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0153 MEGAN ROAD
1 � � I-' �V �� 1 � � f 1 f��y /�/` Pill d�qp ,� Application number '. :�.. Date Issued........�.1.1. �.�g...................................... BA1015I'A13M o. MASS. ®� °o z6 9. �� Building Inspectors Initials...... ..................... iOrFo�.�a Map/Parcel.......... `.. ......L.'5.!4....................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDWG/WIINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: /5 3 /letia,,7 ;Q� //yG�,l NUMBER STREET VILLAGE Owner's Name: ;2 -7a1 k, Phone Number Email Address: sa(,e�o�c4 cF r1e Cell Phone Number Project costkCheck one Residential Commercial OWNIER'S AUTHORIZATION As owner of the above property I hereby authorize 6 to make application for a building permit in accordance with 780 CMR o �p Owner Signature: 5 e A— a cl-\a Od-414 Date: TYPE OF WORK � Siding F✓! Windows (no header change)#__,.3 _❑ Insulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review J Roof(not applying more than I layer of shingles) Construction Debris will be going to G�1�sfe-/�G/!a Per/�� - �iy,►'��- ;��� /� Z CONTRACTOR'S INFORMATION Contractor's name (�rt an f�e nnrSo✓� - �vi"�2�n oVe-i ��� ��� 4J I!1 JOW S Home Improvement Contractors Registration(if applicable)# 1 Z_3 2-q,5 (attach copy) Construction Supervisor's License# b j S 7 07 (attach copy) Email of Contractor SLJee+9 q5� ' �. C 6 M Phone number 1/0/- z 2- ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR/F THE SUBJECT PROPERTY IS 11V A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED, I r. APPLICATIONNUMBER............................................................ *For 'dents 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 Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:34pm. 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 PLYCANT9 S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. Renewal Agreement Document and Payment Terms Andersen. dba:Renewal B Andersen of Southern New England YRona Robinson Legal Name:Southern New England Windows,LLC 153 Megan Rd. RI #36079,MA#173245,Cr#0634555, Lead Firm#1237 Hyannis,MA 02601 WINDOW RE IACEMENT 10 Reservoir Rd I Smithfield,RI 02917 - H:(508)364-0568 Phone:401-349-1384 1 Fax:401-633-6602 1 sales@renewaisne.com Buyer(s)Name: Rona Robinson Contract Date: 10/15/19 Buyer(s)Street Address: 153 Megan Rd., Hyannis, MA 02601 Primary Telephone Number: (508)364-0568 Secondary Telephone Number: Primary Email: Shadowdog06@comcast.net Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $5,594 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $p Balance Due: $5,594 . Estimated Start: Estimated Completion: Amount Financed: $5,594 8 to 10 weeks 8 to 10 weeks Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date.Rain and extreme weather are the most common causes for delay. Notes: Taxes paid in Barnstable, Ma. Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER:Do not sign this contract if blank You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 10/18/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. legal Name:Southern New England Windows,LLC dba:Renewal By Andersen of Southern New England Buyer(s) Signature of Sales Person Signature Signature Gino Montesi Rona Robinson Print Name of Sales Person Print Name Print Name UPDATED: 10/15/19 Page 2 / 12 Office of Consumer ,affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement%Contractor Registration Type: Supplement Card Registration: 173245 SOUTHERN NEW ENGLAND WINDOWS, LLC: = Expiration: 09/18/2020 10 RESERVOIR ROAD SMITHFIELD, RI 02917 scn 1 c, zomrosii 7 Update Address and Return Card. �T� �ivnincntoeo,�l/,. ���iLii/�I,(G%CCGy Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoolement Card before the expiration date. If found return to: Reaisttation. Expiration Office of Consumer Affairs and Business Regulation 1Z3245., 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW EN GLAND WINDOWS,LLC Boston,MA 0211 BRIAN DENNISON. 10 RESERVOIR ROAD SMITHFIELD,Rl 02917 Undersecretary tiv' .� "Nithout signature r Commonwealth of Massachusetts ivi Sion of Professional Licensure Board of Building Regulations and Standards Constrpj:—tf'b `S Pervisor -09 70 EAAires: 09/0 /202a 8 BL.ACKWELL DRIVE y, CHARLTON MA -O 15®? a —I f1,— CIL Commissioner f floe Commomweald of'iVassadiuseds Departvtentoflndus&ialAccidents 1 eana ress Stree4,quite 100 Boston,M4 09114--2017 wsvw.mass_.ov/d& Warkers'Compensation insurance Affidavit:Builders/Contractors/Eiectricians/Ptumbers. TO BE PILED WITH THE.PERMIITM AUTUMN. Applic2at Information Please Print Legibly IelanMe(Business Orpnizatiomdndividual): S Cj(Llh C f qV be a) le/12 ICJ Address: M 1ZV11ZSeXUQ1f —EZA City/State/Zip:5m rt4 l'Q;?! OZ-g /7 Phone k 40/-Z7� Are you an employer?Cheek the appropriate box: Type of project(required): 1. 1 am a employer with ;ZO"t� mployees(fWl and/or part time).° 7. O New construction 2 am a sale proprietor or partnership and have no employees working for me in $: Remodeling any capacity.(No workers'comp.insurance required.] 3. I am a homeowner do' all work myself 9. ❑Demolition - tag y [No workers'comp.insurance required.] 4.01 am a homeowner and will be hiring contractors to conduct all work on my ProPettY- I will I0®Building addition ensure that all eantractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. (�5®I am a;eneral contractor and[have hired the sub-camractors[fisted on the attached sheet 12. Plumbing repairs or additions These sub-caahactors have employers and have workers'comp,insurance t l3.®Roof repairs 6. %are a eo ration and its officers have eeetcised their ri 14. Other lad �° gtrtof scemption per MGL c. 152,¢1(4).and we have no employees.[No workers'comp.insurance required] °Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a aew affidavit indicating such. :Contractors that check this box must attached an addidoml sheet showinv the name of the stub-contractors and state whether or not tJfose entities have employees. Ifthe sulKQa racmrs have employees,they must provide their workers'comp.policy number. P am an efirployer that is proyidlrea workers'compensation insurance jor my employees. Below&the policy and job site information Insurance Company Name: I,G a/W I.O - Of= W f 1 Policy#or Self-ins.Lic. 9: (,jq 131.:c2 ?Q?°7 Expiration Date: Job Site Address: t 5 3 Meran City/Stawzip: #V Attseb a copy of the workers,compensation policy declaration page(showing the policy nuldber and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S 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 D1A for insurance coverage verift`cadon. t do hereby ce under the p ' peaaldes of perjury that the information provided above is true and correct 8 S i tore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License N Issuing Authority(circle one): 1.Board of Health 2.Building Department J.Cityltown Clerk 4. Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: phone✓l: .� DATE(MMIDOlY YYY)CERTIFICATE OF LIABILITY INSURANCE 12/78/2013 ' 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 NAMECoBiz Insurance, Inc.-CO ONS 1401 Lawrence St., Ste. 1200 IAI o Ext• 303-988-0446 All No:303-988-0804 IL Denver CO 80202 ADDRESS: COMail@cobizinsurance.com INSURERS AFFORDING COVERAGE NAIC X INSURER A:Acadia Insurance Company 31325 INSURED ESLERCO-01 INSURER a:Firemens Insurance Company of WA,D.C. 217a4 Southern New England VVindows, LLC. dba Renewal by Andersen of Southern New England INSURER c:Homeland Insurance Company of New York 34452 10 Reservior Rd INSURER 0: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR . POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE 111,000.000 DA A CLAIMS-MADE X OCCUR PREMISES Ea occurrence $300,000 MED EXP Any one person) 310AM PERSONAL&ADV INJURY 3 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $z,Ooo,D00 X POLICY❑�E T LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPA3158728 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT $ a acciderd 1 0000 0 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTYOAMAGE 3 AUTOS Per accidem A X UMBRELLA LIAR X OCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE Ii 15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,000,OD0 DEC) I X I RETENTION$n $ a WORKERS COMPENSATION INCA315872924 1/1/2o19 1/1/2020 X STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1.000,000 OFFICERIMEMBER EXCLUDED? N❑N/A (Mandatory in NH)I/yes,describe under E.L.DISEASE-EA EMPLOYEO$1 ,000,000 DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT $1,0011,000 C. Pollution Liability 7930073340000. 1/1/2019 1/112020 Each Occurrence $2,000,00o Claims-Made Policy Aggregate 32,000,000 RetroacWa Date 06/20/2013 Dedufte $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY Al1T14OR12ED REPRESENTATIVE ©1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Town of Barnstable ii �` sr er. ..� 4r. ��.: � a �� �" g _ Pue Post This Card So That It is Visible;From,the St"reet, ApprovedtPlans Must be'',CRetamed on Joband;this Card Must be Kept RARNSCABt.R, • a..:a s .s�.''' fix' €r a - r % ��' e ,`� ' - �t a S ..3 • MA Q (Posted Unti[Final Inspection Has Been Made �, Where�a Certificate of Occupancy,is�Required,such Build ng shall Now the Occupied until aaFnal Inspectn has been made Permit NO. B-19-835 Applicant Name: ROBINSON, RONA E Approvals Date Issued: 03/25/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/25/2019 Foundation: Residential MapLot: 291-234 Zoning District: RB Sheathing : Location: 153 MEGAN ROAD, HYANNIS $ Contractor,Name'` , Framing: 1 71 Owner on Record: ROBINSON, RONA E t - on, Ucense 2 Address: 153 MEGAN ROAD Es t Protect Cost: $0.00 Chimney: HYANNIS, MA 02601 Permit Free: $85.00 Description: Converting existing room to,a den (not for sle`eprng)4' i Eee Paid: $85.00 Insulation: 261x15w Date 3/25/2019 Final: Reviewers Note: Room/Den is in basement.A CO detector must be Plumbing/Gas added. RMCK. T ; Ile- k Rough Plumbing: Project Review Req: r Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored 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. Rough Gas: All construction,alterations and changes of use of any building and striuctures shall be in compliance with the local zoning by lawsyarid codes. This permit shall be displayed in a location clearly visible from access street,orroad and shall be maintained open for public inspection for the entire duration of the Final Gas: �. work until the completion of the same. r= ," Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Offivals�' r.provided�on this permit. Minimum of Five Call Inspections Required for All Construction Work:,_',,' Service: 1.Foundation or Footing � .2.Sheathing Inspection "� _ ' Roug h: 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 Final: 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. "Person mtraet' 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: INE ApplicationNumber............................................................. MASS. �J7-�o=0 q,,. 2�j Permit Fee.....;-.... ...V.. .........Other Fee........................ fpMICI► 2a_ .. Total Fee Paid..................... ...................................... ...... s - TOWN OF BARNSTABLE Permit Approval by....... .. On.... BUILDING PERMIT a q I a 3 Map........................................Parcel............................................. APPLICATION, Section 1 —Owner's Information and Project Location Project Address L-�-3 AtVillage �C Owners Name ( 0A/;tA �° l Owners Legal Address City �r S State k10 Zip r C Owners Cell# a C E-mail L 11A-Q DI-J c4 ©-j: 0 C[J , Section 2 Use of Structure Use Group f' ❑ Commercial Structure over 35,0� cubic felt ❑ ercial Structure under 3 00 cubic-feet ' co .0 Single/ o Family Dwelling a Section 3 - Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System R Addition ❑ Retaining wall ❑ . Solar r[2/Renovon ❑ Pool El Insulation Other-Specify Section 4 - Work Description n CA 4- �� M 4- Last undated: 11/152018 Application Number..................................................... Section 5—Detail Cost of Proposed Construction '� Square Footage of Project' ' Age of Structure Dig Safe Number n # Of Bedrooms Existing 2 Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design .I Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information i Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed j 1 Rear Yard Required Proposed Side.Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated. 11/15/2018 t Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # 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.Attach a copy of your license. Signature Date Section 10-Home Improvement Contractor 1 Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your H.I.C... Signature Date Section 1L -Home Owners License E ' n Home Owners Name: r/ 1 Jo( (lam Telephone Number 697� Cell or Work Number A- M 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 C �andthe To of Barnstable. Signature [ Date QAPPLIC-A-NT SIGNATURE Signature TZ4 - Date 5 -!S -0 Print Name e-eZ) n A Pb ` .4J N Telephone Number E-mail permit to: Last updated. 11/15/2018 a __ { .. I Section 12—Department Sign-Offs Health Department © Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ 1 Conservation ❑ - For commercial work,please take your plans directly to the fire department for approval Section 13— Owners Authorization 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 j ob) Signature of Owner -.date Print Name Last updated: 11/152018 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations IF 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ..11 Please Print Legibly (B Organizali ) Ul N Name usiness/ oii/Iridividual . _Address• 1S �J �t cci —/State/zi (S _616D � �D b ty P Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling shipand have no employees These sub-contractors have g. ❑Demolition i w r for me in an capacity. employees and have workers' Y � �'• t 9. ❑Building addition aim comp.insurance �P•insurance• required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.