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0325 PATRIOT WAY
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S '`*�.� i i• x'R � T tooIN +ofis z Town of Barnstable Buildin ,Post=This�Gard So>That it is V�sible'From`th"e_Stre"et-.A roved=Plans-Must be�,Retamed"on Job'and5;th�s:Card,Must°be-'Ke t * BA MASIL10 Posted Until Final Inspection Has Been Made x Z�y R Where�a,Certifi ate�of'`O'ccu anc .�s Re •aired. suite Builim skall Not�:be Occu''rvied unt►1 a F,anal=lns ectionhas.been made �`-� Permit Permit NO. B-18-2948 Applicant Name: William McCluskey Approvals Date Issued: 09/07/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 03/07/2019 Foundation: Location_: 325 PATRIOT WAY,CENTERVILLE Map/Lot 193 173 Zoning District: RC Sheathing: �". f `� '` GontractorName WILLIAM J MCCLUSKEY Framing: 1 Owner on Record: KAREN MONTEIRO , Address:. 325 PATRIOT WAY u g Contractor Gcen�se SL-102776 2 CENTERVILLE, MA 02632 l sty Project Cost: $5,000 00 Chimney: Description: Add R-30 cellulose to the attic.Air seal the attic plane with, Permit Fee: $85 00 expanding foam.General weatherizationMR p Insulation: Fee aid $85 00 Project Review Req: Date 9/7/2018 Final: . 3�g c a �U✓��/ ` �'"'s""' Plumbing/Gas _. Rough Plumbing:. Building Official M Final Plumbing: ,t '': x. --• Rough Gas:: This permit shall be deemed abandoned and invalid unless the work a thonzed bythis permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and Lhe,approved construction documents-1or which'thi permit has been granted. Final Gas: .. All construction,alterations and changes of use of any building and structu er s hall be in compliance with the local zoningby laws-and codes This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open.fdr public rasp coon for the entire duration of the work until the completion of the same. Electrical - x A 4 S Service: The Certificate of Occupancy will not be issued until all applicable signatures by the�Buildmg and Fire Officials are prow ded on this permit. i ? a, Minimum of Five Call Inspections Required for All Construction Work Yb Y ,.:, ' Rough: 1.Foundation or Footing f . . :'W `�... . : u =_,;• �• - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final' 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons can ith unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department c Final: Building plans are to be available on site -� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ° 1 ' J0IZ3I1s cyv Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 10/18/18 Brian Florence CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA02601 'BUILDING DFP ' OCT 1 2018 RE: Insulation Permit B-18-2948 TOWN OF BARNSTAb— Dear Mr. Florence: This affidavit is to certify that all work completed for 325.Patriot Way,Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. 4 Sincerely, :4 William McCluskey i ' r o �/�/►mow � �' � � � . .. b ? s � 1l t ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I Parcel Application # 1 Health Division �q�� �P Date Issued Conservation Division rOWA/Op 8?®,I Application Planning Dept. 1q$CF Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address � '� 40AT7? 6-.r � "7 Village ei l't/ e Owner 6 ' ss 60 Q W � I Telephone 7 3 (.0 3 S S 3 9 6,oc aoj) i 1 . Permit Request 5 11 4_0 f7 dto 1✓ � �U lrf7 O M r)4er Cad' o P� �`� 1�'av, /� &A 54-r — f I-VI Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain . Groundwater Overlay Project Valuation �_p cam'C-C)Construction Type Lot Size 7 .. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: 0 Yes *No Basement Type: ❑ Full ❑ Crawl Walkout ❑ Other Basement Finished Area (sq.ft.) 1Basement Unfinished Area (sq.ft) v S �� Number of Baths: Full: existin �� new Half: existing new Number of Bedrooms: je. ng _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas A9 Oil ❑ Electric ❑Other Central Air: I 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:lIV existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 45 No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 63 S 13 9 Address 9PCAM,� Wag License# Home Improvement Contractor# Email���/a l l � y"1l,�A1 l��� .�r`' ' i Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE V 3• � 14— , FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION f FIREPLACE • ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I. DATE CLOSED OUT ASSOCIATION PLAN NO. .. C �zF€�Ea#�t cif�tr�l�c�I�etts ' De �z3 rrehsrF �cS�l e r 690 Wmkargtar; e� - asfrA MI A Wuik r ' Conipei s�Ia.=mcca Af&v!f-RmIL-Fd r-fr�is c€�riri �*�l l US ride G Arayur - L❑ I a�a � � ElI a8f a geri�cal cor�ct6r ararl I Types Qf project Ci7];Y�6��OF�{i�]��#`• �Y3LT@.ZtffP�QIE SiI�1-C6II�fQs , 6i. El Nuw � 7-El Iam a SOIe prvar113�fII2S O31f}Y0 aEfachd gfr ❑ � a*and ham rnampk 2:m •, , Theme Sub-c=fii-md=ha-m` 1F "rngSlIB1fI2fgemplo 45`3FIdfIzCefi[TOS' S' ', - i[] Weareatozparafi�ta�#ifs Id•[]EleEi4i�a1=epat�arad�nus 3. Q �af - iL az�or ad�invs Iama daizfg a1fwa� ❑Pi�gszg , ofitafeserwoa grr}�fGL . 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W ..-1 • r � .r.1 n !.•.1 m ru _I i■ nnn a r carr►.i ■ ■•• .113I0�■Wit/■n ■■ 1 ■ n nrn .n nun■:, ■:. n .n■I ■n■.n m- WE r n •r nlm. i■ .I u- ai■/.•I A .nno .1 :n■ •oue.■ a■ 1■ .1•r rnl r■ n ill ■n n ro - rrl n OIi\► r. n••+■:.n m .. rm • i■ .ri.■. 1 ■ nnn r r ■ .■a o•u :n .■.r •■ ■■ 71 n n r rnry .�■ mm r� •%u ni .. 1 • •w►■ r. o. n a Iq• ■.rn■17 .�a :Ira .:•y■ n .n• J•.■ •rl ■. ■m■t n. o■.• 1 u■ r.m: n■ .r is-1 npw `•m u. .n r �nl .■ 1 ••■n nn■■p.n nl 1 ..... .. _n■ m•.. - r. tiw ■v ■ r .. ■rl n i■ •■ ■ r. .ft/■. 1 t1.t a. r... •/r rr.1• rmn./ r1 •■.Ir.hr ■• ■ .fit/.•I ■. 7 7.1 nrnl •w/..■1� ■ .■l.r■rr r ■.F •"lynl ■rnun• ..�■� ■� •rn■1 .r +rr , r. r.■ .it■. •■ .rw. • ■.Mutt n ■■In r. �■ .a■ ..IF■1t A .a a.\.. ■. .•nrl■ ■• r■ • o- • ■ •.�a•:nm ^•r ■ ..• n ru.n. •■t a .n•.n. m ••n .r.rrrnnr .n■ ■.■ ■. ••n ■.. • r •. ■■ •vtrn n u• •w : r 1 1■ )rr:l m rat -■■t `- r r•a m ..et r r.■ rum•r �r- ■�Ir�■r.■_r n=d �t ■ �:tiw r1■ti■nt6 • ►N ■i;t fail i 1w ._■ ■ a a 9 20 1 1J 1 Regulatory Services Richard V.ScaA Director Building n>VWon F t B�TrwcrrlRTp ldIPauIRoma,Bmng Commissioner 200 Main Sheet, Hyannis,MA 02601 ►++� www.town,barnstable xna.us . Office: 508-862-4038 Fax: 509-790-6230 HOMEOWNER TIMSE EU24MON ` � � Pipe Priest ' DATE: V JOB LOCATION: W1ago name home pboma# work pbooc# CURRENT jj AJ LIN9ADDMS: U00 L` �� Z4 ' 0 � � up coda c The cr�ent exemption for"homeowners"was extended to include owner-occupied dweTlm es of six units or less.and to allow homeowners to engage an individual far hira who does not possess a license,provided that the owner acts as supervisor. - ' j)jFMnoN OF HOMEOWNER Persons)who owns a patcel of.land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-famtiy dwelling,atfached or detached strnctrtres accessory to such use and/or fang struc(ues. A '. person who constructs more than e one hom in a two-year period shall not be'considered a homeowner..Such ,,home shall submit to the Bml Official on a form acceptable to the Bm7dmg Official,that he/she shall be responsible for all sncb.work performed under the building permit (Section 109.1.1) The undersigned"homeowner:'assumes responsibility for compliance with fibs Stafa Building Code and other applicable codes,bylaws,rules and reguhions. The undersigned"homeowner"certifies that he/she understandsthe Town of B=stable Building Departmmt e 'on procedures and recjuiremertS and that he/she will comply with said procedures and Signature ofHomeowner Appru,,a of ulding Official Note: Three-firm ly dwellings contaiumg 35,000 cubic feet or lager will be requirred to comply wig the- - State Budding Code Section 12T.0 Construction Control HOMEOWIQER'S EXEMPTION • .,. .. The Gode states that: "Any homeowner performing work for which a building permit is required . ns of this section(Section 1091.1-Licensing of construction Supervisors); shall be exempt from the provisio a persons)for hire to-do such worlr,that such Homeowner shall act provided that if the homeowner engages as supervisor." Many homeowners Who use this exemption are unaware that they are assuming the responsibi'iifi'es of a supervisor(see Appends Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons, In this case,our Board cannot against the unlicensed person as it`WonId with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible, To ensure that tie homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently pled by several towns. You may care to amend and adopt such a form/certLfication for use in your community. ..Town of Barnstable Regulatory Services Richard V.Scab,Director 16:Fg.. Building Division Paul Rama,Building Commissioner 200 Main Street;Hyannis,MA 02601 ' w`mtown.b arnsiable.ma-us Office: 508-862-4038 Fax: 598-790-6230 Property Owtier.Must Complete and Sign This Section = If Using A Builder • ,as ZffiC5MbjtCtptoPCrLY hereby authorize to act on my behalf, in all mattm relative to work a arized by Ibis wilding permit application for. (Adds s ob) **Pool fences and are the respo bility of the applicant. Poo are not to be filled utilized befote fen is installed and all final . inspections are p ormed and accepted. , acute of Own Signat=e of Applicant Print Name Print Name Date i Q:Y0R hMDWNMERXBSSI0Ie00M g �. �� o . t � o ��Lowe-it LLNICL �1��-5 �� ios v\ - ° - CUN ............ o� C0wmonwea114 o/VadjavAweffj Official Use Only c� c7 n Permit No. a1Je1nart�nent o�,y`ire Jervice� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07j leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRIGA , FORK All work to be performed in accordance with the Massachusetts Electrical Code(AEC),527 CMR 12.00 (PLEASE PR VTININKORTYPEALL'INFORMATION) Date: City or Town of. rn, ,6/r_ To the Inspector of Fires: By this application the undersigned gives notice of his or her intention to-perform.the electrical work described below. Location(Street&Number) ` Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) " Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ -No.of Meters Number of Feeders and Ampacity " Location and Nature of Proposed Electrical Work: Completion of the followin table may be wawedby the Inspector o°Wires. No,of Recessed Luminaires No.of Ceil.