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0028 GREAT MARSH ROAD
JV s . u pep r 011 psi to 4,7 a , u. 0 .. c " a ° � � I r , `Q ° i a A ?1111041 Town of,Barnstable *Permit# p� Expires 6 months from issue date Regulatory Services Fees. anaxszAsi E. 9� 059.MAS& Thomas F.Geiler,Director X-PRESS PERMIT RFD MA't A _ Building Division Tom Perry,CBO, Building Commissioner JUL 02 -2012 200 Main Street,Hyannis,MA 02601 " www.town.bamstable.ma.us nF p�Nq Office:- 508-862-4038 TOWN.Cja Bffi..7AT6 3Bo E EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number a2j d 0 S Property Address ([o � J I KJ I "�.� leeV/'/ `� ❑Residential Value of Work 1 LV Minimum fee of$35.00 for work under$6000.00. Owner's Name&Address K_l op 0,1 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor VI am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# .Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to [�l Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) dRe-side p #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ' A copy of the Home Improvement.Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILESTORMS\building permit forms\EXPRESS.doC Revised 051811 E The Commonwealth of Massat husetts gwhnerit'of1ndus&ial ccidents O,fce of In�wtigations 600 Washington Shwet Boston,MA 02111 wit mrrs�govv/rlin Workers' Compensation Insurance Affidavit:BmMer-JContractur ectriciansrP"lumbers A�ljilkant Infbrinatlon Please Print Udbly Name. emu- !` ;.F Address: city/stat�r� e. 1 P 60 "'- o� Are you an employer?Check.the appropriate box: Type of project(required): I. I am a employer with 4. ❑ I am a general contractor and 1 6_ ❑New constructionmplo s(full an&os part-time).* have lamed the saw e . 2_El am a sole proprietor or partner- listed an the attached sheet. 7. ❑Remodeling These sub-contractrirs have ship and have no em�plaryees. 8 ❑Demolition wodmg four.me in any capacity. employees and have wodceis' o workers'c ;+�a r•e comp_insuranae.$ 9. ❑Building addition , ] 5. ❑ We area corporation anti its 10_0 Electrical repairs or additions V am a bomeommer doing all.work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp_` �exemption per A+IGL 12.❑Roof repairs insurance -j g c.152,§1(4X and we have no employees.[No workers' 13-❑Other comp.ins umm required] 'Any applicaaF 1Lat cLecks boat#1 mast also fill out the section below showing their woaiserC c afiaapoiy infarnwtim i Ha9aeownss w1.subu it this afidzva in&x:rtng they an doing 211 weak and then hire outside con tractors must mbaeit anew affidavit indicating sorb_ IContrsctors*ar check this box trust attached an additional sheet showing the mane of the sub-cowactors and state whether ornot these entities have eatpioyees. If the mb-tentractoes have employees,they=ut provide their workers'romp.policy ntirmber. I am an emptoyar that is pmvidirtg workers'coetpemadon.insurance for my empipjw. Below is the policy and job site information. Insurance Company Name:. Policy#or Self ins.Lic_#: Expiration Date: Job Site Address:' City/State zip: Attach a mpy of the workers'compensation policy declaration page(shoving the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c_ 152 can lead to the imposition of criminal penalties of a fine up to$1,500-00 andlor one-year inq isonmeut,as well as cavil penalties in the form of a STOP WORK ORDER and s tine ofup to$250-00 a day against the vi olator. Be advised that a copy of this statemerit may be forwarded to the Office of Investigations of the DIA for insurance coverage veri'fication_. ,f do heraby carte j�air eke pains and p nalities erfpRrju tha a information prm!Ard bow- is bue and correct Si:Iffe: Date: Ph #:. 50�' 3 � o '01,0 Vcialuse ORly. Do not smite in this area,to be camped by city ortown a,�c&t City or Town: Permit/License. Issuing Anth,ority(circle one): 1.Board of Health 2.Building Department 3.City rcvwn Clerk d.Electrical Inspector 5.Plumbing Inspector S.Other .: Contact.Person: Phone#: 6 p. • C�i 4 INE =nx�vsreeis, • Town of Barnstable ptFD N1021� Regulatory Services .Thomas F.Geiler,Director. Building Division ry Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ti t Office: 508-86274038 ' ' Fax: 508-790-6236 Property Owner Must Complete and Sign This Section, - If Using A Builder , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature Qf Owner Date Print Name If Property Owner is applying.for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPHLES\FORMS\building permit forms\EXPRESS.doC Revised 051811 �IME , Town of Barnstable Regulatory Services 9BALMSTABIX, Thomas F. Geiler,Director 059. r•,� Building Division . Tom Perry,Building Commissioner. 200 Main Street, Hyannis,MA 02601 www.town.barnstab.le.ma.us Office: 508-862-4038 . Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION. Please Print J � {vh I n JOB LOCATION: �D 0)2 l� number street �( '`[[village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: � - city/town state zip code The current exemption for"homeowners was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached-or detached structures accessory to such use and/or farm structures. A person wbo 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 alf 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"certi€{es th he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and th e/s will comply with said procedures and requirements. S ature of Homeo e i Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code - Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as"supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC - Revised 051811 t Town o l f� of of Barnstable Permit# O,^ Expires 6 njentitsfrom issue date Regulatory Services Fee * =Aatv ABLE, � 16 9. 14� Thomas F..Geiler,Director '0rea uu►'t� Building Division Cos)I I hobs Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 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 ; 3 Q Q C Property Address 2 1b em' EAsx- P<KSFt �� t LTAve 1`I >Residential Value of Work f 7,6We QV Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �ie�G�.1 �-. ' 4-1 E,j-� .Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) :� t = M I ❑Workman's Compensation Insurance Nov c' 3 2011 Check one: ❑ I am a sole proprietor TiOWN, OF '."' gI 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. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors Replacement Windows/doors/sliders. U-Value 30 ((maximum .44)#of windows T *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: j ):IWPFILESIFORMSIbuilding permit forms XPRESS.doc ,evised 070110 c The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations UV I 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le�bly ri Al i me-(Business/Organization/Individual): t '�-�C ddress: a 6r01C_S 00. City/State/Zip P _7 Phone #: �� �. 3 7 '06 L/S Are you an employer? Check the appropriate box: p y 4. ❑ I am a general contractor and I . Type of project(required): 1 I am a employer with.•❑. employees(full and/or part-time).* have hired the sub-contractors .6. 0 New construction 2.El am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity, employees and have workers' /[No workers' comp, insurance comp.insurance.$ 9. El Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3! rI am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions yself. [No workers' comp, right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no 12•❑Roof repairs employees. [No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.t Homeowners who submit this affidavit indicating they are doing all work and then hire outside.contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. KI do hereby certify under the pains and penalties of erjury that the information provided above is true and correct ature; Date: 3 l� Ple#: 505 / `007�� O f .only. Do not write in this area,to be completed by.city or town official n: Permit/License# thority(circle one): Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#: , THE) Town of Barnstable ` Regulatory Services 1ARMSTABLE, * Thomas F.Geller,Director y MASS. 1639. ��� Building Division ArFp MAC a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print ATE: JOB LOCATION: *_number street i �7 v- / village 1 .HOMEOWNER": l A ���F-J .�IJS � 3� '�yS name p! home phone# work phone# CURRENT MAILING ADDRESS:.�L/O 7;V IF city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides.or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. • Signature of Honnko4mcr Approval of Building Official. Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1.-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt �1HE Town of Barnstable i Regulatory Services wtxsr.+sts. • Thomas F. Geiler,Director 1639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 .Property Owner Must Complete and Sign This Section If Using A Builder I' ,.as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Naive Date C Q:FORMS:O W NERPERMISSIONPOOLS 10/191/2011 13:21 FAX 5084280875 WM Reveis Real Estate �001/010 10/19/2011 15:24 FA1t SOD4280875 ft Aaveis Real With f�001/'o1p �i1f�1AMS�IV�tB . ---•wa+wn �Me••�Mxt— . ���o�tl.�ur4�r•.e•r�r AMMUNM rlRlTi�f1011AtIgIM�lklYb�• STANDARD PMCxAfij AND SAS AG=bWT 1m] ( ) The patties make Zhu ASU Mqt tits �-Cay of 11 ,TMS "d replaoaa au abligat to made inany prior Conasce To] 16 ar agrC=lant far!sale enmrad,into ft PWO . Do 211ra1; Of iYLs rigs _ the R��,"a�aaa>o set end a >lr ' die M agm m buy,the Mow MOW in pttagpplt2 oa farms sat forth beaaMr, f MhNM , OMVdymt00 10 be made ID 101 C pgnf Dr eW* C'Nomiaee') upon nomaxkm to to Imt 11va businm days l�to ftlobo tar patfvrmsaca ant torlb is pat�gxeph 3.ri�tl:igltation of a Np ee shall not dlscbairga tie BUM fnm soy cb%aft uttidse this Agra t and BUYER haft Mpm to gmmbm palbm a v oe by t1m Nominm (tl� *4 WM=y ad all bnildhW themon]ova'vvn n ttecarded n ftHatis' Itaibie tawn .as t�speaifiCaiiy damibed to a deed i 1!taglmy of 1DecdS at Bmk,,...mill P%m 412..�. [ 0p Na. ),a cagy of w*h C JA® is f abo►un omi j attached'and (b)91 stratum d impmemb can the lnd omd the text m,including,but net limped to;Ny and all sWnn vnndoays and doors, saraems, acraam dao . Awadags, shows, a►Infio& &hides and tlltnds, certain rota. , hcWW'year* oquipm m, oil and gas burn and fixtlans, hoc waW heatm . P1mcbinij and battunam fixtures, tDwd racks, built-in dWmuba ; pftp die mib aad trash campwa rs, swves, magm, chandeliers, i INWO and other lisbq fiXttml burglar and tire alarm sysbams, ma miptaara, waIl-wwau carpets, stair ccepers, exterior u tavisiou aatennaa and aebclltte dishes, faaoes, .8Mj hUfWAping n8 hus, Wwubs, flowe+n; ad $0 !~ollaw4 beil�b adgxmm ss, if any; air condidoaers,vaouu= system,cabinets,shelves, bookcases and stc=spear=, and but excluding jimcrt rs,jtuawar,d4hwad ers, mtcrawnva suave.waxh.ln f machbu.s,dryafn or otter iam,where appropt im, 3, Purchum PAO&Ttta purchase price for the?maim is$=,.000p.go ...,,�douses of which S s_04 0.oo pip u a dspoait with Coa►tract To Pmchasa.;and S 2,ee e Aida u,p9d with this Aft; . S are to ba paid ;� sm to be paid at ft dma ibx pm*mnnce by baales,cashier's,wsurm-%or smtW chwk orby win nmf , . a ssa.aee.ee Tool 4. I&= All forte dapAafW or PW by the BUYER ahalt be hard in a tloo-tft*"t bearing e�avw account, by R 3 l k m m—■ g.� 1L -tom ,m emuw sg%I% K$*t to ft totmr of NO Apammt add shall be paid or odterwim du1 fm at tits HMO for pie-If a ' 'n i s. NOWNSuutls feriaERIS 104" �sa3�.oyn�4�so � ` aIPOP RDOO,9.Om 905,2w?,200t,2010 MAmAcmusI rm A,noUA7mcN or RML'JOR.9M Phcae:S0a�a1•!9m � .p�75 . 3i 0111Rt+tay1 lid. f 10/19/2011 13:22 FAX 5084280bf5 wm kaysis heal tsiaie louver ulu �0118/2011 15:25 FAX 6004280875 wa RSveie Real Estat8 1�002/010 dispute arises betty= the BUYER and SELLER cocmrMg to whom mzowed funds should be paid,.the esaow agm may rotain Isla awrowed fimds paaz ftj wdMw inatracdons c>optually even by thf BUYN and the The 01=w ant sall h abide by my Coact dedsion le whom the fmttds shall be paid and shall not be made a pwny to a c of ha Amda. Should �w t be 1swsai selaatty as a result ]ding escracwred uld the esClo aa>g� made all M in wleWgt of this puaFwho daa siamw argmt sW be dismissed and dew party sasWdng a claim sA what the escrow agpat shall pay the &gods reasonable attamays'fell lA costs.flf interest is to dCC!'tN on eacr4wed fiords,i &care to whom it sMU be paid] S. Tim Ebt Pedumasam Thas SELLER ahaTl d4ver the dad x1d dies BUYMZ shall pay the Mom of tlto perabase at the ;e. i. cntsm Registry of Deeds,or at such adw time aid plus Y Is ISYmmaliy geed In writing. Te 33 OF THE E$SEMM AS TO EACH PROVISION OF TMS AGEMM M. moo GeRIML 6. ,The SELLS sibs]]convey tba Prises by a good and sufficient quitclaim desod sudtdllg lob$Oyer or to the BUY MS noMlttee, conveying good and clear record sad snlrltetdle title to the Premises; free ii lute sad saac a mbnam,4 (as)Reel eatam gees mum d on the Pnemisee wbich am not yet due and payable; (b)Beftermeat aslsesarmsanta,If rimy.wNch ace ear a recorded lift on the daft:of this Agct;lalmlaut; (c)Fsedeml,state wd Ides)taws,on msatcm bylaws,rules sand t'egtt18t10ns Mgulating use of lend,irAudiug building oodeh wming bylaws,health and ovkotarnaolel laws; (d)JUSIMA and obligations in pwV wallai, (a)Any eAseamt,restriction or aagrccment of c>ecord presently in force wi&;h does not intetfta'ta with the a!,Qaonlaabk we of ft Patimis cs as stow mod; (Y}Utility dents in f ad jowl ag ways; tad, 141h 68 deed in pffim Am A* 7. BUYER'S obligati=we cwtinptaat upon rho avalisJbility(at Rental PMCAWM ata=)of an 0woor`s dde insurance policy iasuft 1) NIMS dft 10 the pewtlaia without aaoaptim ad'than the standaed"us)ims ff= eoverags printaed In the emywt Anmiean Land Title Association("ALTA")policy Dover, the standard printed exceptions contzbod in rho A►LTA foam cuaently in toss for survey matters and oral mtsto taxes (Vbicb dfsll only evzo Md eastge . taxes eat yet due wad Mshle)and 6M 0xCWbons permitted by paragraph 6 of this Agreement The SELLER shall a xecute smd d*vct simglt><cteolmly with the deliveay of the deed such cattificsdotts aMnd doounssnts as may eusttomntfly and reasonably be required by dw BUyMt1$ astMeney► Initials a B Pww0kT5 saaaws hiflas ITHs a M&M pan Zwww by*L-& I on Rmrn r 16%Pd,0rmftry Mlddpn 40= � 21 aft MOM xd I V/ -10i tv i i IJ.LO rni% :JVuv&vvu i w - oil] no,a.ao noni 60�01 9 ilL�V Valf v 1v 10/10/2011 15:23 FAX 6084280075 !a Rpsia Asal Estate �Oa8/010 BU'YBR'S ksda,BUYEWS letadff�a= y or eny title in =am vv npg basting tfte BUYER'S tide m die%miles, iecludidg,adthout liatlpttlop, oerddlcedoas and doctatnabq t+90109 m: (k) pastier in poaseasias Of dte Pmmisea; (b) the creation of mwhgdes' as mttetitalmao's lival" (0) ft. HUD-] Setdsme>7t Steteatmr►t and other f m6al aflidavlto amd upummom as mq rmsonably be raWked by the kadw at IMWMA atiOMr,ND the eitizcnsldp and aesi&Uq of 01 ZR w 3�octatatlba aired to 't the cleat ba �t traoaaotfaa m rite lntmnpl RevEnu�o as raqulmd�by la ,add(� x'e4 P � swviaa At art;time or delivery of the deed,the SELLM may use nwwcs from tau petchasa to clear ttm tiU provided ft all dmm ema rWgtBd&=slp apt:re a*d'nM flu deed of within a rdeaottilato time fling acceptable to ft BUM and,pronrldnd farther,that diach�se of moet�cs ft+oem bata�e,credit tmitttsn,�tteuraaco coaapptias and other lnsttttatitxnal kadw mqy be foNded widtin a atzssoeabk time deer minding of tlit: deed in accordance with ulna] coovayuKbg pracdm. The SE d_MIS spouse btrt+mby aStm to mleme all sttatatary,-mmmtm law or oft floe c r rota+ in ft prenod►=ad?m axetotm to wed,it axessaary. 9. At ttre fim for pedbmm-ft S'HUM shell give tits BUM posscsaton of the aai*t Phr+amiaea,fro of an mupaota and tanantt and of all personal pwp aty,mept propaty itacluded in the seas iaw t ft time feu pm*mnance da: PmEbw also Shell a>ntply with tits tegtdre mb of F mi ml i ph 6, and be bm m ckea and in the am condition as the Phaitrat now am,namable wm wid tear mtoepsed, with rite.SM-I.ER to have performed All mrirumnca cat moily Unkrtal= by tiro Sly bwmm the data of this Apvs=m and the tkw for perfavace,and dtere eha11 be no dntata mal ribtioas of violation of my builft& zoning, health or envirrsom=wl low,byltw, cage or regalatkm, e7 qx as a4$tW. Ybe BUYER shall have the right to tenet the RwAsm 4B hottts the time for armaace-x such other 0= as zu be and u wlSt#iq tbrtY ( ) > � Y �� 1od rcma W*notice m SE T ZR fbr the purpose of determbib a eomplianm with d¶graph.At MOM of recatdtgg of the deed,or as otherwise*pod.tlrc S'El.UM shell deliver too BUYER all 1uYs to tine l amism,gaattpe door open and my sectuiv codes, Uadl deBmy or the deed, the Sffi.LM d aU rmainta a fire and extpetlott eoymp insumnee on the Premises io tbt;same mocant tut ownw ly insured. 