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0009 BIRCHILL ROAD
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R .. .C. i' 'f� JI!:':;r •y.T�: r.M'. �frrF „, iS .T J,Ti r' '1"'�' t A ,3q/y) 'Y .,,::cd' ..: A n?-,,r. r\ J:,+:. r. : •,_ r ., '�,: .. .. � n. 4. `'�: , a.�r.., _. .. ,.�••�,A � WV. .!r !i r"'l..SP,•..'fiats _ .�4�5 c dt .-�'Y/ ��.'!-�.A of THE T Town of Barnstable Building Departure 6~ 31 `9 P� 116 *62e a5 * * Brian Florence,CB�i ;0 1—'tea'11.9 a If s m c 1 rA * snaxsTAeLE, . 9� MASS. g Building Commissioner Ar i639. p�m 200 Main Street,Hyannis,MA 02601 FD Mp2l Office: 508-862-4b3.8 Fax: 508-790-6230 AGREEMENT FOR FAMILY.APARTMENT We Fredie Martinez, Norma Martinez, Maria Del Car the undersigned, being the.owners of property situated at, 9 Birchill Road, Centerville, MA holding title under a deed recorded with the Barnstable. County Registry.of Deeds in Book 31704,Page•334, as being on Assessors' Map 189 as Parcel 059,hereby agree, certify, warrant and represent to the Town.of Barnstable that the accessory.attached apartment, which contains living quarters, is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The.family apartment unit must be occupied only by . the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupants of Main Residence: Norma Martinez �c . Relationship to Owner: owner Resident of Family Apartment: Amelio Fajardo � 1�l,�ir: Relationship to Owner: son This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental.would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall.be duly recorded or filed at the Barnstable County.,Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this_Agreement is the issuance of a building permit and/or certificate 6i A—a y ., the Town of Barnstable Building Department. WITNESS our hands and seals this day oQ% QLC mac: TOWN OF BARNSTABLE: OWNERS: Fredie Martinez and lqjmia Martinez /'//+/�11j1116Wti°�� ` G , Brian Florenicef C O Maria Del Car Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date V`' I 19 Then personally appeared the above-named (owner), �, Q� 1Q, \AoA�,�Z N�(M� 11Q�-11�1a d made oath as to the truth of the foregoing instrument,before me. --- - C Notary Public F� a KIMBER:Public LL My Commission Expires: ( �' NoMasgsample sfr ,�0 Commission tt,2049 BARNSTABLE REGISTRY OF DEEDS jhhn F. Meade., RetiSter Town of Barnstable Building . 11 ._ . - rs�n Post This Card So That it is'<Visible From the Street-Approved`Plans Must be Retained on Job and this Card Must be Kept Posted Until'Final Inspection Ha's"Been�IVlade. �el� s639 1 ° Where a Certificate of Occupancy is Required,such Building shall Not;be Occupied until a.F nal Inspection has been made y�ill Permit No. B-18-3555 Applicant Name: HILL, PATRICK R Approvals Date Issued: 02/11/2019 Current Use: Structure Permit Type: Building Family Apartment no Construction ,Expiration Date: 08/11/2019 foundation: Location: 9 BIRCHILL ROAD,CENTERVILLE Map/Lot 189-059 Zoning District: RC Sheathing: Owner on Record: HILL,PATRICK R ? Contractor Name:'¢ Framing: 1 Address: 9 BIRCHILL RD Contractorlicen,se 2 CENTERVILLE, MA 02632 r Est Project Cost: $ 100.00 Chimney: Description: Amelio Fajardo Adult son of owner will reside in Apartment. Norma �# Permit Fee: $ 110.00 Martinez to reside in Single Family dwelling. Create Existing Family Insulation: g y g Y Fee Paid: S 110.00 Apartment without Construction. Date 2/11%201g Final: z �1y Eq Project Review Req: NO CONSTRUCTION " Plumbing/Gas 4 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. All work authorized by this permit shall conform to the approved application and the�approved construction documents for-which-this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning liy-laws and codes. This permit shall be displayed in a location clearly visible from access street or,road and shall be maintained open for publirinspection for the entire duration of the Final Gas: 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. Minimum of Five Call Inspections Required for All Construction Work: ' Service: (Y 1.foundation or Footing Rough: 2.Sheathing Inspection i 3.All Fireplaces must be inspected at the throat level before firest flue liniii is'installed._ . _ 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for-Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 4 � C ApplimadamnNumber.. .....��..... ..........-- sly. PemAtFee. .......... .....................Ofl=Fee................ .... 03 TotslFee Paid......... 1 ................................ TOWN OF BARNSTABLE Pby••••• ...............o1.. . . ..... :BUILDING PERMIT MT............). .. ............Parma......:.... ��. .......... APPLICATIONm�a.-�- Section 1—Owner's Information and Project Location �--verge . � �, .,• (� Project:Address C �� r Co wners Name C, w n f O Legal Address �. ,6 C`►\�U City — �,� Owners cell# �� 1.. S � 9- a Section 2—Use of Structure f ` i Use Group ❑ Commercial Structure over 35,000 cubic feet X ❑ Commercial Structure under 35,000 cubic feet Y y ❑_ Single/Two Family Dwelling Section 3 7JY a of Permit. , ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure . ❑ Change of use' y Famil /Anne ``' ❑ - ,' El Demo/(entire structure) El Finish Basement' y sty Fire,Alarmv ❑ S erS ' 03 Rebuild ❑ Deck Apartment P Y ❑ Addition ❑ Retaining wall ❑ Solar F: ❑ Renovation ❑ Pool ❑ Insulation Other—Specify [L— 'gection-4--Work-Description- tion �.� eS� r eS (t'V"- Ing i sRet nndated:119=1 8 `Application Number........................................... .... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure; h Dig Safe Number # Of Bedrooms E Existing 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 - t ❑ Plumbing ❑ Gas •❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8=Zoning Information , 1 Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) ti Setbacks Front Yard Required Proposed Rear Yard Required Proposed fr i Side Yard Required Proposed Has this property had relief from the Zoning Board in thepast? ❑ Yes ❑ No Last undated:2/92019 Parcel Detail Page 1 of 5 W yy MASS. wj t1j VQ a�., Logged In As: Pa rce I Detail Tuesday, January 22 2019 Parcel Lookup Parcel Info ................. . . ..... Parcel ID 189 059 ) Developer Lot LOT 12 Location 9 BIRCHILL ROAD Pri Frontage Sec Road ROUTE 28 Sec Frontage%140 Village kCenterville N_..., ) Fire District jC-O MM 1 i Town sewer exists at this address tN0 Road Index 0124 Interactive I f Owner Info OwnerMARTINEZ, FREDIE&I� Co Owner Streets 19 BIRCHILL ROAD "". Street2 � � State 2632 Country Land Info _.. . Acres Use Single Fam MDL-01 zoning SRC rvghbd 0105 Ij Topography Level Road Paved " Utilities iPublic Water,Gas,Septic) Location Construction Info Building i of 1 nw.,, Year" ' Roof Built 1966 Struct jGable/Hip Extwall Wood Shingle Living 872 ( RoofAsph/F GIs/Cmp AC None j Area Cover ram........IS' Type y ,A,. �, , Style Bed ;Ranch wallDrywall Rooms 4 Bedrooms Model Residential n Ins Hardwood" rof Bath'2 Full-6 Half Floor Rooms i GradeAverage µ�KK Heat Hot Air« Total fig ° ` x•nn• KK °� Type Rooms Heat [Stones f1 Story Fuel Gas F ation Poured Conc und- . j Gross. Area 4368 Permit History Issue Date Purpose Permit# Amount Insp Date Comments 9/16/2008 Wood Deck 200804768 $2,000 11/14/2007 10 X 12 WDK 12:00:00 AM http //issgl2/intranet/propdata/ParcelDetail.aspx?ID=12981 1/22/2019 I Parcel Detail Page 2 of 5 7/10/2006 Addition 20060724 $41,472 11/14/2007 18' X 24' 12:00:00 AM BAS/BMT 9/27/2001 New Roof 56094 1/1/2002 12:00:00 AM 5/6/1996 New Roof 14930 $1,000 Visit His Date Who Purpose 5/24/2016 12:00:00 AM Keith Markowski Cycl Insp Comp 5/18/2009 12:00:00 AM Tony Podlesney Bldg Permit Completed 2/6/2009 12:00:00 AM Mike Keating New Construction 12/16/2008 12:00:00 AM Paul Talbot Drive by inspection only 11/14/2007 12:00:00 AM Paul Talbot Cyclical Inspection 2/1/2006 12:00:00 AM Jason Streebel Meas/Est 4/5/2002 12:00:00 AM Martin Flynn Drive by inspection only 8/10/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access - Sales History Line Sale Date Owner Book/Page Sale Price 1 12/4/2018 MARTINEZ, FREDIE & NORMA & MARIA 31704/334 $360,000 DEL CAR 2 11/1/2005 HILL, PATRICK R 20428/163 $358,000 3 10/15/1991 HILL, JOHN R & SANDRA J 7703/182 $95,000 4 5/13/1966 DONOVAN, FRANK J 1335/430 1 $0 - Assessment History ........._ .. ............ .................... Save Building Total Parcel Year Value XF Value OB Value Land Value - Value 1 2019 $173,500 $35,100 $5,000 $102,500 $316,100 2 2018 , $153,100 $35,500 $3,500 $107,900 $300,000 3 2017 $141,900 $37,200 $3,500 $107,900 $290,500 4 2016 $141,900 $37,200 $3,500 $108,700 $291,300 5 2015 $148,200 $52,000 $4,000 $105,400 $309,600 6 2014 $148,200 $52,000 $4,100 $105,400 $309,700 7 2013 $148,200 $52,000 $4,200 $105,400 $309,800 8 2012 $148,200 $45,400 $3,400 $105,400 $302,400 9 2011 $183,300 $12,400 $600 $105,400 $301,700 10 2010 $183,200 $12,400 $600 $105,400 $301,600 11 2009 $182,400 $10,300 $0 $140,700 $333,400 12 2008 $177,200 $3,300 $0 $150,600 $331,100 14 2007 $176,200 $3,300 $0 $150,600 $330,100 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=12981 1/22/2019 Parcel Detail Page 3 of 5 15 2006 $154,500 $3,300 $0 $171,600 $329,400 16 2005 $140,500 $3,300 $0 $122,200 $266,000 17 2004 $114,000 $3,300 $0 $103,800 $221,100 18 2003 $109,400 $3,300 $0 $40,700 $153,400 19 2002 $105,800 $3,200 $0 $40,700 $149,700 20 2001 $96,500 $3,200 $0 $40,700 $140,400 21 2000 $72,800 $2,900 $0 $241400 $100,100 22 1999 $72,800 $2,900 $0 $24,400 $100,100 23 1998 $72,800 $2,900 $0 $24,400 $100,100 24 1997 $79,400 $0 $0 $18,300 $97,700 25 1996 $79,400 $0 $0 $18,300 $97,700 26 1995 $79,400 $0 $0 $18,300 $97,700 27 1994 $74,100 $0 $0 $22,000 $96,100 28 1993 $74,100 $0 $0 $22,000 $96,100 29 1992 $84,400 $0 $0 $24,400 $108,800 30 1991 $86,200 $0 $0 $47,500 $133,700 31 1990 $86,200 $0 $0 $47,500 $133,700 32 1989 $86,200 $0 $0 $47,500 $133,700 33 1988 $58,900 $0 $0 $19,200 $78,100 34 1987 $58,900 $0 $0 $19,200 $78,100 35 1 1986 1 $58,900 $0 $0 $19,200 $78,100 � Photos i i i http://issgl2/intranet/propdata/PareelDetail.aspx?ID=12981 1/22/2019 Parcel Detail Page 4 of 5 ? re^a I � ,� � yit� ,• t ,� � �M ram s utt �„ _ F t I i i i I I �I I i ' I I i i I http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=12991" {' {nj 1/22/2019 Parcel Detail Page 5 of 5 .a' r IM I ua i I i I mow.. 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P r sa t¢�r.3da�'s'"�' ''r�a��� ��`�t•��.,5�,},',�r#`s3 1 � 2 �taa�,igy C e�t4 �s+ x �+f5�{�'� a§It'+ r• - v '"�'a� �k�"-��� � „",`"�"* r,hiad*i�"+`�i r IMPORT NT - IJPqq�0ERbd0TktD I Y 1 7 q v Tt k tf' S 3 �2. s R" u t STATE RUILDWG CODE REQUIRES THE UPGRADING OF 1 � DETECTORS FOR THE ENTIRE DWELLING WHEN t S C-s F. ��„ - 1.� 1":+^` �a�L,�v Ve 3w`s• t 1�:�p d n It�Ni4 k Sxi:.'. ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. SMOKE DETECTORS REVIEWED •.5 NOTE A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL �1;T'1 9LF �UIGQIIlG QEBT f �}ft7t�E� � ;f - PERFAI7 t�QU NOT SATISFY THIS REQUIREMENT. a,, � Lr;a G s a� ,y � x u' s '1Lt tk t 4st$ i}+'a 2� i � FIRE D�PARTt+1Eh T L `� `z ri i7ATE� g �soSE � * �j c t � F��gaa, n� a x m'+A �'', 3, c.+n�j � iY t 4u• '^,� d� 7+ i �' 1 �.l�fw �' 1n BOTN SIGMAjURES ARE REQWREfJ FOR ERbIli71F�t3ai u� � �`SY� c Y � ixa�` `t�. 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'4 3��4:c:: fx,_•"�j� t � �tf, l 1,�1 �trr p��yy.�l my •ls: ti r >•`,ya^+tae L r}_e r 2'n" +"+'t' M ,r+ -t" 9 " � +1�+V�.1. $L-'aitr� ,. Yi ���' { .1... 4` k.,�•fa'�Ct 1<;?F':'h#'d4 �'' �� `' s ,r7ta1 � `2' �� '� 3. �M1(�t�6�.- }�� +' ���''a,�'�. F'� }�a�`'SG�4,,� , �`•-'n.... 4 moo e .��1$%�3#r•,._ 'rt��,-5�+9.}r rif`�''vdt� �'��.� r .�'��; ,��i' �{'� i d' �����'k��'���i �`�+�D`�'s`�'�` I �'� ^.� �„t�"�- i`s�i `.'.-"iv`�"' �""`e4ka.{�:.. k'Rv -,` �•. s < r4�� ''k.F + y �,- �';:" �i�y-'- ..: 6, `s, S�L. -: y s y '�Y y�•r��va� .,� `r � n"' ' .�°, ,. Lr� '�rJ 1 - t ai -�� Y J.i' ip }�1 2t1 �.tl������h�t+X ,���w:: i� �� Q � f•�* � .( � .^% d' ,j a '+� k �•...". Ma �*�. ,✓[11 t /J Kx � .yiart:.` •L..1 ""`X Rie `;PtRfu .��'sFZ�a�s . � ° ^s'a dt�:at yy$�,�<nk-xr'�.L� �sj .�•'�i f.. •�t �I�j'��' `i S}'s� 1�ltc ^W i '`� � � i,I 'S F' '� "ST • �`....,..si,4,�41�_�. 4 �'Sr.�?+�WT. s�..+��'���� "N '3 �j 'b A1�w��'�r g��' ,u�' �� f "� -+��Y+ •�; �i„-� �`,!t -w�: i t� ��i ,.,�i-. ... �. _ ,. e.fn. 'E`L b•Il "v i rjr:7^�' •_•. s,}' 5 3+..� T .t 3"" a. tlF At vn � \ , + - f ti� k *'-r-'� v�''•:�: .+. M..1 p�+� �w`.` *rum 1 ar °'"� t1�`�'w. :-•.��a�'", ..� ""ti'•� �' LIP`••x" Y H+ ' ..':^t5 �'a� ''f,t's"4i����f° u�'�14 _ l a.F. �..H j G ��'' a t� ..5... i k '� �• ��,• ' { ..< �y.,tl�:'C�+m�,(i"�•s�tn�5� ,� :�,'�il S l',; � �5 9>' .G�`: rub"_i ;iw `�,, �'�F � � '� � ( s t, lx?'r-t�t`� y.•^"��, .'�,''s r<:>!`�rn-w,'� is j+lb°'F,"3 �J �.. �.' �r�t �„' 'r�. `s�' �` ix?l 'P" �x�e'`- #i 3 Q 9i Application Number........................................... F k Section 9—.Construction Supervisor Name Telephone Number Address City State zip License Number License Type Expiration Date Contractors Emsil Cell# I►nderstand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Budding 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. Signature Date Section 10—Home Improvement Contractor Name Telephone Number 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 prowdures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your ELLC... Signature Date Section 11—Home Owners License Exemption' '-Home Owners N=e: S vv\(�_ LA UT-k V�., C Telephone Number__?7 q-\kU- ft C) all-or Work Number_ 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 requited by 780 CMR and the Town of Barnstable. Signature f - r-Date t",PLICA-NT,SIGNATURE Signature- . r- Date S"" rPrint Name p-z; z Telephone Number 4t 7.f E-mail per nit.to: - v,U �,? ►� �o - v� Section 12—Department Sign-Offs r Health Department © Zoning Board(if required) Historic District ❑ Site Plan Review Cif required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fwe deparonent.for approval Section 13—Owner's Authorization L , 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 i Print Name yY Last=dated 2/92018 ___, _._ _ ��a� . ,- �. _ ,_, ... �., .. .. ..., -� .. ,,, .. r- ji. � .. � .. � .. .J .� ,._. _ _ _ .. _ _ _ _ _ _ .. _ ,.. .... _ ,. i j _ ... .. G i ,. -- _ a. �� � � � { j .. l � � i i � �� .. �. > _.. 1" e F: �. oEt„E T Town of Barnstable ' c Building Departmetf l s 1 ` (i=° a '?®=s * snxxsras�e, Brian Florence,CB02—.1:11. 2019 a 10 Q 51 CL MASS Building Commissioner 1639. A A PFp � 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT We Fredie Martinez, Norma Martinez, Maria Del Car the.undersigned, being the owners of property situated at, 9 Birchill Road, Centerville, MA holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 31704,Page 334, as being on Assessors' Map 189 as Parcel 059,hereby agree, certify, warrant and represent to the Town of Barnstable'that the accessory attached apartment,,which contains living quarters, is intended for use as a family apartment,for year-round occupancy. This unit shall be.us.ed for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and.Regulations. The family apartment unit must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupants of Main Residence: Norma Martinez ° Relationship to Owner: owner n Resident of Family Apartment: Aurelio Fajardol Relationship to Owner: son This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall;be duly recorded or filed at the Barnstable County.Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated: The consideration for this Agreement is the issuance of a building permit and/or certificateob" ?a; y � the Town of Barnstable Building Department. r ® • ��4�E9 j'',..y WITNESS our hands and seals this day of 2t `� ,W� TOWN OF BARNSTABLE: OWNERS: l C7 dy ,��'cn�i, J'4 (9 RS'oi. i Fredie Martinez and orma Martinez �''+++++,�,,,,,a►�a'��� l.