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0038 GREENWOOD AVENUE
�� ���� � -,�i�- f.:. .,; �; t Town of Barnstable Building �.,,r.. �,.� b�Kr :'` ,wvwx ';a• x�l.*�'r ,, m' 4� �, �.�< „..r ��. „s !4 G�'" ' ,.F s� ...�n.'a'�a ?�f^`` 'a 5;,'« ,m"j� 'gy' ' P4. ost This rd:So Thatttis Uisib.leFrom the Street A roved Plans Must be.Retamed•onJo�b andth�s-Cartl Must be-Ke t� EAR25'3'YAISi.E. • � -,' c+�. ;.m + .���' �..,�.. �,� .•,,, •,�.� w. .;�5' �'3 1'p.��.3 .*f"- `;'. .. S� e ° � ��° �""&.R�` x,'�° �Y t'.tp a Permit 6" Posted Unt�I F�rnal InspectionHas Been Made z � � ; y ! _ .:. ` ,� i.�• s �':y' aa u.: .vk "'W Y° .:` r� ...,,;nsc. .: �t.<;a. k :, a. .�`:; ,...w§ , .., .. 3'� Where a Certificateof Occupancy�s Required,sucfiBwldmg shall Not be Occupied until a;Final Inspection has beenamade :.. . ... .mP .:: Permit No. B-18-313 ' Applicant Name: BAVELONI, DIEGO V Approvals Date Issued: 02/21/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 08/21/2018 foundation: Residential Map/Lot 289 113 Zoning District: RB Sheathing: Location: 38 GREENWOOD AVENUE, HYANNIS I _ �ContradfcirIN it i Framing: I iz aa � Owner on Record: BAVELONI, DIEGO V Contractor"�Licepse w, .: 2 Address: 43 WINSOME ROAD EstPofect Cost: $25,000.00 SOUTH YARMOUTH, MA 02664 r. Pe m t Fee: $ 177. Chimney: 50 Description: repalce kitchen,remove living room/kitchenwall add recessed Fee Paid $0.00 Insulation: lights kitchen/dining room replace first floor vanity and',ub. add -,Date:, 2/21/2018 Final: bathroom second floor (remove bedroom)replacefurnce� Project Review Req: AS PER ENGINEERING - � £ Plumbing/Gas y, Rough Plumbing: F �� Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonz 61J'A'is permit is commenced within six months after issuance. Rough Gas: .� h g All work authorized by this permit shall conform to the approved appl tion and the approved construction documents'fo whichthts permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by4'aws,and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street orroad�and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. z `� � F Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the BBuildmg afidfire,Official are provided on Phis permit. Service: Minimum of Five Call Inspections Required for All Construction Work:f a ' 1.Foundation or Footing t - Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: 'Athere applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 7 1HE Application Numb ...................... er... .......... M ACC ASS. V% Permit Fee.......................................Other Fee.............. �� ED MA'S � '�....... 039. T . .... ..............vw&am Total Fee Paid A... . ........................... ...... TOWN OAARNSTAB L_ E' Permit Approval by..... On....,2) rw.................. BUILDING PERMIT APPLICATION ............Parcel......:..... .............. Section I — Owner's Information and Project Location Project Address 3(a G?-e0rJW00'b Me, 4ipwftl`)S Village Owners Name 1)0,0 &V", i Owners Legal Address 46 Witmine, 9j City 1A00)j9 State zip 00� Owners Cell# -roe 360 atgq E-mail-i)%eGo 5 Section 2— Structural Use Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3 —Type of Permit E] New Construction ❑ Move Relocate F] Accessory Structure E] Change of use El Demo/(entire structure) ❑ Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkler System Addition et wall --Solar Renovation. F Pool. El Insulation Other—Specify Section 4 - Work Description falAoe Ki Tcjt6✓ kmwej LivyvQAZoqPi I Kii-cm-i vjMJ 4c4ge-b L,1(44r5 f,CPAce- 4ASt #zyk, VWI�j Avo :�ze) Abb bmUcoln yecofj� R�LQ, ONP14(z AIAZOACe-- Application Number.......... --------------- - - ---- _— _ Section 5—Detail I Cost of Proposed Construction a5.ow Square Footage of Project N510 Age of Structure Dig Safe Number #Of Bedrooms Existing - ` Total#Of Bedrooms (proposed) 3 11-0-MP-H Wind-Zone-Compliance Method 0 MA Checklist ❑ WFCM Checklist ❑ Design I Section 6—Project Specifics i ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom water SUPPLY ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation 3 Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ J 1 Section 8 —Zoning Information T� Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed lief from the Zoning Board in the past? El Yes No Has this property had re _ Application Number........................................... r Section 9- Construction Supervisor p Name J)je.� Telephone Number S( Address 41 f Uyvwme. /_p City VX0 140 State Zip cat G(04 License Number License Type' Expiration Date CL2 a4 - Contractors EmailD660 %k Lom Cell#- Q 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 documentati n equired by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date 0113[bo 1;00 Section 10 — Home Improvement Contractor Name_llb C{JS t OY1 CALPe/J l Telephone Number 8 ya J ASS/ Address City State Zip Registration Number 11M4 8.5 Expiration Date 11 1(!11;b le? I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentati required by 780 CMR d the Town of Barnstable.Attach a copy of your H.I.C... Signaturerequ '� Date 01141' Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 " CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE SignatureO Date 0 II3 )6/� Print Name "De6o 6AV4w Telephone Number �;,4 36o a f5t E-mail permit to: ljreca_AAJ4N ® Po Vp at GoNI Last updated: 12/28/2017 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval. Section 13 — Owner's Authorization I, as Owner of the subject property hereby authorize c4is ioln cgLn'47i2V to act on my behalf, in all matters relative to work authorized by this building permit application for: d Q9ee1v U10oD. A\-e q4g�ji'i( MA (Address of j ob) Signature of Owner date 1 f Print Name T.ast undated- 12/2R/2017 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o� Parcel 13 Application PC��©V 6ao� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 3 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 38 G reLtl uld t 1 Village .I nn 5 Owner C0A.5+ Lnrt M5, Address Telephone 93 6 Permit Request 4 19 . rn.I �N_ G�II ull ,�P, � �( 1 C �r►c asp �r Y��`f'i 1��o co i � -�► ram ` vetoes► cam+ --1� a ^ s P r � 4e, G-CC �Vrt ge a� WA Sq uapp r'e feet.11t floor existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 19 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new— Number of Bedrooms: existing _new �y o Total Room Count (not including baths): existing new First Floor Roo6-LA'ount Heat Type and Fuel: ❑ Gas W Oil ❑ Electric ❑ Other Central Air: 0 Yes X No Fireplaces: Existing New Existing wood/coal stove: 07'es Q No r-er+ Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ ne siz _ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ /L Commercial ❑Yes X No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) NameWillim �cClu.564 Xro.