HomeMy WebLinkAbout1059 SANTUIT-NEWTOWN ROAD �oz 7-0�, � ,� '
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Application number.... ... .�...? .
w Fee ........................ .....................
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Building Inspectors
, •'�" � 2�o ���QQV LEIssuedI� I nit1ials .........................
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TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project:
NUMBER STREET VILLAGE
Owner's Name: 6Lc� I—�C (�r��l'l(—d Phone Number %2!�f
Email Address: ��/'Ut-y r �i�,� �G cy- ell Phone Number
Project cost$ Check one Cesi�den:ti Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby autho
to make application for a building a ace e with 780 CMR
Owner Signature: Date: f t_?0
TYPE OF WORK
Q ;a Windows Windows (no header change)# Insulation/Weatherization
Doors(no header change)# Commercial Doors require an inspector's review
Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to
CONTRACTOR'S INFORMATION
Contractor's name
Home Improvement Contractors Registration(if applicable)# (attach copy)
Construction Supervisor's License# (attach copy)
Email of Contractor Phone number
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER..............................................: �.........-
*For Tents Only*
v
Date Tent(s);will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent
Fuel source being used LP tank 20 lbs. or> Yes No ,if yes, a gas permit is required.
Natural Gas"Yes No , if yes, a gas permit is required.
1 w
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9.30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name: 2/
J�z a/
Telephone Number 3 33 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,spec' . ections and documentation required by 780
CMR and the Town tofBea !e.
Signature Date J
APPLICANT'S §jG
Signature Date
All permit applicati s ect to a building official's approval prior to issuance.
71
y
COMPLIANCE AGREEMENT
Eduardo Coelho Soares Pereira,Individually
S ller(s): ALJ Realty Corporation
pxyt
roperty Address: 1057-1059 Santuit-Newtown Road, Barnstable(Catuit),
.A
� Massachusetts 02635
Closing Date: November.5, 2018
.r Steven A. Ross,Trustee of Santuit Lending Trust
Mortgagee/Lender:
„,.
r .
On this date, the above-captioned property (hereinafter "Property") was conveyed from, the
,F ler") to the above-captioned Buyer(s)/Borrower(s)
above-captioned Seller(s) (hereinafter "Sel
s
(hereinafter "Borrower"). Furthermore, the Seller and Borrower acknowledge that in order to
help with the Borrower's acquisition of the Property, the Borrower has today closed a loan
(hereinafter "Loan") with the above-captioned Mortgagee (hereinafter "Mortgagee"). In the
event any of the documentation relating to this conveyance are inaccurate or contain any errors
or omissions including, without limitation,''any inaccurate or missing figures/adjustments on the
Settlement Statement, due to mistake of any party, including, without limitation, Seller,
Borrower, Mortgagee or the law firm of Law Offices of Steve Ross, P.C., Settlement Agents, or
due to clerical error, then in such event, for valuable consideration, the receipt and sufficiency of
which is hereby acknowledged, the Seller and Borrower agree with each other and with the
Mortgagee and the law firm of Law Offices of Steve Ross,.P.C., Settlement Agents, to execute
any new documents, or initial such corrected original documents, and re-adjust any amounts
owed due to the re-adjustment of the figures/adjustments on the Settlement Statement, as may be
requested by the Mortgagee and/or secondary mortgage market investors or the law firm of Law
Offices of Steve Ross,P.C. in order to remedy/correct any such inaccuracies, errors or omissions
in the documentation and figures/adjustments relating to this conveyance.
Executed as a SEALED instrument the date and year first above written.
Seller Buyer
ALJ RE I;TY CORPORATION
i -
By: Juan richal Eduor,l p ho Soares Pereira, Individually
Its: P sident and Treasurer
I
4
The Commonwealth of Massachusetts
Department of Industrial Accidents
— ��. Office of Investigations y
' 600 Washington Street
- Boston,MA 02111
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual):_� L� /—
Address: �q
City/State/Zip: Phone#:
Are you an employer?Check the appropriate bog: Type of project(required):
1.❑ I am a employer with 4. I am a general contractor and I
employees(fill and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. employees and have workers'
[No workers'comp.incance comp.insurance.# 9. 0 Building addition
tr,-
required.] 5. We are a corporation and its 10.❑Electrical repairs or additions
3.011 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself[No workers'comp. right of exemption per MGL ' 12.❑Roof repairs
insurance required]t c. 152, §1(4),and we have no 13.❑Other
employees. [No workers'
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information,
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state vphether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. ,
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address:, 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 unde•th p ' and e perjury that the information provided above it true and correct
Si mature: Date: —
Phone#. S
Official use only. Do not write in this area,to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector.
