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HomeMy WebLinkAbout0138 ELIJAH CHILDS LANE a w''T i'4 C='. v,- aW' ,_.-.. ,�. "r J ��t .::V _a Q. ",k YR.. x T L ,' 'y�+r. Y T tk:' e::i' y .., 'c. !4 ' " y �� ..d ,. x I .c* ,'e r "� 5 - ski A" c 3' �„ to 'ad r.;~� .xi ,%. •;t..: 4, �,.,' ,�.` ,a. 11 }; T �. " .#�+. x J "Yan, -b ..0 'A nR1 rkF; f.K. .�_ 1 , - 6 y. C. « Y. • , �"" �� i. tirr f.. n F n., ._ .R .`.. ;urw .,, -+ g... s"y N., B a' a y . ;ram. ya. „,r. : >~ j,.. , T',; `" ;, ,f - - »� c. <.a rny,^'c .r�'-'r �F . B r• t ,�,. ,� - )' - c. . r �n ti e, a �d �° +'� v t� '' 4'. n h fi�, �, y r u t.„ , _ . ;^ � r ;n A .. .» ,� - .y ,' y S, r A k' �, •}.r �'tk�' .. cL",Kx r�..::,�.. '"5 t '13�.. t' �� q u c .+ . s ,_ ... p.-, 'aq h "s.,,,, c+. ''c' 3 , 6 `" , '% _y V�lwn'�+r!>:= .At+, { e�' � ::'�" C,+`,' ,� is 6.- - �� ,.�,. 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'7 4 � 6 r .,d"°' :,: b "3r... µµ��,gg s s ,L _. t V.. ry,>, { d«It' k,, !i' �. f n a. M1f'd. ryz�y w�`:. �„ ':. �• h... _ 'f A"Y.'^v .3 '` `j a,:�, ,vim �, liy .a .-;r` �S v n y p y P k - t• {l. 4 S.. 'L :'ss. ° - ,,.; - ^r' p:: '�: :,, n r't j. - .,} ,�. „� ..-. .. _;,. .�i _ - a. .,m IFS r`•,d ," 'V g'•a� . Sc z <, y�. it n �.a a a �. c�` t,:.. F { - u e 't 'd f=91 fix a x, - , s, k ti. ' „' 1. S .r", » {. .,, ,- �, u - . :F:. "- _ : 4 a 4 ,J Y "T� .fib' s .'+ ,* " ¢ ` i $ r p ,r _ u i •- s , - c , e 3, ¢ "`�'5 � .. � N• a C< e. `� - •3:,) _ � - t'' .. ';. cs. :�-+• - .. «r s � p < ' s L r r , r ' F E �, e - c.- _ e>,: a x :. -mom r . -.•z q, w g R r. c a v , e r • sx • r a Town of Barnstable Buildl g Past This Card So.That�t��s UisibleFrom theStr,,eet�'Ap.proued,Plans"Must beRetamed on Job and,�this Card Must be;Kept # " PostedUhtil,''Falns ectionHa�s,Been IVlade� � ;,�� . z Permit M eb r Where,�a;Cert�fiCate of Qceupancy,°"Is Requlr d,such Builchng,shall Not be Ctccup�ed until a Fjnal Inspection-has 163 .16 been".made , "„ "; a t •».. :�.?> .„ ,y, ::. 3 .; e,.,,e.; %:•x ,,.:'.,€,, fie: r x„ ;.ae s:., - •;: i R '. . Permit No. B-18-2431 Applicant Name: Nathan Tissot Approvals Date Issued: 08/15/2018 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 02/15/2019 Foundation: Location: 138 ELIJAH CHILDS LANE,CENTERVILLEMap/Lot: 171-46 Zoning District: RC Sheathing: Owner on Record: JENNINGS,KARL&LESLEY C�Ontractor.Name ,TESLA ENERGY-OPERATIONS, INC. Framing: 1 Address: JENNINGS TRUST Contractor License; 168572 2 Au CENTERVILLE, MA 02632 E`st;Pro ect Cost: $12,000.00 I" '� � 1 Chimney: Description: Install solar electric panels on roof of existing'house With any -Permit$Fee: $111.20 upgrades,when applicable,specified by Design To be 4 Insulation: 1 Fee Paid S 111.20 interconnected with home electrical system ' 1B-0263927 8.45KW 26 Panels 7777 Date 8/15/2018 Final: "" ?,, �� L (rv�Project Review Req: ; Plumbing/Gas Rough Plumbing: s < Building Official s Final Plumbing: x Rough Gas: �• Final Gas: This permit shall be deemed abandoned and invalid unless the work a thonzedby this permit is commenced within six monthsafte issuance. All work authorized by this permit shall conform to the approved application and�the approved construction documents'for which this permit has been granted. Electrical All construction,alterations and changes of use of any building and structures"shall"be incompliance",Ith3the local zoning by laws',and codes. This permit shall be displayed in a location clearly visible from access street 6r,road and shall be'mamtamed open fo pubh�inspection for the entire duration of the Service: work until the completion of the same. . :. ..ate.. g � o �. R ugh: The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing Low Voltage Rough:, . 2.Sheathing Inspection g g 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: . 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Health 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ) ! l Parcel Application # ao %to Health Division Date Issue ° S Conservation Division J Applicatiol e Planning Dept. Permit Fe Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address t q a C Village ef n �e r V v 1 Owner i 1 t le �� h n d 4ec r Address S C Telephone Permit Request &6e,yt p� ,_Q fad ®" �-� �7� c� 'y S}y�> ® V" Will 1"CI4." L Slsih ID�r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4/�bO Construction Type lJ o.,9 F rA a. Lot Size 0.2L C_e f Pe'S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .! Two Family ❑ Multi-Family(# units) _ Age of Existing Structure 1/RS Historic House: ❑Yes 1 (No On Old King's�Wighway ,0 Yes 4No Basement Type: Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing of new Half: existing new Number of Bedrooms: - existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ; Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 4 No Fireplaces: Existing New Existin wood/coal stove: ❑Yes ❑ No IS�•Pd� Detached garage: ❑ existing ❑ new size—Pool: ❑ existing l-new size _ Barn: ❑ existing ❑ new size_ Attached garage: existing ❑ new size _Shed: xisting ❑ new size&00ther: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes -,No If yes, site plan review# Current Use S Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name n Telephone Number Address License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEB RESULT RESULTJPC FRO HIS PROJECT WILL BE TAKEN TO N pF DATE SIGNATURE .'' /y� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL 5 FINAL BUILDING '��L3I/S DATE CLOSED OUT ASSOCIATION PLAN NO. DeparttnerztOfIIzdwsITZQIACc1df--1& Office ofInveWgaduns ' r 600 Washington Street Boston,MA 02-111 ' wwwxzass gov0Ha Workers' Compensation Insurance Affidavit:BufTders/ContractorsMectricians/Plmmbers Applicant Information Please Print Legibly NaiIle pusmcworgan ationadivi&4: A I Address: 1 4S K 4 1 h. C�.� Pi lv City/State/Zip: C. e(4 C 4 'Q Me M 4- Phone#: Are you an employer?Check the appropriatePox: Type of project(required): 1.❑ I am a employer with 4` I am a general contractor and I T New project r(required): employees(full and/or pact time).# J have hired fee sob-contractors 0 ction 2.0 I am a sole proprietor or partner- °'J hstf-d on the attached sheet 7. []Remodeling ship and have no employees These sub-cortmctors have S. Demolition worlQng far me in any capacity. employees"and have workers' 9. El Bulding addition [No workers'camp.intirttance coup.insur�mce.t . I'(1lystlf- tied.] S. We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their m.a homeowner doing all work ' 11.❑Plumbing repairs or additions [No workers'comp. rigbt of exemption per MGL 12.0 Roof repairs inmrraTcerem,;re ]t a 152,§1(4),and we have no 134� - er P,00 employees.[No workers' comp.insr:ncereq td] *Aup.applicant that checks box#1 must also fill out the section below sbowing thcirworkers'compcusation policy information. t I3nmeowners who submit this affidavit nndicaiiug they are doing all woric and then hue outside conhactnrs must submit a now affidavit indicating such- ttonizactors that check this box mast abached an additional shed showing the name of the sulrc ontrzctnr zndstzir whether or not those entities have employers. Ifth r sub-contactors have employees,they must provide their workers'camp,policy number. ram an employer that is provir&rzg workers'corapema rwn insurance for my employees Below is the polity and job site information. Instunice Company Name: Policy#or Self-ins.Lic.