Box 571 Osterville,MA 02655 ♦,`t.F o, k rs 6i „y rmkl IT t.F 8 Denver St. , Hyannis 5/8/06 �l • f e Z oT 25 -coT3/ ,caT3o . >O/?O d Q� � 5�8 I=atsA/dt• . . 'h 3•e L .0 G uo luj; . to NauS�e La CA 7'roA/ Z. I-IYAi✓Aoo'5 C l�(STWW.10 ��954�- „ _ ,� � ESN °� c NoRI�4N lr�2aSS/�r.4N 1�.L.S. * a ®� doRMAN 9G� QtditS/Ei2: cet2,4tZ i9CRES Y LTy '77?ttS7" 'a T c GROSSMAN d' j a ~ 12775 j9 ; 'Q Qj • '' " ': p ��A SURy� CtA-sz- vv"':5'L C.L 11 �t -LLC 4` � cc�� 1.A-- C'L U C. ``SSG C�C; 1. C'.Y�. ►'vL Qj .—k V-\r�� t1 L V- \ L.i 12:1 /D vuo C.C� `-c' J�t,C. JQ-, \'�1G L G�-1 ? �'1FG ► �'� . UL. :vC 6tGtitie. c. J t � _�- G� a� ECG .V-4,tCk t,�b1.t� �`C`LA,. - a ` C�i�l� �,1.�•� PCs�;��-� , J`l kA 0 c,u r\,V 4- � -77 _ of r L'LL.i evVk I'l i�� Vivo �-.' U L Vv,,C>v--o C� � . c w v",�� lPvGtC l.Q d G`. C'N!L is w k �n 't-ruc_U.... �SL�'} T-7 mot 77 a DATE: November 14, 2011 TO: Building File FROM: R. Anderson RE: Letter from Linda Rowell dated 11/10/2011 LOCUS: 8 Denver Street, Hyannis I inspected 8 Denver on 11/10/2011.with Paul Roma and Tim O'Connell as the result of multiple complaints from Linda Rowell concerning the basement apartment. Ms. Rowell asserts that the apartment is occupied by non family members. The property owner is a Brazilian immigrant and although he has provided this office with an affidavit identifying the apartment occupants as his daughter and son-in-law, we aretunable to confirm or disprove this information. We traditionally accept at face value any affidavit in relation to this very issue. During the inspection on 11/10/1 1,the owner stated that his daughter was busy shipping a lot of purchases and belongings to Brazil and they had had a trailer out front for a considerable amount of time. We did not find evidence of any work occurring in the house on any level- no construction or remodeling. Staff is at a loss as how to quell this.complaint. ^� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 9 Map Parcel Application# 76 AW Health Division Conservation Division Permit# Tax Collector Date Issued A 2ZO Treasurer Application Fee Planning Dept. Permit Fee J �� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 44 Project Street Address ,D .- Village .Owner — - Address S S- �ervl rtf' Pay , Telephone Permit Request -k o, 0- G� e &kf Square feet: 1 st floor:existing proposed 2nd floor:existing A proposed Total new L� .��' Zoning District Flood Plain Groundwater Overlay C Project Valuation ' Construction Type � ��� r Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docu entatiorio dwelling Type: Single Family ? Two Family ❑ Multi-Family(#units) Ale of Existing Structure Azr r Historic House: ❑Yes *No On Old King's Highway: ❑Yes X No Basement Type: 1IFull ❑Crawl XWalkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing t new a Number of Bedrooms: existing 3 new J Total Room Count(not including baths):existing ,Sr new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other CentrafAir: ❑Yes Flo - Fireplaces: Existing New 1 Existing wood/coal stove: ❑Yes XNo Detached garage:W existing ❑new size Pool:❑exiisting ❑new size • Barn:❑existing ❑new size Attached garage:Ix existing ❑new siie Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use S leo Proposed Use BUILDER INFORMATION Name 4 R Dc�s�c�r i��1 Telephone Number S cam. ?� � %G�G Address I) iA Vf License# 011_,�3 17 / il-+ r 1/.r�� j�l all (1) Home Improvement Contractor# AM 1/k Worker's Compensation#ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /V`riys6 SIGNATURE DATE . — 0 / b FOR OFFICIAL USE ONLY " •` :.•` PERMIT NO. DATE ISSUED r r MAP/PARCEL NO. - r ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME ` i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL � GAS: ROUGH FINAL y FINAL BUILDING "�"` Pk- DATE CLOSED OUT d ASSOCIATION PLAN NO. i . � i �1►+F Town of Barnstable Regulatory Services I � Thomas F.Geiler,Director �l" �rEo 3 ►` Building Division O� Thomas Perry, CBO,Building Commissioner G 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW I r Owner:(s-IL �&-ZTO 5 Map/Parcel: Project Address v builder: -6&P evetr The following items were noted on reviewing: A F 7 , I3&Eb P-02H t Ek, -6 a CZ) Q c N S U e— , --o e-a?b E Reviewed by: o Date: —7 ` — O "7 Q:Forms:Plnrvw 4 Dolc: 1s071s161 08-17-2007 10:22 1 BARNSTABLE LAND COURT REGISTRY Town of Barnstable Regulatory Services ? BARN3rABLFw Thomas F.Geiler,Director _ 1 . "`'S �' g Buildin Division s63p. .. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790{6230 Q AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 8 DENVER STREET in HYANNIS, -� MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District IN Registry of the Land Court in Book , Page , or as Document No. , being shown on Assessors' Map 291 as Parcel 308, hereby agree, certify,warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for CASSIA.M. SERRA, DAUGHTER OF OWNER, GILBERTO ^) SERRA,associated with the residential use on the same premises.. This unit shall be used for a"Family Apartment" \ (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would v be a violation of the Town of Barnstable's rules,regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be y updated whenever a change occurs or every calendar year. ` `� This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land V Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this =day of 200 . TOWN OF BARNSTABLE OWNER(S) A 2js,yq Gl y�l2 E SE Rl4A v t Building Commissioner THE COMMONWEALTH OF MASSACHUSETT E COUNTY SS Then personally appeared the above-named (owner),'�� I tJC:&o ��.