® 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repair insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractora 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 thepolky and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 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 eerti under_dKpa w* *#ndpenaires of perjury that the information provided abov is true correct Si ature r- Date:— 'S , � PPhone#: � Sb OjjxW use only. Do not write in this area to be complded 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.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ' Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that."every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The�Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Bostm MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 www.nim.gov/dia P 14 " table rT 'z at r 0, Sri _ 01 t Hd 8'1 b W. %xL.voor+n r yr i cnmo Aer Read,�Estimate-Your meter was not read.Your bill was CCF-Units of gas used measured in hundreds cubic feet. Iculated based on the amount of gas you used during a similar rind last year,or weather conditions for heating customers. Minimum Charge-Represents the basic cost of providing service to each customer regardless of gas usage,i.e.,meter ermal Fictor-The factor used to convert units of gas into reading,billing,and account maintenance. Included is the arms.A therm is a measure of heat energy. customers'contribution to the Energy Audit Program. .EASE PAY NATIONAL 1ID GAS AND ELECTRIC National Grid LLS SEPARATELY P.Q. Box 11735 Newark, NJ 07101-4735 s Delivery Charge-The cost of operating and maintaining Distribution Adjustment-includes N tonal Grid a National Grid distribution system. customer's contribution to local ener conservation and environmental programs. H as Supply Charge-The cost of purchase,storage,and erstate transmission of gas. :ar here z s Tear here-1 .n moving please give ten days notice and forwarding address.Al mudarse,favor de avisarnos de su nu a direccion diez dias antes EETIONS ABOUT YOUR BILE NOTICE ase call the Customer Assistance number CONV7ascheck. :he front of your bill,or write to: By senmpleted,signed check to us,you authorize us to uount information from your check to make an - ional Grid electroansfer from your account for the same t Box 1040 amounteck.If the electronic fund transfer cannot bethborough,MA 01532-4040 proceschnical reasons,you authorize us to process the copcheck. ase include your account number in all correspondence NOTICDER Y CUSTOMER If all re dents in your household are 65 or older,we won't shut (MENT PLANS off yoyr gas service without the prior consent of the ielp pay down overdue charges,call to discuss your eligibility Mas(achusetts Department of Public Utilities(DPU).If you Dne of our payment plans.We also offer Budget Billing c of pay your bill at once,you may be able to work out a o known as Balanced Billing)which averages your annual p ment plan with us.If you have any questions,or want rgy costs to avoid large fluctuations in your monthly bills. rther information,call us at the number printed on the front of our bill.To protect yourself,please call the Company immedi- ase call us or visit www.nationalgddus.com to find out more ately if all residents in your home are 65 years of age or older. ut this and other payment plans. Adults over 65 Plus Minor Child and Financial Hardshia To qualify,please contact us by phone immediately.Within iHTS TO GAS SERVICE FOR RESIDENTIAL seven days of the call you must return the financial hardship STOMERS DURING FINANCIAL HARDSHIP form,and send us the name,address and birthdate of the adults )u cannot pay your gas bill because of a financial over 65 and the name and birthdate of the minor. dship and there exists a serious illness,or there is RIGHT TO DISPUTE YOUR GAS BILL ant under the age of 12 months,or all adults livin in the If you believe your gas bill is not correct or wish to dispute it,or ne are over the age of 65 and there is a minor c ild in the if you have a service quality problem or dispute,call us at the idence,or if it is between November 15 and Mar 15,if your number on the front or write us at the address printed above or /ice is heat related,we will not shut off your gas ervice.To listed in your local telephone directory.We will investigate the :ect yourself,call us immediately and we will se d you a dispute and tell you what we find.If,after our investigation,you ncial statement,which you must complete an return.In still think the bill is not correct,or continue to dispute the time ition,you must provide the necessary docu ntation outlined over which your arrearage is to be paid,or the service quality )w within seven(7)days. problem has not been addressed,you have the right to appeal ious Illness and Financial Hardship .5 'by calling the Massachusetts Department of Public Utilities ally,your registered physician,physician ssistant,nurse ` -•(DPU:)at(617)737-2836 or 1-877-886-5066 or TTY ;titioner or local Board of Health official ust call us to lot us (for the hearing impaired only)1-800-439-2370,by writing to w of this condition.Within seven days •f this phone call;jou the DPU,Consumer Division,One South Station,Boston MA at return the financial statement and y ur registered physician, = 02110,or by visiting the DPU's web site www.mass.gov/dpu. sician assistant,nurse practitioner local Board of Health official f st write to us and confirm the nam and address of the seriously NON-RESIDENTIAL CUSTOMERS erson and the business address d telephone of the doctor or All unpaid balances more than 30 days in arrears are ncy.The statement must be re wed quarterly or semi-annually 'subject to late payment charges at the rate equal to the rate artified to be chronic. paid on 2-year United States Treasury notes for the preceding 12 months ending December 31,plus 10%.Non- iter Protection and Financ• 1 Hardship residential customers will be notified of the late payment )u heat your home with ga and cannot pay your overdue 'charge percentage with their February bill. bill between November 1 and March 15 because of Esta information se puede obtener en Espanol. ncial hardship,we will n shut off your gas.Contact us )hone immediately and end in a financial statement. PRIVACY NOTICE The DPU requires us to cross reference our residential ant Under the Age o 12 Months and