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Home My WebLink About0107 OAKVIEW TERRACE /O7 � � Via... y �t �E ,�� . r ____- -_a_ __-_ __. _- i 4 � ' {� �� V ( � + V � �f� j �2 -�'` � � � � . � , � �� :� _� . � _ _� _,_.� �r .__ _ ,_z�_�.. _ _ . Ull) � �J� <,r �•. Assurant Use Only PID# 1368797 ASSURANT November 2,2016 Attention: Town Of Barnstable Assurant Field Services(AFS)is working on behalf of our-clients to ensure compliance with ordinances requiring vacant/foreclosure property registration." . Client's Name: NationStar Mortgage LLC Closed Reason: Unknown AFS previously registered a property located at: Street Address City State I Zip Folio Number 107 Oakview Ter Hyannis MA 02601 000268 000000-000247 This letter is to serve as notice that the property has either been sold to a new owner,the property is now occupied,and/or foreclosure has been rescinded:AFS does not represent_the new owner and has not been provided any further information or documents. Please de-register this property and send confirmation of de-registration to the email address listed below_ or by mail. Assurant Field Services Attn:Property Registration 101 W.Louis Henna Blvd.,Ste.400 Austin,TX 78728 Caleb.williamson®assurant.co.m Thank you for your time and attention to this matter: LU 0 A� .A RNTm Field Services 1rl iWest Louis Henna Boulevard,Suite 400 Ali tin,TX 78728 " _ lJ Town of Barnstable. v Attn Bldg Dept 200 Main St 0 Hyannis,MA 02601 Assurant Use Only PID# 1368797 V ASSURANT November 1,2016 Attention: Town Of Barnstable Assurant Field Services(AFS)is working on behalf of our clients to ensure compliance with ordinances requiring vacant/foreclosure property registration.. Client's Name: NationStar Mortgage LLC Closed Reason: Unknown AFS previously registered a property located at: Street Address City State Zip Folio Number 107 Oakview Ter Hyannis MA 02601 000268-000000 db0297 This letter is to serve as notice that the property has either been sold to anew owner,th p operty is now 4 . occupied,and/or foreclosure has been rescinded.AFS does not represent the new owner and has notm' been provided.any further information or documents.. Please de-register this property and send confirmation of de registration to the email addr ss listed below _ or by mail. M Assurant Field Services Attn:Property Registration 101 W.Louis Henna Blvd.,Ste.400 Austin,TX 78728 Caleb.w illiam son@assurant.com Thank you for your time and attention to this matter. ASSURANT` Field Services 101 West Louis Henna Boulevard;Suite 400 Austin,.TX 78728 �dc CR City of Barnstable Town Attn Bldg Dept' 200 Main St Hyannis,MA 02601 q . PI D#: 1368797 REGISTRATION AND CERTIFICATION FORM - FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been.taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property yis located. C;� t If you claim you are exempt from registering under Massachusetts law,please state the . reason(s) and complete section 1 (property information) and the first paragraph of 03 section 2 (foreclosing parry, court, etc. and foreclosing party representative;but not other representatives and attorney) so that the Town can review the exemption and update=is cn records: 5;! _._ cA M Section 1 -Property Information Property Address: 107 Oahview Ter Barnstable, MA 02601-3594 ' Assessors Map#: N/A Parcel#: 000268-000000 -000297 Land area and description 14,810 sq ft/0.34 acres Building(s) description and contents 1,272 Occupied: NO Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: YES Date: 1/30/2016 Anticipated Length of Vacancy: N/A Last occupant(s))(if borrowers so state and include name(s)) ELDREDGE SR, DONALD c/o Nationstar Mortgage LLC Phone: 800-468-1743 email: vpr@fieldassets.com other: Has possession been taken If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Post-Filing status 4 Section 2-Foreclosing Party Information Foreclosing Party(full name/title) Nationstar Mortgage LLC Foreclosure Case Court: N/A Docket# N/A 1/29/2016 Post-Filing Date filed: Current Status: Foreclosing Party's representative(s)for property (entry, management, repair, etc.)(name,title,): Paula Acosta-Bank REP Company(if different from foreclosing party): Property Manager:Assurant Field Asset Services Address: 101 W Louis Henna Blvd., #400 Austin,TX 78728 Phone: 800-468-1743 email: vpr@fieldassets.com other: If an exemption is claimed,please do`not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title, other: Local Property Manager: Company(if different from foreclosing party): AFAS c/o CHRISTOPHER SIDEMAN Address: 268 MAMMOTH RD LOWELL, MA 01854 Phone(s): 978-821-9599 email(s): vpr@fieldassets.com other: 800-468-1743 [24hrs] Name,title, other: Company (if different from foreclosing party): N/A Address: Phone: email: other: Attorney representing foreclosing party Firm name (if different from attorney's name): N/A Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand tha y inaccurate information will result in non-compliance with section 224-3 of c p 224 e Code of the Town of Barnstable. Date: 06/03/2016 Name: . Brown Title: AV Authorized Agent f I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable A' 'tAs, . Vacant Building Plan 107 Oahview Ter Hyannis MA 02601-3594 As of: 06/03/2016 The property is being secured and maintained.- Property will be listed for sale. Owners contact information is: Nationstar Mortgage LLC 350 Highland Drive Lewisville,TX 75067 Agents Contact information is: Assurant Field Asset Services 101 W. Louis Henna Blvd #400 , Austin, TX 78728 800'468-1743 24 hours P:800-468-1743 F:512-833-8101 www.fieldassets:com STANDARD GUARANTY INSURANCE COMPANY Blanket Real Estate Owned PO BOX 50355,ATLANTA, GA 30302 Policy - declarations ITEM 1. NAMED INSURED: POLICY NUMBER: BRE-0004 CENTEX HOME EQUITY COMPANY, LLC LENDER NUMBER: 0729.0732 3250 Briarpark Drive,Suite 400 Houston,Texas 77042 PRODUCERJMAJOR NUMBER: 5992 ITEM 2. POLICY PERIOD June 1, 2004 12.01 a.m. standard time at the address of the named insured and continuing until cancelled. ITEM 3. MAXIMUM LIMIT OF LIABILITY $ 1,000,000.00 ITEM 4. COVERAGES: DIRECT PHYSICAL LOSS subject to all terms of this policy. ITEM 5. RATE PER$100 PER MONTH: Property: $0.08 Liability_ $0.0125 ITEM 6. DEDUCTIBLE: $500 ITEM 6. ENDORSEMENTS attached to policy at issue:SG-BRED-POLICY(1198); NOT-TX-1; NOT-TX-2; DP 00 03 07 88, BRED-MOLD-END(11102), BREO-LIAS-END (10/99) 'THIS INSURANCE CONTRACT IS WITH AN INSURER NOT LICENSED TO TRANSACT INSURANCE IN THIS STATE AND IS ISSUED AND DELIVERED AS A SURPLUS LIME COVERAGE PURSUANT TO THE TEXAS INSURANCE STATUTES, THE STATE BOARD OF INSURANCE DOES NOT AUDIT THE FINANCES OR REVIEW THE SOLVENCY OF THE. SURPLUS LINES INSURER PROVIDING THIS COVERAGE AND THIS INSURER IS NOT A MEMBER OF THE PROPERTY AND CASUALTY INSURANCE GUARANTY ASSOCIATION CREATED UNDER ARTICLE 21.28-C, INSURANCE CODE. ARTICLE 1.14-2, INSURANCE CODE, REQUIRES PAYMENT OF 4.85 PERCENT TAX ON GROSS PREMIUM. IN ADDITION,A STAMPING FEE OF.10 PERCENT IS REQUIRED ON GROSS PREMIUM. Surplus Lines Agent Agent Name and Address: Charles D.Helton Longhorn General Agency P'O,Box 1010 Euless,Texas 76089 {800)888-3008 SG-8REO-DEC(1198)-TX r The Contmotmeafth of Alassar/rusetts •+ i: '- Departtnent ojlttdtrstria/Accidents 1 Office of/nveslfMMONs 600 H a►hington Street 4• Boston,Alas. 02111 Workers' Compensation Insurance Affidavit ........