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Home My WebLink About0000 COTTONWOOD LANE i i "v .y y ry ., � r ra- — — -- + T , a _ v r i �i w v �^ r To .,a. 17 MADE W USA,' F l OESSWE ,. C�Ccu�ou �� 16U�_�i9Y SSACE� FOR pp ` D 1 In A. TIME P. OF PHONE ❑ FAX AREA CODE NUMBER EXTENSION ��11 qy Cl MOBILE_ a�l✓ " /�]g -155- AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL. CAME TO.SEE YOU _ WILL CALL AGAIN i WANTS'TO SEE YOU RUSH RETURNED YOUR CALL SPECIAL ATTENTION MESSAGE - c� k %1 IGNED FORM 3002S - MADE IN U.S.A. Appli ation number.- ....�.... ............................ z,OCT 0 9 -2019 Fee .......... ..........:............ .............. R KAM OWN t j� SARNI CAB Building Inspectors Initials........... ....................... Date Issued........sk j� [�� > . Map/farce ..... :................... .... ........... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ' ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION 'i PROPERTY INFORMATION -Address of Project: �7� Gr/ c (l1i�1fC' _ NUMBER STREET. VILLAGE wner's Name. ( /S yT� Ph e Number Email Address: —cXCLti��@ '� �fQ Cy"z Cell=Phbne Number' Proje t ost$ y, `Cfieck one fiResidential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: A -TYPE OF WORK ` Q Siding 1 Windows (no header change)# 0� Insulation/Weatherization Er 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 IIN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. R APPLICATION NUMBER............................................................ ti *For Tents Only* 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. 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 C--� `_"�r _ -'HOM EOWNER'S LICENSE EXEMPTION ;Homeowner's,Name:_ (,&5 ie-C Avlelf— Telephone Number` -- -Cell'or Work number- 36 l-Y-11W 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 CAM and the f Barnstable. Signature - Date ' APPLICANT'S_SIGNATURE'' i Signature ✓ -- Date d'Q !/ All permit applications are subject to a building official's approval prior to issuance r f + < 4f 4 Information and Instructions 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 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 F 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 certificate(s)of insurance. Limited Liability.Companies(LLQ 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 bum 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 1' 600 Washington.Street `. , e Boston,.MA 42111, "-`Tel.#617-727-4900 W 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 . s, vrv#w.mass.gov/dia 4. 'ys= 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 Nam' e•(Business/Organi'akion/Individual): 'Address: - d_Lr v �/i ,City/State/Zip: 2ivt�� k-/} Phone#: ✓� 6t//�!� 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 8. ❑Demolition workingfor me in an capacity. employees and have workers' � Y P tY• comp.incnrance,# 9. ❑Building addition [No workers comp.insurance p required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. am a homeowner doing all work officers have exercised their 11.❑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 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.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 un h pains and penalties ofperjury that the information provided above is true and correct. -Signature: D eateat D�'%/ � Phone 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#: J t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map— L Parcel 164 Application Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 8r ��©>✓GC�� Village C9AJ 76- P,LXZ /9' Owner_ .1JtaC!®Z. W,4/7F_ Address 7/ W. 47,- AAA%1 1YI j9_7gJ5 Telephone 617- 33 Z-1666 Permit Request "ov--wo Dale ati 1rYR.S7- alb L &I &f CIWXlT. REMO% 072, Ac ITS' JCS, ALL C CA&I914S 1AJ ✓ ..�tci21�UT AALDZo� rt P-97 ALOOR . Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation .R7b 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:� 2VFull ❑ Crawl ❑Walkout ❑ Other 1/ SAA-05 . p, Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: 7 existing, new Total Room Count (not including baths): existing /3 new First Floor Room Count Heat Type and Fuel: /I Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑ Yes g No Fireplaces: Existing New Existing wood/coat:,stove: C�Yes p No Y". h Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ eA§t ng ❑ new sie- 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 hib r�.n DICEALo Vt1A-.... .r, Telephone Number SOH—,$S k:) Address SG J-6N4 NS LA6E License # C O Ol t WEST 9421,�STA-ELE NA, Home Improvement Contractor# Worker's Compensation # ALL CONSTRUC EB RE TING FROM THIS PROJECT WILL BE TAKEN TO r4 le SIGNATURE I DATE lZ— 7 'i A FOR OFFICIAL USE ONLY 4 APPLICATION# " DATE ISSUED MAP/PARCEL N0. J 1 t ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: r , FOUNDATION ;1 FRAME INSULATION FIREPLACE t _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: -ROUGH FINAL , " { FINAL BUILDING �� // �� I till Z DATE CLOSED OUT ASSOCIATION PLAN NO. S The Commonwealth of Massachusetts UVDepartment 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 /y, r Please Print Legibly Name mess/Org ization/Individual): Address: r�kjrtIS, C ,stateZip Phone.#: K 60s—u OW d 1Areeyy u an employer? Check the appropriate box: Type of project(required): .LI I am a employer with . I 4• ❑ I am a general contractor and I employees(full and/or part-time). *. have hired the sub-contractors 6. ❑New construction e2.❑ I am a sole proprietor or partner- listed on the'attached sheet. 7.. ( modeling s. and have no employers These sub-contractors have ship8. *v5emolition, working for me in any capacity. employees and-have workers' 9. Buildingaddition [No workers'.comp. insurance comp ias;ranCe:#. ❑ required.] 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 I LEI Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs msnrance required.] t c. 152, §1(4), and we have no " employees. [No workers' 13.0 Other comp.insurance required] «Any i"licant.that checks box#1 must also a out the section below showin their workers'co ' Y aPP g mpcnsation 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: Policy#or Self ins. Lic.#:_ ❑8 15& `t 2 :�;. Expiration Date: Job Site Address: W C City/State/Zip: (rAde e-ee 1714 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 f ne up to$1,500.00 C, -year '71,ato onment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of to$250.00 y g oBe advised that a copy of this stafemerit may be forwarded to the Office ofInvesti bons the fo ' uranera a verification Ido h ps dpealies operju that the inforaon provided abov iaadcorre ct , Date: a0l� 247 o _ - I Official use.only: Do not write in this area,tb be completed by city or town officiaL .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health "2.B.uilding.Departament 3.City/Town Cierk 4.Electrical Inspector S.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. Pursuant to 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 bustee 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"eve_ry,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 etrith 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-conti actor(s)name(s),address(es)andphone 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 fire 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 per nit/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 fo any business or commercial venture (i.e. a dog license or permit to brim 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 Massach=tts Department of Fndutstd.al Accidents Office of lavestigatians 600 Washington Street Boston,MA 02111 Tel.#617-727-49-00 ext 406 or 1-877 MASSAFE Fax#617427-7749 vised 11-22-06 51, www.mass.gov/din 06/01/2012 09:17 FAX Q 001 ACC>R& CERTIFICATE OF LIABILITY INSURANCE ' "°6/1/ 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERnFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AmM. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: N tt1A Certificate holder is an ADUM014AL INSURED,the polloypes)must be endorsed. If SUBROGATION IS "Ned to the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate doss not car doff to the certificate holder In lieu of such endorsement(;). PRODUCER CONTACT NAME: Sabatino Insurance Agency P 564 Broadway L 7-7466Mcl, (617) 381-9166 Everett, MA 02149 A ORES;, INSURE b AFFORDING ICY U4BUR® (NBURE AVERA:TR ZZM INSURERS: ADC BUILDERS 56 JENxms T mm INSURMC: W HARNSTABLE, LEA 02668 INSURER0: INSURER E: INSURER FI COVERAGES CERTIFICATE NUMBER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDTTIONS OF SU04 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW& LTR TYPE OF INGURANIX ALUL 8U1IR POLICY NUMBER cat UCRg GMERAL LIABI(,RY EACH OC COMERCIAL GIENERALLIABLITY ga gm S CIAWMADE 7 OCCUR MED BRP ells ereQr PERSONALaADVINJURY I GENIKAL AGGRWATE III 7LAGORWATE LIWITAFP UES PER PRODUCTS-CDWIOP AW POLICY PRO 71 LOC S AUTOMOBILE LIABILITY WIRED SMM71W— W,t ANYAUTO EODILY INJURY(Par pawn) S �O$ BOSS D BODILY INJURY(Par wddwQ S HIREDALMOS NOR-OWNED AUTOS rft 00WAMAWS f UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MACE AGGREGATE $ DED BITIO RETN$ tJg A wOriD!COMPENSATIONrBmO 88430360 8/8/12 5/8/13 1 We A c - AND EMPLOYERS UAWUPrV YIN ANY PROPRIETORVARTNERIEXECU ME OFFICERNE►WBERExcLLDED? NIA EL.EACK aDEM s EL.D 100 000 (Maad In NH) den L.DIS . RP E S 100,000 0SCRIPMON OF OPERATIONS below $ -Po CYL 502,000 CESCF PTIONOFOPERATU3N$ILOf;Aro=IVBUCM(Atmcb ACM 701.AdwaroIRamdoaChedtm.Nakao space fvgdmdj I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCBS 106 CANCELLED BEFORE THE EXPIRATION DA THEREOF, NOTICE WILL 09 DEUVERED IN BAMSTA= TOWN HALL A ROA#ICE W11N ir PbLcy PROVISIONS. 200 MAIN STREET HYANNIS, MA 02601 Au REFREIIENTA 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(201 WS) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail; Li cense or registration valid for individul use only Office of Consumer Affairs&Biness Regulation g y _ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ' : Registration: , Y1:56258 Type: Office of Consumer Affairs and Bus' s gulation Expiration: •6115/2013 DBA 10 Park PI -Suite Boston A 0 116 AD UILDERS ANGELIC) DICEN96 ¢� r 56 JENKINS LANE lP W. BARNSTABLE MA Q2668 Undersecretary. NYXIi Ignature " f I Massachusetts -Department OfPubliclaf,ty ) Board of Building Regulations and Standards Construction Supcn isot' 1 License: CS 088015 `` r ; -�. ANGELO G DIE>, NS NIQNS. 56 JE 8 xANE W MA 02668 h NO or �' Commissioner Expiration j 04/04/2014 Town of Barnstable _ Regulatory Services A 'nonox F.Ge0er,DIrw:Wr . Bc UdIng 3yividon Tam Fcrg,BaMUt COMM* oncr 200 Main Suvct Hymic,MA 0260I - �e�►w tcwa.batvctabie.ma.nr . Office: 509-862 038 Fs= 508-790-6230 Property Owner Must P Ccs Iete and S� T�.'daP Sign Section If Using A Builder e `?'? as Owner o€t6c ----. PmPedy heieby authoaze 1 t,,tt��'�-�. to act as=y beI4 is aII zzzaz�zr whim to wo&azd oi=d Vibis bmId4 DPP far. �S Cat onj �A�ddress of Jab} kL F s• r i Fj6=14LMS If Ff 012ertv .is applying forpex it please co fete-the Homeowners"License Emotion Formon the re side. MASSACHU ETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK U4CITY S L MA DATE 4e •/ PERMIT# JOBSITE ADDRESS o OWNER'S NAM POWNER ADDRESS _ TELLL -----]FAX TYPE.OR OCCUPANCY TYPE COMMERCIAL Q EDUCATIONAL 0 RESIDENTIAL�-- PRINT ' CLEARLY NEW:El RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES E] NO[j FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOIUSAND SYSTEM _ DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAINIF - - - - — INTERCEPTOR(INTERIOR) KITCHEN SINK_ �e �o✓_ ' - - ... - LAVATORY �. ROOF DRAIN - - -- -- -' SHOWER STALL SERVICE I MOP SINK TOILET - - - - URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES _.....-- __-- - _.; - WATER PIPING OTHER _.: _..._. .._ INSURANCE COVERAGE: I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142, YES ge NO„E] IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW - LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY E] " BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of Massachusetts General Laws,and that my signature on this permit application waives this requirement CHECK ONE ONLY: OWNER D .&GENTEj SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of-m knowledge and that all plumbing work and installations performed under the permit issued for this application will be in lance wit ertinent prov'ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /7) PLUMBER'S NAME o LICENSE# S' wV SIG�. MP[ JPQ ORPORATION[J# PARTNERSHIPE]# LLCQ# COMPANY NAME c„, ADDRESS �- CITY STATE ZIP Q.Z 3 ;�_ TEL <-FAX CELL EMAIL 21 1610:49a Stevens&Manley RE 508-292-3892 p.1 to - a • �!� co��r �v �� Ll T oG� 0 51 O d o 1 (D { CD 1 2 ( - D 22 1 :6 lr..1047 -WIN, GAR i 1.4 24CD N CJ1 �J (0 v N J i dr N �. OD d N . r JJ h ' J � ia r �f CD cri In DIK 12 U Po '22 ' m , u� 22 6 , yy. �a 1. 1 , .�-.� `�C U7 1 I 2 gg N 00 .0 QD CDco od 20 1,6.08':57a Stevens&Manley RE 508-292-3892 p.1 (Lovq, Q�'-- C5 �-3r XZ cu�� aZS � .$p��.,. ._ f '� ,L"''.,*y ,� � i .. :�1�H4�F~�� ski e��'y -'a•�� r IS i .. -lima Olo US Will e r + �� a yr'.. �{ � Y 1 ry �` �,� � Nn��r .• e . . �1 v • ■s el k- r 41 4 � F � • 3 x r d r } 1 s rw. r , A a ,x • -T , --" K�IUefllt. S+ ` a • tier, a M q S y Dac:904,]06 01-31-2003 1:46 Ctff:166104 QUITCLAIM DEED HARCTABLE Ltd COURT REGISTRY WE, NORMA H.ATKINSON and MICHAEL E.ECKMAN, as Joint Tenants, with Rights of Survivorship, of 50 Willow Run Road, Centerville, MA 02632 FOR CONSIDERATION PAID OF THREE HUNDRED TWENTY FOUR THOUSAND and no/100 ($324,000-00) DOLLARS GRANT WITH QUITCLAIM COVENANTS TO: DENIZ R.WHITE of 85 Cottonwood Lane,Centerville,Massachusetts 02632 That certain parcel of land together with the buildings thereon situate in Barnstable (Centerville) Barnstable County, Massachusetts, bounded and described as LOT 167 on Land Court Plan 20239-C (Sheet 9). Said land is subject to and has the benefit of the easement,rights and stipulations set forth or referred to in Certificate of Title NO. 28117, insofar as the same are in force and applicable. FOR TITLE: See Certificate of Title No. 128358. 0 a i0 0)za� 0 Y pr OD CD(4Mo . M m ma : a3> i x Ill r X i z L4 w w ' z o' ; Z M I State of County of S p ti w w i m o On this day of -r t�i z N m m m ty i x d -� ; b re IT1e peBonall ea d ` r-) w n7 ry r13 i I F�wwlii to me known to be the poison who exe99ge01". foregoing instrument,and ecknowledgIdtlm.ue n executed dw same aIN# n de rY��IL/ SEAL(signed /[ �r Notary.ublir, Executed as a sealed instrument this eqa day of January, 2003 Norma A c' s ii + Michael E. Eckman STATE OF as. day of January, 2003 Then personally appeared the above-named Norma H. Atkinson and Michael E. Eckman , and acknowledged the foregoing to be his/her/their free act and deed. ............................................... ......... . ..(Seal) IRENE MARLENE INFANTE —No"Publlo My Commission Expires: MYcoMMISS*Nr o611sa77 EXPIRES:May 7,2006 t-0=3I10TMY R NM"Se&6ondM im RAWTARI F RFGISTRY OF DEEDS r 7 (, / Barnstable Assessing Search Results Page 1 of 2 - .. x - ' a Home: Departments:Assessors Division: Property Assessment Search Results 85 COTTONWOOD LANE Owner: WHITE, DENIZ R Property Sketch Legend Map/Parcel/Parcel Extension 252 /155/ Mailing Address WHITE, DENIZ R 3 85 COTTONWOOD LANE „sy CENTERVILLE, MA.02632 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 174,500 $ 174,500 Extra Features: $ 10,600 $ 10,600 Outbuildings: $0 $0 Land Value: $ 131,900 $ 131,900 Interactive Property Map: ap requires Plug in: Totals:$317,000 $317,000 1 have visited the maps before Show Me The Rap April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: WHITE, DENIZ R 1/31/2003 C168104 $324,000 ATKINSON, NORMA H 11/15/1992 C128358 $95,000 CAPE COD CO-OPERATIVE BANK 6/15/1992 C126829 $ 102,000 LEONARD,THOMAS W&HELEN A 5/15/1983 C919490 $59,900 R ARTHUR WILLIAMS, INC 9/15/1980 $ 12,000 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $57.54 Town Fire District Rates Other I $6.05 Barnstable-Residential $2.12 Land B Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $320.17 C:O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 1,917.85 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=2521... 11/9/2005 Barnstable Assessing Search Results Page 2 of 2 W Barnstable-Commercial $2.10 Total: $2,295.56 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.29 Year Built 1981 Appraised Value $ 131,900 Living Area 1769 Assessed Value $ 131,900 Replacement Cost$ 198,266 Depreciation 12 Building Value 174,500 Construction Details Style Ranch Interior Floors Vinyl/Asphalt Model Residential Interior Walls Drywall Grade Average Heat Fuel Gas Stories 1 Story Heat Type Hot Air Exterior Walls Vinyl Siding AC Type Central Roof Structure Gable/Hip Bedrooms 5 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 11 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value BFA Bsmt Fin-Aver 800 $ 10,600 $ 10,600 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/Assessing/AssessO5/displayparce103.asp?mappar=2521... 11/9/2005 I r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �.�JZ Parcel Permit# Health Division kz ~— / Date Issued Q Conservation Division I' ) _ Application Fee �d7' 00 Tax Collector �>t= /4 ti Permit Fee 7' J- 1 00 d Treasurer � SEPTIC INSTAL'LED IN CMEPLIAN ;L, Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANL Historic-OKH Preservation/Hyannis TOWN REGULAMONS Project Street Address SS Village c2mlk�x (2 Owner �'Il'V1P.� _ Address o u �,r lam z( Telephone 5 0 B •71 S 76 G-4 Permit Request , Square feet: 1st floor: existing 12'0d proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Gro nd(rwater Overlay— Project Valuation ®� 1�0U� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach su orting documentation. Dwelling Type: Single Family Two Fa ily ❑ 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 y Half: existing new Number of Bedrooms: existing new _� Total Room Count(not incl ding baths): existing new `� First Floor Room Count Heat Type and uel: Gas Cl Oil ❑ Electric ❑Other Central Air: Yes 0 No Fireplaces: Existing ® New Existing wood/coal stove: ❑Yes No Detached garage. existing El 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 BUILDER INFORMATION Name kwu Telephone Number Jr�c�' -7? 7- )I:k73b Address I U a License# OS(0 I9 &01 LYII� d (0b I Home Improvement Contractor# 1 CIS Worker's Compensation# I)C ALL CONSTRUCT ON DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY 3 PBRMIT NO. DATE ISSUED ` MAP,/PARCEL NO.," * �T' ! _ ✓�} 'A � `�, jR. _ 1. V .. .. a `i", �`'. , r . a ADDR � �1i{S> �}" .. •;'� �� .� .:!-� _. _ iRj _ '• "' ,jam,• - ` 4•c - ,. i � - +.. VILLAGE r OWNER DATE OpjNspECTION I , FOUNDATION, FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH �_ FINAL", r' GAS: ROUGH,-1 � i FINALtit '"- ' �_ r — `� ✓� FINAL BUILDING a'i DATE-CLOSED OUT,' f ASSOCIATION PLAN NO. J, C 1 ae °fTHE T Town of Barnstable Regulatory Services '• BAST" Thomas F.Geiler,Director 9`bAIE� `�� Building Division a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. t Type of Work: Estimated Cost P Address of Work: 0 Q' n Owner's Name: qy>yMJ2Xk ^k Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a nt of the own '): Date ntractor ame Registration No. OR Date Owner's Name O:fomis:homeaffidav The Commonwealth of Massachusetts Department of Industrial Accidents '== force of/nsesoffat/ons 600 Washington Street -_ s Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i i name: location: ci hone# I am a homeowner performing all work myself. I am a sole r netor and have no one worku in ca acltq I am an em to roviding workers' compensation for my employees working on this job. ::;.::.;:;:.:::......: ..:...... ::. name: »::>::; xx <:.>.::::>:z::>::><::::£ :..:. NX 3: ;: ;:::: s::s:::<zz:i;::::::zz:;:i:::a:; ,: hone4. # .............. ... ..:..:... .. tti ttFanCeo.:>. oil . #:: 4.... I am a sole proprieto general contractor, homeowner(circle one)and have hired the contractors listed below who have workers' co ensaho n polices:wo followm P the mP :::::::::::::.:::::::::.:.::::.;:.:.>:;.>:::>:.;;;;:.:<.>;;:.:;;.;;>:.;:;:.;:.;:.:;:.;:;.;:.;:;;.:;.::.;:.;:.;;:;:.:;::.;:.«<:>:<:>:«<:>;:<::><:<::<:>:>.:>::: X.g.......................:.:::::::.::::,::::::::::.:.::..............::::..::::.:..:::.::::::...........:.:.:::.:.::::::::::::::.::.:.......................:.............:.::.:::::::.:::::. :: :..............:..::::::.:::::. I co an > y 4 f�{( X. :e::iri::;;;^;.:;;iy:;:i>:i:i;'"%::t`i:_:j``y+4`: i::r +'' .....:...:......................:::':: ::�ii:iiiiiii•i::.i:•iiiii::ti•ii::ii::v:�::.;viii:ii'!:?i::: ;:^ii:::h`:y±^?�:4Ji:J?n:i•: C^:iii:^:C. ii::... !.y.:i:•i.i::::•i:::o:::::......iiii: ...:.:n::..:...?::is v:+.r.::.:i::::......:v:::.::.......:v:.:.::...:. .::......:ii::ii.':::;;iii:'::.:i::::;::y::y LL un :�.:..........: :::::.............. :..... :..<. ;.::..:::..... Eta<::«?:::3'.%?i:;:z<:< ;:::<;:;»?:?;>.:•.::;>:;gcii>c >:;::: >:::>: >; oL ��trance Xxx can:.name.............................................. :....................................,.:•:::.:•..:.•:::::.::::::: addressF. X. <>; :< °he s :> ` - < lAN: 2:1 FWb=to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,M.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby fy under t e p ' enalties of perjury that the information provided above is true and correct Date . Signature p Print name L �® Phone# a ?2 o �� official use only do not write in this area to be completed by city or town official city or town• permttilicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Deparhnent contact person: phone#; ❑Other _ (devised 9195 PW Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until l acceptable evidence of compliance with the isu nrance requirements of this chapter have been presented to the contracting authority: Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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 pi 'numb number which will be used as a reference number. The affidavits may be r�etumed tr the Department by mail or FAX unless other arrangements have been made. dvance for you cooperation and should you have any questions. The Office of Investigations would like to thank you in a 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 luvesdgadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 east. 406, 409 or 375 I _ / Board .of Building Regulations One Ashburton Place, Rm 1301 Boston, M f108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 056192 Expires: 12/11/20� =_ Restricted To: 1G �1 GUY L RUFO ; _ J0-'OLD TOWNRDz==� HYANNIS 02601 -{ Tr.no: 5506 Keep top for receipt and change of address notification. Alm e"mwwawaa ,4& i Board of Building Regulations and Standards Place Room 1301 . One As;�burton - - Boston. M husetts 02108 Home Improvemea=�itractor Registration Registration: 119952 Type: Individual Expiration: 09/24/2003 i GUY L. RUFO GUY RUFO = 10 OLD TOWN RD. HYANNIS, MA 02601 Update Address and return card.Mark reason for change. r1 Address —1 Renewal f ; Employment Lost Card U-1 �A., o 70 cn 12, m II c r2 aDK .:' y 22 lb -- AR �� 24 N o i N 24— io00 W M CD N is y �Cr t 1 �NJ 0 c c '2 �. ,ffli .K , 2 iD I 22 1 ' ( l R �� 24 p �_ AN �Nco a o 024 0 o� CM Op • �•Ira, (11 c��•�� IJ ij l'5.� Ise i ��'� .� �i• ��pej'^7'"y�11 �•/yFr / - • G. ptNE Tq,_ The Town of Barnstable 1.0,E BARNSTABLE. • Department of Health Safety and Environmental Services 9 MASS. 1639.1. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location Permit Number �;� Owner IV , ,,j�-a y.� Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 0:� 00 1"2 Please call: 508-790-6227 for reeinspection. Inspected by 2'�tL�, Date �j ` f Town of Barnstable Regulatory Services Thomas F.Geiler,Director 9S"R ". Building Division 1639. ♦0 Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINUINOUIRY REPORT - Date: Rec'd by: Complaint Name: Map/Parcel Location Address: Originator Name: Street: Village: State: Zip: Telephone: Complaint Description: F R 0 FICE USE ONLY Inspector's Action/Comments Date: 0 Inspector: f— ^✓a T a 4/t Additional Info.Attached rj Al/ 1 L Al r�Y*?— Q:forms:complaint Town of Barnstable Regulatory Services Thomas F.Geiler,Director , Building Division ! Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 ' Fax: 508-790-6230 �OFTME tp�� * BARNSTABLE, 9 MASS. 1639. �0 ArFp��p RUNE 11,2002 Suzan White 471 Shootflying Hill Rd. Centerville MA 02632 RE: 85 Cottonwood Ln.Centerville MA Mappar 252 155 Dear Mrs.White Our records indicate that your house at 85 Cottonwood Ln.has an illegal apartment in the rear of the garage, which,'is in violation of Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single-family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family. You must contact this office immediately to tell us what direction you wish to take. Sincerely, Jack Fitzgerald Local Inspector r f9809232a i �tT° ti Town of Barnstable ofi a aAM9rA13M . Regulatory Services 1639 1'O D +° Thomas F. Geiler, Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Fitzgerald, John Wednesday, April,14 2004 Request for Court Report Re: Susan White owner of 85 Cottonwood Ln. Centerville , MA Mappar 252 155. 1. 5/15/03 Complaint from occupant of main house of a disturbance in attached apt. 2. 5/30/03 report of illegal apt @ 85 Cottonwood Ln. from COMM Fire Dept. 3. 6/11/03 Letter sent to Mrs. White reguarding illegal apt. 4. 6/16/03 Met with Mrs. White who stated illegal apt. would be removed by 7/1/03. 5. 6/23/03 Met with Mrs. White to verify that illegal apt had been removed. 6. 3/17/04 Complaint from Barnstable Health Dept. that illegal. Apt had been reinstalled. 7. 3/18/04 Met with Health Dept. and tenants to verify illegal apt.. 8. 3/24/04 Citations began to be issued. s Jack Fitzge ald Local Inspector kf ,, I Town of Barnstable �QFTME Tp�, Regulatory Services , do Y Y Thomas F.Geiler,Director sa MASS. Y Building Division 9 A3S. � AtE1639-MprA Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date: �' �� Rec'd by: Complaint Name: Map/Parcel 2 Z l Location Address:16 ,. 