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HomeMy WebLinkAbout0188 MARCHANT'S MILL WAY • r ,..y a��,.�;, ,.l�:p-..* ,r Y r'�` ti, ,�.-T:.. s+;..��..,y� , r:::;._.-�.,,' _,,.,.,-,�:. g =.•, .n..rffi,..5...� �?'.., "fit,�.....,F�.-„Y":i'f^:..��a�,ay .Y..„ � _ �r_ ,,. - - �w .. ,.. £ Assessor's map and lot number -.............» ....�'f... //� �OftF1E //nr0� =—» Sewa a Permit number ..../• / Z 33AUSTAKE, • House number ...................J14.............. ....... rasa 9 Apo,039. `00 'fa MAI a' s TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...,......... ^. ?/- ! ....:..................................................:......:.. TYPE OF CONSTRUCTION ........,.....f/ ..............:............................................ ............ ......../f2 8/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .. 5.. !/ .. j% .......... ProposedUse .....�// /,.... . ................................................................................................ Zoning District ......... ........ ......................Fire District ..................................................................... Name of 0 w n ........ ...................Address ...�-. ..(?,4g. ........ e--r .................................. Name of Builder .....................Address .............. Name.of Architect ............ .............................Address ........ -7�...f� . . '"............................................. r Number of Rooms t�/�/(" Q Foundation ..C._,: :/: f/•••.,,,%!� � �J/' ,•..•• »,.............................. Exterior . ...Roofin i....?:................ Floors ................ .Interior ........... ......... ...................................... Heatingj.......................................................Plumbing _�,` '�1 .. ��' ...................................... Fireplace ................... %X`....................................................Approximate Cost .............. Dd¢r0. s.... Definitive Plan Approved by Planning Board ----------------------_---------19________. Area ..... ?.....�_.................. Diagram of Lot and Building with Dimensions Fee ............ ! .........../................ SUBJECT TO APPROVAL OF BOARD OF HEALTH r I hereby agree to-conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r/ Name"! : /?..!1/! �...........»... ..... ....................... BOND, KENNETH C. 2_6 6,—3 7 23275 ADDITION No ................. Permit for .................................... Single Family.. .............. .......................... Dwelling.. ........... 188 Marchant Mill Way...... Location ................. ................................... Hyannisport ............................................................................... Owner ....Kenneth...C.......... Bond........................ .. ....... .. .... .. .... Type of Construction Frame ....................... .................. ................................................................................ Plot .............................. Lot ................................ Permit Granted .....JulY ..............19 81 Date of Inspection .....................................19 .Date Completed ......................................19 PERMIT REFUSED ....................................... ........................ 19 ................................. ............................................. ............................ /...................................... Approved ................................................ 19 ............................................................................... ............................................I.................................. Assessor's map and lot number .4:: 4•-:..... Sewage Permit number —Z,0. 