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B47NC /- T l'`3 . . its -71-lc .v cti f'L,B,�/. /-5-7 pc, .33 • CYiSi7N,- E2rrn0,1G I CERTIFY THAT THE ,Q# .v i �G 40,g> 54,j✓ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON, • DATE /�73. 2/Si/ '' 11 ic:;e" Aa✓:G B,e/t>C�� - P4?7T7o 4/C-;e GGls w.�r� S t : REGISTERED LAND SURVEYOR 9-/7-45 f Town of Barnstable *Pe"rmit# .3 7 9 A„Tr"4- 14 � Expires 6 months from issue date � Regulatory Services Fee• BAxtvsE, • ke. 1639. Thomas F.Geiler,Director Building Division Tom Perry,CBO, BuildingCommissioner CO 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 31 ? _0�vNot Valid without Red X-Press Imprint Map/parcel Number6 Property Address 375E rrl ill 51'e 1° i t St4k 1i14 [kesidential Value of Work$ O) . 6d Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 6 /OL (►1Q OAV I'QS 375..; /)1Al4 Sri et i AQ4ita.bL9 Contractor's Name 1. Ern C iaseit- Telephone Number SO36.1_TyyC Home Improvement Contractor License#(if applicable) # 1 S 9 70 C, Email: Construction Supervisor's License#(if applicable) 9 q Q 6 ❑Workman's Compensation Insurance -PRESS PERMIT Check one: am a sole proprietor S E P 13 2013 ❑ I am the Homeowner ❑ I.have Worker's Compensation Insurance N Insurance Company Name 4�f Q/� L, C��/�Te ]� 1-v�-L („nsUs�A OF BARNSTABLE • Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ st(check box) g Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 151/ns' t LA ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: /140, A Q:\WPFILES\FORMS\building permit forms\E3PRESS.doc Revised 060513 Massachusetts -Department of Public Safety ' Board of Budding Regulations and Standards Construction Supervisor Speci>.' s License: CSSL-099406 `mot b • KIM M BASSIST "F 3775 MAIN STREET ; CUMMAQUD MA`02637 Sr-,{,,,.. --2Y%6Le,itjts1 Expiration Commisioner 12/12/2013: • • • '( 49 e2e eo/rrvmanaueczleX atalcc_locceivaeM ;, , ': . 1 Office of Consumec Affairs&Business Regulation I. ' —4•ME IMPROVEMENT CONTRACTOR i='e istration: 15g706 Type:''''it �a 9 e,-C- • xpiration ;5/19/201:4�. . Individual 1KIM M BASSETT 5 KIM BASSETT 3775 MAIN ST 4 — CUMMAQUID,MA 02637 - Undersecretary I License or registration valid for individul use only i _ before'the expiration date. If found return to:, • 1 i Office of-Consumer Affairs and Business Regulation- ' 1 • 10 Park Plaza:-Suite 5170li, •� . Boston,MA 02116 y .� { Not valid without signature j I e , The Cormomsfealtth of Massachusetts. Deportment of ind rs rird Accidents f Office of Investigations =-it_ 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians(Plumbers Applicant Information Please Print Legibly Name(B an/fndividual): K I 8 f1 SS PIT Address-. 3775 M,t,n si Ct/InP14Qui i( n1 14 City/State/Zip: Cu proA t!I.h t hi A- Phone s 0 e`3(o a-` F LI116 Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑I am a dal contractor and I 6. New construction employees(full and/or part-time).* have hired the subcontractors ❑ 1®�am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These -contractors have g- 0 Demolition working for me in any capacity employees and have workers' 4. ❑Bullring addition [No workers' comp-insurance comp.msutance`l met] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11-0 Plumbing repairs or additions myself[No workers'comp. right of earmptioa per MGL 12.❑Roof insurance required.]T c.152,§1(4),and we have no- s employees-[No workers' 13.0 Other comp.insurance required.] *Any applicant that checks boa#1 mast also fill out the section below showing their woskehs'compensation policy iufonnatian. t Homeowners who submit this affidavit imca*they are doing allwa&and then hire outside contractors mast submit a new affidavit Wit-stir!sack. tCoattactom that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornht those entities have employees. If the soh-cnutnactaa have employees,they must pmvide their workers'romp.policy number- I am an employer that isprvtiding workers'compensation insurance for my employees. Below is the policy and job site in,formation. Insurance Company Name: Policy 4 or Self-ins.Lie.4: 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 drat a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage vacation_ I do hereby ccrhfy ri thepains andpenalties perjury AI information provided above is true/and correct Signature: rf Date: Phone#: O, cial 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#: 6 • Information and Instructions - 1 Massachusetts GenTal Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pu suant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, ors-al 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 it a joint enterprise,and including the legal representative of a deceased employer,-or the receiver or trustee of an indivi nal,partnership,association or other legal entity, ..ploying employees. However the owner of a dwelling house havin not more than three apartments and who res'o es therein,or the occupant of the • dwelling house of another who em koys persons to do maintenance,construct.on or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such ...loyment be deemed to be an employer." MGL chapter 152, §25C(6)also states th. "every state or local licens'': agency shall withhold the issuance or renewal of a license or permit to operate . business or to construct .uildiags in the commonwealth for any applicant who has not produced acceptable ,vidence of compliant- 'th the insurance.coverage required." . Additionally,MGL chapter 152, §25C(7)states "I either the common, ealth nor any of its political subdivisions shall enter into any contract for the performance of pub work until acce, ..le evidence of compliance with the insurance requirements of this chapter have been presented to contracting thority." Applicants Please fill out the workers'compensation affidavit completely, ., checking the boxes that apply to your sit-nation and;if necessary,supply sub-contractor(s)name(s),address(es)and ph, number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liab 1'ty 'artnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compe, ation . ..ce. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit ay be su...'tied to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be re to sign - d date the affidavit. The affidavit should be returned to the city or town that the application for the pe'..' or license' .eing requested,not the Department of Industrial Accidents. Should you have any questions regar.i..g the law or if yo.. are required to obtain a workers' compensation policy,please call the Department at then •IL,bar listed below. Se 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 printe. egibly. The Department has pro :ded a space at the bottom of the affidavit for you to fill out in the event the Offi of Investigations has to contact yo .regarding the applicant Please be sure to fill in the permit/license number w.' h will be used as a reference number. . addition,an applicant that must submit multiple permit/Iirpnse applications in any given year,need only submit one • davit indicating current policy information(if necessary)and under"Job Sit-Address"the applicant should write"all lo,ations in (city or , town)."A copy of the affidavit that has been offici•+ y stamped or marked by the city or town m• be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit mus$,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 hie to thanlcyi ou in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. i The Department's address,telephone and fax number. ` • \ • The Coirmonwealth of MR Rsachusetts ` ' Depaz$nent of Industrial Accidents Mace of Investigathrus 600 Washington Street • Boston,MA 02111 TeL#617-727-4900 ext 406 or 1-g77 MASSAFE Fax#617-727-7749 Revised 4-24-07 Www. sgov/dia � E ti Town of Barnstable :,.� Regulatory Services a►xtvsrws[,�, « • . �, Thomas F.Geiler,Director 4."4,�3 hue- - • - Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 __. www.town.barnstable.ma.us Office: 508-862-4038 5 Fax: 508-790-6230 • • • PrpYo a Owner Must Complete and Sign This Section • If Using A Builder I, G Oi2i4 ( %D/ // ' , as Owner of the subject property hereby authorize Kim 7 5 S to act on my behalf, in all matters relative to work authorized by this building permit 5 315 i � i - o O M� s � ��rJs��� I �� � � (Address of Job) ' F **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. ._. . 