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HomeMy WebLinkAbout0034 MAIN STREET (CENT.) �Ag 9"k N f ul 0, ol It ii ji �T tJ O%o'. "IF -Nn Wit I'Ll "."t,V I ?'Ili t-... Ill. ".",-,I t,,I,il,"'..—I�: �, It tl itifftIitItItitIfItifIIttitItItiIIIfIIItfI1I Town of BarnstableBuilding PostsThis Card So That it is Visible.From the Street Approved-:Plans Must bey Retained on>Job and this Car d Must beKept BA 4 IF nA BLB, y a - . mwss Posted Until,Final Inspection Has;Been Made. & ba� Whei?e a Certificate of Occupancy;is-Required,such Building shall No be Occupied until a Final Inspection has been made ID mit _ .,. Permit'No. B-20-152 Applicant Name: Approvals Date Issued: 01/17/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/17/2020 Foundation: Location: 34 MAIN STREET(CENT.),CENTERVILLE Map/Lot: 228-011 Zoning District: RD-1 Sheathing: Owner on.Record: ANNAND,SCOTT& LAURA Contractor Name', ALTERNATIVE WEATHERIZATION Framing: 1 NC. Address: 16 THISTLE DRIVE 2 CENTERVILLE, MA 02632 Contractor License: 175683 Chimney: Description: Weatherization Est Project Cost: $3,623.00 Insulation: V ,Permit Fee: $85.00 Project Review Req: Fee Paid': $85.00 Final: Date. 1/17/2020 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authoed by this permit is commenced within six•months after issuance. Rough Gas: r All work authorized by this permit shall conform to the approved applicationand the'approved construction documents for whichAhis permit has been granted. All construction,alterations and changes of use of any building and structures shall:be in compliance with the local zoning bylaws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the a work until the completion,of the same. � '� � � � � � �� - . Electrical r Service: The Certificate of Occupancy will not be issued until all applicable signatures l y the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:l Rough: 1.Foundation or Footing 2.Sheathing Inspection Final 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage 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: "Perso acting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site. c All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT su d.. ApPli _ ) !. .... cation number C?C� /. TOWS pF .. ........................... �� .Issued ! /T Lv _ 2OZ°> !` I ing Inspectors Initials ..... ,. .- . .. ,.aP/Parcel- .5���� ...4� ....... TOWN OF BARNST"LE s r, t a :EXPEDITED"°REKNIT APPLICATION.:: w= ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATBERIZATION W F PROPERTY INFORMATION " 4; AddressofPro ect. NUMBS ¢ ' r STREET ` GE- Owner's1 Name: ' �o ~PhoneN. .l7 41 Email Address:_RW aAd VaAbb, Cell:Phone.Number i Project c Check one Residential L!. Commercials $. . € , WNER'.'S AUTHORIZATION f As owner ofahe.above property I hereby authorize �Qe 'd7 %'`` to make application for a buildingr permit in accordance with 78 1.TO k Owner Signature: u- Date: TYPE OF WORK � I+ s i� !�. � �. `' � SidugW�idows,(noheader-.change):# . r � Insulation/V�eatherization 0 Doors(no header change)# Commercial Doorsarequar7.0 e an inspector sirevtew .., 0 Roof(not applying more thanI layer of shingles) , Construction Debns will,be going to ;. } CONTRACTOR'S INFORMATION. Contractor's name ; 3 r x k , Home Improvement Contractors Registration(if applicable)# . / � �,3 (attach copy) •.3 ` ,}:A -, o- fir .Ctv 1#alp 'r.! a.,::z a .t' f i r"•y' 4 r2'X ? :a' 5 'fir.'r 5 s z,xy x t'i+zz. p 4 rrF y , Construction Supervisor's License# . / y (attach copy). Email of Contractor- 7 D P.1"�'lGL�7GGtJJ�,c171�1; Phone,number e A `PR OPERTIES THAT,;H ,STR AVEUCTURES OVER75 YEARS.OLD OR IF THE SUBJECT LL PROPERTY IS_IN . A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE.A PERMIT CAN BE 155UED. APPLICATION NUMBER...................................................r........ *For Tents Only* Date Tent(s) will be erected t Removed on number of tents total Does the tent have sides?Yes No . , r(If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require,Fire Department approval, *WOOD/COAL/PELLET STOVES S Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APP IC T'S SIGNATURE Signature (/ Date / w All permit applications are subject to a building official's approval prior to issuance. Permit Authorization mass save Form Swvh4s tevaugh eneW aff5dancy Site ID: 3962298 Customer: Scott Annand I, � �• . ,owner of the property located at: (Owner's Name,p(nted) 34 Main Street Centerville, MA 02632 (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Signature: Date: aoaam� ooa�oaa��a000 �ono�+aooe���a�a,asr��o�a�+a :�a �r+a+�+ac���am��eaoa�o� aap FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Liate ` h Name: RISE Engineering Phone: 401-784-3700 Email: Page 1 of 1 ForO I ffice.0se Only Rev. 102015 I - The Commonwealth of Massachusetts v Department of Industrial Accidents s I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNIITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC.' Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: - Type of project(required): 1.E]I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.M I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole l L❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.f7 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other INSULATION 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:LIBERTY MUTUAL INSURANCE Policy#or Self-ins.Lic.#:XW058867158 Expiration Date:06/07/2020 Job Site Address:. //C � ' City/State/Zip: "ekf Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.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 e ' ` s an alti so e ury that the information provided above is true and correct Si ature: Date: f' Phone#:508-567-4240 ' 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#: I Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations'and Standards Const`p_'00!�{S rvisor CS-105454 P ires:05/08/2021 TIMOTHY CARAL. So DICKINSONSTREET> 0 FALL RNER AdA 027 '1 2 A Commissioner �Toe, Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvern�nt-Contractor Registration Type: Corporation K• g Registration: 175683 ALTERNATIVE WEATHERIZATION, INC. �� Expiration: 05/28l2021 2 LARK ST FALL RIVER, MA 02721 ((( c r Update Address and Return Card. SCA 1 G 20M-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR _ Registration valid for individual use only TYPE.Corporation before the expiration date. If found return to: Real on Expiration Office of Consumer Affairs and Business Regulation 1=7:5683_ 05/28/2021 1000 Washington Stre -Suite 710 --��� f ton,MA 02118 ALTERNATIVE,'t�- NERIZATION,INC. 15—._. TIMOTHY CABRAL 2 LARK STs �(G.r�Glosol FALL RIVER,MA 02- 1— Undersecretary of VA ithou signature I 11 DATE(MMIDDIWYY) r CERTIFICATE OF LIABILITY INSURANCE Fo5 DDI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER WNIACI NAME: Anthony F.Cordeiro Insurance Agency PHONE N Ext: 508-677-0407 FAX No: 508-677-0409 171 Pleasant Street E-MAIL Fall River,MA 02721 ADDRESS: HSouza@Cordeirolnsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Liberty Mutual INSURED INSURER B: Ohio Security Alternative Weatherization INSURER C: Ohio Casualty 2 Lark St INSURER D Fall River,MA 02721 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR UULr POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MM/DDIYYYY LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Fx]OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any oneperson) $ 15,000 A Y Y BKS58867158 06/07/19 06/07/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000 000 ANY AUTO BODILY INJURY(Per person) $ B OWNED P SCHEDULED Y BAS58867158 O6/07/19 06/07/20BODILY INJURY(Per