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HomeMy WebLinkAbout0058 LOOMIS LANE .� -� ��� - f/f _ .. __ . �. �, �' �, � ', �� LOT I i. 22 . I88±S .F . �� a srORy (`0.51-±AC . ) HOUSE SHFo ro . N �o s ' r2= LOT 2 JOB # 92-047 CER TIF1ED PLOT PLAN LOCATION LOT, I LOOM[5 LANE CENTERVILLE SCALE : I. - 40 . . PREPARED FOR REFERENCE . PLAN BOOK 169 PAGE 93 FRED. BODENS I EK I HEREBY. CERTIFY THAT THE STRUCTURE" SHOWN ON THIS PLAN 1S LOCATED ON THE 14 . GROUND AS.SHO WN HEREON.;. JOHN.. v 1 DEMAREST-McLELLAN ENGINEERING -•:�:-�-,,,� , _, 24 SCHOOL STREET NOV 03, 1992 P.O. BOX 463 v WEST DENNIS, MA DATE R0F ZONAL LANDS VEYOR 08/20/2012 16:11 5087789312 BARNSHOUSAUTHORITY PAGE 01/01 L arnstable Leaned Housing Dept: 508.771.7292 �n �• Telephone 508.771.7222 "'` FAX: 508,778.9312 Housing Authority J46 South Street Hyannis, MA 02601. ZONING VERIFICATION TO: ROBIN ANDE.RSON FROM: Jenifer Callahan, Leased Housing Coordinator PHONE NO#: 508-771-7292 FAX 508-778-931.2 RE: LEGAL RENTAL UNIT VERIFICATION DATE: .P_P V(��f a ADDRESS: (.0 (- C'-)C��m �,vt VILLAGE: C. n UNIT TYPE C BEDROOM SIZE MAP & PARCEL NO: The owner of the above listed Property is entering into a-contract with. us for rental of the - property listed above. Please verify by signing below that the unit is legal. and. meets all zoning rgqUirements for a rental in the town of Barnstable. If it does not, please list the reason'below: h2r .. r(A �() .s c you for your, assistance in this matter. Sz ature Print name. Date: �Yl�c S� �n l • - VIA FAX: 508--790-6230 t" I1 rEqual Housing Opportunity Agency V f TOV6Tn of Barnstable *Permit# " I Expires 6 months from:issue date Regulatory Fee . e� y 'Thomas F. Geiler,Director Building Division � Tom Perry, CBO, Building Commissioner fD OT2 Main Street,Hyannis,MA 02601 iwww.town.barnstable.ma.us Office: 508-910 8�EXPRESS PERMIT APPLICATION - RESIDE Not Valid without Red X-Press Imprint ap/parcel Number 3 26 J operty Address Residential Value of Work Z Minimum fee of$25.00 for work under$.6000.00 vner's Name&Address ��G )ntractor's Name N" "I\ JA-e�\O�A, Telephone Number ome Improvement Contractor License#(if applicable) c �� 5ns __.. _ soi's Liu�rrSe-#j=f appiicable) ]Workman's Compensation Insurance. Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 0'1,have Worker's Compensation Insurance 1 surance Company Name orkman's Comp.Policy# opy of Insurance Compliance Certificate must be on file. :mut Request(check box) t /� in-Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: issuance of this permit doe not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property weer st si r .._Owner Letter of Permission.' opy f Ho e p ove ent Contractors License is required. iGNATURE: Forms:expmtrg wise061306 F 3�,,.�;>°,, .�- kYw,-�,�'��,. r"t' ��a - -'&sue'. �'*-..:,`+r�-'``�,� �r a"�"r,a� F� -c. y, � S ��i,�'.'� - w ,�r.*� -s'�� a,� •�',v 4�'�- �'tct''`'� 'x '�:. { {f`"'a-,.+.ems ":- a�vay-S ,,.�`�'.a .c'" LF ji�p -y`°',s-L'?�3� yv eft 'rz',-�'s,�l 4'!'�°`+�j�`t""',7`.� � 3�'tam•@��y yg� yj.e+1�P;•Zd-*�'�s'- _ ? -�c=' � _ 'n . 'F[� �� *'`t��" _.;°'�.'x- k� `""�"e�„�.��'i� Gi�t�'� � ��+,;a,�'�.a'.. _,,:_ x t'Y ;,r� ,.,��.',+��'�� �3h '.�'..; ✓ �arot•1'�t �iwr 4�-A :•`- s sc4'' i.x ' n�i p h€ T.. Y �d}g ti w'e'F xr '� _ .,:°:�� h , ' ' i<`.4:�r3 �u r`> r4- a,�, K ,I I +}a . ai-�?�*rr,^, .�- ..,✓F�`,�3^�,"S",. :`C,':-. 't .A� sq�*e f`p,l .as,.�{',wy.,:3 5 L,.��e�r"��:I}7 � �F, �t�� ci�'JJI.M Y'rt� �. z xr4 °"+.+,y 1�M,t Etr*.�"'. r" �1fna���3. r r.: n P r t4 h ; i 5 ! - � ��"'�'� 3 ��x�: - �'Rk�hrs�,�i."�^'S"i"F�"riF �ta �0.�t`$•,��,gy.+I�1.` 4�.� -f'�'Ft e.�'rv.i�e�' .