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Home My WebLink About0230 GOSNOLD STREET �. ;u �! �.�� o-o- , d o �_r cr 3.M ''1 ....� li ^l �� Oo � 4N� ; � � rJ � - �, � � � � � � . �.�. �- �, -� �� y�� I(. ;, PL "; - - -- �. _ _�. 1 � 1 ��i I� • 4 ', AA � �' i �Y" � �� •.. i +I l,ti ��_ Rpp�ica9b�o her........ ............ Fee................ . /�cD....0CJ...........1� 1(lU HAMBuilding Inspectors Initials................... .................... !N Date Issued.............................................................. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: SCANN1Fr ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATIO PROPERTY INFORMATION Address of Project: 230 Gosnold st Unit lA and 1 B Hyannis NUMBER STREET VILLAGE Owner's Name: Phone Number 207-653-8590 Email Address: Cell Phone Number Project cost$ 16,820.00 Check one Residential ftrcial DEPT OWNER'S AUTHORIZATION IUD 13 2020 As �f tt e above property I hereby authorize TOWN OF BARNSTABLE to make application for a building permit in accordance with 780 CMR Owner Signature: 4t�,G �G� 1 Oate: 7 % l 77 TYPE OF WORK Siding Windows(no header change)# Insulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review X) Roof(not applying more than 1 layer of shingles) Construction Debris will be going to Yarmouth transfer station CONTRACTOR'S INFORMATION Contractor's name BelCape Construction INC Home Improvement Contractors Registration(if applicable)# 198000 (attach copy) Construction Supervisor's License# 106040 (attach copy) Email of Contractor belcapeinc@gmail.com Phone number 508-685-9720 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN H/STORICAPPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4.30pnL Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front ' back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number ` I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signatur .`, Date 71671ciZ 0,c'o All permit a plications are subject to a building official's approval prior to issuance. Commonwealth of Massachusetts division of Professional Lice nsure - Board of Building Regulations and Standards i CQnstructic} r Specralty EA 14/20"20. ANAT,QLI*'SlVtyTSK1: 27.11AILL PON RD 'a � WVEST,YAFIMOU,TH�1111A��-,O 673 _ . "'. ;' _°.�.`� ��<.}:�j"3r'"3...�� '.�f�e7r#�.+t+'1 ��-zbf�� c`�.f�.e1+•.`e�C+ . -Commissioner f y. _ ,, " f0,M Ma 0-7 w State . - i Licensee Details Demographic Information _ Full Name: _ ANATOLI SIVITSKI Owner Name: - License Address information City: West Yarmouth State: MA ipcode: 02673 Count : United States License.Information License No: CSSL-106040 License Type: -`,Construction Supervisor Specialty Profession: Building Licenses Date of Last Renewal. R 4/10/2020 Issue. Date: 5/6/2015 Expiration Dater;, ,.. .w . 5/14/2022 License.Status: Active Today's Date: 4/14/2020' . Secondary License Type: Doing Business.As: Status Change Reason: License Issuance Prerequisite Information Licensee: SIVITSKI, ANATOLI Relationship: Attribute Of License No: CSSL-106040 No Available Documents Close Window .. 1.,w >z�>��e.,�� 3*ve°�1s a �•y*^ 'n�^n �}5� } r ;. r t; ,�� r :F,y j_ r 'i'twN?h'M ! a t '•»a` �(r • - +( >'� ((F"r y xhk �a"+i�M i^�+ i 1 � f � h rat ( t�, r •. t s r y s 1 xeV - gk N M., +�Q1}1 �; F x4„l yr a e sr, 5 wY '� +k a 4y .4 y�t x 4{' s � • " x '4y 4x"6 L l7*cF O i F ;�•.?y } to ' ..r r 4 :�1 rx^^ 1 a f 1'T1 f c. �Cq�:F ' � �awY ��c Y•r j x �� 1 r � 4 t YE 'C g1,yrt �7 a4`�i r 4 m r t k r f Q A w e t 1 k s t ��av�xc..H e � �•,`r k x 1�� Va va Irt „, r. c i" ,,Sg�4 r'{4-dti�� 1 ✓�'�k?�tµ �.+Yt� k ��r'1i �Y �,�5f � rIF " raj ( ita �'•r i S : �" e rs ��,�ta �Myp4 � . ma rze ' yyy.S� i[},j�„ '� H � '�.y, 'Y � j - 5 tb 1 1 ��I!yASny.ga'drM � � 7''3 / 0.� '• :'got %b;fi e .yi x- �•sr ''cr rc ii } ,� s z " � ,.�,!� g;ftD 1 a,:.�,.�.1k§M 1 s >�'��: � - x w" }�G� � , *+ r•' ,erg z j�rh t'1 z:! st w''ar "w�`�'fi ,.s z t �h,: ". y r �. r:i f r 3 s A ''`a Y : ►1�N C7` i e 5.,ri 1 ¢ tMr?�' y �' B s �'��! �} � dt [' � a�` " � ••►' ' +� la! 1"� �� r¢1i. � k,a 3,< � + a ti 1� �. ��`p� w r s •. h a +'a is < w to r t ' .. � _ �� • � O s`" r t� �' .,p '� ,,, �,��,�71x�- �,xk°sw c k-31{Y a ` 6 � r • � � �: � S : �' k 1� >E�ryc�r��r �$� a f�j w x'+ �y�a"i to 'N r (a Ylt r 1 (a 't e ?SIx y rvsui+�u.�.ww+raaxr, •�" �""�`' ,= S q�, as ) �3� s� ,� ry t� "'r 1 G ,� .. � ""Gv 'y t t 'a i 4 a ,+.•r t+f a - � ,t +�' 1�4�F'z� s Ac`coeed CERTIFICATE OF LIABILITY INSURANCE 003/10n02'0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE.A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and oondMorts of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endomeme s. PRODUCER as . Vittoria Sharapova ALD Insurance Agency Inc. PHONE 617-787-7877 FAX Me,:617-787-7876 60A Brighton Avenue Allston,MA02134 Errwl oomm@aldinsurance.00m INSURE S AFFORDING COVERAGE NAIC0 INSURER A: ATLANTIC CASUALTY INS CO 42846 INSURED Belcape Construction Inc INsuRm B: AMGUARD INSURANCE COMPANY 42390 42 WOODBURY AVE INsuRERc. Hyannis,MA 02601 INSURER D INSURER E: SURER 1: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUER POLICY NUMBdt POLICY EFF POLICY EXPLTR LIMITS A COMMERCIAL GENERAL LL41HUTY L261002952 02=/2020 2/06/2021 EACH OCCURRENCE $ 1,0_00,0W CLAIMS-MADE a OCCUR DAMAGE TO RENTED $ 100,000 MED EXP one $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO ❑ 2,000,000 JECT ❑LOC PRODUCTS-COMP/OP AGO $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acddeM ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY AUTOSULED BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA e LIAB OCCUR EACH OCCURRENCE $ EXCESS L1AB HCLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ B WORKERS COMPENSATION R2WC181806 02/12/2020 02/12/2021 PEERATurE ERTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-FA EMPLOYEE $ 1,000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Sehedul%may be attached N more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - r/~ 01988.2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations IF I 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): BelCape Construction Address: 42 Woodbury ave City/State/Zip: Hyannis, MA 02601 Phone#: 508-685-9720 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 3 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance. 10. Electrical repairs or additions required.] 5. We are a corporation and its P 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13. Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AmGuard Policy#or Self-ins.Lic.#: R2WC181806 Expiration Date: 02/12/2021 Job Site Address: 230 Gosnoid st Building 1 City/State/Zip: 02601 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 un n enalties of perjury that the information provided above is a and correct. Signature: Date: � �o Phone#: -9720 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#: � o � � w ti ��• �q. TT� � � n7 � �� _ N a .� 1 J �.�� : � -� o o fi N , �� d �� :,�� .�. � w 0 o ( 9 1 I 4 C-c r. V 00 J Op " W � v I NSJ N � r Zip REGISTRATION AND CERTIFICATION FORM -FOR�FORECLOSING/FORECLOSED PROPERTY _ N co Thank you for registering in accordance with Town:of Barnstable Code chapter 224. - sections224-3 and 224-4. �Please-complete one-form foreach-property in foreclosure -_ (section 224-3) or already foreclosed.for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located: - If you claim you are.exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Pro e Information Property Address:230 Gosnold S et, Unit 2A Assessors Map#: 306 rcel#: 115 • Land area and description situated in a planned,cottage community 77 z a cotta 1`bedroom; .1 bath, s art Captain of Bulding(s) description and contents ft;q 9 p _ Gosnold Village_Cottages. Occupied: Occupant(s)(if borrowers so'state and include name(s)) Phone: email: other: Vacant: X Date: On or near 3/8/2017Anticipated Length of Vacancy: Unknown Last occupant(s) )(if borrowers so state and include name(s)) i Phone: email: other: Has possession been taken If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Section 2—Foreclosing Foreclosing Party(full name/title) Foreclosure Case Court: Docket# Date filed: Current Status: Foreclosing Party's representative(s) for property (entry, management,repair, etc.)(name, title,): Company (if different from foreclosing party): Hudson Homes Management Address: 3701 Regent Blvd Suite 175, Irving TX, 75063 son.preservation@northsot.om Phone: 602-842-1013 email: th If an exemption is claimed,please do not complete the remainder. 1-800-516-1553 24 Hrs Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure;please so state and do.not complete contact information (i. e. "none" or"see above")). Name, title, other: Company (if different from foreclosing party): Northsight Management Address: 8901 E Mountain View Rd Suite 100, Scottsdale AZ 85258 602-842-1013 u son.preservation@northsight.com Phone(s): email(s): other: Name, title, other: 1-800-516-1553 24 Hrs Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party Firm name (if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 4 of the Code of the Town of Barnstable. Date: 9/24/2019 am . Steve Johnson - POA attached Title: Agent for Owner I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable LIMITED POWER OF ATTORNEY Hudson Homes Management LLC, a company organized under the laws of the State of Texas ("Hudson Homes"), as the manager of certain real property (the "Real Estate Owned"), hereby makes, constitutes and appoints Northsight Management Solutions LLC ("Northsight"),having its principal office located at 8901 E. Mountain View Rd. Suite 100, Scottsdale, AZ 85258, its true and lawful attorney-in-fact, with the power and authority, as fully as Hudson Homes might or could do, to sign, execute, acknowledge, deliver, or file instruments on its behalf for the limited purpose of effectuating the registration of Real Estate Owned with municipalities, counties, states, and other government entities as required by law, including the execution of documents, forms, and other instruments necessary to comply with such law, when requested by Hudson Homes in writing containing reference to specific Real Estate Owned. Hudson Homes grants this Limited Power of Attorney to Northsight under the Master Property Services Agreement by and between Hudson Homes and Northsight executed on September 10, 2018 and as modified,and is subject to the indemnification provisions therein. Third parties without actual notice may rely upon the exercise of the power granted under this Limited Power of Attorney, and may be satisfied that this Limited Power of Attorney shall continue in full force and effect has not been revoked unless an instrument of revocation has been made in writing by the undersigned. This Limited Power of Attorney expires on the earlier of(i)receipt by Northsight of revocation from Hudson Homes or(ii)December 31,2020. Rod Wylie, Senior) ice President STATE OF � � ��-S VVV COUNTY OF On this 1:?' day of 2►rJ 2019, before me the undersigned, Notary Public of said State, personally appeared V- \U , personally known to me to be a duly authorized officer of the entity that executed the within instrument and personally known to me to be the person who executed the within instrument on behalf of the entity therein named,and acknowledged to me such entity executed the within instrument pursuant to its by-laws. WITNESS my hand and official seal, EVELYN WAITHAKA Noiary Public,State of Texas Comm.Expires 01.07.2020 Notary ID 124251629 Notary Public Public in and for the State of JAN 27 2020 TOvviv REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3)or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a.copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s)and complete section 1 (property information)and the first paragraph of section 2 (foreclosing party,court,etc. and foreclosing party representative,but not other representatives and attorney)so that the Town can review the exemption and update its records: Section l —Property Information_ Property Address: 230 GOSNOLD ST 6A-S, HYANNIS, MA 2601 Assessors Map#: Parcel#: 306 115, M 300980 821714, Land.area and description Buildings)description and convents Occupied: Occupant(sXif borrowers so state and include name(s)) Phone: email: other: Vacant: Date: Anticipated.Length of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken If so,please explain and complete and file the maintenance and security plan for: (unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party(fall name.title) She!!point Mortgage Servicing Foreclosure Case Court: Docket# Date filed:04/18/2019 Current Status: Foreclosing Party's representative(s)for property(entry,management,repair, etc.)(name,title,): Code Compliance Company(if different from foreclosing party):Cyprexx Address: PO Box 874, Brandon, FL 33509 Phone:8773398202 email: other: If an exemption is claimed,please do not complete the remainder. Other representative(s)(if foregoing representative is primarily responsible for property and'or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i.e. "none"or"see above")). Name,title,other: Eric Moore Company(if different from foreclosing party):Shellpoint Mortgage Servicing Address:27720 Jefferson Ave. Ste. 210,Temecula, CA 92590 Phone(s): 877-338-3791 email(s):p rope rtyregistrations@bron other: Name,title,other: Company(if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party__-_-_-_-... - - -- Firm name(if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: January 20, 2020 Name: ---..— Title: Town of Barnstable Building • MAMMA BLE ' Post This;Card So That itisVisible'From the Street Approved Plans Must beReta�ned on Job and.this Card Must be Kept 'Posted Until'Final Inspection Has Been Made ;; 'Where a Cert�ficateof Occuparicy;is Required,such Building shall Not be Occupied until a3Final Inspection has been made Permit �.� ..,�.. . f�., .,.. l_R qua Permit No. B-20-560 Applicant Name: DAVID A HENDERSON Ap provals Date Issued: 02/25/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 08/25/2020 Foundation: Location: 230 BLDG 2 UNIT 2A GOSNOLD STREET, HYANNIS Map/Lot 306-115-02A Zoning District: RB Sheathing: Owner on Record: GULDEN, LINDA JILL TR Contractor,Nami :'•, DAVID A HENDERSON Framing: 1 Address: C/O CALIBER HOME LOANS INC Contra ctor1icense: CS=083432 2 51 OKLAHOMA CITY,OK 73134 s Est. Project Cost: $3,250.00 Chimney: Description: Siding and 5 Windows 1 door ;Permit Fee: $ 160.00 Insulation: Project Review Req: i Fee Paid:' $ 160.00 ' Date.. 2/25/2020 Final: Plumbing/Gas � --- Rough Plumbing: ;Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six,months after"issuance. All work authorized by this permit shall conform to the approved application and the£approved construction documents fogy which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-(aws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for.public inspection for the entire duration of the work until the completion of the same. E Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection _ - 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r . Application number Y DEPT• Fee .................... .1...�(�v....... ............... K, Building Inspectors Initials....... ................. Z � DateIssued................. :. ......�...... .ZO............... OF NSTABLE /) TOWN Bp R Map/Parcel......�.....O.P TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: ?-3a NUMBER STREET VlffLkGE Owner's Name: �.�/�/O �i��, ,, i �r,,,/ i9s- Phone Number Email Address: A b ,a7 . b fad�.�2� _C��,-, Cell Phone Number 7 7/-?V V9 Project costs 34 15bo-a-D Check one Residential � Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize �, to make application for building permit in accordance with 780 CMR Owner Signature: Date: r TYPE OF WORK 1�l11,�iding E.Y Windows (no header change)# Insulation/Weatherization WDoors(no header change)#_ Commercial Doors require an inspector's review Q Roof(not applying more than 1 layer of shingles) _ Construction Debris will be going to O2Z p T CONTRACTOR'S INFORMATION Contractor's name 1Zx fi/C& Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# Q 8 (attach copy) Email of Contractor / Phone number7�� ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR IF THE SUBJE PROPERTY-IS/N A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION.NUMBER............................................................. *For Tents Only* 1 Date Tent(s)will be erected Removed on number of tents total r . Does,the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes ` No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or-3:30 pm-d:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signa Date 20 All permit applications are subject to a building official's approval prior to issuance. Y ` The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name(Business/Organization/Individual): Address: �i✓�i �Jl�i✓ S'L City/State/Zip:U A Phone#: 77V 2/1'- S�7W Are u an employer?Check the appropriate box: Type of project(required): 1.L7 ► am a employer with 1 _ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ w construction" 2.❑ I am a sole or partner- listed on the attached sheet. 7. Remodeling proprietor ship and have no employees These sub-contractors have 4 ' g, ❑ Demolition workingfor me"in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers'comp.insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other m comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: aYj 9 Expiration Date: 7110 6 Job Site Address: �J �c75✓v�l� 5' City/State/Zip: S Attach a copy of the workers'compensation policy declaration page(showing the policy n mber 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 hereb under the pains and penalties of perjury that the information provided above is true and correct. -27 Si atur Date: Phone#:.-.7 — Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer" MGL chapter 152,§25C(6)also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitflicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mar>s.gov/dia ��ie�aiwmaiuue / `aaaac�iusel s Office of Consumer'Affairs&Business Regulation 3 HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only 1 TYPE:_individual y before the expiration date. If found return to: Reaiairation,. Exoiratlon Office of Consumer Affairs and Business,Regulation 131681 -- 08/23/2020 1000 Washington Street-Suite 710 •�- A 02118 -- DAVID►�IENDE�SON ��, � � - D/S./A HENDERSON ENTERPRISES 'I DAVID A.HENDEASON; - 648 V"!HITTENTON TAUNTON,MA 02780 1 Undersecre 4 Not valid.without:si&ature taN JA Commonwealth of Massachusetts 0 division of Professional Licensure Board of Building Regulations and Standards Constvf{fg{� Nisor CS-083432 -:5• � c�pires:01/10/2021 DAVID A HENDERS,ON' 848 WHITTEN> N TA UNTON MA O .LL 78p• Commissioner tom- u� 02/21/2020 To whom it may concern, This letter confirms that the below listed personnel is engaged as an approved RESIPRO,LLC-Project Manager and has our approval to sign for permits,record Notice of Commencements and Notice of Terminations on behalf of Ameritrust Residential Services for the below listed property. Should you have any questions,you can contact Scott Lucrkut-SR PM at slucrkut@resipro.COM 401-400-9354 Approved Project Manager:ANTHONY DEMARCO US BANK TRUST NA Trustee—LSf10 Master Participation Trust for Property Address: 230 Gosnold St Unit 2A Hyannis MA 02601 1 appreciate your help with this matter. Regards, Tim Wooten I SVP of Construction 3630 Peachtree Rd NE STE 1500 Atlanta, GA 303265 404-680-9644 (M) 404-382-7354 (0) E-mail:twooten@ameritrustresidential.com Corporate: www.ameritrustresidential.com 17-1 3 2o.tg Quali Remodeter Top 500 le (Signature)Timothy am Wooten—SVP of ction SWORN TO and subscribed before me this_.PWa y of 201-`'t2 by IiAA A)rrr-4we"- (name),who Is onally known to me`or produced as identification, and did take an oath. tl•ptl 444 4 n n t„1 �'. �� (si not 1�t v •••.rMt1'lsf SI/.••• �fv OOM (7� (Printed Name) ••• •••� F NOTARY PUBLIC,STATE OF40 ,F (Commission Expiration Date) 9 • mo O : q©�'` rnn S o • A CERTIFICATE OF LIABILITY INSURANCE DATE'MM,DD""") `..