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HomeMy WebLinkAbout0046 WASHINGTON AVENUE ,4-- AUTIVE vN f o i t° #� 287--6�2. r �(o W�SftiNS,r�N �-�l�. ,, -� � i REGISTRATION AND CERTIFICATION FORM ;lei 0 3 A111410: I> FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224_,,m-x, ,„ � . sections 224-3 and 224-4. Please complete one form for each property in,forecagsure (section 224-3)or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information)and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney)so that the Town can review the exemption and update its records: N/A N/A Section 1 —Property Information Property Address:46 Washington Ave., Hyannis Port, MA 02647 Assessors Map#: M_299798_821035 Parcel#: 287-092 Land area and description Residential Area: 2,972 sqft Building(s)description and contents Building Style: Convential Number of Units: 0 Number of Rooms: 9 Occupied: 0 Occupant(s)(if borrowers so state and include name(s)) Borrower Head, Marcella (C/O Reverse Mortgage Solutions) Phone: 281-404-7870 email: tboudreaux@rmsnay.com other- N/A Vacant: N/A Date: Anticipated Length of Vacancy: N/A Last occupant(s))(if borrowers so state and include name(s)) N/A N/A Phone: N/A email: N/A other: N/A Has possession been taken No If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above)N/A N/A Section 2—Foreclosing PaM Information Foreclosing Party(full name/title) Reverse Mortgage Solutions Unknown Foreclosure Case Court: Docket# Unknown r Date filed: 07/03/2013 Current Status: Active Foreclosure Foreclosing Party's representative(s)for property(entry,management, repair, etc.)(name,title,): Alecia Passley Company(if different from foreclosing party): National Field Network Address: 4581 Route 9 North, Suite 100, Howell, NJ 07731 Phone: 732-276-5563 email: violations@nationalfieldnetwork.com other: N/A If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title, other: Teresa Boudreaux Company (if different from foreclosing party): Reverse Mortgage Solutions, Address: 2727 Spring Creek Drive, Spring, TX 75201 Phone(s): 281-404-7870 email(s): tboudreaux@rmsnay.com other: N/A Name,title, other: N/A Company (if different from foreclosing party): N/A Address: N/A Phone: NSA email: N/A other: N/A Attorney representing foreclosing party N/A , Firm name(if different from attorney's name): N/A Address: N/A Phone(s): N/A email(s): N/A other: N/A I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. 1S Date: D Name: Title: a 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 MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4,requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner,to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B)within thirty (30)days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30)days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4,please explain, leave the remainder blank,sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property 46 Washington Ave.,Hyannis Port,MA 02647 (1)Registration date: 03/10/2016 If not registered, please complete the registration form and state date of filing or anticipated filing N/A (2)If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated)N/A (if in possession or ownership must be certified as accurate twice annually in January and July). (3)Describe any hazardous materials on the property as that term is defined in MGL c.2 1 K and the date(s)and method(s)for removal as approved by the Fire Chief unknown (4)Method(s) and date(s)all windows and door openings secured(or will be secured) See Vacant Building Plan If left