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'� ° % - - _ - - .�. k r -. _ ;:• p" K - +.y ..c .._ S` 4 d 'd: ,. - n ; `"..`, i �'e. '"` .-.tee,.. ; c P inn 1 , r -elm ; Town of Barnstable Building ' .-vw^'.}"`v a�-sw'., .:�.rt w xws...m'iq.°.','!",°Win. „-�aas � ..,�-..^. « .,�'.w" - � n Post This Ca r I So That it is'Visible'From"the Street Approved'Plans Must be_Retained on Job andthis Card Must be Kept :. BAENSYABI�, • T ', - �' 'Posted Until Final Inspection Has Been t �*-5 Permit 1639. Wh`ere�a'Ce'rtifi`cate of Occupancy is`Requiredsuch Build ng hall Not be Occapied until a Final*Irispectiori has been made 4 Permit No. B-17-3918 Applicant Name: Nathan Tissot Approvals Date Issued: 12/01/2017 Current Use: Structure Permit Type: Building-Solar Panel-Residential - Expiration Date: 06/01/2018 Foundation: Location: 132 HARBOR HILLS ROAD,CENTERVILLE Map/Lot 227-096 Zoning District: RB Sheathing: Owner on Record: MAGEE,MACON P&LAURA B Contractor.NamSOLAR CITY CORPORATION Framing: 1 Address: 39 RUTGERS ROAD p Contractor''License 168572 2 WELLESLEY HILLS, MA 02481 - .,f Est Project Cost: $9,000.00 Chimney: Description: Install solar electric panels on roof of existing house'With any Permit Fete: $95.9.0 upgrades,when applicable,specified by Design,To be k ,4S Insulation: $ Fee Paid., $95.90 interconnected with home electrical system. ' ',. Final: JB-0263763 6.6KW 22Panels yDate 12/1/2017 c I ?�y'Q #nr.0 F .v i�' R Y 4' Project Review Req: q n �" V w Plumbing/Gas ,.: Rough Plumbing: A Building Official r n � Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas:,. All work authorized by this permit shall conform to the approved application and the approved construction documents_for which this permit has been granted. in Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. 't _�,�.-...,........-.,...,,.�..�: Electrical. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: ' Rough: 1.Foundation or Footing 2.Sheathing Inspection. 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 Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 a Town of Barnstable gREcEIPT 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-391 Date Recieved: 11/10/2017 Job Location: 132 ARBOR HILLS ROAD CENTERVILL Permit For: Bui ing-Solar Panel-Residential Contractor's N e: SOLAR CITY CORPORATION State Lic. No: 168572 Address: 3055 CLEARVIEW WAY, SAN MATEO, CA pplicant Phone: (508) 640-5839 94402 (Home)Owner' Name: MAGEE,MACON P& LAURA.B. hone: (617)448-1744 (Home)Owner's ddress: 39 RUTGERS ROAD, WELLESLEY HILLS, A 02481 Work Description: Install solar electric panels on roof of existing ho with any upgrades,when applicabl ,s fled by esign; To be interconnected with home elec cal system. JB-OL63-Z63 6.6KW 22Panels Total Value Of Work To Be Performed: $9,000.00 Structure Size: 0.00 0.00 Width Depth fotal Area I hereby swear and attest that I will require proof of workers'compensation insurance for every coritractor,subco tractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect tole excluded from coverage by filing a waiver with the appropriate District Office;.and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at.least 24 hours in advance. Signed: Nathan. Tissot 11/10/2017 (508)640-5839 Applicant -Date Telephone No. Estimated Construction Costs/Perm Fees Total Project Cost : $9,0r5.90 Date Paid Amo nt Paid i Check#or CC# Pay Type _ _....._. . ........ ..:.. ..._._.. Total Permit Fee: $ 11/10/2017 $ 5 90 XXXX XXXX XXXX ` Credit Card 5477 Total Permit Fee Paid: $ 11/10/2017 $50.00 i XXXX-XXXX-XXXX- �Credit card l 5477 THIS IS"NET AFPERI IT x Town of Barnstable RECEIPT KAM" 200 Main Street, Hyannis MA 02601 508-862-4038 %603 a� Application for Building Permit Application No: TB-17-3918 Date Recieved: 11/10/2017 Job Location: 132 HARBOR HILLS ROAD,CENTERVILLE Permit For: Building-Solar Panel-Residential Contractor's Name: SOLAR CITY CORPORATION State Lic. No: 168572 Address: 3055 CLEARVIEW WAY, SAN MATEO, CA Applicant Phone: (508) 640-5839 94402 (Home)Owner's Name: MAGEE, MACON P& LAURA B Phone: (617)448-1744` ZE 1 —' (Home)Owner's Address: 39 RUTGERS ROAD, WELLLSLEY HILLS,MA 02481 Work Description: Install solar electric panels on roof of existing house with any upgrades,when applicable,specified by Design; To be interconnected with home electrical system. JB-0263763 6.6KW 22Panels s Total Value Of Work To Be Performed: $9,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or,any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Nathan Tissot 11/10/2017 (508)640-5839 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $9,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $95.90 1 11/10/2017 $45.90 XXXX-XXXX-XXXX- Credit Card _5477 Total Permit Fee Paid: $95.90 11/10/2017 $50.00 XXXX-XXXX-XXXX-I Credit Card 5477 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town - MA. Date: 'ermit# Building Location � ��lAc _e ;� ���lj Owners Name: Type of Occupancy: Commercial 1 Educational Industrial:_ Institutionalo Residential New: L Alteration:L r Renovation: Replacement: Plans Submitted: Yes No w FIXTURES 2i F, Y rn UO Y c rn >- � i I— w Lu CO 0 z H Y W ¢ Q z fA z t- fn z rn _ V a. w co F- w rn Y rn 0 d .X N w ❑ I— z 0 z w C9 U a u, ❑ u ¢ rn ¢ w. ❑ ❑ w J . z 7/ 0 0 t- S' = z ¢ u_ m Y ¢ x w w w W Q .Q W u2 JO Q o t_-V ❑ > = JO Q co Q Q F F. ¢ m m 0 0 u_ C9 x Y U) rn h ❑ O C SUB BSMT. BASEMENT 15TFLOOR 2 N u FLOOR 3 FLOOR 4 1 HFLOOR 5 FLOOR . WH FLOOR VH FLOOR 8 FLOOR Check One Only. Ceirtificae# Installing Company Name: Corporation _ Address: City/Town _ State: MA Partnership Business Tel: I -A L( Fax: 0 Firm/Company L Name of Licensed Plumber ! INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which-meets the requirements of MGL Ch. 142 Yes':• Ko If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER:I am.aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner Agent Signature of Owner or Owner's Agent hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my . Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. BY`. Type of License: 1Yle litlel ' ✓ Plumber f^' Signature Li nsed Plumber .... Master Cityrrownl' _ _ _ _ _ = License Number: APPROVED OFFICE USE ONLY Journeyman �i �� �� - oFt rats, Town of Barnstable *Permit P� Expires 6 nionthsjroni issue date. Regulatory Services Fee94 IN MASS. 0� J Thomas F. Geiler,Director �ArEDNIA'IA, E " Building Division �VV/ Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 f t� �t l�� ,I 5,.`;S�� � _. www.town.barnstable.ma.us Office: 50'8-862 24038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION• - RESIDENTIAL ONLY Not Valid without Red X,Press Imprint Map/parcel Number Property Address Q C1; Cl C u k .J 0 0,e&: d_e t 01 t �f' v- f Residential Value of Work 80 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address L L�j to r el e.q 461 �e'r ir f L)1 -/4 JA_�_4 Contractor's Name q to", �C iU r VC 4 f C, T� ) Telephone Number O tj 'Vd jf ,(31,( Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) d (v V ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner j p I have Worker's Compensation Insurance `tom' Insurance Company Name re t Yk t f-e S 4,1 Workman's Comp.Policy# L/S a o(OVI Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken toe else- ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)#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. SIGNATURE: ./ Q:\WPFILES\FOPMS\building permit forms\EXPRESS.doc Revised 090809 �lze iPia�ri�.tureccll� a�,/�prvac�uaellGe";� . Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR 9I Registration; 162938 iJ Expiration -4/27/2011 Tr# 283438 T-' D.BA MEAGHER BROTHERS CONSTRUCTION a MICHAEL MEAGHER JR. _ ,. 97 EMERALD LN MARSTONSMILL, MA 02648 Administrator Massachusetts- Depallment of Public Safct% � Board of Building- Re�,ulations and Standards Construction Supervisor License License: CS 102260 Restricted to: 00 4 MICHAEL MEAGHER JR 97 EMERALD LANE MARSTONS MILLS, MA 02648 Expiration: 11/5/2012 ("„nun i..i„n•- Tr#: 102260 From:Erica Barret: tie:Olde gape Cud insurance =axfC.OL.7E CAPE COD iNSURA To:Meagher Cate:708P-009 11:34 AM Page: of I DT�ld�G9 03.Ibm trov-AIG +073 Uf ails T-443 ?.OVIQGZ F-116 qn .fir , rca� �p�ppypy y6yq��s� tptp7111412009 {{ ` .,� 1 6 §Y ,a '7�'. „�'4��Wra,"y t'•`''i � t ,' �'i;;�.: .; SS F'9 "R�_.. suUrD AS A, T-r�e a�iwi3 ::T►c,a11 r3fVt]C®fVF�f�S r<l�sh 18 f,,r"ON ik: old rape vad;nrewrr Aeenq i1c i �i ""�fr CART;pg�r+/l�` r*ib N-)f AiviG'bu, �./�c o;eim w 2St6'a�lirtter St .XE < T' m,.yl.;""R/ .'. �,P.:i O'! r ES RONG I�ISi)f 6YG GUMPAN"`A 4U,Nil'f�X4A1'E.'NSiRANCECOMPANY I'NSURE(�� i Mial"wel me aghaf DSA Wmagher Cartstfucft& 97 cfnmid t ZM ! mamiens mills,MA MR646 COV R�yAp/w v5 f^ « i.•5 :x t. is iP% .. •�o.:�,u(�e ('�y,,... '•',+n• .�l^f.�:`.G;'�•« .:f. ' V4�F�f"SiF6i���dhir C h. C_t, d >--„y'^;ne �y j;� tit 7:•' .a1+^ 4L�:w.: _.y• _�c.:_'..^�:a..�._�.�• THIS 16 7C1 CER71FY r4AT l HF-POLICISS OP INSURANCE UST'EC'BELt3W HA 1 M£ i &U - jTJ NE INSURED NAIL®ABOVE PL?R k h ,T. RSUEN 'OR m-oNRIT ON OF ANY CONTRACT eta 07HER ' r .A v ,� :VCiI to arr�'FtE0U1 T, THE FQlrf�eY PERIOD{dl�fC .•E�..,..7t'4hE;.; 8TA � DOCUMENT WI i t :,REt"i 7O YvsE1CH 7!i!5 C:E.i?7 s3s;;::ti?