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:.r TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION
Map .26-a,B' Parcel B `1 Application#
Health Division Date Issued
Conservation Division .Application Fee
Tax Collector ~`, Permit Fee'
Treasurer
Planning Dept. M
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address :1-Cp R t v yara-V t EvJ L-Ac N 1
Village CAc
A lsrPL^-ma-;
-QWA1 8F A-r-rr% Jsuer- b pr,J"T,-- Address Q•o• Fon 04— h"M t' ,MA
Telephone 5 b$' . S !JtR- ,a
Permit Request_96A!,%yV 4: .4e- 9�XV-t'`nl& R®iCer►' n4 a -J,2 M tSexiL-A�uea�61
5� �i,�✓b. A��✓e /��✓��rlc.2 z�� sr,.�b F�.ar AsP�f��.r �aF t�� �P ��-t
1_?,VaM3 tar Gv 1 L. i:AJCt
Square feet: 1 st floor:existing proposed 2nd floor:existing proposedTotal ne w
Zoning District Flood Plain MIA-- Groundwater Overlay AIIA
Project Valuation 2 61 m2 Construction-Type
'v P
Lot Size . 5 Grandfathered: ❑Yes ,(No If yes, attach supportin i cumentattiion. .
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
0
Age of Existing Structure z Historic House: ❑Yes )'No On Old King's High ay: ❑Yes �No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other `
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing new-16 Half:existing new
Number of Bedrooms: existing_ new
Total Room Count(not including baths):existing )2 new First Floor Room Count
Heat Type and Fuel: XGas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes S(No Fireplaces: Existing -:2- New Existing wood/coal stove: ❑Yes ❑No
Detached garageyxexisting ❑new sizeLa3O 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❑
Commermal ❑Yes No If yes, site plan review#
I
Current,ifse Proposed Use 4ZF—S tDlEM`l"1y4-1
BUILDER INFORMATION
Name. _ i 1,=L P M., M,ILLIB-9L Telephone Number 6bB7 .
Address License# 4 43
A��-- V-T' Home Improvement Contractor 0�,�3 i
Worker's Compensation# 0=>Z 2091
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN-TO_
v�.N M4
-SIGNATURE DAT
}a�
C
' FAR OFFICIAL USE ONLY
t APPLICATION#
v DATE ISSUED
MAP/PARCEL N0. x• .
ADDRESS VILLAGE w.
OWNER
5 DATE OF INSPECTION:
FOUNDATION
K
FRAME 99 toltjof
`p INSULATION
F FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
r GAS: ROUGH FINAL ..
r FINAL BUILDING wl Iv o
DATE CLOSED OUT
ASSOCIATION PLAN NO.
}
May 26 09 01 : 28p p. 2
MAY 6-2 9 13: 18 P.02/08
°p114EY Town of Batustable
Regulatory Se vices
DARNureaM ' Thomas F.Geiler,Director
��Ar ie,o- >•` Building Division
�o ra►
Tom Perry, Building Commiss(onet
200 Main.Street, Hyannis.MA 02601
www,towo.barnstable.ma-us .
Off-ice: 508-862-4038 Fix: 508-790-6230
hop-erty Q wner Must
Complete and Sign' This Section
If Using.A. Builder
7e (�V�tk--- ,as Owner of the subject pro'p�rty '
ff Ca�.s hrvcho ,-J41 c .
hereby authoriie P�I�� � (�I dovG� to act on my behalf,
in all.mattus relative to work authorized by this building permit application for:
1 1 L-Q ism
(Addres s of rob)
Si f Ownec S (LII�.tllnl(' Da
t� G 3b6,k4 0- -Dal(1&.0 b(VAaL
-�Q , Q `
Print Name
If Property Owraez is applying for permit please complete the Horneownrss License ,
Exemprlan Form on die reverse aide,
JEFFREY W. OPPENHEIIvI'=` i>rL;j_fs,;����
ATTORNEYAT LAW
156 LOCUST STREET 2 7 Pll '" 31
POST OFFICE BOX 704
FALMOUTH, MA 02541
(508) 548,8255 1,L��
Email FAX: (508)457-9050 Website
JWOppenheim@aol.com JWOppenheimlaw.com
May 26, 2009
VIA FACSIMILE and US MAIL
Thomas Perry, Building Commissioner
Town of Barnstable
200 Main Street
Hyannis, MA 02601
Red 76River Grew--a'e, Centervi-11F
Dear Mr. Perry:
Attached please find the following original documents:
1. Town of Barnstable Property Owner's form;
2. Copy of death certificates for David Goldman and Joanne Goldman,
r F3 ';C6py of my Appointment as Special Administrator of the David Goldman
and Joanne Goldman Estates by Judge Robert Scandura.