secured, name,address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property See Vacant Building Plan (5)Location(s).and date(s) "No Trespassing" signs posted or to be posted on the property See Vacant Building Plan (6)Name(s), address(es)and contact information of person(s)responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance" in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances see vacant Building Pian i (7)If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity,please state: Date of approval unknown Date(s)electricity turned off unknown on if applicable unknown Date(s)water turned off unknown on if applicable unknown (8)Name(s), address(es)and contact information pf person(s)responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances National Field Network-Alecia Passley 4581 Route 9 North,Suite 100,Howell,NJ 07731/732-276-5563/violations@nationalfieldnetwork.com (9)Name,address,telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A)(name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner National Field Network-Alexia Paseley 4581 Route 9 North,Suite 100,Howell,NJ 07731/732-276-5563/violations@nationalfieldnetwork.com (10)Date(s) certificate of liability insurance on the property filed with the Building Commissioner Attached (11)Date(s)cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply,a portion of which shall be retained by the Town as an administrative fee N/A (12)Date(s) scheduled for inspections with the Building Commissioner and Health Director, who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance (13)Date(s) when the property was sold, or is anticipated to be sold,to the foreclosing party. If neither,please explain SEE ATTACHED VACANT BUILDING PLAN 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. t S - Date: Name: Title: r i I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable NATIONAL FIELD NETWORK ASSET G U A R 0 1 A N S �~ Vacant Building Plan National Field Network will continue to maintain the property (securing, grass cuts, inspections, etc.) until the property is sold by the owner. Should you have any issues with this property, please contact National Field Network using the below contact information: Property Maintenance National Field Network-Alecia Passley Company 4581 Route 9,North,#100 Howell,NJ 07731 732-276-5563 x 481 , • 4 3 i OP ID:SW (V S U RA IV C E BINDER®E R DATE iMMIDDNYYY) I 5/1212015 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. AGENCY COMPANY BINDER 28157 York-Jersey Underwriters, Inc. Underwriters at Lloyd's,London 185 Newman Springs Road DATE EFFECTIVE THE DATE TIME TIME PO Box 810 X X Red Bank,NJ 07701 AM 12:01 AM Johnnie Rumbau h AX 05/08/15 12:01 PM 05/08/16 NOON arco,No,Ex,:732-842-2012 AIC,No:732-530-7080 THIS BINDER IS ISSUEDTO D`TEND COVERAGE IN THE ABOVE NAMED COMPANY CODE: SUB CODE: PER EXPIRING POLICY#: CUSTICMER ID:NATlON1 - DESCRIPTION OF OPERATIONSIVEHICLES/PROPERTY(including Location) INSURED National Mgmt&Pres.Svcs LLC Mortgage Field Services dba Natn'I Field Network 4581 US Highway 9 Ste 100 Howell NJ 07731 COVERAGES LIMITS TYPE OF INSURANCE COVERAGOFORMS DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS BASIC BROAD SPEC GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 UAMAULIU X CormIERCIAL GENERAL LIABILITY RENTED PREMISES $ 50,000 X CLAIMS MADE OCCUR - MED EXP(Any one person) $ X $10000 Deductible PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 RETRO DATE FOR CLAIMS MADE: 05/25/10 PRODUCTS-COMPIOP AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS - BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS MEDICAL PAYMENTS $ X NON-OWNED AUTOS PERSONAL INJURYPROT- $ UNINSURED MOTORIST $ - AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE COLLISION, STATED AMOUNT $ OTHER THAN COL OTHER GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACHOCCURREIJCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ - WCSTATUTORYLIMITS - WORKER'S COMPENSATION E.L.EACH ACCIDENT $ AND EMPLOYER'S LIABILITY E L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ SPECIAL Errors&Omissions$2,000,000(claims made)$10000 Ded.Retro Date 5-25-10 FEES $ CONDITIONS,Extended Personal Property$50,000 occ./$100,000 agg. OTHER TAXES $ COVERAGES ESTIMATED TOTAL PREMIUM $ NAME&ADDRESS MORTGAGEE ADDITIONAL INSURED ' LOSS PAYEE LOAN# AUTHORIZED REPRESENTATIVE ACORD 75(2004109) NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE ©ACORD CORPORATION 1993-2004 i p� p OP ID:SW INSURANCE BIN®ER DA511212015 MIDDNYYY) THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. AGENCY COMPANY BINDER# 28158 York-Jersey Underwriters, Inc. Underwriters at Lloyd's,London 185 Newman Springs Road EFFECTIVE EXPIRATION PO Box 810 DATE TIME DATE TIME Red Bank,NJ 07701 X AM X 12:01 AM ohnnie Rumbaucih 05/08/15 12:01 PM 05/08/16 NOON AIC,No,Ezt:732-842-2012 jplC,No):732AX -530-7080 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPA14Y CODE: SUB CODE: PER EXPIRING POLICY#: AGE ornER ID:NATIONI DESCRIPTION OF OPERATIONSWEHICLESIPROPERTY(Including Location) INSURED National Mgmt&Pres.Svcs LLC Mortgage Field Services For Fannie Mae dba Natn'I Field Network Only. 4581 US Highway 9 Ste 100 Howell NJ 07731 COVERAGES LIMITS TYPE OF INSURANCE COVERAGEIFORMS DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS BASIC BROAD SPEC GENERAL LIABILITY EACH OCCURRENCE $ -DAVAGL I r L) COMMERCIAL GENERAL LIABILITY RENTED PREMISES $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ j GENERAL AGGREGATE $ RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULEDA.UTOS PROPERTY DAMAGE $ HIRED AUTOS MEDICAL PAYMENTS $ NON-OWNED AUTOS PERSONAL INJURY PROT $ 'I UNINSURED MOTORIST $ $ AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE COLLISION' - STATED AN10UNT $ OTHER THAN COL OTHER GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: ' EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000 X UMBRELLA FORM AGGREGATE $ 2,000,000 OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: 05/08/14 SELF.INSURED RETENTION $ $10,000 WC STATUTORY LIMITS WORKER'S COMPENSATION E.L.EACH ACCIDENT $ AND EMPLOYER'S LIABILITY E L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ SPECIAL Errors&Omissions$2,000,000/$2,000,000(claims made)$10,000 Ded. FEES $ CONDITIONS/ R TAXES $ COVERAGES ESTIMATED TOTAL PREMIUM $ NAME&ADDRESS MORTGAGEE ADDITIONAL INSURED LOSS PAYEE LOAN# AUTHORIZED REPRESENTATIVE - ACC RD 75(2004/09)" NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE ©ACORD CORPORATION 1993-2004 i • OP ID:SW TE INSURANCE BINDER DA 511212015(MMIODfYYYY, THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. AGENCY COMPANY BINDER#28159 York-Jersey Underwriters, Inc. Underwriters at Lloyd's,London 185 Newman Springs Road DATE EFFECTIVE TIME DATE PO Box 810 TIME Red Bank, NJ 07701 AM 12:01 AM Johnnie Rumbau h 05108115 . HPM 05/08/16 HNOON AIc,No.Ext):732-842-2012 ac No):732-530-7080 THIS BINDER IS ISSUED TO E)(TEND COVERAGE 114 THE ABOVE NAMED COMPANY CODE: SUB CODE: PER EXPIRING POLICY 9. AGENCY CUSTOMER ID:NATIO N1 DESCRIPTION OF OPERATIONSIVEHICLESIPROPERTY(Including Location) INSURED National Mgmt&Pres.Svcs LLC dba Natn'I Field Network 4581 US Highway 9 Ste 100 Howell NJ 07731 COVERAGES LIMITS TYPE OF INSURANCE