�ri� .9G1 t_st/'l�e%fi2vv�I/UCH . Brian Florence,C 0 Maria Del Car Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date V`' q Then personally appeared the above-named (owner), _ i 0 �� Z N� (M 11C���1�Pand made oath as to the truth of the foregoing instrument,before me. Notary Public 1(IMBERLY A.POWELL My Commission Expires: ` + �ti Notary Public i r Massachusetts qsample sb„ ,� Commission Expires Apr 11gull . 0019 BARNSTABLE REGOSTRY OF DEEDS 9hhh F. Meade, Register CO'MPLETE;THIS SE&PON 6MPLETE THIS SECTIONON DELIVERY e Complete items 1,2;and 3. A. Signature ■ Print your name and address on the reverse X f Agent so that we can return the card to you. Addressee ■ Attach this card to the back of the mailpiece, B.mdelivery (Printed Name) C. to f livery or on the front if space permits. 1. Article Addressed to: D. dress diffe rom Rem 1? s l If YES,enter delivery address below: p No VD i ��e- i �� � 9 a 6 30`? 3.II I IIIIiI IIII I!I I III I III I II I I 111111 III 111111 ❑AduIlSignature Restricted Delivery ❑ice Type 1:1 priority Registered Mail Restricted ❑Adult Signature ❑Registered MailTM 9590 9402 3630 7305 3408 11 ertified Mail® eIi mery ❑Certified Mail Restricted DeliveryRetum Receipt for ❑C011ect on Delivery Merchandise _2.4Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm M-Insured Mail ❑Signature Confirmation 7017 1 0 0 0 O O'O O 6 7 5 7 2 2 Q]� ,ured Mail Restricted Delivery Restricted Delivery er$500) PS Form 3811,July 2015 PSN 7530-02-000-9053� Domestic Return Red yt uses # First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 3630 7305 3408 11 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service TOWN OF p o Ln U a .. • to Iti ruQ r -• SI , Lrj Certified Mail Fes f,►J ; • `OV Extra Services&Fees(check box,add tee aaappropriate) ❑Return Receipt(hardcopy) $ 4�io �, 0 ❑Return Receipt(electronlc) $ (r ��. P tmark`l jlt ❑Certified Mail Restricted Delivery $ ) V ylarQQJ ❑Adult Signature Required $. I cQo,5 C3 ❑Adutt'Signature Restricted Delivery$ p Postage Q� 0 S rr3 Total Postage and Fees N Sent T r O Street and Apt.No., r PO Box No. Z 9 - � City-$fate, IP 9 / ------------------------------------------ c�- :.r r r r .•r•r• i Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(Including the reciplents retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. j; Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Wile,First-Class Package Service®, available at retail). . or Priority Mail®service. Adult signature restricted delivery service,whch ■Certified Mail service is not available for requires the signee to be at least 21 years of age Intemational mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt Is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear.a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 PCL XL error Error: IllegalOperatorSequence Operator: Oxe3 Position: 11239 i l ti. a Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street Hyannis, MA 02601 BARNSTABE MFRVIVE•CONR•H pnNiS BARNSTA NI oa OS1Ela-• aBA0.NSi S Y �1639-2014 - www.town.barnstable.ma.us �Dg Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Violation(s) and Order to Cease, Desist and Abate: Fredie Martinez,Norma Martinez,Maria Del Car and all persons having notice of this order: As property owner(s)of the property located at 9 Birchill Road,Centerville,Assessors Map 189 Parcel 059 and known as residential structure,you are hereby notified that you are in violation of the Zoning Ordinance of the Town of Barnstable c. 240 § 47.1 and are ORDERED this date 1/30/2020 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On or about 2/14/2019 this office observed a violation of the Zoning Ordinance of the Town of Barnstable c. 240 § 47.1); specifically,family apartment on the property contrary to the required provisions of the aforementioned Zoning Ordinance including failure to provide internal access and obtain a Certificate of Occupancy. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action: cease occupancy of the family apartment,provide internal access from family apartment into primary single family home and successfully complete inspection to obtain a Certificate of Occupancy. And if aggrieved by this notice and order,to show cause as to why you should not be required to do so, by filing a notice of appeal within thirty days in accordance with Massachusetts General Law 40A Section 15. By Order, Jeffrey L Lauzon Chief Local Inspector (508) 862-4034 jeffrey.lauzon@town.bamstable.ma.us Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BC1i�lVSl�L� 200 Main Street Hyannis, MA 02601 aAa"n"B��"ER°mF•comm�Annts NMS10M5 MILLS•OSIERV[IlE•N%TBARNBfABLE - > > 1639.2014 www.town.barnstable.ma.us � . Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Violation(s) and Order to Cease, Desist and Abate: Fredie Martinez,Norma Martinez,Maria Del Car and all persons having notice of this order: As property owner(s)of the property located at 9 Birchill Road,Centerville,Assessors Map 189 Parcel 059 and known'as`residential structure,you are hereby notified that you are in violation of the Zoning Ordinance of the Town of Barnstable c. 240 § 47.1 and are ORDERED this date 1/30/2020 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On or about 2/14/2019 this office observed a violation of the Zoning Ordinance of the Town of Barnstable c. 240 § 47.1); specifically, family apartment on the property contrary to the required provisions of the aforementioned Zoning Ordinance including failure to provide internal access and obtain a Certificate of Occupancy. Summary of Action to Abate Violation:. In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action: cease occupancy of the family apartment,provide internal access from family apartment into primary single family home and successfully complete inspection to obtain a Certificate of Occupancy. And if aggrieved by this notice and order,to show cause as to why you should not be required to do so, by filing a notice of appeal.within thirty days in accordance with Massachusetts General Law 40A Section 15. By Order, &/rey'�L Lauzon Chief Local Inspector (508) 862-4034 j effrey.lauzon@town.bamstable.ma.us J Oy p*1HE r_l .��K �a a ,a�a «� f¢ ' Panted On 10/29 019" o Com ldt it Call Repo�r�t �AHN3fABLE. ' '6'° 9 BIRCHI�LURIOADI. CE""' Cadef Case#: C-19-802 Address: 9 BIRCHILL ROAD, Date: 10/2912019 CENTERVILLE Owner Info: Property Info: MARTINEZ, FREDIE & NORMA& MBL: MARIA DEL CAR 9 BIRCHILL ROAD 189-059 CENTERVILLE MA 02632 Owner Notified?: Complaint Details: - Type of Complaint Classification of Complaint Method of Complaint Building Code,Zoning Medium Priority Walk-in Complaint Summary: Property appears to be overcrowded since new owner purchased it in 2018. Many MV(unreg & commerical) noted on site. Check early(8 AM) or around 4:30 PM. explained that those hours are difficult for staff. Referred citizen to PD for unreg MV. Citizen indicates that there are many occupants in the dwelling. Also concerned about septic capacity. Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: lauzonj Filed by: andersor Comments: Comment Date Commenter Comment 10/29/2019 andersor Also referred to Health for overcrowding/rental reg &septic issues, O RNSTABLEKAM �}- " : PE IT ECKLIST Iv n s Sign off hours for ea and Conservation are 8-9;30 a.m. and 3:30-4:30 pD.M. A complete permit application includes,fllling all secdon'1-1.3 kp,�C� S � � 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS ❑ Site Plan showing setbacks of proposed and existing structures' ,�'lti1 QCommercial-One complete set of full sized plans one reduced 11"xl7" (plans may require a stamp by an architect ore l Residentia - 5 Set of floor plans no larger than 11"x 17" smoke/co detectors marked Worker's Comp. Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council (IECC) ❑ Letter of financial Interest for new houses only(not required for rebuild after teardown) ❑ Performance bond made out for$4.00/foot of road frontage (new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) Everything above plus shut off letters from following utility companies: ❑ Gas ' Electrical ❑ Water t ❑ Sewer(if required) `• 3. DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location Construction,plans showing framing detail (if new,framing), El Pools-Barrier details,pool specs (engineers design) ❑ Workman's.Comp Affidavit and policy (if required) FAMILY APARTMENTS ❑ Section 1 Plus: El Family Apartments are subject to approval from the Building Commissioner. Agreement_must be signed, notarized and'recorded at the Registry of Deeds and returned to the Building Department.' 9 Birchill_rd_Centerville executed P&S FILE ADD AUTOFILL MORE SAVE SHARE EDIT IN PRIVATE ddCoap Ogdztufe vtdFl:cJGarrr'Js.,ts�:f:;Y.-.e:-,�.,p�;.Fj --•-y_______.__�._ - �..T._._...-.—.___._._.._..___,_ _ .»_._...._......_........_..._-.._..._.....__...__ . PURCHASE'AND SALE AGREEMENT (hereinafter referred to.as the"Agreement") From t a affice Df Wichael.J.-Gill;Esq. Gill bevine,:P:G. 776 Main Street Hyannis;MA 02601 Dated as of this a day of October,2018 t. PARTIES AND MAILING PatHck R.ttiii,presently of 9 Birchilt`Road,Centerville,MA 02632(hereirraftet collectively referred to l ADDRESSES as the°SELLER")<agrees tase11 and.Fredie Martinez,t46tma Martinez&Maria mattinelt,presently . of 93 Grove Street;Hyannis,MA 026 01(hereinafter referred to as the'BUYER)(SELLER and BUYER'somefrmes hereinafter collectively referred to as the`Parties"),agrees to buy:upon the terms hereinafierset forth,the following described premises: 2. DESCRIPTION A certain,paroet of land,and the buildings and improvements thereon,known and numbered as 9 Birchin Road,Centerviite,MA 02632 (hereinafter to referred es the`PrOmides. For SEtLEWs title, see'Deed recorded with the BarnstabIle County Registry of Deeds at Book 20428,Page 163 3. 8UILDINGS; Included in the sale as a part of the Premises are the buildings,structures,and improvements now STRUCTURES, thereon,and the fixtures and used in connection therewith including,if anyratl wsl, 9�rpetirig, IMPROVEMENTS, drapery rods,:automatic;garage door openers,venetian blinds,window shades screens,Screen.doors; FIXTURES storm.windows and doors,:awnings,shutters,furnaces,heaters,heating equipment,stoves,ranges,or1 and gas burners and fixtures appurtenant thereto,hot water heaters,plumbing and bathroom Wes, electric antl other iighti fixtures,mantels,outside television antennas,%ncEI%gates,trees shrubs; plants;all fixtures;and all appliances currently"installed:per MLS including washeri4, yers,tail to t e:ln as icontli6on at the time of BUYER's inspection,reasonable wear and tear excepted- i 4. TITLE DEED Said Premises are to be.conveyed by a good:and suffiaent quitclaim deed running th the BUYER,or to the nominee designated by the BUYER(the"Deed)by Written notice-to the;SELLER at.least seven,(7) days before the:Deed is to be delivered as he ein provided,and said Deed shall donvey a good,and. clear record and marketable titre thereto,free from encumbranees:;except ? j (a) Pr6 Astons of existing building and zoning laws;_ (b) Sud►aaxes far the.then current year as are.not due and payable anAhe:detwof the delivery of I such Deed, (c) Any liens for muniapat betterments assessed:after the date of this Agreement.and (d) Eassment%restrictions and reservations of record,if any,so long as the same do not prohibit or materially interfere with the current use of said�Premises as a single family dwellirig with a ( j legal in-law apartment 1 5, PLANS If said;Deed refers to a plan necessary to be recorded therewith:the SELLER shall deliver such plan with the Medlin form adequate.for:recording or registra:on 6. REGISTERED TITLE in addition to the foregoing,if the title to sal&Premisesls registered,said Deed shall ba in form ) sufficient to entitle the BUYER to a Cettificate'of Title of said Premises,and the SELLER shaft deliver, with said Dled;ali instruments.if any,necessary to.enable.the BUYER to obtain such-Certificate of j s 'Titl'e. _ } 7. PURCHASE.PRICE: The-agreed to purchase price for:said Premises is Threa Hundred Slaty Thousand($360;000.00} Dollars,of:which $ 2.500.00 having;prevrously beernpaid to bind die Ofler`to Purchase $ 10,100.00 have been paid as a depositthis day and $ 347,400:00' are fq:tie paid at the Gme of"the delivery andrecarding of the Deed:by Attorneyy iOLTA chectc or vinre transfer .. i $ 36o,oMoo. " TOTAL(the"Purchase Price") ,n B. TIME FOR Such Dee Is tq 4a4elivered at 1t):00 A AA.ort the 9 flay of idoYemberI I I 1 1 at the Barnstable PERFORMANCE; County.Registry of Deeds or attte office of BUYER`s attamey,if fh Barnstable County(the"Cloairtgp I it is agreed that time DELIVERY`OF DEED or.the'Ctosing Dale'),.unless atherwise agreed upon in writing.. is of the essence of this Agreement, f ' '�--9=Birchill-rd-Centerville-executed_P&S-- ----- ----- --- - --.-- n—`- -- = -- -----< �. .< — FILE ADD AUTOFILL MORE SAVE SHARE ' ..,,_,...�,,..w_..EDIT.IN.TRIVATE...-._..................,»....»«...-.....�...:.._,..........:..��..�•..�,-..».._........._.- '.._...:._...:......._......................��..e..,....:.._.A.-.........�.m.....�......_..a...«..........eM.._ ...._..� dMoop sWnawfik vasrflcadme • I 9; POSSESSION AND Full=possession of.said Premises free of all tenants and occupants isio be delivered at the time ofthe CONDITION OF Ctosmg,said Premises to be#hen(a)in the ssmaoondiinon as they were in at the Erne of the 8UYER's: PREMISES inspection(except any repair/replacement items Set forth in:tl�e Rider,d any},reasonable use and wear thereofexcepted,and(b)not In violation ol'said building and zoning laws;(c}in broom dean condition,free of altof the SELLER's personal possessions not conveyed to the BUYER.hereunder and all debris;and"(d)in compliance with provisions of any instnimeIM referred to in Paragraph Four, (4)hereof or this Agreement The BUYER shall be entitled personalty to inspect said oreinisas prior,to. me Closing In order to detemmine whether the.condition.thereaf csompties with;tFie terms of this Paragraph and the provisions of this Agreement; Id. EXTENSION TO if'the SELLER shall be unable at the Closing to give good title pursuitnt to Paragraph Four(4)above; PERFECT TITLE OR end this Agreement,or to make conveyance,or to deliver possession of the Premises,all as herein MAKE PREMISES stipulafed,or if atthe time ofthe Closing the Premises do not conform with the provisions hereof,then I ,CONFORM. the SELLER shall use reasonable efforts to remove any defects in title,or to deliver possession as II visions hereof as the case maybe, provided herein,or to make the said(!remises conform to the pro in'which event the SELLER or the BUYER shalt give written notice thereof tc the other party priar to the,time:for performance hereunder,and thereupon the time for performance hereof'shat,be extended far a period of not-more than thirty(30)calendar days. The SELLER shot!not be obligated4o expend more than YZ of1i.%.of the We price,inchisive of attorney'sfaes incurred in the,cure processi but i exclusive of municipal and voluntary liens granted by the.SELLER: 11. FAILURE TO PERFECT It at the:expiration of the•extended time this SELLER shall have failed so to remove any.defects in..tltle; TITLE OR MAKE deliver possession.or make'the Premises conform.as"case case may be,all as herein agreed,Or if`at I ment or'any exte thereof,the holder of a mortgage on PREMISES CONFORM, anytime during the period of this Agree i eta:. said Premises shall refuse.to permitthe insurance p s,if any;to be used for sudroceed purposes, then,at;the BUYER's option and upon written notice from the BUYER to the SELLER,any deposits and other payments made by the BUYER In consideration for the transaction contemplated under this 1 Agreement shall be forthwith refunded and ll other obligations of the Partieshereta shalt cease and this Agreement shall bevold without<recourse-to the Parties hereto. 