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THE EXPANSION/REMODEL OF EXISTING BATHROOM
AT 1t8 P'INEU1/QOD AVENUE, HYANNIS, ;ViA 02641 is design
limitetl to the needs of disabletl veteran JOHN CROSBY;who is afflicted with ALS,
` , requiring: assisan rbetltocar, ommoand is atwo personlif , fm de, etc.
He is-unable to>speak intelligibly,;stand Ferect use'a fork or a shaver or toilet paper..
A.roll in.shower in the new, larger bathroom wil enable him to be properly.showered
via transfer using chair or hover type power. lift.
Chronological work description:
Demolish existing closet currently servicing b"edroom 2 and
existing bathroom including all gypsum, rood trim; tile,
top =sub.#loot, tub, toilet, sink, 3 doors and wiring, and
two wall frames (a ka tub �uali and entry :door mall)*
.,approx...ADS 20. ebyexndigtry wall 2.4c een
! linear feet Replace frame, both walls shower and laundry closet.
INSTALL: new top sub floor (with minimal pitch of shower floor ;
towards drain at rear), ro agh plumbin electric and vent duct;
four.do.or jambs; outside gall insulation, sheet rock ofvalls
and: ceuing; tile, fixtures/applllances, new toilef and sink,
prime%paint of exposed gypsurr�, doors, wood trim**.
Realr.and refinish oak Mooring i hall and remainder; f bedroom,
`The whole house,automatic generator wiI ensure the constancy
of heat; lights and hot water;
* refer to E X;I S T I N..G sketch
**refer, .to P R C3'P Q.S .E ® sketch
y�
Arthur`Ca.Franchise, cont �ottar-0 242018
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? ., ,1-\VYI VI♦ IV v. v V . y. Y ...'.vv. •.•v• .r •......v..—�.�.sr — ..... .--.-----.-..__ ,_.__ _ .'
liminate proposed new bathroom
in existing t�raom.
Decrease size of existing bedroom_ Increase size of e�asfing bathroom,
: -
in: statl4 x5l l in shower, laundry
closet,`iew toilet and new vanity,
�v�ae;ffiowaaow ,.;.
k PtGa i FAM i- 2 .
i-------------- -- ------
caa
6 8' i6d1:L :
z r1e' oKt�lta�ac A A
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1:36 "outswing r h;door '
2.4'x 5'custom built-tiled'shower
launder doset for stadce�l W/d
access:,door t, sfacked /d
anii wet:uvall access paneOt
'-' .g,,?aaa^ialrttvro-ao?,rs- �s.�►9ip9Me5tp1 ,.:: .:'. _ —. _ ;. '.
�S'IiANgFIIStY�it`��}N�pJI�
Ul!]flU4tU
VlE,STRGS}�Y'1fu OZ[32
CbRl B93 6a'ti "� ..
tt us,2 r s�a,No
'AGE E N E P F) "(reduced scale)
see e» tided: iW: �t 1e ke ch cry a 2}
Contractor Veteran AA
t3oth ate e.ginnt?ci nn,P �hnm d I niR
access doorto it
wjd&wet wall t
access Hanel A; new toilet:
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pl
�''O" 16'vanity
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4'x6 shower 1
tfi:
IE: :
i ;39'rh door.
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Remodel of bathroom at 1&Pine rood Av, Hyannis "MA 026U9
designed for theapep c needs of veteran John Crosby
Additional;detail`
:.Shaded°areas new`
' Redu^ced depth;vanity o allow for 5`tumirvg circle
I
A floor t�le_of 42 DCQF or greater on.Ontire top floor surface. '
Qrw ar�r wail _
Contracto. Veteran
both above signed.on F wary N, 2,018
PAGE TWO OF TWO PAGES
Cis— qua
e rf
TOWN OF BARNSTABLE BUILDING PERMIT APP1tICATI0. N
Map Parcel 01 Application Health Division Date Issued 27 J17
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
CM _L 's T
Project Street Address _ P t i i&w O A An(e-m V&
Village I PK"1J
l �k lA �CQb 5o lJ Address `�
Owner �LV
Telephone ( f — C42- 644G MA
Permit Request VW e E [�- 0V A) lit
�uv c��CS AC -moo✓
►j4 i11 uln ` S C3 `71
V"w
Square feet: 1 st floor: existing proposed 2nd floor: existing—proposedTotal new
Zoning District Flood Plain Groundwater Overlay
Project Valuation oo 0,Construction Type j
Lot Size Grandfathered: ❑Yes ❑ o If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ M IItiFarnily2('#iy nits)
Age of Existing Structure Historic HousTDI. IY�ep,U iN�TAO Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full Crawl ❑Walkout .❑ Other �1
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) G L
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 k Zl`� C,0 Ls r�J /�
Telephone hone Number l C` 2_` 64zk 0
Address 1\ tAn 0 SA License#
®L 2L(Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
t
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 Co Y 6-10
DATE CLOSED OUT
ASSOCIATION PLAN NO.
.7Tie Calrmampealth of Mas sadttesetts
Deparaffeut of ,=*id Acdde7r#s
- -- OfTcel of LMwft9afiffM
. _ 600 WasHargtOU&reet
Bastw4 MA U2M.
fomemasmg4ar/dia
Warlmrs' Cumpensaf on prance Affidavit:13.uildet-s(CAmtractursMec nsfPhm3bers
Apjj� PleasePxint: Y
.Name�ncinR ��iratirmFFn \\`�� j k o � s o
Address: '\ pClC�O C 1JC�k �lc—L
Arayou an employer?Checktheappropriatebam T of project r
L❑ I ant a 1 with 4 ❑I mn a gaueral confrsctor and I Type Pal ( � =
employ..ew(fUll or part-t me).* have lie the sub-coma s 6- ❑RNew consi�cEsen
2.❑ I am a sole proprietor orpastuer- listed on the aftached chef t: 7. ❑�deHag
ship and have no a mpluTem These sab-coafractors have S. ❑Demalifion
wodzing for me in any capacity employees and have woers' 9. ❑Ruildtng addition
[1de Wa&eM,Comp.iasaranCe Co p-
rei+`mod I 5. 0 We area corporation and ifs 1 �]Electrical repaizs or a d ions
offrceas have e---E red th 1L Plumbsa r kiss or additions
3.�I afn.a bamao�er doing all tvoric ❑ g eP .
mysel€[No worms'cO01p- right
o {csempfioa per MM L-❑Roofrepairs
issue ire re ;*pd I i 1 andwe have no
employees:[No wo&s' 13_❑o er
Co=q.insa�;ance required.I
� ¢yagplrrr Estebedsboa'1mastalsoa;IlonrthesectFoabetows gtbeau�adcexs'campeasa$auporirgiafn� o�
. ��nmevm+uers•eEhu SIIbmft i�IiS sd�dzeS in�r��axe+m�aIE wcaic sad then]axe antside cm�a�*rmact sahmit a sum a�d�#mdiea�oa sacb'_
ICa a t check dais b=must xfarhea saaddiii�sl sbeeS sbnuing there of 11�e sub ca�sc#as�d state tehetfie;arnott8nse ea<itiesha e
- eom�lvyees.I€tbe c„F..r�xnf.vrt„rcbtCe emgIa�s,cf�eg�.sCgmvidethaa srork�s'tamp.gaIi�a�eL -
I am ark erriglvr float isprataeiireg markers'cost�p erurdtari irssriraszce f cr�s}R emplaf�ee SetarQ it Elie p:rfiag arrd jvh site
laformatim
Insurance CoMpaap"I\Tame:
Perficy 4 ar SSelf-ins.Luc-w ExpiwtionDate:
.Job Tite Address_ CidglStafe��.rp:
Attach a Copy of the workers'comapeusationpolicy declaration page(showhxg fhe:-policy,number and expiration date).
Failum to secure coverage as rej*edunder Section 25A of MGL m.15 can lead to the imposition of crisainal pet mId s of a
fma up to$150DOD and l'or arie-yearrimprison as yell as civil penalties.im the farm of a STOP WORD ORDIR and a fne
of up to$250-M a day agamsf the violator. Be advised'fiat a copy-of this statemeslt sway be forwarded to the Of of
ISrvest4pffi K to tjle D for ftMD ,e Covetage veaficaham
lido heresy Carfrg `thattlrs hzfarnzafiarrproviiW abm o is true and wrrecL 1
PkO L)
O use arIFj. D write tit flas area t€r be cfrrusgfeta by c#arfo m a, criaL
City P-�GA 2-
or Tow PermitlLiceuse�
wordy(c rde ow):
L Board of $ Tn�Departaxtnt $.CIty Toren.Cam 4.Fleetrieal&%pectar S.Flmmbing Inspector
&Other
Contact Person: Pha-9:.
ormation and lastructions '
]yjacc�r_Tmcetfs GeneaatLaws 152 vP[a 'compete n fi3rffm CQIplayees-
p -m thss Siab[eM,an=trInyee is defined as`�.evexyperson3nffie service of ao d= oiler any comraot ofhirry
express or impfie�ozal or Vzfttuzi.7
ezr�Iayer is d oed as`��iadividrtal,paifncrsbp,asso�atoa corporation or oticr legal e�y,or any two or more
of i30 foregoing m ajoint m5,andincbidingtlie Iegalese¢fatives ofa deceased employer,or tic
recciveit•or trust e--of an p ip,association or pf er Iegal entity,eurploymg emP1oY - ever the
owner ofa.dweIlmghonsehavin -notmarethmtb=apartments andvvho residestiierein,oribe occop nt ofthc-
dweTTmg hDuse of ano9zer who employs persons to do niafitmaiim,wnsfrur-F;rs„or repair wodc an sash.dwelling Izouse
or orl tiie grounds or.b appurfoa�tiietefD sbaRnotbecanse of such employmentbe d=medto be an eIploYen„
MM❑hapfer I Z,§25C(�also stags tit¢every 5ftaln or local I1Ce�S3-ng agency shall withhold fIxe zss'castce or
renewal of a license or permit to opera le a b�ess or toCons IICL b oxZdings IR the eo�o nawealf3z for any
applicant:Who has notproducrd acceptable evidence of cdmpH=ce,with the hmurance coverage required,"
AdditZ MEL chapter ISZ,§25C(7)states'Nm tbrrthe con=aawcalthnor 9 ofitspo�itical snbdivirsions shall
•nr.
e�tsr inm any.contend for the perb=mco ofpobhr,vroricunfil acceptable evidence of compIianco w th the fi rr„a„cp-.
regniremeIlts of-dzis clsapirr have been.presented to the co— �aotb oZay_"
Applicants -
Please fa ovt am woias'.compensation affidavit completely,by checkiag am boxes that apply to Your situation and,if
Of
necessary,supply sub-coniracEor(s)name(s), addresses)andphan.Dwr- e-r(s)alongwiatiaeir ce ficafe(s)th .
mmuance_ T•martrd LiabMty Companies(LLC)or Lv dLi
niteab�ity Par�e�higs(I.LP)wiano ea�loyees otjier tlnm tine
members or pates,are not required to Cary woz b=&cQ$pensafion ice_ If an T LC or LLP does have
=apIoyees,a.poliay is requfi-Cd. Be advised•thattbis afda amaybe submit to the Department of I•ndusfrial
Accidents mr caution ofms,M-M=coverage: Also besee to sign and dafe�Ie of xlzvl-t The`afdavkshould
lie retied to$e city or fawn that the application for the permit or license is being mqoeShA not-dLo D ePartmeut of
Teri mgtdal,A-,c;ddP-n:[3 ShonIdyon base any questions regarding tfie Iaw or ifyDu at a requaed to obtain a wori='
CCmper,eatio n poEcL pImsse calL the Depa chnen±at the r¢mbm listed.below Self-insured comp=cs should MfrX their
s elf-insar=ce Hcemse number a a the appropriam line.