-- �A Telephone Number 5$ 3 q R - D3 9 R Address - 4"+(4 nit License # t Sotcv , �a�mOw-� 1 `f� Home Improvement Contractor# Worker's Compensation #TV-W C 3 3 9 00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO LiMA4 SIGNATURE DATE �$ I FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED S ' MAP/PARCEL NO. i ADDRESS VILLAGE _ 9 OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION } FIREPLACE ;Z ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL '.3 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t , ASSOCIATION PLAN NO. s y , '4!0 West_.Main Street H®ns'ing �Pnnic:�.iA.02601-359$ Assistance T (509) 1;1-54W F�o-EDt-5--74,1� 3'I on.R lines CoWporati€ n b ad HOME OWNER WEAI-HERIZATION WORK PERMff& FUEL RELEASE: PLEASE Eff L OUP'-AND SIGN TMS FOILM IF YOU TBE A.PPLICANT HOME OWNER I c?/_'.;i Z 4 C° + hereby consent to and agree that weathezi-zation work xaay b e done by the Weathemation Program of Housin Assistance Corporation ( herein after reEecred as ' `Agencya')on the Property located a-t • • - O j `I ice weathezization work done will be based on programmatic pzi10-ies and avaiIab>Zity of fua &g and it may imnde all or some of The following measares: Weather-stripping&c�anllang of windows and doors,insulation of at&c"sidewalls&basements,attic I and other ventilation measures and.possibly replacement of badly detetiorated windows-In consideration of the weatherization work to be done at my home I agree to the fo.£(owin„- I_ I give perrn apn to the "Agency'its.agents and=ployees to travel onto or across said property with such egaapment and materials as maybe necessary to perform weatherization work on said pro fy_ 2_ The Housing Assistance Corpo=anon resezves the Hight to inspect the fuel ar utility bill fox the weatherized unit on an ongoing basis for no more than five (5)years after the-weatherization work is completed_ I have read the provisions of this agreement as listed and freely give my consent_ Home Owner:(Signature) Date Agent= (siguatore) Date T HAC approved Weathmizatiou Company_ Vt - Caner Binding.&Remodeling Cape cod Insulation Save Creswell Constmadom Frontier Energy Solutions L•ohr&Sons peter Sti3ith Re IUdoi1Dar_rU_. Rock Solid Cowbmwtion' All•Cape 7nsn3a#ion 4_'J The Commonwealth ofl41assadztisetts - - Department of Industrial.Accidents Office of Investigations 600 Washing ton Street Boston, ALL 02111 w1Uw.nurss.;ov/dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Oraanization/Individual): C nq e o v e- T n G. _ Address: - D H"A -k-0A NveAkf1 City/State/Zip:,50%N2 % YQ,,,eCnou.A. M O2"4 Phone#:- SO$" 3 Q$ - O 3 9 g Are you an employer?Check a appropriate box: �1 I am general contractor and I Type of project(required): 4. 1.9 I am a employer with o� ❑ a g 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 T. ❑ Remodeling ship and have no employees . These sub-contractors have S. ❑Demolition working for mein:any capacity. employees and have workers' 9 ❑Building addition [No workers'comp.insurance comp.insurance.- required.] - .. . 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c.152,§1(4),and we have no 13.50 Other 'n S tl►.,(7l�'i on employees.[No workers' comp.insurance required.] *Any applicant that checks box ml must also fill out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,Contractors that check this box must attached an additional sheet showing the name of the subcontractors 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 insfirancefor my employees. Below is the policy and job site information. Insurance Company Name: -Teo�n o l o C n Policy _TW r or Self-ins.Lic.r: C 3 o o Expiration Date: (4 ` ' 13 Job Site Address: ( (11A1e� V Ci /State/Zi a��IS f e ty p: Attach a copy of the workers'compensation policy declaration page(showing the policy ri=4 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 S 1,500.00 and/or one-}rear imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day 2gainst 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 pains and penalties of perjure'that the information provided a ovee is true and correct, Sianature: Date: ' U Phone:4: J O ' 3 T .3 Official use only. Do not write in.this area,to be.completed by city or twit officiat City or Town: PermitlL.icense 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 r: .4co CERTIFICATE OF LIABILITY IN °A�`MM�°'y"Y"' �1 INSURANCE 11/9/2012 PHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Shannon Sperrazza Risk Strategies Company PHONE (A1c781)986-4400 fX No:(781)963-4420 15 Pacella Park Drive ADDRESS: DDRE :ssperrazza@risk-strategies.com Suite 240 INSURERS AFFORDING COVERAGE NAIC If Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURERB:Safety Insurance Company 3618 Cape Save, Inc INSURER C.Technolocly Insurance Company 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER-CL1211954576 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN-REDUCED BY PAID CLAIMS. INSR ADDLSUSR LTR TYPE OF INSURANCE POLICY NUMBER M�oY EFF MOMILDICD EXP YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO PREMISES E occurrence) S 100,000 A CLAIMS-MADE X❑OCCUR S199448001 0/16/2012 0/16/2013 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 2,000,000 X POLICY171 PRO- 7 LOC $ AUTOMOBILE LIABILITY EOM COM BINED ED SINGLE LIMB 1,000,000 B ANY AUTO BODILY INJURY(Per person) S AUTOS AUTOS SCHAUUTTOESULED 6208200 1/6/2012 1/6/2013 BODILY INJURY(Per accident) $ X HIRED AUTOS E OCCUR NON-OWNED PROPERTY DAMAGE AUTOS Per ccident S X X UMBRELLA LIAR Underinsured motorist Bl s lit $ 100,000 EACH OCCURRENCE $ 1,000,000 A EXCESS wa HCLAIMSAME AGGREGATE $ 1,000,000 DED RETENTIONS 199448001 0/16/2012 0/16/2013 $ C WORKERS COMPENSATION fficers excluded NCSTATU- OTH AND EMPLOYERS'LIABILITY YIN' X .RY ANY PROPRIETORIPARTNER/EXECUTIVE rom coverage E.L.EACH A CCIDENT S 500000 OFFICER/MEMBEREXCLUDED? Q NIA E.L. (Mandatory In NH) C3318007 /9/2012 /9/2013 E.LDISEASE-EAEMPLOYE S 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S 500 000 y DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Issued as evidence of insurance. Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a/ National Grid, Action Inc. , Colonial Gas Company and NStar Electric are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 427/SCH 3195 Main Street AUTHORIZED REPRESENTATIVE Barnstable, MA 02630 Michael Christian/SMS ��� ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 ontnnm n+ The AftnAn namn and Inns-ra rani*+ernd martre of Ad`n0h - Massachusetts- Deportment of Public Safely 9 Board of Buildin+- Red ulotions and S indarch Construction Supervisor Specialty License { License: CS SL 102776 Restricted to: IC WILLIAM MC CLUSKY e ,F 37 NAUSET ROAD R. WEST YARMOUTH, MA 02673 ., Expiration: 6/282013 ' Commissioner Tr#: 102776 E F Office of Consumer Affairs and business Regulation $,ism- 1. 