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0040 SNOW CREEK DRIVE
D s h c>t<) Gc-ee fir'V e. t. /per W.c, ., Y c a 1ME T Town of Ba stable *Permit ^q �I Building Department e 6monthsfrom issue dtne ,STABLE, : Brian Florence, CBO v� MASS. i639� ��' Building Commissioner � iDlEo r °i 200 Main Street,Hyannis,MAX www.town.bamstable.ma.us Office: 508-862-4038 ax: 508-790-6230 T °ECAY G �� EXPRESS PERMIT APPLICATION - lg,%_ N"�'MQNLY Map/parcel Number V O _ I Not Valid without Red X-Press Imprint H/V/ Property Address -7 S/f/®(41 - f� esidential Value of Work$ ��� Minimum fe_e of$35.00 for work under$6000.00 Owner's Name&Address (A., ®- Contractor's Name- -//1'/1414 all S3 �G17 Telephone Number Home Improvement Contractor License#(if applicable) < Sr +20 Ir Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chec e: ; I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name f. Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) R Eeplaement Windows/doors/sliders:U-Value` d< 3 0 (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exem pliance with other town epartment regulations,i.e.Historic,Conservation,etc.' ***Note: Property us gn erty Owner tter of Permission. A cop, o Home I prove ent C r icense&Construction Supervisors License is requir SIGNATURE: Q:IWHILESTORMEXPRESS2017 271-e Commomveakh of Massac uses L4partffetlt o,f rnduslrial Acciderds Office�ce of'.7mv3 igations 600 Washington xS`treet __-- Boston,MA 02.U1 ' ti:�rvRu rrtass`gvv��7ia '"Porkers' Ctmpensatianlnsdx=ceAffidavit:B-�derm/CCan ctursMec6 cianslFhimhers APPEcant Information Please Brut Name[HussfIIessfD�z=ationlLr a1 rG 4. Address: AU, Citylstatef � 0,66"Phome� SV . �. Are you an employer?Checkthe appropriate box: ' Type of project(required): 1.❑ I a employer.*ffi 4 ❑I am a general conbmctor and I Soyew(fall an&or part-time).*. liaveluredthe sub-contractms 6- ❑New constracfiPa 2. I am a sale proprietor orpa;tner- lisfed asithe attached sheet` 7• ❑REmodeling These sub-contractors have ship and have na.ernployees 8.�❑Demolififla wo&r ng far me in any capacity: . employees and bme woAners' . �l 9. ❑B.uil�ngadditi� [No Up6mrs, camp n huarace Comp_insuran regcrized] 5_ ❑ We are a corporaii an and its 10_❑Electdcal repairs or additions officers have emarcised ti�ir 3.❑ I atn a homeo�er doing all work officers L❑Plumbing repairs or additions. myw€ 8 wragm s' right of exemption per MGLinsara:n ce required-]t F- c-152,§1(4k andwe have no, 11 Roof r S employees-[No'workess' 13_❑Other cow_MLUrZ=requimd-] 'AmyWHc�B�stcbecksbasrlmn elsafiIlo thesechoabeLow snsdagt eawndcess cumpeasarirapal�cyiafo�a ua #Honmawnerswho sabot d us dadava MXHCzting they sx &Mg RUWC k=4ffI ahMM aut5I&CD^ftXrt+.. — submit anewsMdsert indiction Such fCantmct. Ybzt cteA this b=mb st attached=addiIi— sheet shon-Ing themmne of the sub-c=ftw 2m said sty whether or natftse eatitieshnm eWluyees.'If the sabtaatzctms have empIcy-w%dLeynnisrpnwidetheir uorkers'co p.pG&yn=3 rem lam an emplayer that;is pnniding tvarkers'co>rgrerlsafirrrr inmirancgfor ury emplc yw s Below is Ma pa cy arrd jab site irzformatian , Insurance Company Name: Pflhcy or £iths I.ic_ Expiration Date: Job Sire Address: CitylStatdZ; p: Attach a copy of the warners'compensationpolicy-dechration page(showing the policy number and expiration date). Failure to secure coverage as raeq*edunder Section 25A of MGI.c-152 can lead to the imposition of criminal penalties of a fine up to$1,500.OD andfor am-year imp' isonment-as well as rise penahies.in the form of a STOP WORK ORDER and a fine of up to$250_OO a clay against the violater. Be adsdsed that a copy of this sbk ment maybe forwarded to the Office of Investigations o€the DIA for insurance coverage verifrcatim I aTo heraby cert#5? i'pains flux dia hzfor ma#iarrptm,6kd ahma fs harp and correct sitmature: / — Date_ Phone ik ®JV a,,�ciai use r�t£y Da�rt�t Errita irr tlds�rrea,tfr be cv►npiretesd by t3ty ar tan�rl a,�rciat City or Town.- Permitucense;g I S=g Anflrority(ca Je-Date): L Board of Health 2.Budfng Department 3.CityHown Clerk 4 Electrical]uspector S.Plumbing Inspector b.Other Contact Person: Phone#: Ip — -- - 6 •y - orm�ation and Instruct-�ons ' hfim a hit ttS G-e� Lads chaps 152 regaires all euigloyess in provide woIkeas'compensaiipn far their empIoyees. Pm-��to this sib,as mvpL3'r---is defied as.`�_everypmson m the service of another wader any contract ofhiire, empress or implied,oral or Tnitf eII.." An err�IQysr is defined as"an mdryiduaI,partnersblp,association,corporalion or athear legal entity,ar any teFo or more of the bregoing=VgCd in aJomt else,and including the legal representatives of a deceased employer,ar the receiver or t MStee of an mdividnal,p2ltu ship,association or other legal entity,employing employees. However the owner of a dweltinghorse having not more than three apartmezGs and who resides ,or the occ¢paat oftbe - dweIIIing house of amdLer who employs persons tD do maitmao ce,consfructim or repay work on such('.welling house or on the grounds or building appnrfea.antthereto shall not because of such employmeutbe deem(-,d to be.an employes. It2GL chapter 152,§25C(6)also states that¢every stafa orlo cal Hcensm- gagencysiiallwithhold ffie issuance or renewal of a Been a or permit to operate a business or to construct buildings in the comiaonwealth for any applicant who has notproduced acceptable evidence of cdmpr=ce*n the ins amnce.coveeage requh ed_ Add�onally,M(H chapter 152,§25C(7)stairs=NMther the co®munwealth nor gry of its pHi ical subdivisions shall ear into any contract fur the pPsfynn an ce ofpublic wow uffiI acceptable e-idm=of compli mcevjith the msora ace. regtzs ems ofihis chapter.have I eenpresentedin the contracting auflD&yf ApPficaxcts . Please EL oil the workea , compensation affidavit completely;by chug the boxes ffiat apply to your situation and,if nec(--sSa:L supply sob confrartor(s)name(s), addresses)and phone mmjber(s)along vihtheir c rbEcate(s) of hamn-a„ce. Lfinitr- Liab ity Co-mpames(.TLC)or Li nitedUabiliCy Part immIL ps(LIP)withno employees other thanthe members or part seas,are not regnaed to carry woizers'compensafion insnran= Y an LLC or LLP does have emp to ees a olicyisregrr�d. Be advised that this affidayit maybe sobm�dto the Depaitiaentof Industrial Y P ' Accidents for confmation of insurance coverage Also be sure to stgu and dafg;ffie affidavit. The affidavit sbonld beretrmmed to the city or town that the application for the permit or license is being requested,not the Departmmf of . TTdagb:Ml A ccidM s. Shouldyou have nay questions regarding the law or ifyou are regaitud to obtain a workers' compens-,fim policy,please call the Department at the number listed below. Self-fim=d companies should enter their s elf i sm-aace licm se number on the appropriate line. City or Town OfFcials Please be sore that the affidavit is complete:and prht!:dleg�bly. The Department has provided a space at the bottom of the afff dava for you fo fIl out in the evert the Office of Inver ins has to coact you regarding the applicant - of lease:be sure in fll in the pennTt/Iicemc m nber which wM be used as a refezcuce number In addition,an applicant that must submit mmliple p CMit/Hcense apphz2flons in any given year,need only submit one affidavit indicating content policy h-Eb=nation Cif necessW)and under"Job Site Ad&ess"the applicant shoe-.ld writE"all locatians iz (caY or town)"A copy of the-affidavit that has be=officially stamped or madred by the city or town maybe provided to the - applicant as prooftbat a Valid affidavit is on file for fo±= permits or licenses_ Anew affidavit must be filled out each year. here a home owner or citizen is obtaining a Hcense or permitnotichbi dtn any business or commerci 'W al 4eatane (ie. a dog license orpermit to buoy leaves etc.)saidperson is NOT required to complete this affidavit The Office of Investig�ons would like to thank you is 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 umnbesr. T3-CaMMan I-ft of .chusfl-� - e�cif lnd�ak Acckd�nt� . Omcf--of tLiegQgafio.