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HomeMy WebLinkAbout0183 WINTER STREET 7-0 /e i i .s�� �� :.`- .__ �. _ _ _ �- � ^j 3�o� t►iE - Application number.......................... .................... u` Fee.................................�................. ............. o . Building Inspectors Initials............ .. .................. "t0x OCT 2 3 2018 Date Issued..................` . .... .... .................... '17 Al �AFOK/Al OJ -rr 8AM Map/Parcel..._ ...... . .:. ........1.19........................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: g (,�d �n ,S, NUMBER STREET AGE Owner's Name: i lb 16. Phone Number ��� J� Email Address: Phone Number Project cost$ Check one Residential ►'/ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR . Owner Signature: Date:' ' TYPE OF WORK U1 Siding ❑ Windows (no header change) # ❑' Insulation/Weatherization ❑ Doors (no header change)' # Commercial Doors require an inspector's review Roof(not applying more than 1 laypr of shingles Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name ! Home Improvement Contractors Registration(if applicable)# (attach copy) Construction.Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ >, i *For Tents Only* ° Date Tent(s) will be erected Removed on number of tents total - R Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X. X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent 4 Fuel source being used LP tank 201bs. or> Yes No ,if yes,a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION i Homeowner's Name: Telephone Number Cell or Work number a I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnst le. Signature Date I� APPLICANT'S SIGNATURE Signature4������ Date All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ` ` Please Print Legibly Yn Name (Business/Organization/Indivi dual): 1,C4 r! l Address: 1 i� City/State/Zip: �5 Phone#: Are you an employer? ck the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' y P tY• $ 9. ❑Building addition [N orkers' comp.insurance comp.insurance. quired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ffi r have exercised their officers s 11. Plumbing repairs radditions 3. I am a homeowner doing all work ❑ g p s o myself. [No workers' comp..' right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no ' employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ' Policy#or Self-,ins.Lic.#: Expiration Date: Job Site Address: ' City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pair dpeff4fies of perjury that the information provideq above true and/correct <�'� I/-I --,?-P,/ , Si afore: . Date: {' Phone �^— Official use only. Do not write in this area,to be completed by city or town official , City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: J Information and Instructions u Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants , Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of `..,\t. insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents.. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in an given year,need only submit one affidavit indicating current P P PP Y� Y policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: - .. The Commonwealth of Massachusetts t Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www,mass.govCdia Wells Fargo Bank,N.A. 1 Home Campus MAC: 4F2303-04J Des Moines,IA 50328-0001 Ph:877-617-5274 4/11/2016 Town of Barnstable Attn:Robert McKechnie _ Building Department 200 Main Street F Hyannis,MA 02601 �w Regarding Propertegistration..at: CO 183 WINTER ST HYANNIS MA 02601-5555 = TAX ID:309-112 Dear Sir/Madam, The property above no longer has legal action pending as of 4/6/16. Please update your registration records to reflect Wells Far go rgo Bank,N.A.is no longer the responsible party. Sincerely, x Angela Pryor Research/Remediation Associate Wells Fargo Bank,N.A. Angela.L.Pryor@wellsfargo.com �, Op lk �� 5. Town of Barnstable, 367 Main Street, Hyannis, MA 02601 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the-original