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0025 ROSARY LANE
Zxx lit I NZ 11 I i i I i '�� i i i i j { i Town of BarnstableT711- il BAWMA Post This Card So That Jt,is Visible Fromahe Street Approved Plans Must be Retairied�on>J,ob and this Card;Must be Kept a6}p POSt2d llr1t11 Final InSpeCtlOn Has Been Made s x � t`�. ° Where a Cert�fcate of Occup c ir di b any R qu �ed;such Budng shall Not e Occupied until Final Insp coon has been,made Permit Permit No. B-20-223 Applicant Name: ERNEST J JAXTIMER Approvals Date Issued: 02/04/2020 Current Use: Structure Permit Type: Building-Demolition 'Expiration Date: 08/04/2020 Foundation: Location: 25 ROSARY LANE, HYANNIS Map/Lot: 344-027 Zoning District: B Sheathing: Owner on Record: JSJ OF CC LLC , Contractor Name ,.ERNEST J JAXTIMER Framing: 1 Address: 48ROSARY LANE Contractor license. ,CS-003251 2 HYANNIS, MA 02601 Est Protect Cost: $ 10,000.00 Chimney: Description: DMOLISH EXISTING STRUCTURE INCLUDING REMOVAL OF� Perm{it Fee: $125.00 FOUNDATION STRUCTURE IS A SINGLE FAMILY RESIDENCE"; Insulation: Fee Paid:., $ 125.00 Project Review Req: Date 2/4/2020 . Final: ( Plumbing/Gas Rough Plumbing: _:� This permit shall be deemed abandoned and invalid unless the work authorized b its permit is cofficial mmenced within six months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction tlocumentsYfor which this permit has been granted. All construction,alterations and changes of use of any building and structures;shall be in compliance with the local zoning bey laws and codes. _ Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public�inspection for the entire duration of the work until the completion of the same. �� Final Gas: 3 F The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are prov�detl on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing " �' f Service: 2.Sheathing Inspection Km Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining ismstalletl •,'', '' g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth.in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: I M16- 41 E'-j XTIMER 0��� gyo - �!.�o �e�� 7i410( IfV1 BUILDER � LANDSCAPE • ILLiAl�ORK ��� b� f . Licensed Designee Job Location — 2_5 IRol`'eIr Property Owner— Applicant— E.J. Jaxtimer Builder, Inc. Licensed Designee —Jeffrey Garran CS L— 078442 i co monweattd„ of,mamachuseds Division 41 Professionarl U.Cen ure Baard of BuiWing 8.e .utationm and Standards CS-078 2 a i'ves: i 9 1 0 0 .JEFFREY B 110 SALT ROCK RD � r B AR NS TAB LB�MA'126 9 k " i 4 �-w.w.++fie-++:.+.a+....1...- -- T fff -� Tr• . pry. Applicant - E.J. Jaxtimer Y' License Designee Jeffrey Garran 48 Rosary.Lane,Hyannis,MA 02601 508-771-4498.508-778-4911 -Fax 508-775-4909 www.jaxtimer.com national roe December 24,2019 Jeff Garan EJ Jaxtimer Builder Inc To Whom It May Concern RE:25 Rosary Ln,Hyannis This letter is to confum that National Grid has verified there is no natural gas services at the properties above. I can be reached directly at 508-760-7484 should there be any further questions. W Patti Weldon nationalgrid Senior Acct Mgr,Customer Connections 127 White's Path ` S.Yarmouth,MA. 02664 508-760-7484 desk 508-400-5051—cell 508-394-1109-fax patricia.weldon(c�national d.com 247 Station Dr—Westwood,Massachusetts 02090-9230 Kko ENERGY 1/6/20 EJ Jaxtimer — b 25 Rosary Ln. Hyannis, MA 02601 .: ;. RE: —25 Rosary Ln., HYA f To Whom it May Concern:- This letter will serve as confirmation that there is no electric service at 25 Rosary Ln_, Hyannis. The power has been inspected and no electric is existing at location. ' Based on this information, there is no electric power to this building and you may proceed with the demolition. If you have any questions, please contact me at (781) 441-800 Sincerely, Sean M. Hayes . Sean M. Hayes Eversource CIC/XXX NewTemplate Y Otrt l Department of Public Works 47 Old Yarmouth Rd. P.O.sox 326 Q, Water Supply Division Hyannis,MA. 02601-0326 » BARNSTABLE'MASS. TEL:508-775-0063 �F039. � Hyannis Water System Operations FAX.-508-790-1313 January 23, 2020 Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis MA 02601 ' RE: 25 Rosary Lane- Hyannis Dear Sir: Please be advised that the above water service was cut and capped. If you have any questions, please call the Hyannis Water Systems office at (508) 775-0063 X 3524. Sincerely, Donna L. Caperello Hyannis Water System } y .. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Cons pc`(`,,AA oprrvisor CS-078442 �� E�;pir es:09/11/2020 JEFFREY B Gl4RRANo 110 SALT ROCK BARNSTABL6;M 026' ' f. �. Commissioner a�, .filar `•'`��in:'c,xi.r!r+�'/�!j�;r�C`:i1.}: r./SA�ae��y O ico of Consumer Affairs a Busioe :s R85uisg9oes HOME IMPROVEMENT CONTRACTOR, beforeIthe at v ir.aii FOG individual iusa return TYPE,%rxr.�r���en before the axpiratiorb dale. IEfoLtrrd ratufn to'. Reaistr E,G irat'ro-- C f-ca of Consumer A:f .irs.and iBu:sines:s Reg ugadon �11�J6t�9 11 i��f2G2�7 1000 Washington S,trpet•Suite 710 Boston,MA. 021 !J�i.!4TIAwERf BIJIL'D+-i,S�C'�s�`f ri w .1 ..d :R:t,l ST J.J, tiT I P.1 eR �� 4.B R,3S.c,:R`f LN of v0'l!id vefi Igrtature ^s 7vaas�a'i�r�althE�t�s �cituset'ts iors u,4rofe:ssabtl,91 L4ecnsum k a�3rrJ ;SU1loniy R uiflstlows and Standards Cu'�g15�9GC�s;"r9�a6��'�']S�r C.S-0032wt1 E4pires:0 i11W202'l Y ERNEST J JA-X'tl:fIEiv � d y �.'�•/�, 48 ROSARY LAME r � HYA:NNIS MA 6 sl I a E 1 . The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): E.J. Jaxtimer, Builder, Inca Address: 48 Rosary Lane ° F- City/State/Zip: Hyannis, MA 02601 Phone #: 508-778-4911' Are you an employer? Check the appropriate box: Type of project(required): ✓ 40 4. I am a general contractor and I g 1. I am a employer with 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. T. Remodeling ship and have no employees These sub-contractors have g:+ Demolition workingfor me in an capacity. employees and have workers' Y9.' Building addition [No workers' comp. insurance comp. insurance.$ l . 10. Electrical repairs or additions 5. We are a co P required.] • corporation and its q 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself No workers' com right of exemption per MGL Y - [ P• 12. .Roof repairs insurance required.] 