= 60Q Wn Stmd Tf,-L' 617-27-4909 QXt 4-€6 ar Fax 617 727 774 revised4-24-07 ma gpildia r - 1 oFZHE r Town of.Barnstable Building ]Department • �"�' Brian Florence,CBO 16 9 ���� Building Commissioner rED MA'1 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 -Property Owner Must Complete and Sign This.Section If Using A Builder . E I ,as Owner of the subject property hereby authorize _ to act on ray behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections a-te performed and accepted. Signature of Owner Signatute of Applicant Print Name Print Natne Date Q TORMS:OWNMRPERMLSSIONPOOLS Rev:10/17 1 V r?'11 VJL "LLA XX13 L94 RJiV �pFTHE Tpk, Building Department _ Brian Florence CBO r � Building Commissioner * BAMSTABLE. • v MASS. g 200 Main Street, Hyannis,MA 02601 1639.iOtEO Mpg° www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMIQWNER LICENSE EXEMPTION' Please Print DATE: JOB LOCATION: number street village ' "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: c4hown state zip code The current exemption for"homeowners"was extended to include owner-occunied.dwd lines 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. DEFINMON 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 responsib g permit.le for all such work performed under the buildin (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection•procedures and requirements and that be/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. MICHAEL SILVA 82 WALTON AV. HYAN N IS MA. 02601 508 245 2906 CS 106219 H.I.C. 175708 Jake Dewey Po Box614 Hyannisport Mass 02647 • Description :Replace windows @Snows creek apartment on left. remove windows and replace with new construction Harvey vinyl classic. replace trim with new p.v.c trim and sill outside and new sill with 21/2 casing In side.Windows will have grill In glass and new full screens. Prime and paint all trim inside and out.'Clean and remove all debris from site. Total labor and material$7500.00 Y to start rest when done • Michael Silva , Jake Dewey �� 3 8 Z- 1`7 t Ce �►� CAPE CO® INSU LATION l�;/] ri01A0Mi3 31AMt131 13AAYi0AM Jyi�IND10[IIIIN0 IATTi OUTTIAS INS ULA310N / 1-800-696=6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: (II, I zo� b Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation,�-rj b. perfor-i ed completed the insulation and weatherization work at the property listed be ow. Capee,Cod Insulation did this in accordance to the specifications listed on the building permit{ = (D application, All work has been inspected by a certified Building Perforrnailce Insti_Eute •(BPI) inspector. All work preformed meets or exceeds Federal & State Requiremeis. 3 27-012 r. Qwner Propert Address Villa . Lin bc, Roa\e q0 5(�0ks6 CCZ='4. Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings (k ( ) (30) Slopes ( ) ( ( ) ( ) ( ) Floors Walls Divero�/ 6VOr k Sincerely �►�� Se0.\"�°, H ry-E ssi r, President pe C Ins ation, Inc. Z- t7 — A�P CAPE COD INSULATION 9/1A 01AII 31AMtflf Sl1AYPoAM susr111o17 IATif OVI?LM IHIUl1ilOM C111i170/ 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: 1 t 1b 2b (o Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation;hie, perfo=ri3ned completed the insulation and weatherization work at the property listed below• Cape Cq:d Insulation did this in accordance to the specifications listed on the building permit, application, All work has been inspected by a certified Building Perforn-:ance Institute ' (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. 5-6 PY•operty Owner Pro ert Address Village �" 3-1 L.ra� he Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings (X ( ) (30) Slopes Floors Walls Gvo r /7er)elo r t-real Sincerely 2CHrE ssi r, President Ins ation, Inc, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map-301 Parcel I I Application # �� Health Division Date Issued L Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis BUILDING DEPT. Project Street Address - fcla w Ceto-e-X /2 DEC 30 2016 Village TOWN OF BARE STABeE Owner o�L?s2 ,�p�1;�� Address Telephone 07 e73 7 7�,/Z Permit Request 4" .1''� �A��j.P /2}o v, ,O L�,01 i , Ase l �,� g� 8'/,,p �� , Ayfi,-- JV Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation J o a d , OConstruction Type 1ev"o-rJ 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 0 No On Old King's Highway: ❑Yes 0 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 new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name a�� �� >u�t�,� .rr0 Telephone Number Address jreell1dalffeg, �'�/! License # A4 G14 Home Improvement Contractor# /SJ ? S" 7 Email Worker's Compensation # f�zLJOI ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �o� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t� PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t _- FINAL BUILDING `.> DATE CLOSED OUT I' r ASSOCIATION PLAN NO. 1 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: 05-100988 Construction Supervisor.. HENRY E CASSIDY 8 SHED ROW T;IU.. WEST YARMOUfiH l/�--- Expiration: Commissioner 11/11/2017 Commissioner 1111112015 Office of Consumer Affairs and Business Regulation s• 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Co: t.rk'.tor Registration Registration: 153567 r I, Type; Private Corporation Expiration: 12/15/2016 Trg 25918a CAPE COD INSU'LAT,ION•, INC ;�'• HENRY CASSIDY 16 REARDON CIRCLE -- „ SO, YARMOUTH, MA 02664 Update Address and return card, Marl( reason for cha SCA 1 Address (] Renewal Employment �� Lost 6'� ?OM•05�11 ............_ c�//ie Waarr�raaluvaa•�C�Z o�C�/�GcvJdcro�tWe�l Office of Con�umc.r Affnlrs& Buslness Regulation Lloense or registration valid for Indlvldul use only OME IMPROV MENT-CONTRACTOR before the expiration date, If found return to, e91stratlon: 'h:'53567 Type: Offlee of Consumer Affairs and Business Regulation xplraUon; ...� 1:45120,16 Private Corporation 10 Pak Plaza ^Suite SJ 70 ?^. Boston,MA 02116 CAPE COD INSUTAfa' ;N';:;INC HENRY CASSIDY 18 REARDON CIRCLE'"', ' ';; ,.•'.° � ,� S0.YARMOVTH,MA 026t?4 rts N valid wl e I The Commonwealth of Massachusetts Department of Industrial Accidents . ..:.. .... . Office of Investigations 600 Washington Street >; Boston, MA 02111 x ,+ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ( x,/ Address: \L,0 0 V1 LAV61 ' City/State/Zip: mq�,a 'l ti Phone #; Are.you an employer? Check th appropriate box: Type of project (required): 1-4 1. ,I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time): have hired the sub-contractors 6. ❑ N.11 ew construction 2:❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. .