#: Expiratim l}afr: Job Site Address: - City/�/�: - Attach a copy of the Workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as rmprimd under Section 25A of MGL c 152 can lead to fhe imposition of criminal penalties of a fine up to$1,5DO.00 and/or one-year imprisonment,as well as civil penalties in tine form of a STOP WORKORDER and a fine of up to$250.00 a day against the violator. Be advis d that a copy of this statement may be forwarded to the Office of Investigations of the DIA for i� ce co env ' cation_ I do hereby certify under the of perjury that the information provided above is true and correct S Date: Phone# QjTuialot4 only. Do not wrffe in this area;to be completer)by city or town ojTudaL City or Toga: Permitthceme# Issuing Authority(circle one): 1.Board of Health 2.BuldingDepartment 3. City/Town Clerk 4.EIectricallnspector S.Plumbing Inspector 6.Other Contact Person: Phone#: A. Information and Instructions Massaclmsetts General Laws chapter 152 requftes all employers to provide wokeas'compensation for their employees. Pumuant to$us statute,an employee is defined as"_.every person m the service of another Bader any contract of hire, express or implied,oral or written." An employer is defined as'au.individual,partnership,association,corporation or other legal entity,or any two or more of the fomgomg engaged in a joint enterprise,and including the legal representatives of.a.deceased employer,or the receiver or trustee of a a 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 repay work on such dweltiug house or on the grounds or building appurtenant therein 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 incrri-ante coverage required." Additionally,MGL chapter 152, 925C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contrary for the perf=ance of public work until acceptable evidence of compliance with the in a-a ce requirements of this chapter have been presented to the contracting authorhy." Applicants PIease fill ovt 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(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If as 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 confrmaiion of ins rrance 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 pemiit or license is being requested,not the Deparment 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 licease numb or on the,appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed kgribly. 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 pe=itllicense applications m 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 fntru-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 CLe. 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 arty questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. Thy Gommonw-ealth of Massachi=tts g D�-,partoaeut of Industdal Acoddmts G MC(,-of lave&dgatiam 600 waalb�u a'tcoet- Boston MA 02111 `rel.#617-727-4900 ext 406 or 1-377 MA-S B Revised 4-24-07. Fix#f 17-727-7749- . Town of Barnstable Regulatory Services �oF roiyk Richard V.Scali,Director Building Division t YanxsTasM Tom Perry, g Buildin Commissioner Hie¢c Y$ 1639- ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 0p5 / A` r �RS JOB LOCATION: / umber sheet fie— ry`� QL��+ village "HOMEOWNER": 4(, ) -P 8'i/{' A J iD d" ^0 f;? � g name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER r Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersign e�` owners e at he./she understands the Town of Barnstable Building Department minimum inspection proced and r e d that he/she will comply with said procedures and requirements. S ature omeowner Approval of Building Official ) " Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. ` HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,RuIes&Regulations for Licensing Construction Supervisors,Section 2.1S) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons.' In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. r To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor.'Ou the Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised061313 rti Town of Barnstable Regulatory Services 9 MASS, $ Richard V.Scali,Director En.396 IN�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize S� to act on my behalf, in all matters relative to work authorized by dais building permit application for. 3- (Addiess of Job) ,b-"Il"Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled utilized before fence is ' talled and all final Xe are e =ed and accepted. S er rS"6aplicant Print Name Print Name Date Q:FORMS:O WNERPFRMISS IONPOOLS . wmm gvv1Txa Wmicere a A Bid ! �_rsrTlwftic n rs ylivant a: Please Pkint . Nm y Lh'/ SGAi�� C,ariST i Are,Yvu an j R C&erk the apprfrpxiate bo= , Type of PrIoject{required): T.0 I am a-employer vitb -4. I am a mat contra tbr and I We the guu-�e �aaes employees(f�lf andr`os part-time). 2.® I am a sole pmpdetm a:gar s listed cn the aged sheet- �. 7. E3Remodefing ship and home no employees, 7"gab-coutractow haw �. E]qua wwnv for=in an emltto' asadh=e wa*ers' 9: Ruddirg affditica o�'� _" _ cow. a fu ai j 5: We am a cwporation and its 1�}�Electricalor asl ons 3.n 1 am a homeowner&ing all v Offmm bare c1mrcised.iheir 11.� 1u ain�r�aass ar addi#i s ?Vsdf�Na refit a�F e i er A�LGI. �' '- 12.0 Roafxs c.132,JIM and*e have no g employees.[No�' 13.�1 0tTOec cam- •Amy ga"gam e+at 6--f iex-91=a Hammonwbe snbmdt f$4H affidav#Lneadmg&ffy sm Heins au Ewa*am&ftm]site awe CWAMI Mimm mb=o Paw seat ttlr_- [ +Cca�ariots�c ckscic�5ae ba�c apt€ttael��s�tia�sl sit shau�g:3essa�of t��$nd.stsEe w ar nat4hase �e emplojem IEft sab— sm=cbmab@ lYfee.% marpwvide&w A'OC'itue•L4mp po&ytaffibzz� lam au Insumce Company Nam: Pdalicy#do €sus..Lsc. Fran 1 : Job Site A&h- : Qtv/Stat 25P: a _ Af tch ampy offlfte workersa pemai o-u.ipoh:cv&,,dara4ion paae(sha tbhe-poLiav n , ber aad espimflon date). F Rwe to s cove-rage as re mired wder Sd i 2 S.A.of MUL c.15?rum lead to the imposition of d=�l penaffies of a fme ug to$1,50D O t anA—Ior c�-y A sue.. eo ma as ch:mll p eb.n harm of a STW W.OPM OPME C and a fi:.e of up to$250.00 a day a .mot :' k r_ Be ad f a:may aft �.,me;be moiled to to Ofti..of InveskSaftons o€t he DVAx for w cati p ti dal,; Ada faar�stry cam+i•�ertdatr fie Jxrirts and Pena s Of ur}'i�iatath�ixt{nr�txatiri��a/��i��a amt c�rrrert Sitdxre: - Date: QdWid a Only. DO teat ae ite in ilrb area,W U r.OrraPWad by city or`town �. fMY or mo :. erieri emse F i wing fla9> ty{cif one). L Board of Hesl+h 3.B •ram gartxnenr 3. /town O*'k 4.YJectr call!=Vector 5.Pluck T for' &Other Contact Person: Mue o 6 MA SOC Filing Number: 201328533070 Date: 3/15/2013 12:18:00 PM The Commonwealth of Massachusetts No Fee William Francis Galvin Secretary of the Commonwealth,Corporations Division One Ashburton Place, 17th floor Boston,MA 02108-1512 '2fi= Telephone: (617)727-9640 �C�` •o F� �CoJ►�G30� 1. Exact name of the corporation: DUMAS LANDSCAPE CONSTRUCTION,INC. The street address of the corporation registered office in the commonwealth and the name of the appointed registered agent at that office: (The corporation may not appoint itself registered agent. Registered agent may be an individual, including any officer of the corporation, or a different corporation.) Name: RAYMOND F.DUMAS,JR. No. and Street: 564 OLD STAGE RD City or Town: CENTERVILLE State:MA Zip: 02632 Country:USA The street address of the registered office of the corporation and the business address of the registered agent are identical as required by General Laws,Chapter 156D, Section 5.02. This certificate is effective at the time and on the date approved by the Division, unless a later effective date not more than ninety days from the date and time of filing is specified: Time: I, RAYMOND F.DUMAS.JR., registered agent of the above corporation,consent to my appointment as the registered agent of the above corporation pursuant to 950 CMR 113.20. Signed by RAYMOND F.DUMAS,JR,its PRESIDENT . on this 15 Day of March,2013 ©2001-2013 commonwealth of Massachusetts All Rights Reserved ' Mass. Corporations, external master page Page 1 of 2 f�9 p • ♦ I go • I R ♦ Corporations Division Business Entity Summary ID Number: 043044868 Request certificate New search Summary for: DUMAS LANDSCAPE CONSTRUCTION, INC. The exact name of the Domestic Profit Corporation: DUMAS LANDSCAPE CONSTRUCTION, INC. Entity type: Domestic Profit Corporation Identification Number: 043044868 Old ID Number: 000289021 Date of Organization in Massachusetts: 01-01-1989 Last date certain: Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day: 00/00 The location of the Principal Office: Address: 564 OLD STAGE RD. City or town, State, Zip code, CENTERVILLE, MA 02632 USA Country: The name and address of the Registered Agent: Name: RAYMOND F. DUMAS, JR. Address: 564 OLD STAGE RD City or town, State, Zip code, CENTERVILLE, MA 02632 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT RAYMOND F. DUMAS JR. 564 OLD STAGE RD., CENTERVILLE, MA 02632 USA PRESIDENT RAYMOND F. DUMAS JR. 564 OLD STAGE RD., CENTERVILLE, MA 02632 USA PRESIDENT RAYMOND F. DUMAS JR. 564 OLD STAGE RD., CENTERVILLE, MA 02632 USA TREASURER LYNN A. DUMAS 564 OLD STAGE RD., CENTERVILLE, MA 02632 USA SECRETARY LYNN A. DUMAS 564 OLD STAGE RD., CENTERVILLE, MA 02632 USA DIRECTOR RAYMOND F. DUMAS JR. http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=043044868&S... 6/2/2015 Mass. Corporations, external master page Page 2 of 2 564 OLD STAGE RD., CENTERVILLE, MA I I02632 USA Business entity stock is publicly traded: ❑ The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: Total Authorized Total issued and Class of Stock Par value per share outstanding No. of shares ' Total par No.of shares value CWP $ 0.00 12,500 $ 0.00 12,500 ❑ ❑Confidential ❑Merger El Consent Data Allowed Manufacturing Note: Additional information that is not available on this system is located in the Card File. View filings for this business entity: !1. FILINGS Administrative Dissolution Annual Report Application For Revival Articles of Amendment v A":_I__ _C/ L—_..a._� f ..