--Susp.(Paddle)Fans No.of Total Transformers KVA No.ofLuminaire Outlets No.of Hot Tubs Generators RVA r Swimming pool Above ❑ In- . ❑ o.o Emergency Lighting No.of Luminaires nd. 91711d. Batte Units Ob a No.of Receptacle Outlets No.of Oil Burners FIRE No.of Zones " No.of Detection and No.of Switches' No.of Gas Burners Initiating Devices 'No.of Ranges No.of Air Cond. Total TonsNo.of Alerting Devices a + No.of Waste Disposers . Hea Tot Lsp laTumber Tons T£W No.of Self-Contained • Detection/AlertinMunicipp Devices No.of Dishwashers ,Space/Area Heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances IOW Security Syevices or E uivalent stems:* No:of D No.of Water No. of No.of " Heaters �--, 1E Data Wiring:No.ofDevices or Equivalent a = Signs Ballasts No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.ofDevices or Equivalent OTHER: Attach additional detail if desireg or as required by the Inspector of Wires Estimated Value of flectrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work"may issue unless the licensee provides.proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,unde3 the pains andpenalties ofperjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LTC.NO.: (Ifapplicable,enter `exempt"in the license number line.). Bus,Tel.No.: Address: Alt Tel.No.: *Per M.G.L. c. 147,s.57-61,security workrequires Department ofPublic Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER.: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one Downer ❑owner's a ent. Owner/Agent Signature Telephone No. FPEA MW FEE.• $ aac= 1 r 317 g 71�i ' i 7-2g-2017 1 :3 C=tf :212437 BARNSTAE_?LE . LAND COURT REGISTRY Prepared By: • Coral Hunter • 4763 Elon Road - • Monroe,Virginia 24574 . After Recording Return to: Vincent Jerome Peters • 800 Bearses Way 4SA • Hyannis MA 02601 SPACE ABOVE THIS LINE FOR RECORDERS USE On Sept 29.2015 THE GRANTORS) - F -Coral C Hunter, a single person, For and the consideration of: One Dollar$1.00 Coral Hunter GRANTS and QUITCLAIMS to the GRANTEE(S): f Vincent Jerome Peters, residing at 800 Bearses Way 4SA, Hyannis, Barnstable County,State y of Massachusetts: - Legal Description: Property located 325 Patriot Way,Centerville MA 02632 is listed as ' follows: LOT 57, land court plan,38507-B(sheet2), parcel 173. DOC#1087487 CTF:185697. Grantor does hereby grant and quitclaim all of the Grantor's rights, title,and interest in and to the above described property and premises to the Grantee(s),`and to the Grantee(s) heirs and assigns forever, so that neither Grantor(s) no Grantor(s)heirs, legal representatives or assigns shall have, claim or demand any right or title to the property, premises,or appurtenances, or any part thereof. TAX PARCEL NUMBER: - Page 1of3 5 ' + GRANTOR SIGNATURES: DATED: CORAL C HUNTER 4763 ELON ROAD MONROE,VIRGINIA 24574 STATE OF VIRGINIA, COUNTY OF AMHERST,ss: This instrument was acknowledged before me on this I � day of � l.L([J)Ll c by Coral C Hunter, qTY LIC TITLE (AND ANK) My commission expires 10 JACQUELINE E.ANDERSON r NOTARY PUBLIC Commonwealth of Virginia Reg.#204524 My Commission Expires 10/31/20 BARNSTABLE COUNTY. REGISTRY OF DEEDS Page 3of3 A TRUE COPY,ATTEST �� s� • isTER _ ti • BARNSTI�DLE REGISTRY OF DEEDS G JOHN F,MEADE,RE John F. Meade, g Register TOWN OFfBARNSTABLE BUILDING PERMIT APPLICATION Map Parcel /�j Application # q*q I� Health Division �i � �A®ate Issued Conservation Division �� �l Application Fee y� Planning Dept. ��^��8 Permit Fee Date Definitive Plan Approved by Planning Board 1� Historic - OKH — Preservation/ Hyannis Project Street Addrlelss 3-?!� Village li,e I QI Owner OwnerNh n unTRzXoF_, Address Z Telephone , Permit Request `7 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation v Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ 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 Proposed Use - - - -APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ka'dn ') Telephone Number �� ZS �0 OQ 97 Address � ButnT License # Home Improvement Contractor# Email AAe_1 o bWj 1 00_q 11(20orker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU E DATE C� I • FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division t Paul Roma,Building Commissioner ��� 20.0 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: l Z� �ri+ a` W / &/Iaw/f `number p�® street village "HOMEOWNER": V�11 CD[/�� ��I�� �� (�7 6 3 S-f3 L/ name home phone# work phone# CURRENT MAILING ADDRESS: �I3OGf�e� U 1 C"I wiS cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less.and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who.owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. {Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. f The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection prliure, and requirements and that he/she will comply with said procedures and requirements. flbigue of Homeowner w Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control.. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1--Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire-to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a-licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 Town of Barnstable Regulatory Services �` ' r Richard V.Scab,Director ►� Building Division. Paul Roma,Budding 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 This Section If Using A Builder I ,as Owner of the subject property hereby authorize to act on ray behalf:, in all matters rela to work authorized by this building p t application for. (Address of Job) **Pool fences and alarms e the re onsibility of the applicant Pools are not to be filled or utiliz d efore fence is installed and all final inspections are performed accepted. Signature of Owner ignature of Applicant Print Name' Print e . Date QXORM&OWNERPERNaSSIONPOOLS U��t G►� UL�,7'A ' SI LAC-L'T--- V-7AMIL�4 - 'f3ta;oZoc�AA LIO �Arra�� Gizl..ln t>-&I L,( FLow s I ICE 3 = 33U G•P•V% , S rl c Ta+�l IC = 330,f fr,o % • A-9 r?Y.P.D. USA t OOQ GAOL. .215PC5ALL: PIT - USE. . i000 ,ME--WALL AiZEA = .t50 So :� ► .o So C�,RD. 3� Z� TOTAL -1->ES16W PEfZcaLQT10LJ QI&T'E CIQ 2,mlQ: OQ LmSS- Fc�c�N2J 35 t J z4 %-A'A of 49 a;(p 3 I as W)LUAM C. \. No. 19334 Ail n -rleSY or 1=uD z Boa b -Y sv1l 4''OvP -Box sepnc luv. Gal. Z lwv. ( TANK 1 R B(�B���Ca � a LAN A FT - APR� ENO S Ty 6 Rae lJ 6G :L ' � -t-.r f : T AT N: 1=r.�uu� i tt► 5tac�w.:►,i Pt la 1~1 R �7;Sza ,j ca -o PA.. 44 � 7 REGtS t' Zia _A."c� 5U2v�Yo 2s VXL L, o arG A SS• SCE �>$.� �,r�.� „ . � ;��.'Y .�,. �-� � � .� m�F��t_l�� t�t T. ! I.j �:� � i✓ �. r C Qwea t s c�xnSE s Office ofbzpemv �pfMF/i.IK GGi • " • . 17FJSl(/ AftU4LU , MPMMaMgBP/mod Warks& CumapeIISzffiIIIummance AlFulmvit Ilm'MEI3/ ei-s AppH=rd Please Id�me �n vxm Are you as emplager?Chwktht appropriate bo>r L T of eet L❑ Iama empkUerwith 4. El ma a dal coaixscirsr 91I y� Pra] �= empu+gees(f>z1l aloe part-timed* hm i hrld the�s 6. ❑New aaasimc[iaa � �.❑ I am a sale gr�me'txas argsrEues- FssFed�fhe attached sheet: ❑RPtn . , SEEP and hwe no empkU em �frese sds•conftaat=ham S_ ❑Demolaba wading foroae is arty capac ify elTlayeeg and bzm 1;21432� 9. ❑Buffiling ati a [No*saes'=nP. -I i ❑ We are a cmporzfim and its Imo❑Ei dicdi mpaus or ads 3A I am.a bameozmor doing 0 vmk ofg=s have cmdred their IL❑M=djingnpim or adcUons ' w' of a on per M(ff ❑ � fimmm=rc woegaimd.-I t - c. g i{4k andvae eve na L. F.oc�f empluem[No was` m El other cate zmaxamme mequire&] •Azy � t=���ffi��� ��m��p� = a. =c=tMCbMjEMr r%pegr 9is bar a �ad�5�siu�sfio�gtLeara of the mb-c �d stye sdseths��t Haase a fa'sl �gloyees f€t��-es «5�si�sr �ae �o��-mp yolky—mb-->a,, I ant im eutplopsr this prauidutg z rkexs'caa art fiance jbr my cmpka =L Hdow is Stsp u y amd jab sits - 'Percy 41 of Self-ice Iia¢ aI}afe= Job Mbe C�ylStai : �ct3 2 COPY taf the VFo-rkwe COIII�MSZfiMg� II l/ f e IfDRC)r Or and CXph-2&D3 L dMCE)�._ Faihmr to secs age as req�eduad�es Se-c�25A of ham.c.L�Z c�u]asd in Sze imposition of c�pe�alf�es of a fine z:p to$I,SQQOa aadfor cr�a-�esrimpaisas as�re�l as cigsl p�sffi�s.sz�farm of$STEP�l(3R�€}BDE�agd a of up to a dap against Me violaitsz Be wAhised thd a cW of tis stateme waybe fxvw&d its the Office of Iwve oft6eDIA.for coverage"vet>ffcaHga Ida Fiery t�udter Sm poems ands ref g ey atfi a a orzt:a€rart prat abars i€trap and eorxect Matte Phase f}} aL tz 2idac aazf Do Est mite in ffmis At 5e cpTete 5p eiip. fatca {cra' t CkF or'Faww FerMi tf mme Cdrrk 0219l: L Saard of$ Bm-fifin°g I3elzar 3.Etrjrozea C3=k 4-Elecfr cal Izzzpeeto 5.PhimMmg Ensp=fOr Contact Fersoa: Dhow ft 6 u_•A_gnu,aw - t ter- ■_.■!� �•m... .1 .;un ••aw n n •• • •.•7e srw rrnn■�IAva■ut ur i■ ■ .+un • a■ rr,•1 n i■•7_ r_n•u .n •rn •an■�• - - .�.w■. !, it � • a.•i•� u■■� :n■,' r•nnr r u ■n .*-u: �-. a nil■ �. ur n ••.Inca • �. 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' - 9 Co '6a `o assac s: s' $ ce _/Z _. Tate: 3 a3 l7 ®� �4 H `) W errnit.� Estunated Job Cost: $ YAW y unit Fee $ �_ Plans Submitted: YES NO ,/ �� Plans'6vi� ed: YES N Business License#�e(v Ap Li e.: Business Information; Property-,Owner./,Job Location Inf ori:. Name: � tte: ft-i e6ro . Street: .&0 n1cAH le Stzeet M-S Q ;d City/Town: 1J alv4eyl 1e Telephone: Sob-S88-9pr S Tel phon . 77y /Photo I;D::required I.Copy of Photo I-:b 'attached: � .✓ No; staff l€ifial r 3-1. 1VI-I- estricted license t' -2./M,2=restricted to`dwelfings 3=siooIncnmercaUpt0qr ft I2 sticir es of less Residential: l:-2 family�� Muhl family: _ Cr uda/Townhouses, wOther f i. - - J Com er'ciih Office Retail =lndustnl l' Educational; Fire.Dept. Approval Iust f tional Other, Souare Footage:. under 10,0a0 sq ft.,. .