�MAYBE ISSUED Y t�'=- TAIN, pip rE IIdSUM1vAPdCE AFPC1ii1)ti0 THE f i PL3s ICIES DESCRiS1Ei:HOWN 19 SUS,IC-CC'TO ALL''•"IM TERMS,MLUS! AND r�OPIIATIOKS OF WJCH PCJLIciF-a.Llht'fl'S SHOWN MAY HAVE SEEN RF.DJCUU Ir 11A.10 C'4j4;,'d,s- tom, � em,�nfacar eLUI j �Lt w r z cv ; A �%.orioiyiil'�'y I.thfilTS �PnEPaltiEm unve j },FF.CER9'Pts �asr ' ( 4a:?131+�:? i_ "'ilC��1�BUti 5Ir"t�t�J�!0 4,•u;nsrr'+.am: „""'_••.�.� 1 -`. 'a:&xpFtwa w P9A ai Nsa OroY, t z � t<Ar'NACCi06NL 1 I1 G'Yi1 rtRrz f.1,i�t4Jf .:t . :+ 1!.I.R. t p R�.:7Lit WL�RI(ERS Gd�Ars�E1�T'",CN PC'Jf.ICY CaES NOii'Rf3O`Jlq�c..3L�leA�f 0�uali:Hr'VaL;oh .'AI' :". �r..�.�_._. CLf3ER ;�� �R�!:�1�..�`�.A,T41J�1,,. CERTIFICATE C°f I TOWN OF BARNSTABLE � pv.0tio Aw or'Trt mWe v9wp p po;-iclu oil CAW&=KFM I &P1 rrA OV m ,TM 18gUW3ccUPANyW U.ENN TO WIC Ja 3; DEFT I e LET,eurano souTH 5f TE HacOGanMTOTn I HYANNIIS,MA 02ti01 1 PA UIN TO neA&Sl uti narfrs SsA tL w0gs aaa ael uan'nap OR WAaf:.rtv Of ` p 9` Jal` rr UP'c!3`hF cmv,&Y.rm rtra G7mlglGuWA71tfu5, I i t) I , Town of Barnstable . Regulatory Services ' sn i a MAS& Thomas F. Geiler,Director 9� 16A393.-�8 ,fig' '°ren 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 hereb authorize �' If�- 4 S t/c t"/"� to act on my behalf, Y in all matters relative to work authorized by this building permit application for. /��Z 43 ItIlZ 4000- (Address of Job) /ignature Date Print Name 6 If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable ti o Regulatory Services r + * marts"LE Thomas F. Geiler,Director MASS.94, : ��� Building Division ATEoya Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": 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 Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be •responsible for all such work performed under the building permit. (Section 109.1,1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building 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&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. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FOR.MS\homeexempt.DOC The Commonwealth ofMassachttsetts Department of Industrial Accidents Office of Investigations 600 Washington Street ,c Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): QR� Rr C6tt�s �f ue, do INJ. Address: Q r-" ell 17 (ram City/State/Zip: KAQ� 4 NS , t S Phone #: ,5-0(?, - Af e ou an employer? Check the appropriate box: Type of project(required): I.YI am a employer with 2�1— 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.El am a sole proprietor or partner- listed on the attached sheet. . 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p 9. ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We area corporation and its 10.0 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 13.0 Other employees. [No workers' comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company'Name: /)U r'n Uri t ^P S 4 a /%p Policy#or Self-ins. Lic.#: �` ®� 0 Expiration Date: _j l o q 4 Job Site Address:Ec) eta r�o e, f f S `t t� City/State/Zip: e-P N4At --j1 11r lk-4/l' Attach a copy,of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pa. sand penalties of perjury that the information provided;bv7e ' trueand correct. Si ati.ire: Date: q Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or 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,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit 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 pennit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Applicat ion #Map �arcel Health Division 'Date Issued Conservation Division pplication Fee Planning Dept. Perrhit Fee Date Definitive Plan Approved by Planning Board 0lv1�g Historic - OKH Preservation Hyannis FCodji�-5ec-5t:Street�Address V+7 AS P,D 04C P-a 1:3 Village--:.:::7 Address 9:�A Chls PO1. &�U-6x", M4 ,j Telephone--,, Per 'tReqUest 0- A Square feet: 1 st floor: existing&-q-proposed 2nd floor: existing proposed Total new er Zoning District Flood Plain Groundwater Overlay P_r0jAc_t:V5I- _ua-ti6_n7:0: Construction Type Lot-Size Grandfathered: LJ Yes 0 No If yes, attach supporting docur5entation. Dwelling Type: Single Family Two Family Ll Multi-Family(# units) i", Age of Existing Structure A �6 Historic House: Q Yes Ll No On Old Kin4s,..Highwa Ll)9,j Ll No Basement Type: LJ Full Ll Crawl 4'Walkout Ell Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ftk Number of Baths: Full: existing% new Half: existing ne Number of Bedrooms: -3 existing- new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: "as El Oil Ll Electric Ll Other Central Air: L]Yes U(No Fireplaces: Existing New Existing wood/coal stove: 0 Yes J No Detached garage: Ll existing Ll new size—Pool: LJ existing L3 new size Barn: Ll existing 0 new size Attached garage: L3 existing Ell new size —Shed: D existing L1 new size Other: Zoning Board of Appeals Authorization-LJ Appeal # Recorded LJ Commercial Ll Yes J No If yes, site plan review # Current Use proposed-Use use avl'n- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) el--hone , lb r>147 -_T�ep Num er- vi rAd7:d�:re-5—s, 6.3r I sel License# Home Improvement Coi ntractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S10N__ATURE,;, 9WATTE—_ 3 a;r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE µ OWNER x f k <l DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 'x GAS: ROUGH FINAL FINAL BUILDING l oR U G ( q I P� ' DATE CLOSED OUT ASSOCIATION PLAN NO. ;a I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lelzibly Name=(Busines s/Organization/Individual): rddress �CyfStat i1 V�-2 0 phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction .2.❑ I am a sole proprietor or partner- listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• $ 9. ❑Building addition [No workers'comp. insurance comp.insurance. 10.❑ Electrical repairs or additions ;required.] 5. ❑ We are a corporation and its '3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t C. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant_that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lit.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct Gignafore:__ _ Date: V(, Ile Phone#: Official use only. Do not write in this area,to be completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation'for their,employees. Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to.be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in__(city or town)."..A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid_affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: ` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia f �t Town of Barnstable Regulatory Services aARAS[ABLF. Thomas F.Geiler,Director vbMASS. ,•� Building Division QED MA'I A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE_EXEMPTION Please Print DATE: JOB-LOCATION. f numbe street / A>�/village (HOMEOWNER . a ��`Z� lly' J Gq� —�- ,.. n/ —name U home phone# work phone# CU9RENT MAILING-ADDRESS v b 1 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1), The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. r ` The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requ!rement Signature'of Homeowner. ,_/ Q 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 person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that heshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPF1LES\FORMS\homeexernpt.DOC mot . Town of Barnstable Regulatory Services wuvsTABM MASS. F.Geiler,Director v �'°lfDMn+16,39. e. 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 S/thesubjeci If Using A Bu;Ide roperty hereby authorize to act on my behalf, in all matters relative to work authorized by this ' ding permit application for. (Address 7f Job) Signature of Owner Date Print Name If Property Owner is applying for permit please comple Wthe Homeowners License Exemption Form on th�eZreve�errse sidle. Q:FORMS:O WNERPERMIS SION • OS 7 • STANDARD FORM PURCHASE & SALE AGREEMENT From the Office of. BRAZIL REAL ESTATE 100 WEST MAIN STREET SUITE 10 HYANNIS, NA 02601 This day of 12009 1. PARTIES ERIMERKS B. DASILVA AND MAILING 132 HARBOR HILLS ROAD WEST HYANNISPORT MA' 02672 ADDRESSES hereinafter called the SELLER,agrees to SELL and y (fill in) MACON P. MAGER & LAURA B. MAGEB 39 RUTGERS ROAD WELLESL73Y MA 02481 hereinafter called the BUYER or PURCHASER,agrees to BUY,upon the terms hereinafter set forth, 2. DESCRIPTION the following described premises: WEST HYANNISl?ORT MA 02672 (fill in and include 132 HARBOR HILLS ROAD title reference) THE LAND TOGETHER WITH THE BUILDINGSMORE PARTICULARLY DESCRIBED IN A DEED RECORDED IN THE BARNSTABLE COUNTY REGISTRY DISTRICT OF THE LAND COURT AS NOTED ON BOOR 18153 PAGE 202 & TOWN OF BARNSTABLE MAP 227 & PARCEL 096. 