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation Expiration: 3/14/2014 Tr# 222.184 CAPE SAVE INC. _ WILLIAM McCLUSKEY _ 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. - I'Address 71i Renewal ; Employment _ Lost Card PS-CA1 to 50A9-04104-G101210 ✓lze�e�ry»za�zasea�d•c�� °lja :aclzu ek3 License or registration valid for individul use, only Office of Consumer affairs&Bdsiness Regulation -- HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: yi Registration• - 1ME Type: Office of Consumer Affairs and Business Regulation �j --' Expiration: .-3/t4/2014 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC.' - WILLIAM MCCLUSKEY 7-D FiUNTINGTON AVENUE SOUTH YARMOUTH;'MA 02S64' Undersecretary Not valid wit o signs Town of Barnstable o 'THE Services Thomas F. Geiler,Director Building Division "� 'it! J E BA RINSTAl ff. MASS. $ Tom Perry,Building Commissioner ) g L 27 9 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 , 1~�' 508 790=5230 DIVISS . Approve Fee: 3S'. Permit#: 4 afK HOME OCCUPATION REGISTRATION Date: W271 0- Name: L64�Y!C7&Irls- Phone#:10n 776 gOGR Address: (��,Qlc)oAw 1�x 1 C(11 Village: ��jN / ,,. Name of Business: Ic1 /li^( ��Efh��GIi�C.� �l`�1►�1C` Type of Business: RVI}C JMap/Lot:_.Z1 " 113 II-T'I'EN'I': It is the intent of this section to allow the residents of the Twim of Barnstable to operate a home occupation xvitlun single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the actuary shall not be discernible from outside the dwelling there shall be no increase in noise or odor;no,visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; . and no increase in air or groundiaater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the follonang conditions: • The activity is carried on by die permanent resident of a single family residential dwelling unit,located ivithin . that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • 'No traffic will be generated ui excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or,flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not riit in the required front yard. • There is no exterior storage or display of materials or equipment. o There are no commercial vehicles related to the Customary Home Occupation,other drain one pan or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on flue same lot containing die Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If die Customary Home Occupation is listed or advertised as a business,die street address shall not be Included. • No person shall be employed in the Customary Home Occupation ivho is not a permanent resident of the dwelling unit. . I,die undersigne ,have re d and -ee)v- the above restrictions for my home occupation I ain•registe 'lg. Applicant: o ��'— Date: 2. 122 Honieoc.doc Rey.01/3/08 ^ 'k 3 YOU W LH TO OPEN A BUSUESS? For Your hfonn atbn: Busness certiEcates (cost$40 00 for4 years).A busness certEcate ONLY REGSTERS YOUR NAME iz tnwn Whbh�ou mustdobyM GL.-tdoesnotgie�oupe2m issbntooperate.) You must first obtain the necessary signatures on this format 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:?/Zlh 2 F:nnpaase: APPLEANTS YOUR NAM E/S: DrAvid L-f r £ BUSNESS YOUR HOM EADDRESS: ip - TELEPHONE # H om e Tehphone N um ber ? Ca Ct m NAM E OF CORPORATDN NAM EOFNEW BUSNESSTYPEOFBUSNESS _�\/ =_ --- S THIS A HOM E.O CCU PATDN?. '. YES J NO II ADDRESS OF BUS NES 4S MAP/PARCEL NUM BER �J�-I j Ossessiag) W hen startii a new busiiess there are setiarald-Lb s u m ustdo n order to be n c ]anc w g g yo corn p e th the rubs and regz atJons of the Townof Bamstaba. This form is Mended to assst n obtai-n the nfDnn at on u m a need. You M UST GO TO 2 0 0 M ai-i St.- (comer ofYarm outh � g � Y , Rd.& Man Street) to make sure you have the appropriate perm is and>r;enses required to aga3�roperate yburbushess in this town. 1 . BU]LDNG COM M SSDNER'S OFFDE MUST.COMPLY WITH HOME OCCUPATION This izdirhualhas been izfor<n ed f yperm trecu m ents inatpertan to this type 44>J� A1D REGULATIONS. FA ILURE TO 'COMPLY MAY RESULT IN FINES: . Author d S idna COMMENTS: „a _t i 2 . BOARD OF HEALTH Ths iidlualha be inn oftr�e perm trnqutem ents t3iatpertan to firs type ofbusness. MUST�,OMpLY WI !1 ALL r U II� _ KVARDOUS.M,"TERIALS 0GULA,F�iOX a Authored Silnatiz ** € r.`3 COM M EN TS: f 3 . CONSUMER AFFAIRS (LDENSNG AUTHORITY) Ths ndadJualhas beafl nfo e o >bensng requ>rem ents ti7atpertan tD this type ofbusness. Authorized S#iat ire* COM M EN TS: ' Town of Barnstable .tip BullCllilg �a x �,'. 'z ^s'�, _ Post This Card So That rt is.V�sYble From the Street Approved"PlaMAMMA ns Must be.Retamed on Job and tfiis Card Must be Kept Posted Until;Finallrispection Has6eenMacJe ' m 1639 s n g 7 �?. � r`" Permit ° j,W a Certificatevof Occupancy is Required,such Bwl'dmg shall Not be Occupied unt I a Final Inspec on,hasbeen made Permit No. B-17-4310 Applicant Name: VB. Custom carpentry Approvals Date Issued: 12/14/2017 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/14/2018 Foundation: Location: 38 GREENWOOD AVENUE,HYANNIS Map/Lot: 289-113 Zoning District: RB Sheathing: Owner on Record: PERKINS,CONSTANCE M Contractor_Name DIEGO BAVELONI Framing: 1 Address: 38'GREENWOODAVE Contractor';Ucense CS'=111401 2 ( t Cost: $6,000.00 HYANNIS, MA 02601 Est Protec Chimney : , g Description: re-roofstripping old shingles- hilds-d en nis -- e�rmi $35.00P Insulation.. Project Review Req: r Fee P"aid.. $35.00 I Final: ? Date 12/14/2017 ``' Plumbing/Gas Rough Plumbing: ee, ' Building Official Final Plumbing: a : This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: ,., All work authorized by this permit shall conform to the approved appl ation and the�approved construction documents forrwhich this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by=laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical w :> Service: 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 Rough: 1.Foundation or Footing v. 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable *Permit#16 ?-q3/ tME Expires 6 mon hs from issue date IBMI& Department Services Wee om _ BAMRrABM 40 n Florence O CB ' MASS. ��� 13 ti`�°; B % Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 /14k Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address_ 138 Uewwopk) �'�� 6t1 RIS C1\44 ozol &Residential Value of Work wo. ca Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address J)ze o 8A\ir���11 Contractor's Name" )1G(,o 6�e Al I Telephone Number Home Improvement Contractor License#(if applicable) 1'8 Email: Construction Supervisor's License#(if applicable) GS It 1q0 I ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name U j_1 CA W k�Cl p N kl Workman's Comp.Policy# A (o[ao Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) f , R] Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to G M(d S JZNN 1�A- ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 08/16/17 77m CoanmorrfveaM of Ma-va iiusetts Deprrakrreut afIt dustrid Accidemtg - — Office-a�'�gati&= i . 