✓ovex I0,000''sq ft: l�ta�l or of Strar�cso_ --_- Sheet metal work to be completed: New Wb;fk: kenovation: IV4C ✓ N41etal`�Ajatershed Roofing;.I I Kitchen Exhaust Systsrrri . Metal CY iu ney/`Zlents_^___ it BalI .ancing Provide detailed description of workto be:done: Mg jr rVew 1 �' s h 144EC.__.^/e w DuCIwock - n) Be. ;1Q Vm b c2 nd rloor�- i INSURANCE COVERAGE: - have a current liability insurance policy or its equivalent which meets the requirements-of M.G.L.Ch. 112 Yes �No❑ If you have checked Ye, indicate the type of coverage by checking the appropriate box beIow: 4. r A liability insurance policy ✓ Othertype of;indemnity i-1 Bond 1 ' i i CINNER'S INSURANCE WAIVER: I am aware that the licensee does not'have the insurance coverage required by Chapter 112 of the ' Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent 0 Signature of Owner or Owners Agent. By checking this box hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations'performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES ./NO Pro!ress Inspections Date Comments Final Inspection Date Comments Type of License: By L/pe Master • Title _ .. ❑ Master-Restricted . City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted Fee S License Number:A-Pk6&r re-Gm,'�-�, • - G3'Co�o� _ Check at www.,mass.gov/dpl Inspector Signature of Permit Approval `a The C.i�W10o ealt/rcof Massachusetts: Dehar�trxerit of Lithcstrtal Acctdetts di µ' Office:uf In i�ati��attoifs r 600. Washington.Street Y. IL Boston, AIA 021 X 1 rcww nlrtss.gov/din Workers' Compensation Insurance AfficlaviE: Buil(leis/Conti•nctors/Electricians/Plumbers Ahulicant Information Please Print Le: ibtY Name(Business/Organization/liidividual). HeCr6' - Address:_ . _, YYIG✓r le;, C City/Statp Zip: Are y an etripIoyer?;Checl',he appropriate box T. a of i o ect re uired 1. I am a em to er with 4 Q I am a;general::contracior and'l 1? y -— . 6,❑Nev consttuction employees(full aadior part'time):* have hired the sub contractors 2 ❑ I am a sole props etor'or�partner, Iisted.'on the attached sheet:: 7: ❑Remodehri shipand have no em to ees Thesi3sub contractors have g. p y e ❑Demolrt>on Working:for me iti any capacity: employees and have'workers' com "mstirance x . 9 ❑Building addition [No workeis'coirip msuranee p', 10,❑ Electrical repairs or additions required;) 5..❑ %area corporatiawandls _. officers have exercised tliet ` 3.[] I am a horueownerdoing;ah work I LEJ Plumbin-,a repairs or.additions ; myself [No workers'comp, rightof exemption Per'MdL: 1'2 t c.`I 52, 1 4 ❑Roof repairs; insurance:tequired.j - O and we ti'ave n'o employees, [No wo>kers' eomp-imurande regiufed J.:.- .. _ tAny applicant that:check box#t must also fill outaht section below showing their workers'compensation policy mtarmat•on F tMomeowners who submit thiraflidavit ihdicating they are doigs all work and then hire outside contractors must 3ubmita new aftida it mdicnWrig such,. 4contractors thatche&this box'fh0t attached ti6 additikal sheet showing'the paint of the sub contractors and state whether or not those entuiesaiave; cinployecy.;ifthesul congaci"ors have employees;the y must provide•ihcir workers'comp,policy number: V Tafivan employ that isproviding workers'cos rperisat on insurance for.:rny errrPloyees'lieioiv is the pol cy and job site inforniuion. Insurance Comp any NameihPclli I'tASllir"iviCr _:COTnn .tio` :Policy#;or!Wf4ns.1 c; Job Site:Address.31-5. P4 t) iJ� ,... Ct y/State/Zip: [en�ervi`�l rh e,--- , :Attach a.copy_of the w orkers'compensation policy declaiation page..(shoFving'the poi-obey number and expiration date). P,ailureto secure.coverage as required utider Section 25A''6f MGL.c 152 can lead to the uriposition'of criminal penalties of;a;. fine up to$1,506k and/or one-year imprisonment,as well as civil,penalt es to the,form of'a STOP'WORK"ORDER and:a.fine, of up to 250R00'a day against tile:"violator )3e'ad rsed that a copy 6f this statement may lie fonvai ded to;tl e:Of ce::of >Tnvestigations..of the DI�:for.insranee coverage verification.: l do/rereby certify rrftde/thepans«nrlyenrr/ties--;ofperjury that'the ntfoinratrnrr,r°►rrvirlerlinhove is true arrrl•cnrrPc: Si nature. Date: ;Phone M.. 56-9--4'88.,-'90 Ofcfal rise only. Do.-:»atiurite ur tliis':arerr,tb:be.colxpletedbycrty_orctotvrr offcral. City cos Totvnr Pei mit/License N. Issuing Autli.ot ity(circle one): - " l J3oArd of I3calth, 2.Buttding UepArtment_:3 Ci,tStrTo��n Clet It ;4:.Electrcal,2n Pe:ctor s :Plumbiiig Inspector 6 0`tler r sac-oRr�� CERTIFICATE OFL-IA91LITY INSURANCE` DATGIMWDDIYYYI').' ' 1011/2017 •9I15/2016 i THIS CERTIFICATE IS ISSUED AS A MATTER Of INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must.have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions or the policy,certain policies:may require an endorsement. A statement on this certificate does not confer rights to the eedlfleate holder In lieu of such endorsement(s). PRODUCER Lockton Companies AM - - - • ' 1185 Avenue of the Americas,Suite 2010 A. o I=xt c Ne _ New York 10036 _. 646-572-7300 MASS: _..JNSQRERISI AFFOR0114G COVERAGE N AICA' INsiiitER`A. Llbert MuniatFire lnsu unee'Com':mitt' 23035 INSURED .AMERICAN RESIDENTAL SERVICES LLC - INSURER B Libcn .Insurance Co oration 42404. 073055 'dba HEATING&AIR GQNDITIONING SERVICES'BRANCH#8577 INSuRkR c v stars lnsitr nee m an 42.307 . 300 NML'EY ST.. WEST BRIDGEWATER IVIA 02379' IN COVE AG S AMEREOZ _ dEJRTIFIdATE NUMBER: 11465755 E S N NUMBER. xxxxw :THIS IS'TO CERTIFY`THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEENISSUEDIO THE INSURED NAMED ABOVE'FOR THE.POLICY:PERIOD, INDICATED.NOTWITHSTANDING"ANY.REQUIREMENT:TERM,OR_CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH,RESPECT TO WHICH:TH1§ 'CERTIFICA7E MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY',THE POLICIES'DESCRIBED HEREIN`IS SUBJECT TO ACC'THE TERMS., :EXCLUSIONS AND'CONDITIONS;OF SUCH POLICIES. LIMITS SHONJN MAY HAVE'BEEN-REDUCED BY{?AID CLAIMS:;: . IN _.. :.;- .- DL SUOR ,' ICY. FF POII- E%P - TYPE OF INSURANCE •POLICY NUMBER MAUDD "LIMITS:� !l COMMERCU1LCsENERALLIABILITY N ' T)�-Wi-'08631-026 . TFJi2016 'IblI 017- EACHOCCURR .$ENCE< 000000' l CLAIMS•MAOE D;OCCUR - N .. ,, h •-. R NTED: I Er a'o r ence 1-000 000 MEDF-XP 'one"arson `0;000 ... . PERSONAL 9 AOV IWUR'Y' S`Z 000,0W OEML AGGREGATE LIMIT APPLIESPER, GENERAIAGGREGATE 5'4,000 000: ' pOUCY❑,JE a lOC PRODUCTS-COM%OPAGO s_4.000 00O' .) .. ,, ' OTHER: A AUTOMOBiLELuiBIurY_ -N N AS2 '!F4 8631=03b, 10/I/2616 ,10/1120Cf erne �sINGL .1_T 3:2:000000:. X ANY AUTO gCp BODILY INJURY(Peuperson) AUTOS _.._.__ ppVVNp6E0 ULED AUT�O�S ONLY NN.PpAWNNEE BODILY INJURY(PeYaccidenl s,.,;XXXXXXX X 'AUTOS:(NILY XTOS;ONLY' P OaER Y AMAGE S,XXXXXX}l „t }( 'UMBRELLALiAB X.OCCUR N N NYI6UMR7.150881V t0/1/2016,.:I0/l/2047 EACH OCCURRENCE S SOOOOOO: :EXCESS UAB` CLAIMS-MAD£ AGGREGATE ..:... b 10 O OOO':.. DED X RETENTION 310:000 S J{XXXXXXt ANY PROPRi0 OR7PARTNEKERS TRIEXECUTIVE N R• l3 YIN WC7�31-SOS631016: 1.0/11201G; 10/1/2017'' X srAtrt OFFICERRAEMBEREXCLUDED7 '....... Q NJA EJ.PACHaCCIDENt s 1 000,000 - (MandatoryinNil) El DISEASE-EA EMPLOYEE. .1:.:000000.., ._ } -- _ DEWf'PHO 0F.o r ,`ELd3EASE.POl1'CYLt1.hT -''-l�OOO�OOt) 4 oE3CRIP710NOF.OPERAT[ON96ntnw i :DESCRIPTION:OF OPERATIONS J LOCATIONS%:VEHICLES(ACOR0101,AddRlonal Remarks Sehedule msy be attached If more space lerequired[ -' THE GENERAL LIABIL, Y.POLICY'S GENE•RAL_AGGREGATE`L)h11TriPPL1ES PER;LOCATION ANU;]S;SUBJECT'TO,A S20;000,0OO:GGNERAL { AGGRGGA'fG POGICY'.LIivUT.lsvidenc6 DFill3urance'forrhe October►,'2012-October I;�Ot3 policy t6rm_. i t. 1 :`CERTIFICATE:HOLDER•_____ .: _._...: .. .:._ .... ,,:-...._CANCELLATION_ ,,,:. ,•. ,„•-., ."._,. ., ;.._.. . ..:. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLEb:BEF,,ORE; THE EXPIRATION BEDE DATE;THEREOF'NOTIGE:WILL . USIERED iN' -,� - 'ACCORDANCE WITH THE POLICY PROVISIONS.; �� - ii 11465755 AUTHORIZED REP.RE$EMTATNE i ` � EVIDENCE OF:INSURANCE. ACORD 25:(2016l03) 9119118401r5 ACORD CORPORATION.All right`s reserved The ACORD name,ap, IDgo:are registered Inarks,of ACORD ` t coNTROL# J p (8 E 5 e, COMMONWEALTH OF MASSACHUSETTs ; IMPORTANT ° • . • • • . BOARD OF if your license is lost,damaged or destroyed;is inaccurate;or., SHEET METAL WORKERS needs to be corrected,visit our web site at mass.gov/dpl for. instructions to ensure the proper mailing of your Renewal ISSUES THE FOLLOWING LICENSE AS A Application.and any other correspondence. BUSINESS Q This license is subject to.Massachusetts General Laws and JAMES M PAPASODERO " z regulations.Your license is a:privilege,and cannot tie lent.or a LNG assigned to an person or entity under malty of law.Kee this:, AMERICAN RESIbENTIAL SERVICES L"LC c±c. 9 y P ity p p _ m , license on your person or_posted as required by law and/or. 3tl0 MANLEYSTREET ��r .z. x regulations. WEST BRIDGEWATER,MA :w } J 12T022' MPORTmr CoMMONWEALft tir- I+nAssAr✓Htss r�S If your license is lost damaged or destroyed;:s Inaccurate or. "x s a ° °needs to be corrected visit our web site at mass.gov/dpt for OF Instructions to ensure, e;proper mailing of your,Renewal. " Application and any other correspondence: S�frE'F METAL WORKEL�S ►SOUS TI-lE �JLL04L'INt;9CNSE AS.A ,. This license.is subject to Massachusetts General Law—s.and regulations Your license Is.a privilege an .ca dnnot be lent:or R lbt'ae C'Ct t9Pti4eSFRt TEO UPI' to anyperson or entityunder penalty of law Keep this JAlVl8t M 0APAS4CERQ ' license on your person or posted a&re [red. y law,andtor regulatro s. 35 0�tNERSTONE Lf2. c'! -40KH EASTGN�Mir 02356`27$1 . lu 'Ia tl9l28L2097 3084 { rrf MASAfKLTSE�T,TS' �' ORIVER S� rT WNSE �u QM2 20.r3 NONE HuuaBe w ud 09 U' Qts 9=0 95-57,f ` �.. Qr. - WDER4 ' UAWS r� 3 IMAM e 35 CORNERSTONE DR N.EASTWN MA 02355 Z741 4 �t7 II I j r'i -. /, 1 { E �' s'%3�� 1,tCP. a.. ..: r_v, i ` av r 1 ,71 k NZ .