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Centrvle X 92232 .
y Phone 508-778-13926
May 1 2013 S j�a�T`a � t
Town of Barnstable
Zoning Enforcement Officer
Attention: Robin Anderson
200 Main St
Hyannis,MA 02601
Dear Robin,
Thank you very much for your prompt response to my request for a visit to my home. I
appreciate your information and explanations about how to proceed in meeting the
requirements in regards to the zoning for Barnstable county.
Per your request I am writing to state my intentions for my master and second
bedroom on the second floor of my home. I ask that the second bedroom serve two
purposes. The master bedroom will become my primary bedroom/reading area.
Purpose #1 for second bedroom on second floor:
It has been used in the past as a guest room when my daughter and the grandchildren visit..
They visit several times a year and bring the air mattresses and sleeping bags with them. I
would like to reinstate this room to be used as a guest room. Summer is coming and I look
forward to hosting my family again this year for several weekend visits.
Purpose #2 for second bedroom on second floor:
I would like to reinstate this room for craft and office projects, beading and possibly putting
my computer upstairs if I get another printer. Many of these projects are now done
downstairs on the kitchen counter or in the basement. In the future I will purchase more
shelving to increase storage for all the paper and collage supplies I use to create my collage,
and art .projects.
Intentions for my master bedroom (on the second floor) will remain in the current
layout.
It will serve as my primary sleeping and reading area with my bed and love seat.
Again I am very grateful for your support and insight. I look forward to showing you the
revised situation upon your inspection.
Please call with any questions or concerns.
Sincerely,
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel ppl� #
Health Division Date Issued a
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/Hyannis
Project Street Addressa 0 Io mo mft
Village '
Owner I a R�- KID Address
Telephone ��� g 0r
Permit Request yr7 Ali
1
a ,
✓v> ��
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
2oning_1cct (} Flood Plain Groundwater Overlay
Project Valuation '1 r Construction Type.
-Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ! Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft
Number of Baths: Full: existing__ new Half: existing "= never_
Number of Bedrooms: existing.—new
ao
Total Room Count (not including baths): existing new First Floor Roo Count n
Heat Type and Fuel: ❑ Gas. Oil ❑ Electric ❑ Other
Central Air: ❑Yes ` Plo Fireplaces: Existing 4LNew Existing wood/c al stove:cM YeW,2 j10
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 O HOMEOWNER.
Name Telephone Number cS —� �J� ``� QU
Address �—U( 5s1Q License #.
e s ° Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
r J ,
SIGNATURE �/ DATE��
i` FOR pOFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
f -
ADDRESS VILLAGE
OWNER -
s -
rJ
DATE OF INSPECTION:
'g }r:_FOUNDATION,
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
F -
PLUMBING: ROUGH FINAL
ihy
GAS: ROUGH FINAL
FINAL BUILDING
r.
DATE CLOSED OUT
ASSOCIATION PLAN NO. ok
y
F
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/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address: j
City/State/Zip: �— (,� I `P. Phone
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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
workingfor me in an capacity. employees and have workers'
Y P tY• $ 9. ❑Building addition
[No workers'comp. insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
officers have exercised their 11.
3. I am a homeowner doing all work h idh Plumbing re❑ g airs or additions P
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152; §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#: 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$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties o perjury that the information provided above is true and correct
Signafore: Date:
Phone#: ou
Official use-only. Do not write in this area,to be completed by city or town officiaL
1
City or Town: t 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
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,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,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-contractor(s)name(s),address(es)and phone number(s)along with`their certificate(s)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 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
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 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 Dep,- t enfs address,telepliorie'and fax number: ---�`� - =� +� \1
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-MASWE
Revised 4-24-07 Fax#617-727-7749
www.mass.gov/dia
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
Mass.
039• ��� Building Division
prfD MA'1 h
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax:•508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:/
JOB LOCATION: t 1 It S A"-1 � ^0V1te—C`�
number street* village
W
"HOMEONER,,: � " 1 p t�tin— t l2LN 0 A D
name /! home phone# work phone#
CURRENT MAILING ADDRESS: W / I25 L
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to
be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
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:
Signatu of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that "Any homeowner performing work for which a building pernvt is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the pemrit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t.amend and adopt such a form/certification.for use in your community.