_,_—•----1-- ------:-_....�......._._.'--^•T - -- •=••.n,F..�n+.,!-..••......:+era...r-•.»r� .,.t,.;.p.-.....•.........v:--..-._..._...,.,_..-. Anpllcant Intormahon: Please PRINT legNy_s,� name: 1/-.) Ao b 21 6 vG-� location: ;4 `; 6 city !U t 7,64/,197- Z-6 ®1 'E rhone# 4`0 0 1 am a homeowner performing all work myself. Eg-+Im a sole proprietor and have no one working in any capacity-. : ..1 `• *ar'en'< -T •rfDPe^e•�YY,a+a ... •'•'••T.. ....:..... . .m= i ,.:rF,s_4..., n,'*^A� ir. .mac•+•�+..��•r.,y,,..+,m-a+tr. I am an employer providing workers' compensation for my employees working on this job. company name: - address: city: phone#• insurance co. Policy# ,.:.. ..,.� �, . x., .,.,.,......... ...; I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: com anv nnme- •tddress city: phone#• insurance co. policy# 4..,....,, ,. !rr.[!,-.-.+,r•.. wt0��'Y7;'3 ..�v r..r •h -11.121 Tw ,4F;i!TM 'MR':^'.''^:""{S .....�a........�._...�w'.a.....-_.._.:a�^s' .�i�'a�:+3a• ctimnany name: address city: Phone#• insurance co_ policy# ;Atfac_h additional sheet if necessA + °+. >�'«` S' �'`2'r;+°3'X"'�"-`'ti/+''a �i�. Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to$1400.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP R'ORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herehr certifl•tinder the pains and penalties of perfuty that the information provided above is true and correct. Si-nature Date / �d �✓' Print Ly VZ610/2/ (�ILI-C S Phone# 4/ Z D 0 - waimo�r official use use only do not write in this area to be completed by city or town official city or town: permit/license# Building Department Licensing[hard C3 check if immediate response is required C3Sclectmen's Office []lieallh Department ' contact person: phone#; rJOtlter (reused sins PJA) - The Town of Barnstable ;$ Department of Health Safety and Environmental Services Ma Building Division 367 Main Street,Hyannis MA 02601 Offioe: 508 790-6Z27 Ralph Cros9en II Building Commissioner F= 508 775-3344 For office use only 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,,rzmo%_4 demolition, or construction of an addition to any pre-adsting owner occupied building containing at least one but not more than four dwelling units or to serratures which are adjacent to such residence or building be done by registered contractors,with certain er=PdOns,along with other requirements. Type of Work: 6,(J®© � rAhl,G d4'J')hj A EsL Cos /"5f- , >C)-o Address of Work: /O 7 45:141<I/iG—z. yd6/ram /S Oz 60 Owner.Name: �—'T�i!/+K I CN l Date of Permit Application: I hereby certify that: Registration is not required for the following rrason(s): Work=duded by law _Job under S1,000 Building not owner-occupied Owner Pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WfIHt7N1tEGISTEItRD 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_ a Registration No. OR ' Date Owner's tamc . fie �ayimo�u�sea a�� aaactucaetC�F DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPER4ISOR LICENSE Nnsber Expires: RrsEncted To 00 iar JOHN ft RODRIGUES 151.,VHITE BIRCH NAY .N BARNSTABLE, NA 02668 + f . off CONTRACTOR A 4 µS Kep'SE do n i652 x �� pe - RWEv.IDUAL " w i zpYration //16/96 r , r ohn 11 NRo agues & Sons' t John` w Rodrigues i "��'�=6�a�,r�0 Box,641, 151 �Ihite Birch W . �.3.,#$S, bC Barnstable:MA ,026b8 € A r '� R00 ,eA: E - •'� '"!•ry,ja 1a>.1 k�� .a<��• ,S! � Yb° n � s:d !1. y 1�� .Y r"a • � } a• Y:'" 5 t i 1' � IJ ,�•�SI ~• ; 5 e•{J 9 r �, Icf}< r Y5� 1''rHY" 's-. }_ _• '��'ye ts"5 / `-'+5� ,�� •' > t��`.y- �f ��.,r a�..r � `+� � 'S.F`� i 1,�n }�l. 4 ; x ai: ♦, s• rqx., -�� ,� �� r a S t ` t l ��7 ° �' gtl,� �O� Math �q ttte »fit' �t t _ ?t i.. yci':;. .;y-,s• pai �. 3# "'fix r` _s .. ,,,,« Z. 11', i•` r.rr. rc E ate, �1 '� �� ss� s J:.. )'+` �'.r.r tp-�p p a' N£ �f?::5. ,•y fit! �ri �'A+45 ., Y '"< a� r � `ri. �s Y,ur.' a � �c. x�t �S"� st a. `•� � � j'✓;' " ' P °" '" E t is •r '�l n 7 n +'` J, ti ,�..+. ,fir30 ' w lo i t Z'511 '.t ` ; 15- !` i Y-s�•4`, y .}�1 ''"5xF } k 1• •Lai t '�€,,� v , { e r rs:.'t ^�c,0 _y S ; ��i :,.: r •, ..1 .r 1�," - ��T � / �.} !2 _ �' f l/. 41 `$i3 jk { F YTm' It 41 f` i I Y j1TJ'� •. 1 �t ,�'c 3-., w'7,f !, _ as y, n gm N' + e �P' • i'ri(\� �y,L! — � ._ -. • .4 „. � 'lam/• I.1� ,�'�T'�7 CERTIFY TH ..T THE SHOWN ON THIS PLAN IS �, y LOCATED ON THE GROUND z LEVY AS INDICATED ' u N'o 10617` e 3' y �55 F •,7 1 R ,� a li'F 3 14.,z0 E TERE LAND ..S RVI�Y LLVY�& EL-DRE(�CE •SOCIATES,INC. y CLIENT h/a,e N �..-B. t �l ENGINEERS LANDSCAPE !1kHITECTS JOB=yB1I0. �3.r...�.2...— 7".�"2 Qy�1/jE!/t/ 7�22l9C� h , PLANNERS— LAND`SURVEYORS `� .�. .� D�' �' :�,V✓Es r�xf/Y.9�vN HKD.$Y► e3 7'8 911VESi' C _ _ :;,.��' ,C vs7,9/B[r �', MAIN STREET ._. CENTERS I LLE. CIA. 0 5�,,..�-� �,r , . 6, O• �•�.o.. SCAT,," . ....... .. -- � f . r Town of Barnstable .*Permit Expires 6 months front issue date Regulatory Services Feed Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.-town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY c� �J Not Valid without Red X-Press Imprint Map/parcel Number n r /�J Property Address (1 Q Ce IL V l&0 � �rD Residential Value of Work , Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �Q/U�l UF1 u _51- - Contractor's Name /h t Ye vw e ( egl 4 kJa n,a :S'e -mi l e e it -Telephone Number- 5"0 9'q(e)-6 4 Y V Home Improvement Contractor License#(if applicable) f d d 9� Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ®PRESS PERMIT Check one: ❑ I am a sole proprietor A PR — 3 2008 ❑ I am the Homeowner v'I have Worker's Compensation Insurance TOWN OF BARNSTABLE r� Insurance Company Name Re W f'I4 rn,rr s A,r�. /�h $• G o Workman's Comp.Policy# ( 1 Copy of Insurance Compliance Cer rffeaYe must 6e on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side 3 VReplacemen indow oors/sliders. U-Value - 3 (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc. "*"Note: Property Owner must sign Property Owner Letter of Permiss op ' A copy of the Home Improveme Co ct License i e uir f1 -1,-j �d.! SIGNATURE: - Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavits Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly j Name (Business/Organization/Individual):1 Deco f o Address: S (1. City/State/Zip: Phone#e �`' Are you an employer?Check the appropriate box: Type of project(required): 1.X I am an employer with l© 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 7. ❑ Remodeling 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. $ - ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9.❑Building addition [No workers' comp. insurance 5.0 We are a corporation and its required] officers have exercised their 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption perm MGL 11. ❑Plumbing repairs or additions myself [No workers' comp. c. 152, § 1(4), and we have no insurance required] t employees. [no workers' 12. 