+ O W y. 325 Patriot Way, Cent. 2/27/2009 i TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION. Map OA=- Parcel 1113 LA 1 Z 3 Application# = +f J Health Division Date Issued VI�� Conservation Division Application Fe Tax Collector Permit Fee D Treasurer 6 P-11d a Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 5� �' 'r`t � � ca fjp Village Owner /t Address Telephone Permit Request cMov4_, C, e1wi ' �nRe Square feet: 1st floor:existing�' proposed 2nd floor:existing IV'0 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation U Construction Type 6�5� Lot Size �[� � Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Family ❑ Multi-Family(#units) Age of Existing Structure 3 ~Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: f 611 ❑Crawl TOalkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ��6 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 C�unt " Heat Type and Fuel: ❑Gas Oil" 1 ❑Electric ❑Other _f -� P01 Y, Central Air: ❑Yes � ` o�� °.❑1V Fireplaces: Existing New Existing wood/c�l)stove: CYYes Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑e sting mew size Attached garage:9-61s'ting ❑new size Shed:❑existing ❑new size Other: r f Zoning Board of Appeals Authorization ❑ ppeal.# Recorded❑ Commercial ❑Yes ti o If yes, site plan review# �, � _ `----Current Use, 1 .Proposed Use _ BUILDER INFORMATION Name Telephone Number Address License# e Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a SIGNATURE DATE ! r ' . FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ` ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH .FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL k FINAL BUILDING r DATE CLOSED OUT F ASSOCIATION PLAN NO. } i ' The Commonwealth of Massachusetts. Department of Industrial Accidents, Office of Investigations ' a 600 Washington Street A, Boston,MA 02111 wM ,� `•� www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant licant Information Please Print Legibly JName(Business/Organization/Individual): u6y\ Address:-3i5 Tnrvdl ,.: City/State/Zip: BCW't% Mh CSalo, , Phone.#: Cb_t Are you an employer? Check 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 r' 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' ❑Building addition 9. [No workers' comp, insurance � comp. insurance.$ , ; i 3.Srequired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions l am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs 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 a new affidavit indicating such. tContractors 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.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation.policy declaration page(showing the policy.number and expiration date). Failure.to secure coverage as required under Section 25A.of MGL c. 152 can lead to the imposition of criminal penalties of a fine.up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of . _Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sijznature: (� Date: l O� Phone#: � 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): - S 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, co oration or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal epresentatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other egal entity,employing employees. However the owner of a dwelling house flawing not more than three apartments a d 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 ap,urtenant thereto shall not because f such employment be deemed to be an employer." MGL chapter 152, §25C(6)also stapes that"every state or local li ensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to const net buildings in the commonwealth for any applicant who has not produced acceptable evidence of compli nce with the insurance coverage required." Additionally,MGL chapter 152, §25C(I states"Neither the co onwealth nor any of its political subdivisions shall enter into any contract for.the performanc of public work until a ceptable evidence of compliance with the insurance requirements of this chapter have been pres ted to the contracti g authority." Applicants Please fill out the workers'compensation affida t completel by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),addre s(es)and one number(s) along with their certificate(s)of . insurance. Limited Liability Companies(LLC)or L' 'ted Li bility Partnerships(LLP)with no employees other than the members or partners, are not required to carry worke ' coin ensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this a�idav t may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Als b sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the rmit or license is being requested,not the Department of Industrial Accidents. Should you have any questions rega ing the law or if you are required to obtain a workers' compensation policy,please call the Department at the n er 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 egibly. e Department has provided a space at the bottom of the affidavit for you to fill out in the event the Offic of Investig ions has to contact you regarding the applicant. Please be sure to fill in the permitflicense number whic will be use s a reference number. In addition,an applicant that must submit multiple permit/license applications ' any given yea need only submit one affidavit indicating current policy information(if necessary)and under"Job Site ddress"the app .'atit should write"all locations in (city or town)."A copy of the affidavit davit that has been officially stamped or marke by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for a permits or licen es. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a li ense or permit not rel ted to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said p rson is NOT required complete this affidavit. The Office of Investigations would like to thank you advance for your coope ation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax numbe The Gomm nwealth of Massachusetts Departme t of Industrial Accidents Office of Investigations i 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 A-1 SHE Town of Barnstable ' r �pF Tp�� y�P Regulatory Services saxtvsrwsLE, : Thomas F. Geiler,Director MASS. v ► .19. a Building Division pIED MA't - Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vc'ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: / o 0K w JOB LOCATION: 3a / Q T rl!0 ✓"�4��.e number street villageG,/ �1 "HOMEOWNER': name /p home phone# work phone# CURRENT MAILING ADDRESS: f0 r/drLC GJ / s city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ep rvisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and' requirements. §?gnature df Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fonn/certification for use in your community. Q:fonns:homeexempt IL SNera,, Town of Barnstable Regulatory Services BARNSTABr MASS.M� Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862403 Fax: 508-790-6230 Property er Must Complete and Si This Section If Using Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work uthorized ythis building permit application for: (Add ss of Job) Signature of Owner Date Print Name If Property Owner is applyin for permit pleas complete the Homeowners License Exe tion Form on the reverse side. Q:FORMS:O WNERPERMISSION DE -�_ - WI J--pt I Re� I r - i :a ■■ ■ MIS■ N■■■ NE�ee mom ■ ■Msa s ■ ■■ : , ,, ■ V ■■■ NONE■ ■■ E NE ■INN ■■ ■■■ ■■EIS ■■ � ■ IS MEN d ■■ ■ No ■NONE■■ ,y, ■ N ®■ limm S0 ON mom IMMONS! EMEM■ ■ ■ N ■■ENE■■ ■ EN ■NOON■■ MEMEM N! ■ ■ MENE■■ ■ MINE■■ MENMMME�.�r M® MEMEME ■ _ MEN■■ ■■M■EE■N■ ME MEMMEME■M nE�� ■ No N■ISimmMN■� N■■ ME■■E■NEEM■® MIN INN■ ■■ MEMN■■� ■ISM M■■■■■NEE No ME MM INN No OEM■■■ ISM■ MONSOONS so M■ i■ NM ■■ME■EM■■ Nam■ M■■ENISM■ISM■ NO ■ ISM : EMEMMEMEM ONE M■EEOM■MIN ISM M■ ME ■ ■■ ■ENOMONEEM M■E No EMISSION NM NN SEEM MEME■EMEME INN M■■OMONEE NM NO M■MMEMEM■ME ■■ ■■■■■EM■M ON ' 1 ISM ME■■ONMEMEMEME MEMMEME■M ISM • ME � - M■■ME■EME■MMEMN®�■ _ _ _ ISM ■■m INN N M■■■MM■■■EME■EM ■NMENEM ME ■MOME MENOMONEE M■ NE ■E■t ■MMOOMMONE ■■ MEM No MENEM ISM ■■ EE MEMI■M■MMEMEME■EM■ ISM No ■■EME■E■EMEMEMME M■M■■ INN■■■■■ ■■■■■■■■■■■MMMMMEM■MMMMMMM■N■ ■MEMOOM■■ MM■ NEMEMEMEN■ EMMM■OM■MMMMM■M■N■ ■ENEM■ME■ MOONS M■ENE■MMM MEME■EMNME■MOM■■■■ 4 A ^ r .. �� � D Ve rim .f: OR /" ,.,✓ems t�� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING l City[Town (i rnS SIG MA. Date: z 08 Permit# Z�bBoa3 �:. Building Location; *3'15 + • T 4 "ners Name: - d '- Type of Occupancy: Commercial`❑ . Educational ❑ Industrial❑ . Institutional ❑ Residential 0100, New: ❑ Alteration: [ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No ❑ WA 14 3I7 3 FIXTURES. z r' z � ro OF_ i 0 - _,D cn w z u) >- -� I W i:1 a tr z �' to i v7 Q Oz v7O °° ui w d Q � zncWaXJ '� Q W O d w z ¢ u.t w x O a r a 0 0 d Y z rn H ►- wi w U I- . izn N O r > > 0 _ O .z Q d a ►_- i i Q O QQ Qe� i Q m m n 0 ti c9 z Y J J Cl: U] to r ?r O SUB BSM7. BASEMENT ---- .....� �--' ��L •I r 1 FLOOR 2 FLOOR ;•— -- -- - - ;._. I •_�^ ...........,_... �:FE .. 4 FLOOR -- - _ — 5 FLOOR -- 6 FLOOR 1 7 —FLOOR RO I 6 O FLOR - Check One Only Certificate ft . Installing Company Name: _ �wMqoff .__ ....+ "�� ❑ Corporation Address: �O �i37 ....... . . City/Town,. Partnership Business Tel: SrL9r's' GL Fjx: i �� !:1�FirmlCompany Name of Licensed Plumber: ,��ep� � - _..... __---_•-•• ._._.—_._._-� j INSURANCE COVERAGE:.-----' "-*-* *' "'""' -*" ..- ..