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0009 JUSTICE DOUGLAS WAY
lit .. Q 4 e Lk � o .� NO FEE �alS`1''1 nON AND C.`ER IFIC- 1TION FCC ' T FOR FORE+G`LC1,SINCi!FORE��G.SE,D PROPERTY Thzakottfor reisteru incwraxce with Toti:n of Biastabl�Goc3 :chapfer,22 Sections 224.3rand 2 2-4-.�t i Pl.ease=eoinplekone:form for:eacli;:propertvYin fc reclosa3r�: (s�ctiort�?4 3��r�ahead}�fat�clo�ed for ti�l�ch pc�t;s�s�tart lta�l��a�talt��setaott ��4' ), +Pleaserfile the flraeial� tla the13 iaild ,Oo u�hINe Ghie£vf t#re; are Ttrac in.tPliicfa tlie; operty. s=located: if -ou�la:ffi you are exes�xpt from iesteruig itrider.Massclta�ets lv�xples state the; rest�n{s�endattltsects� li�pdpertrraforatroa��brad tka' :fsi'pxrapho # sect om (foreclosLng ?afi' court eta=and�foreclosa P 'represent tic but root othdt aepresentatalres azad attora�e5r) so ttaat tlie,Tra�n�n caul ecfael=ttlae exe�ptamn and update its. records SeC;ta0II1 P•ri1 IIIfonuailoti=: ` 4 ... .Z fro PUS.,MY. 4,�Nl�R�'I�I�E, er Adclfess . :. NO �ssessor�dal►�. .. . ... : P,arc�l M�e.t.a.';��': � a 5 ; I.Et1IL` :.REa :ENI -a Z Land area and de�crptaon: �.,. .... 3uticlsng(sp clscnp#iata and; ©nets w•_, t7t�tctzo�r r.._ r Occupied.:. - �Occupant�s)(a�b©rro�i�er�s so s;�te�ncl,Anclucle nan3e(�)�; ' - , P>,one 9_; as�p.�: =email' a in da +k t as Cpotties 1�acaxit:: K' rzsr� ia; V un il:s�li' Ite:s ttrcatedea o � carc ► Last oc`cup�t�s�)(�banrou�ei�so'state'and itic•lude nan•�e(s)): . -- , DAKOTA ASSET, SE•RVICES, LAC bias posses.sioii been`takeit � ' If so Tease exld aucl complete,era' file flee rrasrtet�ac end sera�ad}� 9aat tcin(�aess exe as mpt stat 'abo� I WILaM114GTOII -i Gs F-Tjl4b BOG Section� �orec4osinPart yI�rfarnataori t L ,. Q 1w w fiats<hlerl • t�/� �urres�t:��t�►tu� a �'���`` �'orerlosing P,arhr s repses�tati��.�s)for'propert�,(eit}� uaLanasein�nt repair: Counpa ayw(�f cl tit front #oreci©suit i?arty ➢ i{t�TA 1 ET USER-V-!.0 Addressa �lit>1ic fiiS'�.� iei� " If an exeni�tlo isaclantueci "please do not coui}�iete file re� ndr', tithe "representatit des) (if foreaing represeatat a is pruiszry reponsibl fo property a3�d ar fore'closiire and is:most W hY.:tc*b'e abie to a dress toia i Matters conceaaig fhe pioperri} ar +4rorecasure please sti Ste,ail,do:iot complete. c"onfact.inforniationr .e. :none'".or "see>abot-:e°.'� " r ;: r 03 - t �eaiti.;;Es�cutves �ag� ynr�'E��,.anii;3 "om t��di cr att .lalrec 04tti Pam') ... Ai+mraltiron[s=ea2r� ggeC61S1}!E5 9m. °Phon (sj" s;a s 7 s t,ernail(5) ' - - —y --- oiler= -------- --- - NV e"title; otliet ' NIA . NIA Company(t :tli$erent f�i�ti`f6reml©srn''P rtt � ,, _------- --------- -- - Addess NIA NIA': N1#` �' NIA.. �hotae. enil` oilier" t PREY, 'irm;_nanie{tf different f*f, x A, Phone 41 `., eniail(� : <ti 77 ;;, other a0-l�nOiN 1.6a;e fli t the in�c�raa ton proWid d is ac trr t�end cc� eet I also t dd rxd t iat.and tii�ccur Qe`111 Ofilic�tloll Wil 17�Sti# non:c.,ompi ante, rnth section 22_ `3 of;^ + C197 td r t nib�41V1i' 0 J/L U/1 + r+aoanaotoen Ma on xFIC. ire W waou yem t�_ —n .1 1 a r by certafy.t a1 t s,a q-re cl:i�s ;ltis��� i rt�°a 'u c�a a ia� �,aih,i'lie prop;i3ivns°of secgot�? :9 3 orltapter4 ofth�jCvde pf: e�ovn�f;Bsbie;' $tultlT 'ana�iis'saoaet;Tflt�� -f� istahl 1 TOWN of aaRO : PAR PORSOSGlPOCOf p r. ..,_-,.. _... ,_+r:'�t .,.r.3,-�14 _ •3.•a. ..�,...._r �':..t:% ..02-.r.,,tT. ...::"r . t n P { .,y n /.n � r2 'Ih 'r,�r you#'1 rcg s`tering!A�ccord�ac iw th 'o tiAo£� 3 bZ bode chk t�i 2z 1 r sections 224 3 Please complete one forA� _ ' iA"' losure se-'ir 4"3)orbalready,�for�clo ed'yfoz h Posses iot�ed�as Fb t lc n,(xe oche 9 4 ' 4)` .yP,Iease;file�he crii�u�If ti�.t��he+$ui�c�n�,r�osnri�stm��a;u�d�t� ?�F`t�#_h�the�;��efof, the ire'bis�rut`:sa���}uol t�ag�zoperiyFis'.loca�ed: t R ,},t If yot><clavmr you;are exeuszPt f reg<ser usu3er 7ssachuset#s tau €plee;stateh3lie; rebbAnd�ca pr-,pe �s `ba �aj att � i ' ra1 >0' �Ct1bA,�j�fa;�eClossnga-party coUrt4 esc=`aAd r�Ort''C,�0,5��'�a �C'�7i�5elltA�,tt1� �ll�yi�l�t b�lf repre�e,>�tafv� d attas�ae3'1�,�`-�a��t�a'tt .r��ci�m,�c.�-retidie�vE�t�i�'��x�i�ti�os �anc��uipt�ate#_fs, •�.it'i S,'S Z'SZ:.. a'.t� ..a".i..� .h .hZ�..e:4:1--:G'4'5..,«;SY�S� .. h .'R"Ts'G3T."... .. ,.1 s a F4:L 3S.e:S',S S",S" .��GhOII!��—r�f��Cty�TI11�Orilla�031� -_I.;.•e...^.v_. .,..-.1mni*r:r€'r:"s"'nrir."rf'rf'rt'c?r tf"rtc "r.'r[N'r_ri'rYrfr:rt:`r TT,tt.r.t t-f.7771777,7",7, xo(� r�r dre,��`�B�JUST�C��t3t3U�i'�A�S UWA�1f{�E1�1RUILt��N9A`�263�: i �Asrs�Vlap 4; :P,arel: �. Land azea`�and'de�cri�taon 4S1NG'1!E FAM11Ll''; _: tiuldurig{ ) cttgto ,` �. tetits $1. KNOW 4'� �4arxt{ )( 4boaou sdst �an in ,ltn ►e( } ` -- - _- - .� o�igGA�dT Ph�ane�`45.9,��9-6453 :email{3��ha`rt�a�n�c�dak'�t�as�carrr�cithea: � y� j� ,�p;�; n4 / A � fP. J Y ry'�.�� p 'h} .accauf`:ti 3 ' Iatea i � f'f� A�ficvatedth aficaAcy ' �;ast orGupai�t4;s,�4,�x��lioiro�t�er�"s©Mate `d isi�ude'"is�)-� +Dakota'.Aasat}�5®r��ces�LLC=OAKt�7'A� - P�"o�a`e" 469'329�6053 f4' �.�teartri�a�n dakotaas'com�gt]ae>�` .- � •.. <..- xrsJ,/ a +. E p�c�� rsessiom�b��rxaketi�: �f�o=plea�eexplaxi�and'complyµand fxle'�tli� masntesce�aAd tety.�pla�forma��ess�xemPt a�:s�atec�faboue)� r.... ,'-'z.`•... ., -73� .r..-✓..t..r.t�.4T.�...a.:="a� :.tar.... _a�TSf•�+.yic. p;�4r err �%.�ti .+,+a.n..._ .x cYonore;ulc� u� MIX InfdrAratioA. µ '1 � - 1e FPS - }r•C 1 V p — �areelos�"e ie-i 2-P19 1 Date,filed NJA' Gui��rit;�tat�r� N��#� . �areclo"su��.�arty°s�eprettatn�te{s�jtforpro�eatyfi�entrN}r� agesneut repair.� ..'�ompaay�{�f�1'�ere�nt frana'for�c.�a i�`�s�'j7�Dako�f�+sset�St?niiGes'L`LC=DA�C�OTA� . r;rAcldreSS,I �56rYY�t�6 tanPiac�"+ Ui 6:�17a�.® iiaS�.Y�a 'S� �. mom.,.,:;Y Pba�e� d69`329 53 ell{ �hartr`raann,i"astec if an,exemgtnon�s��la�riae�,r pl�se-s10 n+�t ca�lete��lae remassrd�r� • WIN C�thetrepresentsti���s}(�for�e�amg repr�sentatt�,?er�s�t�maz�y>res}xm�ibie for pio�.�rt�`�aridloz for�los'�ue`�mzal�s�n�`o��rely}tm���abate eta a�ld� '�toi�a x�ttcr� coucernui�the prap�er�ys�ntpor for�clo �e=please�t�;�,�#ate.anc�do notscamplet!e� can�ac �inforsnation(i.�e.�`none'�or`.�see'�botte�}�; -- '.�:Y. _.1.. ....r�..G.. _._r,'=S3-c.4 _.Y•_._.« ....#r^._y`:5 ��r.-_ .LL��ifi..� _2i...:. .... -.. ._ ..__._ _. _._.. s.. s:Pshan ( i N!A ;emasi 's)� a �IJA' other, �2:..�,4u .•.___ ^- r.--sf.,kc:'�'-� it.�s. _.. .. ..... .. _, _ _..�-_..t._ ,.,.-.-r Name}�xstle`siotl�er P .T'` f+ 'v'v' Mrr.":.T tN .r,'y1 i'"�'. i 'nS•h-4.fi 1� � company'{if`dsfferent`fr ;fore]®s�g.+p_a�'� �r ,.��rr P v�hone v 1. t �A�ttorn�jstieprentxnn�fai'�eCloSslg per° `-t��A� ... �xrm spa(fy+d��f�ere�I,fr'�►in��Ittol�a�''�rlanle��,r�d�114 I' 'A�dress NLA �aG��w,te�ge that�rthe �r;naat�Q�pr�a�cl is-���ar�te�nd carr�c��I-aiso�ad��tand tk�at�anyv�c�uccuate�na��rnia�oia ?.all re�u�p�a,-raon�mmp`�aace,wi#l�,se�hon�2�4-3�.of .�.�-ti:P,�.a c .:RuNinonLa�nM +`•+:�A W .......-:s'-L... s_r,.r� - I r at 12 101 �t1eA Frar��rl�xs�rvation��® apAll rtr, vac Ive lliIlan,Nt{c ; i Z4herb}� '' `.tt�kieaboe ri�a� oicxii 'rft�x ;ix� oi1ix the pr�xsioxis of-���iol�� 4 r3 v��c���ter��� o�'the�C��e��ttie��x�vn of,�3�rnst�ttile 1� tiildin�,,'�bi�amssiazier 'o`t?v���f$am�tAbl i�i2oi'ly I ' Tmda EDM' 1 [all Ul t a eguar i2AN- P r O p e r + i e S 7887 Safeguard Circle 1 Valley View,OH 44125 800 852.8306 p +�+q�{.f. 85 216 739.2900 p ISd 216 739.27001 M Town of Barnstable Building Commisioner 200 Main Street Hyannis, MA 02601 -Date: 12/27/2018 To Whom It May Concern: We are writing to inform you on behalf of our client: Rushmore Loan Management Services, the previous registrant for the property located at: Address: 9 JUSTICE DOUGLAS WAY CENTERVILLE,MA 02632 Please be advised that this mortgage/property has: sold to a third party. Please know that during our research, we have found no process in which to formally de-register this property with your jurisdiction. Please contact us directly at 800-852-8306 or vpr.ordersgsafe uardproperties.com if in fact you have a process in which we are not yet aware of. Otherwise,please consider this notice as a formal de-registration of the property on behalf of the client mentioned above. If you have any questions or concerns,please feel free to contact us, directly. Q www.safeguardproperties.com Anderson, Robin From: Mckechnie, Robert Sent: Tuesday, April 24, 2018 3:59 PM To: Anderson, Robin Subject: 9 Justice Douglas Way, Centerville Robin, I performed a site visit on Thursday April 19, 2018 and observed the following: 1.) The property is secured. All doors and windows are secure. 2.) Some sections of wood stockade fence have fallen on the property and are piled on the property.One section has fallen onto the corner of the lot and protrudes about 8" into the paved road. This should be removed. 