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Home My WebLink About0015 NEWTON STREET �� . � �� i �' C� �� G i ,- 1 I I +� �. { - -- � April 26, 2007 TO: Town of Barnstable Building Department From: Benjamin Turnbull CC: Town of Hyannis RE: 15 Newton St 2B, Hyannis This is to affirm that the bar sink on the 3rd floor located at 15 Newton Street 2B, Hyannis is for the recreation room for this Single Family Dwelling and will not be used as a kitchen or as separate living quarters. B nj in Turnbull, Owner 15 Newton t 2B r IYAN 1� DerSon�ih/ hl&Ur evlda=vdft to be the the preceding or Mched d=NMM In preced^nq on this=day of, L� ®AWN M.POWELL" . Comr}onweahh of Massachusetts My Gemmssien Expires September 13,2013 r TOWN: OF. Be�RNSTABLE ilifIng , u Application Ref: 20063113' • * P RARNaTABLE, Issue Date: 10/03/06 e rm i . Mess. Y li 39•� A i6 �� Applicant: PACHECO,WANE J�fo MAC s Permit Number: B' 20061299 Proposed Use: Expiration Date: 11 04/02/07 Location 15 NEWTON STREET 211 'Zoning District Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 3081610.0B Permit Fee$ .488.06 Contractor PROPERTY OWNER . Village HYANNIS App Fee$ 50.00 License Num OWNER Est Construction Cost$ 100,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADD 2ND&3RD FLOOR,ADDING 2 BEDROOMS,2 1/2 BATHS,FAM Y THIS CARD MUST BE KEPT POSTED UNTIL FINAL ROOM,REDO FIRST FLOOR,NEW ROOF SIDING I INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PACHECO,WAYNE I BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL .Address: BX 174 INSPECTION HAS BEEN MADE. HYANNIS,MA 02601-6174 Application Entered by: DB Building Permit Issued By: THIS PERMIT CONVEYS N0:RiGELT TO OC,GUPY ANY STREET_ALLY QR SIDEWALK OR ANY PART THEREOF .EITHER"'fEh�PORARILY OR PERMANENTLY: E1NCROACHEMENTS ON PUBLIC PROPERTY,,NOT SPECII'ICALLY_PERMITTED UNDER THE BUILDING CODE,,MUST BE APPROV ED BY TFib JL'R15D'CTION cTREET.OR ALL.r':3RADES AS WELL AS DEPTH AND.LOCATION OF PUBLIC SEWERS MA BE OBTAINED FRONT THE DEPARTMENT OF PLIIiLIC WORKS I'fIIE ISSUANCE OF:THIS PERM'T DOES NOT RELEASE TFE APPLICANT FRONT--T CONDITIONS OF ANY APPLICABLE,SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: " 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5:INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(asset forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 R' Zj 0 2 g�_— 4iC, 2 2 0 7 3 — 7— 0`7 1 Heating Inspection Approvals Engineering Deaf Fire Dept 2 Board of Health 23'— I O.fY CL� B.$ JJ 4 22- /2 lH q� BEDROOM s � l' KITCHEN BA CLm - 26' KITCHEN ATD -S b CL BEDROOM. Cl. �. °� o.p• s' s' 111A110 AREA b BEDROOM f'BATH o BEDROOM. .6 BEDROOM Uja LMNG AREA UNIT 1, HOUSE # 15 SECOND FLOOR UNIT 2 — HOUSE # 17 INTERIOR AREA INTERIOR AREA 708t S4. FT. 458t SO. FT. � s r UGH 1S&17 I1la w le a Zbw# BanntMb UsmadumPtla!028111 ff61�RR EEEI UNFINISHED BASIIDIT AREA _ sh�U.pache O UNIT 1 HOUSE # 15 FIRST FLOOR WE INTERIOR AREA Lot to 0•LQ Plan$6394 Unit Pfau 769f SO. FT. f�hasa 1 7fswton Sboot Condo' U p, N yG CLOSET AREA BAXTER NYE ENGINEERING&SURVEYING R xegiaeena Profeat;aul F2eginoas aid Lm11 Sevcyots LILIS h 76 N"SoeeC 9,d No-,Hy—s,BM-wh—OM1 O. 4 Phone-(5op m-7502 Fan-(508)771-7622 AfCt$TE OJ FINISHED BASEMENT AREA 5 0 5 10 m"TO SE 1 ss�DiY •o'7 d SCALE IN FEET I CERHFY 7HAT THIS PLAN FIA"AND ACCUPATELY 004m Gl..m RE V=f,LMUK UW MAWS MD AUDGIp6 OF TIE Sf`I1 i" 1"-3' M1E 10-72-09 I L. W=MREHFFED 1 DNCUBH 2 IMMLSOVE.N HIMMM - REV. M7E: REIiY3LS #13 NO/17 AS P&T. CDZ UNIT 1 � HOUSE # 15 BASEMENT FLOOR 1,1h.eZ INTERIOR AREA it am RPIs DVE 732t SO. FT. o- -- Newton Street Condominiums w , df tt TABLE ` F q6 November�, 2006 PM 12: 48 a ..« tg E 19 We,the trustees of the Newton Street Condominiums hereby do approve the c Z�s on to proceed at 17 Newton Street(Town of Barnstable Building Permit#20063113, 15 Newton Street 2B), Shane Pacheco to be the pereonwl o IMIND b wrod Y tho preceding or docwnont In B nj Turn ull lo'�`dau of I��, o � �-- , DAWN M.POWELL ` Commonwealth of Massachusetts My Commission EXPI of ftPtember 13,2013 TOWN OF BARNS ABL ? .1 , NOV 21 Pit 12: 48 GN 113 Low..'• TOWN OF BARNSTABLE BUILDING`PERMIT APPLICATION ' 113 Map 69 Parcel �lP 7 a`, t E Application# Health Division Conservation Division l(hs Permit# Tax Collector Date Issued Treasurer Application Fee Of'� Planning Dept. Permit Fee ` Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ®r ��.---moo o—r . �S� Project Street Address �"�" Ctd In Village �AY N,4 otS Owner S(-_4�3k#A%jj Address I St- 4A4ArMQt% 026o Telephone SD IT 2y 5: 0 2 g g Permit Request 41D w�9 Plo oe— , Pt ,0,-iFr, i bass_ ��•...�y Qe-�+�. � r�ccK�iSci ��-� �i/Lsfi �oy'�. Square feet: 1 st floor:existing `/g0 proposed 2nd floor:existing _� proposed 60t Total new 3 R° cIo orL e k - -&" Rrrap fteo "0 ate Zoning District Flood Plain Groundwr Overlay Project Valuation /oo,000 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 5b Y" Historic House: ❑Yes )a No On Old King's Highway: ❑Yes �iNo Basement Type: ❑Full )9..Crawl ❑Walkout Cl Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new a Half:existing new Number of Bedrooms: existing— new .3 Total Room Count(not including baths):existing new (o First Floor Room Count Z- Heat Type and Fuel: t Gas ❑Oil ❑ Electric ❑Other Central Air: $Yes ❑No Fireplaces: Existing �_ New y1 Existing wood/coal stove: ❑Yes *No Detached garage:❑existing ❑new size Pool:❑existing ❑new size ®' Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: %t. f Toning-Board of Appeals-Authorization-❑-.Appeal_#. _ _ Recorded❑ Commercial ❑l Yes qiNo If yes, site plan review# Current Use F-�S �" �( si lc�, Proposed Use s� 7`�'� G/e BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &k6�5 SIGNATUR DATE �a FOR OFFICIAL USE ONLY PERMIT NO. 1 DATE ISSUED ; I MAP/PARCEL NO. ADDRESS. VILLAGE' OWNER - a - DATE OF INSPECTION: FOUNDATION OIL ✓ ��'� a�-- i FRAME O�� — ;-7--p"7 INSULATION �(C- 1 a —7 t - FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. Department ofIndustiial Accidents Office.of•Investigations ' 600 Washington Street + y Boston,M4 02111 coy ,Y' www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly name (Businessiorpnizationandividual): Address: (::�- Kje,� 5V City/State/Zip: A iv,#,/15 MA- 0tx o f Phone#:_ �" 2Y.5- !9 ZYf( ' .re you an employer? Check the-appropriate box:. Type of project(required):" ❑ I am a employer with 4.. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* .,have hired the.sub-contractors ❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition Working for me in any"capacity. workers' comp. insurance. 9.1 g,��g addition [No workers' comp. insurance 5• ❑ oW�ecaz�e hcorporation and its ' 10.� Electrical repairs or additions require ave exercised their I am a homeowner doing all work right of exemption per MGL ii.❑ 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'" ❑ comp.insurance required.] 13.0 Other ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: iomeowners.who submit his affidavit indicating they are doing all work and then hire outside contactors must submit anew affidavit indicating such mtractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'camp.policy information. . cm an employer that isproviding workers'compensation insurance for my employees."Below is thepolky and job site Formation. w -urance Company Name: licy#or Self-ins.Lie..#: Expiration Date:" b Site Address: City/State/Zip: tack a copy of the workers' compensation policy declaration page(showing the policy number and Expiration date). Aure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a e up to$1,500•.06 and/or one-year imprisonment, as well as.civil penalties in t]ie form of a STOYWORK ORDER and a.fine up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of restigations of the DIA for insurance coverage verification. o her y ce under the pa' n enalti f pe ' e information provided above is true and correct ature. J Date: . one#:. Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instr ' ctions , iassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. ursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, Kpress or implied,oral or written." ,n employer is defined as _`an?mdnal,.parmership,.association,corporation or other legal entity,or any two or more f the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the eceiver or trustee of an individual,partnership, association or other legal entity,employing employees. Howev.,er:the wrier of a dwelling house having not more than three apartments and who resides therein; or.the occupant of the welling house of another who employs persons to do maintenance, construction or repair woik-on such dwelling house ir on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." AGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or enewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ipplicant who has not produced acceptable evidence-of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall Inter into any contract for the performance of public work until acceptable evidence.of compliance with the insurance -equirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractors)name(s),address(es) and phone numiber(s) along with their certificates) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members orpartners; are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be we to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their.-. self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you too!out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permiVlicense number which will be used as a reference number. In addition, an applicant' that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"'the applicant should write"all locations in ___' (city or town)."A copy of the:affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that-a valid affidavit is-on-file for.future permits.oflicenses..A new affidavitmust be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . • Department of Industrial.Accidents ..Office 9.f Iinves0ga#ons 600 Washington Sreet4 . f Boston,MA 0211 L. 'Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727-7749 evised 5-26-05 www.mass.gov/dia °PYRE T°y, Town of Barnstable Regulatory Services • r • STABLE. sAnx filer,Director Thomas F.Ge y MAss. g. ' �A!1639: a`e Building Division ED MIP'� Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along A oth r requirements. Type of Work: �' 5 Fes'T'°"J Estimated Cost�O��Oy Address of Work: �P.��✓��1 '��^� i`' n M/� �Z60 Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Signa a ation No.. OR D t Owner' atuie Q:wpfiles.forms:homeaffidav Rev: 060606 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot , x.0041= t 0 6 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee —T a Projcost Rev:063004` I I " MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I Checked by/Date • I I TITLE: proposed additions & alterations CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-7-2006 DATE OF PLANS:' 9-07-06 i PROJECT INFORMATION: Turnbull Residence 17 Newton Street Hyannis, MA 02601 a COMPANY INFORMATION: Archi-Tech Associates, Inc. 6 School Street Cotuit, MA 02635 COMPLIANCE: Passes Maximum UA = 462 Your Home = 402 Area -or Cavity Cont. Glazing/Door Perimeter R-Value R-Value • U-Value UA ------------------------------------------------------------------------------- CEILINGS { 256 19.0 0.0 13 CEILINGS f 784 . 30.0 0.0 t '' 27 WALLS: Wood Frame, 16" O.C. 2558 13.0 0.0 '210 GLAZING: Windows or Doors 348 0.320 ,111 DOORS - 20 0.280 6' FLOORS: Over Unconditioned Space 736 19.0 0.0 35 HVAC EQUIPMENT: Furnace, 84.0 AFUE - ' COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit.application. The proposed building has been designed to meet the requirements .of the .Massachusetts Energy -Code. The heating load for t s building, and the cooling load if appropriate,: . ' has been determined us' g the applicable Standard Design Conditions found . in the-Code. • The' HVAC quipm t selected to heat or cool the building shall be no greater tha 125% f the design load as specified in Sections 780CMR 13 0 a J4.4. Builder/Designer Date I'"?' 