�� and V made oath as to the truth of the foregoing instrument,before me. (tt' Notary Public My CommissionExpires: M C COURTNEY R.CHAMBERLAIN BARNSTABLE COUNTY NOTARY PUBLIC 0 : REGISTRY OF DEEDS Commonwealth of Massachusetts My Commission Expires ��.: A TRUE COPY,ATTEST i •i: •; '� �� July 19, 2013 DenverSt8 - OHN F.MEADE REGISTER r BARNSTABLE REGISTRY OF DEEDS 2007 AUG 17 AM 10: 57 DIVISION Dcc:�s 061 r 708 04--20-2007 1:27 Ctf'*2182869 BARNSTABLE LAND COURT REGISTRY MASSACHUSETTS QUITCLAIM DEED I,EUGENIO OSTAPECHEM,of 135 Dunn's Pond Road,Hyannis,Massachusetts for consideration paid and in full consideration of One and 00/100(1.00)Dollar grant to . EUGENIO OSTAPECHEM,of 135 Dunn's Pond Road,Hyannis,Massachusetts, GILBERTO SERRA and GLACYR TEREZ.INHA SERRA,of 8 Denvers Street, Hyannis,Massachusetts,as joint tenants with rights of survivorship, with QUITCLAIM COVENANTS, The land together with the buildings thereon situated in the town of Barnstable(Hyannis), Barnstable County,Massachusetts shown as: LOT 91 on Land Court Plan 14034-M(Sheet 1) This conveyance is made subject to and with the benefits of any rights,restrictions, easements,reservations,and other encumbrances of record in so far as the same are in force and applicable. For Grantor's title see Certificate of Title No. 173,839. PROPERTY ADDRESS:8 Denvers Street,Hyannis,MA 02601 EXECUTED as sealed insbument this ' day of April,2007 C � Eugen' stapechem COMMONWEALTH OF MASSACHUSETTS Barnstable,SS. April 2007 On this Iq day of April,2007 before me,the undersigned notary public, personally appeared the above named EUGENIO OSTAPECHEM,proved to me though satisfactory evidence of identification,which were AL4-s S 4D 6 i%drr b-ce to be the persons naive are signed on the preceding or attached document,and acknowledged to t signed it voluntarily for its stated purpose. My Commission Expires: `2 blic y gtg'p FA '' °�,�'• ,;: JOHN F.ME aE.REGISTPR AWMME.REGETRY.QF,QMA The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): . 020�at- ®t:J (2i-a450A6A 00,U4. itT; Address: ty21�� Sit lM a,,1N City/State/Zip: LQol�er�;ll �l/lcar �. 62ia Phone.#: S 69 .�37 oh/ )o Are you an employer?Check the appropriate bog: Type of project(required):, 1.❑ I am a Y emP to er with 4. ❑ I am a general contractor and I 6• El New construction.. employees(full and/or part;time).* have hired the sub-contractors 2.9.I am a'sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingforme in an capacity. employees and have workers' Y P h'• 9. ❑Building addition [No workers' comp.insurance comp.insurance.$, required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions '3.❑ I am a homeowner doing all work ❑ , g P • myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have.no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Fou)C'cc 'Row S' Policy#.or Self-ins.Lic.#: Expiration Date: Job Site Address: P e1 j��� _ �/�/t U1�°P City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cent under the pains and penalties of perjury that the information provided above is true and correct. Signafore: .w Date: GAS — G� Phone#: ` :7 Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the Tece the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produce&acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until-acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contcactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding.the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant That must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or towon)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of ladusteial AMeidents Office of Investigatim 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-977-MASSAFE Revised 11-22-06 Fax#617-727-7749 www mass.govldia Town*of Barnstable P� Regulatory Services 9JAPST Thomas F:Geiler,Director s6g9. Building Division Tom.Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ffice:. 508 862-4038, Fax: 508-79076230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject pioperty hezebp authorize 'ri ! lJi/ to act on mp behalf, in all matters relative to work authorized by this building p etmit application for: (Address of Job) Signatar of Owner Date Print Name - Q:FOMa;O V NERFERMIS SION ' ��. 1k f- '.}^*f!p. Sy '(ri-4`` 4w�4 f. y it ri yl•Y"' I ( St to ';��c,,r�i ly Yti f� h. '7.Y i' . BUILbI G REGULATIONS License CONSTRUCTION SllPERUISOR ; f' Number CS 09139r1 v;.. hgli 'Hzplres 1 012 8%2 0 0 8 Tr rlo 91391 — Oiij 1 I2Qwgtrtcted 00`A ;� f I 24!5 SOUTH MAIN�IST � � C� �' j � 1 � C�NTERUILLE MA 02632� Comic ss►t�ner; � 's'y{ I r z ��a a'a 4{ rr� rK�' �Cei �, a p� •+u.'s aNn :MwfWS'a•Sr _� m� `» 6 4 IF,`� r w1N•N`� ,,w<h :ua:n„i ,rqr .. .ro .« I .. .. . . .,. .. .. /�e �anvnzonwea� ge✓�,aa°acliu°e�2 ; Board of Building Regulations and Standards Licen a o'r registration-valid for individul use only r HOME IMPROVEMENT CONTRACTOR befor the expiration date. If found return to. Boars of,Building Regulations`and Standards, V Registration ,1a9918 One shhurton %ce Rm 1301 Expiration 2/21/2008 Bosto ,Ma.02108 Type ,Ph ate Corporation . CAPE COD CRAFTSMAN CO INC FRANK DONOVAN f \ IN STREET .. ... . 245 SOUTH:MA G CENTERVILLE,MA 02632 Administrator Not va{id Without signature oEIKE r Town of Barnstable Regulatory Services * BAMSTABM ' Thomas F.Geiler,Director 9�A i�9; `0g rE1639.