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HomeMy WebLinkAbout0041 FERNWOOD AVENUE 04// �� [��!�� y ,A/ � r /�//� �, �' • i � . L Residential Barnstable $199,900 H annis ort OHM 7 a Bedrms 4 Pulitsaths 3 e 1/2 Baths 0 S e s Wa cc "BEACH P Built 1953ACTUAL LotSize 0.34 1.5-1.8 41 FERNWODD TR BK289PG7 Subdly Map/Par'104 Mi Beach .3-.SMI SchOwner PUBLIC otalAssmt 144000 Taxes 2284 1999 HeaVCoal "OIL,HT W ATR' Watr/Sewr/Util 'PRV SWR,TWN WTR,CABLE TV' IntFeat 'HU-CABLE,HU-ELDRV,HU-WALHR" Equip/Apo 'REFRIGER,WASHER,DRYR-EL,DISHWSHR.RNG Finors *WOOD TILE WWCARPr Bsmt Y "FULL,BL FP Y Lead U LIM N Gar "ATTACHED DIR NTRV Dock N - Aein OMAIN HOUSE-8 COTTAGE;GOEST SUITE-BEHIND GARAGE,VERY UNUSUAL PROPERTY 1HVANNISPORT, NEW TITLE V,6/10 MILE TO BEACH,SEPARATE BUILDABLE—) Owner P BONNEV -'Shw"CALL OFC; Lst08 W ALSH REALTY cPh' (508)775-7330 LsUkM JEANNE WALSH Phi 508 999-9999 Dir OGREENW OOD AVENUE(OFF SCUDDER)TO FERNWOOD,EXTRA LOT ABUTS ONPINEWOOD tj PRESS ERM17' G'��SZ-7 z� FEB _ Town of Barnstable *Permit# �o�� Expires 6 months from issue date Regulatory Services Fee 8ARNTAjj` Thomas F.Geiler,Director s639 �0 Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barmtable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PEPMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 01C1, 109 Li I �2 r n�,v y 0 {�V-Q- 4,I a n V1 i 5 Property.Address esidential Value of Work 000 • DU Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ko I i I e- Koujalst�t - YI Fe n cam, J K1 y-e a Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. " Permit Requ (check box) Re-roof hurricane ailed)(s 'pping old shingles) All construction debris will be taken to�ipS le' SPc.;°^ I"Oa ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ 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: QAWPFUMTORMSUmilding permit formslEXPRESS.doc ,1 . The Comtrronnealth of Massadr=efts Deparftnent o, Indusbial A ccidenft Office of Invewfigations 690 Washurgton Street Boston,M4 92111 . wn w.mass_gov1dis Worms' Compensation Insurance Affidavit B-ceders/Contractors/Elect nc ns/Plumbers Apighcant Informafaou Pease Print L . bIv Name(Bus[nessMvganizatim4ndividuai): gbkke- Ko Lo.&15 Address: yI rernwoo � 4v�- City/5tata(zip" �" a h Yti! S H A- Phone# ��� ✓��b ✓ 0 y 13 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4- ❑ I am a Smeral contractor and I employees(full midlor part-time). * have hired the sub-con#scta�xs 6. ❑New consfrx�ction 2.❑ I am a sale proprietor or-partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have $_ ❑Demolition. woricing for mein any capacity. employees and have workers' 9.- ❑Building addition vrorloers'comp.incur-Mce comp-insQram e.Y _] . ❑ We area corporation and its 10-0 Electrical repairs or additions equired 3_ r I ssn a homeowner doing all work officers have exercised their i 1. �R-�of g repairs or additions myself. [No workers'comp. right of exemption an per IwIe n 17airs insurance repaired.]r c_I52,�I(�€},and we have no employees.[No workers' 13.❑Other comp.insormim re:gt ired.] *Any applicant that cheds bog*i mut also fillmat tb,e secuoa below showing d uem woffcere compeusadion policy infarmadiaa 1 Hameo wners who submit this affidsvit m&cating fty in daM all VrDA sa then hue Outside caamacWrs submit a new affidavit indicating me fContracmrs d mt check this boor must attached au additional sheet sbawsng the name of the dun and stare whether ar not those entities have empkyees. Ifthe sab-caatma-aa have emplayees,iw-2stpmvide uteri iviwkm'camp.policy avmber. I trl?7 Q�etnplr�3�er that as prsviditrg tvortCers'conrperaratfas:insHranca far tvay`eetrplo3tees. Below is the pvhiy turf jab site iafartatrtian. 