Financial Hardship customer database against a database of Transitional qualify,please conact us by phone immediately.Within Assistance recipients to determine eligibility for our en days of the c you must return the financial discounted delivery rate.If you do not want to be included ement and sen us the name,address,and birth date of in the automated matching process,please call us at the child and one of the following: Customer Assistance number on the front. birth certificate official records or letter from a registered physician,physician ARREARAGE MANAGEMENT PROGRAM assistant,nurse practitioner,or local Board of Health,hospital or The Arrears Management Program(AMP)provides arrears government official forgiveness to income qualified residential customers. -letter ffom theDepartment of Transitional Assistance Participants must accept and stay current with monthly -letter froma clergyman,or religious institution. Budget Billing payments.For complete details,visit www.nationalgddus.com. Before you begin any excavation project call 1-888-DIG-SAFE or 811 MAGBE02 T OF OARNSTmq _ 3 ci l l "Ali .to 7 1, n T ,' 1, • - t J _ y a ... _ '• 'x Y,'.��.,r A�-'A— r 4 � , _ y `. }. 'l -i u - �� o %iwaomn r yr i cnmo iter Read{Estimate-Your meter was not read.Your bill was CCF-Units of gas used measured in hundreds cubic feet. Iculated based on the amount of gas you used during a similar riod last year,or weather conditions for heating customers. Minimum Charge-Represents the basic cost of providing .11 service to each customer regardless of gas usage,i.e.,meter ermal Fhctor-The factor used to convert units of gas into reading,billing,and account maintenance. Included is the irms.A therm is a measure of heat energy. customers'contribution to the Energy Audit Program. .EASE PAY NATIONAL 1ID GAS AND ELECTRIC National Grid LLS SEPARATELY P.O. Box 11735 Newark, NJ 07101-4735 s Delivery Charge.The cost of operating and maintaining Distribution Adjustme/diezdias Includesal id National Grid distribution system. customer's contribution s ation and environmental programH is Supply Charge-The cost of purchase,storage,and erstate transmission of gas. jar here Z t Tear here m moving please give ten days notice and forwarding address.Al mudarse,favor de avisarnos de su nuas antesESTIONS ABOUT YOUR BILL O CHRECK ase call the Customer Assistance number CONVE7echnical :he front of your bill,or write to: By sendin leted,signed check to us,you authorize us to uset information from your check to make an U ional Grid electronisfer from your account for the same Box 1040 amount ack.If the electronic fund transfer cannot be cr thborough,MA 01532-4040 processenical reasons,you authorize us to processthe copy eck.ase include your account number in all correspondence NOTIC ERLY CUSTOMERS ; If all resi nts in your household are 65 or older,we won't shut (MENT PLANS off your as service without the prior consent of the •ielp pay down overdue charges,call to discuss your eligibility Mass husetts Department of Public Utilities(DPU).If you me of our payment plans.We also offer Budget Billing can t pay your bill at once,you may be able to work out a o known as Balanced Billing)which averages your annual pa ent plan with us.If you have any questions,or want rgy costs to avoid large fluctuations in your monthly bills. her information,call us at the number printed on the front of r ur bill.To protect yourself,please call the Company immedi- t ase call us or visit www.nationalgridus.com to find out more ately if all residents in your home are 65 years of age or older. ut this and other payment plans. Adults over 65 Plus Minor Child and Financial HardshiR To qualify,please contact us by phone immediately.Within iHTS TO GAS SERVICE FOR RESIDENTIAL seven days of the call you must return the financial hardship STOMERS DURING FINANCIAL HARDSHIP form,and send us the name,address and birthdate of the adults )u cannot pay your gas bill because of a financial over 65 and the name and birthdate of the minor. dship and there exists a serious illness,or there is RIGHT TO DISPUTE YOUR GAS BILL int under the age of 12 months,or all adults livin in the If you believe your gas bill is not correct or wish to dispute it,or ne are over the age of 65 and there is a minor c ild in the if you have a service quality problem or dispute,call us at the idence,or if it is between November 15 and Mar 15,if your number on the front or write us at the address printed above or lice is heat related,we will not shut off your gas ervice.To listed in your local telephone directory.We will investigate the :act yourself,call us immediately and we will s d you a dispute and tell you what we find.If,after our investigation,you ncial statement,which you must complete a return.In still think the bill is not correct,or continue to dispute the time ition,you must provide the necessary docu entation outlined over which your arrearage is to be paid,or the service quality )w within seven(/ncialHardship ys. problem has not been addressed,you have the right to appeal ious Illness andncial Hardship by calling the Massachusetts Department of Public Utilities ally,your registerhysician,physici assistant,nurse (DPU)at(617)737-2836 or 1-877-886-5066 or TTY :titioner or local B of Health offici must callus to let us (for the hearing impaired only)1-800-439-2370,by writing to w of this conditioithin seven da of this phone call,you the DPU,Consumer Division,One South Station,Boston MA 3t return the finanstatement an your registered physician, 02110,or by visiting the DPU's web site www.mass.gov/dpu. sician assistant, e practition or local Board of Health official >t write to us and irm then a and address of the seriously NON-RESIDENTIAL CUSTOMERS arson and the bus addre and telephone of the doctor or All unpaid balances more than 30 days in arrears are ncy.The statemeust be enewed quarterly or semi-annually subject to late payment charges at the rate equal to the rate irtified to be, hro paid on 2-year United States Treasury notes for the preceding 12 months ending December 31,plus 10%. Non- iter Protection ain ncial Hardship residential customers will be notified of the late payment >u heat your homt gas and cannot pay your overdue charge percentage with their February bill. bill between Novr 15 and March 15 because of Esta informacion se puede obtener en Espanol. ncial hardship,wI not shut off your gas. Contact us )hone immediateld send in a financial statement. PRIVACY NOTICE The DPU requires us to cross reference our residential int Under the Age of 12 Months and Financial Hardship customer database against a database of Transitional qualify,please contact us by phone immediately.Within Assistance recipients to determine eligibility for our en days of the call,you must return the financial discounted delivery rate.If you do not want to be included ement and send us the name,address,and birth date of in the automated matching process,please call us at the child and one of the following: Customer Assistance number on the front. birth certificate official records or letter from a registered physician,physician ARREARAGE MANAGEMENT PROGRAM assistant,nurse practitioner,or local Board of Health,hospital or The Arrears Management Program(AMP)provides arrears government official forgiveness to income qualified residential customers. •letter from theDepartment of Transitional Assistance Participants must accept and stay current with monthly -letter froma clergyman,or religious institution. Budget Billing payments. For complete details,visit www.nabonalgridus.com. Before you begin any excavation project call 1-888-DIG-SAFE or.811 MAGBE02 To"o ��R sraeiF, 201� MAR 18 PM U: 10. DIVISION- `�. - - cis _ r 't ,� ! '� r a„! °}« r' ,Lt =. i f' •�l 'C� do:N C '1 C't � ` �. ! Onn,� :.a :a.