with the Building Commissioner and a copy-with the Chief of. the Fire District in which the-property is located. If you claim you are exempt from registering under Massachusetts law, please state the reason(s) and complete section I (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 Section I —Property Information Property Address: 183 WINTER ST HYANNIS MA 02601-5555 Assessors Map#: Parcel #: 309-112 Land area and description 4,792 sgft (or 0..11 acres) Building(s) description and contents Multiple occupancy home of 1,428 sqft Occupied:...Y Occupant(s)(if borrowers so state and include name(s)) BERNICE PHILLIPS c/o Wells Fargo Bank, N.A. Phone: 877-617-5274 email: codeviolations@wellsfargo.com other: NA Vacant: N Date. 10/21/15 Anticipated Length of Vacancy: NA Last occupant(s) )(if borrowers so state and include name(s)) NA Phone: NA email: NA other: NA . Has possession been taken No If so, please explain and complete and file the maintenance and security plan form (unless exempt as stated above) NA Section 2—Foreclosing Party Information Foreclosing Party (full name/title) Wells Fargo Bank, N.A. Foreclosure Case Court: Docket# Date filed: 06/11/10 Current Status: Active Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name, title,): Wells Fargo Bank, N.A. Company (if different from foreclosing party): Wells Fargo Bank, N.A. Address: One Home Campus, MAC F2303-04J, Des Moines, IA 50328 Phone: (877)-617-5274 email: Codeviolations@WellsFargo.com other: NA 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: NA Company (if different from foreclosing party): NA Address: NA Phone(s): NA email(s): NA other: NA Name, title, other: NA Company,(if different from foreclosing party): NA Address: NA Phone: NA email: NA other: NA Attorney representing foreclosing party NA Firm name(if different from attorney's name): HARMON LAW OFFICES PC Address: 150 California Street Newton, MA 02458 Phone(s): 61:7-558-0500 email(s): h«P:°"°"".he °°aW° �g.�"°° °`Sh"" other: NA 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. Digitally signed by Brian Jackson Brian I Jackson Date:2015.10.2115:03:38-05'00' Date: 10/21/15 Name:Brian Jackson Title: Research/Remediation Associate i 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 f r f 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 N/A Town of Barnstable 367 Main Street, Hvannis, MA 02601 (1) Registration date: 09/24/14 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.21K 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) UNKNOWN If left secured, name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property WELLS FARGO BANK,N.A. F2303-04J, 1 HOME CAMPUS, DES MOINES IA 50328, 877-617-5274 (5) Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property UNKNOWN (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 WELLS FARGO BANK,N.A. MAC F2303-04J ONE HOME CAMPUS DES MOINES, IA 50328 } (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 WELLS FARGO BANK,N.A.,F2303-04J,ONE HOME CAMPUS,DES MOINES IA 50328 (9)Name, address, telephone number and email address of person who can be contacted.ti 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 WELLS FARGO BANK,N.A,F2303-04J,ONE HOME CAMPUS,DES MOINES IA 50328,877-617-5274 (10) Date(s) certificate of liability insurance on the property filed with the Building Commissioner SEE ATTACHED EVIDENCE OF INSURANCE (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 NA (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 UNKNOWN or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance UNKNOWN (13) Date(s) when the property was sold; or is anticipated to be sold, to the foreclosing party. If neither, please explain UNKNOWN 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. Digitally signed by Brian Jackson Brian Jackson"'Date:2015.10.2115:04:28-05'00' Date: 10/21/15 Name: Brian Jackson Title: Research/Remediation Associate ti 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 a r w WELLS FARGO HOME MORTGAGE CONTACT