__.....J.._ View filings Comments or notes associated with this business entity: n v New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=043044868&S... 6/2/2015 - •;f h1 t p` 1 no Vol shoal 6 J s y Tg: - , c S r _ � 3 F k 4 k P - i Town of Barnstable Geographic Information System April 11,2015 e, 171249 #108 171268 #131 171248 #118 k 'a1s, At 171241 #225 171247 Ft #128 • dye 171122 -r py e•. #316 #1561kS � y a 171246 r #138 �� �� ! �'z, rp }� \ 171244 C� #323 t " W. r :..- 171245' I #148 / ry 171?43 t ay rl b o v e q c.n U r 1711 2 #333 et DISCLAIMERS:This map is for planning purposes only. It Is not adequate for legal Map:171 Parcel:246 - _ - boundary determination or regulatory interpretation. Enlargements beyond a scale of - Selected Parcel Owner:JENNINGS,KARL&LESLEY' Total Assessed Value:$288700 1"=100'may not meet established map accuracy standards. The parcel lines on this map - - _ 3 y4 are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: � Acreage:0.36 acres- AbUlfefS boundaries and do not represent accurate relationships to physical features on the map Location:138 ELIJAH CHILDS.LANE such as building locations.- - ,.. Buffer\ ir: Commonwealth.of.Massachusetts Title 5 Official Ins ection Form" m Subsurface 5evrage Disposal System Form-Not for Voluntary Assessments 138 EIr`ia r ► h Childs Lane Property Address Bank Owned c!o Lisa Burgess ReMax RE Owner information is Owner's Name required for every Centerville MA page- Cityrrown 02/18/12 State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system; including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building_ Check one of the boxes below. ® hand-sketch in the area below {] drawing attached separately ' - 3 A3a A = 40.0 © y 5 a tsns-11110 TiBe 5 Official Inspection Fonrc Subsurface Sewage Disposal System-page 15 of 17 Shop 4Tft x 50-ft Black Galvanized Steel 9-Gauge Chain-Link Fence Fabric at Lowes.com Page 1 of 1 a Your More: Wtrehem,IYA Your Store.Wareham,MA FREE Store Pickup 4-ft x 50-ft Black Galvanized Steel ,Your order can lie available for pickup J tez lin Lowe's Of Wareham,MA today. 9-Gauge Chain-Link Fence Fabric . Item#;10049.1 Model#:01t375 ILOWe'S Truck Delivery . Your order will be ready for delivery to f $1 1 9.00 you from your selected store: j Parcel Shipping Unavailable for This Order Image shown may not be to scale-in use image/accessories not included sent by carvers like UPS, - � FedEx,USPS,etc. 4-ft x 50 ft Black $119.00 Galvanized Steel 9-Gauge Chain-Link Fence Fabric Tweet :0 t 8+1. a. ©email Description 4-ft x 50-ft Black Galvanized Steel 9-Gauge Chain-Link Fence.Fabric The smooth characteristics of the professionally-coated black wire create a unique fence fabric which blends beautifully with the environment The color-coated wire is woven into a 2-in mesh 4-ft high x 50-ft long rolls Knuckle/Knuckle selvage(bent over)on the top and bottom of the fabric to help eliminate sharp edges Made with 9-gauge color-coated wire to provide enhanced Beauty and,strength Easy to install and maintenance-free Specifications Length(Feet) 50 Manufacturer Color Black a . Height(Feet) 4 Color/Finish Family Black Galvanized Steel Yes Vinyl-Coated Yes Gauge(Gauge) 9 12 Fence Mesh Size(Inches) 2 Warranty d year limited Weight(lbs.) 79 a ©2015 Lowe's.All rights reserved.Lowe's and the gable design are registered trademarks of LF,LLC 9 hq://www.lowes.com/pd_10049-215-01875_1zOwg5o_?productld=3158965&pl=1&Ntt...• 5/28/2015 15' x 24' Oval 52" Whispering Wind Royal Swimming Pools Page 1 of 2 ROYAL SWIMMING POOLS ^- 866-532-8194 Hot Tubs, Saunas, Games and More Search i NMI% tng oww Poch Above 6rwd Pock ftat supoles tmt Tubs a somas', outdaer UviN 1ndaor ekes CLEARANCE- SHOPPING CART• CHECKOUT• ORDER STATUS• I 15' x 24' Oval 52" Whispering Wind. Our Price Was:$2,384.00 _ Now Only$2,299.00 Code:LWW-1524 Usually Ships In 2-5 Business Days - F This Item Qualf>Fes! n•-- T 4t ar sy £''�a„' �.�3�sue*'� t�s. tit �'u '�,p+, r :._: _ '_ to 37 U.S.Sb' TM Y �t . ' "M•�.: � � Click words beside boxes for information about options. L Liner Print: I Full Print 20GA Overlap$199 v Skimmer: I Skimmer&Return Included v Filter System: 22"Standard Sand 1.5h $279. v Additional Images } Pump Timer. optional � r C0 Ladder-Steps: Walk-in Ste $169 v Equipment: Standard Maintenance Kit$49 v . ....... .._ .., .. Auto-Cleaner.. optional v Description FAQ Chlorinator optional v Chemicals: loptional v The Whispering Wind.it Pool combines an attractive cream colored frame with a Pool Light: I optional Monet-styled taupe-colored pool wall pattern for designer look that compliments any Winter Cover.. 15YR Cover$69 v backyard setting.It features wide 8"top rails,a trimline spacer saver oval support Solar System: optional v system for extra yard space,and tru-lock wall closure system for extra support. pool Bottom: optional v The Whispering Wind II can also be fully recessed in the ground and purchased with Grass Killer: optional an integrated step giving the appearance of a traditional in-ground pool at a fraction of Fountain: Side Mount LED Fountain$39 v the cost.If your dream backyard includes an in-ground pool but your budget wont Message: allow,the Whispering Wind Two is the perfect solution for you. -�{ Quantity: 5 Trimline Space SaverAT Oval Support System-features an easy-to-install, one-part design which provides a stronger installation and a more attractive ADD TO CART appearance,Allows larger pools to fit into smaller backyard settings. MTezture-molded Top Connectors-are corrosion resistant and feature our Popular Categories textured pebble-grain design. Automatic Pool Cleaners I'Tru-LockATM Wall Closure-offers a newly-designed fastening system for maximum strength,greaterwall stability,and a faster,easier assembly. Automatic Chlorinators Pool Chemicals I-"I Warranty-Lomart Industries backs their products will warranties and consumer pool Covers service policies that are the best in the above-ground pool industry.All of our pool and liner warranties are covered for the first 3 years at 100%against Solar Blankets manufacturer defects(the remainder of each warranty is prorated).Bottom rails receive a Lifetime 100%warranty.Pool&Frame-Lifetime limited. Id Why Choose Lomart?-Lomart Pools are a division of Doughboy Industries. . Lomart pools are made at the Doughboy manufacturing plant,by committed Doughboy employees.Lomart pools are Doughboy Industries"'intemet"pool 364 Ratings ,rsrsr;z http://www.royalswimmingpools.com/Lomart-Whispering-Wind-II-1524-Oval-Semi-Ingro... 4/29/2.015 . Royal Swimming Pools Inc: Basket Contents Page I of 2 ROYAL SWIMMING POOLS --_.__-._.__.____.