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 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 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: Norguard Insurance Co. EJWC 139902 01/01/21 Policy#or Self-ins.'Lic.#: Expiration Date: J Job Site Address: 2, � 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 coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 508-778-4911 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#: Application Number. ..... .... . * J BARNbTABLE. * . . ........ * Permit Fee...:.._.: .......:.......Other Fee MASS. 03 M1� Total Fee Paid....:..................................... ...... ovalby.. ...._.............Oa .......1...ay. �! TOWN OF BARNSTABLE Pam it App by- BUILDING PERAHT _ �'�1` ...:..................�a ...o z�......... .... �. . \ ............ APPLICATION Section 1 — Owner's Information and Project Location VflIage Project Address Z� RaS -� Lc..�c U.✓�w 5 Owners Name ��� �� 0 Owners Legal Address city State ZipO i owners Cell# 3 -7'7 6 -671-7`l E-mail Section 2—Use of Structure' Use Group ❑ Commercial Structure over 35,000 cubic feet � ❑ Commercial Structure under 35,000 c feet Single/Two Family Dwelling e3 s� cp Section 3 —Type of Permit � p. Construction Move/Relocate ❑ Accessory Structure • ❑ Change = use .. ❑ New Constru ❑ j Demo/(entire structure) ❑ Finish Basement ❑ Family/�IlestY ❑ Fire Al o. Rebuild ❑ Deck Apartment Sprinkler.System ❑ Addition - ❑ Retaining wall ❑ Solar ❑ Renovation ElPool ❑ Insulation Other—Specify Section 4 Work Description w•ol S Gc 1 l,���• r�. �.� �� -���� 'vim i T Act nndt'ed:2/9/201 8 i Application Number............ Section 5—Detail S a Cost of Proposed Construction 10,nvu Square Footage of Project Age of Structure 5 Z ys> Dig Safe Number #t Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method 0 MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ,��i�ire�.1 - Wuuig Oil Tank Storage R Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation d Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District B Proposed Use Lot Area Sq.Ft. -Z3 ccr-ts Total Frontage — Percentage of Lot Coverage — #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated:2/92018 -- -------- Application Number............................................ Section 9—.Construction Supervisor Name', Jr��Ty Y a. _Pck✓ Telephone Number r17_0 n Address ' �D_. a�� ���` City '� rns�`c��tc State `4 --Zip License Numbe60_7 6 LILI z- License Type_ 65 L- Expiration Date Contractors Email hc%Q ttik ';r^er•coves Cell# oS ']"3 7 fj t 1 3 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachuuse Late Building Code. I understand the construction inspection procedures,specific inspections and documentation re y ZAaLhfitairthe T� of Barnstable.Attach a copy of your license. _�•�t;;r �<t,, ;� .;a Signature Date Section-10—Home Improvement Contractor Name E�. �r `�wee�' Telephone Number Address tl O wry (�„ city. State M,q Zip D Z 60l Registration Number 1(0601 ExpiralionDate ll�2tl2p I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with,780 CMR the Massachusetts Building Code. I understand the construction inspection procedures,specific inspections and documentation requir 780 CMR and the Town of Barnstable._Attach a copy of your EUC... Signature_ Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PPLIC-A-N.T SIGNATURE Signature Date Print Name E�: � �► r✓ Telephone Number v S eP 5 I E-mail permit to: 'r',r (CZ_ J G.x�'�weer, M j ' T....r,...A—".n Innni o Section 12—Department Sign-Offs Health Department © Zoning Board(if required) Historic District ❑ Site Plan Review(if required Fire Department eP _ Conservation For commercid work,please take your plans direc*to the fire department for approvaL Section 13—Owner's Authorization E_ as Owner of the-subject property hereby, I taw. z. _ _beh mall to act on m a1f� rrcr- �J• t,, y sue. authorize— � J - - , permit application for: ` matters relative to work authorized by this..building p pp (Address of j ob) Si a of er - date 1 h r am Last uadate d:7J92018 12220 East 13 Mile Road - TM Suite 100 nVebrothers Warren,Michigan 48093 586.772.7600 DEFAULT MANAGEMENT SOLUTIONS 586.772.3660 fax www.fivebrms.com January 14, 2019 Pro er —25 Rosa"`Lane p , rJ' e� Dear Sir/Madam; We are writing on behalf of Five Brothers Asset Management,Solutions("Five Brothers") regarding the above referenced property, Unfortunately, we do not service or maintain this property any longer. Please note that Five Brotlers is a-property preservation company. It performs securing, winterizations, inspections, grass cuts, and related services for mortgage companies, lenders, and loan servicers, etc. on properties that are in loan default and'not occupied. It has no financial or legal interest in the property. Five Brothers cannot provide services to any properties without the lender or loan servicer authorizing and/or approving such service. At this time, we cannot provide any further maintenance or registration services for this property as Five Brothers is no longer assigned to the property and has no authority to maintain, register, renew, or de-register the property. In light of this fact, I would kindly request at this time that Five Brothers' name be removed from all registrations and/or violations relative to this property and that such registrations and/or violations be assigned to the party with legal interest. Any fines and/or fees also need to be directed to the'proper party in interest for payment. The party of interest would be as follows; Celink 3900 Capital City Blvd Lansing, MI 48906 Please advise if this assignment can be completed. Your anticipated cooperation is greatly appreciated. Also, should you have any questions, please do not hesitate to contact me. Thank you. Catherine Saccone Violations Department Phone: 586-930-5365-7893 Fax: 586-772-3660 [Attu: Catherine S] catherines('a?fiiveorilirrc.cortr cc: Celink hZ Rd S I NVr OZ 3 .iSN�T�I� rn atA'An i __ Five Brothers Mortgage Company Services and Securing Inc. O L N P _ eox 