Loading...
HomeMy WebLinkAbout0240 WINTER STREET > +I 4�01*ZHE:1p�� Town of Barnstable ` . a►uvsrwsM Building Department-200 Main Street Hyannis, MA 02601 IED:MA�s Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-19-84 CO Issue Date: 4/4/2019 Parcel ID: 310-183 Zoning Classification: RB Location: 240 WINTER STREET, HYANNIS Proposed Use: Name of Tenant: Sprinklers Provided: Gen Contractor: Permit Type: Residential-Single Family Type of Construction: r Design Occupant Load: 0 Comments Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition okyleBunfliTown �o ��.�-ns��. ieasninb c\My;a:;',,i'�ro r. uPWst.T IRA .;;. Permit 4 Permit No. B-19-84 Applicant Name: Alex Da Silva Ap provals Date Issued: 01/18/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 07/18/2019 Foundation: Residential Map/Lot: 310-183 zoning District: RB Sheathing: •y„4ew�+�« , 4 m1 r"(o ry•, ,"'.+Stu -y' Location: 240 WINTER STREET, HYANNIS '""" a N '� ` 3 Contra for Name r Framing: 1 Owner on Record: Alex Da Silva rt y $ i r � MTContractor License 5� 2 Address: 240 WINTER STREET ��� � ���w � k� � �k� 4 Est Pro e f�k s �� J ct Cost: $ 10,000AO Chimney: hYANNIS, MA 02601 K. Permit Fee; $ 126.00 x krs s � r :�*� i'�% Insulation: Description: Change of Use from Commemrcial to Residential Renovate;existing Fee Paid ' $ 126.00 kitchen and Bath room same locations.Chan�e existin office F ? �2 g� °g ' � Date 1/18/2019 Final- reception area back to living room.Change existing,Doctotrs " t. , examining roo, back to bedroom. paint all walls,refinish floors Bring , , Plum as Smoke and CO detectors up to code. r x h Rough.Plumbing: Project Review Req: Building Official Final Plumbing: &4 15-. r°vjgj; Y Vt iPC+$ rj r A # s Rough Gas: f Final Gas: ex 4101 Tt+x ` Electrical This permit shall be deemed abandoned and invalid unless the work'auth by this permit is commenced'wrth�n slxCmonthsafter issuance. a� �;s e �i rr Service: All work authorized by this permit shall conform to the approved apphcationand,,the approved const�uctwn tlocumerits for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall{be m compliance with the local zoning by-laws and codes. s; Rough: This permit shall be displayed in a location clearly visible from access street_o�road antl shall be ma?ntained open for°public inspection for the entire duration of the work until the completion of the same. Final: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Low Voltage Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Health 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: .Insulation 7 Fire Department Y 3 ` .Final Inspection before Occupancy !f 9 Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Town of Barnstable Building Post�hTh�s Card So That it is,;Uisible"From theStreet ,Approved Plans Must be°Retained on Jonb�,and this Card�Must be Kept M"M Posted Until-;Final Inspection�Has�Been�Made � �ti � � � ,• � a � �_ � �� � �� � 4 '- ., Permit �a WhTec�e a Certifica�te`of_Occupancy, is Requ�red,such Burldmg shall�Not be Occ�upedtil a Final In`spectwnhaskbeen made %Permit No. B-19-84 Applicant Name: Alex Da Silva Approvals Date Issued: 01/18/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 07/18/2019 Foundation: Residential Map/Lot 310-183 Zoning District: RB Sheathing: Location: 240 WINTER STREET; HYANNIS ContractorName; Framing: 1 Owner on Record: Alex Da Silva Contractor"License Address: 240 WINTER STREET ' ,. , Este Project Cost: $ 10,000.00 Chimney: hYANNIS, MA 02601 � i 4 , Permit Fee: $ 126.00 Insulation: Description: Change of Use from Commemrcial to Residen al Renovate existing Fee'Paid _ $ 126.00 kitchen