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0160 LINCOLN ROAD
LEI Town of Barnstable do Building Department RMWSTABLE. ` Brian Florence,CBO MA89. Building Commissioner ED MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 11/28/2020 Richard Yethman 160 Lincoln Rd. Hyannis, MA 02601 Re: Pre-application for a business certificate for Transport/Delivery Services Dear Mr. Yethman, I regret to inform you that your proposal for the use above is not allowed within our zoning for zoning district RB §240-11 and home occupations §240-46 B (12) . If you wish to persue this request you will need Site Plan Reeview approval along with relief from the Zoning Board of Appeals. I am returning your applicantion. Should you obtain the required approvals we can revisit this request. Sin 4erel , Sa ly Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 I signs/signrequ&app revised: 9/22/17 �FIME fn Town of Barnstable ''Wtio Building Department BARNSPABLE, ' Brian Florence,CBO 9 MASS. 1639. A�0 Building Commissioner FD Mp`l 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 9/30/2020 Richrard Yethman 160 Lincoln Rd. Hyannis, MA 02601 Re: Pre-application for a business ceritifcate at 160 Lincoln Rd. Hyannis Dear Mr. Yethman, I am returning your pre-applicaton for a business certificate as the business location cannot be approved as proposed. Our last correponsence was that we would need more details regarding your business. Details would need to include the type of vehicle (detail-make and model) and details of your business practice. Once you have supplied both we can revisit your proposal. Si rely ally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 �pe' oc signs/signrequ&app revised: 9/22/17 V Town of Barnsfable Building Department Brian Florence, CBO Building Commissioner- 200 Main Street,Hyannis,MA 02601 www.town.b®stable.ma.ns Pre-application for Business Certificate Date Map Parcel Applicant Information Applicants Name 1 ,C kc wa ( �taL %n Applicants Address. Il00 LAn co-ln Innis MA Ema1 Ad&= Pi �OLInc-Z> • corn Telephone Ndmbea 7714 2C9 I 1 q Listed❑ Unlisted ❑ Business Information NewBusiaess? ----------------------------------------- Yes No Business is aregisamdcorporation? ------------------------. Yes No If yes Name of Corporation (-k6Vn Year, lC r) UX- Does business opeuate under the registered corporate name? Yes No Is the busiaess a sole proprietorship or home occupation? --------- Yes No If yes than a Home Occupation Registration is regd red—See Binding Division Staff Name ofBisinws L lad wy-an ("nsk -Jr4 LLL. Business Address I(,,Q V nC din 06 4UQc n i a f Yl A 00(001 Type ofBusmess Ta{.gboc-F ` I�Jen I 'Seror_0—S Building Commissioner Office Use Only Conditions Building Commissioner Date Clerk Office Use Only r� Town of Barnstable in • Post This Card So That it is VisibleMFrom.the Street Approved Plans+Must behRetained on Job and this Card Must be Kept } 6AR6`IS`CwsLE, . _ _ . , - ., Posted aUntil Final Inspection Has Been Made °" '' �1 �� ca Where a Certificate of Occupancy is Required,-such Building shall Not ybe Occupied until a Final Inspection has been made 1 Permit No. B-19-3526 Applicant Name: Steve J Spengler Approvals Date Issued: 11/05/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 05/05/2020 Foundation: Location: 160 LINCOLN ROAD; HYANNIS Map/Lot: 270-052 Zoning District: RB Sheathing: Owner on Record: YETHMAN,VANESSA Contractor Name: STEPHEN J SPENGLER Framing: 1 Address: 160 LINCOLN ROAD Contractor License: CS-071546 2 HYANNIS, MA 02601 Est. Project Cost: $37,840.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems,54 panels Permit Fee: $242.98 17.28kW Insulation: Fee Paid: $ 242.98 Project Review Req: Date: 11/5/2019 Final: - Plumbing/Gas Rough Plumbing: ff This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan icia Final Plumbing: 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. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. 7 Final Gas: The Certificate of occupancy will not be issued until all applicable signatures p y pp g atures by the Building and Fire.Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing , Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed r Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Pers tracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: M Town of Barnstable - . : V: Building s Z Post This CardFSoThatit�s Vis�ble,Fr�om,the Street ApprovedaFlans Must be;Retamedon„Job and;this Card Must be Kept r TM"S& $ Posted Until Final Inspection Has Been Made ' ,; � ,� � � Permit�e �Wher`,e a Certificate of Occ�upancy�is Required,such Building shall Not":be Occupied until a Final Inspection.,has been made � Permit No. B-19-3695 Applicant Name: MICHAEL MCCARTHY Approvals Date Issued: 11/04/2019 Current Use: Structure `• Permit Type: Building-Insulation-Residential Expiration Date: 05/04/2020 Foundation: Location: 126 MARSTON AVENUE, HYANNIS Map/Lot: 288-101-001 Zoning District: RB Sheathing: Owner on Record: KILEY, DANIEL J& DONAHUE, ELIZABETH T Contractor Name;'" ,MICHAEL J McCARTHY Framing: 1 Address: 126 MARSTON AVENUE Contractor,Liceri L, C$,-058633 2 HYANNIS PORT, MA 02647 Est."Project Cost: $ 1,500.00 Chimney: Description: weatherization Permit Fee: $85.00 Insulation: Project Review Req: t F,ee Paid $85.00 Date 11/4/2019 Final: Plumbing/Gas s w .' Rough Plumbing: i ,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six'months afterJssuance. All work authorized by this permit shall conform to the approved application andlthe approved construction documents for which4his permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by lawsand 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 Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signaturQbhe Building and F y t ire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work. Service: 1.Foundation or Footing a ;_ Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Pers contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). c� Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application number.... .