�,� �''SK�aa.a�3��� r �L¢^� f-z..d:s�i�'`, �'. �° s } z Y HERIiST'64L SONS Y }, 3 5 PEEP TOAD ROAD CENTERVILE MA 02632 lip 508=420=6216.CELL PHONE 774-238-2938 PRO ITTED TO: WORK PERFORMED AT: Herbert 0 ns #;k BARE 58 Loomis Lane C ' _ 3q - Centerville NIA 02632 617-678-3012 508-775 4254- } - a j We herb propose to furnish the materials and erfrom the labor.,necessa for the com letion ofTj y P P P 17 P ; k a the following; k w'� RTewRoof- Remove 1 Laker of existing shingles Install 8"drip eclee ins tall ice water shield at ed e t valley area F & i g- & n v s ' Install 151b.felt paper Install Certainteed Woodscape 30vr. algae resistant shingles E�W i M, Cut ridge &install cobra vent s Storm nail all shingles Install rubber at tow locations between upper dormers 3 All debris cleaned daily T s Price includes material. labor&dump fees 7 Tf All material is guaranteed to be as specified. The above work will be performed in accorandance t flg:�,7, with the specifications submitted and completed in a substantial workman-like manner for the sum of; Seven-Thousand Two-Hundred&Twenty-Five r _ dollars($7,225.00)with payments as follows; full amount due upon completion Any alterationis)from above proposal involving extra costs will be added under a separate written agreement and become an extra charge. }� 1 w RESPECTF LY S D: k j ads. 04-2347 . M a`w Mark Herbst Effl- t" h ACCEPTANCE OF PROPOSAL :r r The above price,specifications,and conditions are satisfactory. We herby accept this proposal. You z are authorized to d he wor d pa rite will be as cified above. Signature *This proposal may be withdrv►�n by sail company if not accepted within 30 days r ; a ;0 } Yam£' •E' 'v �' z h t 3^. ,i'�P�., 1 a 1 _ -t g '"k t gF , '• � ry� + r 9��'da t,�•n N..1 `` ,�it i : of i z"',sm F� �l '� 4}. >r S'z'°'„ i � '> ���i�u g � :C� r-., x?4"ate�. �!ri�i K tdrrn r-t r+w rof s� r d e a� b '✓ X. ".- ratio.. it r �.r _ �. �`�. 'a F .�{y�� n;� "5�;:Y 4 g "•�a..a, V v# d' �-{ t �, t �. .� ��� ,� £.J -r� r ,._'�L - �S>,m' �_ J. ,a..._w. _--.Nrr,,�..,..a�.,,.'.._.,..�...z nS?.....s..�S�?.u.-,. ... ,.wne..�t..._.'€:...m)..u...�.....�.,r _...,..1,+s. .t z.-`_�.-.,fin•»....,a.�,...,..._a-.,..e,.:-E' ..-. �.. .w._.....< z ... _- _ .. CERTIFICATE OF INSURANCE ISSUGDATss(MM/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A&SATTFR OF INTORMATION ONLY AND CONFERS NO RIGHTS UPON TILE CERTIFICATE ROLDE% TF13S CERTIFICATE Leonard Insurance Agency Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED RY THE POLICIES BELOW. P0 Box 494 Osterville, MA 02655 _ OOATAITES AFFORDING COVERAGE INSURED Mark Herbst COMPANY A.I-M. Mutual Insurance Co 35 Peep Toad Road LETIER A Centerville, MA 02632 COVERAGES 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 REQUIREhIHNT,TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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 CON131TIONS OF SUCH POLICIES, L.IMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO TYPE OF INSURANCE POLICY NUMBER POLICY EIrtIEC14VE POLICY EXPIRATION LIMITS LTR DATE(MMIDDIYY) DATE(MMIDDfYY) GENERAL LIABILITY GENEILAL AGGREGATE S COMMERCIAL GENERAL LIABILITY PRODUCTS COMPIOP AGG. $ LAIMS MADEFpCCUR PERSONAL&ADV.INJURY I OWNER'S&CONTRACrOR S PROT. EACFIO XURRENCE I FIRE DAMAGE(Any one fire) I MED.EXPENSE(Any one Person) S — — AUTOMOBILE LIABILITY COMBINED SINGLE iANY AUTO LIMIT s IALL OWN ED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per fmm) IRED AUTOS - - BODILY(NJURY ON-O W NED AUTOS (Per=ld=) $ I IGARAGE LIABILITY PROPERTY DAMAGE S IIiXCE65LIABILITY EACH OCCURRENCE I 3 MBRELLA FORM AGGREGATE E THER THAN UMBRELLA FORM Ik 1vORKER'S COMPENSAT{ON ANT) X WC STATU- OTiI- E EMPLOYERS'LIABILITY RY LTM SER EE 70I6215012M 0IfI0t2007 s , THE PROPRIETOR! $ PARTNTRSIEXECUrIVE INCL DISEASE—POLICY LIMIT SOO OOO OFFICERS ARE: FXIEXCL EL DISEASE—EA EMPLOYEE I IOO OOO OTHER DESCRIPTION OF OPBRATIONSILOCATIOh^SIVP.HICL.ESIMCLAL ITEMS CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OP T14E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY VJND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTAOREZED RIEPRESENTATWE lot use or registration vali If foundjods return to' lace tration date before the exp Regulations and Standards ,�;Building 1Z�gulations and St wilding Eoard VEMENT CONTRACTOR. Board sl B place Rm 1301 I.IOME IMPRO One Ashburton Boston Mi a•02108 , Reg�strafron 1126480 Expiration 618¢2908 e Individual r. r onature MARK HERBST r Not valid w�tho t s b MARK HERBST TOAD RD ="� dministrator j 35 PEEP P.ePutY A MA 02632 ' The Commonwealth of Massachusetts 7 Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print L e ilal Name(Business/OrganizationUdividual): . M.t_ Address: \t�R� $"C City/State/Zip: (�e-vjt Phone:#: bfl LtA C7 Are you an employer? Check the appropriate box: Type of project(required):. 