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HomeMy WebLinkAbout0163 FULLER ROAD 3 s = It e.ra 1. r p e h M.. h, - , : ^ a , r ^ x a a o 3 e„ R p y: a, � G : a y a ii1 , "VAX- ®,)ne,i,"— car CQolv(9 1 S Cif +0 " t--&C. 00-hce Town of Barnstable �u11C�1i1g '- .'^,' a.,,'" ...,.. .4.i.,,e�., ..V .»-�,c. »y + •... r•.�.. -tea,. .•,.g•,,,...u...� ... .,..,. ,�.....,. ..».....yay.•-y,. . Ty ewRn3rwste Post This Card SoThat it is Visible From"the Street-Approved Plans Must be Retained on:Joli and this Card Must be Kept Posted Until Fm'al Inspection Has Been-Made CWhere a Certificate of Occupancy is Required,such Building shall Not be Occupied.until a Final Inspection has been made. Permit Permit NO. B-18-3498 Applicant Name: Carl Rebello X Approvals Date Issued: 10/24/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 04/24/2019 Foundation: Location: 163 FULLER ROAD,CENTERVILLE Map/Lot: 189-002-004 Zoning District: SPLIT Sheathing: Owner'on Record: HARRISON, MARY C Contractor Name: Carl 1 Rebello Framing: 1 Address: 163 FULLER ROAD Contractor License: CS-084358 2 CENTERVILLE, MA 02632 Est. Project Cost: $3,485.00 Chimney: Description: Insulation&Air Sealing. Permit Fee: $85.00 Insulation: Fee Paid: $85.00 Project Review Req: Date:. 10/24/2018 Final: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for.which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road'and shall be maintained open for public,inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work.; 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT C> S r r Town of Barnstable { ems Kr,, �t B n e '� ` .�n —. ,z^.-.. �.S :\ R'.�\ p 3 v y Post This;CardySo That rtas Visible From he S.trget Approved„Plans�Must be Retained on J,ob antl thisLCard Must be Kept IAEdJtT!'AtiLB, • ? F.:�• �. c ` �, .'�,' - t k �.';3; 4< H y '. �. -" z s .� :.fit f,,.. J *'" PostedUnt�I:Final Inspection Has Been Made �` � y -. ..- ., :- . - ,a' S ` o,... - ._�: ''�ui .e -;'" ` >, - <„ ,.:<*c'<t `ate �: � a a:. a ere ACertificate of.Occu"ant" s3.Re u�red such-B.0 ldm shalhNot be Oecu red-until a�Fina!!ns ect�onfhas been made Permit Why;. Y.. >�.. q�..... . .g �a ,,� z. .. . � Permit No. B-18-1669 Applicant Name: Nathan Tissot Approvals Date Issued: 06/13/2018 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 12/13/2018 Foundation: Location: 163 FULLER ROAD,CENTERVILLE Map/Lot. 189-002-004 Zoning District: SPLIT Sheathing: Owner on Record: HARRISON,MARY C Contractor Name TESLA ENERGY OPERATIONS, INC. Framing: 1 Address: 163 FULLER ROAD z Contractor.License: 168572 2 CENTERVILLE, MA 02632 Est Proi`ect Cost: $10,000.00 Chimney: „ r Y Description: Install solar electric panels on roof of existinghouse�with any Permlt Fee: $ 101.00 K1, ,£ Insulation: upgrades,when applicable,specified by Design,To be ,Fee Pald $ 101.00 j. interconnected with home electrical system. f / / Final: JB-02638716.71KW 22 Panels " . Date 6 13 2018 } u a n Plumbing/Gas Project Review Req: _ � Rough Plumbing: �} Building Official Final Plumbing: 3 4 Rough Gas: This permit shall be deemed abandoned and invalid unless the work authoniecl by this permit is commenced within simo�ths�after issuance. g All work authorized by this permit shall conform to the approved appl cation and .e approved construction documents°for which this permit has been granted. All construction,alterations and changes of use of any building and structures' hall be in compliance with the local zoning by law la 11 nd Final Gas: codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Ak Electrical Service: 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 H� ;1 Rough: I 1.Foundation or Footing . 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "P sons ratting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT o® 4 TARGET INSPECTIONS SUMMARY,OF•TOTAL DUCT LEAKAGE TESTING RESULTS FOR:'. Heating and Cooling Concepts } ' Project Located at: 163 Fuller Road Centerville, MA Project Number: 699 - Report'Version: 1.0 Target.lnspections, LLC. m Steven Grevelis 'P.O. Box 444 y West Dennis, MA 02670 ' Phone: 508-137-4289 Email: steve@targetinspections.com www.targetinspections.com. w Certified HERS Rater(RIN—4958795), & Certified Microbial Professional Enclosures: �. 4 - Summary°of Results .M Retrotec Reports F - Calibration Data Based ontesting of tWtotal duct systems,the observed total diuct,leakage at the time.of. testing of the two(2)systems was at or below the allowable limits(4 cfm per 100 sq ft) as set forth in IECC 2012 with tested results of 2.9 cfm per 100 sq ft. Target Inspections;LLC Summary of Testing Results Copyright 2010/2011 Disclaimer:Although we seek to provide the most accurate information possible we cannot guarantee any findings may or may not be changed due to' environmental conditions or contractor decisions/actions that are beyond our control.Target Inspections is not responsible for improvements as a result of our inspection. Page I of 7 TARGET INSPECTIONS Testing Conditions Day 1 t i March 31,2016 Wind'- S 19.6 mph Weather-Clear Outdoor_Temperature — 570E r Outdoor, Relative Humidity— 67% Barometric Pressure — 30.02" Day 2 April 1, 2016 ` Wind - SSW 24.2mph Weather-Light Rain , Outdoor Temperature— 59.90 F Outdoor Relative Humidity -.96%` Barometric Pressure—29.62" Target Inspections,LLC Summary of Testing Results Copyright 2010/2011 Disclaimer:Although we seek to provide the most accurate information possible we cannot guarantee any findings mayor may not be changed due to environmental conditions or contractor decisions/actions that are'beyond our control.,Target Inspections is not responsible for improvements as a result of our inspection. Page 2 of 7 n TARGET INSPECTIONS Total Duct'Leakage Test-Summary of Results Test Date: 3/31/2016&4/1/2016 Technician:Jeffrey Wolcott(BPI Cert#::5055777) Test File: 699_Heating Concepts_163 Fuller Rd=Centerville=Duct Building Address:.163 fuller Road- Centerville, MA Equipment Used. Retrotec—DU-200 Duct Blaster w/DM32 Manometer_ Serial Numbers: FT9010674/404468 , DM32 Factory Calibration':Date: 11-05-2015 ; DM32 Next Facto Calibration Date b 10-15-2020 Factory Y . . Field Calibration of DU=200 Performed: 3-1-2016 Tubing Integrity Testing Performed and Passed.0n-Site - The home has 2 systems outside of conditioned space that were tested: Test Results In accordance with IECC 2012 the maximum allowable total duct leakage is 4 cfm per:100 sq ft at+/-25 pa in the rough or final stage: Currently MA Stretch Code Towns must meet IECC 2009 requirements (6 cfm per 100 sq ft with the air handler and ducts installed and 12 cfm per 100 sq ft with'the air handler;registers, and ducts installed) unless the "Prescriptive Path" is followed. Whole house square footage of conditioned space is 3482 square feet: - Maximum allowable leakage of 4 cfm per 100 sq ft= 139 cfm: (4 cfm x 3482 sq ft/ 100 sq ft=139 cfm) System#1-Servicing the"15Y Floor— Tested total duct leakage was 75 cfm @ 25.2 pa System#2—Servicing the 2nd Floor Tested total duct leakage was 26 cfm @ 25.3 pa Total duct leakage across both systems was 101 cfm=2.9 cfm per 100 sq ft F cfm=cubic feet per minute pa= pascals sq ft=square feet Target Inspections,LLC Summary of Testing Results Copyright 2010/2011 Disclaimer:Although we seek to provide the most accurate information possible we cannot guarantee any findings may or may not be changed due to environmental conditions or contractor decisions/actions that are beyond our control.Target Inspections is not responsible for improvements as a result of our inspection. Page 3 of 7 - TARGET INSPECTIONS Conclusion Based on testing of the total duct systems,the'observed`total duct leakage at the time of testing of the two(2)systems was at or below the allowable limits (4 cfm per 100 sq ft) as set forth in IECC 2012 with tested results of.2.9 cfm per 100 sq ft.The total duct leakage across both systems was 101 cfm =2.9 cfm per 100 sq.ft The systems as installed meets the.recommended guidelines and no further sealing is required. Note 1: Square footage provided by Heating and Cooling Concepts. Note 2: Baseline measurements are based on 60 second averages. The systems as installed meets the recommended guidelines and'no further sealing is required. i Target Inspections;LLC Summary of Testing Results Copyright 2010/2011 Disclaimer:Although we seek to provide the most accurate information possible we cannot guarantee any findings may or may not be changed due to environmental conditions or contractor decisions/actions that are beyond our control.Target Inspections is not responsible for improvements as a result of our.inspection. „ page 4 of 7 8 TARGET INSPECTIONS F °! 5MM►a Photo 1: Manometer image from the 1st floor system printed: Target Inspections,LLC Summary of Testing Results Copyright 2010/2011 Disclaimer:Although we seek to provide the most accurate information possible we cannot guarantee any findings may or may not be changed due to environmental conditions or contractor decisions/actions that are beyond our control.Target Inspections is not responsible for improvements as a result of our inspection. . Page 5 of 7 TARGET INSPECTIONS om x bi Photo 2:,Manometer image from the 2nd floor system. • i Target Inspections,LLC Summary of Testing Results -r Copyright 2010/201 t Disclaimer:Although we seek to provide the most accurate information possible we cannot guarantee any findings may or may not be changed due to environmental conditions or contractor,decisions/actions that are beyond our control.Target Inspections is not responsible for improvements as a result of our inspection: Page 6 of 7 TARGET INSPECTIONS R � u . r Photo 3: First floor setup. .—]--Photo 4:second floor setup. This inspection report is solely based on the conditions within the defined area at the time of inspection only and makes no express or implied warrant or guarantee as to future changes in condition or, conditions outside of the described job scope. Sincerely, Steven Grevelis Certified HERS Rater(RIN—4958795), &Certified Microbial Professional , Target Inspections,LLC Summary of Testing Results Copyright 2010/2011 Disclaimer:Although we seek to provide the most accurate information possible we cannot guarantee any findings may or may not be changed due to environmental conditions or contractor decisions/actions that are beyond our control. Target Inspections is not responsible for improvements as a result of our inspection. Page 7 of 7 Test Date:2016-04-01 Duct ]Leakage Test..Report Client Tester Building Description Single Family/Both.Floors Company Target Inspections Building Address 163 Fuller Road Address 2.4 School Street, Unit 6 Centerville MA West Dennis MA 02670 Contact Nunzi Napolitano/Heating and Coolir. Technician Steven Grevelis - Phone(508)498-4489 Phone (888)280-2108 Test Type Total Duct Leakage Gauge,S/N 404468 s Test Equipment Retrotec DU200 Fan S/N FT9010674 Building and Duct Details V `Conditioned Floor Area 3482.0 sq ft Su - u Sup ply Return - Average Duct Operating Pressure. 25.0 Pa 25.0 Pa . . Leakage'Split '.', 50%, •50%. Leakage Penalty 100%* 50% Leakage+Data .. Baseline Pressure 0.2 Pa+ Y Depressurization Duct Test Pressure 25.1 Pa Duct Leakage 101 CFM Leakage Area 18.8 sq in Leakage constant, C 14.62 Leakage Exponent 0.60(assumed), Leakage Results Total Duct Leakage 101 CFM at 25 Pa " Leakage/Conditioned Floor Area 0.029 CFM/sq ft at 25 Pa `� w 2.9 CFM/100 sq ft at 25 Pa 29 CFM/1,000 sq,ft at 25 Pa f 1 t GaugeCalibration Verification-Report Calibrated Equipment q pment;. Calibration Facility Serial Number 404377 Company. Retrotec',Inc. Firmware Version 2.3 Build 62 'Address 1060 E Pole Rd Gauge Type DM32: Manufacturer Retrotec.,Inc.. City' Everson Calibration Date 2015-11-13 State.WA AutoVerification Version 1.1.2> `Zip Code 98247 MasterGauge Reference'FCOSSO SN07o4353 Country USA Phone (360)738-9835 Technician MikeShtunyuk• ;Pressure calibration ve1itFcation data, The accuracy of this dual channeF(DM32)pressure gauge was calibrated against one of two N18Ttraceable. m Fuess�550(master g`uge)pressure calibrators,070435.3 and 0907002,whose pressure accuracies are t 0.15%of its reading.,A 32 point verification check.was pefforn ed after calibration to verify pressure readings are accurate when used"with„Door Fans.. Mastergauge 'z Calibrated gauge . pt.- ;� 3atafibr6ted gauge W, Channel A M 2s r: ,Channel B..:w�: Pressure ,�Pressure VA. Error 'Pessure _.._ r qua .F.t ., �: ,.... _ .. .. � .400.0 400.0, 0.0% 400.:1 0.0% 300.0. 300A. 0 0% r 300.3., 0.1'/° 200.0 <200.6 0.2/o' 200.3 0.2/o -F `` 5 t x 150 0. ��150 7' 0 %�3'w; -150 7 0 5% 100 0 . 100.3µ 0.3% 100:9 0.9% ' 75.0 75.4 0.5% 75.3 ^t50.0 50.1 0`.26/0 50.4 0.86/0` 25.0 25,Z. '08% `, 25A 0,4% 725.0 -24.8 - .0.8% F'=25:1 0:40* -50.0 50.0 -0 0%.. : . 49.7; 0.6% . 45.0 -75.2 0.3% '0.4% -150.0 -e1502;' 011% 150.4-. 0.3%, -200:0 0.2% -200:5 0.2%; 300.0 301.0`` 0.3% -300.6 0.2%„ 400.0 4013 0:3% 401.1 0.3%- . Digital`pressure gauges should be checked for calibration every,five years. ,Calibration for rthe'gauge should be;dhecked before:'2020-09.30 �This•gauge'.meets the accuracy requirements of the following Standards: NFPA 2061 'EN13829. ,ATTMA:TS1 . ASTM E779-10. CGSB IS014520 , EN15004 RESNET t 1 Ra t 2 Pa t 2 Pa: t 5%or 0,26 Pa.. t.1 Pa t t Pa #1 Pa 1%or 0.5,Pa t(10 to 50)Pa (up to i60 Pa) (up to po0 Pa)" whichever,is greater (up to t50 Pa) (up to±60 Pa) (up to t100 Pa) wh hexer is greater f Quality Assurance ,-Report Test information Test type IECC Single Point Duct Test Test name March, c 2016 Calibarati n 0 Test date - 2016-03-01 02:30 PM (UTC-5) Export ID 'SHEKBI7V a Technician Steven Grevelis Technician email Steve@targetinspections.com Verified location tat/Long: 41'.664142, -70.167986, Accuracy: 55m Distance from building 70.8m Building information Address 24 School St City. k .. West dennis State MA Zip 02670 Building location 41663517, 770.168762 Year constructed 1,987 Volume 1200 cu ft T Conditional floor.area i f 150 sq ft Elevation 20 ft . Test conditions Indoor temperature 730E - Outdoor temperature 430E Wind speed 7 mph y Notes (March, 2016 - Field Calibration' Test measurements *induced duct pressure -25.6 Pa Test pressure direction s • Pressurize Nominal CFM25 (CFM @ 25 Pa) 101.7 Fan configuration Mid Time averaging - 10 Fan model. Retrotec 200 Fan serial number FT9010674 Pressure gauge model "Retrotec DM32 5H Gauge serial number 404377 • Commonwealth of_Massachusetts-.