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HomeMy WebLinkAbout0130 HIGHLAND DRIVE fIImom IIMom Kul PO fig IIIIAug 1 IIIU, II"log I IIIIall my, 00; 01 a Z, 4�1519 Nigh owl Imot IMoo ,4 Ax t1551 Mo Mal M,Q%15 61--Mal Ilooks STM50041 Imile MI I -i:Alit 0 q%gorm,"IV N WE "Of lot U it;..........I E, Ni 0 two R R, Ilcosts W I &W IIMIND 050 WINK mot vivo IIgnu , r,ZEMBIM W 0 Mungalf, IN TWWj loom - I -(.,' ,, ,Mo y Ito WE WAA OR jursom g Ihim, TA IN m ItCA Z I&W=_Smays: EMMA Q , 4 II,low II Roil MI AH I log IV IENO,N I Jul pan ItNMI II.......... i Date: May 10, 2018 To: Building File RE: Work without a permit Address: 130 Highland Drive,Centerville Originator: Lt. Michael Grossman,C.O.M.M. Fire Dept. Complaint: This property has been completely renovated without proper permits.See attached documents from listing.The closing for this property is on May 18th according to the Fire Dept. Enforcement Process Steps LJ 1. Initiate local investigation: Bob Mckechnie 2. Document/enter into system 3. Contact 4. Property Owner LIBBY AND CHARLIE COLLEGE FUND LLC 5. Seek access to subject property 6. Seek administrative warrant(if necessary)NA 7. Notify state authorities of findings NA 8. Document conclusion Closed 9. Referred Building 10. Stop Work/Cease& Desist Order Single family home is being sold.The property was purchased by an LLC last year(no FD inspection conducted). There is a 3 bedroom septic. A Building permit in file shows from 1994 shows 2 bedrooms. C.O.M.M. Fire reports that the work on the property is'just finishing up'. See attached documents. Listing notes—'completely renovated from top to bottom'. No recent permits on file other than residing,windows,and doors. C.O.M.M is concerned they may have changed the alarm system. He will update his findings after his inspection of the property. C.O.M.M.updated us 5/10/18 after their inspection: Michael Grossman found property to have all . cosmetic work no issue here. Not hardwired work. Battery operated alarms. 130 Highland Barnstable, MA 026,30 . . ... J11 ` Y beds 2 baths i 1,6 s Completely renovated) from top to bottom. You wvill.love this maintenance free home. You have just found your dream home in this 3 bedroom 2 bathroom ranch. Great. room concept with the kitchen and living room blending to offer a great family or entertaining space. Vaulted ceilings in the living area and raster suite.. Large custom kitchen island. Granite counter tops, custom cabinetry by one of the Capes' best cabinet designer and manufacturer. Just a short distance to several south side beaches and to Hyannis for restaurants and entertainment. large first floor master suite with huge walk-in tiled shower. Faster suite has french doors which open to you private deck and fully fenced yard. Winter - time? dozy up in front of your fireplace or invite friend's and family over to dine. Large finished room in the basement for kids play area or many other.uses. _130 Highland D Barnstable, MA 02630- beds 2 bathsi. 1,660 sqft Completely renovated', from top 'to bottom. You will love this maintenance free home. You have just found your dream home in this 3 bedroom 2 bathroom ranch. Great room concept with the kitchen and living room blending to offer a great family or entertaining space. Vaulted ceilings in the living area and raster suite. Large custorn kitchen island. Granite counter tops; custom cabinetry by one of the Capes' best cabinet designer and manufacturer. Just a short distance to several south side beaches and to Hyannis for restaurants and entertainment. Large first floor master suite with huge walk-in tired shower. Faster suite has french doors which open to you private deck and fold- fenced yardl. Winter time? Cozy up in front of your fireplace or invite friends and family over to dine. Large finished room in the basement for kids play area or many other uses.. r v. �� This home has a pending offer. Fil it WWII- i a i rp, i bw Ir. it 4 1 � 1 r. �u K r "^, , / �h'�.,1S��g � � � �f � y.Y . }� �,1,r • .,.. .-� It Y,��J�1111 ��� � II, /'T 6 _ ._ ._.. _.. .. _. _ :z �. }� __. � - .,_ �..� a i ,�;. ��� ,�' �� i nis nome nas a penaing orrer. ry t _ r i i a� 1 t f ' Mass. Corporations, external master page Page 1 of 2 � ey William Francis Galvin Secretary of the Commonwealth of Massachusetts P 7 A 5 Corporations Division Business Entity Summary - ID Number: 001292433 Request certificate New search Summary for: LIBBY AND CHARLIE COLLEGE FUND, LLC The exact'name of the Domestic Limited Liability Company (LLC): LIBBY AND CHARLIE COLLEGE FUND, LLC Entity type: . Domestic Limited Liability Company (LLC) - Identification Number: 001292433 Date of Organization in Massachusetts:' 09-26-2017 :Last date certain. The location or address where the records are maintained (A.PO box is not a valid location or address): Address: 11 PERCIVAL DRIVE City or town, State, Zip code, WEST BARNSTABLE, MA 02668 USA Country: The name and address of the Resident Agent: Name: PATRICIA A. HART Address: 11 PERCIVAL DRIVE City or town, State, Zip code, WEST BARNSTABLE, MA 02668 USA Country: The name and business address of:each Manager: Title Individual name Address MANAGER PATRICIA A. HART: 11 PERCIVAL DRIVE WEST BARNSTABLE, MA 02668 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with'the Corporations Division: Title Individual name Address The name and:business address of the.person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address http://core.sec.state:ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=00129243'3&... 