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0825 WEST MAIN STREET
s . 3 `\ r Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate 0 L ^ � ql Date Map Par cel V Applicant Information Applicants Name Applicants Addres���W `� S��Email Address��S� `�C�C�(�.Q�.`M �©�� Telephone Number �����S�(�'Z�� Listed ❑ Unlisted.❑ Business Information New Business? V----1�-. __ ---- --- w`r Yes No Business is a registered corporation? ________________________. Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? _________ Yes If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business Business Address �i'� Type of Business `Y Buildjng Commissioner Office Use Only Conditions yL ' �L Building Commissio /1, — Date �Pj Clerk Office Use Only ,T% - Town of Barnstable Building Department �oF rOky Brian Florence,CBO Building Commissioner ssresr�, 200 Main Street,Hyannis,MA 02601 MAU,% www.town.barnstable.ma.us prFD MA'S a Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: "r HOME OCCUPATION REGISTRATION Dat o�s �` Name: °�N.��`C`C\�`� � . � # ®® Address' � ���1� � � �Villages Name of Business: Type of Business:. 111�% Map/Lot: .� Gar � INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: The activity is carried on by the permanent resident of a single family residential dwelling unit,located _r- C: within that dwelling unit. Such use occupies no more than 400 square feet of space. ® • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. No traffic will be generated in excess of normal residential volumes. a G -e The use does not involve the production of offensive noise,vibration,smoke,dust oT other particular Fr' cr" tz .matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. r� g There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess 0 z of normal household quantities. Z 0 Any need for parking generated by such use shall be met on the same,lot containing the Customary Home Occupation,and not within the required front yard. M -n b • There is no exterior storage or display of materials or equipment. F Q • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one CC pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to rn -0 exceed tires,parked on the same lot containing the Customary Home Occupation. �1 • No go s all be displayed indicating the Customary Home Occupation. O0 . omary Home Occupation is listed or advertised as a business,the street address shall not be inc No pe n sh 1 be employed in the Customary Home Occupation who is not a permanent resident of the dwel ' g unit. I,the dersigne ve r d agree with the above restrictions for my home occupation I am registering. . Applic Date!ZN\ Homeoc.doc Rev.10/17 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367.Main St., Hyannis, MA 02601 (Town Hall) and get,the Business Certificate that is req u i red by law. DATE: Zb I•H Fill in please: fit APPLICANT'S. YOUR NAME/S: c a BUSINESS YOUR HOME ADDRESS: 2SMCCi e L L�V1 i M 02-Ln6 �C75- I;u1� TELEPHONE # Home Telephone Number (Vn--:�b(o bb5y dell ,21-t.ovtn NAME OF CORPORATION: NAME OF NEW:BUSINESS TYPE OF BUSINESS i� cry Gi rl IS THIS A HOME OCCUPATION? YES NO M,¢ ouoo ADDRESS OF.BUSINESS ,e �n���AAP L/PARCEL NUMBER Z `l 0 UO [Assessing) When starting anew business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable, This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) .to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSID ER'S OFFICE - This individu I ha irTo-`rr0d a pe it requirements that pertain to this type of business. Aut Zed Signa re* OMMENT �.. v i 2. BOARD OF.HEALTH This individual h4Wbeen infor do the oArmi uirements that pertain to this type of business. Authorized Si nature*- MUST COMPLY WITH ALL COMMENTS: HAZARDOUS MATERIALS REGLAA710NS 3. CONSUMER AFFAIRS (LI EN)ING AUTHOR47eZr This individual has b in r e 0 . l it e 6st at pertain to this type of business. s Authorized Signatur COMMENTS: f Town of Barnstable ��r+e Regulatory Services Richard V.Scali,Director • r Building Division BMWS'rABr.E, M' $ Tom Perry,Building Commissioner 1639. 10 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: f 6 c HOME OCCUPATION REGISTRATION Date: I Name; lr Yl)jb(t, Phone#: —Sl 6 (J_b q y Address: oe4 H(kL A �P� . � Village: S _ Name of Business: Ccn I ' "I Type of Business: _Map/Lot: G G 60 l INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of tight subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space.. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, J odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. , • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicants LIA A91 Date: Zo"7 Homeoc.doc Rev.103113 Town of Barnstable LCJU 4_tP tHE Regulatory Services CF Tp� Thomas F. Geiler,Director Building Division + BARNSfABLE, ' 9 MASS. g Tom Perry,Building Commissioner /\ 0 V 1639. Mph a` 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 6230 Approved: (�z Fee: Permit#: E S HOME OCCUPATION REGISTRATION Date: �J 10, Name: / 4�r /U � �-��•�vZ�- Phone#: S~lJ�- �(�— �Z`� U Address: p ZS /N- !/M&CIV Ji- A(�f Village: ( n� Z Name of Business: �/ f(/C (�� � \ ��� L Type of Business: �'/��N i C N ��U/L (NG Map/Lot: (�S S_0�/AJ INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical.disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires, parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: 01 Homeoc.doc Rev.5/30/03 C YOU WISH TO-OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME-in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'°FL,367 Main Street,Hyannis,-MA 02601 (Town Hall) DATE: C D 4P7 Nis Fill in please: APPLICANTS YOUR NAME: fe' `r/✓, BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number�.