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HomeMy WebLinkAbout0049 JENNIFER LANE GJI, 4 Sudarcity January 3, 2017 Town of Barnstable 1 ATTENTION: BUILDING DEPARTMENT. x o 200 Main Street Hyannis, MA 02601 RE: 49 Jennifer Lane, Hyannis Permit Nos.: B-16-1978 E-16-1408 Our Job No.: JB-0263170 NOTICE OF CANCELLATION This letter is to certify that our proposal to install Solar(PV)at the above- referenced property has been moved into a cancellation status. SolarCity Corporation and Larissa Vieira will not be moving forward with the proposed installation at this time. If you have any questions or concerns,please don't hesitate to contact me. Thank you for your attention to this matter. Sincerely, CheryCGruenstern Cheryl Gruenstern Permit Coordinator Direct Line: (508)640-5397 cgruenstem@solarcity.com 112 Great Western Road,South Dennis,MA 02660 T (888)SOL-CITY solarcity.corn AL 05500.AR M-8937.AZ ROC 243771/ROC 245450.CA CSLB 888104.CO EC8041.CT HIC 063277B/ELC 0125305.DC 410 514 0 0 0 0 8 0/ECC902585.DE 2 0 7112 0 3 8 6/T1-6032.R EC13006226.HI CT-29770.IL 15-0052.MA HIC 168572/ EL-1136MR.MD HIC 1 2 8 9 4 8/11B 05.NC 30801-U.NH 0347C/12523M.NJ NJHIC7113VHO6160600L34EB01732700,NM EE98-379590,NV NV20121135172/C2-0078648/B2-0079719.OH ELA7707.OR CB180498/C562.PA HICPA077343.RI AC004714/Reg 383t3.TXTECL27006.Ui 8726950-5501.VA ELE2705153278. r EM-05829.WA SOLARC•91901/SOLARC•905P7.Albany439.Greene A-486.Nassau H2409710000.Putnam PC6041,Rockland H-11864-40-00-00,Suffolk 52057=H..Westchester WC-26088-H73:N.Y.0 N2001384-0CA SCENYC:N.Y.C.Licensed Electrician.N12610.p004485.155 Water St 6th Fl..Unit 70.BrooByn.NY tI201 N2013966-0CA All loans provided by SolarCity Finance Company.LLC. CA Finance Lenders License 6054796.SolarCity Finance Company,LLC Is licensed by the Delaware State Bank Commissioner to engage In business In Delaware under license number 019422.MD Consumer Loan License 2241.NV Installment Loan License ll.11023/IL71024.RI Licensed Lender N20153103LL.TX Registered Creditor 1400050963-202404XI'Lender Llcense N6766 Town of Barnstable - _ Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted { Until Final Inspection Has Been Made. Permit �J t63A r rdr' ;Where a Certificate of Occupancy is Required,-such Building shall Not be Occupied until a Final Inspection has been made. Permit NO. B-16-1978 Applicant Name: Cheryl Gruenstern Map/Lot: 270-123 Date Issued: 07/21/2016 Current Use: Zoning District: RB Permit Type: Solar Panel-Residential Expiration Date: 01/21/2017 Contractor Name: SOLAR CITY CORPORATION Location: 49JENNIFER LANE,HYANNIS Est. Project Cost: $7,000.00 Contractor License: 168572 Owner on Record: TOMASIAN,KENNETH P Permit Fee: $90.00 Address: 301 WEST MAIN ST APT 8 Fee Paid: $90.00 HYANNIS, MA 02601 Date: 7/21/2016 Description: Install solar panels on roof of existing house,with.any upgrades,if applicable,as specified by PE in Design;To be interconnected with home electrical system. 2.915 kW 11 Panels JB-0263170 Project Review Req : Install solar panels on roof of existing house,with any upgrades,if applicable,as specified by PE in Design; To be interconnected with home electrical system. 2.915 kW 11 Panels JB-0263170 Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing 2.Sheathing Inspection 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 - 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. "Persons contracting with unregistered contractors do not have access to the guaranty fund",(as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT I"E'° Town of Barnstable : - B"""�"'B1� ' Building Department- 200 Main Street �oM Hyannis, MA 02601 Tel. (508) 862-4038 - _ Certificate Of Occupancy Permit Number: B-2014-08674-1 CO Issue Date: 2/26/2016 Parcel ID: 270_123 Zoning Classification RB Location: 49 JENNIFER LANE, Proposed Use: 1320 HYAN N IS Gen Contractor: DONALD CASSIDY Permit Type: New Construction - 1 or 2 family Residential Comments: 1 bed deed restricted 2/26/2016 9:30:11 AM Building Official Date: TOWN OF BARNSTABLE Buildin tME g 201408674 BABNSTABLE, *` Issue Date: 02/05/15 Permit MASS. 1639. ��� Applicant: WOOD DAN prFo�s � Permit Number: B 20150240 Proposed Use: UNDEVELOPABLE LAND Expiration Date: 08/05/15 Location 49 JENNIFER LANE Zoning District RB Permit Type: NEW SINGLE FAMILY HOME Map Parcel 270123 Permit Fee$ 484,50 Contractor PROPERTY OWNER Village HYANNIS App Fee$ 100.00 License Num OWNER Est Construction Cost$ 95,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ONE BEDROOM SINGLE FAMILY HOME 1ST EXTENSION EXPIRES 1/2/1*HIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record:.CONNORS,JOHN J TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 3 AARON ROAD INSPECTION HAS BEEN MADE. LEXINGTON,MA 02421 Application Entered by: PF Building Permit Issued By: _ THIS PERMIT CONVEYS NORIGHT TO OCCUPY ANY:STREET;ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY 6.R PERMANENTLY.:ENCROACHMENTS ON PU C,PROPERTY;NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE'APPROVED`BY THE.JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUB SEWERS�MAY.BE OBTAINED'FROM THE DEPARTMENT OF PUBLIC WORKS:-THE ISSUANCE OF THIS PERMIT;DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF.ANY APPLICABLE SUBDIVISION' RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). � . � .s. , ti as® ®I lull , 4 ,y z+ BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ��--►z-isµ Fyox F k� 2 2 � 01 3 1 Heating Inspection Approvals Engineering Dept 1 � Fire Dept 2 Board of Health I Building Air-Tightness Test Form . Customer Information: Building&Test Conditions: Name: ,��� 10 W451A`L/ Address: 94 6.&? 4-luo Awe- °� -- Date: Z f Z3 11 6 City: r y� 11 s State/Zip: O 60 / Phone: 6708) y3Z -,37Q(, Time: z` 3 O QNt Email: Building Address: (if different from above) ex Gfiy� Floor Area (ft'): / 7/u� Fi z Street: 7&,_�f City/State: /-/O+/)S Comments: /IfAfift-j STitiw��h Lt�� %cv2>9 cr BUILDING DEPT. FEB 262016 TOWN OF BARNSTABLE Test#1 Depress: V Press: Test#2 Depress: Press: Pre-test Baseline Pressure: —1 16 (Pa) Pre-test Baseline Pressure: V,+ 2 (Pa) Bldg Press. Flow Ring Fan Press Flow Bldg Press. Flow Ring Fan PressNF (Pa) Installed (Pa) (drn) (Pa) Installed (Pa) 9. 6 6 - 50. 6 3✓ ^ 9 , orb, I si= y3 sv i 5' a3 Post-test Baseline Pressure: e 1 (Pa) Post-test Baselineplfessure: .3 (Pa) Fan Model/SN: Ai.✓�✓nl f30907 Fan Model/SN: Results: Results: CFM50: �//�JJ�d CFM50: ACH50: 2,6 Z 4CK s-m ACH50: 2, D L /ICfi SG HERS Rater Name and Cert.#: f/��5 �A�/C:L �i 35 7 77 HERS Rater Signature and Date: 2 2 3 G- Developed by Advanced Building Analysis,LLC Commonwealth o F-Issachusetts t etal Permit 10/28/15 0 2015 Date: C� 3 Permit N�k%sl Estimated Job Cost: $ 875 M— Nitj® Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# 141 Applicant License# 1226 Business Information: Property Owner/Job Location Information: Name: Balanced Hvac Inc Name: TOMASIAN RESIDENCE Street: 15 Jan Sebastian Dr Street: 49 JENNIFER LANE City/Town: Sandwich Ma City/Town: HYANNIS MA Telephone: 02563 Telephone: 508-432-3726 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initi J-1 /M-r-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family * Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: INSTALLATION OF ONE 925SA4206OE17 NATURAL GAS FURNACE. INSTAI I ATION OE ONE 113ANA024 01 ITDDOR CONDENSER ALL GALVANIZED TRUNK DUCTWORK AND FLEXIBLE BRANCH RUNS. f INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes❑ No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy 0 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 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box®,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By ®Master Title ❑Master-Restricted S City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: 1226 Fee$ ❑ f Check at www.mass.gov/dpl Inspector Signature of Permit Approval i�► ALTH OF M� S�OHUSf� 0 0 a BOAR: 10F SHEET NIiMfAL WORKERS ISSUES THE,FOLLOWING LIENSE AS A: t : ...VASTER UNRE.STI?ICTED.- ;� 2� LINCOLN T.STUBBS >,>: >: BALANCED HVAC,INC 15 JAN SAGAS.. DR o SANDWICH,MA 02563 234 :0712812017. 1466 1226 .::. ch Along All Perforations COMMONWEALTH OF MASSAONOSETTS SHEET;; METAL'WORKERS ISSUES THE FOLLOWING LICENSE AS A BU51 RESS � L:IrN;GOLRI T STU895 t s A LAW CED HdA`C 1 NC 15 JAN SESAST I AN=>.p.R---. S-A.'DW1 CH A 02563 1. 3 2/0.�/16 359o3b an '9' 1 to I i17 6 s6 FA$�$r 1V1 HUSETT,S�-.�- ' - LI90' MA 9a END NUMBER 07- 1205-N0, `556562730� e :.. + an E 2a2ok "197T { {ate ty L�dN OHN EWER ROAD SANDWICH MA;02563 /`S DD 07 T9 T015 Rev U iSp09 I Town of Barnstable Regulatory Services Huss Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A wilder 51 6-AJ ,as Owner of the subject l property hereb authorize `rl. ri ct c4 � rq<- y �� to act on my behalf, in all matters relative to work authorized by this building permit (Address of]ob) **Pool fences and alarms are the responsibility e onsibili of thPPlicant. Pools a are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name C O Date :FORM&OWNERPERMISSIONP00 Q LS A� 10/28/201201® CERTIFICATE OF LIABILITY INSURANCE /YYYY) 0/25 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PAYCHEX INSURANCE AGENCY INC ONE A ,No Ext: 877 362-6785 A No): 877 677-0"7 150 SAWGRASS DR E-MAIL ROCHESTER,NY 14620 ADDRESS:paychex@travelers.com (877)362-6785 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT INSURED INSURER B: - BALANCED HVAC INC 15 JAN SEBASTIAN DR STE E1 INSURERC: SANDWICH,MA 02563 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 516765218111103 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea ocaurence $ MED EXP(Any oneperson) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ❑PRO- ❑ POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY (Ea acl NED ident)INGLE LIMIT c $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ J UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATION NIA UB-7348P140-15 03/01/2015 03/01/2016 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED' (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION THE TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HYANNIS,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (/' � • ��✓ II ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD f The Commonwealth of Massachusetts De,partynent of lndustrial Accaidents Office of lnvestdgatdons 600 Washmgton Street Boston,MA 02111 www.ma&Lgov/dda Workers' Compensation Jnsurance Affidavit:BuiliderslContractors/Fkectridanss/Plumbers Avvhcant Information r " Please Print Le ' i Name(Business/Orgavinfion/lndividual):. �- 19 cTit V •Address: City/State/Zip: Phone.#: CFCs-- e2 c'' 0 7 AFI an employer?Check the appropriate bog: a of act r 4. I am a enteral contractor and I � � ( ��d) : 1. m a employer with� � g 6. ew construction . employees(full and/or part-time).*. have hired the sub- contractors 2.❑ I am a-sole proprietor or partner- hmd on the-attached sheet 7. ❑Remodeling shill and have no employees These sub actors have 8. ❑Demolition ; and have workers' worlang for me in any capacity. � employees $- 9. []Building addition [No workers'comp.insurance comp•hfstuance. required.] S. ❑ We are a corporation and its 10.❑-Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised then 11.(]Plumbing repairs or additions ' myself[No workers'camp. right of exemptian per MGL 12.❑Roof repairs tad.]t c. 152,§1(4),and we have no insurance employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that cbecks box#1 mast also fill out the section below showing f ie workers'compensation policy information. t Homeowners who submit this affidavit indicating dray ate doing aR work and then hue outside contractors must submit a new affidavit indicating such. tcontractars that check this box must attached an additional tdtent showing the name of the sub-contrad nrs and state whether or not those entities have employees. If the sub-contracbaas have employees,they mustpravide their wo*=1 corq-policy number. I am an employer that is providing workers'compensation insurance for nay employees. Below is the policy and job site information. Insurance Company Name: i-e0e (—S Policy#or Self ins.Lie.#: �' ���� Y 0 — ExpimtionDatr: 3LO 0 ) tP Job Site Address: J Qn n e �'� �Ji dlJ<e City/State/Zip: 1J!4A ',?;S- f�/4 Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORT:ORDER and a fine of up t D$250.00 a day against the violator. Be advised that a copy of ibis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 16 hereby certify under the pains and penaYtaes of perjury that the infortrration provided above is true and correct Sigaatur 4�.�-� Date: Phone M. j S— ®Jficial use only. Do not write im this area to a cotrrp y city o-town off IciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Dnspector 5.Plumbing Inspector 6.Other Contact Person: -Phone#: f Page 1 Residential Heat Loss and Heat Gain Calculation 10/28/2015 In accordance with ACCA Manual J Report Prepared By: Balanced HVAC Inc For: Tomasian 49 Jennifer lane Hyannis, MA Design Conditions: Falmouth Indoor: Outdoor: Summer temperature: 70 Summer temperature:p95 Winter temperature: 75 Winter temperature: 0 Relative humidity: 50 Summer grains of moisture: 94 Daily temperature range:Medium Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Duct 0 0 0 2,078 Floors 0 0 0 2,220 Walls 2,318 0 2,318 6,079 Ceilings 697 0 697 1,066 People 600 460 1,060 0 Fireplaces 0 0 0 1,331 Misc 1,200 0 1,200 0 Windows 8,180 0 8,180 6,545 Doors 474 0 474 1,242 Glassdoors 1,800 0 1,800 1,860 Skylights 0 0 0 0 Infiltration 3,098 2,988 6,086 21,207 Whole House 18,367 3,448 21,815 43,628 ( 2 tons ) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences. �� 1s J2n✓t r �� 1 E i I nREPRESENTATiVE CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),.AUTHORIZ OR PRODUCER,AND THE CERTIFICATE HOLDER- rsed.If SUBROGATION IS WAIVED,subject to the terms and conditions IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endo of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: PHONE �o): (A/C,No,Ext): _ App11Hd Risk YnsurancH SHrviCHs, Inc. E-MAIL 10825 Old Mill Rd ADDRESS: Omaha, NE 68154 PRODUCER iINSURERMF: " ID# (877)234-4420 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Bruce WilCcx, LLC : 2 StOnefield Dr : East Sandwich, MA 02537-1016 : CTL 1273 1080644 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 ADDL SUBR POLIC FF POLICY EXP LIMITS Y E LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYY MM/DD/YYYY EACH OCCURRENCE $ GENERAL LIABILITY ❑ PREMISES DAMAGE RENTED $ COMMERCIAL GENERAL LIABILITY PREMISESS((Ea occurrence) CLAIMS OCCUR MED EXP(An one erson $ MADE PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'LAGGR EGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY PROJECT OLOC ❑ A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY ❑ (Ea accident) $ ANY AUTO BODILY INJURY Per arson $ ALL OWNED AUTOS BODILY INJURY Per accident $ SCHEDULED AUTOS PROPERTY DAMAGE H (Per accident $ HIRED AUTOS NON-OWNED AUTOS $ I EACH OCCURRENCE _ $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAB CLAIMS-MADE ❑ El - DEDUCTIBL�` $ RETENTION $.: WC STATU- OTH- WORKERS COMPENSATION TO Y LIMITS ER AND EMPLOYERS'LIABILITY Y/N E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/A EXECUTIVEOFFICER/MEMBER N/A® 4 6-8 4 3 7 6 3-0 1-0 5 10/28/2015 0/28/2016 EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100 000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ SPECIAL PROVISIONS below VE ❑ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach Acord 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE XPIRATION E DATE THEREOF,NOTICE WILL BE DELIVER Fan `j1QBa>;13T1 ED IN ACCORDANCE WITH 96 d eenWOOd Ave• THE POLICY PROVISIONS. Hyannis, NA 02601 AUTHORIZED REPRESENTATIVE � -� 1783118 ©1 B-2009 ACORD CORPORATION. All rights reservt ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD _ACC® CB P FDATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE R022 /2/2015 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATIONIS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PAYCHEX INSURANCE AGENCY INC (AIC,No,Ext): FAX (888) 443-6112 210705 P: F: (888) 443-6112 E-MAIL o'ESS: PO BOX 33015 INSURER(S)AFFORDING COVERAGE NAICN SAN ANTONIO TX 78265 INSURERA: Twin City_ Fire Ins Co 29459 INSURED - INSURER B: INSURER C: A AND E FORMS, INC. INSURERD: 32 GENERAL HOLWAY RD INSURER E: SOUTH YARMOUTH MA 02664 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 ADDL SUER POLICYNUMBER POLJCY EFF POLICYEXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g CLAIMS-MADE F]OCCUR DAMAGE TO RENTED $ PREMISES R occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PRO LOC PRODUCTS-COMPIOP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS - HIRED AUTOS NON-OWNED (Pe accident) PRPERTY $ AUTOS S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ $ DED RETENTION$ WORKERS COMPENSATION X PER OTH- STATUTE I ER AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN - E.L.EACH ACCIDENT $5 0 0,0 0 0 OFFICERIMEMBER EXCLUDED? ❑ A (Mandatory in NH) NIA 76 WEG KZ1964 04/04/2015 04/04/2016 E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $rj 0 0, 0 0 0 DESCRIPTION OF OPERATIONS below DESCRIP77ON OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ken Tomaslan AUTHORIZED REPRESENTATIVE ` 96 GREENWOOD AVE _ HYANNIS, MA 02601 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ! 1 A iv� ! ch LOT G 10,426±-Sa.tt. A55E550R5 DAl A:2.70-123 �FERENCE PLAW, 29$-26 ;s 5015DIV15ION'i_OT 6 �. ego � FEMA DATA:7.ONE°X° { F4A'#. 25001 C05GGJ MAF DATE:JULY 16,2G!t ZONING D15TRiGT Ri3 OVERLAY DiSTRtCT:.VJP 4 ZONE 11 O 5JILD(NG 5ETBACK5: MONT 29 0 40 80 51DE AND REAR !0' Feet -CALE ;° = tG r HEREBYCE97iIFYTtlAT,TOTrEDE5T:OFMY MU.N.DATIQN CERTIFICATION PLAN e -,f`t^v'r'd1EDGE,BASED ON AN NS':R!JPRENT 5 ,Y ..� 7t rrj�� Q ?Q_'AR1C FOR THE 5TP..UC-JPE5 5hCYWN, HERE01v'ARE THEYEXI5T0tiTHEGROUND. ST PHEN #49 JENNI.FER LANE ^+ 0 DOYt 5tepher, J. Doyle A5500late5 af�1lO:_37559 42 Canterbury Lane,Ea5t Falmouth, MA 0253G Te-..eprone: 505 540-2534 sjcd5urvey@aol.com r S. i1F °% DATE:5EPTEIMBER.25. 20 i 5 SCALE: 1"_ 40'- . F . DATE(MMIDDNYYY) A�V CERTIFICATE OF LIABILITY INSURANCE 9/10/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Danielle Rice NAME: THE ROWLEY AGENCY INC. PHONE (603)224-2562 FAX.No:(603)224-8012 139 Loudon Road ADDRESS:drice@rowleyagency.com P.O. BOX 511 INSURERS AFFORDING COVERAGE NAIC# Concord NH 03302-0511 INSURER A:Firemen's Ins Co of Wash. DC 21784 INSURED INSURER B: D.R. Cassidy Company, Inc. INSURERC: 78 Hillhaven Road INSURER D: INSURER E: Manchester NH 03104 1 INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 General Cert 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 ADDLISUBRITYPE OF INSURANCE iNsn wyn POLICY NUMBER MMIDD�YY FF MM/DDT LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 250,000 \_ A CLAIMS-MADE PREMISES Ea occurrence $ CPA003616328 11/10/2014 11/10/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC - PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: I 1 $ AUTOMOBILE LIABILITY . COBINED SINGLE LIMIT EaM accident $ 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CAA003616427 11/10/2014 11/10/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED Pe OPERTntDAMAGE $ HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ HDED RETENTION $ WORKERS COMPENSATION WCA003616526 X AND EMPLOYERS'LABILITY STATUTE ER H ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 3A States: NH, MA E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? [jy] N I A A (Mandatory in NH) Excluided: Donald Cassidy 11/10/2014 11/10/2015 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project Location: 49 Jennifer In. , Hyannis, MA 02601 CERTIFICATE HOLDER CANCELLATION ktomasian@gmail.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ` Mr. Kenny Tomasian THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 95 Greenwood Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Danielle Rice/DJR ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 nmami TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ZL Application # I vS Health Division Date Issued 'V7-2 �1n�/�� Conservation Division Application FeeLIN V Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street' �Address ! vY1 P1 + �`� a i y1� a Village C�q&V\,cn c ® 2_6 q I Owner ktyy V1 gAa 17. �® �S j av% Address n 6LV Telephone 60 S- /q Fly&n n �S j4 d 2 6 Permit Request t� "It&�4 Ax a- G� Square feet: 1 st loor: existing 9roposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) - U) 3 Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: L Yes �(a No I Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new 3 — Number of Bedrooms: existing _new d Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ' An-a5 + f� 1� Telephone Number �6�- `j� 2- -3 7 Address q 6-rzR-Y)ioo a.t/&" License # Vl S a 2-6 6 Home Improvement Contractor# Email i a n(P_z !q Y►�o.`+� •C6 vv-%. Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. .77z-e CominoTnrealth o,-Massadiusetts Deparanrerit of Industrid Accitlerds # 600 Mash-higion Street M. Boston,MA 02 UI s-PYn-v mas&gvv14ia Workers' CumpensafranInsur=ceAffidavit Buflder-JCuntmct-urslElect icians(Phmabers Apph;cantInfGrm,afrGn ( �-p PleasePxint�e��ly Na=(B.usiaessio g=h3tianJlnr3F idaaiy-�Y1 Y � 11'� T 8 f V-%as�10.1n Address: Co (T YZ,e—VX woo ' 44,VJ& t'CitylState-Mg= Q,v1 n-I < M Atl 2,66 I Phan � Are you an employer? eckthe-appropriate b Type of project(required),: general.contractor and I 6. ❑New construction T_El I am a employer with am a b employees CRTII auWas part-time).* have hired.the sub-contractors 2.❑ I am a sole pmpzetor orpartner- listed an the attached sheet, �. ❑Remodeling ship and have no.employees These sub-contractors have. 8.•❑Demolition w a fOfMe_ nan c erTloyees and havewodcers' Y Capacity_� 9. El Building additiau ENDtv- orlcers' comp-insurance comp_insurant�I' 10_ Electrical r or additions requked] ' 5. ❑ We are a aorporafion and its �s 3.❑ I am.a homeoumer doing all work officers have Exercised their 11_❑Plumbingrepairs or additions myself[No.uatkecs'camp- right of'exeaF -on per i1fGL 11_❑Roof repairs insurance required]i c.152,§1(4,and we have no, employees-[Nb workers' 13-❑o fier comp.insurance required-] •AMYapplicantt5stcherksboxiE1-nnstalsofilloutthesectiaabgowshavingdieirwo&ers'compersatioapohcyiaforma m �Iiamevvrflersuhdsubmitriiisaifidats;rrrsr;ngare+iain;alLwoahan$t5�l�autsidecontiactnrsmnstsabmrtanewaffidaEstindicabnosacli , Jc-utractors1hat the 1-this box mmt sttached=2adibansl sheet s"fioniag'then of the snt�-courschia sad states whether ornot tbnse emdtiesbave f en3pio3eEs.Ifthesub-contactnfsheve employees,they nnistpmv-idetheir uvrkerOcamp.poHUmimb'er- - I1LI1F QTF ell[pL��l•f7Fatis pratz�iirlg yvarkets'coFrzperrsQizalt irtszlrQrFca fvr ra}*enrplay�es $eto�v is fltepoTicy�ruzd jnTa site Inforina1Toit Itm=nce Company.\Mama- .Policy�or Self--ins.I.ic.