� +.. � ... } � rwr. i,".¢w al....rl� �"� �! ' � J..� r.. �J_ � � C•. k5 An PI ►,r� ,,, LL ry r [' Ot q-1 Cn P 3 �ob _ 2 7 t - nationalgrid 2019060 0035464011711300000000 **C 017 RONA ROBINSON DUPLICATE 153 MEGAN RD PAYMENT BARNSTABLE,MA 02601-2510 COUPON Amount Du 54640-11711 NO E H L_Account Number J Please mall this part of bill with your p ment Make cheeks payable to National Gri . ar here Z National Grid address on the back must show In return envelope window Write your account number on ch ck. .rvice To Account Number Next Meter Reading ill Date )NA ROBINSON 54640-11711 Mar 29 '19 Feb 28 '19 -3 MEGAN RD Rate 60NSTABLE,MA R-3T For Cus mer Assistance Res. Heating P s al 8 5 8- 00 ADDITIONAL MESSAGES This is your first bill of the new Balanced Billing season Your new monthly installment amount will be$38.00. Remember, during the next 12 months we'll monitor your illing and actual gas usage. If a change in your monthly installment am o nt is ever necessary we'll let you know. This might be necessary if your a al gas usage changes from our original projection; for example if Inter weather is much colder, or warmer, than normal. A change in your onthly installment amount might also be necessary if the cost of we purchase from our suppliers changes, or if our rates change. By c nging your monthly I installment amount when necessary, we spre d your annual costs more evenly and help prevent a large variation at settle ent time. Page 2 of 2 nationalgrid TO REPORT A GAS ODOR CALL THE CUSTOMER ASSISTANCE NUMBER ABOVE www.nationalgridus.com SEE REVERSE FOR ADDITIONAL CUSTOMER INFORMATION ? Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BAST�LE 200 Main Street Hyannis, MA 02601 ""sr ,� wn�. R."Y"""� xurcxs"ais•w'mFwuxn�isreany;;uu 3 � � 1634-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Rona E.Robinson and all persons having notice of this order: As property owner or tenant of the property located at 153 Megan Road,Hyannis,MA 02601, Assessors Map 291 Parcel 2"_4 and known as a residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 3 Section R310, and are ORDERED this date 12/28/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 12/28/2018 I was made aware of a violation of 780 CMR the Massachusetts State Building Code Chapter 3 Section R310 and Chapter 1 Section R105.1, Specifically, an unpermitted occupied basement bedroom without required egress. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: Cease and Desist sleeping in the basement. In addition,this area must be permitted and brought into compliance with the Massachusetts State Building Code 780 CMR And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal specifying the grounds thereof with the State Building Code Appeals Board within forty-five(45)days of this notice in accordance with MGL 143 c. 100 and 780 CMR. If, at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires may be taken. By Order, Robert McKechnie Local Inspector Assessor's map and lot number ... ................. ................. t`.� ,1 SEPTIC SYSTEM Sewage Permit umber ................. ......................................... STEM MUST BE n INSTALLE C I"a COMPLIANCEt y�F7MET�� ® Wl� ®F BA�Ll� /� dl�� STATE 1 REGULATIONS. ND TOWN Z 89E 3TSDLE. i rb 9 �•� BUILDING INSPECTOR �n war a• APPLICATION FOR PERMIT TO 1-44"%�............................... TYPE OF CONSTRUCTION ..... ..f ....... ./ . '................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ... .. .........�� ..... .............1 ......... .... .. 6 ProposedUse ... ........................ ....................................... Zoning District + .... Distract ....... ...................................... b Name of Owner ...... �-}�'ff... 6 .Address ..1.� ... .. !!u-' !'t.:?�e.. :. . It f` e .................. (f i° of ..............�1 Name of Builder ............................... ...................Address ........................................................... ......... Nameof Architect ..................................................................Address .................................................................................... J 4 , Numberof Rooms ...... ....................................................Foundation .../..d... .............. .................................................. Exlerior ...1 ....1................... ................ .....,...Roofing .......�. ... Floors � ... ....... ......................,..Interior ... .. . .. ........ .................. ................................ HeatingJQI S.... tet..(. . ....Plumbing .......I......................................................................... iFireplace ............... .................................................................Approximate Cost .....2.1�.:J... .................................... Definitive Plan Approved by Planning Board __ �________19��Z Area ` 3............................. ........... Diagram of Lot and Building with Dimensions Fee /.�. ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 15� C 1 L I hereby agree to conform to all the Rules and Regulations of the Town of BarnstableTrediing the above construction. Name .. .. ..... .. DaceY, Whlliam. E. Jr. 16767 one story i. No ................ Permit for ................................ ... single family dwelling ................. .............................................I ............ Locatiol .......... . V Neg.a.nRo ........lad,....................................... ... Hyannis ............................................................................... Owner .........Vililliam...E....Da cey.,...Jr............. ...... . ...... ... .... ...... . .... . frame Type of Construction .......................................... ................................................................................ 