� 02/24/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Luke COrrelra THE CORREIRA INSURANCE AGENCY INC PHONE[AIC (508)822-2999 a No; E-MAIL G ADDRESS: luke@correirainsurance.com 123 BROADWAY INSURERS AFFORDING COVERAGE NAIC# TAUNTON MA 02780 INSURERA: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: HENDERSON DAVID INSURERC: DBA HENDERSON ENTERPRISES INSURERD: 648 WHITTENTON ST INSURER E: TAUNTON MA 02780 INSURERF: COVERAGES CERTIFICATE NUMBER: 508448 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/LDDIYYYY MM/DDY� LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ DAMAGE TO RENTED MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO LOC PRODUCTS-COMP/OPAGG $ JECT OTHER: $ AUTOMOBILE LIABILITY - COMBINEDSINGLELIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X I STATUTE ERH _ AND EMPLOYERS'LIABILITY -- ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED9 N/A NIA NIA 6S62UBOG16248519 07/10/2019 07/10/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy.in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigationsi. ,So.le proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main St AUTHORIZED REPRESENTATIVE Hyannis MA 02601 M. Daniel M Cr*Cry,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 204931592 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3)or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court,etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: NA Section 1 -Propgjy Information Property Address: 230 GOSNOLD ST HYANNIS MA 02601 b Assessors Map#: F_987476_2696069 Parcel#: 306_115_18ALn Land area and description RESIDENTIALas Building(s)description and contents SINGLE FAMILY N � Occupied: x Occupant(s)(if borrowers so state and include name(s)) = v Phone: NA email: NA other: NA - - V-acant--NA— Date:- NA - - Anticipated-L-ength of-Vacancy:-NA - - - Last occupant(s))(if borrowers so state and include name(s)) NA Phone: NA email: NA other: NA Has possession been taken NA If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Section 2 -Foreclosing Party Information I Foreclosing Party(full name/title) CALIBER HOME LOANS f Foreclosure Case Court: UNK Docket# UNK 204931592 Date filed: UNK Current Status: ACTIVE FORECLOSURE Foreclosing Parry's representative(s) for property(entry,management,repair, etc.)(name,title,): kandyce.hughes@safeguardproperties.com Company(if different from foreclosing party): Address: 715 S Metropolitan AveOkiahoma City,OK 73108 kalndyce.hughes@safegua rd properties.coCn Phone: 214-874-4174 emai : other: NA If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title, other: SAFEGUARD PROPERTIES Company(if different from foreclosing party): PRESERVATION COMPANY Address: 7887 SAFEGUARD CIR. VALLEY VIEW OH 44125 CODECOMPLIANCE@SAFEGUARDPROPERTIES.COM Phone(s): 800-852-8306 email(s): other: Name,title, other: NA Company(if different from foreclosing party): NA Address: NA Phone: NA email: NA other: NA Attorney representing foreclosing party NA Firm name(if different from attorney's name): NA Address: NA hone(s): nin email(s) NA other: NA I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Name. Title: 204931590 I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,Town of Barnstable a Assurant Use Only VID: 89910 1 WO:23327464 1 PID: 1811799 Mail Town of Barnstable 1200 Main St. I Hyannis I MA 102601 1 508-862-4038 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure p (section 224-3)or already foreclosed for which possession has been taken(section 224 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located: �1 r If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragrah of section 2 (foreclosing party,court; etc. and foreclosing party representative,bt not other representatives and attorney) so that the Town can review the exemption and update it§-- rn . records: - Section 1 -Property Information Property Address: 230 Gosnold St. Unit 2A,Hyannis,MA 02601 Assessors Map#: Parcel#: 000306-000000-000115 _ 000001B Land area and description Unknown Building(s).description and.contents Unknown Occupied: N A Occupant(s)(i f borrowers so state and include name(s)) PrnPertY it Vacant Phone; email: other: Vacant: Date: Anticipated Length of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) Last name-ToscanO. Phone: Unknown email: Unknown other: Has possession been taken Yes If so,please explain and complete and file the maintenance and security plan.form(unless exempt as stated above) Read statement on the last page_ Section 2—Foreclosing PqM Information Foreclosing Party(full name/title) Ditech Foreclosure Case Court: Unknown Docket# Unknown Date filed: Unknown Current Status: . NSA Foreclosing Party's representative(s) for property(entry, management,repair, etc.)(name, title,): Acsilrant EiPld coNicps r o rhric o / t p.her Sideman Company(if different from foreclosing party): Assurant Field Services Address: 268 Mamoth Rd., Lowell, ME 018S4 Phone: 'RQQ-468-1741 email: vprfteldassets.com other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title, other: N/A Company(if different from foreclosing party): Address: Phone(s): email(s).- other: Name;title, other: Company(if different from-foreclosing party): Address: Phone: email:. other: Attorney representing foreclosing party.. Unknown Firm name (if different from attorney's name): N/A Address: . Phone(s): emait(s):. other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Bob Clark-AFS Authorized Agent Date: 03/01/2017 Name: Title: I i • i I hereby certify that the above-named foreclosing party is in with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable. i ASSURANT BUILDING PLAN: Maintain the property until sold or re-occupi AS OF: 3/7/2017 PROPERTY WILL REMAIN SECURED AND MAINTAINED. PROPERTY WILL BE INSPECTED PER ORDINANCE. PROPERTY WILL NOT BE DEMOLISHED. PROPERTY WILL BE LISTED FOR SALE. OWNER CONTACT IS: Ditech 2100 East Elliot Rd,, Bldg. 94,Tempe,AZ 85284 Property Preservation Department AGENT CONTACT IS: ASSURANT FIELD SERVICES 101 WEST LOUIS HENNA BLVD. STE. 400 AUSTIN,TX 78728 T: 800-468-1743 E: vpr@fieldassets.com I ACORO DATE T*DDmYYj CERTIFICATE OF LIABILITY INSURANCE Page i of 1 F0511212016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENDS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis Insurance services of Georgia, Inc. PHONE FAX c/o 26 Century Blvd NO 877-945-7378 888-467-2378 P. 0. Box 305191 E-MAIL DRFCC certificates@vii1lis.com Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE. NAIC# INSURERA:Continental Casualty Company 20443-002 INSURED Walter Investment Management Corp. INSURER B:Continental Insurance Company 35289-002 including Ditech Financial LLC INSURER C:Ohio Casualty Insurance Companies 01481-001 3000 Bayport Drive, suite 1100 Tampa, FL 33667 INSURERD: INSURER E:. INSURER F: COVERAGES CERTIFICATE NUMBER:24389363 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF.INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE'ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN,IS SUBJECT TO ALL.THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE.BEEN REDUCED BYPAID CLAIMS: INSR TYPE OF INSURANCE DDL SUB POLICY NUMBER POLICY EFF POLICY EXPLTR LIMBS A X COMMERCIAL GENERAL LIABILITY 6024394132 5/15/2016 5/15/2017 EEpApp1,C,,�tHOOEECCCT�UURRpRENCE $ 11000,000 CLAIMS-MADE�.00CUR PREMISES(taEoccccurence .$ MEDEXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1.000.000 GEN'L AGGREGATE LIMIT APPLIES.PER: GENERAL AGGREGATE $ 2 QQ0 QQO POLICY PRO-. a . JECT. LOC PRODUCTS-COMP/OP AGG .$ 2,000,000 OTHER: - - AUTOMOBILELIABILITY aeBINEDSINGLELIMIT $ ANYAUTO BODILY INJURY(Per person) ,$ ALL OWNED SCHEDULED AUTOS A _ BODILY INJURY(Per accident) $- UTOS HIREDAUTOS NON=OWNED. PROPERTY DAMAGE AUTOS. Per accident)- $ . . B X UMBRELLA LIAB X OCCUR 60245.060214 5/15/2016 5/15/2017 EACHOCCURRENCE $ 25,000,000 EXCESS-LtAB CLAIMS-MADE AGGREGATE. $ 25 OOO OOO DED I RETENTION$ $ . WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NSA E.L.EACH ACCI DENT $ OFFICER/MEMBER EXCLUDED? fMandatory In NH) - - - - - E.L.DISEASE-EA EMPLOYEE $ tyes,describeunder DESCRIPTION OF OPERATIONS below _ E.L.D!SEASE-POLICY LIMIT C Excess Liability JEZQ,�17)560739411 5 15 2016 5 15 2017 $25,000,000 Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additonal Remarks Schedule,maybe attached If more space Is required) CERTIFICATE HOLDER. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE j THE EXPIRATION DATE THEREOF, NOTICE WILL.BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence only. AU RIZED REPRESENTATIVE Coll:4899.062 Tpl:2056685 Cezt: 389363 ©1988-2014ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 10/1/2019 Citizen Web Request PIP NO P11, o' 1. y . = Citizen Request Management WIN Request ID: 70244 _ Created: 9/10/2019 10:29:11 AM Status: Closed Assigned To: O'Connell, Timothy Health Office Anonymous: No Category; Chapter II : Housing Substandard E.C. Date: 9/24/2019 Created By: Tripp,Vanessa Citations: 3 Health Office Time Worked: 1.00 Response Time: 1.00 'Request Location: Captain Gosnold Village Condos 230 GOSNOLD STREET Hyannis, Ma 02601 Parcel Number: Map: 306 Block: 115 Lot: OM1 Request: Says the trustees shut off the water. Says Unit M-2, 3, and 4. See below. Says other units are affected. Water was turned off in May, June, and July. G .............................................................................................................................................................._.........._......_.: :__................................._.............._........................................................................................_......................_.._..............................................._...__.._.......................... I Request Work History: i I Entered on 9/16/2019 11:54:24 AM i Property not occupied. Water is shut off. This is some of the owners fighting with condo association. This is not a health Dept. matter this is a civil matter that should be settled in court. I i i https://itsgIdb.town.barnstable.ma.us/CitizenRequest/WRequestPrintPub.aspx?ID=70244 1/1 *nJL ca-0-0 S l � - 0-16" Date: 2/20/2019 Town of Barnstable Town of Barnstable 1111C�1i1 �. :, g Post•Th�s CardtSo That rtas'Uis.�bleFrom thea5treet A roved Plans Must bye,-.Retamedon Job and;this Cartl Must be'Ke, t• �` 16A PostedUntil:Final Insp3ecLi0n Has•Been Made \ " Where a;Cert�ficate of;Occu anc �s Re ulred such Bu ldm shall Not be Occu ied un#il a:Fi I I iris ect�oThas:been made Permit l :;.X ,'A.. .per ' ,,Y ..r«.:.Qa'`.�..�. Q.;k •::ate ., g .:.'i ,. ,•..:. .. . '.es�.p>.. , .�. _ .�. :. .: i?.. .F Permit No. B-19-1219. Applicant Name: Cape Cod Signs Approvals Date Issued: 04/12/2019 Current Use: Structure Permit Type: Building-Sign Expiration Date: 10/12/2019 Foundation: Location: 230 COMMON AREA GOSNOLD STREET,HYANNIS Map/Lot 306-115-10A Zoning District: Sheathing: Owner on Record: COMMON AREA Contractor Name Cape Cod Signs Framing: 1 ` a Contractor'Li�ense 1234 Address: PO BOX 2846 2 . , �.,. HYANNIS, MA 02601 ;. Est Protect Cost: $0.00 Chimney: Description: 12 SQ FT FREE STANDING SIGN FOR CAPTAIN GOSNOLD VILLAGES Permit Fee: $5000 Insulation: CONDOMINIUMS Fee Paid: $50.00 Project Review Req: Date 4/12/2019 Final: s , , Plumbing/Gas f tl,w _ Rough Plumbing: - n n orcemen Officer This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six mon .?a1P9 issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documeAts'for which this permit has been granted. . All construction,alterations and changes of use of any building and structuresshallbe in compliance with the local zoning by-laws and codes. Rough Gas: . This permit shall be displayed in a location clearly visible from access street orroad'and shall be maintained open for public mecti spop for the entire duration of the work until the completion of the same. s Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are pi 6A `mod n this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: `e g 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue linin j is nst4ed 3 Rough: 4.Wiring&Plumbing Inspectionsto becompleted priorto Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: ` Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to.the guaranty fund" (as set forth in MGL c.142A). final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: t f Town of Barnstable wilding Depa>!tment a PIKE T Brian FIoi'ence,CI3CO , Building Commissioner BTLE MASSL 200 Main Street, Ilyannis;.MA 02601 s :,° 14 y .i639 �0 ArF pia www.town.barustable.ml.us Office:.508-862-4038 Fax:508-790-623.0. Sign Permit Applicativn Boning District Permit# Historic. District Location by Street address and Village Applicant Map & Parce( 3 �: ---- pp Telephone Number 50' I I I 4 Email G A S : < <G p cCn Sign #1 Sign. #2 Wall 0 Wall 0 Freestanding Eg, Freestanding C� Electrified* Electri f ied* e c t Dimensions Sign #1 y Dimensions S. ign #2 Square feet 1 a Square feet - Reface ExistingSign'. [� NewlReplace 8- in g. �,. Width of Building Face ft. X 10 X .10= 9" w `"^ *Lighting Type N©� A wiring permit is required if signs electrified. ign Pure of ner./Authorized Agent Mailing address �S p c poy �oF�HETti Town of Barnstable Building Department RMMTaer.X + Brian Florence,CBO 9 Maas. 1639• Building Commissioner. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Officet 508-862-4038 Fax:.508-790-6230 SIGN PERMIT REQUIREMENTS 1 1.1'~ A showing the existing facade, on which has been indicated the proposed photograph sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall, hanging, free standing) 2). Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale P= 1'. Minimum.sheet size, 8.5 x 11 3. A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. signs/signrequ&app revised: 9/22/17 — ..y _rr"a`* �.N f3A -•A. ri r'"�i Y t^'�0"�` °4 T �✓ ^, •« — 'a,� '�> i ' F t �t«�4 1I5. S +Sat, "Nb, ', r -�i Npy �. '+!•°ti4. ^d. ... py �,, _C- .nar�;��rt ``1 �'�\\'t t Y_ .L�4.y'rS ° �� f. -�,��?5 +�oa.�:r :r• 1 AN ', ,' _ 'aA''?,.'m. ��y L y��.iy 4 .,./ft k yam,, L}' �r s• l� ! �/{{S Ft a...sr+' "'th'$4.. _��"^ -sx.- .�_ 4✓ � "f ♦"'�, od+�.•y j.�sy„p�6>y 'ti.��t�w,a � � 6daw £@,��'q m� ! r ^��r�f�'r, �`•r/.� rA>`�y-s*L {,; .1 �v �-•".:R vnr•'1„ - ,�s�••+ ��-�„�,. �zS�� s+�, ��( � } -S.y9 Y� !� .�.s !' ,+. � `� 2"} ..fir _ �''so�._.��, ry�.p y ;t�j�y, , kr� r9\ 4 ,� F �J�t✓�j{� �r"€M; „� .'�='� � � a r � ``y�4j�:•,�+��'j.'ice �:f � ram:. �r��r ;!y ' �r v L'�i. ;et 't a'h'lra. t,{gr✓ 1,:" y ! � r t� t a,,. S�rp}�Ir�;y f �I, r�r' r,r q ,C "Ail 6f >`-� t, �-? ,. t to r+� �a�c.,-�• � .%t i +' r `ems; I\ 1a t ,• I` + `,; � al�t�l s'�°1�'i k.9 q8_nIQ ,L7S �5'& �L.i r X >•^=y `.F ` r �.'�itl� S 1' �Ibl�` �� ! �l er•� � sr �n1'�r�' � .. w i x u v t r¢ 17 -6 Ail.. ' ' 4.x '.. w S, r�a�' I1� i- 3M1P•!7 t y r /� ��x.� 4• 1 w ` ! x�.`�' 1✓r '�'r r #^ 4 'r ,kl'114"l"$ r �U tr 3 y w oll ] 30p _ 230A ICAN _ , CAPTAIN „r GOSNOLD G®pSN®Ll) VILLAGE CONDOMINIUMS VILLAGE .,.,. 500 bf��0 • efltfla ,'. _ CONDOMINIUMS lo .I +F w. co uc µ - SL � Captatm Casmo4d Nip�age ,,, ,w r � C"OTTAGE'S Application number...(, ....1. ........................ Fee � ..�� Qti ........... .: ............................................ Building Inspectors Initials. c:813 2f,j Date Issued..., Jl-q ...................................... T(J��/�16 J�- �NF�fV�rA�L Map/Parcel... ., 1�...U`� . ...&. ............ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: . r 90 no 1d s' Al�A—8 H NUMBER STREET VILLA E Owner's Name: CvS A,,,/c/ A Phone Number Email Address: Cell Phone Number,,2-07—e- 3 eS-9® c� Project cost$ 27daC�, Check one Residential Commercial _ OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑ Doors(no header change)# . Commercial Doors require an inspector's review rARoof(not applying more than I layer of shingles) Construction Debris will be going to -5—o �X co �-Phk,!,r CONTRACTOR'S INFORMATION Contractor's names Home Improvement Contractors Registration(if applicable)# l��y3 (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor �� cove �iL,� 1e vz ,6ta'/ hone number -� ALL PROPERTIES THAT HA E STRUCTURES OVER EARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ 9, *For Tents Only* Date Tent(s)will be erected, Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each'Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 201bs. or>Yes No , if yes, a gas permit is required. Natural Gas-Yes No , if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature ' Date APPLICANT'S SIGNATURE --_ - yl1?--w1 9 Signatur Date `Alt permit lications are subject to a building official's approval prior to issuance. ' Acceptance of Estimate The above prices, specifications and conditions are satisfactory and are hereby accepted. BELCAPE CONSTRUCTION, LLC is authorized to do the work as specified. Contract total: $ 0DO P(q 1%014�W, 2 �L 3 If acceptable, initial here: JaAlS !A GLdVltin AC ,t i U C&w i APOUM, fob aA4 Payment will be made as such: Q,J OW hq f v fWyn p v e, "I"Deposit 1/3 $ Ai (p(��j �+�i� tW1AA+WU- �4 �fUM, R m i 4exi n W Start day payment 1/3: $ A, (0 6(o M � �r( 6 Jt'�J -�'�D Upon completion 1/3: $�b Date: _(q $ Signatures: A14, Gc Note: No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. You, the buyer may cancel this transaction at any time prior to midnight of the third business day after the day of this transaction. Accepted By: Date: THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL: 230 Gosnold St N2A Hyannis \ The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AtrrHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): Cape Cod Home Imrovement Address: 27 Mill Pond rd W.Yarmouth, MA 02673 City/State/Zip: Phone#: 508-685-9720 Are you an employer?Check the appropriate box: Type of project(required): Ln I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.X I am a sole proprietor or partnership and have no employees working for me in any capacity.(No workers'comp.insurance required.) 8• ❑Remodeling 3.Q I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole l I.❑Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance i 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: AMGUARD INSURANCE COMPANY Policy#or Self-ins.Lic.#: R2WC940123 Expiration Date: 06/03/2019 Job Site Address: Y 230 Gosnold St Building 2A City/State/Zip: Hyannis, MA 02601 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sianature:Atd-te_& c�4� Date: 2/12/2019 Phone#: 508-685-9720 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 CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• ACORO® DATE(MWDO/YYY1) `� CERTIFICATE OF LIABILITY INSURANCE 06i15/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER NAME: Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY PHONE 508 775-1620 1 Fn/c No: ADDRESS: Isullivan@doins.com 973 IYANNOUGH RD INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURER A: AMGUARD INSURANCE CO 42390 INSURED INSURER 8 CAPE COD HOME IMPROVEMENT INC INSURERC: INSURER D: 27 MILL POND ROAD INSURER E: WEST YARMOUTH MA 02673 INSURER F: COVERAGES CERTIFICATE NUMBER: 281511 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRR TYPE OF INSURANCE - ADDL SUER POLICY NUMBER POLICY EFF M LICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE CLAIMS-MADE OCCUR O N PREMISES Ea occurrence $ MED EXP(Any one person) $ NIA PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMrr $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NO"WNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION �/ ER $ WORKERS COMPENSATION TATU AND EMPLOYERS'LIABILITY XS TE TH ANYPROPRIETOR/PARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT $-1,000,000 A OFFICERIMEMBEREXCLUDED? WA WA WA R2WC940123 06/03/2018 06/03/2019 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwdtworkers-compensabon/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Anatoli Sivitski ACCORDANCE WITH THE POLICY PROVISIONS. 222 Buck Island Road 6-8 AUTHORIZED REPRESENTATIVE West Yarmouth MA 02673 Daniell M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©19W2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD //ii Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, M Aachusetts 02118 Home ImproverrX t gntractor Registration Type: Corporation 'CAPE GOD HOME IMPROVEMENT,INC. s Registration: 168043 Expiration: 12/06/2020 27 MILL POND RD m WEST YARMOUTH,MA 02673 e Update Address and Return Card. SCA 1 0 20M-W17 ✓� U'O/1T�720?C(fCQ�.C�/}��CG1r3lLC%CGI'P.�J Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only `TY, Coroora6on before the expiration date. If found return to: o Expiration Office of Consumer Affairs and Business Regulation �968043 12/O6/2020 1000 Washington Street-Suite 710 CAPE COD HO infi Olf NT,INC. Boston,MA 02118 ANATOLI SIVITS I 27 MILL POND RDA U WEST YARMOUTH,MA 02673 Undersecretary Not without signature r JaU01sslwwoo ItlJllsam S1tAIS I1OIVF V 2. y _ �* 01709Oi. 1SS3 s.Pxepue s p+ a not eln a .fi�uipirrra 19 p Leos ► :` air sua� -1 IeUOISS0101d 10 uO>ISIAII } ssli ass o eann_> ou�w} W 41! 