and Bath room (same locations Change existngoffice Date 1/18/2019 Final: P'f Y t R _ reception area back to living room. Change existmg Qoctotrs. examining roo, back to bedroom. paint all walls1 refinish floors Bring Smoke and CO detectors up to code , .tirl Plumbing/Gas . k Rough Plumbing: Project Review Req: s Building Official Final Plumbing: f Rough Gas: H � Final Gas: w .v.. Electrical This permit shall be deemed abandoned and invalid unless the work authorized by this permit is;commenced within six months after issuance. All work authorized by this permit shall conform to the approved application:and he approved construction documents for which this permit has been granted. Service: Y Y All construction,alterations and changes of use of any building and structures,'shall be in comp ance with the loca zoning by'=laws and codes. This permit shall be displayed in a location clearly visible from access street or road and=shall be;maintamed`open_for public inspection for the entire duration of the Rough: work until the completion of the same. Final: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Low Voltage Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Health 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Fire Department Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. i Application Number..............................................:.:... Section 5-Detail Cost of Proposed Construction IQeoo. °v Square Footage of Project - No Ch9N Age of Structure 5 YAS Dig Safe Number No =%c�kp, Graz 1 G #Of Bedrooms Existing D Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance ;klist ❑ Design ' ❑ Wiring smoke Detectors ❑ Plumbing [ ire Suppression' ❑ Heating System C dd/relocate bedroom Water Supply E 'rivate Sewage Disposal --- --` - -- -svn Site 2oi�nv5 - Historic District ].,Old Kings Highway SG�o�� PI Debris Disposal Facility: QAJ e_ i crane ❑ Yes P No 51„o�i 6e-. arJ Flood Zone Designation Within or adjacent to a wetland, , - I R . Zoning District Proposed Use•ReSlbevh4C Lot Area Sq. Ft'. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on'site) Setbacks Front Yard,, Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property-had relief from the Zoning Board in the past? ❑ Yes No T act nnrintrri•11/1 innl R 5c D 2 , ,SNou l LQ 6- 61.-1 P[a f' f ' 4 l VV( °Ems- oF gay, I I 7'O Application Number..............`............................................ BARNSTABLE * MASS. ��I�0/iv , Permit Fee...�..I.. ..... .....Other Fee........................ Jq Total Fee Paid. ..: ...... C� �............................................... TOWN OF BARNS'I'ABLK-eq NS Permit roval b � � WELDING PERMIT ��� J-1 o � 0 �3 - Map........................................Parcel............................................. APPLICATION Section 1 — Owner's Information and Project Location Project Address 7b W N l�- S Village Owners Name_ i\kiE X t3 bp,, SQL\JA Owners Legal Address V-,z>1TG.N ST` City PZ�ty State M Zip O (9 6 O Owners Cell# Sz�9 3(,>4( go 44 E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ .`Commercial=Structure under 35,000 cubic feet d Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure Change of use ❑ Demo/(entire structure) 'y a ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment El Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 Work Description Ch %%4g 'Fdptk fbtNM i Cc -0 Rai t6ekcL N e Lbr4s • ��A�c.Q Exis+iW� o laic �2 l' �e,/�4-it..r / ALL TZ� �iwwg Rort — ,.,� gbe t, W k.11 /ta 2 N 0f, T cope cr arm. Last updated. 