5/10/2018 Mass. Corporations, external master page Page 2 of 2 REAL PROPERTY I PATRICIA A. HART 111 PERCIVAL DRIVE WEST BARNSTABLE, MA 02668 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: LALL FILINGS Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment u View filings - Comments or notes associated with this business entity: New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001292433&... 5/10/20118 i MA SOC Filing Number: 201755724270 Date: 9/26/2017 2:15:00 PM :- � The Commonwealth of Massachusetts Minimum Fee:$500.00 . . William Francis Galvin Secretary of the Commonwealth,.Corporations Division Ig One Ashburton Place 17th floor 1. Boston,MA 02108-1512 Telephone: (617)727-9640 Identification Number: 001292433 1. The exact name of the limited liability company is: LIBBY AND CHARLIE COLLEGE FUND:LLC 2a. Location of its principal officer No. and Street: 11 PERCIVAL DRIVE City or Town: WEST BARNSTABLE State:MA Zip: 02668 Country: USA 2b. Street address of the office in the Commonwealth at which the records will be maintained: No. and Street: 11 PERCIVAL DRIVE City or Town: WEST BARNSTABLE State:MA Zip: 02668 Country: USA 3.The general character of business, and if the limited liability company is organized to render professional service,the service to be rendered: TO ACQUIRE REAL ESTATE AND TO CONSTRUCT THEREON, TO RENOVATE AND REMODEL RESIDENTIAL AND COMMERCIAL STRUCTURES AND TO RENT,LEASE AND SELL THE SAME, AND TO UNDERTAKE ANY OTHER VENTURE ALLOWED UNDER THE LAWS OF THE COMMO NWEALTH OF MASSACHUSETTS TO BE CARRIED ON BY A LIMITED LIABILITY COMPANY. �I 4. The latest date of dissolution, if specified: 5. Name and address of the Resident Agent:; Name: PATRICIA A.HART No. and Street: 11 PERCIVAL DRIVE City or Town: WEST BARNSTABLE. State:MA Zip: 02668 Country:USA I, PATRICIA A. HART resident agent of the above limited liability company, consent to my appointment as the resident agent of the above limited liability company pursuant to G. L. Chapter 156C Section 12. 6.The name and business address of each manager, if any: Title Individual Name Address (no Po Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code MANAGER , PATRICIA A.HART 11 PERCIVAL DRIVE WEST BARNSTABLE,MA 02668 USA 7�1-he name'and business address of the person(s) in addition to the manager(s),authorized to execute documents to be filed with the Corporations Division, and at least one person shall be named if there are no '. managers. Title IndividualName Address (no Po Box) _ I First,Middle,Last,Suffix Address,City or Town,State,Zip Code 8. The name and business address of the person(s)authorized to execute, acknowledge, deliver and record any recordable instrument purporting to affect an interest in real property: Title Individual Name Address (no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code REAL PROPERTY PATRICIA A.HART 11 PERCIVAL DRIVE WEST BARNSTABLE,MA 02668 USA 9.Additional matters: ?9 SIGNED UNDER THE PENALTIES OF PERJURY, this 26 Day of September,2017, ' PATRICIA A.HART (The certificate must be signed by the person forming the LLC.) ©2001-2017 Commonwealth of Massachusetts All Rights Reserved MA SOC Filing Number: 201755724270 Date: 9/26/2017 2:15:00 PM THE COMMONWEALTH OF MASSACHUSETTS I hereby certify that, upon examination,of this document, duly submitted to me, it appears that the provisions of the General Laws relative to corporations have been complied with, and I hereby approve said articles; and the filing fee having been paid, said articles are deemed to have been filed with me on: September26, 2017 02:15 PM WILLIAM FRANCIS GALVIN Secretary of the Commonwealth Town of Barnstable *Permit Building Department Services Fxpires6mof ejromissuedate BAMSTABM : Brian Florence,CBO AAS. 16yg. ♦� Building Commissioner U rFD Mpt�� 200 Main Street,Hyannis,MA 026ft 92 lip www.town.barnstable.ma.us Office: 508-862-4038 Fax. � 90-6230 �(�PP������jjrr_Nov 132017 EXPRESS PERMIT APPLICATION - RESID_ "T� , i a Not Valid without Red X-Press Imprint Map/parcel Number Property Address ^ Residential Value of Work$ CEO n v Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Ltb►� Contractor's Nam b TW —4Aelephone Number �7Y y'32 Home Improvement Contractor License#(if applicable) %S yG yU 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 i Insurance Company Name /: Workman's Comp.Policy# `74, 8 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 . ❑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: 3 *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 a Home Improvement Contractors License&Construction Supervisors License is req 'r SIGNATURE:. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 08/16/17 EThe Cori womweah*gfMassa&uetts Department cr,f ludlas d Acciden Boston,AA 02111 wim-Unlasss gavIdia WarI;;, & Qnl ensaftan I==ce AfFdTav&Bagder-s/CunfrartarsMecfricians/Plumhers � fAppli�tWkmaf nn /) Please Pxint Le 1V �hl`p a= usfi Pecng - C`P� (Gj 0,,�K>'C n &j,,SjAPtn Addre= City/SiatMM- Phones r G Are you an employer?Checkthe appropriate bo= ' Type-of project r L lJ I am a 1 via 4_ ❑I am a beneaal contractor and I Yl� e ] t egicn employees(fiall anandfof part-time).