�A 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. -0, Type of Work: E �b1 A �`G' (dt'1 Estimated Cost Address of Work: ] n Ue_r 3 L 14&,Pn S' tR—ld r Owner's Name: i Uq e a f7 ().A2 We c k aws Date of Application: Q -(>' I hereby certify that: Registration is not required for the following reason(s): FWork excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY Ill hereby apply for a permit as the agent of the owner: V✓e�s` Q C r HL7i✓�(�i Lim Date i_ Contractor Name Registration No. Gl l be-A (✓v ger r- a OR © 1' Date Owner's Name Q:fotms:homeaffidav You are directed to correct the violations listed below within twenty four (24) hours. of your receipt of this notice by installing CO detectors on main floor and basement area in accordance with local fire regulations. You are ordered to remove two of the bedrooms from the basement by removing entrance doors and by opening all door- way entrances to each room in the basement to minimum of five feet wide openings. To show a good faith effort you are required to obtain a building permit by 3-27-07 as.we discussed on 3-13-07. Once this permit has been issued you have fourteen (14) days for the above alterations.. Note: COMM Fire Department has been notified of violation on CO detectors. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF T E BOARD.OF HEALTH mas . McKean, R.S., CHO Director of Public Health 7 Town of Barnstable Cc: Timothy O'Connell, Health Inspector QAOrder letters\Housing violations\Rental ordinance\8 denver r c leg, G � 1,77 REVISED � � '�+' , C.Qt^c: jog SMOKE DETECTORS REVIEWED �- 7 -q-ate BARNSTABLE BUILDING DEPT. DATE j� CARBON MONOIUDE ALARMS FIRE DEPARTMENT DATE MUST BE INSTALLED PER v BOTH SIGNATURES ARE REQUIRED FOR PERMITTJNG MASSACHUSETTS BUILDING CODE IMPORTANT- UPGRADE REQUIRED �`s" `" 3 STATE BUILDING CODE REQUIRES THE UPGRADING OF �� e I -F —A IN�'°�� ' '�`�+^`°'� F- �''''�1 SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT QqkLNOI SATISFY THIS REQUIREMENT. l � I �tti Town of Barnstable Building Department - 200 Main Street MAS& * Hyannis, MA 02601 9�b b 9. .��' (508) 862-4038 RFD MO►'�A Certificate of Occupancy .Application Number: 200702787 CO Number: 20070252 Parcel ID: 291308 CO Issue Date: 11102/07 Location: 8 DENVER STREET Zoning Classification: RESIDENCE B DISTRICT Village: HYANNIS Gen Contractor; DONOVAN,FRANK- Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT LIVING ROOM CANNOT BE USED AS A BEDROOM ^ � � Building Department Signature Date Signed �IHET , TOWN OF BARNSTABLE Building Application Ref: 200702787 • BARNSPABLE. * Permit Issue Date: 08/27/07 y MASS. �A i639• Applicant: DONOVAN,FRANK rFD MAC a, Permit Number: B 20072065 Proposed Use: SINGLE FAMILY HOME Expiration Date: 02/24/08 Location 8 DENVER STREET Zoning District RB Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 291308 Permit Fee$ 25.00 Contractor DONOVAN,FRANK Village HYANNIS App Fee$ 50.00 License Num 091391 Est Construction Cost$ 2,500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND EXISTING APT,ENLARGE CASED OPENINGS&WINDOW,REMOVEDftj$CARD MUST BE KEPT POSTED UNTIL FINAL - . M IN BASEMENT,BEDROOM COUNT FROM 5TO4 DAUGHTER TO 7 SIDIRSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: OSTAPECHEM, EUGENIO BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 135 DUNNS POND RD INSPECTION HAS BEEN Mk DE. HYANNIS, MA 02601 C t� Application Entered by: PR Building Permit Issued By: �►i �Y A �' THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;%ALLY''OR SIDEWALK OR ANY.PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES`AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS=MAY BE.OBTAINED FROM THE DEPARTMENT OE PUBLIC WORKS.`' THE ISSUANCE,OF.THIS PERtIIT DOES NOT RELEASE THE APPLICANT,FROM THE CONDITIONS`OF ANY APPLICABLE SUBDIVISION RESTRiCTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 �\ Q 1 Heating Inspection Approvals Engineering Dept ® —7 Fire Dept 2 Board of H Appeal or Permit No 200702787 Appeal Buildmg Permit , Status New a last �' ;s First `; Applicant: Serra � (Gilberto ewe Addr2. �8 Denver Street �� 0 M Villa e. H annis MA 02601 9 y p , n } �$ 0{ W Aff Received Map Par 291308 ' Zoning St cis ion �r y'd 4'a r ✓� � M ° a, Notes 4/07 deed from Ostapechem to Ostapechem&Serra. Apt.for � daughter Cassia M.Serra. Per app to P.Roma 5/8/07, needs :cased opening,enlarged window. RG okay with this. 8/6/07 P Roma approved revised plan(apt had been too large). Close Agreement signed vm to builder,message to owner to call Parcel Detail Page 1 of 3 40 THE * _ .H,tAN:STA4LE, _ Y . . - � his x �a l ry E ix _ n" Logged In As: Parcel Detail Wednesday, Ap Parcel Lookup Parcellnfo Parcel ID 291-308 ( Developer LOT 91 Lot Location 18 DENVER STREET ( Pri Frontage 1106 Sec Road JHAMDEN CIRCLE I sec Frontage 89 Village HYANNIS I Fire District JHYANNIS Sewer Acct I Road Index 0437 Asbuilt Septic Scan: �' re P Interactive y t, 291308_1 Map Owner Info Owner JOSTAPECHEM, EUGENIO ET AL I Co-Owner C/O SERRA, GILBERTO S Streets 18 DENVER ST I +Street2 City HYANNIS I State MA zip 02601 Country f_ Land Info Acres 10.23 J Use Single Fam MDL-01 `I zoning I RB Nghbd 01'07 Topography Level I Road Paved Utilities I Septic,Gas,Public Water I Location Construction Info Building 1 of 1 Year 1977 I Roof Gable/Hip I Ext Wood Shingle Built Struct Wall Effect 1379 I A Roof sph/F GIs/Cmp I AC[None Area Cover Type Int -Bed Style Ranch I wall. Drywall I Rooms 3 BedroomsIn Bath I Model lResidential I Floor I Rooms I ' null Grade Average Minus I Heat Hot Water I Total 6 Rooms Type Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22853 4/16/2008 Parcel Detail Page 2 of 3 yr 5 a Heat is Found- stories 1 Story I Fuel Gas Iation Poured Conc. wh ' ? 