I have been charged by the Court to secure and maintain this residence. The premises are
leaking badly, and I would greatly appreciate it if your department.could expedite the
issuance of the Building Permit.
If you have any questions, please feel free to contact me.
Very truly your
Jeffre Op Tepim
JWO/slw
Encls.
cc: PhiliptMiller''
May, 26. 2009 8:49AM MILLER STARBUCK CONSTRUCTION No 2328 P. 1
"�ME► Town of Barnstable
ReguNtory Sex-vices
auarrsreet� Thomas F. Geiler,Director
HAM
Building Division
�'rro ra a
Tom Perry, Building Commissioner
200 Main street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office- 508-862-403$
Fax: 508-790-6230
hoperty Owner Must
Complete and Sign This Section
If Using .A. Builder
t
as Owner of the subject prorerty '
CLA,S C�1�.,► i J44 c
hereby authorize _��l to act on my behalf,
in a.11.matters relative to work authorized by this building permit application for:
lL �, I,44.V�.
(Address of Job)
$i £Owner S i I v w�`�lS Da
Of--Ilt6v4ne �d WwALA
.�_
Print Name
If Property Owner is applying for permit please complete the Horueowzzets I.icease
Exemption Form on the reverse side,
r
014e Tommnnluealt4 of AHassar4UBe1t.s 248 BARNSTABLE
AFFIDAVIT AND CORRECTION OF DEATH REGISTERED NUMBER RETURN MADE BY: ,
REGISTRY OF VITAL RECORDS AND STATISTICS ' 12/03/2004
STATE USE ONLY DEPOSITION NO.
DECEDENT-NAME FIRST MIDDLE LAST SEX DATE OF DEATH(Mo.,Day,Yr.) -
I DAVID GOLDMAN 2 M. 3 APRIL 2, 2004
PLACE OF DEATH(CilyrFown): COUNTY OF DEATH HOSPITAL OR OTHER INSTITUTION-Name(II not in either,give street and number)
4a BARNSTABLE 4b BARNSTABLE 4c CAPE COD HOSPITAL
PLACE OF DEATH(Check only one):
7 W.W,I I
WAS DECEDENT OF HISPANIC ORIGIN? RACE(e.g.While,Black,American Indian,etc.) DECEDENT'S EDUCATION(Highest Grade Completed)
• I yes,Specify Puerto Rican,Dominican,Cuban,etc.) (specify) Elements Sec 612 College(1-0.5+
NO ❑YES
fia specify, Bb WHITE 9 5+
AGE-Last Birthday UNDER 1 YEAR UNDER 1 DAY
„ BOSTON' , MASSACHUSETTS
MARRIED,NEVER MARRIED I LAST SPOUSE(It wife,give maiden name) USUAL OCCUPATION KIND OF BUSINESS OR INDUSTRY
WIDOWED OR DIVORCED _ (Prior-if Refired)
12 WIDOWED 13 JOANNE GILMAN 14a ATTORNEY/JUDGE. 14b LAW
RESIDENCE-NO.&ST.,CITYITOWN,COUNTY,STATE/COUNTRY ZIP CODE
15a 3550 GALT OCEAN MILE 4801 T. LAUDERDALE BROWARD FL 15b33308
FATHER-FULL NAME STATE OF BIRTH(If not in US, MOTHER-NAME (GIVEN) (MAIDEN) STATE OF BIRTH(It not in US,
name country) name country)
16 LOUIS GOLDMAN 17 RUSSIA 16 REBECCA HAHN 19 AUSTRIA
=23
RMANTS NAME MAILING ADDRESS-NO.&ST.,CITYITOWN,STATE,ZIP CODE RELATIONSHIP
