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Home My WebLink About0520 PITCHER'S WAY / ,9 1 � 3c:) { \ ` ' . �\ ■ � . . . 2 p / � • 3,- 1,025023. 050, s t. POLAR03u:N3 "�, d .tjd'G w ena•*b�a�@�p a€rwkr. F r?nt 'C11Rq 9Fr 2 b r' ' ++ + INK, 3 1 �1� e � � � "'*fit'' f'�3'1� YdI,��r,y .h t t �� ''CY*� Tot � n 5 �I, .� '" .,c� TO All, "MAN : r,,. ^'�. ,,�' �,s,eA`°r"•ya6..a:r i r {F^ 'X tAwl v tk,1 � Y � QRN Far AA ✓kww�,R ^ajl njT O!n— rda�3 XWE gg yy � glupt' � �• � G I i r 1 Parcel Detail Page 1 of 5 777. Logged In As: Parcel ®e lt� I Wednesday, April 27 201.1 Parcel Lookup Parcel Info Parcel _. Developer. _ ID 291-019 I PARCEL B Lot Location 520 PITCHER'S WAY Pri 177 Frontage Sec _ _{ Sec Road Frontage Fire Village HYANNIS _ I HYANNIS District Sewer Road .. .. . Acct Index 1276 'M : Asbuilt Septic Scan: Interactive , r 'r? Map 2910191 , . Owner Info Owner BARBER, GAIL H 11 TR owner PITCHERS WAY TRUST Streetl 508 STATE ST _) Street2 CityHANSON State MA Zjp 02341 Country Land Info Acres 5.89 J Use;Multi Hses MDL-01 ( ZOning'RB Nghbd 0104 �J Topography Level I Road''..Paved Utilities �Septic,Gas,Public Water f Location _ Construction Info Building 1 of 2 Year Roof "- � Ext Wo- 1950 Gable/Hip od Shingle Built Struct Wall Living 1104 ROOF Asph/F GIs/Cmp AC None Area Cover Type Int Be Style Raised Ranch Wall Drywall Rooms 3 Bedrooms Model Residential Int Bath Floor Rooms 1 Full+1 H Grade Heat Total http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22575 4/27/2011 Pagcel Detail Page 2 of 5 Ave rage Minus I Type'HotAir I ROOmS17 Roo ms Heat _. _.._ Found-,--- Stories 1 Story I Oil Poured Conc. IwoK Fuel ation Gross 2458 Area Building 2 of 2 Year Roof Ext. _ ._ Built 1930 Struct Gable Hip Wall IVinyl Siding l Living Roof _. . AC Y 1102 I Asph/F GIs/Cmp None I Area Cover Type Style'Cottage I W811 Plastered nt, ROOms2B edroo ms.....- ..) Model.Residential Int, — Bath I Full Floor Rooms Heat Total ___ _ Grade Below Average Type Elec Baseboard I Rooms' Rooms Heat Found- Stories Fuel Electric I ation Poured Conc. Gross 1582 Area Permit History Issue Purpose Permit Amount Insp Comments Date # Date 5/22/2008 10/3/2008 Demolish 200805113 $27400 12:00:00 AM 5/22/2008 10/3/2008 Demolish 200805112 $27400 12:00:00 AM 5/22/2008 7/25/2007 Demolish 200704560 $27400 12:00:00 AM 5/22/2008 7/25/2007 Demolish 200704561 $2,400 12:00:00 COTTAGE AM 6/8/2007 Demolish 200703524 $17500 5/22/2008 COTTAGE 12:00:00 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22575 4/27/2011 Parcel Detail Page 3 of 5 AM 5/22/2008 COTTAGE 6/8/2002 Demolish 200703527 12:00:00 PMT NO AM COST Visit History Date Who Purpose 3/24/2009 12:00:00 AM Nancy Finch In Office Review 2/9/2009 12:00:00 AM John Greene Cycl Insp Completed- Update 11/6/2008 12:00:00 AM Paul Talbot Cyclical Inspection y 10/16/2008 12:00:00 Nancy Finch In Office Review AM 8/12/2008 12:00:00 AM John Greene In Office Review 5/28/2008 12:00:00 AM John Greene In Office Review 5/22/2008 12:00:00 AM Paul Talbot Cyclical Inspection 2/15/2001 12:00:00 AM SM Meas/Listed-Interior Access 10/15/198712:00:00 M AM E Sales History Line Sale . ®caner Book/Page Sale Date - Price 1 5/8/2002 BARBER, GAIL H TR 15135/216 $1 BARBER, PETER R & GAIL 2 6/15/1996 H 10243/213 $125,000 VENABLE, GERALDINE ET 3 8/15/1994 ALS P0107AD 1 $1 4 WHARTON, ABRAM &BERNICE 957/566 $0 Assessment History Save Building Land Total # Year Value XF Value OB Value Value Parcel Value 1 2011 $1477900 $27800 $141800 $1131200 $278,700 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22575 4/27/2011 Parcel Detail Page 4 of 5 2 2010 $1497500 $21800 $.15,200 $174,200 $341 ,700 3 2009 $161 ,900 $12,000 $12,000 $218,000 $403,900 4 2008 $223,200 $12,800 $27800 $233,400 $472,200 6 2007 $222,600 $121800 $21800 $233,400 $471 ,600 7 2006 $177,200 $127800 $3,100 $255,100 $448,200 8 2005 $160,500 $12,300 $31400 $204,100 $380,300 9 2004 $131 ,500 $12,300 $31500 $173,500 $320,800 10 2003 $871400 $12,300 $3,900 $671400 $1711000 11 2.002 $87,400 $12,300 $3,900 $67,400 $171 ,000 12 2001 $911'800 $12,300 $3,900 $67,400 $175,400 13 2000 $78,500 $12,400 $4,300 $40,700 $1357900 14 1999 $787500 $121400 $3,400 $40,7001 $1351000 15 1998 $118,300 $21 ,300 $91 600 $117,900 $267,100 16 1997 $140,200 $0 $0 $117,600 $264,200 17 1996 $1401200 $0 $0 - $117,600 $264,200 18 1995 $1407200 $0 $0 $11,7,6.00 $264,200 19 1994 $137,400 $0 $0 $1411100 $285,200 20 1993 $137,400 $0 $0 $142,600 $286,700 21 1992 $156;100 $0 $0 $156,800 $320,500 22 1991 $184,300 $0 $0 $254,700 $4481900 23 1990 $184,300 $0 $0 $2541 700 $448,900 24 1989 $184,300 $0 $0 $254,700 $448,900 25 1988 $114,000 $0 $0 $137,200 $257,600 26 1987 $1147000 $0 $0 $137,200 $2572600 27 1986 $114,000 $0 $0 $1377200 $257,600 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=22575 4/27/2011 .4 Cape Cod Court Reports Page 1 of 1 BARNSTABLE DISTRICT COURT April 22, 2011 In court April 21,2011 ARRAIGNMENTS MADDOX, Cherie B,30, 1431 Iyannough Rd Apt 22c,Hyannis;concealing/selling/pledging a leased personalty April 20 in Barnstable. Pretrial conference scheduled for May 20. According to police reports,Maddox leased a 65" TV and a sectional sofa with cocktail table,end tables,lamps and an area rug. The leaseholder made numerous attempts to contact Maddox,but she made neither payment nor reply. SMULSKI,Andrea L, 20,3o Lakewood Dr,Mashpee;eight counts,uttering a false check; eight counts,forgery by check; receiving stolen property under$250, larceny over$25o by single scheme February 20 in Barnstable. Pretrial Tourism i conference scheduled for May 16. According to police reports,Smulski stole her Cape Cods father's