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0204 WHITE OAK TRAIL
r �o� y1/�i�c C�•9� a TA,�-c �' FT a o a ly r e � o Town of BarnstableBuilding Po n . -... �.� ' st This Card So That it is Visible From the Street-ApprovedPlans Must be Retained on Job and this Ca,d Must be K p `&$' }Posted Until Final Inspection HHA as Been,Made.01 - s;° q e .v. pWhere a Certificate of Occupancy is Required such Building shall Not be Occupied until a Final Inspection has been made e Permit NO. B-20-1818 Applicant Name: HOMEOWNER IS APPLICANT - -� Approvals Date Issued: 08/04/2020 Current Use: Structure Permit Type: Building-Deck Expiration Date: . 02/04/2021 Foundation: • . Location: 204 WHITE OAK TRAIL;CENTERVILLE Map/Lot: 1927201 Zoning District: RC Sheathing: Owner on Record: DESA, ELIEL P TR Contractor Name: HOMEOWNER IS APPLICANT Framing: 1 Address: 204 WHITE OAK TRAIL Contractor License: EXEMPT 2 CENTERVILLE, MA 02632 Est.Project Cost: $3,000.00 Chimney: . Y= Description: Building a deck 19.412.6 feet Permit Fee: $ 110.00 Insulation: Project Review Req: Fee Paid: $ 110.00 K Date: 8/4/2020 Final: ` � ��"L �✓ __ Plumbing/Gas - Rough Plumbing: g ---Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. _ Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this.permit. Minimum of Five Call Inspections Required for All Construction Work:. Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection - --- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:, 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT D�IKE tp� - ti Application Number...:�L!�.�Q..�..��. . +'E BA NSTABLE, Mn88 Permit Fee .......................Zoning District........................ Total Fee Paid............... ..k?.1.�A1..: ......... ............... ...... TOWN OF BARNSTABLE pp Y �C..... ...........on.... lyl' ...... Permit Approval b BUILDINGS PERMIT Map.1142//.................Parcel..47.......`3? ............... APPLICATION Section 1 — Owner's Information and Project Location Project Address Q L'41a 7 D / &j 6 Village Owners-Name Owners Legal Address city StateJ Zip Owners Cell # E-mail /t Section Z —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,000 cubic feet 0 Single/Two Family Dwelling: ` Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory StrucM I @ WTuse ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family'/Amnesty y i larm Trt�btN `L ' Rebuild � Deck .Apartment Sprinkler System Addition ❑ Retaining wall ❑ Solar TOWN OF-BARNSTABLE 0 Renovation ❑ Pool ❑ Foundation Only Other—Specify fi • I a Section 4 - Work Description c�i L Oi�o 4 vac I�'` � °` G r . r Last updated: 1/31/2020 s Applicatioh Number ° ........ Section 5- Detail ;.. Cost of Proposed Construction Q _Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method MA Checklist EJ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring '� D. Oil Tank Storage Smoke Detectors ❑ Plumbing - Gas D Fire Suppression ❑ Heating System 0 Masonry Chimney ❑ Add/relocate bedroom Water Supply _ Public ❑ Private ' Sewage Disposal ❑ Municipal j ❑ On Site Historic District Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane C Yes ❑ No 4 Section 7— Flood Zone Flood Zone lDesignation ME Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ _ } Section 8 — Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. � � Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required- Proposed Side Yard Required Proposed. Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1/31/2020 p 4' • 'r Application Number........................................... Section 9— Construction Supervisor R Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10-Home Improvement Contractor +: Name Telephone Number V Address City State Zip Registration Number Expiration Date 1 understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780. CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number 50� �-&; 3 3 Cell or.Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature . Date } APPLICANT SIGNATURE Signature Date f> Print Name R4� 0�1,-W Telephone Number E-mail permit to: m11/;P19'. i'�f(/0:5"01 e4,5,4/C Last updated: 1/31/2020 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the f re department for approval Section 13 — Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date i Print Name Last updated: 1/31/2020 The Commonwealth of Massachusetts Department of Industrial Accidents, Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plun bers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address:�. L� 1/Ii�l7Gs City/State/Zip: ' Phone#: 5� 3 4/5'-- 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 6. New construction 2.❑ 1 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' 9. ❑Building addition [No workers'comp.insurance comp.incrmrnce,t 1equired.] . 5. We are a corporation and its 10.0 Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions � right of exemption per MGL myself[No workers comp. 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 mast submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-oontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. y I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: ° Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to 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 and the pains and penalties of perjury that the information provided above is true and correct: Si tore: Date: Phone#: Qjftlal use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employee's. Pursuant to this statute,an employee is defined as"...every person iri the service of another under any contract of hire, ' express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives o�ddeceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction,or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." � r MGL chapter 152,§25C(6)also states that"every state or local licensing ency shall withhold the issuance or renewal of a license or permit to operate a business or to construct b dings in the commonwealth for any applicant who has not produced acceptable evidence of compliance the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the common ealth nor any of its political subdivisions shall enter into any contract for the performance of public work until le evidence of compliance with the insurance requirements of this chapter have been presented to the contractin uthority." Applicanto�ut Please fill the rkers'compensation affidavit complete ,by checking the boxes that apply to your situation and,if necessary,supply sub- tractor(s)name(s),addresses)an phone number(s)along with their certificate(s)of insurance. Limited Liabilr 11 Companies(LLC)or L' iability Partnerships(LLP)with no employees other than the members or partners,are not to carry workers' mpensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this davit