0 I ALTERNATIVE vvWEATHERIZATION Date D Town of Barnstable C✓ 200 Main St. Hyannis,MA 02601 ^a. '/8 r Be: Permit# 16 18 The insulation work at V `� '�` � 1 /� 9 Ur) has been completed in accordance with 780CMR. cso J� r Agency work Wormed for r'� Regan Timothy Cabral, President CSL-105454 58 DICKINSON STREET I .FALL RIVER,MA 02721 I (508)567-4240 I ALTERNATIVEWEATHERITATIONOGMAIL.COM _ o Barnstable nuucting T can of aPost This Cam dSo ThatisV�s�bleFromthe.;Street ,Approved"Plans Must be Reta� ed�on Job andthisCardMust be Kept �: 16 Posted . F � Permit Where�a Certificate of Occu anc 4is.Re, cared such Building shall,Not b' ' ccu ted until a F�nallnspeclrwn has been made �- Permit No.No. B-18-1078 Applicant Name: TIMOTHY CABRAL Approvals Date Issued: 05/03/2018 Current Use: Structure Permit Type: Building-Insulation-Commercial Expiration Date: 11/03/2018 Foundation: Location: 230 UNIT 15B GOSNOLD STREET,HYANNIS Map/Lot: 306-115-15B Zoning District: RB Sheathing: - Owner on Record: DONOGHUE,LISA&TURNER THEODORERd - Contractor Name: ;TIMOTHY CABRAL Framing: 1 Address: 55 BARNARD ROAD m Contr�ctor'aLicense: CS,=105454 2 OSTERVI LLE,MA 02655 � - Est:Project Cost: $4,404.00 Chimney: Description: Weatherization e; P °,;: .Permit Fee: $160.00 f Insulation: .Project Review Req: ; FeetPald $160.00 � = s' Final: . Date: 5/3/2018 �'r-- Plumbing/Gas Rough Plumbing: �Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by'this.permit is commenced Within six months after issuance. Rough Gas: All work authorized by this permit"shall conform to the approved appllication and the approved construction documents for,which this permit has been granted. All construction,alterations,a nd,changes of'use'of any build 1ng,and structures shall be in compliance with the local zoning by=laws and codes: Final Gas: This permitshall be displayed in,a location clearly visible from•access street or•road and shall be maintained open for public inspection for.the entire duration of the work until the coin letion,ofthe same; i � a .�.�.�.. _� .� -� � � F b�, Electrical The Certificate of Occupancy will not be issued until all applicable si natures b the Buildin a, dFice,Officials are provided on this permit. Service: P cY PP g Y g l' P P Minimum of Five Call Inspections Required for All Construction Work ' .x y Rough: 1.Foundation or Footing g 2.Sheathing Inspection Final: 3.All.Fireplaces must°be inspected at the throat level before firest flue lining is installed 4.'Wiring&Plumbinginspectionsto be completed priorto Frameanspection Low Voltage Rough: Si Prior to Covering Structural Members(Frame Inspection) .6.Insulation Low Voltage.Final: 7.Final Inspection before Occupancy Health Where applicable,separate'permits are required for Electrical,Plumbing,and Mechanical Installations. Wcgk shall not proceed.until the Inspector has approved the.various stages of construction. Final: "Persons contracting,With:unregistered contractors do not have access to the guaranty fund"(asset forth in MGL c.142A). Fire Department Building plans are-to be available on site Final. All Permit Cards-are the propeity.of the APPLICANT-ISSUED RECIPIENT Application Number..... ........ ...... .................................... WABLE, MASS 13UILDING DEP7- Permit Fee.... ..........................Other Fee......,................. APR112018 Total Fee Paid............................... ............... TOWN QE P TOWN OF BARNSTUft"TABLE Permit Approval'bY ........................On.....................,.....BUILDING PERMIT mw........Jo-�......... ...--Pwcel..... ..... .................. APPLICATION Section 1 ' Owner's Information and Pr9jec. -Location, Project Address, 411,,U-2,41 A/ As- Village Owners Name-&4P(eM 'Owners Legal Address 19d ;City OS41,11-11ille State zir) 0 0?6s'-s' !Owners Cell 4 E-mail Section 2— Use of Structure Vse Group_ E] Commercial. Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single Two Family Dwelling Section 3—Type of Permit New Construction F] Move/Relocate ❑ Accessory Structure ❑ Change of use Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild Ell Deck Apartment Sprinkler System E] Addition F] Retaining wall ❑ Solar i Renovation Pool ❑ Insulation Yther-Specify ji() �� (/� Section 4 - Work Description oil ' 6iea4 7 ri //1 fe- Ar A-tfi c, V&41-f a Akw-Alh- -&f I Cx 1b) SbM-f V�, s 5t-, 94A jl,-,C, A,—,, W17—13a, �2ep7ef & Last updated:3/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction '7�,(ro Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) i 10 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section G—Project Specifics ❑ Wising ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic :District ❑ Hyannis Historic District [] Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7--Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? "Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Beard in the past? © Yes ❑ No Last updated:3/15/2018 i Application Number........................................... Section 9- Construction Supervisor Name �� - Telephone Number��6767-- Va/o Addresses f�ek d '- City State zip 67 9A/ License Number 14ySr_ License Type� Expiration Date Contractors Email .. p� �,�� Q Cell #i I understand my responsibilities under the rules and regulations for I icensed truction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required b CMR a r e/own of;Barnstable.Attach a copy of your license, Signature l/ Date / Section 14—Home improvement Contractor Name A(hZAa-fi1le ��`��'izGr�7(J7►,�&Jelephone Number._. Address_1 a4 /Z City // A-W State&)4 Zip D� / Registration Number /7 �Expiration Date 5 �9 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building e. I erstand the construction inspection procedures,specific inspections and documentation requir 0 C d e T w of Barnstable.Attach a copy of your H.I.C... Signature Date61— Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number_ Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date V// i Print Name" ( 1. �� Telephone Number �M-66-2-'/d so E-mail permit to: �Q G 111f-1A)m i�U7 o- 2w; gonn Last updated:3l15/2018 i Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) Fire:Department ❑ Conservation ❑ For commercial work,please take your plans directly to thefire department,fvr approval; Section 13 — Owner's Authorization 1, _L/ l e0D0. as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to w4 authorized by this building permit application for: (Address of ob) oet., Signature of Owner date Print Name Last updated:3/15/2018 0ocuSign Envelope ID:5714D671-4E08-422E-A2F9-F3D64FE6718E C Town of Barnstable Regulatory Services oA LNSTABLE, Richard V. Scali,Director W55. A ° ab . �•� Building Division �.FO - Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section I, THEODORE TURNER as Owner of the subject property hereby authorize �( e,��fi�� to act on my behalf, in all matters relative to work authorized by this building permit application for: 230 Gosnold Street 1.5 Hyannis, MA 02601 (Address of Job) owuSignodby: 3/26/2018 1 11:29 AM EDT ^aCC)F7Ta E.4i?n2i3. Signature of caner Date Theodore Turner Print Name if Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\windows\INetCache\Content.Outlook\L7t169LF2\EXPRESS(2).doc 01/25/17 The Commonwealth of Massachusetts Department oflndustrialAccidents a 1 Congress Street, Suite 100 Boston, MA 02114-2017 - N www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Indiiidual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK STREET City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): l.M I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] g• ❑ Remodeling 9. El Demolition 3.[31 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑ Building addition 4.F11 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.C]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.t p 14. Other 6. We are a corporation and its officers have exercised their right of exemption per MGL c. � 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins. JL'ic.#:0849257 00 Expiration Date:4/4/19 Job Site Address6! 0 U fl2h ��- City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy nu er and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. 1 do hereby certify under t e pains and pen es of jury that the information provided above is true and correct. Signature: Date: Phone#:508-567-42 0 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I ALTEWEA-01 SNERONHA CERTIFICATE OF LIABILITY INSURANCE DATE(tdMIDDNTTTI 03123/2018 , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED'SY'THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREIR(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(Ws)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorserient. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s) PRooucER1 kWCT Christine Costa Mason&Mason Insurance Agency,Inc. PHONE FAx ; 458 South Ave. IA1C,Na,Ert):{7$1)447-6531 iAlc NoA781)447-7230 Whitman,MA 02382 _U ss-ccosta .masoninsure.com t INSURE S AFFORDING COVERAGE NAIC i INSURER A:Evanston Insurance Co. 3537$ INsuREn `INSURERB_Safety Indemnity 33818 Alternative Weatherization,Inc. i INSURER c:Star Insurance Company 118023 2 Lark Street Fall River,MA 02721 'psi- U °= — INSURER E: i I WSURERF: ! ' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. :`INSR LTRI TYPE Of INSURANCEADDL,SUSR JM POLICY NUMBER :` POLICY EFF POLICY EXP ' LIMITS X COMMERCIAL GENERAL LIABILITY 1 Oflfl 000' A EACH OCCURRENCE _ ;5 > CLAIMS-MADE I X I OCCUR 1 X i X 3C4208$ ;0610712017 06/071201$'DAMAGE TD RENTED 100 000 F--I— ' _PREMISES tEa occurrence) �S , ' ' MED EXP(Arty one person) ?s 6,0fl0i _ i 3 PERSONAL 3 ADV INJURY 15 1,fl00,Ofl01 (GEP)'L AGGREGATE LIMIT APPLIES PER j _GENERAL AGGREGATE !S 2'000'000 X i POLICY, 1,JECpT OC ! 1 2,D 000 i PROOUC:r S-COMP,'OP AGG :S i OTHER. E I 3S i B ;AUTOMOBILE LIABILITY 1 COMBINED SINGLE LIMIT 1,000,000 i tEa acadern) is ANY AUTO X ? 6237702 i 04/0$/2018;0410812019 BODILY IN 'Per i s ' OWNED SCHEDULED I ! AUTOS ONLY ;�AUTOS F ! BODILY INJURY Perattldent S X !HlR�� X NOF7N D PROPERTY DAMAGE AUTOS ONLY — AUTO OtILY i er eoadem) S A UMBRELLA LIAR' ;'X i OCCUR i ; 'EACH OCCURRENCE is 1,000100fl� j X I EXCESS LIAB CLAIMS,MADEI X X (OBW7126517 06/07/2017 06107/2018! 1,00fl,00fli i .AGGREGATE Is i DIED ; j RETENTION 5 C !WORKERS COMPENSATION I PER y OTN- I AND EMPLOYERS'LIABILITY YIN X i STATUTE i ER i ANY PROPRIETOR;PARTNER;'EXECUTIVE '•• NCr?i4l257 •41i412018'04/041201>l E.L.EACH ACCIDENT 'S 600,000j IIpQf�r�,CERMEMg REXCLUDED? i N f .NIA; ' iM9ndatdry in Ni `1 ; 5001000 i if yyes;destr ba under E.L.DI $EASE•EA'cMPLOYEE 3 DESCRIPTION OF OPERATIONS Pe low f E.L.DISEASE-POLICY LIMIT 3 S _ 500,0001 I 3 3 I ' f I { E I I i ' I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,Additional Ramarks Schedule,may be attached d more space is regWred) 'Action Inc.and NGRID USA,its direct and indirect parents,subsidiaries and affiliates is added as an Additional insured for General Liability on a Primary& Noncontributory basis per the terms and conditions of form CG2001(04113),for Ongoing Operations per the terms and conditions of form CG2010(04/13),for :Completed Operations per the terms and conditions of form CG2037(04/13)and Waiver of Subrogation applies per the terms and conditions of form MEGLO241.01(04-11). Additional Insured for Automobile Liability applies per the terms and conditions of form SCA005(02116). 'Excess Liability is a following form, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i THE EXPIRATION DATE THEREOF, NOTICE.WILL BE DELIVERED IN NGRID USA i ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road ; Waltham,MA 02451 I AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD n Sul;* MOT 44 31, Office Of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Ida.s6al husetts 02116 Horne Improvemetractor Registration � I w Type: Corporation k f Registration. 175683 ALTERNATIVE WEATHERIZATION, INC `" Expiration:" 05/28/2019 2 LARK ST ., FALL RIVER,MA 02721 " .ems Update Address and return card. Mark reason for change, )_.. _......._....__ _.17.Address..11RmwaAuaL wrio t n L ,n. �1%+; �v.it�if,�:.ir.f�:r�xl/ir G� ✓Il�,7.:Wr�r�slt::Clf� Oltice of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Coroorabo r before the expiration date. If found return to: 8fg�ratlon gjration Office of Consumer Affairs and Business Regulation t75&83 05128/2019 10 Park Plaza-Suite 5170 �� NIA 02116 ALTERNATIVE W1rATNERI2A`EION,INC. n, TIMOTHY CABRAL '�L 2 LARK ST FALL RIVER,MA 02721 Undersecretary Ot V O Si BttJrtr I Assurant Use Only V/ I PID# 1341264 ASS URANT January 31,2018 Hello, Assurant Field Services(AFS)is working on behalf of Mr.Cooper AFS previously registered a property located at: Street Address City State Zip 230 GosnoldSt#6A-B Hyannis MA 02601-4831 This letter is to serve as notice that the property has either been sold to a new owner,the property is now occupied,foreclosure has been rescinded and/or borrower is no longer in default.AFS does not represent the new owner and has not been provided any further information or documents. Please de-register this property and send confirmation of de-registration to the email address listed below or by mail. a o Thank you for your time and attention to this matter. ; Q 0 -n Assurant Field Services Attn:Property Registration -o 101 W.Louis Henna Blvd.,Ste.400 Austin, a TX 78728 Q, afsvpr®assurant.com o-n M ASSURANT` Field Services 101 West Louis Henna Boulevard,Suite.400 Austin,TX 78728 Town of Barnstable Attn:Building Division 200 Main Street Hyannis,MA 02601 y "Y - '/y� / � i�G� ryr// /%q �r",, h/ o/� /;;y � 4r,�ti% vi r� / /� ✓,n, .,:y% °'" .,,..c:..' ,, :, ,/i J '// „•�' 'ry e ., � _, •..y,' ,/ s //s�.,r; �" >;/, �'y /l �'yr as/��,./� r t� / /�Foyuro�x' ,;,, y�/y. �"��' ',� ,!fit: e ,' � /!. /, _ � 'x/'�%; ,�/�•.,, y,y 8 '� zer;,"y� �i;%� l 4 ,��3 •! f � /� V�� f T��' //�., �rD /«sue „Y /�"s/ .,%;;. � .,..> r /r (, �✓a, :;: ":�, �,bj r1- ,,i /ryr� �� %/�„y/ - s 3 //..�.•--:: !' ywm ':'' j:�.� �i/�sf v:i �.; .�✓^•.'.1 ..:6:_: %: v< .,::� A"Sy, y..// 1ti . ,i,. ,r/' '•' .."; ,;/: -. ; ,,,. „, .;<.� .., ', s=xi �,r ,::,.y/ .�,�..,". "'<(//,..:,; ,,.s-..- - .../:.. ..Rs", '"tea_.�:. „d�".,�. 3 ✓ �' l!,',.. //✓,,.� / ,,r .,,� � �'.... :ice ,� v-. ,../ �`' :,:! r' ',s• / � as / .,,.' /, ,. !. rr_6 /,.. .�fv/r r/ .,./ s✓ r'" ,. ., ,,, ✓/« ,.....,.., ...,;.. ty'./�:/ .�::/, ,. .✓.:,,r .,-,- /. r. f::..^. ..,r`., .;,. /• // "� a .'�' _'.Mr. r."o/,,: /., gu �.'//u ,r. mow..,, r,> '::r/i/ i" ...:;� x ,,: �j/",/%//.,�ijh} ,,,6 - „% -:.,/r .,. .✓,,. ,:,�h. ;, ..,�,.; F ////hy',oi fi „�. ''�� /G//// s v - �� r y J `'b <•r " .. L r.A.a• �' ¢/ r/ /a-le'N" i ,.i:.y,f r,yr cry/ I!:o,ry/ ys„ .f/ .;-�. ,..� � �'.§':''.. ,,; •� •;-',` r'»K s '',� �!� s✓,r �+'r; h fir.,"":.�/1.�/%�:, � � r ,s'f'fi,: //%. l�,, .� /;, v, y,,ti, �? -:`€ emu" w �f � �'a"•� �. �,%"� �.. / .�.' /. ,.// ''�` :h// �,..o t "�- „j. ,,,a //./ _; ./.,, ..✓,,, ''s-- p5�"''F,o„' °� ,v.,/mth ,,;i' .","�."t" 'r 9ss'y ...r.' r -,a✓sy, /s' ./ / r s ;:'k ./ d% ti '"�/' �.s :�z'. a° "Yn." .d � O/.,..�- � :U_ �.qr fi, , �. !! /�:�� ,rh, r''•: r�i� .� ;�, � ,.✓ice«,. ''a �� , . "" ,'v'�3r y;-- y vs� � y a�"°i �-;�y ,,, �,.. ,/ ,.,.. .,� y ,;. v r�c-'� /i /,'. �_°., ✓ ,� ,s »' �/ d/ �/ ��' / �,��` ./yJ''. � r�1�.'. �./ (,✓,y/ .?� �� one �a vdf��i:.-�'��' � ,�! � yF. � x.�.:. r fr ,.;//. / yr „i, /y ✓s i:,9' / h. a ,� :.;,'/; yn. ,,,,. :a. j%/„'',�/�/�'.•s"' ., ;• a4.._t 3 �-" ",� - "x" x t 'Y'?�jijrs, .,,�. /v,..,i >� v/�". -�.1 'r'rii �_,., sq�y/,/ y,� •v-c, ,.. , w s;,; ,,. ,.,. 1� �.. ., / ,9v, (*`�,. . ::.. ,� 1 �.,R ,� •�vy'� / h< � / �sa e y/ /.x� a� a /?,', /i/''" „�`*" �`''r t�,ry •s,/,s :r.:�=, .,rs �,,,,,. .//., .:,�ix � ti��jrFn^"•.... //" s� .'1"i ✓i/-, �' ` '� °fi k- �,a §: ,�, /6 r rQ ya d p s�� ✓, w, ,. �• �.,; ��°,r'fi '_ �^ �,.�� , s - PID: 1341264 REGISTRATION AND CERTIFICATION FORM =" FOR FORECLOSING/FORECLOSED PROPERTY jYy.3'ja j Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in fore closure:.- (section 224-3) or already foreclosed for which possession has been taken(section 22�4i 4). Please file the original with the Building Commissioner and a copy with Ft e Chief-of rn the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section I (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address: 230 Gosnold St# 6A-B, Hyannis, MA 02601 Assessors Map#: Parcel#: 000306-000000-000115-M000001 Land area and description single family home - condo Building(s) description and contents Occupied: X Occupant(s)(if borrowers so state and include name(s)) unknown Phone: email: other: Vacant: Date: Anticipated Length of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) unknown Phone: email: other: Has possession been taken NO If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party (full name/title) Nationstar Mortgage Foreclosure Case Court: Docket# Date filed: Current Status: Post-Filing Foreclosing Party's representative(s) for property(entry, management, repair, etc.)(name,title,): Company (if different from foreclosing party): Address: Phone: email: other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name, title, other: Assurant Field Services c/o Christopher Sideman Company (if different from foreclosing party): Address: 268 Mammoth Rd, Lowell, MA 01854 Phone(s): 978-821-9599 email(s): vpr@fieldas sets,com other: 800-468-1743 Name,title, other: Company(if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party Firm name (if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of kchr of Code of the Towf Barnstable. WA_ Date: 9/28/2016 na trickland Title: AFS Authorized Agent I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable i h M SSU A RANT BUILDING PLAN: Property will be maintained. AS OF: 9/28/2016 PROPERTY WILL REMAIN SECURED AND MAINTAINED. PROPERTY WILL BE INSPECTED PER ORDINANCE. PROPERTY WILL NOT BE DEMOLISHED. PROPERTY WILL BE LISTED FOR SALE. OWNER CONTACT IS: Nationstar Mortgage 350 Highland Dr Lewisville, TX 75067 PH: (800) 468-1743 EM: vpr@fieldassets.com AGENT CONTACT IS: ASSURANT FIELD SERVICES 101 WEST LOUIS HENNA BLVD. STE. 400 AUSTIN, TX 78728 T: 800-468-1743 E: vpr@fieldassets.com I STANDARD GUARANTY INSURANCE COMPANY Blanket Real Estate Owned PO BOX 50355,ATLANTA, GA 30302 Policy Declarations ITEM 1. NAMED INSURED: POLICY NUMBER: BRE-0004 CENTEX HOME EQUITY COMPANY, LLC LENDER NUMBER: 0729,0732 3250 Briarpark Drive,Suite 400 Houston,Texas 77042 PRODUCERIMAJOR NUMBER: 5992 ITEM 2. POLICY PERIOD June 1, 2004 12:01 a.m. standard time at the address of the named insured and continuing until cancelled. ITEM 3. MAXIMUM LIMIT OF LIABILITY: 1,000,000.00 ITEM 4. COVERAGES: DIRECT PHYSICAL LOSS subject to all terms of this policy. ITEM 5. RATE PER$100 PER MONTH: Property: $0.08 Liability; $0.0125 ITEM 6. DEDUCTIBLE: $ 500 ITEM 6. ENDORSEMENTS attached to policy at issue:SG-BRED-POLICY(1f98); NOT-TX-1; NOT-TX-2; DP 00 03 07 88, BRED-MOLD-END(11/02), EREO-LIAB-END(10199) `THIS INSURANCE CONTRACT IS WITH AN INSURER NOT LICENSED TO TRANSACT INSURANCE IN THIS STATE AND IS ISSUED AND DELIVERED AS SURPLUS LINE COVERAGE PURSUANT TO THE TEXAS INSURANCE STATUTES, THE STATE BOARD OF INSURANCE DOES NOT AUDIT THE FINANCE$ OR REVIEW THE SOLVENCY OF THE:SURPLUS LINES INSURER PROVIDING THIS COVERAGE AND THIS INSURER IS NOT A MEMBER OF THE PROPERTY AND CASUALTY INSURANCE GUARANTY ASSOCIATION CREATED UNDER ARTICLE 21.28-C, INSURANCE CODE. ARTICLE 1.14-2, INSURANCE CODE, REQUIRES PAYMENT OF 4.85 PERCENT TAX ON GROSS PREMIUM." IN ADDITION,A STAMPING FEE OF.10 PERCENT IS REQUIRED ON GROSS PREMIUM, Surplus Lines Agent Agent Dame and Addrirss: Charles D.Helton Longhorn General Agency P.O.Box 1010, Euless,Texas 76039 (800)888-3008 aC BREO-DEC(1/98)-TX - Wells Fargo Home Mortgage 11200 West Parkland Avenue MAC: X9400-034 Milwaukee,W1 53224 Ph:877-617-5274 Fax: 866-512-0757 June 1, 2015 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street w Hyannis, MA 02601 CD Regarding Property Registration at: m ;- 230 GOSNOLD STREET HYANNIS MA 02601 TAX ID: 306-1161) The above property has been sold to a third party 5/5/2015 and Wells Fargo no longer holds interest. Please update your registration records to reflect Wells Fargo Home Mortgage is no longer the responsible party. Sincerely, - Jonathan Mosier Wells Fargo Home Mortgage ionathan.mosierOwellsfargo.com NMFL#14013 04/04 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION g .. Map-. 3 0 Parcel ��Jam'-/® d Application # Health Division SUIU)IN Date Issued ��pr Conservation Division Application Fee APR Planning Dept. 1 � Permit Fee Date Definitive Plan Approved by Planning Board Qvvtq OF Historic - OKH _ Preservation/ Hyannis eulad Project Street Address 930 o s of o 1 G J /026 , Village q oV s►/ 52 4'q® M ,155 A ve ti.