0 Roof repairs/ comp.insurance required.] 13. ®/Other �Ctceytc¢ G/� *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors 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 isproviding workers'compensation insurance for my employees.Below is thepolicy and job site information. 1 Insurance Company Name: Policy#or Self-ins.Lic#: t t v� 1 S -5 Expiration Date: Job Site Address: l b74/( U LaJ City/State/Zip: " Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration(date). Failure to secure coverage as required under Section 25a of MGL 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 aline of $250.00 a day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certjy under the pains and it. s of perjury that the information provided above is true and correct. Signature: Date: Print Name: t C Phone#: "� 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 Heath 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact person: Phone#: Informationsty° do Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statue, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written. An employer defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the forgoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees,However the owner of a dwelling house having not more that three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer". MGL chapter 152 section §25(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152 section §25(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and,if necessary, supply sub=contractors)name(s), address(es) and phone number(s) along with their certificates(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the Members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Towns Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to. the applicant as proof that a valid affidavit is on file for future permits or licenses.A new affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn 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 calla The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 phone#: (617) 727-4900 ext. 406 or 1-877-MASSAFE fax#: (617) 727-7749 Revised 5-26-05 www.mass.gov/dia ACORD, CERTIFICATE OF LIABILITY INSU 2/26/NCE 0 M/08YYYY, 2/2 PRODUCER 1-404-995-3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh USA, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR homedepot.certrequest@marsh.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3475 Piedmont Rd NE, Suite 1200 Atlanta, GA 30305 Fax (212) 948-0902 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Steadfast Ins Co 26387 Home Depot U.S.A., Inc. The Home Depot, Inc. INSURER8:Zurich American Ins Cc 16535 2455 Paces Ferry Road INSURER C:Illinois Natl Ins Cc 23817 Building C-8 Atlanta, GA 30339 INSURER D:American Home Assur Co 19380 INSURERE:New Hampshire Ins Cc 23841 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rLTRA DD' f POLICYEFFECTIVE POLICY EXPIRATION NSRD POLICY NUMBER DATE M DD Y DA DD LIMITS GENERAL LIABILITY IPR 3757 608-02 03/01/08 03/01/09 EACHOCCURRENCE $4,000,000 X LIMITS OF POLICY ARE EXCESS DAMAGEORENT D 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES(Eaoccurence $ CLAIMS MADE FXIOCCUR "OF SIR: $1,000,000 PER CC" MED EXP(Any one person) $EXCLUDED PERSONAL BADVINJURY $4,000,000 GENERAL AGGREGATE $4,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OPAGG $4,000,000 POLICY PRO- X LOC X JECT B AUTOMOBILE LIABILITY BAP 2938863-05 03/01/08 03/01/09 COMBINED SINGLE LIMIT $1,000,000 X ANYAUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Per accident) $ X SELF INSURED AUTO PROPERTY DAMAGE $ PHYSICAL DAMAGE (Peraccident) GARAGELIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTOONLY: AGG $ A EXCESSIUMBRELLA LIABILITY IPR 37.57 608-02 03/01/08 03/01/09 EACHOCCURRENCE $5,000,000 X OCCUR CLAIMS MADE AGGREGATE $5,000,000 $ DEDUCTIBLE $ RETENTION $ $ TH- C WORKERS COMPENSATION AND 1928757 (FL) 03/01/08 03/01/09 X ORY LIMIT, OER D EMPLOYERS'LIABILITY 1928756 (CA) 03/01/08 03/01/09 E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE - E OFFICER/MEMBER EXCLUDED? 1928755(AOS),&-- 03/01/08 03/01/09 E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER F TX Employers Excess TNS-C45197967 (TX) 03/01/08 03/01/09 Occurrence/SIR 25M/2M D Workers Compensation 1928759 (QSI) 03/01/08 03/01/09 E Workers Compensation 1928758 (KY, MO, NY, WI) 03/01/08 03/01/09 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *FOR EVIDENCE ONLY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE HOME DEPOT, INC. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL y 2455 PACES FERRY RD., N.W. BUILDING C-8 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ATLANTA, GA 30339 AUTHORIZED REPRESENTATIVE USA ACORD 25(2001108)datkinson ©ACORD CORPORATION 1988 8207866 r I i . i 41 NFRC The Home Depot 6500-Series Double Hung Vinyl Window National Fenestration Architectural-grade, Soft Coat Low E and Rating Council® Argon Gas-filled Insulating Glass Unit r RGY PERFORMANCE RATINGS , U-Factor .SJI-P) olar Heat Gain Coefficient Visible Transmittance 0 3 e, Om29 OAS I Manufact'urerstipul fit these ratings conform to applicable NFRC procedures for determining whole produ a orf mance.NFRC ratings are determined for a fixed set of environmental conditions an a specific product size.NFRC does not recommend any product and does not warrant the isuitability of any product for any specific use. 1ENERGY STAR' Qualified in all 50 States I, ^ M Northern . South/Central Mostly Heating Heating&Cooling l' fj North/Central Southern Heating&Cooling Mostly Cooling •D f DP:25 Test Size:48 x 80 Test Number:05-30307.01 I. I . T1. ean�zzamureaLC�i o�� aaaaclivaella.. Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration _126893 One Ashburton Place Rm 1301 Ezprratron g/3(2008 Boston,Ma.02108 Type Supplement Card THE Home Depot-At Home=SeryIC r.r IXICHAEL BEDARD� l 3200 COBS GALLE'RIA PKWY#20 � , era,✓ P' J� AtIANTA,GA 30339 Administrator Not valid ithout signature HOME DIPRO19MNfENT CONTRACT Sold,F=i bed and 1rsWled by- HrrachN'ame: p,.��j Due•329�0$ THDAl-AomeSrnaes,Loc - db/8 The Home Depot At-Noma Services x 345AGreenanodSWeK Woroesta,4i40i607 Branch Nomber: •lob g; 3i.d IAZC$ Toil Free(BOO)657-5182;Fzu 598-756.28.59 I Feaa.t tDa 75-'R14%ba Lks C 02439 RJC40-tisE 16M N CTLie r 56Sd22; hCt Ei�a Fags:emmr Co,�.ek:r SteLr.2126dS+3 �D fmtsea&sAddress: ---- --- -- - 10�7 oaKute�3 Tud 4ee ruacn� tlnli --CS��O 5ot5y-. .. --- --- - - - o -- - - city state zip O Pw"kaser(i)c Lail ftf.orDriverh to LAr.4&Exp NnYr. Workpbne: HamePbose: u}•Etas �-P*1C40'0 9 - ( } a=l,�Aa3 t-t a5� ---- -- -- -— ----- -- - - - -- - —-- �, Homy Addren (f die'aes]t fiom k:sti]Ytoo Addrtss) shy stets . . zap � n` '� &naaO Addrt a(to receive Lydrfes and pmmodcw f-vm The Home Depot?: �O\\ Project laformadm UWe'You c?L%rs}aard'!,the o ittcs oflbe property focatad ax ttc above irAmliatiaa eddress,offer goo WJJ c oibtrecc Aitb THO Ad-Home Serrecxs,Inc(`Hoerr DeFcf7 to fins delver end aaugC for the m VADatioo of an sxtaaals as Geacabed ec the a7ached Spec SI]aei S 03'1 .bcaapoiated harem byxefwLew and made a part beieo£ - kM'L x Home Depot reserves the rigbttocalod this.eaetrut if,upon rednapectlon of the jobs Home DepotdeteMh=tbat H 3 ernaot perform ih ohl gations deg to a stnetnral problem srith the home,p]idag moos or became work rcgohvd to � complete the job was not bbcleded in the Spec Shoat or Cmttrset DEPOSIT PAYN9214T OPTTUNS d ' - (Sebjea to ferA CONTRACT AMOUNT S �pz • O ^:: L t�piJci,CeaSie,sLlock arUS Hc.