* Bare lvreri*a su�r�ontractom 6_ ❑R, �io4 2.❑ I am a sole proprietor orpartuer- Usted onthe-attad ed sheet.. �- ❑Rr-todeling ship and have no employees These sub-conRractors have U❑Deemlifiou worlang form in any capacity: employees andhace Worirt re 9. El Building addition IN4 wdm n{ rsr camp.iaenrance Comp-ins tra � recpired j 5_ ❑ We area corporation.and its 10❑Eleorical repairs or adcEifions 3.❑ F am a bameormner doing all wozk officers have ex=- 'sed their 1 L❑Plumbingrepairs or additions myself[No vae�ke�'comp- rightof emempfion per 1`u1GL 17❑Roof repairs i C.152. 1 and we have no / � n n mcnrere�ptred�[ t a 13_.4Ot11er. employees.(NO W0110 ss COII'P�7.IIISarBIICe f£giSlied.� i flpp�L�SC f78C cbed3biox#1 ��10 th�sCtfioFll7CTOW II14lIlg i5PQivol$eS'CompPIls817CnpolicYinf xmx5m. . 1 ffnmevwn 12w,submit dtis x fid=inffiraimg fley Rm domg aIf Wa k aad,th ml&e a utddecoatxcbrsamct.sufrmit a nemaffidM6i indiC%dW sacs_ rCau=ctprsiffa2dhaA*d Eraxmustattachedm2ddi6-sl shed shon-iog$ran=eofliresaw�sxalswevrhedmarnotftseeWideshnm employees.If thesobtaatradaeshzceemplayeesi they zmrstpmvidethes tsorke&Camp.policy aumbet lam art Relow isfitepaticy arediab spa Frtf�ormatiom Ittsumace companyi+l'ame: t r Pfl-ficy�or^,�f-ins:Zic_� '"�(r (.c'f�� ��So .�JO_� F.apiaatiouDate: PA Job The A,ddre= 116 r 1 cify/Stafef Attach a copy of the markers'campensati apolicyderJarxtianpage(showing the policy,number and eipiration dxte). Failnre to semen coverage as regdredund'er Section 25A,of MGL a 157—can lead to the imposition of criminal penalties of a fine up to$UOD_UU m&or one-yearimpfisonaxent,as well as civil pet*alli a fhe fo=of a STOP WORK ORDERand a f e, of up to$254-Oa a dap against the violator. Be adidsed Prat a copy of this statement.maybe farerarded too the Office of Im,estigatins of the DFA for itlsuranct-coverage yTrifrcation- 'I dfo h raby cant ,umdertbaprams ands p8rtadffis a.fpajujy th&t to hz;/arwa6oa prmu&d aba t a is hm and carred Sits3atur� Date- Phone ik 7 If'- G 0A idol use artly. Do nat wrke in dds area,&be cmnpleted by eify arten m o ji at City or Town- PerrmtUcense:9 Lwuing A.nt1mrity(ca de one): L Board of Health r.l3usT�Depa tutent S.Ciiy rows Clem 4.Electrical Inspector S.Phxm.biug Inspector 6.Other cott#act Person: Phone it: ormation au' d Instructions Massa� Gera t Laws M req=es all employes to PuvETF--WDIIM& MsEffion for their employees. pursaamtto Ibis st&EfL-,,an mqrIoyw is definedas.o:eymypeasonia.fie service ofanothermaw a¢y miftaat ofbfir-. egress or implied,-oral or wsitb� ' association,coiporafion or oti>et Ieg-A enfiiy,or My tvvo or more . . An m pkym-is defined as an mdividnat,Pexin�, of the foregoing m a3oint ease,and i ark(Eng the Iegal rep==f:afives of a deceased employer,or the rcerYer or t UStj a of an incltVjffi l p .assocsafZon or of Crlegal entity,empinymg�p10 - However the e owner of a dweIImg house having mt more titan three arbneuts andwho resides thmem.,or fie occ opant of the- dw�eIIing house of ano�.er who employs pmmons to do ,cans T*f'-t an or repair wox c on such dwelImg house or on the grotmds or burldmg appm-fto tfi.=to shaRnotbecanse of such employmrdbe dj-,eanedtu be m m3ployer." MGL chaptEr 152,§25C(6)also stairs that¢eymy state or local licensing agencp shaII wif hDld•fie issuance ar renevPaI of a Ticense or permit to operate a business or to-construct btmdmgi ht the commonwealth for aay aPPlicantwho b$s notproduced acceptable evidence of cumpliiancewitli the;,TRr,ante coyeragereq¢ired." Additionally,M(H cbaptrr 152,§25dM gfatns aldeiffim the c=m mwealfh nor;�Uy ofits political=bd V'ssions shall enter into any coutm:t fqr the perform ofpublio wmk u0 ll acceptable evidence of camplianmwM 7ELe insmmim-. req�e�s of Ibis ch�fesbaye been pzese�edin ii�.e co�xarf�.g.anfboiity." . AgpIir��rt:s ' Please fill D-ot the workras'compensation af�dav t completely.by cJle�.g bones That apply in your situation aud,if necessary,supply sab-contz�s)mme(s), addresses)and phonenumber(s)along wI tfheir=t:ffcate(s)of ice Lmnited LiabiI4 Companies(LLQ or L=i1`dLiabfity'ParineRshTs(I U)Twithno employees ofies tbm ib0 members or paxinez-4 are not rbgaked to cant'worku&compensation insm7.oe_ If an LLC or LLY does have employees,apolicy is regoired. Be advisedthatfufs o &-Vkmaybe sobmrtfed to the Department of Indusfzial Accidents for conffimzEm of ins mce coverage Also be sin a to sigic and date the a�davirE. The affidavit should be-mt>omedto$ecityortown13>attheagplication for the pennitorlicenseisbeingrsgnes[ not#lieDepatimenfof Jr eiri LA-rzidemtsL ShOu•you bz:n my quest1Qns regm-dmg the law or ifyou ffie regtm ed to obtain a wm icers' conlpensafion policy.please call tine Department at the m=Lber list below. geTf-ir s companies Should Cn�lheir self-iusuz mce license znmber on the apprap¢iat o line. City or Town OfEi als . t Please be sore tbat the affidavit is"Iete and prnofedleglly. 