0� cF 1ME Tp� Town of Barnstable Regulatory Services BARNSPABLE, : Thomas F.Geiler,Director MASS. pm� Building Division rFD MA'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: j�o-l J��J JOB LOCATION: / Nelms ` N S� 1 ` [.,vN a'S number street village "HOMEOWNER": V11�rM1/J ��12�JQy�( fib$ aze 97(3 SP$ ZV57OZyS name 2 home phone# work phone# CURRENT MAILING ADDRESS: MA- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and equire s and that he/she will comply with said procedures and ments. i ature 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 of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division snxxsraBr.E. � -- v Mass g Tom Perry,Building Commissioner 1a�y p 200 Main Street, Hyannis,MA 02601 ED µp www.town.barnstable.ma.us Office: 508-862-4038 F 508-790-6230 Approve dQa . Fee: JK.?.s " Permit#: Sq O3r1 HOME OCCUPATION REGISTRATION Date: ` 0 Name: C Z'4/b/ o P 4m Phone#: Address: W TO`t/ _f`� Village: 7;�JZ/-�/ff Name of Business• T—IiLcE Type of Business A/1/ Map/I ot:— INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the - premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the j following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. y • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. 0 No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,hav ad and agree with the above restrictions for my home occupation I am registering. APPlican Date:../ Z. 6. O J� Homeoc.doc Rev.5/30/03 t„E Town of Barnstable Permit# O� Expires 6 months from issue Regulatory Services Fee sntwsT,►a � '• - M,3s. bg r Thomas F.Geiler,Director n fp 2 72011 Building Division 11 ' Tom Perry,CBO, Building Commissioner A(, 7`A& NO Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel NumbertG' Property Address r rJ /?e_i_, ]z� S� ��'1't� �'IA Residential Value of WofR `�(j® ' 3�Gd Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address P�j OeSk 1 3/, Po f ag t �A� /4„ 62 4;18y . Contractor's Name �irAAJtf' /4.hc� S Telephone Number 50A 2�7�202-5 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#.(if applicable) [[Workman'.s Compensation Insurance .Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 1 have Worker's Compensation Insurance Insurance Company Name AA LIC't: C�.ra-er Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) R Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to .�ff ff 4 tcnj e ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value• (maximum.35)#of windows *Where required,,{ssuance 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 re uired. . SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AnZ\EXPRESS.doc Revised 072110 oF� * BARN3TABLE, • - 9� MASS. ,� Town of Barnstable .ejfD�a Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 I, 1 �� ,as Owner of the pro subject er r 1 p p ry hereby authorize M�e Y►' to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date We5 Print Name If Property Owner is.applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 r : 17ae Corrarrco►rrt�ealth ref`Vassachauetts i r Department of Industrial Accidents ®ffice of Investigations I 600 Washington Street r Boston,M4 02111 �� ~�' rrr��r>:nfxtss,go+��rlirt Workers' Compensation Insurance Affidavit: Bitilde-s/Contr:tctoi-s°ElectiicianslTlumber s Applicant Information Please Print Le iblz Name(BtisinessfOrga=tion?li&%,id 1)_ L 40 Mf a b J6 0A Address: Ci yistate"Z pc. 14 ; /14h,D 2r,G 1 Plione O 8 2 3 7-76 2 Are you an employer'Check the appropriate box: Type of project(,required): 1.El am.a employer with 4. ❑ I am a general contractor and I employees;(full aud.�or part-time)-* ❑ have hired the sub-contractors 6• New cony>tnxtion '. lain a sole proprietor or partner- listed on the attached sheet' z. ❑Remodeling ship and have no employees These:sub-contrac-tors have & ❑Demolition. a.r-orking for rue in any capacity: employees and have workers' ❑Building addition [No xarkers'comp.insurance comp.insurance.' ...required:] 5. ❑ We:are a corporation and its I0•❑Electrical repairs or additions 3.❑ I am a hememixrner dDinn_all work officers have exercised their I1_❑Plumbiae repairs cr additions myself.[No 3.vorkers'comp. rigllt of exemption per MGL 12.®Roof repair insurance required.]s c. ,� ( )152 1. - and we have no employees-(No workers' 13.❑Other comp.insurance required.] *Airy appi carx sbat checks bo-,=1-must also fal scut the section below showing their wcakery compensationpalicy information, Homp-mar ers who submit this affidsritin&cating they are doing all work and then hire outsiste contractors avast salamis a new:afhda*.•it indicating itch., Goatraktors that check this box matst attached at additional sheet shou-€a.the oame of the stab-ccuatractors and state whether or not those eotties bane. employee. If the sub-contractors hax•e employees,they tsarist pxoa-ide their workers'stomp.policy,nutuber. Qrft aft 81r[p�D1'er tjP(1t tS proL'Iflfflg tletlYillt'YS'COirlpelr5Yr1ft3rr ftfSffralff P ®Y fttl e�tir$3�6�'e'f's :13a9lon-is`thepollcy dndjab site f frforfltatlont. Insurance Company Name: A La 4 t` L A 4, e.r Policy'-or Self-ins.Lic.,';: � if®Q 611 A Expiration Date:y Job Site Address: 1,5 N e j ky L Ilk I City,`State2ip:_ Attach a copy of the workers-compensation policy declaration page(shoring 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 free tip to 51,,500.00 and,'or tone-;Near imprisomuent,as well as ciuril 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 cops*of this statement maybe forwarded to the Office of Ins=estigatiot�.s of the DLL,for insurance coverage:verification. I do]reftipby certrfI i er the paints andimnaltiles of perjury that die informations pm4ded above is true and correct. Si tune: Date-- �- - Phone to�2 3^7--7BZ Ci 0gicial rise on 4v. Do not ti r ite in drfs.area,to be completed 5v city or to►vit officiaL City or Town: Permitt'License# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City-frown Clerk 4 Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 aan;euSis;noq;!*P!IeA told Cae;a�aas�apun a W9ZO VIN'SINNV kH r ` 1S 9SVHO 99; pv P,-AP 1; SOOOM 31INV `dl COM r I ! I 1 Sa00M 3IwHHVI 911zo vw`uo;sog:. s.. E OLTS allnS-Mind Ted OI , IenpinlPul EIOZIMIV :uo!;endx I uo!;elnllag ssou!sng pue sare33d rawnsuoa;o aag3O .adAjL LZ8£9L' .:uol;e�;sl6a` :o;urn;aa puno33I a;ep uo!;ea!dxa aq;ajojaq 210 0�/211NOO1N3W3A021dWI 3W i Xluo asn inpimpul ao;p!len uo;ea;s!;taa ao asuaa!Z ;�`tioge�n�5g ssau�sng ig§.uiajjV rawnsuoZ)3o aa1J0 ; t,��D772�t7DDxYliln��2�,a�amacioaureeood� a2�� __.. .............. Ma,s.ichri,ctts - Dcl►arrtnu a: Of Nulrir: Saf t f 9(mi•d of Cuildi.rfw Regulutitrns and St ntlar t' . Construction Supervisor License License: CS 102635 Res�ricted to: 00 LARAMIE WOODS 13 HOR14BEAM LANE . MASHPEE, MA 02649 Expiration: 5/312013 Trq• 102635 t'rnuui•siuner -. Y �66 p, At Ox 9 ,� ; - •� S4 A f'd �'✓a1 / w�« {.fit \� '+r, ,. 