11/152018 Application Number.................................................... Section 5—Detail k- Cost of Proposed Construction IO"&mo.ov Square Footage of Project Ian G�9iuo� Age of Structure S Yq5 Dig Safe Number NO Uos.1< # Of Bedrooms Existing Ocd Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney Add relocate bedroom i4 Water Supply Public 0 Private Sewage Disposal ❑ municipal VOn Site g P P Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: Ow 5144- bv2!PS4V1, I am using a crane ❑ Yes P No Section 7—Flood Zone Flood Zone Designation. Within or adjacent to a wetland, coastal bank? Yes ❑ " No Section 8—Zoning Information Zoning District Proposed Use ReSlbeubor( Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed ,Req Yard ty ... , Required _ - Proposed ; `SideYar"d` "Required.-Proposed' , `" � #�'... � •.� is ,. r. ,. ,.7" '• .. � -r L ••r.. .. c'e, . .�F 1 ' y + Has this property had relief from the Zoning;Bbaid~in the past?­0 Yes—, - 'No Last updated. 11/15/2018 Application Number............................................ Section 9- Construction Supervisor u , Name Telephone Number Address City State Zip License Number License Type Expiration Date { Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. k? Signature Date Section 10—Home Improvement Contractor Name Telephone Number Bp i k, Address City State - Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your KI.C... Signature Date Section 1.1 —Home Owners License Exemption Home Owners Name: PCIF X .9A S "L A Telephone Number .508 3 6'l 6��a Cell or Work Number k' 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 requi ed by 780 CMR and the Town of Barnstable. Signature Date t �? -� APPLICANT SIGNATURE Signature Date 9 C w Print Name 4ex 4A- �-,L dvq Telephone Number E-mail permit to: S Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval, Section 13—Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name i I I • I I Last updated. 11/152018 r ................._.._____._.._....s_.__.____....... -`� ro _ i 7 sm . KE DET'CT®R. REVIEVVED 1101 � ) VV / BARN. I . I BUILDING DEPT. DATE I FIRE DEPARTMENT eorr slGiv�ruREs DATE UV s ARE REQUIRED FOR-f1?AjITTjVG t @�� NZ �a - v ``N eg S j Barnstable Bldg. Dept. ON 1' (Da C/O Approved ?: e Permit #: 130t A � I IQ S 16��25 Pow ' .s � � p �U 5 1 Y A C a °I I I _.0 I _�_ C _ I _ I _ � ( _ ► f � rrr , I I _..I I _- � _ _ C -I _ � �� - � �..-..._.__.► _ _ � _ _I L 0 w o -,- ti �9 I N _I— �'t1 _i 1 I { I I I i ENM i 1 f --f __ ; _ ► i EFT ILgIN i -rBARNSTAELE.SUG D , _iceA T Q - I I- ( — _.. I I � f � ► ___1._.I_I _�I_rl_ _f__I _ .�_ I _ I_ _1 I --- I _1_ i f - 1 _ FIREDEPARlMENi ! (�IDA - ! ARE�_ Tl7 IGNA�Uric"£ REQUIR -C 1- .� - ' f - -- 1 - - 1 -- ► r { �. I SIRS I I I [_ _ -- n_ _c__�_ ► _ I I _, ► f,__J_ ( _i t- I ._.. _f .—I�-A��)� + t�jorora l _- ! -. 1 - I _ i_ { I _t f �' ___-,�--I I ! f � ��_1:�e0•�_� t �____,_1..�.�;1_.,,_ � I -hl k - I _ _J._ _ _A_ . _,�_ I I __��I � _ , • _I _ _� _ � _ � � ;_ -j i- i -- � - ' - �-- �-- - t t I - I �- �- �U j` IS 1 j Barnstable',Bldg.Dept. I— ! 60 ! �- A oved by _� _{ . 4 t _ i i � I � i � i I k � _ {_. + ► I I f _ I l I � ( ; � 1 + �� � � I I _ , i:_I L l 1 17i l _� Lu s i I ' f � I _ { ___ : �� _ ,- � i 1♦ 1. _. � .y.. ..- -�- 1< ( NT t I ' 1 1 � I 1 1 • 1 � , i - t 1 1 I --- --- ——---- --r----— — —' ' --•�•—-— .— -ram-- - — —y.