Q:forms:homeexempt
oFmE ram,, Town of Barnstable
Regulatory Services
t sARNSTABLE, +
MASS. Thomas F. Geiler,Director
i639.
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sig',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 authorized by this building permit
(Address of Job)
**Pool fences and alarms are the ibili ons resP tY of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted. �• ;,
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORMS:OWNERPERMMSIONPOOLS 6/2012
I
MARIA E. FORLAND TOm44%' OF ARP<3TA
46 C s Ave
Cenle 92�32
Phone 508-778-1392
May 1 2013
Town of Barnstable
Zoning Enforcement Officer
Attention: Robin Anderson
200 Main St
Hyannis,MA 02601
Dear Robin,
Thank you very much for your prompt response to my request for a visit to my home. I
appreciate your information and explanations about how to proceed in meeting the
requirements in regards to the zoning for Barnstable county.
Per your request I am writing to state my intentions for my master and second
bedroom on the second floor of my home. I ask that the second bedroom serve two
purposes. The master bedroom will become my primary bedroom/reading area.
Purpose #1 for second bedroom on second floor:
It has been used in the past as a guest room when my daughter and the grandchildren visit..
They visit several times a year and bring the air mattresses and sleeping bags with them. I
would like to reinstate this room to be used as a guest room. Summer is coming and I look
forward to hosting my family again this year for several'weekend visits.
Purpose #2 for second bedroom on second floor:
I would like to reinstate this room for craft and office projects, beading and possibly putting
my computer upstairs if I get another printer. Many of these projects are now done
downstairs on the kitchen counter or in the basement. In the future I will purchase more
shelving to increase storage for all the paper and collage supplies I use to create my collage
and art .projects.
Intentions for my master bedroom (on the second floor)will remain in the current
layout.
It will serve as my primary sleeping and reading area with my bed and love seat.
Again I am very grateful for your support and insight. I look forward to showing you the
revised situation upon your inspection.
Please call with any questions or concerns.
Sincerely,
3'
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TOWN OF BARNS
BA STAB , ; LICENSE APPLIC
9 MASS,1639. g 200 Main Street
Argot a Hyannis, MA 0260
.. (508) 862-4674
—♦ NO BUSINESS MAY OPERATE WITFIOUT A
Name of applicant/corporation/LLC -_. C
Address of applicant/corporation/LLC +�� = ?�--i '---,=�
D/B/A _
Business location: (.._ �.,:`T � att ::
Business mailing address_(i#_diffsrent_#ram ahaue. ._. __._...._ __.:.:...___.......___._...__--
License-Type: I .,.:..:�,� C_ ... .:. ........: ........... . .....: ......:::
Hours of Operation S'aQ__ ____..__ __.__ Federal
Hours'of Entertainment: Hours of Alcoho
Name of Manager: 61 ,t✓
Managers permanent.mailing address: _--_-__.
Manager's home phone#: 1-1``�_ ........ �g��___ Business phone#
Name of property owner: : !;3►`{.__ e �''.._-- ---._..__
ASSESSOR'S MAP/PARCEL#: MAP Z N
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
039. Building Division
Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
April 19, 2013
Maria E. Forland
46 Collins Avenue
Centerville,MA 02632
Dear Ms. Forland:
This letter is to inform you that you are currently in violation of Barnstable Zoning
Ordinance 240-11. Any use other than a Single-Family home is prohibited. You must
contact this office by May 9, 2013,to arrange to bring the above address into compliance
or be subject to fines of no more than$100.00 per violation,per day.
Sincerely,
I
Brenda Coyle
Division Assistant
Enclosure
cc: Robin Anderson
Zoning Enforcement Officer
A MM DD YYYY ❑Delete NF7[RS _1
101920 I U 04 � �3 1 1 113-0001352 I 000 ❑change Basic
PDID * State* Incident Date * station Incident Number * Exposure * ❑No Activity
i
Cheek this bos to'Indicate-that the address for this incident is provided on the Nildlami Fire 'Census Tract
Location*
B LJ Nodule In section B'Alternative Location specification'.Use only for WSldlaad fires.
