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HomeMy WebLinkAbout0016 TUCKERNUCK ROAD rL A'a ALTERNATIVE . WEATHERI ZATION �12 Date Town of Barnstable 200 Main St. Hyannis, MA 02602 Re: Rermit The insulation work at 2 , has been completed in accordance with:'78fl;CNl#,' Agency work performed for cn Timothy Cabral; President CSL-105454 I 58 DICKINSON STREET I FALL RIVER,MA 02721 (508) 567-4240 I ALTERNATIVEWEATHERIZATION@GMAILCOM YAk TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOIV h r Map Parcel Pp Health Division Date Issued i • : ®� Conservation Division Application Fee Planning Dept. ____ ,. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Str�ep Address /� 7.de-kll a ' Village lzo,-v; Ile-_© Owner �6,11 Address Telephone Permit Request T F 711�r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -W Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ^G - Telephone Number Address ST, License # JO�VYV ky4c IhA oagkl Home Improvement Contractor# Email Gt,E /'1�i-�7ll1P�'iZ.cl`►'nai Worker's Compensation # t1?WWS 7D-6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �a2e �S tJt S0 S,�Zt- SIGNATURE DATE / �� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 'r GAS: ROUGH FINAL y FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. .r - DocuSign Envelope ID:B8AF1480-45AA-4D36-BA11-F2DB1089A338 Town of Barnstable Regulatory Services oAP.yS-ABLE, Richard V. Scali, Director i1+t 5. eb �639. �•�' Building Division Aran play�, Paul Roma 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 I, RUBEN HEAL as Owner of the subject property hereby authorize to act on my behalf, ..............................................._................................._................................................_.........................................................................._...__................:...................... in all matters relative to work authorized by this building permit application for: 16 Tuckemuck Road Centerville, MA 02632 .........._..............................................................................................................................................................................................................................................................................................................................._........... (Address of Job) Docusigned by: ra;;r. u w arm.....................__....................._. ......................................i2j8/2017 9:19 AM EST Signature of Owner Date RUBEN N£AL Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollik\App:Data\Local\Microsoft\Windows\TNetCaehe\Content.Outlook\L7U69LF21EXPRESS(2).doc 01/25/17 r Town of Barnstable Regulatory Services Richard V.Sca%Director ' ►�� Building Division. _ Paul Roma,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 I ,as Owner of the subject property hereby authorize_�I YYy> /L i h C i'` to act on my behalf, in all matters relative to work authorized by this building permit application for: I Ge I ocbrnack Ko( . (Address of Job) ` **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled,or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner S tare of A plicant Print Name Print Name Date -. . QYORMS:OWNERPERMISSIONPOOLS - t Town of Barnstable Regulatory Services pFT Richard V.Scali,Director Building Division aaxxszasM Paul Roma,Building Commissioner 16 200 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 largerwill 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 F The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia «'arkers'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.❑✓ I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction 1[]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.F�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t . 10 n Building addition 4.[]l 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 11:❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ 13.F'�Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14.�✓ Other INSULATION 6.[]We are a corporation and its officers have exercised their right of exemption per MGL c. 