1Z BUYER's ELECTION TO The.BUYER shall have'the election;.at either the original or any,extended time for performance,to ACCEPT TITLE accept such We as the SELLER can deliver to the said Premises in their therm condition and to pay therefore the purchase price without deduction,in.which case the SELLER shall convey such title except that in the event:of such conveyance in accord with the provisions of this Paragraph,ifthe said I premises shall have been damaged by fire or casualty insured against,than the SELLER shall.,unless the SELLER havpreviausly restored the premises to their former condition,either (a) pay over or assign to the BUYER, on the delivery of the deed, ail amounts recovered or recoverable.on account of such insurance, tess. any amounts reasonably expended by the SELLER for any partial restoration or (b) if`.a holder of a mortgage on said premises shall not permit the Insurance proceeds or a part -thereof'to be:used to restore the said premises to'their former condition or to be so paid over or' assigned,give to the BUYER a credit against the purchase price,on, elivery of the deed,equal to said amounts so recovered or;recoverable and retained by.the holder at the.said mortgage lesss f I any amounts reasonably expended by the.SELLERfor any partial restoration. F Furthermore,if between the date of this Agreement and the date for ddivery of the deed, the said Premises shall have been materially damaged by fire,vandailsmor other casualty or in: event of a taking of all or apart of the Premises by eminent domain,then at BUYER'S option,al1 payments made under this Agreement shalt be refunded and al other obligations of the Parties hereto shalt cease and i this Agreement shall be void without recourse.to:either Party: ?Wale Damage°shalt mean damage f` in excess of$:1 .00- j 13. ACCEPTANCE OF' The acceptance:and recording of a need to the Premises by the BUYER orHs nominee as.me case DEED maybe,shalt be deemed to be a full performance anddischarge>of every agreement and obligation.., herein contained or expressed,except such as are,by the terms hereof,to be performed after or.shait 1 survive the recording of the Deed by the BUYER: 14. USE OF MONEY TO Toenable theSELLER to make conveyance;as.herein'provided;fhe SELLER may,attfie time_of CLEAR TITLE' Closing,use the purchase moneyor any portion thereof to dear the tide of any or-all encumbrances or Interests,-provided that ail instruntents so procured are recorded'simuttaneously witftthe recording of the Deed,or in the case of mortgages granted.by the SELLER to institutional lenders;which are.pai, in full the:sale proceeds,within a reasorably time after the Closing and the recording of the Deed in :aairdence with low(conveyandrig pradicm- i .____-__.� ..____........_ .....»_...�_..»._.._,_...._. ,_..,.. -•-• ,......r...._..- --�...�....._........- .�., SAVE DOCUMENT i 9_Birchili_rd_Centerville executed_P&S FILE ADD AUTOFILL MORE SAVE SHARE EDIT IN PRIVATE i I I � 1 i I { I , 1 I 1 } 7 i i ABOUT DOTLOOP TERMS OF USE PRIVACY POLICY O 2618 DOTLOOP INC HELP CENTER CALL 1(888)-DOTLOOP(368-5667) MEMBER ID:27674796 • - CLRL + SHIFT }15 1 SAVE DOCUMENT 8atloaC:alpratureverfRtatiwcr.��."�c�-� `ix3r 9 Birchill rd Centerville executed_P&S < eDir IN PRIVATEFILE ADD AUTOFILL MORE SAVE SHARE I 5. INSURANCE' Until the.delivery-and recording by theBUYER of'the Da d,the SELLER shall tnai, In insurance on said Premises as follows:. Type of..insurance. Rmor?ntof'Coverage (a)Fire and Extended Coverage >S, as presently insured All risk of loss to remain with SELLER unfit recording of..the:deed: I 16. ADJUSTMENTS Water use charges;association dues(if any),And real estate taxesfor the fiscal municipal tax year`in which'the Closing takes`place,shall be apportioned,as of the day of performance of-this,Agreement and the net amount thereof shall be:added to or deducted from,asthe case may be,the Purchase Price payable by the BUYER at the time of Closing, In the event any apportionment/adjustment pursuantto.this Paragraph or and calculations or figures'used in the settlement statements) signed by the parties are,within 90 days of the date of the dosing;found to be erroneous,then either Party hereto Who is entitled to additional monies shalt mvace.(along with reasonably detailed beck-up°data)the other Party for such additional amounts as may be owing,and such amounts shall be paid.'with gDod funds,,idKri ten(10)days from tire.Gate ofthe invoice. This provision shall survive the Closing and et recording oldie-Deed hereunder: 17_ ADJUSTMENT OF if the amountof said taxes is not known atthe:time of the Closing,they shall be apportioned on the [ UNASSESSED AND basis ofthe taxesassessed for the preceding,ftscal year;with a reapportionment as soon as the new ABATED TAKES tax.tate and valuation can be ascertained;and,if thetaxes which are to be apportioned shall thereafter be reduced byabatem6ht,the amount.of sudr Eibefement,less the reasonable cost of obtaining the same,shall.be apportioned between the Parties,provided that neither party shall be obiigated.to institute orprosecute proceedings for an abatement uniass hereincthenwise agreed, ' 18. BROKER's FEE A Brokers fee for professional services of 4.5%of the netsate price is due from the SELLER to I Ri:VOLVReai Estate,Who.shall pay 15%of the net sale price to ExltCape:Rea1 Estate,the Brokers} herein,only if,as°and when the deed is delivered and recorded and the full purchase price is paid„and not otherwise. BUYER warrants and represents to SELLER and SELLER represents and warrants to I BUYER that it has dealt with n0 brokar or other.person entitled to a:brokers:commmssiori in tine ,with the.negotiation or exeattian of this Agreement or the consummation of the transaction I contem fated herebyexeept the t3roker(s)listed herein.and each agrees to hold the other harmless { P_ . and indemnify the other againstg all damages,claims,losses and llabiiifies,including legal fees, incurred bythe°other,arising out of or reWltingfrom the;failure of ii5 representation antlwarranty.This provision shall survive the closing hereunder. f By execution of this Agreement;the BUYER and SELLER specifically authorize the distribution of the AT LA Setdement_Statement;HUD Settlement:Statemeritatid/or Ctosing,Disdosure,geneiateda.t dosing to the aforementioned Brokers.. 19. BROKER(S) The Brokers)named herein viarrant(s)that the.Broker(s)is(are)duty licensed as such by the WARRANTY Commonwealth of Massachusetts: 20. DEPOSIT Ali deposits made hereunder shall be held in s non-in bear%ng escxow aceount by REVOLV Real Estate;subiectto the terns of this.Agreement and shall be duty accounted for.at the time for t performance of:this Agreement to the event of any,disagreement between te Parties,the escrow F agent-shalt retain all deposits made.under this:Agreement pending Written instructions mutually given by the SELLER and the BUYER or by final order of a court ol"competentluTisdiction. 21. BUYEWs'DEFAULT: - if the BUYER shalt fail to:fulfill the BUYER'S agreements herein;and SELLER has fulfilled SELLEWs DAMAGES agreements herein,all deposits-made hereunder by the'BUYER shall beretalned bythe SELLER as liquidated damages and this shah be SELLER'S sole and exduslve remedy at both raw and in equity fora iy defaultby BUYER-hereunder.The BUYER andSELLER:each further agree that anticipated damages from a default by the BUYER may be diffictiiltto ascertain and that the deposh bears a reasonable relationship to the damages that the SELLER would suffer in the event of a breach or default by the BUYER andthatttie BUYER.shall not objectto the.;amount of liquidated damages in, w any adios arising due to default by BUYER under this Agreement The provisions of:this Paragraph Na 21 shall survive delivery of the peed and may be..introduceI in evmtlence in any`sur�t acrion 22 RELEASE'BY SELLER heretyr agrees:to'release and convey:all statutory arid'other nghts.and interests in said HUSBAND OR VIFE Premises,incuding statutory and common law homestead rights,: 23. BROKER:AS PARTY The Broker(s)named herein join(e)inAhis Agreement and becoma(s)a party hereto;insofar as any pmviscons_cf.this Agreement expressly apply to the Woker(s),and to any amendments pr mod fications;of such provisions,to'whicti the Brokers)agrees):in Writing" > i t dmlodPsigaawreve�fk3wrc �y�<+� _ � � - em i cq�r;u)yF.R:esieixites this Agreement in a o representative rfiducta�ty oe lY � ! 9 Birchill_rd_Centerville_executed_P&S EDIT IN PRIVATE FILE ADD AUTOFILL MORE SAVE SHARE j { 1 . - I i I 1 f t 7 I f 1 j I - I CTRL { SHIFf +OS 3 SAVE DOCUMENT I 24. LIABILITY Ut- Al U �_4 -- - �, TRUSTEE, principal or the estate represented shall'be bound,and neither the Stu cK Dr o� G� 9_BigMAR-&-iC UW'ville-exec)4kPP §hareholder or benefiaary of any trust shall be personally liable for any obiigafiion,express or. EDITi6oNE€ICiARY,etc. implied,hereunder. FILE ADD AUTOFILL MORE SAVE SHARE enter into s tr6hwctiork nor 25. WARRANTIES AND. The BUYER acknoyvied warranties or relxeserrtaticns not set forth oar:nowrporated nithis.Agreemen mentor i REPRESENTATIONS has he,relied upon any previously made.m writing,except for the following additional warranties and representations,if any, made by either the SELLER or theBroker(s): None. Premises are sold"at it'sul, ect tothepprovisions ofthis Agreement The BUYER admoWedges'#hat the BUYER has had the opportunity to have the premises irspersed by a professlonat home inspection firm.of.their choice and Is retying solely upon the results of that inspection,with regard to the physical condition thereof: The BUYERS actmdvAedge that no warranties orrepresentations concerning the premises have:been made:bythe SELLER or brokers herein except as set forttr in this Agreement 26. MORTGAGE: BUYER's obligation to purchase is i oWdltioned.upon obtaining•a written comrti. lent for financing in CONTINGENCY the amount of$347,400.00 at prevailing rates,terms and conditions by 5 Ob p.m.on November 5, l CLAUSE 2018(the"Commitment Date).. BUYER shall have an obligation to.act diligently to satisfy any condition with BUYER's coat OL If,despite reasonable and diligent efforts,BUYER has been unable to obtain such written commitment for financing on or before the Commitment :Date,than BUYER may, terminate theAgreement by giving written notice that is received by 5A0 p.m:on the Cornmitrnent. f Date. in the event that notice has not teen received,this condition is deemed walved. In the event that due notice has been received,the obligations of the parties shall cease and this Agreement shall be void,-and ail:monies deposited by BUYER shall,be returned. In no event shall BUYER be deemed to have used reasonable efforts to obtain financing unless BUYER has.submitted one appikttran na within three business days of rec eij)tof a fully executed Agreement,and acted promptly.i providing additonai information requested by the mortgage lender. 27_ -CONSTRUCTION OF This Agreement;executed mMultiple•:counterparts,is to be construed as a lulassachusetts contract,is AGREEMENT #o,take effect as;a sealed instrument sets forth the entire contract between the Parties,is binding'upon and inures tote benefit of the Parties hereto and their respective heirs,devisees,executors, administrators,successors and assigns,and may be canceled,modified or amended.only by a written instrument-executed-by both the SELLER and the BUYER or their respective counsels;The Parties may rely upon facsimile,sunned,or electroni�tly signed copies ofsuch written instruments, iftwO.or more persons are roamed herein as BUYER and)or SELLER,their respective obligations hereunder shall tie loins and several. The captions and marginal notes are used oniy.as a matter of convenience arxf.are not to be.considered a part of this Agreement of to be used in determining-the irrterrt of'the Parties to`iL { 28. LEAD PAtNT LAW Sae:136,lnf. i i 2$. SMOKE AND CARBON The SELLER;shall.at least two business days prior to the Ctosirig;deliver to the BUYER's dosing % MONOXIDE counsel a current;unexpired certificate good through the date of the detiveiiItyof the Deed,#rom the C t. DETECTORS tocatfire department of the city or town in which said Premises are.located stating thatsaid Premises have:been equipped witfl approved smoke and carbon.monoxide fletectors and are in compfiarice with 1 Massachusetts General taws,Chapter 148,Sections 26E and 26F and in:confobrI4 vrith any' applicable law. 30: ADDITIONAL The executed""Rider A"and Rider B,attached hereto,are incorporated herein by reference. If PROVISIONS any provision in the Rider.cohluc#s in any way with-any'other provision in Paragraphs:One(1)through I Thirty(30),inclusive,oftlis Agreement or with any addenda or exhibits.hereto,the prevision contained in the Riders):shall control. FOR RESIDENTIAL PROPERTY CONSTRUCTED PRIOR TO 197t3,BUYER MUST ALL HAVE SIGNED LEAD PAINT"PROPERTY TRANSFER.NOTIFICATION CERTIFICATION" RIOTICE. THIS IS A LEGAL DOCUMENT THAT CREATes:81NDING 0911GAT1ONS.!IF NOT UNDE1tST00D>. GOI+ISULT AN ATTORNEY,. - I Pa dk R.Hill,SELLER. fredie Martinez,BUYER (umv e D d�xiopp���a �' � ...... t(A9(1853W�d�'r Lf(�/GCSe' p9tstlbMfY14 ... dotlDDpsigresrcarEv[AfluRi4n' 1 �%`{x»s.�Gtr, f Norma Ma tlnez BUYER Maria'tlAartinex,BUYER RIDER A TO PURCHASE AND SALE AGREEMENT BETWEEN 9 Birchill rd-Centerville executed-P&S - FILE ADD -AUTOFILL MORE SAVE SHARE EDIT IN PRIVATE I � I I I I i { I ; r i I I i { I i I i - CTRL + -- +Ot SAVE DOCUMENT! i ramcK K..MIU SELLER 9 Birchill rd Centerville executed_P&S RE FILE ADD AUTOFILL MORE SAVE SHARE EDIT IN PRIVATE AND _ Fredie fiAaNnez Norma Martinez and Maria Martinez BUYER 34.. Ail offers and agreements made prior to-this Agreement'induding Contract to Purchase Real Estate°signed'Septembar:24 2018,are hereby superseded,rendered null and void and shall'have no further force end effect it being the intent.of the Parties that all obligations of the Parties are contained only-in this Agreement. 32. From and.after the date of this Agreement,SELLER agrees to permit BUYER and its designees,including but not Iimlted`to, contractors and insurance;agents,reasonable access,at reasonabl..limes,and on no more Chian three(3)occasions exclusive of the BUYER`s final walkthrough,to the:said Premises for the:purpose of making measurements,inspections,making appraisals and the like. Said tightuf:access shall be exercised only in:the presence of SEL CER or the Broker named herein, and only after reasonable prior notice,either written or oral,tolbe SELLER. Reasonable notice shall be construed as 48 hours. In cwnsideration of theforegajng;Bl1Yi R,agrees to indemnify,:defend and;hold harmless the SELLER from any and all costs(including reasonable aftomey's fees),damages,and claims for.dameges to property or persons caused by BUYER;or. BUYER's agents)while on the Premises,except such as is caused by SELLER s:negtigence. BUYERs indemnification herein shall'be in addition to;'and not in any waytimited by the deposits:held pursuant to this Agreement This:indemnityshall survive the Closing hereunder;:or termination of the.Agreement 33. Not itrMstanding.any other provisions of this Agreement regard'Ing the conditions of said Premises,at the fime:of the Closing hereunder,all 6uikiings shall bebroom-sweptand clean and free of all'SELLER`s possessions(except for those items being, conveyed with.the Premises as provided in this.Agreemenq,the yard:and all portions of the dwelling.will be free:of debris,. waste and materials.and maintained in a manner customary for the season. SELLERshall;me Main and service the premises and its appurtenances at the.same levet.of effort and expense as SELLER has maintained:or serviced the premises for SELLER's own accaiint prior to this Agreement. 