5aosa0. Waltham;MA 02454 P(78i)790-7800 F(781j)790-780.1 w A law firm licensed in ww.Odans.con DC; DE, MA, MD, MI, NH, RI,VA BusinesssHaurs:'8 30 AM-5'M PM ET November 22,2019 VIA UPS ' Celink 3900 Capital City Blvd, Lansing,MI.48906 RE: Property.Address:25 Rosary Lane,Barnstable(Hyannis)'MA 02601 File Number: 16-005904: Loan.number: 1382598 To Whom It May Concern: As you have been previously advised,the.foreclosure sate conducted o�October 17,2019 was. sold to a,third a Pursuant to the Agreement,please find third.party funds check enclosed herewith: Should you have any questions; please do not hesitate to contact me Very truly yours; f . Sharron Brernilatl Orlans PC Post foreclosure'Department Direct'Dial: 781.790:7830 ;Fax: 781.790 7,01 -Email: SBrennan@orlans.com 1 08 w m L _.._ _ i w m Q SHATiNON BRENNAN 4LBS# am_ 2 OF 1 t Qi Z f 781740.790D ORLANS PC(NORTHEAM O 0 O O :r () 465 WAVPRLB !S Y OA ROAD ° 01 WALTHAM MA 02452 � k �ZO �• C � m o Z o �,�_.. 5 n co SHIP TO: m m z AWN: STAC3E GARCIA m x � � w:� � -v CEUNK °' p :30oo cAprrAL CITY n BLVD. ��, i >Ao>. Ln LANSING MI 48906-2147Oo O. N �• C A . -4 C RJ Y� •-••� •♦ - MI 489 1/. 0 ■ A E a ND C O- !" C -� �x 3: a` a • ' N ��k a UPS NEXT DAY AIR em° ` x p � TRAC3GNG#; 1Z V46 95A 019203 1406 " ".. a �.. . f'tiJ e `_ a.. �� � �?� BIL[;iNG P/P _� 17 i # �'1. ac#:a Type Godei 7)S �-As .: H3 �4 C>l% Ate. Jj �1^ 0 y 0 z b r c AI Barnstable Police Department Page: 1 Incident Report 01/05/2017 ' Incident #: 17-20-OF Call #: 17-605 Date/Time Reported: 01/04/2017 1004 Report Date/Time: 01/04/2017 1340 Status: No Crime Involved . - Reporting Officer: PTL. MATTHEW MELIA Signature: INVOLVED SEX RACE AGE PHONE 1 DUBE, CHRISTOPHER B M W 30 774-268-1066 25 ROSARY LN HYANNIS MA 02601 Military Active Duty: N HEIGHT: 510 WEIGHT: 160 HAIR: BROWN EYES: BLUE BODY: NOT AVAIL. COMPLEXION: NOT-AVAIL. PLACE OF BIRTH: FA.LMOUTH,. MA ETHNICITY: NOT HISPANIC [CONTACT INFORMATION] Home Phone (Primary) 774-268-1066 _ Home Phone (Primary) 774-3.48-7049 Home Phone 508-648-6569 Work Phone (Primary) 774-209-1066 [APPEARANCE] GLASSES ,WORN: NO TATTOOS: TAT LF ARM(°DUBE")ce ALIAS LAST-NAME FIRST NAME MIDDLE NAME [FAMILY/EMPLOYMENT INFORMATION] MARITAL STATUS: SINGLE FATHER'S NAME: DUBE, ROBERT MOTHER'S NAME: BRIARLY, TAMMI EMPLOYER/SCHOOL:. D'ANGELO CONSTRUCTION 774-209-1066 HYANNIS MA 02601 OCCUPATION:_CARPENTER Barnstable Police Department Page: 2 Incident Report 01/05/2017 Incident #: 17-20-OF Call #: 17-605 ` INVOLVED SEX RACE AGE 774-815-7860 25 ROSARY LN Apt. #BASEM HYANNIS MA 02601 - f Military Active Duty: N HEIGHT: 600 WEIGHT: 180 HAIR: BROWN EYES: BLUE BODY: MEDIUM COMPLEXION:, FAIR PLACE OF BIRTH: OTI,S, MA STATE ID: 'MA10140929 ETHNICITY: NOT HISPANIC [CONTACT INFORMATION] Home Phone (Primary) 774-994-2,037 Home Phone 508-771-0885 Cell. Phone (Primary) 774-815-7860 Cell Phone 857-241-9228 Work Phorie- (Primary) 774-208-1531 [APPEARANCE] GLASSES WORN: NO TATTOOS: ALIAS LAST NAME ' FIRST NAME MIDDLE NAME [FAMILY/EMPLOYMENT INFORMATION] MARITAL STATUS: SINGLE , FATHER'S NAME: PARIETTI, JAY MOTHERS NAME: FRANCK, KATE EMPLOYER/SCHOOL: J.P. CLARK 774-208-1531 PROVINCETOWN MA OCCUPATION: FISHERMAN 3 DUBE, ROBERT C - M W 32 25 ROSARY LN HYANNIS MA 02601 Military Active Duty: N HEIGHT: 504 - 505 WEIGHT: 130 - 145- HAIR,:..BROWN EYES: BLUE BODY: SLIM COMPLEXION: FAIR PLACE OF BIRTH: FALMOUTH,MA STATE ID: MA10131900 FBI ID: 424693XB8 ETHNICITY:' NOT HISPANIC Barnstable Police Department Page: 3 Incident Report r . . 01/05/2017 Incident #: 17-20-OF - Call #: 17-605- • [CONTACT INFORMATION] , Home Phone (Primary) 508-394-3728 , Home Phone (Primary) 774-268-0743 Home Phone 774-268-1568 )Cell Phone ` (Primary , 774-268-1568 [APPEARANCE] GLASSES WORN: NO TATTOOS: TAT RF ARM(DUBE) , TAT ABDOM(BOBBY)., TAT CHEST(GUN) , TAT L ARM(DUBE) TAT NECK(SCORPION) , TAT R•ARM(TRIBAL DESIGN)., TAT`UR ARM(TRIBAL DESIGN) ALIAS, LAST, NAME FIRST NAME" MIDDLE NAME 9 [FAMILY/EMPLOYMENT INFORMATION] , MARITAL STATUS: SINGLE FATHER'S NAME: DUBE, ROBERT C SR MOTHER'S NAME: BRIERLY, TAMMY L EMPLOYER/SCHOOL: UNEMPLOYED. 774-268-0743 V HARWICH MA 02645 OCCUPATION: UNEMPLOYED 4 EDWARDS, ROSEANNA M ' F W 78 n 508-771-358A 25 ROSARY LN HYANNIS MA 02601 " Military Active Duty: N _ 'HEIGHT: 562. WEIGHT: 120 HAIR: GREY OR PARTIALLY GRAY - 'EYES: HAZEL BODY: NOT AVAIL. COMPLEXION: FAIR ETHNICITY: NOT HISPANIC [CONTACT INFORMATION] Home Phone (Primary) 508 771-3580 Home Phone (Primary) 508-790.-3836. CallBack Number (Primary) 508-771-3580 - _ _ t . i Barnstable Police Department Page: 4 Incident, Report 01/05/2017 Incident #: 17-20-OF Call #•' 17-605 !—*-- INVOLVED • [APPEARANCE] ' TATTOOS: ALIAS LAST NAME FIRST NAME MIDDLE NAME [FAMILY/EMPLOYMENT INFORMATION] FATHER'S NAME:• EDWARDS, EDWARD EMPLOYER/SCHOOL: RETIRED OCCUPATION: CLEANING SERVI 5 REGO, CHRISTOPHER M W 52` 508-237-1416 25 ROSARY BREWSTER MA 02631 Military Active Duty: N BODY: NOT AVAIL. COMPLEXION: NOT AVAIL. ETHNICITY: NOT HISPANIC [CONTACT INFORMATION] ' Home Phone (Primary) 508-237-1416 [APPEARANCE] TATTOOS: 6 ENGELSEN, KELSEY L F 'W 24 239-248-6830 767 INDEPENDENCE DR BARNSTABLE MA 02630 Military Active Duty: N HEIGHT: 507 - 508 WEIGHT: 170 HAIR: BROWN EYES: GREEN BODY: HEAVY COMPLEXION: NOT AVAIL. . ETHNICITY: NOT HISPANIC . [CONTACT INFORMATION] Home Phone (Primary) 239-248-6830 IBarnstable Police Department Page: 5 Incident Report z' 01/05/2017 Incident #: 17-26-OF ` Call #: 17-605 # INVOLVED SEX RACE AGE PHONEj [APPEARANCE] GLASSES WORN: NO " TATTOOS: TAT L LEG(3 SHAMROCKS (ON FOOT) ) , TAT CHEST(CHEETAH PRINT) TAT R WRS(STATE OF MASS)., TAT NECK(HEART (BEHIND RT EAR) ) ' ALIAS LAST. NAME FIRST NAME' MIDDLE NAME; [FAMILY/EMPLOYMENT INFORMATION] MARITAL STATUS: SINGLE ' FATHER'S NAME: ENGELSEN, .KURT p MOTHER'S NAME: HUBBARD, LYNN OCCUPATION: UNEMPLOYED 7 LOFSTROM, KATHLEEN F ,W 32'- 774-992-3956 66 66 MAYFLOWER AVE MIDDLEBOROUGH MA Military Active Duty: N- : HEIGHT: •504 - 505 WEIGHT:,120 -. 