LAUREN GOLDMAN 21 1505 TAYLOR AVE., PLYMOUTH MA 02360 22 DAUGHTER
ETHOD OF IMMEDIATE DISPOSITION FUNERAL SERVICE LICENSEE OR OTHER DESIGNEE LICENSE N
URIAL CREMATION
NTOMBMENT❑REMOVAL FROM STATE KENNETH J, LASSMAN 5466
ONATION❑OTH.SPEC: 24 25CE OF DISPOSITION(Name of Cemetery.Crematory or other) LOCATION(Cityyrown,State)-
26a SHARON MEMORIAL PARK CEMETERY 261b SHARON MASSACHUSETTS
DATE OF DISPOSITION NAME AND ADDRESS OF FACILITY OR OTHER DESIGNEE _
(Mo..Day'Yr.)APR I L 5 2004
z7 , team STANETSKY CHAPELS 475 WASH I NGTON ST, CATON MA 02021
29 PART I-Enter the diseases,injuries,or complications that caused the death.Do not use only the mode of dying,such as cardlac or respiratory arrest,shock or heart failure. Approximate Interval
List only one cause on each Me(a through d).PRINT OR TYPE LEGIBLY. Between Onset and Death
IMMEDIATE CAUSE(Final disease or condition resulting CONGESTIVE HEART FAILURE 3 DAYS
in death) 00 a. DUE TO(OR AS A CONSEQUENCE OF)
Sequentially list conditions,it LYMPHOMA 1 YEAR
an leading to immediate b'
Y 9 DUE TO(OR AS A CONSEQUENCE OF)
cause.Enter UNDERLYING
CAUSE(disease or Injury that c.
initiated events resulting in DUE TO(OR AS A CONSEQUENCE OF) ..
death)LAST., _
d.
PART It-Other significant conditions contributing to death but not resulting in underlying cause given in Pan I,, WAS AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
(Yes or No) COMPLETION OF CAUSE
OF DEATH? (Yes ar No)
30 31 NO 32
MEDICAL EXAM. 34.MANNER OF DEATH DATE OF INJURY TIME OF INJURY INJURY AT WORK
NOTIFIED? NATURAL ❑HOMICIDE ❑COULD NOT BE DETERMINED (Mo.,Day,Yr) (Yes or No)
(Yes or No) NO ❑ACCIDENT ❑SUICIDE ❑PENDING INVESTIGATION -
33 35a 35b M 35c
DESCRIBE HOW INJURY OCCURRED - -, PLACE OF INJURY-;At home,ii_OCATICN No.&St.Ciy?own,.Sratn,l -
farm,street,lactcry;p✓7ce bldg.,i
etc.)Specify:" -
35d 35e 35f
a< DATE SIGNED(Mo.,Day,Yr.) HOUR OF.DEATH >1, DATE SIGNED(Mo.,Day,Yr.) HOUR OF DEATH
• aw ,
APRIL 3) 36b 2004 5:05 A
Id W 37a 37b M
Ez�36a NAME OF,ATTENDING PHYSICIAN IF NOT CERTIFIER _ o. jS PRONOUNCED DEAD(Mo.,Day,Yr.) PRONOUNCED DEAD(Hr.)
HW
am ao
C OW
U 36c ~ 37c 37d M
NAME AND ADDRESS OF CERTIFYING PHYSICIAN OR MEDICAL EXAMINER(Type or Print) 02655 LICENSE NO.OF CERTIFIER
3e MARK E. COLLINS, M.D. 10 OSTERVILLE-WEST BARNSTABLE ROAD OSTERVILLE MA 39 150315
WAS THERE A IF YES,DATE r IF YES.TIME 40d NAME OF PRONOUNCER TITLE
PRONOUNCEMENTFORM? PRONOUNCED PRONOUNCED
(Yes or No) NAME R.N. ❑ P.A.
40a NO 40b 40c M
41 DATE BURIAL PERMIT ISSUED "42 RECEIVED IN CITY I TOWN OF 43 DATE OF ORIGINAL RECORD
APRI 4 004 a BARNSTABLE APRIL 5, 2004
.ACK INK ONLY .-_.