34. Any title matter or practice arising under or relating to this Agreement which-it the subject;of a title standard,ethical standard or pracice'standard of REBF shall be,governed by said title standard;ethical standard or practice standarcl to'thaextent applicable and to the extent such title Standard,ethical standard or practice standard does not contradict any expressed team or condition of this Agreements 35., BUYER hereby.acknowledges that BUYER has been permitted adequate time and full access to the Premises;prior to the. execution of this Agreamentto conduct.structural,:home,pest and other inspections or nvestigationsof the Premises,as determined by BUYER,prior to the execution of this-Agreement Having had such opportunity,BUYER hereby acmowledges that BUYER has conducted said inspection and it satided with the results of sam e. BUYER,furthermore,acknowledges that SELLER and SELLER's agent have made no representations or warranties,express or implied,asto the Premises,including or as to the expense of operation or any other matter or thing affecting or relating to the Premises,or part thereof,or;as.to any matter referred to above in this paragraph,upon whidt BUYER is or may be relying in entering into or performing this Agreement,except to the extent any such representation is expressly set forth in this Agreement. BUYER hereby adohowiedges that BUYER is satisfied with the condition of the Premises and is purchasing the Premises in"as is°,at the-time of the BUYER's inspection,reasonable.wear and tear excepted,and subject the`provisions ofthis Agreementwithout further recourse to or against SELLER or SELLER's agent(s),except as provided for by the provisions of this Agreement The. provisions hereof shalt survive the Closing and the recording oflhe Deed or any termination of this Agreement. !6S The parties acknowledge that;under Massachusetts taw,whenevera child under six years of age rasitles in any residential ;premisesin which:any paint plaster orother accessible material contains dangerous levels of lead,the ownei of the Premises must remove or giver said palyd plaster or other:material so as to make it inaccessible to children under six years of age, Furthermore,BUYER and SELLER acknowledge that(a)BUYER has been informed by SELLER of the provisions of the lead Pa int statute and regulations.(:9O CMR 480,et:sen.)(hereinafter referred to as the"Lead Paint l.avd),(b)SELLER has made the disrlosure to BUYER with respect to lead paint 16 the Premises required by the Lead Paint Law,and(c)BUYER has received:and signed the notification.forms required by the Lead Pa.int#aw. BUYER acknowledges that SELLER has notified BUYER:of BUYER's.nght ko perform a lead paint inspedon;of the Premises if Bt1YER 5o chooses. BUYER egress thatif me Premises contain lead paint SELLER shah have no dutyla.remave same or to othenxise make'the Premises comply with the ,Lead Paint taw,:and upon closing,BUYER shall assume all responsibility with respeetto:lead paint`in the Premises.The provisions of this paragraph shall survive the Closing and the recording of thgZeed with respect to'the Prerises to the 811YER. dudooi sfgtS3WreaalSRtian:!74+*�s+'�;a -A��:�t: - - - ' 31: The Parties acknowledge and agree that SELLER has no adequate•remedy in the-event of BUYER'S default under this vsubh Agreement {t is impassible to as untie setting the aiThountlofrthe des.whichwo" e hereundd:86oue to r er a d hereby agree Therefore,the Parties have taken.these fads 4 i that (i)the deposithereurider is the best estimate of such damages Which would agave to SELLER in the event of BUYER'S _ default hereunder;(ii)said deposit represents damages and note penalty against BUYER,and-(in the Parties.have been afforded the opportunity to consult an attomey with regard to the provisions of this paragraph. 38, This Agreement may not be assigned or recorded'bythe BUYER withotR.the prior written consent of time SELLER.and arty j recordation by BUYER:(including a'recoMing of notice hereof)or purported assignment by BUYER in violation of this } IVr_p, Irtder this-Agreement,whereupon all deposits hereunder shall be paid to I I ' 9_Birchill rd Centerville executed P&S FILE ADD AUTOFILL MORE SAVE SHARE 1 EDIT IN PRIVATE t i I I i i i I i i I i QRL SHIFT 5 SAVE DOCUMENT i f paragraph snail be wnsioe�ev a, ate.�r the SELLER'with interest thereon and shall beceme the SELLER'S property and this Agreement.shan terminate wnnwc 1w, ti,: g to deer Hate. 9 Birchil oywgea SThis provision is not:in derogafion of the BUYER's ri hts under paragraph four(4)_ g EDIT IN PRI mines-tOtaKe:bU FILE e. ADD AUTOFILL MORE SAVE SHARE varao 39. If this Agreement or any other provisions b way of reference_ncorporated herein shalt contain any or provision which shah be invalid,then the remainder of the Agreement or other''instrument byway of referent incorporated herein,as the case. fuit:force andffe e ct.to the.fullest ezti nt permitted by few. d ln may be,+shall not be affedted thereby acid shaN[emain vaNd:an _ _.. 40. By executing this Agreement,the BUYER`and SELLER hereby grant to their attdnieys the actual authority,to bind them-for the sole limited purpose of.allowing them to cancel or grant extensions,or modify or amend this Agreement In writing,or provitling any notice hereunder,and the.BUYER and SELLER shalt be able to rely upon the:signatures of said attorneys s binding eys a :unless they have actual knowledge that the principals have.disdairiied She authority granted herein to bind them. Further,for purposes of this Agreement,electronically generated,.scanned and facsimile signatures-on such written instruments shall tie binding..in addition,,af+e-maff.wlll be considered'signed"if the body of the e-mail clearly identifies the name of the sender.. 4I.. The submission of.a draft of tills.Agreement or summary of some or ail.of its provisions does not constitute an offer to sell or acceptance of an offer to buy the within Premises. It is understood and agreed ttratneither the BUYER nor the SELLER:,"shell I legally obligated with respect to the purchase and sate of the within Premises unless or until.this Agreementhas been executed by both the BUYER and the SELLER and a fully executed 660Y.1heteof'has.been deliverti flo both Parties. 42 in the event that any,deadline or date for performance or providing notice contained herein.'(inctuding1wr1. thout limitation,any .contingencies or extensionsofthe timetor performance under this Agreement),fads on a Saturday,Sunday rir:legal holiday,_ es the case may be,:�ueh deadline or other date shall be automatically:extended to the immediately'following business dey, 46. All ofSELLER's representations under this Agreement are to the .. I. 's actual knowledge,and without conducting any independent investigation or Inquiry and are not intended to imply or create any obligation for the SELLER to take additional actions or more further inquiry regard to any fopice ice? ined vrithin this Agreeemenf or elsewhere,inducting but not limited I ta,documents,to be:exewted in conjuni ion with the Closing; furthehnore it is':acknOW1edged gird:agreed by the Parties that any such representations shall not constitute a representation or warranty against the exlstence.of such conditions about 1 which SELLER has no knowledge,-nor a:representation or warranty against the dfsrrovery.or occurrence of such conditions The provisions o€this paragraph shall survive the Closing and delivery of the Deed hereunder: t * 1 46. BUYER acknowledges thatBUYER's obligations hereunder are not conditioned;or ce ribrigent upon.the sale or refinance by i BUYER of any other property(real,personal or otheruvise). l 4T SELLER has provided BUYER with a"'title 5 Offidat Inspection Form"stating thafithe septic system serving the premises:rice unconrfitfonaily passed said irispect on and that it:is sufficient to serve-a four.bedraorn hams. BUYER has reviewed said report and is satisfied with some. 4g: BUYER and SELL ER agree'that execution of thisAgreeme tf by theuse of facsimile oreleMbnic signatures:shall be permissible and shall bind the parties to the same extent.as wrould original signatures• Both BUYER and SELLER hereby acknowledge that they have been offered the opportunity to seek and confer W*qualified':legat c ounsel of their choice prior to signing this Agreement. This Agreement and every term,condo. and provision.hereof,shaft be governed:and controlled by- mutual,reciproeafand ob7ec�+e,covenarsts of good faith andiairdealings. qg. Pursnan to Paragraph 4.of ihls.Agreement,the SELLER's'titie shaN,rtot be deemed good and dear record and marketable. unless: (i> Such titie'is insurable at standard rates by a,natlonaily'recognized title insurance c6mpany:licensed to do business in Massachusetts of BUYER's and/or BUYER's mortgagee's c hoice without exceptions except as to taxes for the cerrent year not as yet dueand payable and except as permitted under Paragraph 4 of this agreement. However,;lt i is agreed that in the event of a tide matter for which a title insurance:company is wilting to issue a so ratted'dean° 4 policy or provide"affirmative;coverage_over a known defector problem,BUYER may elect to accept same but shalt 1 not be required to do to,and shalltrave the right:at Me opt on of their counsel,to deem title to the:Premises Unacceptable or unmerketable,anctto terminate-this Rgreemenf Said premises have lawful access to.a public wily or private way to which BUYER will have Legal vehicular and I pedestrian access 4 (iii) Aifbuildings structures antl improvements including,but not limited to,any driveways,garages and septic systems { and°cesspools and all means:of amass to the subject premisesshall be located completely within the:boundary tines ofthe said premises and'shift encroach upon ar under the property;of any otlier`person or entities without a duly. recorded easement ('iv) No building,structure,or Improvementof any kind belonging to any other person Orentity.shift encroach uparf or under Bald premises without a duty recorded easement and i' (v) Simultaneously with the delivery of the,deed,SELLER shah execute and deliver; {a) Affidavits and:ndemniGeswith respectto parties in possession and mechanics'liens to induce BUYER's title insurance company,to issue lender's and dWhers porkies of title:insurance wiithout".excepb9nfor those i + 9_Birchiil_rd_Centerville executed P&S FILE ADD AUTOFILL MORE SAVE SHARE EDIT IN PRIVATE I i i {1 1 I II f I , r i t 1 i i i i f CTRL +} SHIfT Of SAVE DOCUMENT paragraph snap oe wns�aei eu a un a,..�r the:SELLER with Interest thereon and shalt become the SELLER'S property and this Agreement.sha)t:termmate.vmtiouc ign t 9_Birchilfttiib�a>t ;t ,sThis provision Is satin derogation of the.BUYER's'rfghts under paragraph four(4);to designate . EDIT IN PRII/aTQOminee to takeate. FILE ADD AUTOFILL MORE SAVE SHARE! 39, If this Agreement or any other provisions by way ofreference incorporated herein shahi containncey kerm ora d he n as the case- shah be invalid,then the remainder of thilkAgreement or other instrument by way•of reference incorporate maybe,shah not be affededtheceby and.shatt remahn valid and!n fuIIforce and:etiect to the.fuitest extent permitted by taw, 40: By executing this Agreement,the BUYER and SELLER hereby grantto their attorneys the.actual authority to bind them for the sole limited purpose of allowing them�to cancel or grant extensions,or rnodify or amend this Agreement in writing,ar providing any notice hereunder,and the.BUYER rand SELLER shall be:able to rely upon the signatures of said attorneys as binding unless Utey have actual knowledge that the principais have,disdaimed the authority granted herein to bind them: Further,for purposes of this Agreement,ele"ctronicafly generated,scanned andtar.facsimile signatures on such written instruments shad be binding. in addition,,an e-mail will be considered'signed"if the body of the e-mail ctearly.tdentthes the name of the sender: 41. The submission of a draft of this Agreement ar summary of some or all of its provisions does not constitute an of ferto selt or ce of an offer tob_ the within`Premises. it is understood and agreed that neither BUYER nor the SE1 LER stlatt acx eptan uY I legally obligated with respect to the purchase and sate of the within Premises unless or until this Agreement:hes been executed by,both ttie;BUYER.and the SELLER and':a fully executedcopy thereof has been,dei'rtered to bath Parties 42, to the event that any deadline or date for performance or providing notice contained herein(including,without limitation,any. .contingencies or extensions of the time for performance under this Agreement),fads on a Saturday;Sunday ortegal hOGday„ as the case may be,:such deadline or other date shall be automatically=extended to the immediately.foltowing business:day, I 46. AI!of SELLER's representOo6s under this Agreement are to the SELLER's actual knawiedgs,and without cx nduding'any j independent investigation or inquiry and are not intended to imply or create oily obligation the SELLER.to take additional I actions or more further inquiry regard to any foPirs-wntalnedwithin*is Agreement or elsewhere,including but not1imited to,documents,to be execute in conjun.c Lion wiih.the Closing; furthermore,it is acknowledged and agreed trythe Parties that any such representations shalt not institute a representation or warranty against the existence of such 6pnditions about which SELLER hasno knowledge,nor a representation or warranty against the discrovery Or occurrence of such conditions. The provisions ofthis pgj6grgptfshgIf survive the Closing and delivery,of the Deed hereunder. i 46, BUYER acknowledges that BUYER'S obligations hereunder are not onditioned;or contingent upon the sale orrefinance by 6UYER.of any other prop".(real,personal ordt herwise). BtfYER with a"Title 5 Offii ial Inspection Form ting'sta that the septic system 47. SELLER has provided serving the pnises'tias unconditionally passed said tnsped%on and thatit suffictent to serve a four bedroom home. BUYER has reviewed said report-and;s satisfied with some. 48: BUYER and SELLER agree that execution of this Agreement by the use of facsimile or electronic signatures shall be partnissible and shall bind the parties to the same extentas woutd.originat signatures. Both BUYER and SELLER hereby acknowledge that they have been offered the opportunity to seek and confer with:qualified legal counsel of their choice pri&to i signing this Agreement Thfs Agreement and every term,condition and provision here.of,:shail be govemed`,and controlled by mutual,reciprocal and objeclive covenants of good faith and fair dealings. j 4t3. Pursuantto:Paragraph 4 ofihis Agreement,ihe:SELLER`s'title shall not be deemed good and dear record and marketable. I unless: {iy Such title:ls insurable at standard rates by.a naUortailyrecognlzed title insurEiej :campanylicensed to do business.in Massachusetts OfBUYER's andjor BUYER'S mortgagee's choice without exceptions except as to fazes for the current year not as.yet due and payable and except as permitted under Paragraph 4 of this agreement. However,.it is agreed that in Site event Of.a tide maitaf for which a title insurance company is`wiAing,to issue a so-called deae i policy or.provide"affirmative coverage°over a known doled or problem,Bt1YEft may.elect to accept same but shalt not tie required to do so,and;shallhave the nght'at the option of their counsel;to deem title to the Premises idaoceptaole ar urntrsrketebte and to terminate this Agreement; Said premises have lawful access WEI public way or private way to which BUYER vain have legal vehicular i A�toapslEnaturevrelfsation:=C:f�;iwm'.h�,.'s'?