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0262 FULLER ROAD
/ / � � � � � �/ � , f'. �� 4 1 Town of BarnstableBuilding e " w, �: p•' r ^& ' .-:7F,"�' PostThis Card So,Tfiat;it is Visible From-the Streets Approved,�Plans.Must be Retained on lob and this Cartl Must be Kept enaar�ra > _ - - • Posted�Until Final Inspection Has-Been-Made. i Where a Certificate�of Occupancy is RequohBu�ldmg shall Not be Occupied;until a Finalslrspection has been made Permit Permit No. B-19-4139 Applicant Name: ROBERT SCOTTJONES Approvals Date Issued: 01/02/2020 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 07/02/2020 Foundation: Location: 262 FULLER ROAD,CENTERVILLE Map/Lot189-090-001 <. Zoning District: RD-1 Sheathing: Owner on Record: TEKEN,AVRAHAM&AUGUSTINA Contractor Name:�Robert S Jones Framing: 1 Address: 21 COLBOURNE CRESENT .Contractor License: CS'1103622 2 BROOKLINE, MA 02445 Est. Pro.'ct Cost: $ 15,000.00 Chimney: Description: covered porch � i 3 Permit Fee: $ 126.50 Insulation: E Fee Paid: 5 126.50 Project Review Req: ? Final: -Date: 1/2/2020 i- ---t Plumbing/Gas - Rough Plumbing: -- --� '7- Building Official Final Plumbing` This permit shall be deemed abandoned and invalid unless the work authorizedeby this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application andthe'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall tie in compliance with the local zoning by-laws and codes. s x Final Gas: This permit shall be displayed in a location clearly visible from access street o"r roadand shall be maintained open for*public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thispermit. Service: Minimum of Five Call Inspections Required for All Construction Work ". 1.Foundation or Footing , R, Rough: 2.Sheathing Inspection _ ,... E •- ffi 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT. %'� O,A 7-1 Application Number. .................1......... ............... BARNSTA33M, = BUILDING DEPT. 039. Permit Fee.......................................Other Fee........................ Out DEC 2 3 2019 rTotal.Fee Paid.............' '....................................... ...... TOWN OF BA T 0 r5€Ef'a r ia. . TABLE Permit Approval by. oa......`..� r BUILDING PERMIT Q 3� Map..... .(��� .................Parcel... ........,........................... APPLICATION Section 1 — Owner's Information and Project Location Project Address_ /� J ��� fv r/' �� Villag��7t✓f/i// Owners Name ant Owners Legal Address 2C2 City. State yYl,4- Zip D 1-4-7-2 Owners Cell# E-mail�c��rr i y1�.`V7 q Glom d, 660,07 Section 2 Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet !� ❑ Commercial Structure under 35,000 cubic feet Single/Two'Family Dwelling Section 3 Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild EDeck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Y ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description f _ T-+-A.+.A• 11/1 QhNI4 Application Number.................. ' Section 5—Detail Cost of Proposed Construction l.Ty00 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method 0 MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public, ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facili :�-t--.� a ,cr I am using a crane ❑ Yes .3 No p ty S/� c T a ,s g Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed- Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 t r � 1 o 3 VH �u x�D ao„t-Y• V V \ d0 AcNk /34 I - L U � � I ,!✓rr SCANNED 1AN 3 1010 .. ✓/tom U' � Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only Tl(#E,,Individual before the expiration date. If found return to: �gLs, Expiration ` Office of Consumer Affairs and Business Regulation 1 05/12/2021 I 1000 Washington Street -Suite 710 ROBERT SCOTtif5 Boston,MA 021 ROBERTJONES 206 CEDRIC RD � •� I " CENTERVILLE,MA 02632 Undersecretary i No slid Without signature Idp/Ao6•ssew• 1!s1A 10 d0Z£-LZL(L19)IIB3 asuaoll s141 lnoge uollewotul Job •asua:)!I s!4lto uogeoonaj jol asneo sl apoo Bulpiin8 a3eiS suasnpesseW 04110 uolllpe luaiino a ssessod of ajnl!e:i .coeds pasoloua to(sjalew a!gno 1,66)teal o!gno 000`9£ue4l ssal uieluoo 4oltim dnoiB asn Aue to sGulppn8-palaulsajun josAiadnS uoilafulsuoo r L jauolsslwwoo OW 101V f<! �. Y�'111A2131N3o oRW3o 90Z v 3I�r S.L838021 �j! ZZ a-so. ' LZOZ/66/£0� - JOsinJ su00 spiepueiS Pue suollein6aa 6ulPI!n9 10 pA08 ainsu8311 IeuolssaloJd 10 uolslA'O suasn43esseW 10 0eamuouauoo 3 The Commonwealth of Massachusetts k Department of IndustrialAccidents Office of Investigations 600 Washington Street _ - ' Boston,MA 02111 www.mass.gov/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organiration/Individ�' oZ�i�G� • ` Address' 20< City/State/Zip: e Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors tor or partner- listed on the attached sheet.„ 7. ❑Remodeling 2.❑ I am a sole proprietor ship and have no employees These subcontractors have g• Demolition working for mein any capacity.acit5'• employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.: . required.] -5. We area corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]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 employees.No workers' 13; OtherO�G comp.insurance required.] *Any applicant that checks box A must also fill out the section below showing their workers'compensation policy infUrmation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast 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-contractor;have employees,they must provide their workers'comp.policy number. " I am an employer that is providing workers'compensation insurance for M employees. Below is thepolicy and job site information. Insurance Company Name Policy#or Self-ins.Lie.#: _ Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section25A 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 ce cud air p alties ofperjury that the information provided above is true and correct Si lure: - Date: >Z z Phone#: 572 Official use only. Do not write in this area,to be completed by,city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions 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 m 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 opemte.a business or to.construct buildings in the commonwealth.for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the t*+nn-ance 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(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for"confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that'the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications many 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 fiihrre permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts " Department of Industrial Accidents Qi�ce of Investigations 600 Washington Street U Boston,MA 02111 - Tel.#617-727-4900 wd 406 or 1-877-MASSA.FE Revised 4-24-07 Fax#617-727-7749 www;Mass.gov/dia Application Number........................................... Section 9- Construction Supervisor Name cs Telephone Number Sor 221 7:s 70- Address zoe Ceel/lG '?ql City Csafer State Zip 02G3Z License Number License Type r xpiration Date 7 Zq 2�I2/ Contractors Email . Cell # _-5�eS—2 / -8-s_, 2 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 requir a Town of Barnstable:Attach a copy of your license. Signs a Date /Z /z- /9 Section 10—Home Improvement Contractor Name Se-40-Je•?e5: Telephone Number Address 20e City %k State _Zip V2 432- Registration Number 1;7%(f3-2_ Expiration Date : /z 7D2 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific'inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signa. e Date /2 /.2 t� Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date AP ICANT SIGNATURE Si afore Date/A /2 Print Name�co/f Telephone Number,for-.22.1 P:5"7 Z- E-mail permit to:-;=1!@(GN?�o_�1�. tl<e__�— Last undated: 11/15/2018 Section 12-Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District 0 Site Plan Review(if required) ❑ Fire Department 0 , Conservation ❑ .:. - For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization as Owner of the subject property hereby authonze�� }� 0-AeS to act on my behalf, in all j matters relative to work authorized bythis building permit application for: f (Address of j ob) Signature of Owner date g t Name T 3 Last updated: 11/15/2018 oFs"Eo Town of Barnstable Inspectional'Services aAUX614...naLE. Brian Florence,CBO ' y NA$4, .0a s639, �0 Building Commissioner .oT fO MA,�a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT.q r Address : 262 FULLER ROAD, CENTERVILLE f Case# C-19-868 Inspection Type : Violation Inspector: lauionj a Description Date. ,IUnit Status IComment Violation I01/02/2020 ,PASS 1/2/20 PERMIT ISSUED FOR COVERED- j PORCH. CLOSE RFS. , �.._.. .... m .. a_w.M_ ._. . m �. ... .Violation '61/02/2020 PASS ° 1/2/20 PERMIT ISSUED FOR COVERED I PORCH. CLOSE RFS Inspection Type : Violation Inspector: -lauzonj Description Date lUnit jStatus Comment . ... ... I _ _...._ _ .._.