44- Permit History Issue Date Purpose Permit# lAmount Insp Date Comments Visit History Date Who Purpose 10/18/2004 12:00:00 AM Paul Talbot Meas/Est 1/9/2004 12:00:00 AM Paul Talbot Meas/Est 2001 12:00:00 AM SM Meas/Listed 10/15/1987 12:00:00 AM ML Sales History Line Sale Date Owner Book/Page Sale P 1 4/20/2007 OSTAPECHEM, EUGENIO ET AL C182869 2 7/26/2004 OSTAPECHEM, EUGENIO C173839 3 8/25/2003 BUTT, KEDRIC L C170318, 4 8/30/1999 ROSA, ILDEU G C154557 ; 5 11/15/1989 PEREZ, JOSE L&SANDRA M C118939 ; 6 4/15/1984 CLEMONS,ARTHUR W&ALICE S C96176 7 SULLIVAN, WILLIAM P &ANNA C74095 I Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2008 $122,100 $4,800 $0 $180,400 f 3 2007 $121,500 $4,800 $0 $180,400 4 .2006 $107,100 $4,800 $0 $142,600 ; 5 2005 $101,500 $4,800 $0 $128,100 A 6 2004 $82,100 $4,800 $0 $96,000 ; 7 2003 $74,300 $4,800 $0 $38,000 ; 8 2002 ` $74,300 $4,800 $0 $38,000 ; 9 2001 $74,300 $4,800 $0 $38,000 10 2000 $59,600 $4,400 $0 $24,200 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22853 4/16/2008 Parcel Detail Page 3 of 3 11 1999 $59,600 $4,400 $0 $24,200 12 1998 $59,600 $4,400 $0 $24,200 13 1997 $60,100 $0 $0 $20,200 14 1996 $60,100 $0 $0 $20,200 15 1995 $60,100 $0 $0 $20,200 16 1994 $59,300 $0 $0 $29,100 17 1993 $59,300 $0 $0 $29,100 18 1992 $67,200 $0 $0 $32,300 19 1991 $76,700 $0 $0 $40,400 20 1990 $76,700 $0 $0 $40,400 21 1989 $89,000 $0 $0 $40,400 22 1988 $59,600 $0 $0 $17,500 23 1987 $59,600 $0 .. $0 $17,50.0 24 1986 $59,600 $0 $0 $17,500 Photos 4 http://issgl2/intrdnet/propdata/ParcelDetail.aspx?ID=22853 4/16/2008 a a :;-y"�- c.,{`ry ''�`'of "z�"p y,.,t�i,� r [b�Dl E■ < x .t) _ k •y(y A x ,n -- •1 � �} # ♦ A+`Ir: � .r- � � '' +t 't RF � u2� by� { �.. c `�, •{ k .2 .ar M `` rv., 4 •� s - x a -+�'ar s,Tt .. �, Ji7 - TOWN OF L ADD ESFOFF2NOER s x S n BARNSTABLE CI ;S ATE ZI COD ( s f 4 r �> i ° �' d i } i -� -� MVIMB REGISTRATION NUMBER f . } THE►q,_ t:4 Ae _ �, "' .� .s •skx Y .r rt ,r, .c r r sc �R r'� - - _'Y lk ,.MASS $.- 4 ✓4r � : pp :. ^(y� ., '" { .�' A. 't: ,'� J ) 6� J 10 TIME AND DA E.0 tl10•C�1T-N r r � ^�'+ 2 .r J14'' V ! x t✓ C�� J' - , lPMjp�' NOTICE OF ° -s SIGMANFORCING PERSON WIQLATION W . { `OF TOWN MF,R�BY ACKNOWLEDGE REC IPT 9 ION I- Unable-to obtalns� t r of f l�tf'r } ENO IMIN INE FOR THIS OFFENSE ORDINANCE J W ' r Date mailed w OR'' YOU HAVE.THE FOLLOWING ALTERNATIVES You TO DI POST N OF T MATTER EITHER OPTION(1)OR OPTYON(2)WILL OPERATE ASIA FINAL c DISPOSIT16N WITH NO:RESULTING'CRIMINAL;RECORD. Oapt ` . EGULATION' oind yy yy a R (1)Yoq may elect to"pay the,atiove finin'Stree(H ap nis;M 260r1 on by mail n8 a�heck money order orMpostal'note to Barmstable Clerk POs Bwc P430 ` i before:The Barnstable Clerk,200 Ma Y� gg '.;. Hyannis:MA 0260i;WITHIN TWENTYONE(21)DAYS THEgg yy E OF THIS NOTICE' COURT CO a n .MAINS EET.BARNSTABLE MA 02630 Attn 21 D Non cnminal Heanngs and enclose a copy„of this ,ya f c 2)It you desire to contest this matter Ina nonce I prOC n ou may do so by making wntten request Ic DISTRICT COURT DEPARTMENT FIRST r {Y s �ARNSTABLE DIVISION,CO s 2 �L �cilation for a heanng ar for the hearing or to p'ay any fine,determined at the g GPntr L.a (3)If you fail to_paythe above offense or to request a.hearing within 21 days.or if you fail to appe i "It hearing to be due,criminal complaint may,be issue d against You . l'i .. - J+ ❑ I HEREBY ELECT the f0st option above:confess to the offense charged,and enclose payment In the amount of$ 4r Signature' -. ;.. f Dom:1 r 061 r 708 04--20--2007 1:27 Ct f*-182869 BARNSTABLE LAND COURT REGISTRY MASSACHUSETTS QUITCLAIM DEED I,EUGENIO OSTAPECHEM,of 135 Dunn's Pond Road,Hyannis,Massachusetts for consideration paid and in full consideration of One and 00/100(1.00)Dollar grant to EUGENIO OSTAPECHEM,of 135 Dunn's Pond Road,Hyannis,Massachusetts, GILBERTO SERRA and GLACYR TEREZINHA SERRA,of 8 Denvers Street, Hyannis,Massachusetts,as joint tenants with rights of survivorship, with QUITCLAIM COVENANTS, The land together with the buildings thereon situated in the town of Barnstable(Hyannis), Barnstable County,Massachusetts shown as: LOT 91 on Land Court Plan 14034-M(Sheet 1) This conveyance is made subject to and with the benefits of any rights,restrictions, easements,reservations,and other encumbrances of record m' so far as the same are in force and applicable. For Grantor's title see Certificate of Title No. 173,839. PROPERTY ADDRESS: 8 Denvers Street,Hyannis,MA 02601 EXECUTED as sealed instrument this Jq day of April,2007 EugenWPOstapechem COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. April 2007 On this Iq day of April,2007 before me,the undersigned notary public, personally appeared the above named EUGENIO OSTAPECHEM,proved to me though satisfactory evidence of identification,which were #t*s s 4Dr:,wrs C•�r•L� to be the persons a name are signed on the preceding or attached document,and acknowledged to t the signed it voluntarily for its stated purpose. My Commission Expires: blia rN Ir •J ,Ja Augu*6,20} i n � H i w { 0 k a I C13 oe/k r r d AwA r 4 t� emc .N aT r i RO s. W s i r F• r E �s a i s , ff 3 P� � d ' r ;r „ s n' F 1 � $` I b` w a g I' r„ � � 4: y. �.. ��Y� :y;� `T �yNj�`"} w ��'Y'.r °..'J ��c/ S .y,�� -�.u,!i 4"•'^.��' `�}�! 14 +'` r i Oft i1.�-ter �' -..�,.f r ,.3 +~s��~k x '7 ,e' �L` •'' d' f �;s.�r` !' 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"'t'•-,p,� ".. 