27,- 0-'7ai-t • S' tare of Owner • Signature of Applicant • 61)kiti- C • P/INA C1-7 , t ii,—, /ig-S 15 rr- Print Name Print Name • • 4L__________2 l ' . Date • Q:FORMS:OWNERPERMISSIONPOOIS 6/2012 t - s i Town of Barnstablet. .si, °� Regulatory Services g r3' " • Thomas F.Geiler,Director z , z639. 4/04 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601w ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE 1 ID TION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: ' city .wn - state zip code The current exemption for"homeowners'was extended to' elude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for•��e who does no possess a license,provided that the owner acts as supervisor. DE ON OF HOMEOWNER Person(s)who owns a parcel of land on with• he/she re ides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached struc -s acces ory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be conside d a.tmeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she s ,• 1 se responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsi•ili , for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. • / F The undersigned"homeowner"certifies that he/she under • ds the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she/will comply •th said procedures and requirements. Signature of Homeowner - /,.. Approval of Building Official / Note: Three-family dwelling!containing 35,000 cubic fee'or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S a • MPTION The Code states that: "Any homeowner performing work or which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of con.truction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner s i all act as supervisor." Many homeowners who us this exemption are unaware that • y are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supe ors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlice'sed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Superviso`. 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. C:\Users\decollil\AppData\Local1Microsoft\Windows\Tempora y Internet Files\ContentOutlook\QRE6ZUBN\EXPRESS.doc Revised 053012 Town of Barnstable *Permit#c 00690 2 gilt" Q„ Expires 6 month from issue Ante Regulatory Services Fee • tAuwsrwB t Thomas F.Ceder,Director • GJ/' V Mwss \fp'0?Fr °� Building Division • l� Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 • A . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY . Not Valid without Red X-Press imprint Map/parcel Number 3 In 636 Property Address 3r155 Q- Ce p �� o. &zto 3 O ❑tit esidential Value of Work . 1 a t-?25 , o o Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address .‘ n 4- C.5 \ tre.- P 315 S Rib Co--A ?� �r -LL• Contractor's NameQtt ?p'`1.}5 {�,�t: ��2,t1-►Ot �;tn Telephone Number cog-17) - to Z ' ' I lo'-lt4 a.-\\NI o044" Roo.cQ Ce.c4cr Q \\c Ma. o Z.te32 Home Improvement Contractor License#(if applicable) t S' 't 51 •lycs 5 C.o•r\$-\YUC cSry `bur.c.:r )r or# ['Workman's Compensation Insurance rC-he/ck one: w PERMIT t am a sole proprietor ❑ I am the Homeowner AUG 1 4 2008 ❑ I have Worker's Compensation Insurance Insurance Company Name TOWN OFBARNSTABLE Workman's Comp. Policy# A L\IV C, 1; },t U 2•c 9 12-/O S • . Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) QnRe-roof(striip�pinng old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. oing over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) 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 is required. Q:Forms:bui ldingpermits/express Revised 123107 The Commonwealth of Massachusetts . • Department of Industrial Accidents . 1 L Office of Investigations ._:= 600 Washington Street 4.G__.y-z e . Boston,MA 02111 • • ,,;,,.•°' www.mass.gov/dia • • • Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers • Applicant Information .Please Print Legibly Name(Business/Organi7ationf1ndividual): ,a\•`?O k S• ..‘• rwc 3 o e kl i,ck `-., • • • •Address: l(a l'{(o 0 t 8- +rr rn--,t'i'5-(CR R ' City/State/Zip:Cx__- ,ArU< i•-t,A Phone.#:c©i-- ,')71 O(oC122-- Are you an employer? Check the appropriate box: • . .Type of project(required):. • 1.[i am a employer with 4 4. ❑ I am a general contractor and I . have hired the sub-contractors 6. ❑New construction . employees(full and/or part-time).* Remodeling • 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet. ❑ g - ' ship and have no employees These sub-contractors have 8. ❑Demolition • employees and have workers' working for me in any capacity. 9. ❑Building addition comp.insurance.$' [No workers' comp.insurance 10.0 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. oof repairs . • insurance.required.]t • c. 152, §1(4), and we have no • employees. [No workers' . 13.0 Other comp.insurance required.] • • i • *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. 1Contractors 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. • • • 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. . Insurance Company Name: _.LA,vt I R004-•try ok.�" Policy#or Self-ins.Lic.#: P l---V%�C, 0 I 0 S.- t Eaxpiration Date: R/b r Job Site Address: 3'7 S S [ i City/State/Zip: -QQso...ic j.-a— 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 tip 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains.and penalties of erjury that the information provided above is true and correct. � Date: h`�• . Signature L Phone#: .50 S a(&Ct 07- S • 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): i .1.Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other- . • Contact Person: • . " . • Phone#: • ' ."Ae erytitzinvii.wealth ol./i6mariumegs - Board of Building Regulations and Standards s NOME IMPROVEMENT CONTRACTOR --Sea t !,I=9 Registration: 153551 • Expiration: 12/14/2006 Tr# 253604 Itiik!Orly:ate,,C4grporatioit ALL,P01NTS KITCHENS&REMODELINdLLC FREDERICK RASCH III 1646 FALMOUTH ROAD ' CENTERVILLE,MA 02632 Administrator SZ-AS frrenfraf ge`/Iindcwirea - r o u ng egu ad_ a an' tau' a 1 4.0-2 _14 Construction Supervisor License qt.? A License: CS 72749 . , IARF EXPfrati911: ,2/4/2010 Tr# 18765 111 Rttatti6t16"1.: CP°' "\ FREDERICK V RASCH III t t 36 CATSKILL RD BUZZARDS BAY,MA 02532 Commissioner ADP. 12/21/2007 9: 48 AM PAGE 2/003 Fax Server ACORP,, DATE(MMIDDIYYYY)CERTIFICATE OF LIABILITY INSURANCE 12/21/2007 PRODUCER (800)524-7024 FAX (800)524-4013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Automatic Data Processing Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 ADP Boulevard HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Roseland, N7 07068 INSURERS AFFORDING COVERAGE NAIC# INSURED ALL POINTS KITCHEN REMODELING INSURER A NorGuard Insurance Company 1646 FALMOUTH RD INSURER B: • CENTERVILLE MA, MA 02632 INSURER c INSURER D: INSURER E: • COVERAGES 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 4DDl POLICY EFFECTIVE POLICY EXPIRATION L7R NSRD TYPE OF INSURANCE POLICY NUMBER pA7E R IdiriOIYY) DATE eIMIODrm LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFMISFS(Fa nervrenrn) Q AIMS MADE El OCCUR MEDEXP(Anyone person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 7 POLICY f E f LOC AUTOMOBILE LIABILITY CCMBINEO SNGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per perms) HIRED AUTOS _ BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR n CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERSCOMPENSATION AND ALWC811O81 12/20/2007 12/20/2008 X WCSTATU- DTH- EMPLOYERS'LIABILITY TCRYLIMITS ER A ANY PROPRIETORIPARTNER/EXECUTIVE EL.EACH ACCIDENT 2,000,OOO OFFICER/MEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $ 2,000,000 If yes desulbeunder SPECIAL PRON9ONSbele" EL.DISEASE-POLICYLIMIT $ 2,000,000 OTHER DESCRIPTION OF OPERATIONSI LOCATIONSI VEHICLES!EXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL • 10 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 INSURER,ITS AGENTS CR REPRESENTATIVES. Insured's Copy AUTHORIZED REPRESENTATIVE Richard Gossett/VAL ACORD 25(2001/08) ©ACORD CORPORATION 1988 1646 Falmouth Road V p 91�► Centerville Shopping Center y � � ('V ..s �1 Centerville, MA 02632 l, 0 508.771.0664 P fax: 508.771.0083 4. , toll free: 866.925.0700 E`ys& REM' www.allpointsremodeling.com Name BRIAN & GLORIA DAVIES • Address 3755 RTE 6A, BARNSTABLE, MA 02630 _ Job Address 3755 RTE 6A, BARNSTABLE Phone(s) (H) (508) 362-8595 ___..._.