10. If the SSLJM com convey title as required by this Apemant or cannot deliver pow aft of the Premises as aps4 or If at the time of the dslivt ty of the deed fl'te Pismiaes do not coaMan with floe a quirembnta net forth i,n this Agmemant or the BUM is umL*to obtain title insurance in aco4a ww w!t'h paragraph 7.upaa written notice givon no later than the tlme for periorfor me from eldter petty td the shear,the time fbr pia shall.be aatumatically otttanded fat ddrty(M days, except daft if BUYER'S mortgage oammitom mom at t3ta terms will Tally end adversely CbIAP in&Wer 110 fi'itW OM days, the time fbr pa re Id forth m paragittpit S shell be extsatdod to onto bee win day bdm expiradott of the mmipp colt fitment. SELLER shelf one raamod*eftts to mate tith oadmto ..to to deliver possession a! spW, or to make rho Ptadsaf aotfcn to the s quit>mix of offs Agtsemottt Fatcla ft discharge of ttxtrtgagea and limn, about.wbiob dta MIM has acsoal laaawledgn at ttte ti= ad 686ag this Agreettaaat..tite SEUM&hall not be mquired to incur casts or Caesarea toteiing in Owme of at*ahetf'(M)of arts perms of the puwl am pies to nuke the dtla or the Pt+arMm ppn$rm or to deliver poaa Am m mod. if at the eapiraaae of t#ae time far parfa¢attatct;,or is them has bees an eattandoa,at the ea}>IIation of tlllt tithe for perfcyrrrpl a 04 extended,the SEi.0 PR despise raanoeebla aftts,cannot mains ttta dtte_ot Puler ootsform,aei agreed,or cum deliver' poeaession,as apsed,or it daring thin period of dais Ag mwwt or any emt maioa thereof,tore SIBLLZilt hu bean arable to use proceeds from art i>zetimnae claim.tf asq►,to Zwb the Ptt rises cclliA m,three,at tltc BUYER'S elWdM toy paymems 3 H friths EUMSMW BUYERS1nitW3' Fammmo i ZI—I; 1RI xidds MASSf OI M,2000,MU sOC4,2007,2M.dote MASSAOHUS6M ASMA7M OP REAL TtPA4 Produn.e Yilh apFian+m�9'+k>Loillw 1 AD70 RII�+NMI�a�d,Mr�..r,a#lohla�ut+ioAN p�,gpp� Zn t](oat Atlrak ttd IU/ Id/LUIi 1s;14 hAA 9uPS4'LUM0 WIP naveis' Keat tstate lQJVu4/u1u 10/16/2011 15_28 FAX 609429667E ws #AaVois Real Estate . a 0041010 made by ft BUYER pml=t to this Apewm ut atteil be i=cdiaWly rftbmi Upon return of 211 wb llttnda, all 0WIP400 of dm BUYER amd S51 I ER wail tmginata m d thi4 Agra MM slush AUMmadeally hecome.voW Ud neldw the BUYER mx R.LER shell htwve fades»couxae ar=wdy sgat=ft other. If ttte P»iam do not Conf= to wilt& requlm»ts of Peru 9 b0oavtt3 %MY or other cuaal east the date of this motet OW is oovcmd i>tamm titers b>tve been damaged by fir�a ty(occutrutg AgtN ) by t;, tic BUYER tbill have the right tv elect whedw or not to proofed m accV do Mires and tab title.If Bum elmww io pmroed BUYER ahall bavo dte flo.to elect to have the SELLER pq or wtssige to the BUYER, tic the dma fir perfamunw,tZte pmceeds reowiarMe on account of snob ins mec,less any eon t,rtsmMy inewred by>?+e Sit for am iocoaagpleee repaim or mto ation. If do MMM despite rmlouable wit, bu naW wr bun We to mmm the Prmdom to it4 fbc= cwm 00an nor to pay or aster► to the BUYER the qqmVdMc portion of inmrnm peuwaeeds, the SUYMt aha11 have the right to @Wt to have the SELLER give ttte BUYER a credit wmaed the purehase Pice,far %Vmpriawte amount of imerme pco mM nwvro:able Ins my costs rumuml* hemmed by do SELM for any iaoottoitia4 re4lrnratio�a. 12. ,QjjWjL The BUYER xhalI b►ttvo the e4ht to accept such title to the Premises as the SELLER gates deliver m the d=for pufmmance and if a xtion kd, 6W have such x* at the time for pacfmmame; as a xbmded.The BUYER thrill alww have the tight to aaetpt the Pnni=in the dm arrant mi tiba MW to pay the pxChass Pico Without rc&wdm c(prJce.Upem notice in wridnS of BUYER'S detieion to noccpt 11te hmim and title,the SEI 7 Zk shall convey title and deliver possession. Aoceptmece of a deed by ttte BUYER or BUYER'S atatdpee if my, shall c mdtttte &U .pwnfaa<nattsce by ft SELLER and A&D be deemed to roluse And&=harp the SELLER tan ovary dgty 04 cbliguiam rat fm*in this Wit, exowgR any defy or obligation of dte SELLER ft the SELLER has agreed to pug= after the time for Pmff==oo.Notwithuniin`dale fmolwalg,all warranties,if any,made by dm SMISR titan m>rvivo delivery of the deed. 13. AAbjgaagE At the time for perf0tlMm at Na Age,mement 4ustments shall be made as of ft date of peftmanae for cmYemt real asbft taus, fuel value, water rates, sewer use chafes, 'xU net total of such a4j stmonts shall be added to or deducted ftom tbo P=hm Prim layer by the BL1Yf A at the time for mft= tx,It'lu mwd Itim to nee or ass==xt has not bem mtabbisbed at the tiro for performance, ttpportionnaw'4tt of real estate tries stwall be MOO oil mo Nab at db bm for*0 teM meat ttm lW MIA 11dw Duty having the bight m request appaniomnent fvm the od=while twelve mmdg of the dare dw the&mount of the currant yeaea tax is a tab fished.IV teru+r u will cont nw to occupy d w Prermldp,as of Me AmW Pmperty Addendxm to Pumhdto sled Sate Agreement xhaW be camsl4MAJ 14. .The SPI LER and BUYER acknowledge tim a fee of ( ) far prufeankmg eervtwcwxt shall be paid by who SELLER to �3K2,i 1■m tw=i■ VAMI .LOtAta ,dte TROMM",at der+time for pm f+mmaaae.In the event of a conflict between the tams of this Ageockot dad a prinr fee agaemwaot wab BRl31EC ,as teems o[the pft The agtlermattt shell w: 401 unless BROKER has weitpratalY agreed m a oIMP In writing.lie BUYER and 5E1.UM aw kwwk*no*r f.% txxtioe fmlm BROXV,pmm me to 254 of the Cade of Ma mchusetta Regulations Sgctk m 3.0(13),reAatdiag any_apry 4 eUYSR� : wteus tarwxats 1 s S urittttlI SOMM`Maili • mi49o,zoos,zeta,sous;soar,egos,zoto ae�s9AC:�tuSn'n'S nSSOCw^770N OF ttgAL'r�ttseD PmdLvW with EpPomb by gN IBM Poe M%FmW,Fmw,NhAlpm 4 ftip ,� 21 Ctlrrt)Ks Ad I lU/1y/'LUII IS:�4 h8A DUU440VUID pw: narGio ntai coka►o AmVVN,VIV 10/10/2011 16:27 rAK 5064280876 lm Raveis Roll Estate 406/010 telatioashtip of ft BROKER wilt tits RUM Oft the SS IM- The BUYER ttod SKIM UMWV=d thwt _....,.._ rra i , GC== [insert WWI, areal estow bcoka,is making a fa hem uia�+ri ridw of Ul tn,g agsn,pa!fer or buyer, !f appr'leable]for services temdamd a a ' p p�',pt t ❑ 1j0iIOG (Woopa Ichmme,owj. The SUM falha represeI to laid wll mts Matt there is no odd brolat'with Whom BUYER has dealt in cmwtkm with 1bs purchase of tW Px miser. 13. $ If the B.U1t1R or HUMS Novibm breeches this, anent,all escrowed finds paid of OpWtsd by dw BU'YBR OWI be paid to the SEU.ER es liquidated dnm gm. Receipt of such payment Shall etnsldauts ate SFLLF1t'S sole rsatedl~y,at law,in.e0ty or odowlsee,for UUYSR'S W►alt 71e BUYER and SELLER*a that in Me event of deftalt by the BUYWt dse an 1 r v of daatages suffered by the SELLER E wM not be wY to aeoata1 with certainty x4 therafmv,BUYER e d SEUM atgtne that ft am =of thus BUMS deposit raprasents a ccasoeable astlta7a>tS of ihe damages Nicely to be I Atad. M (Delete CF Wd yed) The BUYI?it'S oWWTInn to IM=hase is oo 4thonod upon ehnieing a Written o tmeat Ax WM tgtagc f lnandag in do wMa tt of S 1a o.o 0 0.00 . . at pstva ns rates,tatter"A camditiams by octgwr_ al. tall .The BU=shall halve as d*ptkm to aettaeasonably. di*Wy to and*my oo`tQidotts within BUYER'S carol.If,deatpato such O%Mt WM,tt Dt=bal b"M unable to obtain swh wri*n aasnt[mtent die BUYER u*ry wen tttivae this Agreement by giving wrinen notice that is=rived by SM I ZR or SELLER'S tfg nt by 5.0 p.m on the cal kW day OW the dam sax faith above.In 9W event that taotlee Etta not been actually or constructively raodved, this camditim is dxrta06 wldivld. It the event that due notice has been "4 au Tales depndtsd at paid by die SUM shall be remmed and d1 oblipetiOns of the BUYER and SM-1 ER p=Wmt to this AV=Mt"I cease and CAI A$Mnmt shall beoamc Vold.in no event AW the BCTYFR to deawad to hive used ma maWe dfmU to obtain OD&W**unless the BUYER has aubmdtad at least me(1)appUcadrm to a licensed mmtpp lender by aatabar 7 a_ Dv 7 —and noted tettss nably Pam' m Pm Bens additi W lafoamat w Mquested by the alma;qW lsatdaer. 