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Home My WebLink About0022 MERIDETH WAY ..� .. � �� _ _ y � � �: r A .. _. � r n--. .. a � ... ,�. _ �� F a � � .' �- ,. �. � .. R o � �A - .. r .. .� - e it � ... .. y�`pV.` e_ _ - •\ � .. _ _ � :.. G � � � �. .. �� .. �� i I o r e 4 a � ' � �'``� u e o .� 4 ®. :. .,. , _ '., d +r ., -` r }` r 1 � ,, � x 3 .,, _ d P ,. A d r A. �... - - � ,. _.. _ _ _ _ _ere. _—.ti.`.. F'w R .-. .... r .._ �-.... � -.. .. .-�...,.�.�- " SEC?7 �6 NO -tofo t^pE L_F Log f >w y y • ti • o C - v , v r , i n. c r r " . a � . J r � ,, ., _ ,. � _ - _ ,. � .. M e �. � _ .. � <.:, .. ,i - �, .. � _� �. .. ,. .:. :- - : . .. � w :.,, .-.� - � o r ..,': - .. - _ ... ,c .. ,. ,. �� ., ,. r Ida _ � .� � .. — ,. . c ... �. v x „ .. 'c � � .. - Y ., ,. � _ -.. a � �. .. _ _ _ r _ .. .. .. i i �. � .. .. o �. .: _ .�q .. y.. .. � _ �. t�. i r r :. - .... �.. - � ,. � � �. � � 9• o �.. .. c -. o ... '. � t.. 1 . i .., �. � `` ..... � .., .. � .. ,.-. ..: �.. 11 .. � a .. ,: .._ .. .., .. .. i _ ' ' .. i ut' F ., �, _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel plication # Health Division Date Issued a Conservation Division Application Fee Planning Dept. Permit Fee d2� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ,Z a2 Village Owner: Al 4e_ Address _!�r Telephone ZZZ Permit Request XJ�? Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4--L e,4 , d Construction Types. Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes LINo On Old King's H ighway:'jb Yes,EMo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count-3 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use i T Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /�/�� C/�' /��/� � Telephone Number 10 4E��/2 j 41- Address Zey�i� �,2� G)/� License #, D 0 Ui Home Improvement Contractor# Worker's CompensationG'�I�D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Zj �L l . c FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE , OWNER DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION FIREPLACE • f t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. k A OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) ' C77�P�vi/lQ OZ z (Prope y Address) hereby authorize O—Ck/ (Subc n ractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signatur Date D - PG 1.3: 2012 • - I 'A . 11C1f'�$SLMef L 10 Park Plaza - Suite 5170 Boston Massachusetts 02116 Home Improvement Contractor Registration ;.. Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD, HYANNIS, MA 02601 <-Update Address and return caret. Mark reason for change. L_I Address (. I Renewal I._.I Employment I Lost Card )P&CAI 4i 50M-04/0`1-C I U 121 h oe!; l)Iliccj otsumo Affairs13us nc�-/c Regu License or registration valid for individu! use l•�tiou HOME Pf2b� � ��IVf�ItCTt7 `��7GWe [,fore the expiration date. If found return to: Registration: 153567 Type: Off-ice of Consumer Affairs and Business Regulation 10A'ark Plaza-Suite 5170 Expiration: 12/15/2012 Private Corporation Boston,MA 02116 OD INSULATION; INC HENRY CASSIDY 455 YARMOUTH RD. HYANNIS,MA 02601 —�— —Atalid - --- — - — Undersecretary ith t si tune °- �1a.,,:,rllusetts-.Dep;u-tntent of Public Sat" Bo:u d of l36ilding Rr ulatiun� and ruul:u ds' 4onstruction Supervisor License Licens<:. CS 100988 HENRY CASSIDY 6 SHED ROW WEST 1(ARMOUTH, MA 02673 Expiration: 11/11/2013 ('u n u u i„i""`•�• T r#: 7620 LU I z j i /rlvl No. 1605 P. I r Client#:4597 CCINSUL j ACORD,,, CERTIFICATE OF, UAEILITY INSURANCE DATE(MMIDOIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TH0152 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PO LICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONS ITIUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOL DER. IMPORTANT:If th heU1 old n ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,sub)ect to the terms and conditions of the policy,certain policies may r'equlyd an endorsament.A Etatement on this certificate does not confer rights to the Certificate holder in lieu ofsuoh endarsement(s). PRODUCER CON Rogers&GrayIns.-So. Dennis NAME: Margaret Young A,Na E,J:508-760-4602 F 877-816.2-156 434 Route 134 Arc Na: E-MAIL South Dennis, MA 02660-1601 508 396-7980 INBURER(B)AFFOROINO COVERAGE NAIL N IMiURERA:Peerless Insurance wsuREo --- 16333 Cape Cod Insulation Inc INSURERS:Evanston Insurance Company 455 Yarmouth Road INSURERC:Atlantic Charter Insurance - Hyannis,MA 02601 INSURER D:.Commerce Insurance Company 34754 INSURER E: INSURER F: ' COVERAGES CERTIFICATE NUMBER: _ tTEV1510N NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 136 OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANOF AFFORDED 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOwN MAY HAVIE BEEN REDUCED BY PAID CLAIMS. 5rSR TYPI;OF INSURANCE ADDL SUER POLICY EFF pOLICV EI( POLICY NLI6IeEn MMIDDIYYYYI (MM1oDrCYYYj LIMI7s A GENERAL LIABILITY CBP8263063 4/0112012 04/01/2010 EACHOCCURRENCE pq�q E 7 $1 000 UUO POW X COMMERCIAL GENERAL LIABILITY rgES a nNcc ED nce $10U,000 CLAIMS-MADE a OCCUR - AEO EXP(Any one person) $5 000 PERSONAL.&ADV INJURY T 1 000 000 OENERALAQQREQATE s2,000,000 GEN'L AGGREGATE LIMIT APPLICa P9R: PRODUCTS-COMPIOP AGG s21000,000 POLICY PRO- LOC $ Q AUTOMOBILE uA61uT'Y 12MMBCKVNIK 4/0112012 04101/20ij EOMBINEDISINGLE LIMIT 11,000,000 ANY OWNUTOED _ BODILY INJURY(Per pecan) $ ALLOWNEO X SCHEDULED _ AUTOS AUTOS BODILY INJURY(Per Awidenl) $ X HIRED AUTOS x No, PROPERTY DAM�j�`— AUTOS g $ B X UMeRkLLA LIA6 OCCUR XONJ453512 4/01/2012 04/01/201 EACH OCCURRENCE $1 OOO OQO EXCESS LIAR CLAIMS•MAOE AGGREGATE $1 000 000 DeD X RETENTOP! 10000 C WORKERS CONIFENBATION $ --- AND EMNLOYER3'LIABILITY WCA00525902 6J30/2012 06/30/201 X WCSTATU. OTIi: r q�A N E 0FFICER/TFIM86R P6XC�UO�I�XPCUTIVE Y!N E,L.EACH ACCIDENT 'I 000 000 / I NIA (MonaeWry if,NH)Iry",deacnbe undar E.L.DISEASE_EA E MPL OYEE $1 000 000 DESCRIPTION OF OPERATIONS boluw E.L.DISEASE,POLICY LIMIT $1 000 000 FWorkers RATIONS 1 LOCATIONS 1 VEHICLES(AUaah AC ORb Id1,AddIII.