___. . I have a current liabilityInsurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142.Yes �No ❑ I If you have checked Yes,please Ind.icate the type of Coverage by checking the appropriate box below. A liability,insurance policy (� Other type of indemnity ❑ Bond [Q OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my'signature on this permit application waives this requirement Check One Only r Owner ❑ Agent ❑ Signature of Owner or Owner's Agent l herby certify that all of the details and Inrorntatlon l have submitted(or entered)regarding this application are true and accurate to the boat of my Knowledge and that all plumbing work and Installations performed under the permit Issued for this appllwtlon will be In compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By ,Type of License; Tide lumber Signature of ensed Plumber ,. Master - Cityrrown ❑Journeyman License Number: APPROVED OFFICE USE ONLY Town of Barnstable �FTME Tpy, Regulatory Services yP �� Thomas F.Geiler,Director " '" ASS.`�'MASS' ` Building Division y M �a sbgy. �0 AIf MAC A Tom Perry Building Conunissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date: 3 Rec'd by: //� Complaint Name: Map/Parcel Location r,,,rPddress: !N tF--� 'n Originator Name. Stree • O � Village: date• Zip: Telephone: JComplaint Description: n 56.&e�� e F ' OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: 1Q� Additional Info.Attached Q:forms:complaint 4811A -..'' N;,, „r�+` .•� "� � r'i'�`'_K.__ye+-s �-2. ��y,"�,.q�'_....Y•--taC?`�r�r��.k ��--�� '"r� � � �A(� � 's. i�I ut ti* rOP a 4�? eca �� �� � to �. � ��✓C�'' ''(� ��t+ j� .. r� tvu : �}^'si�``� - ;, - .. t y1 �60 Patriot Way Downsta i rs kitchen l ntra rco ' r a S fI a 12R a . t AIM s'. s# � A r" x A s y x m , a > rm�r.•v'tq'... �� .....-......�,�. .... T- r- a=-.r?"-_ - .-^�.m.. w—.---.fir = —Via'^='Tr-'-," Y � i v ., 4M-•',,.., �y,s,c4 i,xx iy� n. .. -',.�` � - -+�rrn-n..,„ '7r(�.��..._qP _ a .. , ,. .. , F F i § r U f Ff 4 "r Yp Nk �N M. � . �,#�•AF " F y Ito n a o i y `r. t , oFt rq,,, Town of Barnstable Regulatory Services x x * BMtNSTABLE. 9 MASS. g Thomas F. Geiler,Director �A 1639. 10 rFo,,,prA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 9, 2009 ` Coral C Hunter 4763 Elon Rd. Monroe, Va. 24574 RE: 325 Patriot Way, Centerville Map: 1'93 Parcel: 173 Dear Property Owner; In accordance with 780 CMR 5118.6 you are hereby notified that a stop work order has been issued on the above property for violation of 780 CMR 5110.1 which states in part "It shall be unlawful to construct, reconstruct, alter, repair, remove...without first filing a written application with the building official and obtaining the required building permit and all other required permits therefore."Additionally, the deck that has been constructed without a building permit does not meet the minimum standards of construction in regards to the guard rails. You must contact this office and arrange for compliance. Please call this office at (508) 862-4034 with any questions. Thank you for your anticipated ' cooperation in this matter. By Order, hey L Local Inspector Q:zoning5 1~ST CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICIDSV,1 � y;fi" t,Affl%S i',�'�, #i 1875 Route 28-Centerville, MA 02632-3117 1926 508-790-2375 x1 - FAX,508-790-2385 2J9-6 MAR — I Pil 2; 32 John M. Farrington,Chief Martin O'L.MacNeely, Fire Prevention Officer Craig E.Whiteley,Deputy Chief Francis M. Pulsifer,fire Prevention Officer February 27, 2006 Mr. Thomas Perry Town of Barnstable- Building Commissioner 200 Main Street Hyannis, MA 02601 Dear Commissioner Perry: Pursuant to MGL Chapter 148, Section 28A, I am making you aware of and - request your interpretation of a suspected un-permitted basement apartment with egress issues at: 325 Patriot Way-1 ± . . Centerville, MA 02632:;s During a recent inspection at this address, I observed separate living quarters in the basement of this address with a full kitchen,,bath and-bedroom. In the basement area, there was inadequate smoke detection and inadequate egress/The entire residence including both floors has a total of five rooms being used as bedrooms;the Town of Barnstable has this property listed as a three-bedroom dwelling. Please feel free to call me with any questions relative to this situation at 508-790- 2375. 1 am holding the 26F smoke detector certificate until a conclusion can be determined from your office. Thank you for your prompt attention to this issue. Sincerely, Francis M..Pulsifer Fire Prevention Officer Cc: J. Fitzgerald-:Local Building,Inspector R. Giangregorio- Zoning Department T. McKean- Health Department "Commitment to Our Community" 776 531,3 r ra m P6triot qa-y-*Oenter' 111 4 .M r Al - a r �'b 4 3 Patriot Way Centerville 66 y a-= y �I i ell e µ � g���r'R �1�Q 4"'�{ d �`Y�iy✓ ,� '��,�I {{ r�i,�y���.j '•y��b 1:3r •et,�-{�8rr!� ® .-\ 1i�7 � ' � �.. `a' �9 =k:Y ,i4��.��w n�q 1'C �r"l t tq��9 i•Mfv,@>, ��ij�f� k , pv - �y a��1r4s�ir,',`W a;�l st,: t�ra°Y�y�-a" ,3id'rtYyro�5i� r ! �t�� , ?d'� �,aj � 1a,�Y� e r ♦ 90�.. e� t.� 1.�, ln.,i�fbl/Drell, 1r1�'�1- �d •r� J�-F.+'t�e.?;�,. ��� .w a ,,+sp' filtla>-T• `!� �'4 , �,e !i +� • � 8.+i�—`rp � �a�;,�R� �'l t °'� � t e•. RR� 1a l Sf i Q � r ��1 ofts w ! ��� k' ri aC � yq �,L c�'� a1rfQ 11 tl �t M1cl�,sL w:• Ra.,s:, 1 tF¢Y(�°:�+�`�:? o,W�r t,ore a�. 0 sr a 4 tilt /5,r i •�'vr..�-mow�`. ,. p r 1 � *-'�" "�YGr _�y,���_� _ _ ..' ,11 y d yq� 4 3 � 4 patriot�,Nay,CenterviilLe,- -' ` -� - -- . e n M I Y T.. 1 �. t' c. i a ` k P triot Way Centerville l/,6/06 n 1 ` a An 4 M1'5 �J:Pam" Ord• _�' �7� la} a 1� (} I V � S �t tti Town of Barnstable Regulatory Services 9 MASS. Thomas F.Geiler,Director . Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 November 7, 2006 Ms. Dilma Gomes 325 Patriot Way Centerville MA 02632 RE: Illegal Apartment: 325 Patriot Way Centerville, MA. 02632 Map : 193 Parcel : 173 Dear Property Owner, This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-14. You must contact this office by November 20, 2006 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, L' a Edson Amnesty Zoning Enforcement Officer Building Department Q:zoning5 i Edson, Linda To: Perry, Tom Subject: FW: 325 Patriot way Centerville. This is one of my open files. Check the file. . . .Christine was handeling this one. What do I do now???? Linda -----Original Message----- From: Palkoski, Christine Sent: Wednesday, July 11, 2007 12 :55 PM To: .Edson, Linda Subject: RE: 325 Patriot way Centerville. Doesn't ring any bells to me -----Original Message---- From: Edson, Linda Sent: Wednesday, July 11, 2007 12 :51 PM To: Palkoski, Christine Subject: 325 Patriot way Centerville. I'm trying to clear up some of my old files. What did you do about this one? 1 Message Page 1 of 1 Giangregorio, Robin From: Palkoski, Christine Sent: Tuesday, October 17, 2006 2:33 PM To: Giangregorio, Robin; Stanton, David; O'Connell, Timothy Subject: Gomes, 325 Patriot Way Robin, Tim and David: As a follow up to our meeting, the following must be done: 1. 1 need to know who let you into the house on 3/6/06. Was is Dilma Gomes, or someone else? 2. How many bedrooms does the septic allow for? 3 3. Do we have any idea of when the basement unit was created?a.60 Z °0 4. Was the garage part of the original structure? Is it shown on the original qpins?—©r' (2 nO 5. Should a curb-cut permit have been obtained for the driveway on Oak Street? to One of the big questions is when was the retaining wall by the garage put it? You need to find this out, however possible. In addition, you should try to reach out to her and have her come in to discuss the safety issues relating to this property. At this meeting, take detailed notes, and be prepared to explain to her why these are considered safety issues. Let me know when this is accomplished. Christine 10/17/2006 Message Page 1 of 1 Giangregorio, Robin From: Giangregorio, Robin Sent: Wednesday, October 18, 2006 12:03 PM To: Schlegel, Frank Subject: Road Opening Permit Hi Frank, Here's a question I know you can help me with. Yesterday we discussed road opening permits. I am working on what is now 325 Patriot Way, Centerville but the original building permit was issued under 268 Oak Street (R193-173). I am trying to determine whether or not the underground garage was part of the original construction,which occurred in 1977. This is too old for me to have plans on file ... so can I infer from the address change that the change was because the garage and access was proposed on Patriot? And can I assume that the garage was actually part of the original construction after all? It would seem difficult to me to add a garage door and bay in an existing foundation after the fact, makes sense, right? Any light you can shed on this would be appreciated. Thanks, Frank! Pob.iti t: Gi ai2t;regar.i o Ton. nh' lJn.tlaz-ceBien t o fi eer Town of Ra.rnstable 200 ,fl i.in St.i-ee t ll•annj.s. 414 02601 508_862 1021' 10/18/2006 Message Page 1 of 1 Giangregorio, Robin To: Palkoski, Christine Cc: Stanton, David; Perry, Tom; O'Connell, Timothy Subject: 325 Patriot Way In response to your earlier email requesting the following the information: ® I believe a tenant let us in but it appears that Linda made contact with the property owner(assuming it was Dilma Gomes) prior to our arrival. Her telephone number is in our street file along with a tenant's number. ® The septic system was designed for a 3 bedroom home; no record of a subsequent upgrade. e The basement apartment was new and did not predate the 2000 Amnesty requirement. No permits were issued in conjunction with this area. o We do not have the original plans as the house was constructed in 1977. It would be very difficult to cut a garage bay and door into an existing foundation. I assume that the the address change was the result of someone picking up on the fact that the property access (and garage)was really proposed for Patriot Way. I am trying to confirm this with another source but the information is still pending. o Unable to determine when the retaining wall constructed as no permits were issued for it and the original plans were not required to be maintained on file. Aerial photos on line suggest that the wall may be original but the planting barrier on the upper level was eliminated during the