___..._, Sea«h 866-532-8194 Hot Tubs, Saunas, Games and More ---------------- ►some InWW 4 pools Above Grog!Pods Poet supplies trot Tuts t3 saunas J Outdoor uVil" lnftw Gmrres CLEARANCE. SHOPPING CART• CHECKOUT ORDER STATUS If you find a better deal,contact us and we will try to match or beat the price of any online pool store.Buy now and feel confident that you are getting our best price guarantee. Code Product Quantity Price/Ea. Total Remove LWW-1524 15'x 24'Oval 52"Whispering Wind . Update $2,299.00$2,299.00 Liner-15x24:Full Print Overlap $199.00 $199.00 Skimmer.Skimmer&Return Filter System:22"Standard Sand 1.5hp., $279.00�$279A0 Pump Timer.none Ladder-Step:Walk-in Step $169.00 $169.00 Equipment Manual-Kit $49.00 $49.00 Auto Cleaner.none Chlorinator none Chemicals:none Pool-Light:none Q� ` t Wintercover-1525:15YR Cover. — se—0- FT 1 T he2 $69.00 $69.00 Solarblanket-1525:none Pool-Bottom-1525:none L Grass Killer.none Fountain:Side LED $39.00 $39.00' Edit Options Total:$3,103.00 r i Continue Shopping af. Estimate Shipping If you would like more information about your basket items or If you want to customize your items Click Here then give us your contact information below with a message.We will modify the items and email a quote to you. poypo� No Payments+No Interest if paid in full in 6 months on purchases of$99+ CR�DIT Check oui trrth P yPal and choose PayPal Cr=dit Company Info Customer.Service Resources About Us Contact Us Blog yai 'o- Privacy Policy Hours of Operation Product Guides � 01 MDAM Terms&Conditions Return Policy Link Partners Contact Us Shipping Information Warranty Claims More Link Partners Sign up for our Newsletter Wny Buy From Us? Check Order Status Related Articles Pool Builder Programs Account Login Product Search http://www.royalswimmingpools.com/Merchant2/Merchant.mvc? 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I•«"mr«p.n. I. �a"a'n:b°+w�w.�.n.r.mr+.p°°'• .]rm" mn n.. rti on�'m'�mw,o a.rnmNwn. - - Doughboy :: Made in(the USA since 1945 Page 1 of 3 � , �, � - DouoHBOY DEALEit NERYORIC� M 4 DIV&SA DA a M..1-1. - HOME PRODUCTS .MIND A DEALER .SUPPORT -PARTS EXPRESS:-_ ABOUT DOUGHBOY -VIDEO Q rt A 'SPECIALS / A Pool Buyer's Guide Doughboy understands that there are many choices to consider in today ✓_ y above-ground pool market.That's why we want to help you become a more i informed buyer. •` t � Doughboy pools are the single most adaptable.pools on the market today. _ Whether you want an above-ground pool or an in-ground look,Doughboy has the answer!Our pool's unparalleled strength and quality are unmatched in ' s _ the industry. Before Doughboy of ' purchase,please fake an Doughboy invented the first portable pool over60 years ago.Since then it has 3 : been our goal to give our consumers peace of mind about the longevity,. a > opportunity to learn more ; * i about the distinct difference maintenance,and safety of a Doughboy pool. 2jtr �g of owning a Doughboy pool can ^ + ,�a Steel or Resin? 'make.After weighing your options we are confident With Doughboy,your choice between the two are equal.Doughboy pool _ `, that you'll agree...It's Gotta - Be A Doughboy! frames are designed to last,whether they are made from steel or resin.The . y a y only choice you will need to make is deciding which of our beautifully , designed pools you want in your backyard. x` Safely Designed for Peace of Mind ' • No one takes the issue of pool safety more seriously than we do:Our ground- breaking work with the US Consumer Products Safety Commission,whose _ motto is"Saving Lives and Keeping Families Safe",has resulted in an industry- ` leading safety program that'is a part of every Doughboy pool. Memories for a Lifetime! _ At,Doughboy,we know the number one reason people buy a pool is to make 1 Z S Q)Q, memories-so we build our pools to last for a"Lifetime of Memories".Our top to -of-the-line pools are under warranty for the entire time you own them! Doughboy,offers an excellent assortment of pool sizes in both round and oval configurations to perfectly compliment your backyard. Be assured that when we give you a pool dimension it is a"true"size based on the inside pool wall.Our pools also have a"true"vertical and top rail measurement.These dimensions are measured by a straight vertical ^� dimension-not a'wrap-around measurement of the rail. (UL Walls t Made from heavier copper bearing steel than industry standards for a stronger pool wall.Ours are 30-60 tbs.heavier than other brands.Ask your dealer to show you our wall weight. A Doughboy Exclusive!-Our Zinc Clad Hot-Dipped Galvanized Steel Wall : receives numerous protective coatings,along with a special Epoxy coating on the inside of the pool wall providing the best defense against corrosion and condensation. Deep,balanced corrugation offers watt flexibility and vertical strength. Doughboy pool watts have more corrugation per inch than any other brand. i • Exclusive!Slide-Bar wall connector continuously joins the pool walls together /' for complete structural integrity and ease of assembly.This creates a �- seamless and smooth swimming environment. v Unlike our.competitors,we do not use unattractive nuts and bolts that weaken the wall structure. i Vertical End Caps.-"the Anchor"of any Pool Doughboy vertical end caps are made from 18 gauge galvanized steel-50% heavier than most brands.This provides added stability at the base and the top of.the pool. i • Exact,pre-punched holes assure structural integrity and allow for a more precise installation.Other�brands use slotted holes which cost less to produce but weaken the stability of their pools.Test and compare us to other brands by vigorously shaking the top rail.You can feet the stability! ` Steel Verticals Made from better-than-industry-standard gauge steel which increases stability.(Approximately 50%heavier than other brands) Doughboy steel verticals are made with 3-piece construction for extra http://www.doughboy-pools.com/Products/Pools/PoolBuyersGuide.asp'x 5/4/2015 ` Doughboy :: Made in the USA since 1945 Yage 2 of 3 • All steel verticals and top rails are coated with a 7-step coating process on both sides to insure maximum corrosion resistance and superior durability. Top Rails(Top Seats) Steel top rails made from 20 gauge steel are sturdier than our competitors' rails.That's because we understand the top rails get more use than any other part of the pool. Count the number of verticals and top rails and compare-we provide more than any other brand-increasing the strength and lifetime performance! All Doughboy Pools Have... • Com-Pac III Oval Support System with steel construction that offers a stylish, one-part tapered design that only exposes 9 inches of the support for a more attractive appearance.This helps accommodate larger pool models in smaller backyards. Interlocking frame structure adds strength and stability to our pools.Plus it's easier to install! r , Bottom Rails • Premium-gauge steel used for the bottom rails is made with a 7-step process L to insure a long,trouble free life.They are backed with a 100%lifetime warranty! Doughboy Skimmers Have more skimming surface area that removes surface debris much faster! Allow for more pool water height fluctuation-reducing the need to frequently add water! • Hold twice the water volume than the competition's so called"wide-mouth skimmers"!Theirs just funnets water into a smaller opening,.restricting the amount of water flowing through the skimmer outlet! Have a basket that is twice the size of the competition-for fewer trips to clean it!The magnum weir in our skimmer prevents trapped debris from re- entering the pool when the pump is switched off. Have an exclusive vacuum port built into their faceplate enabling direct hookup of vacuums!Other skimmers connect over the top rail or through a separate plate that is near the water's surface.Their design can draw in air that can cause the pump to fail! • Have warranties four times longer than the competition's 90-day warranties! ' Liners �i 100%Virgin-Vinyl Formula.No Reprocessed Material is Used.Manufactured by Doughboy to our rigid specifications to provide a soft,flexible,top-quality liner.. Manufactured with a specialized formulation proven over the years for superior quality.Materials used in formulation have low-temperature plastizers and stabilizers to assure low-temperature'flexibility and durability. Our liners are the highest quality liners on the market today. Extruded in our own manufacturing facility and assembled using the latest technological processes.Our ExclusiveTherma-SealI Tech nology,a proprietary fusion method,provides superior sealing for maximum durability and quality. We are so confident in the seam that we back all of our Liner seams with a 100%lifetime warranty. Exclusive!20 and 25 Mil'True"Expandable Liners are designed to expand smoothly into an Optional Speciat-Purpose Deep Swimming Area for Underwater Swimming Only.No Jumping.No Diving. Alt Doughboy liners exceed industry standards for weight and thickness assuring our liners will out perform our competition.Our liners are a"True Mil"measure.Don't be confused by