4 Plot ............................ Lot .............PO............. Ae'l Permit Granted ..... 9 73 Date of Inspection Date 'Complefed / ".(`a?*� c tPERMIT REFUSED_"! 70000, 19.............. .................................................., f 0 ........................................................... ................... ........................................................................ 7' rn ........................................................i ....... Approved ................................................ 19 .......................................................................... . ............................................................................... Anderson, Robin From: Mckechnie, Robert Sent: Tuesday, January 22, 2019 12:35 PM To: Anderson, Robin Subject: 153 Megan Road, Hyannis On or about 12/27/18, a Ms. Rona Robinson of 153 Megan Road came to the Building Department Counter to legalize the subject property. Apparently there was a problem with her tenant and he had mentioned that her basement area, where he was occupying and sleeping, was not legal. She came in to determine what would be necessary to allow the area to exist. I informed her of the building code requirements (egress, smoke and CO alarms, etc.) and she spoke to the Health Department for their requirements. She was informed that her property is limited to two bedrooms. Throughout her discussions with us she was stating that she wanted this individual (a Friend's son, her words)to be forced to leave the property. She wanted the Building Department and the Health Department to perform this task.The staff explained that this would be a civil matter and she should contact our Police Department. I further explained that I would be issuing a Notice of Violation regarding the basement bedroom without egress. She left the office to sort things out. On 12/28/18, the complainant returned and I handed her a copy of the Notice of Violation. She initialed the copy retained in the file. I have not heard from her since. Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 Mckechnie, Robert From: Mckechnie, Robert Sent: Tuesday,January 22, 2019 12:35 PM To: Anderson, Robin Subject: 153 Megan Road, Hyannis On or about 12/27/18, a Ms. Rona Robinson of 153 Megan Road came to the Building Department Counter to legalize the subject property. Apparently there was a problem with her tenant and he had mentioned that her basement area, where he was occupying and sleeping, was not legal. She came in to determine what would be necessary to allow the area to exist. I informed her of the building code requirements (egress, smoke and CO alarms,etc.) and she spoke to the Health Department for their requirements. She was informed that her property is limited to two bedrooms. Throughout her discussions with us she was stating that she wanted this individual (a Friend's son, her words)to be forced to leave the property. She wanted the Building Department and the Health Department to perform this task.The staff explained that this would be a civil matter and she should contact our Police Department. I further explained that I would be issuing a Notice of Violation regarding the basement bedroom without egress. She left the office to sort things out. On 12/28/18, the complainant returned and I handed her a copy of the Notice of Violation. She initialed the copy retained in the file. I have not heard from her since. Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 oFtr Town of Barnstable Regulatory Services 9sw MMAS& Thomas F. Geiler,Director �p .39 s6 rED59 6. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 January 26,2007 Ms.Frances M.Robinson 153 Megan Rd. Hyannis,MA 02601 Re: 153 Megan Rd. EXIT ORDER Dear Ms.Robinson, Under the provisions or 780 CMR,the State Building Code,section 3400.5.1,you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes. Your cooperation in this matter is appreciated. Sincerely, 1 � Paul Roma Local Inspector 'y Town {�'Barnstable *Permit# Expires 6 u:ouths from issue date egltIll�II�C®Il°y ServicesFee BARNSrA MASS. Richard V.Scali,Director TFD{d1A'I Building Division � ^ Tom Perry,CBO,Building Commissi� 200 Main Street,Hyannis r �601 21 ?Q�6 www.town.barnstable.ma.us � fj��yy/�' Office: 508-862-4038 �'I� &SjAplFax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address /2b N 'j A-1,4jL5 esidential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address N SON l S 3 A-t Contractor's Name .P A U V J. CA 2C A U 1-7 —1— .Sc�oJ--S° Telephone Number Home Improvement Contractor License#(if applicable) 0 3 Email: 0 f 1 I (--P c Construction Supervisor's License#(if applicable) S l U ( j 4- ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner -D-niave Worker's Compensation Insurance Insurance Company Name lam) Z D'I-S c_0 Workman's Comp.Policy# Vu G 5- l S ! 3,93 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request heck box) �j/ e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 00JA ❑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 Home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: C:\Users\DecollikUppData\Local\Microsoft\Windows\Tenipor&y Intemet Files\Content.Outlook\2PIOlDHR\EXPRESS.doc Revised 040215 i Property Owner Must Complete & Sign This Form f i If Using a Roofer 9 Guilder. i I l (Print) �c7i�A , as Owner t Agent of the subject property hereby authorizes Paul J. Oazeault & Sorts Roofing Inca to act on my behalf, in all matters relative to work authorized by this building permit application for., Address of Job S5 to �SZI4 OZ-60../ Signature of Owner Mailing Address of Owner—1S 3_ �,A✓y ED ���-3 oq Telephone # -6 �/ C (� � ® r ?�� -- 07/y- ®ate �C,� L 1 + �� kJ LJAA. �y Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com The C'orpzrnonwealth ofMassachusetts Department of Ynd'ustrial,4ecidents Office of Investigations 600 Washington Street Boston, MA 02111 www rnass.gov/dira Workers' Compensation Insurance Affidavit. Builders/Contractors/ElectriciansJPlumbers Applicant Information PIease Print Le 11 Name (Businessiorganization/Individ W): f'n�t- J- CA �% S Address: /0 2/ AA A w City/State/7i : Des ri5 t 1 t t1 Phone#: Are you an employer?Check the appropriate bozo 1. am a employer with ❑ I am a general contractor and I Type of project(required): I _ r 4. employees (full and/or part-time).* have hired the sub-contractors . 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp. insurance.$ 4•. ®Building addition required:] 5. ® We are a corporation and its I0.0 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 insurance required.]t c_ 152, §1(4), and we have no 12❑Roof repairs �' 3a. I am a homeowner acting as a employees. [No workers' 13� �P-�-Other O/s general contractor(refer to 94) comp.in c=ce required]. ;Any applicant that checks box#1 must also fill out the section below showing their workers'compcnsationpolicy infunnaticn. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Conn-actors 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 uumber. I am an employer information, that isprovidmg workers'compensation rnsurance for my employees. Below is thepolicy and job site Insurance Company Name: L C® 12 Policy#or Self-ins.Lic.#: PV C;j,�1 -S-::?9(!�CG 602 6 Expiration Date: ® ) fT Job Site Address: S3 P 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains andpenalties ofperjury that the information provided above is true and correct lip ature: - Phone Official use only. Do not write in this area, to be completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#- .DATE(MM/DD/YYYY) 08/11/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Linda Sullivan DOWLING &O'NEIL INSURANCE AGENCY PHO WC N Ex : (508)775-1620 (FAX No: ADDRESS: Iullivan@doins.com 973 IYANNOUGH RD. INSURER(S)AFFORDING COVERAGE NAIC$ HYANNIS MA 02601 INSURERA: LM INS CORP 33600 INSURED INSURERS: PAUL J CAZEAULT& SONS INC INSURERC: INSURER D: 1031 MAIN ST INSURERE: OSTERVILLE MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER: 76558 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 ADD SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE D WV POLICY NUMBER (MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JECT PRO ❑LOC PRODUCTS-COMP/OPAGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS' AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION ST /� ATUTE EORH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? NIA NIA, NIA WC53IS386670026 08/10/2016 08/10/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,000,000 NIA DESCRIPTION OF OPERATIONS I LOCATIONS]VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/Workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Paul CaZ@atilt ACCORDANCE WITH THE POLICY PROVISIONS. 1031 Main Street AUTHORIZED REPRESENTATIVE Osterville MA 02655 Daniel M.Cro ey,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Office of consumer Affairs iness Regulation I„� _3 I"1 SO 10 Park Plaza _ quite 5170 \ ;! Boston, Massachusetts 02116 Nome Improvement Contractor Registration Registration: 103714 Type: Supplement Card PAUL J. CAZEAULT & SONS, INC. Expiration: 7/9/2018 RUSSELL CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. SCF.1 20t•6-05111 Address ❑ Renewal Employment Lost Card "`�/tr'`�'�::�t;�rt'v�rai'a//ri.'-!'<.'.7><z.;.trr;�ti.r•/LJ ffice of Consumer Affairs&Business Regulation License or registration valid for individual use only before the expiration date. if found return to: OME IMPROVEMENT CONTRACTOR P Office of Consumer Affairs and Business Regulation Registration:. Y`Re 9 _ 103714,. Type: 10 Park Plaza-Suite 5170 -- Expiration: _7/9%2018 Supplement Card Boston,MA 02116 PAUL J. CAZEAULT&SONS, INC. RUSSELL CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02658 Undersecretary Not valid with outinature 1 - Massachusetts -Department of Public Safety Board of Suiiding Regulations and Sf;.-Mdards Constructionsullenisor -,w- .,-=O-., I License: CS-108157 RUSSELL CAZEAULT..-... , I 2071 MAIN STREET Brewster MA 02631 I Cornmjsstoner 1112312018 t 1 01/25/2007 14:02 5087786448 HYANNIS FIRE PAGE 01 HYANNIS FIRE DEPARTMENT 95 HIGH SCH001L RD.EXT, HYANNIS, NIA.02601 HAROLD S. BRUNELLE, CHIEF �• a w• a swesTw• • FIRE PREVENTION BUREAU BUSINESS PHONE:(508) )75-1300 FACSIMILE PHONE.(508)778-6448 LT.DONAXD IL CILASl6,JIL,CFI I.T.MUC F.HIMLEIt,CFI F61X PRIXEIP ON OMC=k rmE PULNENTIMN OFFICIER AGENCY NOTIFICATION Building , Health Wiring Gas Consumer Affairs Pursuatlt.to.Mess-. eneral Law, Chapter 148.28kand 527;OMR 1.00, the above agency is horeby notified;flat a hazard or violation is behaved to exist,relating to the:above agency'sJurisdiction. The ha-zard:or violation noted is not within the inspectors code of:enforciement or jud;sdic:tion. The following has.been reported.in person tir by phone n this date: for the property located ac in Hyann -2} CIO, 3) 4) _ --- — Owner of record: phone: Fire Prevention Office _Z,i ry Cc:street file rev. 112000 ' 01/25/2007 14:02 5087786448 HYANNIS FIRE PAGE 02 ® Delete N1FiRS -1 �' 01922 J l\�A 1 r'i 5�2007 1 001 �_,A270034 J� L i r No�ACtvl+.y Basic ' � State w I ntl& Dab station Indoent Number E%°r'e"'`F t� �y Chac+r this bolt to Iridioate that the addr%a for this iM.idont is orOVktaddon no 1Mldlmld Fire Ceiuus Trait 40 13 Location j ® (Nodule in Se* on a Wto noklve Location Spet:Hloallnrl'.Uae miy for wildldrA tree. ® Street Address 153 I GAN ROAD — —� Rp L— J ❑ Intersection J ( E 3Tre®TNe 51ti> � In front of NJmI�mlMilapog! PrePx Streak of I ` � 02601 ® Rear of L—_ ,H a.nnts ,...... ..._� l ©Adjacent to Ko—i's uitefRown ity ® Directions Eldridge Ave toga street or a.as applZE16 Dates Times Mmnlght s D0D0 5;; Or Alarms C lnoident"r �1 �� Local Ol 650 (( Si rn other gas mistak.eat I�„.�....J : Month l)dy Yam` Hour Min 1 incident Ty' :f.x�rnoke. otlle, — ..... dates are Still —�1 ALARM siLvaya required Aid Given_tReceived game am Alarm sniItor No OfAlarrrl0is 0 Date. Alarm `z 1 f) 15 2007 I 1 10:11 , pi-- 1 ® Mutual aid received I I ARRIVALrequired• .lassdsnoemtcrdid not arrw _ I Special Studies ❑ tomatic id reev �— I Cal. Arrival r 01 ` 1 1 S 20071 110:15 �-y Their FQIQ Choir I " w 3 Local Option L.� Mutual aid olvan Stela t^"�I/] CONTROLLED optimai,9a00 N,xldrend Ares 4 ®Automatic aid given Controlled Q1 l 1 5 120071 5 ® er ai given I L— L�. —_� �,.� L��_. ;.,,� ® Non$ u,p LdSt llnit (AST UNIT CLEARED,*,4uimd exws wildlond are Spacal SpBdEd ... Sardy IDa Swcy Vak+e Cleared 01 J 10 1 j 20071 10:37 t� F Actions Taken G71 Resources G2 Estimated Dollar Losses&Values Chock this bmc and Wit this seaticn r an I LOSSES'- Regilrsd far ail fitas d known. Optional/or ton rirte. L86 j btvestigate Aciparatuii O'Pardowoi rain is used. No prlmay`Actrortrskrt(1) Apparatus Personnel I property ` I I Suppression 1 j_4 J I Contents AdditionalAclIuonrakar(2) EMS L_ l E p}�E_I(�ICIDENTV/11L11 oouonat i I�_. (}tner L._ 0 —1 ! 0 Property 1 _ �I ❑ Addititklal A:IVon Taken(3) r- Check bof.K rou asrca MLOW iMua aid r-, Contents _I � wl received"egourC*a. Completed Modules H1 CasualtiOS ( None H3 Hazardous Materials Release Mixed Use property t ire,2 Fire Deaths Injuries � N® None I NN❑ Not mixed Sc.r uc I u re-3 I Service 1 0 1 0 I 1 ❑ Natural gas:gtav lank,no evacuation or Ha-Mat adbna I to ❑ Assembly Use .--1 -ram 2 Propane gas: '21 Ip,lank fasinhonte POO grill) I 2D EdUCBton Use (]Civilian lore C;as.-41 ® i 3,3 �.M Education use I { 3 ❑ Gasoline:vehiola Nellark w portable wntVnm (III Fire Scrv_ Casualty.Civilian 1 0 I 40 Residential use EMS-() l .....-„1 �� 4 ® Kerosene:real rums tg oGuiPnant c G7rteb a storage 51 Row of&tires (]HazMat-7 L1@teGtCP - - rS ❑ Diesel fuel/fuel oil:vehicie Nat lark orpor'.ablegtorsga 53 ❑ Enclosed mail ❑ 16 Household solvents:)+.