1. Tam a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the stab contractors 6. New construction . 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling shipand have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' insurance..I ' 9. ❑Building addition [No workers' comp.insur conance P. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3..❑ I am a homeowner doing all work 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.[;4�vo—f iepairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other Comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check.this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees: If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing.workers'compensation insurance for my employees. Below is.thepolicy and job site information. Insurance Company Name: J �} Policy#or Self-ins. Lic.#: `�_70 Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advi d that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance gOVeraA y4tjEcation. I do hereby certi7urjth ins a ti erjury that the information provided above is true and correct. Siiznafore: Phone#: (7©� i�� / Official use only. Do not write in this area,to be completed by city or town offrciaL 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or.implied,oral or written." 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 'Mcei_ver Or tee of an individual,partriership, association or other legal entity, employing employees. However the owner of a dwelling•house having not more than three apartments and who resides therein;or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall 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,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for:the performance of public work until-acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or.license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,,,- please do not hesitate to give us a call. The Department's address,telephone-and fax number: T p,Commonwealth of Massachusetts Department of l dustzial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable. Regulatory Services EmuisrASIX d s 9 Mass. Thomas F.Geiler,Director fv9. n Building Division Tom Perry, Building Commissioner .200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 5 08-790-62 3 0 Property Owner Must Complete and Sign This Section If Using A Builder as 0-wmer of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis building pernait application for: . (Address of Job) Signature of droner Date Print Name Q YOP-MS:O WNERPbRMISSION Bk 125449 Ps 126 068570 08-07-2002 a 02229v I, ENID N. BODENSIEK a/k/a ENID N. BODENSICK of Centerville, .Barnstable County, Massachusetts, for consideration paid in the amount of Two Hundred Seventy Four Thousand No/100 ($274, 000.00) Dollars grant to HERBERT K. BODENSIEK, of 10 Pearl Street, Somerville, Middlesex. County, Massachusetts, . with quitclaim covenants: the land with the buildings thereon in Barnstable (Centerville) , Barnstable County, Massachusetts, bounded and described as follows: Commencing at a point on the Easterly sideline of Loomis Lane (a private way) as shown on plan hereinafter mentioned, . and at land now or formerly of William H. Benttinen; thence SOUTH 400 591 40" East, 187.87 ft. to Lot 2 as shown on said plan; thence SOUTH 330 271 00". West; 169.16 ft. to a point on the Easterly side line of said Loomis Lane as shown on said plan; thence NORTHWESTERLY, NORTHERLY and NORTHEASTERLY on an arc having a radius of 300 . 