0 0-40Y1 U p cp o� C_V Originator Name: Street: Village: State: Zip: Telephone: Complaint Description: H- FOR OFFICE USE ONLY � J Inspector's Action/Comments Date\:�) /.S��C),� Inspector: D�w � .rk c, y: ii Additional Info.Attached Q:forms:complaint CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Falmouth Road,Me.28 Emergen.cy Number: Centerville,MA 02632.3117 9-1-1 Business:(508)790-2375 John M.Farrington Facsimile.-(508)790-2385 Chief of Department FAX COMMUNICATION MESSAGE DATE: TO: ^ice- PHONE: ATTN: FROM: 0 1 LL . WE ARE SENDING PAGES,INCLUDING THIS COV811 SHEET. PLEASE CALL(508)790-2380 IF YOU DO NOT T'RECEIVE THE TOTAL NUMBER OF PAGES. CONFIDENTIALITY NOTICE; This fax transmission may contain confidential information belonging to the sender and such information is legally privileged and is intended only for die use of the individual or entity named above. Any copying,disclosure,distribution or disseminadoz of this information or the taldng of any action based on the contents of this communication is strictly prohibited: If you have received this transmission in error,please notify us immediately by telephone and return the original transmission to us by mail or delivery at our address above, We shall cover the cost of return mail. Thank you! i ,6v,.w i"v^e�eso5e•v tme�rnor aorvrova -- .-.. ---- - "-- _ lsrs Raure28,C fttMXe,MA CUM COMM REPORT 19ATwo FOlDI�04>l20 or Smoke detector activation, no fire- Deft: OS/30/03 AkQ" 03-F-0387 O'� 1 eI>:t�a: 1-3-2 1 HElpl TULLY i°n 85 COTTONWOOD LANE Tel.9: (508)790-2957 T ion (8-3) 75--00,27 101 c� r Crosby, Robyn caeN Redd On: 911 - Apparatus/Pemonnel Response: com, :� SMOKE DETECTOR ACTIVATION-NO APPARENT SOURCE M 302 0 G30B 0 RES32A 0 ENG 304 O LAD 314 0 RES 325 O TIM d. 06:48 � 06:49 06:54 07:17 '��r 07:21 ENc$16 0 SRH 317 0 $IEs 32e 0 weomr CLEAR Temp. 56 wind: S 04 mph ST.300 O BRK310 0 BOAT 0 as.,..m: $ 0 Afte 1 Sire CHF 301 0 320 0 aC 321 1 Cause. o►heT:307 3 eultoirtas: ot�"pe"�r 1 or 2 family dwelling Toaal o of Parsonnsl: 4 Susan White 01 tee: 471 Shoetflying Hill Road Teo =s(508) 375-0027 °q Heidi Tulli Address 85 Cottonwood Lane T;I e: '(508) 375-0027 Atftmo* m m M Cow FIRE Form W chiamomon Code- Left wnh I Al: s ® Yea No subefanoa: Preaer+� EQUIPMENT, Type' Larsdon: Year: Make Model: Serial No, MOTOR TV1W YoRr Mane: Model: Reg gam; vehicle color: owner- Addrm s Tot.0 0130'MOF 1. . Address a Tel.# oRNlR AGlM1CI!'�t10 Pt�O: contact Person: Wh= Time: Blr NArRRATNE RNWRM Received a call from the tenant (Heidi Tulii)at 85 Cottonwood Lane reporting the smoke detector had been going off "next door"and now her smoke detector was sounding. She did not see any smoke , but thought she might smell something, 0321 and L307 dispatched with(4)on duty personnel. On arrival,found a 1 story ranch type dwelling with nothing showing. Met by tenant who stated that the smoke.detector in the"apartment" behind the garage had been sounding for hours,since..approx 0400 hrs, She had yelled to the tenants next door who ignored her. When the alarm sounded In the main part of the house at approx 0700, she called the fire department. The alarm was not sounding on arrival. Upon investigation, found a full apartment including a bedroom, bathroom,living area,and kitchen in an area behind the garage, The tenant of that apartment(Anita Dixon)answered the door and stated the alarm had been due to smoke from the oven, She said it went off around 0445, A light to moderate smoke condition existed throughout the apartment. Two male occupants,one .pw LIST 00"No"* 00/00/00 Check on 4:011ty of the apartment i Crosby, Britton °"^° 05l30/03 �aEd EfDoy►: Z 910NA1 URE: SIGNATURE 0 I Dap.d F7As.Rescue&Emergamy Services ,•..e..rr'.• ••••• ••••• - - - • ------ --•FIR 10M Imi-,70H "M Raga 2$,CoaterABs,MA 02$32 COMM REPORT 196 FM A 01020 Alarsrr Sbgl: Olstdot: C401°r Smoke detector activation, no fire- °i" 05/30/03 t)3-F-.0387 1 1-3.2 pg 2 of ON ALL CALLS: sleeping in a bed ((Jason Greene),and the other(Anthony Dugas?)passed out on a couch did not move from their positions throughout our visit. A pan of charred fish sticks and chicken patties had been removed from the oven prior to our arrival. A PPV fan was setup and ventilation conducted to removed the smoke. A battery operated smoke detector that had been removed from the ceiling was replaced and the wired detectors were tested and found to function. There was no damage to the appliance or dwelling, Prior to leaving,the owner Susan White arrived and was informed of the situation found. Units returned to quarters. i B POR7 Crosby,Britton 05/3t7/03 FIRE CHIEF ❑ECE D: 9KaNATURE: SIGNATURE! 1 ' ■ •." • rp Co C UFFICIAL USE, O Postage $ Sd Ln OC3 Certified Fee O Postmark O Return Receipt Fee ((yyam�7 _J lele�� (Endorsement Required) `WZ c i O Restricted Delivery Fee rp O (Endorsement Required) Total Postage e 8 Fees ru O Sent To O r- Street,Apt.No.; or PO Box No. Certified Mail Provides: o A mailing receipt ,} n A unique identifier for your mailpiece n A signature upon delivery o A r cord of delivery kept by the Postal Service for two years Impo Reminders: o C i ie ail may ONLY be combined with First-Class Mail or Priority Mail." o Ce 'led ' is not available for any class of international mail. o NO R E COVERAGE IS PROVIDED with Certified Mail. For valu ease consider Insured or Registered Mail. For n itional fee,a Return Receipt may be requested to provide proof of eliv fain Return Receipt service,please complete and attach a Return Re ' m 3811)to the article and add applicable postage to cover the fee.En mailpiece.'Return Receipt Requested".To receive a fee waiver for a duplicat return receipt'a USPS postmark on your Certified Mail receipt is required. r:; r o For an additional fee delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the art[' cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,April 2002(Reverse) 102595-02-M-1133 Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 o� '• BARNSTABM MASS. 9� 163 JUNE 11,2002 Suzan White 471 Shootflying Hill Rd. Centerville MA 02632 RE: 85 Cottonwood Ln.Centerville MA Mappar 252 155 Dear Mrs.White Our records indicate that your house at 85 Cottonwood Ln.has an illegal apartment in the rear of the garage, which,is in violation of Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore-the property to a single-family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family. You must contact this office immediately to tell us what direction you wish to take. Sincerely, Jack Fitzgerald Local Inspector f9809232a Town of Barnstable °fs"E'°'y Regulatory Services „ Thomas F.Geiler,Director EA MASS. Building Division y MASS. �q .� sb;q 39 a Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 )ffice: 508-862-403 8 Fax: 508-790-6230 COMPLAINUINOUIRY REPORT Date• ( c,-l (') Rec'd by: Complaint Name: �� t Map/Parcel 2 5 2- Location Address:8 ��c> -�c�r► �,c o Originator Name: Street: Village: State: Zip: Telephone: Complaint Description: FOR OFFICE USE ONLY Inspector's Action/Comments Date: — �9 — (� 3 Inspector: �' T Ill\r-S (� )�n i v ( b: u u Ce Yv� 2 -u kdditional Info.Attached Town of Barnstable Regulatory Services Thomas F.Geiler,Director " BA MASSBLE, ► Building Division y MASS. �a i6.39' �0 iOlE Mpg a Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-Q30 COMPLAINVINQUIRY REPORT Date: 2 3 - b-S Rec'd by- Complaint �- Complaint Name: (11 � Map/Parcel � S 2—/,� � Location Address: k2 uj Originator Name: Street: Village: State: Zip: Telephone: Complaint Description: i FOR OFFICE USE ONLY J / Inspector's Action/Comments Date: U Inspectore-_ , F) i 1 G 1 v Additional Info.Attached 1naJSp- ` i. li Health Complaints 17-Mar-04 Time: 12:07:00 PM Date: 3/17/2004 Complaint Number: 17326 Referred To: DONALD DESMARAIS Taken By: DENISE WITTER Complaint Type: GENERAL Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 85 Street: Cottonwood Lane Village: CENTERVILLE Assessors Map_Parcel: Complainant's Name: Ebony Johnathan Address: Telephone Number: 775-3586 Complaint Description: Landlord turned off hot water last week. Landlord has also split the house in half and is renting each side as an apartment illegally. Landlord is Suzanne White and her phone number is 508-375-0027. Caller is also having water problems--no water in the bathroom sink and the toilet is barely flushing. Also has little water in the kitchen. Actions Taken/Results: Investigation Date: Investigation Time: 1 ,Barnstable Assessing Search Results Page 1 of 2 Home: Departments:Assessors Division: Property Assessment Search Results -- 85 COTTONWOOD LANE Owner: Property Sketch Legend ATKINSON, NORMA H Map/Parcel/Parcel Extension 252 /155/ Mailing Address , . ATKINSON, NORMA H �� %WHITE, DENIZ R '�' - ' 471 SHOOTFLYING HILL CENTERVILLE, MA. 02632 � r 0P_ i ' 2004 Assessed Values: Appraised Value Assessed Value Building Value: $ 142,100 $ 142,100 Extra Features: $ 10,600 $ 10,600 Outbuildings: $0 $0 Land Value: $ 131,900 $ 131,900 Interactive Property Map: ap requires Plug in: Totals:$284,600 $284,600 1 have visited the maps before x.t- Show Me The Map M (t . April 2001 photos available wvwjjkm ME Sales History: Owner: Sale Date Book/Page: Sale Price: WHITE, DENIZ R 1/31/2003 C168104 $324,000 ATKINSON, NORMA H 11/15/1992 C128358 $95,000 CAPE COD CO-OPERATIVE BANK 6/15/1992 C126829 $ 102,000 LEONARD,THOMAS W&HELEN A 5/15/1983 C919490 $59,900 R ARTHUR WILLIAMS, INC 9/15/1980 $ 12,000 2004 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $ 1,881.21 Town Fire District Rates Other Rates 6.61 Barnstable 2.01 Land Bank 3%of Town Tax C.O.M.M. FD Tax $313"06 C.O.M.M. 1.10 Cotuit 1.52 Land Bank Tax $56.44' Hyannis 2.03 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeS ervices/Finance/Assessing/... 3/24/2004 Barnstable Assessing Search Results Page 2 of 2 Lf4 West Barnstable 1.36 Total: $2,250.71 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.29 Year Built 1981 Appraised Value $ 131,900 Living Area 1769 Assessed Value $ 131,900 Replacement Cost$ 161,516 Depreciation 12 Building Value 142,100 Construction Details Style Ranch Interior Floors Vinyl/Asphalt Model Residential Interior Walls Drywall Grade Average Heat Fuel Gas Stories 1 Story Heat Type Hot Air Exterior Walls Vinyl Siding AC Type Central Roof Structure Gable/Hip Bedrooms 5 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 11 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value BFA Bsmt Fin-Aver 800 $ 10,600 $ 10,600 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story (Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeS ervices/Finance/Assessing/... 3/24/2004 I 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS ONE AND TWO FAMILY DWELLINGS-BUILDING PLANNING 780 CMR 3603.7 ROOM DIMENSIONS 780 CMR 3603.9 ACCESS TO CRAWL �3 3603.7.1 Floor area: 'Habitable rooms, except SPACES AND ATTICS kitchens, shall have an area of not.less than 70 3603.9.1 Access to crawl spaces:Access shall be square feet(6.51 mz).Every kitchen shall have not provided to crawl spaces by an opening not less than less than 50 square feet(4.64 m2)Habitable rooms, . 18 inches(457 mm)by 24 inches(610 nun). except kitchens shall not be less than seven feet (2134 mm)in any horizontal direction. 3603.9.2 Access to attics:An opening not less than 22 inches by 30 inches(559 mm by 762 nun)with 780 CMR3W,8 CI+E(JNG HEIGHT ready access thereto shall be provided to Any attic REQ + $ area having a clear height of over 36 inches (914 3693.8.1 Minimum ceiling height: Habitable mm).Where doors or other openings are installed in rooms,.except kitchens,shall have a ceiling height of the draftstopping, such doors shall be self-closing not less than seven feet three inches(2210 min)for and be of approved materials as specified in this at least 50%of their required areas.Not more than section,and the construction shall be tightly fitted 5011/o of the required area may have a sloped ceiling Found all pipes,ducts or other assemblies piercing less than seven feet three inches (2210 mm) in the droPPmg- height with no portion of the required:areas less than five feet (1524 nun) in height. If any room has a 780 CMR 3603.10 MEANS OF EGRESS furred ceiling, the prescribed ceiling height is 3603.10.1 Means of .egress: Egress from all required for at least 50%of the area thereof,but in dwelling units shall be by means of two exit doors, no case shall t4 height of the furred ceiling be less remote as possible from each other and leading than seven feet )2134 min , direc tly ctly to grade. Such doors shall be provided at Exceptions: the normal level of entry/exit.In addition,all other 1.. Beams and girders spaced not less than four floors within a dwelling unit shall have at least one feet(1219 mm) on center may project not more , means by which a continuous,and unobstructe pa than six inches (153 mm) below the required to the exit aoors,by means of stairways,corridors. ceiling height. hallways or combinations thereof,is provided. 2. All other zooms including kitchens,bathrooms Exception: In split level and raised ranch style t and hallways shall have a minimum ceiling height layouts,the two separate exit doors-required by of seven feet(2134 mm)measured to the lowest 780 CMR 3603.10.1 are permitted to be located projection from the ceiling. on different levels. 3. Habitable basements shall have a minimum clear ceiling height of seven feet zero inches, 3603.10.2 Exit doors:One of the required exit doors except that beams,girders and other obstructions required by 780 CMR 3603.10.1 shall be a spaced not less than,1our'feet'on 'center may side-hinged swinging door. The second exit door project not more than six inches below the may be provided by a side-hinged swinging door or required ceiling height. sliding type doors. Side hinged swinging doors 4. Easements not used for habitable spaces shall provided to meet this requirement may swing have a minimum clear ceiling height of six feet inward. eight inches(2032 mm)except for under beams, girders, ducts or other obstructions whew the 3603.10.3 Door hardware: Double cylinder dead clear height shall be a minimum of six feet four bolts requiring a key operation on both"sides are inches(1931 mm). prohibited on required means of egress doors serving more than one dwelling unit. 3603.8.2 Height effect on room area: Portions of a room with a sloping-ceiling measuring less than 3603.10.4 Emergency egress from sleeping rooms. five feet zero inches(1524 min)or a furred ceiling Sleeping rooms shall have at least one openable measuring less than seven feet zero inches (2134 window or exterior door approved for emergency mm)from the finished,floor to the finished ceiling egress or rescue in each such room.The units shall shall not be considered as contributing to the be operable from the inside to a full clear opening minimum required habitable area for that room. without the use of a key or tool.Emergency escape windows,under 780 CMR 3603.10.4,shall have a 3603,8.3 Stairway ceiling height: Stairway sill height of not more than 44 inches (I I I8 mm) headroom clearances shall be in accordance with the above the floor. provisions of 780 CMR 3603.13.3. 3603.10.4.1 Minimum size. All emergency escape windows.from sleeping rooms shall.have a net clear opening 033 square feet(0.307 mz). The minimum net clear opening shall be 20 inches by 24 inches in either direction. 2/20/98 (Effective 3/l/98) 780 CMR-Sixth Edition 477 NAME OF OFFENDER ,r BAR66762 TOWN OF ADDRESS OF OFFENDER ••L1e,ej 2C , t, BARNSTABLE CITY, TE,ZIP COD "-V �\ 3 �,tNE►per MV/MB REGISTRATION NUMBER P�ti0 - � OFFENSEui ' 1{AN��'1'ANI.E.p• -elf _ ZC3 rX IVA It V l a O r•.o t `� r NOTICE OF TIME AND D F VIOLATION L CATION OF VIOL I w 1 (A ./1P-i14},ON 2004 0 a SI AT E OF E G SON ENArG DEPT. BADGE NO. w VIOLATION 0 OF TOWN ERERY ACKNOWLEDGE RECEIPT OF CITATION X LU a ORDINANCE ❑ Unable to obtain signature of offender. ►a— THE NONCRIMINAL FINE FOR THIS OFFENSE,IS $ �(�\;V Date mailed �—r q 04 LU w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. N REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, --1 Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE, MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due ai m ' nal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature i NAME OF OFFENDER gA R 66763 i TOWN OF ADDRESS OF OFFENDE . BARNSTABLE CI TATE,ZIP CODE v I `pU IK MV/MB REGISTRATION NUMBER P - OFFENSE HARv.IAHLE.g �d r 1 ( * Uj MASS. d .639• 0 LLI NOTICE 0 F TIME AND D� `V LATION P M.)ON �l l7 20 ATION OF IOLATION w lj� �ob L IJ SI AT E 0 CI PERSONS ENF09GU�G.pEPT. r BADGE N0. VIOLATION 1111LJ L OF TOWN ~ HEREBY ACKNO EDGE RECEIPT OF CITATION X a ORDINANCE O Unable to obtain signature of offender. Date mailed 3 9 ^ b 4 THE NONCRIMINAL FINE FOR THIS OFFENSE IS S 0,0 D. Uu w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL wa DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION Q (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, J Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE, MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature • NAME OF OFFENDER TOWN OF ADORE Of OFFENDER BAR 66764 BARNSTABLE CI 'STATE,ZIP CO E 0 f l IMF►, '1` MV/MB REGISTRATION NUMBER xnxvsrAx�.w OFFENSE ILi O J TIME AND DATE OF VIOLATION NOTICE OF r O ( � �ON LOCATION OF VIOLATION z ON 20 U 4 J VIOLATION SI NATUR EN G Q € DEPT. BADGE N0. W OF TOWN IS CD HEREBY ACKNO EDGE RECEIPT OF CITATION X ~ ORDINANCE Unable to obtain signatur of offender. Q OR Date mailed THE NONCRIMINAL FINE FOR THIS OFFENSE IS W YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(i)OR OPTION(2)WILL OPERATE AS A FINAL W REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. d W (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, � before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, LLJ a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2 If you desire to contest this matter in a noncriminal proceeding,you may citation for a hearing. do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET, BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this (3)If y o request a hea to ouue f Crissue ail iminal complaint may be to pay the above offense or t d against you. ring within 21 days,or if you fail to ap pear for the hearing or hearing pay any fine determined at the hearing d ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature r j NAME OF OFFENDE r w A w 66765 C TOWN OF ADDR FOFF DER ^ C:d , LK♦ '{1[ BARNSTABLE CITY ATE,ZIP C E Q-� 0 MV/MB REGISTRATION NUMBER OFFENS AIASS '^ 1679. �0� ©�' I n _ CL O Uj TIME AND D VIOLATION L CATI OF VIOLATION Z NOTICE OF t (A. ON �^ 20 ¢ LU CJ J SIG UR OF ENF P S ENFORCING DEPT. BADGE N0. W VIOLATION 7�3 OF TOWN W REBY ACKNO L RECEIPT OF CITATION X a ORDINANCE El Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS a 2 (' ~ Date mailed , —' w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL CL w REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. `w (1)You may elect to paX the above fine,either by appearing in PParson between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature � Re NAME OF OFFEND r BA'R 66766 TOWN OF ADDRESS OF OFFENDER a BARNSTABLE CI TATE,ZIP CO E pf INE 10� MV/MB REGISTRATION NUMBER OFFENSE � RAHNNIAB1.F.. ' , LJ MA�ib7-q `0g' , f CL FFp MPI A. y ` + OJ t > TIME AND D V 0 ATION L.ATION OF LATI N Z NOTICE OF f. ( M./'M- +ON .3 20 4 c, VIOLATION SIG UR OF R IN ERSON ENFORCWG DEPT. r BADGE NO. LU 0 OF TOWN I HEREBY ACKNO DGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain signature of offender. t� X THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed 7- G•3 — 6'`t LU OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL L DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, J Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)11 you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to-request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature r f 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS MEANS OF EGRESS 1005.3 Protruding objects: A minimum headroom 780 CMR 1006.0 TYPES AND LOCATION of 80 inches (2032 mm) shall be provided for any OF MEANS OF EGRESS walking surface, including walks, halls, corridors, 1006.1 General: All approved means,of egress, aisles and passageways. Structural elements, including doorways, passageways, corridors, fixtures or furnishings shall not project from either interior stairways, exterior stairways, smokeproof side more than four inches (102 mm) over any enclosures, ramps, horizontal exits, bridges, walking surface between the heights of 27(686 mm) balconies, .fire escapes and combinations thereof,. and 80 inches(2032 mm)above the walking surface. shall be arranged and constructed as provided for in A free-standing object mounted on a post(s) or 780 CMR. pylon(s) shall not overhang that post(s)or pylon(s) more than 12 inches (305 mm) where the lowest 1006.2 Arrangement: All required exits shall be so point of the leading edge is more than 27 inches(686 located as to be discernable with unobstructed access mm)and less than 80 inches(2032 mm) above the thereto. walking surface. Door closers and stops shall not reduce headroom to less than 78 inches(1981 mm). 1006.2.1 Egress through adjoining spaces: Egress from a room or space shall not open into 1005.4 Floor surface: All floors of corridors and an adjoining or intervening room or area, except lines of means of egress shall have a slip-resistant where such adjoining room or area is accessory to surface. the area served, is not a high-hazard occupancy and provides a direct means of egress to an exit. 1005.5 Open-sided floor areas: Guards shall be A maximum of one exit access shall be permitted located along open-sided walking surfaces, to pass through a kitchen, storeroom, restroom, mezzanines and landings which are located more closet or similar space provided that passage than 30 inches (762 mm) above the floor or grade through such space is not the only means of below. The guards shall be constructed in access to an exit. An exit access shall not pass accordance with 780 CMR 1021.0. through a room subject to locking. Means of Exception: Guards are not required on the egress from dwelling units, rooming units, loading side of loading docks and the auditorium guestrooms. and dormitory units shall not lead side of stages and raised platforms. through other such units,or through toilet rooms or bathrooms. 1005.E Elevation change: Where changes in 1006.2.2 Assembly buildings: All buildings elevation exist in exit access corridors,exits or exit occupied for assembly purposes shall front on at discharge,ramps shall be used where the difference least one street on which the main entrance and in elevation is less than 12 inches(305 mm). exit discharge shall be located. Where there is a Exception: A maximum step height of eight single main entrance, the entrance shall be inches(203 mm) shall be permitted for buildings capable of serving as the main exit and shall with occupancies in Use Groups F,H,R and S at provide an egress capacity for at least one-half of exterior doors not required to be accessible by the total occupant load. In addition to having 521 CAR, the Rules and Regulations of the access to a main exit, each level of an occupancy Architectural Access Board, referenced in in Use Group A shall be provided with additional 780 CAR 11, and listed in Appendix A. exits which shall provide a means of egress 1005.7 Egress elements for air movement: Faits capacity for at least one-half of the total occupant . load served by that level. and exit access corridors shall not be used as supply or return air ducts or plenums. 1006.2.3 Skating rinks: Places of assembly used Exceptions: for skating rinks shall not be located below the 1. The restriction on the use of the space floor nearest grade. between the corridor ceiling and the floor or 1006.2.4 Foyers and waiting spaces: The term roof structure above as a return air plenum "foyer"shall mean an enclosed space surrounding, shall not apply where the corridor is not required to be of fireresistance rated or in the rear of the auditorium of a theater or other place of assembly which is completely construction or is separated from the plenum separated from the auditorium and is used as an located w firer a rated construction or is assembly or waiting space for the occupants. In loithin thin a dwelling unit. Use Group A-1, a foyer,waiting space or lobby 2. This restriction shall not apply to exit shall be provided with a net floor area,exclusive access corridors located within tenant spaces of stairs or landings, of not less than 1'/z square that are 1,000 square feet (92 m ) or less.in feet (0.14 in) for each occupant having access area. thereto. The use of foyers and lobbies and other available spaces for harboring occupants until seats become available shall not encroach upon 2/7/97 (Effective 2/28/97) 780 CMR-Sixth Edition 173 Violation History .AcctNo 2294 White Susan 05-27-2004 471 Shootflying Hill Road Centerville Issue Date BAR No Fine Date Paid Amt Paid Djsp Total Due Notice2 Final Hearing Arraign 03-19-2004 66759 200.00 Void 0.00 03-19-2004 66760 200.00 Void 0.00 03-19-2004 66761 200.00 Void 0.00 03-19-2004 66762 200.00 Active 200.00 05-11--2004 05-25-2004 03-19-2004 66763 200.00 Active 200.00 05-11-2004 05-25-2004 03-19-2004 66764 200.00 Cleared 0.00 06-03-2004 03-22-2004 66765 200.00 Cleared 0.00 06-03-2004 03-23-2004 66766 200.00 Active 200.00 05-11-2004 05-25-2004 03-24-2004 66767 200.00 Cleared 0.00 06-03-2004 1,800.00 600.00 6 CG oW w0ej '0 C-k,zl 17" t� THE COMMONWEALTH OF MASSACI3USETTS William Francis Galvin, Secretary of the Commonwealth w_-...-REGULATION.Ft INGAND-P•UBLICATION 1. Regulation Chapter, slumber&Heading: 105 CM 400.000-419.000 2.Name of Agency: DEPARTMENT OF .PUBLIC HEALTH 3.This document is reprinted from the Code of Massachusetts Regulations and contains the following: 105 CMR 400.000 STATE SANITARY CODE CHAPTER 1: GENERALADMINISTRATIVE PROCEDURES 410.000 STATE PANITARY CODE CHAPTER 2: MINIMUM STANDARDS FOR FITNESS FOR HUMAN HABITATION. 