-"� --� '"�•y'� DECEMBER 8, 2004
10-v0o
CLERK OR REGISTRAP. DATE OF AMENDMENT
1,the undersigned,hereby certify that I am the Town Clerk for the Town of BarnstaNc,that as such, I have custody of the records of births,marriages
and deaths,required by law to be kept in my office,and I do hereby,certify that h;above is a Irue copy from said records.
WITNESS: My hand and the SEAL OF THE TOWN OF BARNS[-ABLE ,
A TRUE COPY ATTEST:at Barnstable,Massachusetts U
Linda E. Hutchenrider,Town Clerk,Barnstable
(If this attestation is not in red,this document has been illegally copied-do not accept it.)
r
0 p C�nmmnnmettitl� of Mtts5ttr4UBrttB
AFFIDAVIT AND CORRECTION OF DEATH 647 BARNSTABLE
REGISTRY OF VITAL RECORDS AND STATISTICS REGISTERED NUMBER.
RETURN MADE BY:
DECEDENT-NAME FIRST STATE USE ONLY
eo
MIDDLE LAST DEPOSITION NO.
JOANNE SELMA SEX DATE`OF DEATH(Mo..Dey,yr)
PLACE OF DEATH(cryirewn): GOLDMAN COUNTY OF DEATH 2 F 3 SEPTEMBER 10, 2001
HOSPITAL OR OTHER INSTITUTION-
BARNSTABLE Neme(ll not in either,give slreef antl number)
4e 4b BARNSTABLE 4c CAPE COD HOSPITAL
PLACE OF DEATH(Check only oneJ:
HOSPITAL: 0 ER
1 (It yes,Specify Puerto Rican,Domin/ran,Cuban,etc.) RACE(e.g.White,Black,American Ind;en,arc.) - 7 NO
�1 NO ❑YES (Specify) DECEDENTS EDUCATION(Highest Grade Completed)
ea S WHITE Elements sac o-12 Cora a(1-4,5t AGE-Last Birthday UNDER I YEAR UNDER 1 DAY
MARRIED,NEVER MARRIED LAST SPOUSE(1f Code,give maiden name) 11 BOSTON, MASSACHUS ETTS
WIDOWED OR DIVORCED USUAL OCCUPATION
12 13 DAV I D GOLDMAN (Prior-it Rallied) KIND OF BUSINESS OR INDUSTRY
RESIDENCE-NO.&ST.,CITY/TOWN,COUNTY,STATEICOUNTRY 148 HOMEMAKER 14b. OWN HOME
FA 3550 GAUL.T OCEAN MILE SUITE #801 FT, LAUDERDALE BROWARD FLORIDA ZIP CODE
FATHER-FULL NAME
STATE OF BIRTH(1f nor, US,
name MOTHER-NAME (GIVEN .ISb 33308
16 HARRY G I LMAN munrryJ ) (MAIDEN) STATE OF BIRTH(if not in US,
INFORMAN 17 RUSS IA ,B ED I TH JOLLES name country)
TS NAME
MAILING ADDRESS-NO.8 ST.,CITY/TOWN,STATE,ZIP"CODE 19 RUSS IA
20 21 1320 SOUTH D I X I E N.I GHWAY #820 CORAL GABLES FL33146 RELATIONSHIP
12)23 METHOD OF IMMEDIATE DISPOSITION FUNERAL SERVICE LICENSEE OR OTHER DESIGNEE
BURIAL ❑CREMATION - - 22 HUSBAND
❑DONATION11 SNT❑O❑TH.SPEC AL FROM STATE 24 BRUCE SCHLOSSBERG LICENSE
PLACE OF DISPOSITION(Name of Cemetery,Cremalory or other) '
LOCATION(City?own,Slate) 25 84
zBa A N MEMORIAL ARK CEMETERY
DATE OF DISPOSITION NAME AND ADDRESS OF FACILITY OR OTHER DESIGNEE SHARON MASSACHUS ETTS
Yr.)