___ Date 8/14/2008 Contract Number RR359-4-C7 CONTRACT/PROPOSAL 1 Reroof front of main house as described in addendum, including new cedar ridge boards and white cedar siding on gables adjacent to roof • See Attached Addendum to Contract And/Or Selection Sheets and Designs CONTRACT PRICE: $12,725.00 _ Payment Terms: Cash or Check $6,350.00 Upon Signing , $3,500.00 Roofing Installed $2,000.00 Sidewall Installed Approx Start Date 02-Sep-08 $875.00 Upon Completion Approx Completion Date 09/12/08 BY Points Kitchens&Remodeling,Inc. Rick Rasch • Contractor License#CS72749 Reg#153551 ,. Date Accepted -- , By Contractor LAST DATE TO CANCEL YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED - NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT f Customer Name: V 12 IA- D�vl t' ( Customer Name: PRINT PRINT Customer Signature: / /t (it"--‘(it"--‘-?' ? C ( Customer Signature: SIGNATURE SIGNATURE 1. PLEASE SEE IMPORTANT TERMS AND CONDITIONS ON REVERSE SIDE. 2. CUSTOMER HAS RECEIVED ONE FULLY FILLED-IN AND SIGNED COPY OF THIS CONTRACT OF SALE CONSISTING OF PAGES AND HAS BEEN INFORMED ORALLY OF ITS RIGHT TO CANCEL. diem Initial ' PLEASE SEE ATTACHED ADDITIONAL TERMS AND CONDITIONS. 1 4:34‘. Town of Barnstable *Permit#aaa 'Jo 3 a e ulator S rvl Expires 6 months from issue date ,iR Regulatory e Ces Fee ) L 8AENSTABLE.,f� Thomas F.Geiler,Director 99 > �,3 �� 9. A,eif Building Division Tom Perry,CBO, Building Commissioner lelfr- 200 Main Street,Hyannis,MA 02601 • www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number• 3 I r/- 030 Property Address 37SS Rc Z.,L-±Q, (0.A B,-A_A__,, ,:.9f 0...t-JL , (l'l o,_ 6_44 3.a z Residential • Value of Work (q,53 S • 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 'I j(1 ,u-- ,-0 { A___A-- ".-, +- t Lz_,,., ._ i 3 "1 555 R>:y-c,„,_-- . L A M c .: 5. c�1_1,_ Contractor's Name _o c --1_.,, c 1F, c,A.-y0.—�--) Telephone Number ARD -3(0a -8595 Home Improvement Contractor License#(if applicable) •- 0, a.,53(OCR 4 # LI 35 )' ❑Workman's Compensation Insurance . Check one: ❑ I am a sole proprietor :_, t • ❑ I am the Homeowner ,1 N u [ , I have Worker's Compensation Insurance Insurance Company Name n en A„.� Jhvy_.c,.._" 0_ r cc, (., -v p` co Workman's Comp.Policy# A LAC, 5' ( 1 O .8 I .�,1 rn Copy of Insurance Compliance Certificate must be on file. . Permit Request(check box) 1 e • aVil.e-roof(strip ping old shingles) All construction debris will be taken to m �p .4A-c .,-'_.p �� dG �� ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permissi FRESS PERMIT A copy of the Home Improvement Contractors License is recu r d. JUL - 2 2008 . TOWN OF BARNSTABLE SIGNATURE: Q:Form s:build ingperm its/express Revised I23107 1 The Commonwealth of Massachusetts ew - Department of Industrial Accidents �*_=}� '/. • Office of Investigations r =.ill,,= • 600 Washington Street - • • _ :, u# Boston, MA 02111 ' .M www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly cN3fi a tit sines/Organizationiindividual):C g L_ p-vY��,,c. 6\2 a k ire, -LL-x-/. LLC ' AdaTess: / Yl - City/Sti e/ZIp:"6,7-7 it-a J ji V" '0. Phone.#:$O$ 7 2/ Are you an employer? Check the appropriate box: Type of project(required): 1.,®'I am a employer with 4. 0 I am a general contractor and I 6. El New construction . employees(full and/or part-time).* have hired the sub-contractors 2.0 I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ' ship and have no employees These sub-contractors have S. 0 Demolition . employees and have workers' working for me in any capacity. 9. 0 Burbling addition [No workers' coinp.-insuianc-c comp.insurance.* required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Phm:ibing repairs or additions • myself[No workers' comp. right of exemption per MGL 12.0 RDof repairs insurance required.] t c. 152, §1(4),and we have no 13.❑Other • employees. [No workers' . comp.insurance required] • • *Any applicant that checks box#1 must also fill out the section below showing their woricers'compensation policy information. t Homeowners who submit this affidavit mdimling they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Coatactors 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 subcontractors 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: n c�1 .t..a_..h al c� C.."-ror\A:x31...)Y-0......) Policy#or Self-ins.Lie.#: . .PO—kJ( 55 I I OS' I • Expiration Date: I� 1 Cii • Job Site Address: , 155 RA-10-R ont.A n City/State/Zip: rn CA— (f252 3 0 ' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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. d pen ' of pe . ry that the information provided above- true and correct r ---, .. (Data: / urh r • Si .�, � Phone#: E-^ 77 l—U&6, . Official use only. Do not write in this area,tb 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#: _— —_. —. �..... . ... �.. .... . .•...... ...• vv ./ a far uv •va ACORQM CERTIFICATE OF LIABILITY INSURANCE Dui21i2007 PRODUCER (800)524-7024 FAX (800)524-4013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Automatic Data Processing Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 ADP Boulevard • HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Roseland, N3 07068 INSURERS AFFORDING COVERAGE NAIC i4 INSURED ALL POINTS KITCHEN REMODELING INSURERA NorGuard Insurance Company 1646 FALMOUTH RD INSURER B: CENTERVILLE MA, MA 02632 INSURER C INSURER D: INSURER Es COVERAGES THE POLICES 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 40D1 POLICY EFFECTIVE POLICY EXPIRATION r to NC_RI1 TYPE OF INSURANCE POLICY NUMBER WOE 4111MAXDIYY1 DATE(aMILICSM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE FT RENTEDoRo ee) CMMSMADE nOCCUR MED EXP(My one person) $ PERSONAL 6 ADV INJURY $ GENERAL AGGREGATE $ GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-CCU P!CPAGG $ 7 POLICY n p LOC AUTOMOBILE LIABILITY COMBINED SNGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS ^— BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Pee accident) GARAGE LIABILITY AUTO ONLY-EA ACQDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR Q CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ . $ WORKERS COMPENSATION AND ALWC811O81 12/20/2007 12/20/2008 X WCSTATU- 0TH- EMPLOYERS'LIABILITY TOZYIIMIT3 ER A ANY PROPRIETCRIPARTNERIEXEOJTIVE E.L.EACH ACQDENT $ 2,000,ODO IOFyyeeFIssCEAEMBE EXCLUDED? EL DISEASE-EA EMPLOYEE $ 2,000,000 SPEQAL PROWSONSbelow E.L.DISEASE-POLICYLIMIT $ 2,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES IEXCLUSIONSADDED BY ENDORSEMENT!SPECIAL PROVISIONS - • • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TOMAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER,ITS AGENTSCR REPRESENTATIVES. Insured's Copy AUTHORIZED REPRESENTATIVE Richard Gossett/VAL ACORD 25(2001108) (OACORD CORPORATION 1988 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I V _A<7.1.- DATA n_ �a oad vi.= r - 41,‘ -ry- -Centerville Shopping Center N v% Centerville, MA 02632 W =�`.�- W 508.771.0664 • fax: 508.771.0083 ct # C toll free: 866.925.0700 tis Q& RM • www.allpointsremodeling.com Name BRIAN & GLORIA DAVIES Address 3755 RTE 6A, BARNSTABLE, MA 02630 Job Address 3755 RTE 6A, BARNSTABLE Phone(s) (H) (508) 362-8595 —Date 6/12/2008 Contract Number RR359-3-C6 CONTRACT/PROPOSAL Reroofing of cottage with red #1 red cedar shingles, stripping and disposing of existing, changing 2 GGL roof winows with new as per specsifications in addendum. Job will take about working 5-6 days, shades where ordered 5/21 and will take aproximately 10 weeks for delivery. See Attached Addendum to Contract And/Or Selection Sheets and Designs CONTRACT PRICE: $19,535.00 Payment Terms: Cash or Check $11,000.00 Signing/materials • $6,000.00 Half completion $2,135.00 Upon Completion Approx Start Date 17-Jun-08 $400.00 Shades installed Approx Completion Date 02/27/08 BY Points Kitchens&Remodeling,Inc. Rick Rasch ' Contractor License#CS72749 Reg#153551 Date Accepted • By Contractor LAST DATE TO CANCEL YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY V TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT /. rr��pp Customer Name: u2 U f2 l t'I f V j 7 Customer Name: PRINT PRINT II Customer Signature: l/l'U VlA C Par„, Customer Signature: SIGNATU SIGNATURE 1 PLEASE SEE IMPORTANT TERMS AND CONDITIONS ON REVERSE SIDE. 2 CUSTOMER HAS RECEIVED ONE FULLY FILLED-IN AND SIGNED COPY OF THIS CONTRACT O ,SALE onrFC Ann HAS REEN INFORMED ORALLY OF ITS RIGHT TO CANCEL. i • r 1 F,•,.... per ✓lie -67o4n/manwea/lli o.,/f/laaaacluaea 1 -- Board of BuildingRegulatioiis and Standards { ' ' * e Cl- HOME IMPROVEMENT CONTRACTOR • 1_(— Registration: 153551 • • �.� Expiration: 1211412008' Tr# 253604 Type:sPrivate,C tpora,ioir, •ALL=POINTS KITCHENS 8'KEMODELING71LLC FREDERICK RASCH.III `` s ' 1646 FALMOUTH,ROAD GL°-°"•"-- i CENTERVILI_E,MA 02632 Admini ator ,.;,, /Ia�� wNwae- B�+rr f eF'S:M• i4Bro ui nig° CgsTatlo�bs`an tau ar •s' "• .' =�, - , ` Construction Supervisor-License "' ,-a,-..1 i License: CS 72749 a 7 t, esation y4/2010 Tr# 1'8765 a 4}• ;Rtriction 00t 1 • FREDERICK V RASCH III' , • 36 CATSKILL RD y ,.. �' '',{•'�-'"--- - - ::'i BUZZARDS BAY,MA`02532` • Commissioner 1 .,4 . 