❑ Demolition working for me in any capacity. employees and have workers' insurance.t 9. ❑ Building addition [No workers comp,comp. insurance p, required.] 5. ❑ We are a corporation and its 10:❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself, [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] c. 152, §1(4), and we have no employees..[No workers' 13. Otherm U la; 0 comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are dcing 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: gk '� L, V �wa" 11V b&, / Policy # or Self-ins. Lic. #: ��i 00 6 Expiration Date: i �✓ i . Job Site Address: J� �� Gl�s'G�L/ /� 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 insuraA coverage verification. I do hereby certify d the pai an penalties of perjury that the information provided above is true and correct. Signature: ` D/Vater i Phone#: 7 2 '7 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 (-nntart PPrcnn: Phone#: CAPECOD-27 BDELAWRENCE '4<7QR'o" CERTIFICATE OF LIABILITY INSURANCE P ATD/YYIY) 6/30/23012015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)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 CONTACT NAME: Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 c E t• ac Ne:(877)816.2156 South Dennis,MA 02660 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC If INSURERA:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER 8:ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,Inc. INSURER C 18 Reardon Circle INSURER D South Yarmouth,MA 02664 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEINSURED 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY) fMM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 7 OCCUR CBP8263063 04/01/2016 04101/2016 DAMAGE To REN PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PE L00 PRODUCTS•COMP/OP AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY A COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILYINJURY(Per accident) $ NON-OWNED PROPERTY DA AGE HIRED AUTOS AUTOS Peraccldenl $ 3 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR 11 CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION _ AND EMPLOYERS'LIABILITY YIN STATUTE EERH B ANY PROPRIETOR/PARTNER/EXECUTIVE WCE00431901 06/30/2015 06/30/2016 E.L.EACH ACCIDENT $ 1 OFFICER/MEMBER EXCLUDED? NIA ,000,000 (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ 1,000,000 If'' describe under DESCRIPTION OF OPERATIONS be ow E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ( CORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS, South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION, All rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD o� Town of Barnstable Rewdatory Services NAM �. Richard v.Scab,D:imtor ,exs` Building Division Tom Perry,buildiug Commissioner 200 Maia Street,Hymmis,.MA 02601 www town barnstable m&us Office: 508,862-4038 Fax: 508-790-6230 Property Owner Must Complete and-Sign This Section If Using—ABuilder- '-F ���4 �., ,as Owner of the subject propemy hembyaurhmize ('cx� �-.5�,Itid,1 to act on mybehalf, in au matters relatin to work authorized bythis buikhg Perna application for. i (Addiess•o *,*Pool fences and alarms are the respons ibility of the applicant. Pools are not to be.felled or utilized-before fence is installed:and all final inspections are performed and accepted. Y,41,ppfumof Owner Signatute of Applicant Fla ° Print Name nay Q:Folwts:oraarrtrsscor?oois Parcel Detail Page 1 of 3 y, btRSh" snr' i .,.: C.....,,.,...T.,. ,,,,._, ....,.� .. .. :::,_.:: r:.,j. ..w ,.i;.h ..,. ..,t,.-.�... ,,. ,.'.• ,.,zE1C. �,�.,w�ff�.w� b�f' Logged in As Parcel Detail Wednesday,December 30 2015 Parcel Lookup Parcel Info Parcel ID 307-211 -._._.—1 ��_____....._•__.. ..____.__._� Developer Lot FOT28 .. Location 40 SNOW CREEK—DR IV� Pri Frontage 80 f Sec Road OLD COLONY ROAD sec Frontage 75 Village:HYANNIS — Fire District HHYANNIS Town sewer exists at this address[Yes - Road Index 1500 f Interactive Map Owner Info _ Co- Owner m owner ROCHE, LIND ��A —1 Owner=€%DEWEY,~JACOB T __... .• _ __._� Streets PP0 BOX 614 ---j streetz m) city HYANNIS PORT state jMA J Zlp F0 47 i country Land Info .... ............ ....... ......... ........... ... . ...... ........................ ........... ..... __...... .. g ........ ......... .... Acres[0.27 use Two Family —� Zoning [RB N hbd 0106 Topography L@V@I Road Utilities P b Water,Gas,Septic� Location Construction Info Building 1 of 1 Year Roof ble/Hi Built Struct rGa p Wall all�,°W ood Shinle g-� Living 1760 f Roof As h/F GIs/Cm J ^ AC None �» Area Cover p p Type: Style Duplex wallIn Drywall n Rooms 14 Bedrooms Model Residential I"c Hardwood Bath 1ff2'Fu►1-0 Half J Floor m Rooms R Grade Average ) Heat Hot Alr -- Total Total 8 Rooms .wN,f Type Rooms Stories 1 Story Heat Gas Found- Poured Cone. Fuel .,,,,:�.��»»�»> anon �.,r.,��..a�� Gross 3600 Area Permit History Issue Date Purpose jPermit# Amount Insp Date Comments Visit History _ Date Who Purpose 10/28/2015 12:00:00 AM Pamela Taylor In Office Review http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=24757 12/30/2015 Parcel Detail Page 2 of 3 3/19/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 6/15/1988 12:00:00 AM IML Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 9/15/2006 ROCHE, LINDA C181103 $0 2 11/10/1969 LODA, WILLIAM P C47190 $0 3 10/9/2015 DEWEY, JACOB T C207601 $265,000 Assessment History Save Building Total Parcel # Year Value XF Value OB Value Land Value Value 1 2015 $115,400 $33,400 $0 $128,400 $277,200 2 2014 $115,400 $33,400 $0 $128,400 $277,200 3 2013 $115,400 $33,400 $0 $133,600 $282,400 4 2012 $115,400 $33,200 $0 $128,400 $277,000 5 2011 $139,400 $0 $0 $128,400 $267,800 6 2010 $139,100 $0 $0 $130,500 $269,600 7 2009 $193,700 $0 $0 $153,200 $346,900 8 2008 $190,300 $0 $0 $164,000 $354,300 10 2007 $188,900 $0 $0 $164,000 $352,900 11 2006 $181,700 $0 $0 $164,000 $345,700 12 2005 $176,400 $0 $0 $130,600 $307,000 13 2004 $142,600 $0 $0 $111,000 $253,600 14 2003 $77,500 $0 $0 $29,600 $107,100 15 2002 $77,500 $0 $0 $29,600 $107,100 16 2001 $77,500 $0 $0 $29,600 $107,100 17 2000 $70,700 $0 $0 $25,600 $96,300 18 1999 .$70,700 $0 $0 $25,600 $96,300 19 1998 $70,700 $0 $0 $25,600 $96,300 20 1997 $77,700 $0 $0 $22,400 $100,100 21 1996 $77,700 $0 $0 $22,400 $100,100 22 1995 $77,700 $0 $0 $22,400 $100,100 23 1994 $69,100 $0 $0 $25,900 $95,000 24 1993 $69,100 $0 $0 $25,900 $95,000 25 1992 $78,800 $0 $0 $28,800 $107,600 26 1991 $98,900 $0 $0 $41,600 $140,500 27 1990 $98,900 $0 $0 $41,600 $140,500 28 1989 $98,900 $0 $0 $41,600 $140,500 29 1988 $69,000 $0 $0 $26,500 $95,500 30 1987 $69,000 $0 $0 $26,500 $95,500 31 1986 $69,000 $0 $0 $26,500 $95,500 Photos http://issgl2/intranet/propdata/ParcelD,etail.aspx?ID=24757 12/30/2015 Parcel Detail Page 3 of 3 K r4 s. .v.b http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=24757 12/30/2015 i October 6, 2015 FROM: Ruth J. Weil, Town Attorney Town of Barnstable 367 Main Street Hyannis, MA 02601 (508) 862-4620 ' Ruth.weil@town.barnstable.ma.us TO: Jennifer Benzel US Bank Jennifer.benzel@usbank.com CC: dpir ,state.ma.us SUBJECT: Massachusetts REO Property Dear Ms. Benzel: US Bank has an REO property at'323 South Street, Hyannis MAJthat has been identified by the Distressed Property Identification and Revitalization Program of the Massachusetts Attorney General. We are writing to determine what your intentions are as to this property