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:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:4/4/18 Job Site Address: l S.a�� f/ /�LeL2 /�� City/State/Zip: -11r1f 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 unde th ins an 'es p r' ry that the information provided above is true and correct Signature:- Date: Phone#:508-567-42 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#: ALTEWEA-01 �SNER NHA a�o> ,erg CERTIFICATE OF LIABILITY INSURANCE DATE T£(MMfDoIYYYYI ,r 0512612017 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 I 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 terns 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 endomemen s. PRODUCER i cT Christine Costa Mason&Mason Insurance Agency,Inc. Ex I FAx 'jwC o, t):(7$1)523-0067 '(A/C,Na): 468 South Ave. MAD ;ccostaonasoninsure.com Whitman,AAA 02382 I INSURE S AFFORDING COVERAGE NAIC 0 INSURER A:Evanston Insurance Co. `3537$ INSURED SURER e:Safety,insurance Company139454 Alternative Weatherization,Inc. I INSURER c:Star Insurance Cornparry__ __ 18023 , 3 2 Lark Street INSURER D: Pall River,MA 02721 1PER E INSI) : . I I INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMB_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD i INDICATED. NOTWITHSTANDING ANY REQUIREM9NT1 TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR i TYPE OF INSURANCE iADUL15U8R POLICY NUMBER ! 'POLICY EFF POLICY EXP LIMITS I A X COMMERCIAL GENERAL LIABILITY 1 J 'EACH OCCURRENCE S 1,0fl0,000 ' DAMAG ETORENTED s 100,000 CLAIMS-MADE OCCUR I 13C42088 0610712017 0510712018 SES D 5,000 I MED EXP iAnY one person) i s I -- 1,000,000 PERSOiVAt.8 ACV INJURY S t— j 2,fl00,00fl GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGA,E 8 I 2,000,000 —PR j L4C I I PRODUCTS-COMPIOP fit,C, i S POLICY _l JECT ; I I OTHER: I S l3 ' j i COMBINED SINGLE LIMIT ;s 1,flflfl,flflfl I AUTOM08iLE LIABILJTY is#oraMsn 1 , j ANY AUTO 6237703 j fl4ifl812017 04i0$120i8'800;LY INJURY Per arson :.5 �— OWNED —}SCHEDULED i --- _:AUTOS ONLY ( ;AUTOS ? j 'BODILY INJURY{Per accident;I$ 11 ��� .pp I I3sOPEauRtle ' X !AUR&D ONLY A&OS 0 L 1,000,000 A i UMBRELLA A LIAR 1 X i OCCUR ! ;EACH OCCURRENCE. S -�- CLAIMS-MADE E XOBW6619618 OW07120171 0510712018 AGGREGATE 1,000,000 X �CLA1Ms MAD EXCESS LIAR DED I RETENTIONS S XI j G i WORKERS COMPENSATION PTR R 1 AND EMPLOYERS'LIASILM YIN j yC 0849257 00 10410412017 0410412018 D 600,000 MANY PROPRIETORIPARTNEWEXECUTIVE ; ;' i I E.L.EACH ACCIDENT 5 I rEIC£iL'M MB EXCLUDED? N J A I Sfli),flflfl iiFMandatory�nNH) E.L.DISEASE-EAEMPLOYE S 11,Yes,describe Under E.L.DISEASE-POLICY LIMIT S 500,flOfll 1 0 56RIPTION O OPERATIONS aeiow i I 3 ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddKlonai Remarks Schadute,may be attached ore space Is required) ;Action Inc.and National Grid USA,its direct and indirect parents,subsidiaries and affiliates I'more shall be named as additional insureds on Commercial General 'Liability policy per terms and conditions of forms CG2010 and CG2037 and Commercial Auto Liability policy per terms and conditions of form SCA 005(02 116).Forms Available Upon Request CERTIFICATE HOLDER CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 9E CANCELLED BEFORE 1 I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Grid ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road Waltham,MA 02451 I I AUTHOPJn0 REPRESENTATIVE ACORD 25(2016/03) fl 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .. .:.. y�s4_-c ,{. -�Sr�`.w�•y +,`, f fir.sa x� z cb,,�axF°`x .7i2 . - .y',. ,LS E. ,.'�.as' s4- "-• ^�,af 'dal ..w,�3•u:� �'�� �� -� _ air r� ' 5 w. g �€ is ... �Y # ,_ice$ ,# �,,�� :,s,. K. ,• N;r`k�, .. Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, M usetts 02116 Home Improvemeintractor Registration £ Type: Co�on ALTERNATIVE WEATHERIZATION,INC ! h1 Registration: 175683 2 LARK ST w `=. E oration: 05/28/2019 FALL RIVER,MA 02721 Update Address and return card. Mark reason for change. ange, SCAI G 20u-05' Ar'"s 0 Rmra 1 r n# 0eat, ate ONiee of Consumer Affairs&Busing Requlation 7 HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only y°rt TYPE:CaDorafim before the expiration dam. If found return to: iration Ofllee of Consumer Affairs and Sualness Regulation = i7,*nBi13 05/281201 10 Park Plaza-Suite 5170 x" AL tERNATIVE W&,fH7— i.'N.INC. n,MA Q2116 g TIMOTHY CABRAi 2 LARK ST FALL RIVER,MA 02721 Undersecrefialy Ot V O # aftlr8 8k 3f--1455 P:911 "020838 04-28---2017 03 : 46P FIDUCIARY DEED I,JARED MCMURRAY,personal representative of the Estate of KATHLEEN M. MCMURRAY, Barnstable Probate Court Docket No. BA16P1781EA,by power conferred by license of said Court dated April 14,2017 and every other power For consideration paid in the full amount of Three Hundred Nineteen Thousand Dollars ($319,000.00) Grant to RUBEN E.NEAL, Individually,of 16 Tuckernuck Road, Centerville,MA 02632 The land located at 16 Tuckernuck Road,Barnstable(Centerville),Barnstable County, Massachusetts together with the dwelling and other improvements located thereon,more particularly bounded and described as follows: SOUTHWESTERLY by Tuckernuck Road,as shown on plan hereinafter mentioned, there measuring 100.00 feet; NORTHWESTERLY by LOT 39, as shown on said plan,there measuring 150.00 feet; NORTHEASTERLY by a