1 - Insurance Company Name: i i Policy 4 or-Self-ins-Lic. Expiration Date: � Job Site Address: CitylState/zip: Attach a copy of the worriers'compensation policy declaratic page(showing the policy number and expiration date). Failure to secure coverage as required under Sectim 25A of MGL c_ 152 can lead to the imposition of criminal penalties of a fm up to$1,500-Oa an&or one-year imprisonment,as well as civil penalties in the foam of a STOP WORK ORDER and a fine " of up to$250-00 a day against the violator. Be whised drat a ropy of this statement may be fesr Rarded to the Office of h ;est gallons of the.D1A fornLwrance coverage veriffcation- I do fler¢by cedtl.'y under fhepains and rrfperjruy deaf the informadotn prm ided nbsve is d�rs and correct. c �S ©,dal sm runty: Diu not write fn tflis area,to be cant by c*or MWI official City or Town: PeremtfUcense# Issuing Authority(cirde one): 1.Board.of Htelth 3.Budding Department 3.City/Town Clerk L Electrical Inspector S.Numbing Inspector 6.Other P�oFIKETph� ie MrAB "9. ,�� Town of Barnstable ,OlFp�,�p Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,CBO 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 Sb&ion ' If Using A Builder ; 1 h ; 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: (Address of Job) j Signature of Owner Date Print.Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on-the reverse side. Q:\WPFILESTORWbuilding permit forms\EXPRESS.doc Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F.Geiler, Director Mass. 9`�plF16yg. � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.us Office:. 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: J I Fe-rn woo Cl Pitz nil i—f number street T village ..HOMEOWNER": mo (? �j��1..� 0.15 5��-3 Coo�YR 3 S(A ►ti, • name // home phone# _ work phone# CURRENT MAILING.ADDRESS: L I F'e r Y, L4.)UU V r,o h vl'i Alod 6 D2 G.C) ci / wn 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 prgat ures and reqent that he/she will comply with said procedures and requirements. Siga of Homeowner .Approval of Building Official Note: Three-family dwellings containing 15,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors),provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Section 2.15 This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. Licensing Construction Supervisors, ) e person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately cannot roceed against the unlicensed p In this case;our Boardp g p 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 forni/certification for use in your community. Town of Barnstable Geographic Information System August 31, 2009 f x .. ME � r 451h 7. IN �a w , s a. x - - - #31 .; #18 r lit: 00 S e 3 n , Z 289107 289159' Y� a d ° i 2H9106� _.� #54 � . DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:289 Parcel:104 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:KOWALSKI,JOSEPH S&MOLLIE A Total Assessed Value:$368300 Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map E are only graphic representations of Assessor's tax parcels. They are not We property Co-Owner: Acreage:0.34 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:41 FERNWOOD AVENUEf: such as building locations. Buffer Aerial Photos Taken April 28,2001 Town of Barnstable Geographic Information System August 31, 2009 Xw � 2ssoss N 00�'�'� F I 3 i >S i t ��, J rr•��y �,. 289103 � { 4 fN 289107 tc c 283106 ��� �� . f v v 289158 "r v �I' `• a h � � �s ` DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:289 Parcel:104 ED boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:KOWALSKI,JOSEPH S&MOLLIE A Total Assessed Value:$368300 are only graphic representations of Assessors tax parcels. They are not We property Co-Owner: Acreage:0.34 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:41 FERNWOOD AVENUE F such as building locations. Buffer W+ Aerial Photos Taken April 22, 1989 Town of Barnstable Geographic Information System August 31,2009 y -- _ -k x� .r"q....�• � 289096 �. v s � e iGE r. rb'' �t #4S - Ip u � \- v c y A�� y, a 3 F" > 289104 0« \� `•5.,.