and when you expect it to return to productive use. You should also be aware that the town of Barnstable recently adopted an ordinance relating to vacant and foreclosing properties, Chapter 224 of the Code of the Town of Barnstable, a copy of which is attached. As it relates to above-referenced REO property, Section 2244B mandates that a mortgagee of a vacant property having taken possession or ownership of a property register the property with Barnstable's building commissioner and comply with the delineated maintenance requirements. You are not required to post a bond at this time. Please contact me by October 12, 2015 as to your intentions with this property, including a rehabilitation plan and estimated date of completion if your intention is to rehabilitate the property. Also, please provide proof of your compliance with Chapter 224 of the Code. Thank you for your prompt attention to this matter. We look forward to working with you. Very truly yours, Ruth J. Weil Town Attorney TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V l Parcel v A lication # 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 fr_ 4&1/ L'&,014h� Village A/J 6 eA 4,V/� Owner (2/2 ee 7_ d4,9 ay Address Telephone <Y'3 P' :7Y? 7 ¢--/* Permit Request Z,4<j 9 ,G 1�/� /2�G ����� lT��sy��/,•9��, r� 04 W77lc 3 P v,4� 1!Z9A-- All Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1 /,Oa o Construction Type�lvl_ i9xl:�Al 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 XNo On Old King's Highway: ❑Yes 0 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 new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: BUILDING DEPT. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# DEC 30 2016 Current Use Proposed Use TOWN OF BARNSTABLE APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name r,�o Telephone Number tirm 77 /2/ Address .1 Sr gsd'2,1e no License # ZP .0 Home Improvement Contractor# Email Worker's Compensation #lvC�'o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I d G� SIGNATURE 4e,z7 DATES%� FOR OFFICIAL USE ONLY . "APPLICATION# DATE ISSUED MAP/PARCEL NO. 4 r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Massachusetts Department of Public Safety Board of Building Regulation's and Standards L license; 05-100988 Construction 5upervi.sor.. HENRY E CASSIDY 8 SHED ROW x WESTYA ?t. r M:Q' 2 14 RMOU`fH ` l� Expiration; ' Commissioner 11/11/2017 Commissioner 1111112015 Office o us f Consumer Affairs and Biness Regulation a 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement CQr'ktor Registration Reglstration; 153567 ^R Type; Private Corporation Explrallon; 12115/2016 Tr# 259188 CAPE COD INSU'LAT,ION, INC HENRY CASSIDY -- 18 REARDON CIRCLE '! -- SO, YARMOUTH, MA 02664 Update Address and return card. Mark reason for chnm (�scn i Address Renewal Employment Lost �;> 2oM•osn t 07Xe c .......w vao.N,o�'C/l/lw�o«o/aooeG i a Ofllce of Consul Affnlrs& 13uslnus RcgulRtlon License or registration YRlld for Indivldul use only OME IMPROVtMENT CONTRACTOR before the explratlon dRte, If found return to; e91stratlon; 7:'53567 Type; Office of Consumer Affalrs Rnd Business Regulation j xplratlon;t.,1. G15120:16 Private Corporallon IQ Park PIRzR-Suite 5170 '' r• Boston,MA 02116 CAPE COO INSULAt:.b.N.';:1NC` HENRY CASSIDY 18 REARDON CIRCLE"', 8i � S0,YARMOUTH,MA 0204 ' ' UndersecrctnrY Tyfilld ut sign e 71 The Commonwealth of Massachusetts = Department of Industrial Accidents _- Office of Investigations ; 600 Washington Street ,s Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �,,,, �uwf tl x_/ Address: 0 A VfA 0 L46�� City/State/Zip:_�)OL�� QAlkrk tab PAA- Phone #: Are you an employer? Check th appropriate box: Type of project (required): l. ,I am a employer with_i 4, ❑ I am a general contractor and I employees(full and/or part-time),* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' .com insurance.1 9. ❑ Building addition [No workers comp, insurance p• required.] 5, ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3,❑ officers have exercised their I am a homeowner doing all work 11.7 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12•❑ Roof repairs insurance required.] ; c. 152, §1(4), and we have no p r, employees. [No workers' 13. Other i7 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 subcontractors and state whether or not those entities have employees. If the subcontractors 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. '1 Insurance Company Name: 1 r �� LOV/40 ` ip'3 1111_1 & , Policy # or Self-ins. Lic• #; ri 000` �1" l 6 Expiration Date: d/ i i Job Site Address:#.V U/6Gd l/Zt�Vr PI2 hAj1/W f City/State/Zip: lzvP --WA 6 ,g/ 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 insurarLd coverage verification. I do hereby certify d the pai an penalties of perjury that the information provided above is true and correct. Si nature: a Date: 14 y� Phone#: / Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2, Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other (nntart Percnn: Phone#: C' CAPECOD-27 BDELAWRENCE ACORO`° CERTIFICATE OF LIABILITY INSURANCE DATE 1 6/30/230/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 CONTACT NAME: Rogers&Gray Insurance Agency, Inc. PHONE FAX (g77)816.2156 434 Rte 134 E Alc No South Dennis,MA 02660 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC p INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURERB;ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,Inc. INSURER C 18 Reardon Circle INSURER D South Yarmouth,MA 02664 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE.INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YIYY MMIDD/YY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000 CLAIMS-MADE M OCCUR CBP8263063 04/0112015 04/0112016 PREMISES(Ea $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY A COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS AUTOS VNED PROPERTY DAMAGE AUTOS Per accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION OT AND EMPLOYERS'LIABILITY YIN STATUTE EERH B ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ WCE00431901 06/3012015 06/30/2016 E.L.EACH ACCIDENT $ 11000,000 OFFICERIMEMBER EXCLUDE( NIA , (Mandatory In under E.L.DISEASE-EA EMPLOYEE $ 1,000 000 If'yes,describe under � DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (),CORD 101,Additional Remarks Schedule,may be attached It more space Is required) Workers Compensation Includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS, South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION,'AII rights reserved, ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Town of Barnstable Regulatory. Services Richard'V.ScA Director Building Division Tots Perry,BuMug Commissioner 200 Main Street IIyanais,.MA M601 wires town.barnstableada.as OfEw. 5Q8-8 2-4038 Fax: 508-790-6230 Property Owner Must Complete and-Sign Zeus Section If Usin W-* der I. To,L ,as Owner of the,subject pmpercY hetebyauthorize to act an mybehA in-A matters mlotim to work authorized bythis Molding permit application for. 40 Sv►uw ��-�r". vca.+4IC MA ouol (Add=ss-OI J6b) T �— *,*Pool fences and a]a=are rJ1e respowlItg of the applicant Pools are not to be.fdled or utilized before fence is installed-and all.final inspections are performed and accepted_ S` n OvRner siviit=of Applicant riot:Name Punt Name X Daze Q:FoitMs:owrrw.ReMMsIoNPOOLS Parcel Detail ° _ �� Page 1 of 4 -6L I Logged In As: Pa I"Ce I Detail Monday, September 21 (� -�015 1- Parcel Lookup Parcel Info _ 1 � Parcela.