6.Other
Contact Person: Phone#:
Information and Instructions b
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
" f hzre �
another under an contract o ,
e is defined as"...every person in the service of ano y
Pursuant to this statute,an employe �3'P
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 g i�foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
_ renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced'acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to-your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of
insurance.nce. Limited Liability Companies(IL C)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
T_a.. �':,�_e .,;for+�. .ct,�„l d�onub we.anv questions reeardmg the law or if you are required to obtain a workers
compensation policy,please-cali-the-Department-at the number listed below. Self-insured companies shoula enter taelr .
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 permitllicense 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 fit re 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 like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call
The Department's address,telephone and fax number.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 WaWn..gton Street
Roston,MA 0211.1
Tel. 617-727-4900 ext 406 or 1-977-MASSAFE
Fax##617-727-7749
Revised4-24-07 w .m= gov/dla
TO ALL NEW BUSINESS OWNERS
Fill in please: a ' CJ(_
APPLICANT'S YOUR NAME: � n
BUSINESS YOUR HOME ADDRESS:�% 57
TELEPHONE Telephone Number Home � Sv"
NAME OF NE BUSINESS TYPE.OF
BUSINESS r h '
IS;THIS A HOME OCCUPATION?.
C-7
ADDRESS OF BUSINESS__ G? _ MAP/PARCEL NUMBER �?
When starting a new business there are several things you rust 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. Once you have obtained the required signatures,
listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall).
1. GO TO BUI SPECTOR'S OFFICE (4TH FLOOR TOWN HALL)
This individu has b �'n�eds 0a y pe quirements that pertain to this type of business.
l C/
i i
horized Signature
COMMENTS:
2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL)
This individual has n informed o th eV� quiremepts tPat pertain to this type of business.
Authorized Signature
COMMENTS:
3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature
COMMENTS:
After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost$20.00
for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you
permission to operate -you must get that through completion of the processes from the various departments involved.
.. .ELITE DETAILING
S ERVICE
Fully Insured
Jason Schuck
f' We specialize in... 508-420-5537 �
Detailing.•Shrink Wraping•Bottom_Painting•Wood Treatment
f
L ] `LR027. 008 .LOC] 1057XX SANTUIT-NE 1OWN RO] CTY] 01 TDS] 200 qT KEY] 14530
----MAILING ADDRESS------- PCA11041 PCS100 YR100 PARENT] 0
ROGERS, IRENE M MAP] AREA112BC JV] MTG10000
85 LEWIS RD SP1] SP21 SP31
UT11 UT21 . 30 SQ FT] 1460
HYANNIS MA 02601 AYB11970 EYB11970 OBS] CONST]
0000 LAND 19500 IMP 64000 OTHER
----LEGAL DESCRIPTION---- TRUE MKT 83500 REA CLASSIFIED
#LAND 1 19, 500 ASD LND 19500 ASD IMP 64000 ASD OTH
#BLDG (S) -CARD-1 1 64, 000 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#PL 1059 SANTUIT-NEWTOWN RD TAX EXEMPT
#RR 1425 0100 1831 0200 RESIDENT'L 83500 83500 83500
#SR WHITES LANE OPEN SPACE
COMMERCIAL
INDUSTRIAL
EXEMPTIONS
SALE101/82 PRICE] ORB13422/288 AFD]
LAST ACTIVITY] 06/27/95 PCR] Y
R027 008 . P P R A I S A L D A T • KEY 14530
ROGERS, IRENE M
LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF
19, 500 64, 000 1 A-COST 83 , 500
B-MKT 60, 700
BY 00/ BY /00 C-INCOME
PCA=1041 PCS=00 SIZE= 1460 JUST-VAL 83, 500
LEV=200 CONST-C 0
----COMPARISON TO CONTROL AREA 12BC -----------------------------
NEIGHBORHOOD 12BC MARSTONS MILLS
PARCEL CONTROL AREA TREND STANDARD
101 10 LAND-TYPE
195001 LAND-MEAN +00
835001 64557 IMPROVED-MEAN -10 250
] FRONT-FT
] 100 DEPTH/ACRES TABLE 02
10001 LOCATION-ADJ APPLY-VAL-STAT 1
LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES
COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC
FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?]
i
R027 008 . P P R A I S A L D A T KEY 14530
ROGERS, IRENE M
LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF
19, 500 64, 000 1 A-COST 83 , 500
B-MKT 60, 700
BY 00/ BY /00 C-INCOME
PCA=1041 PCS=00 SIZE= 1460 JUST-VAL 83 , 500
LEV=200 CONST-C 0
----COMPARISON TO CONTROL AREA 12BC -----------------------------
NEIGHBORHOOD 12BC MARSTONS MILLS
PARCEL CONTROL AREA TREND STANDARD
101 10 LAND-TYPE
195001 LAND-MEAN +o'
835001 64557 IMPROVED-MEAN -10 250-o
] FRONT-FT
] 100 DEPTH/ACRES TABLE 02
10061 LOCATION-ADJ APPLY-VAL-STAT 1
LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES
COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC
FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?]