�,%'�; I pedestrian'access lilt) Atbuiiding%structures and improvements including,-but not limited to,any driveways,garages and septicsystems and cesspools aril all ineanS Of a- to the stibled premises shall be located compietely vdthin.tle boundary lines. of"the said premises end shailnot encroach upon or under the property:of:airy`otherperson or entities.vAfttout a duty: recorded easement;: (iv) No building,structure;Or improvementof any kind belonging to--any Other person orentityshatl enkaoach upon or udder said premises without o dulyrecerded easement and . (v) Simultaneously with the delivery of the"deed.SELLER shad execute grid deliver a Affidavits andindemnites with respect to part"es in possession and meG lanlcs Liens to induce BUYER'S title insurance company to issue lender's and.ov hefs.potioes of We insurance Wthout.exoepbon forthdse I i i I 9_Birchill_rd Centerville executed_P&S FILE ADD AUTOFILL MORE SAVE SHARE EDIT IN PRIVATE I i F 1 d I { j 1 I f I 1 { i f { I f I CTRL + SHIFT +Of 7 f SAVE DOCUMENT f matters. 9_Birchill_rd_Cen ille_e W I i Jatisfying the requirements of Section 445 of the internal Revenue Coda and regulations EDIT IN PRIVATE issued there under,which states,-under penalty o�erjury,itSELLE5l4iLed S{'@fttaxpaym+E. SHARE identification numb er,:,that.the SELLER is not afore person,and the=SELLER's address(the"1445. Affidavir); (e) Internal Revenue Service Form M or Formr W=9,as,applicable;with SELLER'S tax`identification number,. and an affidavit furnishing the:information re-Wired for the filing of Farm 1099S with the Internal Revenue Service;and (tl) AIi.other documents typically required by aslending institution:andlor We insurance company including,but not limited to;the Massachusetts lead paint statement,the Massachusetts.urea formaldehyde:foam insulation(UFFI)statemeriL residentiaLsurvey affidavit and agreement.to apportionany outstanding andlor unknown tax and utility bills after dosing; 50: Pursuant to paragraph 10 of the agreement,the SELLER's ability to extend,the time for performance in order to conform with the provisions hereof;;shall,.be-conditioned upon the BUYER's ability to extend its lender's commitment to.provide financing for the purchese of said premises up to and.induding the extended date of-dosing without Tess of rate or further expense: Notwithstanding,SELLER sW,.have the opt4on Is associated with but notthe obligation to pay any"cas extending BUYERS rate lock andlor commitment Any extension shall:ba for matters affecting title,the physlcw condition'cf the premises and oompliance with municipal,county,state-or federatcodes;ordinances,;statutes;.or regulations concerning the Premises and shall not be construed to excuse the Seller from vacating,e Premises at the time Sec for:perfomoance. 51. SELLER makes the following representations to the best of their.knonaledge sh beliefand without:lndepandent investigation (a) a+� andiag.Agra=ents gr it;aatinn Said premises are not the subject of any outstanding agreements with any party Pursuant to whidt airy such party may acquire anyrinterest in:said premises,other than airrentrecorded mortgages. SELLER i tkas no knowledge of any litigation or proceeding,pending orthreatened,.against or relating to said premises (b)jai its andiipg "Modgagg!L Lem.SELLER represents that:the sales proceeds from these premises will be sufficient to,fully pay off and/or discharge ail mortgage(s),UCC financing Statements,constriction loans and/or equity Iine(S)of record. SELLER' agrees to fully and promptly disdose.to BUYER's:anomey arid/or,BUYEK.slenftir s attorney mortgage payoff information for ❑ mo a all mortgages of record,including but not limited to:(i)lender name(s),addresses)and phone number(s);(") . r1g ge i account irumber(s);and(1lk)SELLER's social security numbers.This lnfomlation shall be provided to BUYER's attorney no f g later than 10 days.prior to dosing: x (c) t=lMents. SELLER represents that SELLER has no knowledge of any municipal betterments affecting the Premises approved or contemplated by cityi(own in which the prernises:are'►ocated that is likely to result in an assessmentagainst Lhe Premises; (d)gpiiity T Pe rm. SELLER has full power to execute,deinrar and carry out the terms and provisions of this Agreement and has taken all nesary-action to authorize the execution,delivery and performanoe:of this Agreement and this Agreement ces constitutes the:legal,valid and:binding obligafions of Seller enforceable in accordance with its terms (e} to ; c :om ip�as Wi.,th.To the best of;SEU.ER's knowledge.and withdut inquiryar investigation as to the same, a14 terms and conditions of recorded restrictive agreements applicable to said premises have been met and that the Seller is not in defau-Itor' breach of any other recorded resthdaons,easements,rights of way'or covenants affecting the Premises_ Ands to the best of SELLER'S knowledge,no such default cr breads now existsand;no event has occurred which with.notice or the passage of bme;or both,would.constitute a default thereunder, (f) No-Unlatinn_pf AMUrahle laWS.The SELLER has not received any written notice that the premises are':in matOal violation of any federal,state,or local taw,including without limitation thoserespedirrg wetlands,zoning,'or environmental conditions; i i dadooit:sigrmura'wiftaww i (g) T.:.edge of l pd end,yQ�9e_ The SELLER has no knowledge of the existence of any underground oil tanks)on Ain K " oft r m St Tankd i or under the Premises,and Seller is not aware ofe removal of any`undefground storage tank or oil-tank during SELLER's ownershipor prior to SELLER's ownership; f (h) No KnowleeiggnfEnvfmnmentai Con amin;dnn To ie:best of SELLER'S knowledge,no'oil or'hazaidous materials(as defined in ' M G.L.chapter 21 E)are locatedon,under(including soil and groundwater conditions)or about the premises; (1).Fgmaiis:,SELLER represents that with respedto any work SELLER has caused to be undertaken atlhe Premises,such work°was performed pursuant to building permits;if.so required by the Town or City In whichthe Premises are situated,with Sall permits)having received final sign-off and dosure;by the.Building-Inspector of the Town of City in which the Premises are situated("Inspector")and that SELLER has no knowledge of any"open'and uneolred building permits �j)nrd r nE .n i tons. SELLER represents that Premises are not subject an outstanding Order of Conditions.if the Premises are affected by_a lot:spedflo Order of Conditions issued by the Conservation Commission for the Town or City in wltidn Lice Premises are situated or by the Environmental Protedion Agency,SELLER shall provide BUYER or lender's counsel.with.a Cerfificate of Compliance for said Order of Conditions prior to dosing;and rv�w�tar ear t'ca.rwnrasvntA that the:Premises,are.serviced W municipal water or.if`not Ei private well;the:quantity.and quality of 9 Birchill rd_Centerville executed_P&S FILE ADD AUTOFILL MORE SAVE SHARE i EDIT IN PRIVATE 1 1 I i i i i i t F SAVEOOCUMENTI the water fumished thereby is potable andin curnp6ance vuith all local,state and'federal regulations and taws regarding qu.ality i 9 BlrchilMt(k'terville executed_P&S FILE ADD ALITOFILL MORE S V SHARE V I' �t°shRINa�i"beATS a condition of the BUYER'S obkigations to dose under this Agreement that all material representations are true,solm as of the f data hereof and as of the dosing. 52. At the dosing,SELLER shalt assign to BUYER(non-recourse),it assignable at no additional costto SELLER,any and all.. ! service contracts,warranties and/or guarantees,if any,covering any and all systems,fixtures,equipment and appliances as well as those covering any termite Or other pest treatments in connection with the Premises. SELLER will bipo provide I BUYER,atclasing,with all keys,automatic garage door openers,if any,arnt with all manuals and other mfennadon in SELLER'spossession and oontroi regarding any and all systems,fixtures,equipment and appliances used imconnediomwith the Premises. it is understood that SELLER will provide any manuals,warrantiesi and other documentation as-an accommodation to BUYER,and'it is not a condition of Closing, f 53. FxacAflign a need: SELLER shall execute the deed perscriath/;it is agreed that a deed executed under a Power of Aitamey shall not constitute a satisfactory deed,under Paragraph of:the Purdtase and'Sale Agreatrient. 54, SELLER agrees to cooperate in every:reasonable manner with BUYER'S application for mortgage financing in the event.. appiicabte.including completing documents and.providing information customarily required in relation to the premises.,At the dosing SELLER agrees to complete,,execute and deliver to BUYER'S lender's counsel,title counsel; or title insurer, all customary'affidaviis,:documents and information` requests commonly required with residential real estate ciosirigs. in time event that special program financing is involved,such as RD,FHA,VA or Mass Housing;Seller s obligations under this clause shall extend to documents Chef may be required ty,the.entity providing such financing. Setter admowtedges that the closing a$orey is required to report the dc;cp Brice cf the'i transaction* the�intemai Revenue Service,including the. proceeds - of the transaction:_ 55. TRIU-t"-np dpr Cnm Tian - e §ihn. The paities.acknowledge that the Consumer Financial Protection Bureau has promulgated regulations whim require lenders,to deliver final figures and a.Closing Disclosure to the BUYER at least three.(3) brininess days prior to the Closing. As a result the Parties and their reatiors/brokers/attomeys must provide thelender's i aI tomey:altfinal figures,readlr gs,adjustments smoke detector oerrifmates,evidence.of Title V compliance,brokers-requests for reimbursement,commission statements and.the-like at least five(5)days prior to Closing. If the tender is required to.give a i new Closing Discosure with an applicable review pedc)d whichr requires an extension of the:date of the time of performance, ` then the SELLER hereby agrees to extend said time of performance for not more than 5 days without prejudice to BUYER;: j BUYER'S deposit and at na cost or additionat liability to the'BUYER,. f 56.. Closing:Cost.Credit SELLER shah provide a credit to BUYER,in theamount of$5,000.00 which shall be applied':'towards i BUYER'S closing cPst;,.prepaids and escrows:. i 1 f EkeWted as of this the date:first above written, ... dmhapi.rtr«a ,/� iMfkt9 iz58AN :. /�f� v�ss.rd.eF�tvtn�6ato' Patrick HlHIII,SELLER LL Fredle Martinez;BUYER. �, hw4ra F •,F i ! dodaopeighaturev@rH[tadan� ,;s�r.,S,*,Ye�r� ! Norma Martinez,BUYER Maria Martinez,BUYER j i i i. l i 9_Birchill_rd_Centerville executed_P&S FILE ADD AUTOFILL MORE SAVE SHARE EDIT IN PRIVATE I t j I ' I s i { i i I. f i i i i i i o+ SHIFf a+o CfRI SAVE DOCUMENT 9 Birchill rd_Centerville-executed_P&S - FILE ADD AUTOFILL MORE SAVE SHARE EDIT IN PRIVATE - t f1f 1 i i i I t 1 i i 1 i ABOUT DOTLOOP TERMS OF USE PRIVACY POLICY 0 2018 DOTLOOP INC HELP CENTER CALL 1(888)-DOTLOOP.(368-5667) MEMBER ID:27674796 - CfRL -I- SHIFT �-I S SAVE DOCUMENT 9_B.Ae...... EeReeYVml_eiteeafe�TarS FILE ADD AUTOFILL MORE SAVE SHARE ...-...EDITAN PRIVATE...«,..,....,.........................w,«.....,.................._�...,....._ ... .....,.......__-....,-............,s.,w._,__....._._..,,.:........,....,..,..........................._..............«....«._....�......«........,.«.. f f , i I I I i I, I r SAVE DOCUMENT --]BAR 76357 NAME OF OFFENDER TOWN OF ADDRESS OF OFFENDER T BARNSTABLE CITY,STATE,ZIP CODE 1 E/FIHE►q,- OFFENSE y 1 i6}q..`e8 F;6 'oa Zvi l°.u �1� _ Lt cP— 4 c—,i Ca o ED IA►5 y/ gg aaLLI r • ���4w t1� 17i ! f z TIME AND DATE Of:VIOLATIO LOCATION OF VIOLATION z NOTICE OF /:'q57 (A.M./ . )0Na--h-j)cr 30,200a 6i i-ek,I I Q SIGNATURE OF ENFORCING PERSON ENFORCING DEPT. BADGE NO. N VIOLATION ,���, 0 OF TOWN W I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Q Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS = � ~ Date mailed /0/'-i/h8 � � w OR "' YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, LU before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,RO.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceedt'ng,'you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature f�� )�D A-5 �� ;zlrr/�� Town of Barnstable Building Department - 200 Main Street EAMST"LE. * Hyannis, MA 02601 _ 9 MASS 039. . (508) 862-4038 iOTFD MA'i a Certificateof Occupancy Application Number: 20060724 CO Number: 20080448 Parcel ID: 189059 CO Issue Date: 11/17/09 Location: 9 BIRCHILL ROAD Zoning Classification: RESIDENCE C DISTRICT Proposed Use: SINGLE FAMILY HOME Village: CENTERVILLE Gen Contractor: HOMEOWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APT ISSUED TO PATRICK HILL FOR JOHN R. HILL Building Department Signature Date Signed r 0BARNS BLE f! � Appiic Ref: ,20060724 ,# #I Permit I,�; � . I. >J lssue Date:. 07/10/06 { � \ MAE c5u29 �,����� applicant: HILL,JOIN R&SANDRA J Permit Number: B 20060611 Proposed User Expiration Date: 01/07/07 Locat!.on 9 IIFCHILL ROAD Zoning District RC Permit Type: RXMILY APT W/CONSTRUCTION '',N ap Parcel 89059 Permit Fee$ 170.04. Contractor H IF'OWNER t Village CEN TE+'RVILLE App Fee$ 50.00 License Num Est Construction Cost$ 41,472 I RemarksAPPROVED PLANS MUST BE RETAINED ON J013.AND 1, INLAW APT.TO BE ATTACHED TO EXISTING STRUCTURE TO BE THIS CARD MUST BE KEI'.T POSTED UN'fCI,FINAL OCCUPIED BY JOHN R.HILL _ _ INSPECTION HAS BEEN MADE: NVHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH, Owner on Record: HILL,JOHN R 8i SANDRA J BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 9 BIRCHILL RD INSPECTION HAS BEEN MADE. CENTERVILLE,MA 026.32 Application Entered by: LB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT-TO OCCUPY ANY STREET;ALLY OR SIDEWALK OR Att PAm-rFIF CI R TENI['ORARILY.OR PLRA4ANENTLY. ENCROACHEMEiJTS'ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER TH BUIL:DING C D ,MUST BEAPPROVED I3Y THE JURISDICTION. I STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLJC•WORKS., �THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE,CONDITIONS OF ANY'APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE I;INING IS NSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHEILE 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE.THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in M L c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 v °D 2 2 S 2 ,�CC�I. / G � t 3 3 9h9A& 1 He. nspection A provals Engineering Dept Fire Dept 2 � Board of Health 1�` i�'L�`�' j�`�d"Gdr '��`�,�/� ��:�'�=gyp'•{ �._ __ 410 .. 4n os lam /�� �n bps e..—.e.• L10 3 f P re-5 ,i U. � 1 1 r �{r k 1 �Y hit,P 1 _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map Parcel '_ Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 70 c5b Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis �? Project Street Address f! RIRC IIA, Qa�� Village &UTEgo 1 UL Owner d I Address 112OU k u 21� - Telephone Permit Request 1 X 1 �qfucc ,. vou-v LJ kublow A,0D S lbeLj P� I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation WO 00Construction Type Lot Size . �JS AL Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes *o On Old King's Highway: ❑Yes *o Basement Type: ull ❑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: 4 existing _new N Total Room Count(not including baths): existing new First Floor Roo unt -e �c Heat Type and Fuel: ,zas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Wlo Fireplaces: Existing New Existing wood/coal ove: lfes Detached garage: ❑existing ❑new size_Pool: ❑existing ❑ new size _ Barn: ❑existin ' ❑new size_ Attached garage: ❑existing O new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use ��Pro osed Use 1 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _ Q�7a1c,1� Telephone Number o �21 ' `'►�20 Address e 1�C,1 ! _�. �ZtJA►J License# l�1,� �u �-L,� I V V� �Zl Z Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO OWP 0� �T' I)OMP SIGNATURE DATE f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL N0. � s ADDRESS VILLAGE OWNER DATE OF INSPECTION: i `FOUNDATION ` y :':'FRAME � a INSULATION FIREPLACE • R f • ELECTRICAL: ROUGH FINAL , ��`,,PLUMBING: ROUGH FINAL w;GAS: '" �F ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. � i I ,per The Commonwealth of Massachusetts Department of Industrial Accidents Office of fnvestigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ► V ' Address: City/State/Zip: 6mTG-i21►ws �4 OU17— Phone.