600 WashizWton&treet -- Baston,CIA 02111� 4 n+nnumassg ovIdia Wurlmre CGmpensa6mInsuranceAffi>fizvft:Suffders/C=tracturs/Elecfricians/Phmihers Appjicant Infonmatinn Please hint t� �ess�l0�a�laoalLd�'�iRa�. �/ � l�/S I�S►�l �i' e� f(LEI . . Ag `l Al Sa(re 1 citytSta&ziF_ is 0 4 Phantiiik_ 509 360 25s Are you an employer?Checkthe appropriate bo= � Type of project(rc��ed): C '�agmera =ftacr=dIIagaem 1 ufi ❑ employees(Bill anNor part limed* ba>:a hired the sub-cont mCtors 6. New constiucfiiog 2.0 I am a sale prop.zietar orgartner- tided on the ached sheet. 7- 0 Remod&ng ship and have no emplayees These sub-contractors have U 0 Demolifiba working, Rw ne is any capacity. employees and.Ih as' [NO yyp�g' comp,isasm=e comp.m¢aerarrrr i� 9. ❑Building ad3ifioia reqair ed] 5. 0 We are a cmporatica and ifs 10-❑El eetrical repairs or additioas ama homeou�es doing a1}vrorlc officers haveexercised fhesr 1L❑Plumbingrepaims or additions. self o-wag ' �f of exemption per M(M 2 +Win+arequiredj1 - c.15Z§1(46aadwe have no 13-®other e:mployew-(NO Wow' 13-❑E?firer cow.msura m requh&ji •kay apg&��ac chesUwal mast also ffia�th¢secrEoabrlawsha�iag r5eawor�exs'compeasaSaupo&cpinF==arm- ffameoarass�rl�submft this sf6dayu i-H-2tm, dey axe daing aif wal rad&m hRx amide cantmarsam such_ fCaa>zaciu6 t d�eckthis bcx mast—eh =addid—zl shad sbnvciag themmue of the sub-ccutwit z xaIl stye whet m air not ilmse maiftbna employees.Iftbesab-caatmctaeshave emptayen,Me}'masI pmsidetheir wadm&romp.policy aimslsns lam ari employer that is prauidirrg.markers'camperrsahian insrirmmcs f br gy cmlvloIwes. $erviv is fhe pv cy ad jeh site inforinadom Insmance Company Name ft l OV& `. Poficy 41or Self-ins.Liu_ GC a do '4I a 3)xi Job SiteAddre— C leay Wow Nk. ccity�st p: �}��NNI S i \-A A Attach a copy of the workers'compeusationpolicy-declarafion page(showing the policy,number and expiration date). Failme to secure coverage as required under Section 25A of MQ.c.I572 can lead too the imposition of criminal pe•ualties of a fine up to$L5Oa OU an&or one-year imprisonments as well as civil pertalties,ia fhe form of a STOP WORK OBDEF and a frne, of up to$250-Da a day as+�the violator. Be advised that a copy of this statement.maybe fanvarded to the Of Ste of IrrsreWgalions of1he DIA far i si urance coverage s� fr ioa I tl`a lter rtardar the pains and s QfF r!'&dtfis ar anrra#iou prm d abates ig trans arr d avrreFt ate: 12 Phone A7 So 0 �95 5 i 0JTcfid use army. Do ttot write in tidy Area,to be cmnpfeted by tale artotru n;ft-iat City or Town: Perndtfficense:g Bsuing Authority(drde one): L Board of l3•ealth I ceding Departrn ent I�dFo• n,Clerk d.Electrical l nspertorr S.Phsibiftg Inspector G.Other Coact Person: Phone#: — -- - - 6 wnaaan aid lascons ;:r M&Ssachmztf3 Gebznil Laws chapter•M requires,-II employers to pzavideWuLfm&=npeus±km for zeii mvkyees. r Pms�tto tizis sty,as W4Ioy'=is domed as¢.evetypemon fn ffze service of another IIndCr any MTltra.ct ofhire, dress or implied,•Drat or Witt= An Moyer is defined as-an individual,p��,a MDCi & ,coiparat[on or ofizer legal entziy,or aziy two or mole of fhe foregoing=gaged in a3oint ,and inchz Tmg the legal represedafl:vw of a deceased employer,or the receiver or trastee of an hulividmI,parhmship,association or other legal entity,employing employees- However the ownerofadwellmghcusehavingnotmoretbmtbree arimentsand�horesidesihezein,orfi�eoc ofthe- dweIIinghorse of anoti>er who employs persons to do ce,c�Tn*ac.fion or repair wow on such dwelling house or on the grounds or bmlding app thereto shaRnotbmanse of such employme bed edtn bean employes" MGL rester 152,§25C(6)also sues that aeverg ssffaia ar local H=Lsa +g agency shah withhold fSie issuance ar renewal of a license or permit to operate a baseness or to consh-act bmldings iu the commonwealth for any applicant Who bas not produced acceptable evidence of cumplianceWn tlm iDovraace coverage required. AdrlhionaIIy,MW,chapter 152,§25CM staffs-W:dhm the commommalfh nor Ly of its political subcT ei_sions sbaIl en ipr iot4 any coafract fnrthe puree ofpublio work uatI acceptable evidence of compliancewith flea ins —,ce.• req er[Es of dais chaytm have been.presenfEd.in cozdxaciing.aufhol y:' AppHcan-& sitnafron and,if Please fill oil the Worker'compeasation ar'Tdava completely,by chug the boxes�apply to your nec,cssazY,apply sob-contr(s)name(s), des)and phone mz m(s)along withth==tflcate(s)of „crrrance. Limited Liability COMPaMeS(LLQ orLhnitedLiabUitpP .ips(LLP)'vd&no employees other than the members or parfneas,are not rimed to cagy WU13 s'compeasajion insm-ance. If an LLC or LLP does have Beadvisedtbatthisaf�dayitmaybesuhmittedintbeDepartnentoflndusfrial �pIoyees,apolicyisrequhed. Accidents for con{ ce xmaf nn of firm coverage. Also be sure to sign and date a affidavit: The affidavit should beTetomed to- e city or town that the appficajion for the permit or license is being regtnested,not the D eparfinenf of I-ndnstrial.A c;c =:b Mouldyou have any questions regar3mg the law or ifyou ais reqcired to obtain a workers' compensation poficy,please call the Departmen±at geJf-M=rd companies shonId eater$heir, self-;�,cr�r�ce license uvmTxa on$ie appropaate Line. City or Town of fraals Please be sore that the afhdavrf is complete andpri�legibly. The Departm.esthas pmvided a space of the boti-om Of the affidavk for you to fill out is the event tho Office oflnvmtiga has to confac't yaQregardmg the applicant Pleasebe sure tofllinihepen�Wicensemnober which wM be;used asareferrmcenombrr In addition,an applicant that mnsE submit multiple pe,m;t/i;C=s e applitrations in.any g ivm yew•,need only sabmit one affidavit mdica cat p olir inforozatiaa(if necessary)andunder-Tob�e Q s"the applic�should write�aII locations in (may or .town»A copy of faze dEdavitiha:t has been officially s amIIped-ar maked by the city or town maybe provided to e applicant as proo ffhat a valid affidavit is on file for fzfnre'pennits or ficemm Anew aiidavi t Est be filled Dint ea rb year.Where a home owner or citimmm is obtaining a license or permit not Yelated in any business or commercial vie (i_e. a dog license or pmmit to bum Ieavm etc-)said person is NOT retlaimd to complete this affidavit Tie Office of Inves6gHinns would like 6o thank you in advance for yo=cooperzdm and should you have any questions, please do nothesifafeto givens a c M 'the Departnaafs address,telephone and faxrannber - IIeparLmMt of AoDidMts floe�� fio� . �4 man Sfz Rnstm]=1&E 11I Ted.4 617- -4 t-xt 4€16 or 1-977 lvl'A&GAF Fax#617 727 7M Revise424-07 W.W.Tn a S 9-T[d ��ie�pdiy�naaruaea�C�a�C�i�lccaoac�ccaeGto Office of Consumer HOME IMPROVEMENT CONTRACTOR rs&Business �on Type: Corporation —'—s_ ttrat_on Expiration. 