checkbook. He reported the theft to Mashpee police. Smulski Is checks are 11 alleged to have been kited by his daughter,Smulski at the Cotuit'and Hyannis5 Stop&Shops. Best Elea DISPOSITIONS dominate dominate AARONS,Alan, 73,481 Buck Island Rd,Apt 17A,W.Yarmouth;assault& You have only battery on a 6o+/disabled person February 15 in Yarmouth. Dismissed. a few months to Earl J rd grab this gold coming to the Cape_ ADAMS, g , 77 Winter St Hyannis;receiving stolen property over$250, i bet your compefition is already September 18 2010 in Barnstable. Dismissed. grabbing for it. Call Pat Brooks(508)432-I667& CRABTREE,Douglas R Jr, 26,24 Maple Ave, Centerville; assault,larceny over she'll give you a tree ad on the $250,intimidating a witness,vandalizing property March 5 in Barnstable. Best Read.Guide website, dick here- Assault,larceny over 250,vandalizing property all dismissed. Intimidating at witness, admitted to sufficient facts. Continued without a finding,continued for payment until October 20. Anger management. DEFALCO,March J,41, 74 Galleon Way,Marstons Mills; assault&battery,March 20 in Barnstable. Dismissed. GURONG, Shive Rom, 25,236 Hinckley Rd, Hyannis;assault&battery,March 2 in Barnstable. Dismissed. HERBAUGH, John D,32,5 Harbor St,Sandwich;three counts,assault&battery on a police officer;two counts, destruction of property over$250;resisting arrest December 2 2010 in Sandwich. All counts,guilty plea. All counts, guilty finding. Probation,continued for payment until April 20 2012. Drug-and alcohol-free with screens. Counseling. HIROCKE,Michael C,55,520 Pitchers Way,Apt A,Hyannis; assault&battery, assault&battery with a dangerous weapon March 20 in Barnstable. Both counts dismissed. PERRY,John J,47,91 Falmouth Rd Apt 15,W.Yarmouth; assault&battery with a dangerous weapon,assault &battery January 20 in Barnstable http;//www.capec&dtoday.com/blogs/index.php/Court 4/27/2011 Cape Cod Court Reports Page 1 of 1 DISPOSITIONS AARONS,Alan, 73,481 Buck Island Rd,Apt 17A,W.Yarmouth; assault&battery on a 6o+/disabled person February 15 in Yarmouth. Dismissed. ADAMS, Earl J 3rd, 77 Winter St Hyannis; receiving stolen property over$250, September 18 2010 in Barnstable. Dismissed. CRABTREE, Douglas R Jr,26,24 Maple Ave,Centerville;assault,larceny over$250,intimidating a witness, vandalizing property March 5 in Barnstable. Assault,larceny over 250,vandalizing property all dismissed. Intimidating at witness,admitted to sufficient facts. Continued without a finding,continued for payment until October 20. Anger management. DEFALCO,March J, 41,74 Galleon Way,Marstons Mills;assault&battery,March 20 in Barnstable. Dismissed. GURONG,Shive Rom, 25,236 Hinckley Rd, Hyannis; assault&battery,March 2 in Barnstable. Dismissed. HERBAUGH,John D, 32,5 Harbor St,Sandwich;three counts,assault&battery on a police officer;two counts, destruction of property over$25o;resisting arrest December 2 2010 in Sandwich. All counts,guilty plea. All counts, guilty finding. Probation,continued for payment until April 20 2012. Drug-and alcohol-free with screens. Counseling. HIROCKE,Michael C,55,520 Pitchers Way,Apt A,Hyannis; assault&battery,assault&battery with a dangerous weapon March 20 in Barnstable.Both counts dismissed. PERRY,John J,47,91 Falmouth Rd Apt 15,W.Yarmouth; assault&battery with a dangerous weapon,assault &battery January 20 in Barnstable. Both counts dismissed. RESCIGNO, Francis M, 22, 16 Claus Way,Marstons Mills,assault&battery with a dangerous weapon,assault& battery,intimidating a witness February 9 in Barnstable. Jury trial. All counts dismissed. http://www.capecodtoday.com/blogs/index.php/Court 4/27/2011 I � 7 0, �� '� S � ��v�� C� ��,�-�,1,��- -� S t � �� ,� � z � a ! f �� , � � � i r. e r e�'L y� • � 1 r t _ '"' �l It t� ��'�+� �{ 1 + F RESIDENTIAL PROPERTYi ' MAP NO. LOT NO! : ' I +' =tf'' M. FIRE DISTRICT I i' F" SUMMARY;+ a j,'. STREET Pitchers Way Fly 3.YIriiS 291 19 H . 74 LAND BLDGS. s, OWNER C Gl ram.-.- ,• e�c ..G.:G, TOTAL o60 - - LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: 0) BLDGS. 14ha.rton n_br=1m & Bernice 11 5 56 957 566 13 TOTAL 1Zi 8 LAND BLDGS. TOTAL c 3 0 0 LAND 14 1-1 /�R So 0)` BLDGS.' ---/ TOTAL LAND Cr RAn< <$ g R' .' IF R TRVO& BLDGS. TOTAL LAND BLDGS. -- TOTAL LAND, BLDGS. A a1 TOTAL-- LAND, INTERIOR INSPECTED: J C�T -- �. BLDGS. TOTAL. DATE: :LAND 1' ,- ACREAGE COMPUTATIONS �, BLDGS. _ - LAND TYPE OF ACRES PRICE TOTAL DEPR: VALUE ^ TOTAL HOUSE LOT 72 IS Id 6 U -- / oZ U S70 LAND :LEARED FRONT �' .BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR -7 .BOO o?Z-,F,5D f"' s-C BLDGS. ' HASTE FRONT TOTAL F, `- REAR LAND BLDGS. a O G TOTAL q S !° LAND E J I/o o ® m BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH gb FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY - TOWN SEWER LAND ROUGH TOWN WATER BLDGS. I HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND : SWAMPY NO RD. BLDGS. TOTAL }: - - BLDG.CUS F C. '..,Ik Walls .. St.Shower Bath t r n r'' Bsmt Bsmt. Rec.Room t, APURCH'DATE _ onc.l'Sleb t s �r s Bsmt.Garage " St..ShowerExt:3 ='�:? v WallsCH /Z q I PUR PRICE 3rick Walls; rl,tr F, 'Attic FI.&Stairs Toilet Room''_ r" Roof RENT a� - �tonzWalls `Fin:Attic Two Fixt.,Beth , Floors YAS lers .f, INTERIOR .FINISH Lavatory Extra 3smt •rj,'. 1.. 2 3q Sink 1Y7 22s Attic •" _ 'A Plaster Water-Clo. Extra .� y- EXT RIOR WALLS Knotty Pine Water Only y )ouble Siding. Plywood No-Plumbing Bsmt. Fin. mgle.Siding Plasterboard Int.Fin. Shingles' TILING ?`1 onc:Blk. G F P Bath FL Heat 7 'ace Brk:'On i Int.Layout Bath Fl.