� _�. Developer ID 307-211 Lot SLOT 28 �vl,C / Location 40 SNOW CREEK DRIVE M. ry � � PHa8~�� Frontage' Sec Sec Road SOLD COLONY ROAD ,,,..m I Frontage Village HYANNIS ( FireHYANNIS n District v �, Town sewer exists at this Road address=Yes Index Interactive Map Owner Info Owner ROCHE, LINDA co N — Owner Streetl 17 SINGINGWOOD DRIVE Street2 F —— � City State MA ° Zip 61830 country Land Info . Acres 0.27 Use Two Family Zoning[RB Nghbd 0106 � TopographyLevel .�,.�,�,�, ) Road Paved Utilities Public Water,Gas,Septic Location Construction Info Building 1 of 1 Year 1972 Roof Gable/Hip Ext Wood Shingle Built' Struct Wall Living 1760"" "`— Roof Cower Asph/F GIs/Cmp Tye None Area Bed Style Duplex �F.� Wall Drywall Rooms 4 Bedrooms Model IRes dential I Erdwood u.. Bath 2 FFull-0 Half Floor or Rooms Heat Total Grade iAve rag— e Type.Hot Air Rooms r8 Rooms Heat�°�°-�,H, ,,�.u��° Found- Stories I1 Story Fuel=Gas Found- ,„Poured Conc ation Gross http://issgl2/intrane't/propdata/ParcelDetail.aspx?ID=24757 9/21/2015 Parcel Detail Page 2 of 4 Area 36C Permit History Visit History Date Who Purpose 3/19/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 6/15/1988 12:00:00 AM ML Meas/Listed-Interior Access Sales History ..... ..................... ................. ....................... Line Sale Owner Book/Page Sale Date Price 1 9/15/2006 ROCHE, LINDA C181103 $0 2 11/10/1969 ILODA, WILLIAM P C47190 $0 - Assessment History Save Building Land Total Parcel # Year Value XF Value OB Value Value Value 1 2015 $115,400 $33,400 $0 $128,400 $277,200 2 2014 $115,400 $33,400 $0 $128,400 $277,200 3 2013 $115,400 $33,400 $0 $133,600 $282,400 4 2012 $115,400 $33,200 $0 $1287400 $277,000 5 2011 $139,400 $0 $0 $128,400 $267,800 6 2010 $139,100 $0 $0 $130,500 $269,600 7 2009 $193,700 $0 $0 $153,200 $346,900 8 2008 $1907300 $0 $0 $164,000 $354,300 10 2007 $188,900 $0 $0 $164,000 $352,900 11 2006 $181 ,700 $0 $0 $164,000 $345,700 12 2005 $176,400 $0 $0 $130,600 $3077000 13 2004 $142,600 $0 $0 $111 ,000 $253,600 14 2003 $77,500 $0 $0 $29,600 $107,100 15 2002 $77,500 $0 $0 $297600 $107,100 16 2001 $77,500 $0 $0 $29,600 $107,100 17 2000 $70,700 $0 $0 $257600 $967300 18 1999 $70,700 $0 $0 $257600 $96,300 19 1998 $70,700 $0 $0 $257600 _ $96,300 20 1997 $777700 $0 $0 $22,400 $100,100 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=24757 9/21/2015 f Parcel Detail Page 3 of 4 f21 1996 $77,700 $0 -$0 $22,400 $100,100 22 1995 $77,700 $0 $0 $22,400 $100,100 23 1994 $69,100 $0 $0 $25,900 $95,000 24 1993 $69,100 $0 $0 $25,900 $95,000 25 1992 $78,800 $0 $0 $28,800 $107,600 26 1991 $98,900 $0 $0 $41,600 $140,500 27 1990 $98,900 $0 $0 $41,600 $140,500 28 1989 $98,900 $01 $0 $41 ,600 s14o,500 29 1988 $69,000 $0 $0 $26,500 $95,500 30 1987 $69,000 $0 $0 $26,500 $95,500 31 1986 $69,000 $0 $0 $26,500 $95,500 Photos ..............................................................................._..........................................__.................._..._......_.__.___. ._.__._................__................_.................._.........._...__.........._._..........................._ ......................................................................................................... _....._....... c r� `y. i w a' a http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=24757 9/21/2015 Parcel Detail Page 4 of 4 a http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=24757 9/21/2015 aERTY ADDRESS S ZONING I DISTRICT CODE SP-DISTS. DATE PRINTED I STATE I pCS I NBMDPARCEL IOFNTIFICATIQN 0040 SNOW CREEK DRIVE 07 CLASS KEY NO. ADJUSTMENT FACTORS LAND/OTHER FEATURES DESCRIPTION RB 400 07HY 07/09 95 1U41 JO 6 1. 19O1h LanO B/Dale - _ Y a:eDPmensron v UNIT 'ADJ'D.UNIT I . CD. FF-D¢ mv lAes LOC./YR.SPEC.CLASS ADJ. COND. PE PRICE PRICE ACRES/UNITS VALUE Description L 0 D A W I LL I AM P MAP_. 10 .18LDG_SIT 1 X .27 =10c 237 34999.9 82949.9 .27 22400 #LAND 1 2 2:4 0 Q CARDS IN ACCOUNT — #BLDG(S)—CARD-1' 1 77.700 01 OF 01 BATHS 2.0 U X #PL 40 SNOW CREEK COST 100100 C= 100 7000.6C 7000.00 1.00 7000 J #DL LOT ' 28MARKET 95500 A #RR 1500 0080 1144 0075 INCOME #SR OLD COLONY ROAD USE 0 *90PO325—EP1 — WILLIAM LODA APPRAISED VALUE J. 1000100 U PARCEL SUMMARY S AND 22400 T L DIG S 77700 M —IMPS EI TOTAL 100100 N IN CNST I DATE R ToaRE I . PRIOR YEAR VALUE eaoS .9�1 . Yr LAND 22400 C47190 ;j0/00 LOGS 77700 OTAL 100100 BUILDING PERMIT Dale Artqunl LAND LAND—ADJ INCOME SE SP-FLDS FEATURES 6 L D—A DJSI UNITS. Number Type 22400 7000 Class Const. Tolai Base Rate 'Atl.Rate cV1�eayr Built Norm. Obsv. - Uni15 Units I A 1 1 419 Age D¢pr COntl CND LOc A9 R G Repl OOsI New Atll Repl V¢Ip¢ $l�r Height Rooms Rma.Balna aFia. Parlywall F.c. - 02C OL)0 1OO 1DO 58.20 58.20 72 75 19 80 90 70 111062 777UJ 1 .Da pp E 4 2.0 `8_0 '— cripnon Rale Square Feel Rep, os.Ct MKT.INDEX: 1.00 IMP.BYIDATE. MIL 6/8 8 SCALE. 1100.75 ELEMENTS, CODE CONSTRUCTION.DETAIL 100 58.20 1760 102432 GROSS .AREA 1760 TWO FAMILY DWELLING CNST GP:00 tuH 35 20.37 80 1630 *----------.-----------60---------------- * STYLE ----' -- -_--- ---- -17DUPLEx - --- 0.0 . DESIGN- ADJ'AT OG p_p -- - ------------ ---==----------------- ! EXTER.;JALLS 11 JOOD SHINGLES 0.0 HEAT/AC TYPE 11GAS—WARM AIR O.D --- Ttti7ER.FINI-- 04D`RYWALL 0.0 !! IN7ER.LAYOUT J2AVER./NORMAL 0.0 BASE 30 I NT :1.1]UALTY J2"AME AS EXTER_ ;D_0 32 FLOJR S7RUCT UZJD JOIST/BEAM 0.:01 7 W!, ! E LOOK COVER J1 ARDV00D ---- O:OI Total Ar¢aa Ap: 30 Base. 1 76 0 ! - - ---- ----- ----...- OOF TYPE O1 ABL"c—ASPH SH O.0 "- BUILDING DIMENSIONS - � � � -- -- - - - ------ --- r BAS ii2O -N04 W20 FOP SO4 E20 N04 ! #______2D______* ; LECTRICAL U14VERAGE D�0 4 W20 .. BAS S06 W20 N32 E60 'S30 FOUNDATION J1OURED CONC 99.9 4 FOP 4 - - -------- .. -- - *------2D------*------20------X - -- ----- ----- -- -- ----------- NE.If,HBORH00D 61AC HYANNIS LAND TOTAL MARKET PARCEL 22400 100100 AREA 2848 VARIANCE +0 +3414 STANDARD 25 i - _ I t 1 Parcel Detail Page 1 of 3 1 e - IN �G P Logged In As: Wednesday, Dece,n.b r„�� ��� Parcel.Lookup Parcel Info Parcel ID 307 211 Developer LOT 28 Lot Location 40 SNOW CREEK DRIVE Pri Frontage 80 Sec Road OLD COLONY ROAD' W_ ,,,._,.: _. .:._ ._.__-- Sec __ .."__R A -Frontage ,75 ......... ........ .......... ..... ._... ..._ Village i HYANNIS Fire District HYANNIS .................................... ............ ...... ..........................._..._ ..- .......... Sewer Acct 3625 Road Index,1500 _.. ... _. r� m Interactive r Map a a Owner Info owner LODA, WILLIAM P Co-owner.%ROCHE, LINDA C ......... ....... __...... Streets '17 SINGINGWOOD DR Street2 City HAVERHILL State,MA Zip,01830 Country US Land Info .. .......................... Acres iO.27 Use Two Family Zoning RB Nghbd 0106 Topography Level Road Paved .: ., _. :. , ... . .. ..,., Utilities!Public Water,Gas,Septic Location Construction Info Building I of. Year Roof ..a Ext 1972 Gable/Hip . Wood Shingle Built - Struct Wall ` Effect Roof j � AC` Area 2075 _ Cover;Asph/F GIs/Cmp� Type None .... Bec Style Family Duplex Wall;Drywall 1 Rooms 4 Bedrooms Int Bath Model !Residential Floor Rooms 12 Full _.._.... Grade Average TYPe;Hot Air Rooms;8 Rooms Parcel Detail Page 2 of 3 Stories 1 Story Heat Gas 1 Found Poured Conc. Fuel{ 1 ation Permit History __m.._.._` _... ... ..........._. _._.._.