-_- . .- Sheet Metal Permit Date: Permrt:# - 7709 Estimated Job-Cost:.$J(,_OQP M Permit Fee: AR 31 2016 Plans Submitted.: YES NO TOM OF��I�anlus Reviewed:. YES NO Business License# 0 -)n`l Applicant License# E l j i 1a Business Information: Property Owner/:Job.,Locatlon.Inforination: r F v n�; Nqo�1��qh� 0 3 5 Name: 1�{�i-,ht • C�1 .,� C't, —��}s Name: K� V,r� l�•e ,re ,r r Street: a x o?4; street l03 1�11\ La r g.A (eityJTovwn.�'' City7ower C�v►�e�y �lz tV�t� Telephone: Lf9�S �I 4`S i Telephone: Photo I D.required/Copy of Photo.I.D. attached: YES ✓. No j-1/ =1-unrestricted.liceme o dweIUn 3-stories or less and commercial to 10*000 sq fl /-2-stories or less J-2/M-2 restricted t gs up i Residential: 1-2 family✓, Multi-family Condo/Townhouses Other ComIIiercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage:-under 10,000--sq.fL over 10,000 sq;ft. Number of Stories: i Sheet metal-work to be completed: New Work: v1,, Renovation: HVAC Metal Watershed Roofing. Kitchen Exhaust System Metal-Chaney/Vents :A r'Balancing i Provide detailed description of work to be done:. i INSURANCE COVERAGE: I have a current liability.insurance popsy or its.equivalent which meets the requirements of NLG.L Ch.112 Yes❑,No ❑ If you have checked Yg,1ndicate the type-of coverage.by checking the appropriate box.below: • I l A iiabiiity Insurance policy'� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE INAIVEf2-`I am-aware•that the licensee does-not have the insurance coverage required by Chapter 112 of the i Massachusetts General laws,and that myy:signature on'this-permit application:wanes+ this requirement: ' Check One Only owner- ❑ Agent ❑ - 1 Gig afore of Owner orOwaef-a Agent By checking thls•box❑,I hereby certify that all of the details and Information d have submtMed(or enter4 regarding this applicatlon are true,and accurate to the best of-my knowledge-and'thatall sheet metal work and installations,performed undo the permit issued for this application win be in compliance with all pertinent provisibri of the Massachusetts'Building Code and Chapter 112 o#the General Laws, Duct inspection required priorto-insulafion Installation:YES, _ NO pro .ess. inspections .• . Date, Comments Final IngRecfion Date Comments Typee of,Ucense: BY [ Master . rd}e ❑Master-Restricted 4 :,4/Town , ❑Joumeypersott'. Signature of icerisee 'ermit.# ❑Joumeyperson-Restricted Ucense.Nurrit)ei' y)3 2 =ee ❑ Check at www.ntass.'dal nspector Signature of Permit Approvar 4 . �t �rroac:� .��at� -• Office vfLwa4qd6M wetW.711as . '4�ar�:r� �crmpertsaf�Iusmran� daui��ia�r7e�sf�"^�•fi-�:�*�.��cfriri�nstPTu�bers - ,r Please Prna#T ih • gv��tzo 0 6Vq pad, ��, ��-� - - N'a= - )At A-14c t±- idtires D bo y . fiery/Stat t!, > : U- am a�i' ►M `D 1b7�hofre �15 8 9'1%1 . Are 4 I gma u an employer? beck t�aggrapriafa btr= T of Exeiect frtxlrnu eel}: _ ccmfmc ur andI � I am a employer via ❑ � � Idea =3g•I0yees{fall aodlorgait-#ame5 have:hiredthe su conUaa= 2-❑ I am a sole pragaetar orpartuzr- ]fisted an the ached sheet 7-`❑Rrst deling f sbip and have no=playees The�z mb-coutartats have g_ ❑D=MjifiDjM _wro&.ng, fir maim amty capacay_ mmplaye,=and have worms' 9- ❑Bnil3tng addifian PTO urorkeas'comp:in=mxe cosup_insu ay 1 - m;TecL1 S_❑ We are a caporaficnand its 10-El#I=bd a1 repairs or additions 3.❑ I am a homeowner doiub all ofH=s have�rcised their IL❑Flumbiag repairs or additions. . tight cFf ea�tionpc mcm my-etf r I1 - r-1P,§1(4',and.webrave,no �0= 4v � C carp-insaranm rugtie&] . `�xymFfics�tBv2chedcsbaz+#1x�ttalsuSIlovtt�sQctiaaHcTmPch�vHieu�o�as�®aap�„�ti�ga�¢p -• eoa a+as Vft subffit JIM&affidavit mdcog they aM d=3g sIr VO&east ff2MYEM Mta&CMMMCMM am5[5ul WiIX-X w a.MdTvft mrt>=adin;Sates �e�cR+K 1itsE chrr]c this basmast stteChe$sa add3titmaI sheet sbbnine tine n�eaf the pis--ohs amdsmt$roci> pcnart�asa a Yz.� ea�iayt<es_ If t1=e snFr-ca�dush3ce empIageQs,tnegmvst g�rvide their san�-rss'camp.po-Ticp mmtbez �nm arz e�IQyss th�isgtrrit�ag tvbrl~ers'catt�aas�intr trrar�rrrnc�far m�<crr�Tnysea, �elotF is fate paiic}*arcrI•�ob styli irt,�brmQtiarL � , Insmance Compamyldame: L MF Policy:g oz Self-ice Lie- - Expirafin�I ate: Job Site Address: 1 t°3 l l2 r ciiyy/sta : Ce A-f r v,I Lc_.M Aff6tch a copy of the workers'compensation p aTicy declaration pugs(4ag fs goTi,Y=Mi er a-na MT aX boon date). Farince to sD=L coverage as requireduaclet Secti=25A o€]r GL r- M can lead to tli!impwitrffi ofciimival p=alfim of a„ fists np to$L"5DD_OD and/or one-ycarimpxiuxm3cnt,its wenas cowl Penalties in fhe fume of a STOP WORK ORDER-and a fine. of-up to S250-00 a day against die violatar- Be advised that a copy of Sias statement mmybe fbrwalded to titre Office of 4 bivcsfiptww of Me DIA fat*noncemverage4 on_ y dd hereby under-des psrr�es ufpcdkry Aat11 inforstagm protrzdsr£ahave a true and correct Sitmatmm: Dad Phone 9 'a£u'.se•only, Do not tPrits in ffzis urert,fct be crrurgie#ed bf cdy as ft7tt�t n t Cif F or Town: T+rvi-rrr9tl &e=kE Fssa.i 14 A,affinritg{tdrele omen L B:aard of$eaIIh 2.BcUfng Depa: t meut I Cif rl awa Clerk 4-Electrical Inspector S.Phamb fuspe'aar ' d.Cl4h r 6 Laformation an.d tastruetions ., Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this s'tatcrte, an employee is defined as"---every Person in the service of auothes under any contract ofh.ire, express or implied, oral or written-" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,.or the receiver or trustee of as mdivi arts association or other I entity, �partnership, legal empIoymg employees. However the owner of a dwelling house having not more than three apartments and who resides tfierein,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 bean employer." MGL chapter 152, §25C(6)also states that'every state or Iocal Iiceasing agency shag withhold the issuance or renewal of a license or permit to operate a business or to construct bnildings'ia the commonpWealth for arty applicant who has not produced acceptable evidence of compliance with the insurance coverage required.- Additionally,MGL chapter I52, §25C(7)states"Neither the commonwealth"nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapte;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),address(es)and phone number(s)along with their cerii=ncate(s)of in Wince. Limited Liability Companies(LLC)or Limited Liability Partnmtsl#s(LLP)withno empIoyees 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 ofh=urance Coverage- Also be sure to sign and date the affidavit The affidavit should be retuned to the City or town that the application for tare 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 listzd 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 punted legibly, The Department has provided a space at the bottom of the affidavit for you to fill out is 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 multipIe,permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifnecessary)and under"Job Site Address'the applicant should write"all locations in (city or town).",A copy of the affidavit that has been officially stamped or marked by the city or.town may be provided to the applicant as proof.that.a valid affidavit is on fie for fuix>repermits or licenses- Anew 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 CLe.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidaYZt The Office,of Investigations would like to thank you in advance fur your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address.telephone and fax number: l ,• t 114 f 0n2M0, .V?WIh Of MasSachusGif� ' D apaltmejat Qf Iii�al•A=i dw:ts of IMVI�StigzttzGm _WaAk $Gstoxi,MBA G21 I I Tel,4 61 7-727-4M QXt 4O6 or I-9 IIA.E� E Revised 4-24-07 Fax 0 617-727-7.149 w w wxaa.ss.gavldia • oftwe rq�� + BARNWABLE, • - Town of Barnstable. Regulatory Services x Richard V.Scali,Director. 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 Property Owner Must Complete and Sign This Section If Using A Builder F I,+ rea iN 5XGa 2P2 as Owner of the subject property hereby authorize N""��=o K)q{pall -�7 o - b R to act.on my behalf, in all matters relative to work authorized by this building permit application for: , - 1w� (Address of Job) q. •gnature of Owner Date Print Name,. x If Property YOwner is applying for perm it,Please comple te ete the Homeowners Licens e Exemption' Form on the, reverse side. ' CAUsers\Decollik\AppData\Local\Microsoft\Win_dows\Temporary Intemet Files\Content.06tlook\2PIOIDHR\EXPRESS.doc Revised 040215 i CERTIFICATE OF LIABILITY INSURANCE 7MMIDDYM) AC�l�D 3/31/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME: JIM HINDMAN Schlegel & Schlegel Ins Broker PHo"E (508) 771-8381 FAX N ; (508) 771-0663 34 Main Street E_MAILs: schlegelinsurance@gmail.coon West Yarmouth, MA 02673 INSURE S AFFORDING COVERAGE NAIC# INSURER A:PHENIX. MUTUAL INSURED INSURER B:LM INSURANCE COMPANY Nunzio L Jr Napolitano INSURERC: PO BOX 247 INSURERD: YARMOUTH, MA 02673 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POUCY EXP LTR TYPE OF INSURANCE INSR VIVID POLICY NUMBER MM/DD/Y MM/DDIYYYY LIMITS A GENERALLIABILITY CPP0703689 2/28/16 2/28/17 EACH OCCURRENCE $ 100,000 COMMERCIAL GENERAL LIABILITY DEMISES GE occurrencM rr AMA $ 50,000 CLAIMS-MADE [i]OCCUR ME EXP(Arryone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO--JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED Pe �ROPPEiRdf1 DAMAGE $ HIREDAUTOS _ AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WC-0212304 5/8/15 5/8/16 WC STATU- JFR OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ 100,000 Ifrs describe under DEStRIPTIONOFOPERATIONSbelow E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is regui red) NUNZIO NAPOLITANO HAS ELECTED NOT TO BE COVERED UNDER HIS CURRENT WORKER COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: BUILDING DEPT MAIN STREET AUTHORIZED REPRE N THE HYANNIS MA 02601 IN HAND ' ©1088 010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) _ The ACORD name and logo are registered mar s f ACORD Phone: Fax: E-Mail: COMMONWFr4LTH OF MASS WUSETTS.. • • - • • SHEET METAL W4RK�F�S IS$11L5 THE fOLLOWLNi; LICENSE: 4n, AS A MASTER bik- 5TR RU�Z I 0 l`,: NAP0 f rv;LITANG + p Ex z u1: 75 CAMP 'ST r. kb i # 1`AR�COIlTK #CIA 02673 3207 E A �SACH�II E�TT' ti /'DRIVE 1s7 -- _=_- — WYARMOUTH,-MA 02673y3207��,=_ _ 01.147a16 Rev W iS2009 — CONTROL# J238995 IMPORTANT If your license is lost,damaged or destroyed; is'inaccurate;or needs to be corrected,visit our web site at mass.gov/dpl for;.. instructions to ensure the proper mailing of your Renewal Application and any other correspondence. This license is subject to Massachusetts General Laws and regulations.Your license is a privilege,and cannot be lent or assigned to any person or entity under penalty of law.Keep:this_ license on your person or posted as required by law and/or regulations. MA www.mass.gov/rmv I ' • MA 01-%2016 > 06.29.1961 1 ' CLASS. D: Seell vehicle less than 26,001 ' Ibs,except school bus. ENDORSEMENTS. RESTRICTIONS- . . NONE.:;.:.: NONE CHANGE OF ADDRESS.PPJNT BELOW.PERMANENT INK 1 t// a P d' i Town of Barnstable .*Permit# ' p Expires 6 months from issue date Regulatory Services Fee • anaxsrnsr.s, • M"059, Richard V.Scali°Director r 10 y j� Rvt uilding Division Tom Perry,CBO,Building Commissioner li 3 2016 200 Main Street,Hyannis,MA 02601 IA/As ()� H'A www.town.barnstable.ma us Office: 508-862-4038 , ' Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address t&3 7u l jQ tt e S Cek ee J»l (I`Q Q R sidential Value of Work$ ��CD Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 4-eJoo ,¢ AJ IAJC�z ,Sd ter 2P°C : 5�?�15erTa , 'P,+J t W C&O 2- 5:6 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor . I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit., F Permit Request(check box) ® Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 76 6 fow yA 61�t�S` Z ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side F ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspection s'required. Separate Electrical&Fire Permits required. *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Y QAWPFUMTORMS\building permit forms\EXPRESS.doc Revised 040215 ^4 the Commompeah*ofM- assad i=eds DVartzmeut o,fIndushial Accidews - Office qfImvsdg0ous 600 WashhLgtou,street - Boston,AL4 02111 mmmammgvr/dia Workers' CampensafianInsur2ncedavit: B-imildersiCantractaursMec&iciansrPhm2hers Applicant IlifQrllLatEOII Please Fxiut Address: 5V C A I ti '�-,7' cify/st t�_ A) . E.,V- _Mu 2-3 7 07e)T = Are you an employer?Check the appropriate bay Type of project{repaired}. I.ElI am a employer udh 4 ElI am a general contactor and I' emFrloyee$(fU]I=dlor part#ime). * bave hired&e sub-contractozs 6. New consfmcEion, 2.❑ I am a sole propsietmr orpartuer- 51ted"the attached sheet T ❑Rem deling° drip and have no employees. . These sub-contacturs have g- ❑Demalifiou working for me im any capacity. employees and have wars' _ [No vrodcem,CflII1P-+eavxa„re comp.imrarrrr 9_.❑B.uildmg addififln rejuired� 5- 0 We are a corporatism and its 10❑Elechical repairs cr additions 3*:�I am homeowmes doing all work officers have exmcised their 1L0 Plumbingrepaiss or adchtioms mysef[No workers'oamg- T, 1 of esemgtion per MGL imura ce re�trd_]Y c.152,§1{4�andwe hme nooafrepairs employem[To workers' 13-0 Other comp-imstmance requireeL] 'AnyappBC—flatchedshosf1�r=RIM filloutthesectioabdowshowingtheirwodeec®pmLm&upoBrgiafoamsuoa Hameowmmwho m msit this in _r&ey are damg ali wa&aa,i then lie G=&roatsct±±=nt mhmit anew affidaeft indite sucb_ . ICazorachoFs that clixt this bCac mast attached';as addilianal slceei showing them of the sob-C9¢�sC.tars and 5tafe�rlsether ar aOt those�Shss� employees.ifthesnh-cant actum m anploywr,EheYmustpin-u their zrnrkmsl immp.policy n=dbm I am au ezripLayer Mat is prouidbW urarkers'coupemidiaat hmarancefor my eaiplk�;wm Bet m is ffie puNcy and job site informadara. , Imsu=ce company Name: - Pflhcy or Self ins.Iic.;�: Ea pir , nDafe: Job Site Address QVStaf ziP_ Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to serum coverage as regaired.under Section 25A of MGL c 1572 can lead to the imposition of criminal penalties of a fine up to$UOD-'i0 and.