may be submitted to the Department of Industrial Accidents for confirmation of insurance verage. o be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the app' 'on or the permit or license is being requested,not the Department of Industrial Accidents. Should you have any ns regarding the law or if you are required to obtain a workers' compensation policy,please call the Deparfm at the number listed below. Self-insured companies should enter their self-insurance license number on the e. City or Town Officials Please be sure that the affidavit is co lete and printed legi y.. The Department has provided a space at the bottom of the affidavit for you to fill out in a event the Office of Inve ions has to contact you regarding the applicant. Please be sure to fill in the p cense number which will be us a reference number. In addition,an applicant that must submit multiple p 'cense applications in any given year, eed only submit one affidavit indicating current policy information(if recess and under"Job Site Address"the appli t should write"all locations in (city or town)."A copy of the affi that has been officially stamped or marked the city or town may be provided to the applicant as proof that a id affidavit is on file for future permits or licenses. new affidavit must be filled out each year.Where a home o er or citizen is obtaining a license or permit not related any business or commercial venture (i.e.a dog license o ermit to burn leaves etc.)said person is NOT required to co fete this affidavit The Office of vestigations would like to thank you in advance for your cooperation d should you have any questions, please do n esitate to give us a call. The Dep ent's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 .. www:mass.gvvfdia , r Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 BAMMAsca. = KAM www.town.barnstable.ma.us1659. ' Office: 509-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE �—G/� �O/.. Please Print JOB LOCATION: number stred "HONMOWNER7: name home phone# ,work phone#:_ - CURRENT MAILING ADDRESS:�2(0 MdG ' city/town state zap code - The current exemption for"homeowners"was extended to include owner-occupied dwelling 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 HOMEOMMER 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 buildingRermit. (Section .109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. Y ,. , 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. sijpatuic of o er 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 ywork,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.\WPFIMS\FORMS\building permit forms\EXPRESS.doc 08/16/17 Town of Barnstable Building Department Services * 11MINSTAMM Brian Florence,CBO a�ee. 05w�"� Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ,f Property Owner' Must Complete and Sign This Section - If Us' A Builder I ,as Owner of the subject property hereby authorize to act on my bebA /inattem o authorized by this building permit application for: 4� (Address..of Job) arms are the responsibility of the applicant Pools or utilized before flee'' ce is installed and all final inspections are performed and accepted. Signature of Owner Signature;App\camt Print Name Print Name Date Q:FORMS:0MR4MPERMISSIONPOOLS Rev:0&116/17 I The C mowh*OfMaxw&=e OffZVC OfhrP=ftVAV= 600 wffjdngion So ea ' iNFv1R.�lt6��f1P��11 ' arlm& Ckmapensafian IIISuranCe AffiUmvit BUfldPI'S/C44 t5 ers AmffiamtIidarmnaffin .CIMSePrin �E p c � Ph=�9__ � 'Are you as emplopr?fheck.tbe appropriate boxi I =I�of project � I am a ca�isc�earl frd}= - I.❑ I ama anployw�Fi ❑ .6_ ❑New c=vft zct> n employees[fall arc part-•fime * lm hired*e m&coaftact= 2.❑ I am a sole prcpdetar orpsrtmr- fisted emt{1e aimed sheet- ?- ❑�o&Hng , sbip and have no eaplyees. use�.h=e 8. ❑Demalif= e�glzryew asdbzve Wa ere --F -- waling fi xme in any capaddy. $ 9. ❑[No WMInm � g addiEien -1 5. ❑ We are a CMparaiiMandits00B repairsw ' "3., J 1 am.a hmnwvmer doing alb�sark offiaers have used their 1L❑Plmmbsag rePais ar aeons ' right of eszmZpiioa per FtifM �g {� i� F.00f Mquim.&I i - c. 1 andwe have nD ❑ ezllEsyees.[No wortOess` l ,❑Oiher cam mq�red_] •Any cEreds fine�1 mast else i�oatibe secaabs3ra�s *mrsap��*�pedsegiea �amewvneav�usabmit�s9f£dari£i aeg P�dgelFsza�znH mhimpuW caetzmsstmimi sack. TC.O�*9d Cbkk b=ffi4S<9ftr% =,AMM�9]SheELbbm-ingtben�of CbPLil�-N xeLdstdnvrbEdSor3wti m I am ati empI sr fliatis pretuccdutg Ivcrkets'coupeumff=h=raecs jqr my Se&IV is f lopV&7 ark jab sue 7aFrrra„cr•�� react'4 m Self-iy&IIc. Date: - Job Sewer Bch a Copp of the;w&rkere campensafioapoUcy de:chwa4iaa peg (zhawmg the pAcy,number and expiration date). FaRwe to serum eavemSe as requiiedvndes Se-Iwn 25A of MI .r-I52 can lead to Sze imposiliaa of coal pees of a fine up to$LS4a OU atidlor one-yezrimpdsmw2esA as well as civil peuahies.si fle fa=of a SAP WDRK QRDERand a t> of up m a day against fine violatur_ Be advised ffie a cagy off£ds saaybe ceded fa The Office of' hxvedVb=ofthe DIA,for i=mw covemSe,v •y do f o7by ce�under&a ' aadpFnah€kx ofy 'any fhatf3zs inbrwa€raayroF&W abatis is fray and meat Plume z ,61 3q Ojidd use awly.,Da uat mite is 66 be=4&ted by c4 ortacvn affi at Cky or Taws: Pr zise - Fsszzffi.g F(cQ,rle crgej: ' L Saand of mg Depart 3.fS Pva'a aim* 4.mecf ical Im pectar S.Fhmibbg>mspeetar f�.ors contact Pe:-MM Ph*=I: 6 ,.:rc .ni..�... -..it ..:..1i1 �....w _1 �fn. .•G.. i. 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Y[•■ .- -■UUW.ago 7■- ..11 •aal I.•'glWas:■ .I- _I.•.r:1■•)1 1.1 •1 - •�..■■1 • t rii■ •�I.. �■.i+V1�■ . ■ ■■ �'.•.• U.�.1 • U• ■• rN/ra/.. 11•. ■ •.1 .: .11• ■ .i+■fl. :1 Ut. .. •• • ■ ■■ .■ i.■tl�• 1• •..:.11 : •'./.•� N■■..i!.:.:\•la .. l . �: .V.I U �._l .■.ICI ■I- ■1.)I3. .I"li. I .•' - 1.Vn �. r•I..n_■./w ■•. • �'. ti ■!-I • � . ■. ■■.I U- .f.■._• I rUnl• �1' :\•• •)•)■n�• iJ■ �■- ��•:■ ■■•iial ■- •) • •�■ • _I .■ ■.nU■■ • ■■ _tG■•_ 1 u1 •. n 71 ■n n u �.n n Our- • ..•.+■•:n•t■ ■: ■. .•au:r ••• •.l . n• ■■ ....a.:.n r . ... n 7 n u ■rm 1 .:■ ■u1n.� ••n . I . .��. _ i3.i� �!r nnu.r .. ..nn•■ :u _n. rant u.l [. ■ of•.../ fa ■I.1. .i-■n It /.. - :).• r:n f`)t It :al J �. �:1 ■�i-. •a ■oat 1 •). . .!•.• 1 n• r:.ta' ■Ir i'. ••If Tom •LU ■.a ■ l►r:. .. :l■. .n■.! •• Tu- ..1 �.•4 - ■I a•. .•:■■1 ■• . ••■n I .r:■ a n •11 1■•'. ..• • ..- .•■.• I n.1 ■_ •.-:r. • ■.MY• I • YI.n.is a1 It.I..•i. •• ■! MI •] .•••1 n- I- U •• •�■ 1• t. :.■■ •.a.. n •• n.1 .Wago a:•1wk9olown nl unn ram Ii n ►�I . G•a.• 1 nu • 71.f .al �:. ��. ■.n - •••a N Nu ��• •.r_nm■ ►r■- •; .Win•1 1• .n�a a• .n .f,n w . ..m n w_ i)nm ■. ri1■ • r:!Yn 1 It .N•. .a v:.■ •is■.a71 �.U. �• t. rUt/p mil' U ■■.- 1 WIN ■ rn • •.�••a■ ••t . .�- a n.n. •■. 1. :.•_n r: to .n w•• a■m :.•• .•• ■ •.. ■_ - ..• ..:�•m • � - a• a•. • ■w�11■�■t- 1• J• IA : r I h �w:. ■u�a c.n .