04/15/2068 15:16 FAX 508 862 4724 TOWN OF BARNSTABLE LEGAL Q 001/003 r . ,a Town of Barnstable 367 Main Street,Hyannis,MA 02601 Le oral Department 508-8624620; 508-8624724 Fax FAX SHEET Date: April 15,2008 Numbor of pages including cover sheet: 3 From: To: Tom Perry X Ruth J. Weil, Town Attorney T David Houghton, ib`Asst. Town A- ttorney Charles S. McLaughlin,Jr., Asst.Town Attorney Claire Griffen, Paralegal/Legal Assistant Pam Gordon, Legal Clerk Legal Ref.4 Phone: RE: 8 Denver St. Hyannis Fax phone: 508-790-6230 CC: Phone: (508)-862-4620 Fax hone: (508)-862-4724 REN ARKS: ❑ Urgcnt ❑ For your review . ❑ Reply p y ASAP ❑: Please cornmant Attached: Recorded Deed and Agreement for Family Apartment, 8 Denver St., Hyannis JAFAXFORM08.doc 04/15/2008 15:16 FAX 508 862 4724 TOWN OF BARNSTABLE.LEGAL Z 002/003 .a 0QC:1s061 ►708 04-20-2007 1227 Ctf Os 182869 BARNSTABL.E LAND COURT REGISTRY MASSACHUSETTS QUITCLAIM DEED . L EUGENIO OSTAPECHEM,of 135 Dunn's Pond Road,Hyannis, Massachusetts for consideration paid and in full consideration of One and 001100(1.00)Dollar giant to EUGENIO OSTAPECHEM,of 135 Dunn's Pond Road,Hyannis,Massachusetts, . GILBERTO SERRA and GLACYR TEREZINHA SERRA,of 8 Denvers Street, Hyannis,Massachusetts,as joint tenants with rights of survivorship, with QUITCLAIM COVENANTS, The land together with the buildings thereon situated in the town of Barnstable(Hyannis), Barnstable County,Massachusetts shown as; . LOT 91 on Land court Plan 14034M(Sheet 1) This conveyance is made subject to and with the bw4ts of any rights,restrictions, easements,reservations,and other encumbrances of record in so far as the same are in force and applicable. For Grantor's title see Certificate of Title No. 173,839. PROPERTY ADDRESS: 8 Denvers Street,Hyannis,MA 02601 EXECUTED as sealed insnument this day of April,2007 EugenWOmpechem COMMONWEALTH OF MASSACHUSETTS Barnstable,as. April f1,2007 On this Iq day of April,2007before me,the undersigned notary public, personally appeared the above named EUGENIO OSTAPECHEM,proved to me though satisfactory evidenced identification,which were M s s 4D6he&-.r 4ece, ,,` to be the persons name are signed ou'ie preceding or attached document,and acknowledged to t th 'signed it voluntarily for its stated purpose, My Commission Expires: ^ ; lic 'mod Fd AL',,• I04/15/2008 15:16 FAX 508 862 4724 TOWN OF BARNSTABLE LEGAL 2 003/003 Docsi.071.1AI 05-17--2007 10:22 eARNCTABLE LAND COURT RIEGISTRY Town of Barnstable 1161 Aft . Regulatory Services Thomas F.Geller,DirectorMARL : aes�►`� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: S08-862-4038 Fax: 508.790.6230 AGREEMENT FOR FAMILYAPARTMENT We), the undersigned, being the owner(s) of property situated at 8 DENVER STREET in HYANNrS, -� MA,holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District \ • �} Registry of the Land Court in Book , Page , or as Document No. being shown on Assessors'Map 291 as Parcel 308,hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory attached apartment,which cotitains living quarters, is intended for use as a family apartment,,'or (-u .yCar-round occupancy. The intended and authorized use is for CASSIA M. SERRA, DAUGHTER OF OWNER,GILBERTO . SERRA,associated with the residential use on the same premises. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would �J .be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. Prior to occupancy of this unit, Q affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land V ' �Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department, WITNESS our hands and seals this 1 .day of 200 . TOWN OF BARNSTABLE OWNER(S) NHq, �q4� Y By Building Commissioner THE COMMONWEALTH OF MASSACHUSETT Y SS Then personally appeared the above-named (owner), -'ll 1 -� J �� and V made oath as to the truth of the foregoing instrument,before me. MyCommissian icpirea: >` COURTNEYR.CHAMBERLAIN NOTARY nnro PUBLIC ON*or u Casaraiuwas s'' r•;i�v �,�,. V My dotn isslan 6aplro8 July 1s, 2013 DmverScs BARNSTABLE REGISTRY OF DEEDS Town of Barnstable ` Regulatory Services • MMSTABM NAM � Thomas F. Geiler, Director �p •i639 �0 tF1639 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 April 22, 2008 Mr. Gilberto Serra 8 Denver Street Hyannis, MA 02601 Re: Family Apartment 8 Denver Street, Hyannis Dear Mr. Serra: Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office reconfirming the status of the apartment. You are required under Section 3-1.1(3)(D)(1) of the Town of Barnstable Zoning Ordinances to submit an affidavit annually indicating the status of the family apartment. If you have any questions, please call Lois Barry, Division Assistant, at 508-862-4039. Sincerely, Tom Perry Building Commissioner Enclosure jfamapt -�< ......r�-r-----�r'—�xs-�. �a a�-�- �^���'.�4'Y'+R�, .... +•��,yk.,«��r.�{ �.�x Y,�r,'akp i � �'T , ,.. :.U, ��. 'r.�, -r:�,' ,. 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A,��Y^'N k;�� �4�'.�..'�t...x •� ` ,.!!x':�[,.'� �(33.�,r,.'ty;,; .. �'��� ...-+ ..:'.� •.."' , .: ..,..,, � ,.. [; s'�'i v„ 4tb ��' t tr. '' i &Ilia,.., K ; .-i •.;,.. .ca � 4, H;.�! r " r 1 t. xM:.� ,.3` t 4,�':1�� w.).%1.�fI+�M 3 `.S}Y ��Gt� ryr i.�•,k.! ,..,; , �.: •y .-:�. ,.... r. # ?�, Y y. .. Rzu ka ,...,... .:,,�.,,.�x, s�...1,..�,.r� N,z"(.Arn4 ..dmr rx�'k.a..,.,.,.�._u�.a>..b-. _... aMa :d. ,,,u. ,,, a ,..a, :ss„rr:.- ,r ., .,v,-z i. 4 ..a..�...+k,�..,r.�a,..,� h�S :s�.�A..y f�..,�'a�;au,.�l�_Y.v'��k,,,u„i�,a.;enh.aykax�4"1n�,1 .�N.,. .,^w� �,w..�+..��Y..,��r+m�•.c.,. .-a M. .,,.�;?.:,.,»,�nH� r ,!,� .