00 ft. , 296 .46 ft. to the point of beginning. Containing 23, 000 sq.ft. , more or less, and being shown as Lot l on plan entitled "Plan of Land in Centerville, Mass. belonging to Susan Bernice Cahoon, Scale 111 - 40 ft . , April 23, 1962, Nelson Bearse and Richard Law, Surveyors, Centerville, Mass. ", to be recorded herewith. There is appurtenant to said lot the right to use Loomis Lane for all purposes for which public roads and ways are commonly used in the Town of Barnstable. � dr_ess_of_P_roper_ty 58 Loomis_Lane, Cent.erville,_MA:02633 For grantor' s title see deed dated April 30, 1962 and recorded with the Barnstable County Registry of Deeds in Book 1155, Page 72. 1 I I= N N CU M i }+ ul1 X 1 Cti C� .�3 I I h A W 1 M M M i w P '1 o • n O.d ad o >C 9 i � L V C I � CM I x � Ln � a � ¢CD W � I C � r � y Plc .15449, P m 127 068570 WITNESS my hand_ and seal this C*day of August, 20.02 L. ' Enid N. Bodensiek COMMONWEALTH OF MASSACHUSETTS Norfolk,. ss Auguste , '2002 Then personally appeared'the above-named Enid N. Bodensiek and acknowledged ,the foregoing instrument to be. her free act §p ed, before me .*"*HEEp, �. II i olas L. Sh e n, tq r N 0 My commission expires: May 24, 2007 "! "°''- •► BARNSTABLE REGISTRY OF DEEDS w . Complaint Number: 1629 Taken bv: BL�I_LDING S-RVICLS �} ,y. _ t, :Date 1 27 2000 Mari/Marcel:'230 1 ll r s'Referred,to UAL I� NG SUBJECT OF COMPLAINT Busmess/Occupant Name: BODENSIEK-FREDI RICK Number 58 Street: LOOMIS LANE Village: CENTER_VJL.LI�,- COMPLAINT INFORMATION m Complainant's Name MARTIN MC N----FIRE DIJPT ". tip=• 4. =Address:r Telephone;Number: Complaint Description CHECK HOUSE----HAVE PADLOCKED DOORS----THINKS RUNNING LIKE ROOMING HOUSE. a , Re- ._ Actions'Taken/Results: R JONES WILL MEET WITH FIRE DEPT AT z - 11:30 A.M. ON 1/28/2000 TO INVESTIGATE c COMPLAINT. THIS WILL ALSO BE -M BROUGHT UP TO R.C. u, r k Date Closed A I r C Wit. .. 'W" L MMMML r,.. ... ::::::::.................. :...,�.,.�.,.,.,.1!e!?�fi.. d��l....s5'.SryI.�.•`.itiiiiiitii?'ti:ii•'.: 1 <}}:MAP �� >, :vti:J:4 :•>B I :.':,y•:.2Y:.::•`.:::%.::2t.....:.i s22` t.:" '`'`.U.- : ,`::`: .>:: u: `:?� <`` 2 4 :? :2 v' •,'. ?':.::,,•:::::.,•::.,,•}h.::..•:::.:::i:::.+.;•}:a:•}:•}:a<,a::•::.•}::;•}:i•:a:•}:.:;::•raxiii•:ii•}:ti}}:a a:• :. :....:.... ...:: '.:...:...:..,,...;; ..}:.:»::;::;»FRED BODENSIEK :{ «<> } . L r<>€< 00MI S LANE•, •.,, ;::.. ;;`. .. t2•`. `iii:'t •`.:iii+.siii$:.#`ii+S:i;+Y•`.ii:•`.2tt`i•`.iii+.isc,:'<j::•:??:,{`ik2iijyit ;i{::"<Y:is;`.;:tiyi;•,:i•,::? ?ijj '> EN V ILLE ME CQN } >_ -------------- ....... ... ::. .. ILLEGAL AFT. � .. . C E NTER�VI� NNIS: P nt 00 quiet m leasa in q Inte i 9 hb or h d2!Wc o n ven ie n t ocati n. Microwave fridge, cable.$70/wk.775-4354o ztitt es I_Lv.y L....HE: R•.,:. I .}} «: } :::............. v �9 •: > ........................................................ } "' PROPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CLASS I PCS I NBHO ARCEL IDENTIFICATION NUMBER KEY NO. 0058 LOOMIS LANE 10 RD-1 300 1000 01/04/96 1011 00 42AC R230 111 , 14 026 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJ'D. UNIT By/Date Size Dimension ACRES/UNITS VALUE Description B O D E N S I C K♦ F R E D E R I C!C !� $ MAP— Land( CD. FF-De th/Acres LOC.lYR.SPEC.CLASS ADJ. COND. PE PRICE PRICE #LAND) 1 37.600 CARDS IN ACCOUNT — L 10 18LDG.SIT 1 X ..52 =100 J=110 146 44999.9S 72269.99 37600 OBLDG(S)—CARD-1 1 85POOO 01 OF 02 A #BLDG(S)—CARD-2 1 9.800 COST 1132400 N BATHS 1 .0 U X` C= 100 3500.00 3500.0 1.00 3500 B #PL 58 LO©MIS LANE MARKET D — NO BSMT S X C= 100 6.7C 6.70 1080 7200-3 #RR 0922 0296 INCOME FIREPLACE U X C= 100 3100.0C 3100.00 1000 3100 8 USE A ; APPRAISED VALUE D i A 132P400 D J 'PARCEL SUMMARY A U LAND 37600 T S BLDGS 94800 A T 0—IMPS M TOTAL 132400 F E N CNST E N DEED REFERENCE Type DATE Recorded PRIOR YEAR VALUE A T - - - Book Page In I. Mo. Yr.D Sales LAND 37600 T S 1155/72 100/00 BLDGS 94800 U I I TOTAL 132400 I I R I 1 E I BUILDING PERMIT *LAND ADJUST.F O R S Number Date Type Amount U I E�............ LAND LAND—ADJ INC I ME SE SP—BLDS FEATURE BLD—ADJS UNITS ................ 37600 600— B35507 11 /92 AD 1000 Const Total Year Built Norm. Obsv. Class Units Units Base Rate Adj.Rate Ae'u� 1f� Age Depr. Cond. CND. Loc. %R.G. Repl.Cost New Adj.Repl.Value Stories. Heigh[ Rooms Rms Berms I Fix. Partywall Fnc. 01C+ 000 100 100 64.15 64.15 25 75 19 80 105 100 84 101239 85000 1.5 7 4 1.0 4.0 Description Rate Square Feet Repl.Cost MKT.INDEX: 1.00 IMP.BY/DATE: ME 6/94 SCALE: 1/00.77 ELEMENTS 7 CODE CONSTRUCTION DETAIL S SAS 100 64.15 1080 69282 GROSS AREA 160 SINGLE FAMILY-D*ELLING CNST GP. 0,0 T _ _ FEP 65 41 .70 48 2002 *------ 36---- STYLE _ 06 APE_ COD_. 0. R FEP 65 41 .70 35 1460 ! 815 DESIGN ADJNGT 00 - -____-- 0. U 015 42 26.94 1080 29095 ! ! EXTER.I�ALLS _01 OOD_ FRAIME 0._ 13 HEAT/AC TYPE 04 IL 0. C ! ! f NrF R.vfWf Sk- -00 ---------=-"----- _D.0 T ! NrOR.tAY0t3T -_ ---------------------------=------------Go- U 30 BASE *-5-* INTEA.QUALT`Y 02SAME A5 EXTER. - 0. R i 7FEP7 fLUOR S?RUC;T -t7� ------------------ 0.- A W ! ! E_L_ 6_0_RCO_Y_E_i_t=- -00 -------------------0.0 LD ---------=-------- E Total Areas Aux - - 8 3 Base 1080 *—5-* . BUILDING DIMENSIONS ! ! L E C T R I C AL 00 O. T SAS W32 FEP S06 E08 N06 W08 .. ! OUNDATION-'.._ _00 --------------- 99. A SAS W04 N30 E36 S13 FEP E05 S07 ! I W05 N07 .. HAS S17 .. 815 N30 *4-*--8--*-----32----------X -----REI64i90i24006 42AC CEN7ERVILIE-- L W36 S30 E36 .. 6 6 LAND `TOTAL MARKET ! FEP PARCEL a 37600 132400 *--8--* AREA 3297 VARIANCE +0 • *3915 STANDARD 20 PROP ZONING DISTRICT CODE SP-DISTS. DATE PRINTED CLASS PCs NBHD KEY NO. 0058 LOOMIS LANE 1 '.LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS I T B O D E N S I C K. F R E D E R I C K W $ Jy jti p- Size Dimension Y UNIT ADJ'D. UNIT Land By/Date LOC./YR.SPEC.CLASS ADJ. COND. PE PRICE PRICE ACRES/UNITS VALUE Description CARDS IN ACCOUNT - CD. FF-De thlAcres L BATHS 1 .0 U I X ' C= 100 3500.00 3500.00 1.00 3500 3 02 OF 02 A - NO BSMT .. S X ' C= 100 7.85 7.85 312 2400-3 COST N X ' _ .0 .00 .00 F MARKET D X = .0 .0 .00 F INCOME A X . _ .0 .0 ..00 F • X' _ .0 .00 .00 F APPRAISED VALUE USE- D D X = .0 .0 .00 F A 132.400 i - A U UC BLD FY95 X _ .0 .0 .00 F PARCEL SUMMARY T 50% COMP. X - .0 .0 .00 F LAND 37600 - A S PRORATED X = .0 .0 .00 F BLDGS 94800 T 0-IMPS M TOTAL 132400 F E N CNST E N DEED REFERENC Tye DATE geco,ded P R I O R YEAR VALUE A T Book Page inst. MO. Yr.D Sales Price LAND 37600 T S BLDGS 94800 U TOTAL 132400 R I I E BUILDING PERMIT S _ Number Date Type Amount LAND LAND-ADJ INC ME SE SP-BLDS FEATURES BLD-ADDS UNITS 1100 Class Const. Total Base Rate Adj.Rate Year Built Aqe Norm. Obsv. CND. Loc. 46 R.G. Repl.Cost New Adj.Repl.Value Stories Height Rooms Rms Baths 1 fix. Partywall Fac. Units Units Aa1ue1 �c1191 Depr. Cond. !J 1 7� i 01C . 000 100 100 62.90 62.90 30 85 9 92 50 100 46 21337 9800 1 .0 3 1 .1 2.0 Description Rate Square Feet Repl.Cost MKT.INDEX: 1 .00 IMP. BY/DATE: ME 6/94 SCALE: 1/01 .00 ELEMENTS CODE CONSTRUCTION DETAIL S SAS 100 62.90 312 19625 GROSS AREA 312 SINGLE FAMILY ' DWELLING CNST GP:.00 T FWD 85 8.50 72 612 *-----12----* STYLE i 09COTTAGE 0.0 --------X6JA - --- ---------------------- ! ' DESIGN ADJM� 00 0. U ! ! EXTER.WALLS__ _11 WOOD- SHINGLES___0._ C ! ! _EAT/AC_ TYPE 02 AS _______________ 0._ T 14 _1ATER.FINISH 04DRYWALL 0. U ! ! NY-ifR.LAYOUif _12AVER./NORMAL 0.0 R ! .. ! INTEROQUALTY . 02SAME AS EXTER.-- 0.0 ------------ -- - 26 BASE ! FLOOR STRUCIr 02WD _JOIST/BEAM___0.0 A --------------- --- W *--6--* EFLOOR COVER" 04CARPET __------ 0.0 L D ---------- --- ------- E Total Areas Aux = 72 Base = 312 ! ! FWD ! _ROOF TYPE _ _ _01.GA8LE-ASPH_ SH--- 0.