+'or one-year imp isogment,as well as civil penalties.ilm the fog of a STOP WORK 01ZDER and a�_e k of up to 4-Q-0 a day against the violator- Be advised that a copy of this statement=ay be forwarded fo the Of of Investigations of the DIA for insu mce coverage veriffcation_ I ti`a hereby c f3'andar the , penalties ofTe9 j`uJ thatthe iqfohua€vu prPvi&d abm a ig bars and carrect Signature- A Date' Phone i - �'70 OjoiciaL use only. Do srot tt rtte in this area,to be causpleted by city ortatrn official City or'I'ovm: Pamiff c-ense Issuing.Axt,h arity(drde one): L Snard of Health 2.$.uT�Department 3.Olty]Town Clerk 4.Electrical Inspector 5.Phrmbing Inspector ' 6.Other Contact Person: Phone#: 6 Taformation and lastractions 7vfacgarlttTcefi�C7ebm-aILaws chapter 152 regoaes aU eO:TiIoyers Yn prvPhdewariCs'compeusat=on fQrfhelr CU3playees- Pmsaantfn this sue,an.earplayee is defined as 6_.e7mypmsoain$eservice of anof3hernndes arty contract ofhiir,, CXPr=or impjiect oral or Tvrittmaf " An.empbyer is def rd.as"au i cuRvidnal,pmt aeash�,asso�on,cmpmdon or other legal e�y,ar nay two or more of the fDregomg is a joint eote s ,and inch the legal rejres�y of a deceased employer,or the recesver or trastee of an mdividaal,parfn=%bip,association or otherlegal entity,employing employees- However the owner of a dwelling house basing not more than three apaht ac is and who resides$ream,or the oca¢pant of the - dw ll a house of amo$er who employs persons to do mafitenaa.ce,c"asftucdon or repair wow on such dwellmg.hayse or on the grounds or bmldmg appin-�therein sbaIlmotbecanse of such employmeutbe deemed to be as employer-" MCsL chapter 152,§25CC,6)also sites that"every state or local licensing agency shall withhold ffie issuance or renewal of a license or permit to operate a business or to construct bmZdings in the commonwealth for any applicantwho has notproduced acceptable-evideuce of cnmpliianm with the hmmx2 ce coverage required_" Additionally.M&-chapter 152,§25C(7)states aNeither the mwealffi.nor jj3y ofits political subdivisions shall Ie evidence of Iiancewith Sae jnsmance. f!:n into any contrast for the pmfmmm=ofpnblic work mhihl icceptab coinP reTiMtUieECEs of dais chapter have Been presented to the rn a:dhorty." AppHcaats . Please fill oiat the wo>keas'compensation affidavit completely,by checldag the boxes apply to your situation auci,if necessary,Yapply sub-a°nt tors)name(s), addresses)and phpIlenumber(s) alongwiththeir c4rti acate(s) of instffance_ Limited Liability Companies(LLC)or Limited Liabi-f Partammbips CLEF)withno employees other than the members or parfnexs,are not rego�d to carry wodce& c�ensafron insoa�ce If an LI.0 or LLP does have employees, a policy is regoned. Be advised that this affidavit may be snbm�d to the Deparim ent of Inds-dial Accidents for confm aficm-of inso=ance cow °be sure to sign and date lre affidavit The affidavit should be retr=ed to the city or town that the application for the permit or license is being requested,not the Department of „ , Accid . Should you have any questions regardmg the law or ifyou are mq�ed to obtain a worl=s' compemsationpolicy,please caIltheDepart eotatfhennmb=Hsndbelow~ Self-ins�ztedcon�anies Should en rtiheir self-msm=ce license number aa the appnTriefm line. City or Town Officials . r anted legibly. The D s provided a space at the bottom Please be sal a that the affidavit is campleta and p �Iy ePartment ha of the affidavit for you to fill out an the event the Office ofluvesti�ons has to contact you regarding the applicant Pleas a be sure to fi]]in the peunit/Iicense ntnnber which will be- use d as a reference ntmzben In addition, an applicant _ that must submit:mulfrPle pennitlli cense applic ations in any giver year,need only submit one affidavit indicating cQIre=t p olicy infiarnatian(if necessary)and under"Job 5`ite Q�dress"the applicant�h ould write�aII locations n ( 'or town)-"A copy of the-affidavit that has been officially stamped or maimed by tat city or town may be provided to the ennits or licenses A new affidavrtmvst be Med out each applicant as proof that a valid affidavrt is on file for fie p - year.Where a home owner or citizen is obtaining a license or pe=it not related to any business or commercial v&nt= to bum leaves etc. said msom is NOT required to co�Iete this affidavit Le_ a do license or , ) P � g peffirt The Office of Invesdgz&m would at to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give ns a call. s l one and fax The I}eparfhneuf' address, � . f�MMWWWltbE of Massach sent Degar mt of 1�&Istd�Agra �n [ice Of JnVe&tigati= �Woman �trnzll'fA E��1� Fax 6 617`27-7M Revised.4-24-07 g��fdia Town of Barnstable •a Regulatory Services �dr rqy Richard V.Scab,Director 0 Building Division BAMSTABM t Tom Perry,Building Commissioner %659. 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: r V , JOB LOCATION- 4Q f— number street village "HOMEOWNER": 110 sV�x�� 5_Q5 23? �70� name home phones# work phone# . CURRENT MAILING ADDRESS: ,5 k) 451 /V . r-'�S city/town ,• 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 pr cedures andr n �and that he/she will comply with said procedures and requirements. I J i SjZnatare of Homeowner Approval ofBufldmg 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." 3 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:\WPFaM\FORMS\buiiIding permit forms\EXPRESS.doc Revised 040215 w t r RARNSTAEMA r -. " ASS `b ies� Town of Barnstable �� ArED Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO i ,Building Commissioner 200 Main Street,,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 ' " p:- 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) r Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFU,EW0RMSIbu0ding permit for=NEXPRESS.doc Revised 040215 �. ..�„,i=.Y,a..:<,; �� ..;s ems._._—.. ",f ,::r-s�",'��'-S.'^ ^..-sr'.""y�.�r�.7t;�r' .�,;y ..gip....-.,,rne=„�•,,,rsxW-�•�M,..i;,,y�,i, 1s�`!;...,e•'zM'1't..—�.v„an..,,}-r..,m-. :;y.,.. ,.. ,;' TOWN OF BARNSTABLE Permit,No. .?.M R...... BUILDING DEPARTMENT { Lu: TOWN OFFICE BUILDING Cash ................ HYANNIS.MASS.02601 Bond ....x.......... CERTIFICATE OF USE AND OCCUPANCY Issued to Dale F. Urbanik Address Lot ,#4, 163 Fuller Road Centerville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .April 28 , . 19....8 9......... ':. ..... s .I.........�.. Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT Z 31ARIS N"a : TOWN OFFICE BUILDING ru 639 HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: �C c 0, 1 An 'Occupancy Permiitt�has been issued for the building authorized by Building Permit $ .Q..........................� ........ _...._......................... .............. ......... ......_ ... ........ ........ issuedto ..............c'C„l,G( f�....`'f;,......l... .:1i4 �f .................................:.................. ..................................__.... Please release the performance bond. �,. +_. �r�r rva' /1;yam �•�T" .. r ..;t :ai-. -�v.,csn y _ BUILD ERIIIT TOWN�OFyBARNSTABLE, MASSACHUSETTS.., AiOl B� 4 DATE J August. 26 86 .. t 19 PERMIT `•�, APPLICANT R. .�:. ('+i'f Arcl - .ADDRESS• 995 Viint Rarerata,�_�� .� .� na ervillp.`.a Q��1, INQ.1 (STREET) _ (CONTR S LICENSE) PERMIT *O NUMBER OF -Fittilcjd�r�111� ( ) STORY �inal�a famll'�i rlt�nlliric. DWELLING UNITS l (TYPE OF IMPROVEM TI NO. AT(LOCATION) ruxXIAXXXX`T l nt yLy r 163 V,i1 I�v RnaA ZONING E nt =11 fe DISTRICT IN0.) (STREET) Y �. '.BETWEEN' AND ' (CROSS STREET) - (CROSS STREET) - SUBDIVISION' LOT LOT BLOCK SIZE •�`' :.�,aA.`. ^r'' BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIONV�, TO TYPE USE GROUP BASEMENT WALLS"OR FOUNDATION (TYPO Sewage #86' 693 REMARKS", g AREA OR r VOLUME 1710 sq. ¢t. >'.ESTIMATED COST SO�OOU f PERMIT : �3.7��}0+ (CUBIC/SQUARE FEET) - i OWNER Dale F. Urbnnik k r � ADDRESS -- . 153 HiCkXGry Hi11 C1Y,C1@� OSCerV�11$, iA BUILDING DEPT 1 # � > BY t ' .. ,.. ., r/• s { '`per'-�9�n. THIS PERMIT PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THERsEOF �EITH.ER TEMPORARILYrOEt'�,,: PERMANENTLY. ENCROACHMENTS. ON PUBLIC PROPERTY, NOT SPECIFICALLY:.PERMITTEDpUNDER THE BUILDING, CODE, MUST.BE AP PR•OVED.BY.THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS .DEPTH AND LOCATIONO'F'"PUBLIC SEWERS MAY-.BE OBTAINED FROM THE*DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT:RELEASE THE 'APPLICANT FROM THE CONDI':TIONS :. OF ANY APPLICABLE SUBDIVISION.RESTRICT IONS.' -- MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE'SEPAR.A' s/ r INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED .FOR m ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN t ELECTRICAL,' PLUMBING ANDS I.'FOUNDATIQNS OR FOOTINGS. MADE. WHERE A CERTIFICA-fE OF OCCUPANCY 'IS' RE- MECHANICAL-INSTAL-LAT IONS.?fi r - 2 ,PRIOR TO,COVERING STRUCTURAL �•�_ x .�. QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL a FINAL I S•4READY TO BEFORE F.INAL INSPECTION HAS BEEN MADE. `N3FINALINSPECTION BEFORE yL } OST`THIS-.CAR�2 S® IT 15 VISIBLE FR�Sii�► STREETX BU I S CTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 a g '►nor,. 15 ff8 sh " 2 / 2 Ci f Nl� -- All _l v(� r .�z 3 HEATING INSPECTION APPROVALS ENGINEE G DEPARTMENT a �r a �y OTHER 2 B RD OF TH Sept } x �h, PERMIT w!LL BECOME NULL AND VOID IF CONSTRUCTION WORK SHALL NOT PROCEED UNTIL THE INSPEC- INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX'WONT HS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTENr CONSTRUCTION. PERMIT 1S ISSUED AS NOTED ABOVE. NOTIFICATION. k % ssessor s offioe-(1st floor): p� ` ��q' 4 SEPTIC SYSTEM MUST 13 T►+eTp` Assessor's map=and lot number' ... ... .... ...... :.... nQ f INSTALLED IN COMPLIAN Board of Healttf`(3rd floor): Sewage' Permit number ........ WITH TITLE 5 t BABEST&BLE• Engineering Department (3rd floor): j 3 - � TAL ��� ,'o r63}9• ENVIRONMENTAL House number-................ ......................� .`..........•. N E ' ,!n O YP"I 'J « APPLICATIONS PROCESSED �8:30-9:30 A.M. .and, 1:00-2:00 P.M. only TOWN OF., BARNSTABLE } BUItDIN•G, INSPECTOR 2 nary. APPLICATION FOR PERMIT TO ..... N ..... ... ..... .. .. ....... = TYPE OF CONSTRUCTION ......P .. ... . ••••••. ......••••..r..................................'...:..........................:....... s f ' .............. 19 TO THE INSPECTOR OF BUILDINGS: The undersigne hereby applies for a permit according to-the follo O' g informatiora Ile Location ..... .. y ............. .. "... /( � P...� .... ,.................................... ... t. _ ��� Proposed Use ............ ... / ........•. ... '... ........!l/,,.. :............... ....... Zoning. District ...... ........ ............. .....:...•.. ....................Fire District, ....._.:.. U q D Name of Owner���•• ......! ............ !?/ ......Address ..... .. .... .... Wit,:: `�....:ail- 'Name of Builder ..... ..1 t....t...........t. /.. / ......Addresscl..:...:.VIJ.. (Z��� . . ....L?�J/ 4 Name of Architect .......... �.. . .................................Address ...:....................::.............................4........:............:...... Number of Rooms .....:.......... .............. ... �.........................:...Foundation .Ae� C %%��'' "..........'. .. Exterior ....1/1.. �dQ ... `-•:•r ..... Roofing ........<.`:(. /.'.. ............... Floors ... ................... .....................Interior ...... . ........... . . . .��..:.7. � ..'................ ` .. .. . .... Heati����..J�... ............•7 Plumbing...... ..... i......... .... .... Fireplace ` C +� ...........Approximate Cost ...•. '.....(/.•: .............................: ........... e............. �.:.....,....... . ... „i ' y Definitive Plan Approved by Planning Board -ell------------------ ______19 . Area l/ �✓ Diagram of Lot and Building .with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH � t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS • . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding .the above construction. Name ............................. •` Construction Supervisor's License`....0;1....1... .�,....... h URBANIK, DALE F. -' #,No Permit"for .... 3'...Stor,Y............... f Single_ Fam1Y..A`a�Jliug. .................. Lot,.p _ Location '..:...........�..4.,.....1.6.�..Eu11 er..Raad•••••• :....Centex.V.:LII ............ .... ................. F Owner ......'Dale F•....vrbaai.k.............. .......... z Frame T «ype,of Construction .......................................... + } -f. .`y .. .............. ........... .f... ^ ..... .... . 1 - C ` - ._r r - <. >.+. �• ,. :PI6 :............. . ... .... Lot ............, ... ........... I: Permitter .......Augus�..2.6;. ...`�:9 g -n - •- ' •rs• f.a, - !I I t4. Granted 6y �;- Date 'ofFlnispecfion .:...: 1..:. .. �1 ... 19 i Date Completed .. . ' %. f ..19??~ 1 4 r '"` ✓_ , f` ey qq rVl� y, j f f' f.� t '.r1 • , � - � . pp t'L�r � •fir r j ' r= Assessor's offioe (1st floor): Assessor's map and lot number ...� g" ................ Bpi THE T0�♦ ............... .... Board of Health,.,(3rd floor): WQ Sewage Permit number ....... � .......!� "!. >...'�/. t 13Afld9f4DLE, J Engineering Department (3rd floor): ►oo NAM . House number ......., � 3 `e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE t BUILDING INSPECTOR ^u ' w APPLICATION FOR PERMIT TO E.:.?.��........ ... �!....�..... 't••�l •• `j...........::........... TYPE OF CONSTRUCTION ......�...�..��:.�I,...�..�.....�`�..�R..-.(!'�;7.!li�' ................................................... �,./.:...............<..... ./......... TO THE INSPECTOR OF BUILDINGS: G/ The undersigned hereby applies for a permit according to the following informations: Location ...... .......... .,` .................../...C �P! ......;............. `..... - ''X.................. ................................. J Q�i!