accident $ AUTOS ONLYAUTOS )HIRED NON-OWNED PROPERTYDAMAGE $AUTOS ONLYAUTOS ONLY Per accident $ x UMBRELLA LIAB M OCCUR. EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE Y . Y US058867158 06/07/19 06/07/20 AGGREGATE $ 1,000,000 DED I I RETENTION$ r $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? n N/A XWO58867158 _ 06/07/19 06/07/20 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Action Inc and NGRID,USA,its direct and indirect parents,subsidiaries and affiliatesshall be named as Additional Insured on commercial General Liability and Automobile Liability polcies. CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road Waltham,MA 02451 AUTHORIZED REPRESENT fl ©19 -2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Mar, 3. 2020 11 :43AM ALTERNATIVE WEATHERIZATION, INC No. 5246 P. 1. ALTERNATIVE' WEATHERIZATI'O•N X-PR ES'PEA IT . MAR 0 3 2020 k TOWN OF B _, Date. �E=, 'F ' a'LE — Z3o2,6 Town of Barnstable 200 Maim St Hyannis,MA 02601 RcPermit# '•N• . .::'•+i.• p7 TF `r r :• r: insulation/weath;�'�i�atiior�::i!irork at , en com leted'' corilance with';7.gQC rI :•.k; ., : ! O. p iii .. .. .. 'wl:: i�r% : ,*'r, .�,.;ter•. Re Timothy Cabral, President CSL-105454 58 DICKINSON STREET FALL RIVER,MA 02721 (508)567-4240 1 ALTERNATIVEWEATHERIZATION''GMAIL,'COM REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECqLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224• sections 224-3 and 224-4. Please complete one form for each property in foreclosure - (section 224-3)or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and aicopy with the Chief of the Fire District in which,the property is located. If you claim you are exempt from registering under Massachusetts law, please state the reason(s) and complete section 1 (property information)and the first paragraph of section 2.(foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption:and update its` records: Section I —Property Information Property Address: 34 MAIN`ST, CENTERVILLE, MA, 02632 C Assessors Map#: Parcel#: 228-oi1 Land area and description Building(s) description and contents single Ifainil residential 1 unit 03 Occupied: Yes Occupant(s)(if borrowers so state and include name(s)) V m 'Phone: (888) 349-8964 email: Property.Reg ist rat ion®spservicing.comOther: N/A Vacant: No Date: NSA Anticipated.Length of Vacancy: until sold . -Last occupant(s) )(if borrowers so state and include name(s)) 'N/A Phone: (888) 349-8964 email: Property.Registration®spservicing.comOther: N/A Has possession been taken No If so,please explain and complete and file the maintenance and security plan form(unless_exempt as stated above) Section 2—Foreclosing_Party Information Foreclosing Party (full name/title) Deutsche Bank, coo Select Portfolio Servicing Foreclosure Case Court: N/A r Docket#• N/A ' t+ Date filed: N/A Current Status: Notice of Default Foreclosing Parry's representative(s) for property (entry, management, repair,. etc.)(name,title,): Safeguard Properties Company (if different from foreclosing"Party): Safeguard Properties Address: 7887 Safeguard Circle, Valley View, OH 44125 � Phone: (877) 340-0060 email: CodeViolations@spservicing.com . other: N/A' If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most-likely`to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i._e. ".none" or"see above")). Name, title, other: SPl Pc or fol i Serviring Company (if different from foreclosing party): Select Portfolio servicing Address: -Po BOX 65250, Salt Lake City, UT 84165 Phone(s):(888) 349-_8964 emall(s);property.Registration@spservicing.cgther: N/A' Name,title, other: Select 'Portfolio Servicing Company°(if different from foreclosing parry): select Portfolio Servicing Address: PO BOX 65250, Sal t7 T,ake. City, UT 84165 Phone: (888) 349-8964 email: Property.Regis[ration@sgservicingsom