•a1 Sen5x?]oscy 0r9Q s ,�. (Made P*ibk mTb*UCMDrpor} .. - r }LESSDLPOS[T Sib ,2. -t�rdit��cd�ordbetpa.matoptimi•fJreYOse Betvw x. Y D11fliNCE DIIE Y6m 3761:OQnt DLWSxr A .e Exi UN CO.ffl stTaN s 601 to z - 1>ta lf�.Deyx sia��/r�ay.tmett W.e ]ur73x,e I]rpotCaeditAtl z tbi.imaxe 2SSi of Oaarrael Apt dra opera O Nneeetmmt Aeneas pBl liDee ant rl ro e:etotlaaad`tafioaatract A,vLbleC-M I`A3,y000 - - - t>:g.&tt]>ec IX.tYI led kitePaymme:MediodFor 50 FspDuc BALA\CE DUE ON CO\♦pLmON: Names.i[epyessmevS'] -F{ebrv4re titC - . 00L ••By no ow sigsatdre,below,VWe a&=Do-allow Horne Depot bo charge the above refuemed adiRsud box the u'tp>n't mdkded .. %bn r� Prolide a cbxk a PLYk n n,a omsm a.clots f I '3-z9-L]$ .o—i�hwi)v 44,k Mn..0 a. th-demodr cm os n Due . fmd amp In-yva imam err to¢bees fbs pe mmt u a - • - meik tics Sm glQ wv on la<armsfix hoe.T:w meek to - ®Aa m ek0b=k fasi hir r,find.mg be ai"Wn 0:m - 131L or F DCC Aatbordaatiam Cbdet .. . yeaaaewar ee.cm sr flemq t it srac vk and pa,rAoat DEPosiA Foal - - - - mxi+cyarcl-ck LvrL 0AS16 5 Purebaver meta that,icsnodiaUly apaet completion of tx wank,Pucchasct ail execute a Caaplebw Cetificate and pay par bakom due"P1s]rbsaer alias agars to be joi 1N y aA sevaraliyabtigated and haWe;hemmdu: F&th*AZrerueal This a and its ftcb-ofs,lncbdtrrg any fu>paaas 4 ocatam the too fete Wamcut betwt=the pa]des and tan Oct be==dad or n]cMod tml ss kiulf g in a aeparata M eea-aigned by bo9i parties NOTICE TO PDRCKMER Do not sig]t thfa contract before you read%You sm enefied to a comP7etL*Wed-tat oo"of the costrast at the time YOU sigm tiaep it to protect IrMa rigbts, Do wet SAp a Completion CertiBcae ho M this project is complete. Lasr prof blu home imreppair eadtractws from reegqeColn or scoeptdag a Compledso Certificate 0gued by the owner ptiar to the ae[wl eompletian of the locale to be perlorniId assder the contract. YonlnapeaaceltM5traasaefdonaayt®e Prior tomdd*,htoftbetblydhugaese day after Me date ofthlscomhvt Sea Nod"of Caioellatku for as esptanatioa of thk right There st9 be a smite charge equal to 10%of the cootraet d amonot if job is eaacefled by Pmehaser AFTER the third bang day bat EMFORE lastmia4 art ordered.Tbrra%iH be a serr&e charge rgeal m t4l.efthe c NWd ameaatif job to warAed by Purelmer AFTER matftials are eadered. BY i1 WOUR SEUXAMB BEW%F.EWE UbMERSTAND THAT 1110 AGREE,N3EW MAY BE SUBMZI TO REVIEW b OF My/OUR CREDIT HISTORY AA-D L'8E AUTHDIUM NO!IE DEPOT TU VE"Y AND REYIEW MY,tOUR a 3 CREDIT RECORD WTTTI AN INDEPENDENT CREDIT REPORTT\0 AGEKCY AND RELEASE THEM FROM ALL O p LLABILITYLNCLMEDFROMAADV-ERTENi•OMLSS:ONSORERRORS. O ~ BY MWOLM SIGNATURE BELOR',9SSE AGREE TO BE BOLND BY THE TERNS OF THIS COXMCT. VAT � b AC[C.\OUT.EDGE RECEWT OF A COPY OF THUS CO.N-M cT A\-D Two CO`4PL TED Oopm OF TfiB"oTICE \ s OFC'ANCELLATIM 00 SUBMMEY: ITtte: _z ,p - (D I?B • 6Cmr "-�1� — .. ACCEPTED BY. Data: � XY _--' X-PRESS PERMIT Town of Barnstable *Permit#sal�-(- JU L 1 1 200/ Expires 6 monthsrro_ issue date Regulatory Services Fee ' " Thomas F.Geller,Director ,i rV1V OF BARNSTABLE Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA.02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address , ;rw el a c e- ei� [Residential Value of Work �, 6 ° Minimum fee of$25.00 for wo , u er$6000.00 Owner's Name&Address / o 614 r J2 e 11,0 7 0 U to c z /aye,. !M f/.? �6( Contractor's Nameyke wle (fie: � S'e.-.}r c r _Telephone Number - 1^0$- q(c)-6 4 y B Home Improvement Contractor License#(if applicable) f d 6 997 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [v]-I have Worker's Compensation Insurance Insurance Company Name l Ui W uQ rn 02 s A I. e _gh 5• Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to 9,4ckr l ji vk�,aT ti AA 6) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt.compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: "'' Q:Forms:expmtrg Revise061306 - gip: - - - ,, The Commonwealth of Massachusetts Department of Industrial Accidents s. Office of Investigations 600 Washington Street t Boston,.MA 02111 v www.mass.gov/dca Workers' Compensation Insurance Affidavit: Builders_/Contractors/Electr ciaiis/Plumbers. Applicant Information PIease Print Legibly Name(Business/Organization/Individual): O y Address: /Z D City/State/Zip' �6 3 Phone Are you an employer? Check the appropriate box: . . Type of project(required):: 1. I am a employer with 0 4. ❑ .I am a general contractor and I 6 El New construction employees(full-and/or part-time).* ''have hired the sub-contractors 2.❑ i am a sole proprietor orpartner- ;.. :• - fisted on the attached sheet.t . .1. ❑ Remodeling w . ship and have no employees 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 required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑'I am a homeowner doing all work right of exemption per MGL- l L❑ Plumbing repairs or additions myself.[No workers'comp. c I52, §1(4) and we have no: l ik Roof repairs insurance required] t employees. [No workers'. comp.'insurance required.] 13.❑ Others. *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy inkiination.- t Homeowners who submit this affidavit indicating they.are doing all work and then hire outside contractors must submit a new affidavit indicating such. --..__tContractors;that check this box must attached an additional sheet showing the name of the sub-contractors`and their worker'cornp.policy information »m---. --•-- I am an employer that is providing workers'compensation insurance for my employees. Below is the pallcy and job site information. Insurance Company Name:: .S : !}'� mil"S - Co Policy#or Self-ins:tic #. Expiration Date: Job Site Address: l':yicew' a//o, { Ci /State/Zi : il/k�s,r h' P Attach a copy of the workers9.compensation policy declaration page(showing the policy number and expiration date)... Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal.penalties of a., fine up.to:$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP.WORK.ORDER and.a fine of up to$250.60 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 thepainss andp' enAalties of perjury that the information provided above is.true and.correct.'" Signature: ir, -,mil /]� ,� Date: Phone M t0 X / / �: �,..�_ .._....... .. Official use only. Do not write its 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 .I structions - :;,� tNRtl.