/ Proposed Use ...... 1/.!(.,� �.......... ...�( 1// ,,............c../ /.... ............................................................... / 9 Zoning District ..... -/ ........Fire District v ... . ....... Name of Owner . ., ,..... ........./......... Address Name of Builder .....�:�. .... 1...._>....:............!.A...t � Address��.�....l�.l......�CL/f/fi��.S!..�,�...�/.:.r� ...�..j.......... Name of Architect .......... ..................................Address .................----------------------------......................................... Number of Rooms ...................................a..............................Foundation ./'auo, ............ C -- ................ Exterior .�. !'Cl..�.`........ .... T Roofing ....... ��L i,/�;� '.............. .... . U \ rf i Floors .....Interior ....... ...........:... .........:......,..........,......(<..•: . �1 c Heating � ........`.-......�f..�`-'.................................Plumbing .........�/f ......G�................ ...:................................... Fireplace r Q.:.....................................Approximate Cost i ................................... Definitive Plan Approved by Planning Board ________________________________19-------- . Area .................................... ..... Diagram of Lot and Building with Dimensions Fee �~........................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / l �� Name ...... !��.!��;.. .............................................. Construction Supervisor's License ....C . Y. ` 41'URBANIK, DALE F. 'A=189-2 No .,IMM... Permit fSr . ....1 J-.S..t..o..r..y . ......... ... ......S 1Y.-Dwelling.......... ......... Locatic4 .......L.Qt...#4 163..F. 11e.r.. oad.... ........................Qwlterville..... ...... ..................Owner ......... ........................ Type of Construction ....F.r.ame........................... ............................................................................... Plot ............................ Lot .......;.......................... Permit Granted ...........h4gws ..2.6........19 86 Date of Inspection ....................................19 Date Completed ......................................19 Fo n rro,� �-y 111197 ein 110 ////a Y � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma p Parcel Vv ' A pp lication # I Ul Health Division BUILDING D1 P r, Date Issued b Conservation Division Application F O� JUN 24 20% pp Planning Dept. Permit Fee TOWN OF BARNSTABLE Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address i G3 QZ Village a A,q&2 L) L Owner ,56 ea Xe2 Address 0 1-)AmV: i Telephone 5­0 Z 3 7— '�470 Z Permit Request i� / 12'&l C�0 Ck(�TN � tt `z'rg16L Square.feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation l ' Construction Type lUl.� �4�� - Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structurem Historic House: ❑Yes o On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 74 new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: a<as ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: U"existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - - (BUILDER OR HOMEOWNER) Name 15_'evikJ SAlalt-W(— Telephone Number 3 7' Address o S License # T-A,) Home Improvement Contractor# Email 1P 6�ete 2 4%2eyL0,�W'175/41 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 71el-Z!� � p SIGNATURE -- �`�' DATE �'� FOR OFFICIAL USE ONLY y i 1 ' y ,APPLICATION # DATE ISSUED MAP/ PARCEL NO.51 4 y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 'c yY FIREPLACE ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 0 DATE CLOSED OUT .4 ASSOCIATION PLAN NO. ti e�Xs7- � zxi�r-/vCr zp,- r 3 oll rb . �f-I eN c`t jai ---•.'�'..r _•" -..� �• ��" r e coma �•y� .,�,..,�-"�.\ it,,�v ,w,�.=>,; 4, ell 5 t •'�..�.s'^' -" n 3 9 �' R1 L 1 ��r t..� .'"�� s^�� p (( �Ii�.v�• 1Ycl r r 1 . }'!�., 5 ?��aq,„,.,. .::".�...,.-�^•"'"M ,(j .. 4c� - ��_//c�"9 I_�- ' Sao- 4 � ,r Town of Barnstable Regulatory Services t)f Richard V.Scali, Director ' Building Division KAM' Paul Roma,Building Commissioner �1639• ��� 200 Main Street, Hyannis,MA 02601 Ep www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 / HOMEOWNER LICENSE EXEMPTION L DATE: Please Print LG? JOB LOCATION: 2, Rd n ber��t+t�l S street village "HOMEOWNER": _St -bi L62 5cn- name - home phone# work phone# CURRENT MAILING ADDRESS: tin G ll� 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 req • ements. Signature of Horneov&r .k 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 to amend and adopt such a form/certification for use in your community. Town of Barnstable Regulatory Services MAM Richard V.Scali,Director 1639. � Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Com to and Sign This Section . If A Builder I , as f the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building ermit apph ation for: (Address of Job) **Pool fences and alarms are the respon bility of the applicant. Poo s are not to be filled or utilized before ence is installed and all final inspections are performed and acc ted. .Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 17e Coznwo2nreallh ofMassrad iusetfs Dapartment afradustzid Accidm& Office 00nVestigafiom. 600 WashhVion S`lreet Boston,MA 02111 m my ma_,mgo 1dia Workers' CompensaflauIusurance Affidavit BuildersrCiantractursMe tricianslPmhers Applicant Informatim /[ Please Print Na= }: ���Q�I Gv S lack I-P-- Addrew OU41 N CitylS tef r ICE. E tt57z5 0V I �t' o23.f6 PIWne ✓��� -Z 3 7 •-/7o, R Are you an employer?Checl€the appropriate bon Type of project(reguireci): I.❑ I ant a employes with. 4 []I am a general contractor and I 6. 0 New cansfraictionx Ioyees(fall and/or part-time)-* 'hare hired tFie sub conbzctoFs 2. am a sole proprietor orpartter- fisted on the attached sheet. I- Remodeling sfi�p and have no employees These sub-condmetoss have g- Demolition ' woddng for me in any capacity. emplayees andhave workers' uce- tNo tzraers'cfluap.r'ns�ce' comp.msuranf p- ElDuilc addition5. E] We area corporation and ifs 10-❑Electrical repairs ar addatr`•ons 3.El m a homeo-�ner doing all wordy officers have exEidsed their 1L0 Plumbing repairs or adchtiams myself[No workes•gip- right of exec igfibn per MGL 12-❑Roofrepairs imm-mce require&]i c.152, §1(4).and we fi.we no employees.(No wohrkers' 13.El Otfier conp.iasurance r gdu-ed.l ` *Any ePPYM3MtEatCIE R—st Elsa UmitthesectioabeiaasUatsi r.dugrwa&eecampe= 6=peHcyinfmnwdm. #l�nmeoamers teha Submit F�I1S afiidaca`ig they axe tiain.�$g wad 8�&tea bite outside COntI7CFe13IImSt submit a new af�[laYSt mdies#ir�rnrs, fCentacfoxs�ztchscYihisbmcmastattaehe�aaaddiii®atslxeelshoaiagtheaaxaeofthe�a+-c�+*+a. aetistatevrhetixesarnvtthese®titieshs� . e playees.If the m b--camtadwhave=plgyees,d2e}'m15tpmride their wadw 'imp.geIicg n=hm I am ail sfiiploysr t7iat is prosadiag tvorkeis'canipeaisafiirri iaisuraace f or ink cnilvIa}�ees. ,Belnav is Me pirticy aird jtah site information, Insurance Company Name: 'Policy-,4:,L or Self-ire Lic. Expiration Date_ Job Site Address: City/Stafe ziP.- Attach a copy of the worke&compensationpolicy declaration page(showing the policy number and expiration.date). Failure to secure coverage as reguiredunderSecEikm 25A.of MCA m 15'1 can lead to the imposition of criminal penalises of a fine up to$L500:OU asd/ar one-gear impris=menk as we11 as clod peualgi- n die form of a STOP WORK ORDER and a fine of up to$250-00 a day aggainst the violator. Be advised fiat a ropy ofthis statement may be farumded to the Office of Investigations of the DIA iorInsucmee coverage vrerffica tam I a&er ry csr fly ifitdsr tTtBpains and pstialties af parjrrry fJiattTia uiforiszafiait pin ded liboi&i g[rirg grid earrect L / Sieftat m- & . D to Phone ik V OVEd use only. Do aiat write in Bi&area,&be campleted by city srtotFti ojo`rtiat , City or Towa: PermitUcense Isstiing Aufl rafF(ca de one): L Board of$eahh 12 Bfiffiling Department 3.cAyirown Qerk Electrical Inspector 5.Plumbing Inspector b.Other Contact Person Phone#: Taformation and Mst`ne-lons , r Muccar setts C-, a Laws r uV=I52 rrq=m all employers to provide worlo'as'compensation 5 f=zr ea3pl0yee3. defined as-`,every parsonin fbe service of another uader ray contract of hire, . express or impliet and or wry" An�£oy�is defined as"an indixyidnal,parfnersp,associafion,carporatton or other legal entity,or any two or more of the faregom e�l�d is aJo��=,andinchadmg the legal sepses�ves of a deceased employer,or the receiver or trustee of an individual,partmersbip,association or otherlegal entity,employing empinYees- However the owner of a,dwelimg louse having not more than three apartments and who resides therein,or the octet of the - dwelling louse of anoffier who eroPlOYs PersoM to do maw,coustruction or repair work on such dwelling house or on the grounds or building a=rxu n.aat tTiereto shall not because of such employment be deemed to be an rmployer." M_ GL chapter 152,§25C(6)also stairs that¢every state or local seams agency shall withhold ffie issuance or reaew2l of a Ifcense or permit to operate a business or to construct buildings in the commaawealth for any applicant:Who has not produced acceptable evidence of compliance with the ftmmranc-covexage requirerL Additionally,MCM chapter 152,§25C{7)states aN=fficr the nor any ofits political snb divisions shall emfxr into any contact for the puce 0f2ubho wmk umtI acceptable evidence of compliance with the msmance.. regzm=ents of this chapter have been presented to the co iio g an orty." Applicants Please Ell out ai='compensation affidavit compleb4Y,by the boxes boxes that apply to your siinaiion and,if the�v . necessarY,supply sob-contrac6or(s)name(s),'address(es)and phone au m(s) along with.their certif cate(s)of n,cr,�,nce_ Limjt Liabi7ityCompanies(LLC)orL>mitedLiabilitypatiiesbigs.(LIP)R'ifhno ea�Ioyees oi3�erthanthe. members or p are not rbqu red to carry woiiceas' compensation insmance- If an LLC or LLP does have employees,apolicy is required. Be advisedthatthis afddayhmaybe snbmiited to the Department of Industrial Accidents for confirmation of fi,SM-Mce coverage Also be score to sign and data to afndaYit The affidavit should be ret nncd to the city or town that the application for the permit or license is being requested,not the Department of Iadnst vial Accidents. Should you have aay gaes Lons regm-Ting the law or ifyou are rcgmrcd to obtain a workers' r,ompmcatiorpolicy,PleasecalltheDepartmentatthenumberlistedbelow. Se, companiesshouldentertheir self_i inn ce liceose mmmber on the appropriator line. City or Town Of f Please be sore that the affidavit is complete and printed legibly. The Department has provided a space at.the bottom of the affidavit for you to fll our in the event the Office ofTnvestigaiions has to coidact you irgardmg the applicant Please be sure mtill in,the penn>f/Iicense number wbich wM be used as a mfe=ce ntnnber. In.addition,an applicant that must submit multiple peMiUHceose applitations in any given Year,need only submit one affidavit indicating cmimt Policy information of necessary)and under`Job Site Address"tie applicant should write"aII locations n (may Or town)-"A copy of the-affidavit f3iat has bey.officially stamped or marked by the city or town may b e provided fo the applicant as proof tbat a valid affidavit is on file for B:dmr.pemuiis 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 yantnr (ie. a dog license orpeanit to btun leaves etc-)said person is NOT rmFdred to complefe this affidavit The Office of Invesligahons would like to thank you in advance fuor your cooperation and should you have any questions, please do not hesitate to give us a call fel one and fax rumzber: The Departme�s address, eph - T�e a of Massachmatb, ' Deparfnmt of RiLsbdal Aotadenta of javestinti= -TrL.4 617-727-49CO coft 4€6 or 14 -MA , Fax 617 727'74 Revised 4-24-07 - g TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel egaz Application Health Division Date Issued y f is 16 Conservation Division Application Fee Planning Dept, Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address., < (o� F_7Uc-_L-Evz_-. eop, Village OwnermJlc,__ UVcg'l�r ar'lell— Address Telephone - n" q�D(0-001`-% Permit Request o tine©u.�-n IMF- CI �/ 12 cinU S � 4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation G Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure IF80 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl 0 Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use - - APPLICANT INFORMATION _(BUILDER O �HOEO NE f n 7 —Z� 6—'1-1 NameTelephone Number 3 cAddress 0 A4 A nl) S7 License# Of�-,,-,TwJ fU k ®.)_3S76 Home Improvement Contractor# Email l��11 �� �9�aCD�'lC ��T Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ^G%v -DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FbM5*iG Coh AvW, FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. s y The Conunlorrivealth of-ifassaclrruetts Department ofI"ndzr.strial Accideids R O frre ,�alrniwytigadans 600 Washington,Street $aston, A 02111 " ' t;t rinniassgovldia '"Fnrkere Campensatian Insurance Affidavit:BnilderslContiactors/ElectricianslPlumbers Applicant Infin-xnation `�^ Please Print Ledbly -Nai ae(Bas�e�lDfganQationflncFrtiidnal} ��t�� "J , Address: city/stateizipC i' Phcne iu r7'4-LL b---CQ;43 Are:you an employer?Cl eck the appropriate'boz:` Type of project(regnii etc I.❑ I am a employer veith. :4. 0 I am a general contractor and I � �New consixuciion = employees(full andfor part time* have hired the sub-contractors 2.❑ I am a sole proprietotr arpartues listed oil the attached sb.eef 7. WRemodeling slip and have no employees. These sob-contractors have g--gDemolition working for me in any capacity_ employees and have workers' [No worlmrs' comp.insurance comp.insuranm g ❑building atiditiog �'f mired] 5. We are a corporation and its 1�0�El Electrical repairs or additions 3.Mam.a homeowner doing all work officers have exercised their l 1.❑Plum sn repairs or additions myself[No-workers'-comp- right of exemption per MGL 12.