�D Z Z� Iu 1M f]F t�IEW-BUSINESS. L tv .;.Y--. ffGyt Q J'j:Z.C-L TYPE C?F B�J.SINESS f� .l nlcr J L/J l/✓G 1 II$ il1:I-IC ME CUP 1r!.ON') -YI�S �I11�9 #lave.yciu b`eori.giveh.bppraval frwiat�(.the builoin .dii is7bn�. YfS NO APDAE-8$ �L SINE $ OF _.. _ Mt1P,/PARCEh N.UIVIBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMP.SIONER'S OFFICE This individual has be infor of permit requirements that.pertain to this type of busi i&SST COMPLY WITH HOME OCCUPATION ���-- ULLS AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES. Authorized 'gna e COMMENT : i �— 2. BOARD OF HEALTH. This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER-AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. Fill in please: Date: APPLICANT'S NAME: 1'0PG YOUR HOME ADDRESS: ge 'sue ' . BUSINESS TELEPHONE # /-O HOME TELELPHONE #: /5-0 NAME OF CORPORATION: NAME OF NEW BUSINESS i5- S / / TYPE OF BUSINESS IS THIS A HOME OCCUPATION? E NO o � ,p,35=b�- ADDRESS OF BUSINESS "J GZZ=& c MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 2Qc�r S . (corner of Yarmouth Rd. & Main Street to make sure you have the a -y appropriate permits and licenses required to legally operate your business in town. 1. BUILDING CO IS ONER'S OFFICE This indivi u s ego in e o an permit requirements that pertain to this type of business: ��_ In A orJze Signa ure** OMMENTS:. RULES AND REGULATIONS. FAILURE TO Ay Re9tiff IN FINES. J C 2. BOARD OF HEALTH This individual permrements that pertain to this type of business. MUST COMPLY WITH ALL fiAZARDOUS MATERIALS REGULATIONS Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTH.Ters��inq, This individual h . ben in# rued of th -equirements that pertain to this type of business. nt�4:. -J t, Authorized Signature** r COMMENTS: Town of Barnstable Regulatory Services o Thomas F.Geiler,Director Building Division RAMSUBLE r MASS. Tom Perry,Building Commissioner �AiEo N�WYAll` 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved Fee: � Permit#: T HOME OCCUPATION REGISTRATION Date: Name: �7'01e!l Phone#: _'4 ®O Village: Name of Business: Type of Business: iq /!////1�ll Map/Lot: J INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. ; • Such use occupies no more than 400 square feet of space: - • There are no external.alterations to.the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of.normal residential volumes. _ • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects, There is no-storage-or:use of toxic or hazardou$materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be.met.on the same lot containing the Customary Home Occupation,,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • ;There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pickup-tr.uek not to-•excced•ont-ton::capicity,and one trailer not to exceed 20 feet in length and-not to ex=d 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be - included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit . - I,the undersigned read anda�with the above restrictions for my home occupation I am registering. Applicant:' Date: Town of Barnstable Regulatory Services THE TQ� o Richard V.ScaIi,Director Building Division t. Tom Perry,Building Commissioner i63q. aim �''°rEn Mai 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 - Approved: .? Fee: 3 S PermiO: cpD/ HOME OCCUPATION REGISTRATION ............ DSo ate: J /f� Name: L e U r O � ill/0"`ne Address: Name of Business: ► l ���U J� L ' Type.of Business: L eG Map/Lot: c;) Az— INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be.permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • Such use occupies no more than 400 square feet of space. o There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke;dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. e There is no stoiage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities: • Any need fo_parking generated by such use shall be met on the same lot containing the Customary Home. Occupation,and not within the required front yard: • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home.Occupation: , • If the Customary Home.Occupation is listed or advertised as a business,the street address shall not be included. o No person shall be employed in the Customary Home Occupation who is not a permanent.resident of the dwelling unit I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Apphc2 C UCk, Date Hnmenr_dnr. Rev.10.1113 YOU WISH TO OPEN A BUSINESS? h you For Your Information: Business certificates (cost$40.00 for 4 years). f business certificate enecesONLSignatlu es on this s oSTERS YOUR rlm atE200 Mai in town n St., Hyannis. must do by M.G.L.