33AUSTAXLE, House number .................... MASL 1639- 0 M0 A,' TOWN OF BARN-STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............... . .... .................................................................. A/ TYPE OF CONSTRUCTION ......... ......................................................................... .......... ............ ......ZP.......I 9A� TO THE INSPECTOR OF BUILDINGS: r,. ........... . The undersigned hereby applies for a permit according to the following information: Location ......./.....e....5....... ........ ......... ... ..... ....... ................ Proposed Use ...... ...... ..............................6 .................................................................... ZoningDistrict ........................... Fire District ............................................................................... J Name of Owne .. .......... .. ,. ........ ...............Address ... .....�.. :.......................................... --041411 . . . Name of Builder ....................Address ............... s.......... Name of Architect ....................... ..............Address ......... ........................................... Number of Rooms .....................014�e4..........................Foundation ...... Exterior .....................�\ ........................................................Roofing ....../ -. l........... . Floors .........................\. ' ... ............................................ Interior ............;; ...................................... Heating ......................... ......................................................Plumbing ....................................... Fireplace ..................... . )�, - ......................._............................Approximate Cost .................. ..... ................. Definitive Plan Approved by Planning Board --------------------------------19--------- Area .....A0.�-- ................... Diagram of Lot and Building with Dimensions Fee .......... ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town,]o Barnstable regarding the above construction. .......................Name .. .......i � _ ' BOND, KENNETH C. 23275 ADDITION ~ .--'--- Permit. .~ ---.--------.. ' Single Family Dwelling ........... . - ' ` IOO Marol�aut MiI]' Way Loz,tion ---------------------. ByauoioI»ort � --------------------------. . Kenneth C. Bond | Owner ------_--------------.. Type of Construction `..JEnamq-------- - _ . ~ � —'-----------.------------- ^' Plot ............................ Lot ............................. Permit Granted '— ....JoIy— � ^ lV OI --lU—' -- -.� [ Date of.|ns on ................... lq ' Dote Completed ^������,� l� �^ � ------- ' | � . PER88T REFUSED — lV — -------------------.. ---r---'—~----^---------^--' , _.--.—.--.-----------..-------. , . - . ' . , ..----.—.-^-----...---.~.—.---.—. ' . ' ----.--.--.-----.---------- ` - . { - � .......���------------. lg � � --------.------..—.—..:-----.. ' . . ---,'------.-------.--.----~ | ` . | � ` �� t � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,Y Map ( Parcel a , Application Health Division Date Issued Conservation Division k' Application Fee T��5 Planning,Dept: Permit Fee " Date Definitive Plan Approved by Planning Board � t f t Historic - OKH Preservation/ Hyannis Project Stre t Address r �2 Village T ' Owner Y�/ A Address JA M 1A fe !� z Telephone 6 Permit Request vy.