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HomeMy WebLinkAbout0087 HIGHLAND AVENUE CLY1.C1(� i iF _Town_ of Barnstable Building A 'Post This{ So That it is Visible From the Street-Ap "roved.Plans,Must'be Retained.on ob and this Card Must be KeptRAMST . MAS& Posted Until';Firfal Inspection Has.Been Made. - Permit i6s��. 1 llll ,tee Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until,a Final Inspection has been made. Permit No. B-19-1099 Applicant Name: DOUGLAS W MULLEN Approvals Date Issued: 04/12/2019 Current Use: Structure r Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 10/12/2019 Foundation: Residential Map/Lot: 020-051 . Zoning District: RF Sheathing: Location: 87 HIGHLAND AVENUE,COTUIT Contractor Name: yDOUGLAS W MULLEN Framing: 1 Owner on Record: TURNER, MARGARET C Contractor License: CS-081995 2 Address: 87 HIGHLAND AVE Est Project Cost: $ 20,000.00 Chimney: COTUIT, MA 02635 Permit Fee: $.152.00 Description: Bathroom remodel;. move wall to accomodate new shower Insulation: Descri p Fee Paid`. $ 152.00 p Date. :` 4/12/2019 Final: Project Review Req: Plumbing/Gas Rough Plumbing: g' sun This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan e. Final Plumbing: All work authorized by this permit shall conform to the approved application and the,approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. -Rough 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 Final Gas: work until the completion of the same: M f The Certificate of Occupancy will not be issued until all applicable signatures by,the Building and-Fire Officials are provided on.this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: i'• Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue,lirnpg is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members'(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT,-ISSUED RECIPIENT /;, Final: OFVE �� e, 3 r 3,1 ;ST p t Application Number............................................................. MASS. t'; [° _ s s, Permit Fee.......................................Other Fee........................ ' 039' 9. 37 Eb Mph Total Fee Paid.................. TOWN OF BARNS°TABLE ' . ......on..... .! 1.�1...... Permit Approval by...... ...1 ... . ......... BUILDING PERMIT a Map............. 6 ..........................Parcel............................................. APPLICATION Section 1 — Owner's Information and Project Location - Project Address "60 f:!l(4 1+L P^A> ►VE- Village C6TJ1 r Owners Name ,WAor�!2 Owners Legal Address Cityt T State N44- Zip Owners Cell# l y--7//Y E-mail I .h1Yt_ au (0 m/y LV W AdW(,,,Y•e-w*,. Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet a ❑ Commercial Structure under 35,000 cubic feet r: T Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar E!rRenovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description M Mt)V C- iN b-,,l.. TO 6At •oM1VN-TT-- Nil 5A3WCVZ Last undated: 11/15/2018 Application Number.................................................... Section 5-Detail Cost of Proposed Construction 000 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 ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors i [�]'Plumbing ❑ Gas " ❑ Fire Suppression i ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply � ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site ' Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No I' Section 7—Flood Zone Flood Zone Designation 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. 11/15/2018 The Commonwealth of Massachusetts Department of IndustrialAccidenis Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Bwlders/Contractors/Electricians/Plumbers Applicant Information Please Print Letribly Name(Business/Organizatim/IndividtW): -AAVL-L,6—/V �Il/D&V(4 4A016t4A111 Address: 'C�0 t I Z-?N City/State/Zip: WAMMAJO? M ILO MA Phone P SD Are yvo-u an employer?Check the appropriate box: Type of project(required): 1. I am a employer with--',-5 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed m 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.irm=ce comp.insurance.:, required.] 5. 0 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.E Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.Q Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AG I ; Policy#or Self-ins.Lic.