❑Roofrepairs insurance regired]i c.1,52,§l(4k and we have na employees.[No workers' 13.❑other comp.insurance required.] *Any appFicmt(fist checks box#1 mast also fill mtthe;sm6cabeLowstrnuing their vAvkem''ca mpm--adoupoHcy inforn2tiom F ameawners who submit this arfidaxii ind xtmg they axe domg O weak Rn4 then Mize outside conttactmrs oast submit a new affidavit indicating snit fCmatractors that check This boat must attached as additiaaal sheet showing the nuae of the sub-contrac Ds.and state whether.or not I mse enfdties have employees.I€thesub-camtractmxshave emplUees,they must pm-ide their worken,comp.paficy atanber. lam an errrplo}xrr fftat is pratzdrirg it�arkers'contperfsdfioti insrirance f br rrty cttrpfaj ees Mom is fftepoliey arrd job she infardtatiarL Insurance Company Nance: Policy 4 or Self-ins_I ic. ExpirationDate: Job Site Address: CitylStaW. zip: Attach a copy ofthe,workers'compensationpolicy declaration page(showing.the policy number and expiration date). Failure to secure coverage as required. Section 25A of MGL c 152 can lead to'the imposition of criminal pena%es of a fide up to$1,500.00 andfar one-yearimprisonatent,as.well as civil penalties.in the form of a STOP WORK ORDEKand a fine of up to$250.00 a day against the violator. Be ad%ised that a copy of this statement may be forwarded to the Office of Investrga&=of the DI for insurance coverage verification- I do hereby c. _ fhe 'r dart �i�, perJW3,ftiatffte ire,fbruzation prinid ed abiwe is bare oral correct ' Simrature: — lol Date: Y Phone Of frsidl use attly. Do not wrke in this.area,tax be campletesd by city ortonrlr o f j`dat Chy or'Tomm: PermitlLicense# Issuing Authority(carIe one): 1.Board of Health 3.Building Department 3.C�ITown Clerk . .:Electrical Fnspeeto€ S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Inst-ncfions Ma-Ssachusetts General Laws chapter 152 requires all employers tq pr(Md*workers'compensation for their empIoyees. pmmanttD this stare,as Mplope--is defined as-"-.every person in the service of another under any contract of hire, express or implied,oral or wriffe:m" An employer is deined as"an individual,partnership,associafi&A corporation or other legal entity,or any two or more of the foregoing engaged in a Joint enterprise,and including the legal representafives of a deceased employer,or the receiver or trustee of an individual,pmtoarship,association or other legal entity,employing employees. However the owner of a dwe11iiug house having not more than three apartments and who resides therein,or the occupant of the - dweIling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or oa the grounds orbuilding appurtenaatthemto shallnotbecause of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also sf3tes that"every state or local licensing agency shall withhold the issuance a renewal of a license or permit to operate a business or to coast Tact buuldings im the commonwealth for any applicant Who has notproduced acceptable evidence of cdmplian-ce with the insmrance.coverage required." Additionally,MGZ chapter 152,§25C(7)states"Neitherfhe commonwealth nor any ofifs political subdivisions shall enter ink any contract for the performance 0fpublic wow umt it acceptable evidence of compliance with the fi n-a ce._ reTa rernents of this chapter have been presented to the contracting anthozityf Applicants , Please fill oirt the worker'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), addresses)and phone number(s) along with their certificate(s)of „cn�„ce. Linuted Liabr7ity Companies(LLC)or Limited Liability Partnerhips(LLP)with no employees other than the members or partners,are not roqutired to carry workers' compensation insur-ance. If an LLC or LLP does have employees,a policy is regn-ued. Be advised that this affdayit maybe submitted to the Department of Industrial Accidents for conformation of insurance coverage. Also he sure to sign and date the affidavit The affidavit should be ret=mmed to the city or town that the application for the permit or license is being requested,not the Department of IndL,Stial Accident, 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 lis r--d below. Self-insured companies should enter their self-h sur n ce license number on the appropriafm line. City or Town Offidals Please be sure that the affidavit is completes and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fM out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the pf_—n to license number which will be used as a reference number. In addition,an applicant that must submit MU1410 pemritlH=sa applications in any given year,need only submit one affidavit mdicafmg current policy inforation(if necessary)and under"Job Site Adthress"the applicant should v rite"all locations in (city or town)."A copy of the-affidavitthathas been officially stamped or marked bytlie city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or Iicenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permitnot related to any business or commercial venture (ie. a dog license or permit to bum leaves etc.)said person is NOT rsgrmed to complete this affidavit The Office of Tnvestigati-ons would like to thank you is advance for your cooperation and should you have any questions, please do not hesitate to givens a call The Departments address,telephone and fax nummbcr; Thy f GMMQaWealft of Massaahnsatts , DepaCMMt of Ia-ciustial Amidaul--, 64.4 asbhZQII St-e—d Tf,-1.4 617 727-49QO Qxt 4€4 or I- MASSAM Fax 9 617 727 7749 Revised 4-24-07 maMgt2�r�dT3 A WCGuide to Wood Construction in High Wind Areas:]10 mph Wind Zone 0 Check 1.1 SCOPE Compliance 1.2 APPLICABILITY Rnp�� --__ ---_ � Building Aspect Ratio ' — -- mommaMeighofToUest )............................................... :5 618" ' --- compliance1.3 FRAMING CONNECTIONS General with framing _—=_—....................(Table_ ~ � 2.1 FOUND ATION � Foundation Walls meeting.-`—.__ . � Concrete...................................... Concrete Masonry 2.2 ANCHORAGE TO FOUNDATION1,3 ' ^ ~- Anchor^ Bolts^imbedded" 5" Proprietary Mechanical ~~` ' Bolt �_— Bolt Embedment concrete Bolt Embedment 'Plate ---- ,,~~~` �,� . ' ---- �1 . Floor framing .. ^ Maximum Fx�,uponmgmmenamn Full Height Wall Studs no Floor Openings less than� Eme�oWaV0�gO�. —^ ............ Maximum Floor Joist Setbacks vvano soeonwuU (F�7)_—_----'-- .......... D �u ..___.Cantilevered Floor Joists Supporting Loadbearing Walls or 8)---'---'------.. --ft :5 d .Floor Bracing at Enowols... —........................_�----. S>---�--.------------.--.. Floor '--''--'--���--- 780CMR --- Floor Th�knema--'_------_--_—.�o,78O Chapter 'pter 55) �--' ---�� Floor Sheathing Fastening---------_-----_.�ab�2).�_dn�b�� . �odgo/ --- ` . 4.1YVALLS Wall Height Table 5)...........................__-ft��Vy vaws'—__—'--_—'--,_ and Tab�5>--r''—_—' ft s27 Wall Stud Spacing ----__'_.............................(Fig 0 and Table 5>...................___in.15 24"o.c. ^ Wall Story Offsets ......................................................(Figs 7&u>-....... — ......... ................. ft :5d . . ` 4.2 ExTERIORVYALLS^ Wood StudsNon-Loadbearing walls , ................................................-- — (Table-r'------'^.__'' '^-_'"in. Gob�End VVoUBec�g ' --�Full �-- | vvup Attic Floor Length---_._^_________ ____�__,_____~� ` ft�y�3 � Gypsum CoU�QLeng�0[YYSP�uumed ----........ 11 ......----_.__---'--ft��9w --- 2x4ConUnoouoLo�m(B�ca@y6�o��.���11)---.------'--..__�—^_-_. Double -�—Double ' ' . -~-- ` Splice Length ........................................ ..............(Fig 13 and Table 0)........................... -- ft Splice Connection(nn.o[1Od common nails)—.--'.(Tahle 6)........................ .........'r—'�............__ _-- ` ` ' , ' ' | ' ^ • • J f AWC Guide to Wood Construction:in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 Ci1.1R 5301.2.1.1)1 Loadbearing Wail Connections Lateral(no.of endnailed 16d common nails)..............(Table 7)...-....-.....-...............................-......... Non-Loadbearing Wall Connections — Lateral(no.of endnaled 16d common nails).....:.........(Table 8)........................................................ _ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ................ .....................................(Table 9).................................._ft_in,s 11' Sill Plate Spans ..............:.........................................(Table 9).................................._ft_in.511' .of studs) Full Height Studs (no ...................................(Table 9)..............-............................... ..... — Non-Load Bearing Wall Openings`(record largest opening but check all openings for compliance to Table 9) Header Spans.......................:;.........................•..........(Table 9).................................._ft_in.-.512' Sill Plate Spans....... pans..............••-••-•••\••-.................. (Table 9).................... ..._ft in..5 12" — Full Height Studs(no,of studs).. . ....................:............(Table 9).•............................... — ................_...... Exterior Wall Sheathing to Resist Upliffand Shear Simultaneously° — Minimum Building Dimension,W \1 Nominal Height of Tallest Oppning. .•........... _ Sheathing Type.....................�;.............I.-......(note 4)...... ...................................... Edge Nail Spacing..................�.....................(Table 10 o n to 4 if less).............-.-........—in. Field Nall Spacing �,,••„ P 9.......:................, (Table-10).................................................—in. _ Shear Connection(no,of 16d common nails)Gable 10)........................................................_ Percent Full-Height Sheathing..................!� (Table 10)....................-..........................-...._ — 5%Additionai Sheathings-tiWa, II with Opening>6'8"(Design Concepts)....-.......1, Maximum Building Dimension,L � — Nominal Height of Tallest OpeningZ............*,-. ...*. **..-. ..... 5 6'8" _ SheathingType.............14...........................(note 4)......:............................................... _ Edge Nall Spacing..r• :................................(Table 11 or ote 4 If less)..................... in. _ Field Nail Spacing,: .....................................(Table 11).... ......-..............-. In, _ Shear Connection(no.of 16d common nails)(Table 1j1)........................................................_ Percent Full-Helght Sheathing.......................(Table 11';.... ,..-...............-........................._° — 5%Additional Sheathing for Wall with Opening> 8"(Design Concepts).............. /� Wall Cladding — Ratedfor Wind Speed?.....................:......................................... •..............................-................................ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) _ Roof Overhang ...... ....... (Figure 19).............._ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls — Proprietary Connectors Uplift................................................(Table 12)........................................-...U- If — Lateral.............................................(Table 12)...........,...........................-.....L=_pif — Shear............................................... able 12 ...............S- plf — Ridge Strap Connections,If collar ties not used per page 21..... p P P 9 (Table 13)..............................T- If _ Gable Rake Outlooker.....................•...................(Figure 20).............. ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls — Proprietary Connectors Uplift..............................:.................(Table 14)............................................U=_lb. _ Lateral(no.of 16d common nails)...(Table 14).............................•.A.....L= Ib. _ Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59)..........--....-.. _ RoofSheathing Thickness..............................................................:.................I........_in.2 7/16"WSP Roof Sheathing Fastening...........................................(Table 2)..............:........................................... — Notes: — — 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up-to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness.pressure treated#2-grade. AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301Z.1.1)1 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. ui. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 6d staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment 14. y a AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7so CIMR 5301.2.1.1)' WHEN THIS EDGE REM ON PRWING UW Sd NA" AT fibs, . 11 t II ii II ' ' � 1-1 ii it ii 1 1 11 • 11 I 11 11 II � M 1-1 1 11 II � 1 1 11 1{ I 11 i t I 1 t 11 I O „ II F I 40 to H 11 'O II I I I ID fl j'j •Z 11 li1 11 { �- I[ Q II 11 p If 41 :r 1,1 - 11 I:j{ 1 n i II 19 I I k 9L U I,r 1 11 a 11 w 1 11 a ii i� w { v H 1 ii ii 3 i IJ 1 II fl tl MA1LSPAGNG { v See Detail on Next Page Vertical and Horizontal Jailing for Panel Attachment I -cL a� Ty Town of Barnstable, Regulatory Services ase. Rir!hud P.Sc2A D!redDr a BIIiiding Division Tom rerry,Ems Ca*r nAsdaner 200 Mam Sfrepi,Hymais,MA 02601 • WWW.townlarnstable maxs Office: 509-862-4038 ,� • .Fay_ 508-790-6230 low Propeity Owner Must t, Complete and Sign This Section e -If Using A Builder as Owner of the sub' ct property berebyar�]iorim to ac•t on mybebalf in all natters M ti7C to work authorized bytbis bm1 p plication for. (Addmss of job) Tool fences and alarms are the r(--spons'L)17of the'applicant.Pools' ' are not to be Med or utgLed before fence is installed and all final ' inspections.are perfomed and accepted. S, ,* of Owner Signature of Applicant` Pant Name Pant Name Date . r Q:FoxMs:owi�IIt�smr�oors • Town. of Barnstable , RegirIatorp Service Richard Y_Sci%Dhrec$or DrdIding Division. t �+ f Tom Perry,B*a-T�Commissioner 200 Main Sft=t Hyand w,MA 02601 us Office: 508-862-4038 Fay 508-790-6230 - (n HOAM.WNM LICMgZ R. 