-.�1.'..36?1i Fee.........................40..,.2............................................ t MAW Building Inspectors Initials................ :...L`..-.... DateIssued................................................................ ....Map/Parcel...,-�?.. ....... 0':'.v�..l............ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: G �s ►� / JL ) -�c r.h� NUMBER STREET VILLAGE Owner's Name: )2 Phone Number Email Address: Cell Phone Number Project cost$ 'SGU Check one Residential - Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby.authorize to make application for a building permit in accordance with 780 CMR Owner Signature: �- cQ e Date: TYPE OF WORK ❑ Siding ❑ Windows( g no header change)# FL.: Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to . o CONTRACTOR'S INFORMATION Contractor's name Mike McCarthy Construction PO Box 52 Home Improvement Contractors Registration(if applicaN a Dennis, MA 0267�attach copy) 169,393 Construction Supervisor's License# CSL-58633 (a I C- 1 Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY.IS IN A LIIC7n01r n1CT01rr Vnll MI ICT nRTAIAI MICTnRir ADDRAVAI RFMRF d PFRUIT rAJU RF ICC11M r t3 APPLICATION.NUMBER............................................. ............ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame,Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP.tank 20 lbs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No ,if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date „v P CANT'S SIGNATURE Signature '+' Date 1 All permit applications are subject to a building official's approval prior to issuance. WcuSignEnvelope ID:B1CDE80A-B1B64C2C-98E2-830AF24C47B6 Z l; �f Q 1eZY ;AE p Town of Barnstable a BARv'STAB[.E, Building Department Services MASS, Brian Florence,CBO '�re� gar p Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, DANIEL KILEY , as Owner of the subject property e hereby authorize ���k�. _:I to act on my behalf, in all matters relative to work authorized by this building permit application for: 126 Marston Avenue Hyannisport (Address of Job) iJocuSigned b L�� Signature of Owner Signature of Applicant Daniel Kiley Print Name Print Name 8/14/2019 1 5:33 PM EDT Date I— r� • �.1/e� ��/iY���?iL�'PCl'CiG�� �./G�U'Gz��i�-CliG�G'Gr�P��' Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home lmprovementpontractor Registration Type: Individual Registration: 169393 MICHAEL MCCARTHY P.O.BOX 52 Expiration: 06/15/2021 WEST DENNIS,MA 02670 Update Address and Return Card. SCA 1 is 20M-05/17 .GT� �nzrnaiuoea�iz!�o�✓T�m:�a.���el� Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 169393— 06/15/2021 1000 Washington Street -,Suite 710 MICHAEL MCGAFIT�3'f ' Boston MA,02118 /. MICHAEL F.MCCAR-T-H { 6 RANGLEY LN. r SOUTH DENNIS MA-0266D Undersecretary NOt V811drVVhOUt signature �ntT��th of MassachUsetts onorProressiunal-cadhLiearrsure Board of Bulldln ae�dlatiatts and Standards; Mi1h801 A11icy g Consl rry; �isor LY�arlthy Const�aE�an - Cs ss . . - 33 I KM a� tlt -16MOM F1EI r... " . fires tael8tdooe Irnk"COW" 23r°d4gr of AI1i0t1Ift Y#!11 I;,J Gk(i:��- PO BOX 52 i NfEST NNtS . . IYitOwl'f�r 111 �� NATIONAL F18lER � llfottragfinolrtr �d -.�...ca..rsw*.f..r. - CeO1missiett¢r IL"Ak, AA, 4Wlt-M4*Arw.'_ - OSHA 00�.5587 . U s Departrnertt of labor Ab Oxupaironat Safety and Health Admudstafth Michael McCarthy : .. - .- '. 4 haS�p+ ftdyd0lltpletetl a.lOatOttf OOQlpelgQafSefMyBnd:Ff�llh !b�IOafYp Ttain4g Cd kt 32,itgitsDff�•T 4 BLouncof8eld't6oe e - B�Health r The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02I14 2017 www.mass govIdia j'�rorlcers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMr=G AUTHORITY. Applicant Information Please Print Le ibly NaMe Business/Organization/Individual): Afichael MCC'arMV Address: PO Box 52 City/State/Zip: ni- MA 0 -- - --- - - one Are you an employer?Check the appropriate box: Type of project(i Squired)' L[j3I am a employer with 1'. employees(full and/or part-time).* 7, ❑New construction In I am a Sole proprietor of partnership and have no ant loyees working for me in $• ❑Remodeling any capacity.[No workers'comp,insurance required.]. 3.❑ m 1 a a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition ❑ 4.❑I am s homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. .12 ❑Plumbing repairs or additions 5.Q I am.a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp,insurance.! 1 Plum❑ repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other S✓�)I���+ 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit e-new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have ' employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providingiporkers'compensation insurance for my employees Below is life policy and job site Information: 11 Insurance Company Name:_AL+-ion-j Li c�;1 i ,1 k -f►,rc Policy#or Self-ins.Lic.#: 1 k/��N Shy Expiration Date:_ i'a ►S'19 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 MGL c.152,§25A is a criminal violation punishable.bya fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerhfy and t e ins enaides of perjury that the information provided above is true and correct. Signature: Date: I f F Phone#: &C,0 Tca�6 yS6 Off cial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Building Department Brian Florence, CBO Building Commissioner. 200 Main Street, Ryannis,MA 02601 www.tDwn bamstab1e.ma ns Pre-application for Business Certificate Date Mapo:-7 D Parcel Applicant Information .4 Pumts Name �uC� l�t�rr�n. 4 VG1rl�SS��- l.�(Y�an Applicants Address. 1( 0 (20k NU OQ ryr l s 1,T) t 02-fr,n Email Address Lei- uCt. z) corm Telephone Number -TlLI :DoR L11 M Listed❑ Unlisted ❑ Business Information New Business? ----------------------------------------. Yes No Business is aregistered owporation7 ----------------------- Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes To Is the business a sole proprietorship or home occupation? --------- Yes No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business ��M c�n�Uro JEty�c� Business Address 1 kO Ur\CQX n SSI 0.DrNkS M R 0?