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0213 PITCHER'S WAY
ti� 4 ��o a �� � 0 I_ REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law, please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: N/A Section 1 —Property Information Property Address: 213 PITCHER'S WAY, HYANNIS, MA 02601 1010 Assessors Map #: Parcel #: 2 8 9 / 0 2 9 Single Family Residence Land area and description £...: � Building(s) description and contents Single Family Residencei;t, Occupied: X ' Occupant(s)(if borrowers so state and include name(s)) Unknown Phone: N/A email: N/A other: N/A Vacant: N/A Date: N/A Anticipated Length of Vacancy: N/A Last occupant(s) )(if borrowers so state and include name(s)) N/A Phone: N/A email: N/A other: N/A Has possession been taken NO If so,please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party (full name/title) US Bank National Association Foreclosure Case Court: Unknown Docket# Unknown Date filed: 10/23/2014 Current Status: In Foreclosure Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name, title,): Mortgage Contracting Services, LLC Company (if different from foreclosing party): Mortgage Contracting Services, LLC Address: 350 Highland Dr Suite 100, Lewisville,TX 75067 Phone: 866-563-1100 email:codecompliance@mcs360comother: N/A 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: US Bank National Association Company (if different from foreclosing party): See Above Address: 4801 Frederica Street, Owensboro, KY 42301 Phone(s): 800-365-7772 email(s): susan.schell@usbank.com other: N/A Name, title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party Unknown Firm name (if different from attorney's name): Unknown Address: N/A Phone(s): NSA email(s): N/A other: N/A I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: 10/07/2019 Name: Alma Emery Title: Authorized Agent of US Bank 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. z /�n�r �ne 10/07/2019 Date: Building Commissioner, Town of Barnstable fr•'y REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: N/A Section 1 —Property Information Property Address: 213 PITCHER'S WAY, HYANNIS, MA, 02601 Assessors Map#: 289 / Parcel#: 029/ Land area and description Single Family Residence Building(s)description and contents N/A Occupied: Occupant(s)(if borrowers so state and include name(s)) US Bank National Association residentialpropertyviolations@usbank.com Phone: 612-973-2749 email: other: Vacant: N/A Date: N/A Anticipated Length of Vacancy: N/A Last occupant(s))(if borrowers so state and include name(s)) US Bank National Association LLj 1,s --a C"0' residentialpropertyviolations@`sbank.com �1Phone: 612-973-2749 email: other: Has pol ession been taken N/A If so, please explain and complete and file the maintenance and security plan form(unless.exempt as stated above) Cam " N/A D C 4 V 9 }un Section 2—Foreclosing PaM Information Foreclosing Party (full name/title) us Bank National Association US BANK VS Joseph Burgum 14111/216 Foreclosure Case Court: Docket# 6850207728-US BANK 123001 ri 10/23/2014 Open Date filed: Current Status: Foreclosing Party's representative(s) for property (entry,management, repair, etc.)(name,title,): US Bank National. Association Company(if different from foreclosing party): US Bank National Association Address: 200 S 6th Street; Minneapolis MN 55402 612-9.73-2749 residentialpropertyviolations@ sbank.com Phone: email: ot�er: 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: Carrington Home Solutions Company(if different from foreclosing party): Carrington Home Solutions Address: 1600 South Douglass Road, Suite 130 B Anaheim, CA 92806 949-517-6733 codeviolations@carringtonhs.com Phone(s): - email(s): - other: Name,title,:other: N/A Company(if different from foreclosing party): NIA Address: N/A Phone: N/A- email N/A other: N/A Unknown Attorney representing foreclosing part77- Firm name (if different from attorney's name): Unknown Address: unknown Unknown. emall(S): unknown other: unknown I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter,224 of the Code of the Town of Barnstable. n mp Date: 10/17/2 017 ame: _. Title: Authorized Agent of US BANK 4 t s THE r Town of Barnstable *Permit# pExpire ths r issRegulatory Services Fe 1166* BARNsr �o 9 1639. ,0� e P Thomas F.Geiler,Director fD AAAt AUG 3 20 T Building Division TOWN OF Tom Perry,CBO, Building Commissioner g 200 Main Street, Hyannis,MA 02601 q��S7ggLE 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 Number��� Property Address .3 Pl'f dt erS W cc c,/ Residential Value of Work .l Q,000.04D Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address L13 pifcGw_r-s v oc+.t.