17. haswouftim(Delete tf WahW) 71te BUYER has had an opKidu city to conduct all inspections and eon M the =u thaa C(the p mpeM as is,#dden to my wwk expressly Mrw in vyddng to be performed at char eotpatM of SffirLn. Notwithstanding the fotgp41M BUYER has 10 days from die date of this Agreement to complete impee ion Of ne fteat XL Vas a& by ar mWtangs)regalarl;y in the business of conducting said uatpecdons of BUYER'S own choosing.and at BYIM'S sole cost,l7 the xesntta in not swiafectory to PUYVA,In SUY13 's Sole discnafion,BUYER IhOU bve the r at to give whites nonce received by the SM1.Eit or SELLM'S lW by 5:00 p'M . as ibe calaAv day afWr the data set forth above,terminating this Agneettnmt.Upon receipt of such ncdoe this Agreement shall be void sad in monies dsposited by the BUYER aria I be m=wd. E WI=to pravlde dmmly atlas of twaz*WOM alt>Atl constitute a waiver. to the event dW the BUYER does not ex&die tttt dot to bave such bVwXK u(t)or to so tea;Lill,tete, the SELLER and ho listing bmlraa arc each released from clams rdladag to rho aoAdift-of the PtorA101 clot ttae BUM or we BUYER'S r:emslaltsaus could reamakly bane discov=L Is. For pcurlses built before 1M RUM aclm6w1cdFs receipt of the'Depmnmeut of Public Health PtaaM Thnshrr Nad&atiou"regarding the Lead Law, acknowledges verbal notification of the possible p uence of ked hiatnt&end the ptaviaiam of rho Fadeaal and Massachuseas Lend Laws wad regttMaxta,ftluding the right to ittapoot for dawisctts lcvWi of lead. O=pnicy a(promW comlabbg dangertrult Imish of lead by a child uaat six years of ap is prohibited,sub wend to excepttams peaenitaed by law.BUYER furmear eckwwWps that a[aw rho SELLER nor any real atom agettc his made any reasianotWon. express or tatplied,.repHing the absence of lead paint or acacV11 u= with 5 ICTEME ass DUMS laid s SELLER'S MA FORM ' 01009.2000,2002,204 2009,203,•3919 MA$fAQ4UW T8 A 35OQAT%ON OF MALL 0. & R,q,,,+■.1 wMd IUFv,t,+�41 7 ro►b Awn MO■lad,�K,MMhIMn+i0f'1 a4 4Y a71M1Y Atu■h na , lU/ly/1U11 13;l5 hAA oub4LlSUtSrc rill navels neat Cskair, tQ,�vvo/vIV 1D/1t3/2411 15:28 FAW 5004290676 wm Ravais Rest Eitste (�A06/010 my laid lzw, acept as sat fbab in rwAftS.BUYER aww%v'hill regmsibithy for eoutplia=whit all laws tvladng to lad paler removal►if zegaW by law,and related a(in particular,with=limiettioa,Mass.dL.,C. I11,I in,ad BUYER a umo fall responsibility for all bats,lead mint ztuwval sad awar cosh of c:onvrknoc. Puss at to 40 C MR 745.113(a),the Ptuperty Z=ft Nodficattiort CWMcadon ism to this a nent. 19. ,jam. The SELTI3R tthall egmP the residential itr'400M od dtc Frees with appiwed stmob detectrn sad corbaa mmoodde detectaa and ftuwh D11M With Certifleate of Appzmad>bsmngtlon ft=the local Film Dap =mt b the time for wee to ttic e x art aqubtd by law as wail a0+luny wood soave Pe"A if my►aquked by law,regalOw or ost w o—t 20. The MT ER ropmmts amd wwM*that the Premise$ ®j(Ejji=Eahoaae ON] served by a ebpde taysM Or cesspool. [ti yea, a copy of ft Title 5 Addendum is amoite fl The S AM futtber tepmea tQ that dt n dhjML Q ia.IIi;or oo b=jMg4 g Cj im ,choose vas] uadallo tNd Shnp talk or on =%prowd and sbendoned eep&tsrtk. The SE TER fnrgres repraemU gad wAtmga that M=has full sudhadty to cues law tttls Ag cheat Thy buyu is not relying upon any repramtem,vwbai or wAlm,from any real. aa=broker or 1=su oeaeerning 1qd we Atty refen= to the eategory (side family, mu1B.&n*, residential, Ala]) cr cite use of ittis property in say adverdsemettt or tisdno sliest, including lino crantber of tmitt,numblor of roonr>a or other classificatica,is not a remsenmdon caatcMft legal uia ix woos with Turing by-lava, building cads,sardVq code or OdW public Of Pr'ivase tg8tricdm.by tin bmkcir.The BUYER vnt3�rsw*titan if tills;Wumptim is bat to BUM it is the duty of rite BUYER to rook advise &M an atrocaey or v4i=_ciodend0o fte dw mwidpality-7a additiwtt,ft BUM A*wmrledip t'hao dwe are no warm Uu at repabapapUipgts made by the$$Y. M of any bmktu an which BUYER reties in mrhng mis Oft, rxottpt there pnew'ioualy made in wfitigg and the fvllowiur. ( ttortR,410a4 "Rome'$if aq liaise;indkuk by whom the WOrr4nty or rprrsca tiort wets maale.J 21,3dM All nodca9 mqubW or painted to be =do urKW this AgrOetnaet shall be io wt Ed dailvsced in ham.treat by oezhfiedmai, 11 '" recxipt regMted or sent by Uldted.Stems Pond Service dvcmJ&Expom Ma of atlsa avemight ddivay sos*D,stldtnlsbd ttt the BUYER of SELLER or their ant iodud r%xese 2dve at the awe set 1bA in chts WAVvOL Such nodca shall be dammed to hue bars given upoft delivery Or, if wnt by oal mml a®the date Of delivery IN farm is rite NO*ar m the t:bsN1DE of A r'eM4*&00 betlaep days et?w depadted or. if runt by oven4ht awl or ddivicy,the next buduess day afar deposit with rite ovcm!At mail cr deRvaory sdrvioe,whether Of net a slgoetgne is miguirod.Accvporrrca of say notice,wbow by bptivlaty or mall,thdi be suffuient if aGMM or d,gtted by a Pasou bg tg 04if41 or i>a4ptied amity to=c m same. Notice Shari Aso be &cmmd adequate if gives m say adw fain P umittad by lour,(If am are>lurittpte buyeta, WNWO tie MW liV ail*&W t of each&7er bi paragraph 211 BUYER Tracy* Flold .�_ SELLER„ stye Os 1"�,ltst:.�s�str Addresc 240 nyl .Commijkli ad ..��.��..._. Addi'eggt . t#rlat 11�L•Olt Id,� M 02UZ 22. audmask J XIMMM.1. M1 spat. This .wmmm may be oxwu%d in ootmtrans. Sdg:aewto trtutwttiltted by fMotWIN AW1 hfwa ttae mot of at$inal sig>satnrzaa. This A$zwx t-shall be ooit 4u04 as * . Mwsfid6naetta contract: is to tales cffca as a so W imt uMmt; gm forCk tits enthv Waol=t baCw"q dw pmniol; if b bIMMIS hritials SuYRRVwFlirs Lal0 SM Jo - us oti�,aaou, MA OI MS rarr,M,solo SACI3USUM ASSOCIAT09 OF DEAL WIP PIaMaard■1a►llah�nrOYrtr�(,q�y, 11Ga0�Iltnn IIfM�Rosd��IWr,Mhohlple�l 28 QEeltl♦Ilcthjtd 5 10/18/2011 13:28 FAX 50842808(t Wm Kdvais nCni. .r.a LO U: 1 1o/te/2ot1 18:28 FAX 5094280679 Im Reveis Real Estate (�407/010 Nadu Lq=aid if b tcWW to bene3lt dm BUM and SMM Rd each Of Nit respective heirs,devitla00,Mont n, Idmioisustofs,s=essasa md ass*M; and My be canceled,moMfd oc amended WY by L wfitten SgMeMM ed=ted by bad►the.SM TER and ft 8U'Yffit_If two or more pwm=sad named,ws SI1M dwis abUptim she jots!and WmW, 3P the SIR TER or BUM is a tilt.owpmftn,1lmiW liability e m my Or entity whose mpre3mtedre eme.at! this Aft in a repeat Mdvc or Adudwy sap d;y,miy ibe Ainc*4i ate bust ar esm repreemated.dWI bo boars,U d nftw on gum,of =#shavbM w or beacUmy shall be pbrxouny baW f9r IMY aMigadam,expreaa cc implied,-nm cawa►s wd M7 No are ured aaly as a math ion'aonv+a dom and ere nix to be ccatddered a part of dis Aft and am tlot to b psed in de bin the WWW of the paw Any as tGf Or PrMiCe WhU bas trot been eddtwised in tt h MM== and wbkb is the 9ubdm of■M StAadard ar Ptaatiaa of ttlp Ral&tabu i1a ASICCildim for Mamachtoft, immly kuv m as the Mum C avtyaa m Association, at the dam of pcd manse shall be govetr ed by the Staadatld of Practice of t#te IikuW Rent Fswts&tt fbr Meeeecboee�s. 23. A�IINplt11 sew=ii L�4. Y all 16=u ► o Seas �tir,tt�GSIMON1l�rwi Nh_ MON SIGNING,TICS DWUMM WIId.IMCOME A LWALL.Y R NOM.AOMMMEN1'. ip NOT UNQwmw sm Ar)v mB PRom AN ATToRNSY.• BUYER v Date TwNay Field The astate Of Gu iVIM Mfrs WIER Date "-*Or Mow set*r A. teat j*. jA mtsor BUYER Date Sam or spmm IMMAWIV 8Y dpM8 mow, cacrow IOM "s bo IB*M' acaor k= with pa qn* 4. bw does not o$c wisc boot/m a party to this A mmont: W AW or repccsemt�ve. Ito 7 d 's Inmals i 'S Initials 1V�AS►SFoRIM. " awN1 a000,zQpQ,2006,zaolr.aoob.#14MSAZ ltUMTM ASI5=4 ON CW RFiAt.'l UdD Prod, d aPFartf�bY�kL�t 1�Ig0 PllMrtt IMMI Anr01 FIrNf,41I0'll��4aGi 8 36 olm Mrrh)w . 10/19/2011 13:26 FAX 508428OU0 rrm ndyV.L5 ncc+l 64 io/19/2et1 15:28 FAN 5004260875 It Ravais Real Estate 008/010 E1VD[71VY_A 1: 'The provisiaes of this Addendum obaU SOva iQ tM event of a canFlk t with the provisims of tine p=ftss acid wile aSree mt of which this A+ddaftm is made a part 2. Accapr a and fECO ing&the deed by W Bu,ror shall m1anD and Owlage the Seller fr= any and aU oblipadm pursuM to the Pun ban and Sale Ap saXW except . for poet cUmft adjust=ts pursuant to ap=W and other oblip t11 tbet by wrritzen agreement m i,ntsadW to survive delivery of the dW. 3. Notwitbatun$anything carftfeed in Para r*3(14)of this Agroarneut to to contrary,ft Broker ftU not be entitled to sty ppetlon of a deposit retained by Seller puraoast to PatttV*h(19)and a brokers eonvWssion ahsll be dus ftm the Seller when pdd if dtle ttmifts to the Buyer ltud the M purchase pt*is paid in socardam with this t 4. In wmrdt=with Maeaachusatta law,the eaecu m is undw an oblipe►don to on=*subsequeM offea fimn MspeWve pumbaser;however,the Sda 29=that it WM M acdaveiy advertise ft Pmzise. In the event ttte sailer reoraves a more edvantaF=aB^ac prior to closing,the ScIler shall natib. Buyer ad Buyer shall bavo 48 boors to give notice of Buyer's intation W nWoh said now Offer. 5. Supt aoknowledpas t+mmaipt of a Certificate of Ccimplienoe that imboates that the septic system 30s'vic3np the ro idmw is desigaoti m wci mmodlu a tree(3)bedrooms. In voordanoe with Bowd of Heltlth reguladws end This 5, Je number of bedrooms shall be limited to(3)three. EMU of GIOgWO"M.Ariea by, • Charles B.A&%,E wtftr Ttvcy Fidd Best,Jr.,Fxecaw William Uveis Real Skate Kin&Qrovcr heal Estase by: by. IV/ IV/LV Ii iv-,Li inn ✓vu��..,.vr ... ........