12.5 HAIR: BROWN EYES: NOT AVAIL. BODY: NOT AVAIL. COMPLEXION: NOT AVAIL. ETHNICITY: NOT HISPANIC [CONTACT INFORMATION] .Home Phone (Primary) 774-992-3956 Home Phone 857-241-9228 ` [APPEARANCE] GLASSES•WORN: NO TATTOOS: TAT BACK(4 STARS) , TAT ABDOM(JJ) ALIAS LAST NAME FIRST NAME MIDDLE-NAME Barnstable Police Department Page: 6 Incident Report 01/05/2017 Incident #: ' 17-20-OF Call #: 17-605 INVOLVED SEX RACE AGE PHONEJ [FAMILY/EMPLOYMENT INFORMATION] MARITAL STATUS: SINGLE . FATHER'S NAME: LOFSTROM, DAVID MOTHER'S NAME: LOFSTROM, KATHLEEN EMPLOYER/SCHOOL: FRIENDLYS HYANNIS OCCUPATION: UNEMPLOYED 8 ENWRIGHT, DANIEL C M W 23 978-846-2539 41 GRAND OAK AVE FORESTDALE MA 02644 Military Active Duty: N BODY: NOT AVAIL. COMPLEXION: NOT AVAIL. ETHNICITY: UNKNOWN [CONTACT INFORMATION] ' Home Phone (Primary) [APPEARANCE] - .. TATTOOS: LOCATION TYPE: Residence/Home/Apt./Condo Zone: HYA1 25 ROSARY. LN HYANNIS MA 02601 1 Police Information # VEHICLE(S) YEAR MAKE STYLE COLOR1 COLOR2 1 GRAND MARQUIS 2003 MERC 4D GR.Y STATUS: Evidence (Not Nibrs Reportable) DATE: 01/Q4/2017 OWNER: ENGELSEN, KELSEY L VIN: 2MEFM74W43X706642 2 IMPALA 2002 CHEV 4D' BLU STATUS: Evidence (Not Nibrs Reportable) DATE: 01/04/2017 - OWNER: LOFSTROM, KATHLEEN VIN: 2G1WH55'K629358537 Barnstable .Police 'Department Page: 7 Incident .Report 01/05/2017 Incident #: 17-20-OF Call #: 17-605 # VEHICLE(S) YEAR MAKE STYLE COLOR1 COLOR2 3 EX500 1994 KAWR Mc BLK STATUS: Evidence (Not Nibrs Reportable) DATE: 01/04/2017 OWNER: ENWRIGHT, DANIEL C VIN: JKAEXVDIORA005119 4 BLUE/WHITE "MS 1089K UTL STATUS: Evidence (Not NibrS Reportable) DATE: 01/04/2017 VIN: CCVASO430974 Hull SIN: CCVASO430974 Boat Type: UTILITY (FISHERMAN, SEDAN, ETC Boat Category: OUTBOARD MOTOR r. x - f Barnstable . Police Department Page: 1 r NARRATIVE FOR PTL. MATTHEW J MELIA Ref: IT-20-OF Entered: 01/04/2017 @ 1411 Entry ID: 306 Modified: 01/05/2017 @ 0832 Modified ID; 306 On 01/04/2017 I, Ofc Melia, was on uniformed patrol in sector one (Hyannis) in marked cruiser E228. At approximately 1005, 1 was dispatched to 25 Rosary Ln for a report of multiple unregistered vehicles on the property of that residence. I noticed all the unregistered vehicles immediately upon arriving at the residence. I asked dispatch to call BCI to come for photos. I spoke with three occupants of the home on arrival and explained to them the reason for my being there. The three individuals I spoke with were identified as Justin PARIETTI (3/7/86), Christopher DUBE (6/25/86), and Robert DUBE (12/16/84). On first appearance, the parties involved were hesitant and questioning why I was there. I explained to them that they cannot have any unregistered vehicles on their property that can be seen by neighbors or from the roadway. I advised them that they have 7 days from today to either get rid of the unregistered vehicles or have a way to cover them. There are,four unregistered vehicles on their property and they claimed none of them was theirs. 1.) 2003 Mercury Grand Marquis (VIN: 2MEFM74W43X706642). When I ran the VIN#, the marq uis came back to being owned by Kelsey Lynne Engelsen (3/4/92) from 767 Independence Drive, Hyannis MA. 2.) 2002 Chevy Impala.(VIN: 2G1 WH55K629358537). When i ran the VIN#, the Impala came back being owned by Kathleen C Lofstrom (8/7/84) from 66 Mayflower Ave, Middleborough MA. 3.) 1994 Kawasaki Motorcycle (VIN JKAEXVD10RA005119). When 1 ran the VIN#, the motorcycle came back being owned by. Daniel C Enwright (6/10/93) from 41 Grand Oak Ave, Forestdale MA. 4.) Blue/White Boat (VIN: CCVASO430974). Owner unknown. The individuals at 25 Rosary claimed all those vehicles were owned by the landlord. PARIETTI stated the landlord they deal with is named Chris Rego. Information obtainedbyme from OfcerGa//antfias the owner of that home being..Roseanna Edwards(918138).. PARIETTI advised me that only himself and Christopher DUBE live in the home. When speaking with all individuals, Robert DUBE made it seem like he lived there too. Robert DUBE kept asking questions like "what can we do to fix this situation with the home I have also seen and spoken with Robert DUBE at that address on a previous call. As I was looking at the boat in the yard on the left-.side of the house, I noticed a gathering of full black trash bags piled about 10 feet away from the side of the house: Some of the bags`were ripped with trash falling out of them:There was approximately 30 full trash bags outside of the home. When. advising PARIETTI that I had called for BCI to come photograph the unregistered vehicles, I informed him that photos'of the trash and debris in the yard would also be taken. I also informed PARIETTI that the trash and debris in the yard could be a health,violation. CIO Roth arrived and photographed all unregistered vehicles and trash/debris in the yard. I spoke more with PARIETTI and answered any questions he had. PARIETTI was cooperative throughout my being on scene and stated be would do what was needed to clear the area,of the unregistered°MVs, trash and ti. Barnstable -Police Department Page: 2 NARRATIVE FOR PTL. MATTHEW J MELIA Ref: 17-20-OF' Entered: 01/04/2017 @ 1411 , µ Entry ID: 306 Modified: 01/05/2017 @ 0832 Modified ID: 306 ' debris. This report will be forwarded to Consumer Affairs Officer Gallant. - 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: Section 1 —Propegy Information Property Address: S Assessors Map #: Parcel#: ,,d 3 qq L: 0a T Land area and description Building(s) description and contents Occupied: Occupant(s)(if borrowers'so state,and include name(s)) . Phone,:, email: other: Vacant: k Date:,, r -z g l Anticipated Length of Vacancy: Last occupant(s) )(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken If so, please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Section 2—Foreclosing Pqrty Information N�1 � Foreclosing Party(full name/title) Foreclosure Case Court: X)Q # = 4 31 0.0401 Date filed: Current Status: Foreclosing Party's representative(s) for property (entry,management, repair, etc.)(name, title,): Company (if different from foreclosing party): Address: Phone: email: 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: Company(if different from foreclosing party): Address: Phone(s): email(s): other: Name, title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party Firm name (if different from attorney's name): Address: Phone(s): email(s): other: 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. 