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V"Q�\� \.\\\\\��u�\. .a\\�i.\\\Y\ .a\\\� \� '.M ax .\. rS z \\Y wa \•' p 'M\ T w t . ,• _: ac. w . .,R 's ..�.. .,�..,,: ..e v � \ v v. \ .,,,._._ it ,t�� •€� pp , \.,. . .';r 1. , �t l ��},.. ., �k ."\h..i .. ,`til\\\��.. \\A � �p\L lfi, •i'i, �: � „x. 'N ... ,�: i ^z`§'� _\�x�: ..d P ,. ' �" �" "l\ ,�\ .\�a`It �� „ �,,.•M '�; ,� , ;� �n :::�.... ,.., ::... � �; \ �., ..,s .n ;,,.. .•, to,,, In, � ;: _Ke• Ni::,:.. .- . •':'• �,\\�\�., N� \. '� \\ � .'fit .. ' .�. ":� ,�i f. •^, \e.\ .:, �\` � �.. , ��\�_ ,,. �y ;, .,•; �, iv.�.a:�set'4�,.• g�,`r�� ;� �\., � \,.� �� ' � .tea•� � ��.na�\�`\�`� ��',\ ^ ;� � � �' �, :1' gllu a,, +wil�.itx,.i� i T fst it.�., i 7 c q? \v U I6 f sl ,eu+ ACQ,l20 DATE(MM/DdYYYY) CERTIFICATE OF LIABILITY INSURANCE 9i19i11 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 statDment on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: JOE DEOLIVEIRA Constitution Property Casualty PHONE Eid). (508) 219-0196 rA N : (508) 638-6463 509 Falmouth Road ADDRESS: joe@cpal.net Suite 6 PRODUCER 1014 Mashpee, MA 02649 INSURE S AFFORDING COVERAGE NAIC# INSURED I NSU RER A:COLONY LARAMIE W WOODS INSURER B:ATLANTIC CHARTER P.O BOX 1945 INSURERC: HYANNIS, MA 02601 INSURERD: I NSU RER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILNSR TR TYPE OF INSURANCE im ADDL SUER POLICY NUMBER PM/DDNYYOLICY MMIDD/YYYYYY LIMITS GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GL38118409 9/23/10 9/23/11 DAMAGE TO RENTED $ lOO OOO CLAIMS-MADE FxI OCCUR 9/23/11 9/23/12 ME EXP(Arty one person) $ 5,000 PERSO NA L&ADV I NJU RY $ 11000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE L MIT APPLIES PER ra PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMB INED SINGLE L IM IT $ (Ea accident) ANYAUTO BODILY INJURY(Per person) $ ALLOWNEDAUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ - HIRED AUTOS (Per accident) NON O W NE D AUTOS $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION WC V00916200 9/28/10 9/28/11 }; WC STATU- OTH AND EMPLOYERS'LIABILITY - ANY PROPRIETORIPARTNER/EXECUTIVE Y/N 9/28/11 9/28/12 E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICYLIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is regri red) GENERAL CARPENTRY LARAMIE WOODS IS A COVERED EMPLOYEE UNDER THIS WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATIO /AORDANCE ANY OF E ABOVE E RIBED POLICIES BE CANCELLED BEFORE XPIRATIO DATE T ERE F, NOTICE WILL BE DELIVERED IN TOWN OF BANSTABLE W TH THE P LICY P OVISIONS. BUILDING DEPARTMENT-CBO 200 MAIN ST UTHORIZED REPRESEN E HYANNIS, MA 02601 *118-8-2669 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo a registered marks of ACORD. �1NE Town of Barnstable Regulatory Services ` BARNST"BMASS, Thomas F.Geiler,Director 1619. %� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling of six units or less and to allow homeowners tovrigage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or.farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. 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 of this issuers a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 Town of Barnstable Regulatory Services TOWN OF BARNS AI!B!E . Richard V. Scali,Director Building Division 1ARNSTM14 213I4 UN 9 .k= 1 7 MASS. $ Tom Perry,Building Commissioner 1639. �0 iOrFot,��" 200 Main Street,-Hyannis,MA 02601 www.town.barnstable.ma.us IV Office: 508-862-4038 Fax: 508-790-6230 Approved:ZeOl Fee: Permit#: HOME OCCUPATION REGISTRATION Date: CJ Qa,t f ('� Name: `Lne�o � 1 �Cm, 1 Phone#: �� 29a- �i' 1S Address: �� e W. b�-N ' -H CO(I Village: Name of Business: C l/td VL('�L Type of Business: ✓1 ("y�esL Map/Lot: .�b42 LD EVrENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit: • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such.use: • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign.shall be displayed indicating the Customary Home Occupation. , • If the Customary Home'Occupation is listed or advertised as a business,the street address shall not be included. • No`person shall be employed in the Customary Home Occupation who is not a permanent resident of the' dwelling unit. I,the undersigned,have read-and agree with the above restrictions for my home occupation I am registering. Applicant Date }' Homeoc.doc Rev..103113 F, YOU WISH TO OPEN A► BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (Which you must d❑ by M.G.L.-it does not give you permission to operate.) Business Certificates.are available at the Town Cleric's Office, 1°`FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: A. Fii�lpplease. //° •t - Q AT - '�' °' APPLICANT'S YOUR NAME/ S: hn BUSINESS r l:9nr;l�li3l YOUR HOME ADDRESS: -- ' 4 i.1:a19�-4mi+l�:ki/li'FFr= ;�;Xr``ie ' Home TPlanhone NumberEM (�� c2" J . 646 1 -50� TELEPHONE # - _ NAME OF CORPORATION: NAME OF NEW BUSINESS t'%� TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO ADDRESS.OF.BUSINESS c 6 MAP/PARCEL NUMB ER�O O—��o�"DOu (Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of ' Barnstable. This form.is intended to assist you in obtaining the information you may need. You,MUST GO TO 200 Main St. - (corner of Yarmouth Rd:& Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM I'SSIONER'S OFFICE A This individu ha e n:infor• ec an pe mit requirements that pertain to.this type of business. \\v MUST COMPLY WITH HOME OCCUPATION Authorized Signat RULES AND REGULATIONS. FAILURE TO v ,Cc_n�MMENTS 2. BOARD OF HEALTH MUST COOLY WITH ALL This individual has�bee fo e of the permit requirements that pertain to this type of business.. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements.that pertain to this type of business. Authorized Signature** COMMENTS: A MM DD yyyy ❑Delete NFIRS -1 01. 