411.000-419,000 RESERVED Under the Provisions of Massachusetts General Laws, Chapter 30A, g 6, and Chapter 233, g 75, this document.ntay be used as evidence of the original documents on file with the Secretary of the Commonwealth Compiled as iri full.force and effect: 9/19/97 A true copy attest: _5 CMR' 460-419 5C R4 - 4l8.QQ 4V.ILLIAM FRANCIS GALVIN II� �l11�I111Hi�lll�lllll Secretary of the Commonwealth i 105 CM: DEPARTMENT OF PUBLIC!MALTH 410.020: continued Provide means to supply and pay for. Representative or Occulzaffes Re;resernative means any adult person designated and duly authorized to act on the occupant's behalf;including,but not limited to, any person or group. lest nee-from-&•tenanft organization or-other•eommunity.group. Rcoming HoLse means every dwelling or part thereof which contains one or more rooming units in which space is let or sublet-for.compensation by the owner or operator to four or more persons not-within the second degree of kindred to the person compensated. Boarding houses,hotels., inns,lodging houses,dormitories and other similar dwelling places are included, except to the extent.that they are governed by stricter standards elsewhere created; provided that the provisions of 105.CMR 410.000 shall not.apply to any hospital, sanitorium, convalescent or nursing home, infirmary or boarding home for the aged licensed by the Department of Public Health in accordance with the provisions of M.G.L.c. 1 I It§51 or 71. i Rooming unit means the room or group of rooms.let to an individual or household for use as living and sleeping quarters but not for cooking;-whether or not common facilities for cooking are made available;provided,that cooking facilities shall not be deemed common if they can be reached only by,passing through any part of the dwelling unit or rooming unit of another. Rubbish means combusd'ble and noncombustible waste materials,except garbage,and includes but is not limited to such material as paper,rags,cartons,boxes,wood,excelsior,rubber,leather, tree branches,yard trimmings,grass cGPPings,.tin cans,metals,mineral matter,glass,crockery, dust,and`the residue from the burning of wood,coal,coke and other combustible materials. SSSin3r8X means any group of stairs consisting of three or more risers. Tcmpm=ho_.;=means.any'tent,mobile dwelling unit, or.other structure used for human shelter which is designed to be transportable.and which is not attached to the ground,to another st ucture,or to any.utility system on the same premises for more than 30 days. Use Group Rm3 means all buildings arranged for occupancy as one or two fitmily dwelling units, includmg not.more than five lodgers per family and multiple single family dwellings where each unit has an independent means of egress and is separated by a two-hour fire separation assembly. Exceptions: (1). In multiple single-family dwellings that are equipped throughout with an approved sprinkler system installed in.accordance with 780 CMR 906.2.1 or 906.2.2, the fire resistance rating of the dwelling unit separation shall not be less than.one hour.Dwelling unit separation waU shall be constructed as fire partitions. (2) In multiple single-f miily dwellings that are equipped throughout with an approved automatic sprinkler system installed in accordance with 790 CMR 906.2.3,a two hour fire separation assembly shall.be provided between each. pair.of dwelling tints. `The fire resistance rating between each dwelling unit shall not be less than.one hour and shall be constructed as a fire partition(786 CUR 310.5). 1caCmnrF R-4 means all detached.one and two family dwellings not more than three stories in j height and all accessory structures(780 CUR 310.6). Violli1Qn means any condition in a dwelling, dwelling unit, mobile dwelling unit,or rooming j house or upon a parcel of land which'fails to meet any requirement of 105 CMR 410.000. 1416 100- Kitchen Facil&st (A) Every dwelling unit, and every rooming house where common cooking facilities are provided;shall contain suitable space.to store,prepare and serve.foods in a sanitary manner. The owner shall provide within this space: j (1) A kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils; i and (2) a stove and oven in good repair(see 105 CMR 410.3.51)except and.to the extent the occupant is required to do so under a written letting agreement;and 9/19/97 105 CMR- 1619, i 105 CMR: DEPART, ,^ OF PUBLIC HEALTH 410.100: continued (3) space and proper facilities for the installation of a refrigerator: (B) The facilities required:in 105 CMR 410.100(A)shall have smooth and impervious surfaces and be free from defects that make them difficult to keep i f h p clean,or creates an accident hazard. . i i 410"150 "Wacfihac,��°T..:1 •"*1tL „�.a:, __. . . .,... ,. The owner shall provide no less than the following: (A) For each dwelling unit: (1) A toilet with a toilet seat in a room which is not used for living,sleeping,cooking or eating Purposes and which affords Privacy to a person within said room. . (2) A wash basin in the same room as the toilet.or if the wash basin cannot be placed in the same room as the toilet,it shall be placed in close:proximityto the door leading directly into the room in which the toilet is located. The kitchen sink may not be substituted for the wash basin required in 105 CMR 410.150(A). (3).A bathtub or shower in the same room as the toilet or in another room which is not used j' for living,sleeping,cooking or eating purposes and which affords ri t P �y o.a person within P I(i Said roots. . I, , (4) Each room which contains a toilet,bathtub or shower shall be fitted with a door which is capable of being dosed. ,ll (B) .For no more than each eight occupants of rooming units and rooming houses who are not ';' otherwise provided with these'facilities, in a room not used for living, sleeping, cooking or �I eating purposes and which affords privacy to a person within said room: (1) One toilet with a toilet seat and wash basin in the same room;'provided,that where more than one toilet is required in any toilet room used exclusively by males, urinals may be substituted for up to%of the total number of toilets required,on the basis of one urinal substituted.for one toilet;.and (2) One shower or bathtub in the same room as the toilet and wash basin or in another room not used for living, sleeping, cook ing or eating purposes and which_'affords privacy to a Person within said room �' (3) Ina room with more than one.toilet,each toilet shall be separated by walls or partitions which afford privacy. (C) Toilet,bathtub:and shows•"facilities as il required in 105 CMR 410.150(A)and 410.150(B) �. shall be able from within ji the bull 'a and Shall.be so.placed.as not to require passing through any part of another dwelling unit or rooming unit. !i (0) The fixtures as required in 105 CMR 410.1S0(A)and 410.150(B)shall have smooth and ,I MIPetvious surfaces and be fee from defects which.make them difficult to cl an accident keep ear,or create p hazard. 410.151. Shared FRcilk0e I.I The owner ofany dwelling is which any toilet,wash ba sin,shower or bathtub is to be shared I� . by the occupants of more than one dwelling unit or one rooming unit shall maintain that toil wash basin, shower;bathtub,walls and floors in a clean and et'sanitary condition, which shall include the damning and sanitizing of said fixtures-at least once every.24,hours. i, 410.152`Privies and['hem;Cal Toilets Prohibirea Exccutionm i No privyor'chemical toilet shall be constructed or continued in use;provided,that the board of health may approve'in writing the construction or continued use of any,privy or chemical toilet which it determines will not (a) endanger the health :of any person; or (b) cause Objectionable odors or other undue annoyance.. tVlten so"approved,.a privy or chemical toilet ay'subject to written authorization of the board of health in accordance with 310 CMR 15.00, qualify as a toilet within the requirements of 165 CMR 410.150(A)(see 105 CMR 410.940). i lit no event May privy be located within 30 feet of any building used for sleeping or eating, orrof any lot line or.street. 9/19/97 Jd 105 CMR- 1620 �oF tHE tq�� Town of Barnstable o� Regulatory Services Thomas F.Geiler,Director BARN&rABM 9q, MASS. ,�� Building Division ACE p �a Peter F.DiMatteo. Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 14, 2002 Norma Atkinson 85 Cottonwood Ln. Centerville, MA 02632 RE: Illegal Apartment denied by amnesty Dear Ms. Atkinson: Our records indicate that your house at 85 Cottonwood Ln. is currently being used as a two-family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single-family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family. You must contact this office immediately to tell us what direction you wish to take. Sincerely, Q�4, Gloria M. Urenas Zoning Enforcement Officer GMU/aw Q021502 i Town of Barnstable Regulatory Services ' BAMMAW. E Thomas F.Geiler,Director rE1639. Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 15,2001 Norma Atkinson 3740 Gulf of Mexico Drive Longboat Key,Florida 34228 RE: Illegal apartment 85 Cottonwood Lane,Centerville,MA(Map#252/Parcel#155) Dear Ms.Atkinson: — Our records indicate that your house at 85 Cottonwood Lane is currently being used as a 2-family home contrary to Barnstable Zoning Bylaws. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single family home. 2) apply to the Zoning Board of Appeals for a variance. 3) prove that this is a legal 2-family home. Sincerely, Gloria M.Urenas ZONING ENFORCEMENT OFFICER GMU/km forms:g990317a i a Guy L. Rufo Wy Building& Construedon 10 Old Tows Road Hysubt MA 02601 (SM 778.1930 �eiaJv� �res�lh 5c6lt �. . • D . , )iZI `a `r f Guy L. ROO Building & Construction 10 Old Town Road Hyannis,MA 02601 (509)779-1930 i y'�- Board of Buildin :; Re ulations r One Ashburton P ace, rra 1301 Boston, Mai 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE `' Number: CS 056192 Expires:12/11I2002 Restricted To: 1 G GUY L RUFO - ;10 OLD TOWN RD HYANNIS, MA 02601 SP. 5506 Keep top for receipt and change of address notification. Board of Building Regulations and Standards `- One Ashburton Place Room 1301 Boston. M Aa setts 0.210.8 Home, Improvement Contractor Registration Registration: 119952 Type: Individual Expiration: 09/24/2003 GUY L. RUFO GUY RUFO a 10 OLD TOWN RD. __-----._..---...-------------.__---____ _.,.,. HYANNIS, MA 02601 Update Address and return card.Mark reason for change. —! Address i"i Renewal f 1 Employment 1 Lost Card . S'E'CTION 8 HOUSING INSPECTION CHECKLIST NAME OF FAMILY PHONE NO:' TENANT APPLICATION NO. Z &L 1 INSPECT R t PHONE NO. DATE OF INSPECTION TYPE OF INSPECTION ❑ Audit O'Initial ❑ Special ❑ Reinspection ❑ Annual LAST INSPECTOR: OR ON STREET CITY Number of Children �r- f in family with HOUSING TYPE UNIT Elevated Blood Level (Check as appropriate) GRADE STAjT�EA ZIP El Manufactured Home fi`y3 ADUILTS ILY COMP MALE FEMALE ❑ Single Family Detached A ❑ -F'Duplex or Two Family B & ANNAM OF OWNER OR AGENT AUTHORIZED PHONE NO. MINORS ❑ 3 Family House C ❑ �f',( s'� ��%; f�` �� ❑ Row House or Town House D ❑ ADDRESS OF OWNER OF AGENT CHILDREN ❑ Low Rise:3 or 4 Stories (UNDER 6) including Garden Apartment • • ❑ High Rise:5 or more stories FAMILY SUBSIDY SIZE: ❑ Multi Family - • No.of rooms used for sleeping ❑ Pass ❑ Fail L�Inconclusive Date Passed (or could be used if unit is vacant) Blad�QlI,C.P,E�itvthY"L�"YES-f]-N© • ITEM LIVING ROOM YES NO a o NO. PASS FAIL CONC COMMENT INmAUDATE 1.1 Living Room Present 1.2 Electricity 1.3 Electrical Hazards 1.4 Security n 1.5 Window Condition,Screens {� C t pC p/ r 1.6 Ceiling Condition 1.7 Wall Condition 1.8 Floor Condition -� ITEM 2 KITCHEN YES NO IN.. AFMAL . NO. PASS FAIL CONC COMMENT INmALIDATE 2.1 Kitchen Area Present 2.2 Electricity 2.3 Electrical Hazards 2.4 Security 2.5 Window Condition,Screens 2.6 Ceiling Condition 2.7 Wall Condition rs 2.8 Floor Condition 2.9 Stove or range with oven (TT) (ILL) �€ 2.10 Refrigerator (TT) (LL) 2.11 Kitchen sink .+ 2.12 Kitchen space for storage&prep 2.13 Ventilation ITEM 3.BATHROOM Yes NO IN.- FINAL N0." PASS FAIL cortc COMMENT INmAL/DATE 3.1 Bathroom Present 3.2 Electricity 3.3 Electrical Hazards r Security Window Condition,Screens Ceiling Condition Wall Condition Floor Condition 3.9 Flush Toilet in enclosed room in unit r,�NO. Fixed washbasin or lavatory in unit ' Tub or Shower in unit Bathroom ventilation 4.OTHER ROOMS USED YES NO IN.- FINAL FOR LIVING&HALLS PASS FAIL CONC COMMENT APLNDA. INMALJDATF . Room Code`® Room Location (Check One) ❑ Right/Center/Left (Check One) ❑ Front/Center/Rear_Floor Level : 4.2 Electricity/Illumination 4.3 Electrical Hazards ,.•�' (/ ! rC>^ ] 1 s1 ) I 4.4 Window Condition 4.5 Security i 4.6 Ceiling Condition 4.7 Wall Condition i 4.8 Floor Condition 4.9 Natural Light ROOM CODES: 1=Bedroom or any other room used for sleeping(regardless of type of room) 3=Second Living Room,Family Room,Den,Playroom,TV ROOM 5=Additional Bathrooms 7=Garage 9=Other 2=Dining Room,or Dining Area 4=Entrance Halls,Corridors,Halls,Staircases 6=Attic 8=Laundry White Copy for Agency-Yellow Copy for Landlord-Pink Copy for Tenant- Property'Location: 85 COTTONWOOD LANE MAP ID: 252/155/ Vision ID: 18792 Other ID: Bldg#: 1 Card 1 of 1 Print Date:06/20/2001 m . F .. - . ;CURRENT OVER UTI1 IZIES .STRT/ROAD LOCAION, CURRENT ASSE SSMENT, TKINSON,NORMA H&ECKMAN,MICHAEL E 1 eve] 2 Public Wate 11 Paved Description Code Appraised Value Assessed Value as ES LAND 1010 40,000 40,000 801 5 COTTONWOOD LN ESIDNTL 1010 145,700 145,700 ENTERVILLE,MA 02632 eptic Barnstable 2001,MA „ SUP1°LMENT9LDATAv;..,,>M ccount# 164805 Plan Ref. Tax Dist. 300 Land Ct# er.Prop. #SR Life Estate VISION DL 1 LOT 167 Notes: DL 2 LC20239C GIS ID: Total 185,700 185,70011 :; r, 'REVIOUS ASSESSMENTS HISTORY' �!1VERSHlP, ,. . „.�� :BIC,.VOL/P.4>G.E�. .S'ALE DACE ./u,;uh.,S��GE�PR,�CE.�.C,�_, n. �_.,, _, � ,� -._ CAPE COD CO-OPETIVE BANK'MICHAEL E C126829 06/15/1992 U I 102,000 L 2000 1010 000 L Yr. Code Assessed�35,700 999 1010 lue Yr. Code Assessed Value 35,700 998 1010 Assessed Value 35,700 EONARD,THOMAS W&HELEN A C919490 05/15/1983 Q I 59,900 2000 1010 103,400 1999 1010 103,400 t998 1010 103,400 ARTHUR WILLIAMS,INC 09/15/1980 Q V 12,000 Total: 139100 Total: 139100 Total: 139100 Year T e/Descri tion Amount Code Description Number Amount Comm.Int. AP RAgISEl33vALUESUtYiMARY Appraised Bldg.Value(Card) 135,100 Appraised XF(B)Value(Bldg) 10,600 Total:I Appraised OB(L)Value(Bldg) 0 ppraised Land Value(Bldg) 0 0 0 _.NOESSpecial Land Value 3 UNIT APARTMENT Total Appraised Card Value 185,700 Total Appraised Parcel Value 185,700 Valuation Method: Cost/Market Valuation et Total Appraised Parcel Value 185,700 .- R. V E STOR - . .. - PETRECORD .. s IIT/GANG ,HI �,...- ,� �. � � 3 .,:-�. •�• r-. --: e� ,,: -.�-s£M�BUILDING _„ f �� ._:. . .., x.�•�.. �...-«,.W. .>;. PermitID Issue Date T e Description Amount I �� s� �_�� ,� � � � h.-_ u Insp..Date %Comp. Date Comp. Comments Date ID Cd. Pur ose/Result 10677 10/1/1995 AD 12,000 1/15/1996 100 CE ADD'N 10/4/2000 PT 00 eas/Listed B27464 1/1/1985 AD 14,600 1/15/1986 100 CE 225SQF V. ON IO -SECTION . ��.� •� ,yLANDL7N1- f1L.,. T,,..._?�! B# Use Code Description Zone D Frontage Depth Units I Unit Price I.Factor S.I. C.Factor Nbad. Ad Notes-Ad/S ecial Pricing Ad Unit Price Land Value 1 1010 Single Fam RDl 3 0.29 AC 224,000.00 1.00 5 1.00 51AC 0.60 PCL(.29,U10)Notes:10 1BLD 137,793.00 40,000 Total Card Land Unitsi 0.291 AC I Parcel Total Land Area: 0.29 AC Total Land Valu 40,000 Property Location: 85 COTTONWOOD LANE MAPID: 252/155/// Vision ID:18792 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 06/20/2001 .. . �. k CQNS7dRTJGTION.DETAlL .. SKETCH Element Cd. Ch. Description Commercial Data Elements Style/Type 1 Ranch Element Cd. Ch. Description Model 1 Residential Heat&AC 7"i� Grade C Average Grade Frame Type 1 Z 6 Baths/Plumbing Stories 1 1 Story 35 ccupancy 0Ceiling/Wall ooms/Prtns Exterior Wall 1 5 Vinyl Siding /o Common Wall 22 2 all Height 15 BAS 1 oof Structure 3 able/Hip 10 WDK 1 Roof Cover 3 sph/F GIs/Cmp CONDO/MOB1lE HOME DATA 22 13 22 Interior Wall 1 5 Drywall .Element Code Description Factor 42 16 2 Interior Floor 1 05Vinyl/Asphalt Complex 2 Floor Adj Unit Location eating Fuel 03 as BAS 18 BAS Heating Type 04 Hot Air Number of Units BMT 2 4 GAR 24 C Type 1 one umber of Levels 4 /o Ownership Bedrooms 5 Bedrooms 12 Bathrooms Bathrooms , CQSTf1Y1AA�RCET YLuA�I+DN , ,• s, FOP 12 0 Full nadj.Base Rate 0.00 30 6 12 14 16 Total Rooms 11 11 Rooms Size Adj.Factor 1.00834 Grade(Q)Index 1.07 Bath Type Nbhd Adjustment 64.74 Kitchen Style Adj.Base Rate 137,832 Bldg.Value New 1981 Year Built A)1988 ff.Year Built 12 rml Physcl Dep uncnl Obslnc con Obslnc da pecl.Cond.Code 10 1010 Single Fam 100 peel Cond% 98 Overall /o Cond. 135,100 eprec.Bldg Value �Ol3 DUTBUIZDING�& YARD I7EMS{)��YF�BCrYL�DING�E�R,4E'E.4TURES B� ,, � , , Code Description LIB I Units Unit Price Yr. Do Rt %Cnd Apr. Value BFA Bsmt Fin-Aver B 800 15.00 1988 1 100 10,600 W. ry '�„�.� '. .. ,` BIIILD,INGSIBASUMMA&P;SECTIOIY x.z ;, �< :,;. Code Description Living Area Gross Area Eff Area Unit Cost Unde rec. Value BAS First Floor 1,769 1,769 1,769 64.74 114,525 BMT Basement Area 0 936 187 12.93 12,106 FOP Open Porch. 0 48 10 13.49 647 GAR Attached Garage 0 384 134 22.59 8,675 WDK Wood Deck 0 292 29 6.43 1,877 TU. Gross Liv/Lease Area 1,769 3,4291 2,129 Bld Val: 137,832 ITEM 4.OTHER ROOMS USED YES No- FINAL No. FOR LIVING&HALLS PASS FAIL CONC COMMENT APPROV. INmALIDATE 4.1 Room Code-0 Room Location Check One ❑ Right/Center/Left Check One ❑ Front/Center/Rear Floor Level 1 4.2 Electricity/illumination r 4.3 Electrical Hazards ' 4.4 Security 4.5 Window Condition 4.6 Ceiling Condition r } 4.7 Wall Condition r ; 4.8 Floor Condition y� 4.9 Natural Licht 4.1 Room Code' 0 Room Location (Check One) ❑ Right/Center/Left (Check One) ❑ FronUCenter/Rear_Floor Level 4.2 Electricity/Illumination / ) 4.3 Electrical Hazards 4.4 Security i 4.5 Window Condition 4.6 Ceiling Condition �V 4.7 Wall Condition 4.8 Floor Condition 4.9 Natural Light 4.1 Room Code`= Room Location (Check One) ❑ Right/Center/Left (Check One) ❑ Front/Center/Rear_Floor Level 4.2 Electricity/Illumination 4.3 Electrical Hazards 4.4 Security 4.5 Window Condition f s 4.6 Ceiling Condition , 4.7 Wall Condition F 4.8 1 Floor Condition 'ROOM CODES: 1=Bedroom or any other room used for sleeping(regardless of type of room) 3=Second Living Room,Family Room,Den,Playroom,TV ROOM 5=Additional Bathroom 7=Garage 9=Other 2=Dining Room,or Dining Area 4=Entrance Halls,Corridors,Flails,Staircases 6=Attic 8=Laundry ITEM 5.ALL SECONDARY ROOMS PASS NO IN. - COMMENT APPROV. NO. Rooms not used for Ltvin e INmALA)ATE- 5.1 'NONE Go to Part 6 5.2 Security 5.3 Electrical Hazards 5.4 othe,Potentially H zard us Features in an of these dooms ITEM YES NO IN.- FINAL NO. 8.BUILDING EXTERIOR PASS FAIL CONC COMMENT' APPROV. 6.1 Condition of Foundation '` !t, INmawAT> 6.2 Condition of Stairs,Rails,and Porches 6.3 Condition of Roof and Gutters , 6.4 Condition of Exterior Surfaces 6.5 Condition of Chimney 6.7 Manufactured Homes:Tie Downs 6.8 Manufactured Homes:Smoke Detectors ITEM 7.HEATING&PLUMBING YES, NO IN.: : FINAL NO. PASS FAIL CONC COMMENT APPROV. 7.1 Adequacy of Heating Equipment t I,t x{ INmAvoaTE 7.2 Safety of Heating of Equipment t` 7.3 Ventilation/Cooling 7.4 Water Heater Gas/Elec/Oil 7.5 Approvable Water Supply -� 7.6 Plumbing 7.7 Sewer Connection ITEM 8.GENERAL HEALTH YES NO IN.'- FINAL NO. AND SAFETY PASS FAIL CONC COMMENT INnIALIDATE APP�• - 8.1 Access to Unit -` _° 8.2 Lead-Raint-K)E; -0-Not A plicable 8.3 Evidence of Infestation ^ 8.4 Garbage and Debris r 8.5 Refuse Disposal -^ 8.6 Interior Stairs and Common Halls 8.7 Other Interior Hazards 8.8 Elevators --- ❑ Not Applicable 8.9 Interior Air Quality 8.10 Site and Neighborhood Conditions 8.11 Entry Door Security r ❑ Not Applicable t 9.1 Heating System Type ti Gas ❑ Oil ❑ Electric ❑ Other ITEM YES NO I IN.- - FINALNO. PASS FAIL CONC COMMENT APPROv. _., RMIAUDATE .353 Asbestos Material .482 Smoke Detectors riu,cc,v t tvi it(,K This inspection has been performed to determine compliance under the HUD/DHCD Section 8 Programs.While some,of the inspection requirements may be similar or identical to provisions of the Icoal codes this inspection does not certify compliance with said codes. In all instances,it is the Owner's responsibility to maintain property to meet all applicable state and local codes and a tenant's right to request an inspection by the local code enforcement agency. Party Present at Inspection Idspectot Signature L Date - Date Date 99 t _Y. . e r 1 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT I - ---- -- - be °� ath, -- + depose and state as follows: 0 bEp 1.) I reside at. ----- ---- ----g - U U E ----- 2.) I am the owner of the pro]perA locate Q -------------------------------------------------- shown on Barnstable Assessors' maps as MAP__,22�,-----PARCEL____LSL��___________ 3.) I Do------- ______Do not_______________have a Family Apartment at this location. 4.) On__ o V__o7- run 199�__, the Zoning Board of Appeals, on Appeal No./�� -6?j granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME__-- -- Relationship to owner:__ b) NAME---__ Relation ip to owner:______ 7.) The Family Apartment will be.the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. . 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. t 11.) I understand that I,am required to comp y with all conditions imposed by the Board of Appeals in Appeal No. �z_ 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. D Sworn to under the pains and penalties of perjury this_ _day of 1998____ Signatur 6 --------- --------------------- - -- ----------------------------- Print Name -------AT-!` -�---------- oFt"E The Town of Barnstable Department of Health Safety and Environmental Services : .nxxsrnai.E, s Building Division 9q, 1659.. `0�' 367 Main Street, Hyannis MA 02601 ArED MA'S A Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission December 31, 1997 The Atkinson/Eckman Residence 12 Sylvan Drive Hyannis, MA 02601 Re: Family Apartment located at 85 Cottonwood Lane, Centerville Dear Ms. Atkinson or Mr. Eckman, u have not filed an affidavit regarding the above referenced family Our records indicate you gar g y apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by January 30, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Ralph Crossen Building Commissioner QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 12/31/97 PARCEL ID 252 155 GEO ID 16480 LOT/BLOCK 167 LC2 DBA PROPERTY ADDRESS OWNER ATKINSON 85 COTTONWOOD LANE NORMA H & ECKMAN MICHAEL E CENTERVILLE 12 SYLVAN DR HYANNIS MA 02601 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RD-1 SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 12632 .4 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST GP (N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT r Town of Barnstable Planning Department Family Apartment Request Staff Report - Appeal No. 1992-63 Date: October 29, 1992 To: Zoning Board of Appeals. From: D. Art racz k, Principal Planner Application Summary Appeal No. 1992-63 Applicant: Norma Atkinson Address: 12 Sylvan Drive, Hyannis, MA 02601 Property Address: 8 Cottonwood Lane, Centerville, MA 02632 Property owner: Thomas W. & Helen A. Leonardl Assessors Map/Parcel: 252/155 Zoning: RD-1 Residential D-1 District Zoning Overlay District: GP - Groundwater Protection Applicants Request: Special Permit - Section 3-1.1(3) (D) Family Apartment Activity Request: The applicant is seeking to convert a "lower level" of the structure into a family apartment Construction Activities: Installation of a bathroom and kitchen. Procedural Provisions: Section 5-3.3 Special Permit Provisions. Background: According to the Assessors Records, the lot is 0.29 acres, and is developed with a 1,469 gross sq.ft. one story structure and an attached 161x 24, garage (384 sq.ft. ) . The home was built in 1981. The family apartment unit is to be located in the lower base level of the structure. The plans submitted with the application have no dimensions to them, however from the Assessor's Records, the base of the structure measures approximately 421x 241and totals 936 sq.ft. The applicants plans show the proposed apartment to be a one bedroom unit. space, within the base level, has also been committed to storage and utilities. The lot is a corner lot at the intersection of Cottonwood Lane and Beechwood Road in Centerville and is accessed from Phinney's Lane via Huckins Neck Road. The lot is located within a GP - Groundwater Protection overlay District. According to the Assessors Records the home has a total of 3 bedrooms and is served by public water and private septic. 1. As per 1991 Town of Barnstable Assessors Records Staff Report - Appeal No. 1992-63 Family Apartment According to the Plot Plan submitted, the structure meets the setback requirements for the district. The applicant has submitted a purchase and sales agreement on the property as standing before the Board. According to the applicant they intend to reside within the premises. The family apartment is to be occupied by the applicants elderly parents. DEPARTMENT CONCERNS: The applicant should be prepared to address before the Board, each of the requirements for a family apartment as itemized "a through q" of Section 3-1.1 (3) (D) Conditional Use Family Apartments of the Zoning ordinance. The applicant should also be informed that the maintenance of a Family Apartment requires a yearly affidavit be submitted to the Building Commissioner. Copies of Section 3-1.1(3) (D) and the Affidavit are attached. The site is within a GP - Groundwater Protection overlay District. The applicant should: 1. Acquaint himself with section 3-5.2 Groundwater Protection overlay Districts of the Zoning ordinance (pages 48-51); and 2. Be aware that the septic system should comply with the Board of Health requirements for a Title V. To date, no letters or comments have been received from abutters. I SUGGESTED CONDITIONS:, If the Board should find to grant this request for a special Permit, it may want to consider the following: 1. The special Permit for a Family Apartment is issued only to the owner and resident, Norma and John Atkinson, for the property, addressed as 8 Cottonwood Lane, Centerville, MA. It is not transferable. 2. The family apartment shall be located as per plans submitted titled: "Norma Atkinson, Family Apartment". It shall not occupy more than 734 sq.ft. 3. The owner shall comply with all Board of Health requirements. 