3.) It appears that some cleanup has been done on the yard but more will be needed. The side yard and back yard areas are somewhat overgrown. Pictures from this visit are attached to the property in View Permit with the April 19 date. Bob Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 lz,�—�KnocJ . . . ,. . . . :.:..:195585542 =`REG-ISTRATIONAND'CERTIPICATIOIV:FORIVI `FOR FORECLOSING%FORECLOSED PROPERTY sThank;you.for<registering-.gin accordance with Town of:Barnstable Code chapter 224 :sections 224-3 and 224-4. Please complete one',form for each property in foreclosure {sectioif 24-31 or.already foreclosed for:which possession.has been taken (section,224- 4) ,.Pleaseftle the original with:the Building Commissioner anda copy:with the Chief of" 'the'Fire;Distnct in,which the property.is.located. Ifyou;:claim::you.are exempt from registering•under.Massachusetts law,please state4he reasons)and complete ection 1 (property infonnation)and the first paragraph of section 2 (foreclosing party. court,etc.,and foreclosing party representative, but not:other ---representatives and attorney),so that.the Tows.can revievi,..;he exemptionand update.its records: ta Section 1 .-Prouerty Information Property Address:9.JUSTICE DOUGLAS.WAY_CENTERVILLE, MA`0282 Assessors Map# 191 Parcel#: 191194 ' . _ :. .. Land area and d n.RESIDENTIALescriptio . . i.. Buildings)description andcontents 1 STORY RANCH a , - �. tom. Occupied Occupant(s)(if borrowers so'state and include name(s)). Phone:..N/A: email: 'N/A other:N/A Vacant: 1/21/17 ' `AnticipatedLength of Vacancy:N/A Last occupant(s))(ifborrowers so state 4nd,include name(s)) ED.MONDP`KENIRY ..Thone:.N/A F . :email N/A i other-N/A. " Has possession"been taken`N/A <:, If so,please ex_p- mlain and complete and f le the aintenance and security.plan;form(unless exempt as stated above) `. Section 2 Foreclosing Party Information foreelosing.Party(full.name/title)'.N/A.. ForeclosureCase*:Court: N/A Docket# Y. • ,..195585542 Date'.f led .,N/A ?:Current Status:.' !F.preclosing.Party's'representative(s)<foi property.(eniry;'manage uent;�repair; etc1name, title,): Company(if'differerit from.foreclosing party):: Address: =Phone: . ;email:- other. . If:an exemption is claimed,pleasedo not complete>the remainder: Other-representatives)(if.foregoir�g representative is primarily.responsible for .property and/or foreclosure-and is,most.?lil ely to be able to address town matters concerning the'property and/or.foreclosure; please so state and do not complete contact information(i.-,e.,"none'or"see-above')). Name,title,other:RUSHMORE LOAN-MANAGEMENT SERVICES` Company(if different from foreclosingparty) Address: 1S480 Laguna Canyon Road Suite 100 Irving CA:"92618 Phone(s). 949-341-5601 email(S): 00-59 etanno= other: Name, Properties Company(if different from foreclosing party)- Address 7887:Safeguard Circle,Valley View;OH 44125 800-852-8306 codecompliance@sdeguardproperties.com Phone:. email: other. . m forecla . /AAttorneY re entres sm pa�Firm name(if different µfrom,attorney°s'riame).`N/A Address: ,Phone(s) .: :.enail(s) other:: I acknowledge that the'inforrriation providaciis aocurate°and correct I also.understand : that any,inaccurate informationwtll:result in non-cotripliance with sectioir 224-3 of chapter 224 of the Cod of the Town of Barnstable: Date: 11/30/17.. N e. Title: _ .. 95 .1. •• = - 585542 Jr' 1 hereb .•certi thaf.the above-named foreclosm a is m coin Tiance with the Y fY g P rtY p provisioris-lof section 224-3 of.chapier;:224 of the Code af:the.Town of Barnstable: a Date: Btulding;Commissioner;Town of Bamstable i f Official Website of The Town of Barnstable -Property Lookup Page 1 of 4 Select Language Assessing Division Property Lookup Results - 2015 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< Print Friendly Owner Information-Map/Block/Lot: 191 / 194/ - Use Code: 1010 Owner Owner Name as of 1/1/15 KENIRY,EDMOND P&TINA MARIE Map/Block/Lot C15 MAPS 9JUSTICE DOUGLAS WAY 191 /194/ Property Address CENTERVILLE,MA.02632 9 JUSTICE DOUGLAS WAY Co-Owner Name Village:Centerville Town Sewer At Address:No GIs Zoning Value:RC Assessed Values 2015 - Map/Block/Lot: 191 / 194/ - Use Code: 1010 2015 Appraised Value 2015 Assessed Value Past Comparisons Building Value: $130,900 $130,900 Year Total Assessed Value Extra Features: $29,600 $29,600 2014-$268,100 2013-$268,100 Outbuildings: $1,800 $1,800 2012-$267,600 Land Value: $105,700 $105,700 2011 -$269,900 ( 2010-$250,300 2009-$285,000 2015 Totals $268,000 $268,000 2008-$318.500 I2007-$317,400 Residential Exemption Received=$87,192 S. Tax Information 2015 - Map/Block/Lot: 191 / 194/ - Use Code: 1010 Taxes J" C.O.M.M.FD Tax(Residential) $415.40 r11 nw\ Community Preservation Act $50.45 Fiscal Year 2015 TAX RATES HERE V J (� Tax Town Tax(Residential) $1,681.51 2,747.36 Sales History-Map/Block/Lot: 191 / 194/ - Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: KENIRY,EDMOND P&TINA MARIE 2003-06-06 17041/223 $292000 BICKFORD,ALICE W 1999-01-22 12012/54 $0 BICKFORD,ALICE W&MARION 1976-08-13 2383/277 $0 Photos 191 J 194/ - Use Code: 1010 Al Sketches - Map/Block/Lot: 191 / 194/ - Use Code: 1010. " http://www.townofbamstable.us/Assessing/propertydisplayscreen 15.asp?ap=0&searchparc... 7/28/2015 Official Website of The Town of Barnstable -Property Lookup Page 2 of 4 a� PTU� Jr _ 2 h t f. AS BU I It Card S:Click card#to view:Card #'1 l Constructions Details- Map/Block/Lot: 191 / 194/ - Use Code: 1010 Building Details Land Building value $130,900 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $152,256 Bathrooms 1 Full+1 H Lot Size(Acres) 0.36 Model Residential Total Rooms 7 Rooms Appraised Value $105,700 Style Ranch Heat Fuel Gas Assessed Value $105,700 Grade Average Heat Type Hot Water Year Built 1976 AC Type None Effective depreciation 14 Interior Floors Carpet Stories 1 Story Interior Walls Drywall Living Area sq/ft 1,876 Exterior Walls Wood Shingle Gross Area sq/ft 3,696 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Outbuildings&Extra Features- Map/Block/Lot: 191 / 194/ - Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value FPLI Fireplace 1 story 1 $3,500 $3,500 PATI Patio-Average 384 $1,800 $1,800 BMT Basement-Unfinished 1436 $26,100 $26,100 Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio http://www.townofbamstable.us/Assessing/Propertydisplayscreen 15.asp?ap=0&searchparc... 7/28/2015 12220 East 13 Mile Road brothers Suite 100 Warren,Michigan 48093 586.772.7600 DEFAULT MANAGEMENT SOLUTIONS 586.772.3660 fax , www.fivebrrns.com February 21 st, 2017 BARNSTABLE Property: 9 JUSTICE DOUGLAS Dear Sir/Madam; We are writing to inform you that Five Brothers in regards to the above referenced property,no longe-xi services this property and currently have�no authority from the lender/loan servicer to provide any servV to t the property. cn Please note that Five Brothers is a property preservation company. It performs securing, interizdtibns, inspections, grass cuts, and related services for mortgage companies,"lenders, mortgagee, loan seryicer§;;;tc. on properties that are in loan default and not occupied. The securing and preservation are done to prevent vandalism,maintain value, and to protect'the lenders collateral. However,Five Brothers cannot provide any service without the lender or loan servicer authorizing and approving such service. At this time,we cannot provide any property preservation-services for this property as Five Brothers does not maintain it and has no authority to do so. In light of this fact,I would kindly request at this time that Five Brothers' name be removed from all violations and the citations reissued to the party with legal interest. Your anticipated cooperation is appreciated. The party of interest would be as follows; r Ditech Financial,LLC c/o Property Preservation Department 7360 South Kyrene Road Tempe,AZ 85283 Ph: (855) 577-1602,Email Tempe.Vacant.Registration@ditech.com Please advise if this can be done and kindly respond to this letter. Should you have any questions,please do not hesitate to contact me. Thank you. Lisa Caradonna Vacant Registration Department Phone: 586-684-5708 Fax: 586-772-3660 lisac0fiveonline.com Five Brothers Mortgage Company Services and Securing Inc. o PID#: 1769391 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter,224 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 been 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: Section 1 -Property Information Property Address: 9 )ustice DOuglw Way Centerville, MA 02632-2221 Assessors Map#: NSA Parcel#: 000191-000000-000194 Land area and description Lot:15,682 sq ft/0.36 acres Building(s) description and contents Sgft: 2,276 C) Occupied: NO Occupant(s)(if borrowers so state and include name(s)) 914 a Phone: email: other: , Vacant: YES Date: 8/29/2016 Anticipated Length of Vacancy: Default s= Last occupant(s) )(if borrowers so state and include name(s)) EDMOND KENIRY c/o Rushmore Loan Management Phone: (800)468-1743 email: vpr@fieldassets.com other: Has possession been taken If so, please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Default status Section 2-Foreclosing Party Information Foreclosing Party(full name/title) Rushmore Loan Management Foreclosure Case Court: N/A Docket# NIA Date filed: Default Current Status: Default/Vacant Foreclosing Party's representative(s) for property(entry, management, repair, etc.)(name, title,): Enrique Orozco Company(if different from foreclosing party): Address: Phone: email: other: 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 be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information (i. e. "none"or"see above")). Name,title,other: Property Manager Company(if different from foreclosing party): Assurant Field Services _ Address: 101 W Louis Henna Blvd.,#400 Austin,TX 78728 Phone(s): (800)468-1743 email(s): vpr@fieldassets.com other: Name,title, other: AFS Local Vendor Company (if different from foreclosing party): AFS do CHRISTOPHER SIDEMAN Address: Phone: (978)821-9599 email: vpr@ fieldassets.com other: (800)468-1743 Attorney representing foreclosing party Firm name (if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. 