#: WLG �� d��3U 6 �/(�A Expiration Date: INN Job Site Address: V� Hl City/State/Zip: C.9'N 1 t' 4M 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 i fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signafore: Data: Phone#: ` Official use only. Do not write in this area,to be completed by city or town ofj`iciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions r Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person 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 of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,ors the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not Because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildmgs in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant . that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Bice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvestlgatiow 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877 MA.SSME Revised 4-24-07 Fax#617-727-7749 www.mam.gov/dia DATE(MM/DDNYYY) ACaR" CERTIFICATE OF LIABILITY INSURANCE 09/19/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ashley Paiva NAME: Eastern Insurance Group PHONE (508)997-6061 FAX (508)990-2731 A/C No Ext: A/C No 439 State Rd. E-MAIL a aiva southeastemins.com ADDRESS: p P.O.Box 79398 INSURER(S)AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURERA: Arbella Protection Insurance 41360 INSURED INSURER B: AEIC Mullen Building&Remodeling LLC INSURER C: PO BOX 1274 INSURER D: INSURER E: Marstons Mills MA 02648 1INSURER F: COVERAGES CERTIFICATE NUMBER: CL1891905582 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY EFF MICY EXP WD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE117- CLAIMS-MADE ©OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A 9520043214 04 09/08/2018 09/08/2019 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED 1020024224 11/12/2017 11/12/2018 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED V NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident Uninsured motorist BI $ 250,000 _r"UMBRELLA LIAB �""" OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTETI ER 1,000,000 ANY PROPRIMB R/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ B oFFICER/MEMBERExcLUDED? � NIA WCC50050133082018A 04/30/2018 04/30/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Display Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1• i j' t i I. DURABLE POWER OF ATTORNEY I, Margaret C. Turner of 87 Highland Avenue, Cotuit, Massachusetts, hereby appoint Lisa E. Mycock, Esquire, currently of Mashpee, Massachusetts to serve as my Attorney-in-Fact (hereinafter referred to as my "Attorney-in-Fact"), and to exercise the powers and discretions set forth below. In the event Lisa E. Mycock, Esquire is lunwilling or unable to act as my Attorney-in- Fact, then Patricia J. Mello, Esquire, currently of Mashpee, Massachusetts is hereby named as my Alternate Attorney-in-Fact(hereinafter referred to as my "Attorney-in-Fact"), to exercise the powers and discretions set forth below. By this instrument I intend to create a Durable Power of Attorney under the laws of the Commonwealth of Massachusetts. I hereby revoke all powers of attorney, general and/or limited; heretofore created by me as principal and terminate all agency relationships created thereunder, including those of all successor Attorneys-in-Fact named therein, if any, except powers granted by me as part of my Durable Power of Attorney for Health Care or Health Care Proxy as recognized by the Commonwealth of Massachusetts, or on forms provided by financial institutions granting the right to write checks on, deposit funds to and withdraw funds from accounts to which I am a signatory or granting access to,a safe deposit shall not be revoked, but shall continue in full force and effect. I hereby make, constitute and appoint my Attorney-in-Fact to act under the following provisions: i 1. General Powers and Scope. To exercise or perform any act, power, duty, right. or obligation whatsoever that I now have or may hereafter acquire relating to any person, matter, transaction or property, real or personal, tangible or intangible, present, , contingent or expectant, now possessed;or hereafter acquired by me, including, but without limitation, the specifically enumerated powers granted below. As an expression of my intent hereunder, said Attorney-in-Fact shall have full power and authority to do everything necessary in exercising any of the powers herein granted as fully as I might or could do if personally present. I, - 2. Powers of Collection, Payment and Enforcement. To demand, sue for, collect, compromise, recover and receive all debts, moneys, property interests, claims and demands whatsoever, which are now due or which may hereafter become due to me, including the right to institute any legal 'or equitable proceedings; and to execute and Prepared by the Law Office of Patricia J.Mello,P.C. f 766 Falmouth Road,Mashpee,MA 02649 508-477-0267 1 i DPOAI deliver on my behalf and,in my name, 'any and all endorsements, elections, releases, receipts, or discharges for the same. 3. Banking Powers. To make,execute, deliver and endorse notes, drafts, checks, certificates of deposit and orders for the.payment,of money or other property from or to me or to my order; to open accounts and to make deposits or withdrawals on any accounts in banks or other financial institutions on my behalf. To borrow money and execute promissory notes in my name, and as