66485 11/19/2018 VB Custom carpentrya• Diego Bavelon s 249 High Bank Road yarmouth,MA 02664<`;__ Undersecretary t. Commonwealth of Massachusetts �uDivision of Professional Licensure Board of Building Regulations and Standards Const; rt1SiSp rvisor �f CS-111401 a Fires: 02/24/2021 DIEGO BAVE�ONI 43 WINSOME ROAD SOUTH YARMOIa�TH MA 0266 N Commissioner p ' C �V Town of Barnstable Building Department Services � Brian Florence, CBO �6 3 R` Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder I. 12C-,0 bA,\IQ6J" ,as Owner of the subject property rr,,'' l p Pay hereby authorize U 6 &Uf :tOM CWPN v' -J to act on my behalf; in all matters relative to work authorized by this building pertnit application for. 3 �, e-vf wx) R , V ANN A , 00160 1 (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signatur of Owner Signature of Applicant woceC�ov �e ��yPl�w Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:006117 Town of Barnstable Building Department Services { Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 s�►axsrea,�, : . MAW � www.town.barnstable.miLus 163 Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFE14MON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildingaermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q.\WPFU-ES\FORMS\building permit forms\EXPRESS.doc 08/16/17 Circle Ipsurano Faye l-111-40 Dec 13 N11Nbm P00 /V LERTIFICATE RE� . CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDIyYYY) 112/13/17 TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL.ICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statomont on this certificate does not confer rights to the certificate holdor In lieu of such endomement(s). PRODUCER CONTACT NAME: Circle Business Ins.Agcy,Inc, a CN; , 978 777All -5619 Alc No 1878-777.4898 247 Newbury Strout ADDRES S' mcastaldi@circloinsurance.net Danvers,MA 01923 INSURERS AFFORDING COVERAGE NAIC 4 INSURER A: Travelers Insurance INSURED INSURER B; Utica Mutual V B Custom Carpontry Inc. INSURER c; Diego Bavoloni&Pablo Valerio INSURER D l 43 Winsome Road South Yarmouth,MA 02664 INSURER E: INSURER F I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS. IL7R TYPE OF INSURANCE POLICY NUMBER MMIDDY EFF MPOM/LDICDY�Y LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR -NIVIAQ 1 8 300000� ME EXP(Any ana or-an $ 51000 A 6801 C360820 07/23/17 07/23/18 PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JCCT 1:1 LOC PRODUCTS-COMPIOP AOQ $ 2,000,000 OTHER: S AUTOMOBILE LIABILITY C MBINED SINGLE LIMB $ Ea eccidunl ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per eceldent) $ AUTOS ONLY AUTOS HIRED NON.OWNED 'NOHdH'PYUAMAUE $ AUTOS ONLY AUTOS ONLY JP.r eeoldeMt $ UMBReLLA UAe OCCUR EACH OCCURRENCE S excess LIAR CLAIMS-MADE AGGREGATE $ UED I I RETENTION✓R $ WORKERS COMPENSATION AND BMPLOYPRS'LIABILITY YIN x S ATIITE ER- ANY PROPRIETORIPARTNF.RIEXECUTIVE E.L.EACH ACCIDENT 600,000 B OFFICERIMEMSER EXCLUDED? N❑ NIA 4581220 07/23/17 07/23/18 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below L I I I E.L.DISEASE,POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS.I VEHICLES (ACORD 101,Additional Ronterks Schedule,mey be attached If more space is ruclulrud) Fax:508-790.6230 Buildinq Department CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main SL Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE Maria R.Castaldl ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registored marks of ACORD e X • 1 MASSACHUSETTS FORECLOSURE DEED BY CORPORATION Wells Fargo Bank,N.A., at 1901 Harrison Street, Oakland, CA 94612 a national association duly established under the laws of the United States of America the current holder of a mortgage from Constance Perkins to Worlds Savings Bank,FSB dated October 8, 2004 and recorded with the Barnstable County Registry of Deeds at Book 0 19131 Page 101, on October 14,2004 by the power conferred by said mortgage and every 0 other power for TWO HUNDRED TWO THOUSAND DOLLARS AND 00/100 ($202,000.00)paid, grants to Diego V. Baveloni,43 Winsome Road, South Yarmouth, rA MA 02664,the premises conveyed by said mortgage. U c� Wells Fargo B , N. Name:Yiffinf Wa ns x Title: Vice Presid t Loan Documentation Company: Wells Fargo Bank N.A. Date: l l/27/2017 a� North Carolina Wake County -v 3 I, , a Notary Public of 1't County and a State North Carolina, do hereby certify that Tiffany Watkins personally came before me this day and acknowledged that she is the Vice President Loan Documentation of Wells Fargo Bank,N.A., and that she, as Vice President Loan Documentation, being 00 authorized to do so, executed the foregoing on behalf of the corporation, as the free act and deed of Wells Fargo Bank,N.A. Witness m hand and official seal this y Y � day of� -� , 20 /7.. Crystal D. Fore Notary Public My commission expires Crystal D Fore NOTARY PUBLIC Wake County, NC My Commission Expires 2-9-19 046-MA-V9 File Number: 15-005838/326/MISC f: 4 � A Wells Fargo Bank,N.A. 1 Home Campus MAC: F2303-04J Des Moines,IA 50328 Ph: 877 6r7-5274 .. f . 12/22/2017 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street Hyannis,MA 026oi Regarding Property Registration at. -~ - 38 GREENWOOD AVENUE BARNSTABLE MA 02601 Tax ID/Parcel#: 289-113 Dear Sir/Madam: P P itY P rty 9/ 9/ 7, g g The 1 o e above was sold to a third,party as of 2 201 therefore Wells Far'o longer •„�� hasinterest in the property,and is no longer the responsible party.Please update your` gistratioi ,; .fi.R records: ' ., 'f.F ,i ,.: r - t 0 Thank you,for your assistance in this matter. Sincerely, rn 00 Tuan Nguyen Wells Fargo Bank,N.A.. - - - - - .J. :�_- - oMt _ - - ----- - — - Tuan:Nguyen3@wellsfargo:com ' f Ijo 'Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 2-7-12 Town of Barnstable Thomas Perry CBO , r Building Commissioner 200 Main St.Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 38 Greenwood Ave,Hyannis has been inspected by a certified Building Performance Institute'(BPI)Inspector. Ceilings: R-30 cellulose open ceilings; R-19 cellulose enclosed slopes and decked ceilings. Walls: R-13 dense pack cellulose,R-11 fiberglass in knee walls & garage/house parting wall. Basement: R-5 fiberglass top 4 feet of foundation walls; R-19 fiberglass box sill area. All work performed meets or exceeds.Federal and State Requirements. Sincerely, Czy William McCloskey • Town of Barnstable, 367 Main Street, Hyannis, MA 02601 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224_-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law, please state the . reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: N/A Section 1 —Property Information r ,NNt S _-- Property Address:38 GREENWOOD AVENUE B--R' IMA 02601 Assessors Map #: Parcel #: 289-113 Land area and description 22,651 sqft (or 0.52 acres) Building(s),description and contents Single family home of 1,448 sqft , Occupied_: N Occupant(s)(if borrowers so state and include name(s)) Vacant ` Phone: 877-617=5274 email: codeviolations@wellsfargo.com other: NA Vacant: Y Date: 10/20/15 Anticipated Length of Vacancy: unknown Last occupant(s) )(if borrowers so state and include name(s)) CONSTANCE PERKINS & LUTHER PERKINS c/o Wells Fargo Bank, N.A. Phone: 8777617-5274 email: codeviolations@wellsfargo.com other: NA Has possession been taken No If so, please explain and complete and file the maintenance and security plan form (unless exempt as stated above) See Attached Section 2—Foreclosing Party Information Foreclosing Party (full name/title) Wells Fargo Bank, N.A. , Foreclosure Case Court: Docket# /0� �S Date filed: 08/06/12 Current Status: Active Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name, title,): Wells Fargo Bank, N.A. Company (if different from foreclosing party): Wells Fargo Bank, N.A. Address: One Home Campus, MAC F2303-04J, Des Moines, IA 50328 Phone: (877)-617-5274 email: Codevioiations@WellsFargo.com other: If an exemption is claimed, please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so.state and do not complete contact information (i. e. "none"or"see above")). Name, title, other: NA Company (if different from foreclosing party): NA Address: NA Phone(s): NA email(s): NA other: NA Name, title, other: NA Company (if different from foreclosing party): NA Address: NA Phone: NA email: NA other: NA Attorney representing foreclosing party NA Firm name (if different from attorney's name): ORLANS MORAN PLLC Address: P.O. Box 540540 Waltham , MA 02452 Phone(s): (781) 790-7800 email(s): info@orlansmoran.com other: NA I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. kson Brian aCkSOn�Date:2015.1020 872:30c J 05'00' Date: 10/20/15 - Name:-Brian Jackson Title: Research/Remediation Associate x I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner; Town of Barnstable MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4, requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner, to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B)within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4, please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property N/A Town of Barnstable, 367 Main Street, Hvannis, MA 02601 (1) Registration date: 09/23/14 If not registered, please complete the registration form and state date of filing or anticipated filing N/A (2) If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual onanticipated)N/A (if in possession or ownership must be certified as accurate twice annually in January and Judy). (3) Describe any hazardous materials on the property as that term is defined in MGL c.21K and the date(s)and method(s)for removal as approved by the Fire Chief UNKNOWN (4) Method(s) and date(s) all windows and door openings secured (or will be secured) UNKNOWN If left secured, name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property WELLS FARGO BANK,N.A. F2303-04J, 1 HOME CAMPUS, DES MOINES IA 50328, 877-617-5274 (5) Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property UNKNOWN (6)Name(s), addresses) and contact information of person(s) responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance" in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances WELLS FARGO BANK,N.A. ` MAC F2303-04J ONE HOME CAMPUS, DES MOINES, IA 50328 (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity, please state: Date of approval UNKNOWN ; Date(s) electricity turned off UNKNOWN on if applicable UNKNOWN ; Date(s) water turned off UNKNOWN on if applicable UNKNOWN (8)Name(s), address(es) and contact information pf person(s) responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances WELLS FARGO BANK,N.A.,F2303-04J,ONE HOME CAMPUS,DES MOINES IA 50328 (9)Name, address, telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner WELLS FARGO BANK,N.A,F2303-04J,ONE HOME CAMPUS,DES MOINES IA 50328,877-617-5274 (10) Date(s) certificate of liability insurance on the property filed with the Building Commissioner SEE ATTACHED EVIDENCE OF INSURANCE (11)Date(s) cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee 09/23/14 (12) Date(s) scheduled for inspections with the Building Commissioner and Health Director, who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance UNKNOWN or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance UNKNOWN (13) Date(s) when the property was sold, or is anticipated to be sold, to the foreclosing party. If neither, please explain UNKNOWN I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Brian JacksonI.Digitally signed by Brian Jackson _' Date:2015.10.20 08:38:30-05'00'. Date: 10/20/15 Name: Brian Jackson Title: Research/Remediation Associate I I ` F I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable e WELLS FARGO HOME MORTGAGE CONTACT INFORMATION For questions or concerns regarding a property registration issue please contact the Property Registration Department. Property Registration Department Registrations@wellsfareo.com For other inquiries please route applicable requests to: Building and Code Compliance Department CodeViolations@wellsfargo.com Utility Bills ConvUtilitvPmt@wellsfargo.com HOA or Condominium Dues or Fees HOAPmtRequestFH@wellsfargo.com Tax Related Requests: TaxGatekeeper@wellsfargo.com REO property inquiries PASAPinguiries@wellsfsargo.com Insurance Claims HazardClaims@wellsfargo.com General Property Preservation Property.Preservation@wellsfargo.com For questions regarding purchasing a Wells Fargo property please contact 1-877-617- 5274. You may also contact our dedicated property preservation call center at 1-877-617-5274 Monday— Friday from 8:00 AM —9:00 PM EST. Please note all legal documents should be sent to our legal mailing address below: Wells Fargo Home Mortgage 1 Home Campus MAC# F2303-04J. Des Moines, IA 50328 21174 I ® DATE(M M/DD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 3/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Wells Faro Certificate Service Center NAME: 9 Wells Fargo Insurance Services USA,Inc. PHONE q04-923-3719 FAX 1-877-362-9069 AIC o Ext: A/C No 3475 Piedmont Rd E-MAIL wfis.certificaere ues wellsfar ADDRESS: t t o.comq @ 9 Suite 800 INSURERS AFFORDING COVERAGE NAIC# Atlanta,GA 30305 INSURERA: Old Republic Insurance Company 24147 INSURED INSURER B Wells Fargo Home Mortgage INSURER C a division of Wells Fargo Bank,N.A. INSURER D: 90 South 7th Street,14th Floor INSURER E: Minneapolis,MN 55402 INSURERF: COVERAGES CERTIFICATE NUMBER: 8901677 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,-THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDYIYYYY MM LTR DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY 304056 04/01/2015 04/01/2020 EACH OCCURRENCE $ 10,000,000 DAMAGE TO RENTED CLAIMS-MADE FxI OCCUR PREMISES(Ea occurrence) $ 10,000,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000.000 X POLICY❑PRO JECT LOC PRODUCTS-COMP/OP AGG $ 10.000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED L SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ - ER $ A WORKERS COMPENSATION MWC302638 04/01/2015 04/01/2020 X STATUTE ER H AND EMPLOYERS'LIABILITY YIN 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 .DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space.is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION Wells Fargo Home Mortgage, > SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE a division of Wells Fargo Bank,N.A. THE EXPIRATION DATE THEREOF,, NOTICE WILL BE DELIVERED IN 9 ACCORDANCE WITH THE POLICY PROVISIONS. 