City or Town Offd is
f _
Please be m:iro fat the affidavit is complete and prirrdlegffIy. The Departmeuthas provided a space of the botbum
of$ze affidavit for you to fM our in the event the Office oflnYe�figaii�ns has to comactyoaregarding the applicant
Pleasebmm=to,fllintiacp=3iIh icensenumberwhich-WMbeusedasamf==cormmbCr In-additinn,anapplica±
that rust snbmi.L uzuliiple pconhllirense applia�tions m.any given year;need only solmait one affidavit indicating=r t
p olicy mfarmation_(if n=Lma-y)and under`,job,@e Q ffdr=sr he applicaof shouldwry=¢aII locations in (may or
town):'A copy of thc•affidavit that has been officially sipped or ma�ced by the city ar tovn may provided to the
applicant as proof that a valid affidavit is on file for fiftnre pem�s or keens es_ Anew affidav�tmvst be f cd oift earh
year.Where a home ovznes or cbizen is obtaining a license or pemit not related to any business or commercial verdure
(ie_a dog license or pa=k to bum leaves et=_)said person is NOT wed to complete this affidavit
IIze Offirl-e of7nvcsbgat=wouldHimt o ffiackyrrum a&ca for your cooperation and sboDLiyouhave any gmzfion_,
please do not hesiiato to give us a call
The Departmenfs a.:ddres.%telephone and fa number: -
-
-
.
�Q4 Akan '
Bostma M&t2111
TeL - -4900 cat 406 ar 1-977-MA R.4F
Fax 617` 27-
Town of Barnstable
Regulatory Services.
Richard V. Seam,Director
.65 Building Division.
Paul Roma,Reading Commissioner
2D0 Yak Street,Hyannis,MA 02601
wwwADwn.barastable.m&us
Office: 508-8624.038 F= 508-790-6230
Property OWner ust
Complete and Siam T Section
If Usi=A Buff er ..
Owner of the mblect ProPcrY
hereby authorize to act on my,behalf,
in 0 matters relative to.work authoazed this permit application for-
(Address of Job)
**Pool fences and alarms are the-respo of the applicant Pools
are not to be filed or utilized beford fence is talled and all final
inspections are performed and ac ted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
QF0RIvs:0wrmTERMM0 PMLS
Town of Barnstable
Regulatory Services
Richard Y.Scan,Director
Building Division
Paul Roma,Building Commissioner
Md 16 200 Main Street, Hyannis,MA 02601
www.town.barnstable�ma.us
Office: 509-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
tPlease PrinE
DATE: Jpt V V ( `11 -P t N& u)® eo u E: ks
JOB IoCATOI :
number stnret via
"HOMEOWNER: "c t� 0\co�s_s,rJ T9 t —3 6 1 — �R« C lt-k2_-644G
name ` hDDme phone# 'i 1 work Phone#
CURRENT MAILING � 0v ADDRESS: 1\ E D c W,M c ATE g \i
A CA 9:10.
city/tbwn 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.
DEFT NMON 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-yew period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official m a form
acceptable to the Budding Ofcia1,that he/she shall be responsible for all such work performed,under the building permit {Section
109.1.1) -
The undersigned"homeowner"assumes responsublity for compliance with the State Building Code and other applicable codes,
bylaws,roles and regulations.
The undersigned"homeowner"certifies he/she understands the Town of Barnstable Building Department minimum inspection
procedures and a e/she will comply with said procedures and requirements.
Signore of Ham
Approval of Building 'al
Note: Three-family-dwellings containing 35,000 cubic feet or larger will be regtu red to comply with the State Building Code
-Section.127.0 Construction Control
HOMEOWNER'S F.IE TTON
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 115) This lack of awareness often
results in serions problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with s licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in
your community.
Q IWPFILEST0RMnuilding permit fm=\E3aIRESS.d=
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Maximuni Wastewater Discharge Allowed Based Upon Lot Size
-*if one parcel is within multiple zpnes,.use the more stizct limitation for parcel (bolded below)
State 1+1/3 1+2/3
Defined True Acres' Acres •2 Acres
Acre Acre
10,000 13,333 20;000 30,000 =33,334 =40,000 =43,560 50,000 . =58,080. 60,000 =72i599 80;000. =87,120
S.F. S.F. S.F. S.F. S.F. S.F. ST S.Y. S.P.. S.F. S.F. S.F. S,F.,..
STATE
��. Red Title V;310 ,--�
D1 CAIR 15.214 110 110 220 330 330 j 440 440 550 , 550 660 770 880 880
Lines "applicant cai} ;
apply for a
variance. _
STATE
.Red Ding. With I/A r ,
Lines Technology 110 220.' 330 440 550 660 660 770 880 990 1100 1320 1430
[I/A.with
660/acre Credit]
(+not in town
ordinance)
TOWN
ORDINANCE
Green Regulation of 330 330 330. 330 330 330 330 330 . 440 440 550 550 660
+Red Wastewater ,
Zones Discharge
*can not apply
for variance-'and
doesn't allow -
I/A.
BOH-Interim -
Blue Saltwater
Estuary 330 330 330 330. 130 440 440 550, 550 660 770' , 880 880 .:.
Protection,
Regulation
*can apply for
variance, "t
Q:\OFFICE FORMS\Charffable ListingWWDISCIAROE MAXIMUM83.doc
pEIHE rOhij, Permit No: TG-17-63
o� Town of . Barnstable
a"KASEL`� ' Building Department
a
i619.
rEOMA♦a 200 Main Street
Tel. (508) 862-4038
APPLICATION FOR -GAS PERMIT
Permit N0: TG-17-63 Date Received: 1/16/2017
Job Location: 17 PINEWOOD AVENUE, HYANNIS Occupany Type: Residential
Home Owner's Name: JACOBSON, KIRILL& IRINA Phone: (617)642-6446
Home Owner's Address: 17 PINEWOOD AVENUE, HYANNIS, MA 02601
Contractor's Name: Jeffrey C Bell Phone: (508)946-9800
Contractor's Address: 12 CREST DR E-Mail mrrootersma@gmail.com
MIDDLEBORO, MA 023461857
State Lit. No: 11655
License Type: Master Plumber
- location fixtures Number
Basement Test 1
Work Description: Repair existing gas leaks �'"�''��' L WE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes
If yes, Insurance Type: None Specified
If the licensee does not have Insurance,then the Owners Waiver must be signed,and attached to this Permit Application.
I hearby certify that all of the details and information I have submitted or entered.regarding this application are true and accurate to the
best of my knowlege and that all plumbing work and installations performed under the permit issued for this application will be in
compliance with all Pertinent provision of hte Massachusetts Stae Plumbing Code Chapter 142 of the General Laws.
Company Name:
-Signed: Jeffrey Bell 1/16/2017 (508)946-9800
Agent Date Telephone No.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in
advance.
Estimated Construction Costs/Permit Fees
Total ProjectCost: $650.00 Date Paid .Amount Paid Check#or CC# Pay Type
Total Permit Fee: $40.00 1/16/2017 $40.00 Master Card:XXXX- Credit Card
XXXX-XXXX-9095
Total Permit Fee Paid_: $40.00
�; oFSHEr � Town of Barnstable Permit No: TP-17-48
'"'MST"B'Z ' Building Department
MA85, a
1639.. �e° 200 Main Street
. �DMIC�s
Tel.(508)862-4038
APPLICATION FOR PLUMBING PERMIT
Permit No: TP-17-48 Date Received: 1/16/2017
Job Location: 17 PINEWOOD AVENUE, HYANNIS Occupany Type: Residential
Home Owner's Name: JACOBSON, KIRILL&IRINA Phone: (617)642-6446
Home Owner's Address: 17 PINEWOOD AVENUE, HYANNIS, MA 02601
Contractor's Name: Jeffrey C Bell Phone: (508)946-9800
Contractor's Address: 12 CREST DR E-Mail mrrootersma@gmail.com
MIDDLEBORO, MA 023461857
.. State Lic. No: 11655
License Type: Master Plumber
Location Fixtures Number
1 st Bathtub 1
1 st Lavatory 1
1 st Other 1
1 st Toilet 1
Work Description: Revamp :.
I have a current liabilibc insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes
-If yes, Insurance Type: -None Specified
if the licensee does not have insurance,then the Owners Waiver must be signed,and attached to this Permit Application.
1 hearby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the
best of my knowlege and that all plumbing work and installations performed under the permit issued for this application will be in
compliance with all Pertinent provision of hte Massachusetts Stae Plumbing Code Chapter 142 of the General Laws.
Company Name:
Signed: Jeffrey Bell 1/16/2017 (508)946-9800
Agent Date Telephone No.
All permits approved are subject to inspections performed by.a representative of this office. Requests for inspections must be made at least 24 hours in
advance.
Estimated Construction Costs/Permit Fees
Total Project Cost: $2,000.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $76.00 1/16/2017 $76.00 Master Card:XXXX- Credit Card
XXXX-XXXX-9095
Total Permit Fee Paid: $76.00
Property Status Update
Attention: Robert McKechnie
This letter is being Generated by Bron Inc.,a 3'd party service specializing in Processing registrations
along with all facets of property Compliance. We are currently updating a client's portfolio and are
attempting to ensure that all Municipalities have the most updated information for all properties that
reside within their territory.
In regards to 17 PINEWOOD ROAD,Town of Barnstable, Barnstable County, MA,02601,as of
12/30/2016 12:00:00 AM Selene Finance LP and It's respective investors have no affiliation or
responsibility due to REO Sale
If you have any questions or concerns,please feel free to contact our staff at:
Tel-(877) 338-3791
Propertyregistrations@broninc.com
We thank you in advance for updating your records to reflect the above
Sincerely-
CD
k
Bron Inc. `
- -•t
yr G" M
Bron Inc.
41951 Remington Ave. STE 150
Temecula CA 92590
Tel(877) 338-3791
City of Barnstable
200 Main Street
Town of Barnstable, Barnstable County, MA;02601
151 'Greenwood Avenue
Hyannis,. MA 02601
July 15 , 1982
Mr. Joseph' DeLuz
Building Inspector
Town Office 'Building
367 Main Street -
Hyannis, MA A2601 -
Dear Mr. •DeLuz
I wish `to file a complaint concerning the use
of residential property for business purposes, namely,
the conduct of a rug cleaning business at Pinewood Road,
Hyannis, by Avelino J.• Dutra, that address.