-.,.a.9 y,m• „v, Town of Barnstable Regulatory;Services z o� Thomas F. Geiler,Director Building Division TOWN ' . RSTB .E Thomas Perry CBO Building,CommissionerMAss 1639. 200 Main Street, Hyannis; MA 02601 www.town.barnstable.maxs Office: 508-862-4038 3 xg�p508-790-6230 Town of Barnstable. Family Apartment Affidavit I, being on oath, depose and state as follows: My name is G I l be ir_ ro SAP rr"Ok- I am the owner/resident of the property located at: +�hVY'ir SL rZ100 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner:31,E n I O r —T-cLhCrJ 0. The Family Apartment will be the primary year-round residence for the above-identified -family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with,the Building` Commissioner listing the names and relationship of occupants in'said Family.Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA-Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. J agree to notes the Building Commissioner immediately in the event-of the sale of this property. If there is no longer a Family Apartment at this location, please explain: r The apartment has been dismantled., The apartment has been transferred to the Amnesty Program (Appeal No: ) Other f Sworn to under the pains and penalties of perjury this arch f day of - _n.- 2013: Signa PhoneNumber , •4 Print Name-G 11 be, r-f 10 S errs 4 q:forms/famaffid.doc , rev 11/08/12 Y Town of Barnstable ; Regulatory Services Thomas F. Geiler,Director- Z STA. BLE Building Division 1ARNSUBM ' Thomas 110 Perry, CBO BuildingComIIssio Mnss nrer plu, i t m 200 Main.Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 m44 Fax: 508-790-6230 Town of Barnstable Family Apartment.Affidavit I, being on oath, depose and state as follows: My name is r 6e I am the owner/resident of the property located at: 1Ah CA, The following members of my family will-be the sole occupants of the.Family Apartment at the aforementioned address: raj Name &relationship to owner: `� 0� " , _^ Name &relationship.to owner: 'C r'� ® L J The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. d I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants.in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the JTown of Barnstable Zoning_Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swor t under the ains and penalties of perjury this �- day of �- 2012. �o�-moo- �l Phone Number not Name 1 0 b q:forms/famaffid.doc rev 11/08/11 I UWII UI 12AI IIJlAU1C Regulatory Services oFSHE ram, Thomas F. Geiler, Director Building Division BARNSTABLE, Thomas Perry, CBO, Building Commissioner_` �cb 639- 200 Main Street, Hyannis, MA 02601 ArFO MAMA www.town.barnstable.m'a.us Office: 508-862-4038 ` Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is j ber+0 (f G . l am the owner/resident of the .property located at pberl V : � The occupancy of the property will be. as follows: MAIN RESIDENCE: Names) & relationship to owner I �0- FAMILY APARTMENT: Sf- (ro Name(s) &relationship to owner C (/l a w l The property will be the primary year.-round"residence for the above-identified family ' members. In the event that the listed relatives vacate the apartment or main residence, I will immediately notify, the Building Commissioner in writing. 1 understand that no,slibletting or subleasing of the property is permitted. - I understand that Lam required to file an Affidavit annually with the Building # Commissioner.listing the names and relationship of occupants of the said familyLapartmen''t and . main residence. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit andlor,the Town of Barnstable Zoning Ordinances Section 24047 a Family Apartments. I agree to notify the Building Commissioner immediately ii2hthe eveni of theme sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to.the Amnesty Program(Appeal No. ) Other Swor nd penalties of perjury:this �� day of ( ri t1 c: 2011. Phone Number Print Name `� Q fok - gfaaff Town of Barnstable Regulatory Services aa f : a of rq Thomas F. Geiler, Director o - , t�. , s_x=„B L Building Division j ' R"NSTABLF, Thomas Perry, CBO, Building Commissioner 5 Ar 039. 16 200 Main Street, Hyannis, MA 02601 fD MA'S www.town.barnstable.ma.us Office: 508-862-4038 Fax. 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is k I 6e.y, r'f C�,, �� I am the owner/resident of the property located at: G The following members of my family will be the sole occupants of the.Family Apartment at the aforementioned address: q Name & relationship to owner: �� \ e e DG Name & relationship to owner: 0 O M C. V rb er i Law The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn t un a'n and-pen es of perjury this ( day of �C-A_VON 2011. 60$ 13 ignatur / 1 Phone Number Print ame Town of Barnstable Regulatory Services oFTHe t Thomas F. Geiler,Director Building Division sexrrsrnaLE. Tom Perry, Building Commissioner r 639• ��� 200 Main Street,Hyannis,MA 02601 t'il )!: l `� e�f ' �'°rFn Ma's A www.town.barnstable.ma.us DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 61 L TO S6 44 1 am the owner/resident of the property located at: Ifcz 1�f The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: OA S5M M• sef-PA CbAv 6C-ti� ) Name &relationship to owner: L JA►) bP-© A1A-e4,H&j7`-D CS'on de w) The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that.the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other. Sworn to un s and penalti s of perjury this day of A 041AGy 2010. 5� 0 2 113 at' e Phone Number - Print e Q/bldg/forms/famaffid Rev:l2/08 Town of-Barnstable Regulatory Services °rr1HE rOk, Thomas F. Geiler,Director '4 ° Building Division E:= �? 