z7 SEPT. 14 2001 zeal, STANETSKY MEMORIAL CHAPELS 475 WASHINGTON ST,
29 PART I-Enter the diseases,injuries,or complications that caused the death.Do not use only the mode of n, CANTON MA 02 O21
LIA only one reuse on each line(a through d).PRINT OR TYPE LEGIBLY, '
IMMEDIATE CAUSE(Final dY1 9 such as cardiac or respiratory enesl shock or heart failure. Approximetalntervel
disease)or condition resulting
In deaNa. METASTATIC PANCREATIC CARCINOMA Between onset and Death
� •
Sequentially Its!Conditions,if DUE 1 (OR AS A CONSEQUENCE OF) 1 YEAR
any leading to immediate b'
cause.Enter UNDERLYING DUE TO(OR AS A CONSEQUENCE OF)
CAUSE(disease or Injury that c.
initiated events resulting in -
death)LAST. d. DUE TO(OR AS A CONSEQUENCE OF)
PART I I•Other significant conditions contdbuling to death but not resulting In underlying cause given in Part 1.
WAS AUTOPSY WERE AUTOPSY FINDINGS
c; PERFORMED7 AVAILABLE PRIOR TO
30 _ (Yes or No) COMPl. ON OF CAUSE
MEDICAL M. 34.MANNER OF DE OF D DEATH EATH? (yes or No)
NOTIFIED? DATE OF INJURY 31 32
(Yes or No) NATURAL OHO MICIDE ❑COULD NOT BE DETERMINED (Mo.,Day,yr.J TIME OF INJURY 33 YES ❑ACCIDENT ❑SUICIDE ❑PENDING INVESTIGATION INJURY AT WORK
DESCRIBE HOW INJURY OCCURRED P (Yes or No)
(LACF OF INJURY- At hems, LO S
scree(factor 35a W ___.35h -
CATION No.6 L,Ciry?own,Sta M 35c
te)
faun,• y office bldg..
.
eta)Specify: -
35d
>a DATE SIGNED(Mo.,Day,yr) 350 35f
HOUR OF DEATH Q DATE SIGNED(Mo..Day,yr.)
=�3Ba SEPTEMBER 11, 2001 8.57 P 1i HOUR OF DEATH -.
Sz a NAME OF ATTENDING PHYSICIAN IF NOT CERTIFIER 366
� M UZ37e
aW r 3�p PRONOUNCED.DEAD(Mo.,-Day,yr.) 37b M
_ PRONOUNCED DEAD(Hr.)
36c 80
NAME AND ADDRESS OF CERTIFYING PHYSICIAN OR MEDICAL EXAMINER ~ 37c r
(Type or Print) 37d M '
-3e JAMES C. CH I NGOS, M.D., CAPE COD HOSPITAL 2] LICENSE N0.OF CERTIFIER
WAS THEREPAR 'A , K STRE
ET,F ET YE
S.DATE HYANN
' PRONOUNCEMENT FORM? PRONOUNCED IF YES,TIME I S 39 56410
Ti 40d NAME OF PRONOUNCER `., (Yes or No) PRONOUNCED
40a NO 40b NAME TITLE
41 DATE BURIAL PERMIT ISSUED 40c M ElR.N. P.A.
42 RECEIVED IN CITY I TOWN OF
SEPTEMBER 11, 2001 43 DATE OF ORIGINAL RECORD
BARNSTABLE SEPTEMBER 13, '2001
as
CL HK OR REGISTRAR T---° JANAURY 11 2005
DATE OF AMENDMENT
rsigled,hereby Certify that I am the Town Clerk of the Town of Barnstable:that as such. I have custody of the records of births,marriages and
wired by last to be kept In m\ office: and I do!zereb� certify that the abo-c is a L1 uc c:opy from said records.
S: M� hand and the SEAL OF THE TOWN OF BARNSTABLE
COPY ATTEST: at Barnstable- Massachusetts
Linda E. Hutc h
e cnrider.Town
station is not in red.this document has been illegallN copied-do not accept it). Clerk.
r
.;ommonwealth of Massachusetts`
The Trial Court
Barnstable Division Probate and Family Court Department Docket No. BA09P0106EA
Special Administration
Name,of•Decedent David Goldman
Domicile at Death 76,Riverview Lane Centerville
(Street and No.) (City or Town)
Barnstable `02632 Date of Death April 2, 2004
(County)
Name and address of Petitioner{o Jacqueline G. Dorfman, 6890 East Sunrise Drive, #120-173,
Tucson, Arizona 85750 Status Granddaughter
Respectfully represent(s) that said decedent died possessed of goods and estate remaining to be administered,
and that there is delay in securing the appointment of Jacqueline G. Dorfman
as Administratrix of theestate of said decedent by reason
of the need for notice by publication and the return date at least thirty (30):days from the issuance of the
Citation
x The petitionerW hereby that a copy of this document, along with a copy of the decedent's death
certifies
certificate has been sent by certified mail to the Department of Medical Assistance,P.O. Box 15205,Worcester,
Massachusetts 01615-9906.