1 also understand that a accurate information will result in non-compliance with section 224-3 of chap r 4 of the Code of the Town of Barnstable. Date: 09/29/2016 Name: obin Brown Title: AFS orized Agent 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 ASSURANT BUILDING PLAN: 9 Justice Douglas Way Centerville, MA 02632-2221 AS OF: 09/29/2016 PROPERTY WILL REMAIN SECURED AND MAINTAINED. PROPERTY WILL BE INSPECTED PER ORDINANCE. . PROPERTY WILL NOT BE DEMOLISHED. PROPERTY WILL BE LISTED FOR SALE. OWNER CONTACT IS: Rushmore Loan Management 15480 Laguna Canyon Rd.Ste.100, Irvine,CA 92618 AGENT CONTACT IS: ASSURANT.FIELD SERVICES 101 WEST LOUIS HENNA BLVD. STE. 400 AUSTIN,TX 78728 T: 800-468-1743 E: vpr@fieldassets.com Fax Transmittal M etUfe Auto& Home Dayton Customer Service Center PO Box 48020 Dayton OH 45475 NOTICE OF CONFIDENTIALITY THIS COMMUNICATION CONTAINS CONFIDENTIAL INFORMATION AND MAY BE SUBJECT TO LEGAL PRIVILEGES, IT IS INTENDED ONLY FOR THE USE OF THE NAMED RECIPIENT BELOW, ANY USE,DISTRIBUTION,OR DUPLICATION OF THE INFORMATION CONTAINED HEREIN BY OTHIER THAN THE INTENDED ReCIPIENT IS STRICTLY PROHISITkD, IF YOU R CEIVSI)THIS COM MUNICA'nON IN ERROR, PLEASE NOTIFY THE SENDER IMMEDIATELY BY TELI PHON1. IF YOU ARE NOT THE ADDRESSEE,PLEASE'NOTIFY US BY TELEPHONE AND THEN DESTROY THIS AND ALL FOLLOWING PAGES; Re p enfs_Information: To: DERRICK Ref 4, H 126183813 b Phone: Fax. 210 468 4539 _Se nndes_In or a#ign. FROM d-p MetiLife Auto& Home � Phone; (808)GET-MET8 Fax: SubjKt; Evidence of Insurance Cornrnents:_ Default Fax 868-743-4390 MelLife Auto&Hoare 0 Metropolitan Property and Casualty Insurance Company 9797 Springboro like Dayton ;IH 45448.0002 Mefti Septemb©r 27,2016 EDMOND P KENIRY `-IN,A.M KENIRY 0 JUSTICE DOUGLAS WY CENTERVILLE IAA 02632 EVIDENCE OF INSURANCE -- - - ----- ---- 0-!!c r-Number H 126183813 0 Policy Form Homeowners Policy Term: 06/02=16 to 06/02/2017 Trarrsactsiori Type: Active tThe purpose of this evidence of Insurenca is to provide dwelling Insurance protection for your horne at tbttime o clasi with t .e o ,ee isted tei9w,._, Beeic Polley Coverages Limits Dwelling $354,200 Private;structures $ b,ti40 Gcry ra 2 plies to Dwelling) Cever� o!�Plus Personal Property $247,940 $88,560 Replacement Cost(apples to Personal Property) Replacement Cost Personal Liability $300,000 luledical I�ayrnents to t3titiers 1;000 each person Total Annual Premium; $1,753 Please send reirrtttance payments to. MetLife Auto&Nome P.O. Box 41753 Philadelphia.PA 19101-1753 The residence premises is located)at: 9 JUSTICE DOUGLAS WAY CENTERVILLE MA 02632 Loss Deductibles: $ 1,000 Hvr*One Deductible(if applicabie):5% Wlndfl ail Deduc#rb]r~. ppiicab�}; _ -- MA W10 Auto&ftft 1%a brWid ad Me*apolriau Proparty anti Caspaiiy hhweuce CMVip6ny mW ihb 019dips,Wejtwkk,K Name: EDMOND P KI NIKY TINA M KENIRY Policy Number: H 126163813 0 9st Mortgagoo Information; 2nd Nlortgageo information: GREEN TREE SERVICING t.LC OLD REPUBLIC INSURANCE COMPANY, ITS AFFILIATES AND OR ASSIGNS AS ASSIGNEE ATTN CUSTOMER SERVICE PO SOX 979282 307 N MICHIGAN AVENUE MiAMI FL 33197 CHICAGO IL 60601 62192427 129070147 3rd Mortgage Information: RUSHMORE LOAN MANAGEMENT SER LLO ISAOA ATIMA PO BOX 692409 SA,N ANTONIO TX 78269 First Additional insured: - Second Additional Insured: The definition of the Insured is amended to include the person or organization shot n alcove vvlth respect to coverag2s but-only with,res22ct to the premises designated above.. d-p MEIFORMMPL (0314) M ALMO Auto!i Home Is b brwW el Moo oMan Raaparty and Ca!iva1ty imuftM6 Coimperty and ft efliflglas,Warwkk,RI, NMetLife Auto & Home IMPORTANT PROPERTY INSURANCE INFORMATION Pleaso refer to the Declerallons Page or Coverage Sum mory of the MatUife Auto & Home Residential Property Program policy to determine what is a covered cause of lobs and which loss settlement method. applies for the spacifc policy, CAUSES OF PROPERTY LOSS ti WHAT ARE THE COVERED CAUSES OF LOSS OPTIONS? Metl.ife Auto& biome offers Insurance protection for the following covered perils: . Broad Named Perils w special Perils 0 Comprehensive Perils Broad Named Perils When Broad Named Perils is shown aor Causes of Loss, protection applies when direct physical loss to tho Dwelling,Private Structures or Parsonal'Proparty Is caused by one or more of the speclfi lly Iisted or named perils as found in the policy, This is GOOD coverage. For Landlord's,theft is not covered,but we do cover loss from burglary. Special Perils Whoa Special Perils is shown for Causaq of property toss, protectlon applies to real ;property (Dwelling and Private Structures)for all direct physical loss except for loss excluded udder the policy.. Protection also applies to Personal property when direct physical loss is caused by one or more of the specifically listed or named perils as found in the policy, Sperinl Porlis is a combiriiatioq of stood Nfirnes Perils (for contents) and Comprehensive Perils (for buildings). This is BETTER. covoraga. For Landlord's, theft is not covered, but we do cover loss from burglary. Comprehensive Perils When Comprehensive Perils is shown for Causes of Property Loss, protection applies for direct physical loss to your property other than a lass excluded under the policy, This Is the BEST coverage, For Landlord's,theft Is not covered,but we do cover loss from burglary. WHAT ARE THE SPECIFICALLY LISTED OR NAMED PERILS FOUND IN THE POLICY? We provide coverage if the cause of the loss is: + Firm Or Lightning 0 Windstorm Or Mail Explosion • Riot Or Civil Commotion Aircraft � • Vehicles + Smoke Vandalism Or Malicious Mischief s Theft(For Landlord's,theft is not covered,but we do cover loss from burglary) i ,Falling Objects • Weight,Of ice, $now Or S'lest i Dischorga Or Overflow Of Water Or Stearn from within a plumbing, heating, air conditioning or automatic fire,proteetiva sprinkler systei or fro.++within a domestic appliance • Rupturing, Cra eking, Burning Or Bulging of a steam or hot water heating system or of a domestic appliance • J McU0 AULD R 14MC-i$:brami of M&iopafitvi Grope ty a�3 Cacrnal:y Risua sc 4cmlan,`a�Q 6-,aNixai�s,Ift, kk.RI. MPL 1871400 Printed In USA_0408 Page 1 of 2 • Freezing of a pfumbing, heating air condlJoning or automatic fire protective sprinkler system or of a domestic appliance i Sudden And Accidental Damage From Electrical Currents ArUicially Generated + Breakage of Glass Or Safety Glazing Material BUILDING PROPERTY LOSS SETTLEMENT WHAT ARE THE LOSS SETTLEMENT OPTIONS FOR DWELLING AND PRIVATE STRUCTURES? Meti-ife Auto&Home offers Insurance protection using one of the following types of loss settlements: • Actual Cash Valve * Replacement Cost • Forietional Replacement Cast e Extended Limits Coverage A Pius PERSONAL PROPERTY LOSS SETTLEMENT WHAT ARE THE LOSS SETTLEMENT OPTIONS FOR PERSONAL PROPERTY? MotLits AiAo& Home offers Insurance protection using one of the following types of loss settierner is . Actual Cash Value Replacement Cost Actual Cash Value This M,6ans the amount that it would coat to repair'or replace covered property with material of like kind and quality, lass allowance for physical deterioration and depreciation including obsolescence. It is an estimate of the aunt your property is worth at the Urne of the loss and takes Into account the loss of value due to ago and nor al wear and tear. The actual cash value On a piece Of property,Whether it is your home stereo or favorite chair may be much less that the cost to replace it new. Payment is capped at the;limit of liability shown In the Declarations. This is INDUSTRY STAND RD coverage. Replacement Cost This pays the full cost to repair or replpioern6nt for your house, other buiidln js, arid how ohold cxintenta without any deductions for physical deterioration and depreciation, Payment is capped at the limit of liability shown In the Declartations. This is 0000 coverage. Functional Replacement Cost This is the cost to repair or replace the darriegecl part{s)of the building with commonly used oonstruction materials and methods where functionally equivalent to and less costly than antique, custom or obsolete construction materials and methods. Payment is capped at the limit of liability shown In the Declarations. This is GOOD coverage, Extended Limits For the dwelling under Coverage A, this coverage extends the loss settlement to pay for damage, up to 125% of the Coverago A limit shown in the Declarations, For private structures under Coverage B, we pay up to the Coverage S limit shown iri the Declarations. This is the BETTER coverepa, Coverage A Pius For the dwelling under Coverage, this covorege extends the lass settlamont to pay for damage, even if that cost exceeds the limit of(lability shown In the Declarations. For private structures under Coverage B, we pay up to the Coverage B limit of liability shown in the Declarations. This is the BEST coverage, NOTE; In the event of any conflict between the policy, including its endorsements; and this notice, the provisions of'the policy and erkdorsernents shall pravail, Page 2 of 2 MPL 16716tKk`? Printod in US.A.