&Wains: 4- ✓ Auto Ht. Unit 4- Veneer Int.Cond.. Bath FI. &Walls g 3-� y S '1 Fireplace + .om.'Brk.On'l11 HEATING Toilet Rm. Fl. Plumbing +• y3 O ., oli_d Cork Brk. Hot Air GJ Toilet Rm.FI. &Wains. Tiling &W -✓,— / .. Steam Toilet Rm.FI. Walls 3lanket Ins. Hot Water St. Shower loof Ins." Air Cond. Tub Area Total i. Floor Furn. ROOFING COMPUTATIONS \sph:Shingle PipelessFurn. S.F., as Nood Shingle- No Heat a�S S.F. \sbs Shingle Oil Burner S. F. late i6, Coal Stoker S.F. 097/ /J / � 12cdr/E T t_ ile- Gas S F OUTBUILDINGS A ROOF TYPE Electric 'able,.'':'.,. Flat S.F. 1 2 3 .4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9110 MEASURE[ up Mansard FIREPLACES S.F. ' Pier Found. - Floor C � ;ambrel Fireplace Stack _ / �. Wall Found. 0.H.Door LISTED f `• FLOORS Fireplace Sgle.Sdg. Roll Roofing onc. LIGHTINrG Dble.Sdg. Shingle Roof l J arth• °" No Elect. Shin DATE 'me �✓ gle Walls Plumbing iardwo d ROOMS Cement Blk. Electric \sph.Tile Bsmt. 1st TOTAL Brick Int.Finish ,TICED 3ingte° 2nd 3rd FACTOR // REPLACEMENT �)'�•'-OCCUPANCY _CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. 3WLG. . ,.S IB .5/f 7/ — �- c?.ZNo ..5 a?/aZ a?l3o u 3 E . P� S 3o kaa 6oO - 34% F a 17 S J' l7.ro 5. - 1,7 ( ,r.. ... TOTAL^ .3 i4- 6+ Q RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT I-`SUMMARYfc STREET - Pitchers Wa avannis 73 LAND 291 19 - '- H BLDGS. r�o sad `".:• OWNER TOTAL . RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: LAND BLDGS. ' I+ r! Wharton, Abram & Bernice 11/5/56 957 566, $ TOTAL .r �,/ HNND I j�l Ue, </ )7 q/GG✓ J 0 U LAND BLDGS. t' Ot TOTAL LAND BLDGS. TOTAL LAND ...,�, BLDGS. s: 0) t TOTAL LAND , ' BLDGS. TOTAL i' EE. .; •:.;E LAND INTERIOR INSPECTED: BLDGS. } ,. TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. of tt r;r LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT LAND t. CLEARED FRONT BLDGS: REAR TOTAL WOODS&SPROUT FRONT LAND . REAR BLDGS. — WASTE FRONT TOTAL REAR • - LAND 01 .BLDGS. TOTAL' LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL : FRONT DEPTH STREET PRICE DEPTH FRONT FT. PRICE TOTAL DEPR. COR..INFt VALUE HILL Y ,TOWN SEWER LAND tt ROUGH TOWN WATER Ot BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. —� -- ------ - TOTAL BLDG. cua r 'Conc.'Blk:1Nalls Bsmt. Rec. Room I'St.Shower Bath Bsmt. _ /o d, PURCH. DATE Conc.Slab>, Bsmt.Garage St. Shower Ext.' Walls PURCFI. PRICE Brick Walls, ! Attic FI.'&Stairs s Toilet Room Roof RENT 'Stone Walls Fin.Attic Two Fixt.Bath Floors Piers INTERIOR FINISH Lavatory Extra Bsmt. .; .F 1' 2 -3. Sink s/. JI V2' r/4 Plaster Water Clo. Extra Attic } EXTERIOR WALLS Knotty.Pine Water Only Double Siding Plywood No Plumbing Bsmt. Fin. . i3 - Single Siding Plasterboard Int. Fin. y Shingles TILING iz Conc. Blk IF P Bath FL Heat Face8rk On, Int. Layout Bath FI.&Wains. 9Auto Ht. Unit y�o 1/7 Veneer Int.Cond. / Bath Fl. &Walls Fireplace i3 GP Cem:,Brk.On HEATING Toilet Rm.FI. Plumbing _ Solid Com:Brk.' Hot Air Toilet Rm;Ft.&Wains. - -- Tiling - ` Steam Toilet Rm.FI.&Walls Blanket''Ins. Hot Water St. Shower Roof Ins.' p Air Cond. z Tub Area Total , ( w Floor Furn. } 4 ROOFING COMPUTATIONS Asph'.Shirigle: Pipeless Furn. Ll 0 S.F. iWood,Shingle'. No Heat loll //7 S.F. 3 IAsbs:Shingle 'i' Oil Burner t S.F: ca Slate;;pg Coal Stoker } S.F. ,Tile'„ it Gas. S.F. OUTBUILDINGS -.. RO,O.F TYPE Electric Gable4 4•, s7r": .Flat+ S.F. 1 2 3 4 5 6 7 8 -3 10 1 2131 4 5 6 7 8 9 30 MEASURE[ i - 1+" aFIREPLACES ,., S.F. Pier Found.. Floor Hip,,S,l�;:.t>t ,Mansards FIREPLACES ;Gambrel Fireplace Stack a Wall Found. 0.H.Door LISTED ► FLO RS Fireplace Sgle.Sdg. Roll Roofing Conc LIGHTING 4. _ Dble.Sdg. Shingle Roof DATE IEarth ;• No Elect. Shingle Walls, Plumbing . lPino Hardwood J ROOMS Cement Blk. Electric 7' Z LP-/ fAsph.•Tile Bsmt. 1st TOTAL Brick Int.Finish /�P� CED (Single-'- 2nd 3rd FACTOR — �{f� L/ yti�/ REPLACEMENT OCCUPANCY: CONSTRUCTION SIZE - AREA - CLASS AGE REMOD. COND. 'REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. 'DN/LG ly. pc O Io to Sa U s .. 2. ., t .4 .5 ' 6.. ,t . rr...,10.:.,p ..x _. 6ik'.'.i .a TOTAL a�°K�1 f+ t r �I rk :RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT. SUMMARY STREET Pitchers Way H anriis 13 LAND„ s 'r 291 19 H BLDGS. 30 0 OWNER TOTAL t, fh 1 NND .i2t RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: 0)Wharton, Abram & Bernice 11/5/56 957 5d6 B " LAND io7l✓ BLDGS. TOTAL. LAND. BLDGS. a '. — TOTAL> LAND q BLDGS:• 7 tf TOTAL LAND BLDGS. LF TOTAL LAND.' BLDGS E. a tl TOTAL '•LAND INTERIOR INSPECTED: y./ �Gcr�� BLDGS.TOTAL DATE: LAND ACREAGE COMPUTATIONS • � BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT LAND CLEARED FRONT _ _ ,..• i 01 BLDGS. REAR /r TOTAL _ WOODS&SPROUT FRONT LAND REAR C) BLDGS. WASTE FRONT TOTAL REAR — LAND . BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE, HILLY TOWN SEWER HBLDG ROUGH TOWN WATER �HIGH GRAVEL RD. LOW DIRT RD. LAND ;!. `.SWAMPY NC+-RD. BLDGS. - '•. TOTAL Fin.•Bsmt.Area I PA Bath Room L! Base EILDG. COST Conc=Blk.Walls t, R `�;,:3'. Bsmt.Rec. Room St. Shower.Bath :Bsmt. 3 PURCH. DATE Bsmt.Garage St. Shower Ext: Walls PURCH. PRICE. Brie{Wills r Attic FC &Stairs �,', Toilet Room Roof RENT Stoiie`Walls• Fin.Attic Two Fixt. Bath Floors E P • Pier "� INTERIOR FINISH Lavatory Extra �y Bsmt.':!' ,. F %o 1 2 3 Sink r/, _3/4 yZ 'A Plaster Water Clo. Extra Attic ,�- 770 /yo J,EXT.ERIOR WALLS Knotty Pine Water Only 6�� S /y Double Siding ' Plywood No Plumbing Bsmt. Fin. Single Siding PleeW01mardo f Int. Fin. a2y i Shingles �tG TILING I 1 Conc.0; G F P Bath FI. Heat /V. Face Brk.-On, Int.Layout Bath FI.&Wains. Auto Ht.'Unit ;O Veneer Int.Cond. Bath FI. &Walls /y0 Fireplace Com.'Brk.On,- HEATING Toilet Rm. FI. + Plumbing Solid Com. Brk. Hot Air Toilet Rm.Fl..