+lttrj;If��Hn{Yt' vW:'�S�t+}i3Ni!I�YtrttdtgERYk�xG.., Massachusetts.General Laws chapter 152 requires all ernployers.to provide workers' compensation for their,employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is,defined as"an individual,partnership,association,corporation or other legal entity,or any two or more Of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee_of an individual,.partnerships association or other legal 'entity,employing employees. Howeverthe owner of a dwelling house having not more than three•apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because.of such employment be deemed to be an employer." MGL chapter 152,.§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permlE.to operate a business or fo construct buildings in the,commonw.ealth.for any applicant who.has not produced acceptable.evidence of compliance with the insurance coverage required." Additionally;cMGL'chapter 152,§.25C(7)states Neither the commonwealth nor any of its political subdivisions shall enter into amy.contract for the performance of public work until.acceptable evidence of compliance with insurance requirements of this chapter have been.'presented to the contracting authority." APPlicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance: Limited Liability..Companies.(LLC)or Limited Liability Partnerships(LLl')with no employees other than the' members or partners,are not required to carry.workers' compensation insurance. If an LLC or LLP does have employees;a policy is requited: Be advised that this:affidavit maybe submitted to the Department of Industrial Ac.cidents for confirmation of insurance coverage..:_Also be sure to sign and date the affidavit. The affidavit should be returned to the city ortown that the application for_the permit or license is being requested,not the Department of ty . Industrial Accidents .Should you have any questions regarding the law or,if you are required to obtain a workers' compgn atk pbhcy;please call the Department atthe 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 off davit for you.to fill out in the event the Office of Investigations'has.to contact you regarding the applicant.. Pleasebe'sureIto fill in the permittlicense 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 copyof the affidavit that has been officially stamped or marked by the-city or town may be provided to the. applidantas proof that a valid affidavit is on file for future permits or licenses. A new.affidavit must be filled out each Year.Where a home owner or citizen is obtaining a.license or permit not related to any business or conimercial venture (i.e.a'dog license or permit to burn 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 n t.hesitate to give*us,a call: .. The Department's address,telephone and fax.number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900.ext 406 or 1-877-MASSAFE Fax#617-727-7749 . Revised 5-26-05 www,mass.gov/dia ..„,RR > 1` x2� CERTIFICATE NUMBER d fi P �.. _. ATL=001:234410-01 PRODUCER THIS CERTIFICATE IS ISSUED"AS'A MATTER OF INFORMATION ONLY AND CONFERS MARSH USA,INC. NO RIGHTS,UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE hOmedepDt.CertreQUest@Rlarsh.COm POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE FAX(212)948-0902 -• - - AFFORDED BY THE POLICIES DESCRIBED HEREIN 3475 PIEDMONT ROAD,SUITE 1200 COMPANIES AFFORDING COVERAGE ATLANTA,GA 30305 COMPANY 00492-THD-IPUSA-07-08 IPUSA A STEADFAST INSURANCE COMPANY INSURED COMPANY HOME DEPOT USA,INC. B ZURICH AMERICAN INSURANCE COMPANY 2455 PACES FERRY ROAD NW BUILDING C-8 COMPANY ATLANTA,GA 30339 C AMERICAN HOME ASSURANCE COMPANY COMPANY D NEW HAMPSHIRE INS COMPANY C;O:VER `G.E #r .t" �. 4 ..:Sf - S Fertlrcafe s,�persedes n polic},penoc noted below >: r 2 THIS IS TO CERTIFY THAT POLICIES OFINSURANCE DESCRIBED HEREIN HAVE,BEEN ISSUED TO THE INSURED NAMED'HEREIN FOR THE POLICY PERIOD'INDICATED ..;. .;' NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FCO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MMIDDIYY) DATE(MWDDIYY) A GENERALLIABILITY IPR 3757 608-02 03/01107 03/01/08 GENERAL AGGREGATE $ 4,000.000 X COMMERCIAL GENERAL LIABILITY 'LIMITS OF POLICY ARE EXCESS' PRODUCTS-COMP/OP AGG $ 4,000,000 CLAIMS MADE OCCUR 'OF SIR:$1,000,000 PER OCC PERSONALBADVINJURY $ 4,000,000 OWNER'S&CONTRACTORS PROT EACH OCCURRENCE $ 4,000,000 FIRE DAMAGE(Any one fire) $ 1,000,000 MED EXP(Any oneperson! $ EXCLUDED B AUTOMOBILE LIABILITY BAP2938863-04 03/01/07 03/01/08 . yY, _ COMBINED SINGLE LIMIT $. 1,000.000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Peraeddent) NON-OWNED AUTOS X ELF-INSURED AUTO PROPERTY DAMAGE $ PHYSICAL DAMAGE GARAGE LIABILITY AUTO ONLY=EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: q 1 u",Affi� EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY IPR 3757 608-02 03/01/07 03/01/08 EACH OCCURRENCE $ 5,000,000 X UMBRELLA FORM AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM $. C WORKERS COMPENSATION AND 292'1209(CA) 03101/Q7 03101/08 X TORY LIMITS ERy }mv EMPLOYERS'LIABILITY E 2921210(FL) 03/01/07 03/01/08 EL EACH ACCIDENT $ 1,000,000 F THE PROPRIETOR/ X INCL 2921211 (AZ,ID,.MD,VA) 03101/07 03/01/08 EL DISEASE-POLICY LIMIT $ 1,000,000 PFFICERS/EXECUTiVE 2921208 AOS EL DISEASE-EACH EMPLOYEE $ 1,000,000 D OFFICERS ARE: EXCL ( ) 03l01/07 03/01/08. C OTHER 2921213(QSI) 03/01/07 03/01/08 E . WORKERS'COMPENSATION 2921212(KY,MO,NY,WI) 03/01/07 03/01/08 G TEXAS EMPLOYERS TNS-C44642086(TX) 03/01/07 . 03/01/08 EACH OCCURENCE 25,000,000 EXCESS LIABILITY ISIR 2,000,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS t§.;3�,g'�'4rd ,'�riaf+�`Cx "'-� CERTIFIC/TE HQLDBR 3CNCELLATtaON ,. a ..� 5'x3'�`,:�'�r:�:.�a..�, ;au':'.u:.alxa>'�'�"�S.�,`�`.-srrz�"�^a�,.:�..4 .�s'�:��'�a?'s.�`��;.� � ��'�';'�:,,a'' �.`mtTa��..�•';�.^�.�.:�`�3. ,�r:ra "�.�.�:...��;:�. ��.e'�-w` s'�sh w«��i•',-r...' � SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, - THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE FOR EVIDENCE ONLY CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE-SMALL IMPOSE NO OBLIGATION OR 'LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES.OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC. _... B MaRadaszewski qg*+ MM13102� � ws � .VALID AS OF 02128%07i ^x=e> ar�w,.G"-�xr: .3 }•�.....:>...+.5r "c -� ':'�,d+- •-'% �,^-,. +' X-Ys�sF a {4-„is v �: f,.=a,.k„r v.a"M'`M'�X .[< '^'C.#Z�*c .` S`"^'! 't �" '..;�`+ a- >I+ k` DATE{MMIDDfYY) INwa� �sY � QQaZ4 D2�28�07 `.:.,.fk�ay.. .ai'%"aYxrs°m.`ii...•�kF 7` , ...,�, �''!, �la` 't �'"w,i: - a r"`".- u PRODUCER COMPANIES AFFORDING COVERAGE V MARSH USA,INC COMPANY homedepot ceRrequest@marsh com t r I a, :'E r ILLINOIS NATIONAL INSURANCE COMPANY FAX(212)948-0902 .,:isr a 3475 PIEDMONTROAD,SUITE 1200 ATLANTA,GA 30305 COMPANY F NATIONAL UNION FIRE INS CO 100492-TH134PUSA-07-08 IP USA INSURED _COMPANY__ HOME DEPOT USA,INC. G ILLINOIS UNION INSURANCE CO 2455 PACES FERRY ROAD NW BUILDING C-8 ATLANTA,GA 30339" COMPANY H r 'afr a £ ' :;r � ?` r y r2sI; EXu .. . �r43 :; � row. ad ab „s Yc...s.: ..r.... a:....... ... • v _ - gi kxs <, w�'a. �k i,3ig,a�,yy..sF,s.