`, r i•I•of .n• r_.. nnu 1:� fail ••- Y ■ 'G..V.■= ■ ■ i Nis :. 1 YOU WISH TO OPEN A BUSINESS? , For Your Information: Business certificates (cost$40.00 for 4 yearsL A business certificate ONLY REGISTERS YOUR NAME in town (which you o' must do by M.G.L.-it does not give you permission t-- e at re.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. . Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601, (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: B/Ls S� V01P.�'�d APPLICANT'S YOUR NAME/S: rL(L'`7� � i � G C�,� s- ►'^'`>.ti>�:ri:� ;�:''' .nj'' -i;c:i( BUSINESS YOUR HOME ADDRESS: ��7 hNA. '9' '"` ;�i.`!1ly1' �a� TELEPHONE # Home Telephone Number `7 E ' cY !'v .:' ,,.:�!;:.;ti,:! 'in^;rtn;�•::; E-MA I L: EIN #: � -'� aC(� NAME OF CORPORATION: G C NAME OF-NEW BUSINESS ���1 Lo G [,;.7 TYPE OF BUSINESS m IS THIS A HOME OCCUPATION? YE8 NO q�. _.-Assessin ADDRESS OF BUSINESS. 0 © r� MAP/PARCEL NUMBER ! ----,.[Assessing) When startirig a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your usiness in this town. 1. BUILDING COM S10. .ER'S OFFI MUST COMPLY WITH HOME OCCUPATION This individual ee i or f y p mit uireme is that pertain to this type of business. RULES AND R-rG jig;- l0I\!S: I+AILURE TO COMPLY MAY RESULT IN FINES. th r ignature . OMMEN I I lei 2. BOARD OF HE , LTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: , 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requiremepts that pertain to this type of business. Authorized Signature* COMMENTS: - i own of .rsarnsyme FZNe r Building Department Services o Brian Florence,CBO Building Commissioner t BARNS'ABLE. 200 Main Street,Hyannis,MA 02601 grass. v� 1639. ��� www.town.barnstable.ma.us jpt f � Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: / Permit#: G �g HOME OCCUPATION REGISTRATION Date: QLff 2,Ql?r Name: �Lt .06r A Phone �4E t— 7�T� Address:00 q 24PC . '_R;_L village:��/� Name of Business: fl?-4 i lV a Type of Business: 104"17_ Map/Lot: O J INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is tamed on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • ' Such use occupies no more than 400 square feet of space. • There are no extemal alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: ®/ // Homeoc.doc Rev.06&0116 TOWN OF BA'RNSTABLE BUILDING PERMIT APPLICATION Map t o ® � Parcel ?" Application # - + ll� q5o Health Division , Date Issued $ ! is Conservation Division C Application l U. Fe n Planning Dept. ® Permit Fee Date Definitive Plan Approved by Planning Board —� Historic - OKH _ Preservation / Hyannis ? Project Street Address a D`7 (�i j�G 4k, U&4 Village ot:i Owner /�L L L �. G J4 Address J Q� L4-101 Telephone Permit Request C, LD�Gr LafA� ox-eG Vy , 1 da W4-01,e . /1/Gsni 06Gl f2&�ayGr llA-' �©� t4iLw SGgDG�/Z Doe , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation azVe,0 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 7 -Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 No Basement Type: mull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) S� 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: RGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes I&) 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 &L) L`rt �• � �� Telephone Number J D�P Address '2 q L-,VW I- License # C(7lV1 [/t Lam, /yo, Home Improvement Contractor# Email 0/l/& /li 1 Ill/& Al,6,04 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATUR DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: k FOUNDATION r FRAME INSULATION e FIREPLACE ELECTRICAL: ROUGH FINAL .PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ToTM Of Barnstable Regulatory Services rg�y� Richard P.Smr36 Director , b+ - BudldIIIg bIPIS n Tom Perry,BMSTMg comm=;x n w 200 Man Sty HyMMs,MA 02601 wwWjaWJ3-6MVM&t2 I-MIF M ' Office: 508-562-4038 F= 508-790-6730 - HO�:o�t�l1sMT.rOx �olG . r•r?M�• t raarocAii �19�1 CQR.RM,TTMAIMMADDRESS: P� I16 / T� � The c=Mt exemption for`aomeownere was extended in inclpde owner-092Mied of six uait or less and in allow homeowners to engage an inTvidual for hirewho does notpossms a license,provided tbzttbc owner acts as S=M-Visor_ Dji;M TLON OFHOMEMMM P eason(s)who oVns a.parcel of land on which helshe resides or mteads to reside,on which there is,or is intended to be,a one or two- fam y dwelling; attached or dctarbcd stuct=amessory to such use andlor farm s ftn-tz A pmsan who court ucts m are Pion one home:in a two-year period sbaU not be cansidered.aha a=wn= Such`hnmwwn .shall sabmitt o Ie Bm7dmg Official on a fxIlM acceptable to the Building Official,that bc/sba shall be responsible for all sock wow primed undertim bmldmg pert (Section 109.L1) Tho undersigned`homeownm'assumes responsIiTtp for compliance WdLtbe State BuIldiog Coda and other applicable codes, bylaws,roles aadregnTatirmc' _ Tho mdmmgned`homeownee cmat f=ihatWshe ids n Town.dBarn le Bmildmg Dr-2mbnmt--um inspv-t m pro andshedshe wM c=aplywift saidprocedu=andreqoiremcn s- •� Si k• - Note: e,,f Tfir oily dwellings cm arcing 35,000 cubic feet or Langer w�be req�edtD comply withrim Sim BtM1dmg Coda Section T27.0 (`1,rictrnrJ•Tan CamfmL HD1iWVFNM'S]CMRIIDIT Th.e Code s fadrs that: nAuy homeowner perfarmnag warkfnr which a bm'T permit is required shall be exempt from the provisions of this secfinn(Section 109.11-Liceasmg of coas5rnction Sapexvisors);provided fiiat if�e homeowner engages a persons)for hie to do such work,that sack Homeowner shall art as supervisor." Many homeowners who use fins exemption are Unzware.mat they are ate*+ mg ffie responsibflIfies of a saperrkor ' (see Appendix Q,Rn.Ies&Regulations for Lice sing Cansrrudna Supervisors,Sedina 2.15) This lack of awaroness o$cn results in sedow problems,pardanh lywheu f m homeowner hires unrcensed persons- In dLis case,our Board cannot proce:ed against the nalkeased p=oa as it would with a flim sed Supervisor_ The homeowner acing as Supervisor is uIiimatslp respoasr�Ie- `. - - To mn-Ecm•mat the homeowner is fully aware of hislh.er respoasffi dz"es,many communities regmrr as part of the permit appH,---z n,that the homeowner=rtify that he{she andersbinds the responss'hrTih'es of a Supervisor. On ffie Last page of this issue is a form mrre4$y Used by.se4eral towns. You may cant amend and adopt sack a fnrmleerii���u.for use in your co mmunfty. Ravised 06 U 13 . �MET Town of Barnstable _ Regulatory,Services awes• Richard P.Sca3i,Mwed= ti Buffd :g DIVM- Ion Tomrerry,Bm73mg Co er 200 Main gtme4 Hyacis, 2601 WWW arnstab as Office: 508-8624038 Fa= 508-790-6230 PropeAy r Must . mplete and Si This Section- Uswg Builder I, ,as Owner of the subject ProPexL7 herelay prize to act on mybgmli in an relatiVE to work ani�io ' yt i&buM ng Pennit applicatsoa for- s of b) "Pool, and alarms the respo �ilitpof the applicant Pools are not to be filled or before ce is installe d and all final inspections_are