course of the years. ® A road opening permit is required for creating a new access off of a public way. Oak Street is a public road. Robin C Giangregorio 76n.ing Enforcement 0ff'z cer Torn bf Bar-ristab.10 200 Jhi. n Street Ilyannis, .K1 0260.1 608-862-4027 10/18/2006 Barnstable Assessing Search Results Page 1 of 2 .3 Home: Departments:Assessors Division: Property Assessment Search Results New Search 325 PATRIOT VV V Owner: 2006 Assessed Values: GOMES, DILMA Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 151,200 $ 151,200 193 / 173/ Extra Features: $6,100 $6,100 Outbuildings: $0 $0 Mailing Address Land Value: $ 151,100 $ 151,100 GOMES, DILMA Totals $308,400 $308,400 325 PATRIOT WAY CENTERVILLE, MA.02632 Tax Information: Tax information is currently not available for 2006 Construction Details Property Sketch Legend Building Building value $ 151,200 Interior Floors Carpet Style Ranch Interior Walls Drywall Model Residential Heat Fuel Oil \' 1 r! Grade Average Heat Type Hot Water ' Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms 3 Bedrooms il3 . Roof Structure Gable/Hip Bathrooms 2 Full .. _„ ✓�/ Roof Cover Asph/F GIs/Cmp living area 1584 ' Replacement Cost $173813 Year Built 1977 Depreciation 13 Total Rooms 7 Rooms Land Lot Size(Acres) 0.37 Map requires Plug in: http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=add... 3/3/2006 Barnstable Assessing Search Results Page 2 of 2 Appraised Value $ 151,100 Interactive Property Map I have visited the maps before ' ' " Assessed Value $ 151,100 Show Me The Map April2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: GOMES, DILMA Dec 28 2004 12:OOAM C175456 $339,000 CAISSE, LESTER J JR&ANN M Mar 15 1984 12:OOAM C95672 $78,000 SMITH,JAMES H & KATHERINE C79772 $0 ' Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,600 $2,600 BGAR Bsmt Garage 1 $3,500 $3,500 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=add... 3/3/2006 -Pati-iotWay Centerville , - V �w�.,iYv2k `rse r JU a � AnO 7 ° F dot Way Centerville - ter. Ae r .� Wa Centerville 3I6/Q6 O .. r� s V ,. a �cs " y� � '�, �' � i , p ! 1 7 s' o „Patriot Way Centerville 3/6/06 . � = a' r � _ c r _n f � k 07 �. f4iot�Aw"I Centerville 3/6(061 .�A No To c,Y Y.. 11 fj# d F ry T ri 5 f 3.: yy f4 �� , rc ,� ,: .- �., Dui r^�`r a � ..«^'���a��✓� �' ..par � V ��t j Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Map Size Zoom Out In y Rr = �— y 7PG Map: 193 Location: Owner: w w � Location In r 33 Map &Parce Location Acreage ' ; 19148 Current O% Mailing Addi (Appraised t � aSs Extra Featur 1y6 Out Building Land Buildings ` Total Apprai y" ASS@seed V �0 193154 Extra Featur Out Building ,;..,, Land Buildings Total Assess Set Scale 1" = 57 I April 2005 Low Res l; Copyright 2006 Town of Barnstable,MA All rights reserved.Send questions or comment: BarnstableMA v0.2,7 [Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertylD=l 93173&ma... 10/18/2006 Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Map Size Zoom Out In r R ry # I" 7PG Map: 193 Location: x� 9400101 Owner: x y Location In 3 „1M1 f RY Map &Parce Location Acreage 1�3 14. p g Current Ovs g Mailing Addl Appraised 193170 Extra Featur Out Building Land Buildings �# Total Apprai r:� 3 193174 a„ 1�3314 Extra Featur orb' Out Building Land Buildings Total Assess Set Scale 1" — 57 I April 1995 Copyright 2006 Town of Barnstable,MA All rights reserved..Send questions or comment: BarnstableMA v0.2.7 [Production] 1� http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=193173&ma... 10/18/2006 Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Map Size Zoom Out In hey n I K' r , JPG Map: 193 Location: „ O�D1DA1 19�1OA10A2 Owner: Location In Map &P a rce Location f Acreage 4.1V U r— — Current 0% Mailing Addi s z 4 19311A a 3� Y Appraised ' ' ' Extra Featur 'fly Out u Building ildi ng wl Land a Buildings Total Apprai fyrd d i =Assessed V I93174 k Extra Featur 3A8 Out Building Land Buildings Total Assess Set Scale 1" = 57 ( April 1989 Copyright 2006 Town of Barnstable,MA All rights reserved.Send questions or comment: BarnstableMA vO.2.7 [Production:; 1� h"://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=193173&ma... 10/18/2006 Map ` Imp �CS Page 1 of 2 Town of Barnstable Geographic Information System New Search `H,, Parcel Viewer I Custom Map Map Size Zoom Out M I I M I I 11n JPG Map: 267 Parcel: 148 F Location: 55 STRAIGHTWAY 268253 268212° 100 268147, 267176 8g�8 ;J07:t 2£ fiZ27 , 2 apt 60 Owner: PIMENTA, JOAO L 268114 a1 : 20 .: 267175 .. 2 #41 _..._._____.._..._...__.._._.,,_.,._._._.._._,_... ._.._.__.....__..__..__ _____,._._.__........___...__ 26822fa 268271 2 8112 1Z Location Information #87 p.. 12 22 i61130. 1 �2#`s7061 267165 36 � ., � r Map & Parcel 267148 267062 `1g a�;125 26 2fi82 #60 � 2671£��t # 7.7�' 267t387 # 12' 1 20i31 Location 55 STRAIGHTWAY 14 26702ti #14 Acreage 0.23 acres #,7tI 267063 267164 _.._._._ __._.___.._ ._,.. _. _.._....___._._...______........ 267068 g 267Cl 8 �2671.32 2fa 177 137 .f #E1 Current Owner # S #6 #.24 n 26 149 267p64 267163 26715 65 MailingAddress PIMENTA JOAO L •. 267133 148 267125 , 55 STRAIGHTWAY # 6 147� 2671.22: #27 32 HYANNIS MA 02601 267154 267162 6?148 �. , i fa7071 2671 #34> : 1' 157 ffi �y 43 #15 26"712f, 2670?J4' 2b71 5 # 44 Appraised Value ( Y 20 6) #22 .` 26714 r670gQ. Extra features $12,200 __ i 67070 2 7157 # S # 34 267 .27 .#2267067002 "apt 15 . ; #47 Out Buildings $0 2fe7W"Aa3S7fI01267134 # 14 �. `W #86' Land $181,400 Z67063 y�# 1"0 267156 267146 -_ fi Buildings 122 400 67120 #ill. � � #170 . #33' � 267128 26713 a � $ , 267t168 a 38 #„ 6 26714AI = #55 #62 Total Appraised $316,000 :: 267143 # �6 #186 267123 L„ $,..` t t ;assessed VaI e (Fly 2006) v 2671 0 Extra Features $12,200 <, f # 0' Out Buildings $0 0' 201,Feet. g 767t3,98 Land $181,400 - #130 - Buildings $122,400 Total Assessed $316,000 Set Scale 1" = 211 I Aerial Photos Copyright 2006 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v0.2.7 [Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=267148&mapparback=address 10/30/2006 WhitePages.com- Online Directory Assistance Page 1 of 1 DILMA GOMESQC('' 132 Buckwood Dr bo Hyannis,MA 02601-2118 (508) 790-1974 Find Neighbors au � �qq http://www.whitepages.com/10001/search/FindPerson?flrstname begins with=l&firstna... 10/17/2006 �i►;r Bk 17618 P3193 0105327 09--10-2003 & 02 2 14v MASSACHUSETTS QUITCLAIM DEED I/We, Dilma Gomes of 132 Buckwood Drive, Hyannis, Massachusetts 02601, for consideration paid,and in full consideration of TWO HUNDRED SIXTY-EIGHT THOUSAND AND 00/100 Dollars (U.S. $268,000.00)grant to Maiza F. Elov, Individually, of 93 St. Catherine Avenue, Hyannis, Massachusetts 02601 with quitclaim covenants the following property in Barnstable, Massachusetts. The land together with the buildings thereon situated in Barntable (Hyannis), Barnstable County, Massachusetts being Lot 17 as shown on pain of land entitled "Plan of Land, Barnstable, Mass., scale 1" = 50', April 12, 1971, Robert G. McGlone, Surveyor and Engineer, Main Street, W. Barnstable, Mass.", which plan is duly filed at the Barnstable County Registry of Deeds in Plan Book 245,Page .153. Being the same premises conveyed to the herein named grantor(s) by deed recorded with Barnstable County Registry of Deeds in Book 12359, Page 325. Ar'NN��TANI� W—McmLo RE6jHT4 0, atrEa6 C0141TY EXCISE TAX F*EG # 01 ------------------- BARNSTABLE 09/10/0'., 2:73F'M 01 ijAl E 0,9•10. '03 WED 000000 #6815 1 TAX W 1.011 FEE $916.56 T0TAL W1..,3i1 CASH SF'16..56 CASH $16ji.04. i:i.E.I4k: 1 NiO,Od-I TME 13:5Y i i11. Bk 17618 Pg 194 #105327 Witness my/our hand(s)and seal(s)this loth day of September, 2003. � C Dilma Gomes Commonwealth of Massachusetts Barnstable,ss: September 10,2003 Then personally appeared the above-named Dilma Gomes and acknowledged the fore 'ng instrument to be his/her/their free act and deed before me. 2, Bryan W.Reardon Notary Public My Commission Expires August 26,2005 Notary Public: Richard S. Dubin,Esquire My Commission Expires: 9/1/06 PROPERTY ADDRESS: 55 Straightway Hyannis, Massachusetts 02601 BARNSTABLE REGISTRY OF DEEDS I BK' 1235 3 PG:325 49927 06-24- 1999 tom' 10 f -3Ct QUITCLAIM DEED SOM P. VB M as tenant by the entirety, of 55 Straightway,Barnstable(Hyannisport), Barnstable County,Massachusetts,In eotselderation of$127,000.00,grant to Dilma Gomes, of ' P. O. box 297,We'st.Yarmouth,MA 02673 with QUITCLAIM COVENANTS,the land with buildings thereon-situated in Barnstable(Hyannis),Barnstable County,Massachusetts,bounded and described as tbllows: EASTERLY by Straightway Road, one hundred and no/100(100.00)feet; SOUTHERLY by Lot 19,a9 shown on the hereinafter mentioned plan,one hundred and no/100(100:00)feet; WESTERLY by land now or formerly of C.K.M. Ratty Association,one hundred and no/100(100,00)feet; and NORTHERLY by Lot 16,as shown on said plan, one hundred and no/100(100,06) feet. (� Being I&t.i 7 as shown on plan of land entitled"Plan of rand,Barnstable,Mass., Scale 1" . 501, April 12, 1971,Robert 0.McGlone, Surveyor& Engineer, Main Street,W. Barnstable,Mass.% which plan is duly tiled at the Barnstable County Registry of Deeds in Plan Book 245,Page 153. �,j r i c ;fii , a, nt c:r_ (fi 71 M u, a ra T' M gyp{ r�T CJ .Y C) c� 1r�(�9 COUNTY EXCISE TAX �� Cr1 9 �7 41, vj 3 1) 0 C1 tT1 ►� Ff 06J24!9? t! IMI 'SAY ?W U .s r+ TnTIN 2e?_K CHECK. 2".6 ani fill! 0129 ... - CMWY EXCISE TAX -The above deaetibed lot is conveyed subject to reservations and restrictions of record, ifl' any there be, insofgr as the same are now in force and applicable. Being the same premises conveyed by deed of Leon J. Jodioe to us dated September 14, 1973 and recorded in Book 1933,Page 082. WITNESS my hand and seal this 3'v 4 day of ' 1999. ,Som P. Virk ' COMMONWEALTH OF MASSACHUSETTS Barnstable, ss , 1999 Than personally appeared the above named SOM P. VIRK wledged the foregoing instruments.to be their flee act and deed,before m - Not Public �My oommission expires 102 f. BARNSTABLE REGISTRY OF DEEDS Sr f wp r PLAN OF L.9N0 . b/� Sie•f W 6>�n��d.4.