90 South 7th Street, 14th Floor Minneapolis,MN 55402 AUTHORIZED REPRESENTATIVE op 9« �- The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(201.4/01) Wells Fargo Home Mortgage x MAC F2303-04J.C,,) p One Home Campus Des Moines IA 50328 , Ph:877-617 5274-n October 20, 2015 �= 'w`' Town of Barnstable Attn:Robert McKechme. Building Department 200 Main Street Hyannis,MA 026o1 Completed Property Registration for- 38 GREENWOOD AVENUE BARNSTABLE MA 026o1-4316 TAX ID: 289-113 Dear Sir/Madam: Please see the attached property registration form and use the below contacts to expedite any future requests. Code Violations: CodeViolations@WellsFargo.com Property Registrations: Registrations@WellsFargo.com General Property Preservation: . Property.Preservation@WellsFargo.com Call Toll Free:. - 1-877-617-5274 For questions regarding purchasing a Wells Fargo property please contact 1-877-617-5274• Sincerely, Brian Jackson Wells Fargo Home Mortgage MAC F2303-04J One Home Campus Des Moines,IA 50328 brian.a.jackson@wellsfargo.com REGISTRATION AND CERTI1V jGA1�TIONrFO!IZ°M' D� FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Codes e hapter 224 �b sections 224-3 and 224-4. Please complete one form•o�fa-=property in foreclosure (section 224-3) or already foreclosed for which posse s'ion*lias been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records:- Section 1 —Property Propeqy Information Property Address:38 GREENWOOD AVENUE-BARINISSTABLE. MA 02601 Assessors Map#: Parcel #: 289-113 Land area and description S I N G L E FAM I LY Building(s) description and contents Occupied: Y Occupant(s)(if borrowers so state and include name(s)) CONSTANCE PERKINS : BORROWER Phone: email: other: Vacant: N Date: Anticipated Length of Vacancy`. Last occupant(s))(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken.NO If so,please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Section 2—Foreclosing Paqy Information Foreclosing Party (full name/title)-WELLS FARGO HOME MORTGAGE Foreclosure Case Court: Docket# r Date filed: 8/6/2012 Current Status: NOTICE OF FORECLOSURE FILED Foreclosing Party's representative(s).for property (entry, management, repair, etc.)(name,title,): WELLS FARGO HOME MORTGAGE Company (if different from foreclosing party): Address: ONE HOME CAMPUS, DES MOINES, IA, 50328 X9400-022 Phone: 8776175274 email: codeviolations@wellsfargo.com other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property arid/or foreclosure,please so state and do not complete contact information (i. e. "none" or"see above")). Name,title, other: NONE Company (if different from foreclosing party): Address: Phone(s): email(s): other; .Name, title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party MARINOSCI LAW GROUP,P.C. Firm name (if different from attorney's name): MARINOSCI LAW GROUP,P.C. Address: Phone(s): (401)234-9200 email s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. C jon athan.mosie r@wel lsf Digitally signed by�Jenalhan.mosier@wellsfargo.com 09/23/2014 argO.COm DN._cn=jonathan.mosier@wellsfargo.wm Date: �/ Dale:201409.23 13:14:48-05'00' Name: Title: I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. . Date: Building Commissioner; Town of Barnstable MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances,Code section 224-4, requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner, to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B)within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4,please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property (1) Registration date: If not registered, please complete the registration form and state date of filing or anticipated filing 9/23/2014 (2) If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated) (if in possession or ownership must be certified as accurate twice annually in January and July). (3)Describe any hazardous materials on the property as that term is defined in MGL c.2 1 K and the date(s)and method(s)for removal as approved by the Fire Chief (4)Method(s) and date(s) all windows and door openings secured (or will be secured) The building is secured; all doors and windows are locked. If left secured, name, address, and contact information of security personnel providing twenty-four-hour on-si.te security personnel on the property WELLS FARGO HOME MORTGAGE 38 GREENWOOD AVENUE BARNSTABLE MA 02601 (5) Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property N/A OCCUPIED (6).Name(s), address(es) and contact information of person(s)responsible for maintaining: structures; lawns and shrubs in sound condition free from excessive.growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance" in this Ordinance; any other provision of this Ordinance; and, for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances WELLS FARGO HOME MORTGAGE 101 Federal St Boston, MA 02110 8776175274 cod eviolations(a)-wellsfan (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity,please state: Date of approval ; Date(s) electricity turned off on if applicable ; Date(s)water turned off on if applicable (8)Name(s), address(es) and contact information pf person(s) responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances WELLS FARco HOME MORTGAGE 101 Federal St Boston,MA 02110 8776175274 codeviolations@wellsfargo.com (9)Name, address,telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner WELLS FARGO HOME MORTGAGE 101 Federal St Boston,MA 02110 8776175274 codeviolations@wellsfargo.com (10)Date(s) certificate of liability insurance on the property filed with the Building Commissioner (11) Date(s) cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee 09/23/2014 (12) Date(s) scheduled for inspections with the Building Commissioner and Health Director, who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance (13) Date(s) when the property was sold, or.is anticipated to be sold,to the foreclosing party. If neither,please explain N/A:NOT LISTED FOR SALE I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. jonath an.mosier@welIsfargo.,Digba11Y signed by;onathan.masler@wellsfargo.wm \DN:rngon.u, rnosler@wellstargo rn Corn oara:2oia.ogss 13:13:12-05,00 Date: 09/23/2014 Name: JONATHAN MOSIER Title: RESEARCH AND REMEDIAT101�b I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable: Date: Building Commissioner, Town of