COVERAGEIFORMS DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS BASIC El BROAD I.SPEC GENERAL LIABILITY EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY RENTED PREMISES $ X CLAIMS MADE OCCUR MED EXP(Any one person) $ X Errors&Omissions - PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ $3,000,000 RETRO DATE FOR CLAIMS MADE: 05/08/14 PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS MEDICAL PAYMENTS $ NON-OWNED AUTOS - - - PERSONAL INJURY PROT $ UNINSURED MOTORIST $ AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES Lj SCHEDULED VEHICLES - ACTUAL CASH VALUE COLLISION: STATED AMOUNT $ OTHER THAN COL OTHER GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN AUTO OIJLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY - - EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ WC STATUTORY LIMITS WORKER'S COMPENSATION y E.L.EACH ACCIDENT $ AND EMPLOYER'S LIABILITY E L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ A.Information Security and Privacy Liability B.Privacy Notifications SPECIAL FEES $ CONDITIONS/Costs$50K Ded C.Regulatory Defence and Penalties$50K Ded D.Website OTHER Media Content Liability$50K Ded E.Cyber Extortion$50K Ded TAXES $ COVERAGES - ESTIMATED TOTAL PREMIUM $ NAME&ADDRESS MORTGAGEE ADDITIONAL INSURED LOSS PAYEE LOAN# " AUTHORIZED REPRESENTATIVE - �K ACORD 75(2004109) NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE O ACORD CORPORATION 1993-2004 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION - _ SEPTIC SYSTEUA r Permit# Map a87 Parcel 09� �- INSTALLED IN'C® ��� WITH Tin � Health Division 3 - 14ENVIRO gyENTAL :'Date Issued Conservation Division C TOWN REG U t ' Fee a P,1 Tax Collector -' Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ' Project Street Address Ll L -be,&�. ��dvk AU Village 14-1��r..z.,:Nk Owner 1�1 t l H Address I �=�f ti•�lt�, S+. �1 ��}v ►�/�-Uzi 1�I 4 Telephone !mac) -7 S S a C I Permit Request w Square feet: lst floor:existing Z `UU proposed 3"50. 2nd floor: existing `/U proposed o Total new, 3,30 Estimated Project CostoNiR 0 v Zoning District Flood Plain 'Groundwater Overlay Construction Type u,x j& ' Lot Size L/L/3 30 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family UK Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ®'No- Basement Type: EYFull 816rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft), Number of Baths: Full: existing . 3 new Half: existing / new — Number of Bedrooms: existing S new — Total Room Count(not including baths):existing new First Floor Room Count S .y , Heat Type and Fuel: ❑Gas ZrOil ❑ Electric ❑Other Central Air: ❑Yes Mlo Fireplaces: Existing / New Existing wood/coal stove: ❑Yes ErNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: sting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization Cl Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use r BUILDER INFORMATION Name_ - /%�` - . J Telephone Number ?:26' �7.0'0 Address License# 26671 A4 Home Improvement Contractor# /0&7 k Worker's Compensation# ?3 / /`t Z 06, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ 3����w FOR OFFICIAL USE ONLY s �►.-" ,_ _ • �, •� r -. a -. - ; '.. ._ - a WIRMIT NO.. �l DATE ISSUED ; MAP/PARCEL NO. + i i . ADDRESS VILLAGE OWNER { DATE OF INSPECTION:s FOUIDATION�+t �� I (So _ V ' V F FRAMES► :�- � _ - , INSULATION,—: _ FIREPLACE ~ `w. • ELECTRICAL: - ROUGH FINAL PLUMBING: ROUGH t FINAL GAS: (ROUGH FINAL FINAL BUILDING " a DATE CLOSED OUT ASSOCIATION PLAN NO. a , � �- �\ :W l�'�OhG47df�M(/�N.