�.,,�,,, e:x,:F rs�ta-�a ay, , t 96 a a a? ER7If fiRg {` } sew : can s ASa aK" z�Fku 3ea5sr FOR EVIDENCE ONLY ........... -MARSH USAINC BY Mary Radaszewskly3a " N a7*.. .wb... w ''kS'r °' L�'z .:' c^"„+` ,„, "'7: •_ RQ,yrsa"' :r'C' S T. �r�.w,:. -x.�'2 _.'H' `0.^.^ ti'. _nLw 4 y" R? Sa'`5 1 Y�`'�` "a,*;j �v "c +'•�ti g! '�i£�2iL' Kaav1�,�fk�` t`�+. 7,"fr^'iz:,�;"^x. �wH•1't&a.,�a'+*�. *' P $ �wi .. �hyr vTs, `y,ea}p ..z'�x�sr C. 4�+ tr' ;, '.1 Board of Building Regulations and Standards License or registration valid for individul use only ' HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: s Board of Building Regulations and Standards Registration 126893 One Ashburton Place Rm 1301 Expiration 8/3/2008 Boston,Ma.02108 , 1 i Type Supplement Card THE Home Depot t lome SerVrc ' DA �� NIEL PELOQUiN\ 3200 COBB GALLEfiIAKvvY"#20 . Not valid without signature Atlantic, GA 30339 Administrator - _ _ _... --- -- _..-.._..._. _.......-_................. Y • f i, I Danya Mahot 7743230034 P. 6 ' HOME,IMPROVEMENT CONTRACT Sold,Furnished and Installed by: Branch Name: 2�wcl-t'\ Date: t 'G/�71- THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services 345A Greenwood Street, Worcester,MA 01607 Branch Number: Job#: 6� �rj Toll Free(800)657-5182; Fax:508-756-2859 Federal 11),Y 75-2699460 ME Lie li C 02439 RI Cont.Lie#16427 Cl'Lie*565 2. MA Home Improvement Contractor Reg.#126893 Installation Address: City State Zip Last 4 Digits of river's Purchaser(s): Lie.#&Ett lo[Vr: Work Phone: Home Phone: Home Address: (If different from Installation-72—dress) City State Zip E-mail Address(to receive updates and promotions from The Home Depot): Project Information: I/We/You("Purchaser'), the owners of the property located at the above installation address,offer to contract with THD At-Home Services,Inc. (' De of")io furnish,deliver and arrange for the installation of all materials as described on the attached Spec Sheet# --_,incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if,upon re-inspection of the job,Home Depot determines that it cannot perform its obligations due to a structural problem with the home,pricing errors or because work required to complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval.) a CONTRACT AMOUNT $9(� 1. Check*,Cashiers Chmk or US Postal Service Money Order ( ! (Made payable to'I'he Home Depot). j'LESS DEPOSIT $�(y^ � 2. Credit Cards*andlor other payment options-Circle One Below BALANCE DUE Visa MasterCard Discover American Express ON COMPLETION S The Horne Depot Home I niprovcment Loan The Home Depot Credit Card 'Minimum 25%of Contract Amount due upon ❑New Account D Existing Account (1111.&HDCC ONLY) ex,EG�t'i�of this contract. Ava'able Credit:s !Z,39�- (HIL&HDCC ONLY) M Indicate Payment Method For Aced wwo_ r.xp.Date: BALANCE DUE ON COMPLETION: Name as it appear.,on card: re -Se **By my/our signature below,I/We a ree to allow Home Depot to char Ale above ref re ca for the deposit indicated. *When you provide a check as payment,you authorize us either to use information from your check to make a one-time electronic ardholdcr's Signature Date fund transfer from your account or to process the payment as a check transaction.When we use information from your check to "IL or HDCC Authorization Codes make an electronic fund transfer,funds may be withdrawn from your account as soon as the payment is received,and you will not Deposit Final Payment receive your check back. # o:)3 SyS # Z3 Purchaser agrees that,immediately upon completion of the work,Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your.rights. Do not sign a romp!ction Certificate before this project is complete. Law nrohibits-home rennir rontrartnm from rnmspstinu nr grrrntinrr n rmmnin+inn ror+;rvratr e:onnd h„+h^—nor nriver+^ anya Mahot 7743230034 DEPOSIT PAYMENT OPTIONS p. 7 (Subject to fund verification and/or credit approval.) .. CONTRACT EDEPOSIT $ I. Check',Cashiers Check or US Postal Soviet Money Order x (Made payable to The Home Depot). r LESS $ � l� 2. Credit Card"and(ar other payment options-Circle One Below BALANCE DUE Visa ON COMPLETION Mastcrt'arc) Discover American Express $ 'Ihc 1-Iomc Depot Ilome Improvement Loan The Home Depot Credit Card 'Minimum 25%of Contract Amount due upon U New Account ❑Existing Account (HIL&HDCC ONLY) _ �c .on of this contract. J `(. Ave'al le Credit:$ 1 2,39� (H[L&HDCC ONLY) Indicate Payment Method For AcctN: BALANCE DUE ON COMPLETION: — f xp.Dante Flame as it appclrs on card: ''By my/our signature below,I/We a*rec to allow Home Depot to char e above rcf�re t cayI for the deposit indicated "When you provide a check as payment,you authorize us tither ` I to use information from your check to make a one cicctmnic andhlder S' - l ' ,Signature Date fund transfer from your account or to process the payment as a check trdnsaction.When we use information from your check to make an electronic fund transfer, funds may be withdrawn from HIL or HDCC Authorization Codes your account as sown as the payment is received,and you will not Deposit Fin7al Payment receive your check buck. # SAS # Purchaser agrees that,immediately upon completion of the work. Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments, including any financing agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to protect your rights. Do not sign a Completion Certificate before this project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 10% of the contract amount if job is cancelled by Purchaser AFTER the third business day,but BEFORE materials are ordered.There will be a service charge equal to 25%of the contract amount if job is cancelled by Purchaser AFTER materials are ordered. BY MY/OUR SIGNATURE BELOW,UAIE UNDERSTAND THAT THE AGREEMENT MAY BE SUBJECT TO REVIEW OF MY/OUR CREDIT HISTORY AND I/WE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT CREDIT REPORTIN<i AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR ERRORS. BY MY/OUR SIGNATURE BELOW, UWE AGRE B UND BY THE' TERMS OF THIS CONTRACT. l/WE ACKNOWLEDGE RECEIPT OF A COPY OF C ACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. SUBMITTED BY: Date: Sales Consultant -- ACCEPTED BY: Date: urchasev s 1 uretas �, , <t' x .. i• Dalc: ..:: _ NOTICE:ADDITIONAI.TERMS AND CONDITIONS"AAREE—STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT 4-2-07 C-SC White-Branch File Yellow-Customer Pink-Sales Consultant �O 7 �CNG W2+� A+%Lc�/� i bete / 1 Time WHILE YOU WERE OUT . M„ ,�.� of Phone �62 `-'- Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message / �'" Operator AMPAD 23-021-200 SEES EFFICIENCY® 23421-400SETS CARBONLESS 1 TOWN OF BARNSTABLE :0 CERTIFICATE OF OCCUPANCY I PARCEL ID 268 297 GEOBASE ID 17300 ADDRESS 107 OAKVIEW TERRACE PHONE I Hyannis � ZIP - i LOT LOT 52 . BLOCK LOOT SIZE _ DBA '" DEVELOPMENT DISTRICT HY I I PERMIT 13234 DESCRIPTION HANDICAP BATHRM 12 X 16 SOUND PROOF PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: t Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 CONSTRUCTION COSTS `$.00 i + 1AAN3TABI.E. *' I MA83. OWNER BIANCHI, IDA DAVbS & i639'EDMA'�& ADDRESS BIANCHI LAURA M 107 OHYA SVIMEA TERR BUILZI�NG DIVISIONN BY DATE ISSUED 02/12/1996 EXPIRATION DATE .