�.. -"' _ _. . . 1o/�er�o11 15 29 FAX 50942000755 fa Aeveia Real Estate f�ooe/o10 ADDENDUM B �� �QLfxah Rcrsd.C�lEwil];G MA 1. Ac the brie specified for dOUVI=y of the docd,"aeries'agt N to esceeum all and whMW doattmeats may be ewt=M*or t+eMsonablY required by BWaf Bq's Ijuder or Dopes ails iusum= company. Sonar also xr=to sign an Affidavit in=onlanm with MOL 188. 2. Sellers wa"t that to the beat of hislkwkhair knowledge that theca is no Urea Formaldehyde Fm m Ynsn]atlop CLM on the Prsgoadses. 3. If any errors or omission.am found to have oceutred bi any calculations or llV= ased in the sat wnwt stAtemot sitned by Ov patties(or would have:btu iDeluded if not for any such c=cc omission)aAd notice thereof is given witttiu thirty(30)d4ys of the daft of delivery of the do d to the party to be ch ugh then such party agrees to make a payumt to=recct the error or omission. 4. u.is understood end ag med by the parties that the Predsm shall not be in o mftmity with dtte provisions of the Agreameat unlees: a) aU buildings,sm Um and unproyawnts,including but not litnitod to any driveways,utilities, �1lfg W,septic sysbtad k leaching fields and c esspeols,and all means of acoosa to the IMMMims, shall be loco d completoly within the boundary lines of said pmoJsee ad shall not a=salt upcm or under the pmparty of say other person or entity. b) no building,stmoue of iMMv$Mt of lay kind belonging to any other person or entity shell en mewl upon or under said Prmhea. c) the premises shall abutor havclegal access to a publ .,way.duly out or scooped as suchby ttta Municipality in Wbkh it ii boated. d) ell builftp,stmebm,and improvements are locoed on the Frenis in compliance with all applicable zoning laws and ragulatiou8. e) the Prmni ms are sawed by tnt Wpal neater,or,by a p dvaw well,the quotity and quality of ft water ftml&Md thereby is potable and adegtaffia to serve a single family rWde.naer. f) the Premdeea ate serviced by a n unicipel sower or sr W system which lift wkay within the bouadatiee of the MOW and complies with 'rifle V of the Metdaohumm Ettvin =fttal Coder g}. the complies with all applicable caning laws and reguladons for with rind fishy mddenoe locoed thereon. 3. Hpyar's pedorm rice hmmdsr is canditioncd upon Lido to the ree Wag humble In a sumderd ALTA We iruZnranoe policy issued by a nat mal�r mwg*ed title insar m campaU at normal premium eons (rap9ftg no indemnification doca=Won to be signod by buyer and 1 IV/ Io/tV I I IJ.Lo rMA OV0440VOiJ 1YAI mdYelb Kcal tsLaie • I®010/010 10/18/2011 15,30 FAX 5084290875 Is Ravels Real Estate �010/01a cottt►h*g mly those exceptions which am MOW and pd odiuket U=ptloas so-09 .wdlor amptitms for ftw items petted parrot to pxrWVh4 ofthe main purchase&ul=apmmmt to wb b this rider is weced. 6. r=Bayw end his a shall have the d&of aeooss puria to the time specified fpr delivery of the BeW s deed far tt p Mpaaea of taking meestanet$.Inspecting then condidoaa of Aha ftawism,or showing the pmot so to patmapecnive tnmtgp lendort. Sid d&of a=a sW be eeceplaed only in the pmwm of Sd Ws tepresetrWve, only P1W rawable notice d=W to etr'e repseeowdve and only for a maaon&le number of ditty. 7. The Ptoinim shall be dolWmW to Z"w in brooti saV cooadition free of dot s and$dale 8. S hereby rep=wt and wam that the $dleM have no knowie p noc have ft Sew mcWved any written aodee of takings,aondemnadous or special asaer<atrtents,actual or proposed, with rwped to the Presses,and the Sellers have no knowledge of any HtIptlw or proobedinP, Pending or thtl,MOK agaittat them or nalndt S to the ftaadw. 9. Ak.1 notice;required or pertaduzd to be given hereunder shall be in writing ettd deemed duly given. wbee(1)mailed or r4mW croartifi4 tlret4us mall,rota re fit raquasted►Pam mod► (2)1und delivered,(3)8ent by facsimile,or(4)M by 01+eraISht delivery aen iM addued to the Buyer sad SWlw acted in patxgreph 21. and: 9to ER: If to HUYEIL- St�n►srt k"luuit,k3sy. SwmW K CmWell,Ssq, 336 South St M 99 Wihaw Saw,Suite 1 Hyaanis,MA 02601 Yermolada Fort,MA 02675 Ph: $08-771.1911 Ph:5*3T.k412 Fax:508-790-W Fax:508-3'15-0019. CmmW feat Buyer sad Seller am expressly authorized m sip extmiane and the like an bdWf of their reapOcpive clianW CJ'YFrtIV SELLER Tax m#: 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 107167 V Map Parcel Application # Health Division Date Issued ill Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �c 3136h0 Historic - OKH _ Preservation/Hyannis Project Street Address 28 Great Marsh Road Village Centerville Owner Charles Aries Address 28 Great Marsh Road Telephone 5os-77 5-067 7 Permit Request install 160 s g ft of R-23 to open attic space, 1 1204 ft of Class I CelluloGe to exterior walls, 192sg ft of R-19 to basement ceiling. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1995 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil 0 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# C> Current Use Proposed Use M 6 to APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - - ....E Name RTRF Fngi neeri ng Telephone Number 401-784-3700 Address 1341 Elmwood Avenue Cranston, RI 02910License # 100459 Home Improvement Contractor# 1 2ng79 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2125/10 Erik Ner. tbeimer for RISE Engineering FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE f�Y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 0 '7 2-4)lohk- v DATE CLOSED OUT ASSOCIATION PLAN NO. I r The Corretraonw'ealfh of Massachmsetts, Department of Industrial Accidents �Qf�ce of Investigations .600.,Washington.street Boston,'MA 02111 U ➢wwmMass.govIditll worke>rs9 COMPensation Ins 6ranee'Affffnd2vfte �llllIl➢dl�r�/(C®nt>r�et®r�/]E➢���>rIl�➢�>m�/]��au»>rnl��>r� A ➢ileant information Nerse P>r>int Le N� Name (Business/organization/Individual): RISE Engineering; A Division of Thielsch Engineering Address: 1341 Elmwood Avenue City/"Mate/Zip: Cranston, RI 02910 [ Phone #: 4011784-3700 or 1-800-422-5365 Are your an employer?Check the ap"ropriate box: - " Type of project(required)? 1.® I am a employer.with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction - 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet, 1 .7. ❑ Remodeling , ship and have no employees These sub-contractors have 8: [] Demolition working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. El We are a corporation and its 9, [] Building addition _ required.] officers have exercised their 10.F] Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions .myself. [No workers' comp. c. 152;§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp insurance required.] 13:0.Other:lnsula c ion Any applicant that checics box#7 must also fill out the section below showing their workers'compensation policy utforrriation. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I art an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site-,. information. Insurance Company Name: The Preston Agency Policy#or Self-.ins.Lic. #: WC2—Z11-259874-019 Expiration Dater 04/01/ 10 ` Job Site Address: r , 1� ILGi City/State/Zip: * ) Attach a copy of the workers' compensation policy declaration page(showingthe Policy number P Y and'expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of. . Investigations of the DIA for insurance coverage verification. I do hereby cert�o unddJ6 the ins an :penalties of perjury that the information provided above is true and correct. 4f.., � Sl nature: " ] Date: � 1 �. 0 Erik .Nerstheimer for, RISE Engineering Phone#: 401-784-3700 or i-800-422-5365 . Ext. 133 Official use only.' Do not write in this area, to be completed by city or town off, . City or'Town: ,t )Permit/License --------------------- # W 4•.,, Issuing Authority(circle one): 1.Board of Health 2. Building Department 3:City/Town'Clerk' 4'.Electrical')<>ins 6.Other pector.5.Plumbing Inspector . Coautact Person: Phone#: rage 1 oI 1 #� The Official Website of the Executive Office of Public Safety and Security (EOPS) t 4 Mass.Gov Home rubliC Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 . Status Current No complaints found for this Licensee. Back To Search Board of Building Regulations and StandariN. - License or registration valid for individIul use only HOME IMPROVEMENT CONTRACTOR before the.expiration date. If found return for 1 Registration 120979 Board of wilding Regulations and Standards' Expiation 3.25/2010 , One Ashburton Place Rm 1301 F Type__Svpplement Card ^t?str3jl hfa.02108 - — iIELSCH ENGINEERING t� y ZIK NERSTH Ell,IMER_ 41 ELMWOOD.AVE 2ANSTON, RI 02910 �. Admin.istl ltor { — -- --- i... i Not valid without sign tyre i, http-.