(I►O���aT((U� p.,•::. •z3" r ���. NOME IMPROVEMENT CONTRACTOR Registration 100118 � ,. +^•: I Type. trPRIVATE CO�tPQ ��0�` ; ,�.i. ,. .. . -r = xRiraion` d6/23%�0' t h f w MO6AN CO , INC r l �o fl� g5 cis:E Mogan, Jr s • r: Baylane • 3 ADMINISTRATOR Centerville MA 0202 R. , Y k'r. � ) ��/LC VC39q'1%�92475Y,7,((/QQ•G{I ./ d { ,!>L.ao , BOAR¢OF BUILb&&M0,ULATIONS U STRtlgf�l SUPIOR n «« .=ems ftw. AT PY elf P. w �Zes�fictedlb fm-t I # 'FRANCIS E MOry/#N W: a r 442 BAY.LN l :EENTERVILte,.tNA o2 32 /1 inm�stra of A. e , e ommonwe a ... Department of Industrial Accidents 01�Ca Of/QYBStIgBI%OIIS 600 Washington Street Boston,Mass. 02111 Workers' ensation Insurance davit // name: z location' `{ '1 city v� ,;v�ti hone# u� •7 7 5 V UU ❑ I am a homeowner performing all work myself" ❑ I am a sole prometor and have no one worlds 9 is anv Ca Pam ensation for my employees worlang oa this job.:::.:.;:.;::.;;::.:<:.:;.;:::<::>:::«:><>.:«>;»::<:::::>::» Iam an employer providing: �.::COS.;..:::: :.:...:.:::.:;::::::;;;:.:;;;;:,:.;.;:....:.;..:.: >:;:::::::>::.::;: compopv nam ;.; s ' . . _ a d dre s city.... 'inn CV insurance ca. • ❑ I � contractor r homeowner(circle one)and have hired the coni=actors listed below who am a sole propri have co ..........:::::..::.:...::::::...::::::::..::::::::.::::::::::::::.::::.::: e following workers mP ...... .....:.:.:.:.::::.:.....::::..:...:....::.....:.::.::::::....: ..:::.. ...:::::::::.,..:..:::::::::..:::::..,..::::.::::::..::::.:.:..:.::::::::.:..:::::.::::::.::::::::::.:. the g .............::::::::.:.:......:::.::.::::..........::.:::::::.... . .,, .::::........::::. : :.:.::::::::.......:.::.::..........:.::.::::...::,::.::.:::::.:..:::::::::.....:::::::::::::::.::.::.::::::::::::: . m anv n m ..........::. ...................:..:........... .............. w. .........:.:............::�:.:......,.:::•::•........:..::•... ......:..:. ....... .. ..::;.�-.:.•:•:.: one# :::..:....... .:.. ..... .N::::... ...............::::..........................:......... ...... .:.::....... ..... . ... ...... ..... irtsurance�ca ,. . .. camany address- ........... "n ................................... .....;<.;:.;:.. ct tP... ........:.::::::::.................... Failure to secure covera;e as required no Section ZSA of MGL 152 can lead to the imposition of criminal penalties of a Sue tip to si soo 00 and/or one yeah'lmprisomnmt as well as civil penalties in the form of a SPOF WORK ORDER and a fine oft Stil000 00 a day aga8ut me. I ttAt a copy of this statement may be forwarded to the Once of Investigations of the DIA for covers; I do hereby certify raider the pains and penalties ofpa ury that the information provided above is&a,mid coned Date 3 111 ou — Signature � �Y` Phone# 77-7 ,- Print name v« officisi use only do not write in this area to be completed by city or town otdcial permit/license t# - • ❑Btri(din;DePa�ent city or town:— OLtienxin;Bow 13seleetmen's Office ❑check if immediate response is required _ C3Health Department phone contact person: ..............#; lievua 9195 PJA) F IME 1p� , ,STAB The Town of Barnstable MAS& Department of Health Safety and Environmental Services 039. iOrEO M0't a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. fir nn . Type of Work: r bog ��^ `� �y y'^�"''` -Estimated Cost 2 00 0 Address of Work: �/G I J a s� ,,-c +-1 v t +�� vti , s ✓`' /� Owner's Name: rn av�c LLC_ Date of Application: 311`f jou I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 3 ryfUU Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav _ . ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE 3 3y square feet X $55/sq. foot GARAGE (L N INISHED) square feet X$25/sq. foot= PORCH square feet X $20/sq. foot= DECK square feet X $15/sq. foot OTHER square feet X$??