� E�piEatorzDate: Job Site Address- city/Stafdzz p: Attach a copy of the workers'compensafionp.olicy decIaration page(showing the poTicy number and•esph-ation date). Failure to secure coverage as required.under Section 25A of MGL c 152 can lead to-the Unposition of criminal penalties of a fine up to$1,50D OD andtor one��earinaprisonmffit,as w8a as civil penalties.n the form of a STOP WORK ORDER-Emd a fine of up to 0-00 a day abainsf the violator. Be advised that a copy of this statement maybe forwarded fn.the Office of Investigations.ofihe DIA for ivsuraflcn,coverage-,mrifrcation 1 do Iiereliy cerirf�}�.rcacdRr tFLs pains arFrlpena7ti�s afgzrjur}�f3satflFs uF, armativrr prmir�pd abm�i�bu$a�Fd correct Signature: Date: D r Pho=ik of jfeiai use urFT�: �Do rFat�Fnta fn tTrts trraa,fa be ctrrnpTetesd by city artprrn o,�frcitFL city or Town: PermitMicense; Issuing A lhority(circle:one): 1.Board of Health ?.Bufiding Peparlm:ent 3.City/rossn Clerk 4 Flectrical Impeder S.Plumbing Iisperter 6.Other C'oataet Person: Phone#: Tufarmation and lastruc ions Massachusetts General Laws cbapte 'I52 requires all employers to provide wo&-eas'compensation far heir employees. pint-to fhis stag,au er7Iayene is defined as.`°_.evmypersonin the service of another order any contract ofhire, express or implied,oral or wrh=." An employer is defined as"an individma.I,partammb�,associat[6 corpor�On or other Iegal entity,or any two or more of the foregoing engaged in a Joint enterpase,and including the legal representatives of a deceased employer,or the o to ees. Howev er the receiver or trastee of an individual,partaersbip,assocJaiion or otherIegal entity,employing emp y apartments and residesth � or the o ant ofthe - house notmoref3�ffiree artm erem, � owner of a dwelling �g aP . ce consLucfion or air waik on such dweIlmg hoBse dweIlinghonse of anotherwho.employsp persons to do mai�an roP or on the grounds or buldmg app�n thereto shaRnotbt-,=e of sash employmentbe deemedtn be an employer." M_ GL cbapt-,r 152,§2.5C(6)also states that"everysff or local ficen agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buRdmgs in the commQawealth for nap applicant-Who has not produced acceptable evidences of c6mprianm with the aisurance.coverage required. " Additionally,M(zG chapter 152,§25C(7)states-Neither the corms onwealth nor any ofits political subdivisions shall. e e orinanCO of ublicworkun ruble evidence of compliancewith the;nc„ra,,c0. for the rf enter into any contract p - p �P - requiceanents of ibis chapter have been presented to the confracfing aizlhozity_" APPHcan-Es Please fill o�ot the worker'compensation affidavit completely,by ch=ldngtheboxes that apply to your situation and,if necessary,supply salreontractor(s)name(s), addresses)andphone number(s) alongwiththeir cep tificatc(s).of insurance. Limited LiabHity Companies(LLC)or Limited LiabdityPatfnersbi s(LLP)witb.no maPIOyees ofher than the members or partners,are not rbgrm insurance ed to carry workers'compensation insance If an LLC or LLP do es have emp_T o ms a olicYisre4 - BeadvisedthatthisaffidayitmaybesubmittedtotheDeparhnntofTndusfrial - ' ' Accidents for confirmation of filsu(ance coverage. Also be sure to sign and date the affidavit_ The affidavitshould bc-retrnned to the city or town that the application for the permit or license is being request!-Vest! not the Department of Lnjinstlull Accidents_ Should you have any gaestions regarding the Jaw or if you are regod ed to obtain a workers' compensationpoticy,pleasecaIlthcDeparimentatthenumberlistedbelow Self-insuredcompaniesshouldentertbeir, self-Tn saran ce license number on the appropriate,]me. City or Town Officials I - Please be sere that the affidavit is complete andprinted legibly. 'Ih(--Department has provided a space at the bottom of the affidavit for you to Ell out in the event the Office of7mvestigatinnc has to contact youregardingEat applicant Please be sure to f Ell in the pelmitllicense number which will be used as a reference number. In addition,as applicant that must sIIbniit multiple p ennit/license applications in any givea year,need only submit one.affidavit indicating correct p olicy mfom.ation Cif'arc e—,--ary)and under`Job Site Address"the applicant should write"all 10caECIis in ' (CiY or town)-'A copy of the-affidavitthat has been officially sipped or marked by the city or town.maybe provided tr the applicant as proofthat a valid affidavit is on file for future'pemuts or licenses A new affidavit must be fiacd oit each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i e_ -dog license or pemit to bunt leaves ern.)said person is NOT regnkcd to complete Ibis affidavit The Office of Investigations would h -to:thank you i a advance for your cooperation and should you have any questions, please do not hesitate to give tts a ca]l. The Departs mfs address,telephone and fax number_ e CG�MmaaWmj&of Massaahustts ` . IIegarCtn�of Izid�zak A��nt�'_� - . C ice of lve&tkatiw- �4 Tc,-I< 617 727-490a Qxt 4-06 or 1­977-MAS&AFE Town of Barnstable Regulatory Services �oF1144E TO Richard V. Scali,Director Building Division * BARNSTABM * Tom Perry;Building Commissioner mass. 200 Main Street, Hyannis,MA 02601 jOtFn MAC" www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE:- —JOB LOCATION: -1 J Z VL Yl 1�Q 1' j cA KQi �'�l�ex n y7 1 s Z Co G I rnumber U street village °HOMEOWNERS: L1�v�✓Ly�W 7-d w\,&s i s yn Sb 8-Lf 3 Z" 3 7 -6 name _. home phone# ti work phone# . CURRENT MAILING ADDRESS: cit5Wown state zi`p 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. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures.'.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under.the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proced es and re uir d that he/she will comply with said procedures and requirements. Eignat&eo6fHomeowneir Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc . Revised 040215 THE r, • snxxsrnsi.E. * - 6.1 ,�� Town of Barnstable rEo�• Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ifia.us Office: 508-862-4038 ' _ Fax: 508'790-6230 Property Owner Must ' ' Complete and Sign This Section. .If Using A Builder •I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPHILESTORMS\building permit fonms\EXPRESS.doc Revised 040215 - I i Kenneth P.Tomasian 96 Greenwood Ave Hyannis MA 02601 508-432-3726 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston MA, 02111 To Whom It May Concern: I, Kenneth P.Tomasian am the Owner of 49 Jennifer lane in Hyannis MA 02601 and responsible for Building Permit #201408674. I agree to furnish the declaration page of the Workman's Comp policies of subcontractors that I hire to perform work as the contracts are signed. ZqnnethTomasian i Bk 29073 PS 277 039042 08-14-2015 a QUITCLAIM DEED I, DANIEL C. WOOD, TRUSTEE OF J & J GROUP REALTY TRUST, under a Declaration of Trust dated November 19, 2003 and filed with the Barnstable Registry District of the Land Court as Document No. 949,561, of 153 Powder Point Avenue, Duxbury, MA 02332 for consideration of FIFTY-NINE THOUSAND AND 00/100 ($59,000.00) DOLLARS paid, grant to KENNETH P. TOMASIAN, individually,of 96 Greenwood Avenue, Hyannis, MA 02601 with QUITCLAIM COVENANTS, the land together with the buildings thereon in Barnstable (Hyannis), Barnstable County,Massachusetts and described,as follows: That certain parcel of land situated on a private way formerly known as Grace Avenue, now Jennifer Lane (which begins on Pitcher's Way and runs easterly therefrom) and shown as Lot 6 on a plan by Gerald Mercer and Company, Engineers and Surveyors, West Yarmouth, Massachusetts, dated Sept. 1955 and bounded and described as follows: Northwesterly by said Grace Avenue, now Jennifer Lane, there measuring seventy-nine feet and 00/100.(79.00)feet; more or less; Northeasterly by Lot 7, as shown on said plan, there measuring one hundred thirty-two and 00/100(132.00) feet; Southeasterly by land now or formerly of Luella Beales, there measuring seventy-nine and 00/100 (79.00)feet, more or less; and Southwesterly by Lot 5, as shown on said plan, there measuring one hundred thirty-three and 00/100 (133.00) feet, more or less. Grantee shall have the perpetual right to use the area located on Lots 5A, 22A and 27A designated"Proposed Drainage Easement" shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of the drainage easement areas as shown on said plan, and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, 22A, Lot 27A and Lot 28A. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer i i j Bk 29073 Pg278 #39042 Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12- 15. For title, see deed recorded with the Barnstable County Registry of Deeds in Book 28593, Page 138. WITNESS my hand and seal this )�1 day of August, 2015. J &J GROUP REALTY TRUST By: C. O D, TRUSTEE COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this t4 day of August, 2015, before me, the undersigned notary public, personally appeared Daniel C. Wood, Trustee as aforesaid and proved to me through satisfactory evidence of identification, a Massachusetts driver's license, to be the person whose name is signed on the preceding or attached document and acknowledged to me that he signed it voluntarily for its stated purpose on behalf of J&J Group Realty Trust R Notary Public Vo E'4(O i'`ss, x0? My commission expires: _ ���'`b• MAS5ACHUSETT5 STATE EXCISE TAX Y 1Ya BARNSTABLE COUNTY REGISTRY OF DEEDS I at V%°i Date: 08-14-2015 8 10:26am Iy6 •y �� �9 Ct1*: 241 Doc*: 39042 y Fee: $201.78 Cons: $59►O00.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 08-14-2015 8 10:26am CtIA: 241 DocT: 39042 Fee: $159.30 Cons: $59000.00 PROPERTY ADDRESS: 49 JENNIFER LANE,HYANNIS,MA 02601 . Bk 29073 Pg279 #39042 TRUSTEE'S CERTIFICATE 1, Daniel C. Wood, of 153 Powder Point Avenue,Duxbury, MA 02332, under oath, do depose and say as follows: 1.That I am the sole trustee of J &J Group Realty Trust,under declaration of trust dated November 19, 2003 and filed with the Barnstable Registry District of the Land Court as Document No. 949,561 (hereinafter referred to as the"Trust"). . 2. That the Trust is a non-testamentary trust. That any certification by any person named as a current or as a successor trustee shall be conclusive on all persons. 3. That,pursuant to the terms of the Trust,the trustee then sewing shall have the absolute power to sell at public auction,or private sale,and to assign,transfer, pledge, barter or exchange for real or personal property, all or any part of the real or personal property of the Trust, including mortgages of property now or hereafter held under the trust, at such time and prices and upon such terms and conditions as the trustee(s)deem(s)proper without order or license of court, and to execute any and all deeds and other instruments necessary or appropriate to accomplish such sale or other transaction, and no person need make any inquiry concerning the propriety of any of the trustee's actions and all such actions shall conclusively be presumed to be proper. 4. That no fact exists which constitutes a condition precedent to acts by the trustee(s)or which are in any manner germane to the affairs of the trust. 5.That said Trust has not been amended or revoked and that the same is still in full force and effect. 6. That I have been duly authorized and directed by all of the beneficiaries of said Trust to sign, seal, acknowledge and deliver the attached or foregoing deed of property known as 49 Jennifer Lane, Hyannis, Massachusetts,for the purchase price of$59,000.00. 7. That all of the beneficiaries of said trust are individuals, are not minors,are competent and are operating under no constraint or undue influence. I Bk 29073 Pg280 , t39042 SUBSCRIBED AND SWORN to under the pains and penalties of perjury this day of August, 2015. ANIEL C. WOOD COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. fi / On this day of August, 2015, before me,the undersigned notary public,personally appeared Daniel C. Wood,proved to me through satisfactory evidence of identification, a MA driver's license,to be the person whose name is signed on the preceding or attached document, and, after being duly sworn, attested to the truth of the matters above-subscribed, before me. OV'pNotary Public My commission expires: �oav16. ay AeMO ��`� BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register oFt�E r Town of Barnstable a Regulatory Services &ARNSTABMAW LE' Richard V. Scali, Director Building Division Torn Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.ba rnstable.m a.us Office: 508-862-403 8 Fax: 508-79076230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY . t _ I, ,e- V1 1 C7 I/l/-o- s 1 6�V� , Construction Supervisor License # , hereby certify that I have assumed responsibility for,the project under construction, as authorized by building permit# 0?0/ (6 Ivissued to (property address) -� toy) 1 P12 a Yl on, 201 The following dgcuments are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form.(if applicable) copy of my Home Improvement.Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) b 2,6Z�-5 DATE q/formsinewcontrb cev:040414 GV� /r /Y x douem ! - qj JLNAi4:OL An/*-ua►&j 7z:) 6aou-srxve- • D D C Y*4Lpie) ll�t1 1� S iN SAS ydoCD =«a c ' ( � 5 r � TOWN OF BARNSTABLE �tNE Building 201408674 P •BRN ASTABLE, Issue Date: 02/05/15e rm t 9 MASS. �ArFO 39. A Applicant: WOOD,DAN Permit Number: B 20150240 Proposed Use: UNDEVELOPABLE LAND Expiration Dater 08/05/15 [Location 49 JENNIFER LANE Zoning District RB Permit Type: NEW SINGLE FAMILY HOME Map Parcel 270123 Permit Fee$ 484.50 Contractor WOOD,DAN Village HYANNIS App Fee$ 100.00 License Num 152773 Est Construction Cost$ 95,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ONE BEDROOM SINGLE FAMILY HOME 1ST EXTENSION EXPIRES /2/,i*HIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CONNORS,JOHN J TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 3 AARON ROAD INSPECTION HAS BEE E. LEXINGTON,MA 02421 Application Entered by: PF Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS Ok PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION: STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC.SEWERS MAYBE .OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS..THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 70 AW, Parcel `02 3 r. Application # ry Health Division P � — — �vsDate Issued nn /Ob Conservation Division 1/ . Application Fee Planning Dept. No- %1!X sc ling J`v Permit Fee Date Definitive Plan Approved by Planning Board -261 -1Z-R • Nors=; i2oao Oyobyu Historic - OKH _ Preservation / Hyannis P6&,m iT "Nor Project Street Addres �# ,, N on- 1.04N 6- 4 ZG Village S �- Owner _JOHAI J. t4eWV,01tS Address -2-> 3G1t2Cf\S /M L e-WI ► ITOA3 Telephone SV 8' S1 3 - .3&. O Permit Request 56N<'L4e,;_ fih0 L4Y l<?7,0400M Aln-r- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 4 Zoning District Flood Plain Groundwater Overlay A..E roject•Valuation 611 1®VO Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes &-PJo On Old King's Highway: ❑Yes A4 No Basement Type: rUVull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) - & Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 4 new Half: existing - f new Number of Bedrooms: existing ' new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 42 Gas ❑ Oil ❑ Electric ❑ Other Central Air: 3"Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal #--_ Recorded ❑ b Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name i� y (/V 00� Telephone Number` Address /53 / Uw,66Yt- d00IAI i A16- License # C%�A �J o �4 &jv,!4 YVl4_ 02 33' - Home Improvement Contractor# 5 -77 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE F OWNER DATE OF INSPECTION: fi FRAME {.:INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL M FINAL BUILDING -DATE CLOSED OUT ` f _ ASSOCIATION PLAN NO. i Ilz FP OP[ /uAg r p ro� . OPT. - .vv cco�Iv... LEFT 6ZEUAT/ON F N� r i ' 1 V _ �' vG v fr fut lJ 1 ' y 16 I P5CK I2 - 1 beA 0 u � p i3-.•o x/fur 0 9-7 2-6 X' a..�•:..•."rF...:F'�. .. ,.. _._ .�� _�, f � A. 7. Y w•�<v onoJ �sr/x My •r• ecmy tvy ... . � fj,p,,, yrooDo78 ix 7i�t[✓3J i y _ �1 / i ).N5 Q Z 3 � /7•G —�" r/ovs�snt�S / �_>vr>�.r sue.-• • � I ` 9NN[1CrNr / .a•rOSN/'9�,�%1- �; .%nrvJ 7r fnrm. •/r/r o• '� . . . Y07 OXd~'9/YnfA.591 cl r i SZ74BW -X'. '77YAS are/t»v7s✓ ,. two/ar`71p!3Y/7SK/Ol - o,Z1 0-9 '90 9/9 xZ .. O_C/ 1 ood -.Vn[t7 94IS K.w� S1K�j1 ,� 1mSLe 7.0 1 i .,M•,yfLL'7NS YOB I - ' OYY�B 39C21 ar �u 10 P. Lh SMOKE DETECTORS RE VIEWED BARNSTABLEBUILDINGD EPT W -. I i — FIRE DEPART .1 .ve rr.• 1 BGTH SIGNATURES AR, • BE C.uPBeA(p rvv�. A/T F1EU.9T/y,1/ I - _ �• o�L 2k3 yt',z: Z¢31a�, ' • � a•Ni71•etvvnlc wmvsrwuFs sn�r�L•eeie t=zer. . • .r+.wf.. T✓. pc� g.� -�'y`•-t'�`$gti L r,Y� 'R 3r, {r + L : n y - •t 2 _ r.3; i ' � � fl�b/O JNOI..d N9iN.6-��. I•�INOJ�OSd. _ 2iooQ. I - —Trw CL a3dol�. �'Ta`cr _ Fjv75 7c`fc:) •-)noa.c�f` ,.1Z'f 98rXC,£ — I :�s¢'Yd.'.�(•o7:orxp4 x,a£ 1 7ly .59 "'7 ,x..9f/cn Snnym 2 o7..9 91N,.6-.c Gl- 1c+ ma.. r + __-- --- IB 4 r I " — f } ' S KEDFI + :y �,:;., ,c:I; Ep. BARNSTAb c_';::_.nPo.; _PT — ")ATE FIRE Or:.. .;h,. ,rE BOTH SIGNATo, :.Ri ;4Hf);&b RMITING CAfidON610'd,T,1 ALARMS MUST6E INSTALLED PEfl MASSADHU SETTS BUILDINGCODE i I rz rz 117 rr B�rcx f.P 2 _ P rut m , I �,t • I I 1 I I ruo cu�v�..�t� LEFT,ELET/f>'T/ON - 77/6N'T F�CEUAT/O/V CMOKE DETECTORS REVIEWED la-Z�-aS SA ABLE BUILDINGAEPT. DATE - FIRE DEPAITMEI T DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING r 4�Y - A2G'RI /eo/r2-Ls r3/[l�PAI s _. y fZQJ 1 n o �3 ox/for - T ✓cz 4 C� �._.n.�e1- -o� s�'...a,..<_.,.?r.._���^t-�._.��+✓�.�''�?.sy�ia�._�..u:.�'a._. Y�:, ..... .._..."�..<;£..>5 ._ .� __ s_ .."..., .. ..... ., _ ... _ - 3 i 1 3 ivoil-7�S alre2'� - - . .old-7-V Y c- 77rM WlJ 7hvJ a�",b� romp ssx— -+Y{'L Z/X O'-2 Z �a .�,• � t/.l�i.y'YYOOD�9 M 7LJJJ1rJ7 - 1 b .zX olvv.9 - pg77y awl' .�.0 o-9YYW i 3ii'17.�1$ � 'f 77/s-M 77/S 9 XL W-3-v •r79'170 x-Z-F / .7n.»'/-n�:/ ��;t-wr.D _ grrrxcr3i/f s7+rm / 'a'rOSN/'73„3:r �/�f�YV/Jl �.. - M'/7LTJ� •M7 p� Y07 4d'bt7g WnSd.S ?/ / - O: wp�� yrorssas 9/9 a A Z oYsc9 �,7r.w l - E- _vyv mono7Sllv/r o-9F' S utSa7 �JN.fYLd'�NS- YOJ - $377H/N+r-.VN/7799W11-- - OxYOH 390/b viYZ i 1 t;>...��_-•, v - Wit' - v.. ..>.r. -ZIPTe.. 1.� ,r _ xP _ h _ - a2 _ fl .J Ol.d H7iH..b.1\ 07 - - - - -:- LU 61 I .. yv�S' '.JCJoJ-h i --D n no awe- . �N 91N,� 'Sa9ni 1.0 Massachusetts , Department of Public Safety k Board oi Bui lding Regulations-and Standards.:.;, , ... 41 Cons.trucfiutl Suhc;�visc/r-1-�c 2 F�imih License:-CSFA-062822 ,a I)ANIE L CW®oW 196 SCiT]DI9ER BAYCIR y Cent erville IVYA 03632 I c1 Expiration 03/28/2016 Co mmissioner 0 f own of Barnstable Regulatory Seraces. - dr Richard V.Scali, Director Building Division RALRNEMARi F. Tom Perry,Building Commissioner n>ass 639. .�� 200.Main Street, Hyannis,MA 02601 evww.town:barnstable,ma.us _ Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION" Please.Print, DATE: „ JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a.license,provided that the owner.acts as supervisor. . DEFINITION'.OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one.home in a two-year period shall not be considered,a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"h'omeowner"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 127VC6nstruction Control. HOMEOWNER'S EXEMPTION The Code states that: ."Any homeowner performing work for which a building permit is required shall be exempt from the provisions of.this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such-Homeowner shall act as supervisor.» Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&ReguIations 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 eral towns. You may care t amend a form currently used sev y Supervisor. On the last page of this issue is y y and,adopt such a form/certification for use in your community. fAEN6TAB LE,p - MA&S..� 0 ., ,�sb,�. ab .., ,;: Town of Barnstable Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis;'MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign.This Section If Using A Builder as Owner of the subject property. hereby authorize 7A) 7�J. 1(u 0<2D to act on ray behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) a e of,Owner- Date Print Name If Property Owner is applying for permit,please complete theHomeowners License Exemption Form on the reverse side. ----- - --- _ -- - ......... Q:\WPFU ES\FORMS\building pem-dt forms\smokecarbondetectors.doc Revised 050412 I r REScheck Software Version 4.5.0 Compliance Certificate I Project DAN WOOD i Energy Code: 2012 IECC I Location: Hyannis, Massachusetts Construction Type: Single-family Project Type: New.Construction ° I Conditioned Floor Area: 940 ft2 Glazing Area 10% i Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: i Construction Site: Owner/Agent: ° LOT 6 JENNIFER LN Designer/Contractor: -_ HYANNIS,MA Compliance: 1.3%Better Than Code Maximum UA: 229 Your UA: 226 ' The%Better or worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies i Ceiling 1: Flat Ceiling or Scissor Truss 650 49.0 0.0 0.026 17 Ceiling 2:Cathedral Ceiling 220 38.0 # 0.0 0.027 6 Wall 1:Wood Frame, 16"o.c. 1,960 21,0 f 0.0 0.057 99 Window 1:Wood Frame:Double Pane 164 0.320 52 Door 1:Solid 21 0.250 5 Door 2: Glass j 36 0.310 11 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1,090 30.0 i 0.0 0.033 36 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has beeddesigned to meet the 2012 IECC requirements in REScheck Version 4.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date i s t i Project Title: DAN WOOD Data filename: Untitled.rck Report date: 09/24/14 PaaP 1 of A L REScheck Software Version 4.5.0 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software i Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section # Pre-Inspection/Plan Review •Plans Verified Field Verified = & Req.lD Value ,Value . Complies? Comments/Assumptions 103.1, 'Construction drawings and 103.2 documentation demonstrate ' `' ❑Complies [PR1]1 energy code compliance for the I 4. " ❑Does Not j F building envelope. z " []Not Observable '1 � � ��❑Not Applicable °+ 103.1, -Construction drawings and ❑Complies *� 103 2, :documentation demonstrateilt 403.7 energy code compliance for r <' ❑Does Not 1 [PR3]1 fightingand mechanical k 'cal s stems. Not Observable Y ❑ 'Systems serving multiple ;❑Not Applicable *I dwelling units must demonstrate ' compliance with the IECC Commercial Provisions. r iI 302.1, Heating and cooling equipment is' Heating: Heating 403.6 sized per ACCA Manual S based Btu/hr Btu/hr `❑Complies ,I [PR2]2 on loads calculated per ACCA ❑Does Not Manual J or other methods Cooling: r Cooling: ❑Not Observable approved by the code official. Btu/hr Btu/hr ; Not Applicable Additional Comments/Assumptions: i I 1 i I + i I 4 1 I i !I t 1 i ji f{ 1 { [1]High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: DAN WOOD i Report date: 09/24/14 Data filename: Untitled.rck ' Paae 2 of R 2012IECC Foundation'Inspection Complies? A Comments/Ass umptions °'- 303.2.1 A protective covering is installed to Complies [FO11]z protect exposed exterior insulation ;Does Not and extends a minimum of 6 in.below grade. ;01\101:Observable C]Not Applicable 403.8 snow-and ice-melting system controls, Complies [FO12]2 'installed. ❑Does Not bNot Observable; P ; Not Applicable Additional Comments/Assumptions: k e ii 1 1 1 'I i I i 1 i i i i 9 i fC l fi } 1 High Impact(Tier 1) '2' Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: DAN WOOD Data filename: Untitled.rck Report date: 09/24/14 panes 4 of R r I Section --- ' # Framing/Rough-in Inspection plans Verified Field Verified & Req.ID Value w} , .Value Gomplies� Comments/Assumptions - .«... 402. Door .U-factor. 402.3.4 U ' U- ;❑Complies See the Envelope Assemblies 3.4 [FR1]1 �❑Does Not :table for values. ' ❑Not Observable ; ',[:]Not Applicable 402.1.1, Glazing U-factor(area-weighted U- U_ 402.3.1. average). ❑Complies ;See the Envelope Assemblies 402.3.3, 'ODoes Not ,table for values. 