(1 8 Parcel Detail Page 1 of 3 t r EAlL15iAff.LE. 9 a� � U." Logged In As: Parcel Detail Tuesday,July 28 2015 Parcel Lookup Parcel Info Parcel ID 191-194 I Developer Lot LOT 28A Location 19 JUSTICE DOUGLAS WAYI Pri Frontage 150 Sec Road IMONOMOY CIRCLE Sec Frontage 103 Village ICENTERVILLE — 1 Fire District,C-O MM Town sewer exists at this address I No I Road Index 10 6 Asbuilt Septic Scan: Interactive ���,•"��,, � , 191194 1 Map _ Owner Info Owner JKEN EDMOND P&TINA MARIE ( Co-Owner F —`— - Streetl 19 JUSTICE DOUGLAS WAY ( Street2 City ICENTERVILLE ^- I StaterMAj zip j0 32 Country Land Info Acres 0.36 1 Use Single Fam MDL-01 I Zoning[RC NghbdJ0105 mm J Topography Level Road Paved Utilities IPublic Water,Gas,Septic �I Location I Construction Info Building 1 of 1 Year(;976 � Roof able/Hi Ext'Wood Shin le Built I Struct p Wall I g Living Roof AC 1876 I �Asph/F GIs/Cmp None J Area Cover Type ' _Int R n Bed Style[Ranch I Wall Drywall -I Rooms 3 Bedrooms Int Bath wa� 1 an s Model Residential I Carpet 1 Full-1 Half Floor Rooms�� " " Total Grade Average I Type HOt Water Rooms r7 ROomS Iw ' ound- Stories 1 Story ] Fuel(Gas I eatF ation Typicalr ;� Gross 3696 Area • Permit History vkc, -7X )/�j http://issgl2/mtranet/propdata/ParcelDetail.aspx.ID 13517 7/28/2015 Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 7/22/2003 Remodel 170255 $14,000 5/28/2004 12:00:00 AM STOP WORK Visit History ` Date Who Purpose 3/15/2013 12:00:00 AM Lisa Henderson In Office Review 2/9/2010 12:00:00 AM Nancy Finch Cycl Insp Comp 1/26/2009 12:00:00 AM Paul Talbot Cyclical Inspection 5/28/2004 12:00:00 AM Martin Flynn CALL BACK 11/25/2003 12:00:00 AM Paul Talbot Meas/Est 1/10/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 6/6/2003 KENIRY, EDMOND P&TINA MARIE 17041/223 $292,000 2 1/22/1999 BICKFORD,ALICE W 12012/54 $0 3 8/13/1976 BICKFORD,ALICE W&MARION 2383/277 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value A 2015 $130,900 $29,600 $1,800 $105,700 $268,000 2 2014 '$130,900 $29,600 $1,900 $105,700 $268,100 3 2013 $130,900 $29,600 $1,900 $105,700 $268,100 4 2012 $130,900 $29,400 $1,600 $105,700 $267,600 5 2011 $160,000 $3,200 $1,000 $105,700 $269,900 6 2010 $141,400 $3,200 $0 $105,760 $250,300 7 2009 $139,900 $2,600 $0 $142,500 $285,000 8 2008 $167,500 $2,600 $0 $148,400 $318,500 ' 10 2007 $166,400 $2,600 $0 $148,400 $317,40'0 11 2006 $147,600 $2,600 $0 $150,500 $300,700 12 2005 $136,200 $2,600 $0 $136,400 $275,200 13 2004 $114,000 $2,600 $0 $115,900 $232,500 14 2003 $103,500 $2,600 $0 $45,100 $151,200 15 2002 $103,500 $2,600 $0 $45,100 $151,200 16 2001 $103,500 $2,600 $0 $45,100 $151,200 17 2000 $76,200 $2,400 $0 $30,600 $109;200 18 1999 $76,200 $2,400 $0 $30,600 $109,200 19 1998 $76,200 $2,400 $0 $30,600 $109,200 20 1997 $82,300 $0 $0 $27,200 $109,500 21 1996 $82,300 $0 $0 $27,200 $109,500 22 1995 = $82,300 $0 $0 $27,200 $109,500 23 1994 $76,600 $0 $0 $30,600 $107,200 24 1993 $76,600 $0 $0 $30,600 $107,200 25 1992 $87,100 $0 $0 $34,000 $121,100 26 1991 $90,100 $0 $0 $54,400 $144,500 27 1990 $90,100 $0 $0 $54,400 $144,500 28 1989 $90,100 $0 $0 $54,400 $144,500 29 1988 $66;900 $0 $0 $19,500 $86,400 http://issgl2/intranet/propdata/ParcelDeiail.aspx?ID=13517 7/28/2015 Parcel Detail Page 3 of 3 30 1987 $66,900 $0 $0 $19,500 $86,400 31 1986 $66,900 $0 $0 $119;500 $86,400 Photos ! rl u x, r http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13517 7/28/2015 i PERMIT PAYMENT''(RECEIPT TOWN OF BARNSTABLE' , BUILDING DEPARTMENT, 200 MAIN STREET �'' , r; HYANNIS, MA 026,01., ; DATE: 12/13/12 TIME: 13:33 tI ---- ---------- -TOTALS--- PERMIT $ PAID 35.00 AMT TENDERED: 35.00 ti AMT CHANGEPLIED: 35.00 APPLICATION NUMBER: 201207743 PAYMENT METH: CHECK _ PAYMENT REF: 3129 1 , �v Tov la off'Bar�astable aa 7 ?V3 rmlt: " ReguIafory Services ate 1d1,3 Orr THE T°►t Thomas F. Geiler, Director Building Division ee: 2!5" BARNSUBIE Tom Perry, Building Commissioner �$A�FD 9. a� 200 Main Street, Hyannis, MA 0260.1 , www.town.ba rnsta ble.ma.us Office: 5 08-862-403 8 TO'�%'VN OF BARNSTABLE Fax: sob-�90-6230 SOLID FUEL, STOVE PERMIT Owner: 'O Ma �► �-l .N Qy Phone: S'o 8 — q 5 7— Z 7ri'_1 Install at:�. - Or— LO- r1Y Village: (ferJ-7 C-C11 2(, . Map/Parcel:. . /1/ / l Date: I L j t stED A. / Used B. Type: adiant/Circulating C. Manufacturer: rz :z N 6L A N0 r Lab. No, D. Model No.: 146 Chimney A. New/AExiD�l g (If ��existing, please note date o B. Fluef � Iasi Cleaning)- , �1�1$ / Stze� ( Iyv �) fs°7» Z� i C. Are other appliances attached to Flue? N,o D. Pre-fab Type and Manufacturer rn r; Q-L g q E. iVlaso �: • � Dearth �Y Lined/Unlined �J Ps� r,.IL Y I- �,, ,✓ � , d - Lu A. Materials: 1=-: n s fro,., rz Ce+Nc2c-rG B. Sub Floor Construction: C o c CLr-,?9—: Installer Name: Phon''e.: Address: Location.of Installation: H I,C Registration# Construction Supervisor# OR check ✓"Homeowner Installing, no license required. APPLICANTS SIG RE .�, APPROVED BY: Please make checks payable fo the-Town o Barnstable *This constitutes an.o ctal stove permit after inspection,photographed, and approved b the Building Inspector y - v The Comrrionwealth oflYlassuchusetts . Department oflndustrial,4ccide7lts Office oflnvestiaaations 600 Washington Street Boston,MA 021I1' Workers}Compensation InsurAnce Affidavit: Builders/Contractors_/Electricians/Pluro-ber.s ApPIcant Information F n^'� ^ `k ; Q.y. Please Print Leg bly I\Iame(Business/OrganintimVIndividua): . q 71, :-1 c G h i p Address: G G'N �4 Iz V. 4_ fr City/State/Zip. Phone.#:. 5 0 8 '`i 5 7 7pia Are you an employer? Check the appropriate.box :Type of proj]eduired); 1,❑ I am a employer with 4, [],I am a general contractor and I T6. e New con. employees (full and/or part time).* , have hired the stab-contractors 2.[] I am a'sole p=oprietor or partner- ' listed on the'attached sheet 7. ❑Remo ship and have no.employees These sub-poniiactors have 8. �Demol , ivorldng for me in any capacity, employees and have workers' [No workers' comp.ms�nce camp, insurance,$' 9, �'BvEdmn - 4=�] 5. [] We are a corporation and its 10.❑Electris or additions3. I am a homeowner do' all•work . officers have exercised their• I I- Phrmbis or additionsmyself [No workers'comp. right bf exemption perMGL12,Q Roof reinsurance required.]t c..152, §1(4), and we have no employees. [No workers' P a,�,� comp, insumncerequired,] *Any applicant that checks box#1 must also fill out the sccdon below showing then worlars'compensation poficyinformaffim. t Homeowners,yvbo submit this affidavit tadicadug they are doing an work and then hue outside contractors must subrrit a new affidavit indicating such. tcantractors that check this box must attached an additional sheet showing the name of the$ub-contractors and state whether ornotthose rntides have employees. If the sub-contractors have employers,they must proYide their wm,,='comp,policy number. , I aM an ernplayer that ds providing x�arkers'compensativn insurance for my employees Bela-W ds.the policy curd job site' infarrtcatian. .. Insurance Company Name: Policy#or Self-ins. Lic.#F Expiration Data: - Job Site Address: City/S#ateJZip: Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Failure•to secure coverage ag required under Section 25A of MGL c, 152 can lead to the imposition of criminal penaEes of a fine tip.to$1,500.00 and/or one-year imprisonment, as Well as civil penalties in the form of a-STOP WORK,ORDER and a ime of up to$25 0.00 a day against the violator. B e advised that a copy of this statement may'b e forwarded to the•Office of Investigations of the DIA.for ins- ante coverage verification.. I da hereby certify irnder fhe pains•attd penalties ofperjury that the informatiax prgvided above is true-and correct Si lure: r2� �,. he c �./ /•i 0% Z Date: , Phone# S es s s9 5 7 - 2-7 9-T Offccw•use only, Do not write in this area; to be completed by.cdty. -or town ojTj dal, City or Town: Yermit/License# Issuing Authority(circle one): .-I,Board of Health 2.Butldin De 2rtment 3, Cifvl'Town (lark d ' .lor,+r•inal Tncnanfnr Q. lWho is responsible for making application for the. ) :permit?; Application for a permit is required to be made by'the owner or lessee or their agent of the building (e.g.; the. HIC registrant ). If application is made other than by.the owner, written authorization of the owner must accompany the application. Such written authorization shall be signed by -the owner and shall include a statement of ownership and shall identify the owner's authorized agent, or shall grant permission to the lessee to apply for the permit. The full names and addresses of the owner, lessee, applicant and the.responsible officers, if the owner or lessee is a corporate body, shall be stated in the application. Please note: It is the responsibility of the registered HIC to obtain all ermits necessary for work covered by the Home Improvement Contractor Registration Law, M.G.L. c 142A. An owner who secures his or her own permits for such shall be excluded from the guaranty fund provisions as defined in M.G.L. c. 1.42A. Back to Top Q. � contractor told me l need to obtain the permits fo !m construction. May I obtain the relevant ermitsf_r__ ---� p om Lmy local building department, or is the contractor 11required to do that? While you may certainly obtain your own permits, be aware that if you do, you will fall into a' homeowner exemption that will disqualify you from being eligible to-receive recourse through M.G.L c. 142A, the HIC Lave, or the statutorily authorized Guaranty Fund, should a problem arise. It is the responsibility of the registered HIC to obtain all permits necessary for work covered by the Home Improvement Contractor Registration Law M.G.L.L. 142A. If the HIC you are contracting with refuses, you may wish to. . reconsider using that contractor's services. i ' b t oFTIE Tom. Town of Barnstable Regulatory Services saxrtsTasLE, w Thomas F.Geiler,Director Mass. 1639. .