performed and accep S;== of Owner � skna�o pHC= • r \ ' 4 t Print Name Print Name Daze . QFORMS- oOLS ' Town of Barnstable • CF THE Regulatory Services Richard V. Scali,Director • Building Division ' BARNSTABLE MAM wexsrnat.e, aw+s*ne�.rnrtumuc.comirxrwxis 9cb 1639. g Thomas Perry, CBO M0.AOASYLLS 1639 2U 4xES B.NGiBE ATFD1i"0r� Building Commissioner3D� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax:'508-790-6230. May 3, 2016 Eliel Desa 204 White Oak Trail ' Centerville, Ma. 02632 RE: 204 White Oak Trail, Centerville Map: 192 Parcel: 201 Dear Mr. Desa, This letter is in response to application number B-16-952 submitted to do work at the t above referenced,address. Unfortunately;the application can not be approved at this time ' .because of the following: F 1) The construction documents are incomplete and do not demonstrate compliance with 780 CMk-(State Building Code).' Please submit detailed framing plans of how you plan to comply. Do not hesitate to contact this office with any questions. ' Respectfully; OV&/&ao-n Local Inspector jeff-rey.lauz6n@town.bar'nstable.ma.us (508) 862-4034 _ • ¢ ,t ids � 4 a� � l/�/ ..� S3 3 v � y ' f j S f f: ��. r } t ¢Q IT r r RS sue% U-el- i�S 6. } 1 '1, ._ �.. �_�, s< ,- ,� �. �` r r � � ��. �` . `ry —" - - ...� . ..` f -YI �. a !' •� i _ j i/. � _ ., � '�L r i tii �:. -- 'S��- t .� ._ N .t -243 go 'i rcmc Al - - 1 j 131. f • � a i F r - A � n r t 4 t I - _ ... ..... t i � r t. r •" t r'[77 . :....... . ::::.. . ....:.::: G� lil : l s i 1 3 A 1 17 r, ..... ....::: i.: i SSI oy i 5 rt .y e r , t. _.... _ .. .. .......... .. a f: , , y GGS���2Ur L LG' s 3 , 30. LEAD PA CNT I.AW k. The parties acknowledge dial. under Massachusetts law,whenever a child Or children under'six years of ,t,e resides in any resideniial premises. in which and paint, plaster Or other accessible matcria.I contains danLtcrous levels of lead, the t)wu2r of said premises nntst remove or cover said Paint, Plaster or other material so a,to mare it inaccessible to children under su years of a;e. 31. \Q.(1KI AND SELLER shirk,at the tithe of th.e delivery of.dic deed,deliver a certificate from the fire department of the iuARRO N city or town in which said premises arc located stating that said premises'have Bela equipped with. N4ON,1\IDE approved smoke and carbon monoxide detectors in conformity with applicable law. DETL CTo[ZS 2. ADDITIONAL The initialed riders.if;any,attached hereto,are incorporated herein by reference. PROVISIONS Pursuant to section 28 of the Real Estate Purchase Addendum,this document is subject to all terms 1 and conditions set forth in the(teal Ls{ate Addendum. Property.sold in "as-is",condition. See Attached Utility Activation Form. `sale to include all appliances as seen on 12i261`I5. FOR Rt SIDENTIAL PROPERTY CONSTRUCTED PR.TOlt TO i973,BUYER MUST ALSO.IL4VE S16NL'-D LEAD PAINT "PROPGP:7�cJR,I NSFEIR NOTIFICAHON CERTffIQATION' r i TIC .. his is a le i -u eat that creates binding obligations. if not understood,consult an attorney. � SELLER Fannie Mae BLIYEI I' a icbat:1 CAl,°+1 Eft Wt.Ptesiilimt BUYER SELLER 2/3/2016 EXTENSION OF TIME FOR PERFORMANCE Date: o'clock Won the The time for the p,erfortnance of die foregoingAgreement is extended until time still being of.the essence of this Agreement:as dry of . , extended: In all other respec[s this Agreement is hereby ratified and conftrined. This extension, executed`bi multiple counterparts,is intended to take effect as.a sealed instrument. f SELLER SELLER BUYER BUYER . MINN OF BARNSTABLE REGISTRATION AND CERTIFICATION FORMg? 2r ,l FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each propeiTtyy nlforeclosure (section 224-3)or already foreclosed for which possession has been taken(section 224 4). Please file the original with the Building Commissioner and a copy with the Chief of the,Fire District in which the property is located. ` If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information)and the first paragraph of section 2 (foreclosing party, court,etc. and foreclosing party representative, but not other representatives_ and attorney) so that the Town can-review the exemption and update its records: N/A Section 1 —Property Information Property Address:204 White Oak TH., Centerville,MA 02632 Assessors Map#: M_295359_825176 Parcel#: 192_201 Land area and description Residential Area: 1,170 sq ft Building(s)description and contents Building Style: Saltbox Number of Units: 0- Number of Rooms: 6 Occupied: No Occupant(s)(if borrowers so state and include name(s)) N/A N/A Phone: N/A email: N/A other: N/A Vacant: Yes Date: Anticipated Length of Vacancy:UNKNOWN Last occupant(s))(if borrowers so state and include name(s)) CAROL M BROOKMAN Phone: N/A email: N/A other: N/A' Has possession been taken'Yes If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) SEE ATTACHED VACANT BUILDING PLAN d k. Section 2—Foreclosing PaM Information Foreclosing Parry(full name/title) Federal National Mortgage Association Foreclosure Case Court: N/A Docket# N/A (o Date filed: N/A Current Status: FORECLOSED Foreclosing Party's representative(s)for property(entry,management, repair, etc.)(name,title,): Alecia Passley Company (if different from foreclosing party): National Field Network Address: 4581 Route 9 North, Suite 100, Howell, NJ 07731 Phone: 732-276-5563 email: violations@nationalfieldnetwork.com other: N/A' If an exemption is claimed,please do not complete the remainder. Other representative(s)(if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so state and do not complete contact information(i. e. "none"or"see above")). Name,title,other: Cindy Russell Company(if different from foreclosing party): Federal National Mortgage Association Address: 14221 Dallas Parkway, Suite 1000, Dallas, TX 75201 ' Phone(s): 972-656-7224 email(s): .cindy_Russell@FannieMae.com other: N/A Name,title, other: N/A Company(if different from foreclosing party): ,N/A Address: N/A Phone: N/A email:'N/A other: N/A 2 Attorney representing foreclosing party N/A Firm name (if different from attorney's name): N/A Address: N/A Phone(s): N/A email(s): N/A other: N/A , I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of. chapter 224 of the Code of the Town of Barnstable. I (S U! Date: (� Name: Title: I hereby certify that the above-named foreclosing party is in compliance with the . provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,Town of Barnstable 4 i MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4,requires a.mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner,to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B)within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information.with the Building Commissioner within thirty (30)days of the