Wherefore your petitioner(-&) pray{--&-}that hL4she4hey or some other suitable person: John Conathan II
of 203 Willow Street
(street and no.)
02675 may be appointed special
Yarmouthport Barnstable
(city or town) (county) (z!P)
ada�inistratsr�administratrix of said decedent and may be authorized to take charge of all the real estate of said
decedent and to collect rents and make necessary repairs; and may be authorized to continue the business of the
decedent for the benefit of his/heF estate, and certifies_under the penalties of perjury that the statements herein
contained are true to the best of hi&/herl-theiF knowledge and belief. :
c .
Date C''� 12 -Cl Signature
GA
The undersigned hereby assent to the foregoing petition.
na
.DECREE
ter hearingti -
persons interested having.been notified in accordance with the law or having assented and no objections
being made thereto, it is decreed that Jeffrey W. Oppenheim, Esq.
of Falmouth
in the County.of, ,. Barnstable be appointed
;pecial administrat_,ntof said estate, first giving bond with _sureties "fi3r the due or o
JUSf said tr
2/17/09 ust.
Date
APPOINTMENT QUALIFIED ON FEBRUARY 26, 2009 BORATE AND FAMILY COURT
CJ-Ps(8i92) THE APPOINTMENT OF THE SPECIAL ADMINISTRATOR NAMED .HEREIN IS [c12923) C.G.F.
LIMITED TO A PERIOD WHICH EXPIRES ON MAY 18, 2009..
t
BARNSTABLE, SS
THE APPOINTMENT OF THE SPECI M.INISTRATOR NAMED HEREIN IS
EXTENDED FOR AN ADDITIONAL DAYS A A PIRE ON
_ . . JUNE 5, 2009. O`
' J
Justice of the ProUaie and.F.amily` ou
__ • ESQ: .. - --- -
AS
I
9
COMMONWEALTH OF MASSACHUSETTS
THE TRIAL COURT
PROBATE AND FAMILY COURT DEPARTMENT
Barnstable Division Docket No. BA -09POI06EA
In the Matter of the Estate of )
David Goldman )
MOTION TO EXTEND APPOINTMENT OF JEFFREY W. OPPENHEIM AS
SPECIAL ADMINISTRATOR OF THE ESTATE OF DAVID GOLDMAN
NOW COMES Jeffrey W. Oppenheim, Special Adinin:istrato r of the Estate of David
Goldman and hereby moves this Court to extend his appointment as Special
Administrator, until such time as he or some other suitable person is appointed
Administrator of the Estate.
As reasons therefore, the petitioner states that such action is necessary to enable him to 4
continue his role as Special Administrator to marshal the assets of the Estate and to make
necessary repairs to the premises contained in the Estate.
L
I effrqyWopenheinfjEsq.
Law Offices of Jeffrey W. Oppenheim
ATRUE COPY BBO # 379885
ATTEST: 156 Locust Street, P.O. Box 704
Falmouth, MA 02541
(508)548-8255
F15GISTE
Dated: May 5 , 2009
Assented to by:
sec q:hfv-die-A)
Jeffrey A. Soilson, Esq. Bruce Gilmore,Esq.