INFORMATION For questions or concerns regarding a property registration issue please contact the Property Registration Department. Property Registration Department Registrations@wellsfargo.com For other inquiries please route applicable requests to: Building and Code Compliance Department CodeViolations@wellsfargo.com Utility Bills y ConvUtilitvPmt@wellsfargo.com HOA or Condominium Dues or Fees HOAPmtReguestFH@wellsfargo.com Tax Related Requests: TaxGatekeeper@wellsfargo.com REO property inquiries PASAPinguiries@wellsfsargo.com Insurance Claims HazardClaims@wellsfargo.com General Property Preservation Property.Preservation@welIsfargo.com For questions regarding purchasing a Wells Fargo property please contact 1-877-617- 5274. You may also contact our dedicated property preservation call center at 1-877-617-5274. Monday— Friday from 8:00 AM —9:00 PM EST. Please note all legal documents should be sent to our legal mailing address below: Wells Fargo Home Mortgage 1 Home Campus MAC# F2303-04J Des Moines, IA 50328 21174 ® DATE(MMIDDNYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 3/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Wells Fargo Certificate Service Center NAME: 9 Wells Fargo Insurance Services USA,Inc. PHONE 404-923-3719 Falc No): 1-877-362-9069 AIC N E 3475 Piedmont Rd E-MAIL f wis.certifitr wellsfaro.com caee uest ADDRESS: wf'is.certificaterequest@welisfargo.com g Suite 800 - INSURERS AFFORDING COVERAGE NAIC a Atlanta,GA 30305 INSURERA: Old Republic Insurance Company 24147 INSURED INSURER B: Wells Fargo Home Mortgage INSURER C a division of Wells Fargo Bank,N.A. INSURER D: 90 South 7th Street, 14th Floor INSURER E: Minneapolis,MN 55402 INSURER F: :d COVERAGES CERTIFICATE NUMBER: 8901677 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER MMIDDY� MMILDDY� LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY304056 04/01/2015 04/01/2020 EACH OCCURRENCE $ 10,000,000 FV1 DAMAGE CLAIMS-MADE OCCUR PREM SESOEa occu D nce $ 10,000,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 10,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED - BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ PER- $ WORKERS COMPENSATION 04/01/2015 04/01/2020 X STATUTE EERH A MWC 302638 AND EMPLOYERS'LIABILITY YIN - 1,000.000 ANY OFFICER/MEMBER/EXCLUDED?ECUTIVE � N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION Wells Fargo Home Mortgage, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN a division of Wells Fargo Bank,N.A. ACCORDANCE WITH THE POLICY PROVISIONS. 90 South 7th Street,14th Floor Minneapolis,MN 55402 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) Wells FargoHome Mortgage , 3 3-o 4 One Home Campus 0 Des Moines,IA 503a28 —� Ph:877-617 5274,- s_ October 21,2015 tl 'y 03 -ram 9 Town of Barnstable `- Attn: Robert McKechnie Building Department 200 Main Street Hyannis,MA 026o1 I Completed Property Registration for: 183 WINTER ST HYANNIS MA 02601-5555 TAX ID: 309-112 Dear Sir/Madam: ' Please see the attached property registration form and use the below contacts to expedite any future requests: Code Violations: CodeViolations@WellsFargo.com Property Registrations: Registrations@WellsFargo.com General Property Preservation: Property.Preservation@WellsFargo.com Call Toll Free: 1-877-617-5274 For questions regarding purchasing a Wells Fargo property please contact 1-877-617-5274. Sincerely, Brian Jackson Wells Fargo Home Mortgage MAC F2303-04J One Home Campus Des Moines,IA 50328 brian.a.jackson@wellsfargo.com REGISTRATION AND CERTIFICATION FORM FOR FORECLOSINGNORECP!O'S> I PROP RTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one forrpor,� each property in foreclosure (section 224-3) or already foreclosed for which posEes's°i.'on?has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address: 183 WINTER ST HYANNIS MA 02601 Assessors Map#: Parcel#: 309-1.12 Land area and description S I N G L E FAM I LY Building(s) description and contents Occupied: Y Occupant(s)(if borrowers so state and include name(s)) BERNICE PHILLIPS : BORROWER Phone: email: other: Vacant: N Date: Anticipated Length of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken NO If so,please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party (full name/title) WELLS FARGO HOME MORTGAGE Foreclosure Case Court: Docket# Date filed: 6/11/2010 Current Status: FORECLOSURE Foreclosing Party's representative(s) for property.