#: 2. S Are you an employer? Check the appropriate boy: Type of project(required): 1..❑ I am a employer with 4. I am a general contractor and I 6 ew construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner-,. listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and'have workers', 9 Building addition comp• insurance.t [No workers' comp.insurance 5. We.are a corporation and its to.[]Electrical repairs or additions required.] 3. am a homeowner doing all work officers have exercised their It.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.Fj Roof repairs insurance required.] t c. 152, §1(4), and we have no o 13.�ther employees. [No workers' K((P\A(� w �/`� 11 v 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. tContractors 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 S 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, I do'hereby certify under pins and enalties of r'ur that the information provided above is true and correct.. Si afore: Date: 2 6 0 Phone#: U D Official use only. Do not write in this area, to be completed by city or town officiaC City or Town:. Permit/License# Issuing Authority(circle one): "I.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions 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." AnIemployer 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 vvithliold 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 compliznce.RZth 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-contractors)name(s), addresses) 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 1 ;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 arc 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/licensc 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 I (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 (Le. a dog license or permit to bum 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 j address,telephone-and fax number: �' r The Commoimt,- th of Massachusetts Depaztmffnt of lad-Usk 4 A r,64nts; Office of Investigations 604 Washingtm Street Poston, MA 02111 TQ1. # 617-727-49-0.0 ext 406 or l-M-MASSA.FE Fax 4 617-727-7749 Revised 11-22-06 www..ma-s5..gov/dia Town of'Ba> nalbe 4 regulatory Servxc6 sAxxsrAar> Thomas F. Geiler,Director: P MASS. 1679. Building Division , Tom Perry,Building Commissioner 200 Main Street, Hyannis., MA 02601 www.town.barristable.ma.us Office: 508-862-4038 Fax: 508-79076230 HOMEOWNER LICENSE EXEMPTION CAI n Please Print DATE: L �� IOB'LOCATION: \ ( l \G 1k,t..1 i number 1 s et village .HOMEOWNER": AIR K, L— name hom phone# ` I 1 work phone# CURRENT MAILING ADDRESS: a 1 cb,R__C i'A Uo 1AA � city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings'of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF 14ONlEOWN'ER Person(s)who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures, A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official,.that he/she shall be responsible for all such work performed under the building permit. (Section 109.1,1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations.'' ' The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department' nuru: nspec ' ocedtires and requirements and that he/she will.comply with said procedures and t r uirements. ' Signature of Homeowner Approval of Building Official . Note: -Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. EIYI HOKEOWNER'S EXPTION The Code states that: "Any homeowner performing.work for which a building permit is required shall be exempt from the provisions of.this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such;Homeowner shall act as supervisor. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the hdmeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue'is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community. ofzH.9r, Town of Barnstable Regulatory Services BARNSTAY Y ssa ' Thomas F. Geiler, Director 059. lFDtrw�a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign. This Section. If Using A Builder , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. _ _ -- - - ��\ 19 . i � j e?�✓> fr a J I � I � , l♦J. 1.s �1 �XZ I E i �1JL 0�� . I � <�y53n1 1 1 !/ I r Q L-LI �! G}Slf l - r'�CJ �rvvi I. � �� .� • Cif..-N�}-r7v1�> .� �d s d3SOpz I Town of Barnstable Regulatory Services snjuvsrasLe. v MASS. Thomas F. Geiler, Director Qjp .s63q ♦0 re1639 Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Jeff FROM: Lois DATE: 5/28/08 RE: 9 Birchill Road, Centerville What is the status of this family apartment? y � ! .tr���.,�tS-*Y� '`�t'�''i�s 't�•�"�`.�d e` 7F+{ �"> ,�,s �&f; ��;" P� d- .+ � V �§ Appeal or Permlt No x 20060724APpeal Building Permit Status New t "+ S `1� E F Last k First " ., ,.,,S�M1. Appilcant Hill -- — Patrick �4sf° � Atltlr xa ¢ � 't r Atltlr2 9 Birchill Road 's zl.�� f 'r rip Ulllage ;;Centerville MAr`Ew �: s ;arari4 y ,#a � AffReceived ,'IVap��ar 189059 Zomn9 sF F � r Y �5v h ��"��c }t 1310 a e0n d� � '"t Notes 20060724 issued 7/10/06.C11/19/07 JL shouldbe ready in a� couple of weeks'5/27/08, no final, note toJL , k _ 0J � E "x§ g� n @ t a I $ .. - - . _. are+ x, ; off ".Ft1e Edlt To0191' He) £'; s 'rd # , x ��� ,,,:: ..::,__ v. ... _..:w_.._ - --- Action, c. ti �5. �y - -: f *: II J i" r, Detail Application "' 2{}d}, - i �g 'Apphca, O4'u, PROPERTY OV�t� C611" t Status 1 T1VE . t wner i 1 I # - , . Department 3t}{} BU{LDING DEPARTMENTS � r , CloselDFny. __, HILL;JOHhJ R.8 SANDRf PEaject�'Activrty 5 " FAMIL`fAPT'I;,,ONSTRUCTI td asa Contractor ql+rkflow Descnptian t 1NL;4�U rPT TO BE ATTACHED TCt EXISTING STRUCTURE TO=BE LL gusmess tl Descnption" OCCUP{ED fYJOHf�IrR H=I�L ' �. Pal nglTgLsc, w .k .mg y �1 -" s a a r ; x w va i a a 1 .�'"h R Pro e Fn�perty�UsC t~!on Canforminq Dates�fvUsc Permrts � s a` II ',`'�f�,,"j P 1 �� ` - ,9r: :° Frriperty k �;� � Pmpertyr Use' < Reactlwate 3 , Y k M < - z ;t cation . y .,.'S UnEt Fasting"use: 7t}lt}.SINGS I. Adaust Fees Street B{RCHILL ROAD _, a< , t ': i zoning -'RC RES'15t , . . Panel 13 {S9 6 ESCf0=M �y ,3 :�,-.-',,-'0—`l�l,�,-,;,��,',�,,`lj� l _ rt memo t ' wlun�c�palitr r ENT 'EtdTERf{LLE ,' z tvlisc Chas t Sibdiuision�ot listar Betrn+een �� * 'I 17, -�;-� 4O10 SING1-1 "1 f c �< Proposed use 4 I. 4, and , F.o wt ,, r.. .' '"3 '�k E rd - J "w. t` e t _ xOning RC RESiD Pudtt HistolY a 1 s ji, r -r 3Ax, t YM a yt ' a �: rc a , 3 ' r LOcaA' '-d- a pr " 4 ; 4r7� x �r ! Y t ar� ,' #, c�t` a* z i, t a�# �'.� ,i % t Y } inenlo 1 ; SUmm,Fermd +z' f t t � ¢,rrc j a rr,. G` " ,,a M w : lf' 1' r* x s a .S s 'i` �. a '" s .�c¢� t� x i"`` x ., scan, rya . , a z *. ' s rye x; - yrr z dp , Col�'l.APP A ' k r at sr zr `x " a t ,, tS h x. is=�uL� n s a _ r£ z . Plan Rewiew M c rf� r , �v ;P requ�srtes _ Hkz iiFstr.. ( =Names ' z 6cnds ,( ' Sub Addrs ( T f� r` :•. �:: ' , 'Fnor History InspectEans " olations �wv ( Open ftFms S; ��lamings ,( Find Rp{ated ,I of a. x f r tt, �+ ` :Ca ,y _ Y a t'., . �� q u� p E. w jj;. T w �. O L 1, Z" +W` �.4 4® rN n: l Y f 5 N ,� �, x ,Yw. s;-. 8 1 ^ :.vsk' E r'B� 4C a"�`"rod'' Y i C' �' £S 1, y F.�.3. t�1�Entdin` rotect aettwit�+detail for the current appit�ataon u4 r 'S pE ' t - '� �,§ - se ?`� 'a a �; r �.� �Y ` ' ba a` ;'+ .rt r x �" ,e rr „ . 1 _ . t- �.p_ e. �., E . � �r�-.: � �� :r: -ed a �'- � �: � � i��� � _:_�; �`��� �a�� �ir ��x"aY"i,�d<d.»�s� �'x�'�,g� .,'•<_.get' File Edit Tools, Hcip r S chedule ;� •'Ty=pe Rr?�quested=• Scheduled � f Time ..Inspector �Perfvrmed � F�esufts Balant � S �y3 i Field'Sheet t ,s �' 01/17/200 w EROUGH 2 _.... ----- ---` --- — - - : rr A��A ` ... --` f P S1xCCESS - ---. App ProfileAMrl f, ESRVC INSP VVAt��,�,' 01!'1Sl2{lf 7 PASS FOUND 1 'JLAU 49/05>70 S_ ' ':PASS. FRAME 1 =` JLAU 02-112/2M7 1.-' PASS INS INSP 1 JLAU €1 . 15:2 €37 _.._.__.. .-..__._ ._. ... _.., ........._. .. - -- -- ... ...... . -PASS ; y- 1 � . f _ ?" >,d a v '3x tf rP>s 'y '� rP c' �y1lr'f1d3J�13CdL7jes -:� a e "' ,1r i.�,_3pr vih. Z""�•r«9 +, �;� �,::n^ < $�y s� .. 2y^ ! s a ra �4 � h K pFfHE Tom, Town of Barnstable Regulatory Services x r • a r BARNSTABLE, y MASS. � Thomas F. Geiler, Director �ArFDM 1% Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 25, 2008 Patrick Hill 9 Birchill Rd. Centerville, Ma. 02632 RE: 9 Birchill Rd., Centerville, MA, Map: 189 Parcel 059 Dear Mr. Hill: In accordance with 780 CMR 5118.2 you are notified that you are in violation of 780 CMR 5110.1 which states : "... it shall be unlawful to construct,reconstruct,alter... without first filing a written application with the building official and obtaining the required building permit and all other permits...". Additionally, you are in violation of 780 CMR 5120.1 which states: "...shall not be used or occupied in whole or in part until the certificate of use and occupancy shall have been issued...". In a letter dated June 12, 2008 sent by this office, you were notified of these violations and you responded verbally with assurances that the violations would be resolved. To date, this office has seen no attempt to bring the property into compliance. In fact, you have commenced with additional work without the benefit of a building permit. A stop work has been issued: You are hereby ordered to immediately discontinue the illegal action and abate the violation. Abatement may be achieved by obtaining all proper permits and inspections. This must be accomplished by September 8, 2008 or this office will pursue criminal prosecution as allowed for by 780 CMR 5118.3 and all applicable local ordinances. Please call (508)862-4034 with any questions. By Order, Wre Local Inspector Q:zoning5 Town of Barnstable do Regulatory Services i a * BARNSTABLE, v MASS. Thomas F.Geiler,Director i639' '�EOM & Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 12, 2008 Patrick Hill 9 Birchill Rd. Centerville, MA 02632 RE: 9 Birchill Rd. Map: 189 Parcel: 059 Mr. Hill: This letter is to inquire about the status of permit application number 20060724. As you may recall, a permit was issued on July 10, 2006 to construct an in law apartment. Upon a recent inspection of the above property it appears that the apartment is occupied; however, a final inspection has not been conducted nor a certificate of occupancy issued. Additionally a deck has been constructed that is not on the permit application. Attempts to contact you by means of the telephone number you provided on your application have been unsuccessful. I may be contacted at (508) 862-4034 to discuss resolving these issues. Thank you for your immediate attention in this matter. By Order, J r y L. Lauzon Local Inspector Q zoning5 A� 7Oid i tO C lb ou rS � §' -C - '`,.: a y•, r.. ®9r.2' �H <t �2 'K.t "'"' 'M '�.- Uzi �' � a 1 '.a '° '- '"•' 4�-' '.. �,`. Y •€'�-:-' '# a- ,g� ".� 3 4 ` i ,.gym_. "4 �` ::•9'� „• �I a �:3"' '" ��.,-s fl�� �- x :� �, � �� R »;� �'f ',. ��'��� � .w a- � -a �. E�¢A.a Irra.•.s4i ,�- r r:: x5 .�...r�'`*',� ... t,.� -..-:� -� ,d- �.'rt• *:�-&,�.¢.;�as� �s � R�� t. �.� .�. ' '�� �* F to s� 11/14/1.4 Thomas Perry,CBO .Town of Barnstable ®u"Ung Divislor� 200 Main St .-Hyannis, MA 02601 RE: Insulation Permits Dear Mr.Perry, This affidavit is to certify that all work completed for insulation work at 9 Birchill Rd (application #201403241) has been inspected by a certified'Building Performance Institute.(BPI) Inspector. Ail work performed meets or exceeds federal and State requirements. Sincerely; . I, Conor McInerney. ConserVision Energy �..,. 376 ROUTE 1.30,SUITE C _ SANDWICH,MA02563 508-833-8384 WWW.CONSERVTODAY.COM . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION O S A li ti n# CR6 7 Map t' b� Parcel � � pp ca o �� o� Health Division - Conservation Division Permit# Tax Collector Date Issued '7/10/® Treasurer Application Fee Planning Dept. s Permit Fee V 17,b,d Y Date Definitive Plan Approved by Planning Board V Historic-OKH Preservation/Hyannis /L Project Street Address Village Owner � � ► l Address (£Kya& ' 1 Telephone Permit Request C` Se �. uo _R> XI 1f1 Square feet: 1st floor:existing proposed L0,)2 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 15,12�1 �' 3S 1 Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family Cl Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes /Q No Basement Type: Of Full ❑Crawl ❑Walkout. ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 1 new t 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 O 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 10 new Ls ze Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: s ' Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ f Q7 Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION / arr C6'WkEci" Name Ica Telephone Number Address ^^� �i2c� G"1 �? - License# l c,N-,10E1 Q ( C MA D` 132- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -Z SIGNATURE ����� DATE12- -I d t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED V MAP/PARCEL NO.' t i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION apo TMFRAMEr(!A .,'qzi6?to jINSULATION 6-7 4Z1 FIREPLACE ' ELECTRICAL: ROUGH FINAL , y PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 31(,161 DATE CLOSED OUT ASSOCIATION PLAN NO. B k 21 161 Pm 301 42 ,930D 07-06-2006 of 01 = 16a Town of Barnstable Regulatory Services BAHNSTABM : Thomas F.Geiler,Director MASS. 039. 6.•�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 9 BIRCIt d/LLROAD, in CENTERVILLE, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds' or Barnstable County District Registry of the Land Court in Book OKa , Page' 1(,3 ,�or as Document No. , being shown on Assessors' Map 189 as Parcel 059, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for JOHN HILL, FATHER OF OWNER PATRICK HILL associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this G day of J'� 200 to . TOWN OF BARNSTABLE OWNER(S) By: FPrrRcCK Q Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), 0 and made oath as to the truth of the foregoing instrument,before m . Notary Pu My Com E ires: DAVID B. MURPHY BARNSTABLE REGISTRY OF DEEDS NOTARY PUBLIC Commonwealth of Massachusetts BlrchlllR6 MY Commission Expires January 5,2012 I , The Commonwealth ofMassachusetts Department oflndiistr(alAccidents `- Office of Investigations 600 Washington Street Boston,MA 02111 UV, www.mass.gov/dia, Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LesdbIy Name pumess/Organization&idividup: �MRC-y � Address 0)u City/State/Lip: Ou,;1-' Phone#,_�,�b�� �b0 -S Are you an employer? Check the-appropriate box; Type of project'(required): 1,❑ I am a to er with 4. ❑ I am a general contractor and I �P Y 6. k New construction employees(fall and/or part time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7. El Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers comp.insurance. 9. ❑ Building addition [No workers' Fomp,insurance' S. ❑We are a corporation and$s , required.] officers have exercised their 10,❑Electrical repans or additions 3. I am a honiemmer doing all work right of exemption per MGL 11.❑Plumbing repairs oz additions myself.[No workers' comp c. 152, §1(4),and we have no 12 ❑Roof repairs insurance required:] t employees.