as Counsel for Lauren Goldman as Counsel for Patricia Campanini,
Legal Guardian for Judith Goldman
S ,�c 47azil.--g-
Jacquelind G. Dorfman, BARN STABLE ss. � . ,2007
Personal Representative of the Estate of
Rebecca Killion The within motion is hereby allowe _s
Robert A. Scandurra
Justice, Probate and Family Court c�3
S
;ommonwealth of Massachusetts' ,''-
The Trial Court
Barnstable Division Probate and Family Court Department Docket No. BA09P0105EA
Special Administration
Name.,of.Decedent Joanne S. Goldman
Domicile at Death 7&Riverview Lane Centerville
(Street and No.) (City or Town)
Barnstable. 02632 Date of Death September 10, 2001
(County) (Zip)
Name and address of Petitioner{ Jacqueline G. Dorfman, 6890 East Sunrise Drive, #120-173,
Tucson, Arizona 85750 Status Granddaughter
Respectfully represent(s) that said decedent died possessed of goods and estate remaining to be administered,
and that there is delay in securing the appointment of Jacqueline G. Dorfman
as Administratrix of the estate of said decedent by reason
of the need for notice by publication and the return date at least thirty (30) days from the issuance of the
citation
x The petitioners)hereby that a copy of this document, along with a copy of the decedent's death
certifies
certificate has been sent by certified mail to the Department of Medical Assistance, P.O.Box 15205,Worcester,
Massachusetts 01615-9906.
Wherefore your petitioner) prayW that h4a she4h-ey or some other suitable person: John Conathan II
of 203 Willow Street
(street and no.)
Yarmouthport Barnstable 02675 may be appointed special
(city or town) (county) (zip)
admiRistrateqadministmtrix of said decedent and may be authorized to take charge of all the real estate of said
decedent and to collect rents and make necessary repairs; and may be autho?ized to continue the business of the
decedent for the benefit of#+s/her estate, and certifies:under the penalties of perjury that the statements herein
contained are true to the best of his�her/-their knowledge and belief.
Date C Signatur�`,,
The undersigned hereby assent to the foregoing petition.
DECREE
After hearing
All persons interested having been notified in accordance with the law or having assented and no objections
being made thereto, it is decreed that Jeffrey W. Oppenheim,Esg.of Falmouth
in the County of B rn be ap ointed
special administrator of said estate, first giving bond with _sureti or the d ormance of said trus
Date 2/17/09 'C—
APPOINTMENT QUALIFIED ON FEBRUARY 26, 20091U PROBATE AND F' ILY COURT
CJ_P8(8/92) The appointment of the Special Administrator named herein is [G12923] C.G.F.
limited to a period which expires on May 18, 2009.
BARNSTABLE, SS
THE APPOINTMENT OF THE SPECIAMINISTRATOR NAMED HEREIN IS
EXTENDED FOR AN ADDITIONAL SA SH ' EXPIRE
JUNE 5, 2009. 7��
vE C®nV Justice of the Probate and Family Court
p,T R
1
r
COMMONWEALTH OF MASSACHUSETTS
THE TRIAL COURT
PROBATE AND FAMILY COURT DEPARTMENT
Barnstable Division - Docket No. BA -09POI05EA
In the Matter of the Estate of )
Joanne Goldman )
MOTION TO EXTEND APPOINTMENT OF JEFFREY W. OPP_ENHEIM AS
SPECIAL ADMINISTRATOR OF THE ESTATE OF JOANNE GOLDMAN
NOW COMES Jeffrey W. Oppenheim, Special Administrator of the Estate of Joanne
Goldman and hereby moves this Court to extend his appointment as Special
Administrator until such time as he or some other suitable person is appointed
Administrator of the Estate.
As reasons therefore, the petitioner states that such action is necessary to enable him to
continue his role as Special;Administrator to marshal the assets of the Estate and to make
necessary repairs to the premises contained in the Estate.
Jeffrey W.../ ppenheim, .
A TRUE COPY Law VOff�ces of Jeffrey W. Oppenheim
ATTEST: BBO# 379885
156 Locust Street, P.O. Box 704
Falmouth, MA 02541
REGISTER (508)548-8255
Dated: May 5' ,2009 la
Assented to by:
�5�.� C )• �s f ;�f�cCe ���nee
Jeffrey A. Soilson,Esq. Bruce Gilmore, Esq.
as Counsel for Lauren Goldman as Counsel for Patricia Campanini,
Legal Guardian for Judith Goldman
uu&;H
Jacq eline G. Dorfman, BARNSTABLE, ss. 200?
Personal Representative of the Estate of ~�
Rebecca Killion The within mot"Lon is hereby alto ed. .
E Robert A. Scandurra
Justice, Probate and Family Court