1,1R J i IABL 9snxxnhUss.s .g" Tom Perry, Building Commissioner 14 1 39. A�0 200 Main Street,Hyannis, MA 02601Z01)9` AN �' www.town.barnstable.ma'.us _ QjvSlog Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: Ivry name is I am, the owner/resident of the property located at: vli5 P, '�• -yam s 142,4 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: A-s e_I Name & relationship to owner: elskS S The Family.Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family-Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale-of this property. If there is,no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to r l}e—pa' and penalties of perjury this ;2z day of J9 yv 0,re- 2009. 44 VV Sig Phone Number Print Name Q/bld g/forms/famaffid Rev:12/08 Town of'Barnstable Regulatory Services y��oFIME r Thomas F. Geiler,Director Building Division « Y BARNSrABLE. Tom Perry, Building Commissioner 9 MASS. qj 039• �m a 200 Main Street,Hyannis,MA 02601 RFD MA'1 www.town.ba rnstable.ma.us Office: 508-862-4038 _ _ Fax: 508 790 6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: ����!1✓'Cae 9TP_J5&T The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name& relationship to,owner: �A- �1 h P Name& relationship to owner: -1 1> The`Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under e pains and penalties of perjury this day of Q 2008. in Sig at r �. Phone Number �6- . Print Name 6-1 L Q i✓ie.1 Q/bl dg/forms/famaffid Rev:1/03 Doc: 1s071s161 08-17-2007 10=22 BARNSTABLE LAND COURT REGISTRY Town of Barnstable 1HE ta`"�, Regulatory Services Thomas F.Geiler,Director BARNSTABLE, JK) MA8& i6;9• ,�� Building Division A � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Q-- AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 8 DENVER STREET in HYANNIS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District N Registry of the Land Court in Book , Page , or as Document No. , being k.Lt, shown on Assessors' Map 291 as Parcel 308, hereby agree, certify;warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for (� year-round occupancy. The intended and authorized use is for CASSIA M. SERRA, DAUGHTER OF OWNER, GILBERTO ^) SERRA,associated with the residential use on the same premises. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and V Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would v be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. Prior to occupancy of this� unit,Q affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be � ear.updated whenever a change occurs or every calendar y 1� This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land V Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this�Q day of 2004 . TOWN OF BARNSTABLE OWNER(S) GlA�yiE ER2-1 1Al ` V By. v Building Commissioner THE COMMONWEALTH OF MASSACHUSETT E COUNTY SS Then personally appeared the above-named (owner), ��I I t�C.K_ ���� and V made oath as to the truth of the foregoing instrument,before me. Notary Public My CommissionExpires: 3 r COURTNEY R.CHAMBERLAIN BARNSTABLE COUNTY NOTARY PUBLIC REGISTRY OF DEEDS Commonwealth of Massachusetts t'"° ATRUE COPY,ATTEST �;ty �.0 My Commission Expires July 19, 2013 DenverSt8 11)HN p�EADE,REGISTER RARNRTARI F RFAIRTRY nF nFFnS Shea, Sally Subject: augusto netto're:8 Denver Hyannis 774-208-8185 Start: Thu 10/13/2016 11:30 AM End: Thu 10/13/2016 12:00 PM Recurrence: (none) Organizer: Roma, Paul Woman came in to obtain an express building permit for 8 Denver. This property is owned by Augusto Netto. This property has a former family apt-that has since been sold to Mr. Netto. She was not Mr. Netto and she obtained the application here at the counter and completed it in his stead. She was informed she was not allowed to pull a permit on his behalf. She was also informed that we would not be issuing building permits for a property with a zoning violation. , She wanted to apply for a family apartment. She was informed that this property is not entitled to a family apartment as the owner lives at 17 Uncle Al's per her own application on the express permit she completed. She challenged although the certified was signed for it did not mean he signed for it and she argued that we did not have a permit to go into the property after she saw the pictures in the folder. I explained that the ordinance states that upon vacancy it must be removed and Mr. Netto is not eligible as she herself placed his address as 17 Uncle Al's on the application she completed at the counter. She argued about not being able to obtain a roofing permit. When given the option of waiting until Monday to speak with Robin or speaking to the Building Commissioner she requested Augusto meet with the Commissioner. 