��i� ell Square feet: 1 st floor: existing proposed 2nd floor: existing_proposed _Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1�z1� Construction Type Lot Size r 2 a-fi� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family .E' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 2-No On Old King's Highway: ❑Yes 0 N�o Basement Type: 0"Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sgft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: c existing 4ew Total Room Count (not including baths): existing new First Floor Room Count-. Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other e :� Central Air: ❑Yes .a'No Fireplaces: Existing_ZNew Existing wood%coal stow: ❑Yes 0 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 0"existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION 2 S q (BUILDER OR HOMEOWNER) �� l Name k fiCi 4->1n, 441__. Telephone Number Address -7Y 7 Z ili 44.Q S 1, License # 6-5 )(0 �i�,OALA-�- 4W Qarto '�r Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE '��� } FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED f T' MAP/PARCEL NO..,.-,- . r ADDRESS VILLAGE OWNER ` ay . DATE OF INSPECTION: —,FOUNDATION-- FRAME —INSULATION,-, FIREPLACE t ELECTRICAL: ROUGH FINAL x PLUMBING: ROUGH FINAL :s GAS ' ` a ROUGH "" - FINAL a EINAL-BU.ILDIN:G ;4.,_ R�__i ' +Y, .3: :DATE_ CLOSED OUT ASSOCIATION PLAN NO: D ,� t ��� The Commonwealth of Alassach usetts 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-(Bus i ness/Organ ization/Indi v i dual): Address: r City/State/Zip: i° ,t l ()(M Phone #:y (dV--49_3 Are you an employer?Check the appropriate Type of project(required): , 1.El I am a em to er with 4; I am a general contractor and I P Y {_� 6. ❑New construction 2.Wemployees(full and/or part-time).* have hired the sub-contractors I am a sole propri7for or partner- listed on the attached`sheet. $ ❑ Remodeling ship and have nopmployees These sub-contractors have 8. [ Demolition working for me in.any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5..❑ We are a corporation and its a required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LE] Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t 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 anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 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: C M oAkr Al C.L. City/State/Zip: -4r All— Attach a copy of the workers' compensation policy declaration pa a(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th pains :alties of perjury that the information provided above is true and correct. Si ature: Date: �' f Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Perm it/License# Issuing Authority(circle one): . L . Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector Other ontact Person: Phone#: Client#. 36759 2CAPEG01. ACORD- CERTIFICATE".OF, LIABILITY INSURANCE DATE( 2011Wm PRODUCER I: 'THIS CERTIFICATE IS'ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED ;NSIJHFR A: National Grange Mutual lnsuranc Gape Golf Construction, Inc. INsur(ERB. 571 Willow Street u WestBarnstable,.MA 02668 INsuRERD. COVERAGES 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 RESPECT TO 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN K ADD, - - ..POLICY EFFEC LIVE POLICY EXPIRA I ION LI H TYPE OF INSURANCE POLICY NUMBER LIMITS A GENERALLIA131LIlY MPP87051- 02/19/11 02/19/12 FAC.HOC AIHHFN0- $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMA�EcORENTED $500 000 C:I AIM:;MAI)F OCC:IIH MFII FXP(Any mr..fu.mnn) $10 000 r - & PFHSONAI R AUV INJURY $1 000 000 GENERALAGGREGATE- .,. $2 000 000 GFN'FAI GHFGAI F I IMII APPI IFS PFH: .. _ - - PHOI)UCa:i•CQMPIC)P AC(i� $Z OOO OOO. POLICY PHr LOC r., AU I0MO13ILL LIABdII Y COMHINFI)'MiniI-I IMI ANY AUTO ; yb {EnnuoJwtl) $ All OWNFOA111U, • HOUIIr IN.IIIRY $ °* (Pw SCHEDULED AUTO. -. ItlltlVll) HIHFU AIJI OS " i �, •HUUII Y INJURY - NON-0WNEDADTOS T (Prr nriJnrnt).: $. r ' PHOPFHIY I)AMAIiF "' GARAGE LIA HILIIY e - -L P *�+' `' - AI)IO ONI Y•)-A ACCIIIFNI ' $ ANY AUTO OTHER THAN EA ACC $ % 1 AUTO ONLY. ° AGG' $ w EXCESSIUMBKELLA LIABILII Y - � ,: EACH OCCUR.KFNCF` -. $ - OCCUR CLAIMS MADE AGGREGATE: ` $ f $ DEDUCTIBLE $ HF IFN IION $' s. ._v r WC'^1A111• 01H. A WORKERS COMPENSATION AND WCP8705L „ 02/19/11 02/19112 X on'' EMPLOYERS'LIABILIIY _ F.I. 