�`l � � \may r a 269Y07 289106 v v k #54 U 28915$ \ \ E 4 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:289 Parcel:104 boundary determination or regulatory interpretation. Enlargements beyond a scale of KOWALSKI,JOSEPH S 8 MOLLIE A Total Assessed Value:$368300 Selected Parcel Owner: 1'=100'may not meat established map accuracy standards. The parcel lines on this map { ��.''•`- E are only graphic representations of Assessors tax parcels. They are not true property Co-Owner: Acreage:0.34 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:41 FERNWOOD AVENUE such as building locations. Buffer Aerial Photos Taken May 7,1968 /_ Property Location: FERNWOOD AVE HYANNIS MAP ID: 289/104/// Vision ID:2:-111 Other ID: Bldg#: 1 Card 1 of 2 Print Date:12/13/1999 � M .sa , ogym..es Appraised ..dvalue a ue ssesse a ue ~ ERNWOOD AVE SIDNTL 1010 110,40 110,40 801 ANNIS,MA 02601 Barnstable 2000,MA Account if IVAIWA Plan Rer. Tax Dist. 400 Land Ct# er.Prop. #SR VISION Life Estate DL 1 LOT 42 Notes: DL 2 GIS ID: Total i4j,yu 14j'VU f z ._.. �,y;;1 � . .;: •s.,.< 3�.�..=s.�,�.. ,a. .....�, .;.�_s�. „a ..�,::�.m� „+� .. x z; r. Coe Assessed Value h r. o e Assessed Value. Yr. Code Assessed Value 199 1010 110,40C 199S 1010 110,40 ota. , ota. , ota. 1.3Z,ZO wAMM is signature acknowledges a visit y a ata Collector or Assessor Year yp escription Amount code Description Number g mount Comm.Int. Appraised Bldg.Value(Card) 87,300 Appraised XF(B)Value(Bldg) 3,600 Appraised OB(L)Value(Bldg) 0 ota Appraised Land Value(Bldg) 33,500 • q ` 5 M� m xi :'gam Special Land Value Total Appraised Card Value 143,90 Total Appraised Parcel Value 124,40 Valuation Method: Cost/Market Valuatio et'l'otal AppraisedParcel Value , aVISIT NUK HIS I Permit ID Issue Date lype DescriptionN Amount Insp.Date o omp. ate Comp. Comments Date ID Gd. Purpose/Result - s .,� < s ..mow a: .6• ._ y ,:.;.,...x n�,, ,,:.. ..t. :>: ,.�.., ,.: �: .�-�°•,:.;.:':?fir... ��. � �.E:: ...: ,.. ,•a., �k, Use Code Description zone D Frontage Depth Uits Unit Price L Factor L C.Iactor Nona. Adj. Notes-AdflSpecial Pricing A dj. nu rice an a ue single Fain , , o es: , Total an nitTotal an a u , Property Location: FERNWOOD AVE HYANNIS MAP ID: 289/104/// Vision ID:22111 Other ID: Bldg#: 1 Card 1 of 2 Print Date:12/13/1999 Element Ca. Ch. Description CommerciatDalaztements Style type 4 unpe Cod Element Cd. Ch. Description Model 1 Residential Heat Grade C C Frame Type Stories 1.4 1 Story w/Fin Baths/Plumbing Occupancy 0Ceiling/Wall ooms/Prtns PTO Exterior Wall 1 14 ood Shingle /o Common Wall Z Wall Height Roof Structure 03 able/Hip 13 1 Roof Cover 03 sph/F GIs/Cmp IC nterior Wall 1 3 Plastered . ,.tw r . ... .` .s �. 23 12 8 2 ement Gode Oescription Factor Interior Floor 1 14 Carpet Complex UAT UBM 2 Floor Adj Unit Location 14 1 eating Fuel 2 it eating Type 5 Hot Water Number of Units C Type 01 None Number of Levels 24 24 12 /o Ownership its 2 edrooms 3 Bedrooms athrooms 3 3 Bathrooms 0 3 Full .. xs na j.Base a 24 otal Rooms Rooms ize Adj.Factor 1.00311 Grade(Q)Index 1.07 36 ath Type Adj.Base Rate 51.52 Kitchen Style Bldg.Value New 111,953 Year Built 1953 ff.Year Built 1975 rml Physcl Dep 22 . uncnl Obslnc on Obslnc pecl.Condo Code pecl Cond /o Code Description FercVqEe verall%Cond. 8 mg a am luu eprec.Bldg Value 87,300 Go de Description LIH Units' Unit Price Yr. ,p t o n pr. Value sm ec Room FPL1 Fireplace 1Sty B I 3,000.0 1975 1 100 2,30 r j II -.110 , Go de Description tveng rea ross Area Eff Area Unit Cost,I Undeprec. Value i r!t Floor , FAT Attic,Finished 25. 50 25 25.7 12,98 FGR Attached Garage 570 20 18.0 10,40 PTO Patio 261 24 5.1 1,34 UAT Attic,Unfinished 1,081 101 5.1 5,56 UBM Basement,Unfinished 1,00 20 10.3 10,40 t. 6rossLivlLease Area g a: i n;vo Properly Location: FERN W OOD AYE HYANNIS MAP ID: 289/104/ Vision ID:Z2111 Other ID: Bldg#: 2 Card 2 of 2 Print Date:12/13/1999 $ a`fit ag aa^s„ •ca�Z t .mba,y 3 •.t... ..a.a u.� .. zs', �.s..r,.�.>:....e ., ,ti w.`s s, :.<: Lg..:s,�dae. 3�.^sm.,r�,^a:,eai.