the"gauge"game our competitors play. Some will call their liner 20 gauge or 20 weight when they really measure only 15 Mil(.015")in thickness or less.Ask your dealer to weigh a Doughboy liner! A Doughboy Ezcluslvet Expands like a balloon=Seamless deep l W. i t up to Stainless ste anels-fact or fictio 7 Some bove-ground pools toda ve stainless steel els at the skimmer ope ng to prevent rusti the pool wall.This solutio ill cause a problem c ed"Dissimilar L Corrosion"(when two different typ of metals-ie. alvanized st and stainless-are bolted together).Over time is will cause rho,.,III�r http://www.doughboy-pools.com/ProductsL--Go s/PoolBuyersGuide.aspx 5/4/2015 Doughboy :: Made in the USA since 1945 Page 3 of 3 the past,this type of pool panel was nicknamed a"Blow-out Panel"as a result of the corrosion.This practice also takes away from the beauty of your pool. • Doughboy's procedures include a flattened area in the corrugation around our skimmer/return openings.A special U-gasket is used to protect the raw edge of the steel to assure a no-leak skimmer installation. Our walls also have the most advanced coatings,further protecting them from the elements.This eliminates the need for a stainless steel panel,and maintains the structural integrity and beauty of your Doughboy pool! . i t r http://ww .doughboy-pools.com/Products/Pools/PoolBuyersGuide.aspx 5/4/2015 Lomart Fools Page 2 of 2 Experience the Lomart Advantage _ 1 For over65 years,the Lomart name has stood for high quality,yet affordable pool products.We began as filtration specialists I and have subsequently become an integral part of the world's leading above-ground pool manufacturer. All Lomart products are proudly manufactured in the U.S.A.to ensure exceptional quality.In addition,our 660,000 sq. ., stateof-*heart manufacturing facility combines complete product development with all phases of product manufacturing to . i assure maximum.efficiency and product excellence. Lomart invites you to visit your professional Lomas,dealer and see how the Lomart Advantage will benefit you and your family. • It � I DARE'TO COMPARE } Lamart's exciting features_and benefirs with those of the cornpetnion and you'll soon see why Lomart is your best choice for above-ground swimming pools and pool products. I HEAVIER POOL WALLS FACT:Lomart Walls are made from heavier Copper Hearing Steel than industry standards—30 to 60 pounds heavier,for superior strength 1 MORE VERTICAL SUPPORTS FACT:Lomart Pools have as many as 20%more vertical supports than other r brands to ensure stability during heavy family use or the coldest of winters. TRIMLINE OVAL SUPPORTS FACT:Lomart Oval Supports extend only 9 inches beyond the sidewall,not the standard 36 inches.This allows a Lomart 18-foot wide pool to be installed in the same space as another brand's 15-foot wide pool. ' , t PRECISION FRAME HOLES FACT:Lomart Pools are built with strength throughout,right down to the j vertical end cap holes that allow for precision-fit construction.Other brands 6se !• ithe cheaper,easier to produce slotted holes that weaken the pool's structural integrity'Shake a Lomart pool and you'll know it's well budN FAMILY SAFETY PROGRAM FACT:Lomart is committed to pool safety!Our safety handbook,liner decals, t fvideo and signage.recommended by the US Consumer Products Safety Com- mission,are included with every pool! i DEEP SWIM AREA POOLS FACT:Lomart Variable Depth Liners expand to more than 72 inches deep for a large underwater swimming area.Competitors raise their pool walls to 54 inches f - above ground reducing or eliminating parental visual safety observation. - f NO STAINLESS PANELS FACT:Lomart Pools'unique design protects the pool wall from leakage and ! damage.Using a special skimmer 1-1-gasket and advanced wall coatings,Lomart { eliminates the dangerous effect of"Dissimilar Metal Corrosion"which is caused i 1 by incorporating stainless steel panels with galvanized steel pool walls.Over 1 time this will cause the wall at She two connection poihts to rust away and lead ! to pool failure.Our designs ensure structural integrity and beauty throughout the Lomart pool line. Copyright 2013.AlfHghis reserved.Lomart Industries,315 North Sebastion Street,West Helena,AR 72390 http://www.lomart.com/content/about/ 5/4/2015 20' x 29' Winter Cover for 15'x 25' Oyal Pool 12 Yr. Green(Sold Out) I Royal Swimming... Page 1 of 2 V � • ROYAL SWIMMING POOLS 866-532-8194 eqiavv H®t Sams, Saunas, Games and More -- =-- ID Hbtee', Tagmnd paaf , Above Gmund Pact paeot Supplies Hot Tubs tr Saunas CitA aoc Living. Indoor Games', CLEARANCE SHOPPING CART- ..t CHECKOUT,- ORDER STATUS , 20' x 29' Winter Cover for 15' x 25' Oval Pool 12 Yr. Green (Sold Out) { Our Price:$66.00 Code:1891525 - Usually Ships In 1-2 Business Days This Item Qualmesd y " o ' O� : 1b 48 U.S.States` _ G u+ Click words beside boxes for information about options. Air Pillow: I Click for Discount v� r Gizzmo: '[Click for Discount v Return Plug: Click for Discount v Additional Images _ Quantity: ADD:TO CART* Description FAQ Popular Categories Our mid-priced cover has all the strength and durability to ensure years of winter Automatic Pool Cleaners protection.Heavier woven polyethylene scrim and coating makes our 12 year cover I strong and able to withstand wind,sleet and snow.The cover is U.V.stabilized to Automatic Chlorinators protect it from the harmful effects of the sun.it features a black underside to retard Pool Chemicals algae growth and features heat sealed seams to ensure a crystal Gear pool next spring Pool Covers 4-FOOT OVERLAP FOR BETTER WEAR Solar Blankets I { We do not skimp on fabric!Arctic Armor above-ground covers use an extra foot of material,another reason why they are a great value!A V overlap provides a better fit, especially on pools with extra wide top ledges.This extra fabric also takes up some of the slack during windy weather,helping to prevent excessive wear and tear:_. STRONG,.LONG-LASTING WOVEN STRANDS Arctic Armor covers are woven stronggong-lasting polyethylene tapes to produce a cover that will hold up to winters worst.' NO MORE ALGAE GROWTHI Arctic Armor covers are constructed of an extremely tight weave fabric that does not allow light to pass through.Without sunlight,algae cannot grow! The cover is-held secure on your pool with a heavy duty vinyl coated cable and tightener that is anchored by rip proof metal grommets.This cover is backed by a 12- Year pro-rated warranty and is forest green with a black underside. 519.Ratings YTT3'T�StTt hq://www.royalswimmingpools.com/15-x-25-Oval-Above-Ground-Pool-Cover-12Y.R.htm1 5/28/2015 ' MADE IN USA Foo1guard f Alerts You When Your Door is Opened and When Your Door Has Not Been Closed! 1 I Sensors f i SIGNALING MODEL-DAPT-2 U� MEETS UL 2017 LISTED The horn is 85 dB at 10 feet TOYA"N' OF t"IARM STABLE pl-L DIVISION �1HE Town of Barnstable *Permit Expires 6 months jr is a date Regulatory Services Fee • BnntvsrAAar e v� MASS Thomas F.Geiler,Director s6g9. ♦0 ArED MA'S A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ' Property Address ( 3 9 C U a$t C'f1 P C.-0 S ZA-.-� C& V l(.,(,(- [9 Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �J C�'�'� /� 1 M 6 7 A'?—J f 0 C 61 , r� . Contractor's Name CGl�pCC"i C Telephone Number S0 Home Improvement Contractor License#(if applicable) i 3 Construction Supervisor's License#(if applicable) 1S � XPRESS PERMIT -7 3 [aWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor APR 23 2012 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABL.E Insurance Company Name E7 C_C4 Workman's Comp.Policy# 0O15g 3O Copy of,Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ® Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to V1v+T6�s ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. XSIGNATURE: C:\Users\decollik\AppData\Local icrosoft\Windo _ a temet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 The Comrttomvealth of Massadlinsetts Departurent of Indirstyial Accidents t, Office of In i'lesti,,gations 600 Washington Stmet Boston,MA 02111 Nwn tv.Ynass gov/dia NVorkei-s' Compensation Insurance Affidavit: BuilderslContractors/Electriciansmumbers Applicant Information Please Print Lel ibbT Name(BusinesstOrgauization/hidividual): 0 rW)D Ge-9 A-a�s6S Address_ 153 City/ tatetpc ►�U-4sI1P-o& I1/1A o zb 41 phcme# Sad414 Are you an employer?Check the appropriate box: T of project(required)- 1-9 �. I am a eneral contractor and I �� p I am a employer with 2'L ❑ g 6. ❑.New construction employees(full andlor pact.