__... .. . .___.... Issue Date Purpose Permit# Amount Insp Date Comments Visit Date Who Purpose 3/19/2002 12:00:00 AM Paul Talbot Meas/Listed 6/15/1988 12:00:00 AM ML Sales History ...... ......... .......... ......... ........... .. Line Sale Date Owner Book/Page Sale P 1 LODA, WILLIAM P C47190 Assessment History _ ..Save#__._ Year Building Value XF Value OB Value Land Value Total Parce 1 2006 $181,700 '$0 $0 $164,000 2 2005 $176,400 $0 $0 $130,600 3 2004 $142,600 $0 $0 $111,000 4 2003 $77,500 $0 $0 $29,600 5 2002 $77,500 $0 $0 $29,600 6 2001 $77,500 $0 $0 $29,600 7 2000 $70,700 $0 $0 $25,600 8 1999 $70,700 $0 $0 $25,600 9 1998 $70,700 $0 $0 .. $25,600 10 1997 $77,700 $0 $0 $22,400 11 1996 $77,700 $0 $0 $22,400 12 1995 $77,700 - $0 $0 $22,400 13 1994 $69,100 $0 $0 $25,900 14 1993 $69,100 $0 $0 $25,900 15 1992 . $78,800 $0 $0 $218,800 ; 16 1991' $98,900 $0 $0 $41,600 17 1990 $98,900 $0 $0 $41,600 Parcel Detail Page 3 of 3 18 1989 $98,900 $0 $0. $41,600 19 1988 $69,000 $0 $0 $26,500 20 1987 $69,000 $0 $0. $26,500 21 1986 $69,000 $0 $0 $26,500 Photos S ROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED STATE I CLASS I PCS I NBHD PARCEL IDENTIFICATIQNKEY NO. 0040 . SNOW CREEK DRIVE 07 RB 400 07HY 07/09/95 1 41 . 00 61AC 219016 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT 'ADJ'D.UNIT Land By/Dale S"D�menawn LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description L OD A. W I LL I AM P MA P- cD FF.De n/Area #LAND 1 22,400 CARDS IN ACCOUNT - 10 1BLDG.SIT 1 X .21 =10 237 34999.9S 82949.99 22400 #3LDG(S)-CARD-1 1 77.700 01 OF 01 ! #PL 40 SNOW CREEK COST 100100 BATHS 2.0 U X C= 100 7000.00 7000.00 1.00 7000 d #DL LOT 28 MARKET 95500 #RR 1560 0080 1144 0075 INCOME A #SR OLD COLONY ROAD USE *90P0325-EP1 - WILLIAM LODA APPRAISED VALUE D100.100 U PARCEL SUMMARY 22400 T LDGS 77700 -IMPS M TOTAL 100100 Ei N CNST N DEED REFERENCE ATE Type PRIOR YEAR VALUE PagInt Yr.iOI S.lea Prm AND 22400T eoow SI i C47190 60/00 LDGS 7770C 1 OTAL 100100 i BUILDING PERMIT Number Dete Type Amount LAND LAND-ADJ INC ME SE SP-BLDS FEATURES BLD=ADJS UNITS 22400 7000 Consl. TOIaI Year Built�a Norm. Obay. Class Units Units Base-Rate Adl.Rate Ac1� TIY Age Depr. Con d. CND L- 4D R G Repl Cpal New Atll ReDI Value Slpries Maigbl Rooms Rm! Ba!ba I'Fir,. PMy..11 F_c. 02C 000 100 100 58.20 58.20 72 75 19 80 90 70 111062 77700 1.0 8 4 2.0 8.0 caption Rate Square Feet Repl.Cost MKT.INDEX: 1.00 IMP.BY/DATE. ML 6/8 8 SCALE: 1/0 0.7 5 ELEMENTS CODE CONSTRUCTION DETAIL 100 58.20 1760 102432 GROSS AREA 1760 TWO FAMILY DWELLING CNST GP:00 35 20.37 80 1630 *---------------------60--------------------* STYLE _ 17DUPLEX 0.0 ! ! DESIGN ADJMT 0G _______________ __ 0.0 ! ! EXTER.W ALLS Ii_JSO D SHINGLES 0.0 EAT/AC TYPE 11GAS-WARM AIR 0.0 ------ --- ----------------------- ! INTt,.F.INI3H 04DRYWALL 0.0 ! INTER.LAYOUT 12AVER./NORMAL 0.0 - -- - ----------------- ! BASE 30 ILNTIER.1- ALTY 02"AME AS EXTER_ 0.0 ------------ 32 ! FLOOR STRUCT 02r1D JOIS_T/BEAM 0.01 W! ! E LOOR_ COVE_,_ _iJ AR66bb_ 0.0 D 80 Baae_ 1760 ! ! OOF TYPE 01 A8L"c-ASPH SH 0.0 Tola!Areas Au• -------- 0.0 E ---- -- -- - i Vif BUILDING DIMENSIONS ! ! L E C T R I C A L 01 V E R A G E __ __ _______________ _ BAS W20 N04 W20 FOP SO4 E20 N04 ! *---- 20------* ! FOUNDATION 01 OURED CONC 99.9 W2J .. BAS S06 W20 N32 E60 S30 ! 4 FOP 4 ! ------------- - -- - ---------- I ---- - -------- -- - - ----------------- ! *------20------*------20------X NEIGH80RHOUD 61AC HYANNIS L *------20-----* I LAND TOTAL MARKET PARCEL 22400 100100 AREA 2848 VARIANCE +0 +3414 STANDARD 25 Parcel Detail Pagel of 3 77 Logged In As: Parcel eta I Wednesday, Decemb Parcel Lookup Parcel Info .................................................. ......... .. ...... . ......... .. ................................................. . Parcel ID 307-211 Developer LOT 28 Location 40 SNOW CREEK DRIVE Pri Frontage 80 OLD COLONY ROAD sec Sec Road Frontage 75 ............... ... ............ Village i HYANNIS Fire District HYANNIS ....................... .............................. ...... __ Sewer Acct 3625 Road Index 1500 Interactive Map I� Owner Info . . .......... ..... o_. ....... ....... Owner LODA, WILLIAM P Co-Owner; /oROCHE, LINDA C ......... ................................. ....... Streetl 17 SINGINGWOOD DR Street2 ......:............ �_ �_.... v.. .... City'HAVERHILL State;MA Zip;01830 Country US Land Info ........... ......... ......... ...................................... ......... .......... Acres i0.27 Use Two Family Zoning RB Nghbd 0106 .....m.. _ ._.. .... .......... __ ...... _ :: .. Topography(Level Road Paved Utilities Public Water,Gas,Septic Location Construction Info Building 1 of 1 g YearIt 1972 S Roof.Gable/Hi Ext lWood Shin le Built truct; - p Wall Effect l_ _._._....-.._._. Roof -. ..._ 2075 As h/F GIs/Cm AC None Area ; Cover# p p Type Style Family Duplex Wall lDrywall Rooms;4 Bedrooms BathModel =Residential I Rooms 2 Full Fl000 rr Rooms 1-leat Total Grade jAverage Type Hot Air Rooms i8 Rooms http://issql/intranet/propdata/ParcelDetail.aspx?ID=24757 12/13/2006 Parcel Detail Page 2 of 3 jl; irk 3�1d333Y a 3 3l�. i1 ff3333l�33 3�3, ... ......... .................. 3 Stories 1 Story Heat=Gas Found- Fuel ation Poured Conc. ff Permit History Issue Date Purpose Permit# Amount Insp Date I Comments Visit History.......__ __ .._...... .........._ __..... Date Who Purpose 3/19/2002 12:00:00 AM Paul Talbot Meas/Listed 6/15/1988 12:00:00 AM ML - Sales History Line Sale Date Owner Book/Page Sale P 1 LODA, WILLIAM P C47190 - Assessment History,...... _ ._._._..._ Save# Year Building Value XF Value OB Value Land Value Total farce 1 2006 $181,700 $0 $0 $164,000 2 2005 $176,400 $0 $0 $130,600 3 2004 $142,600 $0 $0 $111,000 4 2003 $77,500 $0 $0 $29,600 5 2002 $77,500 $0 $0 $29,600 6 2001 $77,500 $0 $0 $29,600 7 2000 $70,700 $0 $0 $25,600 8 1999 $70,700 $0 $0 $25,600 9 1998 $70,700 $0 $0 $25,600 10 1997 $77,700 $0 $0 $22,400 11 1996 $77,700 $0 $0 $22,400 12 1995 $77,700 $0 $0 $22,400 13 1994 $69,100 $0 $0 $25,900 14 1993 $69,100 $0 $0 $25,900 15 1992 $78,800 $0 $0 $28,800 16 1991 $98,900 $0 $0 $41,600 17 1990 $98,900 $0 $0 $41,600 http://issql/Intranet/propdata/ParcelDetail.aspx?ID=24757 12/13/2006 Parcel Detail Page 3 of 3 18 1989 $98,900 $0 $0 $41,600 19 1988 $69,000 $0 $0 $26,500 20 1987 $69,000 $0 $0 $26,500 21 1986 $69,000 $0 $0 $26,500 Photos http://issgl/intranet/propdata/ParcelDetail.aspx?ID=24757 12/13/2006 Town of Barnstable *Permit# _ 00766772 Expires 6 months from issue date X-PRESS PERMIT Regulatory Services Fee 3.S`t F3 Thomas F.Geiler,Director FEB 12 2007 Building Division e Tom Perry,CBO, Building Commissioner TOWN OF BARNSTA �. 200 Main Street,Hyannis,MA.02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number Property Address Ci A -I �p� Residential Value of Work C/ / / L,- Miniqlarn fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number H6me Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 90 Gf/ kWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Co ensatio sur ce Insurance Company Name Workman's Comp.Policy# 315— S4 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Pg,Re-roof(stripping old shingles) All construction debris will be taken to 14�W4M &41)9� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro Owner must sign Property Owner Letter of Permission. py of the H p ement Contractors License is required. SIGNATURE: Q:Forms:expm g Revise06130 The Com»ionyVeaXth ofMassachusetts n- Department aflndustrial Accidems 'Office pflrivestigations 600 Washington Street . Boston,IPM 02111' ' V)i W.mas . e }C sgov/die , Work rs onipensat'on Insur,mce,Affidavit:.Biiilderg/Cohlractors/Eleetrician Applicant Information on/lndi Zo Please PriittLe Name(Business/org 1 amyati vidual, • ' •AdcIress: • • a •�� City/State/Zip: Phone.