�.n>k, x.. ... �>. • ate. .c:i .r ;.i. ��E �.: -r .. .� .:k..rr.,.zc<.a...�.� escription o•e � ppraise �a ue ssessed Value� ERNWOOD AVE RESIDNTL 1010 110,,40C 110,40 801 YANNIS,MA 02601 Barnstable 2000,MA ccoun an Ref. Tax Dist. 400 Land Ct# er.Prop. #SR VISION Life Estate DL 1 LOT 42 Notes: DL 2 GIS ID: Total. '90 143,qu ' ,,::?-.,• .._r ., ..,.�`�. ,,a ,.r,:. u,..�x�?a� .-.��.-.+,.:< z•..a�_'�ui.�,_ -�, .�:;+�>. .�:..A ,,� .��-o�....°u.a,..:. m-�,r .-�.;u rc`•, s. ,::�..fin_.,.. �.�a,.<.. �.:x... a ._i:—. n - r. Code Assessed value Yr. Gode Assessed a ue Yr. code Assessed Value , 1999 1010 110,40 199 1010 110,40 Total. 144,W, Totall ota. 132,zut is signature acknowledges a visit y aData o ector or Assessor ear jypelvescriprion Amount Gode escription Number Amount omm.Int. Appraised Bldg.Value(Card) 19,500 Appraised XF(B)Value(Bldg) 0 ota Appraised OB(L)Value(Bldg) 0 Appraised Land Value(Bldg) 33,500 Special Land Value Total Appraised Card Value 143,90 Total Appraised Parcel Value 53,00 Valuation Method: Cost/Market Valuatio e otal Appraisedarce a ue , Permit ID Issue Dale ype Description mounts asp. ate o omp. nte omp. omments aleurpos esu t ML Use Code Description Zone rontage Depth units unit rice actorS.L U.Paclor Nbhd. Adj. Notes-AdflSpecial Pricing dj. Unit Price Lan a ue mg a am o es: ota an nit �wal Lanaa u I Cyr Property Location: FERNWOOD AVE HYANNIS MAP ID: 289/104/// Vision ID:22111 b Other ID: Bldg#: 2 Card 2 of 2 Print Date:12/13/1999 t ..�: ..ex- .e. ✓ � r Element Description mmercial Data Elements Style ype 36 Cottage Element escnption Model Residential Heat rade D D Frame Type aths/Plumbing tones 1 1 Story BAS ccupancy 0Ceiling/Wall ooms/Prtns xterior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height Roof Structure 3 able/Hip Roof Cover 03 sph/F Gls/Cmp Interior Wall 1 04 Plywood Panel 2 Element Gode Description tactor Interior Floor 1 14 Carpet Complex 2 Floor Adj 0 2 Unit Location eating Fuel 6 ypical eating Type 2 Floor Furnace Number of Units C Type 1 None Number of Levels /o Ownership edrooms 1 1 Bedroom athrooms 1 1 Bathroom na 1.13ase Fate otal Rooms 2 2 Rooms 5ize Adj.Factor .46875 rade(Q)Index .66 ath Type dj.Base Rate 78.21 16 Kitchen Style 3ldg.Value New 25,027 ear Built 1953 ff.Year Built 1975 rml Physcl Dep 22 . uncnl Obslnc on Obslnc 0. pecl.Cond.Code «.i . pecl Cond% Code Description Percent a a verall%Cond. 8 mge am eprec.Bldg Value 19,500 _ U TIVY. Go de Description LIV Units Unit Price Yr. Dp Rl %(;nd Apr. Value Go de Description LivingArea UrossArea Ejj.Area Unit Cost unaeprec. value trs oor25,021 t. ross LivlLease Area _g._a- RESIDENTIAL PROPERTY MAP'AO. LOT NO. FIRE DISTRICT SUMMARY�+ STREET F'ernwood Ave• H3/dT1Tli9 7 LAND `' 289 104 J' - OWNER L G��v6. c/ - ��� n• H BLDGS. TOTAL (n I" LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Deed Lot 42 BLDGS. Phyllis S. 10 15 52 824 307 B TOTAL 3 s S d v LAND '`.l� .c. i .<I ,tTr L� ^t WY'�• S i a��` .a/ BLDGS. /. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. 01 TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL �} DATE: _ /.1 '`i� "j(.1!' C'i /t� _�(.•{ LAND ACREAGE COMPUTATIONS`" BLDGS. LAND TYPE t $k OF ACRES PRICE O DEPR. TOTAL HOUSE LOT ;, ��-'�/-d U LAND CLEARED FRONT ` BLDGS. RW S ' .3 2 ow d o a TOTAL 3WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL Fk LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. Ol v HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL TOWN OF EIARNSTAF3L.E. MASS. UNITrIl APP'RAIRAI,r,l , I'A't'1'IIA11'I'r-frl f-NN. onc:viK. YvaiisC.nuoo. at. anower vain sm. PORCH. DATE Conc. Slab Bsmt.Garage St. Shower Ext. fa8� Waifs PORCH. PRICE Brick Walls Attic Fl. &Stairs Toilet Room Roof RENT / Stone Walls Fin.Attie , Two Fizt. Bath Floors �' '� f�,� 7- Piers INTERIOR FINISH Lavatory Extra A n /Z Bsmt. 1 3 Sink .� o .0 Tc:/.Y- Z a r r Attie /- //G o �Js•.r c_ �. 