&Wains. Tiling r Steam Toilet Rm.Fl.&Walls Blanket Ins. Hot Water St. Shower �''' " ✓• Roof Ins. 774, Air Cond. Tub Area Total Floor Furn. . I ROOFING COMPUTATIONS Asph. Shingle Pipeless Furn. S.F. 7 Wood Shingle No Heat /j/0 S. F. 3 Asbs: Shingle Oil Burner Al 0 S.F. 8, a0 -41 Slate Coal Stoker S. F. Tile Gas .. S. F. OUTBUILDINGS ROOF TYPE Electric Gable' Flat S F• 1 2 3 4 5 6 7 8 9 10 1 2 314 5 1 6 7 8 19 10 MEASURE[ Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED R • FLOORS Fireplace Sgle.Sdg.. Roll Roofing Conn. LIGHTING Dble.Sdg. Shingle Roof / Earth No Elect. DATE Pine Shingle Walls Plumbing 'Hardwood'' ROOMS Cement Blk. Electric ;`Asph:Tile Bsmt. IetZ fJP TOTAL Brick PRICED Int. Finish p 'Single'- 2nd 12 f -7 1 3rd FACTOR .'r. .. REPLACEMENT OCCUPANCY - CONSTRUCTION SIZE AREA. CLASS AGE REMOD. COND. �REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. MWLG. _S 1-74 .3. , 4 ..517°f �I bj, 6 ,t p 9t4 11 � .. • .. ... .TOTAL _ t L.. j1 F � ,RESIDENTIAL ; PROPERTY MAP NO: .. LOT NO.. s., FIRE DISTRICT STREET SUMMARY II® Pitchers Way Hyannis 73 •LANn Y 291 19 H BLDGS. /'A 2,s�, 'F OWNER TOTAL 1, RECORD OF TRANSFER DATE Bk PG I.R.s. REMARKS: LAND BLDGS. Wharton, Abram & Bernice 11/5 56 957 566 B TOTAL s `' _ LAND D d BLDGS. TOTAL P ¢ LAND BLDGS. TOTAL' LAND BLDGS. ^ TOTAL LAND BLDGS. TOTAL f LAND> ZL AdG.vc O)t ,BLDGS. TOTAL. f LAND ANTERIOR INSPECTED: �j� y��. BLDGS. / � � !j �C..`,E+"_�✓ ^ DATE: TOTAL LAND, ACREAGE COMPUTATIONS BLDGS: - s LAND TYPE- # OF ACRES PRICE TOTAL DEPR.. VALUE TOTAL ;t y HOUSE LOT LAND .F. ° CLEARED FRONT BLDGS. 4,, } REAR WOODS&SPROUT FRONT V LAND I; I REAR -BLDGS. x WASTE FRONT TOTAL REAR LAND . BLDGS. i 01 • '� TOTAL 'h ' LAND BLDGS: LOT COMPUTATIONS LAND FACTORS ^ TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER �TOTAL. BLDGS.HIGH GRAVEL RD. 'LOW } DIRT RD. LAND SWAMPY NO RD. .. BLDGS: '"".:.:,•/ ^ T(1TAI _ + (?onc`Walla-r—, +" - -Fin. Bsmt.Area Bath Hoom Base SLOG.COST C6nc9Blk.'.Walls R Bsmt. Rec. Room 1VV St:Shower Bath Bsmt. _ /7 P:URCH. DATE Cone;Slab ? 'Bsmt.Garage St. Shower Ext.', Walls.' PURCH. PRICE. Brice Walls Attic FI.&Stairs Toilet Room Roof RENT Stone Walls ' Fin.Attic f' Two Fixt bath Floors /rj b S• Pter l' L ,s INTERIOR' FINISH, Lavatory Extra Bsmt 'slf 1F 1 2 3 Sink V S s/ } t/i; >,,t/ ` Plaster Water Clo. Extra Attic f;EXTERIOR"WALLS' Knotty Pine Water Only 3� Double'Siding`; �� Plywood. No Plumbing Bsmt. Fin. Single`Siding' Plasterboard Int. Fin. ` Shingles Y / TILING o Conc 11k.: G F P Bath FI. y Heat .3 O2 . Face Brk.On Int. Layout Bath FI.&Wains. Auto Ht.Unit _ ,eat.Veneer Int.Cond. Bath FI.&Walls Fireplace ter' Corn Brk On$1, HEATING Toilet Rm.FI. Plumbing { 770 Ce Solid m Brk.. Hot Air Toilet Rm.FI.&Wains. Tiling Steam' Toilet Rm.FI.&Walls 3 4 BlanketIns 'y; ; Hot Water. St.Shower Roof Ins:,-'- Air Cond. Tub Area Total Rotas.Furn.. J':'_ iV.ROOFING. COMPUTATIONS Asph.Shingle" %. Pipeless Furn. 6041 S. F. S 's Wood Shmglit' No Heat 39 6 S.F. // y0, I/.S/ Astis:Sh'inglet.', Oil Burner S. F. ' Slate +ii y Coal Stoker S. F. Tie„f } .+" to Gas S.F. OUTBUILDINGS ROOF, TYPE', Electric Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 .6 7 8 9 10 MEASURED .i'.i,'Mansard FIREPLACES S.F. - Pier Found. Floor Gambrel ;4 -Fireplace Stack We II,Found. 0.H. Door LISTED t.s FLO RS Fireplace SgIeFSdg. Roll Roofing Cana', o °LIGHTING Dble.Sdg. Shingle Roof Earthi No Elect. DATE Ptne 3 +r 1 Shingle Walls Plumbing j. Hardwood . { ROOMS Cement Blk. Electric 7 Asph.Tile Bsmt. 1st TOTAL �(� �D Brick Int. Finish PRICED ``Single - 2nd 3rd'• FACTOR .— / �j STIT - t,. REPLACEMENT ',.'.00CUPANCY CONSTRUCTION SIZE AREA - CLASS -AGE REMOD: COND. REPL. VAL. Phi.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWLG';, lcA / ''+ FiP .S.f- T /S.3 0 .2 ai )A AS TOTAL ` TOWN OF BARNSTABLE BUILDING PERMIT_APPLICATION.. ✓' Map Parcel ;Application C95 f Health.Division ,?_®®5- 57e `Date Issued Conservation Division ! Application Fee Planning Dept: Permit Fee Date Definitive:Plan Approved by Planning Board P Historic OKH 6ifl Preservation/Hyannis Project Street Address S zD dP )XC 6?6 (A/ 1 Village Owner fPr'T� S 64)L J�(lMZ Address �� ' � /SA S°� ; /Q Telephone 70f Permit Request ra k- POW 10 1p1 s Pi56 (aa_ 2,1- ? f67Y Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater.Overlay Project Valuation `r 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 D Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Anlis Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new � d Number of Bedrooms: existing _new r V) 'X" Total Room Count (not including baths): existing new First Floor Roo&Countrill Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Others . °^ Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/ I stove]Y09 ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ exis ing ❑mew `,size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes O.Ao If yes, site plan review# Current Use __ ALL DY1� Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 7&C' 51-6-c-ELZ Address � S License# p4 Pvso 'y YrA o2 3 y,/ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CQ ZZA 6 AVZAC�_S SJ . SIGNATURE A A. DATE +r , it Y FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: kc FOUNDATION FRAME INSULATION r FIREPLACE '3 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 0 GAS: ROUGH FINAL FINAL BUILDING a `+ DATE CLOSEQ-OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + a 600 Washington Street �< Boston,MA 02111 www.mass.gov/dia Workers''Comp ensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Legibly Name(Business/Organizationadividual): Address: 5 fA� 2 City/State/Zip: �h Phone.#: Are you an employer?Check the appropriate box: .'Type of project(required)-.. I.❑ I am a employer with 4. [] I am a general contractor and I have hired the sub contractors 6• ❑New construction . employees(full and/or part-time).* Remodeling 2.[❑ I am a'sole proprietor or partner- listed on the'attached sheet. 7• ❑ g ship andole proprietor pr employees These sub-contractors have g, [Demolition working for me in any capacity. employees and have workers'comp. ❑Building addition [No workers' comp.insurance comp. insurance.$ equned,] 5. ❑ We are a corporation and its 10.❑Blectdcal repairs or additions . officers have exercised their 11.❑Plumbing repairs or additions 3el am a homeowner doing all workmyself.[No workers'comp. right of exemption per MGL 12,❑Roof repairs insurance required,]t c. 152, §1(4), and we have no 13.R Other employees. [No workers' comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy-of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un er a ins-an pe hies perjury that the information provided above is true and correct. Date: ..' (� Si ature: — Phone# fit' Z--6ZZ. 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#: Massachusetts General Laws chapter 152 requires all employers 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,partnership, association or other legal entity,employing employees. However the 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 permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not pro.duced: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 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 BE out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s) along with their certificate(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 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 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 n (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 home owner or citizen is obtaining a license or permit not related io 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 call. The Department's address,telephone-and fax number:. The Com onwWth.of M.assar usetts Df~partment of Industrial Accidents . Office of Investigations 600 Washington Street' B.aston,.MA 02111 TO,. ## f 17-72'-4500 ext 406 or 1-877 MASSA.FE Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable OF 1HE Tp� Regulatory Services Thomas F.Geiler,Director swxrrs-rAu , Mwss. . Building Division PTED I��a Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 vt ww.town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Q / Please Print DATE:_ JOB LOCATION: number street village "HOMEOWNER': name �jhome phone# work phone# CURRENT MAILING ADDRESS: ✓��" 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 nin?mum 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"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 Krith 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 fomi/certifrcation forme in your community. A 1 1 1 °FIKET� Town of Barnstable Regulatory Services ELAxx HASS. Thomas F. Geiler,Director i639. A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using .A .Builder X , 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) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Energy Delivery 127 Whites Path South Yarmouth, MA 02664 June 13, 2007 Peter Barber 508 State Street Hanson, MA 02341 RE: 520 Pitchers Way, Hyannis This is to confirm there is no natural gas service to the above address. This was confirmed by a representative of Keyspan Energy. If you have any questions, please call me at 508-760-7481. Sue McMullin Field Coordinator Keyspan Delivery Company Department of Public Works 47 Old Yarmouth Rd. �{. P.O.Box 326 h �► Water Supply Division Hyannis,MA. 02601-0326 BARNSTABIX *MASS. TEL:50&775-0063 �A 1639. Q Hyannis Water System Operations FAX:508-790-1313 t�NIA DULY 26,2007 RE: 520 PITCHERS WAY HYANNIS, MA 02601 TO WHOM IT MAY CONCERN: THIS IS TO INFORM YOU THAT THE ABOVE-ADDRESS -#520 PITCHERS WAY IN HYANNIS, DOES NOT HAVE WATER SERVICE THRU THE HYANNIS WATER SYSTEM OPERATIONS. IF YOU HAVE ANY QUESTIONS,PLEASE CALL THE OFFICE @#508-775-0063. WbkeWater-Pennichuck Operated and Maintained by WhiteWater,Inc.and Pennichuck Water Services Corp. ®CT-18-2007 16:43 From:BAYSIDE ELECTRICAL 508 771 6617 To:7(31 826 0822 P.2/2 Barnstable Building Department Oct 18". 2007 To whom it may concern, Upon inspection of. Peter Barber's Property at 520 pitchers way we detemined that there is no power going to the locations of.5208 and g20C. The location of 520E and 502C no longer exists. We are an electrical contracting company that has been in business 1.or 25 years. If you have any questions about this location please feel free to call us at any time. Our number here is 508-771-7270 and our license#is A 17197. Sincerely, Arthj P.DAe Jr r Bayside Electrical Contq tors Inc, 1-508-771-7270 Fax 1.508-7716617 Lie.#A 1.7197 -172 Yarmouth Road Hyannis, MA 020)1-2643 1el:508-771-7270 Fox: 508-771-6617 www.boysideelec.com r i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information h Please Print Legib� Name(BusinesslOr�on/Individual): ior5 City/State/Zip: -�,� J ,i Phone.#: ' &93 L2a employer? Check the appropriate box: Type of project(required): a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction oyees(full and/or part time).* have hired the sub-contractors a•sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling and have no employees 'These sub-contractors have g, ❑Demolition employees and have workers' ing for me in any capacity. 