1,hn4e ,ore l; • % }+ its 3'• • ;. i� i fit.a 1� {NI 1��, G� i3ifarr o u► 43 mg egu ati_an tan ar s 4+ •�} Construction Supervisor Ucense . i b • " U e e: CS 72749 , '.i ' of _ • 010 . Tr# 18765 FREDERICK V -.w• — r 36 GATSKIU.RD BUZZARDS BAY,' x 2 Commissioner • • • • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ( `) Parcel 636 Application# C OO v G(-( Co Health Division Date Issued 3 0 040 Conservation Division Application Fee S - Tax Collector Permit Fee Lg• b. Treasurer £ 1 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3 955 Et G Village N&ST C Owner ‘/0g-ice A9j/,6, Address J7SS 7 �A .99�-t-4.5 13es-- Telephone v7 d-Jb )-c4 93- Permit Request Z7na,0 Gz- /6 T 74-2_0vnt- /3f-7-0-Eo o , ,4 S'/zc= 0 0e 4j-46 ei 66- / i`l c u , ce7Z//,,,;es Square feet: 1 st floor:existing proposed AA- 2nd floor:existing proposed Total new A/4 Zoning District Flood Plain Groundwater Overlay Project Valuation /y3tro -QD Construction Type / 3/AE-2/nio Lot Size Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ,' Two Family ❑ Multi-Family(#units) Age of Existing Structure /506 IS Historic House: $Yes ❑No On Old King's Highway:, Yes ❑No Basement Type: ❑Full 16 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) x//4- Basement Unfinished Area(sq.ft) Number of Baths: Full:existing Z new /V - Half:existing "ifs new Al Number of Bedrooms: existing (2- new i Total Room Count(not including baths):existing new � First Floor Room Count .� 'Heat Type and Fuel: ji Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 14 No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes g!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 fize-D cfG Telephone Number ,5Ad- 06-6+_2_ Address i6'/(, nitre'o[/7Y Ed' License# �'9 7.)7Y 9 0 tccg C p/�i.�/ Y Home Improvement Contractor# j fr-94- O 04 3 — Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE ,3 D7 00 t rz t FOR OFFICIAL USE ONLY . 4APPLICATION# .t DATE ISSUED yy[[j MAP/PARCEL NO. - s i ADDRESS VILLAGE OWNER i i i DATE OF INSPECTION: x FOUNDATION \141 It„-1 _ 4:1/6,,,I ya g .. INSULATION cot 3-®S FIREPLACE 0 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 14 • L. - The Commonwealth of Massachusetts Department of Industrial Accidents . =: ,1t� / Office of Investigations liQ�= g _ •F y 600 Washington Street Boston, MA 02111 r� .L14449 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Applicant Information Please Print Legibly Name(Business/Organization/Individual): 41L /"O(,q-73 Address: /d y( G�O u T1t City/State/Zip: er)(17252lll GGE i 0 06 3)--Phone.#: 7/ - t6 6' Z- Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. El I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction listed on the attached sheet. 7. gRemodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.; 9. ❑Building addition mod-] 5. ❑ We are a corporation and its • 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself NO workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no empY to es•[No workers' 13.❑Other .., fir_; comp.instuance retrrred.] 'Any applicant that checks box#1 must also till out the section below showing their workers'conipauation policy information. t Homeowners who submit this affidavit iadaazing they are doing all work and then hire outside contractors must submit a new affidavit indicating such. - :Contractors that duck this box nant attached an additional sheet showing die name ad the sub-contractors and state whether or not those entities have er:ptoycea. lithe Have employees,they must provide their workers*'. cosr>p portcy numbs I am an employer that is piovlding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: WO k.61 u,4 Policy#or Self ins.Lic.#: 4 L W C P/D cf/ Expiration Date: /./,,,O /ors Job Site Address: 375Y' City/State/Zip: f ,.577 3L T, /"74. 0.)-43e) 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 and penalties of perjury that the information provided above is true and correct. Signature: Date: _ 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#: ADP 12/21/2007 9: 48 AM PAGE 2/003 Fax Server 9 'u CERTIFICATE OF LIABILITY INSURANCE DATE %2 077 • PRODUCER (800)524-7024 FAX (800)524-4013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Automatic Data Processing Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1 ADP Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Roseland, N3 07068 INSURERS AFFORDING COVERAGE NAIC# INSURED ALL POINTS KITCHEN REMODELING INSURER A NorGuard Insurance Company 1646 FALMOUTH RD INSURER B: CENTERVILLE MA, MA 02632 INSURER C. INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDIT)ON 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR SEUL POLICY EFFECTIVE POLICY EXPIRATION I TR NSRq TYPE OF INSURANCE POLICY NUMBER DATE pAMa]DIVY) DATF gIM/DD.IYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ CCMMERaAL GENERAL LIABILITY DAMAGE TO RENTED $ y r e CL AIMS MADE ❑OCCUR MEDEXP(Myooperson ) $ PERSQJAL 6.ADV INJURY $ GENERAL AGGREGATE $ GENT_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/CP AGG $ 7 POLICY n,F� n LOC AUTOMOBILE LIABILITY COMBINED SNGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACODENT $ ANY ALTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR n CLAIMS MADE AGGREGATE $ _ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ALWC811081 12/20/2007 12/20/2008 X I WCSTA1U- °TH- TCRY LIMITS ER EMPLOYERS'LIABILITY EL.EACH ACCIDENT $ 2 000 000 A ANY PROPRIETORiPARTNERiEXECUTIVE r r OFFICER/MEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $ 2,000,000 If yes describe under SPECIAL PROVISIONS belay EL.DISEASE-POUCYUMfT $ 2,000,000 OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HCLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS CR REPRESENTATIVES. Insured's Copy AU THCRIZE D REPRESENTATIVE Richard Gossett/VAL ACORD 25(2001/08) ©ACORD CORPORATION 1988 • oFTHE rw,, Town of Barnstable Regulatory Services g Y * anluvSTABLE. Mass. �, Thomas F.Geiler,Director 9�'°rFOnnA+a`� 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 h (41-vre-,-A- e , as Owner of the subject property hereby authorize AGL /4, i q /7Z07 c;c_ e v- to act on my behalf, in all matters relative to work authorized by this building permit application for: 27 S et , 2frgi-I 779-z31-L (Address of Job) • Signature of Owner Date 614 4- 0- /971t;'3 Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION { Town of Barnstable ' P�Op SHE Tp-9 h� , ,f . o„ Regulatory Services + BARNSTABLE, : Thomas F.Geiler,Director MASS. 'do.039• A,�� Building Division �Fno Tom Perry,Building Bw r g Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 ' Fax: 508-790-6230 / ,_HOMEOWNER LICENSE EXEMPTION/ 1 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 >•tended to in ude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for ire who dees not possess a license,provided that the owner acts as supervisor. J DEFINI 'ON 0/HOMEOWNER Person(s)who owns a parcel of land on which he/she es'des or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detache. .,;'. ctures accessory to such use and/or farm structures. A person who constructs more than one home in a two-y period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official or a f• acceptable to the Building Official, that he/she shall be ie responsible for all such work performed under the building'permit. (Section 109.1.1) ' The undersigned"homeowner"assumes responsi i'lity for co ?Hance with the State Building Code and other applicable codes, bylaws,rules and regulations. a The undersigned"homeowner"certifies that he/she understands the own of Barnstable Building Department minimum inspection procedures and requirements and that he/she wi comply with said procedures and requirements. / / Signature of Homeowner / • Approval of Building Official / ' ' , " 1 Note: Three-family dwellings/containing.35,000 cubic feet or larger will be equired to comply with the State Building Code Section 127.0 Co.struction Control. (J HOMEOWNER'S EXEMPTION The Code states that: "Any homeofvner performing work for which a building permit is required shall be exempt from the provisions 1 of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engage 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:forms:homeexempt - - — • /-ie 0/,./(44, e,e2s: .Board of Building Regulations and Standards License or registration valid for individul use only '6 • • : t•fitimm HOME IMPROVEMENT CONTRACTOR ibefor•e- he'expiration.date. If found return to: Registration: 153551 : Board of Bitilding Regulations and Standards E?TirAtioi::-:12/f4/2004 One Ashburton Place Rm 1301 Tr# 253604 Bo.sto- ;.