402.3.6, ❑Not Observable 402.5 [FR2]1 :❑Not Applicable S� 303.1.3 ;U-factors of fenestration products , [FR4]1 are determined in accordance " ❑Complies with the NFRC test procedure or �. > t'.: Y ;❑Does Not .taken from the default table. N > ,❑Not Observable ❑Not Applicable 402.4.1.1 .Air barrier and thermal barrier [FR23]1 installed per manufacturer's tOComplies instructions. ❑Does Not _ 'T❑Not Observable r° ❑Not Applicable 402.4.3 Fenestration that is not site built ❑Complies [FR20]1 is listed and labeled as meeting i .,[]Does Not j AAMA/WDMA/CSA 101/1.5.2/A440 :or has infiltration rates per NFRC I❑Not Observable '400 that do not exceed code ; `❑Not Applicable limits. a 402.4.4 i IC-rated recessed lighting fixtures l i t ❑Complies : ![FR1611 sealed at housing/interior finish ;❑Does Not f j !and labeled to indicate s2.0 ci leakage at 75 Pa. ❑Not Observable } aS ' ` UNot Applicable 403.2.1 .Supply ducts in attics are R- R- ❑Complies ± I[FR1211 .insulated to>_R-B.All other ducts ' R_ R- ;❑Does Not s In unconditioned spaces or ,outside the building envelope are', '[]Not Observable insulated to aR-6. ❑Not Applicable 403.2.2 'All joints and seams of air ducts, {., " I [FR13]1 :air handlers,and filter boxes are t❑Complies : .F ❑Does Not i sealed. <❑Not Observable [ z ❑Not Applicable t 403.2.3 ;Building cavities are not used as f ``❑Complies j [FR15]3 ducts or plenums. ' .#❑Does Not ' ,pj , x ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R- R- ,❑Complies t [FR17]2 :above 105 4F or chilled fluids I -. f below 55 QF are insulated to>_R- ❑Does Not 3• .❑Not Observable ❑Not Applicable 403.3.1_ .Protection of insulation on HVAC [FR2412 f piping. ❑Complies s ❑Does Not ` a []Not Observable ] -❑Not Applicable l 4014 2 Hot Water pipes are insulated to R- R 1812 >_R-3. R- ❑Complies a ❑Does Not ! t ;❑Not Observable e i. ❑Not Applicable ! 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: DAN WOOD 'Report date: 09/24/14 Data filename: Untitled.rck I Pana A of A Section 1. .,; _ # Framing/Rough-In Inspection Plans Verified Field Verofied _ & Req.ID 5/alue Value Complies Comments/Assumptions- 403.5 Automatic or gravity dampers are Y k [FR19]2 installed on all outdoor air ? _ ❑Complies intakes and exhausts. i JODoes Not l $ '` " ; °'❑Not Observable ❑Not Applicable r Additional Comments/Assumptions: { i { a i a { I { Y Y I 1 High Impact(Tier 1) 2:Medium Impact(Tier 2) 3 Low Impact(Tier,3) Project Title: DAN WOOD Report date: 09/24/14 Data filename: Untitled.rck Page 5 of 8 S�Req on Insula_tion Inspection:; Plans.Venfied FieldVerified& :ID Value Vatue Complies Comments/Assumptions 303.1 All installed insulation is labeled ,% [IN1312 or the installed R-values ❑Complies provided. ` -", r, C❑Does Not -*[]Not Observable :J ENot Applicable 402.1.1. Floor insulation R-value. 4 R- R ❑ 402.2.E Complies See the Envelope Assemblies [IN1]1 ❑ Wood ;❑ Wood ;❑Does Not table for values. ❑ Steel ❑ Steel ❑Not Observable , ENot Applicable 303.2, Floor insulation installed per I 402.2.7 manufacturer's instructions,and *. ' ❑Complies [IN211 in substantial contact with the `" ❑Does Not Q) underside of the subfloor. K, ❑Not Observable I� + _❑Not Applicable 402.1.1, .'Wall insulation R-value.If this is a, R- R- 402.2.5, 'mass wall with at least'h of the ❑Complies See the Envelope Assemblies 402.2.6 'wall insulation on the wall -❑ Wood ❑ Wood ;❑Does Not ;table for values. [IN311 exterior,the exterior insulation ❑ Mass ❑ Mass ❑Not Observable 3 01 :requirement applies(FR10). ❑ Steel ;❑ Steel []Not Applicable ` 303.2 Wall insulation is installed per 77 F 1 [IN411 .manufacturer's instructions. "' :q❑Complies 110V ❑Does Not ❑Not Observable ! I ❑Not Applicable ; Additional Comments/Assumptions: E E I� i `1 i iI 1{ I I {I 1 1 E 4� (1 I I J S i i 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3j Project Title: DAN WOOD ,Report date: 09/24/14 Data filename: Untitled.rck f Page 6 of 8 # Final Inspection Provisions Plans Verified eld Ver�f�ed[S�ection Req.ID Value Value �C, es? Comments/Assumptions u, 402.1.1. Ceiling insulation R-value. R- R- 402.2.1, ❑Complies ;See the Envelope Assemblies 402.2.2, ❑ Wood ❑ Wood ;[]Does Not :table for values. 402.2.6 ❑ Steel ❑ Steel '❑Not Observable ; [FI1]1 ENot Applicable 303.1.1.1, .Ceiling insulation installed per 303.2 manufacturer's instructions. ; 3❑Complies l [F12]1 Blown insulation marked every }❑Does Not 300 ft2. e ' I❑Not Observable ` ❑Not Applicable i 402.2 3 Vented attics with air permeable f ❑Com lies (F1221 insulation include baffle adjacent 1, ❑Does Not r I Jo soffit and eave vents that " extends over insulation. ONot Observable i `(❑Not Applicable 402.2.4 Attic access hatch and door R- R- ❑Complies I (R3]1 insulation>R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable i 402.4.1.2 .Blower door test @ 50 Pa. <=5 r ACH 50= ACH 50 = ❑Com lies 1 2,and [FI1711 ach in Climate Zones P <=3 ach in Climate Zones 3-8. , ❑Does Not '❑Not Observable f ❑Not Applicable I 402.4 2 :Wood-burning fireplaces have , o [FI8]z 'tight fitting flue dampers and €❑Complies i =outdoor air for combustion. ,❑Does Not j I Observable ❑Not �'❑Not Applicable 403.2.2 Duct tightness test result of<=4 cfm/100 cfm/100 lies [F14]1 cfm/100 ft2 across the system or ' ft2 ft2 ;❑Does Not i <=3 cfm/100 ft2 without air , E :.handler @ 25 Pa. For rough-in l IONot Observable tests,verification may need to °❑Not Applicable occur during Framing Inspection. 403.2.2.1 ;Air handler leakage designated ❑Complies (FI2411 by manufacturer at<=2%of ». []Does Not design air flow. I ❑Not Observable ![]Not Applicable 403.1 1 Programmable thermostats w IFI9J2 ;installed on forced air furnaces. ❑Complies f❑Does Not - ❑Not Observable ' ❑Not Applicable 403.1.2 ;Heat pump thermostat installed ' ' ?QCompties (FI10]Z on heat pumps. « �' { � F❑Does Not [ +J❑Not Observable T [❑Not Applicable 403.4.1 'Circulating service hot water 't "ElComplies [FI11]2 Isystems have automatic or f t .: accessible manual controls.. a ❑Does Not ❑Not Observable i ] I❑Not Applicable 403.5.1 ',' All mechanical ventilation system#� `❑Complies [FI25]z : not part of tested and listed f r C equipment meet efficacy ❑Does Not air flow limits. ❑Not Observable ❑Not Applicable I I i 1 JHigh Impact(Tier 1) 2;Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: DAN WOOD Report date: 09/24/14 Data filename: Untitled.rck Panp 7 of A ISection. # Final lns "ect�on provisions Plans Verified - FrelV:'errfred & Req.ID' t? w Value a Ue Complies Comments/Assumptions =' 403.9.1 Readily accessible switch on- *, ` [FI12)3 heaters for swimming pools or i❑Complies lfj, permanent in-ground spas. =❑Does Not 4 t+ ir, *r, e ➢❑Not Observable ;' ❑Not Applicable 403.9.2 ;Timer switches on heaters and j [FI19)3 pumps serving pools and ;„ ❑Complies permanent spas. : _ '"[]Does Not i 4 z ❑Not Observable 403.9.3 Heated pools and permanent $ ` ❑Not Applicable [F120)3 spas have a vapor retardant �: ❑Complies cover. H #❑Does Not W ;❑Not Observable . " :E., _ ❑Not Applicable 404.1 ,75%of lamps in permanent - [F16)' •fixtures or 75%of permanent ;❑Complies fixtures have high efficacy lamps. '[]Does Not 'Does not apply to low-voltage li _ t htin , ,,,'[]Not Observable 9 g' 'xf❑Not Applicable 404.1.1 ;Fuel gas lighting systems have [F123)3 no continuous pilot light. x:❑Complies t❑Does Not t f , . '40Not Observable ❑Not Applicable 401.3 Compliance certificate posted. [F17)2 ", f❑Complies ❑Does Not `.o4❑Not Observable ,, ❑Not Applicable 303.3 ;Manufacturer manuals for [FI18]3 mechanical and water heating a❑Complies } systems have been provided. f ❑Does Not p{❑Not Observable i p ❑Not Applicable i Additional Comments/Assumptions: i I` 1 i +I JI i { t� 1 1 High Impact(Tier 1) 2, Medium impact(Tier 2) 3 Low Impact(Tier 3) Project Title: DAN WOOD Data filename: Untitled.rck Report date: 09/24/14 Page 8 of 8 Bk 204.31 P s 228 =7714.1 11--02-2005 a'i 09218M QUITCLAIM DEED I, MELBOURNE K. NICKERSON, of Osterville, Massachusetts, in consideration of TWO HUNDRED FIFTY-FIVE THOUSAND AND N0/100 ($255,000.00) DOLLARS, grant to DANIEL C. WOOD, Trustee of J & J Group Realty Trust, under declaration of trust dated November 19, 2003, registered as Document No. 949,561, of 38 Evelyn Circle, Centerville, Massachusetts 02632 WITH QUITCLAIM COVENANTS, three (3) certain parcels of land located on Jennifer Lane, Barnstable (Hyannis), Barnstable County,Massachusetts, more particularly bounded and described as follows: PARCELI LOT 28A as shown on a plan of land entitled "Subdivision Modification Plan of Lots Located on JENNIFER LANE Prepared for Jeffrey Pepi and Kempton Nickerson in Hyannis, Massachusetts, Scale: I" = 60', Date: November 18, 2004" , which said plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 602,Page 84. The grantor hereby grants to the grantee the perpetual right to use the areas located on Lots 5A, 22A and 27A designated"Proposed Drainage Easement" shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 22A, Lot 27A and the land shown as "Lot 6 n/f Vivian Walton" on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee that the cost of 100 s Bk 20431 Pg 229 #77141 maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. The grantor reserves the right to grant rights to use the said drainage easement areas for said drainage purposes to the other lots having the right to use Jennifer Lane. LOT 28A is subject to the provisions of a Deed Restriction limiting the number of bedrooms in any house constructed on Lot 28A, dated September 1, 2004, recorded in Book 18997, Page 310, as revised by a Revised Deed Restriction, dated October 11, 2005, recorded in Book 20362,Page 241. Being the same premises conveyed by deed of Jeffrey Pepi to Melbourne K. Nickerson, dated September 29, 2005, recorded in Book 20311,Page 20. ADDREES OF PREMISES: 50 Jennifer Lane, Hyannis,Massachusetts R L. PA CE II LOT 22A as shown on a plan of land entitled "Subdivision Modification Plan of Lots Located on JENNIFER LANE Prepared for Jeffrey Pepi and Kempton Nickerson in Hyannis, Massachusetts, Scale: 1" = 60', Date: November 18, 2004" , which said plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 602,Page 84. The grantor hereby grants to the grantee the perpetual right to use the areas located on Lots 5A, 22A and 27A designated"Proposed Drainage Easement"shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 27A, Lot 28A and the land shown as "Lot 6 n/f Vivian Walton" on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. 2 r Bk 20431 Pg 230 #77141 It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. The grantor reserves the right to grant rights to use the said drainage easement areas for said drainage purposes to the other lots having the right to use Jennifer Lane. Being the same premises conveyed by deed of Jeffrey Pepi to Melbourne K. Nickerson, dated September 29, 2005, recorded in Book 20311, Page 18. ADDRESS OF PREMISES: 108 Jennifer Lane, Hyannis, Massachusetts PARCEL III A one-half interest in a certain parcel of land situated on a private way formerly known as Grace Avenue now known as Jennifer Lane(which begins on Pitcher's Way and runs northeasterly therefrom), and is shown as LOT 6 on a plan made by Gerald A. Mercer and Company, Engineers and Surveyors, West Yarmouth, Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHWESTERLY by said Grace Avenue now Jennifer Lane, there measuring seventy-nine(79) feet, more or less; NORTHEASTERLY by LOT 7, as shown on said plan, there measuring one hundred thirty-two(132) feet, SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring seventy-nine(79)feet; more or less; and SOUTHWESTERLY by LOT 5, as shown on said plan, there measuring one hundred thirty-three (133)feet,more less. The grantor hereby grants to the grantee the perpetual right to use the areas located on 3 .� Bk 20431 Pg 231 #77141 Lots 5A, 22A and 27A designated"Proposed Drainage Easement"shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 22A, Lot 27A and Lot 28A on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and _maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. LOT 6 is subject to the provisions of a Deed Restriction limiting the number of bedrooms in any house constructed on Lot 6, dated September 1, 2004, recorded in Book 18997, Page 312, as corrected and confirmed by a Confirmatory Deed Restriction, dated October 18, 2005, recorded in Book 20379, Page 257. Being the same premises conveyed by deed of Vivian Walton to Melbourne K. Nickerson and Jeffrey G. Pepi, Jr., dated April 28, 2004,recorded in Book 18515, Page 172. ADDRESS OF PREMISES: 41 Jennifer Lane,Hyannis, Massachusetts WITNESS my hand and seal this day of November 2005. /I 711,o elbourne K. Nickerson 4 v Bk 20431 Pg 232 #77141 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this l u day of November 2005, before me, the undersigned notary public, personally appeared Melbourne K. Nickerson, proved to me through satisfactory evidence of identification, which was a Massachusetts driver's license, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. 'i zoi Notary Public My commission expires: 1011112011 MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Ode: 11-02-2005 a 09:18am CE1a: 255 Doc': 77141 Fee. $872.10 Cons: $255r000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 11-02-2005 a 09:18am Ct1A: 255 DocT: 77141 Fee: $581.40 Cons: $255v000.00 EG TR=DEEDS" A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER 5 BARNSTABLE REGISTRY OF DEEDS Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America,does hereby make,constitute and appoint Paul T. Bruflat of Sioux Falls State of South Dakota its regularly elected Vice President as Attomey-in-Fact,with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed,the following bond: One Residential Contractor Town of Barnstable bond with bond number 62247232 for Daniel Wood as Principal in the penalty amount not to exceed: $ 5,000.00 Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company duly adopted and now in force,to-wit: Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary,Treasurer,or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attomeys-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its Vice President with the corporate seal affixed this 17th day of December 2014 ATTEST WESTE N / URET COMPANY By 4�— L.Nelson,Assistant Secretary Paul TABruflat,Vice President e� r STATE OF SOUTH DAKOTA ss COUNTY OF MINNEHAHA Flee ° ¢am_ eve On this 17th day of December 2014 before me,a Notary Public,personally appeared Paul T. Bruflat and L. Nelson who,being by me duly sworn,acknowledged that they signed the above Power of Attorney as Vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. }bbbbbbbbbbbbbbbbbbbbbbbb} 8 S. PETRIK p y S^EItL NOTARY PUBLIC SEAL y f�SOUTH DAKOTA�r }bbbbbbbbbbbbbbbbbbbbbbb} - My Commission Expires August 11,2016 Notary Public Ow Form F1975-1-2012 ��Ir Affidavit of Substantial Financial Interest of Ebw l� , on oath depose and state as follows: 1. I am an applicant for a building permit forth ro erty to ted at Map J-70, Parcel COU The address of the property is � ��a /fThr��j 2. 1 have /Jo % legal.or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date,which is / '�1 � ° ,-the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4: Within the last twelve months, from today's date, which is l����- , i have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address 5. Within this calendar year, I have submitted`t4/*_ building permit applications-for property in which I have a 1% or greater legal or equitable interest. . 6. Within the last ten days, [ have submitted building permit applications for property in which I have a.1% or greater legal or equitable interest. 7. Within this month, l have submitted ',-building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this month, I have received building permits for property in which I have a 1% legal or equitable interest. 40 l� Signed under the pains and penalties of perjury,.thist day of , 200/ 2001-0050/affin O/LOTiERYiAFFIDAVIT Massachusetts Cleeldist for Compli lice (7ao_c[,,1TZs3oi.2.i.i)i Loadbearing Wall Connections Lateral(no-of 16d common nails)...................:............(Tables 7)........._.......................................... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(fable B)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compiance to Table 9) Header Spans .......................................................(Table 9)............................. .... ft_in.511' V Sill Plate Spans .......................................................(Table 9)................................._ft_in.51 v Full Height Studs (no.ofstuds)....................................(Table 9)....................._................................ Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans................:..................... ....:.... .........(Table 9)...........---....._.:..........;._ft_in.<_t2'_ Sill Plate Spans............................................................(Table 9)........_.........................._ft.in.s 12' Full He:fght Studs (no.of studs)--•...................•---....__....(Table 9).............................................:.......... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Buldng Dimension, W _ Nominal Height of Tallest OpeningZ .....:.......... ..........._...._.___............ _6'8" - SheathingType..............................................(note 4)...............................-•-----• ----•- . :• Edge Nail Spacing..................•........_..,....__...(Table 10 or note 4 if less).•.............._........ in. Feld Nail Spacing_ ............. able 10 .................................................. in. --� Shear Connection (no.of 16d common nails)(Table 10)....................................................... Percent Full-Height Sheathing.........................(Table ............................... 5%Additional Sheathing for Wall with-Opening>618'(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Dpening2...................................................:....................... _5 SheathingType..............................................(note 4).......................... .......................... - Edge Nail Spacing..............................._.._....(Table 11 or note 4 if less).... _............... in — ' Feld Nail Spacing................ ....:..(Table 11)._ � Shear Connection no.of 16d common nails ' able 11 Percent Full-Height Sheathing ° able 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 Wails Proprietary Connectors Uplift................................................(Table 12).............................................U= plf � Lateral........--•.......................•....._....(T'able 12)..............................................L= pif 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_<smaller of 2'or L12 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors K Uplift...................... ....................(Table 14).._.:....................... ...... U= lb. 4� Lateral(no. of 16d common nails)...(Table 14).......... ..L= . lb. . • Roof Sheathing Type...... ...................... (per 780 CMR Chapters 58 and 59) ...........: Roof Sheathing Thickness......................................:.................................................._in.>7/16'WSP Roof Sheathing Fastening........................................... able 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-53D1.2.1.1 Item 1. If the checklist is met in its entirety then the fbilow<ng 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.Fgure 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 3'#2-grade. nrr r� vw�cc ry rrV-VLL vwaetr ..-a.�aV.. .... ..S.. ... _•---•----"- --- ---r-- •• --- -- - Massachusetts Checklist for Compliance(780 CNfR5301 2.I.I)' Check _ - � Compliance , 1.1 SCOPE (0/ WindSpeed(3-sec.gust).................................................................•................................................110 mph WindExposure Category.................................................................................................................................B Wind Exposure Category................Engineering Required For Entire Project.......................................:C 1.2 APPLICABILITY . . Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories Roof Pitch.--•................:..... ...----- .....................:........... (Fig 2) ................................ - - _.. <12:12 MeanRoof Height :..................... ....................................(Fig 2)................................................._ft -33' I' Building Width,W ...........:............ -.........(Fig 3)......................................-........_ft -80 BuildingLength, L ..............................................................(Fig 3)..................................................=ft-580, Building Aspect Ratio(LIW) ................................................(Fig 4)................................................. 5 3.1 Nominal Height of Tallest Opening2 .............................:.....(Fig 4)................................................ <-6'B' 1.3 FRAMING CONNECTIONS General compliance with framing cflnneCODns....................(Table 2).......................................:......................... . 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete:_... .............................:.::.....:.................•_........._._.:._............................._.......................... ConcreteMasonry.............•-•-----.:..__......_...:_.._._..._...._.._.....__......._..............._.:..-....._........_.......:......._...._.._ 2.2 ANCHORAGE TO FOUNDATION"" 5/8"Anchor Bolts•imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete Drily . BoltSpacing-general ........................................:.(Table4)............................................... in. Bolt Spacing from end(oint of plate ................:............(Fig•5)..................................... in.:5 6"-12". Bolt Embedment-concrete...... ...........................(Fig 5)...,.._..-__..........-......:_._..__:.._.-_._.. -in.>7" Bolt Embedment-masonry.........................................(Fig 5).....:......:............................... in.>_15" PlateWasher..:........:............•-----......--•-•----:_......._.........(Fig 5)..................---__----__- 3.1 FLOORS Floor-framing member spans checked ...............................(per 7B0 CMR Chapter 55)................................... f Maximum Floor Opening Dimension...................................(Fig 6)................................................... ft:5:12' V Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall'(Fig 6)....................................... t� Maximum Floor Joist Setbacks / Supporting LDadbeadng Waifs or Sheanwall................(Fig 7)..................................................._.�ft 5d 1/ Maximum Cantilevered Floor Joists_ Supporting Loadbearing Walls or Shearwall........:.......(Fig 8).._...-_.._...._.._...._...._........._.._._........_ft s d FloorBracingat Endwalls......................................................(Fig 9).................................................................... Floor Sheathing Type ................................._.....................(per 780 CMR Chapter 55)................................... Floor Sheathing Thickness __...