—i Rarnarkc schgawo,I(more apace 16 w4lAh ea) p Informationrs or Proprietors er is included as an additional insured undur General Liability when fequlred by written contract or agreement. CERTIFICATE HOLDER CANCELLATION Cape Cod Insulation,inc SHOULD ANY OF THE ABOVE❑ESCRIBEO POLICIES BE CANCELLED 13EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERED IN ACCORDANCE WITH THE POLICY PROVIaloNS. AUTHORIZED REPRESENTATIVE ®19B -2010 ACORD CORPORATION,All rights reserved. ACORO 25(2010/05) 1 of 1 The ACORD name and logo aru registered narks of ACORD #S83849/M83840 MFY The Common l l°, t Il ih of Massachusetts Department t j lialbistrial Accidents Office Investigations oa w 600 Vl''oS'hington Street 4.. Boero ,`ILA 02111 wii;ii iil:i 's.govIdicl �Vorker's conaljensatton Insurance At'tiyl ;::; : BtiiltlerslContractors/Electrtcaansll'lun.ibers rpllit:attt I.1401-1nation Please Print Legibly NallwPd (littstuc:sti/Or�;anizatiolillnclividuall: � r _ , 3r AeMICSS: 1. I l)'':11.Il `!l l p: _ Yce d V` pholltk -n C R t Art,you an employer'? Check the appropriate box: Type of project(required): I. l am a employer with_... Q 4.❑ I am a n„:.d contractor and I have 6. New constructitrn culployres (Full and/or part-tinge).* hired the stlil-contractors listed on ], ❑ .Rt I11UC1elllla the aaa,:h,al shoat.[ I ate a sole; proprietor of partnership These suh ,;,nttactors have 8. ❑ Demolition dud have no employees workin1p for employee•:,JHLI have workers' comp. 9. ' Building addition me in any capacity. [No workers' insutanc,. 10. 0 Electrical repairs of additions coup Insurance required] 5. We are i rt ipormion and its rr II ofhcels ire c xercised their right of 11. 0 Plurribin6 repairs or Cidditious tint a horneowrer doing all work exemprioti I r MGL c..152§ (4),and 12. Roof repairs my,e;if. INo workers' comp. we have'nip"1itpluyees.[No workers' 13. OcheriC�tl insurance required.) .[ comp, insuruhre required.] � 'Any appliczu«that checks box#1 must also fill out the section below showw_their workers'compensation policy information. I I twucuwuois who sul:unit this affidavit indicating they are doing all woi6 :uiJ d,co hire outside contractors must submit a new affidavit indicating such. IConuactot:s that check this box must attach an additional sheet showing th,irnn:of the sub-contractors and state whether or not those entities have employees.It he wb-omtwctvrs have employees,they must provide their workers'couij, ,;h y number:: t ant an employer that is providing workers'compensation wsm once for my employees.Below is the.policy and fob site in(nrrruUiun. Insurance,.Comp Nante: � �, �.h rR .. � U f vtc�' Policy i1 or.SeIF-irts. Ltc. #: Q)CA 0 Q) 1� -'-5—C � Expiration Date: SJ .lob Site.Address: . _ -- City/State/Zip: Atrach a cupy of the wor*et's' compensation policy declaration page_l.,huwing the policy number and expiration date). FAL11c'.0.1 SeCum COVeragt tl$required Under Section 25A.of MGL c: l>' I,;iid to the imposition of criminal penalties of a fine up to:G1,500.00 and/or ugc-year in c:�n tprisuntnent,as well as civil penalties inthe form of a STOP Gvi,`il�h ORDER and a fine of up to$250.00 a day against the violator.be advised h<a a c upy of this statement ntzt e lorwuriled to the Office of Investi :ui;:i:;,rf the DIA for insurance coverage verification, 1 do here c if under the ins aced penalties of peer rrry that the irefiarrnatiure provided above is true and correct. ibrt�tlurc': — Date: q`�L ['htxle#. uJ.licirrl use only. Do rtot write in this area, to be completed b_i i 16Y or town official City or Tuwu: 1'ermit/License# Issuing Au(hority'(circle one): 1.hoardr of Health 2. Building Department 3.Cit)1l'u�Ilt•C[erk 4,Electrical Inspector S.Plumbing Inspector 6.Othe Contact Person: �..-:.. Phone#: c`� rolal►2 CAPE Co® INSULATION t7OCT—') A 0: 37 PIM GLASS SLAM SPRATLOAk1 SUSPMKO BAM OUMR$ INSULATION QUIN05 - --- 1-800-696-6611 � =5 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: 91Z�I�z. Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors Walls (x ) ( ) ( 10 ) ( ) 00 Sincerely He yWsidysident Cape c. Bk 25952 P91965537 12-23 --201 1 ."a'i U.a 16P MASSACHUSETTS STATE EXCISE TAX u BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 12-2372011 8 03:16am CtlY: 994 DocT: 65537. Fee: $861.E4 Coos: $252000.00 ` BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS rP Date: 12-23-2011 a 03:16am Ctlt; 994 Doc4: 65537 Fee: $680.40 Cons: $252F000.00 DEED I,Allayne V.White,of 21 Melrose St.,Arlington,Middlesex County,MA x 02,474,as Trustee of the Allayne V.White Irrevocable Trust, a trust instrument.dated rl September 11,2003, see Certificate of Trustee,recorded with the Barnstable County F Registry:of Deeds at Book 17813,Page 72, for consideration of Two Hundred Fifty-Two Thousand Dollars($252,000.00),paid, grant to Matthew J. Beechinor and Michelle D.Beechinor,of 22 Merideth Way, t Centerville,MA 02632,husband and wife,as tenants by,the entirety, "~ With quitclaim covenants, UThe land in Barnstable(Centerville),Barnstable County,Massachusetts, described ash follows: Lot 8 Merideth Way,as shown on plan of land entitled"CROSS RIDGE"Subdivision'f b Plan of Land in Barnstable—Centerville—Mass.,For Alden Homes,Inc. Scaler 1" 60',January 22, 1979,which said plan is duly recorded with the Barnstable County Registry of Deeds in Plan Book 332,Page 81. N, Subject to an easement to New England Telephone and'Telegraph Co.,et al,dated June 15, 1979 and recorded with said Registry of Deeds in Book 2946,Page 288. 