3. BUILDINGS, Included in the sale as a part of said premises are the buildings,structures,and improvements now STRUCTURES. thereon,and the fixtures belonging to the SELLER and used in connection therewith including,if any. IMPROVEMENTS, all wall-to-wall carpeting, drapery nods, automatic garage door openers, venetian blinds, window FIXTURES shades, screens, screen doors, storm windows and doors, awnings, shutters; furnaces, heaters. (till in or delete) heating equipment,stoves,ranges,oil and gas burners and fixtures appurtenant thereto, hot water heaters, plumbing and bathroom fixtures,.garbage disposers, electric and other lighting fixtures, mantels, outside television antennas,fences, gates,trees, shrubs, plants and, ONLY IF BUILT IN, refrigerator , air conditioning equipment, ventilators, dishwashers, washing machines and dryers: and N/A but excluding REFRIGERATOR UPSTAIRS 4. TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER,or (fill in) to the_nominee.designated by the BUYER by written notice to the SELLER at least seven 'Include here by specific CALENDAR days before the deed is to be delivered as herein provided,and said deed . reference any restrictions, shall convey a good and clear record and marketable title.thereto,free from encumbrances,except easements, rights and a. Provisions of existing building and zoning laws; obligations in party walls not b. Existing rights and obligations in party walls which are not the subject of written agreement; included in(b), leases, c. Such taxes for the then current year as are not due and payable on the date of the municipal and other liens, delivery of such deed; other encumbrances,and d. Any liens for municipal betterments assessed after the date of this agreement; make provision to protect e. Easements,restrictions and reservations of record,if any,so long as the same do not SELLER against BUYER's prohibit or materially interfere with the current use of said premises;. breach of SELLER's �f covenants in leases, where necessary. 5. PLANS If said deed refers to a plan necessary to be recorded therewith the SELLER shall deliver such plan with the deed in form adequate for recording or registration. 6. PURCHASE PRICE The agreed purchase price for said premises is$195,000.00 (fill in)space is allowed to One Hundred Ninety-Five Thousand spell out the amounts if desired dollars,of which $ 1,000.00have been paid as a deposit this day and $ 9,000.00 AFTER SHORT SALE APPROVAL $ 185,000.00are to be paid at the time of delivery of the deed in cash,or by certified, cashier's,check(s). $ 195,000.00TOTAL ®1979-2005 GREATER BOSTON REAL ESTATE BOARD All rights reserved. t—� i for oing, if the title to said premises is registered, said deed shalt ha in form In addition to the 89 and the SELLER shall deliver 7. REGISTERED TITLE necessary to enable the BUYER to obtain such Certificate of sufficient to all the t f any,ertficate of Title of said premises. with said Title. -�Y of Such deed is to be delivered at 3 o'clock B. TIME FOR --r-�{}�e ON OR BEFORE 30 DAYS AFTER SHORT SAL $ �PROV�` AT TOE PERFORMANCE; BARNSTABLE COUNTY reed upon in writing- It is agreed that time is of the essence DELIVERY OF DEED Registry of Deeds,unless otherwise agreed (rill in) of this agreement. and occupants, in the same rovided,is to Full possession of said premises.free of all tune deed, said premises t except be then (a)Pi violation s e P not in g. POSSESSION and be delivered at the time of the delivery o )not instrument referred of CONDITION of PREMISE in compliance with the provisions of any' prior to the condition as they now are,reasonable use and wear thereof excepted and aid remises attach a list Of said building and zoning laws,and(c)' exceptions, if any) lies with the terms of to in clause 4 hereof-order BUYER determinle whetheeth ecenddrl°n thereof comp delivery of the deed. this clause. EXTENSION TO If the SELLER sh all be unable to give title or to make conveyance,or to deliver possession of the 10. ESE a ments made under this agreement shalle tfshall be PERFECT TITLE premises,all as herein stipulated,or if atty a of the delivery of the deed the premises do no OR MAKE PREMISES conform with the provisith ions hereof,the y parties hereto shalt cease, and this agr efforts to refunded and all other obligations of the CONFORM possession as provided herein,or to make the said premises void without recourse to the parties hereto,unless the SELLER elects to use rea shall e written (Change period of time if remove any defects in title,or to deliver puss be.in which event the SELLER 9 desired). conform to the provisions hereof,as the case may ance hereunder. and thereupon days. notice thereof to the BUYER at or before enthe for r per Of,thirty hereunder,and thereupon e time for performance hereof shall be o remove any defects in time SE I be,all as herein agreed, if at the expiration of the extended makehe premises conform,as the case moantthereof, the holder of a ii. FAILURE TO PERFECTtitle,deliver possession,or extension TITLE OR MAKE or if at any time during the period of this agreement or any PERMISES CONFORM.etc. under this agreement shall be forthwith rethoutrecourse mortgage on said premises shall refuse to the insurance proceeds, if any to be used or such purposes,then any payments mad other obligations of the parties hereto shall cease and this agreement shall be void to the parties hereto. to the said premises in their then condition n and t title, The BUYER shall have the election,ateither the original or any extended time forshall performance, ° ey 12. BUYER's accept such title as the SELLER can deliver ELECTION TO provisions of this clause.if the said therefore the purchase price ch conveyance in�acco d with h the p in which case the SELERhen the SELLER shall, ACCEPT TITLE except that in the event fire or casualty insured against, premises shall have been damaged by - ton,either unless the SELLER has prev iou e BUYERaon del v ry of the deed,former the prem' amounts recovered expended by the a. pay,over or assign to th recoverable on account of such insurance,less any amounts reasonably SELLER for any partial restoration.or b, if a holder of a mortgage on s r�hersaid pses remises tl not rttheir former cond s or f or be so a part thereof to be used a restore paid over or assigned.give to the BUYER a credit against the purchase price,on delivery es any amounts re of the deed.equal to said amounts asonably expended by the SELLER for nts so recovered or recoverable and retained by the holder of the said mortgage any partial restoration. eve agreement and obligation of said contained or The accepta nce of a deed by the BUYER f r his ation herein nrnominee,as the case may b1.e,shall be deemedo d. 13.ACCEPTANCE be a full performance and discharge o OF DEED _ expressed,except such as are,by the terms hereof,to be performed after the de iY,ry or all ER may,at the time of L. purchase money or any portion thereof to clear the title of any To enable the SELLER to the make conveyance as herein provided,the are recorded simultaneously O use Pu procured F MONEY T of the deed, ments so 14. USE O delivery rovided that all instruments CLEAR TITLE encumbrances or interests,p with the delivery of said deed. WITH Tgg cosTOMARY p ,cTlcBs of THE IN TEM TIME FRAM & MANNER CONSISTENT OVEYANCING BAR- LE COUNTY R$AL ESTATE C remL,gS-aS 1U11Ci`!!S: on said p 'In of Coverage the SELLER shall maintain insurance of the deed, RELY Irj$IIR Unfil ttte delivery •ceS Cup- Tvpe of In;!irarncz Coverage 1�, IMSL)RAt'-CE difiona! 3. Fire&E:=tended ,ruutlrit iliSl ,t1 and an!ounts b- nt ir._!lr;rncz c .,,king exp•- ., charges, OP-. n current a 7rrc•c= sower use or the the nci - ti-ti= and taxes of �t `+titer_and efow." 0f pert0rma ra cn=: rents, mortgage interec- , of tl',e day Collected s, tia0le hereto slue shalt be adjb ted, as from.as the o - to the rhedula a to or deducted r_rt of shall be added 0f the deed.Uncollected r;1U5T�9Ei'l i S according ortioned and fact .I,,:, A -- eases,if y-ar,shall be apP a of delivery b either party s n er:,:=ia' P -nt and the net amount t jYER el the lim- collected Y _P-. - ;. _ agreem" able by the BU '. and,rrhen y,y. p( =1i t rt sciredula) ,rice pa/ ,shalt be apportioned!t and Price oe iney Shall L current rental p- s of the deed, of the delivery �r•.lonrtle"t at the time fiscal year.will'a r.�app for the preceding taxes which Slid taxes is not known sed and. if the rnt. tes_ tn' It the amount of 0f the taxis as� n be ascertain2 1; uch abaien; „ lualion can amount 0, s =ided ti�ai f,'E14T OF apportioned on the basil- rate and •a b, abatement• the the parties. Gr='nt unless 1' AU lU� .= t!F?P1Q s soon as ►hP ne• reuuced 1 ortioned between abatement f Iti::5%ES%E_ a- shop ?hereafter be game. shall be aPP roceedings for an r T.�%�ES apportioned f obtaining the - Pros p �gr,f[� obiicg ed to institute or P reasonable cost o SSE PRICE neiiher party shall:be tip OF PUR otherwise herein a'3r ' aT13 (i% ViiLL SE"L'�'E TuE r �cintlal Se rrices of c SBLL4it S A.Brok2``fee for•:.mP-.:- BFAZ-% Y^AL E5T- � ESTATE ggRVICc-. of COL r;Osi FEE is due tram the SELLER LY VI-T-a CP— TOL PtjOu"NT ter, nKER'- COt;1MISS- 1p-•BR. itir doliaramount or COi<WISSIOL 3 u '„ rILrZL ic,r ,e:•-•r lit it f� ' v�n0� = ,o entitled to receive from► the SEl_tljE r a= •r 0 .4 -- L-F pursuant to the terns nr clause 21 hereof retains Broker r._r_Grt'agG; iSG narna ,ELDER - uC% to r tir;n(:;f) the�rol:er(s)herein but if the S Ghall L t :k• -Dent so retained or an amount eq a.r":.- ,rounder by t17e 8U'iER, said 6rolcer(s made hr amount equal to one-half the am g�rYCli J - :r er+ices accardtn+a to this contract whicltever is thee" r -`^cl•:`~~.