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1101 PITCHER'S WAY
f � � l �a-�e� (,� ,� 1 II 11 lFFt[ h a� Pq r Q P/' R'S WAY HYANNIS 6117113 � i WILLIAM. I i ,lip 1109 PITCHER S WAY HYANNIS:6/17/1.3AM i f i � t v /J �] i 1. f i) t r V `I i .r s .. T f I 't „v r �T y _ '...•! � �, �-"� -,i .. � � - � w D=3'� 4 r� .cw �; ++ � +'� 'b k I Ty � - .� � s f - , .,�� ,cl r_.,,,� - r, � - -J ��� ;.. .. .. .� ., �,.,� • .. y ... , • , Q W � i� r a' v 5 A •Q,��r - w 3 � � Y'L t 1 i G 9 P/TCHER'S°"WA`Y;,HYANNI S 6/17/2013 « , PIZ �. 1 �' $..:: ����,� �' ,r �� .� .,�,n s � , . _ i 7 .m k,., .. .. ,. .,�,.. "..� �"�c c.. , e �� � �, � �� �M ,"'ti x, d , .:�- ,7 �..`� k ASK * fA&.S��ff"1�'..x,+�}"rr_�,,.F>t��' '��y;::;.,�"'�. •-�,'� 'q�•�y � `�� * w i .. Y�_,, ... "c r��t*� ��gpr is .,�e.. re, •.rye , ;ii F,rk .� z.< �� „-.�.,.- `, ���. � � � � _ � _vi � �w.. � �� a ,.cy � FT' y 1 4 � �. 'x old'^ �_ KK �� _ ., thy. Y, 'ti_e 5 eN ri i t• �t` � i� 1 ryGi { 4 -,� $ i.. � �� �,�u���. '� �" X� yW i �+ � � " ems° .,��, .,�, � ,.,- i //' _ �� ?:�' '- y�- ;� `� - �:�; °� 7 a t � - - �. � � .r,ay4 T � �::� ,_..�... � � �� /��1 Al IMF. N � 7 4 1%09 PITCHER'S WAY HYANNIS 611712013 Y`• �`"�••� 1 •ems m (' lotto !a7 ■' to W OLD s .- � j fill _,.I lilt . C� aw� �: Q kt It'll ee, r a +► =° 7113 11��9 PITCHER'S WAY HYANNIS 6 r �j„E 'Town ®f Barnstable Permit 1 � 'Lo E.,pires 6 tumi hs from issue date a Regulatory Services Fee i 3�v$ �' Richard V.Scali,Director Building Division . Tom Perry,CBO,Building Commissiopner 200 Main Street,Hyannis,MA 021 9 ,11� www_town.bamstable.ma.us Office: 508-862-4038 fs_ : 508-790-6230 EXPRESS PERIMIT APPLICATION - RESIDENTIAL ONL I'P Not Valid tvitlrout Red X-Press Inrp,int Map/parcel Number 2— 7 f2, z a 2— Property Address�(/�J fG�i Pr S U/aZ 17 ya 1717 1,S eResidential Value of Work$ 11.9910 — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Calf/q -TZ'6 e a✓ f Contractor's Name 'lldt7i r47A /I r Sp/( Telephone Number 1401 2— Home Improvement Contractor License#(if applicable) 73 44 S Email: Construction Supervisor's License#(if applicable) (_)q 5 7 O 7 MI(Vorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ m the Homeowner LY I have Worker's Compensation Insurance Insurance Company Name ___;tree-n, 10 Q ra--C_0 Workman's Comp.Policy# 1,(/C A� 1 LS 8 7 ti 9 2.O _ Copy of Insurance Compliance Certificate must accompany each permit_ F Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ R -side Replacement Windows/doors/sliders.U-Value g (maximum.32)#of windows #of doors: 2- ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit.does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property _wner must sign Property Owner Letter of Permission. A copy cKthe Home Improvement Contractors License&Construction Supervisors License is require - k% SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\21`10I DHR\EXPRESS.doc Revised 040215 i Renewal Agreement Document and Payment Terms Andersen. dba:Renewal By Andersen of Southern New England Carla Thineault Legal Name:Southern New England Windows,LLC 1101 Pitchers Way RI#36079,MA#173245,CT#0634555, Lead Firm#1237 . Hyannis,MA 02601 26 Albion Rd I Lincoln,.RI 02865 H:5087716363 . ' - WINDOW RE LACENIEpT. Phone:866-563-2235 1 Fax:401-633-6602 1 sales@renewalsne.com Buyer(s)Name: Carla Thineault Contract Date: 07/28/17 Buyer(s)Street Address: 1101 Pitchers.Way, Hyannis, MA 02601 Primary Telephone Number: 5087716363 Secondary Telephone Number: c kofka620@hotmail.com Primary Email WY Secondary Email: - Buyer(s)hereby jointly and severally agrees to..purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor'),in accordance with the terms and conditions:described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement'). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $9,880. By signing this'Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made:by personal check,bank check,credit card,or cash. Deposit Received: $3.293 Balance Due: $6,587 Estimated Start: Estimated Completion: Amount Financed: 8 to 10 weeks. 