__...................................:...:.(per 780 CMR Chapter 55)...................... in. T/ Floor Sheathing Fastening..................................................(Table 2)_-_d nails at in edge/_in field t/ 4.1 WALLS Wall Height Loadbearing walls.......... .....................••___._._........_.__._.(Fig 10 and Table 5)..............-..........._ft -<101. Non-Loadbearing walls..................................................(Fig 10 and Table 5)........................... ft'5 20' Wall Stud Spacing ..........................::............................(Fig 10 and Table 5)................... in.524"o.c. Wall StDry Offsets .........................................................(Figs 7&8)............................................ ft `d.• 4.2 E?CTERI OR-WALLS' Wood Studs LDadbeadAg walls........................................................(Table 5-)...........................-.2x -_ft_in. Non-Loadbearing walls................................................*(Table 5)................................ _ ft_ Gable End Wall Bracing Full Height Endwall Studs............................................(Fig 10)......................................-........................... WSP•Attic Floor Length................::...................:..........(Fig 11)........ __........._...._-._.._....-.__...._. ftzW/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 bays4' Double Top Plate Splice Length _..__.........:........:.....................:.......(Fig 13 and Table 6).................................... ft Splice Connecfion(no.of 16d common nails)..............(Table 6).........................................................= i Y Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"___every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,parfnersbip,association or other legal entity,employing employees. however the owner of a dwelling house having not more than three apartments and who resides therein:Or the Occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed.to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall with Lold tire issuance or renewal of a license or permit to operate a business or to construct buildings in the comamnrr,_alth for_?ay applicant who has.not produced acceptable evidence of compliance with the uzsurazice.cover.:se rea aired Additionally, MGL chapter 152:§25C(7)states"Neither the commonwealth nor any of its political a)bdivisions shall enter into any contract for the performance of public work until acceptable evidence of compl_,.=,ce ,knit the insurance requirements of this chapter have been presented to the contracting authority!' Applicants ------ Please-f11 out the workers' compensation affidavit completely,by checking the boxes that apply to-y r.ur sita attio a, and,if ' necessary,supply sub-contractors)name(s), address(es)and p hone n iaber(s) along Vi h LLeir c .fic.ic(=) of insurance- Limited Liability Companies(LLC) or Limited.Liability Partnersliips(ILLP)veihno er., ,lcy� s other than the members or partners, are not required to carry workers' cozptnsauon insurance_ if an LLC or LLP does have employees, a policy is required_ Be advised that his affidavit may be submitted to the Depa_ ent cf indu7_1'P aI Accidents r`or coat rrnatlon of mairance coverage_ Also be sure to sign arrd date the a-J da.t L Thu.anmdlaVi t should be returned to the city or town that the application for the permit or license is being r-_.m-_essed not the Department of Industrial Accidents_ Should you have any questions regarding the last or if you are required to ob u'i a,;corkers' compensation policy,please call the Departrment at the nanber listed below. Sell innrred coTpa_urs should enter their self-in<suzamce license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly_ The Departrnent has pro r ided a space at the bottom of the affidavit for you to rill out in the event the Office of Investigations has to contact you T g— chug -e anplican= Please be sure to 51l in the permitllicease number which wi be used as a reference number_ L add ticn, aD_appbicant that must submit multiple pern-itllieense applications in any given year,need only subm.if one a+_�davit indicating cur-ent policy information (if necessary) and under"Job Site Address"the applicant should vrrii e"all locatio s in (city or town)."A copy of the affidavit that has been officially stamped or marked by he city or tovr'11 may be proV-idcd to the applicant as proof that a valid affidavit is oa file for future permits or licenses_ A new affdavii mrs t be L11ed out each year_Where a home owner or citizen is obtaining a license or permit not related to airy bus,�ess or corn mercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this aftda�;A_ The Office of Investigations would bide to thank you in advance for your cooperation and should you Lave any ques`dons, please do not hesitate to give us a call The Department's a-ddress,telephone and fax number: The Commonwel.tIL of lassachusttts Department of Judusl kal Accidents a. Q-fz�ce az���ti�-��ons 6W Was ,gtan Sit Barton_1AA 02111 Tel.9 617 T21 7-49-W Qx-L 406 or I-&7 NLkSS,4'T Revised 4-24--07 R�x 617-7-2 -77,A9 Hie Cartsynoyrnf--# of M"assachusef€s �epartz��t o�`�artr�rxlllccideart..� - Q e Of-rMkS*Ud6InS 600 Washington S&eet Boston,MA 02111 ' wr4w.xna gaildia '-grkea-s,' Campensaf unLasurauceAffidavit:BuildersICon"ctors/DecfricianMu-tubers tpHcant IufarmatEiou Please Priaf Sej�ibfy Dame tlra n;� ten_ `��r✓ IN Oo 1) Addre-ss-- 1.53 vv- -- OJ-3U , - g I-g- �; (Q 4�,0 Are you an employer?Check_the appropriate bay Type of project(require�_ 4_M I=a ge�al contractor and i 1_❑ I am a employer wAh. 6_ �hew action employees(full and/or part—time)-* have hire&the sub•rontractois 7 I am a sole proprietor orpartner- listed on the attached sheet 7_ ❑R modeliag shig and,h2nIe nn employees These sub-contractors h we g_ ❑Demolitioa w for m e in an capacity_ employ.zees and have workers' eking y comp-����� 9- ❑Building addition [No urorkms' comp.inc�lranre nor ed 5-❑ rt:We a a corporation and its l{l_0 Electrical rairs a cid ii ors o$eers haw't�ercised$e:r I❑ I am a homeowner doing all work I 0 Plumbing repairs or sCmyse Tt owofkm' `�tight ofeammpfiionperMGL 1� Roof repaim n� r wmd 1 f P c_152, §1(4} and we Ha e no emplayees'-[No workers' 1�_�Other comp_insm�required.j ,1 toy wpUca d that checks boa tl=St also fill out the section below shnwmg Their policy in:itnmdal- Homeowners who sab=it this Ef5dwit niffizatmg they are doing all jnm3-,End Then bne outside ca_rmctm-s tnn}i 5uba it a new a 55ti3rr m ni rnt -sari Zctmtncmrs that cbecic this box mast attached as:dditieno,shee sh t owing the nme of the m!#-cmir,tcs ma rtate whetdet ornot thnse moutie �s � anglQyees_ lfthe sn ,—ttact—h.=ee employs,thyunlst phuuiae then wa IMn,comg policy nvmh3_ $a>ar era czrtapr ihrrtispro~,�idtrrg tt�orkers'co.rr>pgrrsrrhort ar�trartce for:r��e,-r�vl�-�eca �etotr is S:epoTrc,}arcdJoc�rtr� 2Ft,fOr7trahQIL Inseuance Company Name-. — Policy fr or Self ins_Uc-� Expiration.Date: Iota Site Address- Cib'IstateMp: Attach a Copy:of the workers'compensation policy-deciirstion page(shoNving the policy n-amber.a d expiration date). Failure to Secure cavit-rage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal pm--Iti.es of a fine up to$1,500.00 andJor one-year mpri's t,as well as civil penalties in the faun of a STOP WORK ORDIIZ aad a S e ofup.trx S250.00 a day against the:violater_ Be advised that a cagy of this statement maybe forwarded to the Office of lmiestigations of tine DIA far i axance coverage verificatim I dig hRr-elqc cer fy under tks�p+rr"nN annd peennaIfes nfpt arp thatthe inform ibn proiid zd abtwe iss b7re and correct: Sianatur a (.C%�./wo` Bate= QfrciuL use anf . Da trot grits in this arert,#a be campLeted by dlty or ton-n oficiaT I� City,or Town: P rmieucerrse m Issuing Au-thority(carol--oae): 1.Board of Health 2.Building Departrneat I GitF-fFdwa Clerk 4.Electrical Fnspector S.Plumbing hasp-cto r 6.Other Con-tact Person: Phone r_ _ 6 S10 E DETECTORS 0. i BARNSTABLE BUILDING DEPT. t - t �- N i L _E1StiYatT.l'�.N.'_ . RF.Ja _. --1�L�.;$1�T3�" - '• - .. -- y _ L Y 6 , sF 4 7 1 ' SMOE4E t7£3sGi'oRS REVIEWED y a cos . BARNSTABLE B I ING OEPT. DATE + .. - 77 fIR�'aERARpIT.' DATE FIR OTH SIGNATURES ARE RFOU/REO,'FOR PERMITTING 11 r • .-.. - '' n�'y c . -a x1 r btlt�iRYID�iin�� t k D I + , 0 K - n I S _ F i . .... ., � -.....-._ .,:.. •.. - n 9(=u w�.^i.'n rlax?v..r.'.RR'n.�nGl'4r-t�s dl �t �gmea?n,K?tN+}eet-.�..r c r,�?Kw� �. 1 Bk 18515 Ps 172 324 73 _ QUITCLAIM DEED I, VIVIAN WALTON, of 204 Mitchell's Way, Hyannis, MA 02601, for consideration paid of TWENTY-FIVE THOUSAND FIVE HUNDRED ($25,500.00) DOLLARS, grant to MELBOURNE K. NICKERSON, of 13 This Way, Centerville, MA 02632 and JEFFREY G. PEPI, JR. , of 302 Ames Way, Centerville, MA 02632, as tenants in common, .a N with QUITCLAIM COVENANTS, o A certain parcel of land situated on a private way formerly known as Grace Avenue now known as Jennifer Lane (which begins on Pitcher's Way and' runs northeasterly therefrom) , and is shown as Lot 6 on a plan made by Gerald A. Mercer and Company, Engineers and Surveyors, West Yarmouth, Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHWESTERLY by said Grace Avenue now Jennifer Lane, there measuring seventy-nine (79) feet, more or less; NORTHEASTERLY by Lot 7, as shown on said plan, there - - - --- -- ---- -------measuring-one_ hundred th-it-ty--two---(13-2-)-- feet-;- -- ----- -- more or less; � SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring seventy-nine (79) feet; more or less; ti SOUTHWESTERLY by Lot 5, as shown on said plan, there measuring one hundred thirty-three (133) feet, more or less. For title, see deed recorded in Book 1481, Page 271 and Barnstable Probate Court Docket No. 86P-1130-A1. 0 a The above-described parcel is a replacement property in connection with an Internal Revenue Service Code, Section 1031 tax free exchange for the within named Grantees. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 04-28-2004 0 03:28aa Ct1T: 2530 Doc:: 32473 Fee: $87.21 Cons: $25r$00.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 04-28-2004 0 03:28ae CLIO 2530 Doc" 32473 Fee: ,$58.14 Cons: $25r500.00 Bk 18515 Pg 173 #32473 'A WITNESS my hand and seal this day of April, 2004. �-/L: A I'q Vivian Walton COMMONWEALTH OF MASSACHUSETTS Barnstable, ss: On this ryz day of April, 2004, before me, the undersigned notary public, personally appeared VIVIAN WALTON, and proved to me through satisfactory evidence of identification, which was a driver' s license or , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. N tary Public --- My- commission expires:.,- /g_ 0 x:\data\clients\nickerson\41jennifer\deed BARNSTABLE REGISTRY OF DEEDS r Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 Data filename:C:\Program Files\Check\REScheck\#4103.rck PROJECT TITLE:New Custom Ranch CITY:Hyannis STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) WINDOW/WALL RATIO:0.12 DATE:08/30/04 DATE OF PLANS:06-21-2001 PROJECT DESCRIPTION: Lot 1 Jenifer Ln. Hyannis,Ma. 02601 DESIGNER/CONTRACTOR: Tate Isenstadt P.O.Box 796 West Hyannisport,Ma. 02672 PROJECT NOTES: MaCheck by Cape Cod Insulation INC. #4103 COMPLIANCE:Passes Maximum UA= 183 Your Home UA= 177 3.3%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R- alue R-Value U-Far,c� L4 Ceiling 1:Flat Ceiling or Scissor Truss 672 38.0 0.0 20 Wall 1:Wood Frame, 16"o.c. 982 13.0 0.0 66 Window 1:Wood Frame:Double Pane with Low-E 118 0.340 40 Door 1: Solid 20 0.280 6 Door 2:Solid 20 0.260 5 Door 3:Solid 20 0.400 8 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 672 19.0 0.0 32 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) U_p to 1„ Up to 1.25" 1.5"to 2.0" Over 2„ 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches-by Pipe Sizes Pining System T}a2es Ran e F 2"Runouts 1"and Less 1.25"to 2" 2 5. ,to 4„ Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, -40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-Values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. I Duct Insulation: [ J I Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] I All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. ( Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF must be insulated to the levels in Table 2. L i REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 DATE:08/30/04 PROJECT TITLE:New Custom Ranch Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1: Solid,U-factor:0.280 Comments: [ ] 2. Door 2:Solid,U-factor:0.260 Comments: [ ] 3. Door 3: Solid,U-factor: 0.400 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air, 82.7 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioged space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture Furnace 1:Forced Hot Air,82.7 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in RES checkVersion 3.6 Release 1 (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date Furnace 1:Forced Hot Air,82.7 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in RES checkVersion 3.6 Release 1 (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date °FtKKE T° Town of Barnstable °^ Regulatory Services gB"R''MAS& � Thomas F:Geiler,Director ,59.�A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r. as Owner of the subject property hereby authorized to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) 0 R Signs of Owner Date Print Name QTORM&OWNERPERMISSION Affidavit of Substantial Financial Interest I �O 0_ of � ✓ `�lf , on oath depose and state as follows. permit for the property located at Map�� Parcel 1. I am an applicant for a building p l �4� -2___. The address of the property is have % legal or equitable interest in the d nl prc araert ph 1� above.ch is 2' I permit application which is identified paragraph subject of the building p PP /�n1(?/v6' , the 3, Within in the last twelve months from a,� or gre, which legal or equitable interest in following individuals or entitles have h permit application which is the real property which is the subject of the building p identified in paragraph I above: Address . Name a � �, I have had e last twelve months, from today's date,which is which have been 4, Within the ro ertles wh :a 1% or greater legal or equitable interest in the following p p the subject of a building permit application: Address Map/Parcel 5. Within this calendar year, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. . I have submitted building permit applications for g, Within the last ten days, property in which I have a 1% or greater legal or equitable interest. 7. Within this month, l have submitted building permit applications for property in which I have a 1% legal or equitable Interest. s. Within this month, I have received building permits for property in which I have a 1% legal or equitable interest. this _day of 200 Penalties o _. Signed under the pains and f perjury,. 1 2001-oowafFin nn nTrERYIAFFIDAVIT r' oFtHE rq,,, Town of Barnstable Regulatory Services 9 MASS. $ Thomas F. Geiler,Director F®i a. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 To: Daniel Wood and all interested parties From: Russell Wheeler, Local Inspector of Buildings Date: October 25 2005 Re: Jennifer Lane, Hyannis,MA 02601 To Whom It May Concern: After reviewing the deeds and building applications for lots 5A,6,22A,27A,28A, it appears they are ready for issuance. However, due to the town's new home submittal schedule, these specific permits can't be issued until on or after November 9, 2005 �. TOWN OF BARNSTABLE r, NEW 1 BDRM S-FAMILY DWELLING,LOT #6 PARCEL ID 270 123 GEOBASE ID 17766 ADDRESS 44 JENNIFER LANE PHONE - H'YANNIS ZIP LOT 6 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY MIT TYPE 98ILD �ffEJIPTION 10 iERM-ILDWERINT CONTRACTORS: WOOD,DAN Department of ARCHITECTS: Regulatory Services TOTAL FEES: $510.00 BOND CONSTRUCTION COSTS $100,000.00 tt1E 4► 101 SINGLE FAM HOME DETACHED 1 PRIVATES* 1 * snRNs1ABLE, MASS. i639. FD MA'S BUILDING DIV, S 'ON BY DATE ISSUED .11/10/2005 EXPIRATION DATE TOWN OF BARNSTABLE" - NEW 1 BDRH S-FAMILY DWELLING,LOT #6 PARCEL "ID 2 0 123 . GEOBASE .ID , 17766 ADDRESS *� JENNIFER LAND A.: PHONE , NNIS ZIP LOT G BLOCK LOT SIZE I, D"BA DEVELOPMENT DISTRICT HY gg .e�ggggD IT yPEn� BojL f l IPTION 10 C3N`1'RAC 'OR ;d�tOQD,DAN �.- 4 ,I AwHITEGTS: Department of , Regulatory Services . `i TAL FEES: $510.00 O D $.00 'CONSTRTjCTION COSTS $?�JO,000.ADO .101 .. SINGLE P'AM HOME. DETACHED-- 1. PRIVATE ` * BARNSTABLEMAM 039. �. r,. ��.�• q, ,. '� � . E6 MPS A♦ � st a BUILDING,DIV ON .. ,. By DATE ISSUED EI3 11/10,/2005 EXPIRATION DATE f �: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY.PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SOATAS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS a c i 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING P ERM I T y _ j o a fC (N I N { C eense CONSTRUCTION SUPERVISOR Nium"ber6S 062$22 Q6 Tr.n 359.0 ` i •`'DYE+ L"'>'C'W,®Q'�. I. 38 EV CIIR •i CENTERVILL Commissioner 9 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 70 Parcel /2,-3 P rmit# —� Health Division / 0 2r OS47_� e c7 Conservation Division zrf, J 0'aV glklg5, �O _ Fee 'J Tax Collector\ 0V fippt Treasurer SEPTIC SYSTEM MUST BF CheINV COMPLIANCE Planning Dept. n�a c✓ ��.RT - LE Date Definitive Plan Approved by Planning Board 7~ " -� .AppWM AL CODE AND L 4— ,2-� fG S TOWI - TI .NS Historic-OKH Preservation/Hyannis Project Street Address [./NJ l9�n�s ` ' L 9' Village . y�°✓^f°s "' Owner a Address w ! Telephone Permit Request 1, W /� A4C J /3,0/I&I Square feet: 1st floor: existing proposed 3 91 2nd floor: existing i4 proposed Total new Valuation %o Q a Zoning District Flood Plain Groundwater Overlay Construction Type S'.i Lot Size Sao y78 Grandfathered: 5dYes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family M_ Two Family ❑ Multi-Family(#units) Age of Existing Structure A-1111 (-,+)%J4 Historic House: ❑Yes ANo On Old King's Highway: ❑Yes to No Basement Type: ®Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new / Half: existing new Number of Bedrooms: existing new / Total Room Count(not including baths): existing new �� First Floor Room Count _ - r HeafType and Fuel: 9 Gas ❑Oil ❑ Electric ❑Other Central Air: 9 Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ANo If yes, site plan review# Current Use roposed Use -;/A2'tC A/016` 174_?4(& - BUILDER INFORMATION �. Name A y Telephone Number - $ I Address � q e\' G l e3clw License# Atli ;�► �`� 6qj, ?qw 40,7j'sz, Home Improvement Contractor# Worker's Compensation# r'iq_ A-1y, ALL CO STRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE J v w - 1 .a Q U w w Q Q O Q - a z z z loml4 ISEtMmiow EMSOMWENWr CODE aXc 1,UH rE 2 IMSIVITED 1V CGV'ibriv icz- v bl ?ka EVii iYn21 tE z o 0 0 Ii z '.Q- -Z- • - - w ` Z O a W w � O z a A w O z w O Q U U Zuj O �• w ¢ ¢ AAA 3 ¢ p W. Uw.�A w w z w w a. C7 w A Q The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): _J_J Address: � ��� City/State/Zip: Phone#: g"bS ° 9/9• -32,Z-ca Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. g• ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.[1 Electrical repairs or additions required.] officers have exercised their 3.El am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.[:1 Roof repairs insurance required.]t employees. [No workers' .3.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp..policy inforrnation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500..00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains and penalties of perjury that the information provided above is true and correct Si afore• "r Date: /``�/��l�'S' --- Phone#: lid 6 1 3_ 3 6ZO Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• ormation and Instructions ons Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as ...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling ohou e d gemployment be d&nkd#o�be an�rnp y � grounds or building appurtenant thereto shall not because of such or on the MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any eptable evidence of compliance with the insurance coverage required. applicant who has not produced acc "Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance 2requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s), address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should the city or town that the application for the permit or license is being requested, not the Department of be returned to ty ' Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers compensation policy,please call the Department at the number listed below. Self-insured companies should enter then self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia r BOUDREAU AND BOUDREAU, LLP 396 NORTH STREET HYANNIS,, MASSACHUSETTS 02601 Telephone:(508)775-1085 Telefax:(508)771-0722 Philip Michael Boudreau Mark H.Boudreau E-mail:mark@boudreaulaw.net January 15, 2015 Thomas Perry, Building Commissioner Barnstable Town Hall 200 Main Street Hyannis, MA 02601 RE: 49 Jennifer Lane Hyannis, Massachusetts Barnstable Assessor's Map 270, Parcel 123 Dear Mr. Perry, I represent Daniel C. Wood, Trustee of J & J Group Realty Trust, and would appreciate it if you would confirm that the property has retained its status as a buildable lot. For your information, the property contains approximately .24 acres of land including 79.01 feet of frontage on Jennifer lane. It is purported to be shown as Lot 6 on a 1955 subdivision plan that does not appear to have been recorded at the Registry of Deeds. It is also shown on a 1968 subdivision plan, being Plan Book 293 Page 26. As of the date of this plan, locus lay with a RA-1 zone which required 7,500 square feet of area and 75'.of frontage. Locus abuts 35 and 57 Jennifer Lane, 548 Pitcher's Way and 0 Saint Francis Circle. In. running the record title to the abutting properties, I find that none of them have been held in common ownership with locus since at least back as far as 1958. I have included copies of the deed in the chain of title to locus and the abutting landowners since 1958. It is submitted that locus meets the requirements of Section 240-91(E) of the Ordinance as it was transferred into separate ownership within eight years from the endorsement of the 1968 subdivision plan, which followed a preliminary plans submitted prior to the first zoning change that would have made the lot nonconforming. Locus has remained in separate ownership from that date to the present. If you have any questions or need any additional information, please do not hesitate to contact me. Thank you for your kind attention to this matter. Sincerely, �MarkH. Boudreau MHB Enclosures LAW OFFICES OF ALBERT J. SCHULZ 21562tp3rev.1tr WILLIAM CHARLES PLACE 7 PARKER ROAD ALBERT J. SCHULZ OSTERVILLE, MASSACHUSETTS 02655-2034 MICHAEL F. SCHULZ aschulz@schulzlawoffices.com TELEPHONE(508)428-0950 mschulz@schulzlawoffices.com FACSIMILE(508)420-1536 October 5, 2005 Tom Perry, Building Commissioner Town of Barnstable 200 Main Street Barnstable, MA 02601 41) -0-49 Re: 0 Jennifer Lane, Hyannisl Assessor's Map 270, Parcel 123 Lot'6,Plan Book 602, Page 84 Dear Mr. Perry: I have examined the title to the real estate at 49 Jennifer Lane, Hyannis, ("Locus") and the adjoining parcels at 41 Jennifer Lane (Parcels 124 and 223, Map 270) and 57 Jennifer Lane (Map 292, Parcel 289), from February 1985 to the present in order to determine whether any parcels have merged with Locus for zoning purposes. Based on my examination and the information you have furnished, I render the following opinion: 1. Locus contains .24 acres 79 feet of frontage. 