I would appreciate your investigating this situation•.
and directing' him to cease and desist from all such
activities. They are creating a nuisance. as a result
of excessive. noise and air polution (presumably cleaning
agents) .
Ver C .truly yours,s,Dan 1 J. del eher
e
U.S. Postal ServiceTM
CERTr,JFIEG-MAILTM RECEIPT
(Dom estic.Mail,'On/y,.No Insurance Coverage,P,rovided)
JFo�,deli4—e ,information,visit our,web`site_at www.usps.com®
. .-
•
PS_ForAugust 2006 See Reverse for.lnstructions
- -- n�
Certified Mail Provides:
o A mailing receipt _
n A unique identifier for your mailpiece
o A record of delivery kept by the Postal Service for two years
Important Reminders:
o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
o Certified Mail is not available for any class of international mail.
o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
e For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To.obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.k.
e For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery". F.
o If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT.Save this receipt and present It when making an inquiry:
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
Town of Barnstable
opt rqk, Regulatory Service
o Richard. . Scali,Director
*" wilding Division BARNSTABLE
* 3ARNS1'ABI.E. * - aans:astE•amurv�•conrcr•numis
Thomas Perry, CBO - wFnas�ius•eslmmu•tilsrenexsrnazl� ,639• �® 1639-2014
Building Commissioner �Dg
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
December 17, 2014
Loan Care RE: 17 Pinewood Avenue
A Division of FNF Servicing, Inc. Hyannis, MA 02601
3637 Sentara Way Map: 288 Parcel; 071
`Virginia Beach, VA 23452
ATTENTION:
The foreclosed.subject property is in Violation of General Ordinance Chapter 224
and Chapter 54 of the Town of Barnstable. A responsible representative of your
company must contact me at this office within 14 business days of receipt of this
letter to proceed with the process required by the aforementioned Ordinance
Chapters.
i has been posted
may result in further action. A notice of Violation a e t Non compliance y s f p
on the property as of this date.
Thank you for your immediate attention,
Robert McKechnie
Local Inspector.
Building Department
Town of Barnstable
200 Main Street
Hyannis, MA 02601
Phone: 508-862-4033
Email: robert.mckechnie@town.barnstable.ma.us
INSPECTION SUB-SYSTEM: 1 2 3 4 5 6 END
POST INSPECTION RESULTS : POST HELP END
POST INSPECTION RESULTS
PENTAMATION----------------------------------------------------------- 04/10/98
PERMIT NUMBER 29945 17 PINEWOOD AVENUE
INSPECTION BEROU ELECTRICAL ROUGH INSP
DATE INSPECTED 04/10/1998
INSPECTOR RWES ROBERT WESTON
RESULT R REINSPECTION REQUIRED
COMMENTS
ROUGH WIRING HELD PENDING CHECK OF PLANS . PERMIT IS
FOR HOBBY ROOM SHOWING OPEN AREA. BUILDING HAS BATH
LOFT, AND POSSIBLE KITCHEN AS I SEE FROM WIRING
ENTER Y IF ALL ARE CORRECT OR N TO REENTER
10
4/�f�/Ci�o7• 70� cSc'�/� h G �a ci���YO 7i�1/s
JOSEPH D. DAL,UZ TELEPHONE: 775-1120
Building C-4'nittionar EXT. 107
'TOWN OF BARNSTABLE
BUILDING INSPECTOR
TOWN OFFICE BUILDING
HYANNIS, MASS. 02601
July 29, 1982
/ �(NCw oaa PC)
Mr. Avelino .J. Dutra
Pinewood Road
__Hyannis, MA 02601
Dear Mr. Dutra:
I have received a written -complaint re the use of your home in
a residential area. for rug cleaning. It is alleged. that excessive
noise and air pollution emanate from said operation.
As a result of this .written complaint, I must advise you that
your business operation at this address is in violation of the zoning
by—law and must cease.
If you have any questions, please contact this office.
Peace,
o�ph D. D uz
uilding Commissioner
JDD/gr
cc: Board of Appeals
i
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INSPECTION SUB-SYSTEM: 1 2 3 4 5 6 END
POST INSPECTION RESULTS: POST HELP END
POST INSPECTION RESULTS
PENTAMATION----------------------------------------------------------- 04/10/98
PERMIT NUMBER 29945 17 PINEWOOD AVENUE
INSPECTION BEROU ELECTRICAL ROUGH INSP
DATE INSPECTED 04/10/1998
INSPECTOR RWES ROBERT WESTON
RESULT R REINSPECTION REQUIRED
COMMENTS
ROUGH WIRING HELD PENDING CHECK OF PLANS . PERMIT IS
FOR HOBBY ROOM SHOWING OPEN AREA. BUILDING HAS BATH
LOFT, AND POSSIBLE KITCHEN AS I SEE FROM WIRING
ENTER Y IF ALL ARE CORRECT OR N TO REENTER
o, Ile ee o so/6 �c eade�n� �`iis
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REGISTRATION AND CERTIFICATION FORM
FOR FORECLOSING/FORECLOSED PROPERTY
M
Thank you for registering in accordance with Town of Barnstable Code chapter 224
sections 224-3 and 224-4. Please complete one form for each property in foreclosure
(section 224-3) or already foreclosed for which possession has been taken (section 224-
4). Please file the original with the Building Commissioner and a copy with the Chief of
the Fire District in which the property is located.
If you claim you are exempt from registering under Massachusetts law, please state the
reason(s) and complete section 1 (property information) and the first paragraph of
section 2 (foreclosing party, court, etc. and foreclosing party representative,but not other
representatives and attorney) so that the Town can review the exemption and update its
records:
Section 1 —Propeqy Information
Property Address: 17 PINEWOOD ROAD, TWIn of Rarnstabie Barnstable
Assessors Map Parcel #: HYAN-000288-000000-000071
Land area and description
Building(s) description and contents
Occupied- cc pant(s)(if b rrower so d include name(s))
DUTRA V �I)3'�1 tate
Phone: email: other:
Vacant: No Date: Anticipated Length of Vacancy:
Last occupant(s) )(if borrowers so state and include name(s))
Phone email: other:
Has possession been taken If so,please explain and complete and file the
maintenance and security plan form(unless exempt as stated above)
Section 2—Foreclosing Pa Information
Foreclosing Party(full name/title)
Foreclosure Case Court: _ Docket#
Date filed: Current Status:' Public NOD
Foreclosing Party's representative(s) for property (entry, management,repair, etc.)(name, title,):
Code Compliance
Company(if different from foreclosing party):
Safeguard
I
Address: 7887 Safeguard GircleVallev V, iew,OH 4412.9
codecomplianceesafeguardproperties.com
Phone: 800-852-mm eX. email: other:
If an exemption is claimed,please do not complete the remainder.
Other representative(s) (if foregoing representative is primarily responsible for
property and/or foreclosure and is most likely to be able to address town matters
concerning the property and/or foreclosure,please so state and do not complete
contact information(i. e. "none" or"see above")).
Name, title, other: Adan Roesner
Company(if different from foreclosing party): Selene Finance
Address: 41951 Remington Ave. Suite 150,
95128-2252 ro ert re istrations broninc.com
Phone(s). email(s): other:
Name. title. other:
Company(if different from foreclosing party):
Address:
Phone: email: other:
Attorney representing foreclosing party
Firm name (if different from attorney's name):
Address:
Phone(s): email(s): other:
I acknowledge that the information provided is accurate and correct. I also
understand that any inaccurate information will result in non-compliance with
section 224-3 of chapter 224 of the Code of the Town of Barnstable.
Date
Name: Adan Roesner
Title: Vp of Operation
I hereby certify that the above-named foreclosing party is in compliance with the
provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable.
t
Date:
Building Commissioner, Town of Barnstable
g
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44
R-EGISTRATION AND CERTIFICATION FORM
POR FORECLOSING/FQUCLOSED PROPERTY
Thank you for registering in accordance with Town of Barnstable Code chapter 224
sections 224-3 and 224,4. Please complete one form for each property in foreclosure
(section 224-3) or already foreclosed for which possession has been taken (section 224"
4). Please file the original with. the Building Commissioner and a copy with the Chief of
the Fire District in which the property is located.
If you claim you are exe t from registering under Massachusetts law,please state the
,r . mp
reason(s) and complete section I (property information) and the first paragraph of
section 2. (foreclosing party, court, etc. and foreclosing party representative, but not other
representatives and attorney) so that the Town,can review the exemption and update its
records:
Section I Property Information
Property Address: 17 PINIEWOOD ROAD, Town of Barnstable
Assessors Map#! Parcel #: H,YAN,00028,8-.000.00,0,.-.0,000",i
Land area and description
Building(s) description and contents
Occupied: Occup ants)(if borrowers so state and include name(s))
DUTRA DAVID W
Phone: email: other.—
Vacant- ves Date- Anticipated Length of Vacancy
Last occupants) )(if borrowers so state and include name(s))
Phone email: other:
Has possession been taken. if so,please explain and complete and file the
maintenance and security plan form,(unless exempt as stated above)
Section 2—Foreclosin2 Party Information
Foreclosing Party(full. name/title)
Foreclosure Case Court; Docket
Date filed- 6_11/411-12:929-0 Current Status:
Foreclosing P arty's representative(s) for property(entry, management,repair, etc.)(namQ, title,)-
Code Compliance
Company(if different from foreclosing party)-
P
Safegua[d
ff �:
Address 7.87 ifeguard C4rrIeVallay V_ iew.R,!,L4.0 -_
eodecompliance oOsafeguardproperties.com
Phone: 8no-R52 sins eX. email
If an exemption is claimed, please do not complete the,remainder.
Other representative(s) (if foregoing representative is primarily responsible for
property and/or foreclosure and is most likely to be able to address town matters
concerning the property and/or foreclosure, please so state and do not complete
contact information(i. e, "none or"see above"A
Name, title, other: Arlan Roesner
Company(if different from foreclosing party):
Finance
....., .. ,.
Address: 41951 Rem1.ington Ave. Site 150,
95128-2252 ro ert r' sstrations bronenc.eom
Phone(s): email(s) other;
Name, title. other:
Company(if different from foreclosing party):
Address-
Phone: email: other:
Attorney representing foreclosing party
Firm name (if different from attorney's name);
Address: —
Phone(s); . email(s): _ other:
I acknowledge that the information provided is accurate and correct. I also
understand that any inaccurate information will result in non-compliance with
section 224-3 of chapter 224 of the Code of the Town of Barnstable.
jDate
Name: Adat1 Roemer
Title: Vp of Operation
I hereby certify that the aboveznarned foreclosing party is in compliance with the
provisions of section 224-3 -of chapter 224 of t11i� Code of-the Town of Barnstable,
Bate:
wilding Commissioner, Town of Barnstable
Bron Inc.