security to pledge, mortgage or hypothecate any securities, or other property, real or personal; to execute personal guaranties, guarantying the debts of another person or entity. If more than one Attorney-in-Fact shall be serving concurrently, then the signature of any one of them shall be sufficient for the purpose of endorsing for deposit to, and drawing checks or drafts on, any bank account of mine. 4. Power to Acquire, Manage, Lease and Sell. To make, execute and deliver deeds, releases; conveyances, leases, purchase and sale agreements, subleases, and contracts of every nature in relation to both real property, including but not limited to 87 Highland Avenue, Cotuit, Massachusetts,;and personal property, contracts of indemnity and insurance, on such terms and conditions as my Attorney-in-Fact shall deem proper; to manage or become involved in the management of any such real or personal property. To carry on, manage or become involved in the management of any business in which I have an interest, and to carry out any act of management which may be appropriate to such involvement; to enter into and/or carry out the provisions of agreement for the sale or transfer of any business interest or the stock therein, upon such terms and conditions, including the making of such representations, warranties and indemnities, as my Attorney-in-Fact shall deem consistent with my intentions and negotiations begun by me or on my behalf prior to any disability. 5. Powers as to Securities. To purchase, sell, transfer or otherwise deal in any way with all forms of securities, specifically including, but not limited to all forms of securities issued by the United States Government (or any other government) or any division, branch or agency thereof; to act as my proxy with power of substitution; to vote all stocks or other securities in my name relative Ito any individual or corporate action; to deposit any stocks or other securities it connection with any plans of protective or reorganization committees; to purchase; accept ,or exercise rights to subscribe for securities and to sell same; to endorse securities or any agreements relating thereto, on my behalf; to create, utilize, terminate land otherwise deal with accounts (including margin accounts) with securities brokers. I: Prepared by the Law Office•:,of Patricia J.Mello,P.C. 766 Falmouth Road,Mashpee,MA 62649 508-47710267 2 i DPOAI 6. Powers over Safe Deposit Boxes.; To have access to all my safe deposit boxes, whether in my name alone; or held jointly!with others. 7. Powers with Respect to Insurance Contracts. To have full authority to deal with any policies of insurance on my life, or policies on the life or lives of others, but excluding any such policies on the life of my Attorney-in-Fact, in which I may, have an interest, including, but not limited to, the;right to make irrevocable assignments thereof, to surrender, borrow against, or convert any such policies and to change the beneficiaries thereof, to surrender, borrow against, or convert any such policies as my said Attorney- in-Fact shall deem proper and consistent with my intentions or objectives; to receive payments under any disability, income or other;contract, to deal in every.other respect with such disability, income or other contracts. 8. Powers to Rent. To receive and give receipt of all rents and income to which.l. am or may become entitled, pay from fall necessary expenses for the maintenance, upkeep, care, improvement and protection of my property; to pay the net income therefrom from time to time to me or in such manner as I shall direct, or in the absence of such payment to me or such direction, to j'invest,the same in my Attorney-in-Fact's best judgment. 9. Use,of Funds for My Care. In: the event of my illness, incapacity or other emergency, to incur, pay and satisfy such expenses and obligations for my comfort, benefit and care, and obligations of a nature customarily incurred by me, as my Durable Power of Attorney for Health Care or my'Health Care Proxy may consider necessary or desirable or consistent with my wishes. 10. Power as to Taxes. To prepare; execute iand file federal or state income, gift; or other tax returns and other real and personal property tax returns or statements and to pay or compromise any or all taxes or apply for and collect any refunds due; to make any tax elections on my behalf or which I am entitled to make; to appear for me and represent me at any level before the US Tax Court or any state, federal district or federal appeals court of proper jurisdiction, the US Treasury Department, the Internal Revenue Service, the Massachusetts Department of Revenue, or,any other taxing authority, in connection with any matter involving taxes in which I am a.party; to execute claims for refund, protests, applications for abatement and consents to any waivers of