2. Locus is shown on Assessors Map 270 as Parcel 123. 3. Locus is located in a RB residential zoning district and a Well Protection Overlay District(WP). 4. Locus first became nonconforming in February 1985, when the minimum area requirement was increased from 10,000 square feet to 43,560 square feet(1 acre). 1 Locus,according to the Assessing records has an address of 41 Jennifer Lane. The address of 49 Jennifer Lane has been assigned by the Engineering Department. r i 21562tp3rev.1tr 5. At no time since February 1985 has Locus been held in common ownership with the parcels at 41 Jennifer Lane (Parcels 124 and 223) or 57 Jennifer Lane (Parcel 289). 6. The present owner of Locus is Melbourne K. Nickerson and Jeffrey G. Pepi, as joint tenants under a deed from Vivian Walton, dated April 8, 2004, recorded in Book 18515, Page 172. Tab 1. From May 18, 1970 until his death on April 18, 1986, title to Locus was in the name of Jerry Walton, under a deed from Roger W. Cook and Florence S. Cook, dated May 18, 1970, recorded in Book 1481, Page 271. Tab 2. Title to Locus passed to Vivian Walton under the Estate of Jerry Walton, Barnstable Probate Court, Docket No. 86P-1130-A 1. 7. Title to 57 Jennifer Lane is presently in the name of the Town of Barnstable, pursuant to Final Judgment in Tax Lien Case No. 75526, dated October 27, 1994, recorded in Book 9473, Page 37. Tab 3. From November 30, 1968 until October 27, 1994, title to 57 Jennifer Lane was in the name of John A. Scott, Jr. by deed from the Town of Barnstable, dated November 30, 1968, recorded in Book 1283, Page 841. Tab 4. 8. Title to 41 Jennifer Lane (Parcel 124 and 223) is presently in the name of Melbourne Jeffrey G. Pepi, under a deed from Dorothy E. Scott, dated October 17, 2004, recorded in Book 17813, Page 95. Tab 5. From November 30, 1968, until his death in 1999, title to 57 Jennifer Lane was in the name of John A. Scott, Jr., under a deed from the Town of Barnstable, dated November 30, 1968, recorded in Book 1283, Page 841. Tab 4. Title to 57 Jennifer Lane passed to Dorothy E. Scott, the surviving spouse of John A. Scott, Jr., under the Estate of John A. Scott, Jr., Barnstable Probate and Family Court, Docket No. 99P-0909-WF. 9. Based on the above facts, it is my opinion that Locus is a separate building lot for zoning purposes. If you have any questions, or require additional information or documentation, please call me. 21562tp3 rev.ltr Sincerely, Albert J. Schulz AJS/jfs Enclosures NOTE: This letter is a revision to my letter to you dated August 31, 2004. The revisions deal only with the address of Locus and abutting parcels and are not substantive in nature. My opinion that Locus is a separate building lot has not changed. ` I I � � i i • • • Bk 18515 Po 172 ' :32473 04-28-2004 al 03 .: 28a QUITCLAIM DEED I, VIVIAN WALTON, of 204 Mitchell' s Way, Hyannis, MA 02601, for consideration paid of TWENTY-FIVE THOUSAND FIVE HUNDRED ($25, 500.00) DOLLARS, grant to MELBOURNE K. NICKERSON, of 13 This Way, Centerville, MA 02632 and JEFFREY G. PEPI, JR. , of 302 Ames Way, Centerville, MA 02632, as tenants in common, .a N with QUITCLAIM COVENANTS, 0 A certain parcel of land situated on a private way formerly known as Grace Avenue now known as Jennifer Lane (which begins on Pitcher' s Way and runs northeasterly therefrom) , and is shown as Lot 6 on a plan made by Gerald A. Mercer and Company, Engineers and Surveyors, West Yarmouth, Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHWESTERLY by said Grace Avenue now Jennifer Lane, there measuring seventy-nine (79) feet, more or less; NORTHEASTERLY by Lot 7, as shown on said plan, there measuring one hundred thirty-two (132) feet, more or less; SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring seventy-nine (79) feet; more or less; y SOUTHWESTERLY by Lot 5, as shown on said plan, there measuring one hundred thirty-three (133) feet, more or less. For title, see deed recorded in Book 1481, Page 271 and Barnstable Probate Court Docket No. 86P-1130-A1. 0 a The above-described parcel is a replacement property in connection with an Internal Revenue Service Code, Section 1031 tax free exchange for the within named Grantees. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 04-28-2004 a 03:28an CtI,`r: 2530 Dort: 32473 Fee: $97.21 Cons: S25r500.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 04-28-2004 O 03:28un Ct14T: 2530 Dolt: 32473 Fee: ,$58.14 Cons: $25?500.00 I Bk 18515 Pg 173 #32473 WITNESS my hand and seal this day of April, 2004. ki4;�A 1 Vivian Walton COMMONWEALTH OF MASSACHUSETTS Barnstable, ss: On this day of April, 2004, before me, the undersigned notary public, personally appeared VIVIAN WALTON, and proved to me through satisfactory evidence of identification, which was a driver' s license or , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. Z/r Lary Public My commission expires: � x:\data\clients\nickerson\41jennifer\deed BARNSTABLE REGISTRY OF DEEDS N , _:� . 5 �' � � � � � g � y � � � M i� s � S 9 a �., � � n ,, � � � � 9 e � � � � � � � . � . • • • . WE,.ROGER W. COOK and FLORENCE S. COOK, husband and wife as 142U tenants by the entiret , both of Barnstable (Hyannis, Barnstable County,Massachusetts, jbft l xPumW,for oonsideration paid,grata to JERRY WALTON of Main Street, j Barnstable (Cummaquid), Barnstable County, Massachusetts 39 with "ficlam c ntob t 004101t�tx Ba ras4ble AH anni ailBar stable County, Massachusetts, boon ed a escri a as A certain parcel of land situated on a private way to be j known as Grace Avenue (which begins on Pitcher's Way and runs I Northeasterly therefrom), and is shown as Lot 6 on a plan made by Gerald A. Mercer and Company, Engineers and Surveyors, West Yarmouth, Massachusetts, dated September, 1955, and being bounded and described as follows; NORTHWESTERLY by said Grace Avenue, there measuring seventy- nine (79) feet, more or less; f NORTHEASTERLY by Lot 7, as shown on said plan, there measuring ! ione hundred thirty-two (132) feet, more .or less, SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring seventy-nine (79) feet; more or less; SOUTHWESTERLY by Lot 5, as shown on said plan, there measuring one hundred thirty-three (133) feet, more or ' less. For our title see deed to us from Viola 0. Jones dated ! July 19, 1968 recorded with Barnstable County Registry of Deeds in Book 1408, Page 295. The Consideration for this Deed is $1,000.00. I m COMMONWEALTH OF MASS HUSETTS 1 .o auolr - 0 2. 2 8- • o P.a.110 �thtars� our handatd se this 18th day of May 1970 Cam'` � 422 . r r'-. I! mbt�aaaaotulmltq of>Rurlttlpntttr I! BARNSTABLE aa• May 18, 1970 Then personally appeared the above named ROGER W. COOK and acknowledged the foregoing instrument to be his eM and deed, 3 a.' (ffMO A/ P?,-A-1V Notary Public 481 271 I My commission expires lU7ov'� 90 AUG 1 z 197C Nu KtWoU ffi � � i � ; I � 4 4 � 9 ¢ � 3 � c � � y � g �"`9 f � � � � # ;, a � � � � # a F � � x � a � � � k � � a yyp � _ � � � ja f 5� � � 1 � � � � � � � � � - � . $ � � � � � fi � � � � � �i � � � � 3 3 1 � p g � g � � � � � � I � $ � k $ � � r � � i � � � � i E � � � � � � � a _ � � � � f � r � 9 o � j M # � z 9 3 9 e 1 � � a g � � � F 5 t � � 0 g @ 3 � � } I � o I � • • • � BP.09473-0037 94-12-07 9=14 970237 (SEAL) COMMONWEALTH OF MASSACHUSETTS LAND COURT DEPARTMENT OF THE TRIAL COURT Case No. 75526 TLr FINAL JUDGMENT IN TAX LIEN CASE Tarn of sa,tastabl• VS. John At kott. it, JUDGMENT This case came on to be heard and was argued by counsel,and thereupon,upon consideration thereof,it is ADJUDGED and ORDERED that all rights of redemption are forever foreclosed and barred under the deed given by the Collector of Taxes for the Tarn Of Barnstable in the County of Barnstable and said Commonwealth,dated Jawary 170 1973 and duty recorded in Book !1!9 Page g 730 By the Court (Cauchons C.J) Attest: Charles Wo Trombly, Jr. Dated October 77. 1994 Recorder A TRUIV eopy ab AXTEOT ft��jR DI�R BARNSTABLE REGISTRY OF DEEDS A i f TiE INHABITANTS OF THE TOWN OF RARNSTABLE, a municipal cor- poration located within the County of Barnstable and Commonwealth of Massachusetts, for Two Thousand Four Hundred Forty 112440,00) Dollars paid, grant to JOHN A. SCOTT, JR. and MARTHA M. SCOTT, husrand and wife, as tenants by the entirety, b:►th of Yarmouth (West), Barnstable County, Massachusetts, with quitclaim Covenants certain parcels of land located in the Town of Barnstable, County of Barnstable and Commonwealth of Massachusetts, described as follows: Lots 101, 102, 103 10.4, 105, 106 and 107, 138, 139 140 and 14l in the William C. c:ifford bevelopment off the west side of Main Street in the Village of Cotuit. 5.65 acre;9 of land located off Pitcher's Way in Hyannis. For the 'rown►s title refe:•ence Ss made to a deed of the Town►s, Treasurer to the Town dated December 12, 1958 recorded with Barnstable County Deeds in Book 1025, Page 256. Full compliance has been made with the provisions of Section 83A of Chapter 44 of the General Laws (Ter. Ed.). The Town►s title was sold at public auction to the highest bidder, being the grantees herein, for the consideration mentioned herein, on September 23, 1984. I IN WITNESS W11;HEOF, The Inhabitants of the Tow&'of Barnstabl have caused its corporate seal to be here„o affixed and these presents :o be signed in its name and behalf by Victor F. Adams, George L. Cross and E. Thomas Murphy, its Seleczmen, duly autho- rized by vote of ,sald Town, this ay of NeNember, 1964. W I(VHAAITANTS OF THE TOWN OF BARNSTABLE �� ec men as a_ore ricl LU.'CUMA10WEALT11 OF MASSACUSETTS a DEEDS, .�� L,XCI.SE 0 2�1_T14rr _l . ea'T-nn�o -a , 1 saai MAGI 841 bo1283 PAU 842 COWONYPEALTH OF MASSACHUSETTS Darnstable,ss. November�o u1984. i Then personally appeared the above named Victor F. Adams, , George L. Cross and E. Thomas Murphy, Selectmen as aforesaid, and acknowledged the foregoing instrument to be the free act an(I deed of the Town of 'Barnstable, before me o ry PUblWv c �....:. My commission expires: 1 , 1 ' • I 1' Barnstable, as., Rrceived December 10, 1964, and ie reconled. I 1 I i I I I / t ii . I N it jI I I Bic 17813 Ps95 -o-12 874 DEED' N 4 I, DOROTHY E. SCOTT, surviving spouse of John A. Scott, Jr. , of 16 Brooksweld Lane, West Dennis, Massachusetts, for consideration of TWENTY THOUSAND, SIX HUNDRED TWENTY-FIVE ($20,625.00) DOLLARS grant to JEFFREY PEPI of P.O. Box 86, Centerville, Massachusetts • 02632, all my right, title and interest to the vacant land at Jennifer Lane, Barnstable (Hyannis) , Barnstable County, Massachu- setts, more particularly described as follows: being LOTS 4, 5, 19, 20, 21, 25, 26, and 27 as shown on "Subdivision Plan of Land in (Hyannis) Barnstable, Massachusetts, for John A. Scott, Jr. , by Mercer Engineering Corp. , South t Yarmouth, Mass. dated May, 1968, " a copy of which is filed in the Barnstable County Registry of Deeds, Plan Book 293, Page 26; and further including as part of the land the fee in the private way shown as Jennifer Lane on said plan abutting the aforementioned Q lots (subject to the rights of others, if any , over same) ; together with a right of way appurtenant to each of said lots to and from Pitcher's Way as shown on said plan. Subject to all rights, reservations and restrictions of record. Subject to all outstanding real estate taxes. For my title, see deed to John A. Scott, Jr. , dated November 30, 1968, and recorded at Barnstable Registry of Deeds Book 1283, Page 841, and the will of John A. Scott, Jr. , at Barnstable SYKES AND COLE ATTORNEYS AT LAW Probate Docket No. 99P0909WF. 420 SOUTH STREET POST OFFICE BOX 1358 HYANNIS.AAA 02601 TEL.(506)T75-9147 V Bk 17813 Pg 96 #121874 r� WITNESS my hand and seal this 17""I? day of &4AP-o- , Two Thousand Three. &:4t� le, east Dorothy E9 Scott COMMONWEALTH OF MASSACHUSETTS Barnstable, ss (Jd 6o- r71 2003 Then personally appeared the above-mentioned DO f SCOTT and acknowledged t e foregoing instrument to act and deed, Before me, 1 ' �,J V. vytgrucq Notary PI,A FMy Commission E ires: 41-I�oB' --------------------- 9LE COUNTY COUNT F2E DEEDS ___ Y____ -___-__ R-_____ED., BARNS �11 DATE 10.20.'03 PION 10/20/03 10:4AN 01 000000 H79M TAX $47.88 FE $71.82 TOTAL $47.88 CASH $47.96 CASH $71.82 CLERK 1 NO.043749 TIME 10,09 Ilii SYKES AND COLE ATTORNEYS AT LAW 420 SOUTH STREET POST OPFICE W X 1358 2 HYANNIS,MA 02601 TEL.(S08)776-9147 BARNSTABLE REGISTRY OF DEEDS Bk 20379 Ps257 73238 10-19-20 05 & 09 = 44U 2156249.res CONFIRMATORY DEED RESTRICTION WHEREAS, Melbourne K. Nickerson and Jeffrey G. Pepi are the owners of a certain parcel of vacant land located at 41 Jennifer Lane, Barnstable (Hyannis), Barnstable County, Massachusetts (hereinafter referred to as "Premises"), under a deed from Vivian Walton, dated April 8, 2004, recorded in Book 18515, Page 172; and .WHEREAS, Melbourne K. Nickerson and Jeffrey G. Pepi, as the owners of the premises has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre- condition to obtaining a disposal works construction permit from the Town of Barnstable Board.of Health and to obtaining a building permit for the premises; and WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to issuing a permit for the installation of a septic system on the premises and authorizing the issuance of a building permit for the construction of a single family residence on the premises requires that the agreement for the restriction on the number of bedrooms in any house constructed on the premises be recorded with the Barnstable County Registry of Deeds. NOW, THEREFORE, Melbourne K. Nickerson and Jeffrey G. Pepi do hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. The premises may have constructed upon the lot a house containing no more than one (1) bedroom. This restriction shall continue in full force and effect until such time that construction of a residence with greater than one (1) bedroom is allowed as of right. a, s 21562-49.res THIS CONFIRMATORY RESTRICTION CORRECTS AND CONFIRMS THE DEED RESTRICTION, DATED SEPTEMBER 1, 2004, RECORDED IN BOOK 189979 PAGE 3121 WHEREIN THE PREMISES WAS INCORRECTLY DESCRIBED AS 49 JENNIFER LANE INSTEAD OF 41 JENNIFER LANE. For title of Melbourne K. Nickerson and Jeffrey G. Pepi, see the following deed: Book 18515, Page 172. Executed as a sealed instrument this da y of Octo 2005. Melbourne K. Nickerson 92'&1p, - Jeffrey G. Pepi Ail' COMMONWEALTH OF MASSACHUSETTS Barnstable County On this)day of October 2005, before me, the undersigned notary public, personally appeared Melbourne K. Nickerson and Jeffrey G. Pepi, proved to me through satisfactory evidence of identification, which were Dl���%c�-(2_SS'.__ to be the people whose names are signed on the preceding or attached document, and acknowledged to me that they signed it voluntarily for its stated purpose. cnei K.Gruenstem Notary Public Notary Public My Commission Expires:02/23/07 My commission expires: Bk 20 a79 F o->62 a73240 10-19-2C-105 a 440. COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. Probate & Family Court Docket No. MELBOURNE K. NICKERSON and ) 05E0077GC1 JEFFREY G. PEPI, JR., ) Plaintiffs ) VS. ) lk VIVIAN WALTON, ) I Defendant - ) JUDGMENT attached All persons interested having been notified by, and in accordance with an Agreementffir dated September 27, 2005, between the Plaintiffs, MELBOURNE K. NICKERSON and JEFFREY G. PEPI, JR. and Cynthia M. Bourget, Esquire, as Temporary Guardian of the defendant, VIVIAN WALTON, as authorized by decree of the Barnstable Probate and Family Court entered on September 22, 2005, in Docket No. 03P-1436-GC2, it is hereby Q. ORDERED and ADJUDGED that the deed from Vivian Walton to Jeffrey G. ty Pepi, Jr. and Melbourne K. Nickerson, dated April 28, 2004 and recorded in the ® Barnstable County Registry of Deeds in Book 18515,Page 172, is rati ed and confirmed. LU .�' 4 October,� y , 2005 QL 4 - Q ATTEST: REGISTER 1 Bk 15637 P9224 682588 ' 09-24-2002 a :11 a 21 m QUITCLAIM DEED I,Mabel Ann Corey n/k/a as Mabel Corey Higgs of 5347 Wright Way West,W.Bloomfield,MI 48322 in consideration paid of ONE HUNDRED ELEVEN THOUSAND AND 00/100($111,000.00) DOLLARS grant to Peter R. Barber of 11 Shingle Mill Lane,Hanover,MA 02339 with QUITCLAIM COVENANTS A certain triangular parcel,of land situated on Pitcher's Way in the village of Hyannis,Barnstable County,more particularly bounded and described as follows: SOUTHWESTERLY by Pitcher's Way,there measuring 290 feet as the road curves; NORTHWARDLY by land formerly of Ernest S.Bradford et al measuring 650 feet, more or less;and, SOUTHEASTWARDLY by land now or formerlyof Augustus Andrews there measuring g � g 818 feet. The entire parcel contains an area of 1.78 acres,be the same more or less. EXCEPTED from the above premises is that certain parcel of land containing 4,633 square feet and is shown as Lot A on a plan entitled,"Plan of Land in Hyannis,Barnstable,Mass. To be conveyed to William B. &Ruby W.Barclay dated September 10, 1971,Charles N. Savery,Inc., Registered Engineers&Surveyors,"which plan is recorded in the Barnstable county Registry of Deeds in Plan book 253,Page 62. There is also excepted from the premises to be conveyed a Taking by the Town of Barnstable for the layout of a portion of Pitcher's Way as recorded by instrument dated April 5, 1968 and recorded in the Barnstable County Registry of Deeds in Book 1398.,Page 492. For my title,see deed dated December 21, 1943 and recorded in the Barnstable County Registry of Deeds in Book 657,Page 534. Property' Address: 548 Pitcher's Way,Hyannis,MA 02601 Bk 15637 P9225 082588 Sealed as an executed agreement on this day of 2002. Mabel Ann Corey n/k/a Mabe orey STATE OF MICHIGAN County ss: �'iep ��' ,2002 Then personally appeared the above named Mabel Ann Corey n/k/a Mabel Corey Higgs and acknowledged the foregoing instrument to be her free act and deed before me, Notary Public EK My Commission Expires a �c - pct,� `�s --�(-��- ftOFD ,� BAR S REGIST �,,h, � COUNTY EXCISE TAX ------------------ PECK rip e , DATE 09.24-102 TOE TAX 1253.08 09/24/02��2t of TOTAL $253.08 7�� CASH $253.08 FEE CLERK 1 N0.033308 TIRE 11:09 BARNSTABLE REGISTRY OF DEEDS Bk 15754 P9143 T9101$ 10-17-2002 &* 10:S2cx Quitclaim Deed I, Peter R. Barber, of Hanover, MA for consideration of One Dollar($1.00) PAID grant to Gail H. Barber, Trustee of Pitcher's Way Trust; u/d/t dated May 1, 2002 and recorded at the Barnstable Registry of Deeds in Book 15135, Page 213, of 11 Shingle Mill Lane, Hanover, MA 02339 With Quitclaim Covenants A certain triangular parcel of land situated on Pitcher's Way in the village of Hyannis, Barnstable County, more particularly bounded and described as follows: SOUTHWESTERLY by Pitcher's Way, there measuring 290 feet as the road curves; NORTHWARDLY by land formerly of Ernest S. Bradford et al measuring 650 feet, more or less; and, SOUTHEASTARDLY by land now or formerly of Augustus Andrews, there measuring 818 feet. The entire parcel contains.an area of 1.78 acres, be the same more or less. EXCEPTED from the above premises is that certain parcel of land containing 4633 square feet and is shown as Lot A on a plan entitled, Plan of Land in Hyannis, Barnstable, Mass. To be conveyed to William B. & Ruby W. Barclay dated Sept. 10, 1971, Charles N. Savery, Inc., Registered Engineers & Surveyors", which plan is recorded in the Barnstable County Registry of Deeds in Plan Book 253, Page 62. There is also excepted from the premises to be conveyed a Taking by the Town of Barnstable for the layout of a portion of Pitcher's Way as recorded by instrument dated April 5, 1968 and recorded in the Barnstable County Registry of Deeds in Book 1398, Page 492. For my title, see deed recorded at the Barnstable County Registry of Deeds in Book 15637, Page 224 Signed and sealed this 25"' day of September, 2002. Peter R..Barber Commonwealth of Massachusetts Norfolk, is September 25, 2002 Then personally appeared Peter R. Barber and acknowledged the foregoing instrument to be her free act and deed, before me Law C ;-. 'uUilliams 21 McGra; , ',gr;,,ny, Suite 501 Notary Public Quincy, MA 02169 My commission expires: BARNSTABLE REGISTRY OF DEEDS The said premises are conveyed subject to like restrictions as those 657 set forth in a Deed from the Central Cape Realty Corporation conveying Lot numbered 8 as shown on said plan to William. H. Moran, dated . November 5, 1925, recorded in Barnstable County Registry of Deeds, 534 Book 427, page 196, and to any other restrictions of record, if any there be, in so far as same are now in force and applicable, and subject to rights of other owners of lots in said "Teaticket" in the roads, bathing beaches, and such areas as are shoran on said plan, des-- ignated as "Parks", ''Proposed English Croquet", "Proposed Bowling Green", "Proposed Tennis Courts", "Clock Golf" and "Proposed Children's Playground" as referred to on plan above mentioned. The said premises are also conveyed subject to all unpaid taxes and assessments end encumbrances, if any there be. No monetary consideration having been paid, no revenue stamps are attached. ......................................................... :. :........................ .............. ................. :.............................................. a �« g�axee�,rs�t awn'�caxiot �cgl�d:>�u�a�s�x�e�ceatt. Stimss.......=..hand and seal' this........>t??.:....................day of ...............19_4 .................................................................................. �✓/! j ... . ................................................ ........................................ ................................ ... C;4v (150utntntttuPu114 of Massarhusrtts ................'`" ....... ......................ss. ..............SP-ptamber...5.,............................. Whet: personally appeared the above named...........G�P81d1„r12..5•,•..' Lsz1�eY............................ ..................... and acknowledged the foregoing instrument to be.....ho.?'....: free act and deed,before me . .... .... ................................ 5o;ar7 Poblio--dmeies.eFt6►F.y�2 � - i ati camtaicxion � ', i Barnstable, ss. , Received October 23, 1946, and is reoorded. w....... ............................. .. e, `. ...�.�a'1........ ..ter-y.. 1.� ... _ �..... ��. . .. ...................sw^fir....^ .ry_..... .` .,.ti....t 0� 'Tr.��ab 1e. rj is,r; ?_rr Spa 1p a ' : the., q h J • .. ... .. ..... , ........ ... .. 1 .. .. County,Massachusetts, btin.�Eraa.-;ed, for conside:a�n paid, grant to ......«.1.,,P..,..a,..,..... ,:.,`."...: .......................... e ............................................................... _gn I.£t a3'l c 5.�..........._....... ..... .........._................................... ................. iof._.........0..................... ..�i$.a..x wFi3s? Se`yS .......................... .......... -with guitdaim rournatta She land in......52.iCi... Y..2:r1 Lfi.a.G .. .'=s': .�'G:..J::...ii Pi' eTF....,iazf....i....SO.... ...... ... ..........�.. Xar�lis and more o�r•��c12*2y bour, .e zr .,iescr �ed .asvfclosed n^s. . .......... ... .. ........................'..'. a�.... e-a]nd is . Saic parcel ig ;ridr mi of bounded3C Ta-?Z$7 ABDLY tv Pitchers ,7ay, ere ma as r;_ Try �.7—_. o Hundred—Ninety ( 290 ) feet as tre j_. road Curves; SC.'