7 . /2 /� Plaster Water Clo. Extra 9 ��: - EXTERIOR WALLS Knotty Pine Water Only /y Bsmt.Fin. Double Siding Plywood No Plumbing f- d 3 s Single Siding Plasterboard Int.Fin. /L lJa�r Shingles ,,�[� 01 TILING Conc. Blk. G F P Bath Fl. Heat Face Brk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit Veneer Int.Cond. Bath Fl.&Walls Fireplace _ J t �J V Com.Brk.On HEATING Toilet Rm.Fl. �y Plumbing -/- f � 0--() • Solid Com.Brk. Not Air Toilet Rm.Fl.&Wains. / ?� Tiling f! Steam Toilet Rm.Ff.&Walls ""--- �- Blanket Ins. Hot Wate �- St. Shower Roof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING gti.s COMPUTATIONS ' Asph.Shingle Pipeless Furn. J d S.F. Wood Shingle No Heat 5 I S.F. o 3,7 j/ Asbs.Shingle Oil Burner 3 j / S. F. 3 Slate Coal Stoker a a S.F. Tile Gas S.F. OUTBUILDINGS ROOF'TYPE Electric S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASUREI Gable Flat Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOIOR Fireplace Sgle.Sdg. Roll Roofing Cone. LIGHTING Oble.Sdg. Shingle Roof Earth No Elect. DATE Shingle Walls Plumbing Pine Cement Blk. Electric z' -5?- 7/ Hardwood ROOMS Asph.Tile Bsmt. / lst� TOTAL 3/ j Brick Int.Finish pp PRICED Single 2nd / 3rd FACTOR REPLACEMENT .33 o?D OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. DWI-G. �/�/►� 5 / l'Z / S3 330 � c o?frSS a�S St7 2 3 4 5 6 7 B 9 10 ' SO TOTAL - r . .................... . `ki+''M1ykkk 289 104.:: .:...................:..................:.}:::u}�::::::::::::::.t}i::::v.v:.:•r::.:xy:ntv.�nv.,.:r::.ytty:.t•.:}ttwpvr:.}}}}::w.}y}t}x 4t BUILDING ZZ < Y C h::ii:�>}ki:ki><<>}Y}}•{:::.tt};:i}}{}.}}.:>i{}}}ik::>:%;:.:ii{i::;%i>.;:is:�k% >_ <'<{{> _'' >>'<� <><>> <{ ' {<` .x .:..}..}•::. ....... .......ow mm� ......... ..... ... o EDWARD x <: BONNEY t >>: ; {.. } ..................... ERN ter.. 00 AVE. r: ... 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Y Y r r Y r Y ��•�. •-:� :� : e��.k%kkkk::kk. . . . . . . ?2ND COTTAGE LEGAL?? NM ism is is ism j%L;y{i%<�+....k}tiff}k:'ik•'•:%}?kk::$v v:•.vw:.�:::•tvv�nv"' •w:ntv; •::.... .:::n., ..:}}:t:.::n::n.:.:.:•:i::}::{:{}}.:}}. .vvw::::::::::::::::::::::::r:i•:i:::w:::.�::::•:w:::ntvv .}n........ nw:::::::::::{ ..:.:n •t:::.::n.:.:.:.:.::.:n•:.:.. v::•}•::: tt.t..v.:::::nw::.�::::::::::::•::{vt{:v...v....t......... t.n.n....:::n{L{{4:{{i'?:.t.v...tx:.:�.:..:::.v:::::r..:vL .r ......}i}•{::..}::i;:<;::}..:.'..'..:.}Y:^:^:•}:}:r Y'r': :::::::::::::::::w.v.v:'N:?w::'Fii}:}}}:{:+.{{{{{{{{w.{::::..••• ..... }... ..t::...tt•.:tt..}}.,{....ry.:.}{..:}}..;x.:....,.: .:t{k.t....v..................«.i..i •�'�p t•';yiii v.:•: :•-:••.•.•.v. :• Am IMM :-':-:-::}:::::: to IN twit titi1':iiiiiii is}:•}};•ik?::?i::t':i::i:.. AM ::•:::::::::::.�:::: :.:::::::::. {{.:::•}:•}:•:::•::::{{•}:{•}:,?{{i:+.{:.::•::::::.::}:•:::::.{o::ta;Y:•}:•::•:{•iF}2:}}}:{;k}kk::{kkkkkkkkkkk:i: :::.w:::::::::::..:: {{4:{•Y•, nuw::nw::nv.:;.}}}u}}'-:Y.;}:i;}}Y%?{:_. .wn�::::::::v..• :::::::•:::•.::«::vntw,::tiv;}}}Y::' .vv.-:::::::::w ::.v.ux::v:nw:.�:.tuvv.:n»••::••: �' To Date Time ILE YOU W RE OUT M c of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Ice O Operator AMPAD 23-021-200 SETS EFFICIENCY® 23-421-400 SETS CARBONLESS 7 /� ;3f"Al?I P:Vq[HT RECEIPT TOIil1 Of Wll1 ,TABLE BU1I-01NG MPARIHFUT ?00 H0ti, S1REE[ HWnl4NI NA 02601 GHir. Ui06 --------------- Ef,rll; 3 NIU 25.00, { 2 5`-.'0 p �- 1tli 25.00 !1'P!.T+;i111011 fJUHBFR: 20063781 :. ..l'OJpf(a',,Vi.TH: CHECK PAYtlf: it I Lf 943 ( = Town of Barnstable *Permit Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division n Perry,CBO, Building Commissioner pp— Tom 200 Main Street,Hyannis,MA 02601 PERMIT www.town.barnstable.ma.us Office: 508-862-4038 0Ffkj- 5W8 f*6230 EXPRESS PERMIT APPLICATION - RESIDENT ONLY L�, Not Valid without Red X-Press Imprint F BARN . STABLE [ap/parcel Number o? D 5' L-o i— 4 3 roperty Address 91 der Y) GU()C>C( py a-ti"1 ! S, / 4 esidential Value of Work' ,t) Q Minimum fee of$25.00 for work under$6000.00 wner's Name&Address ' ko K O I,U