notice. ' If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4,please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for ` foreclosing/foreclosed property 204 white oak TH.,Centerville,MA 02632 (1) Registration date: 03/1 v2016 If not registered, please,complete the registration form and state date of filing or anticipated filing NIA (2) If commercial property, describe space utilization floor plans required by the Fire Chief and filing date(actual or anticipated)NIA (if in possession or ownership must be certified as accurate twice annually in January and July). (3) Describe any hazardous materials on the property as that term is defined in MGL c.2 1 K and the date(s)and method(s)for removal as approved by the Fire Chief unknown (4)Method(s)and date(s)all windows and door openings secured (or will be secured) SEE ATTACHED VACANT BUILDING PLAN If left secured,name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property SEE ATTACHED VACATN BUILDING PLAN (5)Location(s)and date(s) "No Trespassing" signs posted or to be posted on the property SEE ATTACHED VACANT BUILDING PLAN (6)Name(s), address(es)and contact information of person(s)responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance" in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the. . Town of Barnstable General Ordinances SEE.ATTACHED VACATN BUILDING PLAN (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity,please state: Date of approval Date(s)electricity turned off NSA on if applicable N/A ; Date(s)water turned off NSA on if applicable N/A (8)Name(s), address(es)and contact information pf person(s)responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by. Chapter 210 of the Town of Barnstable General Ordinances National Field Network-Alecia Passley . 4581 Route 9 North,Suite 100,Howell,NJ,07731 732-276-5563 violations@nationalfieldnetwork.com (9)Name, address,telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner National Field Network-Alecia Passley 4581 Route 9 North,Suite 100,Howell,NJ,07731 732-276-5563 violations@nationalfieldnetwork.com (10)Date(s)certificate of liability insurance on the property filed with the Building Commissioner SEE ATTACHED INSURANCE BINDER , (11) Date(s)cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee N/A (12)Date(s) scheduled for inspections with the Building Commissioner and Health Director,who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance (13)Date(s) when the property was sold,or is anticipatedto be sold,to the foreclosing party. If neither,please explain SEE ATTACHED VACANT BUILDING PLAN I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Name: Title: I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,Town of Barnstable F ' t s � r -F NATIONAL FIELD NETWORK A S S I I GUARUI All S Vacant Building Plan National Field Network will continue to maintain the property (securing, grass cuts, inspections, etc.) until the property is sold by the owner. Should you have any issues with this property, please contact National Field Network using the below contact information: - Property Maintenance National Field Network-Alecia Passley Company 4581 Route 9,North,#100 Howell,NJ 07731 732-276-5563 x 481 1 • 4 OP ID:SW INSURANCE BINDER DATE 511212015(MMIODfYYYY) THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. AGENCY COMPANY BINDER#28157 York-Jersey Underwriters, Inc. Underwriters at Lloyd's,London 185 Newman Springs Road DATE "EFFECTIVE TIME DATEXPIRATION TIME PO Box 810 X Red Bank,NJ 07701 AM X 12:01 AM Johnnie Rum bau h 05/08115 12:01 PM" 05/08/16 NOON 732 arco,No,EM):732-842-2012 FA No): -530-7080 THIS BINDER IS ISSUED TO E?END COVERAGE INTHE ABOVE NAMED COMPANY CODE: SUB CODE: PER EXPIRING POLICY it. . AGENCY NATIONI DESCRIPTION OF OPERATIONSIVEHICLESIPROPERTY(Including Location) CUSTOMER ID: INSURED National Mgmt&Pres.Svcs LLC :; Mortgage Field Services dba Natn'I Field Network 4581 US Highway 9 Ste 100 r " Howell NJ 07731 COVERAGES LIMITS TYPE OF INSURANCE COVERAGEIFORMS " - `DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS BASIC BROAD SPEC GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY " RENTED PREMISES $ 50,000 X CLAIMS MADE OCCUR - - - - ` MEDEAP(Any one person) $ - X $10000 Deductible Y r_ t •Y PERSONAL&ADV INJURY- $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 RETRO DATE FOR CLAIMS MADE: 05/25/10 PRODUCTS-COMP/OP AGG $ 2,000,00 AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT $ .R '$1,000,000 ANY AUTO BODILY INJURY(Per person)' $ ALL OWNED AUTOS _ -°` , - BODILY INJURY(Per accident) $, SCHEDULEDAUTOS PROPERTY DAMAGE $ X HIRED AUTOS - - - MEDICAL PAYMENTS $ X NON-OWNEDAUTOS PERSONAL INJURY PROT $x , UNINSURED MOTORIST $ AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES - ACTUAL CASH VALUE ° COLLISION: e - STATED AMOUNT $ OTHER THAN COL -. - - - OTHER -. GARAGE LIABILITY ° - AUTO ONLY-EA ACCIDENT $ ANY AUTO - - " * - t - r OTHER THAN AUTO ONLY: EACH ACCIDENT- $ AGGREGATE $ EXCESS LIABILITY - • EACH OCCURREICE � $ UMBRELLA FOR AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE. ". SELF-INSURED RETENTION $ - _ WC STATUTORY LIMITS WORKER'S COMPENSATION E.L.EACH ACCIDENT - $ AND EMPLOYER'S LIABILITY E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ SPECIAL Errors&Omissions$2,000,000(claims made)$10000 Ded..Retro Date 5-2540 FEES - $ CONDITIONS/Extended Personal Property$50,000 occa$100 000 agg.OTHER raxEs $ ^. COVERAGES - _ ESTIMATED TOTAL PREMIUM $ • NAME&ADDRESS MORTGAGEE ADDITIONAL INSURED LOSS PAYEE' s. v.. . .LOAN#° - - - AUTHORIZED REPRESENTATIVE S ACORD 75(2004109) NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE ©ACORD CORPORATION 1991-2004 OP ID:SW DATE(MMIDDIYYYY) INSURANCE S��®�� 511 212 01 5 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. AGENCY COMPANY BINDER N 28158 York-Jersey Underwriters, Inc. Underwriters at Lloyd's,London 185 Newman Springs Road EFFECTIVE EXPIRATION PO BOX 810 - DATE TIME DATE TIME X X Red Bank,NJ 07701 ` AM 12:01 AM Johnnie Rum bau h 05/08115 12:01 PM 05108/16 NOON AIC,No,EId:732-842"2012 arc No:732-530-7080 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY CODE: SUB CODE: PER EXPIRING POLICY A CUSTOMER ID:NATIONI DESCRIPTION OF OPERATIONSIVEHICLESIPROPERTY(Including Location) INSURED National Mgmt&Pres.Svcs LLC - Mortgage Field Services For Fannie Mae dba Natn'I Field Network Only. 4581 US Highway 9 Ste 100 Howell NJ 07731 COVERAGES LIMITS TYPE OF INSURANCE COVERAGEIFORMS DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS - - - BASIC BROAD SPEC , GENERAL LIABILITY EACH OCCURRENCE $ DAMA(3E COMMERCIAL GENERAL LIABILITY RENTED PREMISES $ CLAIMS MADE OCCUR - MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMPIOP AG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS - _ BODILY INJURY(Per accident) $ SCHEDULEDAUTOS PROPERTY DAMAGE $ HIRED AUTOS - - MEDICAL PAYMENTS- $ NON-OWNED