'lhe Departmenthas provided a.space at iiie botfnm of the affidavitfu youth fill out intha evenitbe Office oflnvm gafions has to comtactyotzregmidm t_ gfl=applicant Please be stare to fll.is ilia peamitllicense member whi c,h wM be used as a reference nBmben I-a addition,an.aPPhc that:must sabnut multiple pe,mtT c=Se apgli�ions m any given~yeT,need only sabmit one affidavit h& � ob e�_drless"t or he licanf should `Sn locations in (may p olicy barb=uaiion:(if M=S y)and tinder"J aPP be' ovided to the ' town)--A copy ofthe-affdaviti3iathas be a officially sfmped orma�dbyaD city ortnwnmaypr applicant as prooftUat a valid affidavit is on file:for ft�e permits or Iiceusm Anew affidavit m>_tst be:fi l oT�earls year.'Whercre a home o�tnex or cities is ob fbm a l cm=or pemit not relat d�any business or cgmmercial vet a dog license or peOnrt to burn Ieaves e#c.)said person.is NOT to complete ties affidavit TheOfficeoflnVcs�tig�� th wouUh -toaukyoniaadymceforyonrcooperaf mandsbouldyon.haveanyqu��. please do not hestatefo&em a call The I)Lepartxneufs address telephone and fax mn ber: - os MA Ei11I Tf-,1<4617- -49Wwt4•06 w 14 MAMAY Fax#617 727 7M 1Zevised4-24-07 �ag�a U�Bv. flare ofConsumgr Att urs do 13usinrss Rrgula4on I uense or registratign v ilid.for.uidividul use'only . — ME IMPROVEMENTTCQNTRAGT0 fi;;-. � a before the exNir�hon.d ite. 1f found return fo registration 1;54680 Type Offue;of Cousumer'Atfairs and Business Regulation:. xpiraUon 3/2$/20]7y `Pnvate Corpora tic 10 Park Plaza-Suite 5170 Boston,MA 02116. LEWIS WELDON OVSTOM CABINETRY ` A CL A�RENO,�Es HART : r , NdIMA AIRPSFR RD 4 HYANNI MA50260:1 s• { Underseeretiry } Not valid witltotrt s uature ( ' Massachusetts Department of Public Safety �1 Board of Building Regulations and. Standards License: CS-097094 g Construction Supervisor � f CHUCK W HART JR z #a 11 PERCIVAL DRIVE ' WEST BARNSTABLE MA�02668 i �^^K l/1...— Expiration: I CERTIFICATE OF LIABILITY INSURANCE R0004 1 13/D201)7 THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER CONTACT NAME: HARTFORD FIRE INSURANCE COMPANY PHONE FAx (AIC,No,Ext): (AIC,No): 250878 P: F: ADD ESS: PO BOX 33015 INSURER(S)AFFORDING COVERAGE NAIC# SAN ANTONIO TX 78265 INSURER A: Twin City Fire Ins Co 29459 INSURED INSURER 8: INSURER C: LEWIS AND WELDON INSURER D: 111 AIRPORT RD INSURER E: HYANNIS MA 02601 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 AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICDYEFF POLICYEXP LIMITS 17N HIMCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $. CLAIMS MADE OCCUR DAMAGE TO RENTED $ PREMISES(Ea occurrence) MED EXP(Any one person) S PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JET❑LOC PRODUCTS-COMP/OP AGG OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ UMBRELLA LIAB d OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNERIEXI=CUTIVE YIN E.L.EACH ACCIDENT $10 0, 000 OFFICER/MEMBER EXCLUDED? A (MandatorylnNH) NIA 76 WEG JX5703 05/10/2017 05/10/2018 E.L.DISEASE.EAEMPLOYEE 5100, 000 If yes,describe under E.L.DISEASE-POLICY LIMIT S 5 0 0 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Those usual to the Insured's Operations. Re: 130 Highland Circle, Barnstable, MA 02601. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Town of Barnstable BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Bldg Department AUTHORIZED REPRESENTA77VE 200 MAIN ST HYANNIS, MA 02601 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACORO® DATE(MM/DD/YYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 6/7/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).' PRODUCER CONTACT Ashley Clark NAME: y Leonard Insurance Agency, Inc PHONE (508)428-6921 FAX No):(508)420-5406 683 Main Street AIL ADDRESS:ashley@leonardagency.com Suite B INSURERS AFFORDING COVERAGE NAIC A Osterville MA 02655 INSURERA:Mass Bay Ins. Co. 22306 INSURED INSURERB:Safety Ins Company 39454 Lewis and Weldon Custom Cabinetry LLC INSURERC: 111 Airport Road INSURER D: INSURER E: Hyannis MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER Master 2017-18 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 AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMI POLICY MMIDDY/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A DA AGE ToRENTED CLAIMS-MADE �OCCUR PREM SES Ea occurrence) $ 100,000 ZHN906164506 4/1/2017 4/1/2018 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECT PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COEa accMBINEDident SINGLE LIMIT $ B ANY AUTO 3951369 4/25/2017 4/25/2018 BODILY INJURY(Per person) $ 500,00 ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ 1,000,000 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident) ccident $ 250,000 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE - AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Ashley Clark/LEOLCI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) I } k � / ?(' t. >C��?�I�J�'1.(1-aid Gl� lll1 C �l/C C2'/11Gt'C✓I%1.G< ztf> _ Office of Consumer.Affairs and Business Regulation ' - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 f Home lmprovementContractor Registration Type: Corporation vl.d Registration: 154680 LEWIS &WELDON CUSTOM Y Expiration: 03/28/2019 CABINETRY; LLC. a f xL 111 Airport Rd Hyannis, MA 02601. E Update,Address and return card. Mark reason for chiange. A a mm-051.11 �Le.`t<:izirtnr.