1A, Fia P G Date:62 /as/L��`� ame. r� Title: . t - T , •ro, 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 EVIDENCE OF INSURANCE Great American Assurance Company THIS INSURANCE IS NON-TRANSFERABLE 301 E.4th Street,Floor 25 South, Cincinnati,OH 45202 Issue Date: 11/07/2018 Mortgagor/Borrower/Owner Name Mortgagee/Named Insured ROSEANNA EDWARDS Celink-Vacant Property Registration P 0 Box 40724 3900 Capital City Boulevard Lansing,MI 48901 Lansing,MI 48906 Coverage Period From To Term Enrollment Number:1221217 Effective Date Expire Date Months Master Policy Number: 1134320 11/08/2018 11/08/2019 12 Loan/Reference Number: 1382588 Coverage Type Amount of Insurance Premium/Fees $48.00 Liability Tax $0.00 Residential Stamping Fee $0.00 Borrower $1,000,000.00 Clearinghouse Fee $0.00 NA FL Assessment(s)* .$0.00 LA Assessments)** $0.00 Total Amount $48.00 Property Address 25 ROSARY LANE HYANNIS,MA 02601 This notice is not a policy of insurance. This notice of insurance is issued under the master policy held by the mortgagee. This coverage is not transferable without prior written approval. If there is other insurance coverage, whether collectible or not,this coverage shall be excess of the amount due from that other insurance. Coverage is limited to foreclosed and real estate owned property. Deductible:$0 unless deductible amount defined otherwise in the Mortgagee's policy. *N/A **N/A This Notice of Insurance is for information only. This is not a certificate of insurance. It neither amends,extends nor alters the coverage afforded by the Mortgagee's policy which it describes nor does it add the mortgagor as an Insured or Additional Insured. Consult the Mortgagee's policy for actual terms and conditions. Nhssage Page 1 of;l Anderson, Robin To: Deputy Chief Dean Melanson (dmelanson@hyannisfire.org); John Cosmo Ocosmo@hyannisfire.org) .,,,.::Subject: 25 Rosary Lane r Good Morning, This property was one that has been the subject of recent complaints and I understand there was a fire yesterday. I also understand from previous reports that at least one person` resided in a room in the basement at one time. During a regulatory response in April;rwe found the "primary" tenant/spokesperson to be cooperative on the surface but not really accommodating when it came to the inspection request. I had received information that,the occupants might not actually be tenants but were likely to be squatters and that at least one person resided in the basement prior to April. ' Today, I am informed by Gene (electrical inspector) that the lower level was full of belongings and no tenant space was noted during this emergency response. Can you confirm this as well? Also, can you provide me with photos or more detailed information"fin order that we may sort out what needs to be addressed from a regulatory perspective, . please? Thank you! Abu . Robin C.Anderson Zoning Enforcement Officer t 200 Main Street Hyannis,MA 026ol 508-862-4027 f r 542017 o9ti/oLS o£ti/o9S I 1 , Qom _.;_, . . .. •:. .... _. 3m his high foreign countries,he should ® Assau �5 �lil ischool ama admin- have withheld Flynn's secu- � ® , rity clearance.Flynn served o :w details of under Obama as defense intel- � ��y� rimed as, 6h �� ?6,describ- ligence chief before Obama S orts " miz . ;p :Gahninthe dismissed him. ing him she Trump repeatedlyhas saidhe By Reese Dunklin violence in school sports as part identified were the tip of the ;ensitive to has no ties to Russia and isn't The Associated Press of its larger look at student-on iceberg.Though largely a high t.Later that aware of any involvement by student sex assaults.Analyzing school phenomenon, some House,'she his aides in any Russian inter- The Georgia school district state education records,supple- cases were reportea as early as Ls an alarm- ference in the election,He's said it was investigating the mented by federal crime data, middle school. etweenhow dismissed FBI and congres- baseball players for".misbehav- AP,found about 17,000 offi- Serious injuries and trauma including sional investigations into his for"and"inappropriate physical cial reports of sex assaults by have resulted,records show. Mike Pence, campaign's,possible ties to the contact."What it didn't,reveal students in grades K-12 over a An Idaho football player was ;ing Flynn's election meddling as a"hoax" was that a younger teammate recent four-year period.That hospitalized in 2015 with rectal Cislyak and driven by Democrats bitter had reported.being sexually figure doesn'tcapturetheextent injuriesafterhewassodomized ce officials over losing the White House. assaulted. of problem because attacks are with a coat hanger.Parents of e based on. Aftei the hearing Monday, Even after players were later widely under-reported and not a Vermont athlete blamed his se calls., 'Trump tweeted:"The Russia disciplined for squal bat all states track them or.classify 2012 suicide on distress a year. ;.everaltimes Trump collusion story is a tery,the district cited student, themuniformly: after teammates sodomizedhim o days,with, total hoax,when.will this tax.