4. The applicant shall maintain the apartment in compliances with section 3- 1.1 (3) (D) - Conditional Use, Family Apartments - of the Zoning ordinance. 5. The applicant shall maintain the property in accordance with section 3-5.2 Groundwater Protection overlay Districts of the Zoning Ordinance. cc: Norma Atkinson, Applicant Joseph DaLuz, Building Commissioner Thomas McKean, Heath Agent ZBA File 1992-63 2 �$�_ L O T T-0111W D.QD_._L.Ar 10 R D-,,ram n 0__-1 1 ) i i 5 1`0 4 8 0 5 - 1iANUII .FEAIUIIESI]ESCIIIPII(IN AUJI151MEN1fAC10NS YP UNIT ADJ* 'T L�OiJ4R0, THOMAS W HFL- °' A MAP— ' 1•rW er/D•1+ s'r"n"'r`•"""'^ LOC.IYR.SPEC CLASS ADJ. COND. ACRES/UNITS VALUE Descrrplrun cn FF a•a^urge, 2 D i U 0 , CARDS IN ACCOUNT — L 10 18LDG. SIT 1 x .2'). =100 224 37999-9 395 ?9:99 .2 / 26)]s MILDGM-CARD-1 1 98.000 01 OF t,1 A "L ''7.35 COTTONWOOD LN CFNT c N BATHS 2.0 ll X C= 10f 7000_00 7JJ0.)u 1.)J 7C ii*• I NDL L•)T 167 "1ARKET 7390G * I_C')'3YC INCOME D y?;• ui.)d ;*.i117 -ill ;;105 USc A 1;"S;) .1= _CMWOOD ROAD 4PPRAISED VALUE D A 124P000 D J PARCEL SUMMARY A U LAND T S SLDGS 98000 A T 0—IMPS M TOTAL 124000 E N CNST F E N DEED REFERENCE Typ. DATE PRIOR YEAR VALU Recwo.O A T eaelr P.9e '^•' Mo Yr D s.les Prlo. LAND 26000 T S C �194 0 I'G>/33 5Q9 J ?LDGS 9800C V.j ac, 12003 TOTAL 124000 U R E BUILDING PERMIT Numoar ON. Type Amount S LAND LAND-ADJ INCOME ISE SP-BLDS FEATU3=S BLD-ADJ3 UNITS 26000 7030 327464 1 /85 AD 1460J Conal Tolal /�eI�aI r NWMCND. La. ey R G Repl Gotl Nero AOI Repl Value Slwres Nepht Rooms Rm B.Iha OF I I.. P.rty 11 Fac. Class Umis Unes Base Rale Ad, Rate 1 7 f" Age OeM Cpnp 1C 000 110 110 61.30 67.43 81 81 10 91 95 86 113993 933)a 1. D 6 3 2.0 4.0 OewWuon R... SQWre Feet Rept Cost MKT.INDEX 1.00 IMP.BYIDATE: / SCALE: 1/30.6 3 ELEMENTS CODE CONSTRUCTION DETAIL BAS 103 7.43 936 63114 GROSS AREA 1469 SINGLE FAMILY DWELLING CNST •�"::�= S FOP 35 23.60 48 1133 N *----15---*-6-* ;TYLE 33RANCH 0•0 T --- ---------------------- R FWD 85 8.50 220 1870 *-----22-----* FSF ! FWD! �cSIGI 4DJMT )2DcSIGN ADJUST 1u.. U F S F 90 0.69 533 32348 ! FWD 15 15 15 cXT�R.WALLS 01WOOD FRAME 3... FWD 35 8.50 90 765 10 10 ! ! HEArjgr. TYaE 11GAS-WA.RM AIR - 0.0 C' fFG 30 20.23 384 7768 1 ! ! ! INTiF:.FItJI.irl ---DRYWALL T *-----------42----22-----* *-6-10---* INT-:PLSYOUT 1ZAVE:F./NORMAL U.'. U 1 ! ! ff.i ! IVTck. 1 IA.LTY )23AME AS EXTErt. R 1-1 G1.+OOD JOIST A W! 13 ! ! EFLIII: i iVi ;)4C_A4PET-------------- L D _ - H SH - n -- E TCWA,... A.. 742 Bane- 1469 24 BASE 22 24 24 �.0)f TYP -__- -J1GAdL5—ASFH $N _ - BUILDING DIMENSIONS 1 ! ! ! :L_C T i I C A L l A V E R A fi E _____ 0- T A$ W12 FOP S�4 �12 NJ4 W12 ! ! ! ! F_)ACikTIJN f1a0URED CONIC �y.a A AS S,S W;0 N24 E42 FWD N10 W22 ' *--12--x 1 ' -- -- - ------_--.- ---- -- - - - - - 1C E 2 2 .. F S F N15 E15 FWD E06 ! *-FJP--*---1+----* ! N: IIH :��aO•)0 i1At HYAWNIS L 15 Wj6 N15 .. F S F S15 W01 FFG *--------30-------* *---16---* LAND TGTAL :".ANKET 16 S24 W16 N24 .. FSF S22 W14 F'ARri'L 0 12 C''_ N22 .. 4AS S19 Ya.i.1�Cc +C +[ G7 .J T AN!IA43 GS TOPOGRAPHY 1 LEVEL * TOPOGRAPHY * UTILITI S 2 PU5 WATER * JTILITI:- > IA'; • 'JTILITI=:� ,cVTIC ST FEATURE 1 PAVED * ST FEATURE * ST FEATURE * SF. JVi; . • T FFIC 1 LIoHT DWELL LIC. 2 MIDDLc • LOCATION * a*irF11TIES * .1'�: IITe 1 • t+'tjISAvC: S NUISAVCES * * i I n n o v at i o n. s HAIR SKIN NAILS v a 0 o � A Resident Owned community (941) 383-1646 Fax (941)boat Key, 7-9089 FIB. 34228 3740 Gulf of Mexico Dr. Long ( 4l 1650 Falmouth Road • Rte. 28 • Centerville, Massachusetts 02632 • 508-778-5155 �oFtME r ti Town of Barnstable 0;0 Regulatory Services r • SST" Thomas F.Geiler,Director Mnss. 9 i639• �� Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 r_L�.CG111Uer 1 a,........2000 Re: Family Apartment Dear Property Owner: Our records indicate you have not filed an affidavit regarding your family apartment in quite some time. It is required,under Section 3-1.1(3)(D)(1)of the Town of Barnstable Zoning Ordinances,that an affidavit be submitted annually for the duration of such occupancy. Failure to do so is a violation of your special permit and may result in your loss of the rights granted thereunder. Please indicate the status of the family apartment on the enclosed affidavit and return it to this office by January 30,2001. Enclosed is an affidavit for your convenience. Thank you in advance, Elbert C.Ulshoeffer,.Jr. Building Commissioner , enclosure .. y Q/FORMS/FAMAPT COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT a I, , being on oath, depose an state as follows: J 1.) I reside at 2.) I am the owner of the property located at 3S 8�jv rl'6q�— n g p� shown on Barnstable Assessors' maps as MAP S 2- PARCEL �S� 3.) I Do i✓ Do not have a Family Apartment at this location.. 4.) On , 199 �, the Zoning Board of Appeals, on Appeal No. S,�:u-1t:u;,.: a Special "Pr►niry/va iance to maintain a Family Apartment at the above address.` 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME Relationship to owner:_ b) NAME Relationship to owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this day of , 199 Signature Print N e r r 19 33�ol USA [ / 08 g 200\ l/A 3 v-7 c ........ ::..i...ram _•:. - I�'�91.1[':!7f !f tJFt�J -!}III !- ?-f Ft3 ��!13! f J�)J Pl;i�-e e' \. T.'Norina Atkinson 50 Willow Run_Dr,. Centerville;MA 02632 "z { i 1fEl loot t It [ !!ll t i!! itt 1 If 11HE Tp,, The Town of Barnstable BARNSTABLE. • Department of Health Safety and Environmental Services MASS 059, '�Fu,u,•a, Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen ' Fax: 508-790-6230 Building Commissioner i Inspection Correction Notice Type of Inspection Location �f �y � dijo Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: r Ci V Please call: 508-790-6227 for reeinspection. t Inspected by Date I , `� Barnstable Assessing Search Results Page 1 of 2 QL €�h�x3lk%dN 1 Home: Departments:Assessors Division. Property Assessment Search Results New.Search Interactive Maps >> s6vkdu k:.®caner: ` 2009 Assessed � �, - Values: I I'l WHITE, DENIZ R � 85 COTTONWOO LANE Appraised Value Assessed Value Map/Parcel/Parcel Extension r Building Value: $ 161,200 $ 161,200 252 /155/ � "r Extra°Features: $ 10,700 $ 10,700 . �9 Outbuildings: $0 $0 Mailing Address ren d lue: 8,000 $ 168,000 �a WHITE, DENIZ R —� ' I ✓ ' ti., of Is $339,900 $339,900 ' ..` /fP O BOX 1060 Q I p� r. - . f CENTERVILLE, MA.02632 rj CD 2009 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $70.36 Fire District Rates Town Ri Barnstable FD-All Classe $2.37 $6790 C.O.M.M.-'All Classes $1.08 Town C( C.O.M.M. FD Tax(Residential) $367.09 Cotuit FD All Classes $1.43 $6.12 Hyannis-Residential78"-` Town Tax(Residential) '` $2,345.31 Hyannis Commercial $2.77 W Barnstable-All Classes $2.1.1 Commur 40 ✓" S Total: 2 78'2 76 - Construction Details Building Property Sketch & ASBUILT Property Sketch Legend Building value . ' $ 161,200 Interior Floors Vinyl/Asphalt Style Ranch . Interior Walls Drywall Model Residential Heat Fuel Gas Grade Average Heat Type Hot Air _, http://www.town.bamstable.ma.us/assessing/2009/displayparce109map.asp?mappar=252155 -.5/21/2009 Barnstable Assessing Search Results Page 2 of 2 Stories 1 Story AC Type Central Exterior Walls Vinyl Siding Bedrooms 5 Bedrooms Roof Structure Gable/Hip Bathrooms 3 Full Roof Cover Asph/F GIs/Cmp living area 1769 Replacement Cost $181075 Year Built 1981 Depreciation 11 Total Rooms 11 Roomsx '4 Land ' CODE 1010 y, Lot Size(Acres) 0.29 Appraised Value $ 168,000 AsBuilt Card N/A Assessed Value $ 168,000 View Interactive Maps Sales History: Owner: Sale Date Book/Page: Sale Price: WHITE, DENIZ R Jan 31 2003 12:OOAM C168104 $324,000 ATKINSON, NORMA H Nov 15'1992 12:OOAM C128358 $95,000 CAPE COD CO-OPERATIVE BANK Jun 15 1992 12:OOAM C126829 $ 102,000 LEONARD,THOMAS W&HELEN A May 15 1983 12:OOAM C919490 $59,900 R ARTHUR WILLIAMS, INC Sep 15 1980 12:OOAM $ 12,000 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value BFA Bsmt Fin-Aver 800 $ 10,700 $ 10,700 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area (Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) y http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=252155 5/21/2009 Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer I Custom Map Abutters Map Size Zoom Out In .y he R.r JPG Map: 252 232019 5 2'ti 252147 !l64 8 25205 Location: 1,1153" 134" 2520a2sa �. ;U45 N 12a k?t Owner: 252Dt8 i 2521!38 232061005 t33' 252031 �t243 � , 133 252041°_ 252087T00 f Q Z52028 it S1 if 52 G252087 W 352153 252017 ld tt6 p52 Locatian In N121V0225�2032 A123 �y252048 HI0 23205102 Map &Pa rce 2521 262082 NO. k 112 0104 #4.7 _ 252036 252048T00 Location s.F252018 01t3 #40 52048 252051003 Acreage 107 252t50 28 A ' 252033 la 943 252154 #100 #10133 252i783Tri0 , . li23 252086 Current Ow 252015 252033 252151 x� i120'� #95'"` ��oS'" #� 232083w0 .%° Mailing Addi i 2 034 fl'Z3 252050 s !V88, 232155 262152 # f .252014 �. � f 83 W" 1174' � � ,,,' 85 252156 252084� y . 104' 2b21681�D0 #tf appraised 1 tf 81 252037 Extra Featur #94 P3 25215.8T1D0 232085 vt M182 252038 962:: Out Building 12 #70 . : :. li533 $ �$` . Land 152007 #§gt57" 25218 352073 Buildings 43P` 262159 itl935' yy.2 252004 2521.81 33 1: Total Apprai f163 moo 2621 ki " 101 9 4a v 252170 Hop 262180 1i925 251232 021 4-,-1 is 21 Assessed V ? 61 r 252185 25 1711110 252074 #241 � N52 a934°', N909j � ad12 f Extra Featur 252013 252077 049 2 252184 752t 2 il'::1:? Out Building 624 +903 25itodN00 262178` 2521 2162 252163 25 i76 252076 0128t Land t118. !40 i116 �: k 900. #28- N 24 „ Buildings Set Scale 1" = 224 I Aerial Photos aj MAP DISCLAIMER Total Assess Copyright 2005-2008 Town of Barnstable,MA All rights reserved.Send questions or comm( BarnstableMA v1.2.3357 [Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspOpropertyID=252155&map... 5/21/2009 Message Page 3 of 4 From: O'Connell,Timothy [ma ilto:Timothy.00onnelI@town.barnstable.ma.us] Sent: Friday, May 25, 2012 11:55 AM To: Deniz White; Anderson,:Robin Subject: RE:85_Cotton-wood) Once work is complete I due suggest a dual Inspection (health and zoning). Timothy B O'Connell, R.S Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 (508)862-4646 Email:.timothy.oconnell@town.barnstable.ma.us -----Original Message----- From: Deniz White [mailto:dwhite@acmebook.com] Sent: Friday, May 25, 2012 11:40 AM To: Anderson, Robin Cc: O'Connell,Timothy Subject: RE: 85 Cottonwood Hello: Fyi: Contactor(William Da Silva) said the work on.the walls will still.be going on at least thru Tuesday. The work you were concerned with in original tickets is done I was told yesterday. Would you want me there? I just want this resolved right as these are the last tenants before I sell, maybe I am an easy touch but I am beginning to believe tenant actually did not know sublet was wrong. Please give a time if so. The health dept gave 60 days as of a couple weeks back but we are doing it all in one go. I was told the current setup had 2 rooms (over the 4 allowed) that met the definition of bedrooms in your town, which was basically areas with privacy as I understood it. Which could be resolved by putting in 5+ft openings in certain walls where there are now doorways. I guess this is what you referred to as"flow" in our phone call. The health dept also said despite the 2 exits from the basement no one was allowed to sleep in basement room. Only Home office, game room etc... is an allowable use. � That person (a relation of tenant will be moving upstairs when upstairs work is done. I am mentioning this to avoid having the Health people having to come out twice, it that is a problem. Thanks: Deniz White 8/7/2012 f Message Page 4 of 4 i C From: Anderson, Robin [mai Ito:Robin.Anderson@town.barnstable.ma.us] Sent: Friday, May 25, 2012 10:34 AM To: Deniz White Cc: O'Connell, Timothy. Subject: 85 Cottonwood Dear Mr. White, A joint inspection with Health is recommended for next week. If the inspection satisfies us I will notify the court to dismiss the ticket otherwise the,hearing will continue and you will be required to appear. 4Win I Robin. C. .Anderson " Zoning Enforcement Officer' To-wn of BarnstabCe 200 -%ain Street Hyannis, wt.A 026o.i 5o8-862-4027 8/7/2012 EVE Town of Barnstable ' Regulatory Services MUuvsrns . ; Thomas F. Geiler,Director ' � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 l August 2, 2012 Barnstable First District Court Office of Clerk Magistrate n PO Box 427 � Barnstable, Ma 02630 Re: Deniz White— Docket NO 1225AC001917 BAR 73936 & 73935 Saeed Mian/Cash Bar NO 80020, 80022, 80021 Dear Magistrate: I respectfully request that the aforementioned enforcement matters pending before you on August 3, 2012 be dismissed. A recent inspection of Mr. White's property was reported' to be satisfactory by the local building inspector,thereby rendering the issue moot. With regards to the Mian Saeed(Cash Market) matter, we have reached an understanding and expect to amicably resolve the situation without the court's oversight. Please dismiss the aforementioned matters as identified above. Sincerely, Robin C. Anderson Zoning Enforcement Officer Certified Mail#7006 0810 0000 3525 6696 �'THE Tay Town of Barnstable _ Regulatory Services Ea"SeABLE, MAS& `�$ Thomas F. Geiler,Director 039. Public Health Division Thomas McKean, Director 200 Main Street,.Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 8, 2012 Deniz White 71 Allison Street Newton, MA 02458 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II —MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION, THE STATE ENVIRONMENTAL CODE, TITLE 5. The property owned by you located at,85 CottonwoodLane Centerville;_MA was inspected on May 7, 2012 by Timothy O'Connell,`,R.S., Health Inspector for the Town Of Barnstable. This inspection was conducted on the basis of the rental registration of the Town of Barnstable. The following violations of the State Sanitary Code were observed: 105 CMR 410.300 and 310 CMR 15.00: There were a total of six (6) bedrooms observed in this dwelling; five (5) were observed on the first floor, (1),one was observed within the.basement. However, the existing septic system (permit 4 2009-144) was not designed for six bedrooms. It was designed for four (4) bedrooms. You are ordered to correct the violations listed above within sixty (60) days of your receipt of this.notice by pulling any required building permits. You are ordered to remove any two bedrooms from this dwelling. This may be accomplished by removing entrance doors and by opening all door-way entrances to each room to minimum of five feet wide openings. This will bring the total bedroom count down from (6) six to the appropriate (4) four as designated by your septic permit. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result. in a fine of $100:00 per violation. Each day's failure to ; comply with an order shall constitute a separate violation. QA0rder letters\Housing violations\Rental ordinance\85 cottonwood In PER ORDER OF T E BOARD OF HEALTH omas A. McKean, R.S., CHO Director of Public Health Town of Barnstable 1 QA0rder'letters\Housing violations\Rental'ordinance\85 cottonwood In I Inspection Report — Building Department Date --'7 Z Address �lJ u c�.2C�u 5 Co+junc000(L � n t t t Referred By Reported to Site with Purpose of Inspection 4—F 6ar�per h&4 --ly Rgs+6-a- -rtD S r IS(A SQ un 4-s c 00 aio ' Observations & Notes* L/; o -�- 1� k rvel� ALIaAyam. n yin ;` (.tT7!/2J 4-- are f 4 • ATTO.RNEYS 'March 3 0,2012 300 Bamstable Road Hyannis,MA 02601 VIAi"(' FIRST_CLASS& `M CERTIFIEDAIL : Cj N (508) 775-3665 Wesley Vlera Fax(508) 775J244 3 i (800)899-3003 85 Cottonwood Lane http://www.wynnwynn.com 1 u Centerville;MAj02632 Jeni A.Landers 'Dear Mr. VieIa, ' Jeffrey L.Madison t 3 d Richard A.Marton z Kevin P McRoy** Please be advised that this office'.represents Denlz White own r f 85rn Serh D.Miller*** Robert F Mills Cottonwood Lane and your landlord pursuant to the September 1,2011 Lease- Charles D.Mulcahy John J.O'Day,Jr. Agreement signed by you and'IV1r: White. Kevin J.O'Malley Anthony T.Panebianco**** Raymond C.Pelote* x } Thomas E.Pontes It has come.to Mr. Whites attention that you may.have_impermissibly.sublet RyanE P ophe '` the property located at 85..Cottonwood Lane and that you may installed a second Ryan E.Prophet[ - .- Rebecca C.Richardson Aitchen and/or second-jiving unit. Please be advised that if in fact you have sublet Janice E.Robbins F William Rosa* and/or created a second unit,you are in breach of the Lease Agreement and have . Anna M.Swanson. violated the zoning laws of the'Town ofBarnstable. Andrew A.Toldo ' Paul F.Wynn - ThomasJ.Wynn Please immediately cease and„desist any;and:all alleged subletting of the Of Counsel property. Please also,immediately appliances remove any unauthorized liancesand Hon.Robert L.Steadman(Ret:) v - } Hon:JamesF.McOillen,IL(Ret.)t return the property•to move-in condition (i e.-single famiTy): Failure to comfy Keough&Sweeney may result in eviction proceedings. Mr. White.also intends, as he is permitted to, William E.O'Keefe - Edward F.O'Brien,)f. "do under the Lease AAgreement,to hold'you liable.for the fines the Town of Barnstable has lodged against him and,for any and all fees`an&costs related'to Admitted: alleged zoning violations caused by your actions: - *Massachusetts and Rhode Island - •'i' - .,. - '*Massachusetts and New Hampshire *** Massachusetts and Connecticut fr Please also be advisedthatyou are notpermitted to_"operatelany business�at•,.:.****Massachusetts and New Yorkthis property and that your,use is restricted to residential. ..Mr. White will be contacting you,directly to'schedule a walk``=though inspection of the property in order to confirm that you and your family are the only ones-occupying the property and that the property has not been altered many way that would violate the Lease Agreement or the laws of the Town`of Bariistabk Jfyou have'-anyplease contact my office.. A` rV�ery truly yours", + ' eni-A: Landers cc: Client, Robin Anderson Town of Barnstable - 3 DATE: March 21, 2012 TO: Building File . FROM: R. Anderson A RE: Deniz R White LOCUS: •85 Cottonwood Lane,Centerville° I received a message to contact Sgt Caiado regarding this matter ASAP. Apparently, Mr:_ White's mother appeared at the courthouse this morning representing her son. She became quite agitated and loud. :Sgt.Caiado inquired about the court date as'he'was. unable to locate one. .I explained that I had just written the citations last week..'He stated g. t he would explain the appeal process to her. I reminded him that she has no standing.as her son is the property owner..I advised Sgt. Caiado could certainly send her over to talk to me but nothing can.be resolved without the property owner. He'said the`woman was so loud and disruptive that the wanted to;get her,out there. No one appeared in this office representing Deniz R. "ite. 17 , n e.. Page 1 of 1 Anderson, Robin From: Deniz White[dwhite@acmebook.cor] Sent: Monday, March 26, 2012 10:48 AM To: jlanders@wynnandwynn.com Cc: Anderson, Robin Subject: 85 Cottonwood Lane, tenant sublet,ticket numbers 73935,73936, (RID-1) Hello: Just a recap of my phone conversation with Jessica Landers at Wynn and Wynn. She will be sending letters to you and the tenant and calling as well.' It was mentioned when I spoke to Ms. Anderson that if I had an attorney she should be contacted by the 30th of March and if things could be worked out to bring things into compliance tickets might not be forwarded to the court for action. 1 will be talking to the tenant Wesley Vierra tonight. I am hoping to work this out with Mr Vierra and the town, letting his family stay, as long as he stays in compliance with town rules. Ms. Anderson mentioned the term "Absentee Landlord" I am down on the Cape every 4 to 6 weeks on weekends and drive by when I am, I was last inside the house in mid January. I was planning on selling when lease is up. Like a lot of people I did not want to be a long term landlord. I had intended to move there after renting it out for a time when the crash of'08 meant I had to stay where my work was. I was told by Sezen White that the electric stove that was placed in a room was removed and tenant was leaving or perhaps has left. The lease says no sublets and the house has not had hallways or additions since purchase. There is no real kitchen cabinetry except in the proper Kitchen at the center of the house. Will take any actions needed to keep what I assume is the problem room from being used as a kitchen, if there is more to it than not having an electric stove and refrigerator(no proper kitchen cabinetry but there is a sink) and promising eviction if this rule is violated. Thank You: Deniz White X 3/27/2012 SENDER: COMPLETE THISSECTION, COMPLETE THIS SECTION,ON DELIVERY",,— ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent X ■ Print your name and address on the reverse �v— Z6❑Addressee so that we can return the card to you. B. Rece ed nn 1 e) C. Date of Delivery Is Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is e I re erent item 1? ❑Yes (�(J� If ter deluv �y add s"tea ow: ❑No x 7/-77 eU j-6�/ �f 3. Service e + Certified ai Egress Mail I) 7 V O ❑Registered 21-oRetum Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes i 2. Article Number (Transfer'from service labeq t!t i i -7, 6 i 8�1 0 0`0 0�F D BN R 6 0 6 81 A PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL Si—MM xFirst-CIa,Ss Mail .. to ,�+Foe .. ... :. . :::.:: ::.::. : ::-. ,:�: ::•:�:.::: }permit No:G-10 •. j • Sender: Please print your name, address, and ZIP+4 in this box • I I I j TOWN OF BMNSTABLE I BUuWIIriQ Dt` IfJi� I I iJ II.L11111 1I111 1111111.I 1199J j 1111JJ 11fillIII U.S. Postal ServiceTM - RTIFIED�MW 9, RECEIPT (Domestics at-niy;,No InsurancelCoverage Provided] — - -- BFor,delivery,information,visit our web`site at www.usps.com® PS Form 3800,June 2002 See Reverse for Instructions Certified Mail Provides: anay)ZppZ eunr'ooes wio�sa Q Amailing receipt o A unique identifier for your mailpiece • A record of delivery kept by the Postal Service for two years ft/ortant Reminders: Ra Certified Mail may ONLY be combined with First-Class Mail®or Priority Mal e. o Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. as For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt seance,please complete and attach a Return Receipt(PS Form 3811),to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required.. • For an .additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the maiiplece with the endorsement"RestrictedDeliveiy.. to If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it.when making an inquiry. Internet access to delivery Information is not available on snail addressed to APOs and FPOs. ,.� NAME OF OFFENDfA" nn D DAD 73936 TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY,STATE,ZIP CODE 6r' j f tlkE► MV/MB REGISTRATION NUMBER I�fFENSQ�,,e�1 I/. .�.t�r3 r^ � y j}', ( f• /�_ /rr.. ( i ,} ) � ,�y - NAN 7SA.BU:. _Irk l.. , � �/ W / \ O ar 3 - �f R, t _ /"1 -,1 t ) > TIME AND DATE OF VIOLATION LOCAT ON 0,VIOLATION NOTICE OF �- (A.M./P.M)ON J� (0 20 Q >Ceti 4 ton e / t„pr1��✓zt � �,., Wt SIGNAL'O ENFORCING,PEySOWA1-;r.j FICING DEPT.� ; BADGE N0. w VIOLATION y' (r --- — � I f co OF TOWN .� _ U LU I HEREBY.ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE O-finable to obtain signnaatu,�of offender - THE NONCRIMINAL FINE FOR THIS OFFENSE IS Date mailed w OR W YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. �w (1)You may elect to pay the above fine,either by appearing in person between 8`.30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, Q before:The Barnstable Clerk 200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or Postal note to Bamstable Clerk,P. Box 2243% � Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (2)If you desire to contest this matter in a noncriminal proceeding yyoou may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the bffense.charged,and enclose payment in the amount of$ Signature NAME OF nn OFFEND'1>�n 1 z- t' ` ---]BAR A D TOWN OF ADDRESS OF OFFENDER I I � i `�00 S {`ik` l�J y1 BARIYSTABLE CITY,STATE,ZIP CODE �f �9 j / "�� { puss o lEll " � HAR$.r'ABLE. LU ED MIDI 'lJ W'•'�`7 • - i'i.i �F P Si`m ..,� ,. " 1 - . �{ �J� � �! TIME AND D OF VION171 N '� - TION OF V OLATI N 1r ) � ) /'1 Z NOTI( OF {,�''l (A.M./P.M j ON, "'/�1 a 201 2—. F n .f l d_A . 011.kg . VIOLATION t SIGNAT IiE FENFORCI�G7ERSUN�J� `*w... ENFOEIGNGOEPT.. `� BADGEN0. N OF TOWN I HE_UBY ACKNOWLEDGE RECEIPT OF CITATION X Q ORDINANCE 12 Unable to obtai ign ture of off,nder. �- i � [ l THE NONCRIMINAL FINE FOR THIS OFFENSE IS is Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (1)you may elect to gee above fine,either by appearing in person between 8:30 A.M.and 4:00.P.M.,Monday through Friday,legal holidays excepted, Q before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Bamstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)g you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST 9ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNS ABLE,MA 0263Q Altn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or N you fail to appear for the heads hearing to be due,criminal complaint may be issued against you. 9 or to PeY arty floe determined at the ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of E Signature NAME OF OFFENDER (' _ --BAR 7 TOWN OF ADDRESS OF OFFENDER p-y H BARNSTABLE CITY.STATE!ZIP CODE C o�4 51? - .; - - MVIMB REGISTRATION NUMBER OFF �E NAX\.l'AB12. is" - • 4Al5. I I �� L.lf" !� w I- LU J NOTICE OF TIME AND DATE OF V (A.M./ .M�ON — `✓, 201 Z L TI)N OF VIOLATION. } + t ^ ; LU SI AT E F EkFORC EH N S ENFORC 11 T)). J 1 J BADGE 0. ► ' Y�ICp• _ VIOLATION. / P/�i l\- o I OF TOWN I HER- :ACKNOWLEDGE RECEIPT OF CITATION X LU a ORDINANCE nable to obtain signature of offender: THE NONCRIMINAL FINE FOR THIS OFFENSE IS i O. Date mailed j w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a = i (1)You may elect to pay the above fine,either by appearing in person between B:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, < before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Bamstable Clerk,P. Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS.OFTHE.DATE OFTHIS NOTICE. a �2)If you desire to contest this matter in a noncriminal proceeding citation for a hearing. ,you mayy do so by mak ng written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this F )If you fail to pay the above offense or to request a hearing within 21 days,or ifyou fail to appear for the hearing or to pay any fine determined at the earing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ 11 Signature ! NAME OF OFFENDE -]BAH 73936 - TOWN OF ADDRESS OF OFFENDE . BARNSTABLE '1 CITY,STATE.ZIP CODE. �� _ tyFTWr, MVI B REGISTRATION NUMBEA '' NAN\STAHIJ:. - l'� ` •. '.-./Y �k. P"• 1 I' �� vo d +IAS4 TTT"SC�.�� _ n I ,/� �]/� Ln� rED µKl� 1 13 l 1 1 J 1l. >T'�111 lJ� C�17: 1� f` j _ TIME AND DATE OF VIOLATION `LOCATIO OF VIO ION - - - -Z NOTICE OF (a.M.i .M. oN 4(v 2ti 12_ 1(c; �d�i✓v�� Q I IGN TUR 0 ENFQRCING -I 0 - - E CIN DEPT. BADGE NO. LLI I ! VIOLATION ( i _ I OF TOWN o I HERE•Y CKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE able to obtain - natu a of offender_ ►Q— f i 2-- THE NONCRIMINAL FINE FOR THIS OFFENSE IS i w Date mailed LU OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LU _ REGULATION 1 You may elect to a the above fine,either earth in f Q !( ) y pay by appearing person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Barnstable Clerk,P.O.Box 2430, -j ! Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this I' citation for a hearing. (3)If you fail to pay the above offense or to.request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the I Ihearing to be due,criminal complaint may be issued against you. EL J ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ I'I - f Signature Meage Page 1 of 1 Anderson, Robin To: Tamash Craig Subject: RE: 85 Cottonwood Lane, Centery Thankyou Robin C. Anderson Zoning Enforcement Officer mown of Barnstable 200 .94ain Street Hyannis, -'AIA 026oi 5o8-862-4027 -----Original Message----- From: Tamash, Craig [mailto:tamashc@barnstablepolice.com] . Sent: Friday, March 16, 2012 3:14 PM To: Anderson, Robin Subject: RE: 85 Cottonwood Lane,Centery Sorry for the delay. Deniz R.White; 11/27/1964, shows an address of 71.Allison St. Newton,MA 02458. Sezen White, 04/16/1935,_shows an address of Box 1060 and.471 Shoot Flying Hill Rd, Apt 1. Craig Tamash Deputy Chief Barnstable Police Department PO Box B Hyannis, MA 02601 508-778-3801 508-790-6317 (Fax) From: Anderson, Robin [mai Ito:Robi n.Anderson @town.barnstable.ma.us] Sent: Monday, March 12, 2012 2:48 FM To: Tamash, Craig Cc: Chief Subject: 85 Cottonwood Lane, Centery Good Afternoon; need to ticket the property owner,of 85 Cottonwood Lane, Centerville. I am unable to determine where that party actually.resides although I know he/she does not reside at the subject property. Can you provide me,with a valid,address and DOB for Deniz R White, please? I have a mailing address of PO Box 1060, Centerville and older reference to BOX 1600, Centerville. I am also seeing the name Susan/Sezen White with associated addresses including 471 Shootflying Hill, 940 West Main Street, & 1 Barn Board, West Yarmouth. Please advise. Thank you.. W96in 1 Robin C -Anderson Zoning Enforcement Officer Town of Barnstable . Zoo Main Street Hyannis, NA o26oi 5o8-862-4027 3/16/2012 P. APPLICATION FOR PERMIT TO INSTALL AND REQUEST r FOR ELECTRICAL SERVICE. Inspector of Wires Wiring.Permit# COM/Electric# Town of � �j Massachusetts Building_Permit# Customer: ABC 1t1' !`tt'e }SCG�CI on(Street#) Cfr%�J.tJtti�d ? L /' f Lot# 'in the village of 4p,0 'I`!�/ l! ' utility pole number or undergrouncj number Customer's billing address 1,0 tl)A) u,O =� "a4C A, g A� Temporary / New installation Change of service Starting Date` Job description' Service entrance voltage �_ Amperage Phase Wire size(cu.or al.) L Conductor per phase Number of meters Water heater Off peak:Yes— No— F Estimated load: Electric heat kw, lights kw, Range - dryer Motors, H.P.& Phase Ready for first inspection t��` Ready for final inspection Electrical Contractor ��L Lic.# Telephone# ` Address b LUC 11 Al MyV/f 024t 111-;t6 36 Additional Remarks: r d Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE -- INSPECTOR OF WIRES I INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in Service and Meter _ Off Peak Meter Final Approval HOLD AS OF JANUARY 9 r I996 R.H.W. Disapproved` 'For the following reasons i&o -eM Y �— i iV `fv TV 1K C.H see permit issued for bedrCE-L5TIFICATE OF INSPECTION DATE is his refri �prator and provis*&ns . for sink(mico in room. 1. To e COMMONWEALTH ELECTRIC COMPANY.The installation.described above has been completed and has this day been inspected and _ approval granted for connection to your service. Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA as-, White—COM/Electric Green—Inspector Canary Town Receipt Pink—Inspector's Copy Goldenrod--Electrical Contractor k .• to COM/Electric Listing Detail - Single Family Page 1 of 3 Listing Detail - Single Family Item 17 of 30 View Listing# << Previous Next>> Back to List (17) 20508908 -;- G" *In Cart Total in Listing Cart:7 Add to Listing Cart Listing# DOM Listing Price St# Address BD Town Village&ZIP Y Status Type Listing Office BA(FH) Lot Sz Sq Ft Tax ID 20508908 80 $405,000 85 Cottonwood Ln 5 Barn Centerville 02632 1S Withdrawn(10/31/05) Single Family Sotheby's International Realty 3(3 0) 0.290ac 1769 252-155-0-0-BARN Printer Friendly Vers 3p earate-living-areas-in,this-single-family-homeaSpace Galor 'Wilk oufblasement with`gas-wall furnace:Needs interior cosme work.Tenants vacating on the 20th of Sept. Easy to show.Ron sizes are approximate.Buyer should verify for themselves. E, See' Listing Price Selling Price Address Listin $405,000 85 Cottonwood Ln, Centerville 02632 20508i Agent Judith E Small M (ID:U1KV)Primary:508-737-3188 Secondary:508-775-0900 x504 Other:508-771-134. Office Sotheby's International Realty(ID:SOTH1)Phone:508-775-0900,FAX:508-775-9222 Property Type Single Family Property Subtype(s) Single Family Status Withdrawn(10/31/05) DOM 80 Town Barnstable Commission Sub Agent Comm.Buyer Agent Comm.Dual Agent Comm.Comments Dual Var Coi 0% 3% 3% Call for facilitator compensation No Facilitator Comm 0 Listing Type Excl.Right to Sell Owner Name Deniz R White, County Barnstable Tax ID 252-155-0-0-BARN Beds 5 Baths (FH) 3(3 0) Structure(approx sq ft) 1769 Sq Ft Source Field Card Lot Sq Ft(approx) 12632 Lot Acres(approx) 0.290 Lot Size Source (Assessors Recc Year Built 1981 Publish To Internet Yes Listing Date 08/12/05 All Office Remarks Call Judy to show 508-7373188 Directions To Property Huckins Neck to Cottonwood Lane Listing Page Commission-Other N/A Showing Instructions Call Listing Office General Page Zoning RE Year Built Desc. Actual Total Rooms 11 Total Levels 1.0 Basement Baths 1.0 http://ccimis.rapmis.com/scripts/mgrqispi.dll 11/4/2005 Listing Detail- Single Family Page 2 of 3 Level 1 Baths 0.0 Level 2 Baths 0.0 Level 3 Baths 0.0 Basement Yes Basement Description Finished,Full,Interior Access,Walk Out Foundation Concrete Foundation Width 56 Foundation Depth 24 Fndation Wing Width 0 Fndation Wing Depth 0 Irregular Yes Lot Depth 0 Lot Width 0 Association No Annual Assoc.Fee 0 Assoc.Fee Year 0 Garage Yes #of Cars 1 Garage Description Attached,Direct Entry Year Round Yes Separate Living Qtrs Yes Sep Living Qtrs Desc Basement,First Floor Waterfront No Water View No Convenient To Golf Course,Major Highway,Medical Facility,Shopping Miles to Beach 2 Plus Beach Description Ocean Beach Ownership Public Street Description Paved Interior Page Fireplace No Number of Fireplaces 0 Master Bedroom 15x15 Level:First Floor Bedroom#2 12x12 Level:First Floor Bedroom#3 1 3x1 8 Level:First Floor Bedroom#4 18x20 Level:First Floor Living Room 15x20 Level:First Floor Dining Room 1 0x1 1 Level:First Floor Other Room 1 12x12 Level:First Floor Other Room 1 Type Bedroom Floors Hardwood,Vinyl,Wall to Wall Carpet Exterior Style Ranch Pool No Dock No Exterior Features Porch Roof Description Asphalt Siding Description Clapboard,Vinyl/Aluminium Mechanical Heating/Cooling 2 Zone Heat,Natural Gas,Hot Air,Hot Water Water/Sewer/Utility Cable,Septic,Town Water Hot Water/Water Heat Natural Gas Legal/Tax Annual Tax 2295 Tax Year 0 Land Assessments 131900 Improvement Asmt 152700 Other Assessments 0 Total Assessments 284600 Annual Betterment 0.00 Unpaid Betterment 0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book C168104 Title Reference-Page 0 Land Court Cert# 0 Underground Fuel Tnk No , Lead Paint No Flood Zone Not In Flood Zone Copy the following hyperl ink text and paste it into a Web browser to access a public view of this listing. Hyperlink to"Public View" http://ccimis.rapmis.com/scripts/mgrqispi.dll 11/4/2005 C �oFt► row, ° Town of Barnstable _ o Regulatory Services * -BAI*1jraaLE;;;'; MASS., �, Thomas F.Geiler,Director �A fib;q ._�� ; A Building Division Tom Perry,Building Commissioner r i 200 Main Street,Hyannis,MA 02601 Office08 862-4024 ' - Fax: 508-790-6230 December,.19, 2005 ,.D niz White.1V�s. e Wh l Box'1.MOP, Centerville, MA 02632 ..RE r I11egal Apartments-85 Cottonwood Lane.Centerville, MA. 02632 Map:: 252 Parcel : 155 Dear>1VIs :White Thi.s=letteuis to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by January 20, 2006 to arrange to bring the above address into compliance or be subject to fines of no more than$30000per day of non-compliance. Thank you for your attention in this matter. By Ord nda Edson Amnesty Zoning Enforcement Officer Building Department X V. �4 t Q:zoning5,, �oFtHe ro,,, Town of Barnstable Regulatory Services * BAMSTABLE. v MASS. g Thomas F.Geiler,Director �p s63q. �0 rEDnno+°i Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 November 29, 2005 Ms. Deniz White 85 Cottonwood Lane Centerville, MA 02632 RE: Illegal Apartments—85 Cottonwood Lane Centerville MA. 02632 Map : 252 Parcel : 155 . Dear Ms. White This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by December 30, 2005 to arrange to bring the above address into compliance or be subject to fines of no more than$300.00 per day of non-compliance. Thank you for your attention in this matter. By O r, Linda Edson Amnesty Zoning Enforcement Officer Building Department F l ,f� rd '-,.�t_- i.t�t"~r•; .:. ; :y.. ,. v.. 1,1. `.{i.. �a•sd.� �,! Qzoning5 Town of Barnstable P NA p iY Building Department q . 200 Main Street �. " . n .. Hyannis' MA. 02601 M JFF L'� •(�B''4 ."m$ "h;,p "/ A H METEq 111 r At Ms. Deniz White 85 Cottonwood Lane Centerville, M OWN* a --5�,. .. . r-s✓ + - .....fir.- � ,.,. _ i iijj { t ji,xl; 1�` i1 ,I1 if if(, SIy � if _r ti I �pF�HETop� Town of Barnstable Regulatory Services * BAMSTABLE, v Mass, $ Thomas F.Geiler,Director lEn 39. A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 December 19, 2005 Ms. Deniz White Box 1060. Centerville, MA 02632 RE: Illegal Apartments-85 Cottonwood Lane.Centerville, MA. 02632 Map : 252 Parcel : 155 Dear Ms. White This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by January 20, 2006 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, Li a Edson Amnesty Zoning Enforcement Officer Building Department Q:zoning5 Town of Barnstable °^ Regulatory Services vMASS. Thomas F.Geiler,Director �A t6gq. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 November 9, 2005 Mrs. Deniz White 85 Cottonwood Lane Centerville, Ma. 02632 Re: Illegal Apartments—85 Cottonwood Lane Centerville Ma. 02632 Map 252 Parcel 155 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. incer , r-- Lind dson esty Program Zoning Officer Building Department gforms:zoning3 FIME r Town of Barnstable Regulatory Services a w w BMWSTABLE, 9 Mass. �, Thomas F.Geiler,Director �A .i6;q ♦0 �E1639 it Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 November 29, 2005 Ms. Deniz White 85 Cottonwood Lane Centerville, MA 02632 RE: Illegal Apartments—85 Cottonwood Lane Centerville MA. 02632 Map : 252 Parcel : 155 Dear Ms. White This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by December 30, 2005 to arrange to bring the above address into compliance or be subject to fines of no more than$300.00 per day of non-compliance. Thank you for your attention in this matter. By Order% Lin esty Zoning Enforcement Officer Building Department Qzoning5 The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Tom Perry Fax: 508-790-6230 Building Commissioner April 24,2002 Norma Atkinson 83 Cottonwood Ln. Centerville,MA 02632 RE:Illegal Apartment Map:252,Parcel: 155 Dear Ms.Atkinson: We are sorry you have chosen not to cooperate with this office in restoring your home to a single-family dwelling. Since you do not want to comply with the Zoning Board of Appeals,we are forced to seek a complaint in.District Court. . Sincerely, Gloria M.Urenas Zoning Enforcement Officer GMU: Q:fonnsJ11g1apt2 DoC:904,]0E 0]-3]-2003 ]:46 Ct f 4:]E43104 QUITCLAIM DEED~. BARNS OLE LAND COURT REGISTRY WE, NORMA H. ATKINSON and MICHAEL E.'ECKMAN, as Joint Tenants,with Rights of Survivorship, of 50 Willow Run Road, Centerville, MA 02632 FOR CONSIDERATION PAID OF THREE HUNDRED TWENTY FOUR-THOUSAND and no/100 `($324,000.00) DOLLARS GRANT WITH QUITCLAIM COVENANTS TO: DENIZ R.WHITE of 85 Cottonwood Lane,Centerville,Massachusetts 02632 That certain parcel of land together with the buildings thereon situate in Barnstable (Centerville) Barnstable County; Massachusetts, bounded and described as LOT 167 on Land Court Plan 20239-C (Sheet 9). Said land is subject to and has the benefit of the easement,rights and siipulations set forth or referred to in Certificate of Title NO. 28117, insofar as the same are in force and applicable. FOR TITLE: See Certificate of Title No. 128358. , 0 0 ?�' c �� E NO . . �-W " O Rlr W m � 3> t-"i i c en �c Ln r- xLn c a 1 1 -+ rR 1 w a rrnn j State Of Countyof S Q v im.] tal M C7 O I - On this day of .. M X. I - - - - �? ty K i bgg��re me person9l eppee d r"'v cco - to me known to be the petaott who exeCu"0401. foregoing ltetrument;adackirovillodgd xedhemehie e deexec e '� ,. SEAL(signed - n - . Notary Uhlir•, _ Executed as a sealed instrument this oZp day of January,2003 u Norma Michael E. Eckman STATE OF so:- day of January. 2003 Then personally appeared the above=named Norma H. Atkinson and Michael E.-Eckman ,and acknowledged the foregoing to be his/her/their free act and deed. ..... ...:. .............. ... ................................... ...,(Seal) IRENE MARLENE INFANTE -Notary Public My Commission Expires: wveouMlaswrtr ootis3rr E)RAEe:taay 7,2ooe.. . i aipD$gpTARy- FL N=y S&m,&eomft l= RARKTARI F REGISTRY OF DEEDS " Doc:9O4,]OE..Af-31-2e*3 `] 46 ` BA067ABLE LAND COURT RE61STIM QUITCLAIM DEED y_ WE, NORMA H.ATKINSON and MICHAEL E.ECKMAN, as joint Tenants,with Rights of Survivorship, of ' 50 Willow Run Road, Centerville, MA 02632 FOR CONSIDERATION PAID OF THREE HUNDRED TWENTY FOUR-THOUSAND:and' tab/100 ($329,000.00) DOLLARS GRANT WITH QUITCLAIM COVENANTS C TO: DENIZ R.WHITE. of 85 Cottonwood Lane,Centerville,Massachusetts 02632 That certain parcel of land together with the buildings thereon situate m`$arnstable (Centerville) Barnstable Coun Massachusetts, bounded and described as LOT.167'on Land Court Plan 20239-C(Sheet 9). ty, Said land is subject to and has.We benefit of the easement,rights and stipulations set forth or referred to in Certificate of Title NO. 28117, insofar as the same are in force and applicable.„ Al _ '. FOR TITLE: See Certifttiate'of Title No. 128358. � A r m O D PJ O21 L MMo { my ��j �+ y— 1 z ' LA c.� _ z oz ` i w r" ; &ate of o w +n i cr'i COY^tyCf S n i a m mw mc., l a t X i On tltis day of ry a ^*7 1 x br1) co , i Ir19 pell0118 d_' tome known to be the pereon Who eXeou�q;lne" , foregoing fnsttument:and tkiwe e h SEAL(signed Executed as a scaled insirment this-a9 day of January, 2003 Norma A s n 4 Michael B. Eckman :STATE'OF day of ;January, 2003 Then personally,appeared"the above-named Noz`ma H. 'Atkinson and Michael E. 'Eckman and acknowledged the foregoing to be his/her/tbeir free act and deed. ..... 4 • (Seal) IRENE MARLENE INFANTE -Notary Pomrc My Commission Expires: My COMMISSION#nolt6M EXPIRES:May 7,20DO" . eoaulorA" FLN=rys&viw&ftnftice« AaRNSTARI F RFGISTRY OF DEEDS i . Docs904, 107 01-31-2003 1:46 BARN57ABLE LAt1D ,COURT RE6157RY Return To: ROCKLAND TRUST COMPANY 8A STATION STREET, MIDDLEBORO, MA' 02346 Prepared By: Michelle DaSilva [Space Above This line For Recording Data] MORTGAGE DEFINITIONS Words used in multiple sections of this document are defined below and other words are defined:in Sections 3, 11, 13, 18, 20 and 21. Certain rules regarding the,usage of words used in this document are also provided in Section 16. (A) "Security Instrument" means this document, which is dated January 31; HOT' together with all Riders to this document. (B) 'Borrower" is Deni Z R. White s Borrower is the mortgagor under this Security Instrument: _ (C) "Lender" is ROCKLAND TRUST COMPANY Lender is a Corporation organized and existing under the,laws of the Commonwealth Of Massachusetts 4006585 4006585 0 w MASSACNUSETTS-Single Family-Fannie Mae/Freddie Mac UNIFORM INSTRUMENT Form 3022'1/01..� + -60MA),l0005l . Page t of 15 MW 05I00 initials: - . - , ...11 II IIII 1� 1 �II III III I`I1 '•;: -. .- •;@ FORMS• 8001521.7291 I`�II�1�I�III I VMP MORTGAGE I - Lender's address is 288 UNION STREET,` ROCKLAND, MA 02370 Lender is the.mortgagee under this Security instrument: (D) "Note"means the promissory note signed by Borrower,and.dated January 31, 2003 The Note states that Borrower owes Lender TWO 'Hundred Fifty Nine Thousand Two Hundred and no/100 Dollars (U.S. $259,200.00 )plus interest. Borrower has promised to pay this debt in regular Periodic Payments and to pay the debt in full not later than February 1, 2033 (E) "Property" means the property that is described below under the heading "Transfer of Rights in the Property." (F) "Loan" means the debt evidenced by the Note, plus interest, any prepayment charges and late charges due under the Note, and all sums due under this Security Instrument,plus interest. (G) "Riders" means all Riders to this Security Instrument that are executed by Borrower. The following Riders are to be executed by Borrower[check box as applicable]: ❑Adjustable Rate Rider 0 Condominium Rider Second Home Rider ❑Balloon Rider 0 Planned Unit,Development Rider 0 1-4 Family Rider O VA Rider O Biweekly Payment Rider ®Other(s)[ ecif ] ; SEE EXHMBI� A`. (I-I) "Applicable Law" means all controlling applicable federal, state and,local statutes, regulations, ordinances and administrative rules and orders (that have the effect of.law) as well,as all applicable final, non-appealable judicial opinions. (I) "Community Association Dues, Fees$ and Assessments" means all dues, fees, assessments.and other charges that are imposed on Borrower or the Property by a condominium association; homeowners association or similar organization. (,n "Electronic Funds Transfer" means any transfer of funds, other than a transaction originated kby check, draft, or similar paper instrument, which is initiated through an electronic terminal,-telephonic instrument, computer, or magnetic tape so as to order, instruct, or authorize a financial institution to debit or credit an account. Such term includes, but is not limited-to, point-of-sale transfers, automated teller' machine transactions, transfers .initiated_ by telephone,:• wire transfers and automated clearinghouse transfers. (K) "Escrow Items"means those items that are described in Section 3. (L) "Miscellaneous Proceeds" means any compensation,settlement;:award of damages, or proceeds paid by any third party (other than insurance proceeds paid under the coverages described in Section 5) for: (i) damage to, or destruction of, the Property; (ii) condemnation or other taking of all or any part of the Property; (iii) conveyance in lieu of condemnation; or (iv) misrepresentations of, or omissions as to, the value and/or condition of the Property, = (No "Mortgage Insurance" means insurance protecting Lender against the nonpayment of, or default on, the Loan. } (N)"Periodic Payment" means the regularly scheduled amount due for(i)principal.and interest under the Note, plus(ii)any amounts.under Section 3 of this Security Initrument. . (0)-"RESPA" means the Real Estate Settlement Procedures Act (12 U.S.C.'Section 2601 et seq.) and its implementing regulation Regulation X (24 C.F.R. Part 3500), as they might be amended from time to time, or any additional or successor legislation or regulation that governs the same subject matter. As used in this Security Instrument, "RESPA" refers to all requirements and restrictions that are imposed in regard to a "federally related mortgage loan even if the Loan does not qualify as a "federally related mortgage loan" under RESPA: 4006585 4006585 0 t .. 'Initials: - -61MA)i000@i Page a of fs Form 3022 1101 , F . (P) "Successor in Interest'of Borrower" means any party that has taken title to the Property, whether or;A not that party has assumed.Borrower's obligations under the.Note and/or this Security Instrument. TRANSFER OF RIGHTS IN THE PROPERTY- This This Security Instrument secures to Lender:`(0 the repayment of the°Loan, and all renewals, extemions`and' modifications of the Note; and (ii) the performance,of.Borrower's covenants and.,agreements under this Security Instrument and the Note, For this purpose, Borrower does hereby mortgage, grant and convey to ; Lender and Lender's successors and,assigns, with power-of:sale,the following described property located in the .COUNTY [Type of Recording Jurisdiction} of $ARNSTABLE [Name of ttecordingYJurisdtctionli FOR PROPERTY' DESCRIPTION SEE EXHIBITA"ATTACHED HERETO ,A,ND MADE A PART,HEREOF. rs Parcel+ID Number:" which currently has the address.of 85 Cottonwood. Lane. 4 B _ 4 N., }street] Centerville ` [City} Massachusetts 02632 [zip code} ("Property.Address"): - � TOGETHER WITH'all the improvements`now or hereafter erected oit the..property,,x and gall easements, appurtenances,:'and efixtures now or hereafter'a part of the property All replacements-'and e . additions shall also be covered by this Security Instrument. All of the`foregoing is referred to in this Security Instrument as.-the,"Property BORROWER CVENANTS that Borrower is lawfully seised'of the estate hereby conveyed and-has the right to mortgage grant'and`'convey the Property and that the Property is.unencumbered, except for encumbrances of-record Borrower warrants and will defend generally the title to the Property against.all claims and demands, subject to any encumbrances of record. THIS. SECURITY'INSTRUMENT combines uniform covenants for national use;and non-uniform covenants with limited variations by jurisdiction to constitute-a uniform security.instru rent covering real ; property. UNIFORM COVENANTS. Borrower,and Lender covenant and agree as follows ;. I.-Payment- of,Principal, Interest, Escrow Items, Prepayment Charges and Late . arges n%P Borrowei shall-.pay when due:th principal of, and interest on, the debt evidenced by the Note and.any prepayment:charges and late charges due under,the Note. Borrower shall also pay funds for Escrow,Items', pursuant to.Section 3. Payments.due.under the-Note.and.this Security.lnstruniet' shall;be made to U:S , 4006585 4006585 0 Initials �. 6(MA)t00051 Page 3 of 15 porn}3022 _1101 ._ • r. currency. However, if any check,or other instrument received by Lender as payment under the Note or this Security Instrument is returned.to Lender unpaid, Lender may require that any or all subsequent payments due under the Note and this Security Instrument be made in one or more of the following forms, as selected by Lender: (a) cash; (b),money order; (c) certified check, bank check; treasurer's check or cashier's check, provided any such'check is drawn upon an'institution whose deposits are insured by,a_ federal agency, instrumentality,or entity; or(d) Electronic Funds Transfer. Payments are deemed received by Lender when received at the location designated in the Note or at such other location as may be designated by Lender in accordance with the notice provisions in Section 15. . Lender may return any payment or partial payment.if the payment or partial payments are insufficient to bring the Loan current. Lender may accept any payment or partial payment insufficient to bring the Loan_, current, without waiver of,any rights hereunder or prejudice to its rights to refuse such payment or partial . payments in the future,.but Lender is:not obligated to apply such payments at the time such payments are accepted. If,each_Periodic Payment is applied as of its scheduled due date, then`Lender need not pay interest on unapplied funds. Lender may hold such unapplied funds until Borrower makes payment to bring the Loan current. If Borrower does not.do so within a reasonable period of time,-Lender shall either apply such funds or return thcm.to Borrower. If riot applied earlier, such funds,will be applied to the outstanding- principal balance under the Note irnmediawly'prior to`foreclosure. No offset or claim which Borrower might have now or in the future against Lender shall relieve Borrower from making payments due under the Note and this Security Instrument or performing the covenants and agreements secured by this Security Instrument. „a 2. Application of Payments or-Proceeds; Except as otherwise described :in.this Section 2, all payments accepted and applied by Lender shall be applied in the following order of priority: (a) interest due under the Note; (b) principal due under the.Note; (c) amounts due under Section.3. Such payments shall be applied to each Periodic Payment in the'order in which it became due. Any remaining amountsti shall be applied first to late charges, second to.any other amounts due under this Security Instrument, and then to reduce the principal balance of the Note.: If Lender receives a payment from Borrower for a delinquent Periodic Payment which includes a sufficient amount to pay any late charge due, the payment may be applied to the delinquent payment and-- the late charge. If more than one Periodic Payment is outstanding, Lender may apply any payment received from Borrower to the repayment of the Periodic Payments if, and to the extent that, each payment can be paid in full. To the extent that any excess exists after the payment is applied to the full payment of one or. more Periodic Payments,,such excess may be applied to any late charges due. Voluntary prepayments shall be applied first to any prepayment charges and then as described in the Note. Any application of payments,'insurance proceeds, or Miscellaneous Proceeds to principal due under the Note shall not extend or postpone the due date,-or change the amount, of the Periodic Payments. 