'IIOK YIerse Print : JOB LOCATZOK- - stied -470. iCpL1�AJ SA��AL �8�-�37 7 h. pbonc# wo$cphonctr -cvRR 2.r GADDRESS� © M A � FA Sc.43 3 cftylb3N- ,-b up CO& The current exemption for-h neownere was ex�nded Tn include owner-occtm dweIImes of sic units or less and to allow does not possess a license yided that the owner acts as eryisor_ homeowners to engage an individual for hire who p ,prO s� DXFDI MN OF HOMBOWN-E& p erson(s)who owns a parcel of land on which helshe-resides or iniz nds to reside,do which there is,or is intended to be,a one Or two- fan y dwelling; att mbed or detached stract ues accessory to shmh use and/or fain structures. A person who constructs more than One home in a two-year period shall not be considared.ahameowner. simh-homcOwn .shall submitto the Bmlifng Official on a fnun acuptable tD the Bm7dmg Offhtial,lhathe/she shaIIbe res�ansibla for all snchworkpeiformednnderthebusZdina permit (Section 109.L1) f The undersigned`homeowner"assumes rmPOnsinff±y for campHance wnthe State;Bhffidiug Coda and other applicable codes, bylaws,rales and,g lzti r s: Tie undm=gned`homeownce*certifies thathe(she undmstands tine Tower ofBamsbble BuM3mg Departm=t—M-MM fispecbon pro dares and nts andthat he/she will comply with said procedures and ret ui:=cr s. $igaat ofSnmcown= AppmrA ofBt@i mgOfficial • Note. Three fEcmZy dweUinp containing 35,000 cabic feet or target wffibe required to comply with the Ste$BmIUng Coda Seddon Y7-7.0 Construction ContrOL HQMEOWiM'S EXEWM(W The Code stairs that: 'Any homeowner performing work for which a buhTdiag permit is regired shall be exempt from the provisions of this section(Section 109-U-LleP�of construction Supeervssors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisar." Macy homeowners who use this e3mmptiaa arc unaware.thattthcy are assi=ing the rm?onalliiiies of a supervisor (sec Appendix Q,Roles&R.egnlations for Licensing Construction Supervisors,Section 2-15) This lark of awareness often. re nats 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 ficeased Supervisor_ The homeowner acting as Supervisor is vItimately responsrfble. To easm a that the homeowner is&EIIy aware of his/her respaasfrTrtz"es,many cohmarlMffles rehl=ire,as past of ffie Permit appUcation, tbat the homeowner certify that he/she unders uub the responsibilities of a Supervisor. On the Iasi page of this issue is a form cnrrently>ised by several tawny. Yon may rare t amend and'adopt such a form/eeriiiL��a for use in your commhrniip. , QI�PFIIfS'IFOBM�'Lf""�';�Pe�fr,�s1EEPBESS dce Rcviscd 061313 Dec. 2 . 2015 1 :45P1 Na. O'9'06" P: 1' From the Office ofi Jan Rodrigues RESIDENTIAL Today nAL ESx ITE;LNc PURCHASE AND SALE AGREELKEvT 1533]~a[mouth Rd. Centerville,eta, :02632` 1. PARTIES Tlus day of December; 2615 Fnx, 003=790,1353.t/ � �ING Same DiAntoni and Schaarle A.DiAntoni ADDRESSES 163 Fuller Road,;Centervi[K NIA 02612 Hereinafter called"SELLER",agrees to SELL,and dill in) Steven K Brito and Paula J.Wolfe 4743 Fnintouth Itd'. Cotuir;hla.-02635 Kevin 19.and iVancy L.:Shearet 2. DESCRIPTION50�Catn St,.Apt.220a Nortlr Easton Yfa.02366 Ull in and include rifle reference) P Hereinafter called"BUYEk"or"PURCH $ER",agrees to BUY u".on:he termshercinaftecset forth,-tlie following described'prem ses:The land,the sl,i;le family dwelllag and all Improvements thereon. located'at 163 Ftiller Roitd, Centerville,ilia 02632 and further described in Boot`83S.1,page 323:as 3, BfJILD[,YGS, recorded nt the'Barnstable County'Regisery of Deeds, STRUCTURES, lactuded in the sale of said premises are the buildings,structures,and'unprovenieuts now thereon,acid the xPROVEIxENTS, fixtures belonging to SELLER and used in cotuiectioa therewith including iFany,all wall-to-wall cTtpeiin ; F1XTlJRES drapery rods,.auromatic:.garage door openers,vepztian.bbnds,.window shades,screens,screen doors,storm windows and doors, awnings, shutters, furnaces, heaters, hearin;equipment,stoves, ranges,oil and.gas (jilt in or deler�l burners and fixfres appurtenant:thereto,'hot water heater, plumbing and bathroom fixtures,oarbaar disposers, electric and other lighting EtWes, mantels; outside television antennas, fences,,gates, trees, shrubs,plants,.and,ONLY IF BUILT IN,refrigerator;airvonditioning equipment;ventilators,dishwasher, 4. TTLLI:DEED wasbin,machine and.diyer•,and Nothing U!l in) "Include here by specific but EXCLUDING } reference aayrestdcrions, easements,ri;hts and Sand premises.are 10 be conveyed by a good and sufficient quitcla in:dced,running to B[Jh�l2,.of Ee-the obligatida ons:in parry walls : • - __ } not included in(b),leases, is ' 'ded,and said deed;shall coavey a good and clear record and marketable „ muaicipal and othcr liens, Ulte:thereto,tree frorn encumbrartces7-e=pt other encumbrances,and (a) Provisions.of existing-building aid dotting laws;' make provisioa to protect (b) Existing rights and obligations impamy walls:which.are not the subject of written agreement SELLFA against (c) Such tares for ifie then current year which are trot due and payable on.the date of the dclivery:of such BCIYER'sbreach of deed, SEL-LER's covenants in (d) Any liens for'municipat betterments.assessed after the date of tl isAateement; leases,where necessary. (c) Easements; mstrictioua mid'reservadons of record, if any,so long as the same do not prohibit or Nate"rially interfere with the current use ofsaid.premises; i & PLANS (f said deed refers io a tan necess to be:recorded therewith SELLER shall deliver such,plan with the 6. REGISTERED' p " try. TITLE deed-in form adequate for recording or,iegistraiion_ 7. PURCHASE PRICE In.addition:to the forgoing,if the title to said premises is registered,said deed shall:be in form suflicieitt (fill in);space is to entitle:BUYER to a Certificate of Title of said premises, and SELLER shall deliver with said deed all allowed.to write out instruments,if.any,necessary to cnablc BUYER to.obtain such Certificate ofTitle, thearnounts if desired The agreed:uponpurchase price for said premises is S360 000:06 Dollars,of which: I7 000>00 DEPOSIT HAS.BEEN.PAID THIS DAY BY'CERTIFIED,:CASHjLrR'S; TREASURER'S,`QR BANK CHECK(S) S 1,000:00° have beea'receivcd with an Offer to Purchase dated oS are to bepaid at the time of delivery.af deed lot dash,or.by certified;cashier's, ,�1d15 34Z,000.00 treasurer's be bank check(s) . 4AIPM EST EST S S 360,000.00 TOTAL { Dec. 23. 2015 1 :45PM 0906. K 8 3: Mi.IE FOR_ PERFORMANCE- DEUV°EXY OF PEED(fill m) Such deed is to bo delivered at 2.0q o'clock: P K oa the. 13th day of 9. POSSESSIONAND February 2016 ,at the Barnstable Cowity CONDITIONS OF Registry of Deeds,unless otherwise fleeced upon in writing. It is agreed that time i3 of the essence of this PREMISES Agreement. (attach a list of Full possession of said premises fne of all tenants:and occupants, except as herein provided, is to be exceptions, if am) delivered at the time of the delivery of the deed,said premises to be then(a)in the same conditioa qs they now are.reasonable use and wear thereof excepted, and(b) not in violation of said building and zoning laws,and(c)in compliance with provisions ofaay instrument referred coin clause 4 hereof. BUYER shall 10. EXI'ENSIONTO OR be enfided'personally to inspect said prerai;es prior to the delivery of the dde.d in order to determine whither ti[r CE PREMISES the condition thereof complies wirh.the terms of thii:clause. CONFORM (Change period of time if If SELLER shall'bz:unzible to jive ride.or to ma.Ee conveyance, or to deliver posszsstoaof the pr,:misa_s, desired)- all as hereia stipulated,or if at any rime for the delivery of the deed the premises do not conform w A the provisions hereof, made under this Aoreeraentshall be forthwith refurided and all-other obligatiousof the parties hereto shall cease and this A;reetnent setoff be void tcithouc.recoursz:to tDcpaztizs hereto, unless SELLER elects to we reasonable:efforts to 1#aove any defects in title, :or to deliver possession as provided herein,or to make the said premises conform to the provisions hereof as die case, may be,in which event SELLER shall give written notice thereof to:BUYER at or before flit time.. fat 11. F.aILURE TO performance:hereunder,:and thereupon the:time for performance hereof shaltbe extended for n period of PERFECT TITLE chitty(30).calendar days. SELLER shall oitty be obligated to spent$1.00 to comply with this provision OR IvLAKE PRi IISES CONFORIM,etc: If at the expiration of the a ttended.time SELLER shall have Exiled so to remove any defects itt title,deliver Possession,or mike'the;prenuses conform,as the case may be;all as herein agreed,orifatany time durin,; the period of this Agreement or any extension thereof, the holder ofa,mortgage oa said premises shall refuse to permit the,insurance proceeds,if any,to be used for such purposes,then any payments made under 12. BUYER'S this Agreement shall be forthwith refunded and all obligations of the parties hereto shall tense and this ELLCTIOK T'O Agreement shall be void without recourse to the parties hereto. ACCEPT TITLE BUYER shall have:the election,,at-either the of;final or any cdended time for pe forrttance,to accept sucb; title as SELLER can deliver to said premises'in their then condition and to pay therefore the purchase price without deduction,.in which case:SELLER shall convey such title, except that in the event of such eonveyance'irt.accord with the provisions of this clause,if the said premises shall,have:been damaged:by fire or casualty insured against;then.SELLER shall,unless:SrcLLER has previously restored the.premises to its former conditio.a,eidfier (a) pay Dyer or assion to BUYER, on delivery of the:deed; aU amounts recovered or recoverable on account of such.insurance,:less any amounts reasonably expended bySELLEK for any partial restoration; oc (b)if a holder of a tnnrtoage on said premises shall not permit the insurance proceeds or ai pact thereof to bt wed to restore the said premises to their foriner condition or to be so paid over oc'assigned,give to' BUYER credit against the::purchase price,on delivery of the deed,equal to said amounts so recovered or 13. ACCEPTANCE recoverable and retained.by the holder of the said mortgage less any amounts xeasonably expended by OF DEED SELISA for anypartial restoratioa. The acceptance of a:.deed by BUYER or his nominee as the case'may be;:sliall be deemed_fo be a full 14. USE OF MONEY performance and discharge of every agreement and obligation herein,contained or expressed,acept,such TO CLEAR as are,by the teems tiered,to:be performed after the delivery of said deed... Tr ME To enable SELLEIZ to make conveyance as herein.provided,SELLER may,at the time of delivery"of'the , deed;use the purcbase.money.or any portion thereof to clear the dtle of any or all encumbrances or interests,: 15. [NSURA1vCE provided that all instxuments so procured ace recorded simultaneously with the delivery of said deed,or in YFnserf amount(list a reasonable time in accordance with local conrayancing practice additional types of insurance and Until the delivery of the deed,SELUR shall maintain insurance on said premises as follows: remounts its agreed) lype of i'nsitrance Amount of Coverage (a) Fire and Extended Coverage. g 1 (b) ' as presently,inatured Dec. 23. 2015 1 '45PM N6. 0906. P. 9 f , 1.6. AMSTMENTS (list operating Water use charges. and taxes for:the then current fiscal year, shall be apportioned;as of,the day of expenses, if any,or performance of.this tgreementand the act amount thereof shall be.added"to of deducted fron4 as the.case: atraeh scf edule) may be,the purchn3e price payable,by the BUYER at the time of delivery of the deed.SELLER shall not be obligated to sign ony documents ar closing obligating SELLER to make'any.post-closing monetary-' adjirstntents: 11. ADJUSTMENT If the amount of said tastes is not known at;the time of the delivery of the died;they shall be apportioned. Nr1 OF USSESSED on the basis of thelaxes assessed For the preceding fiscal year,with a reappordonment:as soon as the new AND ABATE tax rate.and valuation can be ascertaiaed;:arid,ifthe ucxes;which are to be apportioned.'shall thereafter be TAXES reduced by abatement,the:amount of such atiatenieut,less the reasonable cost of obtaining the same,shall be apportioned between the parties,provided that neither party shall be obfib ted to insfirme or prosecute proceedings for an abatcniert unless herein otherwise agreed. 18. DEPOSIT All deposits made hereunder shall be held:it escrow by Today REAL ESZkTE Inc. (fill in noire) as the "Escro-w Agent" subittet to the terms of this Agreenwat. Tito Escrow Agent l oldie;'dta depo�i: pursuant to the provisions hereof will not be Liable for any action or non-action taken,in good faith in the performance of such agent's duties hereunder but shall be liable only'for such agent's own willful default or misconduct. In the event of any dispute relating.to the right of possession bf tha deposit, the Escrow :agent shall retain control over.the deposit until.the dispute is settled by Mutual written agreement of: BUYER and SELLER with instructions to the:Escrow Agent,whereupon.the deposit will be paid over in accordance with the mutual agreements;or if the dispute i"s taken to a:court of competent jurisdiction,the. deposit will be placed in the custody of the court or'otherwse paid in accordance with the order ofthe court tiny and ati expenses inottrred by the Escrow Agent as result of any dispute over the deposit shall be'paid to the escroar agerg and such payment shall be the joint obligadba of SEI.LEX and BUYER; 19. BUYER's If BUYER shall fail to fulfill BUYER's agreements herein,all deposits made hereunder by BUYER shall' LLER as:liquidated damages unless within thirty days after the time for performance of DEFAULT; be retained by SE bA1VIAGES this Agi'cmcnt or any extension hereof,SELLER otherwise nodfles BUYER in writing 2Q; RELEASE BY SELLER's spouse hereby'a,grees:to join is 3aid deed.and to release and convey all statutory and other tights HUSBAND OR WIFE and interests iusaid premises:. 