22 U 1 01 131 1 2018 1 118-0000258 11 000 ❑ FDID- State Incident Date - ❑Change Basic * * * Station Incident Number * Exposure * No Activity , - ❑Check this box to Indicate that the address for this incident is provided on the Wildland Fire Census Tract 60 I BLocation* Module In Section B "Alternative Location Specification". Use only for Wildland fires. �J—�J ®street address 15 U INEWTON STREET I I �J ❑Intersection Number/Milepost Prefix Street or Highway Street Type Suffix ❑In front of ❑Rear of L� (IHYANNIS U 102601 -1 Apt./Suite/Room City State Zip Code Adjacent to ❑Directions l Cross street or directions, as applicable C Incident Type * El Date & Times Midnight is 0000 E2 Shift Alarms 424 (Carbon monoxide incident I Check boxes if Month Day Year Hr Min Sec Local option dates are the I I Incident Type same as Alarm ALARM always required ID I " Date. Alarm * O1 13 2018 07:09:07 shift or Alarms District J D Aid Given or Received* �J �� Platoon 1 []Mutual aid received ARRIVAL required, unless canceled or did not arrive I�-1I Arrival *. O1 13 1 20181107:18:15 2 ❑Automatic aid reCv. Their ®Their E3 3 []Mutual aid given State CONTROLLED Optional, Except for wildland fires Special .Studies 4 ❑Automatic aid given I Controlled I I I Local Option 5 []Other aid given Their LAST UNIT CLEARED, required except for wildland fires Incident Number Last Unit Special Special p7 .None ® Cleared �J I 01I u I 2018I 08I 06:59 I Study ID# Study Value F Actions Taken* G1 Resources * G2 Estimated Dollar Losses & Value Check this box and skip.this section if an Apparatus or LOSSES: Required for all fires if known. Optional 86 IInVeStigdt@ I Personnel form is used. for non fires. Non Apparatus Personnel.Property $ I , 000 000 ❑ Primary Action Taken (1) 51 IlVentilate I 1 Suppression �� Contents $ , 000 ,1 000 ❑ ` Additional Action Taken (2) EMS I .PRE-INCIDENT VALUE: Optional 84 IRefer to proper I otter ( 0002 1 0006J Property $u 000 000 , u ,u ❑ Additional Action Taken (3) Check box if resource counts❑ I I include aid received resources. Contents $u , 000 , 000 ❑ Completed Modules $1*Casualties®None E3 Hazardous Materials Release I Mixed Use Property ❑Fire-2 Deaths Injuries N []None NN Not Mixed Fire 10 Assembly use Structure-3 I I I ' 1 Natural Gas: alum leak, no avanation or HarMat actions 20 Education use ❑Civil Fire Cas.-4 Service U I I P- g 2 Pro one as: <u lb. tank (aa in Boma aHa grill) 33 Medical use ❑Fire Serv. Cas.-5 CivilianL_____j 1 3 ❑Gasoline: vehicle feel tank or portable container 40 Residential use ❑EMS-6 4 []Kerosene: fuel burning equipment or 51 Row of stores H portable storage ❑HazMat-7 Detector 53 Enclosed mall Required for Confined Fires. 5 ❑Diesel fuel/fuel'Oil:vehicle foal tank or portable. 58 Bus. 6 Residential❑ ❑Detector alerted occupants ❑ ce - Wildland Eire-8 6 Household solvents: b_/.ffi .pill, cleanup only 59 Office use 1 Q Apparatus-9 7 []Motor Oil:" from engine or portable container 60 Industrial use 63 Military use QPersonnel-10 2❑Detector did not alert them 8 []Paint: from paint coca totaling<55 gallons 65 Farm use []Arson-11 U[]Unknown [] O Other: special Ha>Zfat actions xegnirea or spill>SSgal., 65 rJother mixed use Please ccesolote the HaxNat form J Property Use* Structures 341❑Clinic,clinic type infirmary 539 []Household goods,sales,repairs 342❑Doctor/dentist office 579 []Motor vehicle/boat sales/repair 131 ❑Church, place of worship 361❑Prison or jail, not juvenile 571 ❑Gas or service station 161 ❑Restaurant or cafeteria 419®1-or 2=family dwelling 599 Business office 162 ❑Bar/Tavern or nightclub 429[]Multi-family dwelling 615 [:]Electric generating plant 213 ❑Elementary school or kindergarten 439❑Rooming/boarding house 629 ❑Laboratory/science lab 215 ❑High school or junior high 449[]Commercial hotel or motel 700 [:]Manufacturing plant 241 ❑College, adult education 459❑Residential, board and care 819 ❑Livestock/poultry storage(barn) 311 ❑Care facility for the aged 4 64❑Dormitory/barracks 882. ❑Non-residential parking garage 331 []Hospital 519❑Food and beverage sales 891 []Warehouse Outside 936❑Vacant lot 981 ❑Construction site 124 [-]Playground or park 938 []Graded/care for plot of land 984 [] Industrial plant yard 655 ❑Crops or orchard 946 ❑Lake, river, stream 669 Forest (timberland) 951 Railroad right,Of way Lookup and enter a Property Use code only if ❑ ❑ y you have NOT checked a Property Use box: 807 []Outdoor storage area 960 ❑Other street Property Use 1419 919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway 931 ❑Open land or field 962 ❑Residential street/driveway 11 or 2 family dwelling I r NFIRS-1 Revision 03 11 99 Hyannis Fire Department 01922 01/13/2018 18-0000258. Rl Person/Entity Involved Local Option Business name (if applicable) I I - Area-Code Phone Number ❑Check This Box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as incident location. 1� Then skip the three duplicate address Number Prefix Street or Highway - Street Type lines. Suffix • IPost Office Box Apt:/Suite/Room City State Zip-Code ❑More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary Same as person involved? R2 Owner Then check this box and skip I I The rest of this section. Local Option Business name (if Applicable) - Area Code Phone Number ❑ Check this box if Mr.,Ms., Mrs. First Name .- MI r Last Name Suffix same address as - .. incident location. Then skip the three L. 0 duplicate address Number Prefix Street or Highway Street Type Suffix lines. (Post Office Box I Apt../Suite/Room City State Zip Code - - - L Remarks Local Option Caller Phone (508) 221-0461 COID=ATTMO cad 2018/01/13 07:18:15 - 826 AT EVENT MANNING IS 4 cad 2018/01/13 07:59:09 - 806 AT EVENT MANNING IS 1 911 2018/01/13 07:09:07 Time of Call 07:08 01/13 Phone Number (508) 221-0461 COID=ATTMO Street Number 1 Street Name : WIRELESS CALL Service Municipality : MIDDLEBOROUGH ESN : ESN= MTN: - - Longitude -70.2863431 Latitude +41.6531289 Position Distance : 11 Position Confidence 90 cad ; 2018/01/13 07:23:59 FAULTY FURNACE HAS BEEN SHUT DOWN VENTILATING cad 2018/01/13 ,07:45:15 REQUEST F P 0 cad ; 2018/01/13 07:46:09, FPO REQUEST BUILDING INSPECTOR j, Authorization 1199102 (Storie, Mark D. IICAPT/EMT I 01J.1 131 2018 Officer in charge ID Signature Position or rank + Assignment-- - Month Day Year CheBox ® 1199102 I I Storie, Mark D. I CAPT/EMT U U 2018 same Position or rank Assignment as Officer Member making report ID Signature Month Day Year. in charge. Hyannis Fire Department 01922 01/13/2018 18-0000258 MM DD YYYY L 01922 iMA l 1 11 i3 2018 I I 18-0000258 000 Complete FDID _ * State* Incident Date * Station Incident Number * Exposure * Narrative Narrative: Caller Phone : (508) 221-0461 COID=ATTMO cad ; 2018/01/13 07:18:15 - 826 AT EVENT,MANNING IS 4 cad ; 2018/01/13 07:59:09 - 806 AT EVENT MANNING IS 1 911 ; 2018/01/13 07:09:07 Time of Call : 07:08 01/13 Phone Number : (508) 221-0461 COID=ATTMO Street Number : 1 Street Name : WIRELESS CALL Service Municipality : MIDDLEBOROUGH ESN : ESN= MTN: - - Longitude -70.2863431 Latitude +41. 