-it does not give you permission to operate.) You must first obtain the ry g Take the completed form to the Town Clerk's Office, 1st Ff. 367 Main St., Hyannis, MA 02601 (Town Hall) and:get the Business Certificate that is required by law. - f -Fill in please: DATE: %_Gl L APPLICANT'S . YOUR'NAME/S: (Y� 1. g BUSINESS YOUR HOME,qDDRESS: 1�t 51 . - TELEPHONE # Home Telephone Number 777777-777777 77777777777 NAME OF CORPORATION-! NAME OF NEW BUSINESS (�G Yl Xl TYPE OF BUSINESS a NOr_ 11111 IS THISA HOME OCCUPATIFQN? YES ''` ADDRESS OF B.USINESS" �''S .ST tim � `} MAP%PARCEL:NUMBER J S b�� (Assessingj new business there are several things you must do in order to be in with the ruleOs200 Main (corner�of Yarmouth starting a GO T a T When st You MUST . g you may need Barnstable. This form is intended to assist you in obtaining the information y y Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your'business in this town. V 1. BUILDING COMMISSIONER' OFFICE This individual has be i f-rmed any permit requirements that pertain to this type of busirlST COMPLY WITH HOME`OCCUPATION RULES AND REGULATIONS:: FAILURE TO Authorized ignature** COMPLY MAY RESULT IN FINE COMMENTS: �0 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: �y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' ter, /S . Map Parcel $jAt Application 34? Health Division , °° f Date Issued Conservation Division Application Fee 9 Planning Dept. � Permit Fee 11Q �V 0 All Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Mc,, Village VYl(a-SS �Qwner==fir,mr��`�, 1. Address Te:eph��one•--b%-LQ0`4QI0-4 Permit�Request--r� �epl�c,•e 6 1id�' t) �1�.-��� ® ��} �c r� l�l�s�-�.r ��Q,�e�1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Ualuation-2t tM`LTb Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing 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) Lame— �, v-,.J �'r/,� � L,1 Telephone-Number_. a-��.�t- 7`7 Address----Z"�`f i rL•icehse'#-� •'(1�10�°� Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO J TE'SIGNATURE "r r FOR OFFICIAL USE ONLY e P,"PPLICATION# DATE ISSUED 4 MAP/PARCEL NO. ADDRESS VILLAGE OWNER ~ t DATE OF INSPECTION: FOUNDATION F S FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ASSQCIATION PLAN NO. h ' 4 a3 r The Commonwealth o,f Massadiuselts Department of Indrtshial Accidents 0f0ice of Investigations 600 Washington Street Roston,MA 02111 wmv.mass.gov/ilia Workers' Compensation Insurance Affidavit::Builder's/Contractors/Electrician&T umbers Applicant Information Please Print Legibly Name(BusmemOrgamutonldmdaal): lgll Address: 2 7 �- c- c�.�;✓+�Y City/Statt'/ZYp: MA f`(_Plat3ne iV Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I.am a employer with 4• ❑ I am a general contractor and 1 employees(hall and/or pnrt-time). * have hired the sub-contractors ❑New°OIl °$ 2.CI 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' [No workers'comp.insurance comp.insurance-: 9. [—]Building addition required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 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.]3 c.152,'§1(4),and we have no employees.[No workers' 13.W Other L10CAK_ -1e V comp.insurance required.] tAny appliiam chat checks boar#1 mug also fill out the section below*showing their workers'compensation policy information T Homeowners who submit this affidatit indicating they are doing all work and then hue outside contractors must submit a near affidavit indicating,such. ZContractors that cheek:this boat must attached an additional sheet showing the name of the sub-contractors and state whether air not those entities bane employees. If the sub-cmtractors have employees,they must provide their workers'camp.policy number. lam.an emplgw.-that is providing workers'congmusadon insurance for trtp employees: Below is thepoticy and job.site information Insurance:Company Name: AT- Policy#or Self-ins.Lic.#: C �a�3�-c� �4 ExpiratiaaDate: /1�,I 157 Job Site Address: SS' s W•e.5 _ MCIZA,S tS.t,�t :- ()g 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 a 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 bo the Office of , Investigations of'the DIA for insurance coverage verification. I do hereby cerhff under thepains and pe hies afpedury that the irr/ormatiarn prat ded abaue�is'bate and correct Si�rtatare: r Date Phone#: — 7 7 5,G 7r-- Official use only. Do not wrW in this area,to be completed by city or totter official City or Town Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department-3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Infector 6.Other Contact Person: Phone L t ACO�tD� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. S Dennis Ma 02660 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER&- National Grange Mutual Matthew Scavarelli dba INSURERB: AIM Mutual Insurance Co Matt Scavarelli Remolding&Finish Carpentry LLC INSURERC: 274 Ames Way INSURERD: Centerville Ma 02632 INSURER I-* COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NS POLICY NUMBER p UCYEFFECTIVE POLICYEXPIRATION ATE(MMlDQfYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $_ 1,000,000 DAMAGE TOENTIED COMMERCIAL GENERAL LIABILITY PREMISES Eaooaifence $ 500,000 CLAIMS MADE FVI OCCUR MEDEXP(Any one Person) $ 10,000 MP067477 6/13/14 6/13/15 PERSONAL$ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $ 2,000,000 JECT POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Perpe�) $ HIRED AUTOS BODILY INJURY $ NOWOWNEDAUTOS (Peraccident) PROPERTYDAMAGE $ (Peraoddent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO 0THERTHAN EAACC $ AUTOONLY: AGG $ O(CESSAIMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 VI OCCUR ❑CLAIMS MADE AGGREGATE $ 1,000,000 CU067477 6/13/14 6/13/15 $ DEDUCTIBLE $ RETENTION $10,000 $ WORKERSCOMPENSATIONAND TO WCSTATU- OEZ RY IM R EMPLOYERS'LIABILITY ANYPROPRIETORIP� AWC70273722014A 7/12/14 7/12/15 EL EACH ACCIDENT $ 'SOO,000 OyFeFIICERIMEMBEREXCLUDEDT EL DISEASE-EA EMPLOYEE $ 500,000 SPECdIAL PROVIbe under S ONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS ILOCATION.S t VEHICLES I EXCLUS10NSADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR' REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 CF THE 1p� �qn * w + BAMRrABM MAM . ,m� Town of Barnstable QED MA'I A Regulatory Services Richard V.Scali,Interim Director Building Division - Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us , i Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, y rn aS - as Owner of the subject property hereby authorize s (' &Z'Jrt re 1 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date T. 1- Print Name If Property Owner is applying for Permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN MBuilding Changes\EXPRESS PERMMEXPRESS.doe Revised 061313 Massas;huzetts-Department of Public Safety.. . `-J Board of Building Regutaticns and Standards constructiun Supervisor License: CS-081091 MATTHEW M SCAVARELU 191 CAPTAIN LIJAII&AV04 CENTERVILLE MA 02632E a Commissioner 05/11/2015 ' Office of Consumer Affairs&Bus;fiess.Regulati MYNVOME IMPROVEMENT CONTRACTOR q�! �` �egistrattost. - 13780.4 xpiration 1/6/2015..... Type. Individual MATTHEW SCAVARELLI MATTHEW SGAVARELLG 181 CAPTAiN:LIJAHS RD' CENTERVILLE,MA 02632s - Undersecretary sv fp ie-U�oonmran�� R smess Regulation Office o[Goasumer Affairs: GTOR zHOME IMPROVEMENT CONTRA,. Type - , �stration 4:37804 InCNidual Reg 11612017 CAUPRELLI p�ATTNEVNf$ `. MA'TTHEW SCAVARELLI 181 CAPTAIN LIJAHS RD UILLE, MA 02632= Undersecretary _ CENTER f a n f L Cape Cod cK Islands Pr6perty'Management "o full=service col"P "Y" P.O.Box 1144 Phone::508-428-U503 Osterville,:Mi1 .02655 Fax: 508-ti28-1949' E-mail:caj ec�sdgr ns(iUcomcast'met s _ G �; S 3 , s i Bill Holzman From: Holzman <rents87@aol.com> Sent: Tuesday,January 13, 2015 7:37 AM i To: Bill Holzman Subject: Fwd:Window Installation 825 West Main Street Unit 12 Sent from my iPad Begin forwarded message: From: Kerry McNamara<kerrymcnamara52gyahoo.com> Date: January 12, 2015 at 7:09:24 PM EST To: Denise Holzman<rents87 e,aol.com> Subject: Re: Window Installation 825 West Main Street Unit 12 Reply-To: Kerry McNamara<kerrymcnamara52gyahoo.com> Denise This is the best I can do right now.Heading to Fla in the a.m.for 9 days He is putting in terratone color,correct? Thanks Kerry McNamara . Cape Cod and Islands Property Management & Putting Greens and Versacourts of Cape Cod PO Box 1144 Osterville, Massachusetts 02655 508-428-0503 888-776-0486 - 5084281949fax www.capecodcireens.com From: Denise Holzman <rents87(a)aol.com> W To: kerrymcnamara52a ahoo.com Sent: Monday, January 12, 2015 2:30 PM Subject: Window Installation 825 West Main:Street Unit 12 Hi Kerry, When we went to get the building permit to install the new slider, they told us we needed something in he from the board of directors saying that Matt Scavarelli dba Matt Scavarelli Remolding and finish carpentry LLC has permission to install the slider. It has to be on official letterhead. Is that something you could get for us? They sure don't make it easy! Many thanks, Denise Holzman 508-420-6104 zo; Town of BarnstableBuilding Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and d this Card Must be Kept s4L��f Posted Until Final Inspection Has.Been Made. �,4a,,rtibs9•a�g� :, � Where a Certificate of Occupancy is Required.; such Building shall Not be Occupied until a Final Inspection has been made.. Permit Permit No. B-17-3736 Applicant Name: BRAD K SPRINKLE' Approvals Date Issued: 11/06/2017 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/06/2018 Foundation: Location: 825 UNIT 8 WEST MAIN STREET, HYANNIS Map/Lot: 249-035-OOH Zoning District: SPLIT Sheathing: Owner on Record: ALDRICH, MICHELLE L Contractor Name: BRAD K SPRINKLE Framing: 1 Address: 825 W MAIN ST- UNIT 8 Contractor License: CS-006643 2 HYANNIS, MA 02601 Est. Project Cost: $ 1,385.00 Chimney: Description: Change one Window Like for Like. Permit Fee: $ 160.00 Insulation: Project Review Req: Fee Paid: $ 160.00 Date: 11/6/2017 final: t. >' v Plumbing/Gas U'; :% " Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in.a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:. 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT •� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel U3-s Application # J Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee i Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address (i ) , Village O111GYT)) d Ili Owner ' I Lh o,u RU n JI Address Telephone Sok • S 1 - 3�cZ Permit Request e (YN Q 10 i✓��y'� .e..� in CR a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I3�S�� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) &S , t Age of Existing Structure '7 Historic House: ❑Yes *lo On Old King's Highway: ❑Yes (dNo Basement Type: ❑ Full ❑ Crawl ❑Walkout 'Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 5 Number of Baths: Full: existing new Half: exbsty%. I new Number of Bedrooms: existing _new V31V0 a Total Room Count (not including baths): existing new Pir loor Rtom Count tv Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other gN��Pg i I^\1s�1N4 6P Central Air: ❑Yes V No Fireplaces: Existing�_New \1•" Existing wood/coal stove: ❑Yes Flo 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 VNo If yes, site plan review# Current Use Proposed Use -APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address l 6)9 n S License# CS - 00 k o"(3 4�V1� �e1 C�(v+7 Home Improvement Contractor# Email Or In << 4- Worker's Compensation # �uL�50U5J�b�7y"1�1`li4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1c) `a-b I FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING s DATE CLOSED OUT ASSOCIATION PLAN NO. Construction Supervisor. s. Commonwealth of Massachusetts. unrestricted—Buildings of any use group which contain Division of Professional.L icensure less than 35.000 cubic feet(881 cubic meters)of enclosed �`I►r Board of Building Regulations and.Standards space. Constrrla tar WSi5p�rvisor CS U06643 - sires: 1.010812019 . tJ ,an _ BRAD K SPRINKLE kjiq 199 BARNSTABLE ROAD y HYANNIS MA Failure to possess:a currant edition of the Massachusetts State Building Code is cause'for revocation of this license. For information about this license Call(817)727.3200 or.visit www.mass.gov/dpi Commissioner • x ' Office of Consumer-Affairs.and Business Regulation. 