__. .. Violation 112/09)2019 FAIL 12/09/2019 NEW FOOTINGS INSTALLED 4WITH POSTS ATTACHED. OWNER i CONFIRMS THAT A PORCH IS TO'BE I `I INSTALLED. OWNER TOLD TO HAVE g ICONTRACTOR CONTACT THE BUILDING DEPARTMENT AND APPLY FOR A' !BUILDING PERMIT. CONTRACTOR CAME IN I I _; TO BUILDING DEPARTMENT IN I (AFTERNOON AND PICKED UP I I '1APPLICATION. . 1 ......... ...::...: ......... ............................................ Lauzon, Jeffrey From: Carter,Jeff Sent: Thursday,January 02, 2020 10:43 AM To: Lauzon,Jeffrey Subject: 262 Fuller- Centerville FYI- Permit was issued for covered front porch—believe it is associated to an open complaint. Jeff Carter Locallnspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508 862-4035 R t T Town of Barnstable *Permit#C16_6 Expires 6 12t*sE+ezd e Regulatory Services Fee 7 • BMWSTABLE. Mnss. Richard V. Scali,Interim Director Ilk 1639. o l� t p l L9 13 •erEG Mph p Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY lNot Valid without Red X-Press Imprint Map/parcel.Number Property Address °ol `F iJLL ,--�&y L , I Residential Value of Work$ 5,/y 00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ty G yS/%& A Of*-m-ki 7D"�c— / a rFUC.t,C-?Z 72-D C,,c-Ac-�10i cc�E_ h�yl Contractor's Name aKc Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) Xr- -to"ES'S XWorkman's Compensation Insurance PERMIT Check one: ❑ I am a sole proprietor ICT 2 8 2013 91 I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name } 0 1,�i tQ(Y h U U ®FAARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Re,qu st(check box) [1]FRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to j/ COAMW e/Z ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. Qn,, SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 ti 21e Commonwealth of Massachusetts Department of Industrial.Accidents - Office,of Investigations 600 Washington,Street Boston,AU 02111 11Vwmiifass govldla Workers' Compensation Insurance Affidavit:BuildersJCnnkractors/EIectricianslPlumbers Ap.plicant Information �) Please P ' t Legibly Dame{Busies^s�chgaugat onffiik idual): "f yt~ p mac-/V "6"/k`r A4- (_" ' tAddress:> CP �O,V R,.A� 0azL( 239 - � 0 CitylStawzip; J Phone# �S ` Are you an employer?Check the appropriate boa: Type of project(required): 1.❑ I am a employer with f 4.'N�j a$a general contractor and I 6- []New construction employees(full and/or part-tine)_* have hired the sub-contractm 2.❑ I am a sole proprietor or partner- listed on the attached sheet y- ❑Remodeling ship and have no employees Thy sub-contractors have g_ ❑Demolition working for me in any capacity. - employees and have womers' 9. ❑Building addition [No workers' comp.insurance comp.insurante.1 required] . ❑ We are a corporation and its 10-❑Electrical repairs or additions 3111 am a homeowner-doing all work officers have exercised(heir 11_❑Plumbing repairs or additions mysel - right of exemption per a,,T n 12- goof insurance required.]t c_152, §1(4),and we have.no 13.❑Other ��a . employees.[No workers' comp_insurance required.] •Any applicant that checks box#1 mast also fill out the section below showing then wokets'compensation policy information_ Homeowners who submit this affidavit indicsting they an doing all wort and then hue outside contractors mast submit a new affidavit indicating such_ TCanttactars that cbeck this boot must attached an additional sheet don-jug the name of the sub-caouta<tats and state whether or not those entities have employees. If the sub-couttactos have emplasees,they must provide their workers'comp.policy number. I ain ari employer tliat isproviding tvorke.rs'conipetisiilion itisuriuice far tit?employees. Below is diepai7 and job siM itifortiiatfoii. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiratien Date: Job Site Address: CityfStatelZi- 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 ofaiminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the foim of a STOP WORK ORDER and a Eme of up to S250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded the Office of Investigations of the DIA for insurance coverage verification. I do hereky certify under the pains and hiss of perjury that the information provided above is trice and correct f v 2$ 1/3 Si� hare: Da#ate_ Phone#: 2-3 -- 10 1 Official ors$only. Do not svrfte in this area,to be completed by city or tmm o ficiaL City or Town: PermitUcense# Lssuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/rown Clerk 4.Electrical Inspector:5.Phambing Inspector 6.Other Contact Person,- Phone#• 6 ACCPRVCERTIFICATE OF LIABILITYDATE(a1MIDDIYYYY) INSURANCE THIS CERTIFICATE IS ISSUED AS A(NATTER 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 poiicy(las)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 LOUGHLIN INSURANCE AGENCY 4 CABOT PLACE —CONTACT NAME' STOUGHTON,MA 02072 11 fAiC Ng: EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURED WSURERA:• M&M ROOFING LLC NSURERB: 65 EAST WASHINGTON STREET APT 4111 INSURERC: NORTH ATTLEBORO MA 02760 WsuRERo: INSURER E 1NSURERF: COVERAGES CERTIFICATE NUMBER: 16475841 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 ICH THIS WH 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. ...O R ... ....TYPE OP lNSURAl110E. - A00 SIR WVQ PDtJCY NUMBER.. .. .: 'MP�CY EFF POLICY orrim Mt�EXP yM UNiTS . GENESALLIABILITY - EACH OCCURRENCE 5 COMMERCIAL GENERAL LIABILITY PR�EM16E5 Fa mnrDen® 5 CLAIMS-MADEOCCUR MEDEXP(Any an* mson) S PERSONAL&AVV INJURY 5 GENERALAGGREGATE — S GEITL AGGREGATE LIMIT APPLIES PER: . [PRODUCTS-COMPI0PAGG S. I Foul-I�F AUi01,10GIL`ELIAMLIiY �n1:9L'e Lilai I I fEa crruem) AIJY AUTO 1 ALL OVOIED SCHEDULED BODILY ItJJURY IFerperson) I S I AUTOS AUTOS BODILY INJURY(Per ncidmll)IS HIREOAUTOS NON-OWNEDAUTOS _ PuamdTMmll�taAGE 5 .. S S UMBRELLA UAB OCCUR EACH OCCURRENCE 5 EXCESS UAB CLAIMS-MADE AGGREGATE- DIEDJ_j RETENnONs S S . A ATIUN— �RyuAMs o i- WORKERSS AND EMPLOYERS'LIABILITY YINWC2-31S-366942-023 5/1412013 6/1412014 ANY ERIEXECunVE OFFICEERIMEM13FR EXCCLUDED? ® NIA E L EACH ACCIDENr S 100000 IlManda(ory In NHI 100000 If yas,desoib°under E.L DISEASE-CA EMpLOYEE S DESCRIPTION OF OPERATIONS below E.LDISEASE-POLICY UMR 5 500000 DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(AUaeh ACORD 701,Addl6anal Remarks Scnedulo.Irmms spate is MgWMd) Workers compensation insurance coverage applies Drily to the workers Compensation laws of the state of MA. CE T1FiCATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORDM47,584125(2010105) g The ACORD name and logo are registered marks of ACORD '1'f115 ce te cEancel°s`anCT�superse°�''e9` $�rflviou97.y`199ueAP eer°rE. icates. - I YsH�E� Town of Barnstable ~°^ Regulatory Services Thomas F.Geiler,Director t639. ►`0� 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: fb I Z V 11 - ,,, JOB LOCATION: 2 6 2 f o L a o S`T number street/� �village ? p,� HOMEOWNER": U(7_US%// At/2 .q ---'7C1 14�7 2.3 � I® /v name /� hombre phone# work phone# CURRENT MAILING ADDRESS:_ �I �°' 'A �1 CRCS v�Cj N 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. DEFINTnON OF HOMEOWNER Person(s)who owns a parcel of land.on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and th/ he/she will comply with said procedures and requirements. Signature of I&eovmer 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: "Anyhomeowner 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 person(s) for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules a Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor.'Ou the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\LocalWiicrosoP\Windows\Temporary Intemet Files\ContentOutlook\QRE6ZUBN\EXPRESS.doc Revised 053012 °F-ME T°w Town of Barnstable Regulatory Services t �znxMASS. g Thomas F. Geiler,Director Ea µ,. 16 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 ' 1 Property Owner Must Complete and Sign.This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant. Print Name Print Name Date Q:FORMS:OWNERPEFM(SSIONPOOLS 6/2012 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home Help Parcel Viewer Custom Map F Abutters Map Size ® Zoom Out1§111 J J ®In Turn map layers on/off by ,�rr� ® yr Rr �/ Q ,,. ':� Mils JPG selecting check boxes below w. F Town Boundaries - rl Road Names p k r voter Precincts 13 K �.. � b �, e°4 •'f sue"' i 17 Map&Parcel Numbers ,r f'; Parcels [- FEMA Q3 Flood Zones(Current Maps) r a Not for official flood hazard determination. W 12 AE(100 yr flood) ^.y t rk ,ai m ,+ 0 AO(100 yr flood) VE(100 yr flood w/wave action) X50 ( flood) 0 500 yr ood F. FEMA Preliminary May 2013 Zones(subject to change)a- t a� UP Pe" Expected Adoption Summer 2014l " AE-100 year flood k �' - � INS `�AO-100 year flood � if� � VE-velocity Zone 0.2%Annual Chance Flood kti - ft Open Water Set scale 1"=73 I Apnl 2008 I' I MAP DISCLAIMER copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS . 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I,I.II,�I,�,:II�,--II:,..�II�I-�,I-,-1�-�-,.I,I,",�I I 1 I I"1-,����"I,�,I,I�..,I�I,I,1 I�,I,.--.-.III,-���"�r,I I�-,l,�I.'.,I I,4-I,�II�I�I��II IIi I.I,-o t .o,I,I,. Sf 4 ' r i V v - � 0ofiV? t, j:,� - , C -< <.QM 3 i ` I. .. . r` , - n 0 . ,. .' itiz .: J. - i .. I. ,! I. , Anderson, Robin From: Finch, Nancy Sent: Friday, June 14, 2013 2:06 PM To: Anderson, Robin Subject: 262 FULLER RD 189-090-001 CTx- Hi Robin, Our inspector went out to this property yesterday. The 9x15 "shed" has elelctric-she could not see in. The 8x9 is definitely a bathroom and Sue got a pretty good picture of it. It doesn't look to be in very good shape. I put it into our assessing records as a bath house. It has a sink, shower, & lay. This property transferred to a new owner from Brookline, MA on May 15, 2013. Hope this helps. Nancy Finch n -Page 1 of 1 Anderson, Robin From: MacNeely, Martin [mmacneely@commfiredistrict.com] Sent: Wednesday, June 12, 2013 2:04 PM To: Anderson, Robin Subject: Stuff Robin, Couple of pending items to mention to you 1. 28 Blossom, Centerville Upon inspection no obvious access issues, paved way within 100 feet of house 2. 262 Fuller consists of main house, detached garage, and 2 small buildings. 1st is about 10 x 12 poor condition has bath, sink, toilet, and water heater. Not is current use. Second is about 10 x 15 appears to be one open room very limited visibility to interior, floor appears to be carpeted, no kitchen visible, unoccupied at this time. Hope this helps Martin I 6/12/2013 Nei QL�Jh � �S a c�+�� �1vco Lv� 0 40 101b 5, 10 f Parcel Detail Page 1 of 3 qEYHA 1,1 � %i' 79 41 y". ` 4 a 1 r ;SS Logged In As: Parcel Detail µ Wednesday,May.22 2013 Parcel Lookup w � � Parcel Info Developer Parcel ID!189-090-001 I Lot i LOT 1 Location j262 FULR ROAD I Pri Frontage LE Sec Road j FrontaSec ge Village ICENTERVILLE I Fire District Iq-O-MM Town sewer exists at this address�0 Road Index`0579��� �______r____._....._._.___.___•._I - ' K*. Asbuilt Septic Scan: Interactive , { ,. 189090001_1 Mapkl ' tt Owner Info Owner!SMITH, MICHAEL T&SMITH,JOHN F I Co-owner I%EKEN,AVRAHAM&AUGUSTINA -) Streetl[21 COLBOURNE CRESENT Street2 f City!BROOKLINE _ I State FMA I Zip 02445 I Country Land Info Y Acres F0.71 Use(S gle Fam MDL-01 I Zoning RD-1 ^I Nghbd;0106 Topography Level ~I Road Paved _I Utilities f Publ ic Water,GaS,SeptiC I Location �I Construction Info Building 1 of 1 „—__'.,_'. ��~ JGable/Hip Built 11875 stu°t weu yVinyl Siding ) Living`' Roof AC Area 11656 I Cover Wood Shingle Type I None Style!Conventional I walj FDrywalI 13 B I Rooms edrooms ) Model,Residential I Floor Pine/Soft Wood Rooms r2 Full �) Grade fA a e Plus Heat Hot Water Total 6 ROoms W I g I Type I I Rooms! Stories Stories �I .Heat IGas ` Found-iStone Walls Fuel I`' ation I as . y,t�Yw..pt f Gross. Area Permit History _ http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13012 5/22/2013 Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 6/17/1996 New Siding 15885 $4,153 SIDING 4/1/1993 Addition B35760 $6,000 1/15/199412:00:00 AM CE ALTER. 11/1/1991 Addition B34690 $1,500 1/15/1992 12:00:00 AM ICE REPAIR . Visit History Date Who _._.Purpose - - 12/15/2008 12:00:00 AM Paul Talbot Cyclical Inspection 7/5/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 5/15/1992 12:00:00 AM ME Meas/Est Sales History Line Sale Date Owner Book/Page Sale Price 1 11/25/1996 SMITH, MICHAEL T&SMITH, JOHN F 10499/202 $225,000 2 11/15/1989 SMITH, MARY CARROLL 6961/311 $1 3 12/28/1979 SMITH,JOHN F&MARY CARROLL 3037/143 $0 4 5/15/2013 TEKEN,AVRAHAM&AUGUSTINA 27374/320 $257,500 • Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2013 $150,200 $19,100 $10,500 $155,500 $335,300 2 2012 $148,500 $17,700 $9,800 $185,400 $361,400 3 2011 $176,400 $7,000 $11,000 $185,400 $379,800 4 2010 $176,300 $7,000 $11,300 $179,400 $374,000 5 2009 $193,300 $5,100 $7,800 $186,000 $392,200 6 2008 $173,700 $5,100 $7,800 $203,600 $390,200 8 2007 $179,400 $5,100 $7,800 $203,600 $395,900 9 2006 $165,700 $5,100 $8,000 $174,200 $353,000 10 2005 $145,100 $4,800 $8,200 $197,900 $356,000 11 2004 $109,300 $4,800 $8,500 $158,300 $280,900 12 2003 $113,400 $4,800 $8,700 $55,600 $182,500 13 2002 $113,400 $4,800 $8,700 $55,600 $182,500 14 2001 $112,400 $5,100 $8,400 $55,600 $181,500 15 2000 $88,700 $5,000 $7,800 $42,600 $144,100 16 1999 $88,700 $5,000 $6,400 $42,600 $142,700 17 1998 $88,700 $5,000 $6,400 $42,600 $142,700 18 1997 $92,000 $0 $0 $34,100 $134,000 19 1996 $92,000 $0 $0 $34,100 $134,000 20 1995 $92,000 $0 $0 $34,100 $134,000 21 1994 $96,000 $0 $0 $46,000 $150,100 22 1993 $96,000 $0 $0 $46,000 $150,100 23 1992 $102,900 $0 $0 $51,100 $156,800 24 1991 $114,400 $0 $0 $68,200 $189,200 25 1990 $114,400 $0 $0 $68,200 $189,200 26 1989 $114,400 $0 $0 $68,200 $189,200 27 1988 $50,300 $0 $0 $36,200 $92,200 28 1987 $50,300 $0 $0 $36,200 $92,200 29 1 1986 1 $50,300 $0 $0 $36,2001 $92,200 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=l 3012 5/22/2013 a4p•a. """ e%ems ''�8. 3f . i ianB G • t L 4 c } e 01�. 1 1 Parcel Detail Page 1 of 3 K; -1 ILE 07 s MASS, Logged In As: Friday,May 17 2013 Parcel Detail Parcel Lookup. Parcel Info - Parcel ID W090-001 _I Developer LOT 1 Location 1262 FULLER ROAD I Pri Frontage I Sec Road I Sec Frontage Village FCENTERVILLE I Fire District C-O-MM Town sewer exists at this address I Road Index 0579 I Asbullt Septic Scan: Interactive l, ti a 189090001 1 Map -,-� Owner Info owner SMITH, MICHAEL T&SMITH,JOHN F I co-owner. I streetl 262 FULLER RD I Street2 I City CENTERVILLE State MA zip 02632 Country Land Info Acres 10.71 Use ISingle Fam MDL-01 I zoning lgb=i Ngnbd 0106 Topography Level I Road Paved Utilities Public Water,Gas,Septic I Location Construction Info Building 1 of 1 Year 1875 I Roof Gable/Hip �I Ext Vinyl Siding �I Built Struct Wall- LArea1656 I Roof I"Wood Shin le ae None Area Cover 9 I Type I '9p Style I Conventional I Int Wall I Drywall I Rooms'Bed 3 Bedrooms I AS F"us 1`I Int Model Residential I Floor Pine/Soft Wood I Rooms th 2 Full I I _ I x Grade Average Plus I Type Hot Water I Rooms 6 Rooms �I —10 S t2 Heat Found-' FER Stories 2 Stories Fuel Gas I anon Stone Walls L4.. 1 a f w. Gross 1 Area940 _ --- - — '!� Permit History ---------- - - ---- http://issgl2/intranotLpropdata/ParcelDetail.aspx?ID=13012 5/17/2013,, r Parcel Detail :°Page.2 of 3 Issue Date Purpose Permit# Amount lrisp Date Comments 6/17/1996 Residential 15885 :u $4,153` SIDING 4/1/1993 Addition B35760 $6,000 1/15/199412:00`00 AM.,A CE ALTER., 11/1/1991 Addition R34690 -': $1,500- 1/15/1992,12:00:00 AM CE 11 REPAIR Visit History 4 ' Date Who Purpose 12/15/2008 12:00:00 AM w Raul Talbot '` Cyclical,lnspection ., 7/5/2001 12:00:00 AM Paul Talbot , Meas/Listed-Interior Access 5/15/1992 12:00:00 AM ME Meas/Est L Sales History - Line Sale Date Owner BooklPage, ''. Sale Price . 1 11/25/1996 . SMITH, MICHAEL T&SMITH,JOHN F 10499/202 $225,000 2 11/15/1989' SMITH,MARY CARROLL; # 6961/311 3' 12/28/1979 SMITH,JOHN F&MARY CARROLL 3037/143 _ $0 11 L� Assessment History Save# Year Building Value XF Value . OB~Value -<Land Value Toaal Parcel Value 1 2013 $150,200 w :$19,100 ' ; + - $10,500 $155,500 $335,300 2 2012 $148,500 $17 700 $9,80-0 _ $185,400 $361,400 3 2011 '-$176,400 ' ' $7 000 $1,1,000 $185,400 .> $379,800 4. 2010 $176,300 $7,000 $11;300 , : $179,400 $374,000 5 2009 $193,30,0 $ $5; 00 $7,800 $186,000 $392,200 6 2008 $173;700 ";$5,100 ," $7,800 $203,600 '$390,200 8 2007 $179,400 -,$5100 $7,800 $203,600 $395,900 9 2006 $165,700 $5 100 ' ` `$8,000 �" $174,200 « '' $353,000 :, 10 2005 $145,100 ' ` $4,800 $8,200 $197,900 $386,000 11 2004 .$109,300 r $4 800 °` _: $8,500 .= $158,300 $2810,900 12 2003 $1.13,400 :, j<' $4,800 `, $8,700 $55,600 $182,500 13 2002 ;-.$113,400 $4 800 $8,700 .$55,600 ,. $182,500 14 2001 `: $112,400 $5,100 ,_ $81400 $55,600 $181,500 15 2000 $881700 $5 000 $71800 '" $42,600 ', $1.44,°100 .t. 16 1999 $88,700 y` $5 000 N t $6,400 $42,600 *$142,700 17 : 1998 $88,700 $5,000 € b;` $6,400 $42,600 -s$142,700 18 1997 $92;000 ... ' „ $0 "$0 $34,100 $134,000 19 •1996 `$92,000 . $0 '% " ." $0 $34;100 $134,000. 20 . 1995 $92,000 $0 <,p $0 $34100 ;r ,$134,000 21 1994 c• ,$96,000 $0 ,x $0 $46 000 ?;' ;$150,100 22 1993 x. $96,000 $0 $0 $46,000 w, $150,100 ` 23' 1992 ::$102,900` $51, $0 100 r$156,800 ,., $0 24 1991 $1.14,400 $0 $0, $68,200 ` ~' $189,200 2 ., ,. 25 1990 $114,400 ,$0 3 "'$0 $68,200 $ 89,200 "26. 