- �1 T�peofBuusin 1�ess Ot3��� �k =� •l\ Building Commissioner Office Use Only Conditions `� S Building Commission f Date [bit( o Clerk Office Use Only Town of Barnstable Building Department �oFIKE royy Brian Florence,CBO Building Commissioner RARNST,mIZ, 200 Main Street,Hyannis,MA 02601 Mess. 9c� 139. 1m� www.town.barnstable.ma.us plfD µA'1 p Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION RPGISTRATION Date: --I I 1 VQdfiGSS� Name: /C 1rC rry rd �I� MCA yt LW (o- ,O. Phone#: 7-7Ll bS i l l l it Address: �® -1✓�Lo dl 2� Village: �-�'1�1 ✓1 5 Name of Business: tJMe. Type of Business:- `v'iG1eu �� Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located U m within that dwelling unit. W • Such use occupies no more than 400 square feet of space. D • There are no external alterations to the dwelling which are not customary in residential buildings,and there D v 0 is no outside evidence of such use. -G M r • No traffic will be generated in excess of normal residential volumes. 7J M -< • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular (n C .matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. Any n p g g eed for arkin enerated by such use shall be met on the same lot containing the Customary Home T1 ccn C Occupation,and not within the required front yard. m n Q • There is no exterior storage or display of materials or equipment A 0 • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one CM C pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to M'D exceed 4 tires,parked on the same lot containing the Customary Home Occupation. -j • No sign shall be displayed indicating the Customary Home Occupation. 0 If the Customary Home Occupation is listed or advertised as a business,the street address shall not be Z included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. a estrictions for my home occupation I am registering. 1,the undersigne have read and agree with the Applicant: r ;� Date: It�1I �I°I Homeoc.doc Rev.10/17 Qn of Barnstable *Permit# s — 0 Ex�T�re s 6 months from issue date JAAR 07 201t Building Department Fee `-- I c) LF� : ��a an Florence,CBO \ J 9eb 1639. A IN O1 BARN� ding Commissioner �fD N1� 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 1&0 (Ar'lC oV) j?Qj �kA Q"Ol S, MAC1 02P.0®1 ❑Residential Value of Work �$ !©&0• t� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address V n ess�,O_ K00 l nC_0kvl a(?A t nt 46n nn IS Mfi Olio O Contractor's Name 41 Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: Li am a sole proprietor am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: i iev�CC. f *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. fir) A copy of the Home Improvement Contractors License&Construction Supervisors License is SIGNATURE: Q:\WHILESTORMSTMESS2017 The Commomveakh ofMassadrusetts Departwent of ladustrial Accidm& K _ O fwe o,f "eseigadem 600 Washington s reet Boston,MA 0211I wisnumass gorldia '"Fwiwrs' CompensatianIns umce Affirm EaUderr.IGontractursMechicianslPlumbers Applicant Information Please Print I Y Name 4S�arfzdan&ffvi�- Address: Vob UnCo\n QJ� Are you an employer?Checkthe appropriate box: Type of project(required): I.❑ I am a employer.lsith. 4. ❑ I am a general contractor and I G. ❑ � employees{full andfor part-imecj.* Piave hired the sab-contmctors 2.❑ I am a sole pmpdetor orparbu r- Tisted en the attached sheet. 7- ❑Remodeag ship and have no.emplayees. These sob-contractars have 8_,❑Demolition waxiing f r me in any capacity. employees andhave wod1mrs' [No wodnE s' comp.� �e comp-ti„ uran # 9_ ❑Buildtag addition 5. ❑ We are a corporation and its 10❑Electrical repairs er addiEms j officers have esr'scised their 3.` I am,a hameo�ner doing all work 1 L❑Plumbingrapairs ar additions. �,, ����p o woikens'� right of esem� 1�❑Roorn per MGL rgnim insurance d-]i c.152,§1(41 andwe hweno o employees-[NO WOADE s' 13_�Other caste_instxw=mciuired j ;Any app&cm3t&at cbeclaboa#1—si d=fM outthe swd=beImvshavdng&&wodred rnmpenmdmpoEcyinfnmmxio3L F€aa�eovrays�rba snbv�t this sESda� ivratiag tLey are daia�s1F Wary agd theahae aatside cratasims�ct submit a netvaffidaea2 iadiea>ing sash_. fCantactoisIE=rbecttdsboxn=MrIx =Sdditianaldw-ashetrmgtbeauaeoftbesdb-c�indstmtp-,wbethetarnotftseendderbave . empftWees.Iftbesub-c=t ctamhavemnplayee%theynmstprouideaek tvm*M'tamI%yGrMFnumber- I ant an t=rnrpIa�r f7iatisprauidrrng yvorkers'cou�ernsrdir�n innsrirtunca,�or m}T enrpFu3�ees �efoav is t7re policy ar�1ob z�� informadam Imsumce Company Name: •Poficy i,l'or Self-ins.]Uc-4 Fmpiaatian Date: Job Ste Addte= citylstatel2sp: Attach a copy of the workers'compensationpolicy-declaration page(shoving the policy number and expiration date). Farinre to secure coverage as requiredunder Se-ckon 25A o€MGL c.157—can lead to the imposition of criminal penalH s of a fine up to$1,50DO0 andror one gear m4msmment,as well as civil penalties in the fo=of a STOP WORK ORDER ands fine, of up to 0-00 a day against the vio1stor_ Be advised that a copy of this statement maybe faravarded to the Office of 1mvestigations ofthe DIA for inswance coverage v oa- I do Hereby cerfi ardor t ' s and pernaWes ta.fPe jry that Aa inn;f ornuuYaupm abm,s is bare and correct �iEaaturtY: Date: 1 Phone i OjoZdal am wily. Do not wrke in f ds area,to be campieted by c4 artot4n afficiat City or Town:. PermitlLicense 4 Issuing AnSsority(circle one): L Board of HwIth I Build Dg=rtmmt 3.CUp�£trnn Clerk 4.Electrical Fnspeator S.Phimbing Inspector b.Other Contact Person: Phone#: Information and Instructions. �- Mass�etts GP�aenI T aws chap�152 rmla res all employers Yn provide was'coMPeasa ion for their employees. Pmsaantto this statute,an employee is&Lned as.