Other: N/A Attorney representing foreclosing:party N/A Firm name (if different from attorney's name): N/A Address: NZA Phone(s); N/A email(s): N/A other: N/A I acknowledge that the information provided is accurate'and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. ; �/�/// 7 i Date: .,6i28i2017 Name: Michael Turner Title: Authorized Agent of SPS ; { I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the.Town of Barnstable. . Dater Building Commissioner, Town of Barnstable IL 70 01(Ed.10 07) Pollcy"No 11.91324 Renewal OfNEW' SUSINESSPIkePOLICY;COMMON.DECLARATIONS` NAMED I.NSUREW.Fairbanks Capital.Corporation:"and/orSelect Portfolio Servicing,:inc.. (anftfr my entity holding An ownership interest in real estate pWbeK. Fairbanks Capital Corporation.and/or Sel®ct Portfolio Servicing Inc;) AND ADDRESS:3M5 South Wesaern" l SaIt Lake`C UT 8 115 IN RETURN FOR PAYMENT OF THE AGENT'S NAME AND ADDRESS: PREMIUM, AND SUBJECT'TO ALL TERMS r: OF THIS. POLICY, WE AGREE_WITH YOU W`liis of`Ohio "Inc:. O PROVIDE THE INSURANCE ASdba Loan Protector Insurance Services .: STATED IN THIS POLICY; r 6001, Cochran :Road; -SUi.te 400: Solon, Q'.H 441"39' Ins.u;rance is,,affcirded by the' Company named :below, a'C:apital :Stoc.k,.Corporation'. ' a e'-bt Ameri an Assurance Gom pan -POLICY'PERIOD From 0-8101109 °To Continuous 12:0-1 A M: Stan.dard; Trm'e at the 'addrecss of'the Named' Insured This policy consists of .the :fo'Ilowi;ng 'C.oerage Part for whioh.;`a 'premlu.m"Is indicated_ This premium may be subiect.,to adjustment... Premium Commercial Property $; N/A: Gommercral General.` Liab;ilit.y. $ Per Schedule: Commercial Cr:ime,:a'nd Fidelity $ N./A. Commercial I,n'land Marine $ x . Commercial Equipment Br.eakdo;Wn $ NIX Cornmerc_ial Auto $` NIA Commercial U:mbreaa:a $ NIA TOTA $ WA FORMS.AND ENDORSEMENTS POLICY ALTERNATE MAILING;ADDRESS.. a-pplicable to:all Coverage Parts. abd made part oftfiis Po:'l lCy _af.#rme None of issue are "listed '.on the. attach d" " Form s,.and' E- dorse:ments, Sche.. ulb. Ag mififgf tbifr ate . IL":70 1;(Ed 10/07)PRq (Page 1:of 1) Administrative Offices GREAT 580 Walnut Street CG 74 00(Ed.07 01) AMERICAN_ Cincinnati,OH 45202 INSURANCE GROUP Tel: 1-513-36-5000 r Policy No. 1191324 t - R GENERAL LIABILITY COVERAGE PART DECLARATIONS PAGE POLICY PERIOD: NAMED INSURED: Fairbanks Capital Corporation and/or Select Portfolio Servicing, Inc. (and/or any entity holding an ownership interest in real estate owned property 08/01/09 to Continuous serviced by Fairbanks Capital Corporation and/or Select Portfolio Servicing, Inc. LIMITS OF INSURANCE: - General Aggregate Limit(Other Than Products Completed Operations) $ 25,000,000 Products—Completed Operations.Aggregate Limit $:.. Not Included Personal and Advertising Injury Limit a, $ 1,000;000 . Each Occurrence Limit $. 1,000,000 g $ 100,000 Any One Premises Damage to Premises Rented to You Limit`. Medical Expense Limit $ 10 000.1 Any One Person FORM OF BUSINESS: Financial Institution': TOTAL ESTIMATED.PREMIUM: : $: N/A Products/Completed Operations All Other $ N/A $ N/A , SCHEDULE OF,LOCATIONS: Those locations qualifying as4a"Real'Estate Owned"designated premises on 2144 a (Ed. 07 98) LIMITATION OF COVERAGE TO.DESIGNATED PREMISES OR PROJECT and reported on our monthly Reporting Schedule as delineated in,the reporting conditions appearing on IL 70 02 10 07 BUSINESSPRO POLICY CHANGES. r CODE NUMBER: 49451 /68606 PREMIUM BASIS: Per Reported Location,Per Month:: CLASSIFICATION: Vacant Land/Buildings/Dwellings *Subject to Products/Completed Operations All Other Dwelling ' Exposure: Exposure Locations as reported Rate: Rate: $3.00 per location per month Premium: Premium: Per Monthly Reporting Schedule. ' FORMS AND ENDORSEMENTS applicable to this Coverage Part and made a part of this Policy at the time of issue