21. LIABILITY OF If SELLER or BUYER executes this Agreement in a representative or fiduciary capacity,only,the principal TRUSTEE, or the estate,represented shall be bound'.and neither SELLER or BUYER so executing,nor any sharzholder: i SHAREHOLDER, or.bcaeficiary of any trust,shall be personally liable for any obligation,cxpress.or implied hereunder, BENEFICIARY, etc. aU?FR actarowledges that.BUYER has not been influenced to enter.into this transaction nor has he relied 22. WARRANTIES upon any warranties or representations not set forth or incorporated in this Agreement or previously made AND REPR> SENTA- in writirsa, except for the following additional warranties and representations, if any, made by either TIONS(fill in); SELLER or the Broker(s): if none,state ""Otte"., NONE BY SELLER OR SELLER'S AGEh1T, ; ifany lister, indicate by whom each warranty or , repreaentatfon,was mode: 23. MgItTGAGE In order to help finance the acquisition of:said premises,BUYER shall apply for a conventional bank or CONTINGENCY. `'o[herinsttutional Than of 00'S2T0,000 at prevailing rates,terms and conditions. If,.despite BUYER'S y 'dili;ent efforts a commitment for.suet►loan;:eannot:be obtained on orbefore February I,ZOiti,BUYER CLAUSE may terminate this Agreement by wtitten notice to SELLER.and/or SELLER's agen�;prior to the (ontlt if not provider! made under this Agreement shall be forthwith refunded for.in Offer to cxpuation of such 6me,whereupon any payments and all other obligations of the parties hereto shall cease and this Agreement shall be:woid without Purchase) recourse to the parties hereto. la no event will BUYER be:deemed w have used diligent efforts to obtain such commitment unless BUYER submits a complete mortgage loan application conforming to the foregoing provisions within three'(3)business days of the date-of this Agreement. 1 �� �� ter►<.l i Dec. 23. 2.015 ` :46PM No.. 0906 P. 10 i SErj1C SYSTEM- Pursuatit.eo Title S of the;State Envirorimetital Code 310,C.M.R. 0.30t,the oa-site waste water system(the"`septic:systam")which.serves the property shall be inspected in connemon with the transfer of the,property; Such inspection shall occur within two years prior to the Date for Performance. 24, SEPTIC SYSTEM Prior to.the conveyance,SELLER shall provide to Bt YER a copy of:the"Subsurface'Sewage Disposal GgSPECTION System Inspection Form"or Certificate of Compliance.Should the form indicate thatthe system 0 A"failed system''or':condifional pass"as defined by said Tides,at SUYER's option and upon writtenlabdee to SELLER w,tliffi 7 hours of receiviiie a copy of the lospcction:form,this Agreement shall be auil and void and withoutrecourse to_either party and all deposits s644 be promptly retamed toBOM).. This inspection. i does not:iv any way'guarantee.-Or wacnntee die workin,g•coadltion of the sepuc system.. ; 25. BROKER'S FEE A Broker's fee for professional services of $137000.00 is due from SELLER to Today RE,kLE8TATtj MC. aad XIT'CAA REALTY ti...,cr.c t r rrze tt-l9-1 Mainst s&ics-rriadg the Brokers)herein, �� � cat .�a,ti _r_ csr t_ til9l+fiEeEal tc��F►b- g Eisianer�isEs.�ss6 ;to Gs atttFar,�-c�k Dili 2r-is ttia only iI appr'oved by short sale lender anrd yhen deed is reccrt&d.. 26. BitOKER(S) WARRANTY The Brokcr(s)named berciwTod,<y ME L.ESTATE;NC.and VIUT CAPE R k-UEY. warrant(s)that the Broker(s)is(are),duly licensed as such by the Commonwealth of Uassachwetm The Brol.-r named:hmin oin s) to this Agreement and become(s) a party hereto, insofar as any 1 27. BROKER AS PARTY (') 1 ( b provisions of this Agreement apply to the Broker(s), and to any amendments'or modii'ioations of iuch provisions to which the Broker(s)agree(s)in writing. S. CONSTRUCTION OF This instrument,executed in multiple counterparts,is,to be construed;as a Massachusetts contract,:is to take AGREEMENT effect as a sealed instrument,sets forth the entire contract between the parties;is bindm;upon:and enures to.the benefit of:the parties hereto and theirrespective heirs,devisees,executors,administrators;successors and assigns,'and may be canceled, modified or amended only by a Written instrument a recuted by both SELLER and EWER. If two or more persons are stained herein as BUYER their obligations bereunder shall be,joint and several:: The captions and marginal notes,arel used only as a matter of convenience and are not to be considered part of this Agreetent or to be used,in deterininkm the.intentof the parties;to.it.. P 29: LEAD FAINT LAW The parties aclnlowledQe that,under)Massachusetts law,whenever a,chlldbr:childrenunder sir years o(age resides in any residential premises in,which any;paint, plaster or other accessible material contains dangerous levels of lead,.the owner of said premises must remove:or cover said paint, oldster or other. tnaterial-so as to Blake it inaccessible to.children under siz:yearS-of age. 30. SMOKE AND CARBON MONO:`�E SELLER Shall,at the time of the delivery of the deed,deliver a certificate from the'fue dtpairtment of the n ETECTORS city or town in which said premises are located stati ig that said premises have beemequipped Nvitli approved smokesnd carboa,monoxide detectors in conformity with applicable.law. The initialed riders,if any,attached.hereto,are incorporated.herein"by eference.- 31. ADDITIONAL SELLER' PROVISIONS S oblie non to.perform is subject to SELLEW..S satisfactory review of mitten short sale approval and that said approval does not obligate;the SELTZER to bring any.Nads to closing or sign any promissorynote(s)and ivaives all future deficiency liability. SELLER's obligation to perform is subject to The Mortgage Forgiveness Debt Relief Act(Pub L: 1t0-1 Z,1.11 Stat I803)`bein;extended into 2015 f I/W1 o A*06 vier ens te8PM F3T _,s AIEST (' 6ec, 23. 2017 47FM No. 090.6 R. 6 FOR RESIDENTIAL:PROPERTY CONSTRUCTED PRIORTO 1978,BUYER MUSTALSO HAVE SIGNED LEAD FAINT ? 'TROPERTYTRMSFER NOTiEICATION CERTIFICATION" NOTICE. This Is a legal document that a•e2tes,bindiiig obligations. If not understood,consult an attorney: + �siiir.`E S�a.�amv 3 K� M}oe e:Tiaa ��%mcsv �vz'urn�razvF SELLER EUYER 1 i SELLER BUYER EXTENSION OF TEME TOR PFMFOI2NWNCE Date:. t F The time for the performance of the foregoing Agreement is extended until o'clock; M.on'dx day of . time still bein--of the essence of'this Agr ne ent as extended. In all odiccrespects this Agreement is hereby ratified and confirmed This extension,executed in multiple counterparts,is intended to take effect as a sealed instrument 5ELLER SELLER f BUYER BUYER' • i CJ ITVI� Ut5 S y j Dec. 23. 2015 ':44PM No, 0:90 61 P. 2 RIDER A'TO FLITCH S;E AND SAL,EA.GRELN fEI T SELLER: Sante DUntonl and Sehaar e A, Diantoul )3UY R Steven if. Erito; Paula J.. Wolfe, Kevin, b, ,and Nancy L, Shearer PROPERT'i'ADDRESS: 163 Fuller Road, CeatervWIe.'i1L'k 0:63 1. Any matter cjr pra;,tice arisin;under or retadnc!to t'tis Aggeern:n W arch is;th,, �olt GS.;:. J .`:J:.li��1 fail Q �ft:�a.t1MT t.lc d..li,,eryy of rha.d!ed sh�1111 be govem?d by`said title stanaazd'or or tic-,standard ra the extar_t applicabl.. 2. The SELLER understands.that the Leader'-s atton ey wlil require the SELLER to e:cecute certain document;at the time of th;,closing including; withoutlimiution,.fsderal; loan disclosure aact:adjustment sheets,aff�da.vits celative'to Purchase price,.and affidati'it rZt3tivZ to G`�e existe'ncz.o.f idad paint aatl ttreo fbraaldenyde n:tla premises. The SELLER a_veas to sign all such recluired'documeat;contauiing true information. Thei SELLER Reher a_vees that the inability of the BUYER to perform hereunder,insofar as it is the result of the Seller's:failure.to sign said forms and insofar as iris the result of the information furnished by the SELLER to the Lender's attorney,shall not be a braach of this agreement by the BUYER and shall give rise to the BUYER's option of extending this agreement for apenod ofoven days or teruuinatih&this agreetnent;and receiving back forthwith all deposits paid hereunder. 3. i`Cohvithstauding any other provisions heeein contained, av buyer's option this agreement: can be terminated with al full return of all deposits if the elosi does not occur on or before 2-18-16 SeUer shall work diligently to obtain approval'and this agreement shall be extended unless the buyerrerminates upon the 2-:18--16.contia'd date. a The SEI,L£R scull�+ lvsr the prarases, acludng f a ouildugs and praunds;at tine time of closing in broom clean condition,free of all property and'items owned by the: SELLER or any other party that are not being transferred hereunder, The SELLER shall likewise maintain the premises in their current conditions during the term of this agreement,and shall attend to routine maintenance of the structures, landscaping and grounds until the tke of closing. S„ From and after the date of'this Agreement, SELLER agrees to permit.BUYER and its designees, including but not libaited:to prospective mortgage lenders,reasonable access, at reasowtble times;to the.,said premises for the.purpose of taking measurements; nspectioas, and the like and for the purpose of showing said.premises to prospective mortgage lenders;insurance.ageats and for similar purposes. Said right of access shail'be exercised only in the presence of SELLER,or the Broker named.herein, and only after reasonable prior notice to the SELLER or'his agent. S- 4A M T 5:55VM Dec. 23. 2015 1 :45PM No., 0906 P. 3. 6.. SELLER represents Chat,'CO the best of SELLER' -actoai'knokviedge rind belief, thece ue no pending eminent domain or other condemnation proceedings affecting the ' premises. 7, SELLER hereby represents to BUYER that SELLER has never generated,stored or disposed of any hazardous waste inaterial on the premises'and that, to the best of the SELLER's knowlzdgz,SELLER is not aw,,ire of he vioeration,storao�:or disp.a" of such waste on`the preraises:by anyo tz eh ; S. Except;as otherwise herein provided,the.teoresezttations :i,s contained in this Agreement refer to the&te of execution o€this Agrzem?nt S>✓LLE.P�«itl promptly nouty BUYER ofatly change in fact which a.>>a prior to the de(ivgY:of the deed wliicil 1 Would rna."e any such rep reseatation aad'or warranty untrue if stt�n state of facts had akistad on the date of execution of this Agreement, 9. The BUYER shall have the ri;ht.to purchase the pre rrii nor`vitystanding that one or rroce of the conditions of SELLER'S warranties,.representations And covenants herein shall not have been fulfilled or satisfied t 10. SELLER agrees to provide ]BUYER with all eng veering plans,surveys and studies and other informaq'on relating to the premises in its possession,if any, 11: The Brokers hereby join this Agreement and become parties hereto insofar as any pro isiotis of this Agreement ex ressly apply to Stokers(ix ludino as Escrow AQent)and. W.any atneadnients or modifications hereto or such provisions to which Brokers agree in writu�. 12. All notices required or to be given hereuader sheill be in Nvriting'and deemed duly given when delivered or mailed,postage prepaid,addressed as follows. If to SELLER See Paragzuph with a copy to,: Bryarx Reardon,Esq. Dub' n;&Reardon 164$ Falmouth Road,Suitt 4A Centerville,Iv1A 02632: Phone: 508-771-0330 Fax:508-778.7624 breardon(alidubimeardon corn AA 65SOM EST - 2 .,Dec. 2 2015 :45PVi No. 0996 'P. _4 If to BUYER, See Paragrapb l with a copy to: Paula Wolfe, and. Steven Br to, 474.8 Falmouth Road, Cotuit,, MA, 02635 Phone: 774-216-0943; Ema zt paulav@ex tcapereal'ty.rom AND Kevin and Nancy Shearer, 50 Main Street, Apt. 2205, North Easton, Ufa. 02356.; Phone: 508-237-4707;_ email. kslearer4962@:comcas.t;;'net or to such other address or addresses as may from time to time be.designated by either party`by written notice to the other. l3. BUYER warrants and represents to SELLER and SELLER represents and warrants to i BUM that it has dealt with no broker or other person entitled to a broker's r.0mu fission in connection with the negotiation or execution of this Agreement or the consummation of the transaction contearplated hereby except the broker listed herein,if any,andeach agrees to hold the other harmless and lindemnify,the.other against all damages, claims; losses and liabilities,including logal fees,incurred by:the.other,arising out of or resulting from the failure of its representation and warranty. This provision shall.sureive:the closing hereunder: 14. This Agreement supersedes any and all prior agreements between the parties. 15. Mortgage Contingency Clause:For the purpose of Paragraph.23`of the Purchase& Sale Agreement,the terra"diligent efforts"shall mean application to one conventional mortgage render, and the term"commitment"shall mean a firm,written commitment containing only such conditions as may be reasonabLy`satisfied by Buyer.' In no event shall BUYER be obligated to perform under this Agreement unless(a)the lender's appraisal yields a value of at least equal to the purchase price set forth in the Purchase& Sale Agreement,and(b) the B R.is able to satisfy the lender's condidous for financing. property must appraise at or above purchase price. 1.6. It is understood and agreed by the parties that the,prernises shall not be in conformity with the title provisions of this Agreement unless; k (1) All buildings,.structwes_and improvements,IndWing but not;limited ao any 1 driveways, garages and septic systems(if any),and all aaeans of access to the premises, shall be:lo.cated:completely within the boundary lines'of said prerruses and shall not encroach upon:or under the property of any other,pe somor entity; (2) No building,structure or improvements of any.kiind belonging to any other person or entity shall encroaeh.upon or under said premises; a�vM E5 6:66PM M ,.:Dec. 23. 