` ' . :• ALL,F01NTS KITCHENS 4.'REMODEIL1Nd'LLC FREDERICK 1646 FALMOUTH ROAD, r I ; CENTERVILLE, MA 02632 Administrator Not valid without signature • . . • • !,'"Ittc gite ar,/itaidadaweeta gcooarndstorfuBcutiloldn cvinsguRpeogul;otlornLsiacnednsSetandards Licegse.,:s, CS 72749 -•- .• rWtreita.IN2L'7-4/2006 Tr# 5167 13e salt0.941.til \ • • FREDERICK V 36 CATSKILL RD • BUZZARDS BAY,MA 02532- Commissioner • • • _ , /%3/04 Town of Barnstable *Permit# ,i '/CS" J Expires 6 months from issue date f , . : Regulatory Services Fee �� 6 \ , . • Thomas F.Geller,Director Building Division X-PRESS PERMIT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 O C T 2 2 2003 Office: 508-862-4038 TOWN OF BARNSTABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY i Not Valid without Red X-Press Imprint Map/parcel Number Vi/ O I Property Address 3755 Gin S• -C- j O Gt r 1n 5 6)-C /: Residential Value of Work its 75 8 7. 0 0 Owner's Name&Address 3 f 1 a r G V►e S PO f5Ox T3anR5 b]e, AAA o0)(03e Contractor's Name A)o C 11l e(So i HZW' iu V Yvt,e,'+•7 Telephone Number 5-6 Home Improvement Contractor License#(if applicable) ) 1 Construction Supervisor's License#(if applicable) QWorknman's Compensation Insurance Check one: I am a sole proprietor Q I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name 1- 1 e Akt k Workman's Comp.Policy# (A)(. 1 - '31 5----IA 10 a - permit Request(check.box) ' Re-roof(stripping old shingles) Q Re-roof(not stripping. Going over existing layers of roof) Q Re-side Q Replacement Windows. U-Value (maximum.44) [] Other(specify) • *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg r i a • Liberty Mutual Group PO Box 8094 4Liberty Wausau,WI 54402-8094 Tel (800)-653-7893 Mutual-. Fax(715)843-2650 December 11,2002 TOWN OF BARNSTABLE BLDG DEPT 367 MAIN ST - HYANNIS,MA 02601- RE: Certificate of Workers Compensation Insurance Insured: NICKERSON HOME IMPROVEMENT INC PO BOX 2476 ORLEANS,MA 02653 -- Policy Number: WC1-31S-318102-022 Effective: 1116/2002 Expiration: 11/6/2003 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability: Bodily Injury By Accident: $ 1,000,000 Each Accident Bodily Injury by Disease: $ 1,000,000 Each Person Bodily Injury by Disease: $ 1,000,000 Policy Limits As of this date,the above-referenced policyholder is insured by Liberty Mutual Insurance Company under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions,and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend,extend,or alter the coverage afforded by the • policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respells such insurance as is afforded by those companies. cc_..Insured: - Producer of Record: NICKERSON HOME IMPROVEMENT INC PIKE INSURANCE AGENCY INC PO BOX 2476 PO BOX 1658 ORLEANS,MA 02653 ORLEANS,MA 02653 1110/2002 Page No 1. of jPages 1 1693 NICKERSON HOME IMPROVEMENT, INC. 1PR Q P Q S A: " P.O. Box 2476 HYANNIS, MA 02601 5 Fax (508) 255-5107 PHONE DATE TO (5l3 ian Davies es D 508-362-8595 9/9/2003 Po Box 428 JOf3 NAME/LOCATION Barnstable MA 02630 3755 Main Street Barnstable JOB NUMBER JOB PHONE Strip shingles off rear section of main house complete Install copper drip edge on all lower edges Install ice F_ water shield on all lower edges — E Y Install 301b felt paper on entire roof Install 24" copper in all open valleys Install cedar breather to roof Install ' red cedar ridge boards on ridges, both sides (front and rear of hou: Install pressure treated red cedar shingles on stripped areas All trash and debris will be removed and disposed of properly All materials, labor and debris removal Our mason to inspect and make recommendations on chimney flashing ovR vies-faR+^1 fits SouAtER11 SIDE Pi. a.e?RIR f}gb<MEd< Only items specified above are included in this proposal goaliERIS cite Rotted wood repair is NOT included in this proposal Materials guaranteed by manufacturer Nickerson Home Improvement Inc. guarantees workmanship for 5 years sla»a G5 SI-6 cL S Pi.ES ecc� � �-�+ar�5 0 tboRN-l'c� ADD 2Zoo� rW�D 3�`r & u u.E HP�1� W i41— Z Stt lEf+-b 0110 v4i-t e" q e:(7— 1.1 t E D 5 fl t & vt..S me) wt ©ky\" *Q.. etkr -13Rt5 r0. f ott FIEF. WE PROPOSE hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: dollars($ Payment to be made as follows: deposit upon signing, progress payments upon request, balance upon completion All material is guaranteed to be as specified. All work to be completed-in a professional manner according to standard practices. Any alteration or deviation from above specifica- Authorized lions involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance.Our Not- -proposal may be workers are fully covered by Worker's Compensation Insurance. withdrawn by us t t accepted within 30 days. ACCEPTANCE OF PROPOSAL—The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Pa ment will be made as outlined above. 5 w 1 ®� A�� I rg� Signature IV Date of Acceptance: 1. 0 !ouuuuig License or registration valid for individul use only before the expiration date. if found return to: Board of Building Regulations and Standards �- Y� HOME IMPROVEMENT CONTRACTOR One Ashburton Place Rm 1301 x... � ��.1�) Registration: 133851 Boston,Ma.02108 � `;,,;w ;v Expiration: 8/1712005 •c - Type: Private Corporation • NICKERSON HOME IMPROVEMENT MARK NICKERSON `J 12 COMMERE DRIVE G ^" Not valid without signature ORLEANS,MA 02653 Administrator �,di tati Town of Barnstable Regulatory Services BARNST9 Mass i Thomas F.Geiler,Director 44n MAs539.'� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder -O(z►Pl I, -B ( Ina- OGt U 1.c..) , as Owner of the subject property hereby authorize M 1 C h 60 o vk • vvl 900—(WtV,,; o act on my behalf, in all matters relative to work authorized by this building permit application for: 7SS Mc h S Ye-e ,1" • (Address of Job) C .trr9�ignature of Owner Date GLodin . i A i t 5 'Print Name Q:FORMS:OWNERPERMIS S ION Town of Barnstable Regulatory Services Thomas F. Geiler,Director hipArEp �p Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Dave Mattos FROM: Lois Barry DATE: 8/11/03 RE: 3755 Main Street,Bamstable Please call owner, Gloria Davies, 508 362 8595,to schedule an inspection to verify that the kitchen has been removed from the former family apartment. Please sign below to verify. INSPECTION TO VERIFY KITCHEN WAS REMOVED FROM FORMER FAMILY APARTMENT AT 3755 MAIN STREET, BARNSTAB 7.141 DATE: 14/v-e/o 3 INSPECTOR: /,/6 dezte,(_ �' � [[Aj • J030811A ' SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Si.nature item 4 if Restricted Delivery is desired. / /� ID Agent a Print your name and address on the reverse X / v i ' " /'_A la ; ❑Addressee so that we can return the card to you. B/Received by(Printed Name) C. e-t of.-livery e Attach this card to the back of the mailpiece, , `., or on the front if space permits. L, D. Is delivery address different from item . 0 es 1 1. Article Addressed to: If YES,enter delivery address below. 0 No 1 ( Tn ". OF BARNST.. LE IJILDING DM:,...ON 200 MAIN ST. 3. Servic ype ' ,-i i A NNIS,MA 026,01 ID'tertified Mail ❑ Ex ss Mail © ,/7 C 0 Registered eturn Receipt for Merchandise �,8 0 Insured Mail 0 C.O.D. J so-z,60.4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number i — (Transfer from service label) ID?O,q? { 0 10; 0 0 0:3;i5 4 3 6 118 6 3 i _ ;{ i-!I i PS Form 381 1,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE �� 1 $4csCIass�`�,� Mail Ga e',-:,4� .�_,,._ _Postage•&_e`es Paid._ ._�.m..