=_.everyp=soniu ha service ofanotheruader airy contract ofhire, express or implied oral or written." An�ToJrer is defined as-an m&vidual,pmtaers�,association,corporation or other legal eutiiy,or any two or more of the foregoing engaged is a Joint mterpd=,and inahu Tmg the legal representatives of a deceased employer,or the receiver or trastee of an individual,per,association or other legal entity,employing employees. However the owner of a dweIImg house baying not more than three apartments and who resides therein,er the o=apant ofthe - dwelli g house of another who employs pees to do maintenance,construction,or repair war$on such dwelling house or on the grounds or building app 1h=to shall notbeeanse of such m3ploymeatbe deemed to be an employer." MGL chapter 152,§25g6)also states that'every state or local Iiceysmg agency shall withhoId the issuance or renewal of a license or permit to operate a business or to construct bindings in the commonwealth for any applicant who has-not produced acceptable evidence of compliance with the insurance,coverage required'_" Additionally,MGT-chapter 152,§25C(7)states-Neither the comaawr-alth nor any ofifs political subdivisions shall eater into any contact for the peri-onnauce ofpablic work UnE acceptable evidence of comphancewith the msm3nce. reTm-ements of this chaptea.have.been.presented to the contracting antTimity." Applicants Please fill out the wor3reas'compensation affidavit completely;by checking the boxes that apply to your sitnaiion and,if necessary,s-apply sub-contractor(s)name(s), addresses)and phone numbes(s)along with their certificates)of instance. Limited Liability Compames(LLC)or Limited Liabilityy 'Partneisbips(LT P)wnno employees other thm the members or partners,are not rbqui red to carry workers'compensation insoranm If an LLC or LLP does have empIoyees, a policy is required Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confnmation of insurgnce coverage. Also he sure to sign and datL the affidavit The affidavit should be-retrm eed to the city or town that the application for the permit or license is being requested,not the Department of . T,Tns riaj 2ss�. Shonldyon have any questions regarding the law or ifyon are required tQ obtain a workers' rozipcasatioix poHcY;please call the Dep F f at the mznber listed below. Self-msm-edcompanies should enter their self-7„�=license number on the appropriate Ime. City or Town Officials Please be sore that the affidavit is complete and primed-legibly- The Department has provided a space at tile:bottom of the affidavit for you to fill out in.the event the Office ofluv� os has to contact you regarding the applicant Please be sine to fill in the pen ll cense mrLaber which will be used as a refereace number. In addition,an applicant that must submit ID-trltiple pemit(license applications in any given year,need only submit one affidavit indicating=ent or p olicy i afb=atiom(if necessary)and under°Tub Site Ad8=s"the applicant should w7Ste�aII locatiins in ( 5' town):'A copy of the-affidavit that has been officially stamped or matt-d by the,city or town may be provided to the applicant as proof that a valid affidavit is ou file for fcrtm 'permits or licenses. A new affidavitmnust be filled olf each year.Where a home owner or citizen.is obtaining a license or permit not related in any business or commercial 4entzse (it. a dog license or peunit to bum leaves etc.)said person is NOT reqEred to complete this affidavit: The Office of Investigations would I�Ire tn}thank you m 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 fnx number:. 'he JJE of Massachusd s - Deparbnent c li&istLW Accident t Fay 9 617 727 7749 revised 4 24-07 p .mas,:,gay l �-i a '(ME Town of.Barnstable Tpw ti Building Department ' S"R',KASS. � " Brian Florence,CBO 9`b�rE1 jq. a � 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 UsWg 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) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:10/17 jvvvu V1 .ua1U3Laluxc; ' 3 �pFTHE Tpk, Building Department ! { .� Brian Florence CB0 • Building Commissioner BARNSTABLE. + M� $ 200 Main Street, Hyannis,MA 02601 059. AlED nu•'i" www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEpWNER LICENSE EXEMPTION• Please Print DATE: JOB LOCATION: i oo ulnCy�n r)oLS Inumber street village ` "HOMEOWNER": `Ln2SSsz1, KWA mo'1 -1-114 name home phone# work phone# CURRENT MAILING ADDRESS: i toU Une.,flio Q A 4rijar)()\9 Q) Or'ic0 •ty/town state zip code The current exemption for"homeowners"was extended to include owner-ocMied.dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection.procedures and requirements and that he/she will comply with said procedures and requir nts. Sign omeowner 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 to amend and adopt such a form/certification for use in your community. 1 Town of Barnstable Building e PostTh�s,Card So That rt,is Visible FromthefiStreet-A roved;Plans:Must be Reta�ned•onJob;and this Card Mist be Ke t , lA#M3lABt$ f �'s `�° t�^,�� s'^ '• ���,�" t�'�^ ,x.,- �'.. pp t`"•����ax '� s� ",•C �' zA J•�'�a� ���•, p ��i^ �Posted Uritjl Fina1 Inspection Has BeenIVlade .°r , x � Whew a Cert�ficate�fi Ocupry.�s•Requi ;suc "Bulcim hall Note be'Oe upiedt until a Finat liq,spec ghas been,made Permit ,- Permit No. B-17-971 Applicant Name: CAPE COD INSULATION,INC Approvals Date Issued: 04/10/2017 Current Use: Structure .Permit Type: Building-Insulation-Residential Expiration Date: 10/10/2017 Foundation: Location: 160 LINCOLN ROAD,HYANNIS Map/Lot 270-052 Zoning District: RB Sheathing: Owner on Record: YETHMAN,VANESSA Contractor Name: CAPE COD INSULATION,INC Framing: 1 Address: 311 BEARSES WAY f �" Contractor License:' 153567 2 HYANNIS,MA 02601 Est Project Cost: $4,800.00 Chimney: Description: weatherization Permit Fe: $85.00 Insulation: weatherization Fee�Paid; $85.00 Project Review Req: � Final: Date 4/10/2017 f ,�y r Plumbing/Gas Rough Plumbing: ry bBuilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorize,d by this permit is commenced within suc5months alter ssuance. �,- r Rough Gas: All work authorized by this permit shall conform to the approved application and the�approved construction documents�o4 hich this permit has been granted. All construction,alterations and changes of use of any building and str�uctures'shall W in compliance with the local zoning ton, s Arid codes. Final Gas: ��' .. This permit shall be displayed in a location clearly