- confidentiality to withhold Nor does the data paint a with abroom. Yates how payerfundedcharadeend?" details from the public and detailedpictureotspecificinci- The acts meet federal law i during an. The Associated Press used"hazing"to describe the dents,revealed when the AP enforcement definitions of :he FBI ear- reported last week that one incident. reviewedmore than 3oocases of : n - she did not sign taken as a warning by Across the by it was the Obama officials abcZu �, ,< I as fired security uiformat19n TgE I,OG� d n° 3o after Yates'warnmgaboutFlynn ron-life-threatening injuries, firefighters responded to 25 .dhis travel :in January:capped weeks police identify Harwich oolice said. Rosary bane,where heavy smoke ,er,director of building concern:among man killed in CraSh Dennis police,the Cape Cod `could be seeri They deployed ;ence under top Obama officials,former Regional l Law Enforcement hose lines,and were helpea) testified as officials.told the AP°Obama DENNIS PORT T Police. Councif's Accident Reeonstrue- by Yarmouth_and Barnstable He retired himself that month told one Monday identified the drver tiop unit and the Barnstable (firefighters. office. . of his closest advisers that the killed Saturday in a crash nearp rt ofahe road was inaccessi- FBI,which then the Rite Aid Pharmacy as Pat- County Sheriff's Office are bei n Monday, y investigating the cause of the, ble due to fire truce.,but gassed officials said investigating Trump ass.oci.. rick Vaillancourt,26,of Harwich. crash. to put out the blaze.;but was :ralconcerns ates'possible ties to Russia :` When officers a rived at the cleared as of'9 20 p.m.,according i Trump and for about six months,seemed crash at 4:43 p.m.they found tO Barnstable police. K.C.Myers >: ., )ming presi- particularly focused on Flynn. a 2001 Ford truck had Deft the Fire officiais,were not imme letter people Yates, a longtime fed-' south side of Route 28,struck a diately available to comment as utility pole and then struck t ;ecuritypost. eral prosecutor and Obama he Hyannistouse they were fighting the:fir s secretary administration holdover,had. Rite Aid store sign.Vaillancourt dam ged-by fife The home ls:6alued at i in response been scheduled to appear in had been partially ejected from. =---------y�^---r $185 700 according to the town of Barn,, stable Assessing Division. ,vas seriously MarchbeforetheHouseintel sa d truck 6 yeaWolddpassengere home_on Rosa Y Lane-on Monday ��, � ,out Flynn's ligence committee,but that: evening -m` —AdamLucente ,ussia or other bearingwas canceled. from Chatham was brought Hyannis to Cape Cod Hospital with 6;40 o:m•;° y , . 319VISM9 A �4,0i i 1 9 N0I'Si AI asp S��'. t:': L � `�� � � ""� }F• 3 � `� ` Y f:� In 9'T '�.!. �A I- S .,'�'AK � 1 �'. � ,� F�11 .t � y• to z ,k�� 'r � t• R 9�'N �. ri l,f i III �` 's z @ - -. �' � �• < `�' � '� W Sin aE 1 � 16 y; °ors `_ t t + me J}yk ✓j r t R■ 1 5= a` j}( m "''top ���� •� - ��a �. 't`c i sr k o w f an {fF ;k b F ` 4' z � s . 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History: Owner: Sale Date Book/Page:° Sale Price: http://www.townofbamsta.ble.us/Assessing/Propertydisplayscreenl 7.asp?ap=0&searchparce... 1/6%2017 Official Website of The Town of Barnstable -Property Lookup Page 2 of 4 EDWARDS,ROSEANNA M 2009-09-14 24029/193 $100 REGO,ROSEANNA 1997-08-26 10918/207 $0 EDWARDS,IRVING F®O,ROSEANNE1990-12-15 7378/291 $100 EDWARDS,IRVING F 1972-01-28 1595/90 $21000 EDWARDS,ROSEANNA M ESTATE OF 2016-03-16 29858/329 $0 Photos 344/027/-Use Code:1010 - Sketches-Map/Block/Lot:344!027/ Use Code:1010 AsBuilt Card.N/A Constructions Details-Map/Block/Lot:344/027/-Use Code:1010 - Building Details Land Building value $100,400 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $137,597 Bathrooms 1 Full-0 Half Lot Size(Acres) 0.23 Model Residential Total Rooms• 6 Rooms Appraised $67,600 g Value. Style,- Cape Cod Heat Fuel Oil Assessed-- Value 67,600 Grade Average Heat Type, - Hot Water r Year Built 1967 AC Type None Effective 27 Interior Floors HardwoodCarpet depreciation Stories 1 1/2 Interior Walls Drywall Stories Living Area sqt t. 1,288 Exterior Walls Wood Shingle ' Gross Area sq/ft 2,512 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp http://www.townbf banistable.us/Assessing/propertydisplayscreen l 7.asp?ap=0&searchparce. 1/6/2017 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 Outbuit in9s.8 Extra Features-Ma I BlocklLot:344 0271-Use Code:1010 Code Description UnIts/SQ ft Appraised Value Assessed Value 4 BMT Basement- 816 $17,700 $•17,700 Unfinished Sketch Legend Property Sketch Legend 82N Bam-any 2nd story area FPC Open Porch Concrete Floor. REF Reference Only ; BAS, First Floor,Living Area FTS Third Story Living Area(Finished) SOL >Solarium - BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ~ Gazebo UAT 'Attic Area(Unfinished) CLIPLoading Platform' GRN Greenhouse OHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP ,Carport KEN Kennel' UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio. Print Friendly . r E t .Contact Director of Assessing €Jeffrey.Rudziak P 508-862-4022 j F 508-862-4722 °8:30a.m.to 4:30p.m.- 'lPublic Records Request t (Jeffrey Rudziak ,Email P 508-8624022 1367 Main Street y.. .,Hyannis,MA.02601 Helpful Links to s €" Downloads Abatements SALES LISTINGS http://www.townofbamstable.us/Assessing/Propertydisplayscreenl 7.4sp?ap=0&searchparce:.. 1/6/2017 Official Website of The Town of Barnstable - Property Lookup Page 4 of 4 Y, , Barnstable FD Residential C.O.M.M FD Residential Commercial-Industrial- Mixed Use Cotuit FD Residential Hyannis FD Residential Townwide Condominium W.Barnstable FD Residential Department of Revenue Exemptions Parcel Consolidation Questions about values FYI Combined Tax Rates:. Town Land Use Codes FHelpful Maps All Town Maps Flood Insurance Maps z Property Maps FYI Tax Maps . Owned and Operated by The Town of Barnstable-Information Technology Home Departments&Services I Boards&Committees(Residents&Visitors I Doing Business I Town j Calendar I Phone Directory I Employment I Email Town Hall http://www.townofbarnstable:us/Assessing/propertydisplayscreen l 7.asp?ap=0&searchparce..: 1/6/2017 Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax' 508-398-0399 Town of Barnstable (� Thomas Perry CBO I� �•I Building Commissioner I 200 Main St. Hyannis,MA 02601 L9 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for 25-Rosary-L-ane;Hyannis—�has been inspected by a certified Building Performance Institute(BPI)Inspector. Ceiling: R-19 cellulose Walls: R-13 cellulose All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluske . Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map '3 L4 4 Parcel ®�+ a Application #d 6 a6 c;)ff Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee > Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address S a Village �y e►11n1�S Owner oSean^a waIr S Address 'S 8 Telephone 5,0 Permit Request R- r R'30 , auft� Q -M 0.5e +o +de, yc �c . 