®street address 46 " ICOLLINS AVIS
❑IIIt@rSeCtiOII Number/itilepoat Prefix Street or Highway Street Type Suffix
❑In front of I ICENTERVILLE 1 IMAJ 102632 -1
❑Rear of Apt./Suite/Room City state Zip Code
[]Adjacent to ( I
❑Directions Cross street or directions as arplicable
C Incident Type 1k El Date & Times Midnight is 0000 E2 Shift & Alarm
Check boxes if Month Day Year Hr Min Sec Local option
dates are the COM13
Incident Type same as Alarm ALARM always required
Aid Given or Received* Date. Alarm * 04 18 2013 ll:54:46
D Shift or Alarae District
Platoon
ARRIVAL required, unless canceled or did not arrive
2 ❑Automatics aid raw. Their PDID Their
1 ❑Mutual aid received I II I ❑ Arrival * L_AO1 16 12 I 20131� •00:21 I E3
3 ❑Mutual did given State CONTROLLED Optional, Except for wildland fires Special Studies
4 ❑Automatic aid given I I ❑Controlled Local Option
5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires 1I fl
N ONone Incident Number Last unit 04 18 2013 12'05 07 Special
IA@ Special
alue
❑ Cleared U u �I
Actions Taken* G1 Resources* G2 Estimated Dollar Losses & Values
❑ Check this box and skip this LOSSES: Required for all fires if known. Optional
section if an Apparatus or for non fires.
Personnel Porn is used, , NOIIa
Apparatus Personnel Property $1 -1r 000 0001El
Action Taken (1)
U Suppression L� L�f Contents $1 000 , 000 El
Additional Action Taken (2) I ENS 1 PRE-INCIDENT VALUE: Optional
I I I Other 1 0004 1 0003J Property $I 1 000 1 000 ❑
Additional Action Taken (3) ❑ Check box if resource counts
include aid received resources. Contents 000 000 ❑
Completed Modules $l*Casualti.es❑None E3 Hazardous Materials Release I Mixed Use Property
❑Fire-2 Deaths injuries N ❑None NN Not Mixed
Aire 10 Assembly use
❑Structure-3 1 I I I 1 []Natural Gas: a—leak, ne eoaaati—ee aarleat actions 20 Education use
service L�J L_�
• ❑Civil Fire Cae.-4 2 El 8ropane gas: <21 lb. took (en in hem sac grim 33 Medical use
❑Fire SerV. Cas.-5 Civi.lianU L____J 3 ❑Gasoline: eehiww feel tank or Portable coatis. 40 Residential use
]EMS-6 4 ❑Kerosene: raol barring egaipmat or partaMe etorage 51 ROW 53 Enclosed stores
Detector
❑HazMRt-7 Required for Confined tires. 5 []Diesel fuel/fuel Oil:.hicia rani tans or portable 56 Sus, a Residential
❑Wildland Fire-8 1❑Detector alerted occupants 6 []Household solvents: hoax/arfia--pin,a ssaaw may 59 Office use
®Apparatus-9 7 ❑Motor oil: from anglee or portable-ontwin-r 60 Industrial use
®Personnel-10 2 Deteotor did not alert them 63 Military use
❑ 8 ❑Paint: ftm pafot sane tnt-liaq<as q-lselm 65 rIFam use
❑Arson-11 (j❑vnknown 0 ❑Other: special sawmat.Hulse-required or-pill>53rd., 00 Other mixed use
aleaaa a oto tho xaeNat foam
J Property Use* Structures 341❑Clinic,clinic type infirmary 539 ❑Household goods,sales,repairs
3420Doctor/dentiet office 579 []Motor vehicle/boat sales/repair
131❑Church, place of worship 361❑Prison or jail, not juvenile 571 ❑Gas or service station
161❑Restaurant or cafeteria 41.999 1-or 2-family dwelling 599 ❑Business office
162 ❑Bar/Tavern or nightclub 429❑Multi-family dwelling 615 ❑Electric generating plant
213 ❑Elementary school or kindergarten 439❑Rooming/boarding house 629 ❑Laboratory/science lab
215 []High school or junior high 449❑Commeroial hotel or motel 700 ❑Manufacturing plant
241 []College, adult education 459❑Residential, board and care 819 ❑Livestook/poultry storage(barn)
1 311 []Care facility for the aged 464❑Dormitory/barracks 882 ❑Non-residential parking garage
331 []Hospital 519❑Food and beverage sales 891 ❑Warehouse
Outside '936❑Vacant lot 981 ❑Construction site I
124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard
655 ❑crops or orchard 946 ❑Lake, river, stream
Loo669 ❑Forest (timberland) 951 ❑Railroad right of way youkhavenNOTncheckedra Property Use Useebox; if ;
807 ❑Outdoor storage area 960 []Other street Property use 419
919 ❑Dmp or sanitary landfill 961 ❑Highway/divided highway
931 open land or field I1 or 2 family dwelling I `
❑ 962 ❑Residential street/driveway ;
NFIRS-1 Revision03/11/99
COMM Fire District 01920 04/18/2013 13-0001352
Kl Person/Entity Involved
Local Option Business name (if applicable) Area Code Phone Number
0
Check This Box if Mr,,Ms., Mrs. First Name MI Last Name suffix
same addreea as
incident location. U
Then skip the three 1�
duplicate address Number Prefix Street or Highway Street Type Suffix
lines.