'ACHACCIUFNI $SOO OOO' EEL ANY f ROrRIETOR/PARTNER/EXECUTNE 0FFICFH/MFMHFH FXCI uuFu7 NO - - 'E.L.DISEASE-EA EMPLOYEE $500,000 If qnn,d"wiln undtsl .�.s z - SPECIAL PROVISIONS bt4 xa -NCii ICY I IMI l $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 13 PECIAL PROVISIONS$;" r Insurance coverage is limited to the terms,conditions,exclusions,.other s `. limitations and endorsements. Nothing contained'-in the certificate Of E insurance shall,be doomed to have altered,waived,or extended the . coverage provided by the policy provisions. f CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF I HE ABOVE DESCRIBED POLICIES HE CANCELLED 9EFOHE I HE EXPIRA I ION Hyannisport Golf Club DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL I DAYS WRITTEN 178 Merchants Way NO ICE 10 1 HE CER I(FICA I E HOLDER NAMED 10 1HE LEF 1,BUI FAILURE 10 DO SO SHALL Hyannis Port,MA 02647 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPNESEN IAINES. II AU I HOKILED HEPKESEN 1 A I NI= ACORD 25(2001/08)1 of 2 #S77396/M77395 LS1 0 ACORD CORPORATION 1988 NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. 0075190-00 WC oo6-43-0332 13072 013-82-0610-00 . PENN P O BOXP092 CLUB 3 C H A R 1 I J 33 HYANNIS FORT, MA 02647-0000. • A Chartis company EXECUTIVE OFFICES: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE- WC990610 175 Water Street New York, NY 10038 LD# MA UI#: .. •.. WORKERS COMPENSATION AND EMPLOYERS PMC INSURANCE AGENCY INC.' KE 50 CABOT STREET LIABILITY POLICY INFORMATION PAGE' PO BOX 920179 NEEDHAM MA 024 2-0002 .. INSURED IS RENEWAP LICYNUMBER 8 9 CORPORATION OTHER WORKPLACES NOT SHOWN ABOVE: SEE EXTENSION OF ITEM 1.OF THE INFORMATION PAGE- WC990610 ITEM 2 POLICY PERIOD 12,01 A.M.standard time at the insured'• mailing address .FROM 06/O1/10 To 06/01/11 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in Item 3.A. The limits of our liability under Part Two are- Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI WV - D. This policy includes these SEE EXTENSION OF ITEM ID. OF THE INFORMATION,PAGE WC990612 ITEM The premium for this policy will be determined.by our Manuals of Rules, Classifications, Rates and Rating Plans All Information.required below is subject to verification and change by audit. i Estimated Total Rate Per intimated y classifications Code Number Remuneration $100 OF Re- Ftemium ❑X Annual❑3 Year muperadon ❑X Annual ❑3 Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE- WC7754 'TAXES/ASSESSMENTS/SURCHARGES $1 ,375 EXPENSE CONSTANT(EXCEPT WHERE APPLICAB LE BY STATE) $338 MA MINIMUM PREMIUM $225 MA TOTAL ESTIMATED PREMIUM $19,785 If indicated below,interim adjustments of premium shall be made: ❑ Semi-Annually ❑ OLiartedy ❑.Monthly DEPOSITPREMIUM 04/26/10 PARSIPPANY 82 ���,.� Issue Date Issuing Office Authorized Representative WC 00 00 01 39967(Wd 04108) EXTENSION OF ITEM 3.D. OF THE INFORMATION PAGE Policy Number: WC 006-43-0332 Effective Date: 06/01/2010 TRSMPOLNOT FOREIGN TERRORISM POLHOLDR NOT-PREM DTMN WC000406A PREMIUM DISCOUNT ENDORSEMENT WC000414 NOTIFICATION OF CHANGE IN OWNERSHIP ENDT WCOFAC NOTICE REG OFFICE OF FOREIGN ASSET CTRL 78052D PRIVACY POLICY WC200101 MA - TRIPRA ENDORSEMENT WC200301 MA LIMITS OF LIABILITY ENDORSEMENT WC200302A MA ASSESSMENT.CHARGE WC200303C MA NOTICE TO POLICYHOLDER ENDORSEMENT WC200601A MA CANCELLATION. ENDORSEMENT WC200604 MA POLICY DEFINITION ENDT. WC992002 . MASSACHUSETTS PREMIUM DUE DATE ENDT. WC880002 TX EXCLUSION ENDORSEMENT WC990610 NAMED INSUREDS/ADDRESSES WC 99 06 12 (Ed. 1197) (Rev'd 04/08) ` r' �- tMassachusetts.