9. ❑Buildingaddition wOIkers' comp.IIIlit_nancr COIIIp.incr�rance t 5. ❑ We are a carparation and its 10.W Electrical repairs or additions ired..] officers have exercised their I LE]Phimbing repairs or additions a homeowner doing all work IL[No workers' comp. right 6f exemption per MGL12 ❑goof repairs rai r t c. 152, §1(4), and we have no ] employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit.this affidavit indicating thry arc doing all work and thm hire outside contractors must submit anew affidavit indicating such. :Contractors drat check this box nest attached an additional sheet showing the name of the sub-cantrac ars and state whether ar not thost entities have employees. If the sub-ccmhsctors have errrployees,they must pravidt their worl=rs'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the potiry and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to socu re coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine iip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this sta cinci t may be forwarded to the Office of Investigations of the DIA for insurance cov a verifi atian. I do hereby cerkfy u e airs•an of perjury that the informatio�provided is true and correct Si e — Phone# Official use only. Do not write in this area,tb 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#• PER PA'rMENI RECEIPT = TOWN OF BARNSIABLf_ i. BU1LU1NC 0FPAR T 11ENI . 200 MAIN £IREET HYAN Ill 1S, MA 0 B0i OAIE: II11 10:5 - - °i --- - - - TOTALS=---_------------- FERN I ;; i'AID 25.00 25.00 - - +ii P,Pp1.1Er: 25AD �IA 00 APPI_ICAI10N IIUMDER: 2.0064023 PAYMENT -,11.Tii: CHECK PAyHE:N1 kEE: 1374 t r Town of Barnstable Permit# Roo Expires 6 months from issue date A� l regulatory Services Fee rtnss. Thomas F.Geiler,Director Building Division y Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 Tel/(/ T 2 ® � ® AV Zo0 www.town.barnstable.ma.us OP Office: 508-862-4038 Fax: 508AA �QT � EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 5_2 0 d Cis-5 W AY (Residential Value of Work ,S Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �(- L�7 . 51AI:C 'TT #Aovs�� Contractor's Name Jz Telephone Number Home Improvement Contractor License#(if applicable) t� •/ / 7 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Che k one: �J 1 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 be on file. Permit Request(check box)El"'Re-roof(stripping old shingles) All construction debris will be taken to CA 5 e_(A W5rG561Z U)(�V/_ S ❑Re-roof(not stripping. Going over existing layers of roof) I^': ❑ Re-side t»z V s ❑ Replacement Windows. U-Value (maximum .44) slr« *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Note o e' Owner us sign r perty Owner.Letter of Permission. me prove a ontra rs License is required. ks t x 1 �SIGNATURE ��` Q.Fozms expi4trg � t'` � ,�� k _]x Y 7.s'n ^_.tY The Commonwealth of Massachusetts 1, Department of Industrial Accidents Office of Investigations 600 Washington Street \`u�e`` f' Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Ill Address:_ cj� g �%J T 6 -5 T City/State/Zip: la P 07" 00 uz'�� Phone #: 7�� " ��93 qq Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 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 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ❑Remodeling 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 3/0I am a homeowner doing all work right of exemption per MGL I L[]Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required.] P q ] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below.is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 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 c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance c verage verification. I do hereby certify u e the p and nalties of perjury that the information provided above is true and correct Si ature: Date: 0 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 onw) 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 1 �ZFIE Tp�� Town of Barnstable .� >AS& g 109. Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 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) Signature of Owner Date Print Name e Q:Forms:expmtrg Revise071405 °F T Town of Barnstable Regulatory Services ` BAMSTABM Thomas F.Geiler,Director 9. i63 � '�Et Building Division El Ulshoeffer,Building Commissioner 367 Main Street, Hyannis,MA 02601 . Office: 508-862-4038 Fax: 508-790-6230 September 26,2000 Mr.Peter Barber 520 Pitchers Way Hyannis,MA 02601 Dear Mr.Barber: I inspected the.remains of the chimney and fireplace at 520 Pitchers Way on September 18,2000. In my opinion the initial poor construction and subsequent fire related to that construction requires that the chimney and firebox be completely rebuilt. A permit will be required for this work. If this office can be of any further assistance please do not hesitate to contact us at(508)8624038. Since ly, chard Stevens Local Inspector RS/AW I [ ] [R291 019 . _ ] LOC] 0520 PITCHERS Wei CTY] 07 TDS] 400 H KEY] 198958 ----MAILING ADDRESS------- PCA] 1091 PCS] 00 YR] 00 PARENT] 0 BARBER, PETER R & GAIL H MAP] AREA] 62AC JV1305119 MTG10000 520 PITCHERS WAY SP1] SP21 SP31 UT11 UT21 5 . 