41951 Remington Ave.,#150,Temecula CA 92590 oft
Tel 951-428-2250 Email propertyT-egistrations@broninc.com
www.broninc.coni
If There Are Any Issues or Concerns Regarding the Registrations in
this Packet
Please contact Bron Inc. at:
dori.wynneC@broninc.com
o
propeMregistrationsC@broninc.com - ,
f,I
Dori Wynne- Registration Specialist
5-1
.. ,W
Bron Inc. f
(9S1) 428-22S9
Thank you.
y
y
f. REGISTRATION AND CERTIFICATION FORM
FOR FORECLOSING/FORECLOSED PROPERTY
Thank you for registering in accordance with Town of Barnstable Code chapter 224
sections 224-3 and 224-4. Please complete one form for each property in foreclosure
(section 224-3) or already foreclosed for which possession has been taken(section 224-
4). Please.file the original with the Building Commissioner and a copy with the Chief of
the Fire District in which the property is located.
If you claim you are exempt from registering under Massachusetts law,please state the
reason(s)and complete section 1 (property information)and the first paragraph of
section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other
representatives and attorney) so that the Town can review the exemption and update its
records:
Section I —Propgjy Information
Property Address: 17 PINEWOOD ROAD. Town of Barnstable
Assessors Map#: Parcel#: HYAN-000288-000000-000071
Land area and description
Building(s) description and contents
Occupied: Occupant(s)(if borrowers so state and include name(s))
DUTRA DAVID W
Phone: email: other:
Vacant: yes Date: Anticipated Length of Vacancy:
Last occupant(s))(if borrowers so state and include name(s))
Phone email: other:
Has possession been taken If so,please explain and complete and file the
maintenance and security plan form(unless exempt as stated above)
Section 2—Foreclosing Party Information
Foreclosing Party(full name/title)
Foreclosure Case Court: Docket#
Date filed: 6/1/2011 12:00:00 Current Status: Pt,hrr Non
Foreclosing Party's.representative(s) for property(entry, management,repair, etc.)(name,title,):
Code Compliance
Company(if different from foreclosing party):
Safeguard
Address: 7887 Safeguard CircleValley View OH 44125
codecomoliance(cDsafeguardproaerties.com
Phone: 800-852-8306 PX- email: other:
If an exemption is claimed,please do not complete the remainder.
Other representative(s)(if foregoing representative is primarily responsible for
property and/or foreclosure and is most likely to be able to address town matters
concerning the property and/or foreclosure,please so state and do not complete
contact information(i. e. "none"or"see above")).
Name, title, other: Adan Roesner
Company(if different from foreclosing party): Selene Finance
Address: 41951 Remington Ave. Suite 550.
95128-2252 ro ert re istrations broninc.com
Phone(s): email(s): other:
Name. title. other:
Company(if different from foreclosing party):
Address:
Phone: email: other:
Attorney representing foreclosing party
Firm name(if different from attorney's name):
Address:
Phone(s): email(s): other:
I acknowledge that the information provided is accurate and correct. I also
understand that any inaccurate information will result in non-compliance with
section 224-3 of chapter 224 of the Code of the Town of Barnstable.
Date
Name: Adan Roesner
Title: Vp of Operation
I hereby certify that the above-named foreclosing party is in compliance with the
provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable.
Date:
Building Commissioner, Town of Barnstable
1.2-1.2-201.3 & 12 m 54P
4 11 MISC 448924
�. MINIMUM
Date
LET rGMENT ISS
LoanCare 111/jl ��,�y� 7 J���`
0 _//
Karyn F.Scheier,Chief Justice
COMMONWEALTH OF MASSACHUSETTS
LAND COURT
i
DEPARTMENT OF THE TRIAL COURT �C
BARNSTABLE, ss. 2011 MISC.
LoanCare A Division of FNF Servicing,Inc., COMPLAINT TO DETERMINE
Plaintiff MILITARY STATUS i
A V.
David W.Dutra
Eileen Dutra
Cheryl A.Paolini Dutra
Avelino Dutra,
Defendant
I. Your Plaintiff has an interest in a mortgage with the statutory power of sale given by David W.Dutra, Eileen ,
Dutra, Cheryl A.Paolini Dutra and Avelino Dutra to Mortgage Electronic Registration Systems,Inc,dated March
24,2009,recorded at the Barnstable County Registry of Deeds at Book 24030,Page 287 covering 17 Pinewood
Road,Hyannis(Barnstable)and more particularly described in said mortgage.
2. No Defendant(s)is/are in the military service within the meaning of the Servicemembers Civil Relief Act,50
U.S.C.App. §501 (et seq)
3. The Plaintiff alleges on information and belief that the Defendant(s)is/are the only person(s)holding the equity of
redemption of the property covered by the mortgage described in Paragraph 1 of this Complaint so far as appears of
record in the said Registry of Deeds and as known to your plaintiff.
4. The holder of the mortgage seeks to proceed with the foreclosure of said mortgage described in Paragraph 1 to
protect its interest as secured thereby for breach of the conditions thereof and desires to comply with the provisions
of the Servicemembers Civil Relief Act.
Wherefore your plaintiff prays:
1. For an order of notice ordering the defendant to appear and answer this complaint if defendant(s)is/are now,or
recently have been,in the active military service and claim the benefits of tye Servicemembers Civil Relief Act.
2. For a judgment declaring that the Defendant(s)is/are not enti d to the b efits of Servic a ers Civil Relief
Act.
HARMON LAVA OFFICES,P.C. ORNEY F PLAINTIFF
P.O. BOX 610389
201009-NEWTON HIGHLANDS,MA 02461-M9
/Complaint(New March 2011)/Dutra,David/
Dutra,Eileen
I {'� Jennifer L.Cromwell,Esquire
BBO#678074
Date: May 31,2011
From the office of:
HARMON LAW OFFICES,P.C.
150 California Street
Newton,MA 02458
Telephone No.617-558-0500
Office File No.(If Available)201009-0121/FCIJGRN
LAND COURT USE ONLY
Under the provisions of the Servicemembers Civil Relief Act,this cause came on to be heard and thereupon,upon consideration
thereof,it appearing to the Court that the Defendant(s)is/are not entitled to the benefits of said Act,it is hereby
ORDERED and ADJUDGED that the Defendant(s)is/are not entitled to the benefits of the Servicemembers Civil Relief Act,
as of�lcb r��� e7, „2,211 ,the date of the allowance of Plaintiff's motion
for judgment.
A T= xr
X'9S'P
By the Court 0.
6
Attest:
(SEAL) Deborah J.Patterson
Recorder
I
BARNSTABLE REGISTRY OF DEEDS
i
i
QUERY PERMITS : QUERY END
QUERY PERMITS
PENTAMATION-----.-,, -------- ------------------------------------------- 04/14/98
PERMIT NUMBER 29756 PARCEL ID 288 071
PERMIT TYPE BPLUM PLUMBING PERMIT
DESCRIPTION 4 FIXS
MASTER PERMIT
INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR
BPFIN
BPROU
BPROUl
BPROU2
BPROU3
PRESS ESCAPE TO END DISPLAY
Bk 27878 P:9156 69235
` 12-.12—`013 a 1.2 e 54p
CERTIFICATE OF ENTRY
We hereby certify that on the M15_ day of August in the year two thousand thirteen, we
o were present and saw
to
N
Q John McCarthy , attorney-in-fact and agent of I,oanCare, a
Division of FNF Servicing, Inc. (see Power of Attorney or similar certificate of authorization to be
a recorded herewith.)
c�
the current holder of a certain mortgage given by David W. Dutra, Eileen Dutra, Cheryl A. Paolini
Dutra and Avelino Dutra
A
to Mortgage Electronic Registration Systems, Inc.
cis
a
= dated March 24, 2009, and recorded with the Barnstable County Registry of Deeds at Book 24030,
oPage 287, make an open, peaceable and unopposed entry on the premises situated in Hyannis
x (Barnstable), Massachusetts, described in said mortgage, for the purpose, by him/her declared, of
oforeclosing said mortgage for breach of conditions thereof.
a
r`
Witness
QMA
Witness
V-
ti
THE COMMONWEALTH OF MASSACHUSETTS
/ 0 C County, ss 2013
On this day of QC,10 $<Zr` 20J before me, the undersigned notary public,
personally appeared proved to me through satisfactory
evidence of identification, which were
n']17) 17r ir?efS QC. (form of identification), to be the person who signed the preceding or attached
document in my presence, and who swore or affirmed to me that the contents of the documents are
201009-0121 FCL
/Certificate of Entry/Dutra, David / Dutra,
Eileen
Z
I� Bk 27878 Pg157 #69235
r ANTHONY GASGAMArv-
NOPOAO
oP WMW%W s
i4
truth a d accurat o e best of(his) (her) knowledge and belief. ..�rWe` �t _
Y
14
otary ignature = o 4;tea;
v=
b 1k f A. 15U I( County, ss ,ay`''• 2013
On this day of f ' e 1 , 2013, before me, the undersigned notary public,
personally appeared Le dVf )roveq to me through satisfactory
evidence of identification which were C S oq CA K&Jf.dl (
(form of Identification), to be the person who signed the preceding or
attached document in my presence, and who swore or affirmed to me that the contents of the
documents are truthful and/accurate to the best of(his) (her) knowledge and belief.
(Affix Seal)
Notary Signature
RE
Jeffrey M.Craig
My commission expires 2/15/2019 * #
cyOr `4.••
G'•.qRY P118:•'Q
�awifus�s s
Ht/Nll.
6ARNSTABIE REGISTRY OF DEEDS
I
,Parcel Detail Page 1 of 4
l
F
�n
Logged In As: Parcel
�r ��I Detail
�� I Wednesday, December 17
2014
Parcel Lookup
Parcel Info
Parcel ID 288-071 I Developer LOT 51 PLAN 38/91Lot
_ I
Location 117 PINEWOOD AVENUE " _ _I Pri Frontage'120
Sec Road MAINSAIL LANE I Sec
Frontage 1
Village 1HYANNIS ( Fire District I HYANNIS � I
Town sewer exists at this address No I Road Index 1270
Asbuilt Septic Scan: Interactive ,� 7
288071_1 Map
. a
,w Owner Info
Owner LOANCARE/FNF SERVICING, INC I Co-Owner
Streetl 133637 SENTARA WAY I Streetz
City r\ IRGINIA BEACH �) state VA zip 123452 Country
Land Info
Acres j0 52 Use ISl gle Fam MDL-01 _I zoning RB rvghbd r0106 _
Topography[Level
Road LPBVed
Utilities 1PUblic Water,Gas,Septic ( Location I
Construction Info
Building 1 of 1
Year 1962 -I Roof able/Hip _I Ext Wood ShingleI
Built Struct Wall
Living 1273 I Roof Asph/F GIs/Cmp AC None
Area Cover TypeInt Bed
Style Ranch I wall Drywall Rooms�3 Bedrooms I � ,
Model Residential Int Carpet I Bath 2 FUII
Floor Rooms
Heat Total
Grade[Average I Type Hot Air ( Rooms 17 Rooms
Stories'1 Sto Heat Fuel=Gas Found ation Poured Conc.