43 Subject to drainage easements,-the location of which are•on said plan referred to.above. . Subject to a reservation in favor of grantor to use Merideth Way and May Lane for all'. purposes for which public ways are now or may hereafter be used in the Town of Barnstable.,. Subject to.an easement to.Centerville-Osterville Fire District dated November 6; 1979 and recorded with said Deeds in Book 3041,Page 36. Page 1 of 2 Bk 25952 Pg 20 #65537 Subject to restrictions as set forth in Deed from Alden Homes,Inc.dated January 20, 1983 and recorded with the said Registry o f'Deeds in Book 3b59,Page 229, insofar as the., same may now be in force an&applicable. For my title, see deed from Allayne V.'White to A116yne V. White,Trustee of the Allayne V.White Irrevocable Trust, dated September 11,2003;`and recorded with the Barnstable County Registry of Deeds in Book 17183,Page 74. Witness my hand-and seal,thin day of December,2011. Ailayne Y.White COMMONWEALTH OF MASSACHUSETTS County of i t On thiOlki day of December;2011,before me,the undersigned notary public, personally appeared Allayne V.White;as-Trustee aforesaid,proved to me through satisfactory evidence.of identification;:which was to be the person whose name is signed on the3preced' g or attached docunnent," d acknowledged to me that she signed it voluntarily for its stated purpose.-,._- A Notary Public My Commission Expi s: S . ; 99999 Not7MA COMNfOMNEALTEM My Comm Novem IV Page 2 of 2.. : .. b Bk 25952 Pg 21. #65537 TRUSTEE'S CERTIFICATE Name of Trust: The Allayne V. White irrevocable Trust Dated: September 11,`2003 I,Allayne V. White,of 21 Melrose St.,Arlington,MA o02474, as Trustee of The Allayne V.White Irrevocable Trust,createdjby myself,Allayne V. White,as the Grantor,certify as follows: . (a) 1,Allayne V. White,am the current trustee of the Trust:' y (b) The Trustee of the Trust has authority to act with respect to real estate owned by the Trust and has full and absolute power under said Trust to convey any interest in real estate and improvements thereon held in said Trust. No purchaser or third party shall be bound to inquire whether the Trustee has said power or is properly exercising said power or to see'to`the application of any Trust asset paid to the Trustee for a conveyance thereof. (c) Pursuant to said Trust,the Trustee has been authorized and.directed-by 01 the beneficiaries of the Trust to convey the property at 22 Merideth Way, Centerville,MA 02632,to Matthew J. Beechinor and Michelle,D.Beechinor for$252,000.00. (d) There are no facts which constitute conditions precedent to acts by the trustees or' that are in any other manner germane to the affairs of the-Trust. EXECUTED as a sealed 'instrument under the pains and penalties of perjury this 3&Ytcl~ day of December,2011. V. Allayne V.White,Trustee of the Allayne V. White Irrevocable Trust n COMMONWEALTH OF MASSAHUSETTS County of On this)�r) day of December,2011,before me,the undersigned notary,personally appeared Allayne V. White,as Trustee aforesaid,proved to me through satisfactory evidence of identification,-which were ss c4 "tv\t�kAd ,to be'the'person whose name is signed on the preceding or attached document;and aclmowl dged to me-that she signed it voluntarily �' �'lis for its stated purpose.. c - BARBARA D1 A My Commission Expires: NotarY Public COMMONWEALTH OF MASSA My commlaSion November 18,26 p0,.. BARNSTABLE REGISTRY OF DEEDS DATE: September 29,2011 TO: Building File FROM: R. Anderson, ZEO RE: 22 Meredith, Centerville • Received a call from Kim Gomez of BHA yesterday afternoon. The occupant of this property has been successfully terminated from their voucher program. As of Oct. 1", 2011 the subsidy will not be paid. • The tenant is the daughter of the property owner. • The services of an attorney was obtained to represent the tenant. • A letter notifying the parties was sent out on August 3, 2011. • The attorney contatct the BHA on 8/10/2011.. • BHA was unable to provide any information without a proper release from the tenant. • Information regarding the appeal process was disseminated to the tenant. ' • BHA left two voicemail messages(8/24 & 8/25)for the attorney advising that a response or filing must be in by 9/26/2011. • The attorney called backed on 9/27/201 Lthe day after the deadline-still no release and indicated the client was non responsive to calls. • BHA allowed for due process but the client did not take advantage of the available process or attempt to exercise any.right within the proper timeframe.. • At this point the voucher is terminated as of.Oct. 1, 2011. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0 Map PParcel 'Applicatidh, .1 7,Of(e3? Health-Division Date Issued Conservation Division .. ,ADblicati6h Fee Planning'Dept Permit Feb Date Definitive Plan Approved by Planning Board Historic OKH Preservation Hyannis "000, -Project,Street'Address 'eoo fa�I,P S_eL.' LIT, r M+l AVa... ar�_SS-Ad ne C�v 'a R----�,t-";r ues , - _ -� -- P. -Yb-W Zh , Squ' are feet: 1 st floor: existing proposed 2nd floor: existing p roposed Total new _ Zoning District Flood-Plain Groundwater Overlay Project.Valuation 'EtnstrVction Type _7 Lot Size Grandfathered: Ll Yes Ll No If yes, attach supporting documentation. r Dwelling Type: -Single Family Two Family L1 Multi-Family(# units) Age of Existing Structure = Historic House: Ll Yes LJ No On Old King's Highway: Ll Yes LJ No Basement Type: A, Full U Crawl J Walkout LJ Other ' Basement Finished Area (sqft.), Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count 'Heat Type and Fuel: Ll Gas Oil L3 Electric Ll Other i ;Central Air: Ll Yes No Fireplaces: Existing t;Z—New Existing wood/coal stove: L3 Yes Ll No �'Detached garage: LJ existing Lj new size—Pool: LJ existing LJ new size Barn: U existing LJ new size Attached gara9 e 9 L3). 4existin ' ❑,new size Shed: U existing J new size Other: Zoning Board of Appeals Authorization Ll Appeal # Recorded LJ Commercial LJ Yes No If yes, site plan review# burrent Use;_"_6=14' _ Proposed Use APPLICANT INFORMATION (BUILDER ORTROMEOWNER) `Nam21177 a4(1 hone-NuLmber ,Address q) License # 0 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 01 SIGNATURE 7 S16kA DATE /� - U 3 FOR OFFICIAL USE ONLY 0 APPLICATION# DATE ISSUED , MAP/PARCEL NO. ,ADDRESS VILLAGE OWNER a t x DATE OF INSPECTION: FOUNDATION _ FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL P PLUMBING: ROUGH FINAL _GAS: ROUGH FINAL FINAL BUILDING QJ%)0/05 r _ DATE CLOSED OUT ASSOCIATION PLAN NO. ~ The Commonwealth of Massachusetts ' Department of Industrial Accidents 3 Office of Investigations VA, y - 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lej ibl rNanle (Business/Organization/Individual): J Address:q,✓ /�� sP _ 9 f—C I ty%State/Zip• ji n.o `spa// Phone#: Are you an employer?Che k the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. ❑ Building addition required.] 