�� Building Division lFD MA't A ' Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: f 2( 9 I 12-0 i Z ". I JOB LOCATION: C 08 u G t-A'S W;y `"i C.6Z V i t,L E number' street ` ej r— �'�village "HOMEOWNER": 1�D M a N A �� °�' Q•Y S .8 � � Z�'C`IS` �� C�� Sq 1.� name home phone# work phone# { CURRENT MAILING.ADDRESS: S rem t. 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'comphance 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. 1 Signature of Homeowner Approval of Building Official r Note: Three-family dwellings containing 35,000 cubic feet or larger willbe required to comply with the State Building Code Section 127,0 Construction Control. . #. HOMEOWNER'S EXEMPTION i 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 persons)for hire to do such. work,that such Homeowner shall act as supervisor:" 1 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. 10 f Q:foims:hom' eexempt j THE r Town of Barnstable Regulatory Services * snxtvsr te, y Mass, g Thomas F.Geiler,Director A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8,62-4038 Fax: 508-790-6230 Property Owner ust Co lete and Sign 's Section If Usin A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work.authorize by building permit. (Address of b) **Pool fences and alarms are th resp nsibility of the applicant. Pools are not to be filled or utilized be re fenc is installed and all final inspections are performed and cepted. Signature of Owner Signature of A licant Print Name Print Name Date i Y Q:FORM&OWNERPERMISSIONPOOLS 6/2 12 a .; :. °jai: ,. py•'• .� y 4 i m Y' : n • 4 ..ry w Wa_ wypLn-r�''s='ypf' .i1k.2a:Aa> - {� w w.rarr k 77 4. IF ,a k a Ir-4 d F • 4 7 �,. _ a>ty. P , J 3 P r 9, .•Y r y 9 Justice Dou g Y las Wa � Cent Jan 3 1 [ 2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma - Parcel �` Application # 1 _J .. Health Division 7(, Z 8 Date Issued Conservation Division t Application Fee • (�o Planning Dept. - `"' Permit Fee Date Definitive Plan.Approved by Planning Board r.. Historic - OKH Preservation/Hyannis c f Project Street Address .q u s ;; c E O.ou 6L Rs w r+y Village C a L'L E rn 0 10Z Owner 'F o m Oro A Styr Address -- S pr M£ • �o �( Telephone ° 8 -7 7 8 —5-6 Z 4 Permit Request 2 e Q 13 c s rn 0 o i° cA A as ; a C a i'i C (�QPLic Ri`1ofJ F�oM 'avN oo ,v L Owt o�i�-' f1�0�< AP(�E � ICGSS MoOPF CAiSoN3 Square feet: 1 st floor: existing i8sb proposed 2nd floor: existing proposed Total new D Zoning District CQ17CR_J :L. __ Flood Plain 1,1 s Groundwater Overlay N ° Project Valuation Construction Type W °o D E - Lot Size S S d'o S 4. Grandfathered: 0 Yes WN//o If yes, u' ortin y �„pp documentation. Dwelling Type: Single Family N( Two Family ❑ Multi-Family units) Age of Existing Structure 11 7$ Historic House: ❑Yes o On Old King' Highway: ❑iy� s Zo Basement Type: f9 Full ❑ Crawl ❑Walkout ❑ Other co M Basement Finished Area(sq.ft.) ® Basement Unfinished Area (sq.ft) 1 + 3 b Number of Baths: Full: existing Z new Half: existing 1 new 0;7 Number of Bedrooms: *'_3 existing _new Total Room Count (not including baths): existing V new First Floor Room Count $ Heat Type and Fuel: U/Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes L/ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes L 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 3/No If yes, site plan review# Current Use ES `D e r L Proposed Use APPLICANT INFORMATION (BUILDER OR OMEOWNER) Name F r► ,' Y Telephone Number a 8 7 7 8 'S 6 ZJ Address s a c D-u e � AS AY License# CFN'«V L L F, MA �2 G J Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N s 7013LE L4#,] D F;U SIGNATURE f_d .,.J DATE 7 / Z1 � b � F FOR OFFICIAL USE ONLY 1 s - APPLICATION# DATE ISSUED � MAP/PARCEL N0. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION „ FRAME �3 II91 Z AV- -INSULATION o t� dwoq � t FIREPLACE , i ELECTRICAL: ROUGH FINAL 1i PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING 1 .a°I p .Rjc�f f , DATE CLOSED OUT ASSOCIATION PLAN NO. l �ofYHE, ti Town of Barnstable .Regulatory Services BARNSTABLE MASS. Thomas F. Gciler,Director 9 g 019. ►A� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79076230 PLAN REVIEW Owner: ke.\i r-v Map/Parcel:_ - r Project Address9 'Jks+ice Dw A'Jcj Builder: The following items were noted on reviewing: �oa�. Sere sere rz ,�ern�i �' reQ Imo, �d -16ar- o + f Ca)2 ze::r2 S4-L4l0 Q Q Reviewed by: Date' �l�l� 3Pe1<E wlwrFc 9/I1)QF Q:Forms:Plnrvw Town of Barnstable y�of THE rpy� Regulatory Services Thomas F. Geiler,Director v M"� Building Division . � s 639 � PTfD µAl A Tom Perry,Building Commissioner . 200 Main Street; Hyannis, MA 02601 vim.town.b arnsta bl e.ma.us 508-862 4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: '7 / Z 2- / Odp q �vr ;�PcE �o. �6Ltils way f fir' �,Rv�LL� JOB LOCATION: number street village "HOMEOWNER": - work phone# name - home phone# ,. , CURRENT MAILING ADDRESS: t!t •' C-i, `rO©.� 6.+RS n-Z 'L city/town state zip code E The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and i 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 fwo-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 helshe shall be es onsible for all such work performed under the building permit. (Section 109.1.1) : ti [-he undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. he undersigned "homeowner"certifies that he/sbe understands the Town of Barnstable Building Department a nimum inspection procedures and requirements and that he/she will comply with said procedures and �-quirements. t ignaturc of Homeowner oproval of Bui)ding Official t Note: •Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the - ate 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 this section (Section 109.1.A -Licensing of construction Supervisors);provided that if the bomcowncr engages a person(s)for hire to do such rk,that such Homeowner shall act as supervisor:" Many homeowners who use this cxc;mption aie unaware that they arc assuming the responsi`bilitics of a svperrisor(sce:Appendix Q, )es&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awarcncss often results in serious problems,particularly cn the homeowner hires unlicensed persons. In this case,our Board cannot procccd against the unlicensed person as it would tirith a licrnsed rcrvisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of hislhcr responsibilities,many communities require,as part of the perrrtit application; the homeowner certify that hdshe understands the rrsponsibilitics of a Supervisor. On the last page of this issue is a form currently used by. -ral towns. You may care t amend and adopt such a forrdcertification.for use in your community. �oFTHEI-, ToWn of Barnstable ` � Regulatory Services sA.arvsriar�, pus Thomas F. Geiler, Director. Eo �a�m - Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www_town.ba rnsta ble_ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign ` bis Section Zf Using A Builder I E 0 mo D N ` 2y , as Owner of the'subject property hereby authorize to act on ray behalf, in all matters relative to work authorize b s buildinP! Termit application for: 5� t ':cf Vou6LftS w 4 G�� �J;�a.V;t � �� m.� DL G32 (A dress of Job) \2-1 Signature of Owner Date T�p cno NO I��N; y Print Name If Property Owner is applying for permit please complete the Homeo:w:ners License Exemption Form on the reverse side. l ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE'- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Nariie: F D r10 n l`�.N ; PLYSite Address: ;.vS'ry e E :Do 0GL AS w_ (jY prin! _ Town: cE,YJ-:�'tt.,ILcE M. Pr 02a `a- Applicant Phone: Sob - 778 - G 2.S Applicant Signature: 19 kle"I n , Date of Application: 7 %Z 1 / aG _ NEW CONSTRUCTION: (choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE AND TWO-FAMILY BUILDINGS MAXIMUM- MINIMUM Ceiling or Basement Slab _Option 1: Fenestration exposed Wall Floor Perimeter U-factor floors. R-Value R-Va.ltie Wall R-Value R-Value AFUE 17SPF SLLR R-Value and Depth National Appliwiec Energy 35 R-38 R-19 R-19 R-10 R-10, ConscrvalionAct(NAECA)of 4 ft. 1981 as amended,minimums or greater is npplicablc Note: This form is not required if you choose either of the two versions of REScheck.as,listed below. ] Option 2: REScheck Version 4.1.2 or later variant software analysis must-be completed (780 CMR.6107,3,2 REScheck--Web which can be accessed at http://www.enerRycodcs.gov/rrschecld D)DITIONS=O)�-.ALTERATIONS TO`.EXISTfNG.BULtiDINGS:OVEIZ 5:,YrsARS OLD* Wildings under 5 years old must use option #1 or#2 in New Construction section above; . )mplete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b= a) 7 Z�- SF 100 x qZ = 7Zn _ 1 2 % of glazing (b) Glazing area equals, 1IL SF b a glazing is 4D%.use.the chart below. If.,glazin .is>:40°% proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS / MAXIMUM MINIMUM Ceiling and Slab Perimeter LLL��JJJ Fenestration Exposed floors wall Floor Basement Wall R-Value U-factor R-Value R-Value R-value R-Value and De tlf .39 R-37 a R-13 R-19 R-10' R-10, 4 feet R-30 ceiling insulation may be used in place ofR-37 if the insulation achieves the*full R-value over the entire ceiling area(ix. not compress.cd over exterior malls, and including any access o enin s).