I ry ( l
Gross{�3102
Area
Permit History
http://issgl2/intranet/propdata/ParcelDetaii.aspx?ID=21818 12/17/2014
,Parcel Detail Page 2 of 4
I
Visit History
Date Who Purpose
2/13/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access
5/15/1998 12:00:00 AM Lloyd Kurtz Meas/Listed-Interior Access
11/15/1988 12:00:00 AM ML Meas/Listed-Interior Access
Sales History
Line Sale Date Owner Book/Page Sale Price
1 12/12/2013 LOANCARE/FNF SERVICING, INC 27878/158 $361,509
2 2/27/2013 DUTRA, CHERYL PAOLINI 27164/337 $1
3 9/14/2009 DUTRA, DAVID W&CHERYL A P ET AL 24030/283 $10
4 3/15/1996 DUTRA, DAVID W&CHERYL A P 10114/125 $1
5 1/15/1992 DUTRA, DAVID W& PAOLINl, CHERYL ANN 7856/223 $100,000
6 8/22/1960 1 DUTRA,AVELINO J&E EILEEN 1087/270 1 $0
- Assessment History _
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2014 $91,200 $44,700 $25,500 $139,300 $300,700
2 2013 $91,200 $44,700 $26,300 $144,900 $307,100
3 2012 $91,200 $42,600 $19,300 $139,300 $292,400
4 2011 $124,700 $9,300 $16,900 $139,300 $290,200
5 2010 $124,600 $9,300 $20,300 $141,600 $295,800
6 2009 $120,600 $8,700 $13,300 $177,900 $320,500
7 2008 $145,900 $8,700 $13,300 $194,700 $362,600
9 2007 $145,200 $8,700 $13,300 $194,700 $361,900
10 2006 $133,900 $8,700 $13,600 $205,300 $361,500
11 2005 $122,900 $8,500 $13,900 $168,600 $313,900
12 2004 $99,900 $8,500 $14,000 $110,000 $232,400
13 2003 $89,400 $8,500 $14,400 $49,400 $161,700
14 2002 $89,400 $2,400 $13,200 $49,400 $154,400
15 2001 $89,400 $2,400 $13,200 $49,400 $154,400
16 2000 $68,900 $2,300 $13,400 $38,000 $122,600
17 1999 $68,900 $2,300 $0 $38,000 $109,200
18 1998 $68,900 $2,300 $0 $38,000 $109,200
19 1997 $66,600 $0 $0 $38,000 $104,600
20 1996 $66,600 $0 $0 $38,000 $104,600
21 1995 $66,600 $0 $0 $33,500 $100,100
22 1994 $63,800 $0 $0 $30,100 $93,900
23 1993 $63,800 $0 $0 $30,100 $93,900
24 1992 $72,500 $0 $0 $33,500 $106,000
25 1991 $86,300 $0 $0 $46,900 $133,200
26 1990 $86,300 $0 $0 $46,900 $133,200
27 1989 $86,300 $0 $0 $46,900 $133,200
28 1988 $59,000 $0 $0 $23,200 $82,200
29 1987 $59,000 $0 $0 $23,200 $82,200
30 11986 1 $59,000 $0 $0 $23,2001 $82,200
Photos
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QUERY PERMITS : QUERY END
QUERY PERMITS
PENTAMATION----------------------------------------------------------- 04/13/98
PERMIT NUMBER 23314 PARCEL ID 288 071
PERMIT TYPE BADDS BUILDING PERMIT ADD SHED
DESCRIPTION BUILD A 241X 28 ' HOBBY SHOP
MASTER PERMIT
INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR
BFIN
BFOD 07/10/1997 A AMAR
PRESS ESCAPE TO END DISPLAY
Bk 27878 Ps158 -69236
12-12-2013 & 12: 54P
MASSACHUSETTS STATE EXCISE TAX
BARNSTABLE COUNTY REGISTRY OF DEEDS
Date: 12-12-2013 a 12:54am
Ct1T: 542 Doc': 69236
Fee: $1r238.04 Cons: $361 609.24
BARNSTABLE COUNTY EXCISE TAX
F,ARNSTABL£ COUNTY REGISTRY OF DEEDS
Date: 12-12-2013 a 1.2e54am
Ct1T: 542 Doc4: 69236
Fee% $977.40 Cons: $361r509,24
MASSACHUSETTS FORECLOSURE DEED BY CORPORATION
LoanCare, a Division of FNF Servicing, Inc.
o a corporation duly established under the laws of the United States of America and having its
usual place of business at 3637 Sentara Way,Virginia Beach,VA 23452
2 the current holder by assignment of a mortgage
tm
from David W. Dutra,Avelino Dutra, Cheryl A. Paolini Dutra and Eileen Dutra
E to Mortgage Electronic Registration Systems, Inc.
to
m
dated March 24, 2009 and recorded with the Barnstable County Registry of Deeds at Book
24030, Page 287
T
_ ,by the power conferred by said mortgage and
tv
every other power for THREE HUNDRED SIXTY-ONE THOUSAND FIVE HUNDRED NINE AND
a 24/100($361,509.24) DOLLARS
o
paid, grants to LoanCare, a Division of FNF Servicing, Inc. of 3637 Sentara Way, Virginia Beach,
a VA 23452, the premises conveyed by said mortgage.
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201009.0121
/Foreclosure Deed MA/Dutra,David/Dutra,
Eileen
I
Bk 27878 Pg159 #69236
WITNESS the execution of said corporation this�day of
2013.
LoanCare, a Division of FNF Servicing, Inc.,
By:
TIFFANY VUONG (name)
!/ tjL-- 4)44-'Lt'4114 ;(title)
State of V I t 10 t}�
VI11JiR City,ss. 5 �pl� , 2013
On this :5" day of �� 2013, before me, the undersigned notary public,
personally appeared 't IFEANYM,JONG , proved to me through satisfactory
evidence of identification,which were ► (form of identification),
to be the person whose name is signed on the preceding or attached document, and
acknowledged to me that(he) i signed it voluntarily for its stated purpose.
Capacity; (as (title)
for LoanCare a Division of FNF ervicin Inc. }
ROBERT C.MCGOWAN
(Affix Sea Notary Public
Commonwealth of trrgiria
Nota ignature WCoTaissicnWres April 30,2017
Commission ID17557010
My commission expires: �a1�
CHAPTER 183 SEC.6 AS AMENDED BY CHAPTER 497 OF 1969
Every deed presented for record shall contain or have endorsed upon it the full name,residence and post office address of
the grantee and a recital of the amount of the full consideration thereof in dollars or the nature of the other consideration therefor,If not
delivered for a specific monetary sum. The full consideration shall mean the total price for the conveyance without deduction for any
liens or encumbrances assumed by the grantee or remaining thereon. Ail such endorsements and recitals shall be recorded as part of
the deed. Failure to comply with Us section shall not affect the validity of any deed. No register of deeds shall accept a deed for
recording unless it is in compliance with the requirements of this section.
Page 2 201009-0121
Dutra,David/Dutra,Eileen
/Foreclosure Deed MA
Bk 27878 Pg160 #69236
AFFIDAVIT
i, �a 610 kr AA t-t-St , Esquire of Harmon Law Offices, PC as attorneys
for LoanCare, a Division of FNF Servicing, Inc., make oath and say that the principal and interest
obligation mentioned in the mortgage above referred to were not paid or tendered or performed
when due or prior to the sale, and that on behalf of LoanCare, a Division of FNF Servicing, Inc.
this office caused to be published on July 5, 2013, July 12, 2013 and July 19, 2013 in the
Barnstable Patriot Newspaper, a newspaper having a general circulation in Hyannis (Barnstable),
a notice of which the following is a true copy. (See attached Exhibit A)
This office also complied with Chapter 244, Section 14 of the Massachusetts General Laws, as
amended, by mailing the required notices certified mail, return receipt requested.
This office also complied with the U.S.C.A., Section 7425(c) by mailing to the internal Revenue
Service the required notices by certified mail, return receipt requested.
' 201009-0121
!Affidavit MA/Dutra,David!Dutra,Eileen
Bk 27878 Pg161 #69236
Pursuant to said notice at the time and place therein appointed, the sale scheduled for August 1,
2013 was postponed by public proclamation to August 15, 2013 at 1:00 p.m., at which time and
place upon the mortgaged premises, LoanCare, a Division of FNF Servicing, Inc. sold the
mortgaged premises at public auction by Jeffrey Craig, a licensed auctioneer, to LoanC
Division of FNF Servicing, Inc. for THREE HUNDRED SIXTY-ONE TH AND FIVE
HUNDRED NINE AND 24/100 ($361,509.24) DOLLARS bid by LoanC , a Division of F
Servicing, Inc., being the highest bid made therefor at said auction.
By:
Pa o -bra.n 2 a.,Le , Esquire
Commonwealth of Massa etts
Middlesex, ss. `� LP fc-� S-Y y , 2013
On this _1 day of 5ti p4C" 6-W 2013, before me, the undersigned notary public,
personally appeared F4z610 4i-e-1 24 c.e , Esquire proved to me through satisfactory
evidence of identification, which were personal knowledge (forth of idea ificabon), to be the person whose
name is signed on the preceding or attached document, who swore or affirmed to me that the
contents of the document are truthful and accurate to the best of his/her knowledge and belief.
Capacity: (as
for 1
(Affix Seal)
Notary Signature 2r°i3
My commission expires: )
`��t•'•HQrAR'�Q���'���
M ON 6 Jga�a�
y���" a iunsp_�'!
Bk 27878 Pg162 #69236
EXHIBIT A
NOTICE OFMORTGAGEE'S SALE OF REAL ESTATE
By Wtue'and in'"40 111 of the.Power of Sale*contained in
Da'rtd.W. Dubs, EAean Dutra, For rrprtgagors(s')tits see dead 30,p ogle with lemstalso
a certain mortgao..g� by _ a e Electronic Courdy Registry of Deeds in Book 24030,Pepe 283.Please also
Cheryl A.Paofini Dutra and Avelino Duba to Mdrtg g. . . note Deed recorded in said Registry at Book 27164,Page 337.
Reg�sbatron Systems,Inc.,dated March 24,2009 and recorded
with the Barnstable County Registry of Deeds at Book 24030,Page I These premises will be sold and conveyed subject to and with
28T;oi•which mortgage the undersigned is the present holder by ::the benefit of all rights,rights Of way,rastrktons,easements,
Electronic Registration Systems.Inc cogenants,hens or.claims in the nature of liens,improvements,
assignment from Mortgage18, pubic assessments,any.and all unpaid taxes,tax Was,tax dens,
W LoanCare Abivision of FNF Servicing,tho dated 25424
S d with said registry on May 3, water and sewer Gans and any other municipal assessments or
i �. perch of.the canddions of said mor<ga9a and for.the Ilerhs or existing encumbrances of record which are in.fo*end
the same will ba sold o Public Auction at are applicable,having priority over said mortgage,whetheircr not
phhrp�e of.foreclosing,the s m the me sold at promises located reference to such restrictions,easements,improvemethth,liens or
1.00 p.m:w August 1, Barnstable),Barnstable County, enambrances is made in the deed.