//db-state.Ma'us/dps/licdetails.asp?t)CtSearchLN=CSL 100459 F aRD CERTIFICATE OF LIABILITY INSURANCE oPiD�2Z7 �0"ATE(MWDD/YYY1�PRODUCER - THIO 15 09 1 The Preston Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF BPIF 14- 0 IO 1350 Division Rd Suite 303 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 810 HOLDER.THIS CERTIFICAff DOES NOT AMEND,EXTEND OR c East Greenwich RI 02818-0810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW - Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE INSURED NAIC# INSURER A gartEo:y Undet+►ritera Ins. Co Thielsch Engineering, Inc INSURER e: Hartford Casual T..�,,.Y,..,e Thielsch Group Inc. casualty co - H1 Tech Realty Inc. 4 INSURE KR LibertyC: Liberty mutual insuranceGrote' 195 Frances Avenue INSURER D: North�Anmker�jicaanCranston RI 02910c1. COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MW AM LTR INSRI TYPE OF INSURANCE POLICY NUMBERKIDDIM DATE LIAITS y GENERAL LUIBIUTY EACH OCCURRENCE $1,OOO,OOO A X COMMERCIAL GENERAL LIABILITY 02DUNTD5678, 04/01/09 04/O1/10 PREMISES aoccwmce $300,000 CLAIMS MADE OCCUR MED EXP(Arty one Person) $10,000 " PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,OOO,OOO GEML AGGREGATE LRD-IMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,OOO,OOO POLICY $ ECT LOC AUTOMOBILE LIABILITY Emp Hen• 1,000,000 B X ANY AUTO 02UENTD4850.F 04/01/09 04/01/10 COMBINED SINGLE LIMIT (Ea accident) . $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS ` BODILY INJURY $ (Per Person) HIRED AUTOS .'. .NON-OWNED AUTOS BODILY INJURY (Per acdderd) $' PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO � - „. OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY B X OCCUR CLAIMS MADE 02XHUUF6573 EACH OCCURRENCE $10,00O 000.. 04/01/09 04/01/10 AGGREGATE $10,000,000 RDEDUCTIBLE $ X RETENTION $10,00O $ WORKERS COMPENSATIDN AND $ C EMPLOYERS'LIABILITY ANY PROPRIETORlPARTNERIEXECUTIVE �2-Z11-259874-019 04/01/09 '04/01/10 E-LEACHACCIDENT $SOO,000 OFFICER/MEMBER EXCLUDED? If yes,describe urK►er E.L.DISEASE,EA EMPLOYE $5O0,OOO SPECIAL PROVISIONS below OTHER EL DISEASE-POLICY LIMIT $500,000 D Professional Liab DVL000025902 04/13/09 04/01/10 Prof Liab 2;000,000 A Leased/Rented E 02UUWM5678 : ,` = 04/O1/09 04/O1/10 g DESCRIPTION OF OPERIATKNiS!LOCATKMiS/VEHK LES!EXCLUSgNS ADDED BY EN SPECIAL!SPECIAL PROVISIONS t 1 OO OO O *Except 10 days for nonpayment of premium, Holder is included as an additional insured when required by a'written contract with respect to•the General Liability coverage. CERTIFICATE HOLDER CANCELLATION TWNQAKB SHOULD ANY OF THE ABOVE DESCRIBED POUCIEs BE CANCELLED BEFORE THE EIIPIRATON DATE THEREOF,THE MSUNGNUMMINILL ENDEAVORTO MAIL *30 DAYS WRITTEN M0710E TO THE IERTFI CATS HOLDER NAWE0 TD THE LEFT,BUT FAI IM TO DO SO SHALL flIPOSE NO OBLIGATION OR LIABNJTY OF ANY KIND UPON THE WKW&K ITS AGENTS OR REPRESENTA71111E8. .. AUI11101q�D L-T—CO—RD252001[OS) _ t ©ACORD CORPORATION 1 Also for, RISE Engineering, a division of Thielsch Engineering, Inc. Gaskell Associates, a division of Thielsch Engineering, Inc. .' BAL Laboratory, a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch.Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering, inc. Water Management Services, a division of Thielsch Engineering, Inc. ... IA � _ r RISE ENGINEERING Q deral ID u 05-0405629 Contractor Registration No 8186 A division of Thielseh Engineering Contractor Registration No 120979 Contractor Registration No 620120 g 1341 Elmwood Avenue,Cranston,RI A N 1 9 2010 g r (401)784-3700 FAX(401)7 3 ONTRACT _ age ; • ,., RI - "' iS CONTRACT IS ENTERED INTO BETWEEN RISE - ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Chem# Charles E Aries r (508)775-0677 01/14/2010 107167 SERVICE STREET - BILLING STREET - 28 Great-marsh Road 28 Great-marsh Rd SERVICE CITY,STATE,ZIP BILLING CITY,STATE,LP - Centerville,MA 02632 Centerville,MA 02632 . JOB DESCRIPTION RISE Engineering will provide labor and materials to install a 7"layer of R-23 Class 1 Cellulose added to 160 square feet of open attic space.. 160.00 RISE Engineering will provide labor and materials to install blown in Class 1 Cellulose to 1120 square feet of exterioi walls with wood or vinyl siding.Touch-up painting,if needed,will be the customers responsibility. Invoicing will occur upon completion of installation. Subsequent to your payment,as an added service,RISE Engineering will return when weather permits to check for any voids with an infrared scanner. Any major voids that may be found will be filled at no additional cost. $1,624.00 RISE Engineering will provide labor and materials to install 192 square feet of R-19-faced fiberglass insulation to the basement ceiling. 'g g � P 4 g $211.20 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible - measures,the Cape Light Compact offers 75%incentive,not.to exceed$2,000 per calander year. -$1,995.20 WE AGREE HEREBY TO FURNISH SERVICES•COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ` ***00/Dollars $0.00 h UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY r UNPAID.BALANCE AFTER SO DAYS SEE REVERSE FOR IMPORTANT.INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION., i'• ^ -0O NOT SIGN THIS CONTRACT IF THERE ARE AY B,L9N�NK SPACES A O D SIGNATURE'-RISE ENGINEERING - ,,•'` CUS R AC`CEPTANCE �JOTEi TH_$ANTRACT MAY BE WITHDRAWN BY.US IF NOT EXECUTED WITHIN , DATE OF ACCEPTANCE l '� • ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE _ SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK , AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE 1J�..... TOWN OF BARNSTABLE ���Eti Building Application Ref: 200805259 • BARNSTABLE, * Issue Date: 09/19/08 Pe■ • • �t 9 MASS �A 163 Applicant: STEVE L KADY rF�MAC s Permit Number: B 20082057 Proposed Use: SINGLE FAMILY HOME Expiration Date: 03/19/09 Location 28 GREAT MARSH ROAD Zoning District RC Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 230005 Permit Fee$ 25.00 Contractor STEVE L KADY Village CENTERVILLE App Fee$ 50.00 License Num. Est Construction Cost$ 3,500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMOVE&REPLACE 10'OF 2 FLUE CHIMNEY THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY:IS REQUIRED,SUCH Owner on Record: ARIES,GENEVIEVE M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 28 GREAT MARSH'ROAD INSPECTION HAS BE ABE: CEN•fERVILLE,MA 02632 Application Entered by: DB Building Permit Issued By: THIS"PERMIT CONVEYS NO:RIGHT_TO OCCUPY<ANY STREET,ALLY OR SIDEWALK O..R ANY.,PART THEREOF,EITHER TEMPORAV Y OR PERIvIANEiJTLYi ENCROACH EMENTS ON PUB PROPERTY,:NOT.SPECIFICALLYTERMITTED, DER THE BUILDING CODE;MUST BE APPROVED BY THE'JURISDICTION. STREET OR ALLY GRADES-AS-WELL AS DEPTH.AND LOCATION OF PUBLIC SEWERS MXY,BE OBTAINED FROM THE`DEPARTMENT-OF PUBLIC WORKS.,:; THE ISSUANCE OF.THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF,ANY;APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&.PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set.forth in MGL c.142A). NIZ BUILDING INSPECTLON.AP.PROVALS. ___PLUMBING.INSPECTION APPROVALS LL ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 Heating Inspection Approvals Engineering Dept [Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Parcel. �,Application Health Division Date Issued Conservation Division ;-,Applibation Fee A Planning Dept: r� ..Fermit Fee Date Definitive;Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street Address i T kq?sh Village iw Owner Address Telephone � Permit Request REP4ar- I L, (I C 1�tcz 0 Square feet: 1 st floor: existing—proposed 2nd floor: existing proposed Total new Zoning District. Flood Plain Groundwater,Overlay Pro ject Valuation s Construction Type Lot Size Grandfathered: LJ Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family `Q Two Family LJ Multi-Family (# units) Age of Existing Structure Historic House: L3 Yes LJ No On Old King's Highway: J Yes Lk No Basement Type: Q Full LJ Crawl LJ Walkout U 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 qeat Type and Fuel: L3 Gas U Oil Ll Electric 0 Other Central Air: LJ Yes L] No Fireplaces: Existing New Existing wood/coal stove: L3 Yes LJ No Detached garage: LJ existing L) new size_Pool: LJ existing 0 new size Barn: J existing LJ new size Attached garage: LJ existing Ll new size —Shed: U existing Ll new size Other: Zoning Board of Appeals Authorization L] Appeal # Recorded Ll Commercial Ll Yes Q No If yes, site plan review# Current Use.