�it[trcr�/�t�'r'r'�f����c�iirr;llch _ Office.of Consumer Affairs&Business.Regulation 0 HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only r T TYPE:Corporation before the expiration date.If found return to: US He9 stration Expiration Office of Consumer Affairs a d Business Regulation � ; } x f(I Park.Plaza-Suite 5170 y]54�B0r' 03/28/2019 Boston,MA 0211.6 .LEWIS&WELDONpCUSTOM CABINETRY,LLG. CLARENCE HART,, =r{ 1:11 Alrpgi-Rd Hyannis„MA 02601 ;;: Undersecretary of v40 Mthoutsfgnature i•:.< Displaying your six-digit HIC registration number on all advertisements,contracts and permits is.requi;i ed by the law. This includes but is not limited to business cards *� webs.ites,working tru k8, signs and.online adyertising,in any form: If ouhave an uestions lease contact th.e dedicated.HIC line at (b.17) 973-8788 y y� �Gs�......_.�-s' P SS Or visit is at:Mass.Gov/HomeImproveme:nt , a= 4 r ix C IT LEW15 &WELDON CUSTOM BUILDERS DESIGN + BUILD ill Airport Road Hyannis,Massachusetts o26oi 5o8-778-5757 office 5o8-T78-5111 fax www3ewisandweldon.com Libby and Charlie College Fund LLC 130 Highland Ave L. Centerville, Massachusetts 02634 As owner/owners of the subject property hereby authorize Lewis and Weldon to act on my/our behalf, in all matters relative to work authorized by this building permit application and all subsequent sub permits governed by the Electrical Code, as well as lumb'ng code �C�12 l�I V3 E3 a G 4►2L1 L'y� (r -*V D iILC t� Signature of Owner/Owners Date ?4T2lc i q- VA A ve -, A,1,q/U a cr-�►2 Print Name/Names Lewis & Weldon Authorized.Representative Date Print Name Mass. Corporations, external master page Page 1 of 2 i. r y Corporations Division Business Entity Summary ID Number: 001292433 Request certificate New search Summary for: LIBBY AND CHARLIE COLLEGE FUND, LLC The exact name of the Domestic Limited Liability Company (LLC): LIBBY AND CHARLIE COLLEGE FUND, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001292433 Date of Organization in Massachusetts: 09-26-2017 {" Last date certain: The location or address where the records are maintained (A PO box is'not a valid location or address): Address: 11 PERCIVAL DRIVE City or town, State, Zip code, WEST BARNSTABLE, MA 02668 USA Country: The name and address of the Resident Agent: Name: PATRICIA A. HART Address: 11 PERCIVAL DRIVE City or town, State, Zip code, WEST BARNSTABLE, MA 02668 USA Country: The name and business address of each Manager: - Title Individual name Address MANAGER PATRICIA A. HART 11 PERCIVAL DRIVE WEST BARNSTABLE, MA 02668 USA In addition to the manager(s),.the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name ^�Address The name and business address of the..person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address http://corp.sec.state.ma,.us/CorpWe b/CorpSearch/CorpSummary.aspx?FEIN=001292433... 11/13/201.7 i Mass. Corporations, external master page Page 2 of 2 REAL PROPERTY I PATRICIA A. HART 11 PERCIVAL DRIVE WEST BARNSTABLE, MA 02668 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entityc ALL FILINGS g; ' Annual Report Annual Report - Professionals Articles of Entity Conversion Certificate of Amendment v. View filings Comments or notes associated with this business entity: N New search - http:Hcorp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=00129243 3... 11/13/201.7 I a Wells Fargo Home Mortgage 1 Home Campus MAC: F2303-04J Des Moines,IA 50328-0001 Ph:877-617-5274 05/03/2017 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street Hyannis,MA o26oi Regarding Property Registration at: 13o Highland Dr Centerville,MA 02632 Tax ID/Parcel#: 190-135- Dear Sir/Madam: The property above was sold to a third party as of o1/o6/2017;therefore,Wells Fargo no longer has interest in the property and is no longer the responsible party.Please update your registration records. Thank you for your assistance.in this matter. Sincerely, Brittani D Coleman Wells Fargo Home MortgageCD Brittani.d.coleman@wellsfargo.com CO uj^le 3 , Wells Fargo Bank,N.A. MAC F2303-04J On.N Home Campus Des Moines,IA 50328 Ph:877-6i�-5274 May 16,2oa_6 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street Hyannis,MA 02601 Lcmpl iJLt(i lroperty Registration Dior: _ . i30 HIGHLAND DR CENTERVILLE MA o2632 z86o u p TA11ID: 19o- 36 Dear Sir/Madam: Please see the attached property registration form for the above property and use the below contacts to expedite any future requests. Thank you for your assistance in this matter. Code Violations: CodeViolations@WellsFargo.com Property-Registrations: Registrations@WellsFargo.com General Property-Preservation: Property.Preservation@WellsFarg�=.com Call Toll Free: 1-877-617-5274 For questions regarding purchasing a Wells Fargo property please contact 1-877-617--5274. Smcerely, Angeha-Pryor Research/Remediation Associate Walls Farun.Rank N A ^- Angela L.Pryor@wellsfarg0.eom c One Home Campus,F2303-04J m _ t CV-1 Des Moines,IA 50328 - ca • Town of Barnstable, 367 Main Street, Hyannis, ILIA 02601 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPEI. TY Thank you for registering in accordance with Town of Barnstable Code chapter 22.4 sections 224=3 and'224-4. Please complete one form for each property in foreclosure ,(section 224-3) or already foreclosed for which possession has beer-, taken(section 224- 4). Please file the original with the Building Commissioner and a.copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: N/A < Section 1 —Property Information Property Address: 130 HIGHLAND DR CENTERVILLE MA 02632-2860 Assessors Map#: n/a Parcel #: 190-V135 Land area and description lot of 16,988 sqft (or.0.39 acres). Building(s)description and.contents single family home of 1,660 sqft Occupied: yes Occu ants s if borrowers so state and include name p p O( ( )) Kenneth Cowap c/o Wells Fargo Bank, N.A. Phone: 877-617-5274 -email: codeviolations@wellsfargo.com other: fax:866-512-0757 Vacant: n/a Date: n/a Anticipated Length of Vacancy: n/a Last occupant(s) )(if borrowers so state and include name(s)) n/a Ic Phone: 877-617-5274 email: codeviolations@wellsfargo.com other: fax: 866-51 M757 Has possession been taken no If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) see attached vacant building plan Section 2-Foreclosing Party Information Foreclosing Party (full name/title) n/a _ Foreclosure Case Court: n/a Docket# n/a Date filed: n/a Current Status: n/a Foreclosing Parry's representative(s) for property (entry,manage,-meat, repair, etc.)(name, title,): n/a _ Com an. if different from foreclosing art, Wells Fargo Bank, N.A. p -Y (� g party): — Address: 1 Home Campus, MAC F2303-04J, Des Moines, IA 50328 Phone: (877)-617-5274 email: other: CodeViolations@WelIsFargo.com fax:866-512-0757 If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to beable to address town matters concerning the_property and,/or foreclosure,please so state and Rio not complete contact information(i. e. "none"or"see above")). M. Name,title, other: see above . Company (if different from foreclosing parry): n/a Address: n/a Phone(s): n/a email(s): n/a other: n/a Name, title, other: n/a Company(if different from foreclosing party): n/a Address: n/a _ Phone: n/a' email: n/a- other: n/a Attorney representing foreclosing party_ Firm name(if different from attorney's name): Orlans Moran PLLC Address:, P.O. Box 540540 Waltham , MA 02452 Phone "`,'(781°)700-7800 'email(s)--Inr"o@orlansmoran.corn o,.i�N`: n1a— I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Angela Pryor,Research/Rernediatior Digitally signed by Angela Pryor,Research/ Associate,Wells Faro Bank,N.A./ �'Remediation Associate,Wells Fargo Bank,N.A. 5/16/1 6 9 'bate:2016.05.1607:47:29-0500' Date: CI Name:Angela Pryor Title: Research/Remediation Associate tJ d � 'L k1.`''d"F r°� "fie �Y:M ✓yi9 /.� wf �•j.. . I r I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable 4 C , MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4;requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner, to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B) within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty(30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4,please explain,leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and-file•the applicable sections of the.registration form for foreclosing/foreclosed property N/A { L (1) Registration date: 5/16/16 If not registered, please complete the registration form and state date of filing or anticipated filing N/A (2)If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated)N/A (if in possession or ownership must be certified as accurate twice annually in January and July). (3) Describe any hazardous materials on the property as that term is defined in MGL c. 2 1 K and the date(s)and method(s)for removal as approved by the Fire Chief UNKNOWN (4)Method(s)and date(s) all.windows and door openings secured(or will be secured) UNKNOWN If left secured,name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property.WELLS FARGO BANK,N.A. F2303-04J 1 HOME`CAMPUS, DES MOINES IA 50328; 877-617-5274 (5)Location(s)and date(s) "No Trespassing" signs posted or to be posted on the property UNKNOWN (6)Name(s), address(es) and contact information of person(s) responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance"in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances WELLS FARGO BANK,N.A. F2303-04J 1 HOME CAMPUS, DES MOINES IA 5.0328 - <gt (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity,please state: Date of approval UNKNOWN Date(s) electricity turned off UNKNOWN on.if applicable UNKNOWN Date(s) water turned off UNKNOWN on if applicable UNKNOWN (8)Name(s), address(es) and contact information pf person(s)responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances WELLS FARGO BANK,N.A.,F2303-04J 1 HOME CAMPUS,DES MOINES IA 50328 (9)Name, address,telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner WELLS FARGO BANK,N.A.,F2303-04J 1 HOME CAMPUS,DES MOINES IA 50328 (10)Date(s)certificate of liability insurance on the property filed with the Building Commissioner SEE ATTACHED EVIDENCE OF INSURANCE (11) Date(s) cash or surety bond of at least$16,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee N/A (12) Date(s) scheduled for inspections with the Building Commissioner and Health Director, who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance UNKNOWN or to identify the provisions with.which the property does not comply and establish a program to bring the property into full compliance UNKNOWN (13)Date(s) when the property was sold, or is anticipated to be sold,to the foreclosing party. If neither,please explain UNKNOWN I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will•result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Angela