/sq. foot= Total Estimated Project Cost f g990915b b ONSUNIERINFORN '�TIJ flUR11SUMOMS" :a a us tafeB din Go 80" endiia 'o 2:3a " , p �?i The Massachusetts State Building Code (780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructinglinstalling a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation, form of construction or percent glazing,but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy wY1SUiupu�ilt is�uc� uae c" ft� un ituuittu bu►a► Mau 11 {riJ i c�i ul1LUYlY\/11Gt1 ft1410�1�J ' V1Llg of the lllaul ilViu,G. ul the selection and coucti nstron/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing a"sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing . • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.23.1, requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit fora project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. Signature of Actual Building Owner Date 4 a C I C c-, 6� ky�, Print Name Address of Permitted Project 14� P t)c&e-jtj &4-nA .�A 02J l'0 ll )�J 2S2(, T� 7 Owner Address(if dill nt than project location) Owner's telephone number err nth T�@q !t`�g➢3 �� d Pn � ^y m < `o ---- ------ ---------------- — --- ye'c Fhi �0 a� �s J OMAWINGTYYF: F'oundwFipn Rwn SHFFT NUMBFM: A I OO • d ii9gea���°" e i ° d 3 '. . ----------- a IL enn:ucaon e Z mow.ztt-Ll c i� 14 i ;e a et e A IFLOOr-FLAN 88� .1 �• � 2 �� nsoo 2cals: I/A" I'-O" p11M -. ado ... < funwiNcrrrf: x - • P'm.h Plocr Pl— , � _ SNFFT NUMBfIL • - a A 2 OO ;p sA �azlegs 6,aat9��i� YY 8s'y1��� � va � e eq.....ur.e r.n.w w�........ -L- rl.��,w.w... wro.r...e....w.ti...r.n.«....r ,. �,or.......,..w.,.r. � F m •^•"i""'""'"-, - �xFq'fiN4 wFTbHeW vFMNG -�c + �-_ v r...e wl.vi"irum..r..n.«r.. .i..r o. •,..e * -.i �3`B w Ifexwt-Nw ft"Hl Arwg c .. IN .bs•.wv..v.i�.w�..iW. .rI.e..�vu.m.....M. � y -� �i ..'�,. �y�Q� pUILPIN4�GTI�I A-A Ik°.sE� n ouwmc rrn: pUildinq 4etA'ron A-A ' SNFET NUMBER A400 .. �p,-yy�aloSy g 3 jxJ� Pa�B e�S�'pa - - --- -- - -- -- ---- --------------- - ---- -- - -- _ ___ —__ ___ _A_____ _ __ _ _________________l ___ _ _____ 1 8 Ins ea 'g r-,�------- ------------- ----; -------------------------------- F � �IGHTe�eyp.TloN ���4a� ��� • 1/4". 1'-O" y'_ e - OMWHVGTYYF: . R r At�100 , . Town of Barnstable - -Permit fl T tips ok Expires 6 months from issue date BARNSrABM Regulatory Services Fee 0 , O MASI v 1639. ,0$ Thomas F.Geiler,Director Building.Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w j. 0, Office: 508-862-4038 Fax: 508-790-623.0 op EXPRESS PERMIT APPLICATION �,��fYc Not Valid without Red X-Press Imprint Map/parcel Number lla;:f6 09 Property Address T� L�� N 14v&, 14A / 0 e Residential OR ❑ Commercial Value of Work Owner's Name&Address Contractor's Name i g A699/01 y 9WAj6 G Telephone Number 775� TS Home Improvement Contractor License#(if applicable) m z ©l Construction Supervisor's License#(if applicable) �Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# G Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. ,UU--Value (maximum.44) ❑ Other(specify) / 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature expmtrg t �� �Ii' �r I//./IJ/JlrilriJ%II •�•./��J,I,r4'"IIII IIl i ' HONEe9is IMPROVEMENT CONTRACTOR Rfralioa 102014 Expiration: 06/30/2002 Type. Private Corporat.io ERNESI B. NORRIS AN INC yradg Ashworth npMiNi�:nroR Hyannis M1 02601 - - .� -- ,..:'t �ILe Z/JOO➢I,J720I2[UP.lLIC� O�..i('�QQJ(J,!'1lllJP.