- Department of Public SOety Board of Buildint- Ric-ul itionsrand Standards Construction Supervisor License -;License: CS 76393 Restricted to: 00 " f F MICHAELEDWYERa x55 SACHEM DR CENTERVILLE, MA02632 . Expiration: 6/13/2011 ('„mmissioncr Tr#: 17155 Idi* _— t rHO EM!'ROVEME �ogrstratio�, NT CJ�JTRgCTQR L'�c,i matron 13256q r FO 'ig►sh at►o � - ac fore the ex n r ul t °Sp T� 2/27/2011 >�,1 2 g13oard of p►ration dale, for rntfrvidul'use only r�F .Y�e lndivldu 83925 = a �urldin founi}.re F MICL4E DER $f' al sto hburton pt Rc R7 tions and Standards r , - AEL DI�/yE ` •Mx 02108 •' '301 .. `772 � R MAIN g nS7 VILLEf4 j MA 02655 ' 1\'ot lid' hor t s�' - t i .. ,Yk , *; s h j• -+�u O - ` '�-C.l G7 OE,`•(T•�ei-,YY6C s*,610. 9 nLAS2 �.jj Thornag 1+ Geiler,IJgsecfor ,r �, >,,;� � ' 't� -i ?tFit.,�d '" [l( II2o.:�IS"[5IOI2 a";t�Torn Perry,$u,ildSi}iurgs; _ " s,4a ` � +-� •�> }" � ia 200 W& M 02601 E x ue i Y ' ' frte�v_rown �D fzLG:; 5=62 403 S 790:62 44, • s.' , =': ..�„4 ���,{ :gym"` ,; 3t Prop erlyex� �zs r. � � } �� �. , Y. xz` plete and Sign This'Secfx®g" � "" " ; � k a Ao JL ul I Flow Id' _ ¢„ x .rx fati �,• /h Cal Mil C K MAE 1 N' =� .,,°. 1 it js �rf,�he Subject p�nPerY €. i!Ctf{l)"'tS�PC i •'AA ( -, �- , , - jib ICI OFR �i�i to rJ _ - 1 - {,. sdial Lf pf}! io 4r Lq A naac of r�1>>+verci�Ts,rk a+���rt�ad o al btx�l��.ri� i 'Y o perxruc appicaE(oa_a1 - 44 (Address of f.0b) r . ,* !ol f9®12T1�4 14 ,,/�,i r J��t7z.a�11�'�, � F `{ a:�$' # %t ' •" t .+xE V�. - � .sr.�r}r°i. <'��#` q,`'" ��,•x s I* fc �. � �i+� �,�b,>�t I' TFP:Trp ! cAner ssapp1 ajz�:forP <�., — -3` Y eft please�cozpee ` Nonreowvnein 7 icepse Exerr t on.'p`orrnz_o�. e evers��s. de ,.'' • r` ''.rS.iR:•: €"#'.'ya1�Y.'�: aG ,,•.. ^ h •4 . V# - a ,� � �,UJY\.ri•r`7Y� .-?-"M,.-:+..'El - . _ s.. t+4 G, ♦ "tt 9 S J.F dJ' �i • iT �t.? p 1� �� i• MA SOC Filing Number:•201.01,4699280 Date: 10/15/20.10 10-05:00:Aitr1 I4 uan ee °h C Onw6al �S� C I.I et s Ianini I $I�oQ -William r nciGalvin f , Secretary of the Commonwealth, Corporations Division i = tom {Jne'Ashburton Place,.17th floor Boston.MA 02108-1512 '# it l Telephone: (61.7)727,9640 , Federal Employer Identification Number: 270442062(must be 9 digits) , ,t E Filing for November 1, 2010 31 In compliance with the requirements_of Section26A of Chapter one'hundred.and eighty{184)of the`'General #1 lE Laws: 'f g f ;= 1. Exact name of the corporation: MAKTIANT MILL HOUSE. INC.' it r #' 2. Location of its principal office: { No. and Street: 2 IRVING AVE.' ' City or Town:{ r HYANNIS PORT ." 'State:MA. 'Zip:•02647 y Country: USA � 1; ;i t 3. DATE OF THE LAST.ANNUAL 'EETINCa:' 1.0/9/2010. l 4. State the names and street-addresses of all officers;including all the directors of the'corporatian.- and:the .' a; date on which the termof office of each expires: `I Title . Individual Name Address(no PO Box jw� . Explration Y r g .First,Middle,Last;Suffix $;' Address,City;or Town;'State,Zip Code of Term. € l` _ :•,r-.�,,,,,..- t PRESIDENT ;THOMAS F:O'DONNELL JR. a `a *� 49 CLIFF RD. # ' q, .:._: , . . ;...,� "* ;.: d ,. .� ..WELLESLEY:MA02481 USA. �€ i,.,++wzwaWcu�a+mm_ '. .v.rn,a_ ym ,.m4s`rpra. .. :. .. : eed,rxx..+uw+�.d'+-'ssm'l+hmwsa�:r<•�,w_aeeJ c #)! TREASURER JOHN A.SCHNEEBERGER „4g tNHITTIER RD. g € I I WELLESLEY.MA 02481 USAFi[- 'CLERK TRACEY TAYLOR"EASTMAN s � 93 BAYBERRY LANE ��- ' _Cllt• MAQUID MA 02637 USA #f wppry,�.b.sew �nW:.rt,...�xwr-,d»r.-•I!n _.^wow+"'.'""^'".waver... .«*...na.,s3a:4wTW;.sw.