-•.. � i 1 '—i 1 i r • I BAKhr s�ABLE LARD 'CUURT REGISTRY Q=LAIM DEEM 1, RICHARD J. i,EJAN'A, U-.STE1v LEJA A TRUST, un&r Dec1amfion of Tnjsli dzted Maren 16, 2004, and Tmst e CvMfilz.ale -fi d with the Barns able Registry1 st of the Land Cow as 1�.o�:c ument 1��,, 391,�3��� � o Piave Lane,Centemn11e,MA 02632 for consid ion of ONE HUNDj.,., EIGHT TY THOUSAND AND '0011 (S18D,80DAUD)DOLLS paid,grand to XLEX BISPO DA S LVA,,individually,of 14 Holten Stet,Peabody, ALA 01960 r "xth QUITCLAIM COVENN S, A certain parcel of bmd shaamd $,w`YrmtUbIl CzLmty2 M ath- ens,bounded and described as follows: c� NOR 'WrESTER Y, by 'Winter Streei,fi y-fo w- an,d 76/100(543 ); fiel; A�fl1 13EASTE Y by Lot 22-A,oa��e h�xi�d�red t ��it�ne anti. + (13.1.86):feet, SOUTHEASTERLY by a�o�ion u1"iand now m form.tTly of MUM.use, 1i -fiv'e and 12110 (55.12).fect;4nd LMY1WESTERLY Lot 20-A,one hmdmd twenty-five and 561100 (125.56)feet. c 3'1 of aald bo d aze tiler ned by 213e Court to be oeale3 as 'h an fl sub dl jeo pLm 1517 i-C dared Apr 13� ,1941,dra b l y By 2L�d 9 1 eert3, d filed 1n the Land Registration Office n Boston,,a ropy of*bkh is filed in B 3dble County Registry of Deeds in Land 1 .egastra'ion.Book 70 Page 46 t3z.C�xt7�mae.of Ti e Ito. 1:05-36,and d.la2A is shown there:..as LO 2M E 1 LY 'by Winter r St eel. end-five( )f t; NORTI-MASTERILY by Lot 43,one h dresl i tyx UT and i110 1 feet,• C1s3 1ESTFRLY by a portion of land now or formerly ofAIta.M.C1A , twei ty-five and 1,61100(25 16)f 9 and S01MRTSTERLY L&21-:k one 111a ndTed.NTty ne and 86,1 (131.86)feet, lan AM of said bo � its are deennintd�-y the Cpit�= 1i as°ehuwn pan ifidi si -P, 7 5177-L idated,sway 257 1958,drwwn by l els©n iBear�_�1ic 1rd L-aw,Sum— yon,�d filed ira the Land i�ruOffice.�#13 r�,a copy� whi.c�is fled eta Ie�� ' °a<e i' 3 f Dec&in Land Regi tion Bi o-ok 67 Pap 30',h ill Cea6ficate of'1 hle No.22130 and sale land is shown the m-on as LOT 44. C-7antor rele s any and allhomiesteed.Tighis to 7the vd the pre ,'o-beher created by dclarajion oT opera on of law,and fiarther Mi ies under he pwnstndpenalfi, s of athat &,eli e ape � eT nT .'s ld as e ti ed i Tr:e . 1, to p e m nveytd ren 1"oT bile see Qwwlzinn Deed filed,whh the Bumlab1f Und��urt R gisty an 1111/2005 as Document No 991037 and noted.on-CeTtaficate Of Title 175-619. r W �` :my hand and seal is day of Januw,y,2019. LE By: on this day, of Januuy..2019, b8orc me, the imdersigned now public..pe MIly app=cd O Pas�Ved+�i Mt � �d a fldent Ii fion,a A diiv ;r's:.an s , 1 e rson whosr more is sign r� e r or a ched dee:uri'wt and acknowledged t6 n e:that.-e sign.ed it vol ly f©r Its sl -purpose. d his free.ae3 and deed ad made.oath that the IbTegoing ceM afiOn.is e Wad DO :On . behalf of P3rchwd J.LeJava TTUSt �,�aaaaaa7raaaanaa w a fP} My COMMission expi4es. $ - a ' °' - a3289Id9379n. ETATE EXCISE :TAX. FARMS'ASLE.LAN COURT REUISTRY. 5A 3NcvTA$L.E COUNTY BAR H i BLE cow, i .ateISE 9#�X A TaUE COPY,ATTEST . j :�. �3- 2s��3 3 12--330im' % Ct 6 z [- JOHN: BARN VAB It M, I Of DTHIM J-0ft aMe Ij Rep,1�� r STABLE LAND CUURT REEISTRY I-RUSTEE'S CER b IFICK FE 1, Richard 11.:t lava, of 1'54 Knotiv fine Larne. Centerville, Mrs 02632, Mdcr taath, do depose and say as follows. 1.That 1 Arn the Sole trustee Of RICHA RD.l, LEEJt KA TRUST,under Declaration of Trust dated.March9 16,2 ;arad'l-rttstee Certificate riled with the Baimstable Registry Distrijtt of the Laud Court.as Document No, 91 r036(hereinafter re1'cri-ed to as fhe 2_That the Trust is a Pon-testamentary trust. That.any ceniffication by any.person named as a cdmnt i)?"a_s a successor trustee shall be bc,aelusi :c on all pe n& '. 