Post office Box Apt./Buite/Room City
u u-u
State Zip Code
More people involved? Check this box and attach Supplemental Sorms (NFIRS-'lS) as necessary
R2 Owner same as parson involved?
Then check thin box and skip
Local Option
The rest of this section. Business name (i£Applicable) Area Code Phone Number
❑ Check this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix _
same address as
incident location. u
Than skip the three
duplicate address Number Prefix Street or Highway Street Type suffix
lines. � I � I 1
Post Office Box Apt.l3uita/Room city I
u u-u
State Zip Code
L Remarks
Local Option
Caller Name FORELAND
Caller Phone 737-8780
Caller Address : SAA
I OIC : CAPT.GREENE
Pats. 1
AGR : NINone
rpierce ; 2013/04/18 12:00:21 321 AT EVENT MANNING IS 1
rpierce ; 2013/04/18 12:02:42 - 307 AT EVENT MANNING IS 3
rpierce ; 2013/04/18 11:57:47
"-UNKNOWN ODOR IN UPSTAIRS APARTMENT`, NO SIGN OF SMOKE OR FIRE
rpierce ; 2013/04/18 12:00:13
i 321 - 2 STORY WOOD , NOTHING SHOWING , INV.
rpierce ; 2013/04/18 12:02:39
321 - CANDLES BURNING ON 2ND FLOOR , NO FIRE , HOLDING 307 , RETURN OTHER UNITS
i
rpierce ; 2013/04/18 12:05:59
321 - OCCUPANT LEFT APARTMENT WITH CANDLES BURNING , EXTINQUISHED /CLEAR
i
i
j, Authorization i
Unknown Staff Member I LJ U I
Y
Officer in Charge ID Signature Position or rank Assignment Month Day
Check ! j Unknown Staff Member
Be. if FK]
same Position or rank Assignment Month Day Year
as officer Member making report ID Signature 7
in Charge.
6.
' f
{
I
COMM Fire District 01.920 04/1B/2013 13-0001352
MM DD YYYY
01920 U LJ 18 2013 �� 13-00013.92 000 complete
FDID State Incident Date Station Incident Number Narrative
.* * * Exposure
Narrative:
a
Caller Name FORELAND
Caller Phone 737-8780
Caller Address : SAA
OIC : CAPT.GREENE
Pats. 1
AGR : NJNone
rpierce ; 2013/04/18 12:00:21 - 321 AT EVENT MANNING IS 1
rpierce ; 2013/04/18 12:02:42 - 307 AT EVENT MANNING IS 3
rpierce ; 2013/04/1B 11:57:47
UNKNOWN ODOR IN UPSTAIRS APARTMENT , NO SIGN OF SMOKE OR FIRE
rpierce ; 2013/04/18 12:00:13
321 - 2 STORY WOOD , NOTICING SHOWING , INV.