—iciticespk,uerxtupcnly I 55 ❑ Business&residential Wiidlat�d Firc-t3 H2 Required for mnfirm,ed fires. 7 {"-J Motor oil:from anGina or portabls container { `% ❑ Office use ❑Apparatus-9 1 60 © Industrial use ®Perelonne l-10 1❑ Detector aiGftd Occupants 8 [] Paint: Pori paint tang totaling�55 gamma 63 ❑ Military use 2[3:Detector did not alar°them 0 ❑ Other:Spacial HazMat adiona required or spri�55 gal.. I 65 8 Farm use - U W I Unknown Plea9e compiete the tieu:Mat Torn I ap Other mixed use J Property Use �., structures 341 ❑ Clinic,Clinic Type Infirmary 09 ❑ Household goods,sales,repairs 131 Church,place of worship 342 ❑ Doctorldentist office 5n ❑ Motor vehiclelboat saleslrepaira ❑ 361 ❑ Prison or jail,not juvenile 671 ❑ Gas or service station 161 Restaurant or cafeteria ❑ 419 ❑ 1•or 2-family dwelling r#38 ❑ Business office 162 Hadtavern or❑ nightclub 429 ❑ Multi-family dwelling 618 ® Electric generating plant 213 Elementary school or kindergart � ® ft 216 ❑ High school or junior high oominglboarding house 62f9 ❑ 1•aborstorylscience lab [3449 ❑ Commercial hotel ormotal 700 0 Manufacturing plant 241 ❑ Collegs,adult ad, ,gag ❑ Residential.board and care $19 ❑ Livestocklpoultry storage(barn) 311 ❑ Care facility for the aged 464 ❑ Dormitory/barracks 02 ❑ Non-residential parking garage 331 ❑ Mospital 619 ® Food and beverage sales 991 ❑ Warehouse 1.., Outside 936 134 Playground or park ❑ Vacant lot 991 ❑ Construction site ti55 ❑ Crops or orchard 1M 0Gradedloared for plot ref land 984 ❑ Industrial plant yard ❑ 946 ❑ Lake,river,stream 86Si Forest(timberland) • � 961 ❑ Railroad right of way 807 [3 Outdoor storage area 960 C] other street Lnok up an19 ante e Przparty Use 1 t31! 0 Dump or sanitary landfill 961 ❑ Hi hwa (divided highway Property Lies coca only N l , 931 Open land or field 9 y 8 y you have NOT checked a 1 962 C7 Residential streetldrivevoy Proparty"Jam box 1 or 2 family dti•eIf^.rag J HPIPZI P•rlPcn:3n W ' A270034 - EXP 0, 111512007 PAGE 1 OF 2 HYANNIS FIRE DEPARTMENT- MFIRS REPORT 01/25/2007 14:02 5087786448 HYANNIS FIRE PAGE 03 A270034 ® Delete NFIRS 1S `'' 01922 J NvA loge 007 sta001. �nuo« Num.''_"— —�1 j Eyp ps,ro © Change rupplenent" J � -�W . K2 Remarks 15 3 MEGAN ROAD MS. ROBINSON AT 153 MEAGAN ROAD CALLED [91 1] TO REPORT SMOKE COMING FRO- 9 RO'v! AROUND 14ER EXTERIOR AIR CONDITIONER. MS. ROBINSON TOLD FIRE ALARM THERE WAS NO 1 PROBLEM IN THE HOUSE,. JUST THIS OUTSIDE PROBLEM. FIRE ALARM ASKED HER IF SHE WAS USING THE CLOTHES DRYER, WHICH SHE REPLIED YES! ARRIVING ON SCENE, SIDE "A", ONF STORY. WOODEN FRAME, OCCUPIED,NOTHING SHOWING, WE MET NIS. ROBINSON ON SIDE"B" DECK,. INVESTIGATING SIDE:"C" WE FOUND CONDENSATION [STEAM) CONTING FROM THE DRYER.VENT .AND BEING BLOWN BY A BLIGHT NORTHEAST WIND THROUGH THIS AIR CONDITIQ'EER,No FIRE, E CHECKED THE INTERIOR, TESTED BOTH BATTERY OPERATED SMOK. TORS. TrIE ERE TWO [2] C. O. DETECTORS (BATTERY OPERATED] ONE WORKED T E OTHER FAILED. / INVESTIGATING FURTHER I SPOKE WITH MS. ROBI:NSON L)AUGNTER VIA PHO ABLE ANIMAL HOSPITAL AND ADVISED H'ER OF THIS INCIDENT, C. O. DETECTOR NOT WORKING AND HE NEED FOR THE DRYER VENT HOSE TO BE CLEANED, WE CLEANED A CONSIDERABLE 5 AMOUNT OF LINT FOR THE DAMPER SECTION [EXTERIOR) OF T141S VENT HOSE- CAUSF: GOOD INTENT. . . . REVELATION: LT. HU1:3LER: DAUGHTER....,......m....f _ __-m...-....,. .:.�_:..._w�-.—.-- LIVING IN BASEMENT BEDROOM ONLY MEANS OF EGRESS IS EXTERIOR CELLAR STAIRS, BULKHEAD. FF. MILLS, FF. SINIK.INS, FF. MURPHY. WEATHER CONDITION: RAINY, COOL, WIND OUT OF THE NORTHEAST ABOUT 3 MPH,T 420 F. • ,I FARRENKOPF C. CAPT- 01/15/07. II A270034 - EXP 0. 1/15/2007 HYANNIS FIRE DEPARTMENT MFIRS REPORT PAGE I 01;25/2007 14: 02 5087786448 HYANNIS FIRE PAGE 04 .*� 10/11/2006 03:32 PM } Barnstable Assessing Search Results 77-77— NO- 1 - r r. alJ'*;iti. kiorY,;r!: r1F�;.,;;irtrl;::f'it�i !N�;'.-f;'+'$:ilG"•'� (�)hafi;!C7l"'. I�r!"rJ�l1)IL$383fi>r;tt7E3rtY.�lR3,":;C'<;l'M i'r„aM::tit s hie w Ssamb �'`r t: Am Injoraglixg NADAL22* Owner: 2006 Assessed Values: ROBINSON, FRANCES M TR 163 MEGAN ROAD Apprais®d Value Assessed Value MaplParcellParcel Extension Extra Value: $84,700 $94,700 Extra Features: $4.300 $4,300 291 /234/ Outbuildings: $500 $500 Mailing Address Land Value: $167.900 $157,900 ROBINSON. FRANCES M TR THE FRANCES ROBINSON REV TRUST Totals $287,400 26',400 C/O ROBINSON, FRANCES HYANNIS,MA.02601 2006 REAL ESTATE Tax Information: Tax Rates: (per $1.000 of Vaivati0i1) Community Preservation Act Tax $31.67 Fire District Rates Town Barnstable-Residential $1.90 $8.31 Barnstable Commercial $2,51 Commercial Hyannis FD Tax(Residential) $430.51 C.O.M,M, -All Classes $1.06 $6.54 Cotuit FD-All Classes $1.33 Personal Property Town Tax(Residential) $1,055.66 Hyannis-Residential $1.61 $6.49 Hyannis-Commercial $2.60 father Rates W Barnstable-Residential $1.60 Community Preservation Act 3%of Town Tax W Barnstable-Commercial $2.46 Total: $1,517,84 Construction Details Property Sketch Legend Building Building value $94,700 Interior Floors Hardwood 4hdo pann/. Intapi.+r Welly f1nnell http:/1WWW.town,barnstable.ma,us/assessing/assesso5/dlsplayparctio6map.asp?tnapparba(kmparcel&rt'tappar=291234 Page 1 of 2 01/2.5/2007 14:.02 5087786448 HYANNIS FIRE PAGE 05 _ 10/1112006 03:32 PM Y 3arnstable Assessing Search Results Model Residentlal Heat Fuel Gas Grade Average Heat Type Hot Air Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms 2 Bedrooms Roof Structure Gable/Hip Bathrooms 1 Full Roof Cover Asph/F GlslCmp living area 878 Replacement Cost $110093 Year Built 1974 Depretiation 14 Total Rooms 5 Rooms .and CODE 1010 Lot Size(Acres) 0.32 Appraised Value $ 167,900 1 Assessed Value $167,900 .: �� .t I Sales History: Owner: Sale Date Book/Page: Sale Price, ROBINSON, FRANCES M TR Jun 26 2002 12:00AM CDDI N $100 ROBINSON, FRANCES M TRS Mar 15 1990 12:OOAM C120011 $1 ROBINSON, FRANCES. Jui 15 198512:OOAM C71717 $ 1 ROBINSON.SAMUEL C71717 $0 Extra Building Features Code Description Units130 ft Appraised Value Assessed Value SHED Shed 8D $500 $500 FPL1 Fireplace 1 $7600 $2,600 BRR Bamt Rec Room 400 $1,700 $1,700 Property Sketch legend SAS First Floor,Living Area FST Utility Area(Finished interior) UAT Attic Area(Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area.(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finisned) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTO Three Quarters Story(Unfinished) FCP Carport GRIN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story (Finished) SFB Semi Finished living Area WDK Wood beck FOP Open or Screened in Porch TOS Three Quarters Story (Finished) http:ll%vww-town.barnstable.ma.uslassessinglasseSsO6jdisplayparcel06map,asp?mapparback=parcel&rrlappar=291234 Page 2 af2