visible from access street or,road Arid shall be maintained open for public inspection for the entire duration of the work until the completion of the same. 01 � - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work: � � E f 1.Foundation or Footing �,',;.. Rough: 2.Sheathing Inspections+,•s ° 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION Map Parcel Application# 1 7 .9 r 1 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board RUILDiNG Historic - OKH _ Preservation/ Hyannis D� T Project Street Address b® wAt 2017 UVVN Village l�G�j CEQaI�Ic � Owner It Address Telephone Z " 20 0 Permit Request �7 � 10�IC ak -10 d(10A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Familyp Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address [G License# (� U Home Improvement Contractor# Email AkAddCAUCOJ f •C 04 Worker's Compensation # W a yaLP51-I ® y ALL CONSTRUCTION DEBRIS RES LTING FROM THIS PROJECT WI,L�, BE TAKEN TO ZY 1 7, SIGNATURE DATE l r� iF7 ' FOR OFFICIAL USE ONLY { APPLICATION # s 9 DATE ISSUED d MAP/PARCEL NO. ADDRESS VILLAGE OWNER ,r DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL `.� FINAL BUILDING y DATE CLOSED OUT ASSOCIATION PLAN NO. I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 Boston,BIA 02114-2017 � J www.massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Cape Cod Insulation Address: 18 Reardon Circle City/State/Zip.South Yarmouth, MA 02664 Phone#:508-775-1214 Are you.an employer?Check the appropriate box: Type of project(required): 1.11011 I am a employer with 48 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' insurance.t 9. ❑ Building addition comp.[No workers' comp.insurance P• required.] 5. We are a corporation and its 101-1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[]Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.§Other Weatherization employees. [No workers' comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Atlantic Charter Policy#or Self-ins. Lic.#:WCE00431902 Expiration Date:6/30/2017 Job Site Address: t lei City/State/Zip: rQ Kj V t't (' Attach a copy of the workers' compensation po icy declaration page(showing the policy numb r and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided abov is ue and correct. Henry Cassidy Signature: °�� �"°'... Date: Phone#: 508-775-1214 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#: CAPECOD-27 KD YLE A�URv CERTIFICATE OF LIABILITY INSURANCE DATE 03/30/2017I� 03/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ACT RogRte 134 ers&Gray Insurance Agency,Inc. HONE 434 No Ext: Fac No: 877 816-2156 South Dennis,MA 02660 � Nkssv mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC q INSURER A:Peerless Insurance Company 24198 INSURED INSURER B:Safety Insurance Company 39454 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTA LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 i EACH OCCURRENCE $ CLAIMS-MADE 7 OCCUR R/O CBP8263063 04/01/2017 04/01/2018 DAMAGE TO RENTED $ 100,000 REM ISEMED EXP(Any one erson $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY a wof LOC' PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO - 6232707 COM 01 04/01/2017 04/01/2018 BODILY INJURY Perperson) AOXUTSULED AUTOS ONLY AO 1,000,000 IRED ON oyyNED BODILY INJURY Per accident X AUTOS ONLY X AUTOS ONLY Perr acEoid AMAGE $ $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 2,000,000 EXCESS LIAB CLAIMS-MADE R/O EXCl0006635001 04/01/2017 04/01/2018 AGGREGATE $ DED RETENTION$ Aggregate $ 2,000,000 D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIIET6OERR/PARTNER/EXECUI IVE Y❑ WCE00431902 O6/30/2016 O6/3O/2017 E.L.EACH ACCIDENT 1,000,000 (MFandatory In NH)EXCLUDED? N/A E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 . _.. . -_ I,--:E ___-T DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Informational Purposes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD '�' Massachusetts Oepartmanl of public Safety Board of Building Regulations and Standards License; CS-100988 Construotian Supervisor • `� .1.i I� �,� n1�bR,i � HENRY E CAS-SIDY. , 0 SHED ROW eaa i,I Oi1„•�l�,,df WEST YARM00H01 t $' 1• n'I,y -)I'1111d Expiration; Commissioner 11111I2011 r 6 ,Office of Consumer Affairs and Business Regulation 10 Park Plaza -' Suite 5170 Boston, a 1rhusetts 02116Home Improvemejractor Registration Type; Corporation Registration; 163587 Cape Cod Insulation, Inc AL _ w Expiration' 12/14/2018 18 Reardon Clrcle So, Yarmouth, MA 02664IV �p r•,jig ,,� Update Address and return card, Mark reason for change, 45 20M•06/11 �e:�a�rh�aanwea�C/oy��aaaao/uaetd• . Office of.ConsumerAffairs III Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only Tr§""e, Corporation before the expiration date, If found return to; EXRJratlon Office of Consumer Affairs and Business Regulation 36 ��Iry 12/14/2018 10 Park Plaza•Suite 8170,:� :a.}i✓ Boaton,MA 02116 ,ape Cod Insu lenry Cassidy 8 Reardon Clrcl �.�/;� ��R.CG•Q . ;o,Yarmouth, Underseoretary Not v d WA Ig t r Town of Barnstable Regulatory Services SUM Richard V.Scali,Director ' ;mo► Building Division Tom Perry,Building Commissioner 200 Main Stieet,Ylyannis,MA 02601 w�vvv.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 Chimer of the subjecr propcii.), t hcrebyauthortze __ tA to act on mybeha]f, in all matters Matt a to work authorized by this bJdin pemut application for: `�Q�►nCp�n ���--- �-�-�Qsc�t1�S tY�� (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and Al final inspections arc performed and accepted. 1�4e of Signature of Applicant �I Print Print Name Date Q:FORMS:ON1+'.'ER PERAd ISSIONPWLS TOWN OF BARNSTABLE BUILDINGARMIT APPLICATION -70 9Map Parcel �, Application fi,� ' � CO CS � Health Division Date Issued Conservation Division ©�NOV Applicati e Planning Dept. Permit e Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 160 I-`Y7e®1 n Qoc-C-0, YYc nA;s twA 0J-6 0 i Village /� Owner NO—Ce. gc©P,ec�f �cc,.