+ Owner C 4 01 /4 1�toh �, Address h r m A- o a yl Telephone ( 1-7 7 C. rZ Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (36• Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure l 5 Historic House: ❑Yes P(No On Old King's Highway: ❑Yes g No Basement Type: 'Full 0 Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing ]-new Total Room Count (not including baths): existing It —new First Floor Room Count Heat Type and Fuel: .?Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ,2(No Fireplaces: Existing f New _0 Existing wood/coal stove: ❑Yes/VNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name TM O fA y s u r � le_ Telephone Number 6 / 7 Address M l%U fe r L License# s /0 le- U Home Improvement Contractor# 5 0 )_ 0 Email �ti Hr o 1 4 v e h L,r k e-eyn izoAl meworker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL/ 7 BE TAKEN TO Ale W G G �,rd l✓ei S T e e V i Ge,5 SIGNATURE �� DATE FOR OFFICIAL USE ONLY APPLICATION # r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER I DATE OF INSPECTION: r FOUNDATION ' FRAME r _ INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL �Y GAS: ROUGH FINAL ` FINAL BUILDING d p x DATE CLOSED OUT ASSOCIATION PLAN NO. 1 asaxsrnarE Town of Barnstable Regulatory Services Richard V.Scali,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 Section If Using A Builder r 1 1, 17a1Z &, -221A Q. ', ,as Owner of the sub)ect property hereby authorizeI� to act on my behalf, in all matters relative to work authorized by this building permit application for: & J St-eel (Address of Job) , ignature of Owner Date - Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the . reverse side. C:\Users\DecollikWppData\Local\Microsoft\Windows\Temporary Intemet Fi1es\Content.0ut1ook\2P101DWEXPRESS.doc Revised 040215 27ie Commompealtit of-Massachusetts D tineaxt oflrndzsstrial Actiderrirs - Ojjw-e of MWS169a ions f1 600 WaslrhWon Street Baston,41A 02111 - soviv-maskgorldia Workers' Ccimpensatian Insurance Affidavit:Btgder-dCuntractGrs/EIectricians/Plumhers Applicant Infmrmatian Please Print Le��ly Name ��P�+1�ganizationllnthvi�al� �i rs� �� /�✓ ,G�.� Address_ A Z/v Cityrfsta& Wu ,0__ /yl 2 6 131 Phase $ - 3 0 1, Are you an employer?Checkthe appropriate bow Type of project(req-mmd): 1.❑ I am a employer with. 4. ❑I am a general contractor and I 6. ❑New comsaucEiona employees(full andfor part-time).* have hired the sub contractors 2. J I am a sole proprietor orpartner- listed on the attached sheet. T_S Remodeling ship and have no anplayees. These�b-co�rac#ors have g- ❑Demolition w g for nay in aIIY capacity. employees and have xwodners' ,a`t� 1 9. ❑Building addition. [N worb-_s,comp.insurance comp.risuranc� - regtired.] 5. ❑ We are a corporation and its 1ih❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their ME]Plumbingrepairs or additions myself,[No workers'comp- right of egetnptiort per MGL 12.❑Roofrepairs inmrancerequire ]i c.152,§1(4h and we have no employees.[No workers' 13.❑Other comp-insurance required.] *Amy WKcaartfliatchecksbos Al most also Moutthe swdoabeiowshowing their,amteas'compmsatiaupe&eyinformaia= I Homeowners who subanft this affidavit=ffrat mZ they axe doio;all vraal sad,dim lire ouWdecoatxactors inIIA submit a new affidavk indic=6-sa cTi fCbnusctots tbgt check toffs boat must attsrhed=sddi6onal sheet slowing the name of tee sub-ccaitwA ors and state whether or not tbase ewd&shave employees.If:the 5nbtaatractaxs hose empIgyers,dLey nust provide their Workea'Comp.policy nuobber.. I am an elrtploy�€r float isprtaw.zrii�tt�ork¢rs'caerrperesaftixe i�urruzce,jar eery*entpFvy�ees. �8etoty is flee policy ate jab info irrformadbiL . Imsruance Company Name:' Policy 4,or Self--ins.Uc.k ExpiratiiauDate: Job Site Address: Citylstate rw: Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to serum coverage as requimdunder Section 25A of MGL c-152 can lead to the imposition of criminal penatties of a fine up to$1540-OQ andfar one-year imprisonment,as well as civil peualties.in the form of a STOP WORK ORDEAand a fine of up to WO-00 a day against the violator- Be adtnsed that a ctspy of this statement may.be forwarded to the Office of hrvestigations of the DIA for insurance coverage verifica#iom Ido herceby cat fj/�ander the pain s and penaWes o fpetlr,ty AatAa iafonnafimrprmidedabm a is bare and carred $i.�tatare: Date: Phone A 61 / �1 - �• Offi al use anty. Der fiat write in this area,tax he completed by trip ortoirn offi At City or Town: PertmtUcense## Issuing Antharity(fade one): 1.Board of Health 2.Building Department 3.City1rown Clerk 4.Electrical Inspector 5.Pla mbmg Inspector 6.Other Contact Person: . Phone#: Information and Instructions hfaccachmetts General Laws chapter 152 requires all employers to provide workers'compensation for their empIoyees. Parmiantto Ibis stair t%an errrployee is defined as-"_.every person m 1ho service of another under airy contract ofhhe, express or iraplimt oral or wriftcu" An Mayer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a joint=trrise,andincTn�the legal representatives of a deceased employer,or the receiver or trustee of an in divid aaI,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than.three apartments and who resides therein,or the occupant of l e - dweMag house of another who employs persons to do maird==m,construction or repair work on such dweIlmg house or on the grounds or building a�purtcna ttheretn&hallnotbecanse of snch employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall witlihoId fhe issuance or renewal of a Hcense or permit to operate a business or to construct buuldiags in the coraTnonwealth for=y applicant Who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGM chapter I52, §25C(7)states'Neither the commonvreal&nor a'ny of its political subdivisions shall enter into any contract for the perfonnauce ofpnbhc work until acceptable evidence of compliance with the in sm-a ce.. raTu rements of this cbapina have been presented to the contracting Lfaozity." A.Pplicants , Please fill ou± the workers'compensation affidavit completely,by cher_® Ii ne boxes tat apply to your situation and,if necessary,supply sub--contractor(s)name(s), address(es)and phone ntmmber(s) along withtheir certfcate(s)of ins rrance. Lmmib-,d LiabiUy Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry woike&compensation insmmce. If an LLC'or LLP does have employees, a policy isregnned. Be advised that this afftdayit may besabra dtotheDepartmentofIndustrial Accidents for confu rnation of ismsane coverage. Also be sure to sign and date-the affidavit The affidavit should be retied to!he city or town that the application for the permit or license is being requested,not the Department of Tndn atrial Accidents. Should you have any questions regarding the law or if you are regafi-ed to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-msu+ce license number on the appragriate line. City or Town officials t . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom Of the affidavit for you to Ell out in the event the Office of Investigations has to contact you regarding the applicant: Please be sure to fill in the pemZitllicense number which will be used as a reference number. hn addition,an applicant that must submit multiple pennit/Hcense applitatiom in any given year,need only submit one affidavit indicating current policy ifb=ation(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)_"A copy of the-affidavit t3iat has been officially stamped or marked by the city or town may be provided to the applicant as prod that a valid affidavit is on file for frmtme pezmz s or licenses A new affidavit must be filed oit each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial-Vent re (i.e. a dog license or peunit to bum leaves etc.)said person is NOT requized to complete this affidavit The of of Investigations ons would like to than you in advance for your cooperation and should you.have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: 'the CG=10awedti,of h1a mchustm , Depaitnmt of 1Sclusfdal Accidents �c�of�• g�fza->� � �sbingtQnsteet Bostau�MA 02111 `r�1. 617 727-4900 cxt4fl6 or 1-& MAS AFE Fax 9 f 17 727 7M wvi' Revised 4-24 07 gavldia. TWEE Town of Barnstable Regulatory Services - 4 Richard V.scan,nirecmr Buildnag Division TomPerrp,Bm1dmg Conmflssiouer 200 Mai Street Hyannis,MA 02601 www town_larnstable maxs Office: 508-862-4-038 Faz: 508-790-6230 Property Owner Must Complete and Sign This.Section If Using A Builder as Owner of the subject property- 1 hmmby to act on my bebal- in all matters relative to work authorized by-d s bnZdiag permit application for. . s of Job) Pool fences and Ai ms are the responseflit rof the applicant:Pools are not to be Bled or ufized before fence is installed and all final " inspections.are peHoimed and accepted. Signature of Signature of Applicant hint Name Prier Name r _ glz \ING Dare . QFaxn�s:owr��smr�oors 'down of Barnstable Regulatory Services r � Richard v.SraH,Director Ruulding WvMon Fs��z• Tom Perry-,Btu Commissioner MAIM 200 Man Street HY3s,MA 02601 CEO� wow toren.b�rast�hi�m�us . Office: 508-862-4038 _ Fax: 508-790-6230 • HOMEOWI�rrr-snverr.E7�TTO1�T . •PIerse Print DATE: ' JOB LOCA110K number' sFsct namr_ home phones A WD11L phone it C[JRRIIdT MAff-ING ADDRESS: — city/fawn sty up cods The current exemption for`homeownc&'was extended to include owner-0ccMied dweIImes of six units or less and fro allow homeowners to engage an individual for hirewho does not possess a license,provided that the owner acts as supervisor_ DEFIIMON OF HOMEOWNER Persons)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, attaohed or detached strnctares accessory to such use and/or farm ctructn es. A person who constructs more than one home in a two-year period shall not be conddered,ahomeowaer. Such-homeowner"shall submitt o the Budding Official on a form acceptable to the BmZdmg Official,that he/she shall be responsible for all such WOIkperformed underthe bmldmg permit (Section 109.L1) The undersigned`.`homeowner"assmnes responsibility for compliance withthe Sim Building Code and other applicable codes, bylaws,rules and rcgoht ions. - The undersigned`homeowner"caiifies thathelsbe understands the Town ofBamsfable BuIhng DeparfinentTaini-i m inspecfian d r nts and that he/she wM co ly wifii said u its and.req¢heme .t; rocedrses�. egnseme � mcedP P Sigaahmr ofH=CO'W cr AppMV.I ofBmZCrmgO&cial Note: Three-bmigy dwellings containing 35,000 cubic feet or larger wMbe req3ired to comply wi&tb.e State Bm�Code Section 127.0 Construction C0DtML EEMMOWNEXIS EKMCriox The Code states that 'Any homeowner performing work for which a buffiHiq permit is required shall be exempt from the provisions of this section(Section 1091A-Licensing of construction Supervisors);provided that if the homeowner engages a persom(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 SiTerdsors,Section 2.15) This lack of awareness often results in serious problems,particuIarly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed agaiust the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is uItimately responsible. To ensure that the homeowner is My aware of his/her responsfSiiies,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsrbMdes of a Supervisor. On the last:page of this issue is a form cnrrently used by.several towns. You may care t amend and adopt such a form/certifict'nn for use is your community-. �grp�g�ORt,�cRtn�cT�pe�itfnmLs��F�doe Revised 061313 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-108932 Y ., Construction Supervisor a TIMOTHY BURKE_ � 11 LAMPLIGHTER LAN_E WALPOLE MA 6208:' = , �.n� l� Expiration: Commissioner 02/18/2019 J C� r� MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4,requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner, to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B) within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4,please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property (1) Registration date: If not ease complete the registration form and state date of filing or anticipated fi ng 3/20/2014 (2) If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated) (if in possession or ownership must be certified as accurate twice annually in January and July). (3) Describe any hazardous materials on the property as that term is defined in MGL c. 21K and the date(s)and method(s)for removal as approved by the Fire Chief (4) Method(s) and date(s) all windows and door openings secured(or will be secured) The building is secured; all doors and windows are locked. If left secured,name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property Michael Lotane 1533 Falmouth Rd., Centerville, MA 02632, (508) 398-0600 (5) Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property 12/2/2012 (6)Name(s), address(es) and contact information of person(s)responsible for maintaining: structures,lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance" in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances Michael Lotane 1533 Falmouth Rd., Centerville, MA 02632, (508) 398-0600 I r� .. t� (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity,please state: Date of approval ; Date(s) electricity turned off on if applicable ; Date(s)water turned off on if applicable (8)Name(s), address(es) and contact information pf person(s) responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances Michael Lotane 1533 Falmouth Rd.,Centerville,MA 02632,(508)398-0600 (9)Name, address,telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the frontof the property if required by the Fire Chief or Building Commissioner Michael Lotane 1533 Falmouth Rd.,Centerville,MA 02632,(508)398-0600,codeviolations@wellsfargo.com (10) Date(s) certificate of liability insurance on the property filed with the Building Commissioner (11)Date(s) cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee 3/20/2014 (12) Date(s) scheduled for inspections with the Building Commissioner and Health Director, who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance (13) Date(s) when the property was sold, or is anticipated to be sold, to the foreclosing parry. If neither,please explain 11/27/2012 I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. jonathan.mosier@wellsfargo Oigitallysignedbyjonat,an.mosier@, Ilsrargo.wm .:,DN:onjonathan.mosier@wellsfargo—m corn orte.2014.03.2016:48:22-05'00' Date: 3/20/2014 Name: JONATHANNOSIER Title: LOAN SERVICING SPECIALIST w� I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable I TRAVELERSJ Travelers Casualty and Surety Company of America Hartford,CT 06183 Date:March 30,2017 TOWN OF BARNSTABLE Office at: IOWWindward Concourse,Suite 100, BUILDING DEPARTMENT ALPHARETTA,GA 30005 367 MAIN STREF,, HYANNIS,MA 0 1�L CANCELLATION NOTICE License No. RE: WELLS FARGO BANK,NA 230 GOSNOLD STREET HYANNIS,MA 02601 4 Bond No. 106044109 Former Bond No. I - Type of Bond/Policy: Vacant Property Bond i You are hereby notified that this Company elects to cancel the above captioned bond required by`Ihe TOWN OF BARNSTABLE 4 M This cancellation is to take effect on 5/4/2017 in accordance with the terms of said Bond or Policy. k Travelers Casualty and Surety Company of America _ Robert L. Raney, Senior Vice President _ F-129-P(8/00) Rev.2/05 01)/ Or t'a.Uo s 6'U FC' f Wells Fargo Home Mortgage. 11200 West Parkland Avenue MAC: X9400-022 Milwaukee,WI 53224 Ph:414-214-9270 Fax: 866-359-9265 March 24, 2014 Town of Barnstable Building Department 367 Main Street Hyannis, MA 02601 - GL . . o---t NMFL# 14013 04/04 Adak TRAVFLERSJ BOND (License or Permit - Definite Term) Bond No. 106044109 KNOW ALL MEN BY THESE PRESENTS: THAT WE, Wells Fargo Bank,NA as Principal, and Travelers Casualty and Surety Company of America a corporation duly incorporated under the laws of the State of Connecticut and authorized to do business in the state of Connecticut , as Surety, are held and firmly bound unto Town of Barnstable as Obligee, in the penal sum of Ten Thousand Dollars and 00/100 ( $10,000.00 ) Dollars, for the payment of which we hereby bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by these presents. . WHEREAS, the Principal has obtained or is about to obtain a license or permit for Loan No.106-1205221502 230 Gosnold Street Hyannis,MA 02601 NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that if the Principal shall faithfully comply with all applicable laws, statutes, ordinances, rules or regulations, pertaining to the license or permit issued, then this obligation shall be null and void, otherwise to remain in full force and effect. This bond is for a definite term beginning 03/21/2014 and endi 03/21/2015 and may be continued at the option of the Surety by Continuation Certificate. PROVIDED, that regardless of the number of years this bond is in force, the Surety shall not be liable hereunder for a larger amount, in the aggregate, than the penal sum listed above. PROVIDED FURTHER, that the Surety may terminate its liability hereunder as to future acts of the Principal at any time by giving thirty (30) days written notice of such termination to the Obligee. SIGNED, SEALED AND DATED this 03/21/2014 Wells Fargo Bank,NA By: Principal Tray le s Casualty and S.urety.Company of America By: n,a a or Attorney-in-Fact A S-2151 B(6/10) WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER POWER OF ATTORNEY TRAVELERS " Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Attorney-In Fact No. 225809 Certificate No. 005268328 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Scott Davis,Tina Kennedy,Dawn T. Kirkland, Steven L.Swords,Carol Philyaw,Cheryl Boozer,Annette Wisong, Janice W.Brickner,Joseph W.Hamilton,III,Joseph R.Williams,Cindy A.Thibodaux,Tracy Wallace,Julia Taylor, and Michelle Kelley of the City of Atlanta State of Georgia their true and lawful Attomey(s)-in-Fact; each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their..business of,guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or perm tted>in any,actions or-proceedings allowed by law. d IN WITNF�S WIWREOF,the Comp%je have caused this instrument to be signed an then corp3orate seals to be hereto affixed,this 13th day of ovem er w ��, •> .�F 1."�• �h'' ' Farmington Casualty Company s. St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Companyy' Travelers Casualty and Surety Company Fidelity and Guaranty Insurance'Underwriters,Inc. Travelers Casualty and Surety..Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company GASU.�tr Qys•..� J�FIRE 6� ��11 y//fG /Pj.INSUgq'.'s �TJpY 4 Q O • 6 �,q,,,, n _ Rao -� o u _ �.p� S Cl 11`^"•NVlrm z$ Jl F•;m �W:pOPa0H4Tf �i ! __ �.. n f .o l a NACONN. CONN. bey FHA d N' NtiS �o .. ,�Ph` �u'nalnroE FS.N A� 1s......:'eY b1 nai yr�A�� State of Connecticut By: City of Hartford ss. *be <ey., ior Vice President 13th November 2012 On this the day of before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc:,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing. instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof,I hereunto set my hand and official seal. Qn(J�► C . My Commission expires the 30th day of June,2016. p�L1G Mane C.Tetreault,Notary Public 58440-8-12 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER TOWN OF FlA ATLE REGISTRATION AND CERTIFICATION FORM 114 I P' ?= 25 FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapN.V415J sections 224-3 and 224-4. Please complete one form for each property in for1-DF (section 224-3) or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information)and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address:230 GOSNOLD STREET HYANNIS MA 02601 Assessors Map#: Parcel#: 306-115-OM 1 Land area and description CONDO/TOWNHOUSE Building(s)description and contents Occupied: Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: Y Date: 12/2/2012 Anticipated Length of Vacancy: UNTIL SOLD Last occupant(s))(if borrowers so state and include name(s)) ELIZABETH M TOSCANO LINDA JILL GULDEN Phone: email: other: Has possession been taken NO If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party(full name/title) WELLS FARGO HOME MORTGAGE Foreclosure Case Court: Docket# I Date filed: 04/13/2012 Current Status: REO Foreclosing Party's representative(s) for property(entry, management,repair, etc.)(name, title,): Michael Lotane Company(if different from foreclosing party): Today Real Estate Address: 1533 Falmouth Rd., Centerville, MA 02632, (508) 398-0600 Phone: (508) 398-0600 email: mlotane@todayrealestate.com other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so state and do not complete contact information(i. e. "none"or"see above")). Name, title, other: NONE Company (if different from foreclosing party): Address: Phone(s): email(s): other: Name, title, other: Company(if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party ORLANS MORAN PLLC Firm name(if different from attorney's name): ORLANS MORAN PLLC Address: Phone(s): (181) 790-7800 email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of.t Code oft Town of Barnstable. v Date: 03/20/2014 Title: I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable - a �, P P �c •�1 � r 1/ REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with Qw'Chief of-__; —; the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of - section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address:230 GOSNOLD STREET HYANNIS MA 02601 Assessors Map#: N/A• Parcel #: 306-115-OM1 Land area and description S I N G LE FAM I LY Building(s) description and contents S I N G L E FAM I LY Occupied: n Occupant(s)(if borrowers so state and include name(s)) N/A Phone: N/A email: N/A other: N/A Vacant: Y Date: 12/02/2012 Anticipated Length of Vacancy: N/A Last occupant(s) )(if borrowers so state and include name(s)) ELIZABETH TOSCANO: BORROWER Phone: N/A email: N/A other: N/A Has possession been taken YES If so,please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Section 2-Foreclosing Party Information Foreclosing Party (full name/title) WELLS FARGO HOME MORTGAGE Foreclosure Case Court: N/A Docket# N/A r Date filed: N/A Current Status: REO Foreclosing Party's representative(s) for property (entry, management,repair, etc.)(name,title,): WELLS FARGO HOME MORTGAGE Company (if different from foreclosing party): N/A Address: ONE HOME CAMPUS, DES MOINES, IA, 50328 X9400-034 Phone: 8776175274 email: codeviolations@wellsfargo.com other: N/A If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so state and do not complete contact information (i. e. "none" or"see above")). Name, title, other: NONE Company (if different from foreclosing party): Address: Phone(s): email(s): other: Name,title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party N/A Firm name (if different from attorney's name): N/A Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Digitally signed by jonathan.mosier@wellsf`jonathan.mos;er@wellsfargo.com 03/24/2015 Da Date: argo.com J Date:2015.03.24 09:10:48-05'00' Name: Title: I I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4, requires a mortgagee taking possession of a property before or during foreclosure, or after foreclosure if the mortgagee becomes the owner, to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B) within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4,please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property (1) Registration date: 03/20/2014 If not registered, please complete the registration form and state date of filing or anticipated filing (2) If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated) (if in possession or ownership must be certified as accurate twice annually in January and July). (3) Describe any hazardous materials on the property as that term is defined in MGL c.2 1 K and the date(s)and method(s)for removal as approved by the Fire Chief N/A (4) Method(s) and date(s) all windows and door openings secured(or will be secured) The building is secured; all doors and windows are locked. If left secured, name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property WELLS FARGO HOME MORTGAGE 230 GOSNOLD STREET HYANNIS-MA 02601 (5) Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property 12/02/2012 (6)Name(s), address(es) and contact information of person(s)responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance" in this Ordinance; any other provision of this Ordinance; and for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances WELLS FARGO HOME MORTGAGE 101 Federal St Boston, MA 02110 8776175274 cod eviolations()_wellsfas (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity,please state: Date of approval N/A ; Date(s) electricity turned off on if applicable ; Date(s) water turned off on if applicable (8)Name(s), address(es) and contact information pf person(s)responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances WELLS FARGO HOME MORTGAGE 101 Federal St Boston,MA 02110 8776175274 codeviolations@wellsfargo.com (9)Name, address,telephone number and email address of person who can be contacted in case of emergency if different from the person named above or in the registration under section 224-3(A)(name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner WELLS FARGO HOME MORTGAGE 101 Federal St Boston,MA 02110 8776175274 codeviolations@wellsfargo.com (10)Date(s) certificate of liability insurance on the property filed with the Building Commissioner N/A (11)Date(s) cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee 03/20/2014:EXTENDED 02/16/2015 (12)Date(s) scheduled for inspections with the Building Commissioner and Health Director, who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance (13) Date(s) when the property was sold, or is anticipated to be sold,to the foreclosing party. If neither,please explain N/A:LISTED 10/17/2014 I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. jonathan.mosier@wellsfargo Dlgitafly signed by jonathan.mosfer@mItsfargo.mm DN:rn=jonaUan.mosier@wellsfargo.wm Corn "Date:2015.03.24 09:13:16-oeog' Date: 03/24/2015 Name: JONATHAN MOSIER Title: RESEARCH AND REMEDIATIOIb I I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable I r Wells Fargo Home Mortgage 11200 West Parkland Avenue MAC: X9400-034 Milwaukee, WI 53224 Ph:877-617-5274 Fax: 866-512-0757 March 24, 2015 Town of Barnstable Attn: Robert McKechnie Building Department 200 Main Street Hyannis, MA 02601 r NMFL# 14013 04/04 • Parcel Detail Page 1 of 3 -� s * ..>- .* ' G/"' i !°,r.• P m J-am�r MASS, dp 1bi4k: ^yje,. rr" �,� "�.h r �c .raY k,�� -` ✓ '$'t * � krt"�+'he Logged in As: Parcel Detail Tuesday,January 5 2016 Parcel lookup Parcel Info Parcel ID 306-115-12A `--" 1 Condo Unit` UNIT 12A' Condo CAPTAIN GOSNOLD l Building BLDG 8 Complex Location 1230 GOSNOLD STREET Pri Frontage`— — Sec Road _ Sec C —1 Frontage) Village I HYANNIS l Fire District HYANNIS Town sewer exists at this address YeS ___ _l Road Index 0617 Interactive ' .. Map Owner Info Owner IGULDEN, LINDA JILL TR l Co-Owner' %'SANTANDER BANK NA'`7 l Streetl 1824 N MARKET ST SUITE 100 l Street2 City WILMINGTON _ State DE zip 19801 Country Land Info Acres�0 Use Condominiu MDL-05 zoning IRB J Nghbd 0001 _J Topography _ l Road l Utilities l Location l Construction Info Building 1 of 1 Year 1951 Roof Ext Built Struct �) Wall Living Roof AC L �' Area 687 l Cover Type INone l Style Condominium _l wall Drywall _ Rooms 1 BedrooBed m Model[Res Condo i Int Floor Carpet l Rooms Bath[1 Full-0 Half l Total Grade� _ Type Hot Air Rooms,3 Rooms J Stories 1 Story Ll Fuel Heat Gas I Found tion Conc.Slab — a Gross Area 687 l http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=24309 1/5/2016 "zParcel Detail Page 2 of 3 • Permit History Issue Date jPurpose Permit# I Amount I Insp Date I Comments Visit History _ Date Who Purpose 5/8/2009 12:00:00 AM Michele Arigo Change of Address Sales History _ Line Sale Date Owner Book/Page Sale Price 1 7/9/2014 GULDEN, LINDA JILL TR C144-12A $0 2 4/11/2007 TOSCANO, ELIZABETH M&GULDEN, LINDA J TRS C144-12A $1 3 8/12/2004 GULDEN, LINDA J C144-12A $1 4 7/1/2004 CHARSLEY, ELIZABETH ANN TR C144-12A $165,000 5 12/15/1986 KWON,JOSEPH S&VEONG S C144-12A $69,000 6 1/15/1983 GOWAN,WILLAIM DAVID ETAL C144-12A $49,900 7 9/22/2015 1 SANTANDER BANK NA I C144-12A $104,89511 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2016 $176,300 $0 $0 $0 $176,300 2 2015 $183,800 $0 $0 $0 $183,800 3 2014 $183,800 $0 $0 $0 $183,800 4 2013 $183,800 $0 $0 $0 $183,800 5 2012 $192,600 $0 $0 $0 $192,600 6 2011 $187,800 $0 $0 $0 $187,800 7 2010 $188,200 $0 $0 $0 $188,200 8 2009 $172,600 $0 $0 $0 $172,600 9 2008 $172,600 $0 $0 $0 $172,600 11 2007 $172,600 $0 $0 $0 $172,600 12 2006 $161,700 $0 $0 $0 $161,700 13 2005 $149,600 $0 $0 $0 $149,600 14 2004 $96,900 $0 $0 $0 $96,900 15 2003 $66,700 $0 $0 $0 $66,700 16 2002 $66,700 $0 $0 $0 $66,700 17 2001 $66,700 $0 $0 $0 $66,700 18 2000 $44,900 $0 $0 $0 $44,900 19 1999 $44,900 $0 $0 $0 $44,900 20 1998 $44,900 $0 $0 $0 $44,900 21 1997 $43,100 $0 $0 $0 $43,100 22 1996 $43,100 $0 $0 $0 $43,100 23 1995 $43,100 $0 $0 $0 $43,100 24 1994 $54,100 $0 $0 $0 $54,100 25 1993 $54,100 $0 $0 $0 $54,100 26 1992 $61,700 $0 $0 $0 $61,700 27 1991 $71,500 $0 $0 $0 $71,500 28 1990 $71,500 $0 $0 $0 $71,500 29 1989 $71,500 $0 $0 $0 $71,500 30 1988 $64,900 $0 $0 $0 $64,900 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=24309 1/5/2016 •Parcel Detail Page 3 of 3 31 1987 $64,900 $0 $0 $0 $64,900 32 1986 $64,900 $0 $0 $0 $64,900 Photos n r� i http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=24309 1/5/2016 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3) or already foreclosed for which.possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law, please state the ,-reason( ) and complete section 1 (property information)and the first paragraph of � -�.. m `" section (foreclosing party, court, etc. and foreclosing party representative,but not other represe tatives and attorney) so that the Town can review the exemption and update its iEirecords: U_ Section L-2PropeM Information Property Address: 230 Gosnold Street Unit#12A, Hyannis, MA 02601 Assessors Map#: �2D 1p Parcel Land area and description 0,D t,37C)b Building(s) description and contents Condo Occupied: Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: x Date: 8/26/2014 Anticipated Length of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) Borrower: Linda J Gulden Phone: email: other: Has possession been taken Yes If so, please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Section 2—Foreclosing Pqrt. y Information Foreclosing Party (full name/title) —SouV)2r_1(IN1 Foreclosure Case Court: ILU-b�'� Docket# 13 W115C° d 0 DIAI2I0017 101 0E &=: Date filed: 22 I Current Status: 1D((j-ME-4QT I� Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name,title,): Company (if different from foreclosing party): n RN IL_ uJ I�,hN-A. BeA Address: 3L_ 1 - W gbAA1 SS4 K!;a PA- Ic-1 lof O Phone: email: , 1pher: If an exemption is claimed, please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so state and do not complete contact information(i. e. "none"or"see above")). Name,title, other: JOHN WELD,AGENT Company (if different from foreclosing party): CB Joly McAbee&Weinert Real Estate Address: 909 Route 28, South Yarmouth, MA 02664 Phone(s): 508-280-4414 email(s): JohnWeld@capecodjmw.com other: 508-394-2880 Name, title, other: Company(if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party r*wpfi 5 KA E 6)04t Firm name(if different from attorney's name): Address: 2ifio�.1 .lacdfi. STE. ISL, lAf�f(Z1nJ Cr7(d�3Z Phone(s):Ejob. j-2,f'�mail(s): other: I acknowledge that the information provided is accurate and correc�I1also unders that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the e o Town of Barnstable. Date: lorte Name. W q A y/ C Title: #544ir7T• I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter.224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable MAINTENANCE AND SECURITY PLAN FORM FOR FORECLOSING/FORECLOSED PROPERTY Town of Barnstable General Ordinances, Code section 224-4, requires a mortgagee taking possession of a property before or-during foreclosure, or after foreclosure if the mortgagee becomes the owner,to bring the property into compliance with the maintenance and security standards contained in Code subsection 224-4(B) within thirty (30) days of a notice from the Building Commissioner. Please either complete and file this form or another containing the same information with the Building Commissioner within thirty (30) days of the notice. If a mortgagee claims an exemption from the provisions of Code sections 224-3 and 224- 4, please explain, leave the remainder blank, sign at the end and file this form or letter of explanation and also complete and file the applicable sections of the registration form for foreclosing/foreclosed property 230 Gosnold Street unit#12A,Hyannis,MA 02601 (1) Registration date: )Ka&Ajj>C--b If not registered, please complete the registration form and state date of Viling or anticipated filing (2) If commercial property, describe space utilization floor plans required by the Fire Chief and filing date (actual or anticipated) N/A,- (if in possession or ownership must be certified as accurate twice annually in January and July). (3)Describe any hazardous materials on the property as that term is defined in MGL c.2 1 K and the date(s)and method(s)for removal as approved by the Fire Chief N/A (4)Method(s) and date(s) all windows and door openings secured(or will be secured) Doors rekeyed and all doors and windows locked 08/26/14 If left secured, name, address, and contact information of security personnel providing twenty-four-hour on-site security personnel on the property N/A (5)Location(s) and date(s) "No Trespassing" signs posted or to be posted on the property No Trespassing sign as this is a Condo (6)Name(s), address(es) and contact information of person(s)responsible for maintaining: structures, lawns and shrubs in sound condition free from excessive growth and the property generally in accordance with the Barnstable Zoning Ordinances the definition of"maintenance"in this Ordinance; any other provision of this Ordinance; and- for disposing of trash, debris and pools of stagnant water as provided in Chapter 54 of the Town of Barnstable General Ordinances CYPREXX SERVICES,LLC;P.O.BOX 874,BRANDON,FL 33509 OFFICE:525 GRAND REGENCY BLVD,BRANDON,FL 33510 KIM HOWARD,PRESERVATION COORDINATOR;813.387.5876; Kim.How@cyprexx.com i (7) If the Fire Chief of the Fire District in which the property is located has approved turning off the water or electricity, please state: Date of approval ; Date(s) electricity turned off ° on if applicable Date(s)water turned off on if applicable (8)Name(s), address(es) and contact information pf person(s)responsible for maintaining all existing fences around swimming pools and spas or installing fences as required by Chapter 210 of the Town of Barnstable General Ordinances CYPREXX SERVICES,LLC;P.O.BOX 874 BRANDON,FL 33509 OFFICE:525 GRAND REGENCY BLVD,BRANDON,FL 33510 KIM HOWARD,PRESERVATION CQORDINATOR; 813.387.5876;Kim.How@cyprexx.com (9)Name, address,telephone number and email address of person who can be contacted in case of emergency.if different from the person named above or in the registration under section 224-3(A) (name and contact number to be posted on the front of the property if required by the Fire Chief or Building Commissioner JJOHN WELD; CB Joly McAbee&Weinert Real Estate;909 Route 28,South Yarmouth,MA 02664;508-280-4414;JohnWeld@capecodjmw.com (10)Date(s) certificate of liability insurance on the property filed with the Building Commissioner (11)Date(s) cash or surety bond of at least$10,000.00 filed with Building Commissioner to remunerate the Town for any expenses incurred in inspecting, securing and making the premises comply and continue to comply, a portion of which shall be retained by the Town as an administrative fee (12)Date(s) scheduled for inspections with the Building Commissioner and Health Director,who may at his or her discretion include the Fire Chief, in order to confirm that the land and structures comply with the provisions of this Ordinance or to identify the provisions with which the property does not comply and establish a program to bring the property into full compliance (13)Date(s) when the property was sold, or is anticipated to be sold, to the foreclosing party. If neither, please explain I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of de of the Town of Barnstable. Date: /oA/—W the� Name: Title: 7�t0 iYONI/N/�-�A-rp,� I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-4 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,Town of Barnstable �+ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r IMap Parcel r / Application Health Division �, ® ` "` LL Date Issued �Z is Conservation Division Application Fee Planning Dept. .,,. Permit Fee Date Definitive Plan Approved by Planning Board " Historic - OKH _ Preservation / Hyannis Project St r et Address Village Owner ( A )&M Address TelephoneQTI,,45�- 0 d Permit Request f Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �• Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 4 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes YNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name V !7 Telephone NumberJo6 Address 1� avA) License # b a U UU/ I Home Improvement Contractor# 5 6 Email Worker's Compensation # W f eOO V34 0J ALL CONSTRUCTION DEBRIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ( / FOR OFFICIAL USE ONLY APPLICATION# ' DATE ISSUED MAP 1 PARCEL NO. F ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ii FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r `r GAS: ROUGH FINAL 4 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �f Massachusetts Department of Public Safety r Board of Building Regulations and Standards - ^� License: CS-100988 - Construction Supervisor HENRY E CASSIDY 8 SHED ROW WEST YARMOUTH N1A 17) Expiration: Commissioner 11/11/2017 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Coi�.tra-ctor Registration Registration:' 153567 Type; Private Corporation •i , Expiration; 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC - HENRY CASSIDY 18 REARDON CIRCLE 1 ; SO, YARMOUTH, MA 02664 Update Address and return card, Mark reason for change. KAI d5 2OM•05n1 [] Address Renewal [] Employment Lost Carcl ciT �p .._. ..... ........ ...... .. v/ie cpoa�hreoouuea"�C�o�C/�aJJ«C�ccJeGlcJ \ Office of Consumer Affairs& Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to; egistratlon; -1`53567 Type; Office of Consumer Affairs and Business Regulation ;j xplratlon :. 1;26.15120,:16 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE COD INSULAt-ib,"`;:;INC`: :. HENRY CASSIDY 18 REARDON CIRCLE.•. 45F� � S.O.YARMOUTH,MA 02664 ' " UndersecretaryT� qNv 4wV11ut sign e I � The Commonwealth of Massachusetts Department of Industrial Accidents j Office of Investigations 600 Washington Street Boston, MA 02111 wwiv,mass,gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information 1. 9 Please Print Legibly Name (Business/OrganizationAndividual); b t Address; () JG"i�>r City/State/Zip; Phone #: Are you an employer? Check th appropriate box; 1. 14.l am a employer with � 5 4• ❑ I am a general contractor and l Type of project (required). — t� 6. New construction employees(full and/or part-time):"` have hired the sub-contractors ❑;;,, 2,❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7, ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity, employees and have workers' 9. com insurance,# ❑ Building 2ddition [No workers' comp: insurance P• required,) 5. ❑ We are a corporation and its 10:0 Electrical repairs or additions . 3• officers have exercised their❑ I am a homeowner doing all work - 1 1•❑ Plumbing repairs or additions myself, [No workers' comp, right of exemption per MGL 12,❑ Roof repairs insurance required:) t a 152, §1(4), and we have no � Other employees: No workers' 13, comp, insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information, .t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attag.hed 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 ,¢nfo•rmatlon, insurance Company Name; ,` �`'�✓ 1v /` & I l Policy # or Self-ins, Lie. #; �0 �1 b I tl� Expiration Date; Job Site Address; 2� C 14 City/State/Zip; rvL Attach a copy of the workers' coni.pensation policy declaration page (showing the policy num e 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 knprisonment,.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 insuraW coverage verification,- I do hereby certify d the pal an penalties ofperjury that the informatlon provided a ove is t ue and correct, Si nature; a Date; Phone#; Official use only. Do not write In this area, to be completed b ci or town p y ry o n official, 4 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 r'nntart Parcnn• �� u, CAPECOD-27 BDELAWRENCE AcoRO" CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDIYWY) `. 6/3012015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ' PRODUCER CONTACT NAME: RogRte 134 E-MAIL ers&Gray Insurance Agency,Inc. PHO 434NE �X No):(877)816-2156 South Dennis,MA 02660 ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER B;ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,Inc. INSURER c 18 Reardon Circle INSURER D; South Yarmouth,MA 02664 INSURER E INSURER F; r COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, IN RI TYPE OF INSURANCE POLICY NUMBER MMIDDYIYEYYY MMIDDmXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE M OCCUR CBP8263063 04101/2015 04/0112016 DAMAGPREMISES E occurrence) $ 100,000 MED EXP(An one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES P,ER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY o COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED r ROPF dentDAMAGE $ HIRED AUTOS AUTOS $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE t AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION I STATUTE �RH AND EMPLOYERS'LIABILITY YIN- B ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A WCE00431901 06/3012016 0613012016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation includes Officers or Proprietors, Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. • z CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. 18 Reardon Circle South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION, All rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Captain 90.4 n 0 Id ViIla�e //// 230 go6aold Street ..l�tcyaaai.4, Cape Cod, /Y/amac4ueettj 02601 (508) 775-911> • ""ice �. } vim. . w 3 �- 7-17 � C�o - �� r OWNER AUTHORIZATION FORM f; (Owner's Name) owner of the property located at 2✓a C�o�hold 1A (Property Address) a..wn,i sAAA L&0 (Propefty Address) hereby authorize (Subcon a or) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property.;- Own s.Signature Date C CAPE COD INSULATION El N P:l 11/61 GLASS SEAMSIS$ SPPAT LOAM 3USP6N0[0 BAIT! OUTTIYS INSULATION CIILINOS ., A 1-800-696-6611 Town of Barnstable Regulatory Services Building Division x 200 Main St -a Hyannis, MA 02601 Date: !1/y11j,-- Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building'Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Ilk- elf Insulation Installed: :Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) Sincerely H ry E ssi r, President pe C Ins ation, Inc. � \ �, s�, !, + `,� .�` �� 4 1 J i �� 't �1 �+ 't r�y�l •7J { .�,� r �---a :�� +, I � I LID ZD 9 �J f I � C �n. r:F ,_ . �., F�. } w� �*�� «� ,,�� F � �,1 - ,� -— e' �.e ;,l k h r �. a ��' .E ,� .. �� ,� , ��' � .4', �� . � �� •,,, �� '� � �. 4t T ;n �, :� N J � i:.� 1 C �-� tNET�� Barnstable Town of , Building Department - 200 Main Street BARNSTABLE. • Hyannis, MA 02601 MASS. (508) 1639. 862-4035 �� ArFO MA'i A Certificate of Occupancy Application Number: 20064689 CO Number: 20080240 Parcel ID: 30611506A CO Issue Date: 01113/09 Location: 230 GOSNOLD STREET Zoning Classification: RESIDENCE B DISTRICT Proposed Use: CONDOMINIUM Village: HYANNIS Gen Contractor: CAM MAILLET & SON iNC. Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: 0 Building Department Signature Date Signed �E TOWN OP BARN Building Application Ref: 20064689 BARNSTABLE. * Issue Date: 11/30/06 Per, � ■it �p 1639. Applicant: ?FD •1 s Permit Number: B 20061881 Proposed Use: RESIDENTIAL CONDO Expiration Date: 05/30/07 Location 230 GOSNOLD STREET Zoning District RB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 30611506A Permit Fee$ 162.00 Contractor CAM MAILLET&SON iNC. . Village HYANNIS App Fee$ 100.00 License Num 007520 Est Construction Cost$ 20,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND RENOVATION REDUCING 3 BEDROOMS TO 2 THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: GULDEN, LINDA]ILL BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 230 GOSNOLD STREET INSPECTION HAS BEEN MADE. UNIT l A HYANNIS,MA 02601 n' Application Entered by: PR Building Permit Issued By G• ( THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLY OR SIDEWALKOR ANY PART THEREOF EITHER TEMPORARILY OR PERMANENTLY ENGROACHEMENTS ON PU$LICPROPERTY NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE MUSTBE APPROVED BY FHE�JURISDICTION STREET ORALLY GRAgDES AS WELL,AS DEPTH AND LOG STION OF PUBLIC SEWERS MANY BE QBTAINED FROMTHE=DEPARTMEIIT OF PUBLIC WORKS' 15 `" THE ISSUANCEyOF THIS PERIvIiT DOES NOT RELEASE THE APPLICANT FRONL THE CONDITIONS OF ANY:APPrL)C?,BLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL-AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 . .{, 2 2w �°�� t.► �� 1^,L ��U� �� t�ia /off 3 d� 1 Beating Inspecti App vas Engineering.Dept Fire Dept 2 Board of Healtl*t 310 . ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel' Application # Health Division Date Issued z� Conservation'Division Application Fee Planning Dept, Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address G&Sae,( _ 7� I�W�J� ��'1 T* 3A-, 3�& Village gat Y1 A Owner Address Telephone (� ll Permit Request Oo Sa Im 0 4c - D Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family' ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Vo On Old King's Highway: ❑Yes Imo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floorom Coin Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other y Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: pNes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: C!existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: , Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name U< 4VIC41 Telephone Numbers Address h License # 602600 Q' 4u.X14 AA-- . Home Improvement Contractor# )707,87 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I FOR OFFICIAL USE ONLY APPLICATION# P � P DATE ISSUED MAP/PARCEL NO. - t i ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: -FOUNDATION W _ FRAME -INSULATION , FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL 'G :.FINAL BUILDING �: ,DAT.E CLOSED-OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 62111 WW mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A-Pplicant Information Please Print Legibly Name (Business/org=`tea ft=,Indmdaai): oQU"t, Address: CTQ City/State/Zip: Q.Y U0� 0 Phone#: d''c368 277 9 Are you an employer? Check the appropriate b : 4. �am a contractor and I Type of project(required): . 1.❑ I am a employer with general employees(fall and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.0. 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g ❑Demolition working for me in any capacity, employees and have workers' [No workers' comp,insurance comp.insu=Ce't 9. ❑Building addition required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑-I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' camp, right of exemption per MCIL 12.E]Roof repairs insurance required]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.m��nce regtrired] ' *Any applicant that checks box#1 must.also M out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and than hire outside contractors must submit a new affidavit indicating such, tContraetars that check this box mast attached an additional sheet showing the name of the sub-contractors end statz whether or not those entities have employees. If the sub-contractors bane employees,they must provide their work='comp.policy number, I am an employer that isprovidng workers'compensation insurance for my employees Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Data: 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 e. 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 foml 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 inR�e coverage verification. I do hereby certify under the pains and penalties of perjury,that the information provided above is true and correct signs-tam: C6&�Q ��tt q�'} Date: Phone O facial use only. Do not write in this area; to be completed by city or town officiaL City or Town: PermitUcense# 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# A4 C- R CERTIFICATE OF LIABI DATE(MM/DD�) LITY INSURANCE 3/2912019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER gRYDEN & SULLIVAN INS 88 FALMOUTH RD coNrncr NAME: HYANNIS, MA 02601 PHONE E A/C No: E-MAIL ADDRESS: - INSURER S AFFORDING COVERAGE NAIC# INSURED INSURER A: Liberty .0 ANDREI YARMOLOVICH INSURERB: DBA BEL ISLAND HOME IMPROVEMENT INSURERC: 29 MILL POND ROAD INSURERD: WEST YARMOUTH MA 02673 INSURER E: - INSURER F: COVERAGES CERTIFICATE NUMBER: 12710229 REVISION NUMBER: TFiiS 1115 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE iNSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER LTR TYPE OF INSURANCEIN, POLICY NUMBER MM/DDYEFF MM%DDY LIMITS GENERAL LIABILITY _ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY _ DAMAGE TO RENTED _ PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMP/OP AGG $ POLICY PHO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident - $ - ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person). $ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAB OCCUR $ EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC5-31S-384176-012 2/25/2012 . 2/25/2013 WC STATU- O�H- Y YIN TOR LIMI TS RR ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N N/A E.L.EACH ACCIDENT $ 100000 . (Mandatory In NH) L'yes•dascrbe under E.L.DISEASE-,EA EMPLOYEE $ 100000 DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 50D000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. ANDREI YARMALOVICH IS COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JOSEPH THONUS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 40 WINDSONG LANDING ACCORDANCE WITH THE POLICY PROVISIONS. `CHATHAM MA 02633 AUTHORIZED REPRESENTATIVE Jeff Eldridge IVVJ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT-NO.: 12710229 CLIENT CODE: 1588030 Deb Corby 3/29/2012 9:15:03 AM Page 1 of 1 This certificate cancels and supersedes ALL previously issued certificates. " INIassachusetts- Department of Public Safety , Board of Building Regulations and Standards Construction Supervisor License License: Cs 102600 Restricted to: 00 DZMITRY LABKOVICH 13 ATHENS WAY WEST YARMOUTH, MA 02673 Expiration: 3/27/2013 Commissioner Tr#- 102600 l Office of"Coi uOm r' an-Mdness egu al`t`QPon License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: i Registration: ,:170787 Type: I Office of Consumer Affairs and Business Regulation = Expiration: '1`2/,1.9�2013 LLC j 10 Park Plaza-Suite 5170 Boston,MA'02116 R "NG AND SIDINWO�,F APE.COD,LLC. I DZMITRY LABKOVIGFf 38 WINSLOW GRAY RD$ � `�%�_ N.YARMOUTH MA'02673 r V: Undersecretary Not valid with0f signature 230 Gosnold Street Hyannis,Ma. 02601 Date'. The owners of Captain Gosnold Village Condominium Trust voted oft, '�&q I`t 281 at the Annual Owners'Meeting to elect the following owners to the Bou oftrustees, to serve a two year term,beginning on 2011 ending on ma. AP13 /41,,ej5 Gu dY7 As of this date,the Trustees of Captain Gosnold Village Condominium Trust are as foll Enclosed is a check in the amount of 75 for filing fees. Na�ris / is Gwl r/�2rAb�Y'h IoScana Condominium Trust Dated: December 12, 1982 Document Number:#304,418 Certificate Numbq CC, /44 Date of Filing: Signed OF s,� The Commentueattb of:ffiaMprbtfwt5 _ BARNSTABLE COUNTY ; a � _ I° REGISTRY OF DEEDS BARNSTABLE COUNTY DEEDS a s s AND PROBATE BUILDING 3195 ROUTE 6A-BARNSTABLE,MA 02630 P.O.BOX 368 MAIN NUMBER(508)362-7733 BARNSTABLE,MA 02630 FAX(508)362-5065 www.bamstabledeeds.org 230 Gosnold Street JOHN F. MEADE, REGISTER OF DEEDS - --- Hyannis,Ma. 02601 Date: BARN DOC DESCRIPTION TRANS AMT e Condominium Trust voted on (4 2131 g --- ----------- - ------ ict the followin owners to the Boalr of'trustees,NOTICEAPE VENTURE REALTY TRUST z p f ending on/�ai�� Ritil3 County Fee $30.00 30.00 Surcharge CPA "$20.00 20.00 State Fee $20.00 20.00. j Surcharge Tech $5.00 5..00 Total fees: 75.00 a Gosnold Village Condominium Trust are as foll /ef). Ct l#: 1118 Ree:7-05-2011 @ 3:06:18p5 for filing fees. DOC DESCRIPTION TRANS AMT --- ---------- --------- IMPRINT COPY County Imprint Fee 1.00 j . Total charges: 76.00 CHECK PM 5100 75.00 CASH PMT PAYMENT -CASH 1.00 r 12, 1982 Total collected: 76.00 I Sig ned .s Captain goinold Village //,, 230 qo,.I Street AVannie, ( ap. (f d' Ma6eac4a6eth 02601 (508) 775-9111 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION q Map Parcel �� ._C err \��' Application# ry fVEt:��r��. Health Division Conservation�Division ? A, i : 16 Permit# Tax Collector Date Issued Treasurer L)iVIS1'0N Application Fee l_-2O, 2 O t. Permit Fee Date Definitive Plan Approved by Planning Board Historic--9fE+1 Preservation/Hyannis Project Street Address , Village Owner;f_i: a ' ; tLL_610 ,�11LL1eN - Address S- it 1 Telephone sca-ms_ �?jjl I Permit Request ( W cb(L to,-4t,, F(¢"M v t ,_ NEW ) -�._ tit j E o Jp c Square feet: 1st floor:existing )AoHO proposed VAO<31 2nd floor:existing © proposed Total new Zoning District Flood Plain Groundwater Overlay Project �_Grandfathered: Valuatior0dD,DOD Construction Type _ ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. ❑ Two Family ❑ Multi-Family(#units)_ DL.► *.'� .. Age of Existing Structure I '+-I Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ?Full ❑Crawl ❑Walkout C'.Other ± , (-, Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �. I Number of Baths: Full:existing new Half:existing C new Number of Bedrooms: existing ..2-S new �OT4 Total Room Count(not including baths):existing new r First Floor Room Count Heat Type and Fuel: t ' as ❑Oil ❑Electric ❑Other Central Air: ❑Yes de Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing Cl new size Shed:❑existing ❑new size Other: Zoning Board Zes peals Authorization ❑ Appeal# Recorded❑ Gommercial ❑No If es, site Ian review#Y p Current Use Proposed Use ._ BIT .I,:DFR.INFORMAT1Q _.,_ Name "}' Y� Telephone Number "dla 1gi5 ��• Address bIJAM XIAAALicense# �I ,I' 6k4L ImRaLt-I _ Home Improvement Contractor#�� IP +l1r�S •(�'ga U�+ - Worker's Compensation# (ll.�'� rj _ cko( 'Z _ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 11 n7 ao 7 - FOR OFFICIAL USE ONLY - PERIjIT NO. t - DATE ISSUED MAP/PARCEL NO. ADDRESS t VILLAGE h OWNER k DATE OF INSPECTION: FOUNDATION } _ FRAME (C S D INSULATION oIL S _ �'� -7 1 t , FIREPLACE a ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL 1 GAS: ROUGH FINAL — 1 FINAL BUILDING —d C pIZ, I , f ,f DATE CLOSED OUT 1 � r ASSOCIATION PLAN NO. } r I - t z Ile- S� d �✓� /� 0/✓� off%s��i� �rc/aJ�i�, . m 4D � N U1 LLJ i',l {.1) CID r_. LID to i `' CID I> yy- -i-- o 03 N f _1/'17,72E10E, 1.3:52 9728*7452229708745212 CAM MAILLE.T =fOP•i PAGE • i i 1' r a . : . NtA' .� ► f 11117/2006 1j:52 9788745222978874521 CAM MAT_LLET ¢ SOH PACE 06 Town of Barnstable Regulatory Services a.a Thomas F. Geller,]Director KAM Building Division Torn Perry, Building Comxdssioner 2(Q Main Street. Hyannis,MA O',''601 508-862 403� 14a�: 508-790-6234 Property Owner Must. Complete and Sign This Section If Using A Builder 2S Owner Of the subject property )ACtebq autho&,e dam. , � to act oil M7 behalf, in all matters relative to work authorized by this buMng pe=-nit apphcarir:n for: 2- 3� 46 (Address ofjob) Sigriat=e of Owner ^Date ptinT m,e c�:wt�r�s:a��,Rr:e�a�rsszorr 11/17/2006 13:5'2 37887452229788745212 CUM MATLLE 1 & SON PAGE 12 Map_ Page l of 1 Town of Barnstable Geographic Information Systems W— _.._-_-p 7 Map Sizemin Zoom out � 3r �arC®I Viewer J'r C18—__— 5$�B>rt I+Ra 3pci Map, 306H.- 30 '.4; .30,5Z144 306 2.: 16C1�6 Location. �38: ' ""sow ;. a623 3sxo€1 ..•' ozb ��dx�"a<�C� 30+5t195 a0tiv92 .. 3661D3 6 �. 3 6 s 8° ' 3O6100 3��F33Ji�6,' ^.s Fbt391. 306 3: �R. 3 '' i I Location ire .453 Map &Parch � �tl�it91' V611F Location 3dC15 3661 '4 46 3i�O6 g. Atr®s � i, w . . 21 Mailing Adis At 19. + � � 3��111� ��b� j :306YO3004 3sa�xx3�lut2. � .� 3O i1: 9 . !±ppraised I 6 IS9D0 9 iC r Facts Fea2ur 9t 5.ag 3Q61 'Q6�: 3 3tJt 11i9 r Out Building 4.afld ' i f n g3 / . 9tA, 7 `' Buildings?EErp, ,F.: � Fa7G1 91 w17 3FDG1.13'. tit 7"oBaF ApprF 10 Io io► # z° 23 . z � � s I ` 3f189 ��2VIA-- lb Ektr lceattue �1r181� . w 82 . . . Y£ee Out Building 613� Land{ _-�� Buildings -- -....t Total Assess Set Scale V _• 217 deriel Phol:os ^ Copyri®hl 2008 Town Of Bantstable,MA All rights resorvod.Servo questions or comment. Barortatfl NIA uCi. .7(Producticn; http'%/w,Aw.towD..i-)amstable.ma.u`;,/arcitrasjappgec)app/map.aspx'lpropet..tylD 3061I5CNv... 11/16/2006 i .t LIJ k Board of BL�alding Regulations wad Standard One Ashburton Place - Room 1301 Boston. ryas . husetts 02108 Home TmprovetnentEont'aetor Registration - _ - pegistration: 112091 Type- DBA Fxgiratiort_ 2i2212€107 CAM MAILLET &SON INC. — - --- - �� 4n$ACC hAAH i i - W J3 P7' SOUTH CUT ii ns-Aa—S�F3U A A A pJ Lill VVESTIIIV sTI=r , I>l9A01473 -- = __ LTA Addtm rind:auru card.Mark rcamn for chaq,�_ Rmewal L E' i iJ: Lea Card f_1 Air� ��ye CA -- v hoard of BUildin e t�lations One Ashburton P ace, m 1301 Ln Boston, 108-1610 Birthdete: 0811 211 96 1 Lice : CONSTRUCTION SUPERVISOR L iCENSE�- T...._.. o� Number: CS oo7520 Expires: Res cteci To: DO r` co 379 S ASHRL7HA-M RD l,r-- ___ — t�'1`S'i"Iv6I\'8TF,1:_ MA 0 1;4_1 LD - - ,� 7r.no: 286.0 © - g,eOp tor W receipt and cf�19e of address+iz+tifi+�tion lV - ry - - I f'17112006 13:5 2, 978074522'23 0d745212 CAM MA:Li_ET & SOH PAGE 04 The Commoittvealth of Masscachusetts Department of1hd:rstriaiAccidents offset of Investtgalions t 600 Washington Street / Bosion, a't A 021,11 www-mass.gov/4yira Workers' Compensation Insurance Affidavit: BuildersicentractorslElectxici ans/Plumbers A t� i� emit Infforinat d� : xease Feint L,., e ably AA Name (BusirerslOrganizatiotti7nd',tidua} Address: C,irylState/z. .. o 'Y1.t'+►'1, _�. LZ"' htone cm I Are you an employer?Check,the appropriate box: - - Type of project(required): j i. I am a einpl dviFh — 4• I am a general contractor and l 6. ®Nevi'construction ! enxpioyees ndlor part-time),* have hued tb.e stab-contractors 2. 1 am a sole proprietor w.pawner- listed on the attached sheet,x ry „;l�medeling y' shin and bane no employees These sub-contractors have 8. °v `'�entoli:icn workizn.g for nee in any capacity, workers' comp.insurance. 9. []'Bcildin4 adcbtiou 3 [No workers' camp,insurance 5. Ci we are a con soration azad ixs 10,[�] glertrical repairs or a nions i reciuized.] officers have exercised their 1.❑ i am ahcmeowner doing all work right of exempticu per.MUL 1,[D Plumb1ng repair$or additior<s jmyself, U workers' comp, c, 152, §1(4),and we have no � 12.� Rcofrepains i.�asuranceregui:ed,j t employees. No workers' lj,[] Other -- camp.insurance required.] ._ Lam. °.tiny applicaet that(.beaks box#1 must em fin out the secron below Showing their policy inferaatic'm Homeowners wbo submit this rff;.dw+it jrdicating they a-e doing All V.wD and then hire c,aUdc cotltta+7tory must submit A.naW a:f'f.dev'it iodizatbig such. tC'onRactars ttaat oheok this box m.uAl attached an additional sheet showing the name of th.s si%b•cowractor6 and t9reir workers'comp.policy information. I rasa all emp[Qyer that is providfgg workers'compensation insurance for my employees. Belay,b the policy a:nd job site informs- don. �r'"�� 6 nsurance Corupazy Fame; 11 —U-14-4 U ) Pohc;'0 or Self-ins.Lac. 0. Expiration Date: Job Site Address- CiC,.Y'/State;i2.ip: 00 Attach a copy of the workers' compensation policy deciaration Pagc.(`'honing the pcltcy Bum tend expiration. date). pai:ure to secure coverage as required under Section 25A of MOL c, 152 ca z lead to the islpositiou of criminal peaaities of a tine tap to$1,500,00 and/or one-year lmpri?SrJnment, as we'll as civil pell;a'ties in the form,a.`a STOP WO O"M and a fine of up to$2WOO a day against the'Violator. Be advised that a copy cif this statelneaut n-aay be forwarded tc the Office.of savesiigztions of the DIA for Lnsurance coverage verification. I do hereby certtf• a - naltie f erjury that the tn,fonnatipn provided above is truf and rorrect< Official rase only, Dar not tvdre to thin area,to be.comple'led by city or town officrnL City or Town: _ --_—_— Permlt/Licegnse Issuing Autlnorifiv(circle one): 1.Board of Health 2,Building Department 3.City,"i'own Clerk 4.k;iectrical gn,spector S.Plumbing Inspector 6.Other Contact Pevxon— PBnone#: A-o CERTIF ICATE OF LIABILITY INSURANCE OP ID J PRODUCER DATE(MM/DD"yy) THIS CERTIFICATE IS ISSUED AS A 7 06 AT TER OF INFORMATION Cluett COntmercial Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 8 Pembroke Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Kingston MA 02364 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone: 781-582-1600 Fax:781-585-4180 INSURED INSURERS AFFORDING COVERAGE NAIC# INSURER A: American Home Assurance INSURER B: Cam Maillet & Son Inc. 379 S- Ashburnham {toad INSURER C: Westminster MA 01473 INSURER D: COVERAGES INSURER E: 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 M PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLIAYCIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLI Y EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY DATE MM/DD/YY DATE MM/DD/YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE ❑OCCUR PREMISES(Ea occurence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYF_j PR JECTO' OC PRODUCTS-COMP/OP AGG $ L AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT ALL OWNED AUTOS (Ea accident) $ SCHEDULED,AU • BODILY INJURY HIRED AUTOS (Per person) $ NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE GARAGE LIABILITY (Per accident) $ ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ EXCESS/UMBRELLA LIABILITY AUTO ONLY: AGG $ OCCUR ❑ CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND $ A EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC8953898 TORY LIMITS ER OFFICER/MEMBEREXCLUDED? 