- ` ❑ SUNROOM-An addition or alteration to an existing building/dwelling unit where-the total glazing area of said addition exceeds 40% of the combined gross wall and peiling area of the addition, Note:. Owner to fill out Consumer Information Farm (found in Appendix 120,P) ze, xS 16'x2 1 � o y k a I �77 )C2v,ciZ;47-10AJ •q - F e F— CL� SOT J CL-•'T7F',l 7i.A7- �h�C GL �i NL�' f;.% �° 'ti:;r•G °��>� 7i ,.T;�% T�I A v Po 1 Al 2 ALA 6 SM c.L i 1� T.!T7 oQ l3' Commonwealth o Massachusetts e C Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant ormation Please Print Legibly Name(Businesslorganization/Individual): E r"t O w y> F lL�o Address: G .7 o S ,l c r, p o o 6 L A S LU V►%Y City/State/Zip: o2-,G3 z Phone.#: So 9 —77f Are you an employer? Check the appropriate bph:: Type of project(required): 1.❑ I am a employer with 4. �I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractars 2❑ I am a sole proprietor or partner- listed on the attached sheet 7. WRemodeling ship and have no employees These sub-contractors have g• Demolition employees and have workers' wor]dng far me in any capacity. 9. ❑Building addition [NO workers' COIIIp.insurance Comp.insurance.t ed.] 5. We are a corporation and its 10.❑Electrical repairs or additions .�a homeowner doing all work officers have exercised their l 1.❑Plumbing repairs or additions myself[No workers' comp. right 6f exemption per MGL 12 Roof repairs ���ram-)t c. 152, §1(4), and we have no - employees. [No workers' 13.❑Other comp,insurance required j *Any applicant that checks box#1 roust also 51l out the section below showing their wxk=cs'cornparsatim policy infaanaticaL t Homeowoen who submit this affidavit indicating they err:doing all work and then hire outside contractors must submit a new affidavit indicating such 2C0ntr3ct0n that check this box nmst attached an additional sheet showing the name of the sub-coottattors and state whether or not$rose entities have employees. If the sub-contractors have employees,they must pmvidt their workers'comp.policy nmober. lam an employer that 1s 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 scan a coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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$250.00 a day against the;violator. Be advised that a copy of this statement may be forwarded to the Office of Investintions of the DIA for insurance coverage verification. - I do hereby ceert*under the pains•andpenaldes ofperjwy that the information provided above is true and correct StanatLr �•qa .w/` =C �t.� Date: 7 12 /6 8 — Phone# So 8 — 7 7,? — S 6 Z 5 Official use only. Do not write in this area,to be completed by city or town offtcW City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: AGO'w.TM C IiFICA1'E F�ABIUTY IIVSl Ri4NCf -- '07129/206A MY AND CCNFgM, 34 ND Mon tpt" TME CERMICAM mm HMbM TM CERFMATS OM NO? Ajoa ECMV OR ALTM rws COWOUM AOFQV= ar TEE PoUM glow U► 02673 OWYfift AFFORDINGO MERAOS NAIL 0 14io�as A Josry Walsh IMUMNA. GOARM STATS 110 3ello r Rd aGMMt 9: - e�9uAmc: non Lr. R�(momi,w, Ill 02601 T THE Pi0LP= OF ovivi E (,UM Bamw M vEr BEEN BSLW M THE RqSuRw fAWWA -FOR THE POiJGY PM 1PXOATEb..NOTNATHS7ANpP10 ANY FEQMQBMW. TERM OR CONDrtpM OF ANY OOS MOOT CR OTM OOMNIM VV� ALL A MVECT TO T i THE OERI1FIC1T3 MAY SE tsStJEp OR MAY PB7rAIN, THE PIBURANC� mp. 6Y ThE PbUCt�9 D'cBCBB�-O HERB 1$ BUBJE{T 1p THE TERM E7Ip„USIOPIS AND i'CLICIE&A=ATE UWM&CM MAY HAVE SM RW BY PA0�AedB- OF SUCH -iillwil Miami M 1Yrtar IEUCIN{BBBN O+�iwpmcnve a10w"Nu RM LM E�eaLagq CWM6MItoE (—�O=m �l�WM ear PMeon1 9 '— PB�eawrLdACVULeJAY e Aaeoapgeg � 0lM.AtlC1REeg7B IAIITAPaUBg F@R: POUDY "to. BOi L0C iS-COURWA � W101109�ataepy}y - �di'1AUr0 � �LE4ArRT i Au O"RIDAMIN SCHECIUMAMS B Lpw S MMA nx HGNQIIVI�D AtITp§ � P+eeeAtlenq $ MAW upmuy AW AM wroor.so pA CA ACC I am OW, tUlmtLfr 00= CLONlopE AMWTE AEf6atlotd s ., � A aaeM",RIOIfiYltl I OWUM PU MUTT :% ronr LIM Wc^^162-67-46 10/31/2007 10731T2008 ELS4a►Maasrr s-100.,opp S LPRWRAC7115beb a E6-0i •FA bYE 1100,000 �i:vlBslt�-�ouOYbrAt $ 500,000 7e0Masa1�a71owl two==/ exlroiolroAo®sY �a�A�PRor a 'ffi$ MOR10M8 001 T1C81 POLICY DC9E9 DWT R _PCR 1' 4.10�1+8B .SATE N�;�R 'I0m TlQlil SMU -ANY os 70 Aaa�B N== rCtie�p� BE M� .. 9-.7�TS'1'�CS a myewre "MOM, ** neum omu " m ern 21.1 an yAMM. xogclt to DRhis to +►B; ►arE BurrMUR Tp = w emu !fKKVr.=, -N&•02632 eavoea M CBl+annaM. uAwurr- AIM ,aem imoM ,,es uu AOIdi1s aA 508=779-5625 � . AUIMp® . { r y y ► - �„ i air kk 9,11 of t f,47 .. ^�r fk�.y j fy� K r try♦ � � .`w, ��" �' v .r,'4-wl�.•r .+ _ 'r♦ �i- y q n e Rnt "e t -1 � vrJW "�+ S ��F��3� �J` kK� A� � v✓: T� M1"'SF: �"X. � �� It � � iy�.q�' �� h XcFk�!&.1 �:'�n.k�.�Pa•.�F_ �_ X...�+4. � � 1i a` � e. .:` j For the EXCLUSIVE use of Mrs Tina Keniry p. 2 FRONT: ,. . r LEFT: x� REAR: 'pie' ,pv T 1 RIGHT: , s y For the EXCLUSIVE use of Mrs Tina Keniry p. 3 Town of BarnstablePermit:. 7 o � �Op1HE To Regulatory Services ate: Thomas F.Geller,Director ► BARNSrABL& Building Division ee:�25.60 y MASS. n39. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: Z< h N Y Phone: 5 d S 7 7 Y. 3--6 2 X Install at: t; s'r c e o:j d L a s Lo ay Village: C G N 'E rc z z Map/Parcel: .1 c1 1 4- Date: y I i q /o 7 Stove A. New/ se B. Type: Radiant Circulating �- C. Manufacturer: ©� CLab. No. /D. Model No.: 3 o Chimney E A. New/Existing (If existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? Pre-fab Type and Manufacturer 6' U'T 3 6 36 1 rases h CV tt,©i" l+c n S r- E. Masonry: Lined/Unlined Hearth A. Materials: Qs Pv(kXy t rie ('LYt.uo: z,-ems rn, Nr.e_,oL f3e_32'0 x B� Sub Floor Construction: N a;t o :. �-�� a �.N . 00 u*YFl L- Installer Name: i d Y -7-1-4 ch r,-v Address: 16� tZ (�bIJIQ PCRO 4059 f7Z 6&q . Phone: S 6 Q 7? 7 07 c1 7 Location of Installation: Co Nv V,-c: o G a�t.16? f APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by they Building Inspector Q:forms:stove Rev122801 i r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map 1 Parcel 14 Permit# 2`5 Health Division Q4,,- ` Y ` o f '74-1-03 � 81b L Date Issued {7 UL Conservation Division 2 j, Fi"t j: Application,Eee 25 Tax Collector Permit Fee Treasurer �" ^A 1 IT1 ;1Ut Planning Dept. SEPTIC SYSTEM MUST EE E Date Definitive Plan Approved by Planning Board INSTA:LED Its COMPLIANCEVM TME 13 Historic-OKH Preservation/Hyannis ENRONMENTAL CODE AND Project Street Address ►' C G 00 V 6 L AS L)n Y Village C C IV T E RVi L L e Owner E®r^awo k CN,' (RY Address SAY,,g Telephone S D 8 7 78 — S 6 Z S Permit Request T O Co N V t; R% FX t S T? w 6 Z CAR G A R A 6 r N ;o A B F 9 (AL F1 T I+(t 00 M a 'T o M P, F F Z Ex I!c 1, aC ® aooe-, .c BY nn ao::tic a s 1a®r oPc,i; 06 (?;%Lr--Ev, %Item Square feet: 1 st floor: existing lit 3 6 proposed 1,8 7 6 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I ti oo o Construction Type Lot Size 1 S,6 8Z Seigm w Peed Lo•364randfathered: ❑Yes &<o If yes, attach supporting documentation. Dwelling Type: Single Family M/ Two Family ❑ Multi-Family-J#units) Age of Existing Structure Z 7 Historic House: ❑Yes Zo On Old King's Highway: ❑Yes &6 Basement Type: O'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ® Basement Unfinished Area(sq.ft) 1 , + 3 6 Number of Baths: Full: existing new 3 Half:existing new Number of Bedrooms: existing 3 new 3 Total Room Count(not including baths): existing 7 new 7 First Floor Room Count 7 Heat Type and Fuel: WGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Ao Fireplaces: Existing I New I Existing wood/coal stove: ❑Yes Lv o Detached garage:El existing ❑new size Pool:❑existing ❑new size Barn:❑existing C]new size Attached garage:T( existing Atfew size* Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes U//N0 If yes, site plan review# Current Use S 1 r G Lia, F AM i Ly Proposed Use S ►° N 6 Le - f-A m: Ly BUILDER INFORMATION Name Mo N 0 I".FvaI Qy Telephone Number_ 77 P — 5-6 LS Address 9 y s f c F Do v 6 L*S' W P�y License# ON—, ea v zL L F t-N rt p 2-6 32 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE (' .+, �,� t_c�..s�� DATE 2- 1 :v L y v7 t ' FOR OFFICIAL USE ONLY { .