� I f iP r'nT�'" BUILDI�1 PERM T F`g, 1 = PARCEL_ , 268 ..297 GEOBASE 1�1300r�t', ADDRESS z10? QAKVIEW TERRACE s� � 'PHONE _ HYannjs -ZIP LOT LOT 52 BLOCK -::LOT SIZE DBA DEVELOP ENT ;- DISTRICT. HY PERMIT 11425 DESCRIPTION 12 �16 RM.W/SOUND PROOF WALLSZ-HANDICAP BAri ' • ' PERMIT TYPE BADDi TITLE BUI+ ING PERMIT MepWtMent of Health, Safety CONTRACTORS:` RODRIGUE S, JOHN w_ I and Environmental Services ARCHITECTS: F TOTAL FEES: $50.00 BOND $.00 t. CONSTRUCTION COSTS $18,700:00 Q� lo. 434 RESID ADD/ALT/COt3V 1 PRIVATE P Q STABLE, s OWNER BIANCHI , IDA DAVIS & ADDRESS BIANCHI LAURA M ' a 107 OAKVIEW TERR HYANNIS MAa } BUIL ION DATE ,I-SSUED 11/03/1995 .:EXPIRATION DATE .. e THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE,APPLICANT FROM THE CONDITIONS OF ANYjAPPLICABLE SUBDIVISION RESTRICTIONS- "•'',-,r MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED FLANS MUST.BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE,' SEPARATE 1.FOUNDATIONS OR FOOTINGS -= •'' HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS . ELECTRICAL,PLUMBING AND MECH- *:*"<.. PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE (READY TO LATH). ANICAL INSTALLATIONS. : yP.i� OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. - I 3.INSULATION. +s�.. � ... ,,. 1 4.FINAL INSPECTION BEFORE OCCUPANCY. ----------------- 1 411: M 1 0 - BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ,J�—' 2 ) 2 2 *T' gL V g 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT } I 2 +f .BOARD OF HEALTH OTHER: ��..' . SITE PLAN REVIEW APPROVAL ' I; WORK SHALL NOT PROCEED-UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX . CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227 . j THE Vol 33AR3STAXLE, TOWN OF BARNSTABLE BUILDING , 0 �� N �� .N� 0NN �� ` � °� � � �� ~ = ' t ��mi�r Dwelling � APPL��k�ON FOR PERMIT TO ---. ..��!�H�!�,----.=..................................................... J�ood ��me �� TYPE OF ------__-.---.---------_-._.��._._._,.__'�� ____.� ' 5/29/ O7 -.--..-....`.-.^.,.......l��... / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: Location ----.Ixlt�.��----.U��l!1��..!��.�.��]�g��.�..��.:-..-----.---.- -----.. - - � / Proposed Use ---------._--.----_------,--------.---------.--------------. � | i Zoning District -.DxI�^-.--.-..----.-_-.--_—.Rre District .... | | Name of Owner �o�� ^ .{�g�d��d.---------A66re« Ca�dl ..�a��.��eat.. i t,�� ---� ' . --------- -.. -- - ---------.. - ~~~ Nome o 8oi|drFXnCO...RaI'��_��n_� _, . 6e " -765-F......l..m.....u......h.. .. s/-M 5o^ ' \ Nome of Architect ------._--------------.A66rex -------------------.-.-_----- Number of Rooms ------Si z...........................................Foundation ----.R ......................................................... � / Ex/erior .-..---.RooGng ...................�sQhal±... ....................... � ' Floors Carpet ' -------------..|nte,icv .------ roo�_____. .------------' -' -------.. . --------. ^ Two Heating GA�9-'��-']�°�L ��.---..-------.--'-'Plumbing -------- ............. ............................ 0one ' Fireplace ------'��Y�----.��----------.Approximate Coo `.$��[\^DOD------_._______._ Definitive Plan Approved by Planning Boardw' lQ eo ' Area Lot .-__- ' � Diagram of � and Building with [Umen»�n ��^-y \ �h�� ' Fee\ ___'____________ = � SUBJECT TO APPROVAL'bF BOARD OF HEALTH � � . i L�»( / � . / ' / . . / / | / OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � ` | hereby agree to conform to all the Rules an the bove def-M Town of Barnstable construction. ' N/9-- —. - - - ' c' �' .'� -�i - ' �onmru��/�n ""p�...=" , License ----�y��y��--- i � GODDARD, LOIS S . A=268-297 aq? No 31106 permit for ..One Story Single Family Dwelling ................................................................................ Location .....Lot #5 2, 107 Oakview Terrace ................................................... ..........HX ann i s....................................... Owner .......Lois S. Goddard .................................................... Type of Construction ,Frame Plot ............................ Lot ................................ Permit Granted ......August 20, .19 87 Date of Inspection ....................................19 Date Completed ................19 ' f. � l. INLAssessor's Office(1st floor) Map ` a 4. ;.Lot c2� 7 C- ' Permit# Conservation Office(4th floor) _ �'I �3•l �}� n Date Issued �� 3 Board of Health(3rd floor)(8:30-9:30/1:00-2:00) Fee c� Engineering Dept.(3rd floor) House#1 .19 TOWN OF�BARNSTABLE 114 F. Building Permit Application Project,StreetAddress �® 7' Ur �l�101 C%c-� �"- 1�/�L "� Village H Owner J �� l �, Address •-; .Telephone Permit Request d A-00 l"! ��/T�� / /'s X lSelu AJ ®; /1C Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ l ft, 00 d a-0 Zoning District 13 E Flood Plain N C? Water Protection Al O Lot Size 30100 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use 51d16-G L r1111/I-Y Proposed Use S111I C" 7 Construction Type Lvd®�b PZAH Commercial Residential 1/ Dwelling Type: Single Family ,S Two Family Multi-Family Age of Existing Structure 7 M Basement Type: Finished Historic House N Unfinished V Old King's Highway a(/� Number of Baths" No.of Bedrooms 3 Total Room Count(not including baths) ,�� First Floor Heat Type and Fuel A/ Gy Central Air -Al D Fireplaces Garage: Detached, Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name -J-Q/YA/ f.C.) R0 J)f2/G LJ&-1� Telephone Number �/ $ /,.�`� C.) Address_1_,5-1 oi 13J/2CJ-) e,ve4 �:j License# QO S` Cy &2)C G 4Y / Home Improvement Contractor# --5-oZ 5 R, Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING RMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY r - i PERMIT NO. t t DATE ISSUED MAP/.PARCEL NO. r ADDRESS VILLAGE ' OWNER DATE O.F INSPECTION: FOUNDATIO'N FRAME INSULATION FIREPLACE In ELECTRICAL: ROUGH FINAL , PLUMBING: ',ROUGH FINAL GAS: ROUGH FINAL , FINAL BUILDING - • DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE 31106 � Permit No. . BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ................ HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Lois S. Goddard Address lot #52 107 Oakview Terrace, Hyannis USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL "SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. FF December 4 19 $7 � f 7 ................. ............... ................ Building Inspector THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA f BARNSTABLE, MASS ACHUSETTS BUILDING PERMIT a--2ot3-299• ••PLICANT_ T:, DATE- �`•'•!.,�11"' i) 19 t3l PERMIT ADDRESS ' C ET) ICONT R'S LICENSEI PERMIT TO ' NUMBER OF ' ,0 Mpif Ek1F' ) (—�—) STORY I_ .. I � 1 I . N ,R- I' SED�SE) r (9 Y`'ELIING UNITS AT (LOCATION) r ZONING ( O') ISTREET)'•`" "' 1 - DISTRICT_E - It BETWEEN (CROSS STREET) AND p .. (CROSS STREET) SUBDIVISION a LOT BLOCK SIZE BE Ii BUILDING IS TO Fi7, WIDE BY FT, LONG BY I•� _ FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION C; TO TYPE USE GROUP �= BASEMENT WALLS OR FOUNDATION REMARKS: (TYPE) AREA OR VOLUME CUB'icRSDUA ,'.l.