.T V 7AR LY by forL.- L. of a+-� Ji:;lerly Clf, the �ira.Yi[tire,1 .1.11�'i.}i was sold IC Moses A, •race and ^onvered by deed dated August I7th,19j5 there me�s— i urirgfSix 'r' ldred-b'ifty ( b5, ) ieet,more or less and SOUTH- ,AS: .L.D,DLY by tar d -or::erly of Luella Beals,no�v Of �:uflustus Andrevas there measuring i fiht Hundred Eighteen { 419 j ;eet and the whole parcel certair_s 2n area of 07Z and 5.IVE/EIGHTS acres, be the same more or less and is a part of f MIM Olve so" 'aroe3 oonvey�o me Tq--Xaij -L;'Chase by»steed heoorded In Barnstable Oounty Registry of Deeds�Book•351 ! e 44� - 857 • ... : tteferenoe is Slather made to a Plaa of Lan in lwtstabie E nis; t[ses.ProBerty -of Srnest S. BradYord,eoa2e Z•Wdh-200:feet Jimus, ' I;3 a .>�ohofield.��ftdt►ers'01vil Znklneers, Zeathaai;ltees is whi;i said:jgsA 1s• to 535 a.p0 reoorded is Barnstable county ltegiatry.of_ DBeds. ... ................................................................................................................................................................... of mid ggentel, ` our ethis - 4 3511 asa.............•.......hand and seal .......twOntY.—4•1•rat...day Of........Dec ............19 3• ,� etaber•• ..................................................................................................... ...W. -7.N.�.'..�.f... . ......................_... ...........................................-................-......................._................... IIlle �[amtnatttnrs[1���aeserlp�csta � H Deo�mber ---••- 4 Harngtsb.I.e........................ss. _y...........annia--e...................................-.......a 19 3• Ilk Then personally appeared the above-named-•*--,-, ..................._............................................................................. .. .yr ............................................... and acknowledged the foregoing instrument to d,before me Ar.,D ..t 0. ......'./............................... Herastable, as., laeoeived October 23, 1946, cad is recorded. The WELLFLEET SAVINGS BANK holder of a mortgage from Alfred ?ose:.._..._..__..__.___. said bank, ................... dated November_. -F 1�.g.:w_..._.:..-------.�.---------__._._.._._____-_. recorded with_.—.__.__._._Barnstable county_._.__...__._..._._.__.._._.._...-._.__.__._._._..._..................._...... Deeds �. Book.-.._.-__.._.._._.,._..1r6t_i._.,Page-.......49a.x................................_-_..acknowledges satisfaction of the same Jn m t nz to4tred the said WELLFLEET SAVINGS BANK has caused its corporate seal .to be hereto affixed and these presents to be signed,in its name �° (SEAL) aom15O48mof 093 COMMONWEALTH OF MASSACHUSETTS LAND COURT DL'PARTMUN'r OF THE 'CRIAL COURT' Carr No. 59485 . FINAL DECR1:B IN 'rAX LIEN CASE f Towof Barnstable Vs. Owners Unknown DI, 21.E This ease came on to be heard and was irguM he amnscl, and therrulxnt, upon con eratittn thereof, it is ORDF.RIiD, ADJUIX&D and DECREED rh.a all rights of mlengNiun arc hmser lontihMd and ham-cl under the dcnl.given by the Colkctor of ['axes for the Town of Barnstable in the Coum% of Barnstable and said CArmmunwcalth, dated March 7, 1975 and duly recardered in Book 2157 Polls, 348 By the Court, (Cauchon, J.) Attest: Charles W. Trotsbly, Jr. Ikroed` April 8. 1986 Rennkr ATRUECOpy al ATTRST %�'EJ• . Rt� �EC APR 29 bt, f, , r , P t t f C 14211 WE,.ROGER W. COOK and FLORENCE S. COOK, husband and wife as tenants by the entirety, both of Barnstable (Hyannis, Barnstable County,Massachusetts, A tRtmagioN,for coneidemlion paid,grant to JERRY WALTON of Main Street, j Barnstable (Cummaquid), Barnstable County, Massachusetts Ott m� t r t,r 1 with marls o tgoenl�i 4 ob undedBaar�gsc]escriDeZ9easi6ilowa stable County, Massachusetts, A certain parcel of land situated on a private way to be known as Grace-Avenue (which begins on Pitcher's Way and runs Northeasterly therefrom), and is shown as Lot 6 on a plan made 1 by Gerald A. Mercer and Company, Engineers and Surveyors, West Yarmouth, ,Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHWESTERLY by said Grace Avenue, there measuring seventy- 1 nine (79) feet, more or less; NORTHEASTERLY by Lot 7, as shown on said plan, there measuring ione hundred thirty-two (132) feet, more or less; SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring seventy-nine (79) feet; more or leas; SOUTHWESTERLY by Lot 5, as shown on said plan, there measuring one hundred thirty-three (133) feet, more or less. 1 For our title see deed to us from Viola 0. Jones dated t July 19, 1968 recorded with Barnstable County Registry of .Deeds in Book 1408, Page 295. The Consideration for this Deed is $1,000.00. N COMMONWEALTH OF MASS H�U�� I 11,D8 r .am Auai our hand d Ihie 18th day of. May 1970 t li S4r�annaoamtltltq at�..plcgwela � BARNSTABLE se. May 18, 1970 Then personally appeared the above named ROGER W. COOK and acknowledged the foregoing Instrument to he h18 act and deed, X/9/+f0; /✓Ili./✓IC. Notate ry Public I8001, 481 Ii1G: 271 My commission expires t/La�l. /D 167pk) pECB AUG 1 L 197C N it" I i THE INHABITANTS OF THE TOYIN OF BARNSTABLE, a municipal cor- � '. poraticn located within the County of Barnstable and Commonwealth of Massachusetts, for Two Thousand Four Hundred Forty ($2440.00) Dollars paid, grant to JOHN A. SCOTT, JR. and X&RTHA M. SCOTT, husband and wife, as tenants by the entirety, . �, both of Yarmouth (Vilest), Barnstable County, Massachusetts, with *quitclaim Covenants `. certain parcels of land located in the Town of Barnstable, County of Barnstable and Commonwealth of Massachusetts, described as follows: i Lots 101, 102, 103 104, 105, 105 and 107, r 138, 139, 140 and i41 in the William C. Gifford Development off the west side of Hain Street in the Village of Cotuit. 5.65 acres of land located off Pitcher's Way in Hyannis. For the Towns title reference is made to a deed of the Tomit s- Treasurer to the Town dated December 12, 1958 recorded with Barnstable'County Deeds in Book 1025, Page 266. Full compliance has been made with the provisions- of Section 63A k of Chapter 44 of the General Laws (Ter. Ed.). . The Towns title was sold at public auction to the highest bidder, being the grantees herein, for the consideration mentioned herein, on September '23, 1964. IN WITNESS WOOF, The Inhabitants of the T Owir of Parnstabl have caused its corporate seal'to be hereto affixed and these € 1 presenys.,to be signed in its name and behalf by Victor F. Adams, t S gorge L. Cross and S. Thaws urpbyAIX its Selectmen, duly authe- rized by v !q f, said T(nm, this"I`—da,w Of Nevember, 10-64. OF 712 17 0? 1_RkRNV x; c a as a ore LOBlh:tl'.1'it UlIT11 OF bussAcWCscm 5 E REEDS EXCISDE rn eEt-saa _�---i ME m&1 842 ZMQN XOTH CF kW&kCh'fS$rS t Barnstable,ss. November i 41%4. Then pers•onal]y appeared the above named Victor R. Adams, C-eorge L. Crass and E. Thanes Murphy, Selectmen as aforesaid, and, acknowledged the foregciaig instrument to be the free act and deed of the Town of Barnstable, before me 0 a. MY commission expires: Barnstable, as., Rpccived December 10, 1964, and is recorded. J �,E�' �rj('n 1;` ..�; !,Y. s,� ^'.4 y `—___ ::t l',�)fIS•. •.St't`�.n�"i r y r t _ n i Taking Names of Interested Peje,� Name of Person issessed in the Year of the InstnRimcnea Served By Certified ha i. Tax for which the Land Vas Taken or Sold With Notice of Sale 'Un Book Page Chapter 60, Section SolO2b. l-: L40cation of Parcel - - _ _ - _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- 2TL C. B. Turner 931 610 - Lot 133 Cotuit, B- 395, P. 327 _ _ _ _ _ - - - - - - Sanuel 11. 71hitleg i I 931 612 Lots u9-50Cotuit, B. 325, ?. 9s - - - - - - - - - - - -- - -- - - - - - - - - - - - - - A. Janette 77ilson I Lots 142-143 Cot-its B. 333, P. 437 931 _ - - - - - - - - - 1 =- - - - - - - 613 - - - Zizabeth D. i'+ood F Lots 116-117-118 Cotuit, B. 330, P. 219 9.1 _ - _ _ f:,... Barnstable, ss., 3eceived "December 15, 1958, and is recorded. l FORM 45D AFFIDAVIT TO FORECLOSE TAX TITLE THE COMMONWEALTH OF MASSACHUSETTS LAND OF LOW VALUE % (` DEPARTMENT OF CORPORATIONS AND TAXATION Ir' SHEET NO.1 To........Richard...B.... a •19r....................................... town of Yarmouth F. : • Y. ,Treasurer of........ ...:......................................................................... .. NAME OF CRY OR TOWN ' LRobert T. Caplesg Ommissioner of Corporations and Taxation, hereby make affidavit that in my opinion the valueofeach parcel ofland held by........tke..to-+rrl of Yarmouth........................................................ ...................... 4 under an instrument of taking or a tax title deed listed herewith is insufficient to meet the taxes,interest and charges, and all subsequent taxes and assessments thereon,together with the expenses of a foreclosure of the rights of redemption under General Laws,Chapter 60,Section 69;that none of such parcels exceeds$1,000 in value;and that the facts essential i z to the validity of the tax title on each of such parcels have been adequately established. Year INSTRUMENT OF TAKING NAME OF PERSON ASSESSED IN THE YEAR OF THE TAX Offs. OR TAX TITLE DEED Date NO FOR WHICH THE LAND wAS TAKEN OR SOLD hich of Takin or 12Rd E RF.CON D.. RF.CISTF.RF.D LOCATION OF PARCEL Sale a ., was taken Book Page Cutificatc of or sold Title No. t,: Dorothy A. Koogle.. Near Dennis Town Line L......t-816 ...P.-...214...(pcl.....4).......................................1954.....12/2.8/55........9.30.......92....... : l .. Frederick A. ivLansfield .. 2.....lot..22..Hyannis..P.ark.............................................19.5.4....12/2.8/..5.5.......9.30.......9.5.... ..................... .... I. .. Frederick A. Mansfield 3......,Lot...R..H.yannis..Park.................................................19.54-:.12/2.8/5.5.......9.30.......96...... is•,' -Villiam K. 'r;est'and Hazel E. ,Lest y.....::iirabledon...Drive.,...B,...811.,...1.-.4.62.................19.54....12/2.8/5.5.......9.30.......99.... ........................... TOTAL NUMBER OF SHEETS ATTACHED....:._.........Q...... I There are attached hereto and made a part hereof,as provided for by Gcncral Laws,Chapter 60,Section 79 4....... STATEMENTS RELATIVE To TAX TITLES which severally refer to the above-mentioned parcels and are corres pondingly numbered. �. � k IDecember 11 19 5$ ...................... ............. • ................... .... .......................................................... - COMMISSIONER OF CORPOR IONS AND TAXATION . • THE COMMONWEALTH OF MASSACHUSETTS ................................Su olk.................................ss. ...............D.ec.emb.er...11..........., 195$... '. Then personally appeared the above-named Robert T. Ca-Comm ssioner of Corporations and Taxation, an P Y PP P made oath that the foregoing affidavit by him subscribed is true,before me ..................: My commission expires.....` L (rl:{......f'J............ 19.4, NOTARY PUBLIC J f j:. 1. . is 1' j Vincent F. Benson Valuation Book signed on..................X87 19 j 19-55 By ..................................................................... Assessors John C. Worthington IryJLn............. ................ .........; 1025 .......................................................................... .................... June 11.......... 19 z6v Tax Committed to AQMAD A -A. aAa...................Collector of Tam. .................................. Lansing Tuttle December 15 Demandmade on ................................................................................................. ......................I........... . .., 19 F rRAncetownA4 Advocate................................... ..................Anomer-22- 19.1 ....Land advertised in................ - . .. -- Description as appealing in advertisement: Land in said Truro, ba the County Road, described in Barnstable Deeds, B. 7472 P. 199 and P. 202. oommdommat.......................................................................................... .................................... .......... Notice of Taking or Sale posted at(1) .........................................TOXM..Hdu ................................................................ (2) ..................................................F"t-Affira.................................... ................Aq, Taking made on....................A!Nn�AIL7........... ig..5.6 ............................................................. ............................... ............ Instrument of Taking TE,,g)jX0cWt*&0a signed by...............................71"" .............................. .............. Collector of Tam with ............... Registry of Deeds , Recorded .......... 19 5A. g4M xmounbco Book ...........Page 460 AbomatimckkK.....................................Cx3djfbcbext)TWdxAmc.......................... Subsequent Taxes and Assessments 19............ Certified on....................................................... 19............ $................. ig............ Certified on ...................... .......................... 19............ $.................................... 0. 19............ Certified on........................................................ 19............ 5.................................... SUBSCRIEP THIS ..............day of......)NMW............ 19 5$UNDER THE PENALTIES OF PERJURY ...... ........................... Treasurer of....,:.........................................Town of Truro NAMM OF Cl"OR TOWN Barnstable, ss., Received December 15, 1958, and is recorded. THIS DEED NOT VALID UNLESS RECORDED IN THE PROPER REGISTRY OF DEEDS WITHIN 60 DAYS AFTER THE SALE FORM 475 TREASURER'S DEW TO MUNICIPALITV LAND OF LOW VALUE THE COMMONWEALTH OF MASSACHUSETTS ?own Barnstable............ OFFICE OF THE TREASURER ...................... ap ..........................................Treasurer of the Town of—...........IAMPtikb19................. t to the provisions of General L grant to said Ciby— the pursuant Laws, Chapter 6D, Section 79 and 80, hereby 1 town parcels of land described in the instrument of taking or tax collector's deed to which reference is made in the following schedule: 14,e, ti 1910 /I "A 390 I& r:. INSTRUMENT OF TAV=Q TAXOF PERSOWHICH HEASS LAND IN THE YEAS OF THE 08 TAX 7TILH DEED � NAMES OF INTERESTED PERSONS TA%FOR WHICH THE LAND WAS TASEN O8 BOLD 1025 RECORDED I BY BEpIST88ED MAIL WITH NOTICE I)F fi ' LOCATION OF PARCEL Book I Page I SALE UND88 CHAMIR W.SECTION Maude E. Anderson Lots 62-6, Cotuit, B.330, P.64 931 1570 Daily G. Babb \ Lot 54 Cotuit, B. 325, P. 215 I 931 573 Clara G. Parrett N, Lots 30-31 Cotuit, B. 325, P. 313 931 1574 (ATTACH SCHEDULE IF MORE SPACE IS NEEDED. STATE NUNS=OF SCHEDULES ATTACHBD The land hereby granted Was included in as affidavit made by The Commissioner of Corporations and recorded of Deeds, 'taxation, I ov_®ber 20 8.•• Barnstable Count_-•oa...____. _._._...__.__.__..__.._.,19_.5._ ,fD the.._.....__. . ._....__._.__._.___.__3' in 5nve of pe Alo. 13 \ e Book.................._...._._, Paga.._..................E _....._..................._, taken relative to the value of certain parcels of land 11-d b said�- f . »» y town or non- Payment of taus and to the validity of the tax titles held thereon;and was offered for sale at pablic auction oa_._ ecember,11 in accordance with a notice of sale posted Iiov—ber. 2 in............._...........................ahe_._Tv1n•.••�ffice . ("go"P-Ca WMa,R NOTICE Mae P.Wft, [Strike out Paragraph(A)or(8)as the Circaunteaces Require] (A) No bid was made at the time and place appointed for the sale or at any adjournment i thereof and the said town therefore became the purchaser at an adjournment of said sale on._... (B) ..... .......... e Executed as a sealed instrWent __...._._.day of._._ ecembe r. Treasurer of the of...__........%zrnstable 3ovrard Sears Town ;j?rnS THE COMMONWEALTH OF MASSACHu9EM B.P..rn.s.t..a.b 1.e..............................._,sa De^ember 12 8 its ___........._._...=.._.._.._.....__..___...__....._..........._,19...s.__... Ilk Then personaL'y appeared the above-named......._........._. and acknowledged the foregoing instrument to be:his free act and deed as Treasurer as aforesaid,before me, --T Mr commlostDa ezptree................F.rr 1....2...................., r'_oo„e—! .[��n y Jneaoe oi'tLe Pma \ Laurence F Davis O TXIS FORM APP0.0VCD BY COM —'MIsSIoX80.OF CO POMTION8 AND TAXATION. NOeea a WAeaaN,Im. PDeLlela ft. BmTom FORM 1187 j ti Ck i } r , ame rson AOessedin-the Year tif.atae Irstijjsent`df'Tiking. Wanes of Interested Person Tax for wfiich the Land Was Taken or Sold Recorded Served By Certified Mail <` - - - - - - - - - - - With Notice of Sale Under 1025 Location of Parcel Book Page Chapter 60, Section 80A 270!' Anson C. Barton Lots 111-112 Cotuit, B, 462, P. 154 931 575 - - - -er - - - - - - - - - - -- - - - - - - -- - - - - - -- - - - - -- - - - - - - - Maude Lot 68 Cotuit, B. 341, P. %i 931 576 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Bertha Bryant Lot 22 Cotuit, B. 3253 P. 311 931 577 - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - Francis 11. Chick - - .- - Lot 48 Cotuit, B. 325, P. 203 931 578 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Grace Clark Lots 101-105 inc.,B. 332, P. 63 931 579 - - -- - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - Edith A. Davis and Grace M. Davis Marion D. Schuman Flint Rock Rd..,Assess. P1. 1-1,D-2,Pcl.2. 931 581 Arthur N. and Harold P.Davi - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Edith A. Davis and Grace M. Davis Marion D. Schurman N. of Israel Pond,Assess. P1. 1-1,D-2,Pc1.3 . 931 582 Arthur N.and Harold ?.Davis - - - - - - - Edith A. Davis and Grace M. Davis Marion D. Schurman -Mid-Cape W.V.,Assess. Pl. 1-1,D-2,Pcl.4• 931 583 Arthur N.and Harold ..Davis - - - - - - - - -.- - -- -.- - - - - - - - - - - - - - - - - - - - - - - - - Joseph H. Emerson Lot 76 Cotuit, B.319, P.191 931 587 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ina A. Keith Lots.106-107.Sotuit, B.330, P. 281 931 594 Mary N. King - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Sandy Neck, .3.,3. 426, P.580 931 595 Rachel J. Knight - -.- - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - v Lots 144-147 inc.,0otuit,B.325,F.376 931 596 i,. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Robert 3�attoic Lots 145 -146.Cotuit, B.352,.P.465 931 598 - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - Henry-. Moulton Lots 119-120 Cotuit, B, 3309 P. 35 931 600 Fr L.. Nagleank - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - Lot Vp Craig, Hylport�B.438, P, 147 931 601 - - - - - - - - - - - - - - - - - - -- - - -- - - - - - - - - - - - - - - - - - - - - Charles Needham Lot 122 Cotuit, P. 392, P. 398 931 602 - - - - - -- - - - - - - -- - -- - - - - - - -- - - - - - - - - - - - - - - Arenas Palmunen Barn.-Falm. Ri.,Cent., B.447, P,79 931 603 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - Laura Rogers Lots 140-141 Cotuit, B. 33o, P. 173 931 604 -- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - l Martha B. Rogers Lots 138-139 Cotuit, B. 325, P. 513- 931 605 - Sewall - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - -.-- - - - Charles Lots 73-74 Cotuit, B.321, P. 391 931 606 John J. Sexton and Mar, R. Seaton - - - - - - - - - - - - - - - - - - - - - Lots 17-18, blk. 2Q, Lake View Hts. 931 607 John J. and Mary R. Sexton f fit. 23231 F's 12 �5491t� 10-24-2008 & 02 = 17v QUITCLAIM DEED . I,JOHN J.CONNORS,TRUSTEE OF 50 BAY ROAD REALTY TRUST,under a Declaration of Trust dated February 27, 2002 and recorded with the Barnstable County Registry of Deeds in Book 14888,Page 223, c/o 38 Evelyn Circle,Centerville,Massachusetts 02632 for consideration of TWO HUNDRED EIGHTY-TWO THOUSAND FIVE HUNDRED AND 00/100 ($282,500.00)DOLLARS paid,grant to JOAO ANTONIO COSTA,of 35 Jennifer Lane,Hyannis,Massachusetts 02601 with QUITCLAIM COVENANTS, the land together with the buildings thereon in Barnstable (Hyannis),Barnstable County, Massachusetts and described as follows: Lot 5A as shown on a plan of land entitled ASubdivison Modification Plan of Lots located on ' Jennifer Lane,prepared for Jeffrey Pepi and Kempton Nickerson in Hyannis,Massachusetts,Scale: 1"=60',Date:November 18,2004,@ which said plan is recorded at the Barnstable County Registry of Deeds in Plan Book 602,Page 84. The grantee,by accepting this deed,hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of the drainage easement areas as shown on said plan,and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 22A, Lot 27A, Lot 28A and the land shown as ALot 6 n/f Vivian Walton@ on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee.that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. The grantor reserves the right to grant rights to use the said drainage easement areas for said drainage purposes to the other lots having the right to use Jennifer Lane. Lot SA is subject to the provisions of a Deed Restriction limiting the number of bedrooms in any house constructed on Lot SA, dated September 1, 2004, recorded in Book 18997, Page 308, as revised by a Revised Deed Restriction dated October 7,2005,recorded in Book 20362,Page 238,as corrected and confirmed by a Confirmatory Revised Deed Restriction, dated October 18, 2005, recorded in Book 20379,Page 259. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 10-24-2008 1 02:17pm 6ti*: 1174 Doc': 54910 00*00S°ZSZ$ :SU03 Wtt9s :eaj Fee: $966.15 Cons: 1282600.00 OT6b5 ;P00 ttTT .4113 WOLI:ZO a 800Z-hZ-OT :84DO S0330 30 ANISI938 AINA03 312VISNSV9 XV1 381aX3 11N000 318N1SHNva Bk 23231 Pg 183 #54910 I,John J. Connors,certify that I am the sole trustee of 50 Bay Road Realty Trust, and I have been authorized by all the beneficiaries to sign,seal and to deliver to Joao Antonio Costa a deed relative to the real estate described in said deed for the consideration stated herein. I also certify that said Trust is in full force and effect and has not been altered,amended,rescinded or revoked in any manner other than amendments recorded in the Barnstable County Registry of Deeds prior to the date of this certificate. For title,see deed recorded with the Barnstable County Registry of Deeds in Book 20431,Page 233. WITNESS my hand and seal this a:day of October,2008. i 50 ROAD REALTY TRUST J ONNORS,TRUSTEE COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. �d On this Ada. day of October,2008,before me,the undersigned no Y public,Personally appeared John J. Connors, Trustee as aforesaid and proved to me through satisfactory evidence of identification, a Massachusetts driver=s license, to be the person whose name is signed on the preceding or attached document and acknowledged to me that he signed it voluntarily for its stated purpose. Notary Public MARK H. BOUDREAU My commission expires: NOTARY PUBLIC COMM00weaith of Massachusetts My Commiselon Expires May 2, 2014 PROPERTY ADDRESS: 35 JENNIFER LANE,HYANNIS,MA 02601 WNSUBLE REGISTRY OF DEEDS Bic 20431 P9233 :??142 11-02-2005 a 09= lact QUITCLAIM DEED I, JEFFREY G. PEPI, JR., also known as JEFFERY PEPI, of Centerville, Massachusetts, in consideration of TWO HUNDRED FIFTY-FIVE THOUSAND AND NO/100 ($255,000.00) DOLLARS, grant to JOHN J. CONNORS, Trustee of 50 Bay Road Realty Trust, under declaration of trust dated June 20, 2005, recorded in Book 14888 Page 223, of P.O.Box 741, West Hyannisport,MA 02672 WITH QUITCLAIM COVENANTS, three (3) certain parcels of land located on Jennifer Lane, Barnstable. (Hyannis), Barnstable County,Massachusetts, more.particularly bounded and described as follows: PARCEL I LOT 27A as shown on a plan of land entitled "Subdivision Modification Plan of Lots Located on JENNIFER LANE Prepared for Jeffrey Pepi and Kempton Nickerson in Hyannis, Massachusetts, Scale: 1" = 60', Date: November 18, 2004" , which said plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 602, Page 84. The grantor hereby grants to the grantee the perpetual right to use the areas located on Lots 5A, 22A and 27A designated"Proposed Drainage Easement" shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 22A, 28A and the land shown as"Lot 6 n/f Vivian Walton"on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. Bk 20431 Pg 234 #77142 It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. The grantor reserves the right to.grant rights to use the said drainage easement areas for said drainage purposes to the other lots having the right to use Jennifer Lane. Beingthe same remises conveyed b deed of Melbourne K. Nickerson dated September 1' Y Y r 29, 2005, recorded in Book 20311, Page 19. ADDREES OF PREMISES: 58 Jennifer.Lane, Hyannis, Massachusetts PARCEL II LOT.5A as shown on.a plan of land entitled "Subdivision Modification Plan of Lots Located on JENNIFER LANE Prepared for Jeffrey Pepi and Kempton Nickerson in Hyannis, Massachusetts, Scale:,I" = 60', Date: November 18, 2004" , which said plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 602, Page 84. The grantor hereby grants to the grantee the perpetual right to use the areas located.on Lots 5A, 22A and 27A designated "Proposed Drainage Easement" shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 22A, Lot 27A, 28A and the land shown as "Lot 6 n/f Vivian Walton"on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the'obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts 2 Bk 20431 Pg 235 #77142 General Laws Chapter 84, Sections 12-15. The grantor reserves the right'to grant rights to use the said drainage easement areas for said drainage purposes to the other lots having the right to use Jennifer Lane. LOT 5A is subject to the provisions of a Deed Restriction limiting the number of bedrooms in any house constructed on Lot 5A, dated September 1, 2004, recorded in Book 18997, Page 308, , as revised by a Revised Deed Restriction dated October 7, 2005, recorded in Book 20362, Page 238, as corrected and confirmed by a Confirmatory Revised Deed Restriction, dated October 18, 2005,recorded in Book 20379, Page 259. Being a portion of the premises conveyed by deed of Dorothy E. Scott to Jeffrey Pepi, dated October 17, 2003, recorded in Book 17813,Page 95. ADDRESS OF PREMISES: 35 Jennifer Lane,Hyannis, Massachusetts PARCEL III A one-half interest in a certain parcel of land situated on a private way formerly known as Grace Avenue now known as Jennifer Lane (which begins on Pitcher's Way and runs northeasterly therefrom), and is shown as LOT 6 on a plan made by Gerald A. Mercer and Company, Engineers and Surveyors, West Yarmouth, Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHWESTERLY by said Grace Avenue now Jennifer Lane, there measuring seventy-nine (79) feet, more or less; NORTHEASTERLY by LOT 7, as shown on said plan, there measuring one hundred thirty-two (132)feet, SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring . seventy-nine(79) feet;more or less; and SOUTHWESTERLY by LOT 5, as shown on said plan, there measuring one hundred thirty-three(133) feet, more less. 3 J Bk 20431 Pg 236 #77142 The grantor hereby grants to the grantee the perpetual right to use the areas located on Lots 5A, 22A and 27A designated "Proposed Drainage Easement" shown on said.plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 22A, Lot 27A, and Lot 28A on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of, said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of . maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. LOT 6 is subject to the provisions of a Deed Restriction limiting the number of bedrooms in any house constructed on Lot 6, dated September 1, 2004, recorded in Book 18997, Page 312, as corrected and confirmed by a Confirmatory Deed Restriction, dated October 18, 2005,recorded in Book 20379,Page 257. Being the same premises conveyed by deed of Vivian Walton to Melbourne K. Nickerson and Jeffrey G. Pepi, Jr., dated April 28, 2004, recorded in Book 18515, Page 172. ADDRESS OF PREMISES:Al Jennifer Lane,Hyannis, Massachusetts WITNESS my hand and seal this 3� day of November 2005. 9f/ Jeffry fepi , a/k/a Jeffrey G. Pepi, Jr. 4 L- Bk 20431 Pg 237 #77142 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this 1 sT day of November 2005, before me, the undersigned notary public, personally appeared Jeffrey G. Pepi, Jr., a/k/a Jeffrey Pepi, proved to me through satisfactory evidence of identification, which was a Massachusetts driver's license to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. Notary Public My commission expires: BARNSTABLETCOUNTYTREGISTRY OFXDEEDS Date: 11-02-2005 0 09:18am Ctl10: 256 Doct: 77142 Fee: $872.10 Cons: $255►000.00 BARNSTABLE COUN TY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 11-02-2005 8 09:18anz Ctir: 256 Da_t: 77142 Fee: $581.40 Cont: $255►000.00 5 BARNSTABLE REGISTRY OF DEEDS Sk 17813 PS95 0121874 10-20-2003 ai 1 a 26oL DEED V N 0 I, DOROTHY E. SCOTT, surviving spouse of John A. Scott, Jr. , of 16 Brooksweld Lane, West Dennis, Massachusetts, for consideration of TWENTY THOUSAND, SIX HUNDRED TWENTY-FIVE ($20,625.00) DOLLARS grant to JEFFREY PEPI of P.O. Box 86, Centerville, Massachusetts r 02632, all my right, title and interest to the vacant land at Jennifer Lane, Barnstable -(Hyannis) , Barnstable County, Massachu- setts, more particularly described as follows: being LOTS 4, 5, 19, 20, 21, 25, 26, and 27 as shown on "Subdivision Plan of Land in (Hyannis) Barnstable, Massachusetts, for John A. Scott, Jr. , by Mercer Engineering Corp. , South r Yarmouth, Mass. dated May, 1968, 11 a copy of which is filed in the Barnstable County Registry of Deeds, Plan Book 293, Page 26; and further including as part of the land the fee in the private way shown as Jennifer Lane on said plan abutting the aforementioned Q lots (subject to the rights of others, if any , over same) ; together with a right of way appurtenant to each of said lots to and from Pitcher's Way as shown on said plan. Subject to all rights, reservations and restrictions of record. Subject to all outstanding real estate taxes. For my title, see deed to John A. Scott, Jr. , dated November 30, 1968, and recorded at Barnstable Registry of Deeds Book 1283, Page 841, and the will of John A. Scott, Jr. , at Barnstable SYKES AND COLE ATTORNEYS AT LAW Probate Docket .No. 99P0909WF. . 4ZO SOUTH STREET POST OFFICE BOX 1358 HYANNIS,MA 02601 TEL,CSOB)775-9147 Bk 17813 Pg 96 #121874 WITNESS my hand and seal this P7 day of &4 1pt- , Two Thousand Three. Dorothy Ea Scott COMMONWEALTH OF MASSACHUSETTS Barnstable, ss i7lp 2003 Then personally appeared the above-mentioned DO SCOTT and acknowledged t e foregoing instrument to act and deed, �. Beforea f/m � r ..� V. rAc4ruC4 Notary P My Commission E ires: 41-/-o8` N. BLE COUNTY . COUNTY _ � RE GEED Mt ---------- _4Sft DATE 10.20.'03 NON 10/20/03 10144M 01 H7�1 TAX $47.88 FE $71.82 TOTAL $47.98 CASH $47.98 CASIJ CLERK 1 NO.043749 TIME i0.09 SYKES AND COLS ATTORNEYS AT LAW 4M SOUGH STREJ?C POST OFFICE BOX 1358 2 HYANNIS,MA 02801 TEL,C808)775-9147 PARNSTABLE REGISTRY OF DEEDS ..............._................ _ .. ._.___............................................. .p/.......... .........,r,� 13190 I, Viola 0. Jones ' of Boston, Suffolk,Coonty,Mamachuaetfa, being snotmWed,for consideration paid,grant to Roger W. Cook and Florence S. Cook, husband And wife, as tenants by tthiw entirety of Grace Avenue, Hyannis, Barnstable County, Massachusettwith*ftbft the land in Barnstable (Hyannis) 113=4dm SW mcvmboam if ear] A certain parcel of land situated on a private way to be known as Glace Avenue (which begins on Pitchers Way and rune Northeasterly therefrom), and is shown as Lot 6 on a plan made by Gerald A. Mercer and Company, Engineers.. and Surveyors, West Yarmouth, Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHEASTERLY by said Grace Avenue, there measuring seventy-nine (79) I: feet, more or lees; NORTHEASTERLY by Lot 7, as shown on said plan; there measuring one ` hundred thirty-two (132) feet, more or less; SOUTHEASTERLY by land now or formerly of Luella Sealesr there measuring seventy-nine (79) feet; more or lose; !' SOUTHWESTERLY by Lot 5, as shown on said plan, there measurind•one I. hundred thirty-three (133) feet, more or less. i For my title see Barnstable Registry of Deeds, Book 1143, Page 413 Wftaod F t fttaea my hand and seal dds 19th day of July 1959 �l Viola 0.©Jon 06 Suffolk, u July 19, 1961 1'heo personally appeared the above named Viola 0. Jones and admowledged the foregoing instrument to bdter free act and e ............00311101 Jup ...,,........... �l//S (JpL9STr./ la d the Paw eomi1408 w 295 BB JUL 251966 Npf l �VLr .......................................................................................................................................................7" ! bf s w.0twid 1143 ..................................................................................................................................................:............................w..................... 9/tA�th9�'9b=t� /�vri�'m�ef/=. 2m`�`t�d I Wd^0 tikerAt0n/fh4/nt9t9&ei P Jl 4 t 3 Mitdree....MY.,.......-hand and seal this........,PI.,i.1P.Q Q.P.;l.th..............day of ..jAP.q rz-*....196r7i.., ..................................................W........................................... .......................................................................................... i Tbl{e Gluttattutttuealt!? of�Bttseatl�efte Barnstable sa. ..............................January..19.r............. 1962. Then personally appeared the above named............................................................................................................... Annie Laura Baker ....................................................................................................................................................................................................... and acknowledged the foregoing instrument to be....her...........free act and deed,before me, - err �LQ.ti .. ,!. Helen 2'egaflim' b°p:*,ney WK Justice a Peace My Comm=on ............ ._l.t.............:....i9..66. Barnstable, as., Received January 19, 1962, and is recorded. - - I I, Viola L. Burns of Barnstable (Hyannis) Barnstable County,Massachus•�etts, being unmarried, for consideration paid, grant to viola 0. Jones 4 of 6 Linwood Street, Roxbury, Massachusetts with quMlatw rnvenitnto the land in Barnstable (Hyannis) (Desuiptiuu and enmmbiances,if any) A certain parcel of land situated on a private way to be known as Grace Avenue (which begins on Pitchers Way and runs Northeasterly therefrom), and is shown as Lot 6 on a plan made by Gerald A. Mercer and Company, Engineers and Surveyors, West Yarmouth, Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHWESTERLY by said Grace Avenue, there measuring seventy-nine (79) feet, more or less; NORTHEASTERLY by Lot 7, as shown on said plan, there measuring one hundred thirty-two (132) feet, more or less; SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring seventy-nine (79) feet, more or less; SOUTHWESTERLY by Lot 5, as shown on said plan, there measuring one hundred thirty-three (133) feet, more or less. For my title see deed of.Moses Grace to Oliver W. Burns and Viola L. 11433f Burns, dated May 13, 1957. 4 0"� Oliver Burns now deceased. u' COHIMOY G1'}1 OF G7�SGACH SETTS. co 7x�CC aas husband-o€said$aasitor, ut release•-tc said-grantee ak Tights of- "ever -lromesteaef sad etkeriat eats-tkereie. 03 z a 31flttegJ;....my.....hand and seals this.awezit eenth........day of...JanuarM..................19..�1 . 0 o � _V W ......................-...................................................... _ ? . ........................................................................ /.... ..... .........- z m 7A .................................................... ..................... ' ............................................................................ ao ZIP.Qlummmutnraltlf nE jawlc4atnelts 0 Uj Barnstable ss Ir January 17 1962 x eThen personally appeared the above named Viola L. Burns and acknowledged the foregoing instrument to be her free act and deed,before me zlkA. o...... . .. ......................... Notary Public— t158'Pemue My commission aspires March.30- 19 68 Barnstable, is., Received January 19, 1962, and is recorded.. 5-11,034 r- Ktww all turn hu 1499r Presrn#s That the SANDWICH CO-OPERATIVE BANS,a banking corporation duly organized and estab- lished under the laws of the Commonwealth of Massachusetts and having an usual place of business in Sandwich,Barnstable County,Massachusetts,the mortgagee named in and present holder of a certain ® mortgage of real estate given by....George,Abercrombie and.Louise Abercrombie, m husb.pad...kktld...W. .e..,...a.S...t®llants...by...the...entiretYe...both................................................. z g � Barnstable County, Massachusetts � of.. &1D...$tX�.�f........�Pamor.�.,.......................... ,...... ..... Fes- to the said Sandwich Co-operative Bank;dated.........January, .13..t......................................A.D.19.58 tr 0 and recorded in the Registry of Deeds for..................D.ar .81.9b10.....................County in Book.......9.9�..... W , W N Page hereby acknowledges fall payment and satisfaction of the same. IN WITNESS WHEREOF the said SANDWICH CO-OPERATIVE BANS has caused its cor- porate seal to be hereto affixed and these-presents to be signed:in its name and behalf by George„Sutt onz.............:..........................................its 15h3widimatTreaourer,hereto duly authorized,this Moses Grace, 973: of Barnstable (Hyannis) Barnstable .County,Massachusetts, f being=ma"ied, for consideration paid, grant to Oliver W. Burns and Viola L. Burns, r: as tenants by the entirety, both 370 Massachusetts, x, of30 Marshfield Street, Roxbury,Barnstable County/with guitclaimrautrumis lbadautim (Description and encumbrances,if aay) A certain parcel of land situated on a private way to be known as Grace Avenue (which begins on Pitcher's Way and runs Northeasterly therefrom), and is shown as LOT 6 on a plan made by Gerald A. Mercer & Company, Engineers and Surveyors, West Yarmouth, Massachusetts, ' dated.September, 1955, and being bounded and described as follows: Northwesterly by said Grace Avenue, there measuring seventy-nine (79) feet, more or less; "Northeasterly by LOT 7, as shown on said plan, there measuring one hundred thirty-two (132) fe'et., more or less; Southeasterly by land now or formerly of Luella Beales, there measuring seventy-nine (79) feet, more or less; and Southwesterly by LOT 5, as shown on said plan, there measuring one hundred thirty-three (133) feet more or less NOMINAL CONSIDERATION. I, Ella V. Grace of said grantor; wife release to said grantee all rights of. d d ho and other interests therein. 3ituesa•our.....hands and seals this.......13t�h...................day of.......MAY........................19.5;7. ............ ........................................... . ...... G '�-.. .�f....°`�'v................... al#e (llmauuraurraill; of Aasaarllustus Barnstable, A Hyannis, Mass., May 13, 1957. Then personally appeared the above named Moses Grace and acknowledged the foregoing instrument to be his free act and d re me . ..... .. No •"Public ,tary My commission a pirq October 18, r9 57. Barnstable, ss., Received May 14, 1957 and is recorded. ,1 ; Sk 18515 Pa172 ' 032473 04--28-2004 & 03 '28P QUITCLAIM DEED I, VIVIAN WALTON, of 204 Mitchell' s Way, Hyannis, MA 02601, for consideration paid of TWENTY-FIVE THOUSAND FIVE HUNDRED ($25, 500.00) DOLLARS, grant to MELBOURNE K.. NICKERSON, of 13 This Way, Centerville, MA 02632 and JEFFREY G. PEPI, JR. , of 302 Ames Way, Centerville, MA 02632, as tenants in common, N with QUITCLAIM COVENANTS, o A certain parcel of land situated on a private way formerly known as Grace Avenue now known as Jennifer Lane (which begins on y Pitcher's Way and runs northeasterly therefrom) , and is shown as Lot 6 on a plan made by Gerald A. Mercer and Company, Engineers and Surveyors, West Yarmouth, Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHWESTERLY by said Grace Avenue now Jennifer Lane, there measuring seventy-nine (79) feet, more or, less; NORTHEASTERLY by Lot 7, as shown on said plan, there measuring one hundred thirty-two (132) feet, more or less; SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring seventy-nine (79) feet; more or less; W SOUTHWESTERLY by Lot 5, as shown on said plan, there measuring one hundred thirty-three (133) feet, more or less. For title, see deed recorded in Book 1481, Page 271 and Barnstable Probate Court Docket No. 86P-1130-A1. The above-described parcel is a replacement property in connection with an Internal Revenue Service Code, Section 1031 tax free exchange for the within named Grantees. . f9A55ACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 04-28-2004 B 03:28pe Ql4: 2530 Doc.: 32473 Fee: $87.21 Cons: S25r500.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 04-23-2004 S 03:28ae CLIO: 2530 Doc:: 32473 Fee: .$58,14 Cons: $25PS00.00 Bk 18515 Pg 173 #32473 WITNESS my hand and seal this day of April, 2004. Vivian Walton COMMONWEALTH OF MASSACHUSETTS Barnstable, ss: On this Z day of April, 2004, before me, the undersigned notary public, personally appeared VIVIAN WALTON, and proved to me through satisfactory evidence of identification, which was a driver' s license or , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. N tary Public My commission expires: x:\data\clients\nickerson\41jennifer\deed BARNSTABLE REGISTRY OF DEEDS Sk 20431 Ps 228: -77141 11-02-2005 Q 0.9218a. QUITCLAIM DEED I, MELBOURNE K. NICKERSON, of Osterville, Massachusetts, in consideration of TWO HUNDRED FIFTY-FIVE THOUSAND AND N01100 ($255,000.00) DOLLARS, grant to DANIEL C. WOOD, Trustee of J & J Group Realty Trust, under declaration of trust dated November 191 2003, registered as Document No. 949,561, of 38 Evelyn Circle, Centerville, Massachusetts 02632 WITH QUITCLAIM COVENANTS, three (3) certain parcels of land located on Jennifer Lane, Barnstable (Hyannis), Barnstable County,Massachusetts,more particularly bounded and described as follows: PARCELI LOT 28A as shown on a plan of land entitled "Subdivision Modification Plan of Lots Located on JENNIFER LANE Prepared for Jeffrey Pepi and Kempton Nickerson in Hyannis, Massachusetts, Scale: 1" = 60', Date: November 18, 2004" , which said plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 602, Page 84. The grantor hereby grants to the grantee the perpetual right to use the areas located on Lots 5A, 22A and 27A designated"Proposed Drainage Easement" shown on said plan for drainage of-groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 22A, Lot 27A and the land shown as "Lot 6 n/f Vivian Walton" on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee that the cost of i v Bk 20431 Pg 229 #77141 maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. The grantor reserves the right to grant rights to use the said drainage easement areas for said drainage purposes to the other lots having the right to use Jennifer Lane. LOT 28A is subject to the provisions of a Deed Restriction limiting the number of bedrooms in any house constructed on Lot 28A, dated September 1, 2004, recorded in Book 18997, Page 310, as revised by a Revised Deed Restriction, dated October 11, 2005, recorded in Book 20362,Page 241. Being the same premises conveyed by deed of Jeffrey Pepi to Melbourne K. Nickerson, dated September 29, 2005, recorded in Book 20311, Page 20. ADDREES OF PREMISES: 50 Jennifer Lane, Hyannis, Massachusetts PARCEL II LOT 22A as shown on a plan of land entitled "Subdivision Modification Plan of Lots Located on JENNIFER LANE Prepared for Jeffrey Pepi and Kempton Nickerson in Hyannis,Massachusetts, Scale: 1" = 60', Date: November 18, 2004" , which said plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 602,Page 84. The grantor hereby grants to the grantee the perpetual right to use the areas located on Lots 5A, 22A and 27A designated"Proposed Drainage Easement"shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 27A, Lot 28A and the land shown as "Lot 6 n/f Vivian Walton" on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. 