AUTOS - _ PERSONAL INJURY PROT $ UNINSURED MOTORIST $ $ AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE COLLISION: STATED AMOUNT $ OTHER THAN COL: OTHER GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY:EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY - - EACH OCCURRENCE $ 21000,000 - X UMBRELLA FORM AGGREGATE $ 2,000,000 OTHER THAN UMBRELLA FORM RETRO DATE.FOR CLAIMS MADE: 05/08/14 SELF-INSURED RETENTION $ $10,000 WC STATUTORY LIMITS WORKER'S COMPENSATION E.L.EACH ACCIDENT. $ N EMPLOYER'S LIABILITY °• E L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ SPECIAL Errors&Omissions$2,000,0001$2,000;000(claims made)$10,000 Ded. FEES $ CONDITIONS! OTHER TAXES $ COVERAGES ' - - I ESTIMATEDTOTAL PREMIUM $ NAME&ADDRESS MORTGAGEE ADDITIONAL INSURED - - LOSS PAYEE LOAN N AUTHORIZED REPRESENTATIVE - - ' ACORD 75(2004/09) NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE ©ACORD CORPORATION 1993-2004 OP ID:SW INSURANCE BINDER DATE12120/Y 512/205 �-� 15 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. AGENCY COMPANY - BINDER#28159 York-Jersey Underwriters, Inc. Underwriters at Lloyd's,London 185 Newman Springs Road DATE EFFECTIVE TIME DATE PO Box 810 TIMERed Bank,NJ 07701 AM 12:01 AM Johnnie Rumbau h 05108115 _ PM 05/08116 NOON ° 732-842-2012 732-530-7080 AfC,No,Ext: A1C NI I: THIS BINDER IS ISSUED TO F1'.TEt•ID COVERAGE IN THE ABOVE NAMED COMPANY " CODE: SUB CODE: PER EXPIRING POLICY#: CAGENCY USTOMER ID:NATIONI DESCRIPTION OF OPERATIONSIVEHICLESIPROPERTY(Including Location) INSURED National Mgmt&Pres.Svcs LLC dba Natn'I Field Network 4581 US Highway 9 Ste 100 Howell NJ 07731 COVERAGES LIMITS TYPE OF INSURANCE COVERAGEIFORMS DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS BASIC BROAD SPEC GENERAL LIABILITY - "- EACH OCCURRENCE $ IXE COMi1ERCIAL GENERAL LIABILITY RENTED PREMISES. $ X CLAIMS MADE OCCUR MED EXP(Any one person) $rrors&Omissions PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ $3,000,000 RETRO DATE FOR CLAIMS MADE: 05/08/14 PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULEDAUTOS PROPERTY DAMAGE $ HIRED AUTOS MEDICAL PAYMENTS $ NON-OWNED AUTOS PERSONAL INJURY PROT $ UNINSURED MOTORIST $ AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE COLLISION: STATED AMOUNT $, OTHER THAN COL: OTHER GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ WC STATUTORY LIMITS WORKER'S COMPENSATION E.L.EACH ACCIDENT $ AND EMPLOYER'S LIABILITY E L.DISEASE-EA EMPLOYEE $ E.L.DISEASE.POLICY LIMIT $ A.Information Security and Privacy Liability B.Privacy Notifications SPECIAL FEES $ CONDITIONS/Costs$50K Ded C.Regulatory Defence and Penalties$50K Ded D.Website OTHER Media Content Liability$50K Ded E.Cyber Extortion$50K Ded TAXES $ COVERAGES _ ESTIMATED TOTAL PREMIUM $ NAME&ADDRESS MORTGAGEE ADDITIONAL INSURED LOSS PAYEE LOAN# } AUTHORIZED REPRESENTATIVE ACORD 75(2004/09) NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE O ACORD CORPORATION 1993-2004 i REGISTRATION AND CERTIFICATION FORM w FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address:204 WHITE OAK TRL CENTERVILLE MA 02632 Assessors Map#: Parcel #: 192-201 Land area and description SINGLE FAMILY Building(s) description and contents Occupied: Y Occupant(s)(if borrowers so state and include name(s))., CAROL BROOKMAN: BORROWER Phone: email: - other: Vacant: N Date: N/A Anticipated Length of Vacancy: N/A Last occupant(s) )(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken NO If so, please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party (full name/title) WELLS FARGO HOME MORTGAGE Foreclosure Case'Court: Docket# i Date filed: 11/12/2014 Current Status: FORECLOSURE FILED Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name,title,): WELLS FARGO HOME MORTGAGE Company (if different from foreclosing party): Address: ONE HOME CAMPUS, DES MOINES, IA, 50328 X9400-034 Phone: 8776175274 email: codeviolations@wellsfargo.com other: If an exemption is claimed, please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so,state and do not complete contact information (i. e. "none" or"see above")). Name,title, other: NONE Company (if different from foreclosing party): Address: . " Phone(s): email(s): other: Name, title, other: Company (if different from foreclosing party): r Address: Phone: email: other: Attorney representing foreclosing party HARMON LAW OFFICES PC Firm name (if different from attorney's name): HARMON LAW OFFICES PC Address: Phone(s): (617)558-8400 email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result.in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. onathan.mosier well$f"Digitally signed by Digitally argo.com I pae`2o,4;;;81443`0W06'00'OCOm Date: 11/18/2014 Name: Title: • I I hereby certify that the above-named foreclosing party is incompliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable r MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4, requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner, to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B)within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4, please explain, leave the remainder blank, sign at the end and file this form or letter of explanation,and also complete and.file the applicable-sections of the registration form for. - foreclosing/foreclosed property (1) Registration date: If not registered, please complete the registration form and state date of filing or anticipated filing 11/18/2014 ..,b (2) If commercial property, describe space utilization floor plans required b- e Fire Chief and filing date (actual or anticipated) r (if in possession or ownership must be certified as accurate twice annually in J uary and July). (3) Describe any hazardous materials on the property as that term is defined in M L c.21 and the date(s)and method(s)for removal as approved by the Fire Chief (4) Method(s) and date(s) all windows and door,openings secured (or will be secured) The building is secured; all doors and windows are locked. If left secured, name, address, and contact information of security personnel providing twenty-four-hour.on-site security personnel on the property WELLS FARGO HOME MORTGAGE ~204'WH1TE OAK TRL-CENTERVILLE MA"02632 (5) Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property PROPERTY IS OCCUPIED (6)Name(s), address(es) and contact information of person(s) responsible for maintaining: structures, lawns and shrubs in.sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance" in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances WELLS FARGO HOME MORTGAGE 101 Federal St Boston, MA 02110 8776175274 cod eviolations(a_wellsfat (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity, please state: Date of approval Date(s) electricity turned off on if applicable ; Date(s) water turned off on if applicable (8)Name(s), address(es) and