� PERMIT NO: 'v DATE ISSUED _ •s. MAP/PAkCEL NO. _ 1 _ ADDRESS VILLAGE OWNER 4 - DATE OF INSPECTION: S f FOUNDATION FRAME INSULATION FIREPLACE I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH x x : FINAL s s GAS: ROUGH t►"*4$i, - : i : ' FINAL FINAL BUILDING Clo "I * DATE CLOSED OUT ASSOCIATION PLAN NO. - r �oY11HE,� . Town of Barnstable " Regulatory Services snaxsr =, ' Thomas F.Geiler,Director 16219. ��� g Buildin Division �prFD MAy A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION r . MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which_are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work: Cori vE (t.S ios. Z CA0. 6 A(ift6 F -ro Estimated Cost i t/ o O ° Q, F O(Lv ors. ♦ a R,it R C o:1 Address of Work: ci 3 u Sr 41 c E G o u t Lft s w sty c F N'F 2 v-. L L P M A o 3-6 3 Owner's Name Date of Application: ( 8 3 `'L Y L Oo 3 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 VgR wilding not owner-occupied Owner pulling own permit Notice`is hereby given that: OWNERS PULLING TEEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE 'ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR o u IL-Y 2-® n, +. Owner's Name is The Commonwealth of Massachusetts — Department of Industrial Accidents •- = O1!!ce ollasesligat/oos - _ 600 Washington Street -= Boston,Mass. 02111 t�•c" Workers'iii .��;tion Insurance//%/%%%/�%%%%/O�%%%��%��%�%�%%/�%�/O/�///�%%/% name: F fh o I^_ S N 4 location: q 7 s 5.7 i C1P- ®d u 6 t_tt S w IV Y city L N F iii t_ F rn R 0 2 6 3 7- phone# Tog -778 -.7 6 25 �I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one workit &iany ca ach 210 1 er rovidin workers' compensation for my employees working•on this job. I am an em g :.:::::.::::.:..........::.:............. }'sar :. .............. ........................ .......................................................... :S:,: $�.;::,:::'::�:SL+;:j::i:�!::;i:;ry}y;{vyiij':�i::i:i;:;}+;;:;:`t�$i: 2:;:>.;:;:Cyr:;is>.�:>.;ii:}:i:Y.:..j::i::_;i.i:;i:;::::.j:::j:;'.;>`.;:;.::;:`i,:i�•,:i�.::i;}:y:<:;:v;:yj::�;':;:�;:;:;:;;:;:;::>.�l�:':<��'j::Sii.�.:.�.'+.:: c h 113uTanC6 ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have workers' co ensation polices; following ..............................:................:.............:::........:.:..:::::.:.:::::.:.:.::::.:::.::::::::::::.::::::.::•::.+.n,.... . the mP ................................ :..:. : .;:$II1C <'i '•i;#'i ' %tni?>.;i:'•:i`" i' ii ?'i iigi%;<';i:%':?i;i?ii?+i%;i?i;;: i:;;::; ............. i:iE 4 corn sin ;ti _ :.;.. . .. ..... ........:..�...........•.�::.......:..:::n.........:.......•::v........n.....:•:::{:.h..�:v..:..:..::...............................::vti;}'•:t{S{{Av:•.,..}.....\n..:x:::r...n...}}y: ...... ... ............ ......... .... :•:::.�::::.:�:::::•::•.::4;::;:::::{L':2-}:•}};.:....:..:..........: ...v.......;.........v....:- - v,-i}:v:•}:{v':'v:i4.t�i�{:•.•:{{v.:,•�` '{'{�:;:}}':,v,::;i;:;:-+.{;:;:;:;:;:y::;:,i'�iii:}iiyy:,+.{:;:;�}::>.i}?L{:j$;;i:`';r:ji':�ii:G �:.i:`vj:Jiii:.�'Ei''::is:;?::i:;:y?S:>.�i'i�'}�r•:{ti ii:::i:::i::i:ti i:•'•' .fr. ..... ................::...........................................res' .......................:•.�:-:w:::w::v.......w::x:::::-:. :r..r:::.w.,v:::;^::::.,.:2:{•}\2•}:%•':.+.•n.:v^:%iti•T �... :.v:::,v:v::•}:•}}:{{•}:::w::;:::v:.:... ..... ...................:.....: n r.uv:::;•:;......:,v:;.,�.}:;.;}}}}}:G}}:•}:•}:v:::::::.::::....:.:.,•{:.v:rr:x;:.,,:............••::v:v. ..r..}... ........ .......... .......... ................... .....:::::::::::::w:v:t•:.,, .....::::::nvw::x:::.::�::w:::::n:.::w:::..::•{tk4.::v........:....+Ynvi:•+h^.:^:tv:}: :it.}::..::::::::.::•:�:::::::::::v.�:.............: ... r•::r.........n:::.v::::.. .... ... ...........:... ........................................:................ 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Fafinre to secure coverage�required mmder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a nne up to S1,S00.00 and/or one ye ,imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I m►derstand that a w copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification Ides hereby certify under the pains and penalties of perjury that the information provided above is imp and correct Signature= ���aS a Cftc ate Zi L y 03 Print name S� n�®n� i- E N i i;� Phone# S o 8 - 77 8 —5-6 Z- official use only do not write in this area to be completed by city or town official city or town: perndt/license# (:]Building Department ❑Licensing Board :+ ❑Selechnea'a Office ' ❑check if immediate response is required []Health Department contact person: phone#; - ❑Other Utviaed 9/95 PJ2a Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any cgntract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,Partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and an names, address and phone numbers along with a certificate of insurance as all affidavits may be supplying comP Y submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and is d_ date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns .Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the peimi icense number which will be used as a reference number. The affidavits may be retumed'tn the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. 1please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Otflce of Investigadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 Tw CM9 Appeodix I 'table d31.Ib(eontlaaeo prveriptrra psdmgea for Onn and Tr o-Faasil3'Aezideatlsl Hnildtap t3ntsd mitt Fomil Fuck . MAJC�MUM MINIMUM Glazing 78RAzingll Floor 13asexaenl Slab Heating/Ccating eia Equipment F_tI'icirncy' ue' R-values R-w� R� � P�3e 5701 to 6500 Hesting Degm Days' Noal 1Z'/. 040 38 13 19 10 6 rm Q . 6 Normal R IZ■/, OS2 30 14 19 10 85 AFUE 12% 0.50 38 13 19 10 6 9 N/A Nonual T l5'/. 036 38 13 73 NIA ■ 046 38 19 19 10 6 Normal u 15/■ . NIA 83 AFUE Y 15% 0.44 38 13 25 NIA 6 95 AFUE Rr 15% 0.52 30 19 19 10 NIA Normal X 18% 0.32 38 13 � NIA N/A Nc=W y 13% 0.42 38 19 25 N/A 6 90 AFUE Z 18% 0.42 38 13 19 10 6 90.AFUE AA 12% 0.50 30 19 19 IO 1. ADDRESS OF PROPERTY: Jos c F 9 o u Lit s W `/. CF. C,(LV4 .L MA 0263Z 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 362 3. SQUARE FOOTAGE OF ALL GLAZING: 30 4, %GLAZING AREA(93 DIVIDED BY#2):. 5. SELECT PACKAGE(Q—AA-see chart above): T NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: N0: q-forme4980303 a 780 CMR Appendix J Footnotes to Table ALM Lass doors, skylights, and Glazing area is the ratio of the area of the glazing assemblies (including sliding-g basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example, 3 fl of decorative glass may be excluded from a building design with 300 f'of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. 3 The ceiling•R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R_values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R 19 requirement could be met EITEMR by R-19 cavity insulation OR R-13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to wood frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. °The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mean the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement dt-scribed in Note b. 'The R-value requirements are.for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. . 'For Heating Degree Day requirements:6_&closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and"an.4gFregate U-value rating for that door is not available, include the glass area of the door with your windows and-use the opaque door U-value to determine compliance of the door. One door may be excluded from this require (i: .�may have a U-value greater than 0.35). includes two or more areas with c)If a ceiling,wall,floor,basement wall,slab-edge, `r`crawl space wall component different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). ' RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE 2 5� New Buildings,Additions $50.00 Alterations/Renovations $25.00 '2 S .o Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE ++0 square feet x$64/sq.foot=�� 1 �o � x.0031= 8 -7 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= " (number) Fireplace/Chimney x$25.00 (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 Y , (plus above if applicable) Permit Fee }- projcost Town of Barnstable CF THE T� Regulatory Services STAB Thomas F.Geiler,Director MASS. .0� Building Division rED MIp'1 A , Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 2 t 3 J L p D 3 JOB LOCATION:. 9 5 U S -p;C re Dp u 6 L P,5 5i N (E RN i L L G number street village "HOMEOWNER': F D i Qy 5708 _—/79 J 6 2_S S R m E name home phone# work phone# CURRENT MAILING ADDRESS: S A'rn F city/town state zip code The current exemption for"homeowners"was.extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm.structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger.will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions >_of this section(Section 109.1.1.-Licensing.ofconstruction 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 /hp s9 fov,ciD9 7ic�1 2 PLC PWO �L A ( L FEQE• CL �OT ?L-,�. a �=Ue, AL.Ai4 E eiMALL �1JG ,� •. �-' L TGu..-V Gf- T�,A MAt2.G JiL_Lt M. A 5S f ,Jf-;:-r.,T)c).�l1se 1� t sH r.�...r. N % -7-7 q7 �ovalvA riv�v e + 0, G 28 2 7 Ir2, ej t� \ � ZI a qs HICAARD •- 4R CE j a, J l A c�c"� �s 30 -DAT'E �o/151'1c.. rLAtJ ��FET�Ci:CL > ccer�c 71-IA7- r�4E ,covd©A &J �DT `2- k, �h�0��ti1 /16,P60/✓ Cc��/�o���IS TI) THG R-A� FvC'. ALAW C �M A� ING �,tr c>G .L4uJ5 ©r ;'W6 TOu-.cl G6' 'bA T'L� MAQC.t-t '5 l9`7(, R,Q"S,-A 5L)aut--pV c� M MA SS \D r co 6e Assissor'sirri6p and lot'number SEPTIC SYSTEM MUST BE- `" INSTALLED IN COMPLIANCE `+ Sewage Permit number ................. 