portion of LOT 46, as shown on said plan,there measuring 100.00 feet;and SOUTHEASTERLY by LOT 41, as shown on said plan,there measuring 150.00 feet. Said land is shown as LOT 40 on a plan entitled: "Subdivision Plan of Land in Centerville- Barnstable,Mass. for Alan E. Small et ux, scale 1 inch=60 feet,dated July 22, 1968 on file at the Barnstable County Registry of Deeds in Plan Book 224,page 87. For title see deed to Kathleen M. McMurray dated August I0, 1990 and recorded with said Deeds in Book 7271,Page 136. I,the undersigned Grantor,hereby release any and all rights to homestead in the above property and certify that no person occupies the premises as a primary residence and has or can claim the benefit of a homestead therein. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Data_: 04-28-2017 0 03:46pm Ctl:: 1545 Doc4: 20838 Fee: 81P090.98 Cans: $319.000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 04-28--2017 8 03:46pm Ct1Y: 1545 Da_Y: 20838 Fee: $776.14 Cons: $319000.00 Bk 30455 Pg12 #20838 7a Executed as a sealed instrument this 1 g day o '1,2017 MJ D MURRAY, Personal R resentative COMMONWEATLH OF MASSACHUSETTS County of Barnstable On this / 9t day of April,2017,before me,the undersigned notary public,personally appeared JARED MCMURRA.Y, as aforesaid, and proved to me through satisfactory evidence of identification,which was a[] [] passport,or[] personally known to me,to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. � c^ J ,Notary Public My commission expires: DILL C ZYLINSKI .e .0 -A• •• •AA5 iACHUSETTS •�,�.Vli,..; ��,r r•- Bk 30455 Pg13 #20838 DECREE OF SALE OF REAL ESTATE Docket No. Commonwealth of Massachusetts The Trial Court PERSONAL REPRESENTATIVE BA16P1781EA Probate and Family Court Estate of: KATHLEEN MARIE MCMURRAY Barnstable Division +rstName MOW eW Name Last Name Date of Death: October 19,2016 After a hearing or on the uncontested Petition for Sale of Real Estate(hereinafter"Petition')dated April 7,2017 a THE COURT FINDS: 1. The Petitioner is an interested person. 2. Any required notices have been given to or waived by all interested persons and any guardian ad litem appointed has assented to the Petition and/or the report of the guardian ad Iltem has been considered by the court 3. Venue is proper. 4. The current bond of the Personal Representative is sufficient or a subsequent bond has been filed. 6. An advantageous offer for the purchase of the subject real estate has been made to the Petitioner. 6. The interests of all parties will be promoted by an acceptance thereof. THE COURT DECREES AND ORDERS: 1. The Personal Representative is authorized to sell and convey at public auction ® at private sale upon the following terms: In accordance with the Purchase and Sale Agreement between the Petitioner and Ruben Neal dated March 24, 2017 for the sum of$ 319,000.00 in accordance with said offer or for a larger sum, or at public auction,if he or she shall think best so to do,the real estate of-said deceased described as follows: The land and dwelling located at,16 Tuckemuck Road,Barnstable(Centerville),Barnstable County Massachusetts as more fully described in Exhibit A attached hereto. 2. The Commissioner of the Department of Revenue has released-discharged the lien on the real estate of the deceased. 3. ❑The Personal Representative may become the purchaser of the real estate. 4. The court further order:, Off CQ� ' W <<; Date ' � ' 2017 A TRUE Copy Judge of the Probat and Fa ily urt MPC 794(3/1/17) ATTEST page 1 of 1 Qom, .y Bk 30455 Pg14 #20838 Estate of KATHLEEN MARIE MCMURRAY BARNSTABLE PROBATE DOCKET NO. BA161781EA EXHIBIT A The land located at 16 Tuckernuck Road,Barnstable(CenterviIle),Barnstable County, Massachusetts together with the dwelling and other improvements located thereon,more particularly bounded and described as follows: SOUTHWESTERLY by Tuckemuck Road,as shown on plan hereinafter mentioned, there measuring 100.00 feet; NORTHWESTERLY by LOT 39, as shown on said plan,there measuring 150.00 feet; NORTHEASTERLY by a portion of LOT 46, as shown on said plan,there measuring 100.00 feet; and SOUTHEASTERLY by LOT 41, as shown on said plan,there measuring 150.00 feet. Said land is shown as LOT 40 on a plan entitled: "Subdivision Plan of Land in Centerville- Barnstable,Mass.for Alan E. Small et ux, scale 1 inch=60 feet,dated July 22, 1968 on file at the Barnstable County Registry of Deeds in Plan Book 224,page 87. For title see deed to Kathleen M.McMurray dated August 10, 1990 and recorded with said Deeds in Book 7271,Page 136. 1 �.::.�• ?:�4,,.�;•` A TRUE COPY ��''` r'�'�t�►cn1�`<<'`� ATTEST • /?��G���� � BARIV5TABLE REGISTRY OF DEEDS (� REGISTER John E. Meade, Register