#:- G 4:�, 5 Are you anePto erTChee e appropriate propriaten box; 1;01.am a employer with 4. I am a general mitractor and I :Type of piojeet(required)'- employees (full R.d/or part time),* have hired the slab-contractors 6 ❑New construction . 2.0 I am a'sold piopri.etor oz gartaer= listed on the'attached sheet; 7. []Remodeling ship•audhave no employees These sub-contractors have working for and in any capacity, employeeo and have Walkers, 8• ❑Demolition;. [No workers'comp,insimz tce comp,insurance.$' 9• D 134d mg addition regained.] 5: [] Wo are a.porporation and its 10•[]'•Electricalrepairs or addtions `3�—I-earn homeownerdoing a71:y,�ozk - officers-have exercised their myself,[No workers,comb, right df exemption per MGL' 11.❑Plumbing repairs or additions insurance,required,]t c.152, §1(4), and wehaveno 12.(]R9ofrep*s employees, [No workers' ..u.-[] other ' goump,insurance required,] *Any applicant that checks box#1 must also Tilt Cut the section below showing thcir workers'comp ensation policy infom�atioo, t Homeowers,who submit this affidavit indicating they are doing all woik and then hire outside contractors must submit a.new a>$davitindicatin em employees. Ifthesub-contraatorsbav etors that check this box must attached in additional sheet shaving tbename of the pub-contractors and-state whether ornotthose entities ha e� emplaya t#loyees,theymustprovidb thak workers,comp.poli ynumber. I ani an employer,that is providing workers'co ensatian fnsurance for my employees. Below is the policy and ob s't tnformatian. 3 a e Tnmrance Company Name: Policy#or Self-ints,Lic.#;• J?5� � �— ExpirationDate: �Tob Site Address' 7' h City/State/Zip: �IG � Attach a copy of the Workers' cgmpensation Policy declaration page'(shoy ing the policy n and e Failuze,ta secure coves a as re expiration date); g quired.under Section25A•of*M(3 ,c. 152 canleadto the impos nn of on e fine tip '$ 50.0 a.d and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK. p a and a fine of up to$250.00 a day against the violator, Be advised that a•c Investi ations of the bIA for insure pe coves e verification SPY of this statement may b e forwarded to tile•Office of I do hereby.cerd under thepains s u f pet! that the information provided above is true and colrect. Si fora: D �� / ate; Phone#, 6 7 Offzctal rise only. Do not write in thls area,to be completed by,city or town 0,jkfaC City or Town: ' .Perrrdt/LICense# _ Issuing Authority(circle one):' .1,Board of Health 2,Building Department 3., City/Town Clerk 4,Ele .6,Other ctrical Inspector 5. Plumbingpeefor Contact Person: Phone# ' Massachusetts Genefal'Laws chapter.152 requires all employers to provide workers' compensationfor their employees. Pursuant to this statute, an employee is defined as"...every person in.the service of another under any contract of brie, express or implied, oral or written." An employer is defined as"an indiyidual,partnership,association, corporation or other legal entity,or any two or morn 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 tbree apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do mair;tenanca,construction or repair work on such,dwelling house or onthe.grounds or building appurtenant thereto shall'not because of such employmentbe deemed to be an.employer." IZOL 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 produced.aeceptable evidence of compliance with the insurance coverage required.". Additionally,MGL chapter-I52,§25C(7)states"I Ieithe=the comm pnvrealth nor any of its political subdivisions shall enter into any contract for.thb perf=aAce ofpablia.workuntil aceeptablp eviilensa-ago rfce�itls a in anco requirements of this chapter have been presented'to the contracting authority.." Applicants 1 Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,it necessary,supply sub-eonti•actor(s)name(s),address(es)and phone number(s) along with their cortificate(s) of , insurance. Limited Liability'Companies'(LLC) or Limited Liability Partorships,(LLP)withno'employees other than the members'er partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have e. mployees,a policy is required. Bp advised that thus affidavit may be submitted to the'Dep'artftnnt of Industrial ' Accidents for confirmation ofinsuranca 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 pennit.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' comp ensation'policy,please call the Department at the number listed.below. Self-insured companies should enter their . self-insurance license number onthe appropriate'linb — City or Town.Officials { Pleaz.e be sure that the affidavit is'complete'and printed legibly. The Department has provided a spaeq 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 fin in the permit/license number which will be used as a reference number: In addition,asa applicant that must submit multiple permit/license applications in any given year,aced only submit ono affidavit indicating current policy information,(if necessary)and.under"Job Sife Address"the applicant should write"all loczaons in�_(city'or town)."A ebpy of the affidavit thot.has been officially stamped or markedby the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit mustbe filled out each year.Where a home owner or citizen is obtaining a license or permit not relatedfe any business or commercial.venture (i.e. a dog license orpermittobumleaves•eto.)saidperstm 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-9ny questions, please'do,not hesitate to givens a call The Department's address,telephone-and fax numben. WHO Of lamest 4ow �00 wash,ington s � Revised 11-22-05. Fax#617- 7-7749 o � Town'of Barnstable ]regulatory Services 9T'STABLA $ Thomas F:Geiler,Director Fc►A� wilding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ffice:. 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 m7 behalf, in all matters relative to work authorized b7 this building permit application for: (Address of Job) Signature of Owner Date Print Narne Q:FORMS:OVTNERPERMIS SION } k�q� � •` x.f 1���.a - - ', GTl� -�oninzo.zcuea�t o���aaaac%rsaelta � " BOARD OF BUILDING REGULATIONS i / License* CONSTRUCTION SUPERVISOR Nwmb .��, 090414 Bpi 59 OS Tr.no: 90414 Rta� I C LARRY J LEBLANz, 21 WIN GATE ST M %� a HAVERWELL, MMA 01'8 N .�amnna,� ! Building Regulations and standards I; I Board of g �1OME IMPROVEMENT CONTRACTOR RegistjaUon 135829 xp►wfijo 5/14/2008 7YPe tnividual i !t LARRY LEBLANC y LARRY LEBLANC 21 WINGATE ST.10,04 Deputy Administrator HAVERHILL,MA 01831 1 LEBLA C AND SON F.O. BOX 5389 iJ 5RADFr)RG, PA 018 3 5 pp b,a (978) 556 9440 (978) 869-6575 CE'..L Lip. #CSa9s414 Reg. #113 r82S PHONE ,�„' ,' I DATE � � PROPOSAL E°�b ",.. 