417,iner{o. .Road,Hyannis( s described'm said TERLLc OF SAt E:
Mass@chusatts,all and singulaz the Premises. A deposit of Five Thousand($5,000.00)Dollars by certified or
mortgage, bank check will be required to be paid by the.purchaser at the
b REFERRE(ATO 11#THIS(`�Mb81TME#$ big chedheet Hermon Law Ofwces P.C.,ce of sale.The balance is to b160 id by certilled or
Califamta Street
ASAb191T/4T£EHSEINSPERi .S � Newton,Massachusetts 02458,or by mail to.P.O.Box 610389,
OF BARNSTABLE,AND STATE,OF.MASSACHUSETTS�tJD Newton Highlands,Massachusetts 02461.0 119,within thirty(30)
BEING DESCRIBED IN A.DEED,.DATED;,0311911998.. D days ttoM the date of sale.Deed will be provided to purchaser for
RECDRDED 03f251199E'i iN"BQOK.1011d PAGE,aZ5 AMONG r upon raoeptinfulld"�urchaseprice.The description
THE•LAND RECUt2DS OF THE.COUNTY AND STATE SET prdroLses in said mortgage shall control.in the
FORTH ABOVE,AND REFERENCED AS FOLLOWS: 6veM of an error In this publicaton.
THE LAND TOGETHER WITH THE BUILDINGS THEREON OUheT terms,t any. no
.to be announced at the sale.-
SITUATED IN BARNSTABLE- COUNTY, MASSACHUSE M— LoanCare,a Division of FNF Servicing,Inc.
AND D DESCRIBED AS FOLLOWS:: Present holder of said mortgage
PARCEL I. By its Attorneys.
BEING SHOWN AS LOT 51 ON PLAN OF LAND ENTITLED HARMON LAW OFFICES,P.C.
"SUBDI)ASION PLAN OF LAND IN HYANNIS AND 150 coomia Street
HYANNISPORT,MASS.:.PROPERTY OF ALICE S,_PAINE,ET Newton,M_A02458
ALI,AUGUST 1928.'WHICH SAID PLAN IS DULY F1LED IN. (617)658A500
BARNSTABLE REGISTRY OF DEEDS IN PLAN BOOK 36,PAGE 201009-0124z_.-TEA
91 The Bamstable Patriot
FOR TITLE TO PARCEL 1;SEE DEED RECORDED WiTH THE' Juty 5,Jhdy 12&July 19,2013- .
BARNSTABLE COUNTf REGISTRY OF DEEDS IN B00a856,
PAGE 223.
PARCEL It
BEWG SHOWN AS LOT 28 ON A PLAN OF LAUD ENTITLED:
"SUBDMSION PLAN OFREDWOODACRESINY�TW ORT
NAY
MASSACHUSETTS FOR ROBINAIRE E
21,1%3.GERALD A.MERCER BMliEK HYANNlS.the_V_
W4ICH"PLANISDIILyRL9DIN691INIS B1>=001NM
F� OF OR TM.E ��D®KM MIX�NECp(mED IN BOOK
7858,PAGE 225: -
M ,
BARNSTABLE REGISTRY OF DEEDS
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TOWN OF BARNSTABLE
BUILDING PERMIT
PARCEL ID 288 071 GEOBASE ID 19189
ADDRESS 17 PINEWOOD AVENUE PHONE
Hyannis ZIP -
LOT 51 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT HY
PERMIT 23314 DESCRIPTION BUILD A 24'X 228' HOBBY SHOP
PERMIT TYPE BADDS TITLE BUILDING PERMIT ADD SHED
CONTRACTORS: PROPERTY OWNER Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: $37.210
BOND $.00 p1rr
CONSTRUCTION COSTS._- $12,000-00
434 RESID ADD/ALT/CONV 1 PRIVATE `T ;
� BARNSTABLE, ;
MASS.
OWNER DUTRA, DAV I D W & i639•
ADDRESS PAOLINI CHERYL ANN E'DMM'►I
17 PINEWOOD ROAD HYANNIS MA BUILDING DIVIS
7
BY '
DATE ISSUED 05/23/1997 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION:STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD SO IT IS VISIBLEFROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
2 2 2
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
I
I
QUERY PERMITS : QUERY END
QUERY PERMITS
PENTAMATION----------------------------------------------------------- 04/14/98
PERMIT NUMBER 29756 PARCEL ID 288 071 17 PINEWOOD AVENUE
PERMIT TYPE BPLUM PLUMBING PERMIT
DESCRIPTION 4_-FIXS
CONTRACTOR
PERMIT FEE 50 . 00 VARIANCE
STATUS A ACTIVE
CONSTRUCTION TYPE 753 GROUP TYPE
APPLICATION 03/31/1998 EXPIRATION
VALUATION 0 . 00 DATE ISSUED 03/31/1998 COMPLETED
DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE----
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Parcel Lookup
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Parcel ID i288-071 Developer Lot LOT 51 &
Location 17 PINEWOOD AVENUE I Pri Frontage�20____._�__._ �___.�._.___.....�._._._...._.._
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village;HYANNIS Fire District jHYANNIS�
Sewer Acct I Road Index 1270
Interactive ,
Map
Owner Info
owner.DUTRA, DAVID W & CHERYL A P I Co-owner
Streets17 PINEWOOD ROAD Street2 F
City HYANNIS ry I State MA zip,02601 Country SUS
- Land Info
Acres
0.52 use jSingle Fam MDL-01 I zoning IIRB Nghbd0107 �
Topography FLevel � Road Paved
utilities Public Water,Gas,Septic Location
Construction Info
Building 1 of 1
Year 1962 Roof Gable/Hip Ext(Wood Shingle
Built Y I Struct Wall
Effect Roof r`m. '."'�. AC r1-.-`-.. ".._..'"`."
Area 11665 Cover,Asph/F GlslCmp Type€None
Style Ranch !Drywall 3
Int -."."" Bed�� _-B edrooms
I I Wall I Rooms i �C
Model (Residential _I Int H ra dwood Bath 12 Full I ��
Floor Rooms
Total
Grade Average Type Hot Air I Rooms 47 Rooms ^ I
http://issql/intranct/propdata/ParcelDetail.aspx?ID=21818 9/5/2007
P4rcel Detail Page 2 of 3
: -
__ 4
-� Heat Found- 4I�{
stories!1 Story I Fuel FGas ____ I ation!Poured Conc. I A
Permit History
Issue Date Purpose Permit# Amount Insp Date Comm
5/27/1997 Out Building 23314 $12,000 6/3/1999 12:00:00 AM 24 X 2E
Visit History
Date Who Purpose
2/13/2002 12:00:00 AM Paul Talbot Meas/Listed
5/15/1998 12:00:00 AM Lloyd Kurtz Meas/Listed
11/15/1988 12:00:00 AM ML
- Sales History
Line Sale Date Owner Book/Page Sale P
1 3/15/1996 DUTRA, DAVID W& CHERYL A P 10114125
2 1/15/1992 DUTRA, DAVID W& 7856/223
3 DUTRA, AVELINO J & E EILEEN 1087/270
Assessment History -
Save# Year Building Value XF Value OB Value Land Value Total Parc(
1 2007 $145,200 $8,700 $13,300 $194,700
2 2006 $133,900 $8,700 $13,600 $205,300
3 2005 $122,900 $8,500 $13,900 $168,600
4 2004 $99,900 $8,500 $14,000 $110,000
5 2003 $89,400 $8,500 $14,400 $49,400
6 2002 $89,400 $2,400 $13,200 $49,400
7 2001 $89,400 $2,400 $13,200 $49,400
8 2000 $68,900 $2,300 $13,400 $38,000
9 1999 $68,900 $2,300 $0 $38,000
10 1998 $68,900 $2,300 $0 $38,000
11 1997 $66,600 $0 $0 $38,000
12 1996 $66,600 $0 $0 $38,000
13 1995 $66,600 $0 $0 $33,500
http://issql/intranet/propdata/ParcelDetail.aspx?ID=21818 9/5/2007
I
Parcel Detail Page 3 of 3
14 1994 $63,800 $0 $0 $30,100
15 1993 $63,800 $0 $0 $30,100
16 1992 $72,500 $0 $0 $33,500
17 1991 $86,300 $0 $0 $46,900
18 1990 $86,300 $0 $0 $46,900
19 1989 $86,300 $0 $0 $46,900
20 1988 $59,000 $0 $0 $23,200
21 1987 $59,000 $0 $0 $23,200
22 1986 $59,000 $0 $0 $23,200
Photos
http://issql/intranet/propdata/ParcelDetail.aspx?ID=21818 9/5/2007
Town of Barnstable Geographic Information System September 5, 2007
289124 '�E Ave-
'-891 pA
,`}��" 5.,xs4 �'S'b "' � 2#898 3
289102
288142
289164 a e
x It y -
n -
17
�289103
#12
#55a; 288144
#14
288145
#130
El
289109
#125 288156
�p91V/gy0p50 �
G0 V�
288155 j..
289107 p #�� . '
#30 w ra
288146 U,73
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0 #142
pt9lrt
O
vjp0D Av tdV
E
288157
#79 A
288070 � 288147 `
28807z x
#29 3.
> C 288071
#17
e 288159
3 288148 288153 #80
288069,
#165
288188
288062 #59 ..
0 i 5D 33 F e t M 288osa _§ 288149 2881 sz 288160
#176 #r7 #16'
#50
DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:288 Parcel:071
boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel
1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:DUTRA,DAVID W&CHERYL A P Total Assessed Value:$361900 y
are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.52 acres Abutters
boundaries and do not represent accurate relationships to physical features on the ma ,r *�
p Location:17 PINEWOOD AVENUE
such as building locations. Buffer /,.,,i/
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE
JOB LOCATION C/ 1
Number Street address Secti n of town
"HOMEOWNER
Name Home phone ' Work phone -
PRESENT MAILING ADDRESS / 7 s y/""'Ue
5 Gam
City town State Zip code
The current exemption for "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(sj who owns a parcel of land on which he/she resides or intends to re-
side, 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 OfficiE
on a form acceptable to the Building Official, that he/she shall be responsibl
for all such work performed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes . responsibility for compliance with the Ste
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Depart3me t minim inspection procedures and requirements
and that he/she will comp, it s pr cedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
HOME OWNER' S EXEMPTION
The code state that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if
Home Owner engages a person (s) for hire to do such work, that such Home Ownez ,
shall act as supervisor. "
-Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home ''Owner actin
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/Fier responsibilities, man
communities require, as part of the permit application, that the Home Owner
certify that he/she understands the responsibilities of a supervisor. On the
lazt 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.
i
T
The Town of Barnstable
• nnsxer� •
9� K �0�' Department of Health Safety and Environmental Services
'�i�ot' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions, long with other requirements.
2� xa�
Type of Work:
Est.Cost
Address of Work: 1 PI Ne-cv00Q1 R2 Ily-44,1
Owner's Name fL>4U/d
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not.owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Contractor Name Registration egistration No.