-. professionals ,.erg COD RE S !mor�leallh L RE. C -' ,such by the Con name►lieieinBR�+Zr r u,�,licensed a_ Tile Brolrert ) ,Brofc'10")is bare. ARRAPIT! warr�antis)that it),.. gFAZ-I-b RE tim tall in n0lfi�!i kct. st)all bedri fi}? reemertt and sag feement between the r[' ll� ' a it�e,cro�.'+by All depcsRZ,made h-ra�ri to!tr le tic-rr,s 1;f this ag " Lt-POSIT as escrow agent s_rbjec, 1eentonr. In the event of any reernenl pending instructions inuluaily (lltt in rar,�a) for performance of -,his ay' escrow agent may retain all deposits made under this a9 given in writing by the SELLER and the BUYER . tn� osits made hereunder by e�xtit, idated damages urtt2"ss5', rti tit ;';'�<ritr hall fail to fulfill the BUYER's agreements herein,all eG if the BUYER s SELLER as liq.: Sz hOrEef.hE Li EP 'thenr+i_�n��i`;�s the UYER's DEFAULT: BUYER shall be retained by the •i<:_ :t mg Al L�tr o -" 21. 8 er�L.#LIiS•oC.it:s=,ilr r'' r LLEr'9 SGE,$ gL77t.RD': IS SFr i i� ar HE 5E i Bit "7—,,k:nr,:�-QU T� id deed and to release and convey all stet,i,r; 4�'iii_- The SELLEP.'s spouse hereby agrees to join in sa and other rights and in in said prernrses. 2?. RELEASE BY a air hereto,insGiar as and; HUSBAND Z)R WIFF_ m this agreement and become �party am! ndnteni5 =ir The Broker(s)nained herein joins pr to the Broker(s), and to and ur'OKER AS PARTY provisions of this agreement expresslya-1 . agree(S) in tyriline. modifications of SUCK.crrc)visiorls 1�)y+hich the Grokr r(s)`'� a representative Or fiduciary capacity,oniyahc If the SELLER or BUYER executes this agreement in 24. LIABILITY OF principal or the estate represented shalt be bound,and neither the SELLER or BUYER so erecutesz- TRUSTEE. nor any sl•!arehotder or beneficiary of any trust,shall be personally liable for any obliaaiicn,express SI-ii;h:EHOLDER' or implied. hereunder. BEIdEFICIARY,etc. to enter 1 . �» r•' RRAPITIES AND The BUYER acknowterfges that the BUYER has.se nota ate'ionstnotnSetforth or incorporated r�,�li?rz �`/' nor has he relied upon an/'+ EPRESEI.IT:�TIONS viously made in turning, except for the following additional !variant:= s R� _ e or ;re p ker s ;r tt inl if ncir;r =t<`,t�'noon:if 5n, agreement made by either the SELLER or the Bro � ) _:ad,ir=aieaia uY each representations, if any. tepresenta!i�n:•:�- P:a'N' �,� l�i'�,� ��-�Sia��YBa'►Ls�S�the�tlYER5b2►LaARlYfvr�_�nrenupna► (omit ex OU N riol provided!or p>ardc o�altrecisisti0rbanal> Abe ALLYE S ditlgeoLetfotLs a carob wnL for srrctt 1aan aces,iarrns-and.condoions-A del%WO _ ..the BUYER may. Inn Offer to PUfClraSe) Cannot.be deed.OD AC blibm-------------��------Or-111C ntts3 60L 111e 11rOtiCB tathe SF�- ELt.F.R-prior lath¢�cpaahoutr`t SUG!VdnW.��1ea% t shollbeiotih►wlhsefurydedarrAapouwonfiga 4a �cBWOQ ►isagr>aer st►allale�roid v.•itloui PeoottFs6As(tie patlie6 hereto:in ne&# twill-ft tN he deemed to Have • .sc cenxrtitrrrent urdese t#wBkiYER-subrtrcls ecanpiete-maR4tiga eyed.dTgerA efieris to ming-r �-er betere--------------------- loan sppGe�tion oer,(orrnirrgae the foregoing provisions-------------------------- -- 2p-- --- , ------------- - .CONSTRUCTION This instrument.executed in multiple rose terpadst is a itir construed be a Massachusetts bi�ng 27 to take effect as a seded instrumernt.sets forttr the entire contract between heir OF AGREEMENT upon and enures to the benefit of the parties hereto and their respective hens,devisees.executors- upon suc and assigns. and may be cancelled, modified or or amended only ay a written instrument executed by both the SELLER and the BUYER If two or more persons are named herein as BUYER their obligations hereunder shah be Joint and several The captionspart of this agreement re notes a used only as a matter of cOmOnlence a Salo not to be considered a pad or to be used in determining the intent Of the pad es acknowted9e that. under Massachusetts law.whenever a r3uld or children under she ��PAIPIT LAW The path steror other accessiblematerial years of age resides in any residential premises in which any ises must remove or cover said paint. contains dangerous levels.of lead-the owner of said pram plaster or other material so as to make it inaccessible to children under six years of age. firedepadment ORS The SELLER shal4 at the time of the le locatf the ed Stating del that saiver a d premises have been equlPl+ed le from the 29.SMOKE DETECTORS of the city or town in which said P with applicable taw. with approved smoke detectors in caaformih► 2006.the Seiler shall provide a cef6ifi ale from the For properties sold or conveyed rna1 plemrses are ioc aW,eber in addition to or Incorporated 30.CAR80N MONOXIDE fee�rtMent of the citY ortown that the premises have been equipped'"'�carbon DETECTORS into the certificate described above.stating monoxide detectOm in eompBance vim M.0 L C.148$26F1 R or that the Premises are otherwise oxempted the Statute. are in herein by reference. if any,attached hereto. $ .� 111M i DI$csmcm Tan The initiated riders, To S80RT SALE. REf.SAS 31.{4DDITlONAL -satum's I.1CIm1a PEC1Iret rrO I.ATeR Ta>•N 14 flare PROVISIONS ��P13MI r AATSSFAeroRY rtcora isle AVTXR $SORT SALE APP a.�M OF $10.?00 TOMxRDS SSPTIC p11I1 At SETtL> r' _ 9 SRAI`L 2SmOP C WTT 4 P$1.. r►I' F OPERTY AT CT.09IVC -PRZKXSES.To as FRE$ PROPERTY 10 n8 FOS OF Trrsailr'r AT agm PRIOR TO 19T8.BUYER MUST ALSO HAVE SIGNED LEAD PA*T PROPERTY SG FER NOTIFICA'M"CE�FICATION` FOR RESIDEtiTtAt A atfomeY- frgabOns. If not ultdets ROPEfm creates binding ob oonsu! NO•fiCE: Shin is a le9a► rttent ti�eR BUYER print Name:ro►aoN Z rj -Taxpayer i JSoaa eauXY NO' _ ---------- Print I security No. BUYM- (or S �ft P`ar Print Nam tD(So SOc cWrity No. TantpaYef +al Print Name: Taxpayer 10tSodal Security No. %l � Gpg COD BSAI• SERpZC6S i' tsl �yIL R1Sht• S5TI►T$ l _ ___4 l v� J ky CARBON MONOXIDE DETECTOR REQUIREMENTS FOR RESIDENTIAL DWELLINGS All residential dwellings in the state of Massachusetts with fossil fuel burning appliances or enclosed parking areas must have installed approved Carbon Monoxide (CO) Detectors by March 31, 2006. Owners, landlords or superintendents will have the option of installing any of the following: - Battery operated with battery monitoring; or - Plug-in with battery back-up; or Hard-wired with battery back-up; or - Low voltage system; or Wireless; or Qualified combination (smoke/carbon monoxide alarm). Specific locations and requirements will be: - On every level of the home including habitable portions of basements and attics. - On levels with sleeping areas, the alarms must be placed within ten feet outside of each and every bedroom door. - Approved combination smoke and carbon monoxide detectors must have simulated voice and tone alarms to distinguish between the different emergencies. - Approved combination smoke and carbon monoxide, detectors must be of the photo- electric type if installed within twenty feet of a kitchen or bath. Alternative compliance option: The regulation allows for alternative compliance options that may be more practical in larger buildings with multiple dwelling units that contain minimal or no sources of CO inside the units. The option allows owners to target the CO alarm protection only in areas that could be potential sources of CO. - Installation of carbon monoxide alarms in and adjacent to rooms that contain boilers, hot water heaters, and central laundry areas, in addition to enclosed parking areas. - Carbon monoxide alarms are required to be hard-wired or low voltage. - Carbon monoxide alarms are required to be monitored and may require signal transmission. - The deadline for alternative compliance is January 1, 2007. The owner is also required to submit to the fire department, written intent to install CO. alarms under alternative compliance. Specific questions regarding carbon monoxide detectors should be directed to a Fire Prevention Officer for clarification. **This document is to be used as a guideline and is not all-inclusive of all requirements of carbon monoxide detectors. CLOSING DATE: PROPERTY ADDRESS: VILLAGE: (CIRCLE ONE) CEN,T,EnR�V,ILLE OSTERRVVILLL,E MARSTONS MILLS OWNERS NAME:.. �— CONTACT NAME: AGENCY: eA b 2_� L ' PHONE 1: 5'O 3 Bk0 0 oZ PROPERTY HOME OFFICE ELL PHONE 2: PROPERTY HOME OFFICE CELL CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE & EMERGENCY SERVICES 1875 ROUTE 28, CENTERVILLE, MA 02632-3117 (508) 790-2375 EXT. 1 (508) 790-2385 FAX Martin O'L. MacNeely Francis M. Pulsifer, Sr. Fire Prevention Officer Fire Prevention Officer MASSACHUSETTS GENERAL LAW CHAPTER 148 SECTION 26F SMOKE DETECTORS UPON RESALE OR TRANSFER DWELLINGS BUILT BETWEEN JANUARY 1, 1975 AND FEBRUARY 28,1998 1. House numbers are posted on the house, and posted at the end of the driveway if the house numbers are not easily visible from the road. Numbers must be posted in accordance with Article V of the Town of Barnstable Ordinances. 2. Electric hard-wired and interconnected smoke detectors are required. 3. Smoke detectors are installed on the ceiling and not the wall. (Note: Smoke detectors may only be installed on walls with fire department approval due to a structural issue that would prohibit ceiling mounted detectors. 