[No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks box#1 asust also fill out the section'below showing their workers'cn*ensation policyinfarrnativn: ` t E=eown=who submit this affidavit indicating they am doing all work andthen hire outaide eoataetora mast submit anew adavit i ndiczting'mwb. 1contract rs that check this boa must attached an additional sheet showing the-name of the subcontractors and their workers'comp.poHay in foainaticm. rant an employer that is providing warkers'compensation insurance for.my employees. Below is the pollcy and job site information. Insinance Company Name: p6cy#or 5 lfti.Lac.#: Date: ' Job Site Address: City/5tate/Zip: Attach a copy of the workers' compensation p.oiiey declaration page(showing the policy number and expiration date). Failure to secure.coverage as required under Section 25A of MGL.c. 152 eau lead to the imposition of criminal penalties of a fine up to$1,504.00 and/or one-year imprisonme�as well as circa penalties is the form of a STOP WORK ORDEP,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 DLk for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct; Sr tie: - - Date Phone k I dial Kz6 off. Do rux M*E ir:zft ana,fa U c�&X—d 'cry or*VM wig City or Town: 7 ermitiLl cense# Inu.ng Authority(circle one); 11.Board of Health 3.Building Department I City/—I own Clerk 4.Electrical inspector 5.Plumbing Inspector 6,Other Coritact,Person: Phone#: Informa' don and Instructions Massachusetts General Laws chapter 152 requires all employers to provide wbr'keW compensaffonfor-their employees. Pursuant to this statute, au employee is defined as"...every person in the service of another under any contract of hire, express or implied,alai 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,6r the . receiver or trustee of an individual,par nerslup, 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=each dwelling house or on the grounds orbuilding appurtenant thereto shall not because of such employmentbe deemed tube 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 it business or to construct buildings in the commonwealth for any Rppucant who has not produced acceptable evidence of compliance with the Insurance coverage required." Additionally,MGL chapter 152,§25C(7)states'Weither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of con.9liance with the insurance requirements of this chapter have been presented to the contracting amthority." Applicants Please IM out the workers'comp ens ation 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(a)along with their certificates)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 affidavnt should be returned tote city or.town that the application for the permit or license is being requested;not tbaDepariment of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensationpolicy,please call the Department at the munber listed.below. Self-insured companic a iauld Later Their. self-insurance license number on•fhe appropriate line. City or Town Cffiiciah . . Please be sure that the affidavit is complete and printed legibly: The Departmenthas pie ded a space at the bottom. of for you,to fill outin the event the Office of Investigations has to contact you regarding the applicant.Please be sure to fin in the permittlicense number which will be used as a reference amber. In addition,an applicant that nmst submit multiple ym ittlicenae applications in any given yeas,need only submit one affidavit indicating current policy information(if necessary)and under"Jab S*Address"the applicant should write"all locations in-_(city or town),"A copy,of the affid.avit tat has been officially stamped or marked by the city or town maybe provided to the applicant as proof thata valid affidavit is on file for future permits or licenses. Anew affidavit roust be filled out each year.Where a&me owner or citizen is obtaining a license or permit not ielated to any business or commercial ventare (i.e.a dog license or permit to bum 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 camber: The Commoaawealth of M- usachaSettS Department of Industrial Accidents Office :of Ind. 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext`406 os 1-o77-MASSAFE ' Fax#61.7-727-7749 Revised 5-26-05 wwtiv.r12 5s.rev/dla Town of Barnstable Regulatory Services ' B"J'?8r'"BL ' Thomas F.Geller,Director taws. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IlVIPROVEMINT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, -improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied buildirig containing at least one but not more than four dwelling units or to structures which are adjacent to' such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:�k A�12�rnn�J�C Estimated Cost -250 J Wv Address of Work: "� �1(��� �tl� L2� LLAMUlll-C Owner's Name �AfiQICU Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 ArEll'puildiag not owner-occupied Owner pulhng•ownpermit ------------------- Notice is hereby given that: '� OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142Aa SIGNED UNDER PENALTMS OF PEM-RY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's NameT—--� Q:f=is:homeaffidav W M CMR Appenda! Table JSMb(coodumed) Prescriptive Packages for Oae mad Two-Fam9y Residentlel Buildings Heated with Fossil Fuels MAXfMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Atom'(%) U-value: R-value' R_-value' R-values° Wall Perimeter Equipment Efficiency° P= age R value° R-value' 5"1 to 6500 Heating Degree Days' 6 Normal R !2% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 1S% 0.44 38 13 25 N/A N/A 85 AFUE W 15Y° 0.52 30 19 19- 10 6 85 AFUE X 18% 032 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 23 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA I8% 0.50 30 19 19-7- 9 10 6 90 AFUE 1. ADDRESS OF PROPERTY: ,mil fzcI 1 I�1 L1 yi 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 432 S&-f4 3. SQUARE FOOTAGE OF ALL.GLAZING: 51.69 SG• �{ a 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): Q- NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO; q-forms-080303a 780 CMR Appendix J Footnotes to Fable A2.1b:. ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft2 of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as.unconditioned cmwlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must weer the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the®fliciency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only,and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in.accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Town of Barnstable Regulatory Services BAMSTABM ; Thomas F.Geiler,Director M MASS. g 4,,, 039• .0 Building Division )Fc �s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: l�2lb� JOB LOCATION: S]2CI4 1(_(r 9b. number street 2t I-� ,1 village «HOMEOWNER": �A�CIL �) 1 C J�` l� AMC --- name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family-dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a,person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt C n r f„ (�1 �Q C� A57 1 /f->r,,s,yr' c,'' F'•�i������ l!1 F'c�'-- . _--- — , A of /......... JA?vIE MOORE 'A NO 33253 Ala L , Town ofBarnstable Building Department ComplainVInquiry Report Dom. — -�G Rec'd by: V� Assessor's No.: Complaint Name: Location Address: WP Originator Nmne• Street Vim: State• Zip: Telephone: D/E Complaint a . � Description: Inquiry Descripdou: For Office Use Only Inspector's ��� ; Action/Comments Date: Inspector Gam., — w.t P P ►.t�� Follow-up Action Additional Info. Attaclied Coop,Distribution: WV&--Depm=cnt File Town of Barnstable Building Department Complaint/Inquiry Report - Date:— I D - - —9 S Rec'd by: Assessor's No.:�� Complaint Name: Location Address: M/P Originator Name: Street: 0 Village: State: Zip: Telephone: D/C _ Q Co mplaint h 0 int P Description: �� lr-�� LL� Inquiry Description: For Office Use Only Inspector's Action/Comments Date: Inspector. Follow-up Action Additional Info. Attached Copy Distribution: White-Depa=cnt Me 3'ellow-Inspector �.,ME Tp� The Town of Barnstable ARM Department of Health Safety and Environmental Services i639� ���' f039. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection (::7o ((�)Lk ilt3 T- Location q- \ i �� Permit Numbers Owner jb Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: .b �� Please call: 508-790-6227 for reeinspection. Inspected by Date �� •�, TOWN OF BARNSTABT,,U ,� ^ BUILDING DEPARTMENT': COMPLAINT/INQUIRY Wf PORT Date J -- -- - � — Fec d 13 ---- Ass--ems No- Last --- i N First Nai _.r - ORIGINATOR _ Str_e_ :ame __. Village State Tele hone: Home Work Descri tion: . COMPLAINTJ I'll INQUIRY Regnestor's Signature COMPLAINT Street Address _ �=' LOCATION �, A- OFFICE USE OhZ7 - - II INSPECTOR'S Date ACTION/ Ins ctor 0100 COMN.ENTS .:c 10�: AL�D��i02:IzI, INFO_ COPY DISTRIEUTIOt;: 1:hITE , D1:P-.P,7Y`);T FILE YELLOW P11;F, - I2:SPECTOR r - I2 SPECTOR (REETURt7 TO OFFICE -GR_ KIStl _ec '*'s nfaw 61 `n___) Map: Parcel ermit# 3o Date Issued X$oard of Health(3rd floor)(8:15 -9:30/1:00-4:45) Cl a.- le-A �2, F% ��� U-6 ngineering Dept.(3rd floor) House# -/L� � ® � �' IKE p . s oor coo mm. 19 TOWN OF BARNSTABLE Building Permit Application y 4* tre6t'Address AlweX I'(-L /eL) f+ Village �PnT�(2Ue LC Owner - 30/1n / S�9Y1DP�`1 /��^LL Address ��j Telephone Permit Request C L O /' First Floor square feet Second Floor square feet Estimated Project Cost $ 1?00'670 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential s Dwelling Type: Single Family �/ Two Family Multi-Family Age of Existing Structure o?(o S �eSi) Basement Type: Finished Historic House Unfinished tom/ Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) '7 First Floor r/ Heat Type and Fuel 9/0 Central Air Fireplaces / Garage: Detached Other Detached Structures: Pool Attached Barn None ✓ Sheds [/ Other Builder Information Name he� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# 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 SIGNATURE Q DATE �s BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY , P M NO. _ D SSUED - - M P ARCEL NO rJ" 1 s ADD SS ., - VILLAGE + ` OWN DATE F INSPECTI N: FOUN ATION , FRAME INSULATION , s FIREPLACE. w ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH V FINAL ,j • y /' FINAL BUILDING � � •� t •- ``" { DATE CLOSED OUT ASSOCIATION PLAN NO. t ' The Conuttonlrealth of Massachusetts y • _��. •+„l: .. _•.. ��-�,�r Department of Industries!Accidents ' t _ _ OJl�ceol/ovestlgat/otts �� 600 ►f asiti igit)n Street y. 1*7 Boston,plays. 02111 Workers'Compensation Insurance AlTidavit low t , citv phone# � 1 am a homeowner performing all work myself. 0 1 am a sole proprietor and have no one working in any capacity 1-1 1 am an emplover providing workers' compensation for my employees working on this job. company nnm address: cih•• phone#: tncur�nce co p91'�'y# I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comunny name• address• City: phone#! insurance co policy# �. ^IT.:. .�.- � _ !/tJf!:/•:rti.:.7'�'?"?;s'%••:''.�a'K1�?y�:'�t��� - .Pi�t!'�?7Pt'F.i!wp�y .7F/;'�4?:'� o-'�1y3?�•�'�••t�:�l ctim�v name• address: city phone#: insurance co policy# _ :Attach additional'sheet if tiecessaty�;_••�� w ;;;L ;: '�`" ''�t+G "' '`"' .e• Failure to secure coveraee as required under Section 25A of DIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of SI00.00 a day against me. 1 understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do herebt•certif}•under the pains and penalties of petyuq•that the information provided above is true and correct Signature ate Print name Phone official use oniv do not write in this area to be completed by city or town official city or town: permitAicense 1i tnfluilding Department Licensing floard'"" check if immediate response is required C3Selectmen's Once C3I1eatth Department contact person: phone#;, nOther (revised R"PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees: As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An enipli!rer is defined as an individual, partnership, association. corporation or other entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased emplover, 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 1'52 section 25 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 common +-calth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither tite 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. �,�,wr.�'�•Pw-.-�Tw..,r�r'�wn <, r^.�_'. `�:w.i jai N.<:��:: 3�•.0 I:�i:,{"11� •;r?.j`�..i;'wR'�. .r.'� Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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. t- w�tTwrrwlrl7�.'fr!'.:'1!R�w..•.,i.•.•e�,..wr--�-,f �,.yt.. _ii ,h•; a'y'7_ I�r. ;'Zr' bY'r`s'% ISii +.!}J �tW'. .;.+wF�'.N�,.�.iti• i".•. .. .... City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. 7bR �'t.•-Y 1.iOi The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 �;-- phone#: (617) 7274900 ext. 406, 409 or 375 e Town of Barnstable . . : The e3 MOUNT Department of Health Safety and Environmental Services a° Building Division 367 Main Sheet.Hyaaais MA MM' Ralph Crosses OM= 509-790-6n7 B>z g C0 =is F= S08-773 3344 For office use only Permit no. Date AFFIDAVIT HOME MWROVEMENT CONTRACTORLAW SUPPLEMENT TO PERMM APPLICATION that the"�ngructim altC3tloM renovation,tt� ou'COn`►CSS m M pr v I42A raluires on of an addition to any Pm` which er building containing at least one but not mo - ���.tenirnal. demolition, or oonsttuai �� � asz re than four darning ores, along with other to such residence or building be done by mzgistetzd contract=with oatain�d requirements. Type of Work: r S TO Address of Work: / Oa�ner.Name: Date of permit Application: I hereby certify that: Registration is not requircd for the follcrai rrason(s): Work cmdudedby law Job under SI,000 Budding not owner-occupied PuMng fflM permit Notice is hereby gi<•cn that: COrTIRACI'ORS OWNERS PULLING TIER OWN PERMIT OR DEALING SO ��ACCESS TO THE FOR APPLICABLE HOME McROVEMENf WORK D ARBITRATION PROGRAM OR GUARANTY FUND DER MGL c 142A SIGNED UNDER PENALTIES OF PEMMY I hcrcby apply for a permit as the agent of the owner: �'�!, G Registration No. Date Contiac for name OR TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street address Section of town "HOMEOWNER" � O�i r 1 s f+N Ol2 t4 ALL -2/00: 6 Name Home phone Work phone - - PRESENT MAILING ADDRESS A/,lee C 2y• a C ty town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Officiz on a form acceptable to the Building Official, that he/she shall be responsib: for all such work performed under the building permit. (Section 109. 1.1) The undersigned "homeowner" assumes responsibility for compliance with the Stz Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 01 Construction Control. •r, HOME OWNER'S EXEMPTION . The code state that: "Any Home Owner performing work for which aY'building permit is required shall be exempt from the provisions of this section. (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home Owne shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix 0, Rules and Regulations for licensing Construction' Supervisors, Section 2. 15) . This lack of awarene often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot, proceed ,against the inlicensed person as it would with licensed Supervisor. The Home " wner acti as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, ma. communities require, as Part of the per mit application,PP , that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. i 014. �TFIE A Town of Barnstable t Permit# } O Expires 6 mondis from issue date ,,,MSrAB Regulatory Services Fee 'a� v� i0ss. m°i �as� Thomas F.Geller,Director .0 '�foa,o•+' Building Division X-PRESS PERMIT Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601w S E P 2 7 2001 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map!parcel Number Property Address residential Value of Work Owner's Name&Address ��n I.SA1102f1 63'nrCrtJI'Ile - Conuactor's Name Telephone Number t Home Improvement Contractor License#(if applicable) �y: r Construction Supervisor's License#(if applicable) ' r ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ffrl am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Worlm=*s Comp.POlicv Permit Request(check box) �e-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value ( •4 ) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc. Signature Q:Forma:expmtrg:rev-07060 l �A :{ TOWN OF BARNSTABLE I3Z:I'A R1-NI FNTOF IIL,Nf TII SAFETY AND I; N�IRONNIFNIALSERVICES t' s BUILDING DIVISION ,STOP WORK C`TIA21'.N iI?'t1i:1110," ISES HAS BEEN I'NSI ECTED AND Tk F FOI-LOWING%,ioi-N`TTONS OFTHE BUILDING COI)I'AND/OR ZONING ORDINANC L IIAVL 13LEN FOUND. -: a VQC Nam"F1tEF5YNI)I IFIED TII)NT N—O .BE I11NNDLR'I:AKFN I Pe?