1.... ............................... WITH ARTICLE II STATE �. 0 SANITARY• CODE AND TOWN t FTHET TOWN OF 'BARN5TAI' LE it 1' 9° ...�MABY DUILDI. G ; INSPECTOR ct 163 wag a� 4 ti APPLICATION FOR,PERMIT�TO ............... .......... . .................................................. TYPEOF CONSTRUCTION ............. 6...... '................................ .................................................. ' .. .............................19 .... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit acco,,rdIN to the following information:' 4 Location .....................� . ....A.......n ..... .......c!�•~'..... ......:...........................IV............. ........:T.-.! ....................... Proposed Use ........................................ ....................... p ... . ............................................. . Zoning District .......... .........................Fire District ........ ..................................................................... Nameof Owner .... ..........:..............Address ........: .... ..... ........ ..................................................... Nameof Builder' ....................................................................Address ..................................................................................... Nameof Architect ..................................................................Address .............................:..................................................... Numberof Roo ........../.......................................................Foundation ................. ................................................. 1 - Roofing ..... .... Exie for ................................... g Interior ........ Floors ....... "........................................... ........................... Heating ...... t.. e,. ....... g ......... ......l ..........................R...................... Fireplace ..........:"!'.1T•`•'•�•��,�pp^`• ............ ... ................................Approximate Cost .......11,7 .�........f .�............ Definitive Plan Approved by Planning card ____________________________'___19________ . Area ....../U..: ............ S Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL-OF BOARD OF HEALTH .I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi g the,above construction. Nam ............................................ Small, Alan E. 18492 one story, ................. Permit for .................................... single 'fam- ily;. dwelling ' Justice Douglas Way. tocation ....... ................................ ......... Centerville ..............:11-11-101-11-11-11"...............:................... Ownee Alan E. Small ................................................................. Type of Construction frame ......0................................... ........................ ...... .Lot.............................. Lot ........#28A........................ Permit Granted ......June. 2.9...................19 76 Date of Inspection ...7.11-R. 6. .....19 '7 Date Completed .. ............19 PERMIT REFUSED ............................................ ................... 19 ............................................................................... CIO' ............................................................ ................... "14 ........................................................................... ........................I....................................................... Approved ................................................ 19 .............................................................................. ............................................................................... + pk&j Asse ` ' -aa and lot number Sewage Permit number .............'Z....... ...................:.......•....... ��FTHET� TOWN OF BARNSTABLE i EAB35TA11LE, i '16 9 .•�� -{ _ BU'ILDING ' INSPECTOR APPLICATIONFOR PERMIT TO ................✓ ..................................................................................................... f' TYPE OF CONSTRUCTION ............. ''. ! '"F3- "......................... .........................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby {applies for a permit according to the following information:/� ,e"�f` 4 _ Location ..................... .... ..... ....................... ............... ........ ........................... ....................... IV s " v� Proposed Use .......... Zoning District ............................................. .... District ........................:.;................................................... Nameof Owner .. :........ ...........:.... ._...... ... ....................Address ..............- s '..:.......................................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ....... .....................................................Foundation ....... � �r-" "................................................. � J " - - �........................ :.................Roofin ......::..-'i -�'�':. :.............. ............ Exterior ....::��..f:'...xr.::�.:;�'......... '�. ,. g .................... Floors ......... .............................................Interior �+?` Cw� ......: ....... ......... 3 ..... ................................................ �.�Heating .......................j...�......................................................� g .........................J.. ..................... .......................... Fireplace n'�' tom`*" ..Approximate. Cost...........: Definitive Plan Approved by Planning Lard --------------------------------19-------- - Area /............................... Diagram of Lot and Building with Dimensions Fee ............................................. , t SUBJECT TO APPROVAL OF BOARD OF HEALTH .�, i4 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name. ........... ........... ............................................. Small, Alan E. A=191-194 18492 one story, No ................. Permit for .................................... 11 single family dwelling ............................................................................. J. Justice Douglas Way Location .1........................................................... Centerville ............................................................................... . Owner ..............Alan........E.........Smalls......... _ fr me Type of Construction .......................................... ................................................ ............................... / #28A Plot ............................ t,Ot ................................. Permit Granted June 29 19 76 Date of Inspection ................ ...................19 Date Completed ............... ......................19 PERMI REFUSED .............................. ............................. 19 ................................... .. .......... �.. 7... . ..... 1.................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... I :a `,Zia ............ Q� Co eco 4 fi 1 14 f-�I V9 A 7 — Cry ei �� ✓C 7 j NEW SMOKE DETECTOR REQUIREMENTS � ARE NOW LAW. EVEN THE ADDITION OF A N,EW BED-R-OOM WILL TRIGGER AN SMOKE DETECTORS ®.K. � UPGRADE OF THE,SMOKE D�T._CTORS FOR THE WHOLE HOUSE. YOU MUST Y PLAN ACCORDINGLY AND HAVE YOUR ', ^G � L ARNSTABt.6 6ItiLJNO Ogp 1 ELECTRICIAN TAKE OUT THE APPROPRIATE PERMIT AT THE FIREDEPARTMENT. - -------- -------_...--------------.-z--�----- ------.--- ;� � v-sevvv...�..s._a.�.o,.sw_.wd...__�.._........t»•._._.........._.......--.-""_--..-.-...—_...—._.-.._.-.._._.,._i..-.e .. ,. ..-.-�- �� \Y._ EXI kInG 3UST I C� 00UGLA5 WAY, CEN MA-ViLLS1 MA B I i i r t . sLl �- ------� kz t+40 ter► . � I Z (3 F 0200� 2 F I ; 1 f-} R���: N e R A n { N - -�• i V V IJ s i ?G-(L t/ 7 � If (3 � 0200 �� 3 -- r ..... .. - '- No;F, S Flo; �. MOQ FICRTIoNS, o L y FD . i 2. PP fo fL' eEOtLoam 2+ 3 Now 6E corv\e 5 GF-D Room2 _ / � _ r G D R WALL '{- 211S i S 3� 1 ns +0 • FLvofL ON 3Z 10 FoAMuLAR 'rZuG Fi-�A-T:s� C �taa-pW'.)C, p FLoo+1'. 7. FRoN' vvAu. Fi.N;si+c0 ire 6cc PJrJC gr_vFii2D sioc"NG �IOOiC= tC(}TioNS IREN®'1/�?Tror� '. q pus irCB bCo6LAS ►✓A/. 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Gf41rnNEy MNe,,,, `�-� foaa►�2 N - 6' H G p R a F SMOKE DETECTORS REVIEWED IMPORTANT �- UPGRADE REWIRED IRED STATE BUILDING CODE REQUIRES THE UPGRADING OF F O S SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN B ,IISTA LE BUILDINGDEPT. DATE ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED, NOTE: A SEPARATE PERMIT IS-'REQUIRED; FOR THE DATE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL FIRE DEPARTMENT PERMIT DOES NOT SATISFY THIS REQUIREMENT. i BOTH SIGNATURES ARE REQUIRED FOR PERMITTING X 1 5 T rl G L A y o o-I- CARBON MONOXIDE ALARMS 1. y Z O 0 8 MUST BE INSTALLED PER - MASSACHUSETTS BUILDING CODE 9 � U 5-(•� C� �O U G 1.A 1� NO"Te S MoOiriCti� %Y.D"s "To Gaaac, F1RCA $vPE.cst:JFf BIJ1L0:it P Rcei GCCAr, <p - ,.. -7 /z2. /03 _. a PA_ h+AN0N P c-AP t�F RCCESS R NO 3'�itfi iZooM Mo9��f<A cans FoR R FtR[S/P; cW Of*E (0vt1L Z. 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