�k: Ltd®,� Address a� 8(,r,0kSk-'r e � �(yunn s M/4 Telephone Permit Request �,ge =('ocpe G no -Cot7S4«tio Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family t6 Two Family ❑ Multi-Family (# units) Age of Existing Structure C(!; ),r,- s Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) `f' Basement Unfinished Area (sq.ft) i3 Number of Baths: Full: existing new y Half: existing new Number of Bedrooms: existing d new Total Room Count (not including baths): existing 9> new First Floor Room Count Heat Type and Fuel: ❑Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes U No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:Q9 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 W ��✓l���l �� '} '/ Telephone Number 774e" ?d Address 77 C46-4c,.(" i License # AM�eeI ��� 0 Y �( Home Improvement Contractor# Email Dbea t°_1&Y''►Yhon.er+«YYma y c le c®+Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE 10 �' 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 t DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Building Department-200 Main Street I °rfoMA,�`° Hyannis, MA 02601 f Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-16-2968 CO Issue Date: 10/11/2016 Parcel ID: 270-052 Zoning Classification: RB Location: 160 LINCOLN ROAD, HYANNIS Proposed Use: Gen Contractor: Permit Type: Residential - Single Family Comments: PRECODE NO CONSTRUCTION Building Official Date: r October 6, 2015 FROM: Ruth J. Weil, Town Attorney Town of Barnstable 367 Main Street Hyannis, MA 02601 (508) 862-4620 Ruth.weil@town.bamstable.ma.us TO: Property Inquiry Bank of NY Mellon Mbs.property.inquiries@bnymellon.com CC: dpir@state.ma.us SUBJECT: Massachusetts REO Property Bank of NY Mellon has.an REO property at 160 Lincoln Road, Hyannis, MRthat has been identified by the Distressed Property Identification and Revitalization Program of the Massachusetts Attorney General. We are writing to determine what your intentions are as to this property and when you expect it to return to productive use. You should also be aware that the town of Barnstable recently adopted an ordinance relating to vacant and foreclosing properties, Chapter 224 of the Code of the Town of Barnstable, a copy of which is attached. As it relates to above-referenced REO property, Section 224-413 mandates that a mortgagee of a vacant property having taken possession or ownership of a property register the property with Barnstable's building commissioner and comply with the delineated maintenance requirements. You are not required to post a bond at this time. Please contact me by October 12, 2015 as to your intentions with this property, including a rehabilitation plan and estimated date of completion if your intention is to rehabilitate the property. Also,please provide proof of your compliance with Chapter 224 of the Code. Thank you for your prompt attention to this matter. We look forward to working with you. Very truly yours, Ruth J. Weil Town Attorney -z Z- /0 ' �1"KE rp� Town of Barnstable *Permit -l6 p Expires 6 mon s fro 'sue e Regulatory Services Fee KAM swxxsrnats. � '' 9e� 1 Richard V.Scali,Director ptED MA't A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address Fj'0 nfcwL N)AV) Residential Value of Work$ 5000. 0 . Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ` ,rufmox G wi MR Contractor's Name 0 Telephone NumbeIG �01 0/� Home Improvement Contractor License#(if applicable)fi , Email: Construction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ lam the Homeowner ❑ I have Worker's Compensation Insurance .4n Insurance Company Name � 950%v , Workman's Comp. Policy# �h Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor'plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the H e Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\E doc Revised 040215 t 27ie Commomveahh of-V assachusetts Deparlrtreatt of Industrial Accidents ` Office of.£nvestigations 600 Wasi2frggion Street Boston,MA 02122 tvww mass govldia Workers' Cumpensaf an Insurance davit:Builders/ContracturslEIt ,cians/P'Iumbers Applicant Infmrmaf GU Please Frint F�t�ly Larne(us> messogaaimfionan&vidaa Address: S SbGM WQ rl 1�_ GtyJ i atel ip: A c�k M� Phone �lreu an employer?Checkthe appropriate box: ' Type of project(required): I. am a employer Mith 4 ❑I am a general contractor and I * have hired the sub-contatctors 6. ❑l+ietiv consirucfiian employees(fiz11 atsdlor part-time_ . 2.❑ I am a sole proprietor orpar ner- listed on the attached sheet 7. g Remodeling slip and have no employees These sob-contractors have $_ ❑Demolition wod-Ing fAr me in any chit r employees aird have wo&.ers' 9..F1 B.uildin addition. [No Droricers,comp.in trance comp-fIISUIat Ce_I g required-] 5. ❑ We are a corpomfion and its 10_❑Electrical repairs or add 3.❑ I am a homeowner doing all yank officers have exercised their 11_❑Flumb ngrepairs or additions my [No-workers'mmp- tight of exemption per MGL 12.❑Roof repairs insmance required-]F c.152,§1(4h and we have no employees.[No womicers' 13.❑Other comp_insurance required_] `AayappEicwtdwt checks box F1mn elseM out the sectionbe[owshnrdngtheirworkers'eompem &npoHcyin5n=tion_ 1 Homeowners Who submit this xTidaci=9ff==g tbey are doing ag wad aRli then hire Outside contractom mmst submit anew affidavit indicating such. ZGontr cWrs I&t check this box m=attached sn additional sheet shaming flee name of the sub-contzaDrs aad state whether ar m t tbase entities base emp9ayees.Ifthe sulrcaatmctneshave empIayees,d aey=ntpmtn-ide their workers'camp.poUU nu giber_ I am an empLoyer that is pranidbW workers'contpemvdiatt inmirance•for my earplayees Below is the poicy and job rite information Insurance Company Name: Policy 4 or Self--ins.Lic_;�: E.cpiratioa Date: Job Site Address: Cify/State{Tp: Attach a copy of the workers'compensation policy declaration page-(showing the policy number and e=piration date). Failure to secure coverage as required.under Section 25A of MGL c-1572 can lead to the imposition of criminal penalties of a fine up to S 1,504 00 andlor one-year in4xistmment,as well as civil peaalties.