1he1,euit �-4�it YeA��la��o� it Se ,\ 4e gd ir, a1� a+�e CkAA 66emeAi 104 C nanJ�4am, belut I&A �� a� 2•���e11�1ue. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 45f 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 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other_ Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing hew First Floor Room Count Heat Type and Fuel: ❑ Gas W Oil ❑ Electric ❑Other Central Air: ❑Yes ANo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ CD Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: E� _ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 10 No If yes, site plan review # Current Use Proposed Use x n APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name. W 11'la(YI C�ukS�CP.y - Telephone Number Address License # -11 L l0 �b fo"r,m 0 V,-+ Home Improvement Contractor# 3 Worker's Compensation # 'T W( 3 a. Y T 19:7_;. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �u rrnbw'f►n SIGNATURE DATE FOR OFFICIAL USE ONLY i� APPLICATION# DATE ISSUED MAP/PARCEL NO. t ADDRESS VILLAGE f OWNER I' DATE OF INSPECTION: FOUNDATION FRAME "? INSULATION Y FIREPLACE I�t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` I; FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. t F L r OUS TT�G 460 Jest Main street Hvannis, MA 02601-3698 :. : S S I S T ITC ENERGY & HOME REPAIR T (508) 790-7106 F (508) 790— CORPORATION 2425 HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: i PI_C A r'V- CJ 1 1 /11 1'T A A/M Q f-A T 7'L!C /1 rl E I[ 1 C"V/1!1 A L71- - %..i_1 1 L.L. V L 1.!11 tl V �T�l-(-{-�QI-Il'f�7�/YT�� THEAPPLICANT HOMEOWNER I hereby consent to and agreethat weatherization work may be done by the Weatherization Program of Housing Assistance Corporation (herein after referred as "Agency") on the property located at: ) Theweatherization work donewill be based on programmatic priorities and availability of funding and it may includeall or someof thefollowing measures: Weather-stripping& caulking of windows and doors, insulation of attics, sidewalls& basements, attic and other ventilation measuresand possibly replacement of badly deteriorated windows In consideration of theweatherization work to bedoneat my home I agreeto thefollowing: 1. I give permission to the"Agency" its agents and employeesto travel onto or across said - property with such equipment and materials as maybe necessary to perform weatherization ' work on said,property., 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five(5) yearsafte-theweatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (Signature) >-' r Data Agent: (signature) Date: HAG approved Weatherization'Company,.- COV.0c, S a.ve. S All Cape Energy, Caliber Building&Remodeling, Cape Cod Insulation, Cape Save, Creswell Construction, Frontier Energy Solutions, Lohr&Sons, Peter Smith, Resolution Energy, Rock Solid Construction CAPE ; , SAVE Weatherization -'.. 508 39 -0398 August n, 2010 To Whom It May Concern: . . . p William J. Mcauskey is anemployee of cape Save. He is authorized to negotiate contracts and building-permits for our.company. Michael Mccluskey cape save—owner {. F r 919-593>5939 cell uth,MA 02664 7c HuntlrVon-Avenue,.South'Yarmo I� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgovldia Workers' Compensation Insurance_Affidavit: Builders/Cantractors/ElectricianslPlumbers Anlalicant Information Please Print Legibly Name(Business/0rganization/individual): i(iAt:, U� .Address: -C,.' i ur altJ(o^CD City/State/Zip-. UEmos&nk A 62,6�9one#: - 3 g 0 3 Are you an employer?Check the,appropriate boa: Type of project(required)-- 1. 1 am a employer with 4- ❑ 1 am a general contractor and I employees full and/or part-time).* have Hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling sub-contractors have. ship and have no employees These $. ❑.Demolition ' working for me.in.an papaemployees and have workers' y ca p9. ❑ Building addition. [No workers' cohip. insurance - comp.insurance.- required.] r 5: ❑ We ate a corporation and its 10.0 Electrical repairs or additions _3.❑ I am a.honicowner doing all work officers have exercised their I LC]Plumbing repairs or additions myself. No workers'comp. right of exemption per M.GL, insurance required.]} c. 152, §1(4);and we have no l`❑Roof repairs 11�. employees. [No workers' 13.0 OtherTnall QT M romp. 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}rite outside contractors must submits new affidavit;indicating such- ?Contractors 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_empMyer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. .� Insurance'Company Name: . 1 3_n8 1 0,n Corn o Policy:#F or Self--.ins.Lic. W C 3 0% T- Expiration Date: 1 0 l_/ k o I k lob Site Address: IN d�C � City/state/Zlp:_ Ai (YAR Attach a copy of the workers'compensa on policy declaration page(showing the policy num er 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 U,500.00 and/drone-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 oft his statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby.cerdA under the pains and na/ties O erjury that the informeadon provided above is true and correct. I Signature:.._ � Date:. . L`Phone.