4. Location of smoke detectors: a. No less than one (1) smoke detector shall be provided on the highest habitable level and on each floor, story or level below, including basements or cellars. b. One (1) approved smoke detector shall be located outside of each separate sleeping area, and the maximum allowable distance from a hallway smoke detector to a bedroom is twenty feet on an unobstructed ceiling. c. One (1) smoke detector shall be located on. the ceiling, at the base of, but not within, each stairway. d. For any floor, level or story exceeding twelve- hundred (1200) square feet in area, one (1) approved smoke detector shall be provided for each twelve- hundred (1200) square feet, or part thereof. e. Smoke detectors shall be a minimum of four inches away from a wall. 5. It is recommended that any smoke detector located within twenty feet of a kitchen or a bathroom with a tub/shower be of the photoelectric type to reduce nuisance alarms due to cooking smoke or bath steam. 6. Any questions regarding number or placement of smoke detectors should be directed to a Fire Prevention Officer for clarification. A RE-INSPECTION FEE MAY BE ASSESSED IF ANY OF THE ABOVE ITEMS HAVE NOT BEEN COMPLIED WITH. Signed: **This document is to be used as a guideline and is I all-inclusive of all regulations relative to residential smoke detectors. Barnstable Assessing Search Results Page 1 of 3 OF? Home: Departments:Assessors Division: Property Assessment Search Results New Search a � New Interactive Maps >> Owner: 2008 Assessed Values: DA SILVA, ERIMERKS BORDIM 132 HARBOR HILLS ROAD Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 113,800 $ 113,800 227 /096/ Extra Features: $ 11,400 $ 11,400 Outbuildings: $0 $0 Mailing Address Land Value: $ 161,800 $.161,800 DA SILVA, ERIMERKS BORDIM Totals $287,000 $287,000 269 HINKLEY RD HYANNIS, MA.02601 2008 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $56.65 Fire District Rates Town Barnstable FD-All Classes $2.04 $6.58 C.O.M.M.-All Classes $1.03 Commercial C.O.M.M. FD Tax(Residential) $295.61 Cotuit FD-All Classes $1.33 $5.80 Hyannis-Residential $1.53 Personal Pr( Town Tax(Residential) $ 1,888.46 Hyannis-Commercial $2.35 $5.80 Hyannis_Personal $2.35 Other Rates W Barnstable-Residential $1.86 Community/F W Barnstable-Commercial $1.86 W Barnstable-Personal $1.86 Total: $2,240.72 Construction Details Building Property Prokperty IffeS kdetch & ASBUILT Ca Building-value $ 113,800 Interior Floors Carpet Style Ranch Interior Walls Drywall http://www.town.bamstable.ma.us/assessing/assess/displayparce108map.asp?mappar=227096 10/23/2008 Barnstable Assessing Search Results Page 2 of 3 Model Residential Heat Fuel Gas Grade Average Heat Type Hot Air Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms 3 Bedrooms Roof Structure Gable/Hip Bathrooms 2 Full M ; Roof Cover Asph/F GIs/Cmp living area 864 �, Replacement Cost $127917 Year Built 1983 q E Depreciation 11 Total Rooms 7 Rooms ,3 31I I u, Lands CODE 1010 Lot Size(Acres) 0.23 Appraised Value $ 161,800 AsBuilt Card N/A Assessed Value $ 161,800 'a �� " View Interactive Maps » ;motMP Sales History: Owner: Sale Date Book/Page: Sale Price: DA SILVA, ERIMERKS BORDIM Jan 23 2004 12:OOAM 18153/202 $275,000 DIAZ, MICHAEL J&GAIL A Jan 5 1999 12:OOAM 11969/201 $ 1 DIAZ, MICHAEL J Dec 17 1998 12:OOAM 11923/244 $ 1 DIAZ, MICHAEL J &GAIL A Sep 26 1997 12:OOAM 10974/190 $ 1 DIAZ, MICHAEL J Sep 26 1997 12:OOAM 10974/180 $ 102,000 MCCOLLOUGH, CHARLES R&CAROL K Nov 15 1983 12:OOAM 3926/310 $69,000 SHEARER, May 15 1983 12:OOAM $ 15,500 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,700 $2,700 FPO Ext FP Opening 1 $700 $700 BFA Bsmt Fin-Aver 600 $8,000 $8,000 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area(Unfinished) http://www.town.bamstable.ma.us/assessing/assess/displayparcelO8map.asp?mappar=227096 10/23/2608 I Barnstable Assessing Search Results Page 3 of 3 y 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/assess/displayparcelO8map.asp?mappar=227096 10/23/2008 f Message Page 1 of 2 Anderson, Robin i From: Anderson, Robin (`n Sent: Thursday, June 04, 2009 7:58 AM To: 'Lt. Don Chase' n Subject: RE: BIRST 5 PM Thursday 6/4/09 �0 COM: 393 Main Center at corner where split is near CHIPS House- see apt in barn 7 31 Cranberry business & overcrowding return complaint 1109 Shootflying Hill over crowding (family apt) O70 Acorn landscape business return complaint 0 370 Rte 149 - apt s. (�__-54 Seabury, Centerville - landscape business 265 Prince Hinckley, Centerville - egress issues in basement open permit 11 Long Boat, Centerville - follow up 0638 Main St, Centerville - follow up - too many units j 86 Braley Jenkins, Centerville - bedrooms in basement - (Jeff) follow up V��� Hyannis Fire District 23 Chase St overcrowding/apt? 6 Bristol Drive -basement apt 158 Buckwood Hy overcrowding/apt? 5 St Francis - over crowding 572 Pitchers State reported illegal apt and unlic daycare 132 Harbor Hills - Apt 195 Hinckley Rd, Hy -Apt 149 Seabrook - Apt 180 Meagan basement apt 60 Oak Neck cars sales 19 Checkerberry excavation truck/two family? All parties to report to the rear parking lot of 200 Main Street for departure at 5 PM. I can be reached on my cell 508-922-6432 if necessary. 6/4/2009 Message Page 1 of 2 Anderson, Robin To: Zoning Inspection Team Subject: BIRST 5 PM Thursday 6/4/09 Good Afternoon , Please find a list of properties intended for inspection tomorrow evening. You will note that this is a very aggressive list. 1 certainly don't anticipate completing the entire list Thursday night but 1 have included alternative locations in case some of my favorites are inaccessible. nter-at corner where split is near CHIPS Hous -see a in barn� ,131 pran�berry- business & overcrowding -return complaint _ . vo cs Acorn - landscape business- return complaint,,e 70 Rte 149 - apt C 34 Seabury, Centerville - landsca a business 7 Hinckley, Centerville - egress issues in basement open permit -f 38 Main St, Centerville -follow up- too many units a ley Jenkins, Centerville - bedrooms in basement- (Jeff) follow up (o -t?'- , n/a Go ann Hyis_Eire.District '' \ v . L :?�3 Chase'St -y-,4overc�rowdin�g/apt? �6 6sto,ID.rive - basement apt` q8 8meJwnod Hy overcrowding/ apt? ncis - over crowding �.,,... ��572_ Pitchers---Sttate-reported ill gals p and�unli daycare ' Hinckley Rd, Hy -Apt B cc::",449--Seabrook VrApt- ,,���Cl0a I �� ✓ M 1 e n b sement,a t cars sales 9 Checkerberry-excavation truck/two family? All parties to report to the rear parking lot of 200 Main Street for departure at 5 PM. I can be reached on my cell 508-922-6.432 if necessary. qZ96in Robin C. Anderson Zoning Enforcement Officer Town of Barnstable 6/3/2009 Li'��� t ,' a _+ •� � � The Town of Barnstable pR tME "�► Permit# Zj( S 2,Lf Massachusetts Date s,►ttrrsr�BL& - NAM SOLID FUEL STOVE PERMIT 1659. ''.� This constitutes an official stove permit after inspection and approval by the building inspector. '' Owner V e��locl ""l Pne no.Tele ho (*— a 75���� 9 7 ---r Address of Property, 1211 l5 Village Rat tW��S' Location and Stove Type Ztawy Date: Building Inspector The solid fuel burning stove at the above location passed: failed: inspection. MLS _ Page 1 of 3 f Listing Summary Listing#20804595 132 HARBOR HILLS Rd, West Hyannisport, MA 02672 Active (05%02/08) DOM/CDOM: 174/174 $195,000 (LP) Beds: 3 Baths: 2 (2 0) (FH) Sq Ft: 864 Lot Sz: 0.230ac Town: Barn Yr: 1983 Remarks Picture Report Listing Violation Great Location! 3 beds ranch w/hardwood floors, updated kitchen w/granite countertop,upgraded bath, good size deck perfect to relax&enjoy . Hurry up! Buyer to verify tax _ ; '� u information & measurements. SHORT SALE ' ti r. r Attached Docs See Map Agent Viviane DaSilvaI (ID:U1477)Primary:508-775-9966 x1 Office Brazil Real Estate(ID:BRAZ)Phone:508-775-9966, FAX:508-775-9906 Property Type Single Family Property Subtype(s) Single Family Status Active(05/02/08) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 3% 3% 6% Yes Facilitator Comm 3% Listing Type Excl.Right to Sell Owner Name Dasilva County Barnstable Tax ID 227 Beds 3 Baths (FH) 2(2 0) Approx Square Feet 864 Sq Ft Source Field Card Lot Sq Ft(approx) 10019 Lot Acres(approx) 0.230 Lot Size Source (Field Card) Year Built 1983 Publish To Internet Yes Listing Date 05/02/08 All Office Remarks 24 Hours notice.Short Sale.Commission is subject to seller's lender approval. Brazil Real Estate will share the final commission amount equally with other brokers. Listing Page Commission-Other none Showing Instructions Appointment Req.,Call Listing Agent,Call Listing Office General Page Zoning Residential Year Built Desc. Actual Total Rooms 7 http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 10/23/2008 MLS Page 2 of 3 Total Levels 1.0 Basement Baths 0.0 Level 1 Baths 0.0 Level 2 Baths 0.0 Level 3 Baths 0.0 Basement Yes Basement Description Full, Interior Access,Walk Out Foundation Concrete Foundation Width 36 Foundation Depth 24 Fndation Wing Width 0 Fndation Wing Depth 0 Irregular Yes Lot Depth 0 Lot Width 0 Topography/Lot Desc. Gentle