rpierce ; 2013/04/18 12:02:39
321 - CANDLES BURNING ON 2ND FLOOR , NO FIRE HOLDING 307 , RETURN OTHER UNITS
rpierce ; 2013/04/18 12:05:59
321 - OCCUPANT LEFT APARTMENT WITH CANDLES BURNING , EXTINQUISHED /CLEAR
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COMM Fire District 01920 64/18/2013 13-0001352
Parcel Detail Page 1 of 3
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Logged In As: Parcel Detail Thursday,April 18 2013
Parcel Lookup
Parcel Info
Parcel ID 210-007 l Developer LOT 10Lot
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Location 146 COLLINS AVENUE l Pri Frontage 106 l
Sec 1
Sec Road I INDIAN TRAIL l Frontage 122 l
Village JCENTERVILLE l Fire.District I C-O-MM l
Town sewer exists at this address No a Road Index 0335 l
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Owner Info
Owner IFORLANb, MARIA E l Co-owner l l
Streetl 46 COLLINS AVE l Street2 l
City ICENTERVILLE l State MA Zip 02632 Country
Land Info
Acres 10.34 use ISingle Fam MDL-01 l Zoning I RD-1 l Nghbd IQ105
Topography Level l Road Paved l
Utilities I Public Water,Gas,Septic l Location l
Construction Info.
Building 1 of 1
Year 1959 Roof Gable/Hip l Ext Wood Shingle l
Built Struct Wall
Living 1080 l Roof Asph/F GWCmp ,l AC
None
Area Cover Type
Style Wall Rooms
Cape Cod l Int Drywall l Bed 3 Bedrooms l 1
Model Hardwood
Residential J Int Hardwd l Bath 2 Full
Floor
oor Rooms FOP 24 BM'T 2�
Grade jAverage Heat Hot Water �l Total r5 Rooms l
Type Rooms
Stories 11 1/2 Stories FUei Oil l Found-ation Typical
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Gross 2352 l
Area
Permit History
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=14988 4/18/2013
Parcel Detail Page 2 of 3
II Issue Date I Purpose I Permit# I Amount I Insp Date I Comments II
Visit History
Date Who Purpose
9/28/2004 12:00:00 AM Paul Talbot Meas/Est
11/29/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access
Sales History
Line Sale Date Owner Book/Page Sale Price
1 6/2/2004 FORLAND, MARIA E 18668/241 $334,900
2 10/1/2003 HAMM, GREGORY P&COKIE S TR 17734/340 $1
3 11/30/2001 HAMM, GREGORY P&COKIE S 14512/125 $215,000
4 4/28/1959 WETMORE, GEORGE F&JULIA M 1037/125 $0
Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2013 $89,400 $25,000 $0 $105,100 $219,500
2 2012 $91,300 $24,300 $0 $105,100 $220,700
3 2011 $114,600 $3,400 $600 $105,100 $223,700
4 2010 $114,200 $3,400 $600 $105,100 $223,300
5 2009 $112,000 $2,500 $300 . $171,500 $286,300
6 2008 $116,400 $2,500 $300 $183,600 $302,800
8 2007 $135,300 $2,500 $300 $183,600 $321,700
9 2006 $118,600 $2,500 $300 $208,700 $330,100
10 2005 $109,600 $2,400 $300 $135,100 $247,400
11 2004 $87,500 $2,400 $300 $114,800 $205,000
12 2003 $82,700 $2,400 $300 $34,300 $119,700
13 2002 $82,700 $2,400 $300 $34,300 $119,700
14 2001 $82,700 $2,600 $300 $34,300 $119,900
15 2000 $64,600 $2,500 $200 $33,500 $100,800
16 1999 $64,600 $2,500 $200 $33,500 $100,800
17 1998 $64,600 $2,500 $200 $33,500 $100,800
18 1997 $63,900 $0 $0 $30,100 $94,400
19 1996 $63,900 $0 $0 $30,100 $94,400
20 1995 $63,900 $0 $0 $30,100 $94,400
21 1994 $66,300 $0 $0 $24,100 $90,800
22 1993 $66,300 $0 $0 $24,100 $90,800
23 1992 $75,600 $0 $0 $26,800 $102,800
24 1991 $78,800 $0 $0 $53,600 $132,800
25 1990 $78,800 $0 $0 $53,600 $132,800
26 1989 $78,800 $0 $0 $53,600 $132,800
27 1988 $59,600 $0 $0 $23,700 . $83,700
28 1987 $59,600 $0 $0 $23,700 $83,700
29 1 1986 1 $59,600 $0 $0 $23,7001 $83,700
Photos
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=14988 4/18/2013
Parcel Detail Page 3 of 3
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