3. Funds for Escrow Items.-Borrower shall pay to'.Lender on the day Periodic Payments are due under the Note, until the Note is paid in full,a sum (the "Funds") to-provide for payment of amounts due, for: (a) taxes and assessments and other items which can attain priority over this Security Instrument as a lien or encumbrance on the-Property; (b) leasehold payments or ground rents on the Property; if any; (c) premiums for. any and all insurance required by Lender under Section 5; and (d) Mortgage Insurance premiums, if any, or any sums payable by Borrower to Lender in lieu of the. payment of Mortgage Insurance premiums in accordance with the.provisions of Section 10. These items are called "Escrow Items." At origination or at any time during,the term of the Loan,-Lender may.require that.Community Association Dues, Fees, and Assessments, if any, be escrowed by:-Borrower, and such dues, fees and assessments shall be an'Escrow,-Item.'Borrower shall promptly furnish to Lender all-notices of amounts to be paid under this Section. Borrower shall pay Lender the Funds for Escrow Items unless Lender waives Borrower's obligation to•pay.':the Funds for any or all :Escrow Items..Lender"may,waive Borrower's obligation to pay to Lender Funds for any or all Escrow Items at any,time. Any such waiver may only be in writing. In the event of such waiver, Borrower shall pay directly, when and where payable,the amounts . 4006585 4006585 In 0 •61MAl f0005l Page a of 16` Form 3022 1101 ® e due for any Escrow Items for which payment of Funds has been waived by Lender and, if Lender requires, shall furnish to Lender receipts evidencing such payment within such time period as Lender may require. , Borrower's obligation to make such payments and to,provide receipts shall for all purposes be deemed to be a covenant and agreement contained in this Security Instrument, as the phrase "covenant and agreement" is used in Section 9. If Borrower is obligated;to pay Escrow Items directly, pursuant to a waiver, and Borrower fails to pay the amount due for an Escrow Item, Lender may exercise its rights under Section 9 and pay such amount and Borrower shall then be obligated under Section 9 to repay to°Lender any-such amount. Lender may revoke the waiver as to,any or all Escrow Items at any time by a notice given in _ accordance with Section 15 and, upon such revocation, Borrower shall.pay to Lender all Funds, and in such amounts, that are then required under this Section 3. Lender may, at any time, collect and hold Funds in an amount(a)sufficient to permit.Lender to apply the Funds at the time specified under RESPA, and (b) not to exceed the maximum amount a lender can require under RESPA. Lender shall estimate the amount of Funds due on the basis of current data and reasonable estimates of expenditures of future Escrow Items or-otherwise in accordance.with Applicable Law. : r The Funds shall be held in an institution whose deposits` are insured by a federal agency, instrumentality, or entity (including Lender, if Lender is an institution whose deposits are so insured)or in any Federal Home Loan Bank. Lender shall apply the Funds to pay the Escrow Items no later than the time specified under RESPA. Lender shall not charge Borrower for holding and applying the Funds, annually analyzing the escrow account, or verifying the Escrow Items, unless Lender pays Borrower interest on the Funds and Applicable Law permits Lender to make such a charge..Unless an agreement is made in writing or.Applicable Law requires interest to be paid on the Funds, Lender shall not be required to pay Borrower any interest or earnings'on"the Funds. Borrower and Lender can agree in writing, however, that interest shall be paid on the Funds: Lender shall give to Borrower, without charge, an annual accounting of the Funds as required by RESPA. If there is a surplus of Funds held in escrow, as defined under RESPA, Lender shall account to Borrower for the excess funds in accordance with RESPA. If there is,a shortage.of Funds held in escrow, as defined under RESPA; Lender shall notify Borrower,as required by RESPA, and Borrower shall pay. to , Lender the amount necessary to make up the shortage_in accordance with RESPA, but in no more than 12 monthly payments. If there is a deficiency of Funds held in escrow,gas defined under RESPA, Lender shall notify Borrower as required by RESPA; and Borrower shall pay to Lender the amount necessary to make up the deficiency in accordance with RESPA, but in no more than 12 monthly payments. Upon payment in full'of all sums secured by this Security Instrument, Lender shall.promptly refund to Borrower any Funds held by Lender. , 4.' Charges; Liens. Borrower shall,pay all taxes, assessments, charges, tines, and 'impositions attributable to the Property which can attain priority over this Security Instrument, leasehold payments or ground rents on the Property,.if any, and Community Association Dues, Fees, and Assessments, if any. To the extent that these items are Escrow Items,Borrower shall pay them in the manner provided in Section 3. Borrower shall promptly discharge any lien which has priority over this Security Instrument unless Borrower: (a) agrees in writing to the payment of the obligation secured by the lien in a manner acceptable to Lender, but only.so long.as Borrower is performing such agreement;.(b) contests the lien in good faith by, or defends against enforcement of the lien in, legal proceedings which in Lender's`opinion operate to, prevent the enforcement of the lien while those proceedings are pending, but only until such proceedings are concluded;or (c) secures from the holder of the lien an agreement satisfactory to Lender subordinating the lien to this Security Instrument. if Lender determines that any part of the Property is subject to a lien which can attain priority.over this Security Instrument, Lender may give Borrower a notice identifying the 4006585 '4006585 ro ,Initials:. -6(MA)l0005i Page 5of t5 form 3022 1/01 lien. Within 10 days of the date on which that notice is given, Borrower shall satisfy the lien ortake one or, more of the actions set forth above in this Section 4. Lender may require Borrower to pay a one-time charge,for a real estate tax verification and/or, reporting service used by Lender in connection with this Loan..,: 5. Property Insurance. Borrower shall keep the improvements now existing or hereafter erected on the Property insured against loss by tire, hazards included within the term "extended coverage," and any other hazards including, but not limited to, earthquakes and floods, for which Lender requires insurance. This insurance shall be maintained in the amounts (including deductible levels) and for the periods that Lender requires. What Lender requires pursuant to the preceding sentences can change during the term of the Loan. The insurance carrier providing the insurance shall be chosen by Borrower subject to Lender's right to disapprove Borrower's choice, which right shall not be exercised unreasonably. Lender may require Borrower to pay, in connection with this Loan, either: (a) a one-time charge for flood zone determination, certification and tracking services; or (b) a one-time charge for flood zone determination and certification services and subsequent'charges each time remappings or similar changes occur which reasonably might affect such determination or certification. Borrower shall also be responsible for the ' payment of any fees imposed by the Federal Emergency Management Agency in connection with the.. review of any flood zone determination resulting from an objection by Borrower. If Borrower fails to maintain any of the coverages described above, Lender may obtain insurance., . ` coverage, at Lender's option and Borrower's expense. Lender is under no obligation to purchase. an''y particular type or amount of coverage. Therefore, such coverage shall cover Lender, but might or might not protect Borrower, Borrower's equity in the Property, or the contents of the Property, against any risk, hazard or liability and night provide greater or lesser coverage than was previously in effect, Borrower. . acknowledges that gthe cost of the insurance coverage so_obtained night significantly exceed the cos_t of insurance that Borrower could have obtained. Any amounts disbursed by Lender under this Section 5 shall. become additional debt of Borrower secured by this Security Instrument:These amounts shall bear interest at,the Note rate from the date of disbursement and shall be-payable, with such interest, upon notice from „ Lender to Borrower requesting payment. All insurance policies required by Lender and renewals,of such policies shall be subject to Lender's right to disapprove such policies, shall include a standard mortgage clause, and shall name Lender as_ mortgagee and/or as an additional loss payee. Lender shall have the right to hold the policies and renewal certificates. If Lender requires, Borrower shall promptly give to Lender all`r&eipts of paid premiums and renewal notices. If Borrower obtains any form of insurance coverage, not otherwise required by Lender, for damage to, or destruction of, the Property, such policy,shall include a standard mortgage clause and shall name Lender as mortgagee and/or as an additional,loss payee. In the event of.loss, Borrower shall give prompt notice,to the insurance carrier and Lender; Lender may make proof of loss if not made promptly by.Borrower. Unless Lender and Borrower otherwise agree in writing, any insurance proceeds, whether or not the underlying insurance was required by Lender, shall be applied.to restoration orrepair of the Property, if the restoration or repair is economically feasible and Lender's security is not lessened. During such repair and restoration period,•Lender shall have the right to hold such insurance proceeds until Lender has had an opportunity to inspect such Property to ensure the work=has been completed,to Lender's:satisfaction, provided' that such inspection shall be undertaken promptly. Lender may disburse;proceeds for,the repairs and restoration in a single payment or ma series of progress payments as the work is completed. Unless an agreement is made in writing or Applicable Law requires interest to be paid on such insurance proceeds, Lender shall not be required to pay Borrower'any interest ,or earnings on such proceeds. Fees for public adjusters, or other.third parties, retained by Borrower shall not be paid out of the insurance proceeds,and shall be the sole obligation of Borrower. If, the restoration-or repair is not economically feasible or Lender's security would be lessened,the insurance proceeds shall be applied to the sums secured by this Security Instrument, whether or not then due, with 4006585 4006585 0 - - Ini{ills: _ •�` -6(MA)t000st Page 6 or 15 Form 3022 1101" ® . the excess, if any, paid to Borrower: Such insurance proceeds shall be applied in the order.provided for in . Section 2. If Borrower abandons the Property, Lender may file, negotiate and settle any available insurance claim and related matters. If Borrower does not respond within 30 days to a notice from Lender'that the insurance carrier has offered to settle a claim, then Lender may negotiate and settle the claim. The 30-day period will begin when the notice is given. In either event, or if Lender acquires the Property under Section 22 or otherwise, Borrower hereby assigns to Lender (a) Borrower's rights to any insurance proceeds in an amount not to exceed the amounts unpaid.under the Note or this Security Instrument, and (b) any other of Borrower's rights (other than the right to any refund of unearned premiums paid by Borrower) under all insurance policies covering the Property, insofar as such rights are applicable to the coverage of the Property, Lender may use the insurance proceeds either to repair or restore the Property or to pay amounts unpaid under the Note or this Security Instrument, whether or not then due. , 6. Occupancy. Borrower shall occupy, establish, and use the Property as Borrower's principal residence within 60 days after the execution of this Security Instrument and shall continue to occupy the Property as Borrower's principal residence for at least one year after the date of occupancy, unless Lender otherwise agrees in writing, which consent shall not be unreasonably withheld, or unless extenuating circumstances exist which are beyond Borrower's control. 7. Preservation, Maintenance and Protection of the Property; Inspections. Borrower shall not r destroy, damage or impair,the Property, allow the Property to deteriorate or -commit waste on the Property. Whether or not Borrower is residing in the Property, Borrower shall maintain the Property-in ' order to prevent the Property from deteriorating or'decreasing in value due to its condition. Unless it is determined pursuant to Section 5-that repair or restoration.is not economically feasible,-Borrower shall promptly repair the Property if damaged to avoid further deterioration or damage. If insurance or condemnation proceeds are paid in connection with damage to, or the taking of, the Property, Borrower shall be responsible for repairing or restoring the Property'only if Lender has released proceeds for such purposes. Lender may disburse proceeds for the repairs and restoration in a single payment or in a series of progress payments as the work is completed. If the insurance or condemnation proceeds are not sufficient to repair or restore the Property, Borrower is not relieved of Borrower's obligation for the completion of such repair or restoration: Lender or its agent may make reasonable entries upon and inspections of the Property. If it has reasonable cause, Lender may inspect the interior of the improvements on the Property. Lender.shall give Borrower notice at the time of or prior to such an interior inspection specifying such reasonable cause. 8. Borrower's Loan Application..Borrower shall be in default if, during the Loan application process, Borrower or any persons or entities acting'at the direction of Borrower or with Borrower's knowledge or consent gave materially false, misleading, or inaccurate information or statements to Lender (or failed to provide Lender with material information) in connection with the Loan. Material representations include, but are not limited to,,representations concerning Borrower's occupancy of the Property as Borrower's principal residence. 9..Protection of Lender's Interest in the Property and Rights Under this Security Instrument. If (a) Borrower fails to perform the covenants and agreements contained in this Security Instrument, (b)there ` is a legal proceeding that might significantly affect Lender's interest in the Property and/or rights under this Security Instrument(such as a proceeding in bankruptcy,probate, for condemnation or,forfeiture, for enforcement of a lien which may attain,priority over this Security Instrument or to enforce laws or regulations), or (c),Borrower has abandoned the Property, then Lender may do and pay for whatever is reasonable or`appropriate to 'protect Lender's interest in the Property and rights under this Security Instrument, including protecting and/or assessing the value of the Property, and securing and/or repairing the Property.:Lender's actions can include, but are not limited to: (a) paying any sums secured by.a lien which has priority over this Security Instrument; (b) appearing in court; and (c) paying reasonable 4006585 4006585 0 Initials: -6tMA1(0005) "`Page 7 of 15 Form 3022 1/01 attorneys' fees to protect its interest`in the Property'and/or rights under this Security Instrument, iricludirig„� its secured position in a,bankruptcy proceeding. Securing the Property includes,-but is not linuted to, entering the Property to make repairs, change locks, replace or board up doors and windows, drain water , from pipes, eliminate building or other code violations or dangerous conditions, and have utilities turned on or off. Although Lender may take action under this Section9, Lender does not have to do so and.is not.- under any duty or obligation to do so. It is agreed that Lender,incurs no liability for not taking any or all actions authorized under this Section 9: Any amounts disbursed by Lender under this.Section 9 shall become additional debt of Borrower' secured by this Security Instrument. These amounts.shall bear interest at the Note.rate fromthe date of disbursement and shall be payable; with such interest, upon.notice from Lender to Borrower requesting payment. If this Security Instrument is on•a leasehold, Borrower shall comply with all the provisions of the lease If Borrower acquires-fee title fo.the Property, the leasehold and the feetitle•shall not merge unlessr. Lender agrees to the merger in writing. , 10. Mortgage Insurance. If Lender required tMortgage Insurance as a condition'of making the Loan,. Borrower shall pay the premiums required to maintain the Mortgage Insurance in effect. If, for.any reason,. . the Mortgage Insurance,coverage required by Lender ceases to be available from the mortgage insurer that previously provided such insurance and Borrower was required to make separately designated;payments,= toward the premiums for Mortgage Insurance,.. Borrower shall pay the premiums required 'to obtain coverage substantially equivalent to the Mortgage Insurance previously in effect,-at-"a cost substantially equivalent to the cost•to.Borrower of the.Mortgage Insurance previously in effect;, from an alternate, mortgage insurer:selected,by. Lender.;If. substantially equivalent Mortgage,.Insurance coverage is not available, Borrower shall continue to pay'to Lender the amount of the separately designated payments that':,.;. were due when the insurance coverage ceased"to be in effect. Lender_.will accept, use and retain these. payments as a non-refundable loss reserve in-lieu of Mortgage Insurance. Such—loss reserve shall be non-refundable, notwithstanding theFfact that the Loan is ultimately paid.in full, and Lender shall not be ' required to pay'Borrower'any interest or earnings on such loss reserve. Lender can:no longer require loss reserve payments if Mortgage Insurance-coverage (in the amount and•for the period that Lender requires) r Provided by an insurer selected by Lender again becomes available, is obtained;:.and Lender requires separately designated payments toward the premiums for Mortgage Insurance. If Lender required Mortgage Insurance as a conditionof`making the Loan and.Borrower was required'to make;separately designated' , payments toward the premiums for Mortgage Insurance, Borrower shall pay the premiums required to'_ maintain Mortgage Insurance in effect, or to provide a non-refundable loss "reserve, until Lender's. requirement for Mortgage insurance ends in accordance with any written agreement between Borrower and Lender providing for such termination or until termination is,required by Applicable Law Nothing in this Section 10'affects Borrower's obligation`topay interest at the rate provided in the Note. Mortgage.Insurance_reimburses Lender (or any entity, that,purchases,the Note) for certain.losses it ' may incur if.Borrower does not repay the Loan as agreed. Borrower,is not a,party to the.'Mortgage fs Insurance. N Mortgage insurers evaluate their total risk on:ail such insurance`in'force from time to time and may- . enter into agreements with other parties that share or modify their risl,(o" reduce losses. These agreements ' are on terms and,,conditions that are satisfactory to the mortgage insurer and the other party(or parties).to these agreements.These agreements may require the;mortgage insurer,to make payments using,any source , of funds that the mortgage;insurer may have available (which may include funds'obtained frorri:mortgage:.�, Insurance premiums)., . As a result of these"agreements, Lender, any purchaser.of the Note, another insurer,.any reinsures; any other entity, or any.affitliate'of any of the foregoing, may receive(directly oi.indirectly) amounts that derive.from (or,might beacharacterized as) a portion of.BIq wer's payments for•Mortgage lnsu ance,;in , exchange for sharing or modifying ttie mortgage insurer's risk; or reducing losses. If such;agreement; provides than an affiliate'of Lender`takes-a share of the insurer's risk in exchange for'a.share of the „ premiums paid to the insurer, the arrangement is often termed"captive,reinsurance."`Further. (a) Anyl.auch agreements Will not. affect the amounts that Borrower has agreed'to.pay for: ' :c Mortgage;Iasurance,'or'any other,terms of the'Loan: Such agreements will not'increase the amount Borrower will owe for Mortgage Insurance, and they.will not entitle`Borrower to,anyrefund., 4006585:" 4006585 0 . -ti1MAl l0005t =:Page 8 of 15 Form 3022 ® ''.. - F ✓ (b) Any such agreements will note affect the rights Borrower has -If any - with respect,to the - Mortgage Insurance under the Homeowners Protection'Act of 1"S or any other law. These:rights may include the right to receive certain disclosures, to request and obtain cancellation of the Mortgage Insurance, to have the Mortgage Insurance terminated automatically,-and/or to receive a refund of any Mortgage Insurance premiums that were unearned at.the time:of such cancellation or.;: termination. 11. Assignment of Miscellaneous Proceeds; Forfeiture. All Miscellaneous Proceeds are hereby assigned to and shall be paid to Lender.. If the Property is damaged, such Miscellaneous Proceeds shall be applied to.restoration or repair.of".-:,, the Property, if the restoration or repair is economically feasible and Lender's security is not lessened.` During such repair and restoration period, Lender shall have the right to hold such Miscellaneous Proceeds until Lender has had an opportunity to inspect such Property.to ensure the work has been completed to Lender's satisfaction, provided that such inspection shall.be undertaken promptly. Lender may pay for the repairs and restoration in-a single disbursement or in a series of progress payments as the work is completed. Unless an agreement is made in writing or Applicable Law requires interest to be paid on such Miscellaneous Proceeds, Lender shall not be required to pay Borrower any interest or earnings on such Miscellaneous Proceeds. If the restoration or repair is not economically feasible or Lender's security would_ be lessened, the Miscellaneous Proceeds shall be applied to the sums secured by this Security Instrument,¢ , whether or not then due, with the excess, if any;paid to Borrower. Such Miscellaneous Proceeds.shall be' - applied in the order provided for in Section 2. In the event of a total taking, destruction, or loss_in value of the Property, the Miscellaneous Proceeds shall be applied to the sums secured by this Security-Instrument, whether or not then due, with :. the excess, if any, paid to Borrower. h In the event of a partial.taking,.destruction, or loss in value of the Property in which the fair market value of the Property immediately before the partial taking, destruction, or loss in value is equal to or. greater than.the amount.of the sums secured by this Security. Instrument immediately before the partial taking; destruction; or loss`in value, unless Borrower and Lender otherwise agree in writing, the sums secured by this Security..Instrumen"t shall be reduced by the amount of the Miscellaneous Proceeds , multiplied by the following fraction;. (a) the total amount of the sums secured immediately before-the . partial taking, destruction, or loss:din value divided by (b) the fair market -value of the Property, immediately before the partial taking,{destruction,.or loss in value. Any balance shall be paid to Borrower. - In the event of a partial taking,destruction, or loss in value of the Property in which the fair market . value of the Property immediately.before the partial taking, destruction, or loss in value is less than the amount of the sums secured immediately before the partial.taking, destruction, or loss in value, unless Borrower and Lender otherwise agree in writing,the Miscellaneous Proceeds shall be applied:to the sums secured by this Security Instrument whether or not the sums are then due; If the Property is abandoned by Borrower, or if, after notice by Lender to Borrower that the Opposing Party (as defined in the next sentence) offers to--make an award to settle a claim for damages, Borrower fails to respond to Lender within 30 days after the date the notice is given, Lender is authorized to collect and-apply the Miscellaneous Proceeds either to:restoration or repair of the Property or to the sums secured by this Security Instrument,whether or not then due. "Opposing Party"means the third party that owes Borrower Miscellaneous Proceeds or the party against whom Borrower has a right of action in regard to Miscellaneous Proceeds. Borrower shall be in default.:if any action or proceeding, whether civil or,cririiinal, is begun that, in. Lender's judgment, could result in,forfeiture of_the Property or 'other material impairment of Lender's interest in the Property or rights under this Security Instrument. Borrower can cure such a default and, if acceleration has occurred-,.reinstate as provided in Section 19, by causing the action or proceeding to be dismissed with a ruling that, in Lender's judgment; precludes forfeiture of the Property or other,material. impairment.of Lender's interest in the Property or rights under this Security Instrument.:The proceeds of any award or claim for damages that are attributable to the impairment of Lender's interest in the Property . are hereby assigned and shall be patd'to Lender: All. Miscellaneous Proceeds that are not applied to restoration or repair of the. Property shall be applied in the order provided for in Section 2. - 4006585 4006585 0 Initials: _ - -6tMAt l0005i Page 9 ofy15 . Form'3022 1/01 . 12'. Borrower Not Released; Forbearance By Lender,Not a Waiver. Extension of the'timey'for payment or modification of amortization of the sums secured by this Security Instrument granted by Lender to Borrower or any Successor in Interest of Borrower shall not operate to.release the liability of Borrower . or any Successors in Interest of Borrower. Lender shall not be required to commence proceedings against any Successor in Interest of Borrower or to refuse to extend time for payment or otherwise modify amortization of the sums secured by this Security Instrument by reason of any demand made by the original Borrower or any Successors in Interest of Borrower: Any forbearance by Lender to exercising any right or remedy including, without limitation, Lender's acceptance,of payments from third persons, entities or Successors in Interest of Borrower or in amounts less than the amount then due,shall not be a waiver of or preclude the exercise of any right or remedy:' 13. Joint and Several Liability; Co-signers; Successors and Assigns Bound. Borrower covenants and agrees that Borrower's obligations and liability shall be joint and several. However, any Borrower who co-signs this Security Instrument but does not execute the Note (a "co-signer"): (a) is co-signing this Security Instrument only to mortgage; grant.and convey the co-signer's interest in the Property under the ' terms of this Security Instrument; (b) is not personally obligated to pay the sums secured by this Security Instrument; and (c) agrees that Lender and any other Borrower can agree to extend, modify, forbear or make any accommodations with regard to the terms of this Security Instrument or the Note without the co-signer's consent. Subject to the provisions of Section 18,' any Successor.in Interest of Borrower who assumes Borrower's obligations under this Security Instrument in writing,and is approved by Lender,:-shall obtain all of Borrower's rights and benefits under this Security Instrument. Borrower shall not be released from. Borrower's obligations and liability under this Security Instrument unless Lender- agrees to such release in writing. The covenants and agreements of this Security Instrument shall bind (except as-provided in Section 20)and benefit the successors and assigns of Lender. 14. Loan Charges. Lender may charge Borrower fees for services performed in connection with Borrower's default, for the purpose of protecting Lender's interest in the Property and rights under.this Security Instrument, including; but not limited to, attorneys' fees, property inspection and valuation fees. In regard to any other fees, the absence of express authority in this Security Instrument to charge a specific fee to Borrower shall not be construed as a prohibition on the charging of such fee. Lender may not charge fees that are expressly prohibited by this Security Instrument or by Applicable Law. If the Loan is subject to a law which sets maximum loan charges, and that law is finally interpreted so , that the interest or other-loan charges collected or to be collected in connection with the Loan.exceed the permitted limits,.then: (a) any such loan charge shall be reduced,by the amount necessary to reduce the . charge to the permitted limit; and(b)any sums already collected from Borrower which exceeded permitted limits will be refunded to Borrower. Lender may choose to make this refund by reducing the principal owed under the Note or by making a direct payment to Borrower, If a refund reduces principal; the reduction will be treated as a partial prepayment without any prepayment charge (whether or not a prepayment charge is provided for under the Note). Borrower's acceptance of any such refund made by direct payment to Borrower will constitute a waiver of any right of action Borrower might have arising out of such overcharge. 15. Notices. All notices""given by..Borrower or Lender in connection with this Security;Instrument must be in writing. Any notice to Borrower:in connection with this Security Instrument shall be deemed to have been given to Borrower.when mailed:by first class mail or when actually delivered to Borrower's notice address if sent by other means!Notice to any one Borrower shall constitute notice to all Borrowers unless Applicable Law-expressly requires otherwise. The notice address shall be the Property Address unless Borrower has designated a substitute notice address by notice to Lender. Borrower shall promptly notify Lender of Borrower's change of address. If Lender specifies a procedure for reporting Borrower's change of address, then Borrower shall only report a change of address through that specified procedure. There may be only one designated notice address under:this Security Instrument at any one time, Any . notice to Lender shall be given by delivering it or by mailing it by first class mail to Lender's address stated herein unless Lender 'has designated another `address by notice to Borrower. Any notice 'in connection with this Security.Instrument shall not be deemed to have been given to Lender until actually received by Lender. If any notice required by this Security Instrument is also required under Applicable Law, the:Applicable Law requirement will satisfy the corresponding$requirement under this Security Instrument. `. 4006585 4006585 0 Initials: M-G(MA)=mi Page 10 O is k Form 3022"-1/01 i 16. Governing Law; 'Severability; Rules of Construction. This Security Instrument shall be governed by federal law and the law of the jurisdiction in which the Property is located. All rights and obligations contained in this Security Instrument are subject to any requirements and limitations of Applicable Law, Applicable Law might explicitly or implicitly allow the parties to agree by contract or it might be silent, but such silence shall not be construed as a prohibition against agreement by contract. In the event that any provision or clause of this Security Instrument or the Note conflicts with Applicable Law, such conflict shall not affect other provisions of this Security Instrument or the Note which can be given effect without the conflicting provision. , As used in this Security Instrument: (a) words of the masculine gender shall mean and include corresponding neuter words or words of the feminine gender; (b) words in the singular shall mean and include the.plural and vice versa; and (c) the word "may" gives sole discretion without any obligation to take any action. 17. Borrower's Copy. Borrower shall be given one copy of the Note and of this Security.Instrument. j 18. Transfer of the Property,or a Beneficial Interest in Borrower. As used,in this Section 18, "Interest in the Property" means any legal or beneficial interest in the Property, including, but not limited to, those beneficial interests transferred in'a bond for deed,contract for deed, installment.sales contractor escrow agreement, the intent of which is the transfer of title by Borrower at a future date to a purchaser. If all or any part of the Property or any Interest in the Property is sold or transferred (or if Borrower is not a natural person and a beneficial interest in Borrower is sold or transferred) without Lender's prior written consent, Lender may require immediate payment in full of all sums secured by this.Security. Instrument. However, this option shall not be exercised by Lender if such exercise is prohibited by Applicable Law. If Lender exercises this option, Lender shall give Borrower notice of acceleration. The notice shall provide a period of not less than 30 days from the date the notice is given in accordance with Section,15 within which Borrower must pay all: sums secured by•this Security Instrument If Borrower fails to pay these.sums prior to the expiration of this period, Lender may invoke any remedies permitted by this Security Instrument without further notice or demand on Borrower. 19. Borrower's Right to Reinstate After Acceleration. If Borrower meets certain conditions, Borrower shall have the right to have enforcement of this Security Instrument discontinued at any time prior to the earliest of: (a)'five days before sale of the Property pursuant to any power of sale contained in this Security Instrument, (b) such other period as Applicable Law might specify for.the termination of . Borrower's right to reinstate;. or (c) entry of a judgment enforcing this Security Instrument. Those conditions are that Borrower: (a) pays Lender all sums which.then would be flue under this Security . Instrument and the Note as if no acceleration had occurred; (b)cures any default of any other covenants or agreements; (c)pays all expenses incurred in enforcing this Security Instrument, including, but not limited to, reasonable attorneys' fees, property inspection and valuation fees, and other fees incurred forthe purpose of protecting Lender's interest in the Property and rights under this Security Instrument; and (d) 'takes such action as Lender may reasonably require to assure that-Lender's interest in the Property and rights•under this Security Instrument, and Borrower's obligation to pay the sums secured by this Security Instrument, shall continue unchanged. Lender may.require that Borrower pay such reinstatement sutras and expenses in one or more of the following forms, as selected by Lender; (a) cash; (b) money order; (c) certified check, bank check, treasurer's check or cashier's check, provided any,such check:is drawn upon an institution whose deposits are insured by a federal agency, instrumentality or entity; or (d) Electronic Funds Transfer. Upon reinstatement by Borrower, this Security Instrument and obligations secured.hereby shall remain fully effective as if no acceleration had occurred. However, this right to reinstate shall not apply in the case of acceleration under Section 1.8. 20. Sale of Note; Change of Loan Servicer; Notice of.Grievance. The Note,or a partial interest in the Note (together with this Security Instrument) can be sold one or more times without prior notice to -Borrower: A sale might result in a change in the entity'(known as the "Loan Servicer") that collects- Periodic Payments due under the Note and this Security Instrument and performs other mortgage loan servicing obligations under the Note; this Security Instrument, and Applicable Law. There also might be 4006585 4006585 0 a . - Initials: . ®®S(MA)WOW Page 11 of 15 Form 3022 1101 one or more changes of the Loan Servicer unrelated to a sale of the Note. If there is a change of the Loan Servicer, Borrower will be given written notice of the change which will state the name and address of the new Loan Servicer, the address to which payments should.be'made and any other information RESPA requires in connection with a-notice of transfer of servicing. If the Note is sold and thereafter the Loan is serviced by a Loan Servicer other than the purchaser of the Note, the mortgage loan servicing obligations to Borrower will remain with the Loan Servicer or be transferred to a successor Loan Servicer and are not assumed by the Note purchaser unless otherwise provided by the Note purchaser. Neither Borrower nor Lender may commence,,join, or be joined to any judicial action (as either an individual litigant or the member of a class) that arises from;the other party's actions`pursuant to this Security Instrument or that alleges that the other party has breached any provision of, or any duty owed by reason of, this Security Instrument, until such Borrower or Lender has notified the other party (with such notice given in compliance with the requirements of Section 15) of such alleged breach and afforded the other party hereto a reasonable period after`the giving of such.notice to take corrective action. If Applicable Law provides a time period which must elapse before certain action can be taken, that time period will be deemed to be reasonable for purposes of this paragraph. The notice of acceleration and opportunity to cure given to Borrower pursuant to Section 22 and the notice of acceleration given to Borrower pursuant to Section 18 shall be deemed to satisfy the notice and opportunity to take corrective action provisions of this Section 20. 21. Hazardous Substances. As used in this Section 21: (a) "Hazardous Substances" are those substances defined as toxic or hazardous substances, pollutants, or wastes by Environmental Law and the following substances; gasoline, kerosene, other:.flammable or toxic petroleum products,.toxic pesticides and herbicides, volatile solvents, materials containing asbestos or formaldehyde, and radioactive materials; (b) "Environmental Law" means federal laws and laws of the jurisdiction where the Property is located that relate to health, safety or environmental protection; (c) "Environmental Cleanup" includes any response action, remedial action, or removal action, as,defined in Environmental Law; and (d) an "Environmental J Condition" means a condition that, can cause, contribute to, or otherwise trigger an Environmental Cleanup. Borrower shall not cause or permit the presence, use, disposal, storage, or release of any Hazardous Substances, or threaten to release any Hazardous Substances, on or in the Property. Borrower shall not do, nor allow anyone else to do, anything affecting the Property (a) that is in violation of any Environmental Law, (b) which creates an Environmental Condition, or(c)which, due to the presence, use, or release of a Hazardous Substance, creates a condition that adversely affects the value of the Property.The preceding two sentences shall not apply'to.the presence, use; or storage on the Property of small quantities of Hazardous Substances that are generally recognized to be 'appropriate to normal residential uses and to maintenance of the Property (including, but not limited to, hazardous substances in consumer products). Borrower shall promptly give Lender written notice of(a) any investigation, claim, demand, lawsuit or other action by any governmental or regulatory agency or,private party involving the Property and any Hazardous: Substanct'or Environmental Law of which Borrower has actual knowledge, (b) any, Environmental Condition, including but not limited to, any spilling, leaking,discharge; release or threat of release of any Hazardous Substance, and (c) any condition caused by the presence, use or release of a Hazardous"Substance which adversely affects the value of the Property.of Borrower learns, or is notified by any governmental or regulatory:authority, or any private party, that any removal or other remediation of any Hazardous Substance affecting the Property is necessary, Borrower shall promptly take all necessary, remedial actions in accordance with Environmental Law, Nothing herein shall create any obligation on Lender for an Environmental Cleanup. 4006585 4006585 .0 Initials. -6(MA)=m) Page 12 or 15 Form 3022, 1/01 O r . NON-UNIFORM COVENANTS 'Borrower and Lender,further covenant and agree as:follows: 22. Acceleration; Remedies.. Lender.shall give notice to Borrower prior to acceleration following Borrower's breach of any covenant or agreement in'this Security.Instrument, (but not prior-to acceleration under Section 18,uhless,Applicable Law provides otherwise). The'notice shall specifyr(a) the default; (b) the action required to cure the default;(c)a date, not less than,30 days from the date the notice is given to Borrower,by,which the default must be cured; and (d)-that failure to cute' the' default on or before the date specified id the,notice may'result in acceleration of the sums secured by-' this Security Instrument and sale of`the Property: The notice shall further inform Borrower of the right to reinstate after acceleration and the right to bring a court action to assert the non-existence of a default'or any other defense of Borrower to acceleration and sale. If the default is not cured on or before the date specified in the notice, Lender at its option may require immediate payment in full of e all sums secured by this Security Instrument without further demand and may invoke the _. STATUTORY-POWER OF.SALE and any other remedies permitted by`Applicable Law:,Lender" shall be entitled to collect all°expenses incurred in pursuing the remedies provided in this Section 22,. u ; including,but,not,hmited to, reasonable attorneys'fees and:costs of title evidence. , If Lender invokes the STATUTORY POWER OF'SALE;'Lender shall mail a copy of a notice of sale to Borrower; and to other persons:prescribed by'Applicable.Law,,in the manner provided by,,' Applicable Law. Lender'shall publish'the notice of sale,'and-the Property shall he'soldin the manner prescribed by Applicable Law. Lender or its designee may purchase the Property at any sale.:The proceeds'of the sale shall be applied in`the following order: (a) to all expenses of the sale, including, but not limited to, reasonable.attorneys' fees; (b);to all sums secured'by this Security Instrument;_ and (c) any excess to the person or persons legally entitled to it. 23.'Release. Upon paymenttrof all sums secured by.this Securitylnstrument;Under shall`discharge this Security Instrument-Borrower shall pay.any recordation costs.'Under;may charge Borrower a,fee for>: releasing this Security Instrument, but only if the fee-is paid to a third party for_services rendered and.the charging of the fee is permitted under Applicable Liw , 24. Waivers: Borrower waives all rights of homestead exemption in'the Property and`iellnquishes all rights of curtest'and dower in the Property. r 0. .. •. - a, 4006585' 4006585 0 '. IM•61MA►.(0005i Page 13 01 15 Form 3022 ,1/01 1 • BY SIGNING BELOW, Borrower,accepts and,agrees to the terms and covenants contained in this Security Instrument and in any Rider executed by Borrower and recorded with it. Witnesses: (Seal) Den iz R: ite -Borrower Rebecca C.Richardson " (Seal) -Borrower (Seal) (Seal) -Borrower -Borrower 31 (Seal) (Seal) -Borrower -Borrower (Seal) - (Seal) -Borrower -Borrower v 4006585 4006585 0 40 6(MA)(0oo51 Page 74of,15 s Form$022 1/ol COMMONWEALTH OF MASSACHUSETTS, $ARNSTABLE County ss: On this 31 ST day of JANUARY, 2003 before me personally appeared Deniz R. White to me known to be the person(s) described in and who executed the foregoing instrument, and acknowledged that he/she/they executed the same as his/her/their,free act d deed. My Commission Expires: tl N011 2004 Notary Public Rebecca C.Richardson . b< f 4006585, 4006585° t 0 Indials: ®6(MAi i0005) Page 15 of 15 Form 3022 1/01• Exhibit A Property Description Closing date: 01/31/2003 Borrower(s): Deniz R. White Property Address: 85 Cottonwood Lane, Centerville, Massachusetts 02632 That certain parcel of land together with the buildings thereon situate in Barnstable (Centerville) Barnstable County, Massachusetts, bounded and described as LOT 167 on Land Court Plan 2.0239-C (Sheet 9) y s Said land is subject to and has the benefit of the easement, ' righ'ts and ". stipulations set forth or referred to in Certificate of Title NO. '28117, insofar as the same are in'force and applicable. FOR TITLE: See Certificate of Title No. ±283_0_: .. 1. IaRN'gTABLE REGISTRY OE'DEEDS • x . Aitessy's map and lot number ..... ... ................................. QyofTHEro Sewage Permit numbe > /.. ...a...1............................... SEPTIC SYSTEM MUTT Ot INSTALLED IN COMPLIANU i BAWS'TAXLE. House number ��............................................................ WITH TITLE 5 '� "�9. ENVIRONMENTAL CODE AND TOWN OF BARPT"ftffhTENS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....Z.,. /........................................................................................................ TYPE OF CONSTRUCTION ........ 0...................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accoi mg o t e o owing in or ma io �: " ' � Location ............ A. .S�,o 4 c?7� ....M �...........�.....�� •��P..l................................................................. ProposedUse ............5!:V�:� . . U �.��1..... .f! fs�w ..C:.,,.................................................................................. Zoning District ............ to../evDj............................................. District ... r'�?�dfi�ll�t ..-. -s�l�'�',t1�. �r........... Name of Owner ...1.1.,..�h'�l�.�rc�!*v�r� -4 I!�.....Address ..... r7�1..OP �C... .... !'.�✓ t ll.fl(.�........... Name of Builder ...................................Address Nameof Architect ............... ..................................Address .................................................................................... Number of Rooms .............. 1 ........................................Foundation ........ ! :: 4 �..�4.!u�:......................... Exterior ............./1�x 7...-�ic?!rN..f�:......................................Roofing ......... ,/, ..... 2.............................. Floors ............................................Interior ........- �f li�.!...4'�F+F 7. <.`i,<.-f .•.l.'................... Heating a.5.....zF!acl.-rY.t.....�ii.-......................Plumbing .......L.'�F' .... ..... ... z��! ...�ivc?.. Fireplace ......... F/(—t.6r7.0..w.........................................Approximate Cost .....sV.�......-3G � ................................ Definitive Plan Approved by Planning Board -----------_____—-----------19 Area �.a` .!� S l- .......................... _8 0!2 Diagram of Lot and Building with Dimensions Fee ...........a:.............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r 3 p.. 6, 36 �L I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ,eiy...... ............ i R. Arthur Williams, Inc. 22806 one story Il1b►................. Permit fo;# .................................... 'M single family dwelling Location 85 Cottonwood Lane ................................................................ Centerville ..................................................... ...... Owner .........R. Arthur Williams, Inc. ........................................................ Type of Construction frame ............................................................................... #167 Plot ............................ Lot ................................ January 12 81 Permit Granted ........................................19 Date of Inspection ....................................19 Date Complet d .. ................. :. 19 , / rn CQ > C- ''PERMIT REFUSED �- IV f '� .... .. ................................... r1 C" t ............................................................................... Approved ................................................ 19 r J ............................................................................. . ....................a.................................... Assessor's map and lot number ......42 .9,4 ,0*THE Sewage Permit number, BARNSTABLE, House number mum ............................................................. t639 00 - 'TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....rKt%.Zz..................................................................... .................................. TYPE OF CONSTRUCTION ........ ......................................................................................... 11�.........19.p ....... ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............. r�. ........... . .7.PW. . ,,7 ........... . . ............................................. ProposedUse ...................... .. ..... Y....... ........................................................................................ Zoning District .............e ../..............................................Fire District ...c,!,�-Z/ -.O.zz�......... ........... Name of Owner ...iF 4-;;.....Address ...... ........... Nameof Builder ............... ...................................Address .................................................................................... Nameof Architect ......K.! .....:...................................Address Address .................................................................................... Number of Rooms ...............Kxt........................................Foundation ........ ......................... Exierior ............. r,� ...Roofing .......... ............................. Floors ............. ............................................Interior ........ ..................... Heating ......... ....... ......... ......................Plumbing .......Z��.... Fireplace ......... ...........117.e-77 .........................................Approximate Cost ..... ........................ Definitive Plan Approved by Planning Board -------------------—-----------19 Area ......................................... Diagram of Lot and Building with Dimensions -9 , Fee .............. .................... ... ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1.1-117 --1 ,F OF I SF t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameI ................. .......... . --T - R.Arthur Williams, In � . A=252-155 22806 one story No ................. Permit fair .................................... single family dwelling ............................................................................... Location 85 Cottonwood Lane ................................................................ Centerville ............................................................................... Owner ........... ... . R. Ar. ..thur Williams,. . . . ...Inc.. .. .... .. . ........ ....... . . ...... . ...... . Type of Construction frame ........................... ............. ............................................................................... Plot ............................ Lot ............#167........... January 12 81 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT. REFUSED ............................................................. 9 .......................................... ...............4......... ..... ..........�...—.�.— ......... Approved ................................................ 