-#ime)-• have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet: 7- ❑Remodeling ship and have no employees These sub-contractors have. g- ❑Demolition dtrorking for me in any capacity. employees and have workers' 9. ❑Building addition [Na workm'comp-insurance comp-insurance-"I require fl 5- ❑ We,area corporation.and its 10.❑Electrical repairs or additions 1❑ I am a.homeowner doing all work officers have exercised their 11_❑Plumbing repairs or additions self. o workers'co right of exemption per 1410E myself. � comp. 12.EgRoofrepairs insurance required.)l c. 152,§1(4),and we,halm no employees.[No workers' HE Other comp.insurance required-] *Any applicant spat chechas boa#1 must also fill out the section below shoving their worketa'compensation policy informatiot- Homeowners who submit this affidatrit indicating they we doing all Wreak and then hire outside contractors mast submit a new affidavit indicating such- Icautractors that check.this boa roust attached an additional sheet show the name of the sub-coutrac:tors and state whether or not those entities have employees. If the sub-contractors have employees,the}:must provide their workers'comp.policy number. lain an elnployer drat is protidilrg nroricers'conrpellsafiarlr ilrsalranc fo.r nor emplos=ees Betols:is the policy and job site illfOrrllatiOlL Insurance Company Name: Aa-6ruA Policy#or Self-ins-Lie.t#: O o S"4 33 O 4-(( Expiration Dane: 4114113 Job Site Address: 13 a C-L S A N Cat ie)t>5 CI v-f--? +City/State-lZip: N4-Tee-A1 i 1,4-7f, WI'i9 Attach a copy of thee workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secur overage as required under Section 25A of hIGL c. 152 can lead to the imposition of criminal penalties of a fine up to$ ,50 _00-0 and/or one-year imprisonment,as well as cixil penalties in the:form of STOP WORK ORDER.and a fine of up to$2500 a day against the violator- Be ad , t a copy of this:statement may forwarded to the Office:of. Inv,esfigatig#of the DU for insurance c2ywilge verification- Ve.: IZ ....._ d d p"Irder the ' andpenalties of peduty that the information proWded above is trctp'ond correct Si Date: M Phony : O t°49 T V else only. Ds not write in this area,tar be completed by ciV or town a icial Town: Permit/License# Nuthority(circle one): 1.Board.of Health 2.wilding Department 3.City/Town Clerk t Electrical Inspector 5.Plumbing Infector 6.Other Contact Person: phone t#: 6 I oFZHE, � Town of Barnstable Regulatory Services " MASS. * Thomas F.Geiler,Director y Mass. � �'OTf1639. 10 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable:ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ( . A-4q p �,&e,�)as Owner of the subject property hereby authorize Q d2( i dLP J,-LC_to act on my behalf, in all matters relative to work authorized bythis building permit application for: . (Address of Job) F Signature 4 Owner ate Print Narrid Q:FORMS:O WNERPERM ISS ION Client#:51439 CAPEENT ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 04/16/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY.AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Linda Taddia NAME: Rogers&Gray Ins. Kingston PHONE 508-746-3311 FAX 877=816-2156 A/C No Ext: A/C,No 63 Smiths Lane E-MAIL Itaddia@rogersgray.com Kingston,MA 02364-3700 INSURER(S)AFFORDING COVERAGE NAIL# 808 746-0055 INSURER A:Arbella Protection Co 17000 INSURED INSURER B:- Capewide Enterprises LLC J.P.Macomber&Sons INSURER C PO Box 763 INSURER D: INSURER E: Centerville,MA 02632 INSURER F 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 CONTRACTOR 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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MMIDD MM/DD LIMITS A GENERAL LIABILITY CPP8500050813 4/30/2012 04/30/2013 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY DAMA�E 7 RENTED PREMISES Ea occurrence $250000 CLAIMS-MADE �OCCUR MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIE JECT APPLIES PRODUCTS-COMPIOPAGG $2,000,000. POLICY PRO- LOC $ A AUTOMOBILE LIABILITY 58944400004 4/20/2012 04/20/2013 COMBINED SINGLE LIMIT Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AU BODILY INJURY(Per accident) $ TOS AUTOS X HIRED AUTOS X NON-OWNED - PROPERTY DAMAGE AUTOS $ Per acc dent A X UMBRELLA LIAB OCCUR 46000508.14 4/30/2012 04/30/2013 EACH OCCURRENCE $5 000 000 EXCESS LIAB HCLAIMS-MADE AGGREGATE s5,000,000 DIED X RETENTION$10000 $ A WORKERS COMPENSATION 0054370411 4/14/2012 04/14/201 We TORY LIMIT OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? FN] N/A (Mandatory In NH) NO EXCLUSIONS E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S80369/M80368 CJF )�( Massachusetts -Department of Public Safety Board of Building Regulations and Standards Gin%tructinn Super%i.otr w* License: CS-089273 RICHARD M OAPEN 122 WHl nw"Rd,'MA IN COTUIT M* 2635 a` > IS\ �� Expiration Commissioner 11/27/2013 Office ofCon.umer \fl'airz l Ru:ine;: Rc1-1ulatinn HOME IMPROVEMENT CONTRACTOR Registration: 143358 Type: Expiration: 7/8/2012 Ltd Liability Corpo CAPEWIDE ENTERPRISES L L C RICHARD CAPEN 4507 R RTE 28 COTUIT, MA 02635 lhdcrsccretar Restricted to: 00 00- Unrestricted iG - 1 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation r 10 Park Plaza-Suite 5170 Boston,MA 02116 of valid with t signature •BIRST INSPECTIONS DATE: April 15, 2010 Thursday Evening 5:00 PM PRESENT: Local Inspector Bob McKechnie, David Stanton, Health Inspector;, Officer Brian Morrissey, Robin Anderson, Zoning Officer 85 Old Yarmouth Road Responded to property after receiving complaint from a local business in this area and comments from the Hyannis Water Board citing concern that use may involve hazardous materials. Found Tim Ferreira sitting outside on porch as we pulled in: He advised that he:was closed. . He was irate over the complaint and didn't want to allow any of us on site. He called Bob a pedophile and revisited the accusation from a few years ago when Bob was inspecting TF's former wife's duplex located at 3/7 Cook's Circle. He accused Bob of peering into front window of this house at a teenage 3 girl just getting out of shower. r The configuration of the house does not lend itself to this possibility as the front window does not allow visual access to the hall where the bathroom is located. Of course Bob denies incident ever happened and there is no reason to doubt Bob. There were too many changing variables with Tim's story including the fact that it was his own' daughter(the incident took place on the rental side and Tim does not have a daughter). ' 17 Canterbury Met owner's wife at the door. She advised that the lower level was in fact rented. Unable to see unit at this time but will call to make appointment. We did get in about a week later. Tenant was moving that day. Found 2 bedrooms without egress. Advised owner.to open common wall with 5' cased opening and open entrance wall same in order to disqualify as a bedroom space and remove kitchen, obtain plumbing permit for same. Owner did obtain'building permit application to perform work. Reviewed application and work with owner on 5/20/10: Licensed plumber scheduled for estimate. 138-Eliiah-Chi_1ds�R_G%G-P/RP_OD Owner has 4 bedrooms and rents three to o 5 adults. Advised that he can only.have 3 unrelated lodgers. One couple moving out. Basement is like a giant closet set up for re-sale:. i No apartments. Property unkempt outside-likely source of complaints along with number of cars. Advised owner to register as a rental. Needed CO detector. Something wrong here but can't put my finger on it. 563 Strawberry Hill 3 adults and one child reside here. Three bedrooms on main side. Annex area has small primitive food pre space but is very questionable as to whether or. not it qualifies as anything other than counter space. Occupants just moving in. There is flow between space. Not really set up as a distinct living area. , Needed batteries in smoke detector-annex area. Needed to provide CO detector. ti FPO Mike Grossman returned to check smokes twice without.getting in 70 Acorn Drive, Ost Complaint regarding business operating form this location. Spoke to tenant; she will have her husband, Marcus call. 508-367-7475. Advised that my hands:are tied and if he doesn't relocate equipment.I will be forced to ticket him for'each piece everyday. He did call and advised that he was able to relocate:equipment., No additional complaints have been logged. 