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 Iuvestrgations of the DIA€or insurance coverage terifrcation. I do hereby c. er tfmspauzs arrdperratties afper,'nty�fhatffie infor*rmatimiprotided abm a is true aztd c-arrect f Simature: p, Date: Phone i* - 1z) Officiai use only. Do ztot write in this area,to be completed by tdly orrolm o,fjiciaL City or Tornu: PerffitUcense;9 Issuing Authority(c rde one): 1.Board of Re dtk 2.Building Department 3.CityJTown Clerk 4.Electrical Inspector S.Plumbing Inspector b.Other Contact Person: Phone#- information and Instructions Massachusetts General Laws chapter 152 requires all employers.to provide wozi-,ers'compensation for their employees_ Pm:sr this stE±Lite,an.emp£oyee is deed as."-.every person m the service of another under any contract of bite, . express or implied,oral or written." tit ' An enrplvyer is deed as"an individnal,partnership,association,corporation or other legal ezy,or any two or more of the foregoing=gaged in a Joint entecpase,-and including the legal representatives of a deceased employer,or the receiver or trustee of an mdividaA pa tammhip,association or other legal entity,employing employees- However the owner of a dwelling art meats having not more,thin thr=aparents and who resides therein,or the occupant of the - dweIling house of another who employs persons to do mah tmmce,construction or repair work on such dwelling house or oa the grounds or building appurbenaIItth(--retn shaIlnotbecanse of such empIoym.entbe deemedto be an employer-" MGL cbaptnr 152,§25g6)also sues that"every state or local licensing agency shall withhold ffie issuance or renewal of a license or permit to operate a business'Dr to construct buildings-iu the commonwealth for any applicant who has not produced acceptable evidence of compliance with time insurance.coverage required-" . Ad.diiionally,MCsL chapter 152, §25C(7)states"Neither the rommonwmIth nor ally ofits political subdivisions shall entPr i any contract for the performance ofpubho work u at l acceptable evidence of compliance with the insurance-. requirements of this chapterhave been presentsdin the contracting a fhodty." APPiicant6 ' Please fill oht the workers'compensation affidavit completely,by che+-k;�+R&e boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phone number(s) alongwiththeir certEcafe-CS)of 1nmarance. LiinitEd Liability Companies(LLC)or Limited Liability Part eishTps(LLP)withno employees other than the members or partners,ate not requited to cant'workers' compensation i sarance. If an LLC or LLP does have employees, a policy is required. Be advised that this aff dayh may be submitted to the Department of Industrial Accidents for confirmation of ins-auan ce coverage. Also be sure to sign and date the affidavit. The affidavit should be ret=(--d to-Le city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents: Should YOU have any questions regarding the law or if you are req e-d to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their s elf-m sT-aace Ilse number on the appropriate line. City or Town Officials . t Please be sore that the affidavit is complete and pri aced.legibly. The Department has provided a space at the bottom of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant Please be sine to fill in the penitlhcense number which will be used as a reference number. In.addition,an applicant must submit m Ie. ennitiliceuse applications in any given year,need only submit one affidavit Indira rTTrTpnt that m P " L or policy inl�=nation(if necessary)and under"lob Site 4ddresss"the applicants 10 2 write all locations m (�Y town)-"A copy of the-affidavit that has been officially stamped or marked by the,city or town maybe provided to the ' applicant as proof that a valid affidavit is on file for future permits or licenses_ Anew affidavit must be filled Olt ends year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie_ a dog license or peunk to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would at to thank you in advance for your cooperation and should you have any q,estions, please do not hesitate to give us a call- The Department's address,telephone and fax number: Tht ca_mmmweattlr of Massachu&tM Daparfrnent cif 1udU5tza1 tq- Qf Ce of jve&tigatjo-� ��4tQn t Fag 617-727-7749 Kevised 4-24-07 -mass-gQg/dia • snxxsrwst.a. • _. MASM Town of Barnstable �TEOMAy� ' Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabIe.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, TMW ,as Owner of the subject property hereby authorize ) &Y.Jrsms to act on my behalf, in all matters relative to work authorized by this building permit application for: fi -O 4u (0A '0&601 (Address of Job) Signature of Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFII.ES\FORMS\building permit forms\E)TRESS.doc Revised 040215 Town of Barnstable Regulatory Services .F TKME Tok� Richard V.Scali,Director Building Division ' swsxsrnsr.E. Tom Perry;Building Commissioner MASSL 1e39. 200 Main Street, Hyannis,MA 02601 pTED MA'1 www,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 reMonsible for all such work performed under the building permit. (Section 109.1.1) ' The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. 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.doe Revised 040215 /re 011nevra�rrrcr+l��nG`�jatrr�c�r%rellz Office of Consumer Affairs&Business Regulation License or registration valid for individul use only a OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 182094 Type: Office of Consumer Affairs and Business Regulation Expiration:P 5126/2017_ Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 EXCEL BUILDING SYSTEMS.COMPANY INC. -4- r ., RENATO DA SILVA a ' 8 JAN SEBASTIAN DR STE25` ' SANDWICH, MA 02563 ! ' Undersecretary Not valid wAlbout signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards License: CS-098849 .X` RENATO F DA SI WA 8 Jan Sebastian Wive � s Sandwich MA 02363 Expiration Commissioner 06/20/2017 Client#:38860 2EXCELBU DATE(MM/DDM'YY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 3/2(MMMDN 9/2016 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: Dowling&O' Neil Insurance Ag P"ONE 508 775-1620 FAx 5087781218 A/C No