(entry,management, repair, etc.)(name, title,): WELLS FARGO HOME MORTGAGE Company (if different from foreclosing party): Address: ONE HOME CAMPUS, DES MOINES, IA, 50328 X9400-034 Phone: 87761,75274 email: codeviolations@wellsfargo.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: NONE Company (if different from foreclosing party): Address: Phone(s): email(s): other: Name, title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party HARMON LAW OFFICES PC Firm name (if different from attorney's name): HARMON LAW OFFICES PC Address: Phcne(s)- (617)558-8400 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. F"Digitally signed by ionathan.mosier@wellsf7",,..n..,Ih.n-.Osler@welisfargo.com jonalhan.mosier@wellsfargo.com �] D,.,cn=jonathen.mosier@welIsfargo.com arO.COm O9/24/2014. 9 Date:2014.09.24 09:01:31-05'OU Date: Name: Title: I 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. y Date: Building Commissioner, Town of Barnstable i 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 (1) Registration date: If not registered,please complete the registration form and state date of filing or anticipated filing 0/24/2014 (2) If commercial property,describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated) (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.21K and the date(s)and method(s)for removal as approved by the Fire Chief (4) Method(s) and date(s) all windows and door openings secured(or will be secured) The building is secured; all doors and windows are locked. If left secured,name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property WELLS FARGO HOME MORTGAGE 181WINTER:,ST HYANNIS MA 02601 (5) Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property N/A OCCUPIED (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 WELLS FARGO HOME MORTGAGE 101 Federal St Boston, MA 02110 8776175274 cod eviolations(cD_wellsfafg (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 ; Date(s) electricity turned off on if applicable Date(s) water turned off on if applicable (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 WELLS FARGO HOME MORTGAGE 101 Federal St Boston,MA 02110 8776175274 codeviolations@wellsfargo.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 Commissiorer WELLS FARGO HOME MORTGAGE 101 Federal St Boston,MA 02110 8776175274 codeviolations@wellsfargo.com (10) Date(s) certificate of liability insurance on the property filed with the Building Commissioner (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 09/24/2014 (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 N/A:NOT LISTED FOR SALE 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. jonathan.mosier@wellsfargo-,oignallyslgnedoY;onaman.meaier@,,,ellsrarge.mm jiDN: ,anathan.mosier@w Ils(argo.wm corn .Data:2g14.gg2G Og:oz:z3-OS'gD' Date: 09/24/2014 Name: JONATHAN MOSIER Title: RESEARCH AND REMEDIATIOI�b 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 I _ AM TRAVELERS BOND (License or Permit -Definite Term) Bond No. 106149551. KNOW ALL MEN BY THESE PRESENTS: THAT WE, Wells Fargo Bank,NA as Principal, and Travelers Casualty and Surety Company of America a corporation duly incorporated under the laws of the State of Connecticut and authorized to do business in the state of Connecticut as Surety, are held and firmly bound unto Town of Barnstable as Obligee, in the penal sum of Ten Thousand Dollars and 00/10-0 ( $101000.00 ) Dollars, for the payment of which we hereby bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by these presents: WHEREAS, the Principal has obtained or is about to obtain a license or permit for Loan#•708 0055334155.16 Winter St,Hyannis