OR
Date Owner's Name
i -
OFtHErp� Town of Barnstable Permit No: TG-17-63
R"R"„"U& ' Building Department
1639. gym$M 200 Main Street
ATEa a't°i
Tel. (508) 862-4038
APPLICATION FOR GAS PERMIT
Permit No: TG-17-63 Date Received: 1/16/2017
Job Location: 17 PINEWOOD AVENUE,HYANNIS Occupany Type: Residential
Home Owner's Name: JACOBSON, KIRILL& IRINA Phone: (617)642-6446
Home Owner's Address: 17 PINEWOOD AVENUE, HYANNIS, MA 02601
Contractor's Name: Jeffrey C Bell Phone: (508)946-9800
'Contr
actor's Address: 12 CREST DR E-Mail mrrootersma@gmail.com
MIDDLEBORO, MA 023461857
State Lic. No: 11655
License Type: Master Plumber
Location Fixtures Number
Basement Test 1
Work Description: Repair existing gas leaks p-p DVE epjp
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes
If yes, Insurance Type: None Specified
If the licensee does not have Insurance,then the Owners Waiver must be signed,and attached to this Permit Application.
I hearby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the
best of my knowlege and that all plumbing work and installations performed under the permit issued for this application will be in
compliance with all Pertinent provision of hte Massachusetts Stae Plumbing Code Chapter 142 of the General Laws.
Company Name:
-Signed: Jeffrey Bell 1/16/2017 (508)946-9800
Agent Date Telephone No.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in
advance.
Estimated Construction Costs/Permit Fees
-Total Project Cost: . $650,00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee:. $40.00 1/16/2017 $40.00 MasterCard:XXXX- Credit Card
XXXX-UXX-9095
Total Permit Fee Paid: $40.00
r
There'sreason
January 23, 2017
To: Larry Lemieux
200 Main Street
Hyannis, MA 02601
508.862.4038
Re: Kirill Jacobson
17 Pinewood Road
Hyannis, MA 02601
Larry,
.On January 16,2017,we were contracted by Mr. Kirill Jacobson regarding his property at 17 Pinewood
Avenue in Hyannis, MA.
He had recently purchased the home only to discover the plumbing located in the out building had been
installed and never permitted no inspected. We obtained a plumbing permit—TP-17-48 to cut,cap,and
test the existing plumbing. A gas permit#TG-17-63 was obtained to remove the oven, cap the line,and
test the entire piping system.
This work is now ready for inspection.
Using the online application system,an error in job description occurred on each permit application.
Plumbing should have denoted disconnect and cap existing kitchen instead of being listed as other. Gas
simply states test. It should have denoted remove and cap stove as well as test.
We do believe this does not affect the applicable fee, but please let us know any additional fees.
Thanks,
Jeffrey Bell, President
Mr. Rooter Plumbing of Southern Massachusetts
4A-B Commerce Way.
Carver, MA 02330
mrrooter.com/southern-mass
508.946.9800
'' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY I Barnstable MA DATE L1/26/17 +�PERMIT#
f JOBSITE ADDRESS 17 Pinewood Avenue OWNER'S NAME I Kirill Jacobson
GOWNER ADDRESS _ TEL;617.6� 42.6446^�:�]FAXj 508.946.5650
TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL
CLEARLY NEW[] RENOVATION: REPLACEMENT: PLANS SUBMITTED:YES[] NO E]
APPLIANCES Z FLOORS-+ BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER �� ( f— � ` � � ==E
BOOSTER � (
CONVERSION.BURNER
COOK STOVE =1= f,(� ( (— _ (___ r___ �—_— { I
DIRECT VENT HEATER ( (_
DRYER L--J= L
FIREPLACE � �.
FRYOLATOR �
FURNACE
GENERATOR
GRILLE
INFRARED HEATER (-- (
LABORATORY COCKS — ` I_ .:_ �(� I � ( �
MAKEUP AIR UNIT
OVEN
POOL HEATERI�
ROOM/SPACE HEATER 1 __j 1= ==L
ROOF TOP UNIT
TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER ` €f � ! �
OTHER 1 cap as line supng
_..
gas stove check fireplace Insert
orcodecompliance-insQectand-
test gas pi ing inille alcottage
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ONO Ej
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY ® BOND
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER AGENT Ej
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are true a d rate to the best of.my knowledge
and that all'plumbing work and installations performed under the permit issued for this application will be in comp' P ine vision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME Jeffrey Bell LICENSE# 11655 IGNATURE
MP MGF[ JP[] JGF IE] LPGI CORPORATION # 3407 PARTNERSHIP # LLC #
COMPANY NAME: Crest Service Corp ADDRESS 12 Crest Drive
CITY Middleboro STATE LMA ZIP I 02346 TEL 508.946.9800
FAX 5 8 6.5650 CELL,78�9529 EMAIL�mrrootersma@gmail.com
r _
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY I Barnstable MA DATE 1/26/17 PERMIT#
JOBSITE ADDRESS 117 Pinewood Avenue OWNER'S NAME Kirill Jacobson
POWNER A,DDRESSI TEL 617.642.6446 FAX 508.946.5650
TYPE OR OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL ® RESIDENTIAL El
PRINT
CLEARLY NEW:® RENOVATION:® REPLACEMENT: PLANS SUBMITTED: YES® NOD
FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11. 12 13 14
BATHTUB
CROSS CONNECTION DEVICE _
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN _
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL r
SERVICE/MOP SINK (�� t -
TOILET
URINAL
WASHING MACHINE CONNECTION _ w
WATER HEATER ALL TYPES _
WATER PIPING .
OTHER ca gas line supplying
gas stove-check fireplace in. k _ pp
for code compliance-ins ect and , rn
test gas pi ing in illegal cot -C__
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ® BOND
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ® AGENT
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are true a a ate to t best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in compl' n al a provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Jeffre Bell I LICENSE# 11655 SIGNATURE
MP El JP® CORPORATION# 3407 PARTNERSHIP®# LLC®#�
COMPANY NAME I Crest Service Corp ADDRESS 112 Crest Drive
CITY Middleboro _ STATE MA ZIP 02346 TEL 508.946.9800
FAX 1508.946.5650 CELL 781.249.95 99 EMAIL mrrootersma@gmail.com
Page 1 of 3
Anderson, Robin
From: Kirill Jacobson [kirill.jacobson@gmail.com]
Sent: Friday, February 10, 2017 10:15 AM
To: Lemieux, Laurent
Cc: Anderson, Robin; O'Donnell, Stephen; Mr. Rooter Plumbing of S. Ma
Subject: Re: 17 Pinewood Ave., Hyannis, MA 02601
Mr Lemieux,
With all my respect, the gas permit nor the attached letter mentions that the gas fireplace insert in the
main house has been inspected and meets the code. This work has been explicitly requested by Robin
Anderson. This work has been performed by Mr Rooter Plumber and inspected by Plumbing and Gas
Inspector. Unfortunately, this has not been reflected in any documentation. What course of actions
would you recommend to resolve this?
With kind regards,
Kirill Jacobson
On Fri, Feb 10, 2017 at 9:37 AM, Lemieux, Laurent<Laurent.L.ern.ieux a,town.banistable.ma.us> wrote:
Re: Plumbing permit#: P-17-48
And Gas Permit#: G-17-63
Kiill Jacobson
17 Pinewood Ave,
Hyannis, Ma. 02601
Mr:Jacobson,
On January 16, 2017 Jeffery Bell, Massachusetts Master Plumber License Number 11655 Had applied
for Plumbing and Gas Permits. On January 17,2017 the application was reviewed by the Building
Administration and The Gas/Plumbing Inspector and permits were issued based on the information- ,
contained.
The.record shows that Plumbing and Gas Inspector Dave Sherman inspected the property on January
26, 2017. His findings were that 248 CMR State Plumbing Code minimum standards have been met
and the permits were closed at that time.
2/10/2017
Page 2 of 3
I,
An amendment to the permits were written. further,Mr. Rooter Company submitted a letter clarifying
the scope of the work performed at your property. The document included the permit numbers and
'stated that the work performed was in an outbuilding on the property. This document has been copied
and.attached to the respective permits and is part of the public record.
After reviewing all the documents I am satisfied and the results of the inspections.
As per 248 CMR Section 3.05 (6) you are entitled to an Advisory Opinion and Appeal with the State.
(6)Advisory Opinions and Appeal Procedure.
r
(a) State Inspector Advisory Opinion.
1.Any party who disagrees with or is aggrieved by the decision or interpretation of a Local Inspector may seek an.,,
Advisory Opinion from the State Inspector.
2.A request for an Advisory Opinion may be made by phone,by letter,or by electronic means to the State
Inspector.
3. The State Inspector may respond to the request for an Advisory Opinion by requesting information from the
relevant parties and then offering his or her interpretation of the pertinent portions of 248 CMR.
4.The State Inspector's interpretation is a nonbinding statement of opinion on a matter submitted for that purpose.
5.At the State Inspector's discretion,his or her Advisory Opinion may be issued in writing or orally.
6. State Inspector advisory opinions shall not be considered to be official policies or rulemaking by the Board and
do not constitute advisory opinions by the Board pursuant to M.G.L.c. 30A,s. 8.
(b)Appeal before the Board.Any person who disagrees with or is aggrieved by the decision or interpretation of an
Inspector may appeal to the Board for a hearing.
1.The appeal shall be in writing on a form approved by the Board.
2. The appeal shall be accompanied by a fee in the amount set by the Secretary of Administration and Finance and
made payable to the Commonwealth of Massachusetts.
3° The fee shall be submitted by the appellant with the.Executive Director of the Board who shall schedule the
2/10/2017
Page 3 of 3
hearing and notify all interested parties.
4. The decision of the Board is final.
I hope the information I provided helps you.
Respectfully,
Laurent A. Lemieux
Plumbing and Gas Inspector
Town of Barnstable
cc:jb
2/10/2017
I' Message Page 1 of 1
Anderson Robin
'To: mrrootersma@gmail.com.
Cc: Lemieux, Laurent
Subject: 17 Pinewood Hyannis
Please be advised that I have reviewed the permit applications submitted to this office for
the property at 17 Pinewood. Initially, I noted some language that did not address the
concerns I identified with the new property owner. I see that you have submitted a letter to
clarify the work and also a subsequent application to clarify further.
I .have attached all documents, reviewed them carefully with the Plumbing Inspector and.
inserted them in our street file for permanent record. I have been assured by the
inspectors that all work l required of the home owner (and performed by Mr.Rooter) was
accomplished in accordance with the proper code, approved by the inspectors and closed
out. I hope this email serves to resolve the issue without reservation. I have assured the.
homeowner that I am satisfied with the work of Mr. Rooter as it addresses or corrects the
areas of concern as well as the previously un-permitted gas & plumbing work.
Please let me know if you require additional information concerning this property.
d o6in
Robin C.Anderson
Zoning Enforcement Officer
200 Main Street
Hyannis,MA 026oi
5o8-862-4027
2/10/2017
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✓F gineening Dept. (3rd floor)) Map a5r� Parcel �w *-Permit# � f
House# / �' W-_�Date'Issued ?