2 Bk 20431 Pg 230 #77141 It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. The grantor reserves the right to grant rights to use the said drainage easement areas for said drainage purposes to the other lots having the right to use Jennifer Lane. Being the same premises conveyed by deed of Jeffrey Pepi to Melbourne K. Nickerson, dated September 29, 2005, recorded in Book 20311, Page 18. ADDRESS OF PREMISES: 108 Jennifer Lane, Hyannis, Massachusetts PARCEL III A one-half interest in a certain parcel of land situated on a private way formerly known as Grace Avenue now known as Jennifer'Lane(which begins on Pitcher's Way and runs northeasterly therefrom), and is shown as LOT 6 on a plan made by Gerald A. Mercer and Company,Engineers and Surveyors, West Yarmouth,Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHWESTERLY by said Grace Avenue now Jennifer Lane, there measuring seventy-nine(79) feet, more or less; NORTHEASTERLY by LOT 7, as shown on said plan, there measuring one hundred thirty-two (132) feet, SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring seventy-nine(79)fcet; more or less; and SOUTHWESTERLY by LOT 5, as shown on said plan, there measuring one hundred thirty-three (133)feet, more less. The grantor hereby grants to the grantee the perpetual right to use the areas located on 3 Bk 20431 Pg 231 #77141 Lots 5A, 22A and 27A designated"Proposed Drainage Easement"shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 22A, Lot 27A and Lot 28A on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth'of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and _maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. LOT 6 is subject to the provisions of a Deed Restriction limiting the number of bedrooms in any house constructed on Lot 6, dated September 1, 2004, recorded in Book 18997, Page 312, as corrected and confirmed by a Confirmatory Deed Restriction, dated October 18, 2005, recorded in Book 20379, Page 257. Being the same premises conveyed by deed of Vivian Walton to Melbourne K. Nickerson and Jeffrey G. Pepi, Jr., dated April 28, 2004, recorded in Book 18515,Page 172. ADDRESS OF PREMISES: 41 Jennifer Lane,Hyannis, Massachusetts WITNESS my hand and seal this .day of November 2005. Melbourne K. Nickerson 4 Bk 20431 Pg 232 #77141 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this 1 r day of November 2005, before me, the undersigned notary public, personally appeared Melbourne K. Nickerson, proved to me through satisfactory evidence of identification, which was a Massachusetts driver's license, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. -AM//V 111V AvAiw7e, 4MIC'k 0T, s:chi Z Notary Public My commission expires: 1011112011 r MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Dde: 11-02-2005 a 09:18am Ctllr: 255 Doc:: 77141 Fee: $872.10 Cons: $255?000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 11-02-2005 a 09:1Eam Ctlt: 25S Doct: 77141 Fee: $581.40 Cons: $255p000.00 5 � BARNSTABLE REGISTRY OF DEEDS Big 20431 Ps 233 JL77142 11-02--2005 a 09 = 18C. QUITCLAIM DEED I, JEFFREY G. PEPI, JR., also known as JEFFERY PEPI, of Centerville, Massachusetts, in consideration of TWO HUNDRED FIFTY-FIVE THOUSAND AND NO/100 ($255,000.00) DOLLARS, grant to JOHN J. CONNORS, Trustee of 50 Bay Road Realty Trust, under declaration of trust dated June 20, 2005, recorded in Book 14888 Page 223, of P.O. Box 741, West Hyannisport,MA 02672 WITH QUITCLAIM COVENANTS, three (3) certain parcels of land located on Jennifer Lane, Barnstable (Hyannis), Barnstable County,Massachusetts, more particularly bounded and described as follows: PARCEL I LOT 27A as shown on a plan of land entitled "Subdivision Modification Plan of Lots Located on JENNIFER LANE Prepared for Jeffrey Pepi and Kempton Nickerson in Hyannis, Massachusetts, Scale: 1" = 60', Date: November 18, 2004" , which said plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 602, Page 84. The grantor hereby grants to the grantee the perpetual right to use the areas located on Lots 5A, 22A and 27A designated"Proposed Drainage Easement"shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 22A, 28A and the land shown as"Lot 6 n/f Vivian Walton"on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. Bk 20431 Pg 234 #77142 It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. The grantor reserves the right to grant rights to use the said drainage easement areas for said drainage purposes to the other lots having the right to use Jennifer Lane. Being the same premises conveyed by deed of Melbourne K. Nickerson, dated September 29,2005, recorded in Book 20311,Page 19. ADDREES OF PREMISES: 58 Jennifer Lane,Hyannis,Massachusetts PARCEL II LOT 5A as shown on a plan of land entitled "Subdivision Modification Plan of Lots Located on JENNIFER LANE Prepared for Jeffrey Pepi and Kempton Nickerson in ' Hyannis, Massachusetts, Scale: I"= 60', Date: November 18, 2004" , which said plan is duly filed with the Barnstable County Registry of Deeds in Plan Book 602, Page 84. The grantor hereby grants to the grantee the perpetual right to use the areas located on Lots 5A, 22A and 27A designated "Proposed Drainage Easement" shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 22A, Lot 27A, 28A and the land shown as "Lot 6 n/f Vivian Walton"on said plan. - It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts 2 Bk 20431 Pg 235 #77142 General Laws Chapter 84, Sections 12-15. The grantor reserves the right to grant rights to use the said drainage easement areas for said drainage purposes to the other lots having the right to use Jennifer Lane. LOT 5A is subject to the provisions of a Deed Restriction limiting the number of bedrooms in any house constructed on Lot 5A, dated September 1, 2004, recorded in Book 18997, Page 308, , as revised by a Revised Deed Restriction dated October 7, 2005, recorded in Book 20362, Page 238, as corrected and confirmed by a Confirmatory Revised Deed Restriction, dated October 18, 2005, recorded in Book 20379, Page 259. Being a portion of the premises conveyed by deed of Dorothy E. Scott to Jeffrey Pepi, dated October 17, 2003, recorded in Book 17813,Page 95. ADDRESS OF PREMISES: 35 Jennifer Lane, Hyannis,Massachusetts PARCEL III A one-half interest in a certain parcel of land situated on a private way formerly known as Grace Avenue now known as Jennifer Lane(which begins on Pitcher's Way and runs northeasterly therefrom), and is shown as LOT 6 on a plan made by Gerald A.Mercer and Company,Engineers and Surveyors, West Yarmouth, Massachusetts, dated September, 1955, and being bounded and described as follows: NORTHWESTERLY by said Grace Avenue now Jennifer Lane, there measuring seventy-nine(79) feet, more or less; NORTHEASTERLY by LOT 7, as shown on said plan, there measuring .one hundred thirty-two (132) feet, SOUTHEASTERLY by land now or formerly of Luella Beales, there measuring seventy-nine (79) feet;more or less; and • r i• SOUTHWESTERLY r by LOT 5, as shown on said plan, there measuring one hundred thirty-three (133)feet,more less. Bk 20431 Pg 236 #77142 The grantor hereby grants to the grantee the perpetual right to use the areas located on Lots 5A, 22A and 27A designated "Proposed Drainage Easement" shown on said plan for drainage of groundwater from Jennifer Lane, in common with the other lots shown on said plan. The grantee, by accepting this deed, hereby agrees to be responsible for one-fifth of the cost of repair and maintenance of said drainage easement areas and the grantor hereby agrees to impose the same one-fifth obligation in the deeds of Lot 5A, Lot 22A, Lot 27A, and Lot 28A on said plan. It is hereby declared by the grantor that a common scheme of maintenance and repair of said drainage easement areas is hereby created whereby each lot owner who is subject to the requirement to contribute one-fifth of said cost of maintenance and repair shall have the right to enforce the obligations of all five lot owners to contribute to the said cost of maintenance and repair of said drainage easement areas. It is hereby agreed by and between the grantor and the grantee that the cost of maintenance and repair of said drainage easement areas is a part of the cost of repair and maintenance of Jennifer Lane as contemplated by the provisions of Massachusetts General Laws Chapter 84, Sections 12-15. LOT 6 is subject to the provisions of a Deed Restriction limiting the number of bedrooms in any house constructed on Lot 6, dated September 1, 2004, recorded in Book 18997, Page 312, as corrected and confirmed by a Confirmatory Deed Restriction, dated October 18, 2005, recorded in Book 20379,Page 257. Being the same premises conveyed by deed of Vivian Walton to Melbourne K. Nickerson and Jeffrey G. Pepi, Jr., dated April 28, 2004, recorded in Book 18515, Page 172. ADDRESS OF PREMISES: 41 Jennifer Lane, Hyannis, Massachusetts WITNESS my hand'and seal this = day of November 2005. 5 Jeffry Npi , a/k/a Jeffrey G. Pepi,Jr. 4 j Bk 20431 Pg 237 #77142 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this 1 s r day of November 2005, before me, the undersigned notary public, personally appeared Jeffrey G. Pepi, Jr., a/k/a Jeffrey Pepi, proved to me through satisfactory evidence of identification, which was a Massachusetts driver's license to be the person .whose name is signed on the preceding or attached document, and acknowledged to me that he,signed it voluntarily for its stated purpose. &,AA eT c4r, -Sc#w Notary Public My commission expires: /0/0,70// BARNSTABLETCOUNTYTREGISTRY TpX DEEDS Date: 11-02-2005 a 09:18am Ctl*: 256 DocIT: 77142 Fee: $872.10 Cons: $255000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY .REGISTRY OF DEEDS Date: 11-02-2005 a 04:18am Ct14: 256 Doct 77142 Fee: $581.40 Cons: $255►000.00 5 BARNSTABLE REGISTRY OF DEEDS a BOOK 05-PAGE_ `J RECEIVED.-AND RECORDED 7005 SEP 13 P I- I l BARUSTA©LE CDUN�Y REGISTRY UE DEECS Pond Df Pwd U {�00 LOCUS MAP SCALE.' 1" = 2000" FOR REGISTRY USE L ASSESSORS DATA- MAP 270 PARCELS �Y ct 12P, 124 124, AND 233 y N/p�p4 I hereby certify that this plan has been prepared s MAP 271 PARCELS m accordance with the rul regulations of the 164. 165 166 167 AND 168 Registers of Dej�s in the mm wealth of MassechusetLx y>o MAP 292 PARCELS Date Registered esslo urveyor i' E 8.09rt� 2 A 1 299, 300, 301 0 1', AND 302 �2 g0 30 A-,"SB Y \ '0-o 19 REFERENCE PLAN.- pe Pc $ 293-26 S� FEMA DATA- ZONE C" TOTAL AREA 129"088tsq.ftq ZOMNG DISTRLCfi RB are 0VERLAYDLSTRUT. WP ZONE RB LOT AREA 43,580 sq A ' .s \ 00.- 81•g ZONE RB LOT FRONTAGE• 20" t m22 0°E ZONE RB LOT WIDTK 100' 'g5 LO 55�1pt BUILDING SETBACKS �haPs ✓� r V ` FRONT 20" �.-PB°em ; �0. SIDE AND REAR 10' Opt �\ 0 CA Prv, ♦�♦ Drainage \ � >► �� Gtod OT. 2gA 5 2 Not c� DF E QSTEPNcN - . e ► 1 �°�' d � nOYL w m .:ow� J w 7�Zs-O� N/F -A �gb PRlsclLr.A W BROWN la5o„E NIF+ER GRAPHIC SCALE r " JEN m 240 Subdi vision Modification Plan I Of Lots Located On �50"E 158"0�, 6 1 inch = 60 M JT E'NNIPFp�RFor LANE N I JEFFREY PEPE AND KEUPTON NIC"RSON Prvpasad s\c� w N N� 10 Approval of the Planning Board inDra7aege O_'U ' Easement ` 4� TAB TOWN OF BARNSTABLE PLANNING BOARD ` Hyannis Massa Ch uSetts 55WA t 0IV OF I Date of 1walww7hC Date Signed &2A r Scale• 1" = 60' Bate.• November 18, 2004 gl.l . TO QN� a Pared 1 Ste J.phen Doyle andd Associates a 00 �� y. 42 Cante Telep Leese, &08 /FelmouMA 02536 DANA &PAMELA - 1�i:�.(A FIIIA6 0�a,clerk of the COLENSIa �/ �8 g0`g Town thenotice st of 8ta l ereby'certify R e vision FE o Z t c k Pprova1j of this NIF plan by the Planning Boars has been received and recorded, at tbis GALL K BARBER TR office and no notice of appeal was received during the twenty days 4 07-25-05 Rev per Fleming gas# next after such receipt and recording 3 07-11-05 Res. per Planning Board , of said notiwo—wnuac�i. 2 01-30-05 Ak?r per Planning BOA Note. Approval of this plan is subject to Barns ns compliance with covenant to be recorded 1 10-12-04 Rev. E—&Wdiata. herewith" NO. I DATE DESCRIPTnok , t - P BOOK PAGE RECEWMAND RECORDED, • r 1005 SEP 13 P I: BARNSTABLE COUNTY REGISTRY OF DEEDS hinds '.! rMoa F. ;:B A D E V � �h�etts LOCUS MAP SCAM' .1" 2000' FOR RHGISTRY USE �,g► ASSESSORS DATA MAP 270 PARCELS p�t '�t % 122, 12.3 124, AND 233 I hereby certify that this plan bas been prepared in accordance with the ru 1 a regula tsons of the �1►� ' `L'? MAP 271 PARCELS gis the mm wealth of Akwacbusette w 164, 185, 168, 167 AND 168 "% . IP V O9 A m MAP 292 PARCELS Registered essio Surveyor NyO•E �2ri 299, 300, 301, AND 302 .22 is- 0 i9 REFERENCE PLAN4° ,293-26 FEMA DATA ZONE "C" f 7VTAL ARK A- 129,088fsq.tt. Z-1)"G DBTRICTI RB / _ ►�° 0 WMAIY DMEM WP / °�' '� �► 18,00 ZONE RB LOT AREA 4$580 sq. ZONE RB LOT F�rKJNTAGI ` 20' 1AS ' tt i0'15 1 ,r �� �22•� 'S y0 I 4 B ld'3..1b'�s S r L'ii�*' FRONT 20' 00 �%'��f i'i' ` C7►` SIDN AND REAR lot i .1 tilg •z. .''`r �0.93 ��,.y � P�r+Opaaed ►►•• �� �-'�'' �.'' 1 u, /D�ina�e Qj,� �► or WSS `•��' ,� '.Z Os �• �, / $A�IDe�t _Q �� �QjY' �1��'P��G�ST�RF�c'yGJ,� rs IAR rr`` 98•yV .Qtj$ : �O� Q� N OF STEP ; � � op s PRYC� I BROA'N 1�.9 E 'E GRAPHIC SCALE so o ao so too 240 Subdl wslon Modlflca tlon Plan 0f Lots Located On i �h 60 n JENNIF.E'R LANE Ny0'� ly�a2 Prepared For a as ,, ' JEFFREY PEPE AND KNNMPTON NICAERSON Approval of the Planning Board In ze"Ment �'' `� �►�° T BARIgSTAB---—-- LE COUNTYOWN OF BARNSTABLE PLANNING BOARD Hyannis, Massa ch use t is REGISTRY A TRUE COPY,ATTEST � w DEEDS OF _ Lleto of Date Signed Scale. 1 = 60 Date: November 14 2004 crib► !o'" b 1Ol� �r� `�t,_.�sL` Prepared By. ` 'F JOHN F.MEADE,REGISTER �� Stephen � Doyle and Associates a,w �►t� 00 42 Canterbury Lane, E .Falmouth, MA 02536 N/1`' m p, '� ' ye. DAM & PAWMA pt 1 &Z&A&4 clerk of the Telephone: 508/540-25 4 GOLE'NSM � .gp Town of Barnstable bereby certify ` R e vi sr 3. o X-a B�1 o c .Z-.c .y8 that the notice of approval of this ;. plan by the Planning Board bas N IF been received and recorded at this , GALL IL BARBER TR office and no notice of appeal was received during the twenty days 4 07-25-05 Rev. per Planning BbwW next after such receipt and recorC qg 3 07--H-05 Rev. per Plannibg BbW of s d noti lie 2 W-30-05 Bair per Plawdgg Dqp� Note• "Approval of this plan is subject to 1 10-12-04 Rev. Berns le own Clerk compliance with covenant to be recorded bet�ewith". NO. I DATE DESCRIP77W !'op Foundation Elev. 41.6' t Vi IV T, FRdsh Grade M 40� _ffffffFoundationWYMT Design By Others 6" 6» l ll l 111 l 111 ll IllIII llllilll llllll!!l 6» Ill ll 1llll� Finish Grade EL 40' nvv EL RUM? 39.00' Dia. 0 L►la TTTT 1 8' to 1 " Fasbed Stone o z' Thick • El. 37.6' C'uwp NV EL • •° ' rt s41' 10' 14'dlin INY EL INV 38.00' INV EL ° s/4' - 1 1/z' 1lasked stone El. 37.1' INY EL ��glow Floe Lice�� '38.55' 38.30' 36.20 37. 7' Bott: Field El. 37.1' Liquid Level 48" 4 HOLE DISTRIBUTION BOX Wo 22 5' PROPOSED LEACH FIELD o °aa a a a a .°° °a ° PRECAST REINFORCED CONCRETE DISTRIBUTION BOX 6" 4' max 4' I 1500 GALLON SEPTIC TANK Install on a level base zo' -I Minimum wall thickness = 2" USGS Ground Water Adjustment = 3.9' Use (s) L►istribution Lines at aoo5 Mope Minimum inside dimension = 12 Length of D&Wbutiaa Linees - 22' Outlet inverts shall bee equal to each other and at USGS Adj. High Ground Water El. 32.1 1500 GALLON REINFORCED CONCRETE SEPTIC TANK q PROPOSED LEACH FEILD - END VIEW N. T.S. Minimum Construction Materials Per 310CMR 15.226(2) 2" minimum below inlet invert. Tees shall be constructed of Schedule 40 PVC and .shall extend a . The .distribution lines. from the distribution box shall all have Bottom of.Deep Observation Hole El. 26.4' „ equal inverts as determined by; flooding the distribution box to Note. minimum of 6 above the flow line of the septic tank and be on the height of the distribution :lime invert after all lines have Remove all uns» uitable material 5' around SAS » the centerline of the septic tank located directly under the been sea l down to the Cz layer (EI 33.4) and replace with clean led in ace. clean-out manhole. p granular sand per 310 CMR 15.255 (3), (4), (5). The inlet pipe elevation shall be no less than 2" nor more than 3" Invert adjustments shall be made by filling with durable and and (6). P P nondeforma ble material permanently fastened to the line or above the invert elevation of the outlet pipe. » Deep Septic tank shall be installed level and true to grade on a level, reconstructing the lines until all inverts are of equal elevation. . Construct a 20 w x 22.51 x 6 Leach Field with Three Distribution Lines stable base that has been mechanically compacted and on which 6" of crushed stone has been placed to ensure stability and to prevent settling. Septic tank shall have a minimum cover of 9': TWO 20" manholes with readily removable impermeable covers pate 2s of durable material shall be provided with access ports a Rd The outlet tee shall be equipped with gas baffle. Dunns b ° / Pond n ASSESSORS DATA: 4M LOCvs 270 123 TPl - El. 40. 4 0» TP2 - El. 39.4 0„ "O» Or aniC "O" organic REFERENCE PLAN b°� ,3„ 6' 3» 1` .J 293 26 �° Pond SL IOyr 612 5,. SL - - 10yr 612 b,, , - 4z - 5 � 0� FEMA DATA: ZONE "C" LS, IOyr 516 » LS 10yr 516 i QposED / �3 LOT 6 �� SUBDIVISION LOT 6 30 30 Pft. / 10,428-bsq.I . o\ 44 ZONING DISTRICT RB a 40 - w O VERLAY DISTRICT WP IOyr 6 5 » » IOyr 6/4 - \ o+ X,o C' IT,S MAP C1 LS Unsuitable C1 Unsuitable 7 5' BUILDING SETBACKS. 72" (F.L 33.42- 72" o Proposed FRONT 20 „ » » » 78„ � 1500 Gallon Tank SIDE AND REAR 10 C C perc ed a". 4,i'� Note: Design Da ta: MED. D. - - ,:•pr�r 98 Remove all unsuitable material 5' around SAS o One Bedroom = I X 110 gpd = 110 gpd Required Flow SAND SAND T' down to the "C2 layer (El 33.4) and replace with clean 10y r 7�4 IOyr 8�3 j, granular sand per 310 CAR 15.255 (3), (4), (5). No Garbage Disposal Q� and (6)• Use: Leach Field 22.51 x 20'W x 6" Eff/Depth 144" 156" Daze [22.5 x 221 x 0. 74 = 333 gpd Total Design Flow El 28.4 El 26. 4 Exisi NO WATER ENCOUNTERED NO WATER ENCOUNTERED Foundationi �TZ5 Dee , No_ 42 Note: A Pw Bedroom Deed Restriction is Required Locus Falls Within a Water Protection Zone. 36 Soil Log P# 10,742 USGS Groundwater Adjustment: 2° Performed By.- Bruce Murphy Zone - D 2� 54 15 SI t o Pl a rn o f -La lad BOH Dave Stanton Well - AIW 230 .�:��������`� Rate: August 0, 2004 Adjustment - 3.9'= El. 32.1' 3 �� 79 00 Prepared Fo Pere Rat r.'See Lots 4 and 5 for Water HOUSE 41 JENNIF'ER LANE Adjustment-Pert Date 01/3%4 Q+ 0,'�, 40 I *A, �l In GENERAL CONSTRUCTION NOTES / �33 `,• ',. v�$ -� �°/��`CF�isT tiF�"cyG 1. All the workmanship and materials shall conform to R E.P Title 5 .,,'` NLN s Hyannis, Massachusetts s o STF_P E m. and the Town of Barnstable rules and regulations for the subsurface ��R'cE �'� ® (3 MI�RPHY �_� Scale: 1" = 30' Date: August 15, 2004 disposal of sewage. / 1 ., No. ; �s 2. At least one access port over tank tees shall be accessible ��,� Prepared By within 6 of finish grade, with any remaining access ports brought .�! �` R r'!`°= ^ , Stephen J. Doyle and Associa tes to within 6 of finish grade. B� Top cB ` 17i 42 Canterbury Lane, E. Falmouth, MA 02536 3. All components of the sanitary system shall be capable of Datum NG�f Telephone: 508/540-2534 withstanding H-10 loading unless they are under or within 10 ft R vi s i c� z-z SZ o c k of drives or parking. H-20 loading shall be used under or within GRAPHIC SCALE 10 ft of drives or parking unless noted. Plastic equals may be .30 0 +5 30 so 120 used in lieu of all recast units 4. The excavator,contractor, shall verify the location of all site utilities prior to any excavation, and shall be responsible for ( IN FED all matters relating to electric easements i inch = 30 ft 5. Sewer pipes shall be. 4" Schedule 40 PVC laid at a min. 0.02 slope. 6. Any masonry units used to bring covers to grade shall be mortared in place. 1 10-12-05 Revise Hoe Numbers 7Finish grade shall have a minimum slope of 0. 02 ft per foot. N0. DATE DESCRIPTION TOP OF FOUNDATION EL.42.G' FIN15HED GRADE EL. 40.5'± 6„ / 6,. 4'PVC LP.WITH SCREW TYPE CAP TO r ,.. .WITHIN 3.OF FiN15HED GRADE(2 TYP.) - � e Za O J _ - RISER FIrnSh Grade El. 40' � v FINISHED GRADE EL.40.0'± Dunns T�!1! (I7� Pond O 3 ` » 6. 20 ro INVERT EL. D a. Dia. RtseR 5 LOCUS _ 39.0' .• 1/B'to 1/2'Double Washed Stone @ 2•Thl • . • . . '. • E 1. 3 7.5 9' o� INVERT EL. Mm•6• ': - 3$.65' INVERT EL. INVERT EL. INVERT EL F GAS ' 38:40' 38.20' Sum d 3l4" - i 1/2" Double Washed StoneI38.0 I ! E{. 3 7. ! a a o o a o tl d d u `� Fawsetts Liquid Level 48" BAFFLE INV EL ! I d d a d•d a• d o' Pond PROPOSED DI5TRIBUTION BOX 37.7' BOtt. Field El. 37. 1 ' 4' ,,,.-6, 41 22.5' G" Max. Max. est ...r 20' Md�ry s PROPOSED LEACH FIELD PROF Use(3) DL5trlbutlon LIne5 at 0.005 Slope COnstrUG PROPOSED 1500 GALLON TANK _ t a 20'W X 22:5'1 X G" Deep p Length of D5trlbution Ltne5 - 22' DISTRIBUTION BOX NOTES: Leach Field with Three Distribution Lines. 111� (3" PVC WITH 3/5n ORIFICES) SEPTIC TANK NOTES: L.00U5 MAP MINIMUM WALL THICKNESS = 2" PROPOSED LEACH FIELD- END VIEW N.T•5. TEES 511ALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM INSIDE DIM. = 1 2" A55E55OR5 DATA: 270-123 MINIMUM OF G"ABOVE THE FLOW LINE OF THE SEPTIC TANK AND BE ON OUTLET INVERTS SHALL BE EQUAL TO EACH OTHER AND AT THE CENTERLINE OF THE SEPTIC TANK LOCATED DIRECTLY UNDER THE Bottom Of Dee Ob5erVation HOIe Ei. 2G.4' REFERENCE PLAN: 293-2G 2"MINIMUM BELOW INLET INVERT. p SUBDIVISION LOT G CLEAN-OUT MANHOLE. THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX SHALL T " ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODING THE STRIP-OUT NOTE: HE INLET PIPE ELEVATION SHALL BE NO LESS THAN 2"NOR MORE THAN 3 FEMA DATA: ZONE "X" REMOVE ALL UNSUITABLE MATERIAL 5'AROUND 5A5 MAP#: 25001 C05GGJ ABOVE THE INVERT ELEVATION OF THE OUTLET PIPE. DISTRIBUTION BOX TO THE HEIGHT OF THE DISTRIBUTION LINE DOWN TO THE "C" LAYER(EL 32. 1') AND REPLACE WITH CLEAN MAP DATE: JULY 1 G, 2014 INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. GRANULAR SAND PER 310 CMR 15.255 (3), (4), (5)• ZONING DISTRICT: RB THE SEPTIC TANK SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL, AND (G). OVERLAY DISTRICT: WP t ZONE it INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH �5TABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON WHICH DURABLE AND NONDEFORMABLE MATERIAL PERMANENTLY BUILDING SETBACKS: G"OF CRUSHED STONE HAS BEEN PLACED TO ENSURE STABILITY AND FASTENED TO THE LINE OR RECONSTRUCTING THE LINES FRONT 20' PLAN LEGEND TO PREVENT SETTLING. UNTIL ALL INVERTS ARE OF EQUAL ELEVATION. 51DE AND REAR 10' 15 THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9",WITH TWO THE DIST. BOX SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL, 50tLTEST PIT 20"MANHOLES HAVING READILY REMOVABLE IMPERMEABLE COVERS STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON WHICH ,'•-`3G- EXISTING CONTOUR j OF DURABLE MATERIAL PROVIDED WITH ACCE55 PORTS. G"OF CRUSHED STONE HA5 BEEN PLACED TO ENSURE STABILITY AND -W-- PROPOSED WATER LINE TO PREVENT SETTLING. DE51GN DATA: TANK OUTLET TEE HALL BE EQUIPPED WITH A GAS BAFFLE. PROPOSED CONTOUR THE N O L E S _ _ -<_ �' _ ,_ _ _ _�:_.._.. _ a -_; _ _ ONE BEDROOM I X I 10 GPD = I 10 \ GPD REQUIRED FLOW.._ 50tL DATA: - NO GARBAGE DISPOSAL ALLOWED TE5T DATE: 10-31-14 / 5OIL EVALUATOR:5TEPHEN DOYLE P#14533 WITNE55ED BY:DONNA MIORANDI USE: LEACH FIELD 22.51 X 20W X 6°EFF/DEPTH TP I TP 2 TP 3 TP 4 PERC RATE<2 WPERC RATE<2 Mn PERC RATE<2 W PERC RATE<2 W ✓ l P [22.5 X 221 X 0,74 = 333 GPD TOTAL DESIGN FLOW OIL EL.39.5 EL.39.5 O. EL.37.4 O• EL.37.4 / V FILL FILL FILL FILL �' (� / 20` 20• 3 ` 44 38' ' -- / / NOTE: A ONE BEDROOM DEED RESTRICTION 15 REQUIRED Ow LS I OYR 5/6 Bw LS I OYR 5/6 Dw L5 I OYR 4/4 Bw L5 I OYR 4/4 ` V LOCUS FALL5 WITHIN A WATER PROTECTION ZONE. 48' EL.35.5' 48' EL 3'35.5' 42"' `i � .�.- 42 SEPTIC TANK SIZE: \ J 6 EL.32.i 5' 63' EL.32.15' 333 GPD 20O% / `ti \ PERC @74 C PEP @74' / oA� Q C MED.5AND G MED.SAND MED.SAND C MED.SAND /// \l\� // �3A �9 W \ UJ'E 1500 GALLON TANK LOT G `s 2sY 6/6 2.5Y 6/6 2.5Y 7/4 2.5Y 7/4 40-. `QP��M 10,428±Sa.ft\ �p \ BM: SPIKE A ONE BEDROOM DEED RESTRICTION 15 REQUIRED EL. 4 1 I' FOR THIS SITE. 126` EL 29.0 i 26' EL.29.0' 132' EL,26.4' 132' EL 26.4' O , O1�1 PROPOSED 1 500 GALLON TANK NO GROUND WATER OR NO GROUND WATER OR NO GROUND WATER OR NO GROUND WATER OR SL t►� S 1TE PLAN Of LAND REDOXIMORPHIC FEATURE5 OB5ZKVED REDOXIMORPHIC FEATURES OBSERVED REDOXIMORPHIC FEATURE5 OBSERVED REDOXIMORPHIC FEATURES OBSERVED 9 O \\erg r'�,. w PROPOSED DIST.BOX PREPARED FOR e GENERAL NOTES: % yedQ�A2 6 •AN CONFORM �o DEP 3a eco #49 JENN(FER LANE 1. ALL THE WORKMANSHIP AND MATERIALS SHALL O ` SEE STRIP-OUT NOTE ABOVE TITLE V AND THE TOWN OF 13ARN5TA5LE RULES AND REGULATIONS HYANNIS, MA55ACHU5EfT5 FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2•THE SEPTIC TANK OUTLET SHALL BE EQUIPPED WITH A � 6 � � a`b o PROPOSED LEACH FIELD �P��N QF/(�j,9s DATE: DECEMBER 4, 2014 GAS BAFFLE WHERE. ?2• N \ �' S� 'S'y 3.THE EXCAVATORICONTRACTOR SHALL CALL"DIG SAFE"AND VERIFY THE LOCATION '� DAVfD ' - SCALE: 1 - 30 OF SITE UTILITIES PRIOR TO ANY EXCAVATION,AND SHALL BE RESPONSIBLE FOR S� \ \\ O MASON ,r-;�I All MATTERS RELATING TO ELECTRIC AND/OR GAS EASEMENTS. \ �� cv N0.1056 36'- PLAN REV1510N5: 4. SEWER PIPES SHALL BE SCHEDULE 40 PVC. (4"DIA. UNLF-55 OTHERWISE NOTED) \\ \ ,La d G/3T 5.ANY MA5ONKY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE AND SECURED TO UNAUTHORIZED ACCESS. 2# G. PIN15H GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FT.PER FOOT. 3G'' 00 7. EXISTING SYSTEM COMPONENTS-IF ANY-SHALL BE ABANDONED PER v TITLE 5 REQUIREMENTS. O \(7a s 8,THE EXCAVATOR/CONTRACTOR SHALL BE RESPONSIBLE TO CONTACT DOYLE up �j ��J� �� 40 AND ASSOCIATES 24 HOURS PRIOR TO ANY REQUIRED INSPECTIONS. 9. ALL COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED. 0 30 BO STEPHEN� CMG r cn / SCALE: 1" = 30' I'M I CD J. DOYLE 5TEPHEN DOYLE AND A55OCIATE5 38 ,3 NO.37559 42 CANTERBURY LANE -\O EAST FALMOUTH, MA55ACHU5ETT5 0253G TELEPHONE: 508 540-2534 m 5JD5URVEY@AOL.COM