Pryor,Research/Remediation\Digitally signed by Angela Pryor,Research Remediation Associate,Wells Fargo Bank,N.A. Associate,Wells Fargo Bank,N.A. , 'oaie:2ois.05.1so7ar50-os•oo' Date: 5/16/16 Name: Angela Pryor Title: Research/Remediation Associate I hereby certify that the above-named foreclosing party is in compliance with.the. provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable 21174 DATE(MMIDDIYYYY) ACC CERTIFICATE OF LIABILITY INSURANCE 3/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS i CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES i BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Wells Faro Certificate Service Center NAME: _ 9 Wells Fargo Insurance Services USA,Inc. PHONE 404-923-3719 FAX 1-877-362-9069 A C o.Exth A/C No 3475 Piedmont Rd E-MAIL Wfis.certificaereques wesar ADDRESS: t t lifo.com @ g Suite 800 INSURERS AFFORDING COVERAGE NAIC# Atlanta,GA 30305 INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: Wells Fargo Home Mortgage INSURER C a division of Wells Fargo Bank,N.A. INSURER D: 90 South 7th Street, 14th Floor INSURER E Minneapolis,MN 55402 INSURER F: COVERAGES CERTIFICATE NUMBER: 8901677 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIEATEDr NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH.T-HIS i CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDNYYY MM/D POLICY EFF POLICY EXP LTR DIIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY 304056 04/01/2015 04/01/2020 EACH OCCURRENCE $ 10,000,000 CLAIMS-MADE OCCUR RNTE PREM SES DAMAE �aEoccur ante $ 10,000,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY❑PRO LOC PRODUCTS-COMP/OP AGG $ 10,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS ` NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS - Per accident UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION MWC 302638 _ O4/O1/2015 04/01/2020 X STATUTE OERH AND EMPLOYERS'LIABILITY 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN - E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION Wells Fargo Home Mortgage, SHOULD ANY OF THE ABOVe DESCRIBED POLICIES BE CANCELLED BEFORE a division of Wells Fargo Bank,N.A. THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. 90 South 7th Street,14th Floor Minneapolis,MN 55402 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) F Barnstable, MA Vacant Building Plan Current status of the Building: The building is•secured; all doors and windows are locked. if the property utilities are on when we find the property abandoned,we will transfer the utilities into our name and leave active. If we find the property to not have any utilities we winterize the property according to investor/insurer guidelines. Plan of action for exterior building maintenance: We inspect and maintain our properties. We work to keep the property secure and free of any health hazards and/or debris. Wells Fargo also schedules our grass cuts twice a month. What improvements are planned? If the property is in need of repair to avoid a code violation, we will review and take any appropriate action. If there are insurable damages, we will file an insurance claim and review for repairs. What is the scheduled date of re-occupancy? Approximately 90 days after the foreclosure sale is confirmed. Building to be sold or rented? The building`-is-to be sold: Certificate of Occupancy: The buyer will be responsible for re-certification and occupancy inspection with the city. Is property to be demolished? There are no current plans for demolishing the property. The city will be notified if there is a change of action. 4; r WELLS FARGO RANK, N.A. CONTACT INFORMATION For questions or concerns regarding a property registration issue please contact the Property Registration,Department. Property Registration Department Registration s@wellsfargoocom For other inquiries please route applicable requests to: Building and Code Compliance Department CodeViolationsCccPwellsfargo.corn Utility Bills ConvUtilityPmt(('Dwellsfargo.com HOA or Condominium Dues or Fees HOAPmtRequestFH@wellsfargo.com Tax Related Requests: TaxGatekeeper_wellsfargo.com REO property inquiries PASAPinguiries@wellsfsargo.com Insurance Claims HazardClaims@wellsfargo.com General Property Preservation Property.Preservation@wellsfargo.com For questions regarding purchasing a Wells Fargo property please contact 1-877-617- 5274. n♦YrtwwX .:..W,..rn,v^aK'a ♦..t'r v ♦ :y.. . . ... w ... •. r..c . You may also contact our dedicated property preservation call center at 1-877-617-5274 Monday— Friday from 8:00 AM —9:00 PM EST. Please note all legal documents should be sent to our legal mailing address below: j Wells Fargo Bank, N.A. 1 Home Campus MAC# F2303-04J Des Moines,,IA 50328 t y r a 7 Assessor's office(1st Floor): SEPTIC SYSTEM MUST BE /j — I��VALLE®IN CO PLIA . T Assessor's map and lot num /f yp "E tp` WITH TITLE 5 e Conservation(4th Floor). rINVI 014MENTAL CC Board of Health(3rd Ito sesisr►ac t I/4•Z3o Sewage Permit numbe �V� i 4` + y rua Engineering Department(3rd floor): �� r ' �oC+a�o.