89 SQ FT] 1152 HYANNIS MA 02601 AYB] 1950 EYB] 1970 OBS] CONST] 0000 LAND 117600 IMP 140200 OTHER 6400 ----LEGAL DESCRIPTION---- TRUE MKT 264200 REA CLASSIFIED #LAND 1 117, 600 ASD LND 117600 ASD IMP 140200 ASD OTH 6400 #BLDG (S) -CARD-1 1 78, 800 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 6, 400 TAX EXEMPT #BLDG (S) -CARD-2 1 11, 000 RESIDENT'L 264200 264200 264200 #BLDG(S) -CARD-3 1 21, 700 OPEN SPACE #BLDG (S) -CARD-4 1 28, 700 COMMERCIAL #PL PITCHERS WAY INDUSTRIAL #RR 1276 0177 #UP FY98 EXEMPTIONS SALE106/96 PRICE] 125000 ORB110243213 AFD] I TE A LAST ACTIVITY] 09/24/96 PCR] Y R291 019 . OPPRAISAL D A T A�� KEY 198958 BARBER, PETER R & GAIL H LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 55, 200 3 , 400 92 , 600 4 A-COST 151, 200 B-MKT 257, 600 BY 00/ BY ME 10/87 C-INCOME PCA=1091 PCS=00 SIZE= 1152 JUST-VAL 151, 200 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 62AC -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 62AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 552001 LAND-MEAN +Oo 1512001 66410 IMPROVED-MEAN +39°s 2506 ] FRONT-FT 1] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADDS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] i' .-%* R291 019 . i P E R M I T [PMT] ACTIOR] CARD [000] KEY 198958 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT [ ] [ ] [ ] [ ] ] [ ] [ ] P ] [ ] [ ] [ l rlS l� .i ON l � J PROPERTY ADDRESS I ZONING IDISTRICT CODE SP-DISTS.I DATE PRINTED I STATE CLASS I PCS I NBHD KEY No. 0520 PITCHERS WAY 07 RS 400 07HY 07/09/95 1091 00 62AC R291 019. 198958 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS I Ty UNIT ADJ'D.UNIT Lana Byloate / S..,D,me . E ns.on LOC./YR.SPEC.CLASS ADJ. COND P PRICE PRICE ACRES/UNITS VALUE Description W H A k T ON. A S R A M 8 8 E R N I C E M A P- CD. FFDe IhlAcres - BATHS 1 .0 U x D= 100 2700.0 2700.00 1.00 2700 3 CARDS IN ACCOUNT 04 OF 04 L - NO SSMT S X D= 100 6.9 5.4 1000 5400-3 �- NO HEAT S X D= 100 2.3 1.83 1000 1800-d MARKET 257600 N FIREPLACE U X D= 100 2400.0 2400.00 1.00 24JO 3 E) INCOME A SE D APPRAISED VALUE D '� 264,200 q U PARCEL SUMMARY T S AND 117600 q r L 14 IMPS 6400 0200 M OTAL 264200 F :E CNST E .N DEED REFERENCE Type DATE Az RIOR YEAR VALUE A Book PageMO. Vr ID AND 117600 " I1 T EILDGS 146600 U TOTAL 264200 R E BUILDING PERMIT S` Numper Oale Type Amount LAND LAND-ADJ INC ME SE SP-SLDS FEATURES SLD-ADJS UNITS I I 210 0- � 1i 1';,.CTI TCon st. Tol al r B-II N rm Obsv T --� "'-- Uni15 1,'nlls Base Rale AUI Rale A I Age De pr COntl. GNO LOC ^b R.G ROPI COSI New AOI RePI Value SlOries Meng ftt Ropms �e0 Rms Balns I fFi.. PAnywmll Fpt. 01D 000 100, 100 46.95 46.95 30 70 24 74 90 64 44850 28700 1.0 4 2 1.0 4.0 D--pl- Pate Square Feet RePI.Cost .INDEX: 1 JJ IMP.BV/DATE: ME 10187 SCALE: 1/J 0.5 S ELEMENTS CODE CONSTRUCTION DE-TAIL SAS 100 46.95 1000 46950 u CNST GP:00 N*--18---* ; STYLE 09 OTTAGE 0.0 R ! 15 ESIGN .4DJA -J0 -------------- ---0.0 -! - - --- ------ ! XTtR.W.41LS Jt OOD FRAME U.0 22 22 RtAT/AC TYPE J1 ONE--------------0.0 C ! ! IN TT k:FINISH J5 LASTER _U.0 T ! ! NT-ER.-LAYOUT- -12 V-ER:7Af0-RMAL-----U.O D ! ! NTER�BifALTT- -J2 ATfE AS EXTER. U.0 R �* *-* LDR-STITUCT- -02 �--JOIS`f/8EAK -U.0 A W !SASE ! EI LOl7R-COVER- -02 IVEa0A�D--------U:O L 1000 . 14 T --- - - - -- - Areas Ape_ Base= 14 O D f T Y PF Jt A8L E-ASP H -5 ff U.0 BUILDING DIMENSIONS ! LETTRILAL OT VERA-G� U.0 AS W30 N15 E15 N14 W03 N22 E18 *---15--* *-* OWDATTO-N--- -03 'ONCRETE-SLAB--➢-9-.-9 A 522 SAS W04 S14 E04 S15 .. ! ! - --- --- ---------------------- 1 15 15 --- --- --- ---------------------- L ! ! LAND TOTAL MARKET ! ! PARCEL *------30------X ' AREA VARIANCE +0 +0 STANDARD S PROPERTY ADDRE $ I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I STATE PCs I NBHD KEY NO. 0520 (� PITCHERS WAY 07 RB 400 07HY 07/09/95 1091 00 62AC R291 019. 198958 LAND/OTHER FEATURES DESCRIPTION III ADJUSTMENT FACTORS Ty UNIT ADJ'D.UNIT N H A R T O N. A BRA M S. B E R N I C E Lana By/Date S.-D.mens�on LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Descriplion MAP— / CD. FF De th/Ages CARDS IN ACCOUNT — L BATHS 1 .0 U X D= 100 2700.00 2700.00 1.00 2700 a 02 OF 04 A - NO BS MT S X D= 100 7.8 6.12 420 2600-3 2642UT- N NO HEAT S K D= 100 2.35 1.83 420 d00-3 MARKET 25760C D INCOME A USE APPRAISED VALUE D i A 264.200 A PARCEL SUMMARY T U AND 117600 A T 0200 LIMPS DGS 146400 M OTAL 264200 F E CNST E NT DEED REFERENCE[Type .,DATE A yr D Recp.owA N D PRIOR Y E A 1 17 6 0 0 E In sl S.Ies Pripe T ji U TOTAL 264200 R E BUILDING PERMIT S Number D.I. Type Amount LAND LAND—ADJ INC ME SE SP—BLDS FEATURES BLD—ADJS UNITS 700- C pns.. Tplol B It Norm. Obsv Class Units D�ils Base Rale Atll.Rate A r / Age Depr. Cipnd. CND Loc %R G Repl C-1 New Ad, Rep. Value $tones l Height Rooms Rms.8alhs s Fia. Psnyw.il Fuc 01D- 000 100 100 44.00 44.00 30 65 29 66 90 56 19582 11000 1.0 3 1 1.0 4.0 Desc rl plion Rale Square Feet Repl.Cast MKT.INDEX' 1'00 IMP.BY/DATE. ME 10187 SCALE: 1/01.00 ELEMENTS CODE CONSTRUCTION DE-TAIL BAS. 1ii0 44.00 4Z0 18480 GROSS AREA. 420 SINGLt t-AMILY.VWELLING S FOP 35 15.40 117 1802 *-----13-----* STYLE 09 OTTAGE 0.01 T ! ! ESTGN-A-D-JMT- -00 ------------------UO R XTR_WA1LS-- -07 UQD-FVkRE-------U..01 t U 12 ! EAT/AC-TYPE- -OT UNE---------------a 0 C ! ! I NTER.-FIWISH- -05 -ASTER- U:OI T ! ! t NTR-LA-POUT- -'C2 VE-R:7Tf0RMAl---- U.O U ! *---9----* I NTFR.QJALTY- -03 EE OW -EXTERN ---U.O R *---9----* BASE 24 ! R"LOlYR-STUCT- -04 -OWCRET AEf E-SL ---U=OI A W ! ! ! E LOZ7R-COVER-- -02 JIVEBDWKD--------U.-O 0 Areas Apx_ 117 BeSe= 420 ! ! ! OUf-TYPE____ _01 ABLE=ASPR__SW----9-0I BUILDING DIMENSIONS 12 13 13 E LEST R I-CALL- �-01 VEERAriE-----------9 0 S W C N12 E09 N12 E13 S 4 FOP ! ! ! OUTt0rAT1-ON--- -01 OURED--CONE-----99'.-9 A E09 N13 W09 S13 .. BAS ! i ------ --- ---------------------- ! ! FOP --------------- --- -------------------—- L *----------22--------X---9----* LAND TOTAL MARKET PARCEL AREA VARIANCE +0 +0 STANDARD STATE I PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHD KEY No. 0520 PITCHERS WAY 07 REI 400 07HY 07/09/95 1091 OJ 62AC R291 019 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT 'ADJ'D.UNIT WHAR T ON 198959 Lam By/Date Sire D�monvon LOC./VR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Descnpron A BRA M g 8 E R N I C E MA P— CD. FF.De th/ACr85 E CARDS IN ACCOUNT — L BATHS 1 .0 U x D= 100 2700.0 2700.0 1.00 2700 3 03 OF 04 A — NO BSMT S x D= 100 7.8 6. 