Ext: A/C,No: 973 lyannough Rd,PO Box 1990 E-MAIL ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# 508 775-1620 INSURER A:National Orange Mutual Insuranc INSURED INSURER B:Associated Employers Insurance Excel Building Systems Company,Inc INSURER C:Safety Indemnity PO Box 436 INSURER D Forestdale,MA 02644 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. NSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/Y MM/DD/YYY A GENERAL LIABILITY MP02774T 2/22/2016 0=212017 EACH OCCURRENCE $1 00O 000 X COMED MERCIAL GENERAL LIABILITY PREMISES Ea M rr nee $500 000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2,000,000 GEN.L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JE O- LOC $ C AUTOMOBILE LIABILITY 6231596 12/09/2015 12/09/201 EOfac den SINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS XAUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050098182016A 5/2016 03/05/201 X I WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? NJ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE1$50 0000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$5OO OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 `The ACORD name and logo are registered marks of ACORD AecI A7701/1VII A7709 rRn Mass. Corporations, external master page Page 1 of 2 Corporations Division Business Entity Summary ID Number: 472390785 Re uest certi s q ficate IVevr search Summary for: MOURA PROPERTY ACQUISITIONS LLC The exact name of the Domestic Limited Liability Company (LLC): MOURA PROPERTY ACQUISITIONS LLC The name was changed from: M&M PROPERTY ACQUISITIONS LLC on 05-18-2015 Entity type: Domestic Limited Liability Company (LLC) Identification Number: 472390785 Date of Organization in Massachusetts: 11-24-2014 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 29 BROOKSHIRE ROAD City or town, State, Zip code, HYANNIS, MA 02601 USA Country: The name and address of the Resident Agent: Name: JUAN MARICHAL Address: 182 PITCHERS WA City or town, State, Zip code, HYANNIS, MA 02601 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER FERNANDO MOURA 29 BROOKSHIRE ROAD HYANNIS, MA 02601 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=472390785&... 4/13/2016 Mass. Corporations, external master page Page 2 of 2 Title Individual name Address ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report ' Annual Report - Professional Articles of Entity Conversion Certificate of Amendment v j View filings Comments or notes associated with this business entity: i °-NNew search http://corp.sec.state.ma.us/Corp Web/CorpSearch/CorpSummary.aspx?FEIN=4723 90785&... 4/13/2016 I P<cel Detail Page 1 of 3 b4A5S:' ry, a P � 4 a, x 4_4 Y ems. 4 .' 'Vi i.VC✓„��Y � " 4..� ON ,n y Logged In As: Parcel Detail Tuesday,January 5 2016 Parcel Lookup Parcellnfo Parcel ID 270-052 Developer LOTS 35,36,37 �--05: _ I Lot� 6,37 Location 1160 LINCOLN ROAD I Pri Frontage Sec 180 I I Sec Road Frontage Village IHYANNIS I Fire District HYANNIS Town sewer exists at this address No I Road Index 0895 _ I w Interactive Ma r � Owner Info _ _ , Owner IMORGANTI, MAUREEN E&ROBERT I Co-Owner %BANK OF NEW YORK MELLON TR Streets C/O LANDMARK TOWERS I Street2 345 SAINT PETER STREET City ISAINT PAUL I State,MN zip i5510I 2 -I Country � Land Info._ Acres 10.52 Use[§TiW6F Tam MDL-01 I Zoning[RBN ( Nghbd 0104 Topography LevelA _ I Road I Paved Utilities Eublic Water,Gas,Septic Location F_ Construction Info Building 1 of 1 Year 1950 Root Gable/Hip Ext Wood Shingle.) Built Struct Wall Living 1856 Roof As h/F GIs/Cm AC None Area Covert p p Type Style[Ranch Int D all Bed Wall Rooms[3edroom Bs_ 11< I _ I Int Bath °n+` �" � ak 7 Model Residential I Floor Carpet Rooms 1 Full-0 Half144 l t T oo Heat Grade AA Total ( vera a Minus jH�ott er 5 Rms I 9 I Type I I Rooms ____ ,�'tea Heat Found stories 1 Story I Fuel OII ation Conc. BlockWTA Gross 3992 Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20024 1/5/2016 Paj.cel Detail Page 2 of 3 JIIssue Date I Purpose I Permit# I Amount I Insp Date I Comments II Visit History Date Who Purpose 5/10/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 7/15/1990 12:00:00 AM ME Meas/Est -_Sales History .......... Line Sale Date Owner Book/Page Sale Price 1 7/26/2004 MORGANTI, MAUREEN E&ROBERT 18862/207 $100 2 1/6/2003 NEE, MAUREEN E 16192/126 $100 3 8/24/1993 NEE, MAUREEN E&PAUL M 8743/287 $1 4 3/12/1982 NEE, MAUREEN E 3448/212 $0 5 6/25/2015 1 BANK OF NEW YORK MELLON TR 28965/270 1 $200,133 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2016 $115,900 $35,300 $17,700 $73,500 $242,400 2 2015 $121,900 $36,400 $18,100 $72,500 $248,900 3 2014 $121,900 $36,400 $18,500 $72,500 $249,300 4 2013 $121,900 $36,400 $18,900 $72,500 $249,700 5 2012 $121,900 $36,000 $17,300 $72,500 $247,700 6 2011 $153,500 $3,100 $13,000 $72,500 $242,100 7 2010 $153,300 $3,100 $13,400 $111,500 $281,300 8 2009 $147,300 $2,600 $10,600 $148,300 $308,800 9 2008 $171,600 $2,600 $10,600 $154,500 $339,300 11 2007 $170,500 $2,600 $10,600 $154,500 $338,200 12 2006 $148,700 $2,600 $11,000 $161,300 $323,600 13 2005 $132,100 $2,500 $11,300 $124,600 $270,500 14 2004 $106,900 $2,500 $11,500 $124,600 $245,500 15 2003 $98,200 $2,500 $11,800 $45,600 $158,100 16 2002 $98,200 $2,500 $11,800 $45,600 $158,100 17 2001 $98,200 $2,500 $11,800 $45,600 $158,100 18 2000 $76,300 $2,200 $12,300 $30,400 $121,200 19 1999 $76,300 $2,200 $9,900 $30,400 $118,800 20 1998 $76,300 $2,200 $9,900 $30,400 $118,800 21 1997 $71,600 $0 $0 $30,400 $105,700 22 1996 $71,600 $0 $0 $30,400 $105,700 23 1995- $71,600 $0 $0 $30,400 $105,700 24 1994 $63,900 $0 $0 $34,200 $102,200 25 1993 $63,900 $0 $0 $34,200 $102,200 26 1992 $72,600 $0 $0 $38,000 $115,300 27 1991 $74,300 $0 $0 $53,100 $137,900 28 1990 $74,300 $0 $0 $53,100 $137,900 29 1989 $74,300 $0 $0 $53,100 $137,900 30 1988 $47,800 $0 $0 $25,100 $81,900 31 1987 $47,800 $0 $0 $25,100 $81,900 32 1986 $47,800 $0 $0 $25,100 $81,900 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20024 1/5/2016 Pay cel Detail Page 3 of 3 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20024 1/5/2016