1989 $114,400 $0 $0 $68,200 $189,200' 27 1988 $50,300 $0 $0 $36,200 $92.200 ; 28 1987 $50,300 u $0 $0' $36,200 $92,200 29 1986 $50,300 $0 . $0 '$36,200 $92,200 ` .http;//issgl2/intranet/propdata/ParcelDetail.aspx?ID=13012 5117/20'13 _ VTR c ;V 'a.SI * � �elttw'4w .., t• i �" '�' ,%AS.` 2 �1 y :• . �why:' {,'$ a `���� t di Sw. r �e. i�.i�� ; ^�_ . it &•s ,: i ` A�$ ; r ��'. �ti}.x�' �c•. �. ( ,it ri"r��4w`•" ,.,��y,y'�t.�f,S. 9 44-�+ �^ '�; � rWir �`*. 4*'.N• � "tan ,'s�1 a � '� *�»'�g d.,.A• � `" 7''i1� .p{� ` Pc*'',.. .:r �.ky'• ,z.•:^s Z< ,w ,�rpi.s�IC`tir:_nka.��� i= F ����;, , _•' t e.� .�+< ^tx.i rM1 Vie• .cx,' � 'Q�^'S ,� .z_•-�➢ 'rF. E. i ti 'b � "4r '�• .tar 1$i! ...•f�l , zt ;2tt-602:WO i 1e' ti f aK R MR 14Sil7 c ► • irtot � I r ,s r r Bk 27374 P---3320 05-1 a—:2 01;3 a 10= 450x t[ASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS QUITLCLAIM DEED Date: 05-15_2013 a 10:45am Ctl;: 407 Doct: 2M1 Fee: sB80.65 Cons: $257.500.00 Property Address: 262 Fuller Road,Centerville,MA We,Michael T. Smith and John F. Smith, of 262 Fuller Road,Centerville,MA,for consideration paid in full of Two Hundred Fifty Seven Thousand Five Hundred and 00/100($257,500.00)dollars, Grant to Avraham Teken and Augustina Teken,husband and wife as tenants by the entirety,of 21 Colbourn Crescent, Brookline,MA 02445, With quitclaim covenants The land with the buildings thereon located in Barnstable(Centerville),Barnstable County,Massachusetts commonly known and numbered 262 Fuller Road and being further described as follows: NORTHWESTERLY by Fuller Road, one hundred fifty-three(153)feet; EASTERLY by Lot 2,as shown on a plan hereinafter mentioned,and land now or formerly of lvar A.Johnson,two hundred fifty-seven and 41/100(257.41)feet; SOUTHERLY by land of said Johnson,one hundred forty and 42/100 (140.42)feet; and WESTERLY by land of said Johnson,one hundred eighty-six and 81/100 (186.81)feet. Said premises is shown as.Lot 1 on a plan entitled"Plan of Land in Barnstable, (Centerville)Mass.for Mary Carroll Smith",dated September 14, 1984, Scale 1"=40' by Edward E.Kelley,R.L.S.,recorded with the Barnstable Registry of Deeds in Plan Book 388 Page 35.Containing 30,730 square feet,more or less,according to said plan. Meaning and intending to convey the same premises conveyed to the Grantors by deed dated November 25, 1996 and recorded with Barnstable Registry of Deeds at Book 10499,Page 202. We,Michael T. Smith and John F.Smith,grantors,do release all homestead rights in the subject property and further certify that no other individual has homestead rights in the subject property BARNSTABLE COUNTY EXCISE TAX A NSTAELE COUNTY REGISTRY OF DEEDS Date: 05-15-2013 a 10:45am Cilg: 407 Dor_Y: 204-21 FPP: $695.25 irons: $257,500.00 Bk 27374 Pg321 #28431 � r Witness our hands and seals this day of April,2013 <4 I T. S th F.Smith STATE OF FLORIDA County of C'( cc,► 2013 Then personally appeared before me, the undersigned notary public, the above- named Michael T. Smith t who proved to me through satisfactory evidence of identification,which were i`V t r /i r_cat e e , *who is known by me and to me known to be, the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily for its stated purpose. PFNUP VOISINE NOTARY PUBLIC Notary Pub fc STATE OF FLORIDA. M Commission expires: Expires 21135 Y P STATE OF FLORIDA County of ( 22— 2013 Then personally appeared before me, the undersigned notary public, the above- named John F. Smith 41 who proved to me through satisfac identification, which were I who is known by me to me known to be,the person whose name is signed on the preceding or attac ed document, and acknowledged to me that he signed it voluntarily for its stated purpose. v� ILIA VtlliaiW�! Notary Pub c NOTARY PUBLIC STATE OF FLORIDA My commission expires: e, Comm#EE06M Expires 211I 2015 BARNSTABLE REGISTRY OF DEEDS Bk 27374 Ps§320 0-284.31 05-15-2013 & 1 U: 4 U MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS QUITLCLAIM DEED Date: 05-15-2013 a 10:45am Ctlt: 407 Dort: 28431 Fee: $880.65 Cons: $257Y500.40 Property Address: 262 Fuller Road,Centerville,MA We,Michael T. Smith and John F. Smith, of 262 Fuller Road,Centerville,MA,for consideration paid in full of Two Hundred Fifty Seven Thousand Five Hundred and 00/100($257,500.00)dollars, Grant to Avraham Teken and Augustina Teken,husband and wife as tenants by the entirety,of 21 Colbourn Crescent, Brookline,MA 02445, With quitclaim covenants The land with the buildings thereon located in Barnstable(Centerville),Barnstable County,Massachusetts commonly known and numbered 262 Fuller Road and being further described as follows: NORTHWESTERLY by Fuller Road, one hundred fifty-three(153)feet; EASTERLY by Lot 2,as shown on a plan hereinafter mentioned,and land now or formerly of Ivar A.Johnson,two hundred fifty-seven and 41/100(257.41)feet; SOUTHERLY by land of said Johnson,one hundred forty and 42/100 (140.42)feet; and WESTERLY by land of said Johnson,one hundred eighty-six and 81/100 (186.81)feet. Said premises is shown as.Lot I on a plan entitled"Plan of Land in Barnstable, (Centerville)Mass.for Mary Carroll Smith",dated September 14, 1984, Scale 1"=40' by Edward E.Kelley,R.L.S.,recorded with the Barnstable Registry of Deeds in Plan Book 388 Page 35. Containing 30,730 square feet,more or less,according to said plan. Meaning and intending to convey the same premises conveyed to the Grantors by deed dated November 25, 1996 and recorded with Barnstable Registry of Deeds at Book 10499,Page 202. We,Michael T. Smith and John F. Smith,grantors,do release all homestead rights in the subject property and further certify that no other individual has homestead rights in the subject property BARNSTABLE COUNTY EXCISE• TAX }ARNSTAELE COUNTY REGISTRY OF DEEDS Date: 0.5-15-2013 D 10:45am MA: 407 Doct: 2M1 Fee. $695.25 Cons: $257r500,+10 Bk 27374 Pg321 #28431 Witness our hands and seals this Z? day of April,2013 c IT. S th F. Smith STATE OF FLORIDA County of C'( cc,► Fes_ 14414 7—_ 2013 Then personally appeared before me, the undersigned notary public, the above- named Michael T. Smith t who proved to me through satisfactory evidence of identification,which were d-P1'rc r' /i cc jp e , t who is known by me and to me known to be, the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily for its stated purpose. PFIIUP VOISINE L.—. NOTARY PUBLIC Notary Pub c STATE OF FI,ORIDA M commission expires: . ti1°�s y P STATE OF FLORIDA County of 22— 2013 Then personally appeared before me, the undersigned notary public, the above- named John F. Smith f who proved to me through satisf identification, which were 6 who is known by me to me known to be,the person whose name is signed on the preceding or attac ed document, and acknowledged to me that he signed it voluntarily for its stated purpose. r�IUf�vot�tN� NotaryPub c NOTARY PUBLIC STATE OF FLORIDA My commission expires: . Comm#EE063022 Expires 2113/2015 BARNSTABLE REGISTRY OF DEEDS <+........-.:e. i:., .-^v-.,...-v-l-..:Fa:~.^rT"r�''4..,,..fif'>,.,.�r,,,,-.r+yr.G...-v,sir'w..,�M'•1.,�+.�.r:......<<..�r•,i*-� '^-v+,-c�y�.�•w.o-..-.(-*"'°`�..r/.i''�.;,7e,�r,cr'-�'..Ni,,,^,.,-Ir'�'h,,,"�'ya."r""""."f•z'+w? r Assessor's office(1 st Floor): ' (� Assessor's map and lot number l 1 O l —017o -76e� Board of Health )( :3rd floor 91 ' /' j to � Sewage Permit number �'/ 4 J , Z DA" 9 sDLL i Engineering Department(3rd floor) �� ^ � �M&& House number d ���. °° 07 \Q$' Definitive Plan'Approved by Planning Board 19 �Fo MX d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.W only Cr TOWN . OF BARNSTAB E BUILDING INSPECTOR . APPLICATION FOR PERMIT TO �Cf'i7/� ,GOOF TYPE OF CONSTRUCTION � y� /COD/' �G'S/G/✓ C - /w l Y 19 9/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location A'�/� AX4M /0d e"r6w!//G 4er Proposed Use Zoning District � Fire District- Name of Owner /�'�y S�/�iV Address v Df(obl Iv,<,l en PD Oelylv:&Iaec f Name of Builder e":qV aill r h'l/,0?r 2�� Address'-30 040,p 45�6fC//&r tk'e (2el)lMW/iZF Name of Architect TG'dl-1 f�.946AMU Address-&Z4 70kIeW' ii/)WG ��NT U/GLLr Number of Rooms fir/$T/NG Foundation EX t s ti5 Exterior (/[1.U��— Roofing Floors ¢ i� r��o o C Interior Heating � t 57-( f Plumbing ti0�� �- Fireplace k.) C- Approximate Cost ` /5 0900 4) 0 Area Vo CL.* vV Diagram of Lot and Building with Dimensions Fee JV a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar in the above construction. Name s . Construction Supervisor's License SMITH, MARY A=189-090-001 No 34690 - permit For Repair Roof Single Family Dwelling ` Location 262 Fuller Road - rl , Centerville J - Owner Mary Smith Type of Construction Frame r , Plot Lot 14 19 Permit Granted November ; , 91 �. r+ , Date of Inspection '- 19 Date Completed 19 C'� d PERMIT CNPLETfD:1/ ` r .y Map Parcel vd/Permit } K Date Issued 6 /'7 Board of Health(3rd floor)(8:15 -9:30/1:00-4:45)_1��� -�-�,� Fee 07 5-• Engineering Dept.