5. corporation We are a co oration and its 10.❑ Electrical repairs or additions �,,,,, ❑ 3. I'am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions � myself. [No workers' .comP right of exemption per MGL.insurance required.] t c. 152, §1(4),and we have no 12.❑ Roof repairs employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company.Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: f City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify rider the pains an enal . s o ju that the information provided,�abbove 's tru and correct Si�ature:�I - %2J. ' ram !`�Date�`�'�`�` Phone#:1? � �j I c ,� ��v7?, v+? Q �" V' Official use only. Do not write in this area,to be completed by city or town official 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 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,§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-contractor(s)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: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street i Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia 1 ~ � r � Town of Barnstable 'THE Regulatory Services Thomas F.Geiler,Director MAss plEo .�e� Building Division Tom Perry,Building Commissioner _...... . .... .... ._ ....._200 Main=Street,-Hyannis,MA 02601 _..._...._...._ ... __._.. . ... ...._ www.town.barnstablema.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER�LICit SE EXEMPTION Please Print !DATE: : i �.;O LOCATION: z v` ��/✓' LY t�J � ��'i li�i ! number street Lvillage (� I HOMEOWNER" i "p name home pho'nee# ,w6r cTphone# (CURRENT MAILING ADDRESS cityh6wn state zip cote 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. DEFINMON 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.Tpwn of Barnstable,Building Depattrnent minimum inspection procedures and requirements and that he/she will comply with said procedures and ramm,;ts, Signature of of omeowncr. 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 bomeownerpeiforming work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1,-licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness oficn 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 mslamsrbilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the rrspo=bilities 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:homcexempt zr�ti Town of Barnstable ,. Regulatory Services 9 KABS. Thomas F.Geiler,Director �'OTEp µp'I16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner/Must Complete and Sign his Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work a orize by this building permit application for. (Address of Jo Signature of er ate Print N If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OV*NbRPERMISSION is-1- -Float � czmpJW ��fDl�� III a �.�9�d�ti way � � )C �� ;�, �, �� s � ', i E 1 • q q i { R y 1 46 w t w7 T 8' I +Y h4s; � y k � rt Z �p 1 1 rz - �i+ ---_ � . � '. .. �- �' ,.._.. I ., i i' _ ,. '�/i k � `"' � �� y7 1 /^J i � M� '...; V L' i�+f1� �� ...k ..�,� ••� ...1.. h M �1' �I t __ � r -. �p � A / J J � �I i I� utltp, � ' .. .._ - .. - _ - - " M ,. I �. .r � may»�. rr�- • -��fi■yti � Are •.,� y •-* ` ,fit . • `.` Jo ie�.. I.I. r Y-� • . . .. � • r-• y are 4 • AP p, n ' cr Ar s� F - i. h l i la i Page 1 of 1 Anderson, Robin From: Kim Gomez [Kim_Gomez@BHA.Barnstable.MA.US] Sent: Thursday, April 09, 2009 3:55 PM To: Anders ! S ject: 22 Meredith way ' Good afternoon Robin.. We just meet with the tenant at the above address. she of course says no one else is living there and she is in the process of complying with your instructions. she says the mattress`s are old and she does not have the money to dispose of them. I a.gave her the number To I I AC who takes stuff like that in puts it in a warehouse for people who may, need it. I also have her bringing in a notarized statement (due to us no later than 04/16/2009) saying no one is living in the basement or the attic. I explain to her the safety issues and the procedure of adding some else to her. subsidy. I will fax you a copy of her statement. Have a good evening and let one know if you need anything else. on another note it looks like Mr. Bricklin's tenant has found a new unit at 290 West Main Street, Hyannis I will let'you knotiti%�,vhen this is finial. J4ifri ft O'Vnez,garfradc Af e"i rw ffIg e1-1dfar1l'a .L'eaaecl.�crorft�L'.eo�drfial.�� Mya&&b,JfaCNtV 4/10/2009 Anderson, Robin C t-. From: Kim Gomez[Kim_Gomez@BHA.Barnstable.MA.US] Sent: Thursday, April 02, 2009 8:42 AM To: Anderson, Robin Cc: Lord Finton aleabanr.gif Leaves (7 KB) kgrd.jpg (4 KE Good morning Robin, you are very welcome. 22 Meredith Way is under contract with the BHA. Please send me the violation letters and I will send out a letter to the owner stating the Barnstable Housing Authority is aware and CC you and Linda. And please feel free to ask me about any address's, we have to work together. Mr Bricklin as been supportive to the tenant. the housing authority has sent the tenant all of out applications on our housing. She has completed them and return them back along with a very good reference letter from the landlord. the housing authority has put a stop on all housing assistance payments to Mr. Bricklin, this will help to motivate him in her move (no money) . Have a good day and we will stay in touch. Kim M. Gomez, Barnstable Housing Authority Leased Housing Coordinator 508-771-7292 1 1 °Ft Town of Barnstable Regulatory Services * BARNSrAai e, v MASS. Thomas F.Geiler,Director 1639- Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 13, 2009 Occupants 22 Merideth Way Centerville, MA 02632 RE: EXIT ORDER 22 Merideth Way, Centerville Map: 148 Parcel: 149 Dear Occupants: This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 9304.7 you are notified that the basement bedroom is declared dangerous and unsafe and its use must cease immediately. Please call (508) 862-4034 by April 27, 2009 with any questions to avoid further action. Thank you for your anticipated cooperation in this matter. By Order, &yVLauzon Local Inspector Q:zoning5 f oFtNKE T Town of Barnstable Regulatory Services BAMSfABLE. MASS. g Thomas F.Geiler,Director 16 moo. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 13, 2009 Allayne White 21 Melrose St. Arlington, MA 02474, RE: EXIT ORDER 22 Merideth Way, Centerville Map: 148 Parcel: 149 Dear Property Owner: This letter shall serve as notice that the building department has become aware of a building code violation at the above address. In accordance with 780 CMR 9304.7 you are notified that the basement bedroom is declared dangerous and unsafe'and its use must cease immediately. You are hereby ordered to bring the property into compliance or be subject to criminal prosecution as provided for by 780 CMR 5118.4. Compliance may be achieved by: 1) Obtaining a building permit to correct the violation (and subsequent inspections) or; 2) Dismantling all construction for which no building permit was issued. Please call (508) 862-4034 by April 27, 2009 with any questions to avoid further action. Thank you for your anticipated cooperation in this matter. By Order, dre L. 6uzon Local Inspector Q:zoning5 Town of Barnstable KE Regulatory Services Thomas F. Geiler, Director _ Public Health Division 41 BARN STABLE, 9 MASS. g Thomas McKean, Director ?. i639. a`� 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 16, 2009 All.ayne V..White 21 Melrose Arlington, MA 02474 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 22 Merideth Way, Centerville Enclosed is an-application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at «��,w.town.barn stable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page.IYou may print out as many as you need, and return them to the Health Division with the appropriate 2009 fees included. This must be completed within (14) fourteen days,of your receipt of this letter. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation-in the amount of$100. Each day of non-compliance,is considered.a separate offense. Should you have .any questions, please feel free to call 508-862-4644. Thank you in advance for your cooperation. Timothy B. O'Connell, R.S. Health,Inspector Health Division Direct#508-862-4646 �FTHE ray, Town of Barnstable Y Y Regulatory Services Y • BARNHABLE, Y v MASS. g Thomas F.Geiler,Director �A .s63q �0 rF1639 " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 18, 2009 Allayne White The Allayne V White Irrev Trust 21 Melrose Arlington, Ma 02474 Re: 22 Merideth Way, Centerville Dear Ms White: I have received a complaint regarding your property at 22 Merideth Way concerning a possible illegal apartment and over crowding situation. You should be aware that our street file contains a prior complaint at this location. Because of this, it is my intention to monitor this property for any violation under our Zoning Code Chapter 240 Section 13. I strongly urge you to speak to your tenants regarding these recent allegations in order that they may be rectified as soon as possible.. In the event that complaints continue I will be forced to pursue enforcement action which may involve a request to inspect the premises in the presence of a Health Inspector, Fire Prevention Officer, Building Inspector and a police officer for a definitive determination. Please understand that I am affording you the opportunity to take whatever corrective measure is necessary(if applicable) in order to quell this matter before I begin the enforcement process. You should also be aware that non compliance may result in citations in the amount of$100.00 per day per violation. I am confident however, that you will address this issue promptly and notify me accordingly. I may be reached directly at 508-862-4027. I expect to hear from you no 'later than March 31, 2009. Your cooperation is anticipated and I look forward to hearing from you. r Sincerely, r Robin C. Anderson Zoning Enforcement Officer t iv 09 07. 10: 46a P• 1 THE UPS STORE ft EP ? *� rt ' E 464 COMMON ST BELMONT MA 02478 ' L'OLP NOY. -9 AH 9: 54 '. 617-484-9300 Tel 617-484-9301 Fax 8:30 -6:00 /M ;F 9:00 —4:00 /SAT Fax CoverThe' A . / i l .Date: of Pages inc�udiri- g cover sheet): Phone #• from• c'�� ` �� _ c` ,;ice ��'� • _ f f/1 — j-�� -"✓ter ��^.a� __ _ Ll. i ' ( �' �' /' T �; ./•%�+ i'�.i �is dew Name, * ' . ' New L®w UPS Rates. P Same.-Hel ful Services. If you are not the intended recipient,do not disclose,copy, distribute or use this information. If you received this transmission in,error,please call immediately to irr.,noo rahun nl 1ha rinruman/c a1 nn rncl.In vnn f Nov 09 07 10: 47a p. 2 n 'ME Tpy_ Town of Barnstable BARNSPABLE, • Regulatory Services MAM 9A `0� 1 �p Thomas_F. Geiler,Director - - Building Division . Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 October 23, 2007 6 (,) �� Q �. Allayne White 21 Melrose a� Arlington MA, 02474 Illegal Apartment:_22.Merideth_Way Center_ville,,MA 02632 - Map: 148 Parcel: 149 Our records indicate that your house at the above-referenced location"is currently being used as a multi-family.home, which-is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14,days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office, immediately to tell us what direction you wish:to take. Sincerely Lin dson r mnesty.Apartment Investigator Building Department gl'orms:7oning3 `l y oFtHE Ta Town of Barnstable *Permit# ']'7910 Expires 6 months front issue date anitrtsT" r Regulatory Services Fee Z 7 O v MASS. Thomas F.Geiler,Director 039. �ArFD MA't p�0 Building Division IT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ,I U L 12 2004 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number QQ Property Address -w j W(XV eenfe► ZAe- 1-1 1r JZ Residential Value of Work l0 �� Owner's Name&Address I-1eAr 6Se s+- Ari tno+or► MA 00Y7� Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ® I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) . Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,'etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ome Improvement C ntractors Ncens s r uired. Signature Q:Forms:expmtrg Revise053003 r I WE TOWN OF B.ARNSTABLE Permit No. _- -- VAUAM ; Building Inspector cash y wa • ----------------------- ,ya OCCUPANCY PERMIT Bond Issued to 1 ,� Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... ]9......_._ ...........................:..:....................... ..........._. __... ... Building Inspector t f Assessor's map and lot number> .............1... fcrld ..4Ct pFTNETO r � =; iSewage Permit number( ...t. . ...................................... ,0 �, 4 �4 GT 11 P �- ✓/�� Z BJHHSTABLE, i • / n 1t 1�' House number ...........' ..:..................................2 /v�� 11A86 .1639• 00 i � � ' •Fp 11AY Or TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR.PERMIT TO TYPEOF CONSTRUCTION ................ .............................................................................................. V. "'E��• t...... +�.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according o the following information: Location .. '.....;�..... . ...... �f.F�• (' ill .....!/A.) !i /a . ........ .%../.fiL/G�(,f �..:............ Proposed Use ;).0.,..�(J.!?�'......................................r ...... .... ................................................. 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Floors .... ..A/ Interior e � ...... ... a.......................................................... ,. HeatSFi j' :jo........... (Mf.4G ........................................Plumbing .....................:..............................:................:. Fireplace ........ .......................................................................Approximate Cost . 7 "UR .,f?..D.......................................:..... � Definitive Plan Approved by Planning Board ________________________________19________. Area ...... .... .�/....S'f.......... Diagram of Lot and Building with .Dimensions Fee *-y SUBJECT TO APPROVAL OF BOARD OF HEALTH AV 4061 j `i I.hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. -1 Name ...........� !?............................................................... -r �........-..u.r::a.v..a...:....-.nUw.c-.,.....r_. .s v_sau..s,_.h.:e�-.:kr .1.a..:.,r..,......5.`u.naz. ! -� // .. ..� ........_... �... ........ .... .. .. ... ... ._. a.a.d.. Y......_. ....m. .. .-.s........aaJ+....... ax. s.ua:a:rv..�..r �,_.e.b ....✓... \ �. Elden Homes, Inc. A-1-1-7-�9 _ " r 21994 Single No ................. Permi olor ...r....................:........... is Family..Dwelling........................... r �•F" Location . :... . Lot. . .. .... ... #8 2.. Merideth. . . . ...Wa . y r .. .. .. ..... .... ..... .. .... .. .... ........ Centerville ' ............................................................................... 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Status: DEN State: MA Person Information Last: JACKSON First: RICHARD Middle: R Sex: M Height: 5' 08" Organ Donor: N Address Information Mailing: 22 MEREDITH City. CENTERVILLE State: MA Zip: 02632-2641 Residential: [View Larger Image] City: State: Zip: Previous Names Last: JACKSON First: RICHARD Middle: Additional Data Driver's Ed.: N Military: N Mab: N Cdl: Restrictions: Start Time: End Time: Type: Q Class: Issue Date; Exp. Date: 11/17/2013 11/17/2008 • Terms-aLU5e 2003 Criminal History Systems Board This is Criminal Offender Record Information (CORI) and access Massac.husetts Criminal Justice Information Services (CJIS) and dissemination.of said information is under the authority of Massachusetts General Law Chapter 6 Sections 168-172 and Code of Federal Regulations (28 CFR 20.2). Only authorized persons in the performance of their official duties may access, use or disseminate this information for official and lawful criminal justice purposes. Questions concerning the access, use or dissemination of this information should be directed to the Massachusetts Criminal Justice Information Services Division of the Criminal History Systems Board at 617-660-4710. http://170.154.224.13/cjlsweb—n-nv/action/search_qjis_records?app context=search cjis r... 7/22/2010 DATE: Feb. 28, 2011 TO: Chief MacDonald, Building File FROM: Robin Anderson,ZEO RE: 22 Merideth Way, Centerville The property at 22 Meredith has long been the subject of concern. Neighbors accused the residents of having an illegal apartment,unauthorized tenants and illicit drug activity. The legal of-age occupant is the daughter of the property owner,Allayne V White of Arlington,Ma. The daughter and tenant is Lynn White. Lynn White has a housing voucher and receives assistance for her daughter. She previously explained her daughter has some kind of disability(not physical but not apparent either). It is alleged that the daughter of Lynn White keeps company with the wrong crowd, some of her friends crash here often and at least one may have resided with the Whites as a tenant. This is where the"unauthorized tenant"accusation comes into play and if true;this would be in direct violation of the housing voucher and could put any assistance into jeopardy. As a result of my research effort,I found that Richard Jackson, a 25 yr old male resided here in 2010 or least he identified his address as 22 Meredith Way, Centerville. He was the boyfriend of 16 yr old Crystal Manchuk,the young woman killed in July 2008 crossing Route 28 near the rear entrance of the CC