contact information pf person(s) responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances WELLS FARGO HOME MORTGAGE 101 Federal St Boston,MA 02110 8776175274 codeviolations@wellsfargo.com (9)Name, address, telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner WELLS FARGO HOME MORTGAGE 101 Federal St Boston,MA 02110 8776175274 codeviolations@wellsfargo.com (10) Date(s) certificate of liability insurance on the property filed with the Building Commissioner (11)Date(s) cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee 11/18/2014 (12) Date(s) scheduled for inspections with the Building Commissioner and Health Director, who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance (13) Date(s) when the property was sold, or is anticipated to be sold,to the foreclosing party. If neither,please explain N/A:NOT LISTED FOR SALE I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. jonathan.mosier@wellsfarg0�::Digitally signed byjonathan.mosier@wellafargo.wrn DN:cn=jonathan.mosier@mllsfargo.com Corn bate:2014.11.18 14:37:08-06 00' Date: 1 1/1 8/201 4 Name: JONATHAN MOSIER Title: RESEARCH AND REMEDIATIOIb 1 i Ir i I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable TRAVELERS BONS (License or Permit - Definite Term) Bond No. 106171925 - KNOW ALL MEN BY THESE PRESENTS: THAT WE, Wells Fargo Bank,NA as Principal, and Travelers Casualty and surety Company of America a corporation duly incorporated under. the laws of the State of Connecticut and authorized to do business in the state of Connecticut as Surety, are held and firmly bound.unto Town of Barnstable` t ` as Obligee, in the penal sum of Ten Thousand Dollars and 00/100 ( $10,000.00 ) Dollars, for the payment of which we hereby.bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by these presents: WHEREAS, the Principal has obtained or is about to obtain a License or permit for Loan No:708-0063780993.204.White Oak Trl Centerville MA 02632 NOW, THEREFORE, THE 'CONDITIONS OF THIS OBLIGATION ARE SUCH, that if the.Principal shall faithfully comply with all applicable laws-, statutes, ordinances, rules or regulations, pertaining to the license or permit issued, then. this obligation shall be null.and void; otherwise to remain in full force and effect. € .. This bond is for a definite term beginning 11/19/201a and ending' i i 9i2o1s , aid may be continued at the option of the Surety by Conti nuation.Certificate. PROVIDED, that regardless of the number of years this bond is in force, the Surety hall noC lisle hereunder for a larger amount, in the aggregate, than the penal sum listed above. 77 PROVIDED FURTHER; that the Surety may,terminatej its liability .hereunder as to futu ore acts he' Principal at any time by giving thirty.(30) days written notice of such termination to the Obligee.. SIGNED, SEALED AND DATED this 11/ 9/2014 Wells Fargo Bank NA . Y Y B •", N:6v Principal Tr ers Casualt d SuretyCompany of America- By: OT Ylor _ Attorney-in-Facfi S-2151 B(6110) f WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER qA :1 POWER OF ATTORNEY - TRA W�p ELERS" Farmington Casualty.Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company. Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. 'travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Attorney-In Fact No. 225809 Certificate No. 005268934 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St: Paul.Fire and Marine Insurance Company, St. Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,.that.Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"�,and that the Companies do hereby make,constitute.and appoint Scott Davis,Tina Kennedy,Dawn T. Kirkland, Steven L. Swords,Carol Philyaw, Cheryl Boozer,Annette Wisong, Janice W. Brickner,Joseph W.Hamilton,III,Joseph R..Williams,Cindy A.Thibodaux,Tracy Wallace,Julia Taylor, and Michelle Keller of the City of Atlanta State of Georgia their true and lawful Attorrley(s)-in-Fact, each in their separate capacity.if more than one is named above,to sign,execute;seal and acknowledge any and all bonds,recogniiances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their,business of,,guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. / 4A 13th IN WITNFI$S WHEREOF,the Comp�t�'e� have caused this instrument.to be signed and then corporate seals to be hereto affixed,this 1V ovetnber ag•y' ,�_ n ,. ' day of ti } Farmington Casualty Company' tk St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company. ) Y Travelers Casualty and Surety Company. Fidelity and Guaranty Insura ce Underwriters,Inc. Travelers Casualtyand Surety Company of America, St.Paul Fire and Marine Insurance Company United States.Fidelity and Guaranty Company St.Paul Guardian Insurance Company nsu�� T1 J „E ,a1 a aP O „osunn .. YMo . 0 4 F\R 6 N �M �INSV""• TY AN (1 Ddi - ,i+p0.PDX f, 0.POAA i ./'` �?�ayj b •c•"°Qp<� PORATED 'r f Q� r9�m �y s�9F� £: -._ f n: HARTFORD, < 'T HAFiTF6R0.1 6 a - s; 1951 - ;.SEAL o% SE1CL-s coHH. o ( cau+.y� ;n 1696 SyC\"'fib :. - 4'1. �O£L. b�'... `A 6•. D `� l` \ ✓ p YO 7 1s....�....�aa State of Connecticut , By. City of Hartford ss. - Robert L.Raney,' enior Vice President 13th . November 2012 On this the day of' before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and.Ivlarine Insurance Company,St.Paul'Guardian.Insurance'Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United.States Fidelity and Guaranty Company,'and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations,by himself as a duly authorized officer: In Witness Whereof,I hereunto set my hand and official seal. My Commission expires the 30th day of June,2016. 91271k Mane C.Tetreault,Notary Public 58440-8-12 Printed in U.S.A; - WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER Town.;of Ba�rnsabl�e:: *Permit'#...; / S Expires 6 months from•issue date. • Reglalatory Services Fee.. • aRnis�.►B . , 9Q MAC' Thomas F.Geiler,Director �Up i639' A�0 rEo 3+ Building Division IT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 2��3 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSlABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �Q a Property Address a64 W Y 1 ''P 0(�Y— NA ❑Residential Value of Work 25 6130-® 0 Ai C ��©O�'_ fYl A�1 Owner's.Name&.Address '� �\ Contractor's.Name i yw\L h�C�b� Telephone.Number &Z Home Improvement Contractor License#(if applicable) \ 9(p4 Construction Supervisor's.License#(if applicable) ®�I. ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 2-11 have Worker's.Compensation Insurance.', Insurance Company Name C,in J\A, Worktnan's.Comp.Policy# to F S y V to 9 b X 9 0 9 f)tZ Permit Request(check box) \ Re-roof(stripping old shingles) All construction debris will be taken to�� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro erty 0 mu t si roperty Owner Letter of Permission. me Impr em t C actors License is required. Signature. Q:Fomis:expmtrg y Revisedl 21901 MARK HERBST 35 Peep Toad Rd. Centerville MA 02632 (508) 420-6216 PROPOSAL SUBMTTED TO: WORK PERFORMED AT: Carol Brookman 204 White Oak Trail SAME Centerville MA 02632 508-775-0779, ,We herby propose to furnish the materials and perform the labor necessary for the completion of the following; N =r m v 'exirtit�g shingles lis all ice'c�water shield at edge t roll151b It�aner olar o choi o , * Iease Ili Thank You t ridg inrl'Ic "cobra vent , e l� ace In umbij�g boots 6 nter--flashLhmnev'� T bras cleaned dal, :r r Price=zncludec material,labor :dumnfieec Ah..material is-guarnziteed to be as specified, and above work to performed in ,,ac -cor a' nce with specifications submitted for'above,,and completed in a substantial workmanlike manner fqY the suYn of Three Thousand Two=Hundred& Thirty,. Dollars($3,230'QD)with paymenti' s follows;full amount.due upon completion An ahteraton s from above involy' w y 4 m eztra costs w��be`added under wr. v y � ) - g r►tten�; , agreement, and bec_om an a ra c Pre over and above"signed estimate/agreement ' RESPECTFULLY- T Signature z - ? - ACCEPTANCE OF PROPOSAL The above prices speclficationi'& conditions.are satisfactory,we herby accept you are auttior' -to-Both %or and yments:will as specified above. Signature(s) Date: O ' * This 6roeosll maybe withdrawn by said-company if not accepted within 30 days J �I -- D�• s MUST Aesesso;=9 map"' and lot �number�. ........ IA 3 G -SEPTIC SYSTEM MU!' BE_ do n > INSTALLED IN COMPLIANCE " ' 7lJ :WITH. ARTICLE II' STATE o Sewage Perm it- number .. SANITARY CODE AND TOWN THE rot G - : TOW , OF BAR 1 S'TM L E MA"STADLE, i > `Ob yae�0 IMILDING ' INSPECTOR. c,r '< APPLICATION FOR PERMIT TO .......BJu'). !..........'....... .......................................... ....................................... c• nt r t TYPE OF CONSTRUCTION J1.eW.....s � ..... 'Q.!x?J� ..... SiPr1C ........ z......... .....................^Tir.... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/permit according to thee following information: Location .... .Q ... .pL............ e°....... R ......16111...�...... '1�(.1���Jf�� .......................................... Proposed Use ....1.e'4.e.......h<1 Und.......e0 S/. 'f?.e�........................................... Zoning District ............ Fire District � !1<.�J'1J1 7b°... .� 1. > lfllf�............. Name of Owner .. J�I.IC!!?1....`�i'LQ!/! 1M....Rice, ......Address .W49.... Z':rh.../,LGC,...eei(.enlIlle Name of Builder ..111/.E'n..........&.r:e' 7....................... .7 T C .r....... ....... ......... . .. .... ... Nameof Architect ........................:.........................................Address ......... ........................................................................ Number of Rooms ................. ..........................:.................Foundation ...1.171JY'G .......� ......................... .�- 3 l n Q4�.Ad�9.! .......f1f1P.. edar...QhSi�...Roofin �� .�ll'�� �'i1C/d /P Exterior G ��. . . g .:.. �. l�....?...:.............................. elr Gy Floors ......A.....�...�..........................................................Interior .s�/.1.�.........0.....!4.....................:... •' D �l� ��,,//rA�rl r?mod cr�i �s rieating , t?YC. . ..........zV0/_jr...... .. /.1"...... !.!$.......Plumbing ..a. ..l�..........`.r� ......... ........!?......:..........:..... Fireplace ..... ...................................................:.......... Cost . �.P...........:Approximate J ................................. ........ Definitive Plan Approved by Planning Board -------------------_-----------19-------- . Area ........74"!. ... .! ::.:...... O� Diagram of Lot and Building with Dimensions Fee .: SUBJECT TO APPROVAL ARD OF HEALTH � 037 s ft 0 I 1� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. y, Name ... 1 ?Y..• .... ....... Price, William & Catherine �18223 IVo ............... Permit for'...1....1 2...story, sin&J*--. family dwelling ................................................................... MW hi te Oak .Trail u0catio ........ .................................................. Centerville ............. ........W..i...1..1..i..a...m......&.......C.....a.....t....h....e....r....i.....n.....e........P.....r....i...c..e Owner .... .... frame Type of Construction ........................................... 4 .............................................................Z:..................... Plot ............................. Lot ............ .................... ,k. .IN Permit Granted .........March 5 ......19 76 ......................... Date of Inspe6tion ..../... . ........... .......19 D;te Completej,-�./.o ............. .....19 PERMIT REFUSED ..........................................I...................... .19 . ............................................................................... . ...........................;.:.................................................. . ...................... ................ .......................*...... ................................................................................ Approved ............ ................. ................... 19 ...................................... je..... .. ......................................................... CERTIFIED PLAT 1 -� ` - -- Location: Centerville P I certify,that this foundation shoFrn on ' r ` " PLAN REFERENCE: this fzonngpla laws o Shawn as lot H 37 on Land Court Plan 3273 I the tam;of Barnstable Sheet 2. Date �Mam1i 4, 1976 Reg. Land-:Surveyor Bearse and Law Registered Land Surveyc \' I Centervil le, Mass. • '. :\\\ \. .•``` a• / � .. y `III li + PETITIONER: I William A. Price 700 Craigville Beach LZ Centerville, Mass. ji 021 Phone: 775-5891 N'77-I?im C. Ci t h �j DIY O` , �•Q' . ��\� \ i 9 i� aD Pcl L 1h 4 \N111' c 8 '' ._-•-- - - -1. — ---- `�� O``` � is .. .;,.I P L.;A N O F I:U T F=aU A Cu E T Ca4 D�j I certify that this; foundation 'shown on PLAN REFERENCE: " to the zoning laws of - , _ Shown as lot # 37 on this plan.conforms �" ,+ , Land Court Plan 3273 F ' the toWn'"of Barnstable.rr Sheet 2. i Date: 'March 4; '1976 Reg. 'Land, Surveyor: Bearse and Law Registered Land Surveyors ' Centervil-.le Mass. a _" .. PETITIONER: - ' William A. Price i 700 Craigville Beach Road! Centerville, Mass. 02632� -' Phone: 775-5891 .-Jam.,,,. -��--�----- ,� _ s���� ., . .- _ `.. . ,✓ lt� � S- 17 0' - ..... s. \ .� .. � 1` -`{1 .rt' - .. � ,Q�� •Hv„ra' — .4i_.o.`ps� •' ��.. r , PLAN Q 6 57 rZ2, 761 � / . I certify that this foundation shown on this plan conforms to the zoning laws of the town of Barnstable. Date: March 4, 1976 Reg. Land surveyor t , ! Pall i 1 4 lk C4 t . ' � i�✓...- �'-�""• � 'fir` 1 t L o T '*:,>-7 �s� � ���` a��z"�`�,6�—, AFL. u �'t t_�ri �►t� � . �''�, i �. ..