determination and assessment of taxes, agreeing to a later determination!and assessment of taxes than provided by any statute of limitations; to receive and endorse and collect any checks in settlement of any refund of taxes; to examine and to reque9t and receive copies of any tax returns, reports and other information from the US Treasury Department or any other taxing authority in connection with any of the foregoing matters. Prepared by the Law Office�of Patricia J.Mello,P.C. 766 Falmouth Road,Mashpee,MA 02649 508-477-0267 3 ' DPOAI i 11. Power with Respect to Entities or 'Forms of Ownership and Related Transfers. To create; amend or terminate one or more trusts, partnerships, corporations, co-tenancies or any other form of ownership or entity for the purpose of dealing with any property or property interest of any nature that !I may have or hereafter acquire, under such terms and with such provisions as my Attorney-in-Fact deems in the best interests of myself and my family. In this regard, the fact that my said Attorney-in-Fact may be a remainderman, partner, shareholder, cotenant, or beneficiary of; any. such entity in connection with any such transfer hereunder shall not affect the validity thereof, nor, by itself, constitute a breach of fiduciary duty hereunder; to transfer "any or all property, tangible, intangible or real, in which I may, have an interest, into.a trust or trusts, whether revocable or irrevocable, and whether created by; me or by my said Attorney-in-Fact on my behalf, and whether or not such trusts were created before or after the execution of this durable power of attorney, or to any other form of entity or ownership,including any form of co-tenancy. 12. Power to Make Gifts and to Disclaim., To make gifts of my property either outright or in trust to or for the health, education, maintenance or support of such persons as, in the opinion of my said Attorney-in-Fact, would be the donees I might choose, including my Attorney-in-Fact, having in mind -the resources, both public and private, available for my care after the making of 'such gifts, and having in mind the objective of preserving the largest amount of my property for my family, devisees or legatees as a whole. My said Attorney-in-Fact shall also have the power to disclaim any bequests or other interests to which I may become entitled from any source whatsoever, or to waive my spouse's Last Will and Testament and to execute any documents necessary to effect such disclaimer(s), not withstanding the fact that my Attorney-in-Fact .in.fact may personally benefit from such disclaimer. 13. Power to Employ Agents. To employ, compensate and discharge such agents on such terms as my Attorney-in-Fact deems lappropriate to carry out any acts authorized or contemplated herein: 14. Powers with Respect to Retirement Plans. To establish and contribute to any form of so called.retirement plan for my benefit, including but not limited to Individual Retirement Accounts, Keogh plans, and other form of pension or employee benefit plan; to change beneficiaries of my account in any such plan, designating such beneficiaries as my Attorney-in-Fact determines to be consistent)with my wishes; to waive any spousal rights I may have to benefits from any plan under which my spouse is a participant; to borrow against or withdraw from my plan accounts on such terms as my Attorney-in- Fact deems appropriate; to select any form of payment option or to modify options I may have selected; to accept any benefits or lump sum payments on my behalf and to "roll- over" any such benefits on my behalf. Prepared 6y the Law Office of Patricia J.Mello,P.C. 766 Falmouth Road,Mashpee,MA 02649 508-477-0267 4 i DPOAI F.,i t 15. Third Party Reliance or Refusal: Any party dealing with my said Attorney-in- Fact hereunder, may rely absolutely on the authority granted herein and need not look to the application of any proceeds nor the authority of my said Attorney-in-Fact as to any action taken hereunder. In this regard,.no person who may in good faith act in reliance upon the representations of my Attorneys-in-Fact or the authority granted hereunder shall incur any liability to me or my estate as a result of such act. 16. Successor Attorneys-in-Fact. If my Attorney-in-Fact for any reason ceases or is unable to serve under this power, a written, acknowledged statement by the Attorney-m- Fact or a certificate executed by a licensed physician, which opinion of such physician states that my Attorney-in-Fact is incapable of physically or mentally managing my Attorney-in-Fact's own affairs. Such inability to serve shall be conclusive evidence of such fact, and any third party may rely upon the same in dealing with my Successor_ Attorney-in-Fact under this power if one is'so named. 