6531289 Position Distance : 11 Position Confidence : 90 cad ; 2018/01/13 07:23:59 FAULTY FURNACE HAS BEEN SHUT DOWN VENTILATING cad ; 2018/01/13 07:45:15 REQUEST F P 0 cad ; 2018/01/13 07:46:09 FPO REQUEST BUILDING INSPECTOR cad ; 2018/01/13 07:54:24 NO LUCK ON' BUILDING INSPECTOR Responded to the above address. for the reported possible CO incident. E-826 responded. On arrival pulled up on side A, no alarms sounding, building was. evacuated. Met with the tenant Almando Mason (508 221-0461) and he reported family was in car and ok. He could smell a car like exhaust smell". Made entry, FF Yeko reports CO meter reading 24 ppm first floor just after entry. No alarms sounding. Got to basement door opened meter went up to 35 ppm. FF Yefko, FF Morizio and myself went on air and made entry to the basement. Meter readings in basement were over 60 ppm at base of the cellar stairs. Found furnace (oil forced hot water) which was malfunctioning and shut it down. Immediately began ,to ventilate the building. In the finished part of the basement observed two -beds and also no smoke or CO detectors. Called for a fire prevention officer. Captain Rex responded. Checked with the tenant Mr. Mason to ensure family was ok and there was no illness and he reports ok. FF Yefko also went and checked on the family in pickup. I explained the situation and that he needed to get a hold of an oil burner tech ASAP. Boiler would not be able to be used until serviced. Captain Rex pointed out issues to Mr. Mason about the bedroom in basement, smoke detector not working on second floor, and no detectors in basement at all. We were able to get the smoke detector operating on second floor with new battery. Also put new battery in CO Hyannis Fire Department` 01922 01/13/2018 18-0000258 MM DD YYYY 01922 U I11 13 2018 - 18-0000258 000 Complete FDID state Incident Date Station Incident NumberExposure Narrative ., . Narrative: detector on .first floor. I went over the things that he needed to do to and also he was in process of getting a service tech for .furnace. 806 and E-826 cleared scene and returned to quarters. (MDS) Owner Pat West 508-400-7951, 808-322-7823. Unable to reach left a message. Captain Mark D. Storie a Hyannis Fire Dept. Hyannis Fire Department 01922 01/13/2018 18-0000258 oFt ro,,, Town of Barnstable Regulatory Services BAR'AS& E ' Thomas F. Geiler,Director 039. Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Vb&- cop Owner: oy U L-L Map/Parcel: d Project Address ( S� Nc`J TV N S7- Builder: O :N 251 — The following items were noted on reviewing: Q gcD go-&Al 5764Z 675S ems/ i (.AJ 7t �o Reviewed by: &j Date:' 4 Q:Forms:Phuvw Yv 20 09 01:24p p.1 %N Barnstable Leased Housing Dept: 508.771'.7292 Telephone 508.771.7222 � 6AAHBTAlIE, � t +� FAX: 508.778.9312 E639 ,� Housing Authority 146 South Street•Hyannis,MA 02601 i ZONING VERIFICATION TO: Lindaaobin FROM: Kim Gomez, Leased Housing Coordinator PHONE NO#: 508-771-7292 FAX 508-778-9312 - RE: LEGAL RENTAL UNIT VERIFICATION � a r.� o � DATE: O77 ADDRESS: Aj VILLAGE: /S I UNIT TYPE'LCILBEDROOM SIZE -P MAP & PARCEL NO: in'� l� l � l Gb The owner of the above listed property is entering into a contract with us for rental of the property listed above. Please verify by signing below that the unit is legal and meets all zoning re uirements for a rental in the town of Barnstable. If it does not, please list the reason below: j Thank you for your assistance in this matter. Signature Print name Date: VDUAX: 508-790-6230 Eoual Housing Onoortunifv Agencv v 20 09 01:24p p.1 Barnstable Leased Housing Dept: 508.771�.7292 Telephone 508.771.7222 s�nM m • � 7 ,A Housing- uthority FAX: 508.78.9312 146 South-Street•Hyannis;MA 02601. i ZONING VERIFICATION TO: Linda/Robin FROM: Kim Gomez, Leased Housing Coordinator PHONE NO#: 508-771-7292 FAX 508-778-9312 o RE: LEGAL RENTAL UNIT VERIFICATION k NO DATE: 77 ADDRESS: /.J` ", Ali N rn VILLAGE: /S UNIT TYPE BEDROOM SIZE _5 MAP & PARCEL NO: The owner of the above listed property is entering into a contract with us for rental of the property listed above-. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list the reason below: Thank you for your assistance in this matter. Signature Print name Date: VLN FAX: 508-790-6230 Equal Housing Opportunity Agency ' YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost$30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 15t FL., 367 Main Street, Hyannis, MA 02601 (Town Hall). DATE: o. a v Fill in please: ' APPLICANT'S YOUR NAME: C'L D I O 1-Ho BUSINESS _ YOUR HOME ADDRESS: I S TELEPHONE # Home Telephone Number: To L S -�622 632 NAME . s ........... o :..:. r .. . - :AprL .......: IS THIS A HC?ME OC'tUPATIC�►1�1? .: YES NQ Hive o e ett r1 fra�lxt...th :b:. :ld cN �son- Y . .,:::.:.:::,:.::..::...::.... ::.::.n9.:_.::: ..:.....::::. ? :YES I�IC :..... ..._. . �. w : AhI�R:ISS OI��k�SINI� : ,wa 'F ► When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO SIONER'S OFFICE This indiv' lual h een i o d of any permit requirements that pertain to this type of business. A horized ign6ture"o <3a COMMENTS D P—nx w pl.Peje-�. r-)D 2. BOARD OF HEALTH This individual as e2_!ormed o the equirements that pertain to this type of business. A horized Signature" COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual uirements that pertain to this type of business. Authorized Signature" COMMENTS: PAR. 009 MASSACHUSETTS UNIFORM APPLIC.ATIO4FF1)PE'FIMIT DO PLUMBING .