�d BOARD OF BUILDING REGULATIONS k License: CONSTRUCTION SUPERVISOR r•, Number: CS 015851 B i rth d ate: 09/28/1953 Expires: 09/28/2001 Tr.no: 5743 Restricted To: 00 CRAIG N ASHWORTH 385 SEA STREET HYANNIS, MA 02601 Administrator _ MC_Clililrilhr1H cQltll-iff!ZfQssQclrusctrs Deparfnient of IndustrialAccidems t • ;; _.;�� OI/Icea/loYrst/gatloas ; 6011 Il irslriingon Street �. Boxio t 1= 0..11 'E'-try.•�.�` � 1 _ Workers' Compen=tion Insurance Affidavit Al1P.lis nformatinn• PIn5c PRlivrl . .. • '• lncatinn• • CIA, . ' rhnnc� ❑ ! am a homeowner performing all worm myself. ❑ I am a sold proprietor and have no one working in any capaciry L14C I an employer providing workers' compensation formy employees working on this job. ERNEST B. NORRIS & SON, INC. t}... 385. SEA STREET arrt atirlrc•��• . I . - HYANNIS 508-275-0457 * EASTERN CASUALTY INSURANCE CCtpAA'Y �nnn .# WCG 1000807 A r ❑ I am a sole proprietor,general contractor, or homeowner(circle nne) and have hind the contractors listed below wi the following workers'compensation polices: . . . nhane in�urnnrr�� •nolicw fr , .... . !. -,r:. --- Ksran a- ++�*+.T�-rs^r"\F' .•+ —T�v 'Y r�i7�� -..�. ;Ld.Ltess• .. rlTl'• nhon #' • �� C CO • .. ntrlit'1'tb .. Jttl:chaddlHonsl'S11CetlCneetlsiry�•;�•'2'••}is.•.�...��•�--.71.e;•w..w_......;.: !••ate.+..» !'. .,.n.+ Failurt to scrnrt corerape as required under Section 3A of AIGL]S:can lead to the imposition of erimin4 penalties oft flat np to SISDD.W une rears'imprisonment its well as civil penaltiesTOP is the form of S IYORK ORDER sad it line ofS]oo d.00 t ,y aptinst tne. I t:nda-=13c ' copy of this ststemcnt m2v be fomsrded to the Orrice of Invesaptions of the DIA for cot t, rC YCTRIarioa. ' I de llcirbr ccrrij•rrnrlr.r the painS and p allies ojprrjurr that the information prm7ded abore is true and mtrrrL Sicnuur; _ asc I'rnt matte_ CRAIG N. ASHWORTH Phone 508-775-0457 : 0mcial.use ool�• do not it-rite in This arra to be completed by city or ttrins oMcW cif or ton•n: perniNicr=c N_ nsaildtag Dtp=rtaeat uxrd • ❑check if 1mmrdiate respunse is rrquirrd .• Osclectmrn'¢s Olttcr -. =_ C311e2tth Drpriaent Bob Full Name: John &Connie McPheeters Last Name: McPheeters First Name: John&Connie Business Address: 46 Washington Ave. Hyannisport, MA 02647 Other Address: Office 46 Washington Ave. Hyannisport, MA 02647 Home: (314) 993-4451 Other: (508)778-4669 0 1 I { IITNCH65774R � - "2 Locus A VS I CERTIFY THAT THIS SURVEY AND PLAN WERE MADE �' ,..�. IN ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL STANDARDS FOR THE PRACTICE OF LAND SURVEYING IN 1 A fbN'A Vt TH OMMONWEALTH OF MASSACHUSETM. t r, L +• ° �yi4,N/NC D TE �. PA UL A. MERI THEW, P.L�S. i' WA tMOfIRNC A►T HYA/VNIS i HARBOR PAUL A. .� „ s t LOT 4 i 1 x . . A.M. 2B7193 A.M. 287 90 . . . . L i MA �l 'r GROUNDWATER O VERLA Y DISTRICT a AP ►ti �o 1.151143 PLAN RE w .: - - . . ' . . , r ,.. ,�� •.-� ,DEED REF .10800/26,2 & : L m _ - , „R 1" w • LOT 5 S. ZONE. F — .�, _ ICE' ,.' ..• N . 8 3 .� b. 38 ,. -. � .r. � � � f r1• 1 M x A 1 FLOOD $N co i 4s. 7 Z E , x 5 ? AREA=44330E S.F. , ND F. PoSBD � I a° ADD/99 N `~o } Q _ _ SN PLA 1 _ _ - 58338, ►- PLO _ 1,2 1¢9 � I 49 _ _ _ r, — µ . 5* :-:;:: LOCATED IN AWK » 8 . N 1 , 4HYANNISpORT . MA HO USE: m:.,: - •- k w ; ' . PREPARED FOR :s"s �l k t DECK � ,�. ASPHALT A.M. 287 91 DRIVE I` 1 ARSELLA +HEAD y �. t I-- i » 199.9 I ° ER ECEMB o - III - , I y GRAPHIC SCALE,_ I I�iII co _ ao 4o eo rQ s 40 0 160 I IN FEET ) 100. 00' S83 2815':6 1 inch 40 ft. d , g.Y DE'ED 05 50' • l Y rA WAS B�'' CALC.T� YANKEE SUR I/EY CONSUL TANTS�1 11 vT�- P. 0. BOX 265 , Y � WUE UNIT 11 40 INDUSTRY ROAD MARSTONS MILLS, MA. 02648 NOTE.` u t IT IS RECOMMENDED THAT A PLAN SUITABLE FOR RECORDING AT THE REGISTRY ;OF DEEDS BE PREPARED ✓oB ,f52197 .IF