04/09/06 04/09/07 E.L.EACH ACCIDENT $ 10�000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-EA EMPLOYEE $ 100000 OTHER E.L.DISEASE-POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWNHYA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Hyannis MA Building Dept DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Jill Gulden NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 230 GCisnOld Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis MA 02601 REPRESENTATIVES. AUT RIZED REPRESENTATIVE ACORD 25(2001/0 ©ACORD CORPORATION 1988 Parcel Detail Page 1 of 3 r 1 sLI s v x � i r44 ffiE i 5 %11,851Z §yt s Logged In As: Parceli I Monday, Marc Parcel Lookup Parcel Info ....... __.._�____.__... .,,,,_„� ,�.._._.. ............ Parcel ID 1306-115-10C Condo Unit'UNIT 10C _..... ............... ____.___. __.__._.__._ _____ .......... _............ Condo Complex'CAPTAIN GOSNOLD BuildingBLD 7 Location230 GOSNOLD STREET Pri Frontage _._...._. _. _�..._....._.. .._.__m......_._.__..-.__._..__..... Sec Road Sec Frontage village;HYANNIS Fire District.HYANNIS ................................................. .. Sewer Acct 3832 Road Index;0617 Owner Info Owner`YEE, SUSAN Co-Owner. Streetl 1:49 OLDHAM RD Street2 City jARLINGTON ' State MA zip(02474 Country US Land Info ........ ......... ......... .-..... .......... . ................................................... ......... ......... Acres 0 useCondominlu MD zoning Nghbd 0001 Topography Road r, Utilities Location ......... Construction Info Building Year..... _._. _._. Roof} AC 1951 Gable/Hip -None Built Struct ............................................ astzaea, - _... __. Type Effect _....._.. Roof " ° Bed 248 Asph/F GIs/Cm 1 Bedroom -.,.< ..- _ ..... Area Cover> Rooms Style:Condominlum Int Drywall Bath Wall Rooms . ........,_.. �,....... Total ......"" Model Res Condo Rooms 2 Rooms Grade Average Int Bath -�- Floor Style i ..... Kitchen p.... Stories 1 Story Style Heat ,..... ,. Bath Wan Wood Shingle Fuel Split 1 Heat Hot Air Found- Type ation i http://issgl/Intranet/propdata/ParcelDetail.aspx?ID=24305 3/20/2006 Parcel Detail Page 2 of 3 .i Permit History Issue Date Purpose Permit# Amount Insp Date Comments Visit History Date Who Purpose Sales History Line Sale Date Owner Book/Page Sale P 1 7/24/2003 YEE, SUSAN C144-10C 2 2/14/2003 BRUBAKER, NANCY L C144-10C 3 6/21/2002 SNOW, RICHARD &ANN C144-IOC 4 12/5/1997 GULDEN, LINDA JILL TR C144-10C 5 8/16/1997 TOSCANO, ELIZABETH M & GULDEN, L JILL C144-10C 6 8/15/1997 TOSCANO, ELIZABETH C144-10C 7 12/15/1992 MEDDA, INGEBORG C144-10C 8 4/15/1985 WEATHERBY, RAYMOND A C144-10C 9 5/15/1983 COSTA, CASSANDRA C144-10C Assessment History ,,.,.._.____ ............... Save# Year Building Value XF Value OB Value Land Value Total Para 1 2006 $104,400 $0 $0 $0 2 2005 $89,300 $0 $0 $0 3 2004 $44,900 $0 $0 $0 4 2003 $27,600 $0 $0 $0 5 2002 $27,600 $0 $0 $0 6 2001 $27,600 $0 $0 $0 7 2000 $29,000 $0 $0 $0 8 1999 $29,000 $0 $0 $0 9 1998 $29,000 $0 $0 $0 10 1997 $23,000 $0 $0 $0 11 1996 $23,000 $0 $0 $0 12 1995 $23,000 $0 $0 $0 13 1994 $28,100 $0 $0 $0 14 1993 $28,100 $0 $0 $0 15 1992 $32,000 $0 $0 $0 16 1991 $36,800 $0 $0 $0 17 1990 $36,800 $0 $0 $0 18 1989 $36,800 $0 $0 $0 19 1988 $28,100 $0 $0 $0 20 1987 $28,100 $0 $0 $0 21 1986 $28,100 $0 $0 $0 http://issgl/Intranet/propdata/ParcelDetail.aspx?ID=24305 3/20/2006 Parcel Detail Page 3 of 3 r Photos 01 9 �7��a d � ✓ _ ,..,p.� f 4 ti� ai /s l http://issql/intranet/propdata/ParcelDetail.aspx?ID=24305 3/20/2006 TOWN OF BARNSTABLE BUILDING DEPARTMENT ' HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION ('n.-� �}/j o�� C� IDOSr�� t��c� °S lac. . 0J- Q I Number Street Address Section Of Town "HOMEOWNER" Fame Home Phone Work Phone PRESENT MAILING ADDRESS ( S7o2 -,kal, ►11'S L-h 6rv�� 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 such 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 to six family dwelling, attached or detached structures accessory to such use and/or farm g y / 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, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE , APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section .127 .0, Construction Control. MISCS HOME OWNER'S EXEMPTIONR` .t The code states that: Any Home Owner 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 Home Owner engages a person(s) �ofor hire to do such work, that such Home Owner shall act as supervisor, Many Home Owners who use this exemption are unaware that. the are as the responsibilities of a supervisor (see Appendix Q y ation for Licensing Construction Supervisors, Section 2 . 15) .Ru This alacknd eoflations awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the unlicensed person as it would with licensed supervisor. The Home Owner acting as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities many communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. II s ` ' OFF I CE I)ER iT ai , 3 644 P01 JU] ?_! '93 11:47 An VM no ® pAV y f Isiness Services Center Fax TransmilKion o: J1Z-L Era- 50-n i JAX NUMBER:_ 508 - 71---.IG6.2 z ENDER'S PHONE: 0C 5 H `( b�t•tom` FAX: ROM: DATE: &-2g- V3 # OF PAGES: 3 C_t h��.. c you have env, difficulties with this transmission, lease call the Busing Services Fax Operator at: (714) 8 47-7557 ®TES: 1 Fla �� If � Store Stamp ffi OFFICE DEPOT #883 If our firm spends.more than$100 per month on long distance, Office Depot 7742 EDINGER AVENUE Cm can save you up to 40%,while remaining on one of the nation's HUNTINGTON BEACH, CA jor carriers. We guarantee that you will be satisfied with our program. Call toll-free 92647 to Jay, and receive 60 free minutes of long distance as our gift for signing up, (714) 847_7557 Cali 1 - = - 2 3 4 0 P�ePF® Thank You For Using Office Depot's Customer Fax Service �.�� fi r i OFFICE DEPOT #88.3 644 P32 TUhd 2S '93 11:48 3 i TOWN O B ST rr BUILDING DEPARWINT 1 ROXXO r NZR LICENSE EXEMPTION mamma P1 aas print* DA 19 JO L®CATION n -{ 1� � h t ,r c�,• ©�� Ci Number Street Ad Tess art bn 0 Town i"one Name W rk F. one p ' SENT MAILING ADDRESS _l�O 7 f , .r^S Ln I n ! �cL Zip Code ity ''own State C T e current exemption for ieae�" was extended to include a ` a of six units or less and to allow such homeowners to e gage an individual for hire who does not possess a license, Provided 'fit :ta As 341201yisgl. D rINITION OF HOMEOWNER% P reon(s) Who awns a parcel of land on which he/she resides or intends to r side, an which there is, or is intended to be, a one to six family d +�llir�g, attached or detached construct�structures more ��aansoney to h"D�ies�nha use two�yearr farm a ructures. A person who pItiod shall not be considered a homeowner . Such "homeowner" shall aubmi�t ado the Rtxi.l<iing 7fficial �,n a farm aGc:aptable to the Building Offiai.al, ghat, shal a r--a nsib wor n' t. (Section 109 . 1. 1) he undersigned "homeowner" assum occ�des1iR�y-14wt�ty for �artpilesnand ce with the Late Building Code and other egulations. he undersigned "homeowner" certifies that he/she understands the Town of arnstable :Building Department minimum inspection procedures and eguirements r •� 0MEOWNER'S SIGNATURE PROVAL OF BUILDING OFFICIAL Note! Three family dwellings BuildOn cubic Codsfestr or B®coon 127g0�,f will be Const�'uo$ion required to comply it g Control. JUSC! OFF I rE T 1EF'0 ;_� 645 �'4 1 i itA 9:� I:57 WAGE 0._ Ass '&er'a offie®(1st Fhxw): Aso® wr's map het nwv&* Cams rvatic OeM 3rd floor)" TO Afft Sava a Pwmtt nurnbsr,i2 _ , t tf,us-rM $ Engon eying Nprttmont Ord It ov): sa)p. Noun number v J oafifii've Plan 14pyrov*;i by+P1a V*V awd APPL CATIONS P¢iUct:s EtJ E:30 990 A.M, wnd 1'W-2- 00F,M.only TOWiN OF BARNSTAtSLE Bu" ILDE" ING i APPLICATION FOR F+EFiWf'P TO ��,�.� J t:'�'" �..� __..'j,,.✓Lb �� f� TYPE OF CONSTAU"ON TO E INSPECTOR OF BUILDINGS: The u IdersioMed ttertby a*ii@t ff0f st Pormtt teacorging to itta following information: Local n� U�• '�=_-7�_ �� ^ ®off ��t d �G Jam- nor: Proposed Use '"2- Zoning District � 'i--- Flre District_ m Name of Owner Address Namelof Builder _ _ -_ Address_-__ Name I of Architect`— Address Nurr� r ett Rooms—______ Foundation Exteri r Roofing Floors Interior Neatin` Plumbing Firaple e — Approximate Cost r '—�-�- - Area DIagraln of Lot and Building with Dimensions Fee )COUP kNCY PERMITS REQUIRED FOS NEW DWELLINGS hereby agree to Conf+arm to all the Rules and Regulations of the Town of 88rnstable regarding the above tortstruction. h I Name X � Will y., ,,,._-._..... .:.:.,-ca•.:._..,..•.-<».:emu.^• mg-r•.s�w..+,..c:...,mwo+,am.•.. s,Ya t `t A� t. �t a _SY � •.,a � � � r:et, � ,,y'.c„'?h fie•.-,��s�L '•' - k'-i..;. r. .. •--- """ti^^.a'r•t^�."'.^' w...w. 4? __-,_3. -..1� ,} s.:a ._.1....,...., _: r :�.. ..F..-'.. f ...:.._. ... 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All Nil Q � tar O C� `6 4 , �f. ds t,1 F.4f • �I I TID £w tw I wJ S W \omeA 5 . y� 3 apt d33 a4 vo1 41tt g�! wb1 gr it 91 ° � Val VIM 4b 'll V91 T4! �Ms Assessors office(1st Floor)- Assessor's map lot number � '/ . �� oT THE toy Conservation Sewage Permit number number4W 1Av o ' 1; Dsas�r,►nr E Engineering Department(3rd floor): ` %a 9. \�d° House number a 3y /�,�f• o Val Definitive Plan Approved by Planning Board 19 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 L o�ro 1 r J L^ (` S r-- (." i TYPE YbFiCONSTRUCTION _ r� a 19 q3 TO THE INSPECTOR OF BUILDINGS: The undersign."ed hereby applies for a permit according to the following information: Locations; 46 ^ O& ^O Proposed Use t Zoning District Fire District ��nrC, t CI ' I I Name of Owner rr1 L l �`I 0' '--I`Atr Address f�5 7d, Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost l Cf s 0 C) Area a g St', Ob Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License HYDINGER, DON & ELSA f' y No 35�995 permit For BUILD DECK/SLIDER Single Family Dwelling J 6vtro O`�> Location Unit #4B, 230 no r=kge r Hyannis ` t - "' rr 4 V +} Owner Don & Elsa Hydinger '- -� s Type of Construction Frame Plot 'Lot i t Pe mit Granted June 2 9'; 19,- 93 Date of Inspection 19; Date Completed / , 19 I a r a ♦ f a? n ,4; a _-7 l; .A i.� X NI .^ ti Ty } AY 4 TOWN OF 13ARNSTABLE BUILDING DEPARTMENT15 HOMEOWNER LICENSE EXEMPTION Please print. ---------------- ---- � ^ r DATE 3 q 3 •" :: r'z' #JOB LOCATION a� _ x Number Street Address Section Of Town ,�;;.` ' a"HOMEOWNER" Name -7 Home J , Phone Work one PRESENT MAILING ADDRESS + ` r «` City Town `� } y k State c7 !# Z The current exemption for PrCode . p "homeowners ' �; s extended to include own__er y oCcued dwellings of six units or less and to allow such engage an individual for hire w}�o does not possess a license ,s the owner acts h homeowners to as su erviso �<< : r • , pr_ ovided th�t�rd DEFINITION OF HOMEOWNER: , Person(s) who owns a parcel of land en which he/she resides or intend$ "' reside, on which there is, or is intended to be tQ- dwellin a one to six family " q� attached or detached structures accessor structures. A person who constructs more t period shall not be considered a home y to such use and/Or fgj. to the .Building Official on a form a han one home in a two-ye$r. }x ner. Such "homeowner" shall subnl3t�. L'tha�' he she shall be acceptable to the Building hermit , res onsible for all such work 9 Officials (Section 109 , erformed under the �`r undersigned "homeowner" 9 Building assumes responsibility g Code and other applicable codes for compliance with ;.:thekp'� regulations.Buil fl` by-laws, rules and undersigned "homeowner l' av Barnstable Building certifies that he/she understands requirements g Department minimum inspection the Town �s procedures and HOMEOWNER'S SIGNATURE ry: APPROVAL OF BUILD-'1G OFFICIAL Note; Three family dwellings 35 , 000 cubic Control . Comply with State Buildin feet, or larger, 1 g Code Section , will be 12� • 0, Construction Mf6C5 HOME OWNER ' S EXEMPTION The code states permit "Any Home ;. caner performing work for which a buildin . is required =}gall be exem >L from t_he provisions of this section g (Section 109 . 1 . 1 - Licensing of Construction Supervisors) ; provided that:.y<if. .Owner Home Owner engages a person ( s ) for hire to do such work, that such shall act as supervisor. " AZ Many Home Owners who use this exemption are unaware that the are assumin }' the responsibilities of a supervisor y P ( see Appendix for Licensing Construction Superv.i.sor_ ^ Section 4, Rules and Regulations";. awareness often results in serious. ct1on 2 . 15 ) . This lack of Owner hires unlicensed eills , Particularly when the Home persons . l.n this case our Board cannot proceed r'• `against the unlicensed person as it t.rnt,ld with licensed supervisor. .- �", Home Owner actin e g as supervisor i.sor is ultimately responsible. f�1 f. To: ensure that the Home Owner is fully aware of his/her res onsibilit many communities regr.ire as P ies, . � . part of the permit application, that the Home . ,r Owner certify that }" /she ,:nderstands the responsibilities of a su ervisor. the last page of. his s p ;You y P g Zi.� sue i_s a f.oL-m currently used by several towns.. ma care to amen: and adopt such a form/certification for use inyour , `community. rr K , Y: Assessor's office(1st Floor): Assessor's map d lot number 30(0 s, N 1 02_(�/W�C/ of TwE t Conservation - �"� ?in A ° Board of Health(3rd floor): a • Sewage Permit number J?� t seaasri►ntt ? y rua Engineering Department(3rd floor): oo ieyo• House number . 0 �Fo Vsr r. Definitive Plan Approved by Planning Board 19 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 1J v,�S I() r A 16 r f rp � 1- �y a�c.�c TYPE OF CONSTRUCTION I"rGw—Q i3 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location - y ��P -�• �so �1D 1rr:f�� l �c„�^ �la, o a� Proposed Use (O x 1 S �� ri�QC V ✓� `� VA 2 Zoning District Fire District Name of Owner G L, [ d e r!N K 6ta T, Address 0 u ; Name of Builder Address J� Name of Architect Address ' t Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost I a Q 0 p/ Area __ [w 0 Diagram of Lot and Building with Dimensions Fee 5 0 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 —,,av � CZ9nstruction Supervisor's License '% r � � GULDEN, LINDA J. No 35833 permit For ADD DECK. TO UNIT Single Family Dwelling Location 230 Capt. Gosnold Village Gosnold Street -"Hyannis, Mass. _.Linda J. Gulden Owner. _ Type of Construction Frame } • l Plot Lot Permit Granted May 5, 19 93 Date of Inspection 19 -, Date Completed ZQ Z7C 9, 19 a J t � L � .. � /1��♦Il ILA r i 1 y C� U r , S A,1 r 11/02/94 17:02 V6177277122 DEPT IND ACCID 160o i otlunojutleaidt ol Maijaclzujettj �J�artmen�o�J'•ndu�friaL�cccden,fi 600 Wuhi &..,SShr t James J.Campbell &ton, Vamas" 02111 Commissioner Workers' Compensation_Insurance Affidavit with a principal place of business at: 3 3 SL-tMrk t6wk do hereby certify under the pains and penalties of perjury, that: () I am an employer provid'mlg workers' compensation coverage for my employees working on this job. t3 ve y mow, � A/G IO 0 C) o ck 5 Tlz✓ Uc=L,(-- P4,ro 5-L.,G1(,Ia-, Insurance Company Policy Number ( I am a sole proprietor and have no one working for me in any capacity. (} I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Poluy Plumber Contractor Insurance Company/Policy Humber Contractor Insurance Company/Policy Number {) I am a homeowner performing all the work myself. I understand th::t- copy of this sltement will be fo'wZrded to d:e Office of investi7,2rions of the DIA for coverage verification and that failure to secure coverage as rec.;red under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S 1,500.00 andlor cr years' impri<enrnent z well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed is / day of Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOIdti' OF BARNSTABLE BUILDING PERMIT, # .r k _ `''�.''�'�„Y�,,,,3„� 4 ✓t^h 3r ,� Jc s _� E+nxsr BLL The Townw ofBarnstable.-.,. . Department of Health Safety and Environmental Services ► BuiIding Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph( ossen W. FAY :A.snc_ 7s_ 7._ 3 a Date .} tAFFIDAVIT `T �` sz HOME U"ROVEIMUMCONTRACrpRLAW SUPPLEMENT TO PERMITAPPLICATION ',.:_ MGL c. 142A requires that the"reconstruction,alterations,renovation,repairs a�odetnizatcm,aonvetaion,. improvement, removal, demolition, or constructioi :of_an'addition to any pn�ndsting owner occupied building containing at least one but not more than four dwelling units or to attactxuus which am adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other �- T S'/ f�ec,�! )pe of Work L L G Est Cost Address of Work- 2 3 0 G a s�,UL �t �►� � G��- O;;mer Name: C74PT - 6 o SN 0 t,b V/I-L_f6, 4 N 0 �IIO L Date of Permit Application: 1 hercb%-certify that: Registration is not required for the following reason(s): Work ctduded by law Job under S1,000 Building not owneried Ocala pulling own perinit No:icc is hcrcbv givcn ttw:: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICAELE NONE INIPROVEMEN`TT WORK DO NOT HAVE ACCESS TO THE =R.ri?-.TI0N'�F7OC_ OR GUfF_kN1Y FU?�'D LtNMER A;GL c. 142A SIGNED UDDER PENALTIES OF PERJURY l hcreby apply for a permit as the agent of the owner: Datc Contractorname Registration No. OR f Datc Owner's name COmmoNWEAL_TH ' I ,q D_I, ARTMENT OF PUBLIC SAFETY ', OF ? ONE ASHBORTON PLACEAIM VF0 . ' 'NIASSACHUSETTS I° _. y f • t.Br�STON,MA 02108 � ; � ' ,- •t EXPIRATION DATE �! ►^y.�'`�+ {{�i�$..r R. S U P E R V 1 S o i; CAUTION 03/08/1996 IQj RESTRICTIONS EFFEECTIVE DATE LIC-NO. (t FOR PROTECTION AGAINST NONE ;tI' ( THEFT, PUT RIGHT THUMB t� Cf 2/2 3/ 4 (} %l'•r' PRINT IN APPROPRIATE l; G111 ,�OX ON LICENSE. I, R O B E n T E M I T C H E L L o " `` iS J� 444-44-355b +` 3:3 SUNSET LANE O S T E R V I i L E l l� C Z 6 5 5 Z„ BLASTING OPERATORS m'i UUST•INCLUDE PHOTO PHOTO(BLASTING OPR ONLY) FEE• �•; n ?i '- t NOT G .;t k,� VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY iI( HEIGHT: !I STAMPED-OR-SIGNATURE OF THE COMMISSIONER {_ It 1994 DOB: i 31� y41 4( ? 7H15 DOCUMENT MUST BE CARRIEDON THEPERSON OF f SIGNATURE Or LICENSEE I BiuV6 �l THE HOLDER WHEN EN- w OTHERS-RIGHT THUMB PRINT GAGED iN THIS OCCUPgTION. II•.�VER i �' a ��tl�\�s11��`�'�>� ,Ex'�eo?wiea�i o�✓�aaaadu�ae��: 4'.' fTyy,4iy^ .� g.•aR tom. OME IW 11-EMENTICONT C10R � y f R9 S t10n 110069' ', � E R1fd' bti� 10 06/9b 7j•,i ; M't rIFTT'51 LL'1 10",02655 Y � .s Msessor's Office(1st floor) Man ��!'° Lot l 5 ��f/ Permit# �J/off Conservation Office 4th floor .S� _' Date Issued 3` D 9-5 "D Pcw sc C-T:.s. �3P o 3 8c� 3 s'a 7 B Ord floor), �va Engineering Dept. Ord floor) House# Q 30 F'�- Planning Dept. lst floor/School Admin. Bldg.): - j4"-05-`t5 dk s _ Definitive Plan Approved by Planning Board 'Feg.1) ;�-� 19 (Applications processed 8:307,930 a.m,- 1.00-2.00 p m) TOWN OF BARNSTABLE Building Permit Application / Project Street Address � 3- �d��D S Village hy',P/V/us Fire District Owner (Z:''-PT 60 Sa a%-0 V /&4,!b Gig 100 Address Telephone 275-" Permit Re guest: Z/ �`l idM l C I g S= coo o /Seca w& Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Existing Information Dwelling Tyne: Single Family Two family Multi-family C0 A140 Age of structure /o 2� PS', 41 1 Basement type C70 #10 cc Historic House Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms e�'1rZ Total Room Count(not including baths) First Floor A Heat Type and Fuel <::�;M.S je/oz C'L/ Central Air Fireplaces Garage: Detached /y� -- Other Detached Structures: Pool Attached Bam None Sheds r Other Builder Information Name // - Telephone number Address 3 3 J4"�' taf;- License# 5-0©5-) © s�C'r ✓ I4 m iir 0 Z to 5-SP Home Improvement Contractor# / Worker's Compensation # 4)C P 000 a S 1/ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO .��NS� Proiect Cost Fee SIGNATURE DATE e BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T _' °� FOR OFFICE USE ONLY 5/10/95 !` ' 306. 115 230 -Gosnold Street Hyannis ADDRESS VILLAGE ` Capt. Gosnold Village Condo- Assoc. r . OWNER DATE OF INSPECTION: FOUNDATION - - f -�? ;'•' -" FRAME INSULATION - ♦ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING: �� r DATE CLOSED OUT: t ASSOCIATE PLAN NO. 4 ' t • .:..:t.:::::::::::::n..:..:..t:ttt ,::::a....tttt.:::.t:.:.,::::..::•::.:tt..tt.:::::::.tt:::::..:t.::::nn.:::na.:.::•:::.t•.ttt,.:::::::.ta::..t.::.t.:::.,,•:n:..:::::..attttt:.::::::::nn:::::•:.tt.::.t•:::::n::::•:::.:. .tt.::::::.::..:::..t{..t..tt.:.�.:�:...�................::..:::::;::::.:n......:...:.t..t{.t........::::::..::.nttt:.::::::.:::.:.:....t.,....t..::.::::::.::.ttt..�:::::.::::::..:.::.t..t..t..,..:,::::::.:.... ...... ... ...........� .... ..........:::. .�:n:.:::.tt.:. t....:... ..... ............ ............:.::.:::...:.:::...:.. ::::::. ..:...tt,.........:.::.t...tttt,.....t.::�--�---5....tt-�.;:-.....8199 �y� ICES at..:}t}}:}.•::::••:::.}.:-.�:::};},,:.:.?Y?}:•:??}?}}:•}:•}?:::�nYY????:•:;•>}r;Y:::•r::?;;?:•?:•}:•}r,:::•Y?::;z>>::>;?;>:•}:•::•::};?;iY::i;:;i::>::::: ;:::: -:B N .......... .:. .}:::...:.... 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O TIONS PLEASE CHE LIN P C S E E CT D PROPERTY O RTY AL L 7 7 PE RMITS V ITS HAVE BEEN TAK EN IJ1' ................. . ........ .......::.:...::..:. :.. ..:.:.....::.:...... y .na::w:rx, xxvv.,vnvvvw:nv:.{v:i:i:LY::?{;tiy> :::::::::::n :.vv:x:w:nvvx. ••. nv•• 9 9 s Town of Barnstable 7y i Building Department Complaint/Inquiry Report 7 _�� 's Date• )Zec ri by: Assess or's No.: Complaint Name: � ��f � --Z/,� Location J ��S L9 6 Address: M/P Originator Name: a�, Street: Village: State: Zip: Telephone: D/C Complaint El Description: Ze�z Inquiry Description: -1 �6,1 , For Office Use Only Inspector's Action/Comments Date: Inspector. Follow-up 7 Action Additional Info.Attached Copy Diwibution: White-Department File Yellow-Inspector Pink-Inspector(Return to Office Manager) -�s a e r I- e ' 4 r ll A , 1 , i `..r __ � �� t' • T `# tt � , f. r ' ' { •t . � � f NUTTER, McCLENNEN & FISH, LLP ATTORNEYS AT LAW ROUTE 132-1513 IYANNOUGH ROAD P.O.BOX 1630 HYANNIS,MASSACHUSETTS 02601-1630 TELEPHONE:508 790-5400 FACSIMILE:508 771-8079 DIRECT DIAL NUMBER (508) 790-5407 September 18, 1998 #23003-1 Attorney/Client Communication Privileged and Confidential Ms. Charli Lucier Captain Gosnold Village Condominium 230 Gosnold Street Hyannis, MA 02601 Re: Dear Charli: Enclosed please find an additional copy of my draft memorandum to the Board of Trustees. Please confirm that this memorandum may be sent with the requisite attachments. It is my understanding that you are attempting to schedule a meeting of the Board here in Hyannis. Please advise as to the date and time and I will make myself available. Per your request, I am transmitting the following documents: 1. Small Claims form for filing in the Small Claims session of the Barnstable First District Court with regard to the prior Assistant General Manager. 2. Original voting list, proxies and unit owner ballots. 3. Letter to Ms. Hydinger regarding basement in 7A and C. Win-addition, you have requested_my_r,view of the condominium documents and condominium -- statute with reference to the removal of the deck on Mr.-Cotter's unit. Please be advised-r LtFi under Article X, Section 1., the trustees have "absolute control and management of the t property" including the_fiduciary—obligation to maintain and repair common areas and lities,_and_more-importantly_, to correct or__%ke corrective action with regard to any lation of law occurring within trust property.°This is also delineated within Massachusetts NUTTER, McCLENNEN & FISH. LLP Ms. Charli Lucier September 18, 1998 Page 2 jGeneral'Law Chapter-183A-7 Accordingly_,=in light of the order from=the Building C mmissioner's-office-of the Town of"Barnstable, I believe that the Board of_Trustees_is_empowered, should the unit owner'take no action pursuant to the Town's order, to proceed to correct and/or remove-the 7 v, iolating structure Should you have any questions concerning the enclosed, please feel free to contact me. Very truly yours, Patrick M. Butler PMB/cam 531586 1.WP6 G 3 PA ,t' I �qc uc uc 10a CCC 9 9b !' ISM Ill ryA taP aA ieA• uc 9A � we ,ro raa ua iee o' A �w o LfF is/ f�C LTC YA 4t th ycc EGG �(y�,teee�•� F 1P° Ifa nP nl �:01 JgA MC 1 as ns in - 1.•L - Q LC QC% 14 4.6F 2 Obt e^ �g s� _ 2 O VicesNo�a. fir• . O�v`mot f�� C A it. ' '+tia-•u�- ��'�_ �� ' ��A C_R/►� Y�c— �...� N cwJ�-�� p� co t.t�i��. t-S�s. m SENDER: I also wish to receive fie o ■Complete items 1 and/or 2 for additional services. r Z 0Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. __ m y •Wdte'RbtUfn�Receipt Requested'on the.mailpiece below the article number. 2. ❑ Restricted Delivery y ■The Return Receipt.will show to whom the article waWdelivered and the date .. delivered. _ Consult postmaster for fee. ° m v 3.Article Addressed to: 4a.Article Number a°► T 32)9 59 -P `13 ° �'r —��"� � � 4b.Service Type E ❑ Registered ertified vNj � ❑ Express Mail ❑ Insured c mi o �� ❑ Return Receipt for Merchandise ❑ COD o I 7.Data of Deliv /0�� i I p 5.Received By:(Print Name) 8.Addressee's Address Only if requested 4 w and fee is paid) t Ix t— c 6.Signatur (A re e- rAge t a. X PS Form 3811, December 1994 102595-97-13-0179 Domestic Return Receipt First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPS Permit No.G-10 F i • Print your name, address, and ZIP Code in this box o i Town of Barnstable Building Division 367 Ma1n St. •- Hyannis,MA 02601 I I P 339 592 43'3 US Postal Service 4. Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Se ° f-7 vim Street&Number Post lDtfice,�S�ate, ZIP Code t �NA Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address a000 TOTAL Postage&Fees $ M Postmark or Date 0 u_ rn a Stick postage stamps to article to cover First-Class postage,certified mail fee,•anil charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. C 4., If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 00 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. CO Pa=GONE VCALL: ;"- FOR DATE TIME ` "2C) P. M a+ OF PHONED 9 s' RETURNED: PHONE— AREA CCPE NUMBER EXTE SION PLEASE CALL MESSAG 7 y , I WILL CALL` ;AGAIN GAME�tO ,: `� SEE YOU WANTS TQ SEE.YOLI"'•' SIGNED I11 VE'fSO/ .4B003 r i '� m t ,,.^ r' , i �� +' �, � f '? r 7 r �} i . J s s ;/ _� y e r{ ,+[ � . A ^' ,. � J r . . °* The Town of Barnstable • sAMSTABU& • 9� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph CroSsen Fax: 508-790-6230 Building Commissioner August 6, 1998 Joseph and Irene Cotter 3 Linda Ann Way Middleton,MA 01949 Re 230 Gosnold Street,Hyannis,MA Building 14/Unit 16C Dear Property Owners: On July 31, 1998,upon a request from the Gosnold Condo Association manager,I inspected the deck on Building 14/Unit 16C. The deck appears to be about 10 years old and was made out of a non-pressure treated lumber. Because of this,the deck now is in a very unsafe condition with many pieces rotting and the deck is falling down. For this reason,the deck is to be immediately blocked off and not used. A building permit needs to be obtained and repairs completed within 14 days. If we can be of any assistance, feel free to call me at this office. Sincerely Thomas Perry Building Inspector TP/km VIA CERTIFIED MAIL P 339 592 433 R.R.R Q980805A CAPE VENTURES REALTY . No24002 Permit for INSTALL DECK ................. ................................. & Slider/ Si.n gje..�mi..l.y...Dwelling ............... ........ rGosnold Street ...... ........ ......................Hyannis • Owner ...QPLP9..YPa'tures( Realty.............. 1 ty........... Frame Type of Construction .......................................... ................................................................................. Plot ............................. Lot ................................ April 30, ........19 82 Permit Granted ................................. Date of Inspection ...... ..........19 Date Completed .2........19 f_f Assessor's map and lot number ......... ..� �:� .' xb' f TN E T0� f ,y Sewage Permit number ................t •!1 1:.. ...................... Z MARX TAXLE, i ,i House number - 9O MABB, C, i639 e�0 'E 0 MPY a� TOWN- OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............:F :arv�: ........tr,............,........ ..... L `- ................................. TYPE OF CONSTRUCTION '�' �` " ` ` '--e^.-"..................................................................................................................................... ...........: �... fJ .................19 .. P 1. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according/tto` the following information: Location ............... ! .re�.1 ...... � hrX ....!..�' 1 Wit...::................/...... ..c.a ..... .:f........:. 1? :�. `L`- Proposed Use ..... �'-`x .. ..�L.e �:..... ............. .. ........ ZoningDistrict .............. ......................................................�..F-i-re District ........................... Name of Owner .....:.: v. ....:f..:. y4-� 4 �6,0-L!/.,;Address/ .... "�. ram:...`. `'`�:...................... y...:�.. . .. . (. Name of Builder' ...... .......� .. ..Address ..7...-.............. .L"`.................................................. Nameof Architect ..................................................................Address .................................................................................... /�/ Number of Rooms '`' ....Foundation ........:. ............................................ Exterior .................................. ,..1......................................Roofing .......................��.OV................................................. Floors � /-'.� Interior ......................:� :. 1................................................. ...................................................................................... Heating . .............................................Plumbing ......................: !..:.................................................... Fireplace .............................. �.;.... .................................Approximate Cost ..............J.�. ........................................... Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ....... ...... Diagram of Lot and Building with Dimensions Fee ' .......... .................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �s 13 r' 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 ............................................................................�:... CAPE VENTURES R ALTY A=306-115 z5o6- 115 24002 Add or Install No .............. Permit fo . ................................. Deck & Slider ...............................*22;6...........SkfieC-A----- Location ... ..C, -apJ-7 .. Gosnold image .......... ................................................ Hyannis ............................................................................... Owner .....Cape...Ve.nt.u.re.s...Real.ty. ........... ....... ..... .... .. .... .. .......... .... Type of Construction .....Frame ................................ .... ................................................................. Plot ............................ Lot ................................ April 30, 82 Permit Granted ........................:*"*"*........19 Date of Inspection ....................................19 Date Completed ......................................19 W ".'-�'�'i`l'•,...�d'y=•.:�t� i' •�'�. y. �.—, � �;...,�,.—, .�v r•� _ns-.c,�."`3.�k,�p.. .-�'45'� ...ae: ��•t..::�:;�,� ., a.,.:;i-�:. �,.,,. ,,,,� - �-:y.Y _�-- `.'r i Assessor's map and lot number ......' . Sewage. Permit number .......................................................... �ofTNETo�♦ TOWN OF BARNSTABLE Z SABHSTADLNASIL E, i 9� O9�,e�� BUILDING INSPECTOR APPLICATION FOR PERMIT TO $...1�.� . •"�� . %f/ i>'!L TYPE OF .CONSTRUCTION ...:................................................................................................................................ d TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location f f31 f1O //ill. Gr_` " �1!e?!° ' ?..... ........... ..............:.......................................................................... .... ........... .... .. ............ Proposed Use . -r....✓2..-.,;.....� �4>"1...... ...'...... ... ..11.•Yy....................................................... -'' Zoning District ...............�.............i...�.......... ...Fire District. .. j� .�......... ............. �`s..f..�l�..�.�^................. A�' Name .of Owner )Address .................................... .......... ........... � sue....... Name of Builder E L L ....... Address ... ........ ....................................................... Name of Architect ................Address � ' .............................................. ................................................................................ Number of Rooms .....................'"r"......................................Foundation ......."'..-................................................... .r5�1..✓t,C= .fYSs'�'/.7• GT K .G .............. Exterior ................. Roofing ....................................,,............................................. Floors t `,��.'i��'r / .............................Interior ..........:c'..... i ......!/.�1/l . :...r:..........j.. Heating •��-?. . .......f:.....' ......../... �._.....-'✓Sl..... ....Plumbing ......................................................... ;t...?,%.,..... .. i s 2�0 Fireplace f�.�t//- Approximate Cost e2 :............._........................................................ .... ..,............. . ........................ ..................................... Definitive Plan Approved by Planning Board ________________________________19________. Area !!A) i ,,,.,••.•. Diagram of Lot and Building with Dimensions Fee ........:.................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable,,,regarding the above . construction. ' 1 �/ Name ....f.1................''.�'..................................................... � ' . . . . . ` ' CAPE RESORTS � RgpAirs to Cottage Col�QAY � � c ion \�C��gD��..3j�%?Q��t.--------.. . Bv i A....Irk, PERMIT REFUSED ' - - , ' "Zz --_—.��^� ....------- �� ~�--.--------.. .-----.------.--.—.—.—..~----.. .---,.------..--------.—..—~— ` ^ � Approved ................................................ 19 ^ ---------------'^^'-----^^^--' -----------'--------'~----^^ � � Assessor's map and lot number ... .........4.41:7? Sewage Permit number .......................................................... TOWN OF' BARNSTABLE . MARISTABLE, ""a 1639. 101 N BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ..-OW19...... ....................................................... ............................. ................. ................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby.applies for a permit according to the following information- Location ....... ........... I.... .. .......................... ................. Proposed Use ........le. .............. ....A. .............. Fire District /.,o Zoning District .. .......................................... �................................ A Address .... ... Name of Owner ....... ..... Name of Builder ..................Address <. .............................................. P 42 Name of Architect,/?/ 4" ................Address ............................................................ Numberof Rooms ....................7 7 7............................i.........Foundation .............................................................................. E x I e r i o r .....................................Roofing ...Aa ��)................... ........... oo�, Floors ... ...........Interior ... Heating 25 74-; Aumbing e A ..................................................Approximate Cos .......................... .......................... Fireplac ... *- ,/. ........ --------- Area Definitive Plan Approved by Planning Board --------------------------------19 ......... Diagram of Lot and Building with Dimensions Fee ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 000� I hereby agree to conform to all the Rules and Regulations of the Town of B?arns.table rreging the above construction. Name ............... ...... ................................ > CAP�' R�8O��S ` ' � , < 234l5 No Permit for Minor ----------- | ir - _ ci �oo�ol Street ' { -_-_ ---------------------. ' ' /i � -----. !�--------------.. C ' Owner ... __________ ^ / Type of Construction --..Ir��g��------.. ' | | . ' -------------.------------- ` Plot �� r ' ' ---------� ---_------� x � � Permit Granted Ao� t 3I� lq 81 ----'^-----' -- Date of Inspection ................................. � ` Do^a Completed � . ��---� �� -- —lq ' — - . | \ � PERMIT REFUSED 10 ' .----.---------------- lV / . ---------'---------~----.--. / —_----------.-------------. .—.--------------.---. .--.. .... ..—.. ^ .—.—.�----.--.----...----.-----. � l � | � , Approved ................................................ lQ ^ r -------------------------_ r ' , ~ � -------------------...—....... . . , ` ! ^ -' . i 111111111111 logo go I Iloilo 1IIIIIII Bloom go I I ION I milli III III googol III III so I googol IIIIIIIII I moll moll I��1��1��1��1��1��1�� OF BARNSTABLE ASSESSORS MAP INFORMATION SYSTEMS DEPARTMENT GEOGRAPHIC INFORMATION SYSTEMS UNIT STANDARD LEGEND M306 M306 M306 note: not all symbols will appear on a map 1 98 218 t //-- - - ---- -9 2 GOLF COURSE FAIRWAY 28.7 i ; 19. \/ , X3.3 79 .� � - -- --- 89 , 5.� i }� 13.4 , I DECIDUOUS TREES f. tf � � � 3 / ;• ( X26.3 %\27. �---------- -�-------- - � } 6 3 \9 _ 87- 216' 25.7 }/25.8 --- i� - 231 -- ; \ ---- - EDGE OF BRUSH 7 Jg2 24 / 3 3 75 ------- 4 \ 9 ` X 7 - 4.70•5 ORCHARD OR NURSERY 2 I 1 69 •` 1 �; -�� 54 X P VED PA R} .� X-- CONIFEROUS TREES • r- i 116 22.9 22.7 20. ` 2 2 �25 �- ' }, 1 .9 4 . . MARSH AREA 14. •8 \ ------ ---- �,i t i\22.8 qV _ 13 '\ �•� } 2 7.4 ' 2 - 2� EDGE OF WATER 68 X . 1 NC Xix 17. ' x - --------; 1. \i .3 x� X ---'- 1 - - - - - - ,� �\ , ; •_. ' ', ' , x Q - - - - DIRT ROAD -T - �j 1 i\ -5. J - i 2 i'�25.3 }\ 17.(� 21 �� _I -- ' - - .7 17.8 \i 1 \ X X 8• , 20.2 X 1 � \ 2 � --- DRIVEWAYS ! • - 12 ; 7 3��'� _ - --- 3 4 - PARKING LOT --------------- C) 6 4 \ 1 - •�22.2 - /'\ �\ 1 1 2 48 PAVED ROAD / I J _ _ . •3 2 �2 } i\2 .9 � r1 � �5.4 }r- -3 6 4, f�27. p \/ �� ' �' DITCHES .} 5.7 -- } 0 2 8 - 7. i 6.4---- - - 5 _ __ '. 7 i�25. - =- ---- , 1 x -� 'Y�~ PATH / TRAIL `� 16 1 `•� 16 1 i 17 ------------------- .4 1 \ 1 3 - =:t ; �' s 2 � �� 1 + }\ - _ ;, 7.1 ,\ • - ROAD LAYOUTS ' S i 25 0 ',, s tj 5.3 X \ 21. •\ _� - �, \ 2 --- --- - -- }, 18� ',+ •\ Ia \ `138 34 88 -�- PROPERTY LINES ;'24 4 - :- - WATER PROPERTY LINE 7 5 1 8 r, `• 282 ; 21°9 i\ 19.2 ❑ 14 - M327 _-- }\ 1 • 2 3 , � ° 8.5 18.5 40 MAP AND PARCEL NUMBERS 25 129 ` ,�.,_-le. 2 5 9 ' 2 2 3 -- , i 2 \i >� _ - -, 17.9 _ __-- 2 FOOT CONTOUR LINE ♦Y ;; L -r• 21 1 - - ---------- WA , 4 !4 -- ------------------� \ _ ---- - -- -- -- 1 222 0 - - ` 21. x x- s \i i\2 =: - ----- - 18. 6.5 2 -- -� 10 FOOT CONTOUR LINE �3.7 27 � 1 28tj r -- \i }\ 2 _ _ . . _� , _ _ _ , ____ __ ;, .9 �'•�24.9 1 >'4•� SPOT ELEVATION - , �� - STONE WALL 1 ! 13 1\25.4 7 172-3 67 - 1 13 --- ' \J 19 ` 1 •z, 1 -2 174-2 - X FENCE g" ,\ 4.5 2 - --�-� RETAINING WALL 9 ; ; \ 45 ' j�� #x'!� ti ----2 5 \ t�,' •8 \, ! 2 r -3 r ----�7,2-1 - 1 . . - - ,\ 10.1 2 7 ;' �--� �-- RAIL ROAD TRACKS 2 - _ _ - �. _ � 238 i ' © 244 7 -2-' 2 8 �. ;� 1 3.2 TELEPHONE POLE �\ - 20 5 X - \i -- - 1.9 WATER L-EV.- 2 -------- - �\ X 4.39 -__ STD N E JETTY \15/ \9.2 \� - '.�y29 .` i 16.4- i7 - � 7 `\ 1 . 5. 1 ;17 =1 6 5 8 1 9 RO01 SWIMMING POOL ! - - - X .8 -� 906 173- - 4 i PORCH DECK ' 190 \ - 19 19.6 \ - -- 6 \ �\ 1 8------------------ -1 \ 4.2 X i ---- - = ----- 15. BUILDINGS / STRUCTURES \ 8 2 x I i�2 5.0 y =--- - l�. 2 ;--------- i\2 `,°� ` •9 r 4 9 }/ 11 - -- WATER Et - �' �/ / ! 51 EV.- �, ,..�, .' }� 18.9 ° ,1 ?< 52 \ 196 X 1 19� DOCK PIER JETTY 1.62 }\ }\ .1 150 �I� / / \ M1% 306 30 306 � 2 1511 - -- FILE: base306.dgn NOTE: THE PARCEL LINES ARE ONLY GRAPHIC REPRESENTATIONS OF _ -- gtc 8-16-94 VEGETATION, TOPOGRAPHY AN D PLAN (METRIC DATA I NTERPRETED FROM 1989 AERIAL OVERFLIGHTS, PHOTOGRAPHY AT SCALE - - 1 " = 800' MAPPED AT 1 " = 100'. PARCEL DATA DIGITIZED FROM 1 " = 100' ENGINEERING ASSESSORS MAPS 1989 PROPERTY BOUNDARIES, THEY ARE NOT TRUE LOCATIONS cmh 8-3-94 IN FEET 100 0 100