\ I4II SL PRI,lIISI'=5,OR THE,I'fLLhIISf 5 A rn' _ RL CORRECTED. C)CC:E PI I3 L�i"III #Hl NItOVF V►Ol��'TIONS + MO ING THIS NOTICE NN`ITHOI'T' "s kT ePI-R"N UITHORIZ ATft^SHALL BE LI.AI:LE; i ��; i 0 A 111INf"_OI NMO I LESS THA N I II`I'I",NOR , O�I.IIL'�DItF.D DOL►.ARS. Dale i}Rl#Ill-,tifntl(•f OFIKE� Town of Barnstable Regulatory Services • BARNSTABLE, v MASS. Thomas F. Geiler, Director �AIED 39. 01� Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Jeff FROM: Lois DATE: 5/28/08 RE: 9 Birchill Road, Centerville What is the status of this family apartment? '4 `Sri 411110 JA Appeal or Permit No 20060724 Appeal Building Permit Status New ri5 ea� a3e.#�,Aawlwd;wt �* r�t �LaS t Eya ppli Acant: 'Hill Patrick 'Add rZ: 9 Birchill Road MA Village: Centerville v � e � i s xP6x ant z , r a„ Aff Received �'��"� Map Par � 189059 6 .:n•, i 4' *"'A Decision Notes ` 20060724 issued 7/10/06. 11/19/07 JL should be ready in a couple of weeks. 5/27/08, no final,note to JL ...,� Close ^: a t 1• 22-141 50 SHEETS • • lI s 22-142 100 SHEETS L • PA 22-144 200 SHEETS c* FItw QES1 E"'� _ R-0-7-- fMMRt *T"-JUA tM REQUIRED Sc--� 'I Z'STAT -61 1DING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN SMOKE DETECTORS REVIEWED ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED, r " '14,zie— _ NOTE, A SEPARATE PERMIT IS--REQUIRED FOR THE 61214 B INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL LE UILDING DEPT. DATE PERMIT DOES NOT SATISFY THIS REQUIREMENT. FIRE DEPARTMENT DATE 1�R�PoS�'Ij BOTH SIGNATURES ARE REQUIRED FOR PERMITTING A�17�T1o� ut P Cow cRETE _ Ps►a , S ��- . U S R�Ov� Jw`„9od 57l.OQ N7a-1 S (. 0 L.M s - 0 ♦7 U� cab . F/AM,LI V-,or, _ S S b CD 3 p G • • � � i . . �.f. '1 - r. s �+ � iP "i .r< ,, i :. , i r 1 — 22.141 50 SHEETS • .*. � PAD, 22-142 100 SHEETS �' 22-144 200 SHEETS �EUION _ 5 cam•l,t✓ �/4" = i'—o" �'" 1,1`1Cc'< e£s rj VC IL 2sIo F FTEP-s it o l� I,p tncun 1., EA-6 V �. 1 f 6 S•a.r 0 e - u + w 3I2 {l�j. Irf� Tlot� Q�� s i 6�,o•C • L.� T x UCIGQT To MAIC4 C j1 Q" poNCREIE 5—B +141 1 1 1 R t�, • 22-141 50 SHEETS • • PAP- 22442 100SHEETS '9 22-144 200 SHEETS j b t j CtPAe ° S"CIAP4dE 0 �M tta�S�s7•) i • • 1 • f`�., r i • • 22-141 50 SHEETS � P�fJ2 22-142 100 SHEETS • �- L 22-144 200 SHEETS i U. 2kSTIXN GE fizawr Ctrwerlor) sc.vE s�g : I '-o 11 IL 6♦ MgTCH elf STN� Qoo f PATCH '. 0�6r2t�..✓6 S I-1 U V S E ST T ' o PER . II • f { • • rr�, • • 22141 00 SHEETS • b.�� P.�1®` 22-142 100 SH�lEETS 22-144 200 SHEETS 4� Ec,gyAtiorJ 11,o f i l wm.n 9&"-(,ems L 22-141 50 SHEETS • . 22-142 100 SHEETS • • L ��® SHEETS 0 2 - 44 2 2 i 0 S � ST F�ooe Pc�a a••bE?-sba Fw(r 6o6g R M�tQo. M-y 14,toot, B p T d OVF,9,1-. l Eris Iopb 5 v o A o � _ o y � J W z -4 r-o� r&-% A P 11 N ' - X b _ O � o � o o s � a o n e 0 Cam$ tc_ ^ ^ C b I p a N EfS�sn�� N�ljo...► £�s�s�,a(� wi.,�jo.,a �W I F--. • 22-141 50 SHEETS • • ���'r't� 22.142 100 SHEETS 1 22-144 200 SHEETS c Wit. •t J n ZXIL FWpR Joigr( 16 o,C- 1 � + i r�d5��1'h' II 1 r � 1 / I j y r EXS,s�w G �..00tt i ` b i 1 T-F- IIL 22-141 50 SHEETS • PA,6 2?l,64 200 SHEETS yes Ej cE — — — — �o�a7R'rloa i � I w/ reF-QME5Ne) I � N 1 0 i - - -I _j - �w �L C-/-S ,WFtw 7o v� AF,"G w/ w—%— t7 :! I `. t� J� 7 p: e < i s t _ . Town of Barnstable Building Department oFtHe rq�, Brian Florence, CBO ti Building Commissioner. lAMSTABLE. : 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us AlEO Mp2l A l/11U:G. vvo-ov2-4038 - - - Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath,depose and state as follows: My name is T21 I am the.owner/resident of the property located at: _ ,� The following members of my family will be e the sole occupants of the Family Apartment at the aforementioned address: Name&relationship to owner:_:sOiN) k -4 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting oru bleasing afsaid Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family mph rtment. I also ' understand that I am required to comply with all conditions imposed by the ZBA special P.e-i*mit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apaltments. I agre(j2 to note the Building Commissioner immediately in the event of the sale of this property. Cn ao If there is no longer a Family Apartment at this location,please explain: r The apartment has been dismantled. The apartment has.been transferred to the;Amnesty Program (Appeal.No. ) ' Other Sworn to under the pains and penalties of perjury this day of APIEtL 2018. Signature Phone Number Print Name q:forms/famaffid.do c rev 11/08/12 Town of Barnstable Building Department . Brian Florence, CBO * BAMST"M • Mass. $ Building Commissioner 0.19. ♦0 jOrFn Meer" 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Ap-a-rUm—ent Affidavit I, being on oath, depose and state as follows: My name is '?N I o-\a.- 1�k � i I am the owner/resident of the property located at: 2�1 g w k" lKl i —czy�c t.� � c�2C-32 T- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: d \A,% Name &relationship to owner: The Family Apartment will be the primary year-round residence for th`ea' ove-ideiried family members. In the event that the listed relatives vacate said apartment, I wig immediately :z note the Building Commissioner in writing. I understand that no subletting ores-u leasing 07said,O Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Buil ing Commissioner listing the names and relationship of occupants in said Family Ap tment. I o understand that I am required to comply with all conditions imposed by the ZBA S ecial Pon it � and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apar ents. I a,8ree to notify the Building Commissioner immediately in the event of the sale of this property. u+ If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) . Other Sworn to under ins and penalties of perjury this day of 2018. Signature Phone Number Print Name �`Z\ �( q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services OFt"E rah, Richard V. Scali,Director TOWN OF` A°N5TAELE Building Division ` Paul Roma,Building Commissioner�`017 s O -16 1 #1= 1 200 Main Street Hyannis,MA 02601 www.town.barnstable.Ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I;being on oath, depose and state as follows: My name is L 2k I am the owner/resident of the a ! property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: l I Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members: In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no lor-.ger aTamilyApartment at this-locaion,'please explain: - The apartment has been dismantled.' The apartment has been transferred to the Amnesty=Program(Appeal No. ) t Other Sworn to iler the painsand penalties of perjury this ;: day of 2017- Signa`fure Ph ne Number Print Name c q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oFIKE tWf. Richard V. Scali,Director ~� Building Division '* snsxsrnscE. ,,,,� Thomas Perry, CBO,Building Commissioner 039. 200 Main Street, ,Hyannis;MA 02601 www.town.barn'stable.ma.us - Office: 508-862-4038 -Fax: 508-790-6230 Town of `Barnstable Family Apartment Affidavit I,being on.oath, depose'and state as follows: _ My name is LCI( I am the owner/resid'eV of the QQ �t property located at: aC1,1, L6K)Tuz*Vi,LLC ( YL2 , 3'7 M The following members of my family will be the sole occup is of the Family Apartment at the aforementioned address: Name &relationship to owner: 1a�:.S °► GL Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members.. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner'in,.writing:,-Tunderstand thatno subletting or subleasing of said 'Family'Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree . - to note the Building Commissioner immediately in the event.of the sale of this property. If there is no longer a Family Apartment at this location,please explain: the apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to and • e ains and penalties of perjury this day of 2016. ignature Phone Number . . \ Print Name �T(21 I , q:forms/famaffid.doc z ' rev 11/08/12 Town of Barnstable Ft T � Regulatory Services Richard V. Scali,Director o OFF { -1 BARNSTABLE. 4 Building Division 1639. ,.�� Thomas Perry, CBO, Building Commissioner; :Y } v Fp�� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: � 1• , 1 My name is &39 1& �h�i` I 1 am the owner/resident of the property located at: 01 \ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name & relationship to owner: e The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. - I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has,been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to titri�er he pains ' d penalties of pe'ury s — day of--MnecIA2015^ Sig one Number Print Name CA-TA' f q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services; rqy, Richard V. Scali Interim Directo Building Division `•9 Thomas Perry, CBOfBuilding Commis"tect=' IMASS i s» t `bA i039. .• 200 Main Street' Hyannis, MA 02601 r rfD MA'S A www.town.barnstable.ma.us Office: 508-862-4038 D V ,_S_£a Fax: 50-8- 90-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name isTI21( V I am the owner/resident of the property iocated at: CIE kicerz v( U4:: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: I Name &relationship to owner: Named&relationship to owner: N The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. Tf tbere is no lonaer_a.Family Ana.rtment at this _locatign;,please explain: .. , The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under`f e pains penalties of pe ' day of �C 2014. ignature P ne Number _ Print Name LA-Q21 q:forms/famaffid.doe rev 11/08/11 Town of.Barnstable Regulatory Services. o�TM� Thomas F. Geiler,Director Building Division, fiO�' QST , � M ' Thomas Perry,.CBO,Building ComTissigner`, 639' 23, 200 Main Street, Hyannis, MA 02601€ www.town.barnstable.ma.us Office: 508-862-4038 D `10 1~aS08-790-6230 IST Town of Barnstable. Family Apartment Affidavit I,being on oath, depose and state as follows: r My name is I am the owner/resident of the �I (2Ccc.0 , property located at: The following members of my family will be the sole occupants-of the Family Apartment at the aforementioned address: Name&relationship to owner: Y' Name.&relationship to owner; The Family Apartment will be the primary year-round residence for the above-identified family members: In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing.,I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to f le an Affidavit annually,with the Building Commissioner listing the names and relationship of occupants in said Family Apartment.'I also understand that I am required to-comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning.Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in"-the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled.; The apartment has been transferred to the Amnesty Program(Appeal No: ) Other F Sworn to and pains.an alties o '" this day of 2013. Signature Phone Number Print Name1, � q:forms/famaf d.doc rev 11/08/12 Town of Barnstable Regulatory Services dF rw�, Thomas F. Geiler,DirectorTO N Of TABLE Building Division STAR Z ? a' 6 1 1,.2: Q 1 „,,S Thomas Perry, CBO,Building Commissioner Ar i639. A`0� 200 Main Street, Hyannis, MA 02601 . www.town.barnstable.ma.us D V.l Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is ��' �C k4I L 6 I am the.owner/resident of the property located at: C 1,YMOMLLE MA QeZ 4,32 The following members.of my family'will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: `4 JV d` IrArT Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members.- In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing:"I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable'Zoning Ordinah-ces Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location;.please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty.Program(Appeal No. Other Sworn to under the pains and penalties of perjury this day of Mp(,"V 2012, ign e Phone Number Print Name t q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services of Torrti� Thomas F. Geiler,Director sfll t Building Division '"R'''s'"B Thomas Per CBO Buildin Commissioner t=I'l = `' ' Mass g Perry, > g s E Ai 1639n. A�0 200 Main Street, Hyannis, MA 02601 Eo►r►pr www.town,ba rnsta ble.ma.us .. �R # Office: 508-862-4038 U FPax:0508-790-6230 Town of Barnstable' Family Apartment Affidavit I, being on oath, depose and state as follows: My name is QAT�z�CiL' �i I am the owner/resident of the property located at: EE�t�itrE (YL�► 2 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: , 1P , Name & relationship to owner: 1 hU, Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale-of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penal .ies of perjury is day of 2011. P :__S.ignffCu_re Ph e Number Print Name Rylikcc 'L Town of Barnstable Regulatory Services FINE TO{y Thomas F.Geiler,Director ~� Building Divisions OVIN BARNSTABLE Tom Perry, Building HMMSTABLB, T MASS, (o, 19 ,. 1639. 200 Main Street,Hyannis,MA 02601 Ajfp ,l s www.town.barnstable.ma.us Y DIVISION Office: 508-862-4038 Fax: 508-790-6230 'down of Barnstable .Family Apartment Affidavit I, being on oath, depose and state as follows: s" My name is kR C �` I am the w er sident of the property located at: 0� 6` LL= (- L l C Lt�2� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: 4 Al - Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree, to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swomto W1 the pa ni s d pe es-o-Fpe ' this day of �(�1.3 2010. ��I L 2� Signature Phone Number Print Name. G��__T_Izk Ck 1 Q/bldg/forms/famaffid Rev:12/08 Bk 21161 Ps3r11 a429303 07-06-2006 of 0 1 = 160 oFt�r� Town of Barnstable Regulatory Services. BA"STABLE, : Thomas F.Geiler,Director y MASS. t639. A Building Division pTEO MAr Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 9 BIRCjf iihILROAD in CENTERVILLE, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 5014J& , Page 14 3 , or as Document No. , being shown on Assessors' Map 189 as Parcel 059, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for JOHN HILL, FATHER OF OWNER PATRICK HILL associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this G day of J" 200 (o . TOWN OF BARNSTABLE OWNER(S) By: Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrument,before m . 14 Notary PVEle' ires: My Com I } DAVID B. MURPHY PUBLIC BARNSTABLE REGISTRY OF DEEDS COmmo V 81lti1 Of MOssa hu etts My Commission Expires BirchillRd9 January 6, 2012 sip® BMXSTABL TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: -The undersigned-bereby^-applter Tor a permit according to the following information: Location J^. Proposed Use {IX- Zoning District yA '^•re District Nome of OwnerC Address Nome of Builder Address ... Nome of Architect Address ... Number of Rooms .2.Foundation Roofing ... Floors Interior ... Heating ^.2....!Plumbing Fireplace Approximate Cost DIfinitive Plan Approved by Planning Btbard 19 Diagram of Lot and Building with Dimensions i/ I hereby agree tg conform to oil the Rules ond Regulotions of the Town of Bornstoble regording the obove construction. Nome ^all,Alan E* No Permit for on.?...st.oi3r, sing^le fandly;_dwlling Location .9. Centerville Owner .E^„^an Type of Construction Plot Lot .tiz. ^*j June 6 lo 66PermitGranted1" Dote of Inspection Dote Completed 19 PERMIT REFUSED 19 Approved 19 I 'I I •I-.,