10 Park Plaza-.Suite 5.1.7.0 Boston,Massachusetts 021.1.6 'Home Improvement Cq!�mjtor Registration Registration: 103757 Type: PriMe Corporation Expiratlom. TI'SW& n* 419n1 SPRINKLE HOME IMPROVEMENT,`fC = _ Brad SpfinIde 199 Bamstable Rd. , Hyannis. MA 02601 Update Address and return card.Mark remon for change. �y G / ♦ - I` Address Renewal .Employment Lost Gard scn r a zoA,osn, . . -yr' !•Yunrierrn{�I���t��T!'iiJA(c/taJC�fJ - onfce.orconsnmcr A1Lfn&Business Regulation. License or registration valid for individual use only. OME IMPROVEMENT CONTRACTOR before the.eapiration date. If found return to: WRegistration: '103757. type; Office of Consumer Affairs and Business Regulation. xpiratlon .7)li12018. Private Corporattori 10 PaNt Plain-.Suite 5170 y Boston,MA 02116 SPRINKLE HOME IMRROVEMBNY;INC. Brad Sprinkle 199 Barnstable Rd. Hyannis,MA 02601 Undersecretary Not valid without s ature The Commonwealth of Massachusetts Department of IndustrialAccidents d 1 Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Anulicant Information Please Print'Le¢ibly Name(Business/Organization/Individual):SPRINKLE HOME IMPROVEMENT, INC. Address: 199 Bamstable Rd. City/State/Zip: Hyannis, MA 02601 Phone#:508 775-1778 Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 10 employees(full and/or part-time).* 7. ❑New construction 2:❑I am a sole proprietor or partnership and have no employees working for me in g ❑Remodeling any capacity.[No workers'comp.insurance required.], 9. ❑Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t. 10❑Building addition 41:1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the a . attached sheet. 13 ❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. � ^ 6,❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.� 1Wbther GI,� C& 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit 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 thepolicy and job site information. Insurance Company Name: A.I.M.Mutual Policy#or Self-ins.Lic.#:WCC50050167472017A. Expiration Date: 1/1/2018 Job Site Address: F-2S (L n SL City/State/Zip: �l r CA_JCeO ' Attach a copy of the workers'compensation policy declaration page(showing the policy num1fer and expiration date). t Failure to secure coverage as required under MGL.c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify n er t e nd penalties of perjury that the information provided above is true and correct Si ature: Date: Phone#: 508 775-1778 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: AC RO° 'SPRIN-1 OP ID:DS CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/11/2017 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- B the certificate holder Is an ADDITIONAL INSURED,the POIICy(Ies)must be endorsed. It SUBROGATION IS WAIVED,subject to Me terms and conditions of the polity,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreeme s PRODUCER CONTACT Bryden&Sullivan Ins Agency NAME: Kelley A.Sullivan 88 Falmouth Road PFICINE 508-775�060 Hgannis,MA 02601 No:508-790-1414 Kelley A.SuUh/an oo�REss: � INSURER(S)AFFORDING COVERAGE NAIC 0 INSURED Sp Inkle Home Improvement Inc. INSURER A:NGM Insurance Company 1478S 188 Barnstable Rd m uRERB:Associated Employers Insurance Hyannis,MA 02601 INSURER c: INSURER D: 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.LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER MMID MMm LIMITS EXP A COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,00 CLAIMS-MADE r-K]OCCUR MPT264OX 07/01/2017 07/01/2018 DAMAGE TO RENTED-- X Business Owners --PREMISES Eaoxurenoe $ 500,000 MED EXP(Any onePerson) $ 10,00 PERSONAL BADVINJURY $ 1,000,00 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2, 000,00 X POLICY ECT LOC PRODUCTS-COMPIOP AGG $ 2,000,00 OTHER: AUTOMOBILE IABILnY $ LIMIT L q Ea accident $ 1,000,00 ANY Auto MIT264OX 07/27/2017 07/27/2018 BODILY INJURY(Per person) $ AUTOS OWNED X AUTOS SCHEDULED -- X' ANTED BODILY INJURY(Per accident) g X HIRED AUTOS Per acrlderrt $ X UMBRE'r A VAB X $ OCCUR A EXCESS LIAB CLAIMS-MADE CUT2640X EACH OCCURRENCE $ 1,000,000 07/01/2017 07/01/2018 AGGREGATE $ 1,000,00 DED I X I RETENTION$ 10000 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY $ B ANY PR ARTNER/EXECUTIVE YIN S CC50060167472017A 01/0112017 01/01/2018 TATUTE ER OFFICERMEMBER EXCUJDED4 N❑N/A E.L.EACH ACCIDENT $ $00,00 K yes rasMOrAdwy NH) olbe under E.L.DISEASE-EA EMPLOYE $ 500,00 DESCRIPTION OF OPERATIONS Detow E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES WORD Im,Additional Remarks Schedule,may be RMched N more speoe Is f"Wmd) Certificate issued for Insurance verification CERTIFICATE HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sprinkle Home Improvement,Inc ACCORDANCE WITH THE POLICY PROVISIONS. 199 Barnstable Rd. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE Kelley A.Sullivan 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD TM Wb IWdI1 .Atclti;.Ud , h "Sea pict�.ts - +o� r tt€ v [ s tore� Thar. t Gape Cqdi and.Islands Propel Management, putting iGr r � ��rt cod:,: mitals.and hroe 0 -42 office 7. All agreements are conr gent upon strikes, accidents,or delays'®yond Contractor's control. Should a contract be terminated or cancelled after the mandatory rescission period,contractor will recover "K costs including all time related to this job with a reasonable fee(including profit)for all completed ,.. work and materials purchased or ordered. 8. Homeowner is to carry fire, and other necessary insurance. Contractor's workers are fully covered -by Worker's Compensation Insurance. 9. Fencing, carpentry,painting,plumbing, electrical,dry wells, etc.,and all other work necessary that is not contained in this contract, shall be the responsibility of the Homeowner. 10. For roofing,the above pricing is based on a single layer strip unless otherwise specified. Should ; there be an additional layer or layers of roofing they will be removed and disposed of at an additional cost. Re-leading of the chimney is not included in quote unless specified and will be bill additional, if required. 11. For Window installation, contractor is not responsible for removal or reinstallation of window treatments(i.e. curtains,blinds,etc.). 12. Contracts not fully executed within thirty days of contract date are subject to pricing adjustment if applicable. RIGHTS TO CANCEL The Owner may cancel this Agreement if it has been signed by the Owner at a place other than the address of the Contractor, which may be his main office or branch thereof,provided that the Owner notifies the Contractor in writing at his main office, or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this Agreement. WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in workmanship for a period of two(2)years following completion and shall comply with the requirements of this;Agreement. In the event any defect in workmanship,or damage caused by the Contractor,his subcontractors,employees or agents, is discovered within two years after completion of any job,including clean-up,the Contractor shall, at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied,repaired,or replaced such damage or such defect in workmanship as long as the owner has paid their agreed contract in full. The foregoing warranties shall survive any inspection performed in connection with the agreed upon work. i All warranties for product supplied by the Contractor under this Agreement shall be those given by the manufacturers of such product,which shall be and hereby passed directly to the Owner. Such manufacturer's warranties,the Owner may be required to register or mail in a warranty card or other evidence of ownership and use of such product in order to activate such warranties. The Owner's failure to send in or register such documentation,which failure voids that manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such product. Note: Any changes in the contract during the duration of the project which results in additional monies due will be paid in full to the contractor at the time of the change. I authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the work to be performed on this job(i.e.permits,applications etc.)if necessary. Homeowner Signature Date ContractCr a Date Michelle Aldrich Brad Sprinkle- Registration number: 103757 825 W. Main St., Hyannis, MA 02601 REGISTRATION AND CERTIFICATION FORM FORFORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224 3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of . the Fire District in which the property is located. h v If you claim you are exempt from registering under Massachusetts law,plea'— ate the reason(s) and complete section I (property information) and the first paragr` of r section 2 (foreclosing party, court, etc. and foreclosing party representative, not other representatives and attorney) so that the Town can review the exemption and u date its -4 records: _C= 0 Section I —Property Information °Q Property Address:. 825 W Main Si Apt 4,HYANNIS,MA 02601 Assessors Map #: 249/035/OOD Parcel #: 249/035/OOD Land area and description Building(s) description and contents Occupied: Occupant(s)(if borrowers so state and-include name(s)) Phone: email: other: Vacant: -Date: Anticipated Length of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken YES If so, please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Property is in foreclosure Section 2-Foreclosing Party Information U.S.Bank,N.A.,as Trustee for the registered holders of Structured Asset Securities Corporation,Structured Asset Investment Loan Trust,Mortgage Pass-Through Certificates, Foreclosing Party (full name/title) Series 2005-3 c/o ocwen Loan Servicing LLC-Judy Credit Foreclosure Case Court: Docket# V I Date filed: 11/2/2018 Current Status: Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name,title,):- Darren Wisniewski (Waltham Resident) Company (if different from foreclosing party): Altisource Solutions, Inc.. Address: 1000 Abernathy Rd Northpark Town Center, Building 400 Suite 200 Atlanta, GA 30328 Phone: (866)952-6514 ' email: VPR@altisource.com other: If an exemption is claimed, please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so,state and do not complete contact information (i. e. "none" or"see above")). Name, title, other: Darren Wisniewski(Waltham Resident) *Please mail correspondence to Company (if different from foreclosing party): Altisource Solutions, Inc. Atlanta office,Darren is local to address Address: . 