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee
Conservation Office (4th floor)(8:30-9:30/1:00-2:00)
/ r/CS _
Planning Dept. (1st floor/School Admin. Bldg.) w A�cF
Definitive Plan Approv ng Board 19, WAIZ���9/9 �/ �'�•
9 �V
TOWN ®FtARNSTABLE
( - Building Permit Application �'� ' A'
n
Project Street Address / 7 O&C,Cc/c/D �'• `Q j, ,�� ��(�
Village �/�i�/�rI✓I/S ;' .,
h
Owner Address we
Telephone s-o 7 Ste' 1
Permit Request /O . t t tea'
First Floor square feet Second Floor square fee
Construction Type L!/lf0 F/Z.4vo-f e__
Estimated Project Cost $ Y40 4.._
Zoning,District Flood Plain Water Protection
Lot Size +#,j Z ecareS Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family((#units)
Age of Existing Structure Historic House ❑Yes 9 o On Old King's Highway ❑Yes Q No
Basement Type: ❑Full UCrawl, ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing_ New Half: Existing New
No.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
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeal:�No
horization ❑ Appeal# Recorded❑
Commercial ❑Yes If yes, site plan review# -
Current Use Proposed Use
Builder Information
Name Telephone Number
Address License#
_a Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING'EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTI FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE S �y
BUILDING PERMIT D ED FOR T E FOLLOWING REASON(S)
, Iad -
- FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGES -
. ,,� Fir •
OWNER f
r rf
sue+ I �
DATE OF INSPECTION:
a
FOUNDATION
FRAME• 1 vC`o��' .
INSULATION _ -
ZF
FIREPLACE "
ELECTRICAL: ROUGH FINAL-
PLUMBING: S ROUGH FINAL - F
GAS: d �NROUGH FINAL
FINAL•BUILDINQ, _
DATE CLOSED OUT'f, 'a
F
ASSOCIATION PLAN NO; t
May 21, 1997
Town of Barnstable
Building Department
Attention: Ralph Crossen
The proposed building to be located at 17 Pinewood Road,Hyannis will be used as a
Hobby Shop.
This building will not be used as a residential dwelling(ie: single family home or
apartment.)
David Dutra
oaf,�
a '
�°z�
zl
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d�veU.Lng n, hereon.oloes�vt'�11.
haawd area wti PIameWectivredauof T-2-qZa" edw1ocxtibn10P.
the dwelling Pioes wrtFonn rro`Hu local -laws efcor
at*t,we oFcowtnxtion with. r-spectty hoorh&hfr 1. dwWtufoomf
setback.req!:cvvmrnts or is ex�m�r-9vm, vtblation a lfO'Me"Une scale. 1" = J�0
Date: 3-
dctLon under Mass. Gen.eraU laws Chaptw4oA•_SectLon 7. He
PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise
determination of the building location and encroachments. if any exist, either way across property lines. This plan must not be
used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan
purposes. This plan must not be used to locate property lines. Verification of building locations, property line dimensions, fences
or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what
is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY".
COLONIAL LAND SURVEYING COMPANY, INC.
269 Hanover Street • Hanover, Mass. 02339 • Phone: 617-826-7186 Fax: 617-826-4823
SPILLER'S 586534
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Oft% ;OWN. OF BARNSTABLE, MASSACHUSETTS
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• �`" The Connnonleculth of:ltassachusctty = .
. . ,-� t••w Department of ludustriul.9crltlurts
i. fr 1
- Officca!/ayest/gzaaffs
P 61111 !f'aslting rust Street
��•••��.�.- �.��• Boston.A1uas. O?lll
Workers' Compensation Insurance Affidavit
ER information Please MINT Ie-W "`•""�'—
M111-am a homeowner performing all work myself.
[1 1 am a sole proprietor and have no one working_ in any capacity
[1 I am an eniplover providing workers* compensation for my employees working on this job.
ennitmo • finme:
;[drlrccs•
cih•• 1►hnnc t!•
incurnncc cn
[I 1 am a sole proprietor. general contractor. or homeow�nerr(circ/e one) and have hired the contractors listed below who ha
the following workers compensation polices:
company n•ttnc-
•trltirctc•
cif.•• nhnnc�•
nnlic�
incur•tnrc rn _
conininv nhtnc•
atldr"c-
rite• nhnnc it•
neiic�•>Y
incur•tncc ce _
Attach additional sheet if necei_saryN=• r ^- -^��"'-'A::S: IT
" '"' - �' •� ••�•�—r
Failure to secure coverage as required under Section 3A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.0U andiur
one cars' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a rifle of 5100.00 a day against me. 1 understand that n
cope of[Ilia statement may be forwarded to the Oft;cc of investir2tions of the DIA for coverage verification.
I do herebt•certift• tier 1lte parrs at pet !tics of perjure•that the information provided above is true and correct.
0/
Signature Date
Print namePhone>; 77 S� 5�Yp
' official use univ du nut write in this area to be completed by city or town official `
cin or town: permit/license d flHudding Department
I-
C3Uccnsinr.lluard
1:check if immediate response is required OSeieetmen's Mice ►•
�. C311calth Department
�• contact per-,on: phone i!: rlUthcr
t-
ntor n a n, rracr )us
Massachusetts General Laws charter 152 section 25 requires all employers to pmvidc workers* compensation for their
ctnplrn•ces. As quoted from the an empinree is defined as every person in the service of another under anv
contract of lire. cxpress or implied. oral or written.
An enrpinrer is defined as an individual. partnership, association. corporation or other legal entity. or anv two or more
the foreaoin�_ engaged in a joint enterprise, and including the legal representatives of a deceased emplover. or the
receiver or trustee of an individual , partnership. association or other legal entity, employing employees. Ho%vever the
owner of a dwelling_ house having not more than three apartments and who resides therein. or the occupant of the
dwcllinu house of another who employs persons to do maintenance , construction or repair work on such dwelling_ hous
:)r on the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.
'AGL cha.pier 152 section 25 also states that ever- state or local licensing agency sl►all withhold the issuance or
-cnewal.of a license or permit to operate a business or to construct buildings in the commmi•ealth for any
i1►Plicant who has not produced acceptable evidence of compliance with the insurance coverage required.
%dditionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
,crforntance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha
peen presented to the contracting authority.
.hplicants
!ease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
ipplying company names. address and phone numbers as all affidavits may be submitted to the Department of
:dustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The
'tidavit should be returned to the cite or town that the application for the permit or license is being requested.
:)t the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required
obtain a workers' compensation policy. please call the Department at the number listed below.
in• or Towns
ease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
: affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas
sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
Department by mail or FAX unless other arrangements have been made.
:e Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
_ase do not hesitate to uive us a call. .
e Department's address. telephone and fax number.
The Commonwealth Of Massachusetts
_ Department of Industrial Accidents
office of Investigations
600 Washinbton Street
Boston,Ma 02111
fax #: (617) 727-7749.
r phone #: (617) 7274900 ext. 406, 409 or 375
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Assessor's map and lot number .. ,.$ ..`"'
SewagePermit number ..........................................................
yoFTNETo�� TOWN OF BARNSTABLE
i B9BHSTAIfLL i
1639-
M BUILDING INSPECTOR
0 PY�`'
APPLICATION FOR PERMIT TO ........ .1/1r .1,.L nt h.........N...... .. .�A..f.........................................
TYPEOF CONSTRUCTION .................. t.................................................................................................
..'/':1 w.c.k........ ...19./
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .........Sj...P. /y.i.:..w Qd.....�1.. .................. . .. AN-1 l..fX........................... ...................................
ProposedUse ........................................................... ..............................................................................................................
ZoningDistrict ............................................................'®...............Fire District .....®.......................................................................
Name of Owner r✓ ./.fyl�..... ...�l.v..✓... . .......Address .. .1..1.E .�/�4F.A....
Name of Builder ......... �`/..f.........................................Address .......E-409 ../I ,�...................................................
Nameof Architect .....................N..�.�1�.........................Address .................................................................................... .
Numberof Rooms ..................................................................Foundation ...... ....................................................
Exierior ....................................................................................Roofing .....................................................................................
Floors ......................................................................................Interior .......................:........•.................... ................................
Heating ..................................................................................Plumbing .................................:................................................
Fireplace ............................................:.....................................Approximate Cost ....................................
............... ....
Definitive Plan Approved by Planning Board ________________________________19________. Area ...(:;W%J............•l..r. ....'.....
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
/ 1 / �/
I hereby agree to conform to all the Rules and Regulations of the Town f Barnstable regarding the above
construction.
Name ..... .... ........ ... ......................................
Dutra, Avelino J.
17660 add de/too
No................. Permit for ....................................
dwelling
..............................................................
111.@t Pinewood Z01M
Location ...... ............................... . .............
......................HyAR�is
..............................................
Owner .........Aye 1 in.o..J.....Du tr.a.............. ........... ........ .. .. . ........ .
Type of Construction ........f.rame........................
...............................................................................
Plot ............................ Lot .................................
Permit Granted ...........April 28................... .......19
75.
.01
`Date of Inspection ....................................vi 9
Date Completed ... .......19
PERMIT REFUSED
.. ................................................................ 19 may,
...............................................................................
............... .................................................................
................................................................................
......................................................................... .......
Approved` 19
........................................................................
. ...........................................................................
47
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Assessor's map and to number ..: ..!`'7 .."'.. .........
A ` - 1�z 7-7�S
Sewage Permit number...................................
��QyOFTFiEl�..yw TOWN OF BARNSTABLE
Z BA" IBLE, 0
2639.
a' BUILDING INSPECTOR
,•�,o waY
APPLICATION FOR PERMIT TO .../- `........... /:'- ..-.t�� ,j ,T 8 c ! %,
14
Fc
r TYPE OF CONSTRUCTION ........�..............,...,........... ..........................................11...................................,f.{...........7....
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............?.. „ >< /�t,ti'r3 J ey/ i r' hol ! � ..........................................................................
ProposedUse .............................................................................................................................................................................
ZoningDistrict ........................................................................Fire District ............................................�.................................
Name of Owner .. )/t _,�, ,�» ....R . ,T�.1 .......Address -,;. 111>' �,C�<3I .......fl.../S.
-t f
Nameof Builder .........�.`�+.�...:...........................................Address ..........:.....F....�..��:....................................................
Nameof Architect ...................... ............................Address ....................................................................................
Number of Rooms ..................................................................Foundation ......U.,)/,/?.. ./:. ....................................................
Exterior ....................................................................................Roofing ....................................................................................
Floors ......................................................................................Interior ....................................................................................
Heating ..................................................................................Plumbing ..................................................................................
-;7 6`/ k
Fireplace ...................................................................................Approximate Cost ....................................................................
Definitive Plan Approved by Planning Board ________________________________19________. Area ....: ............-...........
Diagram of Lot and Building with Dimensions Fee ........... ........ .rrz)
............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1 ,
r i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. -
tName r .lf.�;... r... . .., .......................................
Dutra, Avelino J. �f
No?17660 Permit for ....add deck to
...................
sin le famil dwellin
.......... .. ..............Y................... ..................../
Location ..... Pinewood � .c... .
H anns i
X.......... .....................................
Avelino (.J. Dutra
Owner ...................................................................
Type of Construction \frame
........................,........................................................
Plot ............... R........... . Lot ..
fi
Permit Granted /Pril 28 19 75
Date of Inspection ..............................19
Date Completed ......................................19
PERMIT REFUSED
..............V................ ............................... 19
.................................................................................
............................. .................................................
......... ...../...............................
10
U..... ........ .. .....`....�.....................
Approved ................................................ 19
..........................................................................
.................... .........................................................
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