(3rd floor) House# �� r 4 t� SEPTIC S S i IRE INSTAL.L.E i IAA SCE 19 TOWN OF.BARNSTABLE: �,� �- Building Permit Application o'ect�Address Village- Owner-,!� it Address Telephone 97l • � t Permit Request y [iUy L- S° (/1/t First Floor square feet Second Floor square feet Estimated Project Cost $ �f93 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type ���n Commercial Residential tj Dwelling Type: Single Family ` l Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number W-U� 4 6� 2 Address License# 6 0 ZZL 1k p f 'rbU1d M A Home Improvement Contractor# /cam ZZ Worker's Compensation# GX6&L71 d 6Q z 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 (o l BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) - FOR OFFICIAL USE ONLY t t °a 1 T gS{t S Y PERMIT NO. , DATE ISSUED MA P/PARCEL NO: . 1.• ' - r S ADDRESS n VILLAGE " OWNER 3I } DATE OF INSPECTION: e ' FOUNDATION ' F FRAME INSULATION -FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH_ FINAL y GAS: TKOGH, : FINAL f FINAL BUILDING 0 F.< < DATE CLOSED OUT "- ` x ASSOCIATION PLAN NO. " F 1 ! ,i " TOWN OF BARNSTABLE BUILDING .PERMIT PARCEL ID 189 090 001 GEOBASE ID 32841 ADDRESS 262 FULLER ROAD PHONE Centerville ZIP I` LOT 1 BLOCK LOT SIZE IDBA DEVELOPMENT DISTRICT CO [ PERMIT 15885 DESCRIPTION VINYL SIDING IPERMIT TYPE BSIDE TITLE BUILDING PERMIT SIDING CONTRACTORS: BIL-RAY GROUP Department of Health, Safety ARCHITcT5: and Environmental Services ITOTAL FEES: $25.00 BOND $.-00. CONSTRUCTION COSTS ,a '$4,153.0U Qr 750 ROOFING AND SIDING 1 PRIVATE P 4, * STABLE. 039. OWNER - SMITH, MARY CARRROL"L ( ADDRESS 262 FULLER RD CENTERVI LLE MA BUILD V ON ` BY I DATE ISSUED . 06/17/1996 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: -APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR �. 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST-THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 I k` 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. i I I� P RMIT a BuILDING i f . • The CI)trilttonn-calth of Atassachaveirs ;;;1 Department of ltrdustrial Accidents � OfllCea//m� 9al/oas 600111 asltin,,;ton Street - 4 Boston.Mau. 02111 �• Workers' Compensation Insurance AUtdat it _ A.R __. -..-- Please PRIN•T''le tbiv• _ ._—•_--- n ••ninrm�itnn nhone ff I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any rapacity I am an employer providing workers' compensation for my employees working on this job. n . nddreis: nhone#e • nefict•_# cur,ince co f El -----*• I am a sole proprietor,general contractor,or homeowner(curie one)and have hired the contractors listed below who t, the following workers' compensation polices: COrnrynny n address: phone#- CU n „�,�.ar.•�...saereler+-r�•rT^'.`'";F� �f+i�` ''��'�. - — comn,Im name address tk eS'M� � nhone#- � ctr, y, �7 6619 .. tncur�ncc co _ .Attach additional'sheei fraeewa ,,i •tom a"'r Lr "e �..r.e�.° �� y r 1 n Failure io secnrc corcrrge as required wader Station ZSA of 111GL 152 can lead to the imposition of eriminai penalties of a fine Up to 51300A0 and une pears'imprisonment as well as civil penalties in the form of a STOP N�'ORI:ORDER and a fine otS100A0 a day against ma I understand tba Copp of this statement may be forwarded to the Otrtce of Investigations of the DIA for Coverage Verification. I do herehr cenify undr r the i and t edurt•that the information pm-ded above is true and corm Si_enature hJ /� ---none# S'nt� ������� Print name v area to be completed by city or town oAlcial adlicial•use only do not wore to this P permit/lieettse# r Building Department city or town: (3uceswag Board urge is required` OSdeetmen's OtRce Q cheek if immediate reap (311ealth Department other- phone ft.person: pboae ft. 4 irw.rn'n;p1A1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for employcrss. As quoted from the "lay+•", an emplm•ee is defined as every person in the service of another under anv contract of hire, express or implied. oral or written. An emplurer is defined as an individual. partnership, association, corporation or other legal entity, or any two or n the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recciver or trustee of an individual , partnership, association or other legal entity, employing employees. However owner of a d%vciIing house having not more than three apartments and who resides therein, or the occupant of the dwclling house of another who employs persons to do maintenance, construction or repair work on such dwelling or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an empic MGL chapter 152 _cction 25 also states that even,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 chaptF- been presented to the contracting authority. •.at,7.,: . : v� y.NM--- .u.._ Applicants Please `ill in the workers' compensation affidavit completely, by checking the box that applies to your situation an 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 f6r 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 requi to obtain a workers' compensation policy, please call the Department at the number listed below. �- ,r•..-..w....rr+...�....- � ..•.ww•..�--��' _.. .: .. � .. �}�,� _ .;,..,;••-.7••.,c.—.: -•ate•• City or Towns Please be sure that the affidavit is complete and printed legible. The Department has provided a space at the bottorr the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. F be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returnc 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 quest please do not hesitate to give us a call. �..i•. - _ :r.. • �nr•=• � .:�sn• ;.y_. sty .. 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 nhone #: (617) 727-4900 ext. 406, 409 or 375 . ° The Town of Barnstable mumS Department of Health Safety and Environmental services 1"9. Building Division • 367 Maier Strut,Syaams MA 02601 Ralph Crosses Office: 309-790-6=7 Building C=Miss( F= 508-775 3344 For office use only Permit ne. Date AFFIDAVIT to HOME MOROVEMENT CONTRAC'rORLARi SUPPLEMENT TO PERNIIT APPLICATION mquim that the -=onstruction,alteratrens,=M-jtiM r� on,boa, j, MGL remotial, demolition, or construction of an addition to MY Pm' oiler oe�ed whi building containing at least one but not more than four dwelling traits or to stcaenrz� � .h•otha to such resside=or building be done by registered contractoM with certain exceptions, along Type of work C N S l Est. Cost VS 3 Address of Work: paner.Name: M oq- aq sw t -44 Date of Permit Application: y f Ll I heseb<certify that: Registration is not required.for the following r=son(s): Work oxduded by law Job under SL000 Building not owner-occupied Owner pwling om peratii Notice is hereby gi<=that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH DO NOT HAVE LESS TO TFffi FOR APPLICABLE HOME IMPROVEMENT WORK ARBITRATION PROGRAM OR GUARANTY FUND UNDO Mom-c 14ZA SIGNED UNDER PENALTIES OF PERJURY I hereby apply'for a permit as the agent of owner.. Contractor name Registration Na Date - OR ' F.I.D.No. 11-2320449 ME Lic.N0. ._ 7 NI I Llc.No. ' Job!1 � _ SSEARIS-_ MA Lic.No. OUALITY&SATISFACTION New York Deparlmenl of ' New York Area: GUARANTEED Cortsurnet Arlabs Lir.No.730686 re 800-942-6111 Nassau Lic.No.112704150000 SIDING StrNnikLic.No.29G41R Oosion Area: vonkers 654 Wcslrheslm WC 6131187 800-SEARS-31 CONTRACT Now Joisey Lic No.09757O 37� / Springfield/Hartford Area: Connecticut Depatlrmmil of 800-SEARS-56 Consumer u�No. RI Lic.No. Affairs Lic.No.532774 �N ' 1A^ A e --__—_ SOLD TO_U"!��C��`��l-_ .��'�I Y I�_ ---..----------------_.---------- ADDRESS <� _c� rUl Q PHONE(Home)(,S 0h� L=��fir' tj CITY_C e 1 t.tr`VtL(z _--_STATE LUI71PG to 3 -PHONE(Work) JOB SITE ADDRESS(if different) S-_11ya SEA IR,5 APPLIED VINYL & ALUMINUM SIDING Oy Oil-nay Alumbnnn Shull!)Cnrp.of Ounens 10 Lyman St.,Suite M1 A Sears Authorized Contrnctor i 131 Elm Street Westborough,MA 0156 134-10 Atlantic Avenue,Richmond hill,NY 11419 West Springfield,MA 01089 General Description of Work at Above Address: Approx.Start Dale:-yM311 i, Type of House: rame O Masonry Approx.Completion Dale: SPECIFICATIONS Sears approved materials will be furnished and Installed to these specilicallons: YES NO PLFA!ir flr_A0 CARrrlRI.Y:ONI.Y TIIE ITEMS Cll CKFR"YFn"Afir INCHRVE..D IN YOIIIt ORtlrII 1. Imo(-1 SOLID VINYL SIDING Covet 1Y Ilalwaflaroasdeslpnaled for sidn ,�xf.r.IThoseareasdesl natedbelow.Size._._- f fnlm_(�1��{_(Ut'�I Sllmn.-._.__.:�'..4,_.,..._Packalln-._..._..... -..___...,..Iluxtnm romm posts color ..S x���l.. IA. L--I I SIDING will be appfled to llnn Inilnwlig mnax only; 11 1 1,1 Fmnl Elevation 1.1 Right Elevation 1,1 Entire U Dear Elevation I.:I Loll Elevation (S+-Parlial(snt nitass) U Other Ij fSR onans) _ 2. fi' I INSULATION-coves only Ilalwali areas designated lot siding with _I_4------brrh insufalfon. 