� Permit No:1;=Y0 • Sender: Please print yourrie, address, and ZIP+4 in this box • • TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS,MA 02601 eirtilliE roil,9. Town of Barnstable • ,,STABLE, : Regulatory Services \ Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 6, 2003 Gloria C. Davies PO Box 428 Barnstable,MA 02630 Re: Family Apartment 3755 Main Street,Barnstable Dear Ms. Davies: Our February 6,2003 letter(copy enclosed)requested that you to contact us regarding the former family apartment at the above address. We have a copy of your 1997 affidavit stating that there is no stove in the barn/cottage. Please call Lois Barry, Division Assistant, 508 862 4039,by August 20 to arrange for an inspection of the unit. Sincerely, Thomas Perry Building Commissioner Enclosure CERTIFIED MAIL: 7002 0510 0003 5436 1863. J030806B �0„mE rc„,, Town of Barnstable ,,s,AB Regulatory Services Est. SA s639. ♦I rED mo A Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 6, 2003 Gloria C. Davies PO Box 428 Barnstable, MA 02630 RE: Family Apartment 3755 Main Street, Barnstable, 317 030 Dear Ms. Davies: Our records indicate that you are now the owner of the above-referenced property. Therefore, the former owner's family apartment special permit approved by Zoning Board of Appeals, 1991-009, is void. What is the status of this area of your property? Please contact this office as soon as possible to: • Apply for a building permit to restore the property to a single-family home. • Apply to the Zoning Board of Appeals for a variance, or • Apply to the Amnesty Program. Please call Lois Barry, Division Assistant, 508 862-4039 to discuss the necessary steps towards compliance with the Town of Barnstable Zoning Ordinance. Sincerely, Tom Perry Building Commissioner y� �`/ 1 j030205b '47 3// f PI B . L. INQ1kHY - TOWN OF BARNSTABLE ;f.Ei ,��� �.�.- ;w'`'� ,. _ ¢gar;':jEap (U�}' �� ' F�. . ;'x, .C474 , ,,: � v,. iR S3S9;3'i,r-,/i.�:.n?.;:-.e..Y •.i 3h ..3 ,;:NA •' a..nd� \,. . r, �Cl Dti ....... ........... ;r • :.:: .:. :..:.. : ....:.• isi ,:::..:::::.':.::..:::i:':::;'- .. Year -:.:T: e Bill... #.. Cu'st # Ha;t.es .SC....Bisl:l...._N;.a...:me ::Ph. � � ... 2003,,.: �R'E=R,. > ': 7406:: . ;:;21,4�423 .:.:: DAVI>ES � GLQRIA�':�C.:.,;» <:: : . '" Parcel ID:•,•:3:17-0�3 0 I' Detail; f ••Alt;,.:rare--::c I < ; BA.: ,<; B AR:NS< T�:ABL.<E- • >: :MA=, :Q 28:30.;.:<: .:,,,,...:..-i:,.::,.::,...1,:•:•:-:,,,.:.....,...--,. :::. :. . . ;' ;.Or B .Pro Lo3'7:55;.MA ' :.ST /RT ::: N: :>' > � ; •UenlSale r „4 ' ,. Int.::'Dt;': '. . ..' '.:::.::;Billed..:.:::i,•.:- ::::Ab.,..'t:/Adj: ::. PintfCrd.. :':.:.'I'riterest '••--' •.-•-••:..U'n.pad..bal, N: S eerfic-BIIL..,.;, . ,.,._, ,B„ ,,,, : 11:.;1/21/02... :.::„:,..1 1:7A>86 <.>:;:<>;w-00::: 1 71'7,:-.,.., 00�=L - ':0.0.:: F ,Mlli-[ltil iACct,,'w. 2.1::0.5 :0.2 .03: ;:.;:.;:.:.1..-::�175 .._�..�...:. :�ud>:.:...:� � ..:..�;_:�::::;�<a.: 7 :..: :0_0. :.r :-: .._ u �rner," •• ,:':. X �Cst l 4 : ::.:.:.; :.. � -.,,�,/,/,-�. ,, , '>� . Eees�Pen.. �... ;>0'0 ;:. .:0�0�.:::::. . 0 0":::;::: 0 0 � 0 0'-:�::.:.:... - Totals _-.;::<• .:1::..717 .:86� ::,.:;': :::-..0.0 :;:::i:, 771.7>::.85. : Z.-Narf�e' .u�.;�. :::::..:..:::::::::::::..::::.. ... Exrk �.,..,',;-"".;� J...AN.... 1 O�ne.r.�,�:. DAVIES,..;GLORIA;-.0 :.. Du01...::08 200:3•.:. • �;a;�`::. .;: • . . .u_,., ' .::..::.;::..:.: ... ': . .:::.:;::.; . ::;.:'. . .:::';:; ......;..:....:.. ::...:...:.......:.:.:..::;.::::... .:':::':::'Diem::::::.:::.:. - ::..:.::_..:: i ;;:.::. ;::.,:.::'::'p 0:.:'::.;`;; Preferences . . ,.0 . ,.... :... .; Ia: Paid t. S;kar,k-y `; rrziv" ,: Micros.:..;. rh�l;e;;,. r lb-,v Amara..- Perry �91}F..-,, ,,,,, tsM,) - : ., OGPM ',;'.,,,, .0 :a '- ",,i,e-�. ,.,/ •W , c .,,i',<g..... :::u ..;. :-u - ;y am+^�''.� �, s ;,r.� y w :..,,, c. ,, !; x..�.w,,...,� �h,cl..-.J- ��zL�..1....�rc�f�.�J,.i,Jld.A l}�,..�_,f+J _. - ,,,�g8,Mn1�i7�Iaa_-.. . w__.i�..L:16.,,-k.- Grni».gK��S["."�`:�yym ,,_., / 4E' The Town of Barnstable / Department of Health Safety .,�►s,.. D p S ty and Environmental Services ,,,�i8lABLE, 'r Building Division ��' 367 Main Street, Hyannis MA 02601 -ffelED mid" Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission February 4, 1998 • The Davies Residence 3755 Main Street/Route 6A Barnstable, MA 02630 Re: Family Apartment located at the above address Dear Mr. &Ms. Davies, Our records indicate that there has been a change of property ownership since a family apartment Special Permit was issued for that address by the Zoning Board of Appeals. A letter was sent to you dated December 8, 1997 requesting that you contact this office as soon as possible. You have not done so. The enclosed Special Permit application must be completed and returned to us within 30 days. Failure to do so will result in enforcement action. • Thank you in advance, -11-Q.If1/1\ Itild--PA 6113 • Ralph Crossen Building Commissioner O��E 1pz *Qsnxrrsrnai.E, \9�p4 59 10� The Town of Barnstable ct Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 - Building Commissioner December 8, 1997 Davies 3755 Main Street/Route 6A Barnstable, MA 02630 Re: Family Apartment located at above address Dear Mr./Ms. Davies, Our records indicate that there has been a change of property ownership since the family apartment had been approved by the Zoning board of Appeals. Therefore you must contact this office as soon as possible to discuss the necessary steps towards compliance with the Town of Barnstable Zoning Ordinance. 'Thank you in advance, Ralph Crossen Building Commissioner . S . .. FAX COVER PAGE Date: Wed May 7, 1997 3:26 am EDT To: Gloria M. Urenas Destination Fax: (508) 790-6230 From: Brian Davies/IFAW Subject: NOTICE OF INTENTION TO APPLY TO THE ZONING BOARD OF APPEALS Number of pages excluding cover page: 1.0 Number of delivery attempts: 1 This facsimile message was electronically transmitted by MCI Mail@ III/ 410 6 May 97 RE: 3755 Main Street, Barnstable, MA Dear Ms. Urenas: I have your letter of April 11th respecting zoning concerns in connection with the above property. You will, perhaps, remember that I spoke with you on the telephone from Florida on April 18th. Your kind advice was much appreciated and I am following up with this FAX. I am currently working in Europe until the end of June and cannot afford to have a lawyer deal with this while I am away. I would, therefore, be grateful for a delay in this matter until the beginning of July, when I will be back on the Cape. At that time I will make a formal application to the Zoning Board of Appeals for a variance to designate our property a two family home, with the intention of using the attached cottage as accommodation for an aged mother. Yours Sincerely, Brian Davies P.S. Mail to my Barnstable address is being forwarded to me in Europe. 'e- SENDER: :o •Complete items 1 and/or 2 for additional services. I also wish to receive the y •Complete items 3,4a,and 4b. following services(for an tv ■Print your name and address on the reverse of this form so that we can return this extra fee): h card to you. 2.); > ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address 2 permit. d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery u f, ■The Return Receipt will show to whom the article was delivered and the date a c delivered. Consult postmaster for fee. .� 0 a 3.Article Addressed to: 4a.Article Number ti £ 4b.Service Type y d u c3-2 � ❑ Registered ertified °C °' I W ❑ Express Mail ❑ Insured 5 cc ❑ Return Receipt for Merchandise ❑ COD c a 0�63 d 7.Date of Deliv o HP Ps'r�h'ES /�0/97 0 cc D 5 ecei qd• -riot N. e) 8.Address s Address(Only if requested 1 w walk / and fee is paid) (a ¢ ur4.1/ d ' F- i g 6 gn lure: (Addresse or Agent) > Xi I y PS Form 3811,December 1994 Domestic Return Receipt j ,l UNITED STATES POSTAL SERVICE 11 First Class Mail Postage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • r.. Town of Barnstable Building Division 367 Main St. • Hyannis, MA 02601 G P 015 496 701. • Receipt for Certified Mail No Insurance Coverage Provided mrs= Do not use for International Mail (See Reverse) Sen r Street and No. P O State and ZIP Code ostage a.S Certified Fee Special Delivery Fee - Restricted Delivery Fee Return Receipt Showing cn to Whom&Date Delivered Return Receipt Showing to Whom, c Date,and Addressee's Address - TOTAL Postage &Fees . - $••02-.5 O Postmark or Date tv) 0 STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). Tii 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attachbd and present the article at a post office service window or hand it to a your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the returniz x"). address of the article,date,detach and retain the receipt,and mail the article. o3. If you want a return receipt,write the certified mail number and your name and address on acreturn receipt card,Form 3811,and attach it to the front of the article by means of the gummedends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. O O D 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, oendorse RESTRICTED DELIVERY on the front of the article. E 85. Enter fees for the services requested in the appropriate spaces on the front of this receipt.IfLL return receipt is requested,check the applicable blocks in item 1 of Form 3811. a j 8. Save this receipt and present it if you make inquiry. 