- BUILDING DIMENSIONS ! ! ! EL E C T R__I C A L 01 wit E R A G E D. ------- ---- -- --- -------------------- - A SAS W12 N26 E12 S14 . FWD E06 S12 ! 12 12 FOUNDATION 02CONCRETE_SLOCK 99. -------------- - --- ------- W 06 N12 .. SAS S12 ! ! ------------- --- ---------------------- ! ! LAND TOTAL MARKET *-----12----X--6--* PARCEL AREA VARIANCE +0 +0 STANDARD Assessor's office(1st Floor): Assessor's map and lot number T L�sLZ f BE � THE' e� r To` `�P ♦w -�� Conservation a� ��— '`1 oZ; 6NSTALLElD IN C®���.��9�C� Board of Health(3rd floor): ` dIVITH TITLE 5 ar�sTULZ 1 Sewage Permit number . VIROMIflAElVTAL CODE AND o riva Engineering Department(3rd floor): , .�.��� ���A��,T,Q®�� ° '��� . House number ��Y1ir a Definitive Plan Approved by Planning Board 19` APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING AN,SPECTOR / APPLICATION FOR PERMIT TO 0— � ������� TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appli s for a permit according to the following information: Location J L!J r�1w/S � 617�7ERKIL-1,&:, Proposed Use S72h-(— 9IIV,4-- Zoning District _ / Fire District r^ / Name of Owner /?E<Address_ Name of Builde Address Name of Architect Address ��—5 Number of Rooms Foundation Exterior /V L Roofing Is� Floors /60-25 Interior Heating Plumbing Fireplace Approximate Cost /j ��do Area / V ` Fr Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega above const on. a ame Construction Supe isor' License I I. BODENS ., ENID & FRED No 35507 Permit For . BUILD ADDITION Single Family Dwelling Location 58 Loomis Lane Centerville ; !' Owner Enid & Fred Bodensiek Type of Construction Frame Plot Lot Permit Granted ' November 13 19 92 3 Date of�lnspection 6/Z3� 19 III � , . N • Date ComplitE&-n ( d �'i 19 p a � r) tr to r TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE• �� 3 / � _ JOB LOCATION L626WI S!-.t Ir— . Number ls�l�✓���GL� -: : . Street Addrass Sect on- Of7Town "HOMEOWNER" �ie�DzA�oys�K 77S=z1_3 Name Home Phone Work Phone PRESENT MAILING ADDRESS Lf��1/fLL�- 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 such homeowners to engage an individual for hire who does not possess. a license 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 to six family dwelling, attached or detached structures accessory, to such use and/or f structures. A person who constructs more than one home in a two-year arm 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 buildin ermit. (Section 109 . 1 . 1 ) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department mini um inspecti requirements n procedures and HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Buildin Control. g Code Section 127. 01 Construction MIScS HOME OWNER'S EXEMPTION The code states that: "A n Permit is required shall be exemptwfromp the oprovisions ofworkrthiswhicsectionlding (Section 109. 1. 1 - Licensing of Construction Supervisors) ; Home Owner engages a p ) ' provided that if person(s) for hire, to do such work, that such Home Owner shall act as supervisor. " Many .Home Owners who use this exemption are unaware that the are assum' the responsibilities of a supervisor ,see Appendix Q a inn for Licensing Construction Supervisors, Section 2 . 15) Rules ions awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot. proceed against the unlicensed person as it a°ould with ith licensed supervisor,,'-.Owner acting as supervisor is ultimately responsible. pervisor. The To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit applicat the ion that the Home Owner certify that he/she understands responsibilities of a supervisor. On the last page of this issue is a form currently used by several °towns. You may care to amend and adopt such a form/certification for use in your community. RESIDENTIAL PROPERTY MAP'PO. LOT NO. FIRE DISTRICT SUMMARY STREET LOOIDis Lane Centerville LAND 230 111 C-0 �� BLDGS. TOTAL OWNER LAND RECORD OF TRANSFER DATE° BH: PG I.R.S. REMARKS: a, BLDGS. Bodensick. Frederick W. .