Slope Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage No #of Cars #0 Year Round Yes Separate Living Qtrs No Waterfront No Water View No Convenient To In Town Location,School Miles to Beach .5-1 Water Access Ocean,Public Beach Description Ocean Beach Ownership Public Street Description Paved,Public Interior Page Fireplace No Number of Fireplaces #0 Floors Hardwood,Tile Exterior Style Ranch Pool No Dock No Exterior Features Deck,Exterior Lighting,Yard,Outbuilding Roof Description Asphalt,Pitched Siding Description Clapboard,Shingle Mechanical Heating/Cooling Natural Gas,Hot Air Water/Sewer/Utility Cable,Septic,Electricity,Gas,Telephone,Town Water Hot Water/Water Heat Natural Gas Legal/Tax Annual Tax $2241 Tax Year 2008 Land Assessments $161800 Improvement Asmt $113800 Other Assessments $11400 Total Assessments $287000 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Special Asmt Pending Unknown Mass Use Code 101-Single Family Title Reference-Book 18153 http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 10/23/2008 f MLS Page 3 of 3 Title Reference-Page 202 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Asbestos Unknown Flood Zone Unknown Information has not been verified,is not guaranteed,and is subject to change.Copyright 2006 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved Copyright©2008 Rapattoni Corporation.All rights reserved. Generated: 10/23/08 12:08pm PCIVVERSm sv Ra a#tan http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 10/23/2008 G p� Sk 20864 Pa 247 18967 O I 03--29-2006 a 02 a 19P eturn To: FHHLC - POST CLOSING MAIL ROOM t--l5'55—W. WALNUT', HILL LN. #200 MC'-712 IRVZNG;-TX 75038 Prepared By: FIRST HORIZON HOME LOAN CORPORATION 29 BASSETT LANE HYANNIS, MA 02601 [Space Above This Line For Recording Data] - FHA Case No. State of Massachusetts MORTGAGE 251-3202406-703 MIN 100085200574478071 THIS MORTGAGE ("Security Instrument") is given on March 24, 2006 The Mortgagor is ERIMERKS BORDIM DA SILVA ('Borrower").This Security Instrument is given to Mortgage Electronic Registration Systems,Inc.("MERS"),(solely as nominee for Lender,as hereinafter defined,and Lender's successors and assigns),as mortgagee.MERS is organized and existing under the laws of Delaware, and has an address and telephone number of P.O. Box 2026, Flint, MI 48501-2026, tel. (888) 679-MERS. FIRST HORIZON HOME LOAN CORPORATION , ("Lender") is organized and existing under the laws of THE STATE OF KANSAS ,and has an address of 4000 Horizon Way, Irving, Texas 75063 .Borrower owes Lender the principal sum of TWO HUNDRED SIXTY SIX THOUSAND SEVEN HUNDRED FORTY TWO & 00/100 Dollars(U.S.$ 266,742.00 ). This debt is evidenced by Borrower's note dated the same date as this Security Instrument ("Note"), which provides for monthly payments, with the full debt, if not paid earlier, due and payable on APRIL 1, 2036 ,This Security Instrument secures to Lender: (a)the repayment of the debt evidenced by the Note,with interest,and all renewals,extensions and modifications of the Note; (b)the payment of all other sums,with interest, advanced under paragraph 7 to protect the security of this Security Instrument; and (c) the performance 0057447807 FHA Massachusetts Mortgage with MERS-4/96 40 4N(MA)(oaot) Amended 2/01 Page 1 otVMP Mortgage Solutions(800(521J291 — I�I�Il�I IIIIII�II�tlll�(lf!IIII till Bk 23146 P0315 04.7373 1�9-1�-2i7�E' a'•i 11�= 48a (SEAL) THE COMMONWEALTH OF MASSACHUSETTS ; LAND COURT DEPARTMENT OF THE TRIAL COURT To: OS MISC 38085 titill���ll� Erimerks Bordim Da Silva and to all persons entitled to the benefit of the Servicemembers Civil Relief Act. FIRST HORIZON HOME LOANS,A DIVISION OF FIRST TENNESSEE BANK, NATIONAL ASSOCIATION successor by merger to First Horizon Home Loan Corporation claiming to be the holder of a Mortgage covering real property in West Hyannisport, numbered 132 Harbor Hills Road given by Erimerks Bordim Da Silva to Mortgage Electronic Registration Systems,Inc.,dated March 24,2006,and recorded with the Barnstable County Registry of Deeds at Book 20864,Page 247 and now held by the plaintiff by assignment has filed with said court a complaint for authority to foreclose said mortgage in the manner following: by entry and possession and exercise of power of sale. If you are entitled to the benefits of the Servicemembers Civil Relief Act as amended and you object to such foreclosure you or your attorney should file a written appearance and answer in said court at Boston on or before the OCT 13 2008 or you may be forever barred from claiming that such foreclosure is invalid u2bsaid act. Witness,KARYN F.SCHEIER,Chief Justice o sa d,Court on AUG 2 8 A TRUE COPY Attest: ATTEST DEBORAH J.PATTERSON ao RECORDER RECORDER 200804-1922-ORE (?XT. BARNSTABLE REGISTRY OF DEEDS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma 2Z p Parcel O Permit# '49-3 Health Division 1. ,�lC o °/��� Date Issued Conservation Division /O (, 1 �. Fee 02� C90 Tax Collector "T ''LLPSC- Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address `'3 Z V_-ko,n VIA V Village •�2�� 1r �.1 �.,,J ,mil 5 ' -�� Owner „v���-� '���•Z- Address OPTS-5 v, IZT�A AJ-p-Sw•�� ltS g�a'�e cbt�� Telephone s-q 3 L4 ( :Sy,Z8 Permit Request Q. x.? �8 Square feet: t floor: existing '6Ee proposed d floor: existing proposed Total new Valuation3��' Zoning District Flood Plain Groundwater Overlay . Construction Type 0—VJ Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family iK Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl YfWalkout ❑Other Basement Finished Areas .ft. Basement Unfinished Areas .ft Number of Baths: Full: existing 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 ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number S�V cA 2Q L"Wl Address 33 License# G5 1>e 3qq c 5�o P S ,,•���� ,�� o7-4.ql _ Home Improvement Contractor# \ Z-to 0 Worker's Compensation# 44 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r 0 A 0- FOR OFFICIAL USE ONLY ` PE I IIT NO. DATE ISSUED' MAP/PARCEL NO. ADDRESS •VILLAGE OWNER ,fir >a• .J - DATE OF INSPECTION.! , FOUNDATION - ' FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL S r k. PLUMBING: ROUGH FINAL 4 i GAS: ROUGH FINAL FINAL BUILDING F DATE CLOSED OUT t` 1 • ASSOCIATION PLAN NO. The Cotnmonwealth of Massachusetts Z ' -- Department of Industrial Accidents S Olfice vtJayvstigauons 600 Washington Street '., - �'y r Boston,Mass. 02111 Workers' Compensation Insurance Affidavit . iiniic^ni�ifQWAM name 's►%aL locattcn ►3'L bac...�.�ocnti-����s SZD � L city Vk`1C.V4�,5 ae2 CL , vhone# �oS" `62D ZK C I am a homeowner performing all work myself Q�I am a sole vromrietor and have no one working m any cxaaaty „ ..... [� I am an employer providing workers' compensation for my employees working on this job. ::::.: comaatn•name: ' :.. .. address: . . ............ ..:,.. :.:phone.#:...;:_: : :.....: �;...,:..,.:..:.. .. city " M urnnce co- noiicv0.. IS I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below �•:•= have the iollo«ing workers compensation polices: ...... 1 :>:: •comDanvname. ;•::--::.:... .:;.•< -}i}::�aavxr>:.::'::::: ;:>:;:;fic�:rx,:k;}:},:.:_.::::;<:,:i;:<;::::.>'<;;;;:;:;i.>:;:;;. ;;. . address: ::,::-.:. ..........:....� ......:...::.:.... ...... .. .. .. ............. .. ... .-:,.... ...:..-,. •-}X:r-:•::ii�ii:i:':':is:: ?i:�::+�ii:i ii'Fiii:�:.�. ci tv 4 O 41 .... ....v..:.�.. .. ................ ... .......::::........................... ... ....:,:.:.:.. .....:...:.... - ............................ ...:::. :•xriitivi-.:,v:?•}r:::ii{: "i:::::::nv::�v ........... ......... ::•.::. :..n}}}tiff?Sti}: ::::::: iti ..............:::::.:.....�:.�::•.:.......-..:....... ..•..-.......-:.:..... ..... ,:........:.v:::::}.S,v:: ..•....:.:...•:{•Xri•:v}.:}:;}}:;{:{:::::;::•}Y•:iiv':-:�:'i:iii}i<S•:!�i:�:;:j;; insurance co. . ..... .. ::::.....::::.:... .. .....................................:........:.h.,. . ::sr n •...........:::•.:.:::: camnanv name: addr^ss: :'_ v :..::. . ....,.: ........:.:,. ,. .....::. . ...::.••hone' . •.. ......:.:ii:::::::::::•.�::::w:::..v::::.:::::::?.............:::::::......?....... :i:. i:.ii:•ii:i'�i:ti� riN:�j: ::�:'.