J ll. c L4 t Fe v n c�-,yo�{ ,9v�, Nya n n ij- 144 !ontractor' Name Telephone Number [ome Impro e Contractor License#(if applicable) "lunsor's-hkense*(ifappiieable) ]Workman' Compe ation Insurance Ch k one: am a sole pr rietor am the Homeowner I have Worker's Compensation Insurance asurance Co y Name Vorkman's Policy# .opy of Ins ranc Compliance Certificate must be on file. ern-t Request(check box) $,,,Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: lssuance 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. /IGNATUR !:Forms:expmtrg .evise061306 uepartment of inaustriat Acciaents Z Office of Investigations ' d 600 Washington Street Boston, MA 02111 °�M s�•' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers applicant Information Please Print Legibly •game (Business/Organization/Individual):_ ��t Oc e� o`�IOU address: ( lr t� c.0 cwc� ."ity/State/Zip: .. n`S - Phone #: &5D re you an employer? Check theappropriate box:. _ . Type of project(required): I am a employer with 4. ❑.I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors El I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship and have no employees 'Thesesub-contractors have 8....❑ Demolition - working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance.. 5. ElWe area corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions _- ?3J I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. - c._152, §1(4),and we have no 12:❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] ;y applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 'a ..)meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ntractors that check ibis box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. m an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site immation. urance Company Name: .icy#or Self-ins.Lic. #: - Expiration Date: Site Address: City/State/Zip: :ach a copy of the workers' compensation policy declaration page:(showing the policy number and expiration date). lure to secure coverage as required under Section 25A of MGL c:.152 can lead to the imposition of criminal penalties of a up to$1,50O,.00 and/or one-year imprisonment; as well as civil penalties in the formofaSTOP WORK`ORDER and a fine .ip to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of estigations of the DIA for insurance coverage verification. 2?hereby certify under thepains and penalties of perjury that the information provided above is true and correct nature: � Date: )11 #: icial 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#: Town-Barnstable- *Permit# 09)` - ires n rs r issue e �� Regulatory Services Exp 6 th j dat Fee BARN Thomas F.Geiler,Director Mass. Building Division , Fp �l Tom Pe CBO Building Commissioner _ RNsr y, g 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 IU Property Address 1 �r t� . , i.•.it 00 Residential. Value of Work r�^ ov Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address g, Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: Wam a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance.Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) 1�3 Re-side [r Replacement Windows/doors/sliders. U-Value- C+o Son-e5 (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. SIGNATURE: y Q:Forms:bu ildingpermits/express Revisel12807 I� ' -The Commonwealth of Massachusetts Department of Industrial Accidents Office o Investi ations 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Eleetridans/Plumbers _Applicant Information Please Print LefiblY NaMe(Business/Organization/Tndividual): 1 A0 0-1cJs ILI •Adc1ress: City/State/Zip: 4U C4,VV n:, - a 2. a 1 Phone.#: Are you an employer?Check the appropriate bog: Type of project(required):. 1,El I am a employer with 4. [] I am a general contractor and I have hired the stab-contractors 6• ❑New construction . employees(full and/or part time).* Remodeling 2,❑ I am a'sole proprietor or partner- These on the'attached sheet. 