1 D U �:LLL`9*ui Ln .. • ,n :2- , ru rr Postage $ 0' c Q Certified Fee r1Q 111 �� ark O O Return Receipt Fee v O (Endorsement Required) �\ [3 Restricted Delivery Fee , O (Endorsement Required) C3 FS1 , Rl Total Postage&Fees r-I :I Sent To r - --E��Je•z Z0...... s ��c e --------------------- f: Streat,Apt. o.; r r. or PO Box No. 13 S ------------------ ----------- --- City,State, jT G[ 17hr'S .0 Zed :�r if. Certified Mail Provides: m A mailing receipt o A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two years Important Reminders: e Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail& o Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,-a'Retum Receipt may be requested to provide proof df delivery.To obtain'Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for. a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". * . o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT. Save this receipt and present it when making an inquiry.' PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 la Complete Items 1,2,and 3.Also complete A. Signature ❑Agent item 4 if Restricted Delivery is desired. X 9 ® Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) Dat�oy Delive ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No y O Z to O 3. Service Type Certified Mail® ❑Priority Mail Express' I ❑Registered ,`WAeturn Receipt for Merchandise I ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number I � (rransferfrom service fabeq ?014 12 2 2 0 0 0 1 0 3 58 2 4 5 5 Ps Form 381 1,July 2013 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4®in this box• TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS, MA 02601 419 NAME OF OFFENDER ' lr 1 DAD 79032 fl Dnn TOWN OF ADDRESS OF OFFEN f,r - BARN '(ABLE CITY,STATE,ZIP CODE a �IKE► FFfN XAH\Sl'ANI.Y;, .r ` q t' I !I CLJ L ,ASS ( I •E'"'\3_ 1679• . p J > NOTICE O T NO DATE T'yIOLATION� �M LOC !0 OF VIOLATION �� iiN Z w F `CA:M•, .P.,M.)ON — 20 SIGN_AyORE OF ENFORCI „eEa5�r1 � EN t;IN�GD'T.r• } � ) 'BADGE NO.-""' W VIOLATION � N 0 OF.TOWN I HER ACKNOWLEbGE RECEIPT OF CITATION X a ORDINANCE IDI ll sable to obtain ignat f offen er. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S � Date mailed " L1 LU .OR YOU HAVE THE FOLLOWING ALTER ATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL 0- DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w ' a REGULATION (1)You may sled to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THEoceediggDyyATE OFyyTHIS NOTICE. a if uest to DISTRICT COURT DEPARTMENT FIRST NSTABLE DIVISION,COURT COMPOUNou desire to contest this matter in a D,MAIINrSTREET,BARNSTABLE,do so by 02630 Attnn21D Noncriminal Hearings and enclose a copy of this citation fora hearing. 3 It you fail to a the above offense or to request a hearing within 21 days,or if you fail to•O y pay q g ay y appear for the hearing or to pay any fine determined at the I hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER ^ _ -]BAR 79033 TOWN OF 'ADDRESS OF OFFENDER— BAR 'STABLE CITY,STATE,ZIP CODE ► ,., MVIMB REGISTRATION NUMBER ,. » -- OFAE 8CL NAH\�'1'API.L:, • y� r` 'f�{,�. ,( f IYr•, •-+/� LJ .679., rED MU'�• r ° 1 W TIME AND GATE OF VIOIATe� ,,..✓ LtOCAT10 OFVIOLATION NOTICE OF �'"' tA.M./ P.M.)ON 20 '" i 0 - ) L� f SIGNA E( FNFORC NG SON E CI G DEPT. w. 1 d BADGE NO. W VIOLATION 1, BADGE f fi ,fir Cl) OF TOWN I— I HER BY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE 9'Sable to obtain sj'gnatur of often er., THE NONCRIMINAL FINE FOR THIS OFFENSE IS S (} W Date mailed y ) W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, ly before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P. Box 243o,r� ti Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. f (21 If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER w BAR 79033 I , jTOWN OF ADDRESS OF OFFEND i < I - I tf tNE r MVIMB REGISTRA ON NUMBFA. �I l OF E I G NAR\.TAPI.F.. LU f! TIME DATE OF OLAT L T F VIOLATION - W NOTICE OF A. .1 P.M.)ON - .20 J Q ;I SI glwc S N T. BAOGE N0. UJI IA j ` VIOLATION Lu OF TOWN I HER BY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain s� natur f often a THE NONCRIMINAL FINE FOR THIS OFFENSE IS; i 0 W r; Date mailed a OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL w P DISPOSITION WITH NO RESULTING CRIMINAL RECORD. to REGULATION Q (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 PM.,Monday through Friday,legal hol'Mays excepted, w MA 02601,or mailing a check mom order or postal note to Barnstable Clerk P Box 2430, before:The Barnstable Clerk 200 Main Street,Hyannis, y g eY 0- _ it Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. UNSTABLE you desire to contest this matter in a noncriminal proceeding,yyou mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST N' If DIVISION_,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this ( citation for a hearing. (: (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. u _ ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ - L Signature A L_ v..�---- — ti• • 1 -: NAME OF OFFENDER TOWN OF ��` BAR 7 9 0 3 2Lu 1. ADDRESS OF OFF ND - BAR€�STABLE CITY,STATE,ZIP C E. I = �dl 114E rgyti I .1 HARN\TAR1.F.. F N )PAYS " , 1 jFD may► l 1 Lj I m J I U T NO DATE IOLA LU ,+� VIOLATION NOTICE OF r )ON -�. 20 f S 5 J i piVIOLATION SIG A RE FF�NFORCI E Ittj D T� Q 1{ 1 BADGE NO. W (n OF TOWN I I'HER Y'ACKNOWL DGE RECEIPT OF CITATION X _ ORDINANCE nable to obtain gnat r f Off r. CL LU Date mailed _ THE NONCRIMINAL FINE FOR THIS OFFENSE IS OR UJI YOU HAVE THE FOLLOWING ALTER ATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL Uj d II� REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w I�1 (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, 1 before:The Barnstable Clerk, W Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Barnstable Clerk,P.O.Box 2430, _ Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. -i > n. I (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BBARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this I citation for a hearing. _ (3)If you fail to pay the above offense or to request a hearing within 21 days,or it you fail to appear for the hearing or to pay arty fine determined at the w hearing to be due,criminal complaint may be issued against you. f ? ❑ I HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of$ I# y J Signature v