�: CV insurnnce CO. ,ijtis ,9 Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposWm of criminal penaltiesof a fine ap to SI.S00.00 and/or one vear'imprisonment as well as civil pities is the form of a STOP FORK ORDER and a Me of S100.00 a day against me. I understand that a cony Of this statement may be forwarded to the Oince of Investigations of theDIA for coverage yeritleation. I do herenv certify under the pains and penalties of perjury that the information provided above is truce mid correct Date t o A3 A0Z) Prrt:ame �C J �Ic� Ca Phone# 50- 4 ZO X: 11:1 < f n�llcW use only do not write in this area to be completed by city or town of vial cite or town: permitilicense 0 - ❑Building Department ❑j,icensing Board ❑Selectmen's Office � check if immediate response is required Aeslth D e patvnent Other _ phone#, --- s contact person: _ r -:; r Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all .employers to provide workers' compensation for thy: Died from the "law",an employee is dew as everypion in the service of another under any cow- employees. As quoted of hire, express or implied, oral or written• association, corporation or other legal entity, or any two or more c: An employer is defined as an individual,partnership, representatives of a deceased employer, or the rec-, the foregoing engaged in a joint enterprise,and including the legal rep association or other legal entity, employing employees. However,the owner of a trustee of an individual,partnership, a who them or the occupant of the dwelling house of dwelling house having not more than three aP house or on the grounds another who employs persons to do maintenance, cons=cdou or mpg work an such dwelling thereto shall not because of such employment be deemed to be an employer. building appurtenant _ GL chapter 15Z section ZS also states that every state or local licensing agency shall withhold the issuance or renev M P Y applicant who h: of a license or permit to operate a business or to construct buildings in the commonwealth for an a p not pro acceptable evidence of compliance with the insurance coverage required. Additionally,neither the P shall enter into any contract for the performance of public work uu^ commonwealth nor any of its political subdivisions of this chapter have bees presented to the coati.-c' -= acceptable evidence of compliance with the insurance authority. %//�/. lippr /MR/ N'Applicants checking the box that applies to yourtuation and Please fill in the workers' compensation affida* y' a certifies of insurance as all affidavits mar be long with Y supplying comPanY��address phone numb confirmation of insurance coverage. Also be sure to sign ono fi 1submitted to the Department town the application for the e*mtt or ' date the affidavit. The affidavit should be retnraed to the city �"law" a:i �iccidents. Should you have any questions regarft being requested,not the Departmad ofIndasmrial .- ....lease can the Department at the rrimber Iisted below. are required to obtain a workers' cpeasatiam Policy,P _- - City or Towns out event wIete and minted legibly. The Department has Provided a space at the bottom of Please be sure that the affidavit is ca®p _ to contact you regarding the aPPncaaL Pe affidavit for YOU to fill ffice of nnmber. The affidavits may be realraiZ t^ be store to fill in the peimitllicense mmtbez which will be used as a reference the Department by mafi or FAX unless other'M=g=mft have been made• The Office of Investigations would lose to thank you in advm=for You cooperation and should you have any questiom. please do not hesitate to give us a roll. The Department�s address,telephone and fax member: The Commonwealth Of Massachusetts Department of Industrial Accidents Once of Inver ganons 600 Washington street - Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 I �i THE tp� ti The Town of Barnstable � Regulatory Services EONw+°�� Thomas F. Geiler, Director. Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Faxl 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Z2 c AJ C24...p�a,c,e. A44--i Estimated Cost -7 t� Address of Work: k4 d i laf) LZeS+� A+-LA,O���•�� ,N( q Owner's Name: ukkW—t. Date of Application: t o I r$ 10U I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner 10 l3/ov ��i--•c� 1e,•+�1.e c� LS o(0(0 3�-( Date Contra .or Name Registration No. OR Date Owner's Name q:forms:Affldav mr.`- ,.`�••.;�ltC Z/JryI)tiI12lNt(IJ�L OL�UGtUQC�d F ,• BOARD OF BUILDING REGULATIONS ' �j tense: CONSTRUCTION SUPERVISOR ,f Number.CS. 066349 • BirthOte 06YZt%1960 a Expirt .O6t21t2001 Tr.no: 10347 Restricted To: 00 . BRIAN H HENNIGAN 33 BOSUNS WAY - _ MARSTONS MILLS, MA 02648 Administrator .. .- � 'r�C......-�-:•�»-.n nt-..A..r.cs ...«s_d..t+.i1:-2;'°�;S-.. 61 lze �arvnonu�ea�! o�/�aaaac�iUanita Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 122260 Expiration: 08/O8/2002 Type: INDIVIDUAL BRIAN HENNIGAN BRIAN HENNIGAN 33 BOSUNS WAY _ MARSTONS MILLS,MA 02648 + Administrator Building Inspector, Town of Barnstable,Ma. Sir, Nose let this letter serve as authorization for Mr.Brian Hannigan,Construction Supervisor License s#066349,to act as an agent on my behalf in the matter of the relalacetneaat of the existing deck at my hone at #! 132 Harbor Hills Rd.,West Hyannisport, Ma. If you have any clueetions,please advise. Sincerely, Mike Diaz (508)771-0264/(954)3465628 10/10/00 PROPOSED DECK REPLACEMEgT Drawn by for Mike Diaz Brian Heruvgan at 132HaiborHiUs Rd. MA.CSL#066349 West Hymun sport;Ma. MASK#122260 coved apprx. -. (508)420-2417 488 sq.H distance to lot line}15' Shaded Areas represent Emoting Deck 25' 00 iv I M �t N we 12' I Typical Detail galvanized steel joist hangers 4"x 4"railing posts ahmi"m flashing 1"pt spacer balusters spaced 5"max 2"x8"attacked to frame every 32"with two 1C2"galvanizedbolts 514"x6"pt decking 2"x8"pt-16"one r 2"x8"double beambolted to posts i /.� 4"x6"pt posts-7 on center I max distance 9'6" 10"sonatubes-4'below grade 0.4 F. 5 6. Lor. 3 L 'N /OQ.cOp '. 2z q � O ra 1 J wA« 4s. f t 1 fl � . . ' �Ln oL 3 v o s,t- � O � . 1 03 3v � d � Q LaT 3� ter. _ • s A 0F ''s CERTIFIED PLOT PLAN L r�`r Z IN su SCALE, '/"=30 DATES 6AiIe3 LORED!iF. ENLINE sy �e 1 C RI/VG � IIlI CERTIFY THAT THE CLIENT LCENOINEER STERED REGISTERED SHOWN ON THIS PLAN IS LOCATED JOB NO. �� 66 ON THE GROUND AS INDICATED AND CONFORMS® TO THE ZONING LAWS VIL LAN®SURVEYORO, DR.BYl OF BARNSTABLE * MASS. 712 MAIN ST. - CH.®Yi `/�_ HYANNIS MASS. ' SHEET OF DATE R G. LAND suRVFYnR Property Location: HARBOR HELLS RD CENT MAP ID: 227/096/// Vision ID:15885 Other ID: Bldg#: I Card 1 of 1 Print Date: 10/13/2000- "n" Element Ca. Ch. Description Commercial Vataklements T — Sf�Fe/Type ai�ch H R Element Cd. Ch. Description Wode] )i Residential Heat&AU 3rade )C C Frame Type VVE)K 12 Baths/Plumbing 'tones 1 1 Story Occupancy )0 Ceiling/Wall Rooms/Prtns 10 10 Exterior Wall 1 14 Wood Shingle %Common Wall 2 all Height Roof Structure 03 Gable/Hip 12 Roof Cover 03 Asph/F GIs/Cmp UHM AS Interior Wall 1 05 il , Drywall 1 1- 1 �, � 2 Element Code Description Factor terior Floor 1 20 Typical Co­mpTe_x 2 Floor Adj Unit Location Heating Fuel 3 as Heating Type )9 Typical Number of Units AC Type )i one Number of Levels 24 24 %Ownership edrooms 3 3 Bedrooms Bathrooms 1 2 Bathrooms Mu 0 2 Full Onadj.Base to 48.00 Total Rooms 7 Rooms Size Adj.Factor 1.27431 Grade(Q)Index 1.01 Bath Type Adj.Base Rate 61.78 Kitchen Style Bldg.Value New 64,807 36 Year Built 1983 Eff.Year Built 1983 NrmI Physcl Dep 14 Funcn]Obslnc Econ Obslnc Sy Spec].Cond.Code a L'202 Spec]Cond% u*, Code Description 101D [ingle v am Overall%Cond. 1 Deprec.Bldg Value 9,000 Fireplace ISty ---B— I TUU"0 19FF___-T—TU(F-------2-6M FPO 'FE7FP Opening B 1 800.00 1983 1 100 700 &A�, UIL Go de Description nits Unit Price Yr. Dp Rt %C;nd Apr. Value VFLI PO P4 B rFA Bsmt Fin-Aver B 600 15.00 1983 1 100 7,700 'Myu,M LAID E Code Description Living Area Uross Area Eff Area Unit cost undeprec. HAS First Floor 864 864 864 61.78 53,373 UBM Basement,Unfinished 0 864 173 12.37 10,688 WDK Wood Deck 0 120 12 6.18 741 M Gro! iv ease A Wa— 1,049 64,80 7 - Property loca'tiv3i AARBDR'HIL'LS RD CENT MAP7D: `227/`096/// Vision ID: 15885 Other ID: Bldg#: 1 Card 1 of 1 Print Date:10/13/2000 .,j^ .;, .; F_. i; :€,;:. ,. % ix✓,_'.�,..: .,..t-. a dam' �' .te,•r r,r f ,�i s ... �'.�.< ir,.. Description o e Appraised value ASSeSSea value %DIAZ,MICHAEL J&GAIL A 801 59 SW 100TH TERR RESIDNTL 1010 70,000 70,000 ORAL SPRINGS,FL 33071 4EEH Barnstable 2000,MA rtccoun an Rer. ax Dist. 300 Land Ct# er.Prop. #SR VISION Life Estate DL 1 LOT 2 Notes: DL2 GIS ID latall 104,200 104,ZOU 0,., ... •,,,irs a t�•✓,.�... ....,, � ,. S,. �>.� .:�� ,� :,�, .ter,, >;�:. r. Code ASSeSSea value Yr. Code ASSeSSea value Yr. Code Assessed value IAZ,MICH 4 FL J 11923/244 12/17/1998 U I 1 lA , IAZ,MICHAEL J&GAIL A 10974/190 09/26/1997 U I 1 lA 1999 1010 7090001998 1010 70,000 IAZ,MICHAEL J 10974/180 09/26/1997 Q I 102,000 00 CCOLLOUGH,CHARLES R&CAROL K 3926/310 11/15/1983 Q I 699000 HEARER, 05/15/1983 Q V 15,500 ota: IU4,2UUota: ota: 1169 F is ac now a es a visit a DataColector or ssessor . .__,�. .., ._ :. Wig—natureg Y Year lypelDescription Amount Code Description Number Amount Comm.Int. APPIU Appraised Bldg.Value(Card) 59,000 Appraised XF(B)Value(Bldg) 11,000 ota: Appraised OB(L)Value(Bldg) 0 Spe ial Land Valueraised Land lue(Bldg) 349200 �,. A, Total Appraised Card Value 104,200 Total Appraised Parcel Value 104,200 Valuation Method: Cost/Market Valuation Net I otal AppraisedParcel Value 104,200 =:,,; .,.,: �, • - - ,� ,' ,,. , F ✓- " s'. —Waft Y Permit 7D Issue Date Jjvpe escription Amount Insp.Date o Comp. Date Comp. Comments Date ID Cd. PurposelResult '. moo', a ✓ k . use Code Description Zone D Prontage Depth --nits Unit Price L Pactor actor Nbhd. A dj. otes-AdjISpecial Pricing Adj. Unit -rice Lana value Single Fain , , o es: , 34,209 TotalCardan ni Parcelota an rea: ota an a u , a ° G v S 3 EL= ioo.o J t V q LOT n / =1 LA I1 /� Dmr n LOT M114 LEAu4,P.r ' 1 c� 4�, pCTAhJI LJt� _— � ; O MSS L _� 'ALE' I �. O•t► LET 'L a S �, .p Mit nu4 o r suvt,4 L =T I" Icvo DT14 IIo' s . p- s. 9 . LEGEND EXISTING SPOT ELEVATION Call) ������ °Fn s.. CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 ALE 'i Lo-� 2 t-*'-►1-d v fe- f; lc. e ��n FINISHED• SPOT ELEVATION CL'A I FMISHED CONTOUR 0 � RSE ' o v No.10951 O 4 IN APMOVED BOARD OF HEALTH A90 No. N�``+•r 1 rs/ONAL Ec* ���� .8�1�,� � • D TA E AGENT SCALE$ — Z ca DATE., LDREDQE .ENGINEERING CQ CLIENT I CERTIFY THAT THE PROPOSED C 11 :4LIleff ISTERE REGISTLgl JOB gip. S A IIILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS RV @IQ.