102595-93-Z-0478 i - r OF 7I0 • - vi Ake Town of Barnstable QjDepartment of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner April 11,1997 Mr.Brian Davies 3755 Main Street Barnstable,MA 02630 RE: 3755 Main Street,Barnstable,MA (M-317/P-030) Dear Property Owner: Our records indicate that your house at,3755 Main Street,Barnstable,MA, is currently being used as a two family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family You must contact this office immediately to tell us what direction you wish to take. Sincerely, Fet.4.Lz..,(1_ 7:(c......_e__fre____i___, loria M.Urenas Zoning Enforcement Officer GMU:lb s CERTIFIED MAIL-P 015 496 701 f970311a TOWN OF SA3NST88L1 ( T'IMPOS S MENTABY/CONTINIIAT REPORT .. -DIVISION la11t'[ NAME (LAST, FIRST, MID LE) 22 oo.-- NOTE DETAILS A OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC. . . 37 sS 144 14 S-r- A) sT / —03 Q �//� /1' f/1:T1 Coal s r s i S ft C I 1 T PC� 9�Gr!S ��O�P? Tom) 7`O(X7 / O f N ! ,,,, r., 0-c/ G -v 2- (N O / D --7 rN S. 4A-T oh3 9�i/'2iF 44,4- J keD�► l /I I.rT1_/ ) �- 1 1 , 1 QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION 12/08/97 PARCEL ID 317 030 GEO ID 23276 LOT/BLOCK 3 DBA PROPERTY ADDRESS OWNER DAVIES 3755 MAIN STREET/RTE 6A ( BRIAN D & GLORIA C BARNSTABLE 3755 MAIN ST BARNSTABLE MA 02630 PHONE DISTRICT BA DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC RF-2 SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? Y # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 60984 OPER/MGR NAME WET LANDS MULT ADDRESS USE 109 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT r A=317-030 JO$gPH D. DALUZ411/1`� —_ TELEPHONE: 775.1120 , • Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 August 4, 1989 Mr. Frank Bridges P. 0. Box 34 Cummaquid, MA 02637 RE: A=317-030 3755-:Main Street,:Barnstable Dear Mr. Bridges: This office has received a complaint re the use of the barn on your property located at 3755 Main Street, Barnstable. Please contact this office immediately re the above matter. Pe ce, /77'osep D. DaLuz (/ Building Commissioner JDD/gr ' I 101( AFFADAVIT This Affadavit is to confirm that there is no stove in the barn/cottage at 3755 Main Street, Barnstable and that the property will only be used for single family occupancy. r 'II VP B -n Da i ate 19O1 Gloria Davies Date 7/ Jittti 1ff 1 3755 Main Street P.O. Box 631 Barnstable, MA 02630 LANNA D. BROWN, Notary PubT Commission Expires April 30,2004 iILCOPY • FEB 7 Town of Barnstable 7.ON WR„FBARNSTAQL f Department of Planning and Development RL1 FAppF^1S Staff Report Date: January 30, 1991 To: Barnstable Zoning Board of Appeals From: Robert P. Schernig, Director Art Traczyk, Principal Planner Appeal : #1991-09 Special Permit : Section 3- 1 . 1 (3 ) (D) , Conditional Uses : Family Apartment Applicant : Frank W. Bridges Location : 3755 Route 6A, Barnstable, MA Assessor's No: Map 317, Lot 30 Zoning: RF-2, Residence F-2 District • . The applicant is requesting a Special Permit for the development of a family-apartment , a Conditional Use, as per Section 3- 1 . I (3 ) (D) of the Zoning Ordinance. This appeal is subject to procedures specified in Section 5-3 .3 , Special Permit Provisions of the Zoning Ordinance. Applicant's Proposal : The applicant is proposing to convert the second floor of an existing two-story, garage/barn into a family apartment for occupancy by the applicant's father. The accessory building is described in the Assessor's records as a "garage with quarters above, no heat , 2 rooms, 1 bath . The accessory building is unattached, irregular in shape measuring 32 by 24 feet and containing 736 sq. ft. per floor. According to the Assessor's records , the principal building, a single-family dwelling, is 1 ,968 sq.ft. and contains 6 rooms , 1 bathroom and 3 bedrooms. According to the applicant' s information the building contains 8 rooms , 2 bathrooms and 4 bedrooms. The parcel contains 1 . 4 acres and is located on Route 6A, Old King's Highway at Adrian Way, Barnstable MA. and is within the Old King's Highway Historic District. • ' According to the free hand drawn plans submitted, the conversion • of the accessory building is to contain a 22x24 foot family room, .inclusive of a kitchen, 16x10 foot bedroom and a 5x10 foot bathroom. • • STAFF COMMENTS: S The applicant should resolve the discrepancy in the description of the principal building that exists between the Assessor' s records and the real estate description supplied with the application. Using the Assessor's records, the proposed family apartment consisting of 736 gross sq.ft. is 37. 47, of the existing 1 ,968 gross sq.ft. principal structure. Reviewing the proposal for compliance with the provisions of Section 3- 1 . 1 (3) (D) , Family Apartments, the applicant should provide assurance to the Board that all provisions will be complied with and proof of such compliance be maintained as provided for in completion of the Affidavit for Family Apartments (attached) . No plot plan was supplied with the information provided and no determination has been made as to conformance of the structures to setback requirements (provision "e" of Section 3- 1 . 1 (3) (D) ) . The department does not consider the free hand sketch. submitted with the application sufficient to satisfy the requirements for "Scaled Plans of Remodeling" (provision "k" of Section 3- 1 . 1 (3 ) (D) ) . No information is supplied to determine if a Certificate of Appropriateness is required from the Old King's Highway Historic District Commission. RECOMMENDATION: The granting and maintenance of this Special Permit shall at all times be in compliance with the provisions of Section 3- 1 . 1(3 ) (0) , FamilyApartments of the Zoning Ordinance, and -4-5--- .1 / t k1e__ conditioned upon the following; 1 . The applicant shall provide yearly assurance to the Board of compliance; • 2 . This Permit is subject all to applicable rules and ; regulations of the Board of Health ; and • 3 . Subject to any Certificate of Appropriateness of the Old King's Highway Historic District Committee, as may be needed for any exterior improvement to the building. • cc . Board of Health • Building Department • • Barnstable Fire District • Assessor's Office_ j/ 7-G.30• .37..S5 >Z�° z • ,a„„, . To.+" CIF r.. . t • S Town of Barnstable Zoning Board of Appeals • Special Permit ? T' 13 Decision and Notice Application: #1991-09 Applicant: Frank W. Bridges Summary of Relief Sought : At a regularly scheduled hearing of the Zoning Board of Appeals, held on February 28, 1991 , which was continued from February 14, 1991 , notice of which was duly published in the Barnstable Patriot , and notice of which was forwarded to all . interested parties pursuant to Massachusetts General Laws Chapter 40A ; the applicant Frank W. Bridges applied to the Board for a Special Permit pursuant to the Zoning Ordinance Section 3- 1 . 1 ( 3 ) (D) , Conditional Uses for a Family Apartment within the RF-2 , Residential F-.2 District . The applicant' s site is shown on Assessor' s Map/Parcel Number 317/30 , more commonly addressed as 3755 Route GA , Barnstable (Cummaquid) , MA and is zoned RF-2 , Residential F- • 2 District . • The applicant is proposing to convert the second floor of an existing two-story, garage/barn into• a family apartment for occupancy by the applicant's father. The accessory building is unattached, irregular in shape measuring 32 by 24 feet and containing 736 sq.ft . per floor. According to the free hand drawn plans submitted, the conversion cf the accessory building is to contain a 22x24 foot family room, inclusive of a kitchen, 16x10 foot bedroom and a 5x10 foot bathroom. The parcel contains 1 . 4 acres and is located on Route 6A, Old King' s Highway at Adrian Way, Barnstable MA and is within the Old King's Highway Historic District . According to the Assessor' s records , the principal building, a single- family dwelling, is 1 , 968 sq-.ft . The applicant' s request was heard by Board members : Ron Jansson, Gail Nightingale, Gene Burman, Betty Nilsson, and Wayne Brown.. Summary of Evidence: The applicant , Frank W. Bridges , presented to the Board Illa Certified Plot Plan, a Title V Septic Plan from the Board of Health, ' and a Certificate of Appropriateness from the Old King' s Highway for the . barn itself. • • • No one present spoke in support or in opposition to this application. Finding of Facts: At the meeting of February 28, 1991 , the Zoning Board of Appeals made the following finding of facts as related to. Application #1991-09: 1 . The applicant complies with the provisions of Section 3- 1 . 