- Proposed-Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number , bs 44 _SCQ Address V13 License# feA It% a,),S9 I Home Improvement Contractor# Worker's Compensation # —(3(;1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ti FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. F ADDRESS VILLAGE OWNER f DATE OF INSPECTION: FOUNDATION t - FRAME Al - .. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL + 1 FINAL BUILDING d a DATE CLOSED OUT ASSOCIATION PLAN NO. Th-e Commonwealth of Mcassachccset-ts Department of lndustria[Accidents Office of lnveastigations 600 Washington Street ROsto71, �IA 02111 www.mass,.gov/dia Workers' Comp ens ation Xusurauce Affidavit: Builders/Contractors/El ectddans/P.lumbers Applicant EnformatiMa Please PrintL6dbly Name (Bus iness/OrganizatioDflDdMdwd): � 1 l _ Address City/Statc/Zip: Are ou ari employer? Check the appropriate box. Type of piroject(required): 1. l am a employer with— 4. ❑ I am a general contractor and I 6 ❑.Kcw construction employees(frill and/or part.tzmc).* havc hired the 5ulrcouhactors 2.El am a sole proprietor or partnez- Jistcd on the attached shcpt 7. ❑ Remodeling ship and have no employees These sub-contractors havc g, ❑ Demolition czaployccs and havc workers' working for me in any capacity, t 9. ❑ Building addition co�•emu`nce. [No workers' l{TCLrp, IncitranGC requirj 5. ❑ We arc a corporation and its 10_0 Hlcctrical rcpaus or additions 3,❑ I am a homeownez doing all work officers'havc exercised thciz l l.❑Plumbing repairs or additions uaysclL[No workers' comp. right of exemption per MGL 12 ❑Roof repairs msurancr-re -]t c. 152, §1(4), and we havc no 13.❑ Other cmployecs. [No workers' comp.insurance zcgtaimd] *fwy #1 must also NO out the section below showing their warkas'coropnuRiion potiey infamration_ t Homeowners who submit this affidavit indicating ibey arc doing al)work and then Iurr outside cant-Er-tom must submit a nm affidavit indicating such. #-rntractou that cbeckthL box must attached an additional&beet showing the name of the sub-�traetors and state whctha ar not thosd catitics havc anployea. If the sub-contractors havc enjp)oycca,they must pra-vi db their workers'comp,poll cy n=ber. I am an employer aaf is providing workers' compensation insurance for my emplayees. HP-Law is the policy and jab site information lanu-ancc CompanyNamc: Policy#or S elf-ins. Lic. #: Ie 13�.( Expiration D ate: Job Site Address: 156 Gyrrh4?S� City/State/Zip, CCo��VI)�� {�/} Attach a copy of the workers' compensation policy declaration page(showing the policy aumber and expiration date), l?allure to scmiFc coverage as rcqu rcr_1 undcz Section 25A of MGL c, 152 can lead to the imposition of rriinal pmaltics of a 5nc up to $1,500.00 and/or onc-year imprisonment, as well as civil pcnaltirs in the form of a STOP WORK ORDER and a fmc of up to$250.00 a day against the violator: Bc advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA-for Wi ME'a cc coverage verification. ` I do hereby certify u the.pains-and pcnal6rz of perjury that the information provided a-borve Ls true anal correct. Datr: Si ature: — Pbonc Off�cw use only. Do not write in this area, to be conTWad by city or town.,offrciaL City or Town: Permit/License# Issuing Authority (circle one); 1. Bozrrl of Health 2.Building Department 3, City/Towu Clerks 4,Electrlcal Inspector S.Plumbing Inspector 6, Other Contact person: Phone#: Massachusetts General Laws cbaptcr 152 requires all employers to provide workers' compensation for their croployecs: pursuant to this statute, an employee is dcfncd as "._.every person in the service of another under any contract of hire, express or implied, oral or written." A.n employer is defined m ,an u?dividuA partnership, association corporation or other legal entity, or any two or more of the foregoing_cagaged in a joint enterprise, and including the legal represcutativcs of a deceased employer, or the ccccivcr or trustee of an.individual,pastaerslup, association or other legal entity, employing employees. However the owner of a dwolling house having not more than three apartments and who resides therein, or the occupant of the 1wclling house of another who employs persons to do maintenance, construction or repair work on such dwelling house )r on tb.c grounds or building appurtenant thereto sha-1 not because of such employment be deemed to be an croployer." v6GL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or enew license al of a or permit to operate a business or to construct buiIdisrgs in the commonwealth for any cppIicant v.ho has not produmd•acceptable evidence of compliance with the insurance coverage required." �dd.itionaIly,MGL chapter 152, §25C(7) states 'Neither the commonwealth nor any of its poligcal subdivisions shall ;ntcr into any contract for.the performance ofpublic wor3c until acceptable e R evidcnec of compliznc2th the in-rsance cquircm,ats of this chapter have been presmuted to the contracting authority.' applicants lease fill out the workers' compensation affidavit completely, by chrcking the boxes that apply to Your situation and, it r- c sary,supply crib--cantiactor(s)name(s), address(cs) and phone numbers) along with their ccrtihcate(s) of rsurance. Limiird Liability Companies (LLCM or Limzted Liability Partncrsbips (LLP)with no employees other than the Lumbers or partnci-s, arc not required to carry.workers' compensation incinance. If an LLC or LLP does have nployecs, a policy is required. Be advised that this affidavit may be submitted to the Dcpastmcnt of Industrial ccidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit the affidavit should rctumr-d to the city or town that the application for thn pcm=it or license is being requested, not the Dcpartrnent of id:rstrial Accidents. Should you bavc any questions regarding the law or if you arc required to obtain a workers' Lmpcnsation policy,please call the Department at the nurzlber listed below. Self-insured companies should cuter thnix if-junn-anr,o liecmr,number on the appropriate lion. ity or Tower Offirisis. case bo sure that the affidavit is complete and printed legibly The Dcpa:r mcnt has provided a spacc at the bottom tho affidavit for you to fill out in the cvcat the Office of Invcsti.gations has to contact you regarding the appJicant case be sure to fill in the permitlliccnso number which will be used as a rcfcrcncc numb cr. .In addition, m applicant it must submit multiple pormit/liccnse applications in any given year, nr, d only submit onp affidavit indicating euaent Ley information(if necessary) and under"lob Site Address" the applicant should write"all locations in (city or Nn)."A copy of the a$idavit that has boon officially stamped or marked by.the city or town may be provided to the plicant as proof that a valid affidavit is on file for fuhrrc rm peits or licenses. A new affidavit.must be filled out cacti rr.Whero a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture a dog license or penult to born leaves etc.) said person is NOT required to eompletr this affidavit c Office of Investigations would h7c,to thank you in advance for your cooperation and should you have any questions, ase do not hcsitata to give us a call Department's address, tcicphone•and fax number. The Commonwealth of Massachusetts D cpa>;tmmt of Ladust ria-1 AGCT d(-,}lt5 Offs e of Investigat ans 604 WasEngtGn Street Boston, MA 02111 Tel. # 617-727--494.0 cxt 4.06 ar 1-V7-IvMAS-SAFB Fax# 617-727-774� 11-22-06 vm-w.mass.gov/dia 671-1ID 0 Board of Building Regula ons and Stan �ars One Ashburton Place Roomi 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: '126014 Type: individual .I e Expiration: 4/8/2010 T 265049 STEVEN KADY STEVEN KADY PO BOX 493 FALMOUTH, MA 02541 f} Update Address and return card.Mark reason for change. )PS-CA1 is 5OM-07/07-PC8490 Address Renewal 0 Employment Lost Card ��ie �i o�n�Yto�l'uuecz��t �y BOARD OF BUILDING RE�G c ;License: CONSTRU ULATIONS CTION SUPERVISOR f i Number CS 059847 Birthdate 101034956 �( Ezp res 10/0312 08 Tr. no 4232 0 Restrict& 1A� �I ? STEV.ENL KADY }� �� '' r ly I POBOX493 � y°`, �� \ FALMOUTH,_MA 02541�w Commiss)oner....