Barnstable TRAVELERS BOND (License or Permit - Definite Term) Bond No. 106149536 KNOW ALL MEN BY THESE PRESENTS: THAT WE, Wells Fargo Bank,NA as Principal, and Travelers Casualty and Surety Company of America' a corporation duly incorporated under the laws of the State of Connecticut and authorized to do business in the state of Connecticut as Surety, are,held and firmly bound unto Town of Barnstable as Obligee, in the penal sum of Ten Thousand Dollars and 00/100 ( m0.000.00 ) Dollars, for the payment of which we hereby bind ourselves, our heirs,.executors and administrators, jointly and severally, firmly by these presents. - WHEREAS, the Principal has obtained or is about to obtain a license or permit for Loan#106 1115061065-1173 Phinney's Ln Hyannis MA 02601 NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that if the Principal shall faithfully comply with all applicable laws, statutes; ordinances, rules or regulations, pertaining to the license or permit issued, then this obligation shall be null and void; otherwise to remain in full . force and effect. This bond is for a definite term beginning 9/23/2014 and ending 9/23/2015 and may be continued at the.option of.the Surety by Continuation Certificate. PROVIDED, that regardless'of the-number of years this bond is in force, the Surety shall not be liable hereunder for a larger amount; in the aggregate, than the penal sum listed above. PROVIDED FURTHER, thaf the Surety may terminate Jts liability hereunder as'to future acts of the Principal at'any time by giving thirty (30) days written notice of such termination.to the Obligee. SIGNED, SEALED.AND DATED this 9/23/2014 Wells Farl4o Bank NA By Principal T vele s Casualt a Sure Company of America By: J li for, Attorney-in-Fact S-2151 B(6/10) WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER .�/� C C , Imo, POWER OF ATTORNEY T{`^VL LL RS" Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters;Inc. Travelers.Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Attorney-In Fact No. 225809 Certificate No.. 005268703 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the.laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company.is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Scott Davis,Tina Kennedy,Dawn T.Kirkland, Steven.L. Swords,Carol Philyaw, Cheryl Boozer,Annette Wisong, Janice W.Brickner,Joseph W.Hamilton,III,Joseph R.Williams,Cindy A.Thibodaux,Tracy Wallace,Julia Taylor, and Michelle Kelley of the City of Atlanta State o-f Georgia ,their true-and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their-business of,,guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings.required or permitted in any actions or proceedings allowed by law. a ., . - : t t 13th IN WITNESS WIWREOF,the Compnelslhave caused this instrument to be signed and then corporate seals to be hereto affixed,this November Y _ * Y e£ day of Farmington Casualty Company s�R St.Paul Mercury Insurance Company Fidelity.and Guaranty Insurance Company W f Travelers Casualty and Surety Company Fidelity and GuarantylIn urance"Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company' St.Paul Guardian Insurance Company pa+"MSURJpI1Y 4N08 - f• INCOVMTED NARTFI)Ro �'turilForm' " CONN. o OCNtt. g m. 696 SELL' 4yrtct+'asS ifs co �;.`•.. 'A r '� . ..:aa ed ae �1 ..c4 yUdANCE 1$�•Aa�J 1g.......Td bj • Rda t'• � AIN State of Connecticut By City of Hartford ss. Robert L.Raney,ken or Vice President 13th November 2012 On this the day of before me personally appeared Robert L.Raney,who acknowledged himself.to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine.Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty-and'Surety Company;Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. p.TET In Witness Whereof,I hereunto set my hand and official seal. My Commission expires the 30th day of June,2016. Al/BLN * Mane C.Tetreault,Notary Public CT'�$ 58440-8-12 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass gavldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/PImubers Applicant Information Please Print Lep-ibly Name(Business/OrganizaEan/IndMdual): Address: City/StaWZip: M4 0)6641 Phone#: 3 a55f Are you an employer?Check the appropriate box: 'Type of project(required): 1. I an a with 4. ❑I am a general contractor and I employer • 6. New construction employees(full and/or part-time).* have hired the sab-contractors 2.® I am a sole proprietor or partner- listed on the attached sheet 7. ®Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in capacity. employees and have workers' �y ap tY• # 9. 0 addition [No workers'comp.insurance comp.insurance' EIectrical required.] 5. [] We are a corporation and its 10.❑ repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.❑Roof repairs incrrrance required.]t C. 152,§1(4),and we have no 13.❑Other employees.[No workers' *Airy 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 afidavit indicating such. xContractors that check this box must attached an additional shed showing the name of the sub-contradors and state vfbctha or not those eatides have employees. If the sub-contractors have employees,they must provide their workers'camp,policy number. I am an employer fiat Is providing workers'compensation insurance for my employees Below is the policy and job site information. Insm-ance Company Name: >UTI CG A Policy#or Self-ins.Lic.#: "1 J�(Da+® Expiration Date: 0411 Job Site Address: 30 ra�.eN yjxD f4 Z City/State/Zip: �f ; 0��} 0A 0 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 imprisonmen,as well as civil penalties in the fog 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 her c fy under the pains 0 penalties of perjw y that the information provided above is true and correct Si atzffe: Date: 011311 )-Ol l Phone# official use only. Do not write in this area,to be conTleted by city or town of City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#• 1 Office of Consumer Affairs Business R gelation HOME IMPROVEMENT CONTRACTOR -UIP Corporation ration: 1� t8648,;5, Expiration V8Cu p8tom c Di ego Baveloni,;` _}�.M 249 High Bank ROad '. yarmouth,MA 02664� Undersecretary Oy — -- po'� �� U commonwealth Division of Pr of Massachusetts A \ Board of Building Re eSsional Li ti I B gulations censure CS-111401 ns`r . �� rvisoandStandards I E sPires:021 DIEGOSAVErt _ 24/2021 LO VVINSi SOUT 'YA tE ROgp H YRMO: t:. 3 r •_v UYT H MA'02664 � Commissioner A _ CP 3 . 177 - W �. (o _ � - ! ' - I v,C®® � J ca iv h Fell s Q, NQ�e 1B �RNST404 � -� _ t 'v I FEB 012018 7'OVVN0"8ARNSt A®LF a 4 � I s i a O i 2�cGQ�b"orb"�� i 80 Ao OPN as L 4 F 517 A© 1'RQ1�'r f _ , r O t v _ K� Zteso .eAIr-6.m r G 7-8 2, �. II 4 LIP �- r �•.. � I ._ice__ Q �. - - ;� ;; t�t' �;jl � . G x Y J -�: I IP • i, tr (' \` IA 3 i 0 v 4 b ti J �Q j �Z All) —Al- ' - \ JM + ~ , i I i Wo T e� e l i I r , i l . - 1 M �. � a (�? CP Z Ao,