17. Guardianship. If a petition is filed in any court for the appointment of a guardian or a conservator to care for or'my estate, then I nominate my Attorney-in- Fact as such appointee. Nothing in this part shall be construed as a direction that such a petition be filed or such appointment be made, and it is my express wish that such action be taken only when and if absolutely necessary. 18. Reliance on Copies. of this Power. A photostatic copy of this power, as executed, may be treated as an original power by any third party dealing with my Attorney-in-Fact. 19. Effective Date. This power of attorney shall become effective as of the date of the signing hereof, and shall continue to be effective upon my disability or incapacity, as defined by the Uniform Durable Power of Attoriiey.Act, M.G.L. ch. 20113, section l(b). I 20. Ratification of Attorney's Acts. 'I hereby ratify, and confirm whatever my said Attorney-in-Fact shall lawfully do under these presents. 21. Declarations. Relevant to Execution of this Durable Power of Attorney. I have employed my attorney at law to prepare this instrument according to my desires and intention expressed to my attorney at law;. The provisions that my attorney at law has included in this instrument, including but::not limited to those referred to in this article, were discussed with me by my attorney at law. My attorney at law has advised me of the I benefits of and the risks involved in making gifts; including specifically the potential impact on my future financial security, and the possibilities of abuse of such power. I have carefully considered the risks involved in creating a Durable Power of Attorney,and the alternatives to a Durable Power of Attorney,;as explained by my,attorney at law. I Prepared by the Law Office of PatriciG J.Mello,P.C. 766 Falmouth Road,M'ashpee,NIA 02649 508-477-0267 1 5 i DPOAI have determined that accepting such risks offers benefits to me that I desire, and I therefore accept such risks. IN WITNESS WHEREOF, I have executed this Durable Power of Attorney this 17`h day of April 2007. Marga t C.Turner I i COMMONWEALTH OF MASSACHUSETTS Barnstable, ss On this 171h day of April 2007, before me, the undersigned notary public, personally appeared Margaret C. Turner, proved to me through satisfactory evidence of identification, which was personal knowledge of identity or , to be the person whose name' is signed on the preceding or attached document, and acknowledged to me that Margaret C. Turner signed it voluntarily for its stated purpose. j i• � - F MAUR MKCMBER]H, ?I; N PWio CoMMMam ot massacA My CwmWnlon Expires dun t i i F i i i' i i Prepared by the Law Office of Patricia J.Mello,P.C. 766 Falmouth Road,Mashpee,MA 02649 508-477'0267 6i DPOAf - i s, Vhe arrunaoreeaeaIm,a�P/�lr'aaaccc/zuaeCliN -Office of Consumer Affairs&Business Regulation ,s HOME IMPROVEMENT CONTRACTOR I, TYPE:LLC t� Registration Expiration r L - 4117 05%02/2019 ' MEN BUILDING&BEIIDDELI.NG,LLC. ill fir- DOUGLAS MULLEN �2 CGQ 87 HICKORY HILL CI', OSTERVILLE,MA 02655 Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Con stru,6flW§bpp,rvisor CS-081995 I E-empires 0,1/23/2020 DOUGLAS W-MULLEN. y .0 87 HICKORY MALL t;IR � OSTERVILLE MAL92655��s' � 2 Commissioner . : . 16 %y �IHF„ Town of Barnstable Building Department Services " `"R'"MAS&'E ' Brian Florence,CBO 1639. `� Building Commissioner FQ MA� 200 Main Street,Hyannis,MA 02601 www.town.ba rnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authori y this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the.applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. /00000""li"4.......I'll..............1 0000 Signatu e of Owner Signatur of Applicant G1� 7DQVII AA Val i- Print&ne Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 0 Application Number........................................... Section 9- Construction Supervisor Name KV"A.) Telephone Number 5j2S-1 7 3 Z`[ 9 Address % Bt-�t I"L-11f City NAA70NI MWtate mi Zip yZ40Y19 License Number p 1 g 9 License Type [ 5 Expiration Date 1 /z:% I U Contractors Email �U1 +�M VU r_;w'!�kjltMVj),. k)^ 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 /kh Section 10—Home Improvement Contractor Name MIEN Telephone Number S69.7 3 7—32 H Address 90 B()X /V"I N CityA1Wifi jA S Ml(4 State AAA Zip O?iG 4 Registration Number 1 153l"7 Expiration Date S f 7,In I 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... Si tore Date h> Section 11 Home Owners License Exemption Home Owners Name: Telephone Number 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., i Signature Date APPLICANT SIGNATURE Signature Date kh P � r- Print Name i� M V L Telephone Number 5���7 37 5 VM E-mail permit to: L )(A _ M yLEjN BU/0/A A -60^0 l Last updated. 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) Cl Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire 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: . 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