& Enid N. 4 30 62 1155 72 B TOTAL LAND h CG s P ` P'J;/6"-ul de BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. 0) TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL DATE: / �O/ ry� LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT LAND CLEARED FRONT - BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. 0) WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. 0) LOT COMPUTATIONS LAND FACTORS TOTAL. FRONT, DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. 0) BLDGS. BLDG. COST - Conc.Bik.Walls Bsmt. Rec. Room St. Shower Bath Bsmt. _ j> • Conc. Slab. Bsmt.Garage St. Shower Ext. PORCH. DATE Walls PURCH. PRICE. Brick Walls Attic Fl.&Stairs A Jj Toilet Room Roof RENT Stone Walls Fin.Attic V VTwo Fixt. Bath e, Floors Piers INTERIOR FINISH Lavatory Extra Bsmt. F 1 2 3 Sink Attic '/x 1/4Plaster Water Clo. Extra EXTERIOR WALLS Knotty Pine Water Only Double Siding Plywood No Plumbing Bsmt. Fin. Single Siding Plasterboard Int.Fin. SQ f,/�hingles y TILING Conc. BIk. G F P Bath Fl. Heat Face Brk.On Int. Layout Bath FL&Wains. Auto Ht.Unit _ Veneer Int.Cond. 1/ Bath Fl.&Walls Fireplace /1 6 Com. Brk.On HEATING Toilet Rm.Fl. 9� Plumbing g ` Solid Com. Brk. Hot Air Toilet Rm.Fl.&Wains. --- . Steam Toilet Rm.Fl. &Walls Tiling / Blanket Ins. Hot Water St. Shower Roof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS Asph_Shingle_ _ Pipeless Furn. S. F. Wood Shingle No Heat S. F. Asbs. Shingle Oil Burner S F Slate Coal Stoker S. F. Tile Gas S. F. OUTBUILDINGS ROOF TYPE Electric Gable Flat S.F. 1 2 3 4 5 6 7 8 9 1101 1 2 3 4 1 5 6 71 8 9 10 MEASURE Hip Mansard FIREPLACES S. F. Pier Found. Floor r Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace Sgle.Sdg. Roll Roofing �— Conc• _ LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. DATE Pine Shingle Walls Plumbing Hardwood ROOMS Cement BIk. Electric 1 1Or/�1 Asph.Tile Bsmt. 1st 1z TOTAL Brick Int.Finish PRICED Single 2nd 3rd FACTOR REPLACEMENT 133 a/ y', OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE FUnct.Dep. ACTUAL VAL. 2 _ Y 3 4 5 6 7 8 9 10 ' TOTAL RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET_'7 LOOIIds Lane Centerville _ LAND /y<.•h - 7a3 BLDGS. Yc /�a 7 -0 �/ . OWNER �. CJ, IG.,•r./f'h ... .. CEO it 2D // ( TOTAL -�j✓-� RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: LAND BLDGS. TOTAL . ` c c•� LAND G/S h� S `�/ �P q/t Y G/7!✓ �'7 !1 BLDGS. O1 �. 17 `/ TOTAL LAND / ]. BLDGS. TOTAL C'% • ...'_ LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL 'LAND NTERIOR INSPECTED: q BLDGS. TOTAL ATE: LAND ACREAGE COMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL USE LOT a .T �w / Q-o - LAND EARED FRONT BLDGS. REAR TOTAL GODS&SPROUT FRONT LAND REAR BLDGS. STE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND .J BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND `^ 6 ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. rn allrr LAND COST Fin.Bsmt.Area Bath Room Base of BLDG. COST Ik:Wells Bsmt.Roe.Room St. Shower Bath Bsmt. — D PURCH. DATE ab Bsmt.Garage St. Shower Ext. Wells PURCH. PRICE. .. Its Attic Fl.6 Stairs Toilet Room Roof RENT all$ Fin.Attic F Two Fixt.Bath Floors INTERIOR FINISH Lavatory Extra F 1 2 3 Sink / 'h r/ Plaster Water Clo.Extra Attic (� RIOR WALLS Knotty Pine' Water Only 'IF •` (� — — — - ' Fin. 3(� iding Plywood No Plumbing Bsmt. . ding Plasterboard Int.Fin. P Shingles TILING t✓ 7 G F P Bath Fl. Heat 34_ On Int.Layout Bath Fl.&Wains. Auto Ht.Unit f rj Veneer Int.Cond. I YJ Bath Fi.&Walls Fireplace c.On HEATING Toilet Rm. Fl. & Plumbing s Brk. Hot Air Toilet Rm.Fl. Wal Tilingns. (= � b Steam Toilet Rm.Fl. Walls g no. Hot Water St. Shower Air Cond. Tub Area Total Floor Furn. •�p ROOFING COMPUTATIONS ' Ingle Pipeless Furn. S.F. p ingle No Heat S.F. Ingle. Oil Burner S. F. Coal Stoker S.F. / Gas !1 ou.5E - /.$ /yG T b✓EL! /.':7,4/.