7• ❑ g shag and have no employees These sub-contractors have g, []Demolition employees and have workers' *orldng for me in any capacity. 9. ❑Building addition [NO workers' comp.jnSi1ISIICe comp.insurance t' 4e�) 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.L"J I am a homeowner doing a71•work . officers have exercised their 11.0 Plumbing repairs or additions ' myself[No workers'comp. right bf exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4),and we have no ] to ees. o workers' 13. her Gv � y [N' comp,insurance required,] 2 .L<-C,'+-�e� *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, t Homeownem,A&o submit this affidavit indicating$hey are doing all work and ben hire outside contractors must submit a new affidavit indicating'such. t attached m additional sheet showing the name of the sub-contractors and state whether ornot those entities have xCotttractors that check this box mutt g employees. if the sub-conhactors have employees,iheymust providb their worlws'comp.policy number. I ant an employer that is proylding workers'compensation insurance for my employees. Below isthe policy and job site' information. Insurance Company Name: Policy#or Self-ins.Lie.# Expiration Date: ' lob 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 ender 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 maybe 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 Si a �. Date• Phone# Official use only. Do not write in this area, to be completed by city or town,official City or Town: ' Termit(License# Issuing Authority(circle one): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector ' 6.Other Contact Person: Phone#: THEIph, Town of Barnstable Regulatory Services MASS.BARNSTA Thomas F.Geiler,Director '0'fn 39. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM ISS ION r; si 1ME Tp Town of Barnstable �p � Regulatory Services WP O t BARNSrABLE. . Thomas F.Geiler,Director 9 MASS. g 163 Building Division rfD �p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 14) I 3 1 1 0:7 JOB LOCATION: .i number - I/. street village ,.HOMEOWNER": 1, �.�t.u¢41 !"1` ._ 77 T 1,3 t Harm home phone# work phone# CURRENT MAILING ADDRESS: �II I Fe r.uv wr AV—e- ��c u vt yt 1 S t Dot fo O , 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 re uir entr�J , ri ign ture of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. in this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use,in your community. Q:forms:homeexempt THE LAW OFFICES OF RICHARD F SCHIFFMANN 3180 Main Street Barnstable,Massachusetts Post Offices Box 165 Barnstable,Massachusetts 02630*Telephone:(508)362-5195*Facsimile:(508)362-4786 September 2, 1998 Mr Ralph Grossen, Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 Re: Property Owned by Mr. &Mrs. Edward W. Bonney 41 Fernwood Avenue, Hyannis, Mass 02601 Dear Ralph: On or about August 21, 1998 Jean Schiffinann of Bayview Real Estate called your office to inquire as to the above property and to find out how the property was listed with the town. The reason for so doing was to give the Bonneys an opinion of value as to what the property should be listed for in the event that they decide to sell. Jean spoke with a secretary and was told that someone would call her back. Apparently her inquiry was misunderstood and your office considered the inquiry to be a complaint warranting an inspection of the property. When Jean spoke further with Gloria Uranas she was informed that your office would await 14 days prior to inspecting the premises. This has caused a great deal of concern and upset the Bonney's who are an elderly couple in their eighties and presently have friends staying on the property to assist in caring for them. I would appreciate it if you could forgo sending someone out to the property as no complaint has been lodged. I would welcome the opportunity to talk to you further on this matter and would be glad to answer any questions you may have. In this regard I look forward to hearing from you and thank you for your consideration of my request. Also to avoid any confusion , I want you to understand that Jean is my wife and operates a real estate business. As a professional she was attempting to gain as much information as possible to assist the Bonneys in making a decision. Very truly yours, Richard F. 