3.That,.puTsuant to the te-kms.of the7rast,the inustee,hen serving shall have the absolute power tD sep t i c aanctae�ra;tit 1a ai r to sale,and t si p,imnsl'er9 pledge, cr or d � - S ; y exchange foT real or p� trial pro en.y,ail ur any. an of the re.I�r per oslal.proper �t - the 'rust,, including Mortgages�3. ��rPlaerly now tax hereal'ter,held UP.d r tht'east.az such lime and prices and upon such t,,erms' and condttiom as the trUslec(s)deems (s)prd r without under or license of count and to execute any and all deeds avid DlhCT ihSITUMerts. necessary or appropriaxe to accomplish such sa1e or other tr asaction,:arid no person awed a make any inquiry concerving h prbFigty"of any of the.tr tees actions and all such actions shall conclusively be presumed to he proptr. 4.That no fact c lists�ihich constitttcs a.Condition precedent.to acts by the Ir ustee(s)or which.are h any MaTHIVIeT gerraaarae to the affair of the tress, 5.That said Trust has non beep amended oT revoked and Thai she same is still in hill force �- 6.That l bave been lolly auftai2td and directed by all of 1he bent iciarac§Of salcl Test to sign,seal,aclsraowledge and de3iVeT the attached;or Foregoing deed, of�ar�rzy l�r�s�-wn as 240 Waaater Street, 11yarinis.Massplchusetts,for The ParchaSe prig 7.Thal all orthe benefieiages vf`siid Trust are..indivlduals,are not�aanozs,aTt cImpticni and ame eaperating€rider no constraint or t ads e.inf uenc. t SUBSXCRIBE 3 AND S`ORN to-under the pains-andpenliks of pegwfv ibis day of Jana aw°,2.019. RIN. RD. EJJ `A COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. ION On this day of Janw r_.t.2019,b fore.rne,fh,-undersigned votary ublic,.permnally appeared Richard J.Wava,proved.to tree tbroug;3a satisfaYtora.evidence of idea it cation,a 110A driver"S.Hc,easel,zo b-c the pners.nn V bbse n e-nt, anfk af=er being dull swam,attestcd to the truth of the mutts aibov&subscribed,bdbie me. _ 1 Public M. Y Cora ission expires; .� a� pAll ' AS UN . AcGISTAY:pFa EDS AI RLII�Ct3PY,ATTEST L � to F.?,4EA:-; RE �sr ? 1 TAB A QUITCI-AIM DEED , 3 3 � r� ':i , TRW ; 07 RUCHAT ;. E-JAVA UST, under clamfion of T it dated March 16b 2CO4, and TM, �e� ����: ��� �� tie Barnstable Re.gistry.Dia.tnet of t o d ,Co ;a D.oa cent No 1,03 of 1 Pine Lanc,Centenrille,M A 02,632 z r J< 3 CDns dew of Oi I"W"DREG EIGHT TY °TH. U.S: tD A ND DDIA ALEX RI`S o.DA 53LN'A.,individually,of 14 Hohm Stream Peabody,MA 03'960 with QUITCLAIM COVENANTS, A cer&m pm, et of hnid sat-m in Hyar-T35,Ba MtabkCounty,Mwmizhiisehs,bounded and dm ribed as follows: a ; {) MWEST inl&T Street, fi - © d 7 1100(` _76)feet; NIO�t SSTiE .Y by, Lot 22�-A, e hu&ed rune w3 :��� (131.86)feet; SOUTMASTERLY by a pt?rta noti� r o a M.Vie; fi -fva d 121100(55.12)feet,and "SGUTHIN'ES RLY Lot.20-A,one hm&ed iwenty- and 561100 (12 56)feet All of said boundames are dclerr deed by the fowl lobe lozOW as shown,on subdivision . plan 1S5?3•-C dated 1 It, Med in the. -d Registration D n.;Office in Asto �pop):of U" f�ed county o id eggs n hook�0 FaZe 4 i No_ 1050,6 and said land:is shown,thcreon as LOB 21,A. NORTHWTSTERLY by. 3 ter treet� v n � e 2 eet; by Lot 43j one ham#-d Wity�fo�r and 741�00(14.74 SOUTHEASTERLY b r a paTti z�of la:rid now-or fz�r��erly of Alta M.Chase five, ,0 6).feet.,and SOUMWESTERLY Lot 21-A.-one htm&eO a*-p a :86; 0 ` (131 6)feet. in All-177- ,&fted.l�y-5s 1958,dra b���ls�������c 1ie�ard La ,S gybTs,and'Ell the:Lad Registalion.Offlice,al Bosco cs� y of hm is Mcd in Bar- mblc Co 3y R s ; f TkI:e o,'22130;arid said lam Deeds Ind 1�e�...