are listed' on the attached Forms and Endorsements Schedule CG 88 01 (11/85). , CG 74 00(Ed: 07/01) PRO (Page I of 1) IL 70 02(Ed.10 07) Policy No. 1191324 Effective Date of Change 08/01/15 BUSINESSPRe POLICY CHANGES THIS ENDORSEMENT NAMED INSURED::Fairbanks Capital Corporation and/or Select Portfolio Servicing, Inc. CHANGES THE POLICY. (and./or any entity holding an ownership interest in:real estate owned property serviced by Fairbanks Capital Corporation and/or Select PLEASE READ IT Portfolio Servicing, Inc.) _ " CAREFULLY. AND ADDRESS: 3815 South West Temple Salt Lake-City,,UT 84115 POLICY ALTERNATE MAILING ADDRESS. , AGENT'S NAME AND ADDRESS: Willis of Ohio, Inc. dba.Loan Protector NONE Insurance Services 6000 Cochran Road + - Solon ;OH 44139 Insurance is afforded by the Company named below, a 'Capital Stock Corporation: Great`American Assuirance_ Company .301 :E. Fourth Street,: 20`h Floor Cincinnati, OH 45202 POLICY PERIOD: From 08I01/09 To :Continuous 12:01 A.M. Standard Time at the address of the Named Insured ENDORSEMENT #4: w . It is agreed the premium rate shown, on CG 74 00 07'01 General Liability Coverage Part Declaration Page is hereby revised to the following: :$5.00 per location per month FORMS AND ENDORSEMENTS hereby added: FORMS AND ENDORSEMENTS hereby,added FORMS ND ENDORSEMENTS:hereby deleted: / U � Age t ignature Date IL 70 02(Ed. 10/07)PRO ) (Page 1 of, YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L,:-it does not give you permission to operate.) You must first obtain the necessary signatures on this fori-n.at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main. St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. _ nt p gip. DATE: !�Awl Fill in please: - ��YH!4 7 hK F,t1It !N�4 A •. 1 APPLICANT'S YOUR NAME/5: � a <r71�} USINESS YOUR HOM _�DDRESS: 446= a ' p ' TELEPHONE # +A Home Telephone Number S� E-MAIL: LlL NAME OF CORPORATION: NAME OF:NEW BUSINESS � ' L TYPE OF BUSINESS IS THIS A HOME OCCUPATION? ES NO ADDRESS OF BUSINESS +� t-I V&__ MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has een i forZ o ny permit requirements that pertain to this type of business.' Oro z Signature**COMMENTS: MUST COMPLY WITH HOME OCCUIPATIONI _ HEGULATIONS. FAII I IRE TQ CUMPLY MAY RESULT IN FINES. 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: f Town of Barnstable 1FIE Regulatory Services CF Tp� Thomas F.Geiler,Director * Building Division &UMSznsi.e, 9� MASM Tom Perry,Building-Commissioner A�Fp Mp`lA 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Qt�, Permit#: �P�.'�D l� HOME OCCUPATION REGISTRATION Date: /G/�V� l Name: 6 t1s V"1 `Jd fy Phone#: tl�BJ1 17/ 7Y Address: L►'4(�-c�/ S T Village: I Name of Business: Wes ( (34-1 1�G� Type of Business:_ 9 Id, L.T�L— Map/Lot: aZi INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the - following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit;located within that dwelling unit. • Such use occupies no more than 400 square feet of space. r e There are no external alterations to the dwelling which are not customary in residential buildings, and there e is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive-materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to t exceed 4,tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary-Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not apermanent resident of the dwelling unit. I,the undersigned,h ve read and agree 'th the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev. /30/03 TO ALL W BUSINESS OWNERS DATE:p Fill in le se. Oman== APPLICANT'S YOUR NAME: BUSINESS Y U HOME ADDRESS: I e ict WNW TELEPHONE Telephone Number Home '71— NAME OF NEW BUSINESS s12.