19 ............................................................................... ............................................................................... -`� Tadl Lam( Ft._ow t to -4 3 t 33d G.PV �tyrlc -rA 4V- = 330,E 1170 % • 4s35 6.P.D. 1 S•no. �p USA:- t000 ,GA,L. = ? SPo�At PITS USG I000 GQL ' = SCG.WA,LL AZC-_A = : jD S.F. -, imp 44 .4 SD 5+=. Qa Z. ToTQ�. -De&16J = 42S 20 TOTAL -r->L&tL-f F�ow = 33o6.PD. O F o r c vt✓QcD1.eTI0U tze-r'E : i"Iu 2.hclu'oczls�9S., P,eo11.7 m ya ^ t a n' L.i j. .Q(n A 3 i.= M ��q. YLY. •'.'ICU � i► aw4 _ , • TEsT t%f 14r f / TUP Fy0 IPA.ta + 1-loc. ECG r 93 .�•a�, •• o• eL:9•j 7T� i/�'�`_CC7, , ✓per 'r>t,;r lM. Gad. 90' ;. d S x 1/4 �5o L 'w' SEvnc I o �• GAL•. 91-49 ; i0 �lwy W I•r" , ' • � ' ., yCt=[LTttrlEt7 pt~r�'T' QL./>,.t�1 L 4.0 I Tom' !l a. � C-Mt1-r11--{. Tt4A-r Tc-;r-. P*auQ.)Ancx4 5"6wW PLAtom! R r E rN<_C 14t:;l't_01-1 t,:blVl%PLgG fit/1*rk TW=- 51 V E.LlwE: �1-- ' 4,wt> `;e rLIAC1- V ee)LItCEA.AE-- IT:; Zo\"w or- -BA.2 iTA�,l t'� C • 7D'Z.�j l , vA'TC 12 11 SAATGtiZ c`. 1..1YC. I�r.• • �, ,.. �... .�. RGGts•rc_t;�.n 1.A1.�G SUeV��:.`fcl:!S j T1-11�. t�c:_nF-1 c �oT cy:,n�>cv v� , a•,r o�T��v%LLE M I'.. (45r l �J.`' ��c7;_.`/► `s 'k TcaL� c�Nc= C'; e.�Ge.�1�D ga�P'LrcA.f-,i"T' j �` t ,I r C L-i. UI>CCl r'G t)l.._•1'(.:C_Mik-J�.;. LOT t_INa�.� -- _'`�j'� Tr-�y�` WIL4,4-ppleS � i TOWN OF BARNSTABLE Permit No. ----------__- 1 "A"n.0 Building Inspector Cash ,°,o. .r j OCCUPANCY PERMIT Bond ----------- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .............................................1 19......_ ..................................................................._..........................................._ Building Inspector Assessor's map'and lot number ... ........ ........ .M....' � CF THE t0 Sewage Permit number .. ...:........ _ a; BAUSTADLE i House numbers M s p 1639. .......................... .. 9� ....................... 9� a Mid r ; TOWN OF BARNSTABLE RULDIHG ANSPE,CTOR APPLICATION FOR PERMIT TO Goti .�1.es16 G''�� Odle 00 .. ............... ................•.•.;57...................................... TYPE OF CONSTRUCTION .....:..............� Po' G... ` /�'�. ....... 4, ................................................19........ 'r J: TO THE INSPECTOR OF BUILDINGS: The undersigned:hereby.applies for a permit according to the following information: �'.$ V /moo / �ir/ro � ^ L �,/ . ►►, Location ......................................... ........................................................................................... w�./.. ........ .Proposed}Use ...............C!9,C............°....as................... ...... ........................ ........ ....................................... Zoning District ...............................................Fire District ............:.../ ..;.Q...... .. y` ... ....................................... Name of Owner T. lPi.l7....................... ... Address ... "S'. .frQ. ............................................... , - .... �liss� 6a.a....✓ 4t/ o— re .e... Name of Builder ............ ............. •VeS ....lo...............Addss .... k�..............................J.''. '!!!.... ..i'e,,..7 Nameof Architect ................' .......................... ........................Address ...............:............:.......................................,............... , ' Number of Rooms ..........Foundation. Exterior '............. GAl�..6.A'~''' d ........:Roofing ..��..�.X.................... ..................... Floors ..............................................................................:........Interior ....................................................... ............................. Heating .......................................................'............................Plumbing .................................................................................. Fireplace .................: Approximate. Cost .................................. ...... .......... ....... U. ........ ......... ................... ... .. ........ Definitive Plan Approved by Planning Board -------------------------------19------ . Area ...... . :..f .. Diagram of Lot and Building with 'Dimensions Fee 1 .... ' SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 i 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ice!.......... ....:............................... -� Construction Supervisor's License � �' �-- T. LBONARD f' ` Build Garage 266 :.. -Prmitfor...... e .......... M , k� Sin Te Famil Dwellin ' .. .............. '.............. g..................... - Location 85 Cottonwood..Lane....... ................. Centerville........ z,.......... Owner ...T...........................................ona :.......... ! � Frame ... i ,-� • � E y' ; Type of Construction ..................................... r ......................... ......... ............... tt-. �PIot Lot'................................ _ .PermitgGranted ....:JulX.6,' ...... .19 84 Date of Inspection ....................................:19 ' Date C mo eted ........................... � * Assessors map and lot number ... ........ ......................... �.S�S' THE Sewage tr .% Sewage Permit number .................:.. .. ................................. 7 r Z HAUSTADLE, i Housenumber r M"Ea...................................................................... . 00 i639, 9� a. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............................v.. ........................................... . . ................................. v TYPE OF CONSTRUCTION ....................G.o.✓. ....�...:�...:...........:.. ....`.:':..... ................................................ .......... ...... ..................19...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies �for a permit according to the following information: ,f �} �. �l Location ................ n16......... .... � A .......... ~ ......... / ' 5CcProposed Use ....... ri4C.... ......... ... s ... L ....................................................Zoning District .. , �..,,, ,,...... ...y ................� :......Fire District .. � ... . .......................................... Name of Owner Z Pia�/.g.� ........................Address..\ ...,ld� "...................................................c .. Name of Builder Addres4 ..........tt ................................f . i 1L Name of Architect ......................Address ✓ +i Numberof Rooms ...........................................................!.....Foundation ......:.......................................... C G.a d o,..L t . Exierior .........................r!.....................................................:..Roofi'ng fV Floors �•••• 1 Heating ........................................................... ... ..Plumbin .......................................................................... Fireplace t. . � �. y,Appt"roximate Cost ......... .�!? ...... j ................ Ve Definitive Plan Approved by Planning Board' _ ll1__.jfJJJ+___ _____19_______. Area .. .... .. Diagram of Lot and Building with 'Dimensions ' Fee � � x SUBJECT TO APPROVAL OF BOARD, OF HEALTH, ., i� � �ti U✓ l i 1 ' 1 r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name - , `;,.. �................ . . Construction Supervisor's License ....................................�—" T. LEONARD A7--252-155 No Permit for Bu 1d..Gar ......... Single.,Family Dwelling...................... Location ..85..Cottonwood Lane .... ..................................................... Centerville ................................................................................ Owner ..T.... .Ijeonard......................................... ................ Type of Construction ..Frame.............................. ................................................................................ Plot ............................ Lot ................................ Permit Granted Ju.1y..6,...................19 84 Date of Inspection ....................................19 Date Completed ......................................19 1 � � ii o ; ► } � t t � , i � I � i. _ _ � � - --�_�-t---- t -- f _ .1. _. T_ �. .- t ---- �-� + - - -- �-- � i f I _ � i � + 1 � � � 1 i � i I i � i I � I i I i � 1 i ...__.+._ _ ; . ._ �_ r � ._ _� _ _ t � _ ... _Y _ __ s - - � � a � # � � t ,.-. - t � �____,�--- - - - -i- - ._. . � . . _ ._ __ � ._, .__ _. - -. .. 1 .. . . + � -� -+ � � , + � i f - , ( � � i i -�- r -i------ _ _ _ ! � � � � � � � � �� Assessor's map and lot number ... STNE 8EPTIC SYSTEM MUST Hous WITH TITLE 5 TOWN OF BARNSTA]YEt 'BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... TO THE INSPECTOR OF.BUILDINGS: The undersigned hereby applies for a permit according to the following information: Nome of QoU6er ..T}ze. , *.-.......-.A66reos .13I^.1�ld.Poz t.Ro-ad...G ente.r.m.i.11e,'^ . Name of Architect, . . ' ..^....g -'_--'^--------------------. .~..~.,* .^��~~~��*-^^`°^°+°�=°^°°��^--------.. ^ Fireplace ..0&'...... ...................................................................Approximate Cost ...... .................................. , Definitive Plan Approved by Planning Board l9-__'. Area .2��u/SO�-'------. . xx6~ Lot - ' Diagram of � and Building with Dimensions Fee .--1\�--z -------- - SUBJECT TO APPROVAL OF BOARD Of HEALTH ' ' . . , . . ^ ` . ` , . . . . ^ . . � ` . . . . . . . . ' . ' ` ` . ` ' ^ ' / . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ^ ^ . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi ng the above The Barclav Corp, Construction Supervisor's License ---'— .................... � i fWONARD, THOMAS k 27464- ADDITION - ~ 1 F t o .......:..........P�rrrt�.for .................................... - - - x L..Single'Family..Dwelling........................ Lot 167, 85 Cottonwood Lane : ; s Location .:...::.......................................................... ............... ?ItQ JUQ....................................... - Thomas Leonard Owner ......................................................f............ _ J _ r Type of Construction .....FL . .....:.................... ..................................................... .................. ti - aPlot ............................ Lot ?.......... n - i ' Permit Granted .. January- 24 19 85 �* Date of Inspection 19 Date Completed ............l(.............7......19 Ap e a :} :s { - r i r Assessor's map and lot number ........................................ FINE Sewage Permit number ................��':..... ........! .........' • ��Q�p To�� SAUSTABLE, i House number �' * KAaa ..........................`......................... I 4p 039 9� am Or TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO dui 1. 1 r 20_a La d di-i t,1.0 n TYPE OF CONSTRUCTION .........IF Q9.0...Sr me................................................................................................. Janua.rq.. �................19.fg.5. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: xr� Location......'.85 Cottonwgod Tryne...........Cent ry ..�. .F�w ..��f �tf.........i;?`?r.32................................................... ProposedUse ..... elrt. r.;; v..................................................................................................................... Zoning District .....Rf.9.........................................................Fire District ...f fit? t nt.1 .............. Name of Owner ....Th(��;1a.s...T,ec�X��,x.'�.............................Address R-5...C n :i , ?, ,T,on Name of Builder .... P fi&rC7 av Co7rp.....................Address 13 C- a ^. It Name of Architect . I?OXl ld eyeZ'................................Address V,.�q ' Ndg� :e � `rF?x�mc�LtL M ......... Number of Rooms .....2..................:........................................Foundation ...Coxa�ret .......................................... Exterior ... Va.sonit.e...clapt�©ards..............................Roofing ... �.nhalt...Shingl,es...................................... Floors ......Vinyl-Carpet................................................Interior ....' hin...CORt T)1�,et r................................... Heating F1CCtz'iC...........................................................Plumbing .j: y; ,t; xr?t,1,D ,ntk:��?"...................... Fireplace ..n...........................................................................Approximate Cost ...... ................................. Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area 2 .!.`...... .............................. Diagram of Lot and Building with Dimensions Fee ..--- SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. The Barclay Corp. _ Name ............... ``.... .......... ..... ...................................... Construction Supervisor's License ,009845 ......................... LEONARD, THOMAS A=252-155 No 27464 Permit for ...ADDITION Single Family Dwelling..................... .... ........................... . Location ..Lot 167, 85 Cottonwood Lane ............................................. Centerville ............................................................................... Owner ..........Thomas Leonard ......................................................... Type of Construction ..... rame ................................................................................ Plot ............................ Lot ................................ Permit Granted .. January....2.4.,.............19 85 . . . . Date of Inspection ....................................19 Date Completed ......................................19 i N cn . b 4 h �r ' t , 6a — isS Town of Barnstable TOWN CI ER Zoning Board of Appeals BARNS;. f !.,....,...- MASS. Family Apartment �cf Decision and Notice ` �� !�� Smeary: Granted with Conditions Appeal No 1992-63 Applicant.: CNorma Atkinson? Address: 12 sylvan Drive Hyannis, MA 02601 Property Address: c8-=Cottonwood_Lane,-:Centervill'e_,,rMA'_.02,632 Property Owner: cNorma andw ohn_Atkinson'.�. Assessors Map/Parcel: -252:/155 Zoning: RD-1 Residential D-1 District Zoning Overlay District: GP - Groundwater Protection Applicants Request: Special Permit - Section 3-1.1(3) (D) Family Apartment Activity Request: The applicant is seeking to convert a lower level of the structure into a family apartment Construction Activities: Installation of a bathroom and kitchen. Procedural Provisions: Section 5-3.3 Special Permit Provisions. Background: This decision concerns the appeal submitted by Norma Atkinson to the Zoning Board of Appeals for a special Permit to allow for a family apartment to be located at 8 Cottonwood Lane, Centerville, MA. The request was made in accordance with Section 3-1.1(3) (D) , "Family Apartments" of the Zoning ordinance. Procedural Summary: The application was filed in the office of the Town Clerk and at the Zoning Board of Appeals office on October 19, 1992. A public hearing, duly noticed under M.G.L. Chapter 40-A, was opened, closed and a decision rendered by the Board on November 12, 1992. The petition was heard by Board Members; Gail Nightingale, Ron Jansson, Elizabeth Nilsson, wayne Brown, and Chairman, Richard Boy. The applicant represented herself before the Board and explained the intent of the proposal was to develop a Family Apartment within the lower level of the dwelling. The apartment is to be occupied by her elderly mother and father. The applicant has closed her purchase of the property and is now the owner. No one spoke in opposition or on favor of the appeal. Family Apartment - Decision and Notice Appeal No. 1992-63 Finding of Fact: Based upon the evidence submitted and testimony given, at the public hearing of November 12, 1992, the Zoning Board of Appeals unanimously finds, as follows. 1. The applicant is the present owner and has met all of the requirements for a Family Apartment. 2. There has been no objections expressed in this appeal. 3. The apartment unit is to be developed within the existing envelope of the building and should not impact on the neighborhood setting that exists and would not therefore be detrimental to the neighborhood. Conclusion: Accordingly based upon the findings, a motion was duly made and seconded that, Appeal No. 1992-63 be granted in accordance with Section 3-1.1(3) (D) of the Zoning ordinance, as sought and with the following conditions: 1. The Special Permit for a Family Apartment is issued to the owner and resident, Norma and John Atkinson, for the property, commonly known as 8 Cottonwood Lane, Centerville, MA. It is not transferable. 2. The family apartment shall be located as per plans submitted titled: "Norma Atkinson, Family Apartment" which shall consist of no more than 734 sq.ft. 3. The owner shall comply with all Board of Health requirements. 4. The applicant shall maintain the apartment in compliance with Section 3- 1.1 (3) (D) of the Zoning -ordinance. 5. The applicant shall maintain the property in accordance with section 3- 5.2 Groundwater Protection overlay Districts of the Zoning ordinance. 6. violation of any of the conditions shall be grounds for a hearing before the Board to show cause. The vote was as follows: Aye: Gail Nightingale, Ron Jansson, Elizabeth Nilsson, Wayne Brown, and Chairman, Richard Boy. Nay: None Order: Appeal No 1992- 63 has been granted a Family Apartment. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, and shall be filed within twenty (20) days after the date of the filing of this decision in the office of the Town Clerk. Any person aggrieved by this decision may appeal to the Barnstable Superior Court, as described in Section 17 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts by bringing:.an action within twenty days after the decision has been filed in the office of the Town Clerk. / Chairman - - to' t, I, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals. rendered its decision in the . above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. w a r 1 - .v Signed and Sealed this 'day of " ' 19 'under. the pains and penalties of perjury. swf - L- Distribution: 3 w Property Owner Town Clerk Town Clerk Applicant .'.Persons Interested Building Inspector " Public Information Board of Appeals I/ Assessor's Office(1st floor) Map- 2 Lot 5 Wit-# 1®6 7 2 Conservation Office(4th floor) CA Date Issued V1 Board of Health(3rd floor)(8:30-9:30/ :00- 2:00 e 15-01 (jrj V Engineering Dept.#(3rd floor) House#1 ` SEPTIC Sy*1- i BE la e' . 1st r Sc IA BldgINSTALLED� ANCE WIT -tiv an r ve y Planning rd x. HVIRONME AND TOWN OF BARN., LE. BuildingrPermii Application �• .. Project S ddress � �d� l� �mi 4 , Village ��Y/.��1//�� Owner ,�Z/l�!/rz �T—�iiy-Si�y r - Address -Telephone : . r Permit Request 6 ' G QA*�640( 0A Total 1 Story Area(include 1 story,garages&decks) _ square feet - Total 2 Story Area(total of 1st&2nd stories) square feet r Estimated Project Cost $ /sa ri l56 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use_ � Proposed Use T Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House 4 2 Unfinished Old King's Highway 4�2 Number of Baths �, ,�/�/„ No.of Bedrooms Total Room Count(not including baths) p/S/E First Floor Heat Type and Fuel� S Central Air 8�k Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other �7 Builder Information Name , Telephone Number Address 2 Lj7 � License# v �62j zue± D / Home Improvement Contractor# 1/lam- 5;' e;2 Worker's Compensation,# _Z' e4'eD NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN,(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 9 OUl ' l 5 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 1:,0 6 7 7 DATE ISSUED — 170/ 0 2/9 5 MAP/PARCEL NO. 252 155 - 85 Cottonwood Lane '` Centerville ' f= ADDRESS VILLAGE s �! OWNER Norma Atkinson f - 5 ° J + DATE OF INSPECTION: FOUNDATION FRAME 1• ! ' INSULATION' FIREPLACE 1" ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: . C�UI FINAL ell FINAL BUILDIN °'` !. Vi " 4 '' ' DATE CLOSED'01K 141i f NQ ASSOCIATIONS=PLi :, irk � _ • r DEPARTMENT Of PUBLIC . EOMM0NWE/►LTH yr �* OF ONE ASHBORTON PLACE MASSACHUSETTS I BOSTON,MA 02108 "x LICENSE CONSTR.. SUPERVISOR j 5" E EXPIRATION DATE 12/11 /1996 EFFECTIVE DATE RESTRICTIONS 21.��5 �`04/30/1994.' 056192",1 ' 163 �r� :. 1 :$ 2 FAMILY �tHOME 6 s K GUY L R91 F p>� ;' Q.PO-BOX 27i :HYANNIS •-KA1;02601 : �., _ i ra� z• PHOTO(BLASTING OPR ONLY) F�F•• " b O•00 1 NOT VALID UNTIL SIGNED BY LICENSEE AND oFFLCIALLY •�f HEIGHT' _ I STAMPED•OR-SIGNATURE aF THE COMMISSIONER 2 , " THIS DOCUMENT MUST BE I SIGNATURE.OF LICENSEE - CARRIEDON THE PERSON OF THE HOLDER WHEN EN- OCCUPATION. I COMMI NE . OTHERS RIGHT THUMB PRINT- GAGEDINTHIS The Town of Bamstable wMa Department of Health Safety and Environmental Services . . . Bud Division 367 Main Sirm.Hyannis MA MWI Ralph C Office: 508490--(= B�dia Facc 508-775 3344 For office use only . Permit no. Date AFFIDAVIT HOME MOROVEMENT CONTRACTOR LAW SUPPLEMENT TO PEBMM AQ'PUCAIWN MGL c. 142A requires that the"tecanstrw:don,alte=dons,renovation,segair,mmodecoization,coava improvemsat, rta m-4 d=oiition, or clot: of an addition to MY p owner nos which are M# building gat least one but not nose than four dwelling units or to stractares along wft to such reddenee or building be done by registered eott=ctms,with ccs'!" e�ooeptions, tegairu:meats Type of Work: Est.Cost /a a d®D 0 Address of Woric 7-L-0 dal Oaner.Name:_ Date of Permit Application: I hereby certify that: Registration is not required for the following=son(s): work colluded by law Job under SLo00 ` Building not owue:wocnpied Owner palling ouvn pamsi Notice is he mby gn''m that OWNERS pt1LLING THIR OWN p�T�D ECG DO NOT HAVE � TO FOR APPLICABLE HOUE McRO ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A MG,-MD UNDER PENALTIES OF PERM" I hereby apply for a permit as the agent of the owner: agisuatNa Date I one OR The Commonwealth of.41assachusettc Department of hidustrial Accidents Office ofinivestigatiow 600 Washington Street Boston, Alas. 02111 `- Workers' Compensation Insurance Affidavit licant information: Please PRINT le�fbly "� `' "� "�"" ....... name: azl location: �b /S��Of�� !�✓�' city ,gel �zf// . phone z7i o I am a homeowner performing all work myself.1 am a sole proprietor and have no one working in any capacity cs t...... „„.;,..a.<�„fa-.x�..a,rs�i;:«w._w.az.w,cG �..�,:.u.•:w.ui.4%as::.�.,...:'L.y ..w� f.�:;v<E:«.,.�.:..� .....�.:c::..: e�:F.L:6.:.�,..,w.:.si:�:s.ati:.w' c....m.a::t:..u...,.:.......,.:,,...::.: I am an employer providing workers' compensation for my employees working on this job. company name: address: city: phone# insurance co. police# "�na7 .r.a9?gu"rce+v rs rr ^s'W ,: �y�.+.x.•+. wrap �l[:st - ....•.�. _. ism'%v"."'l.�e'..S.vl` _tyr,L.'�•.v[F..a�:::�'c.'...xaLrd.u..r. I am a sole proprietor general contractor r homeowner(circle one)and have hired the contractors listed below who have the following workers compensation polices: company name: IC91Y15- address: 'go cit?^c� O��'�3 phone#: insurance co. PJGi��S/ Ga-�l y /NYC; policy# -5 z -•., era^Fee;=,.--r:. ..w a:�^r^r^z.-'-„'TA c^Y.•.- 4 1,^cs^.;ss w v.. -?d,.•—ar.r?;,.vn;�t''�. ::. :. .'';P^';rr�, „',a'�z;''� '�`e' -_.'.^S comnam•namc_a/�G.t� �i5iiyy TL � h7 N T/ % may address: Alov �o2Jrt�� phone#: insurance co. // ,�5_ �/% l G TfF police Attach additional sheet!f necess ._ �Y , �.ds ary .. a may, '..r3,; Jae.-1`�e:da �;-, r ar Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herebi'certifj-under the pains and penalties of perjury that the information provided above is true and correct. Signature Date a Print name Phone# rofficial use only do not write in this area to be completed by city or town official city or town: permit/license# OBuilding Department, Licensing Board O check..immediate response is required oSclectmen's Office oHealth Department ' contact person: phone#; nUthcr Y ti.,..�,«..<,y..n.�,.c,.x�....��>�-�._ . .r.:, �-.. - .>.�.• � .:ar�. ;_..z , . ,_ y..,.... .. ,.�, *: ..m.�, .�s -�:max;-»�•;:=� Irotsed 3l9i P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an e►npinpee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An empintter 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 section 25 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. 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. 77 Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits 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. t � '.."' .: c _ z .�h �, x t'✓..H?Y,f!'r ..;� r'4 .Ct, +y' 'Y s� i �' > City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. - +y„'1P77777. Tywe',Y��+.• .. x .e. .. -.. The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations - 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 F ✓fie -Vama�s� o��eCta HOME I P OVEEMMENT CCONTRRA TORS RE I TRATION Board ofi �uilcting Regulations an� tanda.rl One Ashburton Place - Room 1301 Boston, Massachusetts 02.108 HOME IMPROVEMENT CONTRACTOR Registration 119952 Expiration 09/24/97 Type - INDIVIDUAL HOME IMPROVEMENT CONTRA: Registration 119952 Type - INDIVIDUAL GUY L . RUFO Expiration 09/24/97 2 OLD TOWN RD HYANNIS MA 02601 GUY L. RUFO 2 OLD TOWN RD ADMINISTRATOR HYANNIS MA 02601 a a O tog 17 ZA 9?•3d• f "CTot�1 W o ot> . QL c .r \ 3" 771'�tT�7 w�.vc7 r•1� s ,7 . 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II . r BEDROOM �\ , Bedroom' E:1 F II BEDROOM . 1:3'-6"x 21'-8" ,v GARAGE 15'-6"x 24'-0" o Li 4) r •� E o 4) � r i, ---------i Z ow MASTER BDRM LIVING ++ 13._3,x&-Tye: 15'-S'x 1 P-10" V V ,0 co CIO i c LIVING AREA m v 1746sgft 'Zn •� 0 W [ADCB'- u Uders 3 Proposed Basement .---------------------------- -------- m to31'_4"x 14'_4" i� I I O I I e- I - I BATH 1 ( 10'-11"x 5'-0" i I UP I C� I I 1 1 Basement/ storage / Gym / I I El 1:1 E3'6"x 21' m 3 ,c I I I I J ea LOSET I I •� a'x s's" 5"x 3'6" o m I r------- -- I I I I I I ----- I c I I Z UCH ICI -ITT TT CLOSET 6'-U'x4,_4„ I I ---------------- I I v ,� Go 1 - - _-_- LIVING AREA 0 2162 sq ft . Z ■ In 0 W G � C Q Builders Proposed First Floor f' DECK f12_5'x 6-71' DN J - I _ . OFFICE !STORAGE ' 8'-9"x 14`-8" 1\ OFFICE 1 T-7"x 12'-8" 1r x DECK 22-1"x 9W" - BATH " 5'-0"x 9._6" Q - = O✓/ DINING - KITCHEN. .- .x 2'_9' MASTER BA 8'-0"x 8'-6" I I -- BEDROOM 10'-2"x 11 7„ 11 Ej BEDROOM JC 13'-6"x 21'-8" G . � GARAGE 15'-6"x 24'_0" 00 r s O MASTER BDRM LIVING 13'-"x 6'-1 T' 15'-9"x 11'-10" R d � � a d FF LIVING AREA m V 1746 sq ft Z 0 W �