3. I`f I I Use Seats approved GALVANIZED SIFTL S1AIltER STRIP whein cmdiarlm dorms necessary.(Not available with Nailile..) 4 11 I.j-Siding In be applied river existing Inundation. 5. 14-1 J Ilse.Sears approved PERMA TAUS AND EINISII STRIP where conbachit deems necessary In same color as siding.(Not available.with Nailile.) 6. I.r La WINDOW OPENINGS } f0tiistom wrap with Sears approved vinyl cfad aluminum 9Color L�11 i-A", I.I Jump over castings with siding and-J-channel N __Color f I Channel existing window only(eq.Andetsen Type or previously wrapped)p Details 7.W f I CAULK-all silts with rubberized color co-ordinaled caulking 8 W I I DOORS•cuslom wrap with SEARS approved VINYL CLAD ALUMINIIM.A at Doors---------0 .Color 9 I t IYtMMtD0011fRAMIS-caslmnwmpwilhSf.AfiSappnwrdVINYLCIAl1AlUMIN1IM.Color___.,_.__-__-_-._,_—_—_.-_,___._-.-._-,._.__ ``'' L I Single f.1 Double With Mull I-I Double.No Mull 11,,'.`` �t�� Ill I�II FASCIA-ruslnm wrap with SEARS approved V1NV1.CI AD ALUMINI IM.Cntnl _.v j� \l- AL_,_- _ _-_-_•_-_ ..._.._.... it. II�I IV -,of -,-. .'t(:.I��....._ _ 12 1 1 I-Y 1101 B.N WOOD-Will only fir repailed of teplared where sprriiied nn Ifni item M 27lisled below.Any additrnnal areas needino a irpair will be rslimated upon their discovery and priced accordingly.(Does not include wood studs,or exterior shealhing). 13. 1 1 1 T-Remove existing rnatedal on exterior of house. 1..1 Vinyl I-1 Aluminum CI Wood Shingle L:I Wood Siding E_I Other Does not include any asbestos removal. 14. 1 1 1 d-rORCH CEILINGS-covet with SEARS approved SOLID VINYL CER ING MATERIAL In the following areas I5. 1I I4--nEAMS/r,OI.LIMNS-wrap with SEARS approved VINYL CLAD AI.IIMINIIM(Nnchcularmrmmdrnlunes) Inr -.......... Ire. I`l�I I GIIII[RSrLEADFRS•rnnmvnrxlslingasdteplarnwillutrwcuslnmsrandrssgnllrtsandlradrr� Idle, I7. I I I N5111I11EI1S-plovldrandhnslall,_-.._._......-,____-_._..paIrSLAIISapptovrdpolyslyrrnr.shullrls'Cnl6t................ . 18 1 I Ind MASII.IIMDIINIS purvidr.andhtsl;dllnr _-,,,... ._.__,.-„ rxlmlmlighllixlwrsmdy.foim.. .,, 19 11 I,YGAIIIT VENTS-provide.and Inslali_...-----------veuls.Cater No t•,irculm or biaunle vents 20 Ft- I I CLEAN UP propetly of completion of work. 21. L4- O INSURANCE-all required WORKMANS COMP.and LIABILITY to he maintained. 22. fly FI WAnRANIY•mail 10 customer alter completion and full payment Is received. 23. Ill I I PAYMENTS-an NON-FINANCED orders Inslal(er Is authorized to collect ploglessivc payments. 24. f=h 1,1 ALL OISCOIINIS APPLIED, 25. 1 1 FI—ADDI IIONAL WORK•not specilled above.-___-_• ---_-----•---.._..-----._-.----.- _.............._._- .............-....._......._... .. Cash Total$ L_� 1 Less deposit 25%_�Balance r 7_Start'% CASH RNAtJCED$ does not Include Interest Coln lelion 1/7 If financed,balance payable hl -V VJ CIC-ntontldy fnslafhnenls of approximately�_ per month,payable by-owner'to conhaclm hill if linanced by Owner then Owner will pay OWaniomil to the lending Institution plus such interest and credit service charge of said tending,inslilutino payable directly In the lending inslilution loaning such monies to'Owner-and will execute,a Relail Installment obligation and any documents required by such tending inslilution in connection with such Inan. } x {. 26. 1:.1 I`_I-WORK NOT tobedona. —__--_---_-_--.— ----------_-------- 27. LI, LJ Repair or replace the loflowing woods NOVICE:If financed,any haWt or this Curs—DMin Cwlracl Is svbled to all claims nM SALESMAN HAS NO AUTHORITY TO CHANGE ANY TERMS dcrnnsce which Ihn dMld C Id msOd againxl nap seih-<or goods or ark.,.blamed OR MAKE ANY REPRESENTATIONS OTHER THAN CON• pursuant ho,nln o,wnh the p—Ms bend.fls o ry by Iho dabhM shax not o+rncd TAINEDIN THIS AGREEMENT AND"OWNER"REPRESENTS nmawmts pakr by nor dehlo,hmeuntlar. "OWNER REPRESENTS TO HAVE READ AND THAT NONE HAVE BEEN MADE TO OR RELIED UPON BY "OWNER".YOU ARE ENTITLED TO A COMPLETELY FILLED RECEIVED A DUPLICATE ORIGINAL OF THIS IN DUPLICATE ORIGINAL OF THIS AGREEMENT. AGREEMENT AND TO .BE THE AUTHORIZED "YOU,THE Rum,MAY CANCEL THIS TRANSACTION AT AGENT OF ALL `OWNlEFIS" OF THIS PPOPFfITY. - ANY 11114E 1')lI(In 10 MIDNIGHt Or 111E THIRD BUSINESS UPON WHICH THE WORK OR THE MATERIALS DAY Ar'IEII THE DATE OF 'THIS 1RANSAC110N. SEE: ARE TO 13E SUPPLIED. ATTACHED NOTICE OF CANCELLATION ronm rOn AN NOTICE TO TFIF I TOME OWNER(S),GUAR�NTUR(S), EXPLANATION Or MIS RIGHT.ON ALL ORDERS CANCEL- NOTICE E S, I I SIGNERS . LED AFTEn 111E RECISION PERIOD.CUS1 OMERS WILL BE LESSE ( ) ( ) RESPONSIBLE FOn A 20% ADMINISTRATIVE AND RE Contractor, at the expense of owner, shall procure all pernnlls STOCKING FEE. T required by law os follows: THE COMPANY WILL DEPOSIT ALL MONIES RECEIVED " 1. Owners who secure their own permits will be excluded from the rnoM._______._ __..._._____._.--_-.__.--. < yummdy fund provisions at MSL Chnpler 142A. IN AN ESCROW ACCOUNE A ICHASE MANI TAT IAN BANK 2. Any person who shall have co-signed,guarmnleed or signed #105-1-062089, WITHIN FIVE OUSINESS DAYS OF ITS any credit application or note relating to this agreement hereby RECEIPT. 'I accepts to be bound by this agreement. Date 3. Owner(s)represents that the contents on the back of this agree• --"- --- mant Is a true part hereof and has been read and accepted by Do not sign this agreement before you read it or if Owner. It contains any blank space or if it does not contain 4. ALL INSTALLATION LABOR GUARANTEED 1 (ONE)YEAR. everything agreed upon. r Salesman's Name:%NA,S T l k Signaturp�� Salesman's (Customer S 1 ra) License No. Signature SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS 1 JOB NAME C� - LOCATION AMEASUREMENTS WINDOW & - , - DOOR OPENING TOTAL SO. FT.= SIDING Lax H S" = I SF x L 1a xH 410 SF tix L I d- x H jL-) __ 1 4 SF x L L-L_x H 9- SF x L 1. 1 x H y Y SF x GABLES L x H - SF x " (® 70%) �SOFFIT(Increments of 1/2 foot) MULLS ' U�CwT�9t� 011-Ie�'r7' L. `� ) 3�r�T e X \\ F ( jL.F ( ) L.F. FASPArh es)d1 tI� FIt 1� � :11 L.F ) L.F. ( ) - PORCH L x H - _SF LOA TEH -IOU_N�J CEILINGS L x H SF Ni1"�."�(� U�' v''- GUTTER (L.F) J � ' LEADER (L.F.) I G ' WINDOW & TOTAL S©. FT._ DOOR OPENING SIDING L x H = _SF x_ L x H = SF x e AAIV%_ - u-TT"-e L x H = SF x L x H =_ SF x _ L x H - SF x GABLES L x H = SF x (0 70%) t T r SOFFIT(Increments of 112 fool) [MULLS] i _ L.F. L.F. —L.F. FASCIA(Inches) VENTS L.F. ( 1 L.F. ( ) PORCH L x H = SF MAS ER MOUNTS CEILINGS L x H - SF GUTTER (L.F.) LEADER (L.F) I6 WINDOW F-1 TOTAL S©. FT._ • - DOOR OPENING SIDING L x H SF x L xH SF x L .xH SF� x L x H - SF x L x H - SF x GABLES L x H SF _x_ (0 70%) _ SOFFIT(Increments of 112 foot) MULLS L.F. ( ) L.F. LA ( ) FASCIA(Inches) I VENTS L.F. ( ) L.F. ( ) PORCH L x H __ SF LMASTER MOUNTS CEILINGS L x H - SF GUTTER (L.F) _ LEADER (L.F.) JOB NAME 5M LOCATION _ INIEASUREMEIVTS WINDOW & �. DOOR OPENING TOTAL SG,FT.= SIDING L x H i = SF x L x H - SF x L x H - SF x L x H - SF x L x H - SF x GABLES L x H. -_ SF x (0 70%) 1 — SOFFIT(Increments of 1/2 foot) MULLS L.F. O L.F. ( ) L.F. (_ ) FASCIA(Inches) VENTS L.F. ( ) L.F. PORCH L x H_ = SF IMM�MOUNTS] CEILINGS L x H - SF GUTTER (LF) -- LEADER (L.F) WINDOW & TOTAL SG, FT. DOOR OPENING SIDING L x H - SF x L x H - SF x L x H - SF x L x H - SF x L x H - SF x GABLES L x H - SF x " SOFFIT(Increments of 112 toot) [MULL1 L.F. ( ) _L.F. O L.F. FASCIA(Inches) VENTS L.F. ( _) L.F. ( ) PORCH L x H SF rMASTER MOUNTS CEILINGS L x H - SF GUTTER (L.F) LEADER (L.F.) SIDING r _ OTHER SOFFIT L S Q►a I V %\j i V � (1/2 or full jXonly) FASCIA ONLY LF _r) FASCIA ONLY LF. WINDOW OPENINGS 3 DOOR OPENINGS Ca GARAGE DOOR OPENINGS _ GUTTERS LF. LEADERS LF. SHUTTERS PAIRS VENTS MASTER MOUNTS —� •( V14110Jtive[z1111b 01-AwJCrc:Il�Jnlli ' HOME IMPROVEMENT CONTRACTORS RLCiTSTRA•I"ION t Ilonrcl of 0Llll•cilncj Rogu.lations nllcl SCc�ncic�rtl Ono Ashburl.on Plcico - Room 130.1 llosLon , MaSS"CllllseLLS 021.00 HOML" IMPROVEMENT CONI'RAC1.OI2 Rec_1lsLration 120456 Cxl?lrnl:lolt Oa/O.1/90 TYPO — P12I VA"m CORPORA7•I ON 11011E 1RPROVEIIEIII UNMOOR Registration 120456 13IL—RAY ALUM . SIDING CORP �` Type - PRIVATE CORPORATION CI-IARLCS G . LEP011IN , Expiration 01/01/90 J.23-10 ATLANTIC AVE 111CHMOND HILL NY 1141.9 pll-RhY hLUI{; SIDIIIG CORP y CHARLES G. LEPORIII v 7, r e�c.la/ 113-10 II1LfIIIIIC LIVE . . 1 �uti+unsln�lai RICIIN0N0 HILL IIY M19 I 1g - 0. ............._.1.-..1-l—kn �ZS.c- eP,r_�' 4i�t�•.•'^�!�.xST<F. _...-_ '���." .:3y.+�.i�_. ��,�,I'Ik v 1~--.� .wai�.•-�..aT...w%'.+rr��f,,;�_,r...,,,.,r�.,""��__-_'�G�_/YV` _ PS90L':_'R ��".-:a..:.•�.F,c:a .wweln.:__ ?