� oIVAlcf 'c:K.M. RFAR-Ty A!;COe TEs cu visor e . % �APP88811 US Search- Select the product you would like Page 1 of 2 Member Sign-in Business Users Find the information you need to make sound life decisions -for you, your family,and your ho Advanced People Locate. Name Approx.Age State Your{ Enter search criteria DILMA GOMES MA run preliminary searchh impor Our standard people locate search with summary information from our inforn Choose the information is strii that you're looking for premium databases. (—see I Select the best options for your search This report includes: View sample A Le Easy checkout •Current&previous addresses US Se • Phone numbers(if available) leader • Possible / (including maiden name) Risk h since consu �ILMA GSM S'S z000 Choose the level of -l� ss history includes: withProver premium informations 2 addresses in West Barnstable, MA throw that you would lik to 10 addresses in West Yarmouth,MA receive on your 7 addresses in Hyannis, MA selected records 1 address in Marstons Mills,MA 2 addresses in South Yarmouth, MA *(The above addresses were found during ou Pr search. Additional addres M_ay,be included in the full re For Expert Assistance Call: Choose the information that's right for you: 1-800-US-SEARCH (1-800-877-3272) Report Options: Mon-Fri:6am-6pm PST Sat:Sam-5pm PST OF, Advanced People Locate. $39.95 r7 Add All options below for just: $20.00 • Relatives,roommates and neighbors • Bankruptcies,Tax liens,Small Claims Civil Judgments • Marriage and Divorces • Home Value and Property Ownership • Full name and possible aliases More information "Check Availability View sample r7 Rush -1 hour Delivery $20.00 (Standard delivery less than 24hrs via Email) Delivery Information: * Email Address f` I'm a new customer Password i http://www.ussearch.com/consumer/cwf?adlD=10002101&action=browseproduct&searc... 10/18/2006 6.. Lek 13909 Rg43 #39649 010 MASSACHUSETTS QUITCLAIM DEED 06-06-2001 @ 12:28P I/We,Gil Raposo and Maria A. Raposo of 104 Goosepoint Road, Centerville, Massachusetts 02632, for consideration paid,and in full consideration of ONE HUNDRED F]F rY-NINE THOUSAND AND 00/100 Dollars(U.S. $159,000.00) Grant to Dilma Gomes, Individually, of 55 Straightway,Hyannis,Massachusetts 02601 M Nwith quitclaim covenants 0 51 The land, together with the buildings thereon, situated in Yarmouth (West), Barnstable County, Massachusetts,bounded and described as follows: PARCEL,l: v On the NORTHWEST by a Town Way called Town Brook Road,50 feet; On the NORTHEAST by land now or formerly of Werner Sippala, 190 feet; On the SOUTHEAST by Woodbine Avenue, l l 1 feet;and On the SOUTHWEST by Lots 91 and 2, 180 feet. ZThe above described land is shown as LOTS l AND 90 on a plan entitled "Hyannis Gardens", recorded with the Barnstable County Registry of Deeds in Plan Book 16,Page 75. PARCEL 2: M A certain parcel of land, together with the buildings thereon, situated in Yarmouth (West), 36 Town Brook Road,bounded and described as follows: W b Beginning al the NORTHWEST corner of the granted premises at a stone and land of one Comscy; thence g�. running: o EASTERLY by land of said Comsey,'24 rods, more or less, to a stone at land of David Johnson, thence A4, running- SOUTHERLY by said Johnson's land, 5 rods, more or less, to a stone and land of Mattias Maki; thence running Wf-STERLY by said Maki's land, 24 rods,more or less, to a stone and Sandy Pond Road, so called; thence running NORT}IERLY by said Sandy Pond Road,5 rods,more or less, to a stone at the point of beginning. 1 �" . Bk 13909 Pp44 039649 Subject to restrictions,reservations,easements and covenants of record,insofar as the same arc in force and r applicable. Being the same premises conveyed to the herein named grantor(s) by deed recorded with Barnstable County Registry of Deeds in Book 4177,Page 039. NARNSIARa COUNTY r` ' nUF at=t:D ' REGISTRY OF DEEDS #t ox t:V,'4OUNTY EXCISE 1AX ---------------- 06/0?/01 10:1 01 000000 #46S, aO DATE 06.DT4" THU FEE V5743%. 8 -FAX $362.52 CASH TOTAL. $362.52 [:ASH $362.52 CLERK 1 N0.021081 TIME 10:14 J1J1 Witness my/our hand(s)and seals)this Sth day of June,2001. Gil Raposo Maria A. Raposo Commonwealth of Massachusetts Barnstable,ss: June S,2001 Then personally appeared the above-named Gil Raposo and Maria.A. ,pos and acknowledged the foregoing instrument to be his/her/their free act and deed before me. �� f �+rlxr►ly Notary Public: , . , Esquire. My Commission 13xpires:"'- Q6 ngk.413 BP"'T"',REGISTRY OF DEEDS 2 BVc- 123S:9 Fig=32!5 4-9'92 f 06-24- 19S9 e 1 O f -30 QUITCLA..TM DEED SOM p. VIItK,as tenant by the entirety, of SS Straightway,Barnstable(Hyannisport), Barnstable County,Massachusetts,In consideration of$127,000.00,grant to Dilma Gosnes, of ' P. O:13ox 297,We'st.Yarmouth,MA 02673aw1th QUITCLAIM COVENANTS,the land with buildings thereon.situated in Barnstable(Hyannis),Barnstable County,Massachusett%bounded and described as follows: EASTERLY by Straightway Road, one hundred and no/100(100.00)feet; SOUTHERLY by Lot 18,89 shown on the hereinafter mentioned plan,one hundred and no/100(100;00)feet; WESTERLY by land now or formerly of C.K.M. Reatty Association,one hundred and no/l00(100,00)feet; and NORTHERLY by Lot 16,as shown on said plan, one hundred and no/100(100,06) feet. Being Lot 17 as shown on plan of land entitled"Plan of rand,Barnstable,Mass•, Scale 1" - Sol, April 12, 1971,Robert G.McGlone, Surveyor& Engineer,Main Street,W. Barnstable,Mass.",which plan is duly filed at the Barnstable County Registry of Deeds in Plan Book 245,Page 153, \! R1 G fr'. IT., C ^^ z Ul TPEOGIST�I2� 13 r'C�.WTY Er—lcr Tay -3 •il V) # TI GJ _J r 1 Z 1) 0V ru,r2aia9 !!iiiii<_ m a+ M r M TAY 2fiQ SR. # '� m 0 rnsp� 2ao.� CHECK 2W.56 uni # 1 0174 .. MWY EMSE rev, The above described lot is conveyed subject to reservations and restrictions of record, ifi any there be, inso&r as the same are now in force and applicable. Being the same premises conveyed by deed of Leon J.Jodice to us dated September 14, 1973 and recorded in Book 1933,Page 082. WITNESS my hand and seal this. 3?04 day of , 1999. ♦ nn VI �-► _�- Som P. Virk COMMON"ALTH OF MASSACHUSETTS Barnstable, ss , 1999 Then personally appeared the above named SOM P. VtRK wledged the foregoing instruments to be their tkee act and deed,before ni - Not ~Public ti My commission expires 1! ° o LlFrtrll�• �.J(br�n! r. BARNSTABLE REGISTRY OF DEEDS Bk 19039 Ps257 0672930 After recording,please mail to: 09-17-2004 8 08 M 2Sm Geraldo F.DeFreitas(LOCUS) 31 Woodbine Avenue West Yarmouth,MA 02673 Quitclaim Deed I,Dilma Gomes,of_=132'Bu`ckw60 d"Drive;Hyannis,Massachusetts 02601 in consideration of Three Hundred Thousand and 00/100 Dollars($300,000.00)grant to Geraldo F.DeFreitas, Individually, of 31 Woodbine Avenue,West Yarmouth,Massachusetts 02673 with QUITCLAIM COVENANTS The land,together with the buildings thereon,situated in Yarmouth(West), Barnstable County,Massachusetts,bounded and described as follows: PARCEL I: On the NORTHWEST by a Town Way called Town Brook Road,50 feet; On the NORTHEAST by land now or formerly of Werner Sippala,190 feet; On the SOUTHEAST by Woodbine Avenue,111 feet;and On the SOUTHWEST by Lots 91 and 92,180 feet. The above described land is shown as Lot 1 on a plan entitled"Hyannis Gardens", recorded with the Barnstable County Registry of Deeds in Plan Book 16,Page 75. This conveyance is made subject tof any and all restrictions,rights,easements,or encumbrances of record,if any there be. Being the same premises conveyed to Dilma Gomes by Deed from Gil Raposo and Maria A. Raposo, recorded with the Barnstable Registry of Deeds in Book 13909, Page 43 on June 6,2001. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 09-17-2004 8 08:23aa Ct1C: 81 Doc:: 72930 Fee: $1026.00 Cons: $300►000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Data: 09-17-2004 8 08:25am Cti:: 81 Dot:: 72930 Fee: $684.00 Cons". 0001000.00 01986-2004 Standard Solutions,Inc 781-324-0550 � Bk 19039 Pg 258 #72930 .F Executed as a sealed instrument this 16th day of September,2004. Dilma Gomes Commonwealth of MassachusettsBarnstable,ss: On this 16th day of September,2004,before me,the undersigned notary public, personally appeared Dilma Gomes,proved to me through satisfactory evidence of identification,which was a driver's license,to be the person whose name is signed on the preceding document who has acknowledged that she signed it voluntarily and for its stated purpose. Notary Public My Commission Expires: GSa.