� /-��a4141 LS MA- 0a6 o/ Contractor's Name Telephone Number 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 ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) VRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side #of doors. �— .Replacement Windows/doors/sliders.U-Value ,rr'U4eLTaximum.35)#ofwindows 4do 4.z4-i2S 4. 3© *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *x*Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is .required. SIGNATURE: C:\Users\decollik\App talocal\Microsoft\ indows\Temporary Internet Files\Content.Out]ook\DDV87AAZ\EXPRESS.doc Revised 072110 f , 1 The Commonwealth of Massachrtse3tis ,. Department of Irulttstrial Accidents Office of Itzvestigations ' l 600 Mashington Street w Boston,JL4 02111 stew ..rttass ootfdia 14'orkers' Compensation Insut-ance Affidat-it: Builders;Contractor•sf'Llectticians,Plutrrbers ,applicant Information Please Print Legibly Name(Business OrQamzadonInd i dt:al): Drs.-loll � � dU_A✓ Address o�l 3 J�t`tC-�rers G✓t�il City-=Stat.e"Zip: C 1 i14 i s AV 0,9-(v d/ Phone : Are you air employer"6heck the appropriate box: Type of project(required):. ❑ I 1. 4. am a general contractor and I El r am a employer�.E7tlt employees(full and,`or part-time).* hal.-e hired the sub-c4atractofn 6. ❑'Neuy c:onstiucton .❑ I am a sole proprietor or partner- listed on the attached sheet.. Remodeling slop and have no employees These sub-contractors have. g. DDemolition syc+rking for me in any capacirv, employees and have workers' 9_ ❑Building addition [No workers"comp.insurance comp.insurance.> required.) 5. ❑ S ?e are a corporation and its I4-❑Electrical repairs or additions I am a homer ri,,.•ner doina all ivork officers have exercised their 11.❑Plumbing repairs or additions ll mv-self.[No workers' comp. right of exemption per MGL 12-0 Roof repairs insurance required]" c. 157.§1(4).and we have no employees_[No workers' 13.0 Other comp.insurance required-] •anc aYp icaut was checks ox=1 nrtt t al.ss fill our the secdon beloia shotsint zhieir aotken sat`campeLon polio Fu i=fo ;tion.. io eon^-ners who subtuit this affidavit iatz c.atins they are doing all scout and then hue cued ie.contravto..,mast submit a new alEdac•u iadicam, !!such.. :CCUMCZOZ>:bat rlrectt this box=ast attached at,addislonai-beet shcwmg the naute of'the sett,,-coutra<cters and state s4hether or act chose entities bane - e*'zovees. I€the sub-,ro=across baee ekplmees,zhey must procdde thezir n orke*s'comp.poky number. JfiRftl tart eFrFplDy"eY t�Ftit iS pfo+'iditlg Ft'oYls@YS'COFtlpeFls(rtiOrF itFslFYtrYlfB for iltt'eltlpl�Te!?.S. Below is the policy fluid job site information. Insurance Company Name: Policy r or Self ins.Lic. Expiration Date: Job Site Address- City_'.5tate=Zip: Attach a copy of the workers'compensation policy declaration page(shoining the policy number and expiration date). Failure to secure coverage as required under Section'? A of MGL.c. 15-7 can lead to the impa ition of criminal penalties of a fine up to S 1,500.00 and/or one-year imps sonment,as ivell as civil penalties in the form of a STOP Ii'ORK ORDER and a fine of up to$250_0,3 a day against the violator. Be advised that a copy of this statement may be forWarded to the Office of Investigations of the.DL4 for insurance coy erase.verification. I do 1reYebt'cereift'under thepains and penalties of pe*rjut v that the inforination provided above is true and correct Signature: Date: Thane=: - Official use onFhy. Do not nyrfte in this area,to be conipleretl bt�citk or tort°ti ofcial C eti-or Town: PermitiLkense 9 Issuing (circle one): 1.Board of Health 2.Building Department 3.City,Tousm Clerk 4.Electrical inspector Plumbing Inspector 6.Other- Contact Person: Phone>: 6 f Town of Barnstable Regulatory Serviceg- BALMSEM4 Thomas F.Geiler,Director ��'1°rEoCl"�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: /7-g ho JOB LOCATION: 9/3 p(f ¢rS �L& -number street v age "HOMEOWNER":_ `.l ose-. 1Gr �jGGI'GU.yYI N�� 0�— name home phone# work phone# CURRENT MAILING ADDRESS: al 3 Pi-F-c gyp"$ I/Av Huct,tZvciS {{rlA- B fo C�i 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 requirements and that he/she will comply with said procedures and requirements. , � GcJI S 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 sucli a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.OutlookWDV87AAZ\EXPRESS.doc Revised 072110