%-A 1-,-AVPA ,.e TYPE OF BUSIN SS IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? Y 50 NO ADDRESS,OF BUSINESS 54 M 5Z C, o26 MAP/PARCEL NUMBER When starting a new business there are several things you.must.do in Order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town,Clerk's Office:(Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the regyired permits and licenses.. GO TO 200 Main St.*; f,k 6rneh d Yarm 8�outh Rd,. Main!St,teet) and you will find the following offices: 1. SUILDINp COMMISSIONER' OFFICE This individual has en informe f any permit requirements that pertain to this type.of business. Authorized S' nature** COMMENTS: r lei, 2. BOARD OF HEALTH This individual has been informed of the'permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L.,- it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. QACONSUMER\Lois\CA Forms\newbusfrm.doc A/140111 . CERTIFICATE OF INSURANCE ISSUE DATE(MM/DD/YY) PRODUCER -THIS CERTIFICATE IS ISSUED-AS'A MATTER'OF INFORMAT16N�ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORCROSS & LEIGHTON 437 STATION AVE COMPANIES AFFORDING COVERAGE S 'YARMOUTH MA 0 2 6 64-0 5 7 9 COMPANLETTERY A MARYLAND. CASUALTY.,. COMPANY B INSURED LETTER M.._. MARYLAND CASUALTY COMPANY. CAPIZZI HOME IMPRVMT LETTER C 1 645 NEWTOWN RD C EOTPRNV D COTUIT MA 02635 AETNA LIFE & CASUALTY COMPANY E LETTER COVERAGES .._,_...._.. ..._ ,___, _.,._.____, ..._....-.......,...-._.._._..,._-.w.,,..w.,......_ ,.-....--. w_—__ ._.-..-._._.._,-__._.-__.-...._..w_..___ . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY EPA 1j3 1 8 8 058 4/0 1/9 3 4/01/9 4 GENERAL AGGREGATE $1 0 0 0 0 0 0 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $1 ' 0 0 0, 000 CLAIMS MADE X OCCUR. PERSONAL 8 ADV.INJURY $1 000 , 000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $1 0 0 0 Q 0 FIRE DAMAGE(Any one fire) $5 0, 0 0 0. MED.EXPENSE(Any one person) $5 0 0 0 B AUTOMOBILE LIABILITY CA 99645087 4/01 /9 3 4/01 /9 4 COMBINED SINGLE �— ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $1 0 0 0 0 0 0 HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $1 000 , 000 GARAGE LIABILITY PROPERTY DAMAGE $ 50_0 000 EXCESS LIABILITY _ NEACH OCCURRENCE $ UMBRELLA FORM 1 AGGREGATE $ OTHER THAN UMBRELLA FORM D WORKER'S COMPENSATION c 0 0 2 2 3 814 7 4 4/0 1 /93; 4/0 1 /94. XSTATUTORY LIMITSAND EACH ACCIDENT $1 0 0 , 000 EMPLOYERS'LIABILITY DISEASE—POLICY LIMIT $5 0 0, 0 0 0 I - _ DISEASE—EACH EMPLOYEE $1 0 0 000. OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS HOME IMPROVEMENT CONTRACTOR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO ' MAIL 1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE----- EIGNTUN ROBERT H LEIGF�TO!� 0 , NC Ak;VMy ca-a%riavl ---__--M` y_� R r RATION 1990 .a -J Assessor's office(1st Floor):4 Assessor's map and lot number O p Conservation(4th Floor): Board of Health(3rd floor): • t NA"3T&BLZ i Sewage Permit number Engineering Department(3rd floor):`_ ` e°?F%639.``�d° House number o MAr Definitive Plan Approved by Planning Board a 19 _ a APPLICATIONS PROCESSED 8:30-9:30.A.M.and 1 00-2:00 P.M.only TOWN - OF BARNSTABLE BUILDING , INSPECTOR APPLICATION FOR PERMIT TOi� TYPE OF CONSTRUCTION y -'% 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ` �✓ �✓ !�"�� Proposed Use Zoning District Fire District Name of Owner <<1 �� Address JVWA,iO,� � ilf6ze j Name of Builder l—�/�I� t1�"�- Address/Gil✓Cldiir/,�t/�C� �/"�Uj� Name of Architect Address Number of Rooms Foundation Exterior Roofing � � Floors Interior Heating Plumbing Fireplace Approximate Costi� Area r Diagram of Lot and Building with Dimensions Fee .�i 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 FRENCH, PHILIP 6-4-6 RE-ROOF No Permit For Single Family Dwelling, ` Location -34 Main Street Centerville Owner Philip French ' of Construction Frame— Type - Plot Lot Permit Granted January 2 7 , 19 9 4 a r Date of Inspection: 3 Frame s 19 Insulation 19 Fireplace 19 Date Completed 19 f � 7 4 - e c