€ET) ESTIMATED COST PERMIT FEE $ rr OWNER L l 4�a ADDRESS BUILDING DEPT. By FROM THE DEPARTMENT OF PUBLIC WORKS. THE I U'AIVZ,'E'-6F-TFTIS-P O F ANY APPLICABLE SUBDIVISION RESTRICTIONS. �T RATE-A'SFTFf'1='•7CppT;Tt li-Fl-t-�:-T�pl- - MINIMUM OF THREE CALL INSPECTIONS REpUIRED FOR APFROV ED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE } AlL CONSTRUCTION WORK: CARD KEPT POST F_D UNTIL FINAL INSPECTION HAS BEE!; PER SEPARATE I. FOUNDATIONS-OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MLECTRICAL, PLUMBINRE G INSTALLATIONS. ' 2. .PRIOR AT COVERING STRUCTURAL ELECTRICAL, PLUMBING AND MEMBERS(READY TO LATH). QU.IRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INtiPEC710N APPROVALS 1 NG IN', ELECTRICAL INSPECTION APPROVALS 1 7 z ------ 2 ---_-- 3 11 -7 EAI WG INSPECTION APPROVALS ENGINEERING D-PARIMEN1 OTHER — -- -- —::: — �1 / \J " _ � i •80 -0F"IIEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC + PERMIT W!L L BECOME NULL AN D VOID D I F P TOR HA�gppROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI' MONTHS OFSOATE THE E INSPECTIONS INDICATED ON THIS CARD CAN 8f CONSTRUCTIOK LPERMIT IS ISSUED ASNOTED ABOVE, ARRANGED FOR 8Y TELEPHONE�)R WRITTEN NOTIFICATION. DATE CONTINUATION OF ROAD BOND BUILDING PERMIT # The undersigned owner/contractor hereby agree to maintain their road bond in force until the following work items are completed to the satisfaction of the Engineer' g-Section of the Department of Public Works. loam and seedshoulders as soon as weather permits. other (explain) 1 LOCATION " lv .� �/4IC(/ / l✓ 1�� /� /� `s� SIGNED-(Owner/Contractor) ENGINEERI�3 AUTHORIZATION ,f Asset'sor s map and lot number.'....v�. ..................._......:.... $` �TEM MUS� '�. LA `�,of Tod, p etim m 4. O .'Sewage Permit.number V � �.... � r.�� ® �� C®�� ........................' ................... - � �JbTM TITLE 5 L CODE o ` 9e ar \E House number ..............� ............................................ g�®NN �� Maa 639. -TOWN REGULATIONS a.ow0� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........Const,ruct Single Family ,Dwelling . ........ ..................................................... -TYPE OF CONSTRUCTION Wood Frame ......................................:.:.......:.................................................................................... .....................5�2.9�..............19...8 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..............Lot...#5.2.............. i�,.1�y1ew...Te,rrace.i...HYannis,, Ma.ss........................................................... ProposedUse ....................... . .................................................................................................................................................. Zoning District ....R. .B ..........................................................Fire District ....Hxanni s Name of Owner ..Loi,s„•S S. G dd ard ,,,,,,,,,,,,,,Address Candlew ck Lane ,West Hyanni sport,Ma . X4 Al Name of Builder T'-- - ,.]:n6ddress -^... ................................. .............. ....Mays. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................Six...........................................Foundation ..............P...C......................................................... Exierior Clapboard and/or„•S',i11, I e.s........•.......Roofin g g ...................AS.pkla.J.:t....sha.rlgl:es...................... Floors Ca.r e.t ...................................................................Interior ...................Sheetrock .... .. .. .. ......................................... T ........................Plumbin wo -.....c.Heating . er............................ Ga.S......-...... ...Y1T..A...................... g .................T............. None:..-. . Fireplace ..........................:.::....,..............:..........,,,,,,c••,,�,,••.,''•,•,,,,Approximate Cost ...$.59,. ............................................... Definitive Plan Approved by Planning Board v__` 12____ __19_ d_. Area 1056 sq.ft............... Diagram of Lot and Building with Dimension Fee ........... .. ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Reg uIationsra°-fli-e)Town. of Barnstable re arding the above construction. N e ......... .. ........Pre.s......... Conoructi n S er isor's License ............ 08$98r3.......... GODDARD, LOIS S . One StOrV .. .... .. ................................... Permit for Sinale Family Dwelling....... Location ....L.o.t... .....10.7...Oa..kv...i...e..w......T. errace . ......... . ............... ............................................ Owner .......-.Lois...S.......G.o.dd.a.rd.................. .. .. .. .... .. .... Frame • Ty e-bf Construction ... p ......................... .................................................................................. Plot ............................ Lot ................................. 2 Permit August 0,, Granted ............I...........................19 87 Date of-Inspection .....................................19 Date Completed ...... .....19r_7 t S ervin9 IL I AN`o the t 765 FALMOUTH ROAD ear r HYANNIS Real Estate Of e (617) 771-6366 Gap God August 11, 1987 Richard Bearse Assistant Building Insp. Town of Barnstable Hyannis, MA 02601 Dear Richard, This is to inform you. that. Franco Real Estate is not involved with the construction of the dwelling located at Lot #52, Oakview Terrace, Hyannis. The parcel was sold to Mark Horan of 299 Main Street, West Yarmouth, MA on July 22, 1987. h erelyolas D, Yranco FRANCO REAL ESTATE NDF/bjm r w t i �'�! •r iV 7 ,f t 0 0 _ J NR 12 i a 1 t r k j�4`itw 4 yk3 • � _U1 p y .t a ya�t» � r r y Y• - .` � z•, i4 t d d�:ilnt yl�r10 .ter Q }f••�� r a QZ O T o i s `a 7 u iY , t .3 co r v l o N. ;n • 'I Sk 1�t ��! r r 7 r i f ;1 ! t 1 X hl` /y (S"3 S.F. ry ✓ Y � d v 9 ` •l � f�,Y� �x_y� ark" SY 3 4s ZWtti ffa 92 CERTIFY THAT E H ,T' or IV4, SHOWN ON THIS PLAN IS PAUL A.; LOCATED ON THE GROUND � � 5 IAS INDICATE®. No LEVY .. � 10617 v � •fit � r� '• ASP � �� ) .f)1) ATE E TERE LAND S RVEYC3, ;! LEVY & ELDREDGE ASSOCIATES,INC. io � CLIENT _t 2yN . � T � ENGINEERS - LANDSCAPE ARCHITECTS 40 PLANNERS— LAND SURVEYORS •-�= `i2 L�R, BY j44I N. ; .. V►/�'s r ,�/Y�9.vv�soo,e T :d 'a M WEST MAIN STREET CHKD.B Y, r"�. L a CENTE6I11, E, MIA. 02C,32 j$51, ,�. s ,SCA,LC- s./ -7 � DATE TYPICAL' CROSS .54571-Tfbn! aax PLvuJoob 2x� o2x� iZK►i�T�'2 j/�t 1'tl1ACs�" PITGN�_ � ----- IN 5. 1 N C:I cs Lr N /x 3 1 l3 1/4 S , TH you 3Lt= C. V,AR pFr-SG 7" St-- tc3-p 4- C*VLPt'es J> CA ax5 Faeao� F(zas(�F_wwt n•e �c' �."II�S._ m.rF✓/y sflur 1?3a.yR(� - TRIM 'Q-SItfN;;,L , 'To )IATCI-t �7/Crg-hH4 7i "-S/•}INGGe� I — ----------.,-_ D A � D L-EPT 9104- fFL-OYATlor4 - v m � n a t v Cl or a m no= , f z M z •" � I v m � , i F •� > -- - tt App/ll,C. L i - 1 RoNT ELEVATioN .----- 3 0 Ala"$ ' G LrI�+TAPY iZac��_ _ 1 '1 ?oars - 3' ,��►�� : a>,�� LAV t- ?Lurt�3 1Zor.�r/3 i -- ----— --- - --- - -- - F{--� CJ i N it E ��AYt. ELEVATiotq