MA 02601 NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that if the Principal shall faithfully comply with all applicable laws, statutes, ordinances, rules or regulations, pertaining to the license or permit issued; then this obligation shall be null and void; otherwise to remain in full force and effect... '.. This bond is for a definite term beginning 9/24/2014 and ending 9/24/2015 and may be continued at the option of the Surety by Continuation Certificate. PROVIDED, that.regardless of the number of years this bond is in force, the Surety shall not be liable hereunder for a larger amount, in the aggregate, than the penal sum Listed above. PROVIDED FURTHER, that the Surety may terminate its liability hereunder as to future acts of the Principal at any time by giving thirty (30) days written notice of suchtermination to the Obligee. SIGNED, SEALED AND. DATED this 9/24/2014 Wells Fargo Bank NA By- r Principal Tra ers Casua!ty aKF§wety Copppany of America By: J i Ta or Attorney=in-Fact S-2151 B(6110) WARNING:THIS POWER.OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ,tom POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company . Attorney-In Fact No. 225809 Certificate No. 0 0 5 2 6 V 1 18 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Scott Davis,Tina Kennedy, Dawn T.Kirkland, Steven L..Swords,Carol Philyaw, Cheryl Boozer,Annette Wisong, Janice W.Brickner,Joseph W.Hamilton,III;Joseph R.Williams,Cindy A.Thibodaux,Tracy Wallace,Julia Taylor, and Michelle Kelley of the City of Atlanta State of Georgia their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and-acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of_.guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. Al > l } r P IN WITNF9S WY�EREOF,the'CompanielS2have caused this instrument.to be signe'd.and thetr,'corporate seals to be hereto affixed,this OVem er ;rT day of 't id Farmington Casualty Company St.Paul Mercury Insurance Company. Fidelity and Guaranty hisuriuicetoUan .I � Travelers Casualty and Surety Company Y Fidelity and Guaranty Insurance'Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company (.-" J.. S'fANp �!„6Wq�. P�.•• ..NANTFC '� NARTFOfO,�4SEA oCCNN.�• SEAL 3 w °.A S � 1• 1 j.� �lt� State of Connecticut: By: City of Hartford ss. Robert L.Raney, a dor Vice President 13th November 2012 y On this the day of before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters;Inc:;St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.. In Witness Whereof,I hereunto set my hand and official seal. TAR &AAA CAr V My Commission expires the 30th day of June,2016. pp Mane C.Tetreault,Notary Public 58440-8-12 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER Assssor's Office(1st floor) Map ?56q Lot Permit# � -ZConservation Office Oth floor) _ Date Issued Board oa d of Health Ord floor t.� .. Engineering Dept. (3rd floor) House# l � Planning Dept. (1st floor/School Admin.Bldg.): Definitive Plan Approved by Planning Board 19 NUUCOMMO licati ns rocessed 8:30-9:30 a.m.& 1:00-2:00 .m. $NWEM CONSTRUG71014. TOWN OF BARNSTABLE p Building PP Permit Application, Pro'ect Street Address O 3 w Villa e Fire District (honer Ko - (n (ZPM a fe(- Address SC4 n- 2� Telephone 77Y- q,5/�6 Permit Request: �r ,5 a ��C, OT l/lew - .-i7L- -01490� Zoning District Flood Plain Water Protection Lot Size 0 X/Oo Grandfathered Zoning Board of ApMls Authorization Recorded Current Use Proposed Use Construction Type EaistinQ Information Dwelling Type: Singles Family Two family Multi-family Age of structure J Basement type b/O G Historic House Finished Old Kinds Highway Unfinished V- Number of Baths 2. No. of Bedrooms \ Total Room Count(not including baths) O First Floor Heat Tyne and Fuel 0/1 Central Air Fireplaces dl Ovt.e— Garage: Detached Y7 one,, Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name /[�t(��q Telephone number 7?s'Z? 4 Address 5-� � ffP,,,,Ci�'�C Ay& License# O 6 0 `f 7 �� WYl-K�✓�I IL- m �4 0 Z6 3 Z Home Improvement Contractor# Worker's Compensation # 6/(A- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Pro'ect Cost Fee SIGNATURE " r DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) y�1�9s BPERM T i 4/10/9 S / FOR OFFICE USE ONLY ' 309. 