��:.7L'S@"T'�" ^... •:^ •�-�^i'n'`y"""y �- _ _ THIS GERM F1CAi: S ISSUED ;-.S A rl.t c ONLY AND CONFERS NO �:+,. Te'_Ir` 0R:•;:•�!'or; GENERAL ASSOCIA��,1NC. RIGHTS U, C`n IFlr.. C/O KOCI4 BUILDING HOLDER THIS CEtTIFI-;, = DCFS No- c .rf�a;D �� nc- c ="c1: P.O.BOX b22-."52 GRAND AVENUER -,H_� =RAGS r-ORD ry T1= 1 D 0R2=1 r'lV. BALDWIN,NEW YORK 1151G COMPANIES AF=Gr2DING C.^- CZKOANY A FIRST CET-1'Zr AL INSU=L NC_ CO. tNsu►tsD BIL-RAYr�Ll:".INU41 SIDING CORP Oi= QU=_cNS I =WANT 154-10AT'-ANi1CAVENUE g PROVIZENCEWASHING7ON Ir:.S'J?,:,'I:` CO. RICMI."ONO HILL,NE'A'YORK 1141E a,W,,,,Y C .KS'.N%__7 T''$:$�C CEt !Y ri47T=:CUC D!Vt,SUFWN=L =3-0 CW MA\M 8E=4LS3U=TO :v ,�5 TrElhaJR�N)N� A°.7v:[Co r•... p=� IN : , AN` l'.TERM OR=h=TION OF ANY:7NTRACf OR CT'L� :��;yt.=p_-_5c--_ C_S.,FICATE WAY!- CR MAY PER7AIN,TMMNGL,RAN_—AFFOF:n=DYTMEpo e e e ce Mw��yS .S.^.m DL::Pam Y R_N M..V&.'EC: �. 0N5 MZ \...JM1G OP$i!L'11 P.-UCI,,, UNT 5 STiCVYN MAY HAVE SEEN PMUC--' !Y:AID^=LiJMZ :C :'TVE L!YlsL'1CM� i roLnY xLs►leamt ►QLwr tw•`c:•`-, POLICY EZML7=N - aA�'e{nawacrTY�+ >;a-f aa,�_.:rYI I umurr 3 X A-LYm�xc7m s 20.�0.000 MESS I o`er cam= uor,,:i.:,; s 2.000.DOC ;�OC"..�R IF_�.�i�1tiJF7 1 2 I 1,000.00C I OWNeR'S i:!t11J�:,t7:OR „ I CAM C:L:JRP�t� ` r- n,-, =-Q.00c. L,-JC ' AltY AV—. r SL?1EL.s:AL:.S • �`.'1i URY MFmAL::S I _ I':OA•7riME:A:•�CS i � � =�`•�:IURY ' {Fr�ce.aerlD j PROPERYY>AVArE • I I AMI CNL`••EA w _Y' ' _ ANY ALTO j'1•t�R'lSAN AU7: 77 3 I X,uraR cew ICU 24--40 i 7/6F35 i161 ' !=AcM oea,R�:: s Z000.00C i Z-HERTWANLVs :ua i I 2000.000w I • 2 v.cR,cra ayrau�■AYD I X I _ r - Li.nc,;rr aINDE''n#VF31�. 99 3I1/5S :11r� I-xe PRaPrt::-•eRr f- '� � 2.eeN AC_�Er •• s '1 C0.000 aMI"44':^�:;,�F L—~ Ca JSE.Pp;y:• ;y S SOO.cco : c Air— ZZ 1 Co.0=11 ,. AZD 1 iGNPi INSiJ=_D IS;,.FOLLOWS: SEARS,ROE:3UCKAND COMPANY 'MOULD ANY 0►7NE ALLVE:E3CR9ED ►CUC7E3 6E CAx--•—`. 6EtFC7cE T>aE cuTeYoA �ED,RO_3L'CK AND COMPANY IesUlrO xns AICY w-._ b;6CA'.=R MAI% :yPAP..IEN 5SP.M.25-21A 30 %•� LY ROAD DAY.YALT:SY YC7;�E7-NE:ER�"ICAZ rl.K� :'}/E LErT, t V7 IAILIJRE To KUL ZQ-_ / IIGr=b:,li=STn .S,IL 60179 >r DR LASIL rr O/ 1 JPON TV —^=sx-7 =R' r-r'-m=Z -.-AT_ �. A R 1 I E _- 5 =__ - _=_ L f 2 '==cs . .1?M =' ;M CJLN—L KY I 1 n' I = I tD I z=LnD r uq PCIS =ERMFICATE S ! JED AS A MATIZER Or :�i✓r-:.ir. 1C�v 7c2- CNLY AND CONFERS NO R)GhTS UPONHOLDEEFL THIS CEr+TFlCAi� DO:S NOT AMJdD, t —, I S�_aN t C? AGM;CY A.L7E -1HE COVERAGE AFFORDED EY THE POL-:5 1 B=, OW.7 *`'tc�C::_'� ROAD, Su.' M 212 I COMPA►M AFFORDING COVE—RAGE _ N _'I /cam I crvAxT - a �RO�IDENC5 rr� 'ETC I ON e esLTsl_� C.014P W 3_T -3UkY w:.'v:'�'1,��''.'i SIDING CORF. OF S IMST =34-_0 A7-:A�'TIC Alit' D C??OND Kl ,T. NY 11419 S .�.+.p...m I a -z'.Z^,IFY,AkT—,.E PJL;=OF INSURANCE LST,M MOW MAV5 BEEN SSJEO TO THE WVWRED K4-4 t--,:DVS f CA i HE Li.^'PE.R' O )K.�i .P}'vTr11 }SS7AICBING AKY n:�.T)A1 �i.r1iAA CR1Tk"S�l GR ANY CONTRA. OR OTr 00.JV�:W1T}�n�i �SP r Vfr �I:riS 1 V-Y BZ tssU;D OR"Y?Rr TAK THE INSt1R NCfi AFFC=-DF=SY,—POJ=-=S DESCni7 I.--Z:is sum -,;__-�►.�. �.^_::SL045,:..\:OO.�Dt71ON5 OF Sr:C!i?GL1�3 UMRS S)iOWV MAY FIAV=1;'�:"'�i t)C�J 5Y pAJD.^,1Jnn:. co T�rEc.ue.H;Aw� ►ot�cryureat noszr .�ssva soL:-rCtsnta:a�l LOAM. LTA I I >k�IMIL1'J/T'T) I D4'E(rAotID6'!'� -MW%-4.b:.vxJ-'Py s:, 000 . OD0 r`�sa�.. • 4540is02 D7/06/95 �07/015 96 FA--w w G0O , 000 Al. I AC:'.AUAK Why tW.'.rf) 50 000 I � , A =any: .. I �r'C:7.��:3r►£ttLaT101f Axe I X E _ uAaLJTT _ I i _ i_�aAr _^:'.; Is1^0~ 000 X �'� s+' 'XI.�c. i4C 0008070 ( 03/27/9� 03f27/551= ss IsSOD 000 Ir_=��=•SA Ew :•s 110 . O 0 0 �":���E.uT,c�rxtno�.tvLc .ES�ts6LriDrS �r�+.....:cY r' ,_�"��._._.�--o.aq�p�.,,�ce��w`�_....�� " ter... aa�s�._;.::'.:C�.v:•.s.'_.'----���-r..:..�� �..•- ._. 3r+oL�LD Aay of Th!AyOvE DE3:7+reED DDL;:J ES HF C.ai=:..:.k7 ��erE :•r'.E .C.-1 Tom, �: NI SSAC7USLTTS 00)MATiOX PATE Tf,E;tE.OF• TmE "-+Ji�G C`Wt1+Y W::. G.iS�'.=� ^ �+••L Z 1�DA?%W=TTEX roT,.:'�"L TXE •...:TE KCLJER UA.M=TO- E L=-- - SWT sAA!r t TG -,1IG- MALL IV .003 cR U-H1L'TT OC AY7 THE �utT. 1 •OC�+T OR rypq—t:rTArn'>^s Attic iI E i i: : i. .;L'JY.:CL;�PF$n:.131:.G L:C - `riSCa�'•311:-�?%- >t�:+'sr","ii :L��. �.^A�Sb�:J -- _ �COW r.i 3 H ^= MnS ^Ct{US� ET7v 0= E_ECTi�:C!A'NS ;ZE6.STEkEZ MIIAUTER =-ECTFICIAX , KENNS T H j WIN �. 75 ESSEX' ST ANDOVERR e:310-37DA 134SZ A 07i3ayE 98462.1+ • I v� From M&W T4WKSBURY PHONE No. 508 e51 7601 May.22 1996 9:04AM P01 i Gl if.LMLIILLCtlI&It I LCLlDtCIIlLLC[4lLttLCL6 L•GL'L L1213 LLLLLaLLI.ILILL%:3'LLtZt Y LLGtLLLM t LLrLLtt I.t 16 L 14.1UL. ItLIALCUL DM.lF2I6¢0¢6¢lltt t/lM ICE . ISSUE �pAjL (MN`00'YT). CFRTIFTCATE OF INSURANCE - 5��22/96 { 1 03�16�9G ......................... ae ree..........eeex.exees:ssxxxxxexxxxe==xxteef texfe.......lceaer.Gccv.Lsv.e r[ccee:eeaeecclIIeeeeeccLeecece PRODUCER THIS CERTIFICATE 1S ISSUED AS A MATTCR Or INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, MAHONEY 6 WRIGHT INS,o( TIWKS. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 646 Main St. -----------------------------------~-----------------.-. -............ Teuksbury, MA 01876 COMPANIES AFFORDING COVERAGE --------------------------------------.......................... ....... . (508) BSI-9000 COMPANY Worcester Inc. Co. •------------------------ ...... ... IFTTFR A INsuNtuPANY LETTER B Kenncth Wink dba COMPANY Wink Electric LETTER C 75 Essex St, CDIIPANY ---•._—. — Andover NA 01010 LETTER 0 LETTER E . COVF.RAGFS GGGxLztetatae4eaeDLvtexeeete=aeLLaetaete¢LttleLttetaeelstettaeete lalII a vl4nclII44cceL4aec¢aeLe::4ca4zasece¢L¢aa¢L�eaacL THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEER ]SSUED TO THE INSURED NAMED ABOVE FOA THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Of ANY CONTACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR RAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OfSCR1BID HfRI14 IS SUBJECT TO Alt THE TERNS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .--I ----------------------- I POLICY II ^POLICY II - .... ..........I............... .1R) TYPE OF INSURANCE I POLICY NUMBER (EPFDATEVE IEXPOATEIONI LIMITS --+--------------------------------+--------------------------------------------------------------------------------------------- { GENERAL LIABILITY GENERAL AGGREGATE 1 000,000 A C$81A152 03/70/96 03120/97 PRODUCTS-CONP[O REGATE 500,ODD y (X) COMMERCIAL GENERAL LIABILITY "PERSOTCAC"i 1rtl1TE'RTT1A�`T1T3UpP ( ) CLAIMS MADE (X OCCUR. �6CCITRR j OWNER'S 6 CONTRACTO 'S PROT. ^FIEF a une'TireE4 ( ] MfflL'Rl'€ Y one person s'009 ---+--------------------------------t------- -.-._.....: __+ . ........._......._+....---....---------------------+--------------- AUTOMOBILE LIABILITY COMBINED SINGLE l ANY AUTO LIMIT . ------------------- )$.........---- ALL OWNED AUTOS 8001LY INJURY SCHEDULED AUTOS (Per Peisun) (; HIREDAUTOS --------------------------------+------._....... NON-OWNED AUTOS BODILY INJURY OARAOE LIABILITY (Per accldent) -------------------------------- ............... OROOERTY DAMAGE J� ---+-------------------------------- --------------........-----.......,..........•--------------------------------I*--------------- FbCF55 I1AR111TY I l EACH OCCURENCE ( JOmbrella Eorm i - AGGREGATE [ Other Than Umbrella Form •--+-------------- ---------- +-.-.-.................- ----------+----------+----------------------------_-- ............... WORKER'S COMPENSATION I STATUTORY LIMITS AND EMPLOYERS' LIABILITY DISEASE POLICY 1191T - 'TM - --+------------------------- -----+--------------------- ----- -..._... '_4-- -------------------------- OTHER ------------------------------------------------------........--------.-------------------------------------------------------------- UESCR1P110H OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS Electrician CERTIFICATE HOLDER =______ __= x=x,...=x.GG.FGG CANCELLATION Lf.E:L_]a nat L= xsc.GGGL.cG.G:x::x:000GCGGG::G:FGLGGGG SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Sear Bell Ray Siding EXPIRATION DATE THEREOF, TILE ISSUING COMPANY WILL ENDEAVOR TO NAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SNAIL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ]IS AGENTS Of REPRESENTATIVES. ZED PRESEN-- IV ---_- --------------------------------- AUTHOR C, C/y4 - L4.A[LEtx].LLf xSt__xxx_xxxx=_=.xcc____c_G..FPPccaaa.!,.¢r.i.t4L3Rixx x xxxxx _�3.��c/.______F�=C.��Fa /t!/CYYLLGptLCL_c____ Assessor's office(1st Floor):Assessor' mdl D �/C tpm f " `Au a Y►�� Pe Conservation / r riLL,� �Rlp o��TN'f to ITH TITP S 5 `w Board of Health(3rd or):X Sewage Permit number �� sVI '® '� TA�" � 2--Oz �� ea»rim,c Engineering Department(3rd floor): WN �� � ����� �°11 "60• House number zVe c,,) �o asr r. Definitive Plan.Approved by Planning Board /9 F APPLICATIONS PROCESSED 6:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR _ APPLICATION FOR PERMIT TO 4� �/�// �DD/� '' / � s,�y�/U��s TYPE OF CONSTRUCTION _ lAL)00 D TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �roDc lcu4 M Proposed Use Zoning District ti Fire District Name of Owner Address ,X of Fae6� K019 Name of Builder C°�/Y/�i�'UlGGG e��, zyr--, Address �.53y ,G Tig SL 6- y �U/�&r Name of Architectgssoc, Address /Y,5-0 J %sg S'Ull-E y C'E/S/?