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PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP -DISTS.I DATE PRINTED I CLASS I PC I NBHO PARCEL IDENTIFICATION NUMBERKEY NO. 0041 FERNWOOD AVENUE 07 RB 400 07HY : 07/09/95 1011 00 55CC R289 _-104. 194532 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJ�D. UI!IIT Land By/Date Size Dimension LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE' ACRES/UNITS VALUE Description BONNEYj, - EDWARD W & PHYLLIS MAP- . . ' I Co. FF-De th/Acres #LAN D 1 33.500 CARDS IN ACCOUNT - 10 1BLDG.SIT . 1 X .3 =10 197 CA S 49999.9 98495".9 .34 33500 �BLDStS)- -L CARD 1 1 83.800 01 OF 02 A 113LOG(S)-CARD-2 1 : 14.900 0-- N BATHS 3.0 U X C= 100 105100.0C 10500.00 1.00 10500 8 : #PL FERNWOOD AVE. HYANNIS ARKET 105000 D BRR REC Roo S 26 X 13 C= 100 111.2 11.25 338 3300 3 #OL LOT 42 NCOME A FIREPLACE U X C= 100 3100.0 3100.00 1 .00 3100 8 4RR 0531 0120 SE UNFINISH S X C= 100 22.5 22.55 378 85UO-d PPRAISED VALUE O A i ARCEL ' SUMMARY A S AND 33500 T S LOGS 98700 A T -IMPS . M OTAL i322fl0 F E a CNST E (v DEED REFERENC Type DATE Recorded R I 0 R YEAR VALUE T Inst. Sales Prig A I Book Page MO. Yr.D AND 33500 T S ' 824/307 00/00 LOGS 98700 V I I I OTAL 132200 I I R I ATTIC 112 FIN.. E BUILDING PERMIT S Number Date Type Amount 0..a a a a a re a.M a a LAND LAND-ADJ INCOME SE SP-BLDS FEATURES BLD-ADDS UNITS 33500 I 8900 Class Cons,. Total Base Rate Adj.Rate r B It I Age Norm. Obsv. CND Loc %R.G. Rapt Cost New Adl Sept Value Stories Height Rooms Rms Baths I Fi:. PartywaH Fac. - Units Units A 1 Depr. Contl. 01C 000 100 100 57.50 57.50 53 75 19 80 90 70 , 119657 33800 1.4 7 3 3.0 10.0 Description Rate Square Feet Repl.Cost MKT. INDEX: 1 00 IMP-BY/DATE: ML 6188 SCALE: 1100.63 ELEMENTS CODE1, CONSTRUCTION DETAIL S 8AS 100 57.50 1008 57960 'UK055 1 S ; DWELLING CNST GP:00 T FMP 55 5.50 260 1430 iTYLE 04 APE COD 0.0 R FSF 90 51 .75 168 8694 *------23-----* FMP ! _ESIGN_ ADJPIT- -UO - ------------------ 0.0 613 44 25.30 576 14573 9 FSF U 9 . 13,, XTER.WALLS fi OOD SHINGLESR 0.0 FSf 90 51 .75 207 10712 i e 1 EATIAC TYPE 09 IL=RflT YATE --- 0.0 C 814 30 17.25 1008 17388 *-«---24---«*---12--*-8--*-:--36---------* -NTE9 FINISH 05 LCM-9 ----------0.6 T ! 613 ! ! B14 ! NTER.LAY00T- T2 YC-R4_17NORAAL U NTcR.DUAI�TY QO ------------------ R ! 14 14 ! La R-ST_1W C T- -02 D-J 03 S T 18 E AN-- V.O A W24 24 FSF ! 1 E LOVR'COVER'- -04 AWPET------------VA L E Total Areas AUX - 836 Base - 1383 ! ! 28 BASE 28 OOT'-TYPE---- Tt A�fLE=A_._P_A_-__S_li_-_-_'_V.-O BUILDING DIMENSIONS ! *-�� 2--* ! LET'TRIZ/!1 01 VARARC ZT.O T 8AS W36 N28 F14P W12 FSF S14 . E12 ! ! ! y ! OUNifAT'IVN-- - _U2 a _NCR'ETE 8L-WCK-9V.-9 N14. W12 G13 W24 S24 E24 . N24 ! ! -------------- --- ---------------------- .. FSF . N09 W23 S09 E23 .. FMP *------24-----* ! ! -----REIUWORA 66 3TCC7HYANNTf------- L N13 E20 S13 W08 .. HAS E36 S28 ! i, ! LAND TOTAL MARKET .. 814 N28 W36 S28 E36 .. *------' --36---------X PARCEL 33500 -" 132200 / AREA : 4027 VARIANCE +0 +3182 STANDARD 25 FRIEDLINE& CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: Building Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen O Fire Department TOWN OF HYANNIS TOWN HALL HYANNIS, MA RE: Insured: GALLAGHER, Mollie A. Property Address: ,41 Fernwood Ave. Hyannisport, MA _ Policy Number: H00004828 Type of Loss: Fire Date of Loss: 10/7/2002 File#: 94651 Claim has been made involving loss, damage or destruction of the above captioned property,which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. R. M. NEGUS Adjuster 10/21/2002