#:- 2M I& A 9 z Off icidl use,only. Do not tdrite in this urea;to,be completed by city or town.official.. l 7 City or Town:.. Permit/License# Issuing Authority(circle.one): L.Board of Health 2.Building Department 3.Cityfiown Clerk'_ 4.Electrical Inspector 5 PiumbingInspector 6.Other Contact Person: _ Phone##: `NCO CERTIFICATE OF LIABILITYDATE(MMIDDMM INSURANCE 10/20/2011 i-ITHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE.CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME CT Shannon Sperrazza Risk Strategies Company PHONE (781)986-4400 FAX c Not:(781)963-aa20 15 Pacella Park Drive E-AIE ADDRSS:ssperrazza@risk-strategies.com Suite 240 INSURERS AFFORDING COVERAGE NAIC4 Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURER B:Safety Insurance Company 3618 Michael McCluskey, DBA: Cape Save . INSURER C:Technology Insurance Company 7 C Huntington Ave INSURER D: • INSURER E: i South Yarmouth, MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER:CL11102041451 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR LTR TYPE OF INSURANCE POLICY NUMBER MPMLDDY EFF MM`DY� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY D GE To RENTED PREM S S Ea occurrence $ 100,000 A CLAIMS-MADE ❑X OCCUR CPPS1994480 0/16/2011 0/16/2012 MED EXP(Any one person) $ 10,000 PERSONAL 6 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X1 POLICY PRO- El LOC $ AUTOMOBILE LIABILITY Ea BIINEeD SINGLE LIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 6208200 1/6/2011 1/6/2012 BODILY INJURY(Per $ AUTOS AUTOS ( ) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE X AUTOS Per acrid nt $ Underinsured motorist 81split $100000 300000 X UMBRELLA LIAB X OCCUR PPS1994480 0/16/2011 0/16/2012 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ C WORKERS COMPENSATION Executive excluded WC STATU- I- AND EMPLOYERS'LIABILITY Y f N XLIM ANY PROPRIETOR/PARTNER/EXECUTIVE from coverage E OFFICER/MEMBER EXCLUDED? a N f A E.L.EACH ACCIDENT $ 500000 (Mandatory in NH) C3297972. 0/21/2011 0/21/2012 E.L.DISEASE-EA EMPLOYE $ 5Q0 OQQ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space Is required) Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a National Grid, d/b/a Boston Gas Company, d/b/a Essex Gas Company, Action Inc., and Housing Assistance Corporation are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION (508)7 90-2425 r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED'IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. 484 Main Street Hyannis, MA 02601-3698 AUTHORIZED REPRESENTATIVE m Michael Christian/SMS - ACORD 26(2010106) 01988-2010 ACORD CORPORATION. All rights reserved. INSA25t9MM61M T6o er`r11?r1 nama anti Innn ara ronlatarad marlta of Onnian O�Xe 0 ice of onsumer A air and Business Regulation 10 Park Plaza - Suite 5170 w Boston, Massachusetts 02116 Home Improve- ent�:Contractor Registration Registration: 164432 . Type: Supplement Card CAPE SAVE - Expiration: 10/6/2013 WILLIAM MCCLUSKEY - 8201 S. HOURD CT CHAPEL-HILL, NC 27516 Update.Address and return card.Mark reason for change- )PS-CAI 0 5OM-04104•6101216 ` ! Address Renewal � Employment J Lost Card ✓die navrvs�zoyuueix a�.r4L Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 3 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 164432 T e: ' _ YP 10 Park Plaza-Suite 5170 < � Expiration i016/2013 Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MCCLUSKEY 7C HUNTING AVE � . S.YARMOUTH,MA 02664k' Undersecretary Not valid without nature • 'lassachusetts- Department of P---Lim Safcty ' Board of Building Regulations and Standards Construction.Supervisor Specialty License License: CS SL 102776 ' Restricted to: IC. x = ter' WILLIAM.MC CLUSKY ` 37 NAUSET � ROAD �'a WEST YARMOUTH;-MA 02673 , Expiration: 6/28/2013 t mullissua►er Tr 102776 �4 -- �q S& 3 Town of Barnstable Approved Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 50 8-862-403 8 " Fax: 508-790-6230 Home Occupation Registration Date: 6 O 3 Nance: iX 0 Phone#: o �— / 1/ Village: Q l h t S Address: I1osgry —4 1 C Name of Business: 7, �, u /� Type of Business: Map/Lot: Zoning Dishict�_Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: , The activity is carried on by the permanent resident of a single family residential dwelling unit,located 1 within that dwelling unit. Such use occupies no more than 400 square feet of space. F There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. - No traffic will be generated in excess of normal residential volumes. The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials,or flammable,or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. There is no exterior storage or display of materials or equipment. -There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not,to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to ` exceed 4.tires,parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home Occupation. a • ' tIf the Customary Home Occupation is listed or advertised as a business,,the street address shall not be included. No person shall be employed in the Customary Home Occupation'who is not a permanent resident of the dwelling unit. 'I,the undersigned,1hav read and-agree with the above restrictions for my home occupation I am registering. u Applicant: P Dater Homeoc.doc TO ALL.NEW BUSINESS OWNERS DATE: 6/6 Fill in ple se: APPLICANT'S °r `(OUR NAME: 0�1 BUSINESS r . YOUR HOME ADDRESS: Yt'c' O' 7A/ 02 TELEPHONE `''`' -- Tel phone Number (I tome) S-O'cr- 75y_Qy` , NAME OF N W U IN- tjo-CL TYPE OF BUSINESS c-6` Q IS THIS A HOME OCCUPATION? YES L�Xj_NO m f-6ce (CZ ogbt oVlI�/ Have you beer-given approval from the building division? YESI 1 NO ADDRESS OF BUSINESS S oS�L C iS PJiAP/PARCEL NUP,1.BER cNq ©a? When starting a new business there are sev rat things you must e in order to be in compliance witil the ::j;es and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obt.ained ''.,e required signatures, listed below, you may apply for a business certificate at the Tov n Clerk's Office (is, floor - Toy-,,n 1-I3II) or if you get the business certificate first you MUST go to the following office to -Hake sure yo- have' -_-:: Vile required permits and licc-ses.. GO TO 200 Main St. — (corner.of Yarmouth Rd. & Iviain Street) and you wil! find the following offices: 1. BUILDING COMMISSIONE 'S OFFICE This individual has been info- d of any permit requirements that pertain to this type of business. Authorized Signatur ` COMMENTS: 2. BOARD OF HEALTH This individual has been-informed of the permit requirements that pertain to this type of business. Authorized Signature" . COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informeu of the licensing requirements that pertain to this type of business. Authorized Signature`" COMMENTS: Business certificates (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAI�AE in the town (`ihich you rr,ust do by M.G.L. - It does not give you permission to operate - you must get that throw;', completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY.