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Home My WebLink About0240 GOSNOLD STREET 2 46 t .. ( , _ ,i I �'{ i ,:' '� .. '�- r ..� �� fe ((JO?9r%/l92042Cf1G'CLLi✓L�% Q6CtC/LlC6elGi FP-007C (Rev.01115) 'CERTIFICATE OF COMPLIANCE M.G.L.CHAPTER 148,SECTIONS 26F,26F1n City or Town: HYANNIS Date: (z`7/Irf This certifies that the property located at 7� L7 0 S 9�O L has been equipped with approved smoke detectors,and carbon monoxide alarms'and was found to be in compliance with Massachusetts General Lew,Chapter 148 Sections 26F,261`112 and 527 CMR 1.00 Section 13.7. Inspection/Testing completed on:w� 7 ILK By: 14- (Inspect Fee Pald: ' . 20 Head of Fire Department: CHIEF PETER BURKE,JR. �. L Note. ot:ThiisiceNlipte e1xpires sbdy(60)days after date of Issue. SELLER'S COPY 1'73G3 ct �FIKE Town of Barnstable *Permit# -� - 3!a 3 Building Department Services Expires 6mo�ejromue atvsreats, : Brian Florence,CBO l� 1'� Building Commissioner 'OIED d 200 Main Street,Hyannis,MA 026 www.town.barnstable.ma.us 40 40 � Office: 508-862-4038 SEP 112 508-790-6230 t�1 r`� EXPRESS PERMIT APPLICATION - RESIVMMUMIABLE �� r t Not Valid without Red X-Press Imprint Map/parcel Number j Property Address 9 It ® 6 d 5.kl(21 j 5 .7 Residential Value of Work$ —ep Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �_AM � RO.0 f e�>& � O$ viletRA Contractor's Name 2�'LVLJ Telephone Number A0.5&C A.FGS Home Improvement Contractor License#(if a(licable);' _3 Email: Construction Supervisor's License#(if applicable) CS O LS Oro W]Workman's Compensation Insurance Check one: 10.I am a sole proprietor ff I am the Homeowner NI have Worker's Compensation Insurance / Insurance Company Name 5 G S C 4t Worlanan's Comp.Policy# / ,5 ly Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ^ 94 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to p. ® Ufn'1 S f I ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side [ ,Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home I rovement Contractors License&Construction Supervisors License is r uired. SIGNATURE: QAWPFILESIFORMSIbuilding permit forms\EXPRESS.doc 08/16/17 The ComraornfeaIdt ajfMassachus tts Dipmhxent afrudus-aid acrid - fJce o '�gaans 600 Waslihigion y�tmet _ Bastm;r CIA 0211.E ' f��vt�nrrrs��av�i�in WurImrs' CaffipensafimInsm-mceAffidavit:Bwlders/CcmtmctarsMec ncmns/Phanbers Applicantlufmmiaiim Please Pant Legffi Na= "-44L Address: Y.S Rmxyww C:. �ityf�fatef�sg r /''� ?CS3y Phone �'Sob- rl8s'�� Are you an employer?.f heckthe appropriate b Type of project(required)- L.El I am 4 [KI am a general contractor.and I(ful r part-hme�* e hirerltfm sub-contactors 6. ❑New owns lag �. I am a sole propiietor orpartner- listed onti�E ait%tSmed sheet. y- Remodeling Th�sob-confractors have sf Fp and have no employees Q Demolifiaai wading, forme is any capacity. employees and have WoAwre 4. El Bui1 addition [NO�rs! comp,fuse a Tf oce comp-kMrA r 1 • required] 5. We are a ccupor dim and its 10.❑Elul repairs or adcREons 3-❑ F am a bomeovmer doing all wozk oftican have exercised their 1L Q Phnabingrepaim or additions. myself LNo wog='czmp- dht of egempfion per MGL 7 L❑Roof repairs c.15Z,§IM andwe have no +SSTEanre required�1 �i employees.[Nowo&ess' 13.❑Otfier •Any LWBa=-d ac checkssbaa l mast also�om the sec�oabeTow s�asdug[sea ices'compeQsaSaupoticy iafosmaaoa t ffan2emners ho sob=&dris sffidar is inducing dney an=.daing agwa x aa4&Mbize outside coatacmrsnmst.submit a newamdrt indiabun sacTi rCantsac1Drse.%tdeaT1,;sbaotmrzstatt2,h aaaddiiand shad davdngthen—ofImesat-ca sandsEstewhed sornot•bi3seealitinhwe emp9ayees.Iftl�esuh-caat�eslu�e e�pIo�s,tfie}'�rtgmr�de their vvnrkea'rrmp.galie�,a�beL ' I am im emplapr Matisprauiffir evarkets'toaaaperasr�ion i�srtrarrca fvr my eucprplvy�es BeIvav isi7cepaticy arrd jab Sue hiformaliatL Insurance Company Name: PaOficy 5 or Self-irm I.ia-* 6 h O Job Tite Addre= 4 N Gify�tatellsp: Attach s copy of the workers'compensation policy-dedEaration pagdqshowing the policy,number and expiration date). Failwe fa secure coverage as required under Section 25A of MGL a 157 can Lead to the imposition of criminal peaatties of a fine up t o$1,540.OU m&or one-yeariumppaisoameat,as well as civil peaatlies m the form of a STOP WORK OBDERand a lime of up to$250_DO a day against the violator. Be adtdsed flnt a copy of this statementmay be frxwarded to the Office of Investigations.ofthe DIA far M- Si ur nce coverage yeriff ca-h Ida heraby car*u tlas pains a td pe?uM v a p&jW7 tfiatffas iqf brma w prmzded a€m s!s bus acid=rrect Siffiatnre. Bate 7 Phone Sob-`SS-83G� Ofctid use milt'. Do nat wrke is f ds-area,far be ctntrpteted by city a+r toieti vJ jF-&L City or Town• Permifficense:g L=Ming Autigority(mode one): L Board of Health r.RurMing Department 3.City-frown Clerk 4 Electrical hmpector S.Pharalrmg ELTector 6.Other Contact PerSOM Phone#: — -- — --- 6 to • ED Eg. to7 ►Y P1q D Er P3 Er s �. H p, n @ @W p N o 'GHt� Er Er "go Pi peg ' �' d .•� P+ Rl `qq rt.►rl �, . � D k,�' " • � .. �' d � al A o '• r 154 (7' b b A • , � � � r�, D � �; � � � d � ° sue � R � � � �--�� a �• � �' `o, aEr .q � @ � � � �V Town of Barnstable Building Department Services ` � ' ` Brian Florence,CBO i63p- ►`� Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maus Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using ABuilder I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. C®S;Vok (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant -AANI) Print Name Print Name _ QW Date Q:FORMS:OWNERPERMISSIONPOOI.S Rev:OW107 l_ Town of Barnstable 4 J Building Department Services Brian Florence,CBO Binding Commissioner 200 Main Street, Hyannis,MA 02601 sue, aAM www.town.barnstable.ma.us 6"3� Office: 508-862-403 8 Fax: 508-790-6230 It fi r r HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildingpermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. r HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for-Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your,community. Q:\WPFILES\FORMS\building permit fotms\EXPRESS.doc 08/16/17 ACCA V CERTIFICATE OF LIABILITY INSURANCE DATE`MM"°°"MI 6/12/17 T�r•�mncrrae,�6S. _ A. ... F �o>�er-c>-'!� - _ � .^��rs�r`A� �IaT TES CERTIRCATE DOES NOT AFFUNATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERnRCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIRCATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the temp and conditions ofthe policy,certain policies may require an endorsement. A stalament on this certificate does not confer dots to the certificate holder in Geu of such endorsemen s). Schlegel S Schlegel Ins Broker Rax 34 Main Street a>sL - (508 771-8381 N : t50e) 771-0663 ADDRESS: schlegelinsurance@gmail.com West Yarmouth, MA 02673 INSURERS)AFIOMM COVERAGE NAlcag _---._.._.. ..__...._._......___--_.._... i INSURSta:AIM INSURED Llti>BtdRErL� HIS 24 SAIL A WAY - - INSURER D CENTERVILLE, MA 02632 INSURERE INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER,: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE USTED BELOW HAVE B®d ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD .. TO THS .,. � - EXCL.USIONS AND CONI]fITONS O1=SUO}h PT3U.lC�.LItAiTS SHOWN 11AAY HAVE I3E� l3Y PA71]�II�. ._._ PRICY� LTR TYPEOFIIYBURANCE POLICY AAlDD t®IIDDIYYYY '-- UIWTS A fo'mE"LL"Um jMPP0752C € 5/15/17 5/25/18 EACH OCCURRENCE is 1,0001000 X COMMERCIALGENEPALLMILITY I t(� r PAMAGETORENrED $ 500,000 � � �s . 1B 64®0 GEUBM AGGRMATEs 2,000,000 GEN'LAGGREGATELMTAPPLIESPER PRODUCTS $ I � I 2,000,000 POLICY PRO LOC i$ AUTOMOBILELIABIUTY 1 S DS IMR I8 HIEDAUM mom UAR ELLA LIAB OCCUR . €EACH OCCURRENCE S ErCES$LIAB &QGWGATE y - _ ��p �w Ay� ) .- - . -� fi ai�.Oc.etFbue➢C' YrtiTV- OMEN �®�j ;54 g0a0oo II'ves b EL_DISEASE-EABOPLOY $ 100,000 DESCRIPTION OFOPERATIONSbelow i E.L.DISEASE-POLICYLmrr- $ 500,000 I JOSE G CHAVES HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CMICELLATION MOULD OF THE ABOVE VESCIRBED POLICES BE CMCELLED BEFORE JEKFMTWN DA VEL L HE BUMMED N 3002armw ca cam cm Assacm MILEMPEE MA 02649 ® All d9ft re red. Plt Rac 1 -!Igo Massachusetts Department of Public Safety x Board of Building Regulations and Standards License: CS-085300 Construction Supervisor AARONJ.PERRY 45 BRAEBURN COURT , EAST FALMOUTH MA 02535 t-j- ;:K CA— Expiration: 47 -- Office ofConsumer Afraus&BtWnness Regatation s sS�+� 8ti6wS - � ME IMPROdEMENT CONTRACTOR istradon: . `781838 TYPe: go a ration:= DHA AARON PERRY CONSTRUCTION AARON PERRY v� 45 BRAEBURN CT E.FALMO .�. �z- •� �H' Undersecretary Office of Consumer Affairs& Business Regulation-Mass.Gov Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) _ ti Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting HIC Registration Complaints Registration# 181838 Home Improvement Contractor Registrant AARON PERRY' Registration Home Page Name AARON PERRY Address 45 BRAEBURN CT City, State Zip E. FALMOUTH, MA 02536 Expiration Date 08/28/2019 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search ©2012 Commonwealth of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts. https:Hservices.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=181838 9/11/2017 Town of Barnstable r l ma e�ray x f^r � z,,-, r s� � r of �, ,,: ��n T ., r w z . .S. & rd_So That,ittt_.Vtsrble;Fi'om�the,�5tr t,�.XA , pVedm .fans Must.be Retained:onFJobandwthrs. �: . . .,_ Y, Qard?,11Au I�e�1p ; f '� 8AB2ifffi�B�;. ,� ,�+z: "rT, a-:• " � ,^ a � Ap'� i s s x�a -.;�• .� ' ..: ..:..; ,.n r E� ,�«• ,, :,, ,.,,: s.,,.- -, t v,..�.'� ��a ,, ,W:.r, x�-.,, ra'�S ,,: ,;. .�'� c Pyoste 11, i l In ct�o Ha .B en.Mad r r . ,�;.,. � � x..:,, , ,...� � - �I .. .... ."•h �.:. ,. ,� Y„ ,.F. > 5 -;...J A K` _.,.... ..,.. u &.' '._t.� , W✓ < x� x c gay a Wher, i -r. rtyfi ate€of Occt nc <-�s<:Re ire. • uch Butttn shdll Not.,be®cc t 1 tY x:>; illl g, upied utr#a Final nspect�on,has beeryma,tle� .�¢.:eS,s....> .. '.is �,�"; .,_v ,•.e _< ..--- -.-.. ...__ .. .. Perm, itLNo., ""' B47-3251 Applicant Name AARON J':PERRY Ap provals Date Issued. 10 12 2017:. . Current Use i Structure; / / ' Permit Type: <Building "Addition/Alteration-Residential Expiration Date: 04/12/2018 Foundation: . Location: 240 GOSNOLD STREET,HYANNIS. Map/Lot 306 114 Zoning District: RB Sheathing: Owner on Record: LUNN, DANIEL E Contractor:Name ' AARON J PERRY Framing: 1 Address: C/O RUSHMORE LOAN MGMT SVS LLC Contractor License: C&085300 2 IRVINE,CA 92618 EstProJect Cost: $45,000.00 Chimney: Description: Build Farmers Porch on front of house.Add a Bath and,square small gPerm►t`f ee $279.50 Insulation: area on Kitchen Area. Build Bedroom. Fee Paid $279.50 III Project Review Re 'AS BUILT'SURVEY REQUIRED „ Final: J 4 Dates 10/12/2017 cf Plumbing/Gas Rough Plumbing: �..• ; Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a6,t6rizedxby this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents>fo which this permit has been ranted. All construction,alterations and changes of use of any building and structure shallbe incompliance with the local zorn g by taws and codes. g 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. Electrical 1;A At A,- e d� permit.- Service:Occupancywill notbe issued untilall applicable signturesb "Nis'y Minimum of Five Call Inspections Required for All Construction Work ;" >� Rough: 1.Foundation or Footing _ 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable;separate permits are required for Electrical,Plumbing,.and Mechanical Installations Health Work shaII.,not'p'roce'ed until the Inspector has approved the:vario6s stages of construction. _, .. Final: r FreDepartm�nt '.;(Person cQntracting>with a.oreglste.re.d:contractors.do::riot•ha.ve accessto.fhe gd' ranty:fund (asset forth n MGL c 142A).. ': ....- k Final. Building plans are to be available'on site All Permit Cards are the property of the APPLICANT=ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C Parcel o4 Application Health Division Date Issued /0 /2 �? Conservation Division ppcation Fee Planning Dept. SkP 9 ?® Permit Fee Date Definitive Plan Approved by Planning Board ow/y nr._ Historic - OKH _ Preservation/ Hyannis / / F Project Street Address ;2 1`/® Village l S A OwnerRoji PMCAkAg ° 9f®S Address �!—L /Z A tv-4J Ca 1'I4VV/11ce Telephone y EL2 Permit Request // &M& ' code 0 61, om, AAJ SouAks 51MA11 62-k-, kil-C ge Square feet: 1 st floor: existing LL56proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type l6 C Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family df- Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes A No On Old King's Highway: ❑Yes ❑ No Basement Type: 4Full ❑.Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.). .501 5Y Basement Unfinished Area (sq.ft) 6(� Number of Baths: Full: existing_ new Half: existing _new Number of Bedrooms: existing�>� view Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other Central Air: QiYes ❑ 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: Aexisting 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use kaS/ ze.tss9 Proposed Use , T APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number _<08 AddressyS /3YA-o&,b_J License # G5 OF so Q �� r��ocfi rt . �+�• oLS3�, Home Improvement Contractor# Email AgPCnfsW rA . Worker's Compensation # 2(,W ALL C NSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4'M'O V e SIGNATURE DATE ?/_7i1? FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION e -FRAME Dk 11111117 2ont-e— INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL -PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING l�5,li DATE CLOSED OUT ASSOCIATION PLAN NO. The CommompeaNt-f-Massachusetts. DVar lrrertt a,f1nd—us&ial Accides - Office ofInw-s igadons 600 Washfug f ou�,Vtrreet Bostore,M4 02111 intnumasmgorldia Wm keers' Cazmpens3f ma Tnsn-ance .davit:Bm'lderslC+nfractarsMec dcians(PIumhers AppUcant1iifmmnthn Please Print Name(Bvsra.ss a��Ra - Z Z CLY/S a-w O P Phone SQ3 10 83�s •eyou an employer?Checktheappropriafeb T of project r 4_ am a general coni�ctor and I � F J ( e�l�ed): I am a employer b 6. ❑2deav coasttucfiorz Dyees(fish andfor part Time).* Iiave bind gm suir-coab-doss am a sole prop6etas or p3 listed as fire attached sheet.. ?. ❑Remodeling these sib-confractors have ship and have as employees $.,❑Denaalifioa working for.nae is any capacity. employees andbave wodwre 9. ❑S.uildiag addifioa ENO VUPdD5& comp_in su=e Comp.imranca-1 required-] 5. ❑ We are a wrpomficn.and its 10❑Elecidral repairs or adcftiam 3.❑ I aura homeowner doing all work officers have exercised their 1L❑Plumbingrepairs or addi icros. myself[No wokkm'comp_ Ti. of egempfion per MGL 11❑Roofrepairs incnianrerequire&]i C.152,§1(4)6 aadwebaveno employees-[Noworkers' 13_❑other comp_inset mme required.] • YaPP&cr hatched-3 box#lmawalsoffia�t3�sec�oribdaarsUmaagtheirwo�cea'c�peaseSnapoTicgi�arms'amL �gameaaraerstrho sah®it rFris af6da<<u indicatigg they szer]o-iag slEwa�c aad.tbeahire autsadecaa'ti9ctarsnmst snItmitanearsd�da�t indiatiao sacSs. fCbmin ors111stehw1flzisbmcmMStst2r1T saadditiaosl shad sIiowingtLenmneofthesub-coutza ssmdshatewbe wtarnotftreeaffdMba4e employers.Ifthesab-cant ctmB e,employees;tfiey=stpmuidethem workm'comp.poEU mmsbrr- I arrt ari stxpT��er flea!;ispratRrlvxg norBeers'can�erts�iart i�srua�ca�vr ircyT enrplo}�ees �Setotp is flte pati�curd jeFi eta irrformat am lomm Ce company Name: L -Policy 41.or Self-ms_. ic_ 7 )� IncpiFatiauD�e: �6 Job Eta Address, 5T Cstyl5tateEg: ,�/ Attach a of the c ensatioa olio -declaration page(showing the policy n and trafiondate. �P3� �P P y Pay ( � P'o �' �P ) Fail=to secure coverage as required under Se-ctian 25A of MGL c. 1�can lead to the imposition of criminal penalties of a fine up#o$l, 40 OU and for one-year imisrisoume as well as civil penalties in the form of a STOP WORK ORDER and a foe of up to$►25Q00 a dap against the violator. Be advised that a copy of this statemed maybe fa warded to the Office of Investigations of the DIA for insurance coverage mdffcafion_ tl0 ltere�iy Ce.CfFf�� $rg pains ands pBtm�es a.f Fet�cr�'flint tJts ucfarirratzvlr prmu£�d a bm�ig trace acid avrrect Siffiature_ Bate 4 7 Phone P -0:8 403a O f jzcid um mrty Do not write in thb area,&be rrr,nptet6d by city artown vjYkiat My or Town: PermitUcense;g Issuing Authority(code one): L Board of I3wl h 1 O ng Deportment 3.CitylEmm Clerk 4>Electrical Ihspector S.Plumbing Easpector 6.Other Contact Person Mona#: — -- — - 6 laformation an' d fas I52 �tr, G e<7aeaal Laws chaP�r reqmes aII�Ioye�s to provi� pon far t3ieii employers_ • - under co�ract afhim,, Pnzsaam�this ,a a ea playee is defined as-'_.cmypmsonm.the service of another auy empress or iMplie4.oral or wratom-" A r is&Cfxoed as"an jaffiV jnal,p=fn=b p,assoum;fi; corp or ation or alhet legal may,or�5' or mare n�� . d inclndmg tie Legal re:2=mffat[ves of a deceased employes,or the of the foregoing m a3oint �.an 1p receiver or trustee of an in dividmL par[neship,associefion or other Iegal entity,moployhug emp y=s- However the owner of a dvmU!?ghonsehavmgnotmoreihan time aPmtnents and-who residesthamin,orthD 0cc4a33t ofthe- dw lEag house of another who empIoys persons to do maims ceti c nstrnc i on or repair wok on such dwDDing house or on fhe grounds or b0dmg ajp thereto shaHnotbecanse of such employmentbe dv=edtn be an emPloyee MGL chap , also states that¢ev sf�or local agencyshall�hoId the issuance ar tier I52 §25C(� �Y ,� _ ,,. renewal aI of a Ticease or permit to operate a Imsmess ur' 'contra bua&c gs zn.the commonwealth for any a-pplicantwho has notprodnced acceptable evidence of cdmpTiance With flee insrr,anc�cove�-ageregvsecL" Ad difiona lb,MGL chapter I52,§25dm states-V61ther the cammonwrzI& 'nor a'uy of ifs po7ifical subdivisions shall emits into any confrad far tbjper5=manm of public WD:dC mzt l a c=table evidence of oamplianc,Swhii Ihe msutmce. r-Pzrmre=fs ofthss rizspteahavebe nprese�dto the rx�rhra_r}�c.an l01¢y:' Applicants Please fig oist the Wa3c n,compensation afTa -vit completely,by ch=jdng•th a booms that apply to yomr situation and,if necessary,supply sob-contmctDr(s)name(s), addresses)and Phone nnmber(s) along w&thezr ccrtficate(s)of msmaaca Limited.Liability C.cmipan es(LLC)orI.imitedLiabr7ityPar hiFs(LI P)wrthno employees other than tb e members or partner are not rimed in cant'water compensafion' smHmce. If m LLC or LLI?dues have employees,apolicy is required. Be advisedthA this a$i&-yk maybe mhmitte;d to the Department of Industrial Accidents mr confsmaiim of ins ce Cove1ap. A7sa be sure to sign and date the affidavit The affidavit should be-r•etrnne:d to the city or town that the application for the pe mit or license is being r no t the D epartmcd of 1 A-cdd=t9- gDUIdyou have any gnesdons regarding the law or ifyou are rcganrd to obtain a workers' compensation policL please call tho Deparfinemt at thennmbez listed be.Iog* Self-insured companies sh-ovld ear their s elf-;,,Bran ce Iiceause mmMber an the aPpropriate Ime C ity or TowIL Officials Please be sun a that thin affidavit is complete and.priofe;dIegiibIy. The Departmenthas provided a space at the bottom of the affidavit for yonto fill curt intiie event the Office oflnv��om has to coxiactyouregardmgtho applicant. Pleasebesure tofullinthepe�it/Iicensenumberwhichwillbe used asarefr=. Cc amber:Iaaddition,asap gC;orent t that mIIA sabmit multiple peuoitlIicense appli�ians m any given yew,need only sabmit ane affidavit indicating eoa policy,information(ff necesn3')and=der"Job S&e A d�r� msr the applicant should•w ife mall locations n (may Or town)."A copy ofthe-affidavitthathas bey officially stamped ormadcedbythe city ortownmay beprovided to ffio ' applicant as proofthat a valid affidavit is on file for fdm 'pemuits or licenses. Anew affidavitmust be f t--d out each year.Where a home owner or citizen is obtaining a license or peamit not related to any business or coxameacial v&ntn-O (i_e_adoglicenseorpemittobumlemvesetc.)saidpegsouis2`IOT ed��mPle affidavit The Office ofInv nn• wouldhImtothankyouin.advance for your coopmafimanal shouldyouhave anyquEsfZans, please do nothesifate to givens a cam The Depar mfs address,telephone and fax=mber: C=�aaWmSth Of .cIUmtt-- , r •' legaz�m�t chid AiId�n .. ` Ttr-L:�Eil7— -4900=t 4.G6 W I477 MA,�S Fagg 617`27 7M x.ff-vise:d¢24--07 cag�dia AWC Guide to Wood Construction in High Wind Areas 110 snph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2. .1)1 Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust) ........................................................................... ................. . ...........110 mph WindExposure Category.................................................................. .............................................................B 1.2..APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories RoofPitch ..........................................................................(Fig 2)........................................... 512:12 Mean Roof Height ..............................................................(Fig 2)................................................._ft :533' BuildingWidth,W............................... ...........................(Fig 3). ............................................. _ft 5 80, Building Length,L .......................................:......................(Fig 3)................................................._ft 5 80, Building Aspect Ratio(LW) ...............................................(Fig 4)................................................. :53:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ _6'8° 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry.................................................................................................................................... 2.2 ANCHORAGE TO FOUNDATION''3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ................................. ........(Table 4). ........................................ .... in. Bolt Spacing from endfjoint of plate ............................(Fig 5). ................................. in.5 6-—12" Bolt Embedment—concrete........................................(Fig 5)................................................._in.a 7° Bolt Embedment—masonry.........................................(Fig 5): ........................................ in.>_15". PlateWasher...............................................................(Fig 5)...............................................%3°x 3"x 4 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension....:..............................(Fig 6).................................................. ft 512' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.:..............(Fig 7)....................................................—ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)....................................................._ft <_d FloorBracing at Endwalls...................................................(Fig 9).................................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)................................... Floor Sheathing Thickness ................................................(per 780 CMR Chapter 55)....................... in. Floor Sheathing Fastening..................................................(Table 2)..._d nails at in edge/ in field 4.1 .WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)..........................._ft 510' Non-Loadbearing walls..............................I...................(Fig 10 and Table 5)..........................._ft 5 20' Wall Stud Spacing ........................................................(Fig 10 and Table 5)................ _in.5 24°o.c. Wall Story Offsets ........................................................(Figs 7&8)........................................... ft 5 d 4.2 :EXTERIOR WALLS' Wood Studs Loadbearing walls.........................................................(Table 5)..............................2x -_ft_in. Non-Loadbearing walls........................................:.......(Table 5)..............................2x -_ft_in. Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10).................................................................. WSP Attic Floor Length...............................................(Fig 11).............................................. ft>_W/3 Gypsum Ceiling Length(if WSP not used) .................(Fig 11). ......................................... _ft Z 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c.. (Fig 11). ............................ ............................... or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)............I........................ ft Splice Connection(no.of 16d common nails).....:.......(fable 6)......................................................... AWC Guide to Wood COt:struction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1..1)` Loadbearing Wall Connections Lateral(no. of 16d common nails)...............................(fables 7)...................................................... Non-Loadbearing Wall Connections Lateral(no. of 16d common nails)...............................(fable 8)........................................................ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................._ft_in.511' SillPlate Spans ........................................................(Table 9)............................,..... ft_in.5 11' Full Height Studs (no.of studs)...................................(Table 9)..................................... ............... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9)................................ _ft_in.512' Sill Plate Spans.... ......................................................(Table 9). .............................. _ft_in.s 12" FullHeight Studs(no.of studs).............:......................(Table 9). ...... ...........................I............. Exterior Wall Sheathing to Resist Uplift,and Shear Simultaneously'6 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ..............................................................................._5 6'8" SheathingType.............................................(note 4)....................................................... Edge Nail Spacing.................................:.......(Table 10 or note 4 if less)....................... in. Field Nail Spacing.........................................(Table 10)................................................. in. Shear Connection(no.of 16d common nails)(Table 10)..................................................... _ Percent Full-Height Sheathing.....................(Table 10). ...... .......................................... _% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L Nominal Height of Tallest Opening2 ..... .........................................................._5 6'8" SheathingType.............................................(note 4)....................................... ........ Edge Nail Spacing..........................................(Table 11 or note 4 if less)....................... in. Field Nail Spacing ........................................(Table 11). ............................................. in. Shear Connection(no.of 16d common nails)(Table 11)........................................................ Percent Full-Height Sheathing.......................(Table 11)....................................................._% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?............................................................................................................................. 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19)............._ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls j Proprietary Connectors Uplift................................................(Table 12)..........................................:.U= plf Lateral.............................................(Table 12).............................................L= plf Shear..............................................(Table 12)..............................................S= plf Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker.........................................(Figure 20)..........:.._ft s smaller of 2'or U2 Truss or.Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails). (fable 14). ...................................L= lb. Roof Sheathing Type.............................................I.....(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness........................................... .............................................._in.z 7/16"WSP Roof Sheathing Fastening ....................... ..............(Table 2). .......................................... ........... _ Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e: Comer Stud Hold Downs per Figure 18a and Figure 18b, 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is.added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. AWC Guide to Wood Construction in Sigh WindAreas:110 tnph Wind Zone Massachusetts Checklist for Compliance(780 CMR5301.2.1.1)1 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116°and be installed as follows: 1. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment -WHET4 THIS EDGE RE MS ON FftM11NG USE 8d NAiLS F:A It n +r n 11 1 11 1/ 11 1 Y 1.1 it 11 11 1 ' 11 11 11 1 11 I 11 11 1 11 11 11 .L 1 1 11 1 O 1 11 Il 1 11 11 N 1 • 11 m ii {{ a ' - 1•- 11 u o 11 n Ir g 1 � 11 u°Q n I r - 11 o to i{ 1 W '1 U yi 1 - ` a u u lt1 1 I` V It l{.rW„ li 11 11 '� 1 - ' D(X M E EDGE `------- , 1 MAIESPACM 1 + PARtl _ �a v See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment J AWC Guide to Wood Construction in'High Vind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(7sa Cmx 5301.2.1.1)1 w ' M Ed ► FR M MEMBERS t EDGE WERMEDLUE ► ► I --5—_i-------- --- _ _L ___._s_ STAG MM KAA PATTERN PANEL PANE!EDGE � DOUBLE NAIL EDGE SPAciIG DETAL Detail Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone • Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 FAQ*: WFCM Checklist Question: I understand if a new home is built in a town in a no mph wind zone then the American Forest and Paper Association (AF&PA) Wood Frame Construction Manual can be used to prescriptively design it. I also understand that in some cases the home can be framed per the WFCM 1 oo mph Guide, if it meets certain requirements including but not limited to aspect ratio, roof height, number of stories, and exposure category(B). I have heard that Massachusetts has a "modified" checklist that can be used instead of the checklist at the end of the Guide. Is this true and what can you tell me about this"modified" checklist? Answer: You are correct on the items that you have noted. MA has modified the checklist in several important ways. The MA version allows a roof with a pitch up to and including 8 in 12,to not be "counted" as a story. Further it does not require steel hold downs and straps in many locations if full height sheathing is used as defined in the MA.checklist. Further, if the building will have furring strips installed in the ceiling abutting the gable wall then 2 x 4s installed on top of the ceiling joists are not required. There are other changes as well that were not noted here. The MA version of the checklist was formulated in recognition of the highly regarded framing methods used in MA for many years and wood framing that has been used in North Carolina over the past io to 15 years which has performed well in severe hurricane weather in that state. Answers to FAQs are opinions of the BBRS Staff and do not reflect official positions or code interpretations of the BBRS. Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 MASS ~ www.town.barnstable.ma.us 65q. Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER UCENSE EXEMPTION Please Print DATE:— JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAUJ NG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner.,Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildingpernut. (Section 109.1.1) The undersigned"homeowner"assumes•responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. ` ` - •j HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fomu\EXPRESS.doc 08/16/17 I � Town of Barnstable Building Department Services F IIAMNSTARM f . Musa. Brian Florence,CBO k`�, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder I$ AAC 4 64AI Uflef1�9,h ,as Owner of the subject property hereby authorize A- ?.Q to act on my behalf; in all matters relative to work authorized by this building permit application for. n 5 / RIAJ,All &��O/ (Address ofjob) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. 'Signature of Owner Signature of Applicant Print Name Print Name ate Q:FORMS:OWNERPERMISSIONPOOIS Rev:0&/16/17 .�►co v� CERTIFICATE OFLIAB1�11 INSURANCE �"��' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG UPON THE CERTIFICATE HOLDER THIS 7 M3 CERTIFICATE DOES NOT AFFIRMAIMLY OR NEGATIVELY MEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERIIFICATE OF DISMANCE DOES NDT CONSTITUTE A CONTRACT BETWEEN THE ISSUING PISURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE NEGATE HOWBL RAPORTANT. 8 the certificate holder Is an ADDITIONAL INSURED.the es)must be endorsed. M SUBROGATION IS WAIVED,subject to if*terms and conditions of the policy,certain policies may requIm an endorsement. A dabement on tbis certificate does not confer riots tD fire i cerfifiCale holder in Bou of such end MIXICER Schlegel & SchlegelJIM KnemAN Ins Broker PHONE 508 771-8381 FAX (508) 771-0663 34 Main Street West Yarmouth, HA 02673 schl.egel*nsurance@ l.com INSURE AFF1 NAIC g -- - ---AIQStEi® IN$URM A-AIM � ------— DBA GGN CONSTRUCTION INSURERS:NGM 24 SAIL A WAY HISS EtC: CSNTF.RVILLZ, MA 02 632 INWREt D: 0SURER E: INBrREt F: COVERAGES CERTIFICATE NUMBER: REVISION NUAABER* THIS IS TO CERTIFY THAT THE POLKAS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RE 0 EMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT M ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUC(ES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CYAI & _ - - -- --- 11111411111110 L TYPEOFBIRANCE POU(,V saueE< ii -- ulArrs A rIa X COMMERCIAL CEN cR+LLJ ABWTY IMPP0752C 5/15/17 5/15/20 DAAssH►GO�CCUR ENCED $S 1,000 000 CLAB4AADEaOCCUR 500,000 WD E)P(Any ore perso—n)�I$---10.000 EPERSONAL&AOVIN&JRY IS 1 000 000 I GENERAI-AGGREGATE $ 2,000,000 GBJL AGGREGATE LNATAPPLESPER j PRODUCTS-COMPTPAGG $ 2 OOO QOQ POLICY LOC ! $ AUTOAK)BtLE LL48RIl Y f I 1(Ea�ctdert $ ANYAU7O `ALLOWIED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per went $ HHtEBAI1TOS _NON-OVYKEAUTOS D accW?DAMAGE $ UAAB a"LJAB _OCCUR $ EKCESSLiAB CLAIfuF340DE EACH OCCURRENCE —j—'---"— AGCaREGATE $ DED R — A AND KINIS BII) 'LIABILITY C0 MPEOXno' IVID WC-1547855 5116117 5/16118 VC StATU-,, :c"w Tnpyt WITS,' AN1fPROPRIEIORlPARIpERE7ffIXJTWE YIN OFIMFIMMSEREXLUDEV 7 NIA EL.EACHACCIDENT $ lOO OOO (feardebry In NH) e_y�aesar�eur�r E1-DISEASE-EAEMPLOY $ 100,000 DESCRIFTiOaOFOPERAT10N3befow E1.DISEASE-POL►CYLA6ItT 500,000 mscpm mOFoPEitATMMILOCATIONSIVENCLO(MachACORDIM,AdSMondR09admSdtre",UmoresiaoeNmqdreM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SOUTHPORT ON CAM COD ACCORDANCE WITH THE POLICY PROVISIONS. CONDOMnU M ASSOCIATION .23 SOUTHPORT DRIVE AUTO REPrESMATIVE MASH= NA 02649 aq�ccml 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are regialar�ed marks of ACORD f Massachusetts department of Public Safety Board of Building Regulations and Standards :License: CS-085300 i Construction Supervisor i AARON J PERRY 45 BRAEBURN COURT -., EAST FALMOUTH MA 02536,r n } Expiration: Commissioner 08l06l2018 i L $ N Office of Consumer Affairs&Business Regulation „ HOME IMPROVEMENT CONTRACTOR #i TYPE:individual Rgglsttgo 901ration { 181838,_ r:a - i 08 28 20t9 1 ! AARON PERRY AARON PERRY � t 45'BRAEBURN.-C E.FALMOUTH MA<.025$6 Undersecretary � i t 4 01: 32P MASSACHUSETTS STAVE EXCISE TAX ZARNSTABLE.-COUNTY ErISTFtY Of 4EEnS Dtlte. 09 iiv-2017 12-3 pm. Ct1 952 L Doc": 45rz=► fae< $861,84. C: nso. 25 £isaEi,iii_i t3lhdr� EhC ; , t EA �STr B E ?uN, `€'EGISTF I elf �r-EE+iC; r',__a Commitment Number: 1603,20668 Seller's Loan Number: 7600297051 After Recording Return To; ServiceLink, LLC 1400 Cherrington Parkway , Moon Township,PA 15108 PROPERTY APPRAISAL;(TAX/APN) PARCEL IDENTIFICATION NUMBER_ 14107/252 QUITCLAIM DEED r . WILMINGTON'SAVINGS FUND SOCIETY, FSB, D/B/A CHRISTIANA TRUST, NOT INDIVIDUALLY BUT AS TRUSTEE FOR PRETIUM MORTGAGE ACQUISITION. TRUST;whose mailing address is 15480 Laguna Canyon Road,Suite 100, Irvine, CA 92618, hereinafter grantor, for$252,0K00 (Two Hundred Fifty Two Thousand Dollars and Zero Cents) in consideration paid; grants and quitclaims. to RAM. RENOVATIONS, LLC, hereinafter grantee, whose tax mailing address is 29 Sea Spray, Avenue, Mashpee, MA 02649 with Quitclaim Covenants: THE LAND WITH THE BUILDINGS THEREON, SITUATED IN BARNSTABLE. (HYANNIS) . .IN BARNSTABLE .COUNTY, MASSACH,USETTS, BOUNDED AND DESCRIBED AS FOLLOWS: SOUTHERLY: BY GOSNOLD STREET,ONE HUNDRED'. TWO AND 461100 (1 02.46) FEET;WESTERLY: BY LAND NOW OR FORMERLY OF NORA AND MARY A. SANTRY ONE HUNDRED TEN AND 79/100 (110.79) FEET; NORTHERLY: BY OTHER LAND OF ARTHUR J. AND MONA M. GAUTHIER, ONE HUNDRED EIGHTEEN AND 651100 (1.18.65) FEET; AND EASTERLY STILL BY -OTHER LAND OF ARTHUR J. AND MONA M. GAUTHIER, ONE HUNDRED EIGHT AND` 09/100 (108.09) ;FEET. CONTAINING 12,000.SQUARE FEET OF LAND, MORE OR LESS. SAID PREMISES ARE SHOWN ON A PLAN OF.LAND ENTITLED "PLAN. OF LAND IN HYANNIS,MASS:; FOR ARTHUR I& MONA M. GAUTHIER SCALE 1" 30, MARCH 1958 GERAL'D A. `MERCER & CO. INCORPORATED ENGINEERS, WEST YARMOUTH, ;MASS.",. RECORDED WITH WITH THE BARNSTABLE COUNTY. REGISTRY OF DEEDS IN PLAN BOOK 141, PAGE 43. SUBJECT TO AND WITH THE BENEFIT OF ANY AND ALL EASEMENTS, RESTRICTIONS, RESERVATIONS, RIGHTS, COVENANTS, INS_OFAR AS THE SAME ARE IN FULL FORCE AND APPLICABLE. BEING ALL AND AND THE SAME PREMISES CONVEYED IN BOOK 14107 AND PAGE 252.SUBJECT TO ANY CONDITIONS, COVENANTS, EASEMENTS AND RESTRICTIONS OF RECORD INSOFAR AS THE SAME ARE IN FORCE AND APPLICABLE. Property Address is: 240 GOSNOLD ST.,.HYANNIS,MA'02601 Prior instrument reference: Book 30275, Page 117 Seller.makes'.no representations or warranties; of any kind or nature whatsoever; other than those set.out above, whether expressed, implied; implied by law, or otherwise, concerning the condition of the title of the property prior to the date the seller acquired title: The real property described above is conveyed subject to and with the benefit of: All easements,covenants, conditions and restrictions of record; in..so far-as in-force applicable. The real.property described above is conveyed subject to the following:' All easements, covenants; conditions and restrictions of record; All legal highways; Zoning, building and other laws, ordinances and regulations Real estate taxes and assessments not yet_'due and payable; Rights of tenants in possession. TO HAVE AND TO HOLD the same together With.611 and.singular the appurtenances thereunto belonging or in anywise.appertaining, and all.the estate; right, title.interest, lien equity and claim whatsoever of the said grantor; either in law or equity; to the,only proper use, benefit and behalf of the grantee forever. f '7� !u t "Executed by the undersigned under'seal on T ,..2017: This conveyance does not constitute.the.sale or transfer.of all or substantially all of the grantor's assets within the Commonwealth.of Massachusetts WILMINGTON SAVINGS FUND SOCIETY; FSB D/B/A CHRISTIANA TRUST,NOT.INDIVIDUALLY BUT AS TRUSTEE FOR PRETIUM MORTGAGE ACQUISITION TRUST, by Rushmore Loan Management Services LL Appo' ted As Attorney In Fact By: _ • . )�Name: Susan Chris Assistant Vice Pre Jjuent Its: STATE'of TEXAS COUNTY of DALLA5 On this�� day of , 20L7before 1ne;the undersigned notary'public,personally appeared Susan Christy s -of WILMINGTON SAVINGS FUND SOCIETY,'FSB, D/B/A CHRISTIANA TRUST,,NOT INDIVIDUALLY.BUT AS TRUSTEE FOR_PRETIUM MORTGAGE ACQUISITION TRUST, by Rushmore Loan Management Services LLC, Appointed As Attorney In Fact the person w` se name is signed;on.the preceding or attached document;and acknowledged to me that h /sh fined it voluntanly'for its stated Par I , KYRA GADDY 2 Notary Public.State of Texas Comm. Expires 08 20'L021 Z' 4�9>EOF" Notary ID 131179393 (A• Notary,Public Kyira Gaddy . This instrument prepared by:• - Nowell Bloomenthal Esq., (Massachusetts Bar Number::0467,60), 935 Main Street:# 3; Waltham,; MA 02451-7437,and Jay A. Rosenberg;:Esq.,Rgsenberg LPA'Attorneys`At.Law, 3805 Edwards Road,Suite 550, Cincinnati, Ohio 45209, (513) 247-9605 Fax: (866) 611-0170. BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register L - } 0 ou 51 Lr I.p sr 4+m •'6'�'' r' �, -"�i�-v�..,"��:t �g F III ti.J•{.. - ati v e •y rfxaw o,M,�. 4 W/NIPMLI'�R�f r. r w. ax- ----------- 0 AONss • /,�GOp�� 0 h �s0 ` k Q r •ro �q h Percy •�' c, IN • l U�!ald/In pd �po✓I� W / ��r�� • arJ DAUSTABLE ='�'GISTp OF D DS Rf�P y t958 OLAN OF LAND a� 1 M '^' � RECORDED Y.4/VN/S, A42T�U,�? J. Ro 41 of '�A.2Ch/ /9ZQ Sa 4 g,.n• a;K1yth0 L`ozrd Oi OUVVOY. "ZA7C&,¢ j '� �'�".oaORGsrEO CO. • Wes.— Y.�o eiNour�y '1 . . A4 4ss BOARD OP SORRY OS BANNBTABLE Commonwealth of Massachusetts KIVP I (/ 2�� Sheet Metal Perri � Map Parcel. -S Date: / Permit °� t Fee: U Estimated`Job Cost: $__��C)CCU -, .. Plans Submitted: YES NO NOV O 6 20RIans Reviewed: YES NO Business Iicense# rOnJ 0�8AW f� se# Business Information: Property Owner/Job Location Information: COASTAL Name Name: I�IJ-�c�-cu5 I/ .z c- d . Street:.: 1039 ASH ST Street: ("Yj SOJOIJ) Sip - City/Town: City/Town: lr, rvovrs PC>>2T /!� Telephone: 50 9 ''?65— Telephone Photo I.D.required/Copy of Photo I.D. attached: YES ✓ NO staff Initial 1 f lt'�-lr-unrestricted Ice . -21`l -2 restricted to`dwellings 3-stories or less and commercial up to 10,000 sq-ft. /2-stories or less Residential: 1-2 family V Multi-family Condo /Townhouses Other Commercial Office Retail Industrial Educational Fire Dept. approval Institutional_ Other Square Footage: under 10,000 sq.:ft.�/ over 10,000 sq. fl.. , lumber of Stories: Sheet metal work to be completed- New Mork: Renovation: HVAC _ Metal Watershed Roofing; Kitchen Exhaust.System. Metal.Chimney]Vents Air Balancing Provide detailed description of work to be done: c., �Z av 60SA)04-0 SirZ . 1 01UNF F6 4 , 0 f� - �Lecap iC-YQ(- ' CQA)T&,L CU�,�TiVL FTr isl C'i 4A)/--) INSURANCE COVERAGE: I have a current,Uatj jX insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes VNo If you have checked Ylt,indicate the type of coverage by;checking the appropriate boz,below: A liability insurance;.policy [� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does:not have the insurance coverage required by Chapter 112 off'the Massachusetts General Laws,and,that my signature on this permit application waives this requirement. Check One Only owner ❑ Agent El Signature of Owner or Owner's Agent By checking this:boxy;t hereby certify that all of:the details and information I have submitted(or entered)regarding application are"true and accurate to the best,of tiiyknowlei9ge and that all sheet metal work and installations performed under the permit issued far this:application wiill be, in compliance with all pertinent provision:cif the Massachusetts Building Code and'Ghapter'112 of'the,General Laws; Duct inspection required prior to insulation installation: YES NO Progress f snections Date Comments Final JUNRection Date Comments Type `f License: 3Y Master i ills ;❑ Master-Restricted ':❑Journeype.son Signature of Licensee [JJoumeyperson-Restricted License Number: LI =ee$ ❑ Check at www,MgssjgpyLdW nspector Signature of Permit Approval MOM „i i r r,_ :;if 3�, "flown6 .� . of BI, w.. y Regulatory &,I-v r3 ; Tom Poetry, y s}I 4w'rIYG� } GAY v 5 R 3 ?3 1.Al 44rt�pervy Owner Must j i� as Owadr Of idle, su&bezaby j to a C, oar 1r.17 n na � ;;t serve m v/oxk 2,u oziz by teas buAding pumit. V10 or r C (Address of ;: Pool fences and ��s e the responsibility of the �� t� ��1 are not to be filled before fence is installed aid pools are not to be ` t ed xt a sp i s e f and� cc ep�t�d. C of Ownex �igurture ofApp4c atzt tPsint Name Pit Name Dam ACOR ® CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDD/YYYY) `� CE 08/28/2017 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 li I po cy(es)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 CONTACT Selkoviti Beane Insurance Agency, NAMPHONE (508)586-3400 F (508)586-3700 670 Pleasant Street arallic Brockton MA 02301 ADDRESS, jsalkovitz@bearoa.com INSURER .Acadia Insurance Co. INSURED INSURER .Commerce Ins Co. Coastal Heating 8 Air Conditioning,Inc. INSURER c.Liberty Mutual 24198 1039 Ash Street INSURER D, Brockton MA 02301 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, _ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP-LTR LIMITS C X COMMERCIAL GENERAL LIABILITY i X X BKS55722745 12/05/2016 12/05/2017 EACH OCCURRENCE E 1,000,000 CLAIMS-MADE I X OCCUR I - DAMAGE TO RENTEDmeal $ 100,000 --- - I MED EXP(Any one Personi 1 15,000 ---- I PERSONAL&ADV INJURY $ 1,000,000 G:tN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 I PRO-_ POLICY JECT LOC i PRODUCTS-COMPIOP AGG 2,000,000 OTHERI S B aUTOM061LELIABIUTY X X ZT5262 07/17/2017 07/17I2018 COMBINEDSINGLELIMIT $ 1,000,000 r4 ANY AUTO i I BODILY INJURY(Per person) S ALL OWNED X SCHEDULED AUTOS t�AUTOS I BODILY INJURY(Per accident) S X HIRED AUTOS J( I AU7OSWNEO I I I PROPERTY DAMAGE I $ included $ C X UMBRELLA UAB F X OCCUR i US055722745 12/05/2016 12/05/2017 EACH OCCURRENCE E 1,000,000 _EXCESS UAB CLAIMS-MADE A REGATE 1,000,000 10,000 A WORKERS COMPENSATION MAARP300047 09/14/2017 09/14/2018 X PRTuTrI IOTH- ANO EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE NI NIA IMAARP300047 09/14/2016 09/14/2017 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E. .DISEASE-EA EMPLOYEE 1,000,000 Ii es,aesT 10 uOF OPERATIONS below nder I E.L.DI -POLICY LIMIT 1,000,000 I i I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) CERTIFICATE HOLDER CANCELLATION AI 032284 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 Fax:O - 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD YW a Commonwealth.of Massaachusetts Department en#of Industrial Accidents Office pf Investigations 600 Washington,Street Boston,MA 02111 ww,w.arsassgov1diaa Workers, Co 6hsation bsur ice Afffdavit: B'uUders/Contractors/Electricians/Plumbets AppUcant InformatioCOASTAL Please PrintLegihly Name(Busi tiIV®.. II�I� Address: City/State/Zip;: Phone.n: 16:5�14 Arr U an can iloyer?Check the.appropriate boz: Type of project(required):. 1.;L! 1 am a employer with 4. [] I am a general contractor and I , employees(full and/or part-txme). , have hired the sub-contractors 5. ❑New construction . 2.❑ I am a sole proprietor or partner- listed on thevtached sheet. 7. 5�'femodeling These sub-contractors have ship;andhave no employees $. ❑Demolition working for me in any capacity. employees and have workers' addition co iasurance,t• ❑Buil " [No workers eomp..:insura�ce: �p� . required;] 5•.❑ We are a corporation and its 10.�Electrical repairs or.additions 3.ElI am a:horn owner doing-all work officers have exercised their ILL[]Plumbing repairs or additions ell o workers'co right of exemption per MGL � �� 12.0 Roof regairs insurance required.]t c. 152, §1(4),and we have no , employees. [No workers' 13.0 Outer comp.insurance required.] !Any applicant that checks box#I.must also fill out the section belowshowing their workers'compensation policy inforination" H:o1 m waers-who submit.this affidaait indicating Icy are 3oiiig aIlwork and the hire outside contractors trust submtf a new.affiiiavrt indicating such. Icontracto s.that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractozs have.employees,they must provide their workm'comp.policy numb. I a►rs 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. _ ?10r) .)L1::7 Expiration))ate: Job Site Address:6 �0_Q4_X�?!r,) ,l'j City/StatelZip: .Qf�/.:f'��e�Q j,^ Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Paili re.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$1,500.0.0 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 agai Lst.the violator Be advised that a copy of this statet amit may be forwarded to the Office of Investizations ofA IA for.insurance.cavera e.verification. l i o hereby c/ der the pains-arid penaWes.ofrvetjur that the information prevailed agbove/is trra and correct 7 Si afire r bate: / (� Phone fr: O,Iicial use anl}i. I)b not write zn this area,to be ca rapleted by city or-'town o�cia4 City or Town- Perrnit(License#: -Issuing Authority(circle one): 1.)Board of Health 2.Building Department 3.City./Town Clerk 4,Electrical Inspector 5.Plumbing Inspector 5.Other Contact Person: Phone#: 'Mass. Corporations, external master page Page 1 of 2 u. Corporations Division Business Entity summary ID Number: 001286494 i Request certificate j New search Summary for: RAM RENOVATIONS LLC The exact name of the Domestic Limited Liability Company (LLC): RAM RENOVATIONS LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001286494 Date of Organization in Massachusetts: 08-14-2017 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 29 SEA SPRAY AVENUE City or town, State, Zip code, MASHPEE, MA 02649 USA Country: The name and address of the Resident Agent: Name: RONALD J. MCALEAR Address: 29 SEA SPRAY AVENUE City or town, State, Zip code, MASHPEE, MA 02649 USA Country: The name and business address of each Manager: Title Individual name Address In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: .. .. .. _................._._.:....__._...._............___..._._......_..._.._.___.. I Title Individual name Address LSOC SIGNATORY RONALD J MCALEAR 29 SEA SPRAY AVENUE MASHPEE, MA 02649 USA SOC SIGNATORY PATRICIA MCALEAR 29 SEA SPRAY AVENUE MASHPEE, MA 02649 USA SOC SIGNATORY REBECCA MCALEAR 29 SEA SPRAY AVENUE MASHPEE, MA 02649 USA http://corp.sec.state.ma.us/Corp Web/CorpSearch/CorpSummary.aspx?FEIN=001286494&... 11/6/2017 f " Mass. Corporations, external master page Page 2 of 2 SOC SIGNATORY I MARCOS F. B. VIEIRA 125 SAIL - A WAY CENTERVILLE, MA 02632 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record, any recordable instrument purporting to affect an interest in real property: Title Individual name ;Address REAL PROPERTY PATRICIA MCALEAR 29 SEA SPRAY AVENUE MASHPEE, MA 02649 USA REAL PROPERTY REBECCA A MCALEAR 29 SEA SPRAY AVENUE MASHPEE, MA 02649 USA REAL PROPERTY MARCOS F. B. VIEIRA 25 SAIL - A WAY CENTERVILLE, MA 02632 USA REAL PROPERTY RONALD J MCALEAR 29 SEA SPRAY AVENUE MASHPEE, MA 02649 USA ❑ ❑Confidential ❑Merger El Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS " Annual Report '^ Annual Report - Professional Articles of Entity Conversion Certificate of Amendment V View filings Comments or notes associated with this business entity: New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001286494&... 11/6/2017 "Accela Citizen Access Page 1 of 1 Need Help?For technical assistance in using this web application.please call the knnouncemonts I Regisrer_fur_an-Account I 1pg n ePLACE Help Desk Team at(84M 733-7522 V or(844)73-ePLAC between the eaten hours of 7:30 AM-5:00 PM Monday-Friday.with the exception of all Commonwealth - and Federally observed holidays.If you prefer,you can also e-mail us at ePLACE he sit staI ma_us.For assistance-with non-technical issues:please contact the issuing Agency directly using the links below. Contact Alcoholic Beverages Control Commission Contact Division of Capital Asset Management and Maintenance Contact Department of Labor Standards Contact Division,_of Professional-�icensure Translation Information-Click Here To apply for an Energy and Environmental Affairs(DEP,MDAR or DCR)permit or license,please click-here. Document Attachment:In order to upload required documents,this system requires Microsoft Silvedight,which can be downloaded for free here. Convenience Fee:Please note there may be a convenience fee for all online credit card transactions.There is no fee for online payment by check. Home Manage Licenses,Permits&Certificates File&Track Complaints I Please refer to the Licensing Entity's website for additional information regarding the status and discipline information shown below. For DPL information,please visit the DPI website. For A BCC information,please visit the AECO website. Information Pertaining To: Sheet Metal Master 47 Licensee Detail License Number: 47 i Licensing Entity: Board of Examiners of Sheet.Metal Workers License Type: Sheet Metal Master Type Class: M1 License Issue Date: 03/1.2/2010 License Expiration Date: 07/28/2019 Status: Current. Current Discipline: Prior Discipline: Name: PF::'rE:R MERIANOS Business Name: DBA Name: Public Documents https:Helicensing.state.ma.us/CitizenAccess/GeneralProperty/LicenseeDetail.aspx?License... 11/6/2017 . Ill i�a.i i I zC s + ,• � � O � O J O y Assurant Use Only r, J PID# 1795519 ASSURA��—N� T r September 21,2017 C �p Hello, Assurant Field Services(AFS)is working on behalf of Dakota Asset Services w AFS previously registered a property located at: FTI Street Address city State Zip 240 Gosnold St 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: Thank you for your time and attention to this matter. Assurant Field Services Attn:Property Registration 101 W.Louis Henna Blvd.,Ste.400 Austin, TX 78728 afsvpr®assurant.com . M71,o -a ASSURANT' Field Services 101 West Louis Henna Boulevard,Suite 400 Austin,TX 78728 Town of Barnstable Q Attn:Building Division Z� 200 Main Street Hyannis,MA 02601 ,lUf r Bk 30752 Ps333 =45740 t 9-08—'2017 & 01 =,32P t T WIN OF BARNSTABLE MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS 7 AN 9: 37 Date: 09-08-2017 8 01:32am Ctl-Fee:.$861.84 Cons: S252,000700 D1V S*)10 N BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 09-08-2017 a 01:32am MT: 932 Doer: 45740 Fee: $771.12 Cons: $252►000.00 Commitment Number: 160320668 Seller's Loan Number: 7600297051 After Recording Return To: ServiceLink,LLC 1400 Cherrington Parkway Moon Township,PA 15108 PROPERTY APPRAISAL (TAX/APN) PARCEL IDENTIFICATION NUMBER 14107/252 QUITCLAIM DEED WILMINGTON SAVINGS FUND SOCIETY, FSB, D/B/A CHRISTIANA TRUST, NOT INDIVIDUALLY BUT AS TRUSTEE FOR PRETIUM MORTGAGE ACQUISITION TRUST, whose mailing address is 15480 Laguna Canyon Road, Suite 100,Irvine,CA 92618, hereinafter grantor, for$252,000.00(Two Hundred Fifty Two Thousand Dollars and Zero Cents) in consideration paid, grants and quitclaims to RAM RENOVATIONS, LLC, hereinafter grantee, whose tax mailing address is 29 Sea Spray Avenue, Mashpee, MA 02649, with Quitclaim Covenants: THE LAND WITH THE BUILDINGS THEREON, SITUATED IN BARNSTABLE (HYANNIS) IN BARNSTABLE COUNTY, MASSACHUSETTS$ BOUNDED AND DESCRIBED AS FOLLOWS: SOUTHERLY: BY GOSNOLD STREET,ONE HUNDRED TWO AND 461100 (1 02.46) FEET; WESTERLY: BY LAND NOW OR FORMERLY OF NORA AND MARY A. SANTRY, ONE HUNDRED TEN AND 79/100 (110.79) FEET; NORTHERLY: BY OTHER LAND OF ARTHUR J. AND MONA M. GAUTHIER, ONE HUNDRED EIGHTEEN AND 651100 (118.65) FEET; AND EASTERLY STILL BY OTHER LAND OF ARTHUR J. AND MONA M. GAUTHIER, ONE HUNDRED EIGHT AND 09/100 (108.09) FEET. CONTAINING 12,000 SQUARE FEET OF LAND, MORE OR LESS. SAID PREMISES ARE SHOWN ON A PLAN OF LAND ENTITLED "PLAN OF LAND IN HYANNIS,MASS.,FOR ARTHUR J. &MONA M.GAUTHIER SCALE I" = 30', MARCH 1958 GERALD A. MERCER & CO., INCORPORATED ENGINEERS, WEST YARMOUTH, MASS.", RECORDED WITH THE BARNSTABLE COUNTY I I Bk 30752 Pg334 #45740 REGISTRY OF DEEDS IN PLAN BOOK 141, PAGE 43.SUBJECT TO AND WITH THE BENEFIT OF ANY AND ALL EASEMENTS, RESTRICTIONS, RESERVATIONS, RIGHTS, COVENANTS, INSOFAR AS THE SAME ARE IN FULL FORCE AND APPLICABLE. BEING ALL AND THE SAME PREMISES CONVEYED IN BOOK 14107 AND PAGE 252. SUBJECT TO ANY CONDITIONS, COVENANTS,EASEMENTS AND RESTRICTIONS OF RECORD INSOFAR AS THE SAME ARE IN FORCE AND APPLICABLE. Property Address is: 240 GOSNOLD ST.,HYANNIS,MA 02601 Prior instrument reference: Book 30275,Page 117. Seller makes no representations or warranties, of any kind or nature whatsoever, other than those set out above; whether expressed, implied, implied by law, or otherwise, concerning the condition of the title of the property prior to the date the seller acquired title. The real property described above is conveyed subject to and with the benefit of All easements; covenants, conditions and restrictions of record;in so far as in force applicable. The real property described above is conveyed subject to the following: All easements, covenants, conditions and restrictions of record; All legal highways; Zoning, building and other laws,. ordinances and regulations; Real estate taxes and assessments not yet due and payable; Rights of tenants in possession. TO HAVE AND TO HOLD the same together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate, right, title interest, lien equity and claim whatsoever of the said grantor, either in law or equity, to the only proper use,benefit and behalf of the grantee forever. 0,11 ?0 5-1 Bk 30752 Pg335 #45740 Executed by the undersigned under seal on 094604, 2017: This conveyance does not constitute the sale or transfer of all or substantially all of the grantor's assets within the Commonwealth of Massachusetts WILMINGTON SAVINGS FUND SOCIETY,FSB,D/B/A CHRISTIANA TRUST,NOT INDIVIDUALLY BUT AS TRUSTEE FOR PRETIUM MORTGAGE ACQUISITION TRUST,by Rushmore Loan Management Services LL Appointed As Attorney In Fact By: Vv-,"�/ Name: Susan Christy Assistant Vice Pre dent Its• STATE of TEXAS COUNTY of DAI-LAS On this,�'� day of '�, 20�?before me,the undersigned notary public,personally appeared Susan Christy ,4&be+T 61db —of WILMINGTON SAVINGS FUND SOCIETY FSB DB/A CHRISTIANA TRUST NOT INDIVIDUALLY BUT AS TRUSTEE FOR PRETIUM MORTGAGE ACQUISITION TRUST, by Rushmore Loan Management Services LLC,Appointed As Attorney In Fact the person w se name is signed on the preceding or attached document,and acknowledged to me that h 1/sh igned it voluntarily for its stated os�••• _---- ��"«a, KYRA GADDY Notary Public,State of Texas Comm.Expires 06-20-2021 L� Notary ID 131179393 7 Q.-- nnua Kyra Gaddy Notary Public This instrument prepared by: Nowell Bloomenthal Esq., (Massachusetts Bar Number: 046760), 935 Main Street#3,Walthain, MA 02451-7437 and Jay A. Rosenberg, Esq.,Rosenberg LPA,Attorneys At Law,3805 Edwards Road, Suite 550, Cincinnati, Ohio 45209, (513)247-9605 Fax: (866)611-0170. BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register Mckechnie, Robert From: Mckechnie, Robert Sent: Tuesday,August 29, 2017 2:59 PM To: 'Neha Joshi' Subject: RE:Verification Request 240 Gosnold St Hyannis MA 02601-4831 Good Afternoon, The information you requested: 1.) New registration received 07/10/17 2.) Per our ordinance, no renewal is required,just notification when the property conveys. 3.) No Balance due 4.) No payment required to register in the Town of Barnstable Thank you, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 From: noreply@salesforce.com [mailto:noreply@ salesforce.com] On Behalf Of Neha Joshi Sent: Thursday, August 24, 2017 3:01 PM To: Mckechnie, Robert; neha joshi@assurant.com Subject: Verification Request 1 240 Gosnold St I Hyannis MA 02601-4831 Hello, Assurant Field Services has recently registered a property within your entity. Please confirm that 240 Gosnold St I Hyannis I MA 02601-4831 is currently registered with your entity and if possible, please provide the following details. • Confirmation/date registration was received. • Date of next renewal, if applicable. • If a past due balance is owed,please provide dates and amounts that are outstanding. • If additional payment is owed,please provide dates and amount owed and whether the entity will be keeping the current payment sent. Thank you, Neha Joshi Assurant Field Asset Services—Property Registration 1 Assurant Use Only I VID# 5123 I WO# 23560105 I PID# 1795519 1. by Town of Barnstable 1200 Main St. I Hyannis I MA 1 02601 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 (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: N/A Section 1-PmpeM Information 240 Gosnold St Property Address:Hyannis MA W601-4831 Assessors Map#: N/A Parcel#: 000306-000000-000114 Land area and description N/A Building(s)description.and contents N/A Occupied: N/A Occupant(s)(if borrowers so state and include name(s)) Borrower,if known: DANIEL E LUNN Phone: N/A email: N/A other: Vacant: Yes Date: Anticipated Length of Vacancy N/A Last occupant(s) )(if borrowers SO state and include name(s)) N/A w a'�--- ' Phone: 800-468-1743 email: AFSVPR@assurant.com other: rn Has possession been taken Yes . If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) C) The property is vacant and will be maintained. CD Section 2=Foreclosing P Information Foreclosing Party(full name/title) Dakota Asset Services Foreclosure Case Court: N/A Docket# N/A Please forward all notices/confirmations to AFSVPR@assurant.com, 101 W Louis Henna Blvd,Ste.400,Austin,TX 78728,800-468-1743. PID# 1 1195515 Date filed: N/A Current Status* N/A Foreclosing Party's representative(s) for property(entry,management,repair, etc.)(name,title,): Assurant Field Services c/o. CHRISTOPHER SIDEMAN Company(if different from foreclosing party): Assurant Field Services Address: 268 MAMMOTH RD,LOWELL,MA 01854 Phone: 800-468-1743 email: AFSVPR@assurant.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): N/A Address: N/A Phone(s): N/A email(s): _N/A other: Name,title, other: N/A Company(if different from foreclosing party): N/A Address: N/A Phone: N/A email: N/A other: Attorney representing foreclosing party N/A Firm name(if different from attorney's name): N/A Address: . N/A . Phone(s): N/A email(s): N/A 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. Eric Knudtson Assurant Field Services Manager Date: June 26,2017 Name: -Title: Please forward all notices/confirmations to AFSVPR@assurant.com, 101 W Louis Henna Blvd,Ste.400,Austin,TX 78728,800-468-1743. PID# 1795519 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: June 26,2017 Building Commissioner,Town of Barnstable t Please forward all notices/confirmations to AFSVPR@assurant.com, 101 W Louis Henna Blvd,Ste.400,Austin,TX 78728,800-468-1743. ASSURANT BUILDING PLAN / STATEMENT OF INTENT Occupancy Status: Occupied Building Plan Property Address: 240 Gosnold St Hyannis MA 02601-4831 AS OF: June 26.2017 . THIS BUILDING PLAN SERVES AS OUR STATEMENT.OF INTENT TO MAINTAIN, SECURE,AND INSPECT PER ORDINANCE, THIS PROPERTY WILL NOT BE DEMOLISHED. THIS PROPERTY WILL BE LISTED FOR SALE. IF OCCUPIED,THE PROPERTY WILL BE INSPECTED ON A MONTHLY BASIS UNTIL VACANCY. OWNER CONTACT: Dakota Asset Services 1904 W.Grand.Parkway N.,Suite 130,Katy TX 7.7449 AGENT CONTACT: ASSURANT FIELD SERVICES 101 WEST LOUIS HENNA BLVD.STE.400 AUSTIN,TX 78728 T: 800-468-1743 E:afsv r assurant.com POLICY NUMBER: 1231059 COMMERCIAL GENERAL LIABILITY CG DS 0110 01 COMMERCIAL GENERAL LIABILITY DECLARATIONS INSURANCE COMPANY PRODUCER Great American E&S Insurance Company Southwest Business Corporation 301 E. Fourth Street,25'h Floor 9311 San Pedro Avenue,Suite 600 Cincinnati, Ohio 45202 San Antonio,TX78216 NAMED INSURED/MAILING ADDRESS POLICY PERIOD Rushmore Loan Management Services LLC From:December 1,2016 To: December 1,2017 15480 Laguna Canyon Road,Suite 100 Irvine, CA 92618 at 12:01 A.M.at your mailing address shown herein IN RETURN FOR THE PAYMENT OF.THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. LIMITS OF INSURANCE EACH OCCURRENCE LIMIT $ 1,000,000 DAMAGE TO PREMISES RENTED TO YOU LIMIT $ 100,000 _._Anyone premises MEDICAL EXPENSE LIMIT $ 10,000 Anyone person PERSONAL&ADVERTISING INJURY LIMIT $ 1,000,000 Any one person or organization GENERAL AGGREGATE LIMIT $ 3,000,000 PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT $ Not Included RETROACTIVE DATE(CG 00 02 ONLY) THIS INSURANCE DOES NOT APPLY TO"BODILY INJURY", "PROPERTY DAMAGE"OR"PERSONAL AND ADVERTISING INJURY"WHICH OCCURS BEFORE THE RETROACTIVE DATE, IF ANY, SHOWN BELOW. RETROACTIVE DATE: N/A ENTER DATE OR"NONE"IF NO RETROACTIVE DATE APPLIES DESCRIPTION OF BUSINESS FORM OF BUSINESS: ❑ INDIVIDUAL ❑ PARTNERSHIP ❑ JOINT VENTURE ❑TRUST ❑ LIMITED LIABILITY COMPANY 0 ORGANIZATION, INCLUDING A CORPORATION (BUT NOT IN- CLUDING A PARTNERSHIP;JOINT VENTURE OR LIMITED LIABILITY COMPANY) BUSINESS DESCRIPTION: Financial Institution servicing Foreclosed/Real Estate Owned,trust and receiver property on behalf of themselves.or their servicing interest to others. ALL PREMISES YOU OWN, RENT OR OCCUPY LOCATION NUMBER ADDRESS OF ALL PREMISES YOU OWN, RENT OR OCCUPY As defined on endorsement CG 2144 07 98 LIMITATION OF All Scheduled Location COVERAGE TO DESIGNATED PREMISES. CG DS 01 10 01 ©ISO Properties, Inc., 2000 Page 1 of 2 0 I CLASSIFICATION AND PREMIUM LOCATION CLASSIFICATION CODE PREMIUM RATE* ADVANCE PREMIUM NUMBER NO. BASIS Prem/ Prod/Comp Prom/ Prod/Comp Annual Ops Ops Ops Ops All Residential All Per Unit $46.45 N/A N/A N/A All Commercial All Per$100 $ 0.19 N/A N/A N/A All Vacant Land All Per Lot $48.45 N/A N/A NIA *Subject to 3.0%Surplus Lines Tax and 0.2%Stamping Fee STATE TAX OR OTHER(if applicable) $ N/A TOTAL PREMIUM (SUBJECT TO AUDIT) $ Per Schedule PREMIUM SHOWN IS PAYABLE: AT INCEPTION $ 0 AT EACH ANNIVERSARY $ Per Schedule (IF POLICY PERIOD IS MORE THAN ONE YEAR AND PREMIUM IS PAID IN ANNUAL INSTALLMENTS AUDIT PERIOD(IF APPLICABLE) O ANNUALLY 113 SEMI- ❑ QUARTERLY Ei MONTHLY ANNUALLY ENDORSEMENTS CG 00 0104 13 Commercial General Liability Coverage Form CG 2104 1185 Exclusion Products-Completed Operations Hazard CG 2106 05 14 Exclusion—Access or Disclosure of Confidential or Personal Infor- mation and Data-Related Liability-with Limited Bodily Injury Exception CG 2144 07 98 Limitation of Coverage to Designated premises or Project CG 2147 12 07 Employment-Related Practices Exclusion CG 2152 07 98 Exclusion-Financial Services CG 21 55 09 99 Total Pollution Exclusion With A Hostile Fire Exception CG 25.04 05 09 Designated Location(s)General Aggregate Limit CG 77 94 07 98 Exclusion=Liability Arising Out of Lead CG 83 44 0103 Exclusion_Punitive and Exemplary Damages IL 00 2107 02 Nuclear Energy Liability Exclusion IL 12 01 1185 Policy Changes - Endorsement #1 IL 70 69 07 98 Exclusion—Asbestos IL 72 68 09 09 In Witness Clause IL 73 24 08 12 Economic and Trade Sanctions Clause SDM-526(10/13) Privacy Notice and Notice of Insurance Information Practices SDM-705(11/08) Important Notice THESE DECLARATIONS, TOGETHER WITH THE COMMON POLICY CONDITIONS AND .COVERAGE FORM(S)AND ANY ENDORSEMENT(S),COMPLETE THE ABOVE NUMBERED POLICY. Page 2 of 2 ©ISO Properties, Inc„ 2000 CG IDS 0110 01 I Assurant Use Only PID# 1709821 ASSURANT® November 9,2016 Attention: Town Of Barnstable Assurant Field Services(AFS)is working on behalf of our clients to ensure compliance with ordinances requiring vacant/foreclosure property registration. Client's Name: Rushmore Loan Management AFS previously registered a property located at: Street Address City State Zip I Folio Number 240 Gosnold St Hyannis MA 02601 1000306-000000-000114 This letter is to serve as notice that the property has either been sold to a' new owner,the property is now occupied,and/or foreclosure has been rescinded.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. Assurant Field Services a Attn:Property Registration 101 W.Louis Henna Blvd.,Ste.400 Austin,TX 78728 vpr@fieldassets.com =� � Thank you for your time and attention to this matter. ASSURANT" Field Services 101 West Louis Henna Boulevard,Suite 400 Austin,TX 78728 r Town of Barnstable Attn:Building Department f b 200 Main St ( 6 Hyannis,MA 02601 .�I uuVV/ PID: 1709821 /VID: 89910 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 1 —Property Information Property Address: 240 Gosnold St I Hyannis, MA 102601 Assessors Map#: Parcel#: 000306 -000000 -000114 Land area and description Building(s)description and contents Occupied: X Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: ZE Vacant: Date: Anticipated Length of Vacancy = CD Last occupant(s))(if borrowers so state and include name(s)) � en — Phone: email: other: ``' wa 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) Rushmore Loan Management Foreclosure Case Court: Docket# Date filed: 6/28/2016 Current Status: Foreclosing Parry's representative(s) for property(entry, management, repair, etc.)(name,title,): Assurant Field Asset Services Company(if different from foreclosing party): Assurant Field Asset Services Address: 101 W Louis Henna Blvd, Suite 400 1 Austin I TX 78728 Phone: 978-821-9599 email: nepropertymgmt@gmail.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: Assurant Field Asset Services c/o Christopher Sideman Company(if different from foreclosing party): Address: 268 Mammoth Rd I Lowell,MA 101854 Phone(s): 978-821-9599 email(s):nepropertymgmt@gmail.com 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 f the ode of the Town of Barnstable. 0- ",� Date: 6/29/2016 Name: aleb I i iamson Title: AFAS 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 U ► ,- " ervic es Prop, r Vacant Building Plan Property will be maintained. As of: 6/29/2016 The property is being secured and maintained. Property will be listed for sale. Owners contact information is: Rushmore Loan Management 15480 Laguna Canyon Rd, Suite 100 1 Irvine I CA 192618 800-468-1743 vpr@fieldassets.com Agents Contact information is: Assurant Field Asset Services 101 W. Louis Henna Blvd #400 Austin, TX 78728 800-468-1743 24 hours P:800-468-1743 F:512-833-8101 www.fieldassets.com "6,121'/20,16. 14:40 Bt Yd n aiiti'son Iwih ktinrtro4Rushmore, Loin S6e*ko' J/3 RENEWAL OFFER . FREf'IUbI lt(NE MASSAC IUSMS PROPERTY NSU"RANCE UNDERWRITING ASSOC1AT10N 000)m-sias. fetl's team? 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'tN$U"kCE UNDiP.W4FRL 10 AB OCIATIC7dI Two GE�1t�0 I'I ,B4 t ,wssaehue 42T60 POLICY NOMELER EXFIRA fbN DART 455043M! Min01 NAMED IhUftEa.3 NrlNG AbbRME QANIrl LUNId BRYt 'P-&SULLIVAN INSURAKE AGENCY 240 09SNOLD STRJET8�I:AIISOIIT}I RD #IYAN IfS A 02601 HYAWiS.MA. 6MI rrou Foxy y eAi� 112A1 A tP stanch d tJrr ; er�Gn loseshle the tsar paten 61010 Renftat Y3kdpfcm�um Inv** ei eri f'rerru Cve w i lnrnurn C+e; THE RESIOEMCE.PREMtSESCOVE�BY TILE POLICY IS LACATEDAT: 240 G,oNOLDD ST,W, AgNIS,MA 42609 Thy At applies to Me lass dsnte Pmm15e�_C��r (s��tlee�vAiE�`s I�rrBrr�pm oe,Llmll�f t(�bifisy ls:stta�n :'iI�®C r'a SECTK-*I CGV E$ L.II�I[Ia L11481L17Y d}REIt[1T7 -A. oft'lling 6; Oti�rSUr� tes $ 9, Pe=M prowv $96EG 4 13 LOSS of Use Sfi7$QQ SECTION II COVERAGES RF aril l ty t oc4vnwce $5Oa,00w $24 ModWI Fwwaants to Oftrs-each Person sip" TOTAL BASE 1 Iw, 1JWA DI LJOI IBLE SECTtf?N F t6O6 EXCEPT WODSTp l ANO HAIL$1,"a V j FORM$ENDORSEMENTS txwde,''er 0 tWo Policy at the ltnte et 4oe Ho 00,03 1Wffl,0 SPECIAL FORM Fto 01�0. 9iY11 SPEOAL PROVISIONS-1A AOy1ISE i FS H{)0312 1OMG WINDSTORM 0;kAR_ D 0'v6TIBLE 4360` H004 it MOD I INISES:ALA v1O 'FIRE PROTECT p"TI ;23. Grp 2% HO 04,27 4 7 LWITED FgNgt,WET 611 DRY RbT'QR CTERIA C{9VERA4 E, Se�l6n't S1Cs� IrA.04 9E 100 PER6DNAL I?116aERTY 0E0LAbb'9N T C'OST.LOSS SETTLEMENT $153 0,04.0 10.10 NO'SEGTION II=LIABILITY FW 140 ME DAY CARE COVERAGES. HO 1 10 1100 WATER EXCLU8t414 ENDORSEMENT HO.FP 12MI. SPECIALEN SIT` T 7 1 t?RMIUM ADJUSTMENT �S 1) TOTAL,ANNUAL PREMIUM $1,025 Rafer to Rene"I OffaWmmturn Involee for minlmm amount due. MORTGAGEE NATIONS?,AR MORTGAGE LLC 1SA0PJATlMA PO BOX a 72q 6FHiHQ I1 LD,Ott 45M1-TTa 0619362412 RATING INFORM710N. 1 FAMILY Frame TERRITORY 37 PROTECTION 02 6 IZU2tt:16 14:40 Dryd'n ufid,.Su116v i'n' k'bArb0-*FtuShm"arOI LRa.n 5hr�'I.��a' 3t3 0,6gw1bu N&VIFICATION SF kowm T.EIl�fi is#af, A MNOC R-OF lN5UAtal t*U fi Hl1$ TT IiO Rft�yNI JIR{` CE U) N0 ASS CIAr ON POLICY NUMBED EXP kTION i fEIC 065 $i•92 7111 01e To Rroc cer; th® ease ral OlFfe i [ur l nice l$emlosod,TIt�Insured IMS Uen nnafed'an E*ra 6 NU illf C n ,RnOftenOWal tJ rr mlum Involeer The In" liras been 1notmCi to Pay the prwnlum^dire ly to the A eaci�tian &lther earl)ree ter by tttail. In the OV frt lhatyou have ara.npd to rofnit the A on behai cif the lru3ured,payment M*be omd oo lne fjt www.r`s olua.coln Iay fell n' tl o IrEBtr*uCtIOfl3 Oh the webslteor by mal n t to e c !po tsao of ON Off rl cNciue and yqur cfitck to,tlie P,43,Boa relerehced on the Invoice..gall only ok ormInaI WetfImroice s d a .chock t+kR el:3 et COpIeSafthooffeOnvolft cannot he proonsed by so Io bort DATE: Utlf ItZO1J UMAIiOEXP,; € C?DIxCEIt ct Y 6 l r ASSURAN'T S eci lty 1. Assurant' Property Field Asset Services To whom it may concern, Assurant Field Asset Services (AFAS) is working on behalf of Nationstar Mortgage LLC, to ensure compliance with ordinances requiring vacant/foreclosure property registration in the Town of Barnstable. AFAS previously registered a property located at: ADDRESS CITY STATE ZIP 240 Gosnold St Hyannis MA 02601 This letter is to serve as notice that the property has either been sold to a new owner, the property is now occupied, and/or foreclosure has been rescinded. AFAS 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. shawn.simmons@assurant.com Assurant Field Asset Services Attn: Property Registration 101 W. Louis Henna Blvd., Ste. 400 Austin, TX 78728 Thank you.for your time and attention to-this mattes.. - � w r r� Mckechnie, Robert From: Shawn Simmons <shawn.simmons@fieldassets.com> Sent: Monday,June 06, 2016 12:44 PM To: Mckechnie, Robert Subject: Request to De-Register(Bond Refund Request) To whom it may concern, Assurant Field Asset Services(AFAS) is working on behalf of Nationstar Mortgage LLC,to ensure compliance with ordinances requiring vacant/foreclosure property registration in the City of Barnstable. AFAS previously registered a property located at: ADDRESS CITY STATE ZIP 240 Gosnold St (000306-000000-000114 - 000000) Hyannis MA 02601 This email is to serve as notice that the foreclosure has been rescinded. AFAS does not represent the 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. Bond refund request address: Assurant Field Asset Services Attn:Shawn Simmons 101 W Louis Henna Blvd Ste 400 Austin,TX 78728 Thank you for your time and attention to this matter. kA, Shawn Simmons Ancillary Services Specialist �� 800.468.1743 x 7374 Q T 512.539.7374 Shawn.Simmons@fieldassets.com #. AS5UI ANT S�i2caoity. � ASSt�'t-,ant Prcip rty< AS A C$er� F DISCLAIMER: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the sender by replying to this message and then delete it from your system. Use, dissemination or copying of this message by unintended recipients is not authorized and may be unlawful. Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of the company. Finally, the recipient should check this email and any attachments for the presence of viruses. The company accepts no liability for any damage caused by any virus transmitted by this email. This e-mail message and all attachments transmitted with it may contain legally privileged and/or confidential information intended solely for the use of the addressee(s). If the reader of this message is not the intended i W-recipitnt, you are hereby notified that any reading, dissemination, distribution, copying, forwarding or other use of this message or its attachments is strictly prohibited. If you have received this message in error, please notify the sender immediately and delete this message and all copies and backups thereof. Thank you. 2 ' 1352109135958 � I 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: N/A Section 1 —PropeM Information Property Address: 240 GOSNOLD ST HYANNIS, MA 02601-4831 Assessors Map#: 306 Parcel#: 114 Land area and description Gross Area sq/ft 2,822 Building(s)description and contents Single FamilyJ2 Bedrooms IBathrooms 1 Full 1 Story ITotal Rooms 6 Roomsj Built in 1958 � Ge Occupied: Y Occupant(s)(if borrowers so state and include name(s)) LUNN, DANIEL E c/o Nationstar Mortgage LLC codeviolations@nationstarmail.com vpr@fieldassets.com Phone: 800-468-1743 email: other: t Vacant: Date: Anticipated Length of Vacancy: a Last occupant(s))(if borrowers so state and include name(s)) LUNN, DANIEL E c/o Nationstar Mortgage LLC Phone: 800-468-1743 email: codeviolations@nationstarmaii.corbther: vpr@fieldassets.com 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 Party Information Foreclosing Party (full name/title) Nationstar Mortgage LLC Foreclosure Case Court: N/A Docket# N/A i 13521091 35958 3 Date filed: 8/21/2013 Current Status: Post-Filing Foreclosure Foreclosing Party's representative(s)for property (entry, management,repair, etc.)(name,title,): Paula Acosta Company(if different from foreclosing party): Assurant Field Asset Services Address: 101 W Louis Henna Blvd., Ste 400, Austin, TX 78728 Phone: 800-468-1743 email: vpr@fieldassets.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: Jeff Stranger Company(if different from foreclosing party): AFAS c/o JS Property Maintenance Address: 443 Skunknet Rd, Centerville, MA 02632 Phone(s): 774-487-4566 email(s):vpr@fieldassets.com other: N/A Name, title, other: N/A Company(if different from foreclosing party): N/A Address: N/A Phone: N/A email: N/A other: N/A Attorney representing foreclosing party N/A Firm name (if different from attorney's name): N/A Address: N/A Phone(s): N/A email(s): N/A other: N/A I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapt 224 of the Code of the Town of Barnstable. Date: 11/24/2014 Name: Roib . Brown Title: AFAS Authorized Agent 1352109135958 y 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 LICENSE OR Liberty Mutual Surety 450 Plymouth Road,Suite 400 PERMIT BOND Plymouth Meeting,PA 19462 I Bond 016062030. i LICENSE OR PERMIT BONA KNOW ALL BY THESE PRESENTS,That we, Field Asset Services, LLC as Principal,and the Liberty Mutual Insurance Company >a Massachusetts corporation, as Surety,are held and firmly bound unto Town of Barnstable, MA I as Obligee; in the sum of Ten Thousand and No/100----- Dollars($ 10,000.00 ) for which sum,well and truly to be paid,we bind ourselves,our heirs;executors,administrators,successors and assigns,jointly and severally,firmly by these presents. Signed and sealed this 21 st day of. November 2014 THE CONDITION OF THIS OBLIGATION IS SUCH, That WHEREAS,the Principal has been or is about to be granted a license or permit to do business as 240 Gosnold Street, Hyannis, MA 02601 by the Obligee. NOW,Therefore,if the Principal well and truly comply with applicable local ordinances,and conduct business in conformity therewith, then this obligation to be void;otherwise to remain in full force and effect. PROVIDED,HOWEVER; 1.This bond shall continue in force: ❑ Until or until the date of expiration of any Continuation Certificate executed by the Surety OR ® Until canceled as herein provided. 2 This bond may be canceled by the Surety by the sending of notice in writing to the Obligee,stating when,not less than thirty days thereafter,liability hereunder shall terminate as to subsequent acts or omissions of the Principal. Field Asset Services, LLC Principal By Libert Mutual Insurance Company, By C. L -Ann Kleidosty Atto ey-in-Fact S-0908/lM 10106 XDP 1-HIS PDWER OF.ATTORNEY.IS NOT VALID UNLESS IT IS.PRINTED ON RED,BACKGROUND. TFs Pov.er of Attorney limits the acts of those named.herein,and they have no.authority to bind the Company except in the manner and to the extent herein stated. Certificate.No.6680238 American Fire and Casualty Company Liberty Mutual Insurance Company,The Ohio Casualty lnsurance Company WestAmencan Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire that Liberty Mutual lnsurance:Company is a corporationduly organized under the laws of the State of.Massachusetts,.and West American Insurance Company is a corporation duly organized under thelaws'of the State_of Indiana(herein collectively called the.'Companies"),pursuant to and by authority herein set forth;:does hereby name,constitute and appoint,- Brooke A.Knowles:Chaun M.Wilson` D-Ann Kleidosty Gary D"Eklund;Sharon J Potts•�Sylvia M Oafe•William G Mood ' all of the city of Atlanta , 1. state o1.f GA' each individually if there be mom than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance.of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the:secretary of the Companies in their own proper persons.' IN WITNESS WHEREOF,this Power of Attome has been Subscribed i y ed by an authorized officer or official of the Companies and the corporate seals of the.Companies have been affixed thereto this 12th dayof August 261411",777777 777. ayo c �; R� American Fire and Casualty Companyv tr .; a.� �•n �/. ` s/; The Ohio Casualty Insurance Company, o ! R bra t�0�.::►o �; 9i3 .jy { ':'912 �' 1g91 = Liberty Mutual Insurance Company e� West American Insurance Company BY w� co STATE OF PENNSYLVANIA 'Ss- David M..Care 16istant Secretary C :L COUNTY OF MONTGOMERY 'aim d.Co On this 12th day of August 2014 before me personally appeared David M. Carey,.who acknowledged himself to be the Assistant Secretary of American Fire and W . b�:a) Casualty Company,Liberty Mutual Insurance Company,The Ohio Casualty lnsurance Company;and WestAmerican Insurance Company,and that he,as such,being authorized so to do, .v p" execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized offcer. m ua C w,> IN WITNESS WHEREOF,I have hereunto subscr' d,m,$�.name and affixed my notarial seal at Plymouth Meeting;Pennsylvania,on the day and year first above written. O 0- d_3 4 i ty ALTH OF PENr�SYLiJAi�1A Q Q cr�r ,orvvt �� Ad O g0 C 0 $ rs y n t.ran a gam yin +y Y L (] L w L O :1y t c ia'ctt 28.2C17 f!i S{JI X 3- l . d.0 ... Teresa Pastella Notary Public e .,.'�:e e,Re�rssr a a o44� �e 0.'E c> This Power ofAttorney is made and execute p r i a ithority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance N p ai w Company,Liberty Mutual.lnsurance Company,a d 7es Al n Insurance Company which resolutions are now in full force and effect reading as follows: s Q L ARTICLE IV-OFFICERS—Section.12.Power ofAttorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O.C a) to such limitation�as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as maybe necessa to act in behalf of the Corporation to make,execute,seal, 0 j 0;E acknowledge'and deliver as surety any and.all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective 3 r powers of attorney,shall have_full power to bind the Corporation by their signature and execution of any such.instruments and to attach thereto the seal of.the Corporation. When so w p executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative orattorney-in fact under >.0 the rovisions of this article may be revoked.at anytime b the Board,.the:Chairman,the President orb the officer or officers rantin such power or authority. P Y. y Y 9 9 P �00 •m = ARTICLE XIII=.Execution of Contracts SECTION 5 Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, , w L and.subject to such limitations as the chairman or the.president may prescribe,shall appoint such_attorneys=in-fact,as may be necessary to act in behalf of the Company to make,execute, o seal,acknowledge andrdeliver as surety any and all undertakings;bonds,recognizances and other surety obligations: Such attomeys-in-fact subject to the limitations set forth in their c 0. Z respective powers of attorney;shall.have full power to bind the Company by their.signature and execution of any:such instruments and to attach thereto the seal of the Company. When so ca executed such instruments_shall be.as binding as dsigned:by the president and attested by the secretary. v Certificate of Designation-The President of the Company,actin ursuant to the Bylaws of the Company,authorizes David M.Care Assistant Secrets to appoint such attorneys-in- ,-fact. t.e P Y 9P YY ry PP as maybe necessary to act on behalf of the Company make,execute,seal,acknowledge and deliver as'surety any and all undertakings,bonds,recognizances and other surety obligations.. Authorization`-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanicallyreproduced signature of an assistant secrets of the Y secretary Company,wherever appearing.upon a certified copy of any:.power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed Gregory W.Daven ort,the undersigned, g ry P g Assistant Secretary,of American Fire and Casualty Company The Ohio Casualty Insurance Company;LibertyMutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is L.a full,true and correct copy of the Power of Attorney executed by.said. Companies is in full force and effect and has not been revoked f�- '^. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this "day of 207. �_ - (qk'e tQ`J�4�.i „/?/�.vz'a',"`�'S,Y ,�J y;�.�ati�aa✓ F� ��r�✓� - _. '. - 1905 t0 > i912 7 r,. .i991 is BY .; 1A, Gregory W.Davenport,Assistant Secretary . y r+F..s"`•2*a .''1y S'.� -bi 1'is- 2 ?i t.V _ LMS_12873 122013 lap of Goa _ -- I-7 3251 , r 0/� •.. aA lJ� TOMVo N zsA I � '��K/�/ED.�S .ter �,�.$.. �b'•oG. I� 2ilx lob El I / 'El E I sl'ofgG_ 2hX/� Ile .S'IM PSCu � GIkR• i �B bG r•I O o $f sarLr3' I • I SMOKEREVIEWED DET - �- 4 - t xc cat , 3 A�GK IaDE ', A B �ILDINGEP�l DATE 7a'y. L prZ:xrz ' 8 FIRE DEPARTME IT BOTH SIGNATURES ARE REQUIRED FOR PERMITTING _ --- , pcyW do.p• .—.._.___....:..... ... �O1Lct/�•-------- w,//' �,�y iJoor� _ ClLS2?..PG eJ� pNe .pn I clN6STe�!}rea TyP�Ga�• M `7 6X G24DF x r 99r � Br 4x4 ti7/✓ L eta•. 9��,. „c_ , Q . � RANI{D.:CIAMBRISLLO (•BUILDER WILL VERIFY ALL DIMENSIONS PRIOR TO CONSTRUCTION. 3 774353.6�� OF AR091M '_...,,_._ , ena�r@w'1Awjx PxDCE4I0NAL :L,SOML DIMENSIONS MAY VARY, FIELD CONDITIONS WILL PREVAIL O �'L c 17 ! J j7 AS LONG AS THE STRUCTURAL INTEGRITY IS NOT AFFECTED. _._ __ _ ...._..._.......__._—._ )o6MNtl �O OF A S f lil'C I ORAL(HANG LS MI ti i'BF APPROVED 13Y SEA&B `!/ . f NGINI L RING 4.WINDCIW&DOORSILES TO BE VERIFII:.D BY BUIL1)ER PRIOR TO CONST Rl,'C"LION. —_.._ ........................ I ! i . I e 1 E ST21f}rep _...— PhNOOD POR c/y dB 94 /V6WN//NDow Ell L.4N0/KG n �JrB L A65 H/ ';' i .. PT Z C/o,./L•OL _1_.�..N/ASH E.CS _� .�a!L 1 1 'y LX6.. 6j ♦O� .cy+- '-ram/4/ 2g xr z — — RANK D..-�7AMBRIHLLO. .. _ ! / „ S -/_�' soa jes zaa6 o.ndw, ease 774353.6329 c= OF A0.0RiECM j TAOAM�Cr IGlf.pIIT PRD°"°�uAL MOUCAM 501 MDeQT.►OAD INSTRUFE Of DfNNY.1(A D]b98 AROIREm _.. 2Qt_y— I I+ i \\\ - . Tv �it✓23• � / % I O / 1/ S2-s fe.9An/.✓G rn ac AGCOVE j". /Sor � o _ .. coy- _ N ° i i .Tvve i2 oc-a 6/+y I ,QX 1+ S fFilil rI s j x a'GACi - / _Sz LS � _. N yr OS / fr owuE .. C R 5 A. C"o6/ ac71eme ADOBE SS Z4 C T,O (-05"OG 3 fib K�Jt�P!JR'.'" M /_�d _ YY. �`/ rl / DESIGNS BY L}x>:w `r{ DATE FRANK D CIAMBRIELLO 7E• l 508 385 226E of IceMx- BOi'GN'-,OCTTY 774.353.6329 cEu OF ARCHITECTS, j BSA T'ACIAM@COMCAST.NET PROFESSIONAL qqq AFFILIAT:AM-RICAN ".302 SE'M—T ROAD INSTITUTE OF DENNIS,MA 02638 /y ......_ !ARCHITECTS_....._. p i ,I I' I i S 73 Sr 4� a`a' ��o dra'd. S'TOYE ei�n B L� ltUoi/1 4" /4-01� S� rua y� _. off :_• - Z-y? za(W N sI i h Jazz D M...A;7c- :Pzys.oR M�Nv r - �2's" �viL9c/z :.To IVF.z ry ,9e�o� ro CoN�r'2�TlON AUORESs 240.• oS FlOC� s SCALE _ DESIGNS BY NO,+<jne /a DATE FRANK D. CIAMBRIELLO I - �4 - A. S08.365.22GG - BCSTON SOCIETY _ r 7A4,353.G329 cEu OF aa""T"Ts, BSA CIA.a@COMCAS`NET PROFESSIONAL A l`•/~—`_ "jDi SETVCKET ROAD AFFILIATE AMERICAN INSTITUTE OF DENNIS,.A026j8 `. ARCHITECT$._.........., D . i I i 0 — l PAw000. 1 ��LND/N 6i v - $�28' NDOW -Ttbt Twz4 46AM�tW� . R7yEJN. T _ ! 1 2=bK4=O' � � Jp'6�t r c 1 • 1'f /7tCovC Dw sr.l✓_ O-� 9 /3�/0� `� to M BMIr OF/Ii� TL_5 0F. � o Do oe- I N j SHtar_F. I� � � �-T.a t f/�► r,. I Vv 5 FcuS.H - - nexsr, N r I \- ;401w i r eta Re e -- .I ' b _. /IZEF/IdvE � s XY TD BL 7wsoae-Tw e -- btiIFGLS Cam/Gi<T6: _ y� �d- •4 O .. r p• 4= fQ„ �•� '1P sy - I�/1/�I7LCDS V/_Cl- CUN`ST2C7:C.T!alJ ATILIWt , PM,4*14-y��` / FRANK D.:CIAMBRIELLO _. 398.38S.2I660ntcdeeR BOYM SOCIM 774a53.6329 ac ALoci I nam. csr.>Rr AFR hw uM boa atooar•w,n 26TRM OF node.HA 02618 AROMEM /�� E /sF0 f//esr FGoo,e. .