Mall. Oddly, almost two years later on June 27, 2010,Jackson was also killed. He was operating a motorcycle at the time of the collision on a section of Route 28 in Centerville. It was subsequently reported that both Richard Jackson&his deceased girlfriend, Crystal Manchuk belonged to a local gang of troubled young people and were involved in drug activity. In addition, it was alleged that Mr. Jackson had a conviction in another state that required him to register as a sex offender. I offer this information not to malign the deceased parties but to demonstrate a pattern. It doesn't take a great leap of faith to deduce that a troubled young woman would gravitate to and keep. company with a troubled young man. Drug use and dealing would not necessarily be alien to this type of relationship. Neighbors have long suspected drug activity; certainly during the time that Mr. Jackson resided here. They called regularly to protest the use of the property. Some of the original complaints identified a male with motorcycle at this address(allegedly) involved in using and dealing drugs. Richard Jackson had a motorcycle and identified this property as his home address. While unaware of Mr.Jackson's specific tie to this property at the time, I did in fact inspect the dwelling and reported to BHA my findings. There was no violation under the zoning code that I could cite. The residents denied having any tenants, admitted that friends visit and that older neighbors may have been frightened by the loud noise emanating from a friend's motorcycle—no violations and nothing definitive to address. I advised the neighbor and BHA accordingly even though I was not convinced Ms White's denial of a sublease was true.* Activity and complaints virtually ceased after the death of Mr. Jackson until recently. At this time,reports of a new male tenant at 22 Meredith with the same tendencies and inclinations have surfaced. The neighbor states that drug activity is evident again. Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Monday, February 28, 2011 3:15 PM To: Police Chief Subject: 22 Merideth Way Hi Chief, Sorry to be a pest today but I am informed that there is a black Mercedes driven by a light skinned black man, Mass plates 38L-F71 who is in residence at 22 Merideth and is the subject of these accusations. He seems to have a key to the house and comes and goes as he pleases. He's been there about a month. Could someone let me know what you find and when the investigation is over in order that I may pursue enforcement on my end, please? I am working with BHA and they will terminate the lease if criminal activity or a zoning violation is determined. Thank you. &bin if and when you Robin C .Anderson Zoning Enforcement Officer 7'own of BarnstabCe 200 whin Street Hyannis, N-A 026oi 5o8-862-4027 2/28/2011 BIRST INSPECTIONS JUNE 30,2011 Inspectors: James Parziale (BOH), Jeff Lauzon(Bldg).LT. John Cosmo (Hy FD), Robin Anderson (ZEO) BPD: Officer Paul MacDonald Centerville BIRST 6/30/2011 22 Meredith • Reported to site and was greeted by Shawn Benson. • He was squatting in the garage smoking a cigarette. • I identified myself as an agent of the town and stated we were there to do a follow up compliance inspection. • Mr. Benson asked if we had a search warrant. • He refused to take us around because he is not the owner. • He identified himself as Shawn Benson. • I asked if he is a tenant. • He said he stays here off and on. • He stated he is married to the owner. • I asked him the name of the owner: ' • He replied that her name is Lynn Benson. • He advised he was uncomfortable and suggested that we return in an hour when Lynn was due back. • I agreed and we departed. • We returned an hour later to find that Mr. Benson was no where around. • Lynn and her daughter Lily were in the driveway and had apparently just returned. • I advised her that we were still receiving complaints about the activity at this property. • Lynn replied that her neighbors just don't like her. • She said her daughter has problems and displays inappropriate behavior and . language. • On occasion they would fight and her daughter would swear loudly and run down the street. _. • She explained that Lily just started working at Stop and Shop- 0 She was fired her first week earlier this month but RFK(a youth program) intervened on her,behalf. • Stop & Shop agreed to give her a second chance; today was-her first day back. • Lynn admitted that Shawn"stays"here fora while but doesn't pay rent. • She does not charge rent for anybody that comes to visit.- • She said she knows she cannot rent to anyone. • I asked her about the three Husky dogs in the window: • She informed me there are four dogs; two.are licensed in another town off Cape. • Those two belong to Shawn. 2 r • She asked if that was a problem. • I told her I was not there because of the'dogs; I needed to see the house. • Lynn was dispatched to secure the dogs before admitting us. *, • Lily waited with us and I asked her who Shawn is. • Lily stated that Shawn and Lynn married last year but they have been on and off. • She stated Shawn is drinking again and they don't get along. • Lynn returned to admit us into the house. • We entered via the front door behind Lynn. • The entry opens into a living room with a staircase directly in front of the door. • French doors in the living room open into the kitchen/dining area. • A short hallway to the right contains a bathroom, 2 bedrooms and access to the basement. • One bedroom is Lily's and the other is Lynn's • Lily's room was in disarray with clothing and miscellaneous items strewn about. • Lynn's room was more orderly. • On the other side of the kitchen area is another living room/den. • A small area just outside of the kitchen and den area provides access to the garage. Second Story Room • The second story is accessed by a staircase directly in front of the front door. • At the top of the stairs is a locked