'Z (T ",Af • 11 / r JOB NPM STREE . a a jG' 2J 1fZj�._ G -vy7�l � �iB✓'XL sue"'_ JOB LOCA7' CITY,STATE JOB PHONE an Z _. Ij I - DATE OF PLANS ARCHITE We hereby scbm!t specifications and estimates fur: -_ol i, i We Pfopoo�`e� eyeby f6�fUrnish m e"I Vd labor—cp j pie j n a�sord54,_,4uith above specifications,for the sum of: dollars($ ). Payment to be less _ r741 All material is guaranteed to be as specified.All work to completed in a workmanlike Authorized manner according to standard practices.Any alteration or anon from above specifications Signature - involving extra costs will be executed only upon written ders,and will become an extra N This Proposal may be charge over,an" above the estimate.All agreements contingent upon strikes,accidents or days. withdtawn us If nqt accepted within delays beyond our control.Owner to carry fire,tornado and other necessary insurance.Our /' workers are fully covered by Workman's Compensation Insurance. Proposal — above prices,specifications Acceptance of Prop f / accepted.You are authorized to do the Sgnature and conditions are satisfactory and are hereby work as specified.Payment will be made as outlined above. /D ? rM17 Signature Date of Acceptance: Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Map SizeME Zoom Out In 1 K JPG Map: 307 / f Location: 132503i7d31 #2a. Owner: CCL #14 w ' Location In 307213. Map & Parce 07214 i0 t #3 Location Acreage ,. " 325152 '3 3071$S 3072 2�: % #£r Current.Ovu #Q .: #4I „f Mailing Addi �` 307211 325I50 #40 #49 a t 325151 w4 #57 raised f 307210 Extra Featu r Out Building #37 325149' Land 3070z #43 �� Buildings � . 2b Total Apprai : Awl .. 7 � a 411 3251lk 4i 325147 � ... Assesse€3 ° 7 $ :f 25 33 Extra Featur P u� 325145 . �' 32514 a + s ', Out Building # 1 #21 Land Buildings Set Scale 1" = 105 I Aerial Photos Total Assess Copyright 2006 Town of Barnstable,MA All rights reserved.Send questions or comment: BarnstableMA V0.2.I tProduction I http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=3 07211 12/13/2006 Town of Barnstable Regulatory Services as MASS. Thomas F.Geiler,Director 9 Mass. � �A s6gq. �Et639. 1% Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 December 13, 2006 Mr. William Loda. 17 Singingwood Drive Haverhill , MA 02646 Re: Illegal Apartment: 40 Snow Creek Drive Hyannis, MA 02601 Map: 307 Parcel: 211 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincere y, Lin a Edson L- Amnesty Zoning Enforcement Officer Building Department gforms:zoning3 r 3 z U � 3 , Y 4. �d 3 � mt. WL 1 [ ] [R307 211 . ] LOC] 0040 SNOW CREEDRIVE CTY] 07 TDS] 400 HY KEY] 219016 ----MAILING ADDRESS------- PCA] 1041 PCS] 00 YR] 00 PARENT] 0 LODA, WILLIAM P MAP] AREA] 61AC JV] MTG] 0000 -ROCHE, LINDA C SPl] SP21 SP31 17 SINGINGWOOD DR UT11 UT21 . 27 SQ FT] 1760 HAVERHILL MA 01830 AYB11972 EYB11975 OBS] CONST] 0000 LAND 22400 IMP 77700 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 100100 REA CLASSIFIED #LAND 1 22 , 400 ASD LND 22400 ASD IMP 77700 ASD OTH #BLDG (S) -CARD-1 1 77, 700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 40 SNOW CREEK TAX EXEMPT #DL LOT 28 RESIDENT'L 100100 100100 100100 #RR 1500 0080 1144 0075 OPEN SPACE #SR OLD COLONY ROAD COMMERCIAL *90P0325-EP1 - WILLIAM LODA INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] C47190 AFD] LAST ACTIVITY] 12/08/93 PCR] Y R307 211 . • P P R A I S A L D A T KEY 219016 LODA, WILLIAM P LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 22, 400 77, 700 1 A-COST 100, 100 B-MKT 95, 500 BY 00/ BY ML 6/88 C-INCOME PCA=1041 PCS=00 SIZE= 1760 JUST-VAL 100, 100 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 61AC ----------------------------- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 224001 LAND-MEAN +0 1001001 74880 IMPROVED-MEAN +4°s 250-. ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/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 [?] R307 211 . P E R M I T [PMT] ACTIO [R] CARD [000] KEY 219016 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT RESIDENTIAL PROPERTY !' MAP NO. LOT NO. -/v-yZ FIRE DISTRICT SUMMARY 211 STREET SriOW Creek Dr, Hyannis H 3 7 LAND 30? 7 0, OWNER BLDGS. /[�LG TOTAL AA C LAND . RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot #ZH LC ��17595M BLDGS. ,oda, William P. 11 0 6 . 110 C f #4 71 TOTAL • LAND -972 S.t�OsJ /V`/�V"T7 BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND 0) BLDGS. TOTAL LAND BLDGS. O1 _ TOTAL •--1..+� �•.-. Ocdv s.Z.,. G-/Z,.')Z 'LAND -- INTERIOR INSPECTED: BLDGS. DATE: TOTAL LAND ACREAGE COMPUTATIONS BLDGS. AND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSI LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR O BLDGS. WASTE FRONT TOTAL REAR LAND 01 BLDGS. TOTAL LAND BLDGS. - LOT COMPUTATIONS FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND s ROUGH TOWN WATER (3) BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. LAND COST Cone.Walls Fin.Bsmt.Area Bath Room Base 2 S 7 6'O BLDG. COST Cone.Blk'.Walls Bsmt. Rec.Room ' St. Shower Bath Bsmt. .y Cone.Slab Bsmt.GaragePURCH. DATE St. Shower Ext. Walls PURCH. PRICE. 'Brick Walls Attic Ff. &Stairs Toilet Room Roof RENT Stone Walls Fin.Attic Two Fixt. Bath Piers INTERIOR FINISH Lavatory Extra Floors Bsmt.. 1' 2 3 Sink .a/ r/: % Plaster Water Clo. Extra Attie _ EXTERIOR WALLS Knotty Pine Water Only Double Siding Plywood No Plumbing smt.Fin. Single Siding Plasterboard Int. Fin. LV,,t�Shingles TILING Cone. Blk. G F P Bath Ff. Heat Face Brk.On Int.Layout Bath .&Wains. Z Auto Ht.Unit Veneer Int.Cond. Bath Ff.&Walls Fireplace zv ' Com.Brk.On HEATING Toilet Rm.F.I. Plumbing + 9H0 Zo Y Zo Solid Com.Brk. Hot'Air Toilet Rm.Ff.&Wains. zv Tiling Ste In Toilet Rm.Ff.&Walls Blanket Ins. Hot Water St. Shower Roof Ins. Air Cond: Tub Area Total DO Floor Furn. ROOFING COMPUTATIONS Asph.Shingle Pipeless Furn. /76 O S.F. 5-4 O . Wood.Shingle No Heat S.F. 6.130 Asbs.Shingle Oil Burner S. F. 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 3 4 5 6 7 8 9 10 MEASURE:! ;Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Well Found. 0.H.Door LISTED FLOORS RS Fireplace O Sgle.Sdg. Roll Roofing �� Cone.' LIGHTING Dble.Sdg. Shingle Roof `' `I Earth No Elect. DATE Pine Shingle Walls Plumbing / Hardwood ROOMS Cement Blk. Electric Asph.Tile Bsmt. lst84--8TOTAL 3 Brick Int.Finish �ED Single 2nd 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep• ACTUAL VAL. DW G. 11vW { — �13 !J Ie .3//O.2 .3//1:70 1 2 3 4 5 6 7 9 ._10, TOTAL TOWN OF BAIMNSTA 3 SDPO�SUPPLDMBNTASY/CONTI . ION REPORT NAME (LAST, FIRST, MIDDLE)�J�� DIVISION /ON" NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL !S ETC. 23 dry du4o� Qf 'i SUHNITTED HY "e- '- PAGE ! t9 r.:: <97 ' IBUILDIN —SE] 'ICES ' lx>� I.I.... BUILDING XX . ... .................... « <: ..... ....::....: .. . . ... .......:..:..:..: .::::..... . . ..... ........... .. :> w::>::::::::<:::>:W1VI. LODA M::::::::.::. 40>{` O CREEK DR. :: :.. :........ ....:.::. ...., . . :.::..:....:..:.:::::::...:.:.:..::::..::..:::..:..:.::.::.:..:::::::::: ........... RM��T :: aa ::>'::ZONING LEGAL????????? XX z< :::::::::::::>::::::::::::::::.::.....:.............:...:...:..........,,.... .................. .... .. ..... ...... :::::..:....;..;.::.;:. JmSEARCH I L�"c+ 1 j i v F Bef�fer Business d S 74e POTT R PR SS -- r ,.A... e�igner.4 and anulacturerj ol TABULATING AND TELETYPE FORMS CARBON INTERLEAVED SETS 515 SOUTH STREET WALTHAK MASS. 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