®Yo XAM OF BARNSTAGLE, ABS. 712 MAIN; S TR E ET. CK.. By' Jae. . . 5 ,1, 'a3 Q-��__,� HYANN I S,, MA39. / `1� SHEET,I. QR Q ME G. LAND SURVEYOR },�„ ;. � .;'4 t t a+ ; �..N. .. w + ;�., � .:+•, _t 1 ry:•��' � -'"�"k�'',tiyG.-n Y.,� .:yy '�-..�d.x'3�;,,,^rv..k+'�-.,•HST+M r .y BA NSr\S"/T.•AB ` LETOWN 0F .;+2�5,2�32 Permit wlding. Inspector, �, Cash ..:r OCCUPANCY P.ERMIT,:=,., Borid �- fIJ � 3 R. Shearer Issued to ..,Address " lot 0• , 132 HarboY :Hz11s Road,,.West Elyarilusport. Wiring Inspector Inspection date A' Plumbing I c�C �_ g nspector Inspection date Gas-Inspector a Ir 'v�tr • ",�<,!> Inspection date: ' Engineering Department _ ���f` , Inspection date / �•�...� q _/ rig... 0 \ r a __r�� +•. Board of Health r //lF+� y� ;, as", Inspection date _ THIS PERMIT,WILL,NOT BE.VALID, \AND THE-BUILDING SHALL NOT BE AOCCUPIED.,.UNTIL SIGN> D,BY THE 'BUILDING 'INSPECTOR UPON SATISFACTORY yCOMPLIANCE WITH TOWN REQUIREMENTS AND IN.ACCORDANCE;WI_TH.SECTION.119:0 OF.THE-MASSACHUSETTS'STATE' BUILDING CODE_ ' ....................�, 19._..._._ '. r` Building Inspector Assessor's map and lot number ... 22.7—,2!6.........:. ... g r 3 /®�! 0 . -�� ;� 1v� +AJs4.,�� �oF THE roe r Gl� / oi Sewage Permit number ......:......1........✓ .. LL 4N o"..W1 't y evP ♦o� IT71i 9 �.Y l; B�HBSTODLE. House number .............. "p�/ �y / �. '. ..............................l...................... l�Ci,H C.3 9 iF7T�.L +C.Pew'Li � yO _ M6 6 f O 19. 6� TOWN OF BA_ RNSTABLE BUILDIK" ;11S.HCTOR , APPLICATION 'FOR PERMIT TO .... ... .....�............................................�............ ,.......................................... . TYPE OV CONSTRUCTION. ....... . ........... .............................................. ....-..............................19........ TO 'THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to-the, following information: Location ............... �. ...................J32 d 2 /l C.:..................... / �.... .s... ......�................ 7 ProposedUse .....:..... .. .. .�...................�... .................... ...............................//.................... Zoning District .. ....� . ��V....... Fire District ......... . .................................................. Name,of Owner ..L1..... /Zi��E��.........` ........Address .... ......... .. .............. .................. Name of Builder gX.T£4 .....: .�..55.............: .Address ................ :`�...� .....: .cm......��.�............... Name of Architect .............:....................................................Address ............. Number of Rooms ............ ..... ......................................::Foundation ..../(D0-A1L�?.......... �1?'S..C!:Q . .................:.. 1 Exterior .... e� ��,�' �.�................................Roofing .......� :. ................................................ . ... ...... ......... Floors ..............( 1� ...... .. "-Z l ................... ..........Interior ....... ...............6G/� Heating .........�.......... .. .. ........ � ......Plumbing ...... ....�...........G.J...� j Co ..�.:..�...F.......... 6-&-0/D'�� ..... .....Approximate Cost �Fireplace .... .7. ........................;.... , Q/ ... . .. ' Definitive Plan Approved by Planning __ _Board ___________ ______ _._________19________. Area ........5�+?. .. o ........ Diagram of Lot and Building with Dimensions Fee � . SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby -agree to conform,to all the Rules and Regulations of the Town of Barnstable re arding the above construction. Name ,. .... r....................... ®�z Construction Supervisor's License .................. ...........:..... SHEARER, K. 4- 25232 ' One Story 0.................. Permit for .................................... .Single Family Dwelling i............I.................................................................... 7 Lot #2, 132 Harbor ,Hills Rd. Location ...............................................................[west Hyannis ort t" .................... .................... Owner ...t.-.K......S.h.ear ...er................................. . .. . . .. ....... .... _j 4i Type,.6f Construction. .......F.ra.m.e........................ .... .. .. . .......... ................................... ..................... a. Plot ............................. Lot ............................. r. June 22, 83 Permit Granted ............ .............................19 Date-of Inspection . ............... ..7/ i qkO Date Completed .............i qX3 L off" vv � -9�6MA Q u�vQ I00T r,. PPcCrFCDe0 Io00,GAL � \ 6 i e• � 1LJ. Q LOT �7 f r GAWIC,E cl i� � p MI4 p SUIN LoT � �.3? - L v.i 1�-r-ti 4 LEGEND °F CERTIFIED PLOT PLAN �a13tINO OPOT ELEVATION OxO "''ss EXIBTINQ CONTOUR ___ O _..- 4? Al E a7 FINISHED, SPOT ELEVATION —A(G\/ L_LE- PH319HED CONTOUR 0 � ORSE ' L� No.10951 Q � A# OVED BOARD OF HEALTH ,ST���a�c�syL� } SS�ONAL D TATA E AGENT SCALE I "-2 c� DATE S 73 �. MED. E'INOINEERlAfe CLIaNT ' 1 CERTIFY THAT THE PROPOSED HISTE114, ML STMED J®® no. 8 BUILDING OHO1tilN ON THIS PLAN CIVIL AND �,, 4" . CONFORMS TO THE ZONINO LAWS Ir aim.. V m.a :,. - ti...'� 0P BARMSTA LE9 leas. 712 MAl M STREET.. CW. DYE MYAIdN 0 31, MA83. ti SH2ET..LOF ...` DATE Laao SURVEYOR i #. - 1 st�: t�' E R • :,� I^^coo' wry Dn-1QQ � X P'' 4 S y g E Y E (p ' t _ LET L a j � LL .r _ hF #'�.•, tit a,.n ,>Y.. � _ '° ti d L nl . z 03 J v( 4.1 4 � i k' f Y. ®F CERTIFIED PLOT PLAN f c Cie, �c� t/i��e IN SCALE= '1"=30 DATEI b%Zl�e L® E®GE EHrQIIOdElP!l�a� ll�i �I ,C :AC' I CERTIFY THAT THE ltovwG�l.7rv•� %;1ENT' - SHOWN ON THIS PLAN IS LOCATED EGISTEREO REGISTERED �v �f� ON THE GROUND AS INDICATED ANID CIVIL I LAN® 1 . JOQ_ N0• ENGINEER SURVEYOR pR,SYe CONFORMS TO THE ZONING LAWS ' OF BARNSTASILE , MASS. �= 712 MAIN ST CH:fly, - WYANNIS, MASS: .. SHEET tAF < DATE; R G. LAND SURVEYOR x Assessor's map and lot number ... ................ �oFT�ETo� Sewage Permit number .....3 ....�® /lIG4 b MARNSTADLE, i House number ............. 9�os,r b 9 \e�0 �FG YPY A`' TOWN OF .BARNSTABLE - --- BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....1 ' % d S ` ' �£ TYPEOF CONSTRUCTION ..........r......................................1...................................................................................... (� a ...........................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thee (following information: Location ............... �'?�`z. -........ ��........ .....`..6.�9E�&fe ;. i ...... ........... Proposed Use &--5�'�,,,)e"/i/7—/%j�.i--.............................................................................................:....................... ............... ................ ,.... ZoningDistrict ..........a...................................................Fire District .........C.5p/o................................................... i Name of Owner Tja .37J—kq1«. ���Zrq /.....................:......Address ....;...........`................. .. ............................................... f�'PA7£ Address .....................................................j� /2 Name of Builder ... ............................................................... ...................I........... Nameof Architect ............................................. ....................Address .................................................................................... Number of Rooms ............ .... ...........,............................Foundation .... C?.fJ�;Q...... t:. .� '. ...................... Exterior .... c/ C(G (7 Roofing ........:/,� .... �....... ..........�..... g , ........ ................................................... l Floors �GN/JL't' / f/�!(� Interiors ......................................... Heating- a7CD -' � .........Plumbing ...........2Y< �. .. ......., .....1 ` . € . Fireplace ....'!"`�"- .....�f...` ''`-.... .v �"� ! �� ....Approximate Cost .............................................. Definitive Plan Approved by Planning Board -----------__________--------19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............................................. .......... ............... Construction Supervisor's License .J.......�-2— SHEARER, K. A=227-96 25232 One Story No i............... Permit for .................................... .......S.iAgle...Famil'y...J).W.e I.u rig.............. Location ...L.Qt..2. .....132-11arbar..Hi.11s. Rcl. West Hyannisport K. Shearer Owner .................................................................. Type of Construction ....JF.r.ame......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .........................l..............19 83 Date of Inspection ....................................19 Date Completed .......................................19