�/Tf)///60 OF TYPE Electric S.F. OUTBUILDINGS Flat S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 41 5 6 7 819 10 MEASURED Mansard FIREPLACES S. F. Pier Found. Floor Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace Slits.Sdg. Roll Roofing LIGHTING Oble.Sdg. Shingle Roof No Elect. DATE 77 Shingle Walls Plumbing I ROOMS Cement Blk. Electric / e e Bsmt. Ist,5':,,Ig TOTAL 0 Brick - Int.Finish PRICED 2nd 34 3rd FACTOR TN REPLACEMENT CCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. a 5 /7 9 a 179 0O TOTAL b �b ;. t', _=— . .. r,,`. . ,_ t.; �— 3 pele 1 .). 4 // '� P� C`j=C 3%U///4A� 1 V 1 1 ::\Q d� _ r .I } v O y {' O 1 qPo v I W. /: ��� a s o 1P ,- V t i I, Qq� ` 2 3 0 0 o sQ.f- ,�L le I �-333 27- oo-►ni w u v i /C9 /�, .11 cg1. I. ., V/ �' \4\300 �l y Y { 41O 'yI r r T o �- . co t, f a y t -(0 kM1 y. *jf 1 ::r} �i 4 ';�.., E} .�� yr 2 l R/e ^( c r 'y N :11 1 s 01 , i a t 'K.B� - J' O s lt Z t ' 4 b .+. '_ . 1 r _ 0 { 31 200s� f,- ` , r t} 5q Vt } y Kf 1 Agile ti 0 / `'/ o 00 v �1 ,� V /: ' M . . / ��c^ . � ;/ <` z / - S W �/ S . 4 ` �3 .:� ,v a ,- 4QF4r ioo. -4 S c - d a4� ,`O� V sK e.c• �F� \ 's , , _ \ - I. .} /�pp—bl n i�rey Ire Jby j �r Qk _ \\ I. I p. : Town f Darnefoble Pfsnnlny`b e d :, —� 'i- - 'r i .. t1 . ;•y P. . z�'-. 11 r , , , - . , LAN OF- LAND IN CENTSRVILLE MASS t , y,,, u��y a BEL0"GIh1G To 1 ': F f '.1 - .:.'r .e .. 1. I. T Su£SAN ':BERNICE CANI 1-OON' ` 11 1 ° . F ^. 1. ? { �r iti ' I,. '� o SCALE I IN 4O . 11Pkl�. 230 i962 '} s} / �. NlLSON BEAR6E RIGHARD LAW cjuRV EYOQB1.z I }' w" �r I. `I y CEN76RVILlE`�' MA98. { ' ` SS28-Sa04 r t. -r t . Z. I. Ubl 1b/1b1'1 1b:11 5U8!18JJ1'1 bAKN5HUU5HU 1 HUK1 1 Y bl/Ui in-StA ble LeasedHousing Dept: 508.771,7292 Telephone 508.771.7222 FAX: 508.778.9312 Housing Authority 146 South Street•Hyannis,MA 02 601 ZONING VERIFICATION CA TO: ROBIN ANDERSON FROM: Jenifer Callahan, Leased Housing Coordinator 6� PHONE NO#: 508-771-7292 FAX 508-778-931.2 RE: LEGAL RENTAL UNIT VERII~ICATION DATE: ADDRESS: C.Q VILLAGE: UNIT y i TYPL C�t)� BEDROOM SIZE MAP & PARCEL NO: The owner of the above listed property is entering into a contract with, us for rental of the property listed above. Please verify by signing below that the unit is legal. and meets all zoning r uirements for a rental in the town. of Barnstable. If it d.oes'not, lease list t11e reason below: b2C GHQ. c' - I'S acrl an J-o-f� .P/t-vQit c you for your assistance in this matter, 4ta- Si" ure Print name Date: �C VIA FAX: 508-790-6230 vc;�n-ens sa-- Pr + �60m n Equal Housing Opportunity Agency P. 1 Communication Result Report ( Aug, 30. 2012 8: 37AM ) 2) Date/Time ; Aug, 30, 2012 8: 36AM File Page - No. Mode Destination Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 0301 Memory TX 95087789312 P. 1 OK Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) No answer _ E. 4) No facsimile connection E. 5) Ex c e e d e d max. E-m a i l s i z e ��btl%Ctl/ib1L lb:ll �bbf AfY31L tlWCOf41UStMlIHACLIY - Y[ilit bl/tll rmd.m„soa.n�.mx <� �" ouSJ�g Authonit)1 - laB Scatl15acbt•PAX-Tfyant�MA1= ODI ZONING 1VERMCATION . TO: ROBIN ANDERSON FROM:Jenifer Callahan,Leased Housing Coordinator . PHONE NO#:508-771-7292 FAX 509-779-9312 RE: LEGAL RENTAL UNIT VERMCATTON C3(�✓u fL. 1 ti�Yl k DATE: �S 1 2..ai,2 • PP ADDRESS: G 4 I oc>m S [ VILLAGE: C.t,1.V-,A p Un UNIT TYPE(— BEDROOM SIZE MAP&PARCEL NO r2 I I 1 The owner of the above listed property is mitering into a contract with us Slr rpam o£tha l Property limd above.Please verify by signing below War the unit is legal and meal all miiatg nfor a renia(is the town of Baonsteble, V it does eat,please list the reason below: dll�n_CrS�4tcrtr Cirol�i30s lYarlbrr,rc��Errac . _ c y ufo our assistance Ot`i�in)tfil i t is r�_ c you for your ssistance in this matter. Sium Printnatne Dais: D`J✓'S _ I�GVS -" I VJA FAX:508-790-6230 -.a tnAm 6( -{y1.t_n-V-;1�tyyaal Hanajag oppmty q Ageaay Inspection Report— Building Department Date142-Zl Address Referred By � a Pum ose of Call/Inspection ' ,�i_ .Reported to Site with Observations & Notes yj a cWnl r o 076 d,68 a q s �>