123 Asa Meigs Road, MM RC/RPOD Linda Edson responded to ad in paper for apartment on 4/12/2010: She was advised'that the unit was created 'Added property,to BIRST list for April 15th. Denied access by man claiming to baby sit dogs. Subsequently spoke to owner's son"Brewster"by phone He stated his mother is the owner was helping his sister.in Maryland but she lives; he Also resides at the property with his partner. ; P p Y We discussed available avenues of relief for apartment. I noted that I was concerned that she is not eligible for any,relief as his mother(the actual, owner) does not reside here on a year round basis. Advised that she would have to prove she lives here on a year round basis. When no definitive option was identified as requested within the-timeframeagreed upon I issued one citation and,mailed it 5/5/2010 to Ms. Sherwood's Maryland address. Received correspondence from Mike Stusse indicating he represented the owner and would seek relief for a".temporary" family apartment under 240=47.1: ` { 2 . 39 Micah Hamlin Road, Centerville Found landscape equipment and storage sheds Walked around house:­' r , - fi No response Left card indoors. As of 5/20/2010 no one contacted this office. DC Campbell LS 508-428-0043 " Mass 92Y F06 2 Mount Wood Road,MM :. Responded to complaint regarding too many ear's, overcrowding & basement apartment Previous BIRST inspection found lower level apartment with egress'issues: Birthday party' n progress. " Spoke briefly to'owner and advised them,to call to make'an appointment. fY Also discussed that large Braga plumbing thick and'pick up in driveway. Owner called the next day,and scheduled an-inspection by appointment Subsequently, a lower level apartment was found. In-laws reside in.basement.- `' 41 Egress issues must be corrected: ' z Number of bedrooms must be reduced. They will reduce one bedroom upstairs (is office) and lower level bedroom.bpened'up into_ studio. Large window cut in common interior wall'to disqualify space' as,bed' om' for septic count. New egress window will be installed. = Unrestricted flow to lower'level (noblocks). Property clean and well"maintained. ' - t No signs of overcrowding. y Property owned by young couple who reside with one set of parents., Couple cooperative ff " r F.. 3 , v n , '+'"Yy...M,,,,„ ., e.° �-•t,.Y'�.�`�,�R,�� ...$..:,J,y,*1�id,r:±r?T.k+:X`ii.4�'�':. .:.,1:,�- .*r i.3L "a'.�'�N.v�., ^•,4r„}L o ,f..�..:."":;<.ws'f�-�1t...a',j'�`:.h'+t'8+'�.� �'.Ti :ar-,:i\:.,e4a7"s i Town of Barnstable CF THE 1p� ti Regulatory Services * Thomas.F. Geiler, Director * * BARNSPABLE, MASS. g Building'Division i639• �0 . ArFo ,�s Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.towmbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION: UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. LOCAL INSPECTOR SIGNATURE OF RECIPIENT ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM O PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR;:IMEDIATAMENTE, A AREA DO PORAOBASEMENT.PARA O PROPOSITO DE:DORMIR. INSPETOR LOCAL ASSINATURA DO RECIPIENTE �pFIME rop, Town of Barnstable Regulatory ServicesBAM V MASS' ` Thomas F.Geiler,Director L 1639.(A 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 April 12, 2006 Ms. Susan Morin c/o Lavina Lopes 138 Elijahs Childs Lane Centerville,MA 02632 Re: Illegal Apartment—138 Elijahs Childs Lane Centerville, MA 02632 Map 171 Parcel 246 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. I Please contact this office immediately to tell us what direction you wish to take. Sincerely, Linda Edson Amnesty Program Zoning Officer Building Department gforms:zoning3 Barnstable Assessing Search Results Page 1 of 2 Homo: Departments:Assessors Division: Property Assessment Search Results New Search 138 ELIJAHS CHILDS LAINE Owner: 2006 Assessed Values: MORIN, SUSAN A Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 188,300 $ 188,300 171 /246/ Extra Features: $2,700 $2,700 Outbuildings: $500 $500 Mailing Address Land Value: $ 135,400 $ 135,400 MORIN,SUSAN A %LOPES, LAVINA M Totals $326,900 $326,900 138 ELIJAH CHILDS LN CENTERVILLE, MA.02632 Tax Information: Tax information is currently not available for 2006 Construction Details Property Sketch Legend Building Building value $ 188,300 Interior Floors Carpet Style Ranch Interior Walls Drywall Model Residential Heat Fuel Gas Grade Average Plus Heat Type Hot Water D Stories 1 Story AC Type None Exterior Walls Vinyl Siding Bedrooms 3 Bedrooms1j3I1 , f Roof Structure Gable/Hip Bathrooms 2 Full Roof Cover Asph/F GIs/Cmp living area 1708 x" %"a333'i33;'liiiJ,'3 r i Replacement Cost $211599 Year Built 1981 fl. Depreciation 11 Total Rooms 7 Rooms Land Lot Size(Acres) 0.36 Map requires Plug in: http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=pa... 4/12/2006 I Barnstable Assessing Search Results Page 2 of 2 Appraised Value $ 135,400 Interactive Property Mapes E I have visited the maps before Assessed Value $ 135,400 Show Me The Map April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: LOPES,LAVINA M Jul 15 2005 12:OOAM 20047/249 $355,000 MORIN, SUSAN A Jan 23 2003 12:OOAM 16281/028 $280,000 PACHECO,ARMANDO R Feb 15 1985 12:OOAM 4432/195 $ 114,000 SOLLOWS, KARL L JR Jul 15 1984 12:OOAM 4185/118 $98,000 MEEHAN,JOHN J Sep 15 1981 12:OOAM 3355/42 $70,000 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value SHED Shed 80 $500 $500 FPL1 Fireplace 1 $2,700 $2,700 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) http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=pa... 4/12/2006 cFTHE r�, Town of Barnstable ^ Regulatory Services ASS.Mnss. ' Thomas F.Geiler,Director y � �p i6gq. rE1639.�6. 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 April 12, 2006 Ms. Susan Morin c/o Lavina Lopes 138 Elijahs Childs Lane Centerville, MA 02632 Re: Illegal Apartment—138 Elijahs Childs Lane Centerville, MA 02632 Map 171 Parcel 246 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. Sincerely, Lin dson esty Program Zoning Officer Building Department gforms:zoning3 Barnstable Assessing Search Results Page 1 of 2 " r!a s Home: Departments:Assessors Division: Property Assessment Search Results New Search 138 ELIJAHS CHILDS LAINE Owner: 2006 Assessed Values: MORIN, SUSAN A Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 188,300 $ 188,300 171 /246/ Extra Features: $2,700 $2,700 Outbuildings: $500 $500 Mailing Address Land Value: $ 135,400 $ 135,400 MORIN, SUSAN A %LOPES, LAVINA M Totals $326,900 $326,900 138 ELIJAH CHILDS LN CENTERVILLE, MA.02632 Tax Information: Tax information is currently not available for 2006 Construction Details Property Sketch Legend Building Building value $ 188,300 Interior Floors Carpet Style Ranch Interior Walls Drywall Model Residential Heat Fuel Gas e yy Grade Average Plus Heat Type Hot Water Stories 1 Story AC Type None Exterior Walls Vinyl Siding Bedrooms 3 Bedrooms �' ))f))II y))13f3 �f7Y 331 fPi l✓\ _ ;/// 3 �133333339 H3� ( ��% A3I Roof Structure Gable/Hip Bathrooms 2 Full try !f n Roof Cover Asph/F GIs/Cmp living area 1708 Replacement Cost $211599 Year Built 1981 Depreciation 11 Total Rooms 7 Rooms Land Lot Size(Acres) 0.36 Map requires Plug in: http://www.town.bamstable.ma.us/assessing/assessO6/displayparce106.asp?mapparback=pa... 4/12/2006 Barnstable Assessing Search Results Page 2 of 2 Appraised Value $ 135,400 Interactive Property Map .. I have visited the maps before Assessed Value $ 135,400 Show Me The Map April 2001 photos available "" Salesist : Owner: Sale Date Book/Page: Sale Price: LOPES, LAVINA M Jul 15 2005 12:OOAM 20047/249 $355,000 MORIN, SUSAN A Jan 23 2003 12:OOAM 16281/028 $280,000 PACHECO,ARMANDO R Feb 15 1985 12:OOAM 4432/195 $ 114,000 SOLLOWS, KARL L JR Jul 15 1984 12:OOAM 4185/ 118 $98,000 MEEHAN,JOHN J Sep 15 1981 12:OOAM 3355/42 $70,000 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value SHED Shed 80 $500 $500 FPL1 Fireplace 1 $2,700 $2,700 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) x htt ://www.town.bamstable.ma.us/assessin /assessO6/dis la arce106.as ?ma parback=pa... 4/12/2006 p g P Yl� P P Assessors mop and lot number Q�0*THE tp�y Sewage Permit number .....8/ ........................ '. SEPTIC SYSTEM.MUST BE IVIpL1a41�10E j f4NSTALLED IN CO s EaaasTAM, '•`House number ................ .. ... i�; , WITH TITLE 5 9oc "6 9 \� 4 e!'IRONNI'ENTA►L CODE AND nMki � T O W N 'O F BA RAc-B-L,P- BUILDING INSPECTOR APPLICATION FOR PERMIT TO !......; ...................................................................................... TYPE OF CONSTRUCTION .. ...................... ................. ... ............ x .... ......Z'?��............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit.oc ording to the f 11 Wiwi g information: Location ,.�( � %(/.. ..... .. ................................................... .... ..... .... .... ProposedUse ............. .................................................................... ............ ............................................. ZoningDistrict ............... ......................... ............................Fire District ............................................................................... Name of Owner ... ... . .............................Address ...... ... Name-of---Builder ::..::..... G� ...........Address Name of Architect .... ...... ......Address...... ................. .... ..................................... Number of Roo s ..................Foundation ....611---:1,1111reo. ....................................... Exterior .... :.................................Roofing ............................................... Floors /.............. . ...........................................:Interior.,.:Y-47 . .... ......... ............................................. Heating ......................................:.....Plumbing .,.z- -.. ...................................... • s Fireplace ........ . ........... ...........................................Approximate Cost .. .. ... .............................. Definitive Plan Approved by nning Board ________________________________19________. Area ...1.9.5�.. ..........00 Diagram of Lot and Building with Dimensions Fee l..T —. SUBJECT TO .APPROVAL OF, .BOARD OF HEALTH" I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin a above construction. Nam ... '....... ........................ ............ STAIALL, ALAN Build One Arjo 23262.. Permit for ..........................Story Single Fami]-.y..PKq:Lj ..................................... ;Vig.............. Location .;tq:t...'it'6 4...13.8...E i j a+'�...C11.ij d s Ln. I..... .. ... ... ... C ................ .e nt.e r.v.i...........................................l 1e ... ....... .... .. Owner Alan. Small .................................................... Type,of Construction ...FX:A.11D.e...... ........ .......... ............ ....................................................... Plot ..............co................ Lot ................................ Permit Granted ....J ly &I................. 1 q 81 Date of Inspection ......................................19 Date C9F9PIet0 ............................ 19 PERMIT REFUSED ................ .... ..................................... 19 ...................................................................... ..................................................................... ......... ............................................................................... . . .............. ................... Approved ..................:..............I............. 19 ............................................................................... ................... ........................................................... J�yk Y'-'� �V5� y .�"�.' � .� i � �a�I� �v { �'Il'�r►l.J��.LJ.�1 ��. �7��!1 . �� -MIA F (1 i j � �"` 1 � _1..r��71'r:dciV �r�op�s �i1�S�i�o �r�l•� t.ai�:�nr, �r��wr:�.1SM1 �. 'S5t'YY 7,-,�n�3iso r,d t'14 cl-asva ion St r+v'1Z! stF-'tl _3»'a;!ltnb��'! 7t7v'4 -3S and er,_L rlI M ri-7-vd r+�r5 NQtl�l41 �10� 3H L _LVrt.L 1� t12,97 1 1VEX7 0p �1 _ -1'vV3 Sri ZI S ��d5 eyy cr,by �r+ois r aut"v * L . . ,:5� z•ss � � •,vim "��+r�9 �.. 'M� '/►nI al+vS d "PS `?S -hn goct ad,�,f,• + 1NdO� rs• , a„� act is 93 S p o) � / o+LS 0011 � dX� ��u � did• s t< -55a1 210.nIYY7, nI„1 : �1V� t`+o1lD�o��r-tee p L a I f Zl •ONnoj I as oS _ a 1 .ems 4S I' I Q d'�7 S� _ • S'Z r S. off,l - � . •ma's aS) - '��f Tvnr-.�D� OC7,Cal •nd•9 SESV • �� osi rv�� __�+r-�•v..L �1�� - -i On Y►'OU11C.�`d `� - J�`11Wp� 31�Jf`�1�7 � �t ti,. `dJ_b4 h+ S:�ao TOWN OF BARNSTABLE Permit No. 23262 O a Building'Inspector V,RIST..L cash ----r__ (^%/� OCCUPANCY PERMIT Bond X k _ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, 'chinged, 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 hasti been issued by the' Building Inspector." Issued to .Alan Small � _ . Address Centerville Lot: 64, 138 kijah Childs bane Centerville Wiring Inspector r ( � Inspection date Plumbing Inspector Inspection date Cras Inspector !' Inspection date .Engineering Department , ,l�'' Y '�ri r�l `,r+,. Inspection date �� f .' !r 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. r f� ........ ..............._....................._, 19_... .................. . ..Building..Inspector _....a%� 914 As`sssor's map and lot number ..:............................ Qy IN E tp�i r. Sewage ,Permit number .... 6/............................. row Z SAR39TADLE, i ,!House number ./1[/f� ........................ ro raea po,1639• ♦� MAY d� TOWN OF BARN.STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO €. %^P TYPEOF CONSTRUCTION -7 - -................................................................ . ... 3�............................................. ... .. ...................................r� 19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .................................( F '.� �•fI`r . ProposedUse .... r.'� :�'�.... ..�' .. . .� .................................................................................................................................. Zoning District ...................Fire District........... .... ............ .�/1 Name of Owner ... ..�. ' . ..` ............................... ,�..`... ... G� ..........Address ...... / .r,-'? '`Jf" E�.............................. Nameof Builder ...........:!t.......................... ............................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... r Number of Rooms .......... ............................................Foundation ... ........................................... jj r°� Exterior .q._r C ...........................Roofing ........ -� "t i .R .............................................. Floors ............ �:f..................................... Interior f` •' . Heating R Plumbing ..,............ ...................................................... Fireplace ........A ................... ....................................................Approximate Cost ..� .. :.. .................... Definitive Plan Approved by Planning Board ________________________________19________. Area .... ..6................... r - Diagram of Lot and Building with ,Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardinq he above construction. r^ Name. t�I- ..................... �� ....... ,S MALL, ALAN 7—2 4 6 2 2 One 23 6 No ................. Permit for .............Stor..........�'........... Single Family Dwelling" ............... Location .Lot...#,64 138 Elijah Childs Ln. Centerville Owner ..Alan Small ............................................................... Frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ... ........................ July 6, 81 Permit Granted ........................................19 Date of Inspection .........../.....................19 Date Completed ......................................19 PERMIT REFUSED ............................... 19 ........................... ................................................. ................................................................................ ..... ........... .................................. Approved :............................................... 19 ............................................................................... ...............................................................................