�� g� is shoWn then e-on as LOT 44. the az renses: er mated a� � leasn ztdl 3� e 1 . . l� , deilamfion;ar apera'don of law,and fulher,5taies under the painis andpenalfiesof, cu; a`t them amne o1her 3ndividua]s vnli:3led hom,est..ad nghu. to the p I ropcny belrh Foi title s,e Quitclaim Deed filed lh the Bmmstablc L- d C��l�eglstr on MY2005 as 1 31;�43'I � �i x dire oaf 11c:17561' , RENEY, MORAN, & TIVNAN MORTGAGE INSPECT10N PLAN o REGISTERED LAND SURVEYORS NAME.ALEX DA SILVA bd 75 HAMMOND STREET — FLOOR 2 WORCESTER, MA 01610-1723 LOCATION 240 WINTER STREET PHONE: 508-752-8855 fr FAX: 508-752-8895 HYANNIS MA RMTCISTGROUP.NET ,� 1 A Division of H. S. & T. Group, Inc. SCALE 1 = 30 DATE 12/4/2018 ►-� REGISTRY BARNSTABLE DEED e00K/PAGE CTF# 175619 BASED UPON DOCUMENTATION PR0111DED, REQUIRED MEASURE OF 't. PLAN'soox/PLAN NO, 15177—C do NO. 15177—L MENTS WERE MACE OF THE FRONTAGE AND BUILDINGS)SHOWN ON ^wt THIS MORTGAGE INSPECTION PLAN, IN OUR JUDGEMENT ALL VISIBLE �4,� WE CERTIFY THAT THE BUILDINGS)ARE NOT WITHIN THE CC)EASEMENTS ARE SHOWN AND THERE ARE NO VIOLATIONS OF ZONING DANIEL REOUIREMENTS REGARDING STRUCTURES TO PROPERTY LINES ` SPECIAL FLOOD HAZARD AREA. SEE HUD MAP: (UNLESS OTHERWISE NOTED IN DRAWING BELOW). J. NOTE: NOT DEFINED ARE ABOVEGROUND POOLS, DRIVETYAYS.OR v TIVNAN - 138E m 06-04-2010 SHEDS WITH NO FOUNDATIONS,IM IS A MORTOACE INSPECTION PLAN; NOT AN INSTRUMENT SURVEY. DO NOT USE TO ERECT N 40047 FLOOD HAZARD ZONE HAS BEEN DETERMINED 8Y SCALE AND FENCES, OTHER BOUNDARY STRUCTURES, OR TO PLANT SHRUBS ' COMPLIANCE NCE THEITH LOCAL STRUCTURE(S) SHOWN HEREON PETTY IS EITHER tu OFFSET �F` �j F� IS NOT NECESSARILY ACCURATE. UNTIL DEFINITIVE PLANS ARE ZONINGFOR ISSUED BY HUD AND/OR A VERTICAL CONTROL SURVEY IS REQUIREMENTS, OR 15 EXEMPT FRONT VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L.S PERFORMED. PRECISE ELEVATIONS CANNOT BE DETERMINED. TILE VIA. CHAP. 40k SEC. 7. UNLESS OTHERWISE NOTED.THIS CERTIFICATION IS NON—TRANSFERABLE.THE ABOVE CERTIFICASKINS ARE MADE WITH THE PROVISION THAT THE INFORMATION PROVIDED IS ACCURATE AND THAT THE MEASUREMENTS - USED ARE ACCURATELY LOCATED IN RELATION TO THE PROPERTY LINES. CERTIFY TO: ALEX OA SILVA �t cl [j Z � O a D A- yp P h dry t ° gSSaE Y co N BARGEE ,ICE REQUESTING OFFICE:LAW OFFICE OF STACY SANRO DRAWN BY:SMEI REQUESM BY: CHECKED BY: f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeQlibly Name(Business/Organization/IndividiW): Address: oZCf'O r`NTtv`�Z S 1 City/State/Zip: 4Yick40►S � O Phone#:° S08-36Y 6f 4 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 I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ ew construction 2.El 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 mein any capacity. employees and have workers' o workers'camp.inatrrance comp.insurance.# 9. ❑Building addition 3.M1required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions equir 1 am a homeowner doing all work officers have exercised their 11.[1 Plumbing repairs or additions 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' Other employees. 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 slate 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: 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cert6 under the pains and pe of perjury that the information provided above is true and correct Si store' J Date: Phone#: 6(7a 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#: Information and Instructions k p 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 haKe 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-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of 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 lime. 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 any given year,need only submit one affidavit indicating current 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 hike 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: Me Commonwealth of Massachusetts Depmlraent of Industrial Aoddents Office of Investigations 600 Wasbington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 www.mass.gvv/dia