I f
27 /�•
UPC eml
Now SF11 SA �sr
HASTINGS. MN
• ,� • .1 :1
1 /
/�
�OPERTV ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS i NBHD KEY No.
1057XX SANTUIT—NEIWTOWN RO 01 RF 200 01CT 07/09/95 1041 . UU 128C R027 008. _ 14530
LAND:OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT 'ADJD.UNIT
Lana B"Dare Sae D.men.�on BLOC./V R.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description ROGERSP IRENE M MAP—
CD. FF De m/Acres E #LAND 1 19.500 F-- CARDS IN ACCOUNT —
10 1BLDG.SIT 1 . X .30 =loc 217 29999.99 65099_99 .30 19500 MBLOG(S)—CARD-1 1. 64.000 01 ' pp 01
#PL 1059 SANTUIT.—NEWTOWN'RD OST 83500
BATHS_ 2.0 U X C= 100 7000.00 7000_00 1.00 7000 B #RR 1425 0100 1831 0200 ARKET 60700
#SR WHITES LANE INCOME
A I
D APPRAISED 'VALUE
I
J ! 83,500
ul ARCEL SUMMARY
S I AND 19500
i
LDGS 64000
S
� OTAL
E 83500
E CNST
N ! -
T I DEED REFERENCE Ty— DATE quo a PRIOR YEAR VALUE
S Book Page Insl. MD. 7,11
iDl Sales Pr co �AND 19500
34221288, 01 /82 LDGS 64000
TOTAL 83500
13l/1L DING PERMIT DUPLEX
---
Number Date Type Amount
LAND LAND—ADJ i INCOME SE SP—BLDS FEATURESi 9LD—ADJS UNITS
19500 7000
Class Consl. Tor al Base Rale Atll Rate Year Buill Age Norm. Obsv. CND Loc %R G Re Cost New AO Repl Value Stones Hei bl Rooms Rms Balhs /Fla. Parl Unirs Unrrs A f Dapr. Contl. P I g ywall Fac.
02C— 000 100 100 55.25 55.25 70 70 24 74 100 74 86495 54000 1 .0 8 4 2.0 9.0
ript.ol Rare Sauce Frzer ReW.Gasr MKT.INDEX: 1_00 IMP.BY/DATE. / SCALE. 1/U 0.8 2 ELEMENTS CODE CONSTRUCTION DETAIL
s100 55.25 IOBC 59670 ROSS AREA 1460 TWO FAMILY DWELLING CNST GP:00
F 90 49.73 380 18897 *---------------38--------------* STYLE 03 ANCH 0.0
P SS 19..34 48 928 D N----J-MT 0 00
--------------------.-0-
! ! ESIG AD
10 10 "XTcR_WALLS t71 OOD_FRA�4E _0
FSF ! it TYPE_ _ __ __________________ 0 04 iL., 0.0
--- - -
*-- --*------------46-54--------------*-----* NTE-R.f-I-NIS -----------------H 00 0.0
! ! INTER.LAYOUT 12 VER.%NORMAL --- 0.0
! ! IIhTER.QUALTY 02 AME AS EXT_ _ER. 0_0
LOUR STRUCT 01 0 0 D JOIST _ 0_C
D
W! ! E LOJr2 COVEi2 00 0_0I
E Ta 1A, .n iAu. _ 48 = 1450 20 BASE 20 OOF TYPE - U1 ABLE—ASPH___S_H O.O
T BUILDING DIMENSIONS ! ! -L t_C T R I C A L 01 V E R A G E 0.0
BAS N20 E54 S20 W54 .. FSF N20 ! ! OUNDATION 01 OURED fONC 99.0
A E08 N10 E38 S10 W38 W08 S20 FSF ! ! ------------
L .- fOP t"20 SO4 E12 N04 W12 W20 ! NEIG1fBORHOOD 12BC MARSTONS MILLS
-- X-------20---32—*-----54--*-----------------* LAND TOTAL MARKET
FOP, 4 4 PARCEL 19500 83500
*----12---* AREA 4034
VARIANCE +0 +1969
STANDARD 25