< �y' ° TNE r " Town of Barnstablebl , e Regulatory Services ELA RN LX'� Thomas F. Geiler, Director prFo �a Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section . If Using A wilder a as Owner of the subject property hereby authorize /C��y to act on my behalf, in all.matters relative to work authorized by this building permit application for: `40 0 (Address of Job) Signature of Owner Date C A& Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. ' r Town of Barnstable op'tHE r � Regulatory Services iaxxs7ws Thomas F. Geiler,Director MAS& $ Building Division prFD � Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 Rrww.town.barnstabl e.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeODVMers"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be ' responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section I og.I.I -Licensing of construction Supervisors);provided that if the homeowner engages a persons)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 hdshe 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 fomr/certification for use in your community. l Assessor's map, and ;lot number � a 3 0I t I SEPTIC QYS 'I INSTALLED IN GOMP AMCE: T Sewage .ermit'numlier . � :. , �L` }r'IT � 'O' H AbRT�C;#� II„Sr TE SANITARY C Q VIM ' 'vQCFTHEtO 1µ? �: < TOWN OF BARN Y j BAflB�TALL ...� y IAA8S. a y GOp�Ix OMpY �•° -{ D.UILDING INSPECTOR a r AP,PLICATION''FOR"11PERMIT TO .... . { ,. ./ ' ... ...6=l u.�..!.f..G.:d ..�l.J 1........ TYPE OF CONSTRUCTION ............1. ..�......!.. ... ........ .. ................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for�a permit according to the following informat' n: Xp/y� �j Location .......�(/.......... .� .�. .......�/.(..... ... / //�� 1��4 / /Proposed Use 1. ll�l�L !�'...�.. 1...... ... ........�.:,�......�.......�..`�....� ...................... Zoning District ..... r...........�........ ................. ...........Fire District .. �� . .... ........ 4 L .......... .... . ...... Name of Owner �... ..� .:C . ..... ........Address ... ��! �CL ...... .......... Name of Builder ..d.... G!l%�l-�. f. .................. ..............p.. lL/ .... .:y ................Address �. ...................... . ..... .. ... . ..�... Nameof Architects ...........Address............... ..................................... ........................ ........................................................... Number of Rooms ....... .. .............._. ...............................:......'Foundation. ........ Exlerior ............... . . .. . A . ..............................................Roofing ........... .. . ... .......... : � p Floors ........... . ..l . .. ... . .��...... .... G!... Interior ......................................... ...... :.�7�r.� �7j .... ............Plumbin ........ /..�C�i G. rieating � g .�f .�� ................................ Fireplace �C v ................:. .........:.......Approximate Cost ..............`.. .....� .................... Definitive Plan Approved by Planning, Board --------------------------------19________. Area .Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH $T/,v 6 �1 3° "Q0 10 hereby agree to conform to all the Rules and Regulations of Town of Barnstabl r garding the above construction. Name .st/r�l�� �� ..1-��!�G �. .......................... Luke, ,Dr. William 17931 add to single No ................. Permit for .................................... family dwelling . ................................................................................ 28 Great Marsh Road Location. ................................................................. Centerville .................................... e- Owner Dr. William Luke ............ frame Type-c4,Construction ........................................... . ................................................................................ Plot ............................ Lot .......... ..................... 75 Permit Granted ........Sr-p.Ieab&r..9........ig C Date of.Inspection ...... .. 1 Date Completed .........................19 OERMIT,REFUSED .................................... . —19 ........................... ......................... ...................................................... .. r. ............ ...................................................... ................ ............................I ......................... 10 ................................................................................ 'App[ove&..,.'%--I.......................................... 19 ............................................................................... ............. ............... .......... ............................. ..... ........ Assessor's. map• and lot number �.............�............. . Sewage Permit number "`...`'.'. ?l TOWN OF BARNSTABLE �pF THE . i Z B,HBSTLELE, "6 9Ar. y RUI-PING INSPECTOR a �n APPLICATION FOR PERMIT TO .... /.... /n, .....� r �i//T l r� TYPE OF CONSTRUCTION l r-'y-r^�GGi ''' ..�.�,,Er. ��h.i ..................... ......................... 7.- ... . .. 19........ TO THE INSPECTOR OF BUILDINGS:. The undersigned hereby/applies/for a permit according to/the /foollowing information: / /', Loctation .......�7 ...... l.Grc.T,,....`� .. /fir�1... / i�l. .!?.... f: sf� .......v:5.1.cl/..... .../ ,. ...... ................... y.. ... ...... .. ... Proposed Use ! 1I'r/�.... /r�/ir!�. / r...../C:! l /�... ../I l<hf(r/... `��G �;�...................... .... .... Zoning District ..... �t " ' ..... .....Fire District �..:�1`�.!....... Name of Owner •��'�!'lT� �.��sa/ r �i r� �I �%1�/��.t �!!„�....,�y...i...........�.. .�..../...............................Address :�.......�....... ........ ................ Name of Builder .. / .lG ll ................Address `1`.�' /. � �............ .. . Nameof Architect .............. !.�.....�.....:...............................Address ..................::.... �...`L: ........................................... f Number of Rooms .......... .......................................................Foundation .. .,,1'T�• !. ............................................ Exterior .......././.....: .... .. .....................................Roofing ......... y ................... ................. l.. �l`TJ. ,/ i Floors .................:. .........:•......:.:.....,..... �� .... ......`....-:Interior .................... ..... ................................................ f ,� f -- Heating ........... /.... .�:...G�.':�.:.....�. ...Plumbing ........., ;��f %1 .. ...................................... ...... Fireplace ...................... � ..........APProximate Cost` ........... Definitive Plan Approved by Planning Board -----------------------_--------19________, Area :��:.-�.7... ........................ Diagram of Lot and Building with Dimensions Feel................ . .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH s 6 19z�0I7/ a ry I 30 CIA I hereby agree to conform to all the Rules and Regulations of 'he jown of Barnstable regarding the above construction. Name . ..... .......................... Luke, Dr. William A=230-5 17931 add to single* No ...*............. Permit for. ................................. .. family dwelling ........................................................... ............ ...... Location ........2.8..Great. ..Ma.r.sh..Ro. d... ............ . . ...... .. .... . .... ..... .. Centerville ............................................................... ............. Owner .......Dr.. William Luk...e..... ................... . ..... ....... Type of Construction .................ffame............... ................................................................................ Plot ........................ Lot...... ...................19........... z - Permit Granted .......Sep ber. 9 75 ....... .................... Date of Inspection ....... ............................19 Date Completed ...... ...............................19 E P RMIT REFUSED .......... .......... ...................................... 19 ..... ....... /P RI.......... ..... ...................... ........................................................ .......................................................................... ............... .............................................................. ............ ................................................ • Approved//!./****` .......................... ..... 1'9 rl 1) ............................................................................. ................... ...........................................................