door. • We waited for Lynn to find the correct keys. • Lynn reported that she is not getting along with Shawn right now. • She clarified that Shawn needs his own space right now so he stays here. • Shawn and Lynn are not getting"along right now and he needs his own space. • The door opens into a room equipped with a microwave and small refrigerator. • The room also included a bed and a couch. • There were personal effects in various places in the room. • This is where Shawn is reported to stay. • There is no bathroom on this floor. • Lynn advised again that Shawn has.relapsed. • He is drinking according to both Lily and Lynn. • There appeared to be drug paraphernalia(roach clip) on the coffee table. • No drugs were visible. • The refrigerator contained some food items including Grey Poupon mustard, margarine, a lemon and some kind of instant meal. • There was a can of soup on the TV.stand. • Nearby on a shelf were a banana and another instant meal package. • A coffee maker, coffee filters,a toaster and an electric toothbrush were found on a small table beside the bed. • Another locked door opens into a large storage room. • Lynn indicated that her daughter previously used this area to hang out with her friends. 3 • She no longer uses this area except for storage: • For some reason they are compelled to secure the area with a keyed lock. Basement • The basement stairway is located in the hallway. • The basement is mostly an open space with two-segregated storage areas on the left side of the stairwell. • One of these areas was previously used as a bedroom the other was obviously storage. • An exit order was issued for the bedroom use during a prior inspection. • The open area contained a washer and dryer. • The room is unfinished with exposed cement walls. • A couch and TV was set up facing a small alcove area. • Behind the couch was a makeshift storage unit containing a small microwave and a refrigerator with food items. • A mechanical room was located on the other side of alcove area. • Two young adults, one male and one female were seated on the couch.. • There is no bathroom on this level. . Conclusion • I advised Lynn Benson that I found nothing to cite her on. • I told her the activity with people coming and going (according to Lynn's own admission) may be cause for concern for her neighbors. I suggested that this may be one reason the complaints continue. • Lynn told me she would ask Shawn to leave. • Lynn stated the couple downstairs is visiting. o Even though their hosts were not home when I arrived, the"guests were found seated on the couch together watching TV in the basement. This is not at typical environment for visitors to entertain themselves while their hosts are otherwise occupied. • Lynn stated that this couple drives Lily to work. • She credits them with getting Lily out of bed to do go to work: She claimed Lily did not leave her room for the past year. • I recommended professional assistance and help. • Lynn stated that she already benefits from available resources and people that come to help. o I am confused about why she feels-it necessary to "rely." on this visiting couple as Lynn admits she has professional help especially.in light.of the continuing complaints. July 1, 201:1 • My first call of the morning was from Lynn Benson. . ., , • She was concerned about what I was going to do. • I noted I would be writing a report. • She wanted to know who would be getting a copy. 4 • I advised her that the copy is for my records and I would provide a copy to BHA. • She became upset and informed me that Shawn is gone. He left this very morning and won't be back. Lynn said Shawn is drinking again and she doesn't need that in her life. This is all too much for her to handle. Her mother is sick with cancer and she doesn't need this either.She stated she is overwhelmed. • Lynn also stated that the couple in the basement is gone, too; they went to her mother's house. • This is the same couple who although they "don't live there" (only visiting)they are now moving out. • She insinuated that when Lily loses her job because that couple is not here to help her, it will be my fault. • She also stated that she is afraid she will lose her housing voucher as a result-of- this report. • The complainant called to inform me today that there is no change. • The caller stated the same people still live there including the couple in the ` basement. • The caller explained he knew that the couple lived.in the basement because one day a woman`came by and was unable to get anybody to answer the door. • She apparently remarked to the reporting party that she simply wanted to talk to her daughter who lives in the basement. • I was also informed that another man, larger and heavy set arrived an hour after I left the site. • This may be the man who really resides in the room upstairs if one assumes that Lynn is sharing her bedroom with her husband, Shawn. • I asked the caller to provide me with photos of people and vehicles with plate numbers. July 5,2011 Complainant contacted me to say there are no changes except that after my 6/30/11 another large man showed. It is believed that this man also lives there. The caller is concerned because a sex offender lived there last year and the people that enter and exit the house do not appear to have jobs and the behavior and appearances are indicative of substance abuse. Demeanor of Subiects • Lynn is very thin and appeared to be nervous and distracted. • She was unable to focus or remain on anyone subject for long • She kept reiterating and repeating information. • Lily.seemed more together than Lynn and over all was healthier in appearance. • Lily did spout off at the end of the inspection when I had to interrupt Lynn to redirect the conversation to focus on the matters at hand. I was not sure if Lily was upset with me or her mother but she commented that someone was rude and stormed off. 5 -,vim FOR L PUBIC VIE W