1 (3 ) (D) , Family Apartments and all other requirements set forth in the Zoning Ordinance; 2. The apartment is to be occupied by the applicant' s father as his permanent year-round residence; and 3 . Granting of this appeal would not be detrimental or objectionable to the neighborhood affected. AYES: BURMAN, NIGHTINGALE , NILSSON, JANSSON, BROWN NAYS : None Decision: • • A motion was duly made, and seconded, to grant the Special Permit #1991 -09 for the. development of a family apartment in accordance with plans submitted and 'in compliance at all times with the provisions of Section 3- 1 . 1 (3) (D) , Family Apartment, of the Zoning Ordinance subject to the following terms and conditions : 1 . Approval of the Board of Health as to compliance with all applicable rules and regulations . 2 . Completion and submission to the Board' s files a signed copy of the Affidavit for family Apartment. 3 . That when the family member, his father, vacates the apartment , said apartment shall be discontinued. AYES: BURMAN, NIGHTINGALE, NILSSON, JANSSON, BROWN. NAYS: None THE SPECIAL PERMIT IS GRANTE D WITH CONDITIONS • Q,� nett /i9i 7 Assessor's offioe (1st floor): 3/ 0 3 r �,a piYME>o ssessor's map and lot number -Pre SYSTEM UST _ Q.. ,. �*� Board of Health (3rd floor): '3Tz L6 ED IN COMPLBA�� fO, Sewage Permit number WITH TITLE 5 • BABa9TADLE, i Engineering Department (3rd floor): 5� .-''tc ,OM , 'oo rb q, ems House number `t'`�;��i4�p qa 0 No APPLICATIONS PROCESSED 8:30.-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF .BARNSTABLE BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO C©/1/Sre v B,4 lZ ttl per. TYPE OF CONSTRUCTION Vd$ �,/ F A"M• i- TO THE INSPECTOR OF BUILDINGS: The undersigned herebyr applies for a'/perrmittaccordingin to the following j information: Location 3 7 s7..5.......�"l .t.l1f..:.5 r C� .1�1 S.TA A �^ e Proposed Use �'�. /4:./ZA ,:L Zoning District Fire District .... 127Y'Cr/454_, Name of Owner ... .Its 8iZ I PC-.,...Address ....3. 3-rfrpo Sr Name of Builder /2.,?L4 T" 3/21/�="�1''.7...Address ...3 W. ar M,M-,N S 1" Name of Architect /?0,3 0.2r- ,3)Zl -- C5, Address Number of Rooms !� Foundation CG.,10.f ......1. .L® " K Exterior Roofing 10 49? S GL. Floors C.4 C/Z Interior AV/6 E'er Heating Ai Plumbing 4/G Fireplace A/Q Approximate Cost 2�®®d • Definitive Plan Approved by Planning Board 19 Area ..... o Diagram of Lot and Building with Dimensions Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH 2.10 ,4e, Al ti 's ------_ ` 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 L construction. c02i1 L _ Name G�/�/�Jw'� Ti✓ Construction Supervisor's License . . BRIDGES, FRANK „.....-- - ..., No 31206 Permit for Build Barn Accessory to Dwelling 1 A . . Location 3755: Main Street -.. : Barnstable . • Owner •Frank Bridges , Typerof Construction. ZrAme • • f : • v, , .•-- . / ... Piot . , Lot . , .. • .Permit Granted September 18119 87 . . .... 1 . ., ' Date of Inspection g.-3/- r". 19 ,.. • Date Completed C?" 19 . - . . . . .! . . . $ . 1 • , . , . 1 r .1 . •• .. . ....e 1..* 4:1 pli . 4 • •... ; .• , . . . . .• . 1:-.'• - • tic „ . . e• ' . .• ' 1..., i • , „ . , I _ . ` . . ..• •'4 1 , - _ . •••"••••• . • -- i . 4 „ , . . , • a ' 1 /-•• , . o • .. •:.• . •'t . . . , . . • , . '• D , • JO$F.PH D. DALUZ TELEPHONES 775.1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING • HYANNIS, MASS. 02601 • August 4, 1989 Mr. Frank Bridges P. 0. Box 34 Cummaquid, MA 02637 RE: A=317-030 • 3755 Main Street, Barnstable • Dear Mr. Bridges: This office has received a complaint re the use of the barn on your property located at 3755 Main Street, Barnstable. Please contact this office immediately re the above matter. Pe ce, /dosep D. DaLuz ' Building Commissioner JDD/gr • • 4 ~ ] ROUTE 6-A CTY104 TDS] 100 BA KEY] 232769 ADDRESS------- PCA31011 PCS300 YR300 PARENT] 0 ` FRANK WARD MAP] AREA376AA uV3363177 MT031003 SP1 ] SP23 SP33 UTl ] UT23 1 .40 SQ FT] 1968 CUMMAQUID MA 02637 AYB31780 EYB31950 OBS] CONST] 0000 LAND 125400 IMP 98200 OTHER 2700 ---_LEGAL DESCRIPTION---- TRUE MKT 226300 REA CLASSIFIED WAND 1 125, 400 ASD LND 125400 ASD IMP 98200 ASD OTH 2700 #BLDG(S)-CARD-1 1 98, 200 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE l 2, 700 TAX EXEMPT #PL 3755 MAIN STREET BARN RESIDENT'L 226300 226300 226300 #DL LOT 3 OPEN SPACE *RR 1386 0298 COMMERCIAL INDUSTRIAL l | � | EXEMPTIONS | ' SALE309/87 PRICE] 1 ORB15926/196 AFD] I A | | LAST ACTIVITY107/19/88 PCR]Y � � | | | � � | � \ | � | | | | | | — •K.II• - 1,7 SO iDic 0 RiV ieyzyg3 \ Assessor's map and lot ntVr ' 3 - v. • • ,,. , Sewage Per-mit number W... . .. ..,.... . . ....... .:..!::: 1 ... ' ', - - ' • - — . st 10. • c.t% jj House number 3 7,C.---.-RA , ,, 1 BARNSTABLE, i ir MAIM • Op, 1639. 4" , TOWN. OF BARNSTABLE , . , . . . BUILDING. it,ECTOR . . .._ APPLICATION FOR PERMIT TO 1.7.7 (.1 / 11'"H—C17 ( ri 22./V TYPE OF CONSTRUCTION • e,t3 F vp, f) - -..cipe?e, . : . , 19—n , .. `..'. ; 1 TO THE INSPECTOR OF BUILDINGS: ' - , The undersigned 4reby applies for a permit ac ording.taqhe-folio ing information: Location AP ' ./... 37 575< , tr74.14- 4-rini fif)-k/e- Proposed Use Zoning District R \F- ----e----- Fire District -filly 5 I 1,---ble- Name of Owner S.r..7.A/4 01Wte5 Addres37- 5--RT-4° 9- ?14 , ,.... Name of Builder Op ,,,AAe... Address 3 fiiiiopm et9' re.A7Te--rv/ik Name of Architect ././k21.7.. FgAddress ..rJ 4/41-1Korte - Pe ir.-7- -- Number of Room 1 eolyi Foundation Peg a ret, C.-"Xedei e A n. Exlerior er' 5A i iy", --- 5 Roofing i Floors 04/ CZ 'a.e P - Interiar :, /ce_T-r.--o - K.. Heating /912 p --- p ..,...V.-ye:i-5..r...//7 Plurribirig f Fireplace - - Approximate Cost Z9,,,e9e50 /-11 Definitive Plan Approved by Planning Board 19 7--- Area /35 S// c, Diagram of Lot and Building with Dimensions . . Fee /0 C . 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- ,.; V: ConstructiolSupervisorei License 4._ t)C47:12 V- , II •,- ' . - , - 1,f :; ` DAVIS, BRIAN • 15 t!o 25688 Permit for ADDITION T _ Single Family Dwelling Location Lot #3, 3755 Route 6A - Barnstable - : -- < • Owner"' Brian Davis q _ - • - ; f f ' Type of Construction Frame —c .,/ - , - r' a` Plot �' • Lot r,- • � • '7 October 26, 83 Permit`'Granted 19 - t • • Date of pection -19 R' ;f Da • te Completed / . 19 r Y C r j. '• • - ... . • • V +,c • _ f t R �0THETo, TOWN OF BARNSTABLE •vP , ..s' IO • i i BARNSTABLE, 90 M6 9. BUILDING INSPECTOR O-,D YFY t..6 • �E f APPLICATION FOR PERMIT TO .. . / /v '') : iC ` i4 1), , TYPE OF CONSTRUCTION ,1.•007, 4 7 NR, P- 19.7/ t, t ' TO THE INSPECTOR OF BUILDINGS: . I The undersigned hereby applies for a permit according to the following information:. Location . . ./.5) 5/ t 4 7: ‘ AL , B e?ity...›?5. .. lc I le. Proposed Use ...151/,e /0d Yt-4 • Zoning District Fire District .8 `5` 82 ` ° -e • 1% (, Name of Owner tl, l.hill fp Gar/t$a. • Address .did1) 7'9 / • CP Name of Builder$_?-0, s ti /.. Address '0/7) 5/• 17/7: ‘ /1/.... Name of Architect Address Number of Rooms ® A? e.., Foundation 'Ce")e777 Exterior Roofing / a e) 5/2/ 7,41e5 Floors C '.?.>>.e.>)r Interior .. " i Heating Plumbing ,IYQ. , Fireplace Approximate Cost ��d, 0‘) Difinitive Plan Approved by Planning Board 19 . /6 0 .�'i , Diagram of Lot and Building with Dimensions i S — 3. r- -- _. - ` • r . , ‘4 6- •-.-i .41..,:i„._ N\ i i/ii k , 7.5* 4.'„:.______ > ml d_ce . . > La 1.-:!"1 1711 Vi / L� o � �/� Iv ;• Ou CD !1 hi UQ . i ZU3JL- / r r - - - - � --! o L wino .. IV \ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. P Name ... Davies, John L. • DC31C • No 14230 Permit for add open torch to single family dwelling . Location 39 5":5--. Main Street Barnstable Owner John L. Davies Type of Construction frame • , \\v/-> r, - Plot Lot Permit Granted SQptQlnb4 ..9 19 71 I :::: :::: �'a- �� 19 { 9 ii \, • . _ PERMIT REFUSED sr 19 I t i 1 Approved ., 19 _ } i .w . yf,%(5,4,,,I, e"-Dc(,0 s . , _ c3qi,v1,5-k-- (2t..e,„ ..lidk, , ... `JCS r lcXed"' q \.k t "4, V t..IC J1/4,10, oo e 12.. r • a,zs ans /'` 5 r _" } i1 1.., , �..':� : SfiWanv05.-.• ma.wr..o.1y}7tfr,�.o•-11N _ r-2u`:uz ti t .Cdf}Y .S•—'\ /»'•' "f.�JQ GI�,I'1� .'�flQf d} S tip. ,F i aflQs- •- --- ni ..r b . o•ng a96bli4 ..wV-79dLSN3db'g r 0 :Wit-. -rs - - 2T 2Y abc7st»'.7y y nv�wtf<k�y'avaro� A4 - ... ,t M.•5/'6S168rv_ '''•r.47.6S:89N- .. - .. , ro N p a/9ofsuiag Jo ,..,.A ,{.. ayMOB-QT-LIPS.— F.,11°4-J - .. - _ - ' r* o 0 • obr nr a �ygv CI "o 'yJ y p . N 1 A7assvg `; u• Y.p`7 o w i L. -. ,, • 4 My N n A A t it- •^-..yam.•.__.. a a 1