+�•,«w•M*'�"�' ^'.++.%«,..r«-.-z+,:.,•M.x.«m..,-....•nrm..-..,..+www+.n,.•.r.,w•c - • F 3� DIRECTOR I RICHARD P.COVILLE JR € > i 67 SPYGLASS HILL RD. l :. BARNSTABLE.MA 02630 USA s- 3 ,.-,.—,»:..,, ,,.,e.�.-...,•<„,,,-, ..•. _-..,.,,„e..,.:.,.n�..,e„-,i.•.e*._ `,. ,r ,•+r„e+ .--,w,,..-•---.,.,., «a± ,.,..,,.x-,-:,,i,„w. e,,..,...--..J,.-r.—.*....-.,.� .-e,..,.,-.,.-...,......+..�- -€ - f DIRECTOR" STEPHEN GUIK40ND t 't 25 WATERFORD DR. is a y y MARSTONS MILLS, 02648.MA USA g tf ) •, . DIRECTOR I JAMES PETER INGRAFvi �162 STARBOARD LANE. OSTERVILLE,fvlA 02655 USA 'C a r 5. Check if the corporation is a cemetery corporation that does NOT-hold perpetual care funds intrust. If the s fir; corporation is a cemetery corporation that holds perpetual care funds in trust,a copy of the writteni instrument establishing the trust and any amendments thereto must be attached,and the annual reportIt « must be filed by facsimile, mail or in person. 4.. ' i — ?` I,the undersigned, THO-NLA S F. O'DONNELL JR. of the above-named business entity,in compliance with the General Laws, Chapter 180,hereby certify that the above information is true and correct as of Y the dates shown.IN WITNESS WHEREOF AND UNDER PENALTIES OF PERJURY,I hereto sign if my name on this 15 Day of October,2010. E ,. 'l 9 2001 -2010 Commonwealth of Massachusetts All Rights Reserved One NSTAR Way,SW330 EL EC,TRlC: Westwood.MA 02090-9230, Phone/FAX 781-441-3334 WAS justin.reihl@nstar.com; February 7, 2011 Scott Smith Hyannisport Golf Club P.O. Box 392 _ hr Hyannisport MA 02647 RE: 178/188 Marchant-Mill Way WO#01811006 P. • _ . _ • -. ° "• - .. I it To Whom It May Concern: At NSTAR, we're committed to delivering great service. This letter serves as confirmation that, as of February 4, 2011,the electric service to 178/188 Marchant-Mill Way, has been removed. Based on this information, there is no electric,power at this address and you may proceed with the demolition. If you have any questions,,please contact me at(781)441-3334. Sincerely, Justin ReihI New Customer Connects FROM :HYANNIS WATER SYSTEM FAX N0. :508 790 1313 Feb. _18 2011 11:08AM P1/1 tHE Department of Public Works : t+' y4, rn,a Water Supply Division * 9ARNSTABLIEr �y' ]SASSAMR �Ar1 6 MP g9. Hyannis Water System.Operations O February 9, 2011 Town of Barnstable Building Inspector Town Hall Hyannis, MA 02601. RE: 178= 188 Marchant Mill :.Road ,Hyannisport,,MA Acct# 6008401, Dear Sir. Please be advised tliat-the above water service was shut off, meter removed and Water lii..jes cut and capped. -The owner has informed us of plans to demolish the building Sincerely, t y ir3taTck w - Hyannis Water System i 0 nationa[grid 0r€ �-0 ..:tsE i s t . February 28,2011 RE: 188 Marchant Mill Way Hyannis, MA - VIA FAX: 508-796-6230(Barnstable Building Dept) To Whom it May Concern: This is to:verify there is.no natural gas service to the above address. This was confirmed,by a representative of National Grid., If you have any question's,please call me at(781)907-2902. . Marie I Bessette Field Coordinator National Grid } 40 Sylvan Rd,Waltham, MA 02451 T:781-907-2902 0 F:781-522-1055 ■ marie.bessette@us.ngdd_com ■ www.natlonalgrld:com t5�C L% n, Iv lfnl� II E_ i i Ih i I , f 1 c ��n _ '� `.r f4���2 i�'. J i / � I ,',� '-- :_,,.... j —______L_..__. � ` `�1 ,� �.,, ,� � SSy ` ( j `1 nn ' ' �� ,� x. �' ,O � � ,. _. I 1 , _;�� �� _— � \_ W `\ � �. 1 �'` 1 `� '�E; � j ., � C ,`'a,� � S ,, � �,\ ia . , _ 4� � �� gn ---i' ,i: `, �( i I.I i • ---. "' I _ � �) I � I ��, � . —__..____.3. —--------�:-- -- ..._... :� � ,� • 1779 Li JJ I L.r .... ........,-.-..__,_.........--_......-..._..... .__._-._r_,._-_._..f�_�....M......___ i i i 1 - I I