2015 ' :45PM No.. 0906 P,. (3) The premises shall abut,a public way, duly laid out or accepted as such by the city or towa in which said premises are located; and (4) Title to the premises is insurable for the benefit of the BUYER by title iasurance company at normal premium rates in the American Land Title Association form currently in use,subject only to those printed.exceptions to title normally included iti: the"jacket" to such form and to the.exceptions set forth in Paragraph 4 of this ttiteement: Executed on the date first written above eST aogeo veilfied _. � StiaNVUC•914GLZOKY 121,_ aoav�enneo �lQOiBGt<•6EEhJGRF L lz- Buyer Buyer i Seller seller s € 3 k CAR EST a. M E51 i I MLS Page 1 of 3 Listing Summary Listing #20704322 163 Fuller Rd, Centerville, MA 02632 Active (04/14/07) DOM/CDOM:94/63 $695,000(LP) Beds: 4 Baths: 4 (3 1) (FH) Sq Ft: 4400 Lot Sz: 1.030ac Town: Barn Yr: 1988 Remarks Picture , Great Location! Great Price! — Fabulous 10 Rm Southside Cape! 3- car garage on 1.03 acres in the `' NIN Village. Spacious 4400 scl ft home has choice of 1 st floor Master with 9 Ft walk-in closet and 2- person Jacuzzi bath, new walk-in shower, or _ 1100+scl ft 2nd floor,,2-room Master Suite w/bath, fireplace, skylights and ` private entrance. Separate family and dining rooms plus living room! Recent( ` " Additional Pictures L.LI Pictures(12) Attached Docs See Maa Agent Margo Pisacano (ID:U1SA)Primary:508-775-4440 Secondary:508-771-1994 x106 Office Seaport Village Realty(ID:SEAVR)Phone:508-771-1994,FAX:508-771-1984 Property Type Single Family Property Subtype(s) Single Family Status Active(04/14/07) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 3% 3% Yes Facilitator Comm 3.00% Listing Type Excl.Right to Sell Owner Name Diantoni County Barnstable Tax ID 189-2-0-4-BARN Subdivision Other Beds 4 Baths (FH) 4(3 1) Approx Square Feet 4400 Sq Ft Source Field Card Lot Sq Ft(approx) 44867 Lot Acres(approx) 1.030 Lot Size Source (Field Card) . Year Built 1988 Publish To Internet Yes Listing Date 04/14/07 All Office Remarks PLEASE-no short notice showings.This Home offers separate Ptivate Quarters'Old Ancient Way To The Right Of The Property That RunsTo-The Right-Of The Property-L'ine-&Around-Rear Behind Fence. Could Not Rebuild This Home For This Price.Really great floor plan and all large rooms Directions To Property Route 28,South On Old Stage Rd,Right On Fuller To#163,On Cul Du Sac Listing Page Commission-Other N/A Showing Instructions Appointment Req.,Call Listing Office,Yard Sign http://ccimis.rapmis.com/scripts/mgrgispi.dll 7/16/2007 MLS Page 2 of 3 General Page Zoning Residential Year Built Desc. Approximate Total Rooms 10 Total Levels 2.0 Basement Baths 0.0 Level 1 Baths 1.5 Level 2 Baths 2.0 Level 3 Baths 0.0 Basement Yes Basement Description Interior Access, Full,Bulkhead Access Foundation Concrete, Poured Foundation Width 61 Foundation Depth 27 Fndation Wing Width 0 Fndation Wing Depth 0 Irregular Yes Lot Depth 0 Lot Width 0 Topography/Lot Desc. Wooded,Level,Fenced Enclosed Association Unknown Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage Yes #of Cars #3 Garage Description Direct Enty,Attached Parking Description Paved Driveway Year Round Yes Separate Living Qtrs Yes Sep Living Qtrs Desc Second Floor Waterfront No Water View No Convenient To Conservation Area,Golf Course,House of Worship,Major Highway,Medical Facility,Public Tennis, School,Shopping Miles to Beach 1 to 2 Beach/Lake/Pond Craigville Beach Beach Description Ocean Beach Ownership Public Street Description Paved, Private Interior Page Fireplace Yes Number of Fireplaces #2 Master Bedroom 1417 Level:First Floor Mstr Bdrm Features Private Master Bath,Walk in Closet,Wall to Wall Carpet,Whirlpool Bedroom#2 14x20 Level:Second Floor Bedroom#2 Features Closet,Wall to Wall Carpet Bedroom#3 15x15 Level:Second Floor Bedroom#3 Features Closet,Wall to Wall Carpet Bedroom#4 23x17 Level:Second Floor Bedroom#4 Features Closet, Fireplace,Private Master Bath,Wall to Wall Carpet Foyer 8x14 Level:.First Floor Laundry Room OxO Level:First Floor Living/Dining Combo No Living Room 14x17 Level: First Floor Living Room Features Wall to Wall Carpet,Wood Floor Dining Room 14xl3 Level: First Floor Dining Room Features Wall to Wall Carpet,Wood Floor Kitchen/Dining Combo Yes Kitchen 18x13 Level: First Floor Kitchen Features Built-ins,Closet,Kitchen Island,Laundry Area,Mud Room,Tile Floor Family Room 1706 Level:Second Floor Family Room Features Beamed Ceilings,Cathedral Ceilings,Closet,Deck,Dining Area,Wall to Wall Carpet http://ccimis.rapmis.con/scripts/mgrgispi.dll 7/16/2007 MLS Page 3 of 3 Other Room 1 9x22 Level:Second Floor Other Room 1 Type Home Office Other Rm 1 Features Skylight Other Room 2 13x17 Level: First Floor Other Room 2 Type Den Other Rm 2 Features Deck,Fireplace,Wall to Wall Carpet,Wood Floor Appliances Dishwasher,Dryer-Electric,Range-Gas, Refrigerator,Washer Floors Tile,Wall to Wall Carpet,Wood Exterior Style Cape Style Description Contemporary Pool No Dock No Exterior Features Deck, Exterior Lighting,Fenced Yard,Prof.Landscaping Roof Description Pitched,Asphalt Siding Description Shingle,Clapboard Mechanical Heating/Cooling 3+Zone Heat,Natural Gas,AC Other,Hot Water Water/Sewer/Utility Town Water,Private Sewerage Hot Water/Water Heat Natural Gas LegaUTax Annual Tax $4321 Tax Year 2006 Land Assessments $296200 Improvement Asmt $369100 Other Assessments $2800 Total Assessments $668100 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Special Asmt Pending Unknown Mass Use Code 101-Single Family Title Reference-Book 8351 Title Reference-Page 323 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint No Asbestos No Flood Zone Unknown Information has not been verified,is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2007 Rapattoni Corporation.All rights reserved. http://ccimis.rapmis.com/scripts/mgrqispi.dll 7/16/2007 MLS Page 3 of 4 al r r- 4., 7q 5��i i t; sa W y I 1 6 http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPi... 7/16/2007 MLS Page 2 of 4 s / f / } f9 .i Y f A � h g. s a8 d f - 9 r http;Hceimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPi... 7/16/2007 MLS Page 1 of 4 Picture Gallery — Listin #2t}7t1432 v9e 4/ , ice✓' a <".:- �:'.:, http://cci.mis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPi... 7/16/2007 r MLS Page 4 of 4 Information has not been verified,is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2007 Rapattoni Corporation.All rights reserved. http://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME=MLSPi... 7/16/2007 OFTMETpk, Town of Barnstable Regulatory Services * anxxsrna[,E, r Mnss. g Thomas F. Geiler,Director �A i6gq. �0 lED MA'S a Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 July 16, 2007 Mr. Sante Diantoni 163 Fuller Road Centerville MA 02632 Illegal Apartment: 163 Fuller Road Centerville, MA 02632 Map: 189 Parcel: 002-004 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. mcerel0' Li dson o l25 2- Amnesty Apartment Investigator Building Department tyaw.� 06serve 1 S►ng�t foi-ms:zonin 3 9 g A Parcel Detail Pagel of 3 Logged In As: Parcel i Monday, 7u Parcel Lookup Parcel Info .................... ..................... ... ............. ............... _ ......... ....... ................ Parcel ID.189-002-004 developer LOT 4 Lot Location 163 FULLER ROAD Pri Frontage Sec Road Sec Frontage ............................................... ........ .... ............ ............. ...... ........ village;CENTERVILLE Fire District C-O-MM ...._... Sewer Acct! Road Index=0579 rA� ' Interactive �'�" Map I q s Owner Info .... ... Owner;DIANTONI, SANTE & Co-Owner:DI ANT ONI, SCHAARIE A ....... _ ........................................................................... ......... ........... Streets ;163 FULLER RD Street2 City CENTERVILLE State MA. Zip`,02632 Country US Land Info ....... ......... .. ......... ........ Acres 1.03 use ISingle Fam MDL-01 Zoning Nghbd 0105 y Topography!Below Street Road ,Paved Utilities Public Water,Gas,Septic Location Construction Info Building IOf I Year _ Roof _....._. Ext .......... Built; Struct`Gable/Hip Wall Wood Shingle 3982 Asph/F GIs/Cmp None 1 Effect - Roof AC Area Cover= Type -._..._....style;Cape Cod Int`Dry wall Bed 3 Bedrooms Wall - Rooms Model Residential Int Bath 12 Full + 1 H Floor 4... Rooms Heat"'"_"" — Total -A F Grade Average Plus =Hot Water 7 Rooms Type! Rooms htt ://iss l/intranet/ ro data/ParcelDetail.as x?ID=12894 7/16/2007 P q P p p Parcel Detail Page 2 of 3 Z , a .. .... ....... Heat Found- stories 11 3/4 Stories Gas 'Poured Conc. ` Fuel ation Permit History Issue Date Purpose Permit# Amount Insp Date Comrr 8/1/1986 B29838 $80,000 1/15/1990 12:00:00 AM CE 11) Visit History Date Who Purpose 7/9/2001 12:00:00 AM Paul Talbot Meas/Listed 2/15/1989 12:00:00 AM ML Sales History Line Sale Date Owner Book/Page Sale P 1 12/15/1992 DIANTONI, SANTE& 8351/323 2 3/15/1992 FEDERAL DEPOSIT INS CORP 7901/305 3 6/15/1986 URBANIK, DALE F 5162/102 4 5/15/1986 CUNNINGHAM, ROBERT J 5089/144 5 11/15/1985 STAGE DEVELOPMENT, INC 4800/348 $1 AssessmentHistory .. �,......................................... _....................... _. _.............. .... ..._.... Save# Year Building Value XF Value OB Value Land Value Total Pare( 1 2007 $369,100 $2,800 $0 $296,200 2 2006 $333,700 $2,800 $0 $321,200 3 2005 $299,200 $2,800 $0 $222,500 4 2004 $232,700 $2,800 $0 $178,000 ; 5 2003 $197,300 $2,800 $0 $65,500 6 2002 $197,300 $2,800 $0 $65,500 7 2001 $204,100 $2,900 $0 $65,500 8 2000 $161,500 $2,900 $0 $51,400 9 1999 $161,500 $2,900 $0 $51,400 10 1998 $161,500 $2,900 $0 $51,400 11 1997 $174,100 $0 $0 $41,100 12 1996 $174,100 $0 $0 $41,100 http://issql/intranet/propdata/ParcelDetail.aspx?ID=12894 7/16/2007 Parcel Detail Page 3 of 3 13 1995 $174,100 $0 $0 $41,100 14 1994 $155,400 $0 $0 $55,500 15 1993 $155,400 $0 $0 $55,700 16 1992 $176,700 $0 $0 $61,700 17 1991 $174,300 $0 $0 $82,200 18 1990 $156,900 $0 $0 $82,200 19 1989 $0 $0 $0 $82,200 20 1988 $0 $0 $0 $44,800 21 1987 $0 $0 $0 $38,400 22 1986 $0 $0 $0 $13,200 Photos http://issql/intranet/propdata/ParcelDetail.aspx?ID=12894 7/16/2007 IMPORTANT MESSAGfA.M. For Day Time OF Ae Of 3 + Phone FAX Area Code Number Extension MOBILE Area Code Number Extension Telephoned Returned your call RUSH Came to see you Please call Special attention Wants to see yW Will call again Calleron hold Messag r Signed VNIVERSAL.48023 MADE IN U.S.A. NOTES ES _ - i leA O 0 4q5 P � . ¢ R PAU L n R. � RYLL �> No. 32448 0 I LAND Ce N 0 N _Tl (02.45 � z p,c1C m \ 6� A?e,,4/O .a23 � ��/00' ��20� EDGE OF GO✓DuT' � N 'P C Vi ° 4 s r a N Yo. s 5 C4 SSI.MED _ o �6,s �0 TOWN OF BARNSTABLE ZONING, ' Q pQ BY-LAWS DATED FEBRUARY 1986 3�,.. ZONE: RD-I SETBACKS FRONT = 30' SIDE = 10' REAR = 10' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1803-00 AN ACTUAL SURVEY ON THE GROUND. THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON 8/19/86 1 n AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE MASS . THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: I" =. 40' AUGUST 19 1986 SHOULD NOT BE USED FOR ANY OTHER PURPOSE. BSC / CAPE COD SURVEY CONSULTANTS 20 3261 MAIN STREET DATE PROFESSIONAL LAND SURV OR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133 4) w o PAUL R. \ RYLL s No. 32448 0 c`d 9F�IST[R >� S\A( LA%b�'va u, Ce n N \o ZO�clC G/.vC .oE,e Zociiv� DO= a � \� Z01-./E ,, e,,—VO 10,23 - � ��/Dd'. ��O/'i'! EDGE OF GD✓DUT' . 0 GO fn f3M 6 � p, S14 r d w ht Y,o, S S EL,�C_-V, /Oo. D o < ' Ca ssumE.D TOWN OF BARNSTABLE ZONING� � BY-LAWS DATED FEBRUARY 1986 O 3�,.... ZONE: RD- 1 `y SETBACKS : FRONT = 30' y SIDE = 10' REAR = . 10' PROPERTY LINES SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT N0. 3-1803-00 AN ACTUAL SURVEY ON THE GROUND. THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON 8/19/86 in AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNSTABLE MASS . THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1" = 40' AUGUST 19 1986 SHOULD NOT BE USED FOR ANY OTHER PURPOSE. BSC / CAPE COD SURVEY CONSULTANTS 20 3261 MAIN STREET DATE PROFESSIONAL LAND SURV OR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133 Yi PAW CA New (Main) Opening -d Heoder = (2) 1.75".x 11.25" LVL,..: Or � _,w x10' "s, w/ 5/16 Steel Flitch Plate* (2.) 2 r�2+i 1 (*Steel Plate.25"Less than Beam D pth) I � New Secondary Opening eader(s) (2) 2x12'sw/ 1%2 Ply. O r O „ 2 2x10.s 13' 1/2",- (Depth.As Needed To Match Adjacent Beam Depth)New 4x4 Posts 5'71.&' •�- I �a�ji Secure To Header(s)Abv.;w/Simp n Met.Connectors) 6 Outline 4x4 Post(i)Beyond- t. Extend/Block-To Main Support Be 'Below)'. . Extend Down to Exist.Basement.Girder, 1 r Provide ing In Oo Provide Continuos Bearing/Supportt( First Floor ' .. DiningRoom-(View From Kitchen) _ � . ) . . - (Exist 1"Copper Pipe)- c ' To Remain). •O .. Existing Floor Joists-- ' .•.; tz "` ;,, ,Hulf Existing gTo Becre/atel)Fr ' Cd r (2x10's,16"o.c.). ` 4] aming. ( , r ------ Existing.Steel Lally Column 44 _ i (To Remain In Place:No New Loading) U. 12"Max. ,--1 -- _ Point Load s Carried Straight Down Thru Exist.Colu ns BasernentExisting Steel Lally Column (Existing) ( - ��� (To Remain In Place-.w/New.Point Loads From Posts Above) Existing Wood Girder ---- - -- --'------- 6 ------------�---- - i (Triple 2x10 No New Loading) , 4 ---Existing Steel Lally Column (To Remain In Place-No New Loading) i 27'" r co: ® New Steel Lally Column . . . ♦' ��� I 3-1/2"H,Concrete Filled,w/steel Top 6 sot.Beari Plates70 y Z. r .-� New Concrete Footing 3 �s r E • _ 30"w.x 30"w.x 12"d.w/(2)Sets Of#4 Re-Bars-(Eq Way) p O S (Hold Bars A Min.Of 1-1/2"In From Footing Edges) O, V j U. _� �� '� _ . racy^, •� vbi " S2C1'1011 I2VQt1011 - View of New First Floor Wall Openings & Headers i �E g ` U * Existing 2x4 Wall,Is Centered Above Main Support Girder i u *Main Support Girder Is Centered In.Foundation From Front To Back. *Floor Joists.On Both Floors Are Equal In Span-.(Apx. 13'-4")-From Front To Back..: Please Note: r Date- Main Header Size Based On An Imposed Second Floor Load Of.400 PLF, A 14' Span * Contractor Shall Have LVL Supplier/Manufacturer Confirm Size.Of WL Beam,Size Required/Shown By.Architect. : 4�4�?Q1(> „�"Cape"- St., On .Story a - (w/Full Dormer) ja}.� �. Se 10 View of Exist. e * W n First Floor. v - " * 3 : , u With Ty :Centered Second floor Support Wall O I emen . P PP Typ Girder&Lally Columns Centered/Equally Space n Bas t ,