�if�x6e Number of Rooms Foundation eo Al4e6 T-C- Exterior Z///YyL 5I29/AIV4 Roofing 14,� 00,0 Floors 19 Interior Sly�ee?` / 10CA, Heating z'A'/1✓ Plumbing Fireplace ©*1�7 /m*ley Approximate Cost 0 d o0, Ott Area Ao G A G Diagram of Lot and Building with Dimensions Fee C7� 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 0 7 / ✓6 7 SMITH, MARY i No 35760 Permit For RePAIR ROOF/ADD SKYLIGHTS Single Family Dwelling 262 Fuller Road Location F Centerville t i 'Mary Smith Owner. Type of Construction `-Frame g j 1 F- t F R r• t.! I ! tom'- _. .. ._ +;=� i�,! ' •, � - x f � ` to � Plot I tot Permit Granted Apr i 1 13 — r 1 g` 93 Date of Inspection 19 1r" Date Completed 19 j - to • `0� !/ • I r .• ! 1i`} lie `, y - err- .!, N,��.. t.�S• 1..t1 N. 4 UTrt�t�rt L _ ---- ----------== , ' l�. �l of 1 1 y ,I nl�. COY 7-�AeZ1& r- - _--- =77- a� 4. TTI J Ft(, ;' ( I . - I -�`� �..- . '' .uv V Il�l�i{ � tI t•,� �- __ ,�j I� � i ' �1 i(1-' y T - .. oil.I - • IBl�tir•<.L f 41 111 J:• �. ._ I I:1 -- — 1 Fli , 1 II { II�II'I iIl!I!,Illl''� ail I' 1 .I III�I I 111 ,l�Il;ll11 Ill 7 III If�ll'III'i III Ilrfi PI'j �Illpll�l II II II f I ii i�l, I. l I f lu 4 ' '• II it IP i' III I II lit li �'=..L11•v1:1.1�' III IIIIiI I III I III II�11 i �'�I, !,r I . III,I!Ilhll'llll III i, �1 �,ltll�l�ll'IIIII'Ijl�li i �_ ._.. III III `III!I r,'j 11, ell_ I liilf� J III I IIII Ilj — '/,`,�rrprypf�r �'I I i�I II I IInI �:I I �II I III Il l r I III, ;I i II�II I•I,���Illyf II�I�III II'llll lil�l,l, I'ugl , �Illll ll,Il r I'I'411.. II�:i� �I II�I�I�i�IIl.Iil Irlll I'lll III�rfrf1 IIIII(N I�I jl1j I i11' 'II y l�'I'II III I�1•' 1 P�If��ll"I� f Illi 141 �' II�:!� rIl. - _ —_ _ --�— --- III '�I• .�I, ' 1.I!' I,�!II�: III r.�I I!I. _�1 !I I i� III II.Il.r.III �II,I _- . I i -- - - _ - -- - _ -- -71 _-- --- :----- - - -- 1:_` VIUY 1/4 v 1 f a I ��`�II•:. .. III I. IA tC 1L p ti -`_��Ab ti �a N� • �s-�sue.-___ —____ s y y XII • I II-1j �i I�III - III f i IT ii • 111 ��J� Z I M+a - :Jylx� .'AVA �I it Ili I Iil: l i j �) J —� ' I j arms ryas"zip s� • �4�'� aanlrt VolAFO L -nl j o "r• F N � 00 -' I 1 I � I I U s y I Assessor's ofce„ /}(� �y Assessor's map a(nd lotlnumber / 11 -! —d7 —CJD l� SEPTIC SYSTEM MUST EE ' W Board of Health(3rd floor): rrr7J INSTALLED IN COMP Sewage Permit number 1,n Engineering Department(3rd floor): E IRONMENTAL . .. 4prtiU ce House number �� � rdltp�°moo y►Y��,� Definitive Plan Approved by Planning Board 19 _ APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ant TOWN OF BARNSTA BUILDING INSPECTOR �a:a APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION C',�A/Y�L� ,COODF �Cs/lr�I Alec/ /5' 19 9/ TO THE INSPECTOR OF BUILDINGS: IThe undersigned hereby applies for a permit according to the following information: Location ��✓� �U�� lPQ C'�NYL`72///GGGr . �l� Proposed Use Zoning District Z Fire District Name of Owner ///W�t4y 511716i/1 Address 46� �'<,l G3? PD /� CeN72IV- 1z6 -- Name of Builder ����G�y/�L��fl��� ��1� Address—30 Ci�//1P 4p�0hl , � F J t%DG�JyT�7Z///,Z Name of Architect %f el//•-• T _d1,( hS!fX14re5 Address�&I_�,7oyeT e*6 oe/Y1eq:�U/aer Number of Rooms ;-7X/.5r/,'/6• Foundation FK c 5 Exterior y� A/.*LI _/z Roofing J9 s P Floors ¢(n r tl w o o d Interior Heating 1= f ST"_, Plumbing Fireplace Ohl Approximate Cost 0, 0 0 Area VO 1)reff 2� �� oa Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regail4ing the above construction. Name f Construction Supervisor's License L � SAITH, MARY t: No 34—&— Permit For Repair Roo:' Single Family Dwelling w Location 262 Fuller Road Centerville Owner Mary Smith Type of Construction Frame Plot Lot 1 Permit Granted November 14 , 19 91 Date of Inspection 19 Date Completed � 19 Q� r —arjr c? � c� t-) K 0 t A COMMONWEALTH DEPARTMENT PUBLIC S µ i OF AF ETy i OF 1010 COMMONWEALTH AVE. — MASSACHUSETTS BOSTON,MASS.02215 p 'a EXPIRATION DATE ! RESTRICTIONS o EFFECTIVE DATE LIC NO 71 0 r o. I ; ' m F i PHOTO(BLASTING OPR ONLY) FEE: i HEIGHT: I NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED R -SI TURE OF THE C MISSIONER DOB: THIS DOCUMENT MUST BE CARRIED ON THE PERSON OF OTHERS - RIGHT THUMB PRINT THE HOLDER WHEt. ENGq G. AZURE'OF OENSEE ED IN iiil$ 0C,-�Jaq 117N 200M 2 87-81429 MMISSIONER - 9 I V I P- 345 4`1, 432 Receipt for- Certified Mail Y- No Insurance Coverage Provided, � UTATEO STATES Do not use for International Mail PO"TAE SEW�CE (See Reverse) sen, - ns - ay en- 44terville Home -imp. Street nd No. .Great_ Marsh Road P,O.,State and ZIP Code Centerville, MA 0263 Postage Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing p� to Whom&Date Delivered m Return Receipt Showing to Whom, c Date,and Addressee's Address 7- -3 TOTAL Postage C &Fees 0 Postmark or Date M E `o LL U a ► STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, . CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). H ( 1. if you want this receipt postmarked,stick the gummed stub to the right of the return address � leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). tu 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a i return receipt card,Form 3811,and attach it to the front of the article by means.of the gummed �. ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. 0 I 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If LL return receipt is requested,check the applicable blocks in item 1 of Form 3811. Na k 6. Save this receipt and present it if you make inquiry. a U.S.GPO:1991-302-916 r , — S.. -_ ; The Town of Barnstable Inspection Department t61I 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner January 14, 1994 Centerville Home Improvement 30 Camp Opechee Road Centerville, MA 02632 Attention: R.. S. Hayden RE: A=1:89 090 001 Building Permit #34690 262 Fuller Road, Centerville Dear Mr 'Hayden: Please contact this office re work performed at 262 Fuller Road, Centerville. There is an apparent problem with the second (2nd) floor bath flooring. Very truly yours, /CR�ichar W. Bearse Building Inspector RRB/gr, O1/26/94 Certified mail: P 345 496 432 R.R.R. Address: 62 Great Marsh Road, Centerville, MA 02632 �*IKE v !6'y � The Town of Barnstable i )A■/f7AlLL Inspection Department 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner January 14, 1994 Centerville Home Improvement 30 Camp Opechee Road Centerville, MA 02632 Attention: R. S. Hayden RE: A=189 090 001 Building Permit #34690 262_ Fullet Road, Centerville Dear Mr. Hayden: Please contact this office re work performed at 262 Fuller Road, Centerville. There is an apparent problem with the second (2nd) floor bath flooring. Very truly yours, 43ichar- IR. Bearse Building Inspector RRB/gr O1/26/94 Certified mail: P 345 496 432 R.R.R. Address: 62 Great Marsh Road, Centerville, MA 02632 F The Town of Barnstable i )ALass. L w : Inspection Department � ua ., 367 Main Street, Hyannis, MA 02601 �0 YLY A' 508-790-6227 Joseph D. DaLuz Building Commissioner January 14, 1994 Centerville Home Improvement 30 Camp Opechee Road Centerville, MA- 02632 Attention: R.-S. Hayden RE: A=189 090 ` 001 Building Permit #34690 262 Fuller Road, Centerville Dear Mr. Hayden: Please contact this office re work performed at 262 Fuller Road, Centerville. There is an apparent problem with the second (2nd) floor bath flooring. Ver truly yours, Richard R. Bearse Building Inspector RRB/gr Le14 ell / i I Cod { TOWN OF BARNSTABLE _�.. INSPECTION DEPARTMENT Q 367 MAIN STREET HYANNIS. MA 02601 "" 7 14 JA:N ti A t/nr?»,r„ 62SCiN CI;fiC�Err / J c _- cfet lilrtr N;,sucb street epx c�,ea_raa Jcy Left Not Center\1eH Improvement 30 CamRoad Center 02632 � t 't Attention: R. S. Hayden Iitis•,:sla,Is►t°sas�1'IIs�rl�erlt{ - ,> I F �� a`. � I ��•i ��' i ' I } I � • �� �_ .L �� I ,� � � � r ��1N(Tp v 6' .r The 'Town of Barnstable 'A1fS ' Inspection Department 16, °� 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner January 14, 1994 Centerville Home Improvement 30 Camp Opechee Road Centerville, MA 02632 Attention: R. S. Hayden RE: . A=189 090 001 Building Permit #34690 262 Fuller Road, Centerville Dear Mr. Hayden: Please contact this office re work performed at 262 Fuller Road, Centerville. There is an apparent problem with the second (2nd) floor bath flooring. Ver truly yours, Richard R. Bearse Building Inspector RRB/gr 11 __-•__.___-_����:�_.y/ P�.��, . tom+-^;_` O fit; J Ile 4 1-U 47-1 P�1 r l ?+ YG -+ ill 1iL*'(his$ Y f _ EI- pf !•�iG++r ti v !�C.iC. � �•; N-✓ _ ���.�li'�ir.+/.le't� �_ �' ---T------ —____� ____..— _ _ __.—__ _—__--��.�µD �'t-IF' - � _l' I