`1 House number c Definitive Plan Approved byPlaning Board 19 APPLICATIONS P40CESSED'8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �N'L 4R IZ ' ; P ejoM G3® 7h TYPE OF CONSTRUCTION /v 19 Y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby //applies for a permit according to the following information: Location / 3 L Dr, Ccw 7`�2 �i"/ f�' AA, Proposed Use r e.r Bf d aua w. - 13A-*h. Zoning District Fire District L �1 Name of OwnerVe-V A 3 L U VA e-t'-e Address_�3® /�r!I h lkPd 14, C0wfXX Vr I'I< Name of Builder A J P�Y�� �I'• Address /OD J3�u,c_ Q.eYr y /��'/J ��, Mvdxwy�; r Name of Architect AA M Address d. r Number of Rooms `Z.- Foundation �ara d �"X �°f� yS Exterior ��C S hlqe f Roofing 4SPh, R®OV i Nf C5,1' Floors CA V Pet Interior Al Heating go f R I!-- Plumbing [5,R�h Fireplace No Approximate Cost Area161 ZZD Diagram of Lot and Building with Dimensions Fee /F F N N y . I 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 O/-7 ¢jDY►tZZM�P�p Mo fi &Nf*4Cf6r 12.0, /e53-S-2. t s BLUMETTE, VERA No 3Z" Permit For ADD TO DWELLING t single -family dwelling - Location 130 Highland Drive ° Centerville Owner` -Vera Blumette _ Type of Construction Plot Lot _ Permit Granted May 11 19 94 Date of Inspection: , Frame 19 F Insulation -- 19— Fireplace 19 Date Completed 19 - r r tT ` COMMONWEALTH OF MA$�ACHUS.15TTS ' DEFAR",,ME 7 OF LNDUSTRIAPrACCIDENTS 600 WASHINGTON STREET games j Gamooel BOSTON, MASSACHUSETTS 02111 G°►r rt,ssioner WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensee/permittec) with a principal place of business/residence at: (Gty/Sute/Zip) do hereby certify, under the pains and penalties of perjury,that: [J I am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number I am a sole proprietor and have no one working for me. [J I am a sole proprietor, general contractor or homeowner (circle one)and have hired the contractors listed below who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Q 1 am a homeowner performing all the work myself. NOTTr•.Please be aware that wbilc bomeowncrs who emplov persons to do maintenance,construction or repairworl on a dweliiac of not more tban three units in which the homeowner aiso residcs or on the grounds appurtenant thereto are not gcnerAy considered to be ern-plovers undtr the Wort crs' Comocnsatiou Act(GL C 152,sect. 1(5)),application by a bomeowocr fora license Of permit may eviccncc 6C legal SUMS of an employer under the Worltera' Compensation Act. I uncentand that a cdov of t:.is statc-ncn:will be forwarccd to the Dcpar—rncnt of Industrial Accidents' Office of Insurance for coverage vcnnc; •ion anc: . .:iturc to iccurc cove:—ec as reauircc unecr Scccon 25.=.'of.IGL l e:cr. iead to the imposition of criminal penalties consis�aQ of a tine of u> to S1500.00 ancfor imprison:-cnt of up to one vear and civ, pcnaiaes in the form of a Stop Work Order and s fine of S 100.00 a day against mt. 4inc this 1` day of % 19 R iPe:.^ t e: mice^soriPermi;,�r r e; COMMONWEALTH r f`Nftntopowts4"'.0ol DEPARTMENT OF PUBLIC SAFE, • Q, y atglftSttttBNid100 OF. ONE ASHBORTON PLACE 00dotoVON@Norrwood"" MASSACHUSETTS BOSTON,MA 0210� �' DltphMwl/t�► LICENSE EXPIRATION DATE CONSTR. SUPERVISOR CAUTION 07/11/1995 RESTRICTIONS Q i ��(� EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST NONE V Ob/30/1993 017357 T THEFT,PUT RIGHT THUMB g PRINT IN APPROPRIATE I R A Y M O N D A P A Y N E J R g BOX ON LICENSE. ILL SS N 016-30-8582 HYANNISR MA" 02601D . BLASTING OPERATORS MUST INCLUDE PHOTO. ' ONLY) FEf UO. / „ ... fl00 NOT VALID UNTIL,SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED.OR-SIGNATVaE Db TiiE COMMISSIONER - I bOB: i 07/11 /1938 rJU10 1 M3 4 (//)1 TitlS DOCUMENT MUST � •8E_ C CARRIEDON I THE SIGN PERSONOF E fULL _ SIG LIRE OF LI NSEE � NAME THE HOLDER WHEN EN. '-WTH R$-RIGHT - BPRINT GAGED IN THIS OCCUPATION. E ER �7 C� O HOME IMPROVEMENT (ONTi,ACiOR Registration.. 105552 Type - INDIVIDUAL - Expiration 07111/94 100 5aynond A. Fayne Jr. Blljeberry Hill Rd. Hyannis HA 02601 ADMINISTRATOR ; l� A ' 3 s I jvJ i; 1 C L�s�� � a -- OFFICE AND MODEL HOMES: ASHLEY DRIVE, CENTERPIECE, MASS. TEL. (617) 775-6812 (617) 428-9101 Rol o ° o -- - R0 _ The Ostery fie One of the most beautiful and practical homes designed to provide every convenience. Large foyer with w°°D DE«WITH BEATS guest closet leads to spacious living room-dining room combination. The magnificently treed outside is seen through sliding glass doors opening to a large wooden deck. 2 full baths and 3 bedrooms with large closets (one bedroom is beautifully wood panelled for use as a den). Wall-to-wall carpeting throughout. Intriguing o wq fp B'SLIDER kitchen features Whirlpool appliances, including self-cleaning range. Oversize garage and full basement. DEN 12'9"z 10' BEDROOM Professionally landscaped for easy maintenance. _ . KITCHEN L. 12'.6"x IV-9" 11-9"x 12- DINING 11'9"x 12'- POCKET DOOR ANDINL HALL 26' GARAGE Builder on premises daily (including Sundays) 9 a.m. —6 p.m. BAT„ 0 H- MASTER BEDROOM LIVING ROOM 0 15'-9"x 12' 23'.13'9" Ofl a DIRECTIONS: BATH Cross Sagamore Bridge, follow Rt. 6 to Rt. 132. Right on Rt. 132 for 11/2 miles to right at traffic 9OVERHEAD FOYER o light (Phinney's Lane) 2 miles on Phinney's Lane to right on Rt. 28. 1/4 mile on Rt. 28 to right at i- Old Stage Rd. (Howard Johnson's and Mobil station at traffic light) 11/2 miles on Old Stage Rd. 68 to PINERIDGE on left. ol _ti�G� ZX6 16� O,G , GtJ sl,;nlc�els ,� /5L 8S 7 rGCT �1 0 - x lb '�� � ASS 2 � I