1 224 1400-3 COST N MARKET 25760C p INCOME A USE D APPRAISED VALUE D i A 264,200 A U PARCEL SUMMARY T S LAND 117600 A T 0200 OL DIGS IMPS 146400 M TOTAL 264200 F E N CNST E N DEED REFERENCE Ty- DATE R-6-1 PRIOR YEAR VALUE BOOM Page Incl. MO�Vr Sales Pr A T � IDI LAND 117600 T I LOGS 146600 U TOTAL 264200 R E BUILDING PERMIT S Number 0— Type Amount LAND LAND—ADJ INC ME SE SP—ELDS FEATURES BLD—ADJS UNITS , 1300 Class Con st. iot al Base Ra AcJ,Rate r B -II Age Norm. Obsv. CND Loc %R G Repl C 1 New Ar)I Repl Value Stories Meng ht Rooms Rms.Sams •Fir. Partyvatt Far; U oils Units Ac e f Depr. Good. 101D 000 100 100 49.0.5 49.05 30 70 24 74 90 64 33903 21700 2.0 4 2 1.0 4.0 Deschpti— Rate Square Feet Repl.Cost MKT.INDEX: 1.00 IMP.BY/DATE: ME 1 0/87 SCALE: 1/00.6 ELEMENTS CODE CONSTRUCTION DETAIL S SAS 100 49.05 224 10987: CNST TP:00 FSF 90 44.15 140 6181 *---14---* STYLE 09COTTAGE 0.0 T FOP 35 17.17 56 962 ! FSF a SIGN ADJMT 00 ------------------U.O R FSF 90 44.15 140 6181 10 10 EXTER:iIALLS 09C0-9CRETE 0.0 U B20 60 29.43 224 6592 ! ! HEAT/AC -TYPE 03ELECTRTC 0.0 D UWD 85 8.50 200 1700 *---14-- INTER:F7-KISN- -06DRfQALL/PLAST y T ! 820 ! NTFR:LAYOUT -T2 VER:lAfORMAL-- -U_O, U ! ! INTcR.DUALTY -03 FLOW EXTER2-------- .-OI R 16 SASE 16 FLOJR-STKUCT 04 ON-CRETE SLAF9----U 0 A W ! ! E LOUR-COVER-- -02 -I EB0A90--------- L D (Areas Apa= 2.56 BdSe= 504 ROOT-TYP-E---- -JT G ATCE=A5PH- 0 SN - .0 BUILDING DIMENSIONS *---1 4---X LFC-T R Ir/FL OT VE R A G E _ IT 0 .+S W14 FSF S10 FOP SO4 E14 N04 ! ! 0U_,fDAT10-N- -0T v1fRED -CO NC 9V.'9 A W14 .. . FSF E14 N10 W14 .. SAS 10 10 --------------- - ---------------------- N16 FSF N10 E14 .S10 W14 .� SAS ! FSF ! --------------- ---------------------- L E14 S16 .. 820 N16 W14 , S16 E14 ! ! LAND TOTAL MARKET -- *---14---* PARCEL *--FOP---* AREA VARIANCE +0 +0 STANDARD J PROPERTY ADDRF S I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NORD KEY No. 0520STATE PITCHERS WAY 07 RB 400 07HY 07/09/9.5 1091 00 62AC R291 019. LANDIOTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y UNIT 'ADJ'D UNIT 198958 Laa ACRES/UNITS VALUE Desc.ipronWHARTON. ABRAM & BERNICE MAP- EcD sFDe 'NAoe LOC./ .SPEc.CLASS ADJ. COND. PRICE PRICE #LAN D 1 1 1 7 i 60 CARDS IN ACCOUNT - L 10 1BLDG.SIT 1 X 4 =10C 89 29999.9S 26699.99 4.00 106600 #BLDG(S)-CARD-1 1 78P800 01 OF 04 A 11 1RESIDUAL 1 X 1.8I =10C 95 6000.00 5700.00 1.89 10300 #OTHER FEATURE 1 6P400 COST 264200 N #9LDG(S)-CARD-2 1 110000 MARKET 257600 D BATHS 1 .1 U x C= 100 6000.00 6000.00 1.00 6000 B #3LDG(S)-CARD-3 1 21.700 INCOME FIREPLACE U x C= 100 3100.00 3100.0C 1.00 3100 d #9LDG(S)-CARD-4 1 28.700 USE A RG1 DETGAR S 28 X 22 197 D= 80 16.5 10.32 616 6400 F #PL PITCHERS WAY APPRAISED VALUE p D 6LA SSMT RM S X C= 100 41 .6 41.65 864 36000 3 #RR 1276 0177 A 264P200 A *JAMAICA. N Y 11400 PARCEL SUMMARY T S LAND 117600 A T BLDGS 140200 0-IMPS 6400 E TOTAL 2642CO F E _ N CNST E N DEED REFERENCE TYpe DATE R�Mtl,p PRIOR YEAR VALUE A I Book Page Ir.sl. MO. V'.D Ss'ea Pfic. LAND 117600 T T I 957/566 00/00 BLDGS 146600 U P0107AD144 :05/94 A TOTAL 264200 R E BUILDING PERMIT S` Number Dete I Type Amount LAND LAND-ADJ INC ME SE SP-BLDS FEATURES BLD-ADJS UNITS 117 ,U0 6400 45100 I I ' G pna' r Bu ll Norm. Ob- T Class Units UnitsTOlal Base Ra'e I Atll.Rate A e 1 Age Dep:. Contl. CND Loc %R G I Repl Gosl New AdI Rep' Value Stones I Height Rooms Rma 3a'na •.Fig. I P.rrywall F.c. 09C- 000 105 105 53.95 56.65 50 75 19 80 90 70 112587 73800 1.0 7 4 1.1 6.0 Descnp',on Ra'e Square Feet Repl.Cost MKT.INDEX: 1.DD IMP.BY/DATE. ME 1 0/87 SCALE: 1/00.85 ELEMENTS CODE CONSTRUCTION DETAIL S SAS 1UU 56.65 1152 65261 CNST GP- BEW 125 12.50 25 313 *--------25---------* STYLE 01 AISED RANCH 5.0 T FWD 85 8.50 225 1913 *-5-* ! FWD ! DESIGN ADJMT 06 ___ __ _ 0.0 R 58EW5 9 9 EX E9-WALLS 11 60D SHINGLES 0.0 U EAT/AC H TYPE 04 IL- OT __WATER 0.0 C *3-*-5-*-15-----*---------25---------*---* INTER.-FINISH 04 RYWALI ------- 0.01 T ! ! NTER.LAYOUT T2 VER.JNORMAC--- (I:OI U ! ! I NTrR:QUALTY 02 AME -A S EX TER. _.0 R ! ! LbOR STRUCT 02 0 JOIST18EAM---(f 0I A W ! E LBOR C-OVER- 04 ARPET -----------U.O L *A�, - --- -- ---------ApM 25D ea5 1152 00- TYF+E UT"ABLE-ASPH SH 0.BUILDING DIMENSIONS 24 BASE 24 LECTRICAL 01 ----------------- VERAGE_W48 N24 E03 SEW N05 E05 S05 ! ! 0U-If6ATZON-_.- -01 OUREO -CC 99.9 - ------- - --------------- A W05 . . SAS E15 FWD N09 E25 S09 ! ! --- W25 .. OAS E30 S24 ------4EIGWt1ORf1 46 67AC iiYANNIS------- L LAND TOTAL MARKET ! ! PARCEL 117600 264200 *-------------------48------------------X . AREA 1229 VARIANCE +0 +21383 STANDARD 25 os= � a I i ' -�! '�6gr1lr� ofs�sTBs� TOWN =g�pOBT ; aMpOILT S13— .az=3NrT88Y/QONTINQg ornssox 1mv U� NAME c LAsr, R118?. !1lDOLE, [NoDETAILSMILS i OBSERVATIONS-MMIZE EVIDENCE. SERIAL !S ETC. V �A or PIC- � 9 FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyatuiis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: (,(Building Commissioner or Inspector of Buildings O Board of Health or Board of Selectmen O Fire Department TOWN OF BARNSTABLE TOWN HALL BARNSTABLE, MA RE: Insured: BARBER, Peter&Gail Property Address: 520D Pitchers Way Hyannis, MA Policy Number: 0442808 Type of Loss: Soot Date of Loss: 12/22/2003 File#: 98230 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed$1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. R. F. LASKO Adjuster 4/28/2004