1000 Abernathy Rd Northpark Town Center, Building 400 Suite 200 Atlanta, GA 30328 property conditions and emergency Phone(s): (866)952-6514' email(s).: VPR@altisource.com. other: matters. Name, tithe, other: Company (if different from:foreclosing party): Address: Phone: email: other: Attorney representing.foreclosing party Firm name (if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also�understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Alma Emery Date: Name: Title: Assistant'Manager, Vacant Property Registration q , 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 Assessor's map and lot number ......... SEPTIP SYSTEM MUST BE � INST;OLLED IN COMPLIANCE t� WITH ARTICLE II STATE Sewage:Permit number .......................................................... SANITARY CODE AND TOWN REGULATIONS.. QOFTMETo�y TOWN OF BARNSTABLE i BAHH9TOHLE, 9a�•� _ BUILDING INSPECTOR GM - t APPLICATION FOR PERMIT TO - ........ xq—rdomu?,j..z.?m— .......Piw.I�0.uylC. ......... ' TYPE OF CONSTRUCTION ..Q)0f94.....1.-.19R!'.A :...........(3g--'e,- . .L,.ea<�,.r.. .......... + ............ .. .''f......................19.l .. TO THE INSPECTOR OF BUILDINGS: - _ The undersigned hereby applies fo(r+/a permit according to the following information: LLocation �j ocation .. �.4.....�A6:t 1.1e....6,4.(s't'.-4....�........ d�1!III.I..ca.....�......:1✓�.a�..5.:........:.... .1.��.:......15..................... ProposedUse .. )-d' P--ut.'9 la.l......... ............................................................. ......................... ZoningDistrict .... . ..1d..s.I.ne...........................................Fire District P,Rw �Ol�'!l t l.l: ..................I.................................. r- Name of OwneThw.,r.�� "— ----4..� � ....CA.....Address (�..�.....e4 :..9�'...•........ � .C�1iS..... Name,of Builder(liMit<% l,&F. 5....�1'....O�P...C4Address C....... (?Altm.............................. Name of Architect .IC0P1.C1:.......l.,1 s51 ./'1.........................Address Main....0 ................................. Number of Rooms ...... ........................:...........................Foundation (1. .......P ...... -,v....:....... Exterior .[ Y�4I. c!4�....� P�fl.�. � .......................................Roofing J.Sp . 3. '...... .......................... Floors � T![11�/...... ............................Interior .. .4.1�44 ....................................................... mod..... -.. '�-der- g._ Heating .. ............................Plumbin zadra..:t......... ....................................... Fireplace .........................Approximate Definitive Plan Approved by Planning Board'v -ge k__�__ ------19__�_�____, Area ....... ...�.... ... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the T•wn of Barnstable re ing the abo construction. e , .......... ..... ................................ ............ Investments of Cape Cod .16647. two story No .. .......... ... Permit for ............................. ...... six (6) unit condominium ....................... ..............................................t........ L Location6�O W..e.s..t...&..i..n..St..r.e..e..t......... . ... t) H ............................yamar...................................... Owner .....lnme.atwxxta..of..Page..god.... # ..... Type of Construction ........brijak-yaneer...... ................................................................ e4l, Plot ............................ Lot ................:r�. .. .Permit Granted ................................October 11'' 9 73 e7 Date of Inspection ...... ...r19 Date Completed .... .......!19 PERMIT REFUSED 4r 19...................................................... /011 ............................................................................... 4A, L........................................................... ................................................................... ............. ........................................................ ................... Approved ................................................ 19 ............................................................................... IC ............................................................................... Assessor's ma and lot number P s S(MM ( O� ALLED IN COMPLIANCE G ........................ W1TH ARTICLE 11 STATE Sewage Permit number .......... ............. - SANITARY CODE AND Saw y�%111E'T TOWN OF BARNSPRILE Z BARNS TADLE. 0 DYa\��, BUILDING INSPECTOR ,APPLICATION FOR PERMIT TO ... .......... ........ TYPE OF CONSTRUCTION .....WO.Q.CT............. 6 Y ........... J .............. 0 r TO THE INSPECTOR OF 'BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...�c%k-44........ :4.!.0........5T............. Y�'►'1l1!.?�....:......'..:..Ll §.,............... .�...�. ..................... ProposedUse ....... ....................................................................................... Zoning District ..... .........................................Fire District .... .RY.).0.1.�5..................................... Name of Ownerye.4.m k ...4...(_.'.6�� ���!....Address ��..���B�C��'iJ.S��....F�1,...... 19At11.�.......... Name of Builder+5xJAI.r1.7..� .ttskg 5...9..�. ..Cdcldress ......� :Y! . ...A....Ov.m................................. Name of Architect ica..... �11i'1...........................Address l.l.���.! .... ? :.......... .Iht'l/.s.......,.................. Number of Rooms .........01'4/..............................................Foundation �+. . .......P"...). 