(P rint or Type) j 2 0 M Pe mit# � U 7d1� Barnstable , Mass. Date Building Location r:S eAAk� 34 k& Owner's Name r-tJwt A , Type of Occupancy St T' i�.i &L Ne JL'lage)Rencvation id Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES z z ok z d P 0 z 7C LL Z CIO 0 z O = 0io_ ztnF- z00 u, OU =cc 0 �. :. SUB-BSMT. w BASEMENT u 1 ST FLOOR 2N'D FLOORI 7 1 .311 l 3RD FLOON I 4TH FLOO R 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Check one: Certificate a Installing Company Name •'! U u Corporation Address Vt El Partnership ElFirm/Co. _a Business Telephone Sr�8 2§0 37�� -� Name of Licensed Plumber 4 - INSURANCE COVERAGE: = ' I have a currenOabilitypolicy or its substantial equivalent which meets the requiremerij,' of MGL`Ch, 142. Yes Gr No❑ _.. If you have checked yes, plea indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ = OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have'the nsurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on thi permit application waives this requirement. Check one: . Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing C e and Chapter 142 of the General Laws. By Title Signature of Lblenfsed Plumber City/Town Type of License: Master Journeyman ❑ APPROVED (OFFICE USE ONLY) License Number ��" 1HE Town of Barnstable Regulatory Services RAMSTAB9 1E�` Thomas F.Geiler,Director E16 9. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) a Signature of Owner Date Print Name QTORMS:OWNERPERMISSION Town of Barnstable Regulatory Services BAMSTABM Thomas F.Geiler,Director Building Division' Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 March 8, 2005 Ms. Nancy Lucien 309 Bishops Terr. Hyannis, MA. 02601 Re: Illegal Muli Family-15-17 Newton Street Hyannis, MA. 02601 Map 308-Parcel 161 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family use, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal two-family use. Please contact this office immediately to tell us what direction you wish to take. Sincerel L` a Edson Zoning Officer Building Department gforms:zoning3 1 Barnstable Assessing Search Results Page 1 of 2 OR i r 3 Home: Departments:Assessors Division: Property Assessment Search Results 15 NEWTON STREET Owner: LUCIEN, NANCY Property Sketch Legend This property contains multiple Please use the navigation below the sketch to brc Map/Parcel/Parcel Extension 308 /161/ Mailing Address � LUCIEN, NANCYJ' :31i3. I. 309 BISHOPS TERR HYANNIS, MA.02601 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 156,800 $ 156,800 Additional Sketches I ? Extra Features: $7,900 $7,900 Click Here for print version that displays all sk( Outbuildings: $0 $0 Land Value: $126,200 $ 126,200 Interactive Property Map: lug in: Totals:$290,900 $290,900 1 have visited the maps before Show Me The Map April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: VECCHIONE, NANCY J C76302 $0 LUCIEN, NANCY 6/6/2002 C165496 $315,000 PACHECO,SHANE M 11/15/2001 C163414 $200,000 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $52.80 Town Fire District Rates Other f $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 Hyannis FD Tax(Residential) $442.17 C.O.M.M.-All Classes $1.01 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 3/8/2005 r Barnstable Assessing Search Results Page 2 of 2 Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 1,759.95 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $2,254.92 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.2 Year Built 1926 Appraised Value $ 126,200 Living Area 1536 Assessed Value $ 126,200 Replacement Cost$ 149,449 Depreciation 25 Building Value 156,800 Construction Details Style Conventional Interior Floors Hardwood Model Residential Interior Walls Plastered Grade Average Heat Fuel Gas Stories 2 Stories Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 4 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 1 1/2 Bathrms Total Rooms 8 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1 $2,300 $2,300 BLA Bsmt Liv-Aver 300 $5,600 $5,600 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 3/8/2005 I Page 1 of 2 Listing# DOM Listing Price St# Address Town Village&ZIP Yr Status Type Listing Office Lot Sz Sq Ft Tax ID 20500471 48 $439,500 15-17 newton#15-17 Barnst Hyannis 02601 1920 Active(01/18/05) 2 Family Realty Executives 0.200ac 2100 REAE Two homes on one lot.Homes show very well they were remodeled about three years ago.Some of the F improvements include new windows,new heating system,refinished hardwood floors and updated kitchens and bathrooms.This property is located in the MA-1 Zone(Retail and Residential).Homes are being condoed.New buyer will be able to sell homes seperately.Estimated value of main house$349,000 and cottage$149,000.Owner/Broker. Listing Price Sellinq Price Address Listing# 439 500 15-17 newton#15-17 H annis 02601 20500471 Agent Shane Pacheco (ID:U0307)Primary:508-362-1300 Office Realty Executives(ID:REAE)Phone:508-362-1300,FAX:508-362-1313 Property Type Income/Multi Family Property Subtype(s) 2 Family Status Active(01/18/05) DOM 48 Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 2.5% 2.5% 2.5% Yes Listing Type Exol.Right to Sell County Barnstable Tax ID REAE Year Built 1920 Year Built Desc. Approximate,Renovated Structure(approx sq ft) 2100 Sq Ft Source Agent Estimated Lot Sq Ft(approx) 8712 Lot Acres(approx) 0.200 Lot Size Source_ (Assessors Records) Publish To Internet Yes Listing Date 01/18/05 Owner Name pacheco Listing Page Commission-Other N/A Showing Instructions Appointment Req.,Tenant General Page Zoning MA1 Number of Units 2 Basement Description Bulkhead Access,Finished,Full,Interior Access Foundation Concrete Topography/Lot Desc. Cleared Road Frontage 0 Lot Depth 0 Parking Paved Driveway Garage No #of Cars 0 Waterfront No Water View No Convenient To In Town Location,Marina,Medical Facility,School,Shopping Miles to Beach .5-1 Water Access Public Beach Description Ocean Beach Ownership Public Interior Page http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPro... 3/8/2005 Page 2 of 2 Interior Features Attic Storage,HU Cable TV,HU Dryer-Electric,HU Washer Unit 1 Rooms 7 Unit 1 Bedrooms 5 Unit 1 Full Baths 1 Unit 1 Half Baths 1 Unit 1 Floors/Levels 2.5 Unit 1 Leased Yes Unit 1 Monthly Rent 1700 Unit 2 Rooms 3 Unit 2 Bedrooms 1 Unit 2 Full Baths 1 Unit 2 Half Baths 0 Unit 2 Floors/Levels 0.0 Unit 2 Leased Yes Unit 2 Lease Expires may 05 Unit 2 Monthly Rent 800 Unit 3 Rooms 0 Unit 3 Bedrooms 0 Unit 3 Full Baths 0 Unit 3 Half Baths 0 Unit 3 Floors/Levels 0.0 Unit 3 Monthly Rent 0 Unit 4 Rooms 0 Unit 4 Bedrooms 0 Unit 4 Full Baths 0 Unit 4 Half Baths 0 Unit 4 Floors/Levels 0.0 Unit 4 Monthly Rent 0 Exterior Page Pool No Dock No Roof Description Asphalt,Pitched Siding Description Shingle Mechanical Page Heating/Cooling Hot Water,Oil Water/Sewer/Utility Cable,Electricity,Gas,Telephone,Town Sewer,Town Water Hot Water/Water Heat Electric Landlord Pays Sewer,Water Legal/Tax Page Annual Tax 2757 Tax Year 2004 Land Assessments 174200 Improvement Asmt 137800 Other Assessments 0 Total Assessments 312000 Annual Betterment 0.00 Unpaid Betterment 0.00 To Be Assessed Unknown Title Reference-Book c1654 Title Reference-Page 6 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Unknown http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGN, ME=MLSPro... 