112 183 Winter Street Hyannis ADDRESS VILLAGE Kathleen Foster OWNER DATE OF INSPECTION: FOUNDATION f FRAME j _ - t t INSULATION FIREPLACE w � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: _O " a E, `^: DATE CLOSED OUT.- ASSOCIATE PLAN N . i t; , e FalJare to possess as current =� COMMONWEALTH I DEPARTMENT OF PUBLIC SAFETY _ `—� .�saaaaAasettsSesta��aJJdJgg OF I ONE ASHBORTON PLACE Code Iscan#@ for rosoaat/on MASSACHUSETTS BOSTON,MA 02108 _.may o>tdJBJJCaga®. LICENSE EXPIRATION DATE iC O N S T R. SUPERVISOR CAUTION s�5/1 1 /1 9 97 4 FOR PROTECTION AGAINST RESTRICTIONS EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB 1 G �06/01 /1 993 060471 _ PRINT IN APPROPRIATE 1 & 2 f A M I L Y HOME a BOX ON LICENSE. °ItICHARD 1.4 953 BEYYTS POND RD BLASTING OPERATORS r'NYANNIS MA 02601 z MUST INCLUDE PHOTO . { PHOTO(BLASTING OPR ONLY) FEE;. 00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER i i THIS DOCUMENT MUST BE • - n I SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF ATURE OF LICENSEE THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. SIGNER I - r ,s FL,P. A13 The Town of Barnstable -� a R `erg STLr- Delmr-tment of Health Safety and Environmental Services Building DI-vIS1011 367 Main Strect,Hyannis MA 02601 MCC 8 790-6227 Fate ' 08 775 3344 R1Iph For off ce use only Permit no. Date AFFMAVIT - HOME IMPROVEMENT C ONT M4=R LAW SUPPLEMENT'TO PERI4IITAPPI.iCATION' .-:'. .` •`h� ,;w MGLc 142A �- -' �qurrrs tint the-SteOo�dion,aitaa�o�, �.� •-- �- _ Wit, neamml,demolitiM or oo=Oction of an ooavt oa,` addition to,any owner occupied,:. building containing at•least one but not more than four dweliigg gaits or to stractum Sara to such residence or building be done by negiVered contractors.with certain requires. =TdOns,along Vft other Type of Work:_ EsL Cost'%'/9 O Q Address of Work: IP3 W 4 r-,r Omer Name: Date of Permit Application: _I hereby certify that - _c•-....... .^.v.:t'^yi:. v. . v..v1�il:�rCaSpA(S�: --�-Work cxdudcd by law I/ lob tinder S I,000 Building no<oaacr-o=Ticd . Odabcr pulling own permit Notice is hereby given that: <)WN'ERS PULLING THEIR O't'N PERMIT OR DEALING WITH UN'REGIS EKED i CONTRACTORS 0R APPLICABLE HONE 1MPROVEMNi£TT?.'T WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAI,;OR GUARAI`'TY M40 UNDER MGL c- 1,42A `IGNf-1) UND,I:R PUMA LTIFSof- -211 --- y 1 y. . ccliuzGr.ch;str2tio-I NO. fr OR. D21c Owncr's name 11.'02'94 17:02 `-'617727 7122 DEFT IND ACCID Q1001 of zc/,ajolt,.,� pUaPariniercf o��>u�usfriaL,�tleecet�nL1 600 f/V uLyton Sf.f James J.Campbell. &ton, Mmadu.s l& 02f f f Commissioner Workers' Compensation Insurance Affidavit �Ivr lveo - ----�- -- (iiaascdpataiaee) with a principal place of business at: (QW/StxWz1P) do hereby certify under the pains and penalties of perjury, that: Q i am an employer provid'mg workers' compensation coverage for my employees working on this job. Insurance Company Policy Number I am a sole proprietor and have no one working for me in any capacity. () I arr. a sole proprietor, general contraaor or homeowner (circle one) and have contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Humber Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing ail the work myself. `1-= :-sc co;y cf t+:E<_ s_tement w•il::e fo:v:zrccd tc-1 e o.rla-of Im:esti-,z oors of t`e DIA(or coverzge verification and that fziiure to w-'re ce.cr�ge rEc;;;ed under SCCLCn 25A of MGL 152 can,k2c, to t.�.e inF-csiticn cf ciminz!peral�es consis;ne of i fine of up to S 1,5010.GD zrx/cr cn- yezrs' i r•-rLcr—Ent zs well�is.civil penalties in 1'a fcr..cf a STOP WORK ORDER and a fine o(S 100.CwJ ,day apinst me_ Signed + day of :fTF' Ll�., 19 1 ti00 i ensee/Pe Ittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATIO111 CALL: 617-727-4900 X403, 404, 405, 409, 375 TOt.'\ OF BARN-STAB'.E BUILDING PERMIT ��6/