6.......P:�Or., N1.. _ I i j� Exterior ....01 ..... f�.i/1.P : ....................................Roofing . sp5 —A.t-i .... !.7.). '.L''................................. Floors h.An-PPA1.11....9-.. J .� IC .............................Interior .....baLl.lh?A.1. .......................................:............... Heating Plumbing(,.(,�/4 ....................... 0,, zD'1...n4n.... f�h.............................. Fireplace ....:...(-�......................................................................Approximate Cost ../195,..9Q.0.a...-:........................ ..... Definitive Plan Approved by Planning Board __1 ; ___19_ ! . Area 33 3 - ... U Diagram of Lot and Building with Dimensions �33 Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH LFa a�S Y I hereby agree to conform to all the Rules and Regulations of the To n of Ba stable eg ing the above construction. Name ...4.. ,. ` i Investments of Cape Cod 166+5 two story t No .......... ...... Permit for ............................... .... / 4 six \ ) Unit condominium I ..................... . .................................................... West Main Street Location Hyannis ............................................................................... Investments of Cape Cod Owner a .�. a brick veneer . Type of Construction , •-- --� �. M ................................................................................ � ,,,.. fit' t f , !�PIOt ............................ Lot ................................ October 11- 73 Permit Granted .............................. n....�'19 Date of Inspection ... // .. Date Completed ...�.�. ./L...� ...... .........19 ,,,�.— C er PERMIT REFUSED iV X i .......... ............................................."' `.... 19 .................... _ ..............................................................."'°........... r. ...+> ,�. • �. •.................................................... 4 i .wr ice' 21 Approved ......................................�...... -19 .......................................................... ................ F 7 Dk ACJ'1 10/Y/7.3 16, J1 SEPTIC SYSTEM MUST BE Assessor's map and lot number . . ...�r...--...�... ••••• INSTALLED IN COMPLIANCE s �VITFI 'ARTICLE II STATE Sewage Permit number ..�p tY.-...................................... SANITARY, CODE AND TOWM REGULATIONS. .THEtO�y� j TOWN OF BARNSTAABLE HAHBSTODLE, �t 'NABS BUILDING INSPEOTOR �. APPLICATION FOR PERMIT TO ...(!1�4(&<=.J...... Al .....,.,.�. .............. TYPE OF CONSTRUCTION 4t.' .. ...-........jr ./ .:.................... . U 'Y................>I9..? -TO THE ,INSPECTOR 'OF BUILDINGS': The undersigned hereby applies for naLpermit according to the following information: Location ...kk�: .....��.1.al. 7......I�I.T.... .,.....� /�e l r?C.5.;,. ... ............X ..•....(a3................................... ProposedUse ... A ........ . ................................................................................ Zoning District .../:..•. &S.1.�7es,,.s........................................Fire District ........ .. ... .t .! i 5.............................................. Name of Owner.. -1'l0'Ot011&,t ..... ? ... .. ..Address .0.®...... 41 .........:....'Sc1.t�1 . Name of Builder ► .4�.1.� .i�1�.. ?S o ..e Address ...S�'t:4:1�....��....l�. .0m.�,,................................. Name of Architect .P .6.C:1!........ .1.5).9................Address Mat r,......J.. ................... Number of NPoms ........1.5.LS................................................Foundation �VJI....... Q.�!.�.....�tJ�'l.�.jCe?. Exterior f1.C..lV....l16 ?G .....................................Roofing ... .i7 .� ........ ..................... Floors ..�nap- `t', ..`........... '....I,.,t' 1A.►J...........................Interior�� .1RG1A.11.......................................................... g j...... .. 7 (.�,? -- (oAS g Heating ...O.R.QE' CI. ........ ......�':.................Plumbin ..�..P_.Z?1!D....`t'..... P .................................. Fireplace ....... ..................................................................Approximate Cost ... .�P. .o..o.d .................................... Definitive Plan Approved by Planning Board nlJA_e4n _... ......19 J Area ....M. .. Diagram of Lot and Building with Dimensions Fee .......... ....... 3 ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH 2 I hereby agree to conform to all the Rules and Regulations of the To n of Barnstabl eqp ng the abov 1 construction. No .......... .... ....... Investments of Cape Cod ' r. i 1666 Permit for two story twelve (12) unit condominium .................. ...............:.................................. ....... �' .. Locatt6n� We.st..Main.. ...................... Street .... .... ......... ............. s Hyannis . - !; Owner Investments of Cape Cod y brick veneer = ? Type of Construction .......................................... Ile •P, A Plot ............................ Lot � r 44 October 11__ q 73 '".,' ✓ 1 = s- Permit Granted ......`... ..............��. Date of Inspection ... 19 1 /l y Date Completed i 7.?.......:. IC19 „r '' '"�` .� � PERMIT REFUSED*, ZVI r . +R, T!'fT//GL• Ftc�R cloify.............................. L' ,.i. �✓ ;�„ *6b r r /v1,sT�c. Fcv� ,t�or7r$�S�itc�p Fegr '' .................. '.. y� �� .� ,y�► ' Approved ................................................. 19 b . ..................... ......................................................... ' J •