3/8/2005 Doc: 1s057s463 02--28-2007 12:28 Ctf Or:C348-1 BARNSTABLE LAND COURT REGISTRY CONDOMINIUM UNIT DEED NEWTON STREET CONDOMINIUMS KNOW ALL MEN BY THESE PRESENTS that Newton Street Realty Trust, Shane M. Pacheco, Trustee, u/d/t dated March 14, 2005, recorded in the Land Court Division of the Barnstable County Registry of Deeds as Document 998838, with an address of 143 Hayes Road, Centerville, Massachusetts 02632, y for consideration paid and in full consideration of THREE HUNDRED THOUSAND & 00/100 Dollars ($300,000.00), .ti N grants to; PAUL D. WEST and KELLY A.WEST,husband and wife as tenants by e the entirety, of 759 Falmouth Road, Mashpee, Massachusetts 02649 with QUITCLAIM COVENANTS arA Unit 1,Building A, of the Newton Street Condominiums, (hereinafter,the"Unit")created c by a Master Deed dated September 8,2005 and recorded in the Land Court Division of the i • Barnstable Registry of Deeds as Document 1013984. Said Condominium is located at 15 Z Newton Street,Hyannis,Massachusetts 02601. The Unit conveyed is further identified as containing approximately-2,209 + square feet as shown on floor Plans and a Unit Plan recorded with the Barnstable County Registry of Deeds. See also the unit plan attached hereto. 11�( 41 63-� ° ZThe Unit is conveyed together with a 70%undivided fractional interest appertaining to said Unit in the common areas and facilities of the Newton Street Condominiums, and together with the rights and easements appurtenant to the Unit as set forth in said Master Deed, including the appurtenant exclusive rights and easements in the areas adjoining the Unit. This conveyance is made subject to and with the benefit of the obligations,restrictions,rights and liabilities contained in General Laws Chapter 183A,the aforesaid Master Deed and the a Newton Street Condominiums Trust, dated September 8,2005, and recorded with the Land Court Division of the Barnstable Registry of Deeds as Document 1013985. The grantor herby certifie's as follows: 1. I am the sole Trustee of the Newton Street Realty Trust; 2. Said trust has not been altered, amended or revoked and is still in full force and effect; 3. All of the beneficiaries of the Newton Street Realty Trust are of full age and legal capacity and none of the beneficiaries is a corporation; 4. 1, as Trustee, have been directed by said beneficiaries to convey the property at 15 Newton Street(Unit 1), Hyannis, Massachusetts, for$300,000.00,the consideration recited in this deed, to the above Grantees. For title, see deed recorded with the Land Court Division of the Barnstable County Registry of Deeds as Document 1013984 and Certificate C348 WITNESS my hand and seal this day of February, 2007 Newton Street Realty Trust �u fh �.qt Lrs� By: Shane . Pacheco Its:Trustee COMMONWEALTH OF MASSACHUSETTS County of Barnstable February _, 2007 Before me, the undersigned notary public, personally appeared Shane M. Pacheco, and proved to me through satisfactory evidence of identification,being(check whichever applies): ❑ or other state or federal governmental document bearing a photograph image, ii oath or afimwlion of a credible witness known to me who knows the above signatory,-or o my own personal knowledge of the identity of the signatory, to be the person whose name is signed above, and acknowledged to me that he signed the foregoing instrument voluntarily of his own free act and deed, and the free act and deed of Newton Street rust. ,y/J� tary lic- My commission expires: ��\\11111i111J///j// Py* V 3 AFFIX SEAL HERE'' `t ci� 5 l :TZZ MASSACHUSETTS STATE EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 02-28-2007 8 12:28vn CtI.: 965 Doc`.: 1057463 Fee: $1026.00 Cons: $3007000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 02-28-2007 & 12:28pm 2 Ct14: 965 Doc.: 1057463 Fee: $684.00 Cons: $300tDOO.00 i The Town of Barnstable BA MAS ';.LE. MASS. q d Department of-Health Safety and Environmental Services •t - -0 t67q. �0 AlfDMA'A• Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection I Location Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: Please call: 508-862-4038 for re-inspection. ~�~ Inspected by Date �" C7 Barnstable Assessing Search Results Page 1 of 2 $111 W1 . � f Home:Departments:Assessors Division:Property Assessment Search Results New Search ' New Interactive Maps» Owner: 2009 Assessed Values: TURNBULL,BENJAMIN T 15 NEWTON STREET Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $74,000 $74,000 308 /161/OOB Extra Features: $0 $0 Outbuildings: $0 $0 Mailing Address Land Value: $0 $0 TURNBULL,BENJAMIN T Totals $74,000 $74,000 17 NEWTON ST HYANNIS,MA.02601 2009 REAL ESTATE Tax Information: Tax Rates:(per$1,000 of valuation) Community Preservation Act Tax $15.32 Fire District Rates Town Residential Barnstable FD-All Classes $2.37 $6.90 C.O.M.M.-All Classes $1.08 Town Commercial Hyannis FD Tax(Residential) $131.72 Cotuit FD-All Classes $1.43 $6.12 Hyannis-Residential $1.78 Town Tax(Residential) $510.60 Hyannis-Commercial $2.77 W Barnstable-All Classes $2.11 Community Preservation Act 3%of Town Tax Total: $657.64 Construction Details Property Sketch &ASBUILT Cards Building Property sketch Legend _ ........... Construction info N/A 3 Land �� r��' r CODE 1020 Lot Size(Acres) 0 Appraised Value $0 http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=3 081... 11/20/2009 Barnstable Assessing Search Results Page 2 of 2 As Built Cards: Assessed Value $0 % View Interactive Maps >> Sales History: Owner: Sale Date Book/Page: Sale Price: TURNBULL,BENJAMIN T Jan 25 2006 12:OOAM C348-2 $173,000 PACHECO,SHANE M TR Apr 13 2005 12:00AM C176406 $1 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=3081... 11/20/2009