�!Sm.cro'uv�h, =thho WHITE C,mmusetts -My C;om ,2008 BARNSTABLE REGISTRY OF DEEDS 01986-2004 Standard Solutions,Inc 781-3244550 f Bk 20368 Pa298 OL72367 10-17-2005 & 09' 10a CONFIRMATORY DEED I,DILMA GOMES,of+13L2Buckwood-Drive,_Hyannis,Massachusetts inconsideration of less than$100.00 paid grant to GERALDO F.DeFREITAS of 31 Woodbine Avenue,West Yarmouth, Massachusetts with quitclaim covenants The land,together with the buildings thereon situated in Yarmouth(West),Barnstable County,Massachusetts,bounded and described as follows: On the NORTHWEST by Lot 1 on a plan hereinafter mentioned,80 feet; On the NORTHEAST by land now or formerly of Werner Sippala,95 feet; On the SOUTHEAST by Woodbine Avenue, 111 feet;and On the SOUTHWEST by Lot 91 on said plan,90 feet. The above described land is shown as LOT 90 on a plan entitled"Hyannis Gardens", recorded with the Barnstable County Registry of Deeds in Plan Book 16,Page 75. For grantor's title see Deed from Gil Raposa and Maria A. Raposo to the grantor recorded in Barnstable County Registry of Deeds in Book 13909,Page 43. PROPERTY ADDRESS: 31 WOODBINE AVENUE,WEST YARMOUTH The purpose of this Deed is to correct the legal description of the property contained in a deed to the grantee herein recorded in Barnstable County Registry of Deeds in Book 19039,Page 257,which Deed contained an incorrect description of the property conveyed and an incorrect lot number in the plan reference. Executed as a sealed instrument this 13`h day of October,2005. t2Abi��2 ATfy'-'e-- DILMA GOMES THE COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. fh On this day of October,2005,before me,the undersigned BQ-tRry public,personally appeared Dilma Gomes,proved to me through satisfa evidence of i tification,�vh�c � err•.,,,, was to be the person ose name is signed o . preceor::....::.,r attached document,and acknowledged to m at she signed it vo r' fold `' ` '•,�� purpose. w Da iel M.Creedon,II1,N6tary Itfed'�Q� My comm.Exp..4/14/11 10 DANi RED c EDON.01 WTARYPUUX v fAM1I�il11Ml1A�TM GE'ia4�4$1�C141i�'It`� W40VMI0N FK ',�fit?r14,;:411 �Q BARNSTABLE REGISTRY OF DEEDS Bk 15990 Pal 0107557 11-26-2002 u'i 03 m 41P QUITCLAIM DEED DILMA GOMES of West Yarmouth,MA In consideration of less than $100 paid Grant to GIL RAPOSO and MARIA A.RAPOSO of 014 Goosepoint Road, Centerville, MA 02632 as husband and wife, tenants by the entirety With Quitclaim Covenants r All my right,title and interest in the land, with any buildings thereon, situated in Yarmouth(West), Barnstable County, Massachusetts,bounded and described as follows: On the Northwest by a Town Way called Town Brook Road, 50 feet; On the Northeast by land now or formerly of Werner Sippola,95 feet; On the Southeast by Lot 90, 80 feet; and On the Southwest by Lot 2,90 feet. Being shown as LOT 1 on a plan of land entitled"Hyannis Gardens" recorded with the Barnstable County Registry of Deeds in Plan Book 16, Page 75. The above premises are subject to and have the benefit of all rights, rights of way, reservations and restrictions of record in so far as the same are in force and applicable. For title see deed at Book 1319,01Page 43 Property address: 32 Town Brook Road, Yarmouth,MA 02673 Bk 15990 P92 0107557 Executed as a sealed instrument this ti�day of�(XKM011 ,2002. Dilma Gomel COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. Date: ' Then personally appeared before me the above-named Dilma Gomes who acknowledged the foregoing instrument to be her free act and deed. Nota P! expires: My omssion I BARNSTABLE REGISTRY OF DEEDS THE FOLLOWING. IS/ARE THE' BEST IMAGES FR,O,M ,PO'OR-, QUALITY. ORIGINALS) ., I MJ ;AO& DA TA / IY/ II Town of Barnstable *Permit# 7 9 o r7 I �* Expires 6 months from issue date MAM Regulatory Services Fee 1639- �� Thomas F.Geiler,Director m � Building Division Tom Perry, Building Commissioner XI�-P®ES IT 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 S E P 1 2004 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIODENTIAIUMNAF BARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number V-I -'J Property Address `3 R% a w Residential Value of Work 'OL CS ® Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number q0c?- a-k�Q% �{ 4 Home Improvement Contractor License#(if applicable) , y in Construction Supervisor's License#(if applicable) []Workman's Compensation Insurance Check one: am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance n� \ 1v \ Insurance Company Name Q N1' Pr v/9• Workman's Comp.Policy# , Copy of Insurance Compliance Certificate'must be on file. Permit Request(check box) n Re-roof(stripping old shingles) All construction debris will.be taken to_�®V`t O`` ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ,/1e Vromnwnuea o�, aaoac�uoeka Board of Building Regulations and Standards ❑ Replacement Windows. U-Value (maximum.44) _ HOME IMPROVEMENT CONTRACTOR *Where required: Issuance of this permit does not exempt compliance with other town departn Registration, 132149 Exptrat�on,._.1 / 8/2004 *** te: Property Owner must sign Property Owner Letter of Per 'Type `lr dividual rove t Contractors License is required. DEAN F. STANLE Signature i DEAN STANLEY l`� 359 CAPT.LIJAH _�:Formc:exnmtra CENTERVILLE,MA 02632 Administrator A l� Town. of B aMstable o4�xrt roq,�c .�� ,� -eguXatoxy Serves # Thomas F.Geiler,birectar m• � tuilding pivis1031 rFc tM Tom Ferry, Building Commissioner MA 02601 200 MRia Strect, By�1 . -. V toWn.barnstablesna,us -- Fax; 508-790-6230 pffice: 508.862-403 8 - pfop.erty Over Must _• , -Complete ana sign This Section. .... _ . if usingA-Builder as Owner of the subject property to sct on inybelialf;` h reby authorize Al .. for �] matters relative to-w rkauthoiizedbyt1ib bun&S t apphcat' -- fi (Address�0,60t�) - sip, e f O-vner i print Name Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Map Size zoom Out In R.r l 7PG Map: 193 �✓ r, Location: Owner: P ' ' w Location In �T Map&Parce r .. r ' Location w- Acreage 1.3148. Current Ova Mailing Addi 193170 Appraised Extra Featur Out Building Land Buildings Total Apprai Assessed V Extra Featur #3C�Ei Out Building s Land �,,, r•„ , Buildings Total Assess Set Scale 1" = 57 I April 2001 Hi Res Copyright 2006 Town of Barnstable,MA All rights reserved.Send questions or comment: BarnstableMA v0.2.7 [Production] �a http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=193173&ma... 10/18/2006 �I✓�l G N Z7Q,T,4 UO �v 41ZF.L�Gt= G�i�JC7ElZ t>&t L.�4 ;Z LOW c I t 0 V. 3 t 33 U G.P.Z7., sv�— Ic T 4"V- = 33o,. (So % • A-95 6.P.D. U Ste- I O Oc) 6 A6,t-. p DISPOSAL PIT u5S. t c>©n) G.o.t.... �'r G0� ��a.s_.!_ AtzEA = coo s.>=. ✓ ✓ _ 43.3� 1c�;O s5r ; 2.S = S 7'> G.P.D. l�•- U TOTAL �ESIGt.I = 425 (�.RD. �3 Z`j. 3W 6 F7 C. 1 PE2COL&,TIOQ LF&TE "ILJ 0 Otz LAY,. s 3pi y IV v iT J.V 4r P r WILLIAM C. N Y E No. 19334 Q =4z ` t Tor 1:,W D =q o c> 94,o. LDAA1 �;o ;; tuv _ ¢'Pp� n+sr w �GAL � IWV. f 93.�a n -nc T- 10 �� l TA1t K GBA� 2 tOOD q��o Div. tuv. GAL. G v6L PIT , ter' GLA•f %VIrw hlUml Frt=, I�AWlz rd'>Al�' 16 WA514ED STc�w t� $S•[U L.&E, C.�.iZTIF"IEt7 pLbT �'L f�.1�1 tbCh►Ttor.,l � PFEV 1 LL- , $ t`1 o Sc 1�Lam- CAI_t=;.! b l�'T C— �GizTtr-{ T1-4AT TbiC-- F0uupA116Q 5"0'.klQ PL�.t�l Rir .I-aV1Ic-�. -o,V PL VG W t TP TI-1�- 511�E_Lt 1-�E~ L cam`"( �'s -I AtUD SErL-,3ACk XTGtZ•, 16-1 r-- �ZCGtS'tt.tZi�D LA.i.1tJ �tJ2v:�.Yo�S TI-6t'S CLAW t-S LJOT 4W o 5TEEIZVIL-LC-_ o tt.isf'`Jt.�trt.l'r' �,Uc,./4�{ •L Ttit_:. oFt.,�=�r'; ;Nbwt..a gPr�L.►GA.t-_!�' �v! I.� � I� I�.( � -- .a, Assessor's map and lot number l , SERTIC SYST •`, a' t 7> INSTALLED IN MUST BE Sewage Permyt number ............. .'��/.....................................: N COMPLIANCE WITH-ARTICLE. 11 STATE SArI� T Y E TOWN l� OF •BAR � 1_•' ►la's ? L' fVD TOWN Z BABBSTAMit i 16 9. BUILDING ° INSPECTOR 90 Or -r-i EOMPY ' APPLICATION: FOR4 PERMIT-TO .�U.,( .Q:.�....��'�°V�.�Q'.. ...�9117/.4 j1�.. Pl4�!`� !I`.�.......... :x Oo� .7` /�7 ' TYPE OF CONSTRUCTION .......�Q.......'.....h".�1......�...................................:.........................................:.......... & ..l..............................l 9.?..? TO THE INSPECTOR OF' BUILDINGS: The undersigned hereby applies for a permit according to..the following information: Location .../ O..f.. ..Vr 7.-......QRk... ? .... l fErq°!Jl.. `.... E...�C7..vf/S'..'.....�L!9�� ProposedUse .....�Sl./U<f./�.'.7I%/ /4. ......................................................`........................................I......................... c Zoning' District .......... +:......................:.........................Fire District .................................................. 7 c�{f�TQ,C;/fGgLo�/� dress Nameof Owner .....C. .......... .......... .... ........... ......... '.. Name of Builder .�J�J �OL ... .�. :......Address .................................................................................... Nameof Architect ..................................................................Address ...................................................................:................ Number of Rooms ...S.X....................................................Foundation o?y �?.��...'....c. . ....":�.'�. `�? ......... ��� iC7�d!4.Q�. `.:... ..L. .. ...... ..........Roofing .. ��9: Exterior ...... .... �:............................................................ Floors .......Interior ... Heating 0 ..........................Plumbing Fireplace . •.........Approximate Cost . 1�3.QO4................................I.............. Definitive Plan Approved by Planning Board ----------------------_---------19---------- Area .....IS�.1...^..e.. ................ Diagram .of Lot and Building with Dimensions Fee ....... .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH 04 . 39;��•„ � G Y337, . ��S � . 00 1, av S , to o ° I hereby agree to conform to all the Rules and Regulations of the Town of Ba_rnsta,ble regarding the above construction. Name ... ... . .. ................................. SuffbIk Realty No .126.7Q..... Permit for .Dwe.Lling................. Locaic r�r ut..SL.. .................z : .......................Cmterville............................. r ' Owner ...Suffolk.:Realty................................ Type of Construction Wood••8rame......... ................................................................ t 193 173 9N { Plot ...................... . Lot .Permit Granted Oft 1Z:, 1977 ` . Date of Inspection ./�X/I. �. .....-19 Date Completed .1. � f 7 1..........f 19 ~ 4� PERMIT REFUSED .................................. ...............'....... 19 f. . ........a....................................................... �` P . ....................................................................... ........................:.............................. .................. 01V •- r�u r ua v vpproved ................................................. 19 . L .. ............................................................................... (1 r J C / y V . b\ \ a � \ a\ r a\ + Iluzz"IN 70WAPR 10 { o C t �$� r r i r\ or►cam.o e, e vet' 'O/C, t, G � Cy-S\ < Ste • 000-400, y { POs q � � ti