8 to 10 weeks $0 Method of Payment: Cash/Check We schedule'installations based on the date of the signed contract and secondarily on the date in which.we complete the technical measurements.The installation date that we.are providing at this time is only an estimate.We will communicate an official date and time at slater date.Rain and extreme weather are the most common causes for delay. Notes: 1/3 by check bal due at completion tx town of Barnstable Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will:be valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1).has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement NOTICE TO BUYER: Do.not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 08/01/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.. Legal Name:Southern New England Windows,LLC. dba;Rene%val By Anders n of Southern New.England Buyer(s), C � Signature of Sales Person Signature Signature Cory Scanlon Carla Thineault Print Name of Sales Person Print Name Print Name UPDATED: 07/28/17 Page 2 / 10 CI massachusetts. Department of Public 3-3fet') Board of Building Regulations and Standar is _icense: CS-095707 BRIAN D DENNISON 7 LAMBS POND CIRCLE .. t CHARLTON MA 01507 =X p 1 r 3t'O 11: Commmissioner 09i08F2018 0'ffjce of Consumer Afaks dnd Business ReQu;ation 10 ?zrk Plaza -Suite 5170 noston-N�±;assachussettS t 2115 1-1ome Tsprovement rCoatractor RegisEratioP _-_ Registradon: 1 13245 Type: Supplement Card _ - Expiration: 909/2013 SOUTHERN NEUtf ENGLAND WINDOVT,. — BRIAiN DENNISON 25 ALBION RD _ ----------- — --" LINCOLN, RI 92888 = ---— —------ -. Uodme.Wdrecssand return mrd-Maric,t,sua For=�iaoge. - :�idrs —2euewal -Employment Trust Card m—f Consumer-ltrairs 4 3osiness Zcmladon' Registration-talid for individual 3se oniy before dye expiration date.if'-'ound return to: - -•=:BOME IMPROVEMENT:CNTRACTCR ' -; OtT•rc of Cansimec.atiair and 3usiaus,3e•�iaroe Registratlon:,1.73245, Type: 10 Park ftrct-Soim 5110 .- E:.piration:_9119/2d13 Supplement Card &oton.AN 92116 ,30U"i HERN NE.N SNGLAND WINDOWS I_LC. REDIEN/AL 3Y ANDERSON 3RIAN DENNISON " 26 AL310N RD �,, iu1�4 %L-a,i" ---_ UNCOLN.RI 02865 '`Undersemtary Not va ature i a ` The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 5, "r www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electriciaus/Plumbers. TO BE FILED WITH THE PERNUTTING AUTHORITY. Applicant Information Please Print LeVjblv Name (Business/Organization/Individual): e t J e ow s Address: ,z�o A(JSlaip 1 - City/State/Zip: t4mi.1p Phone #: 2>-$= Are you an employer?Check the appropriate box: Type of project(required): 1 XI am a employer with ZO temployees(full and/or part-time).* 7. F1 New construction 2.❑I am a sole proprietor-or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition IM I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I L Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[Other_�o!�.p �U a 152,§1(4),and we have no employees.[No workers'comp.insurance required.] re j2I4 t.,e. S *Any applicant that checks box#1 must also fill out the section befow showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: ire MQ s Policy#or Self-ins.Lic.#: A 0 Expiration Date: A 1 Job Site Address: I ( V X+Ck f r l S L.)a y City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiation date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ains and penalties of perjury that the information provided above is true and correct. Si ature: Date: — / Phone#• e T Oro Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f ESLERCO-01 SANDERSO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 06/07/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: CoBiz Insurance,Inc.-CO PHONE FAX 1401 Lawrence St,Ste.1200 (A/C,No,Ext):(303)988-0446 (A/C,No):(303)988-0804 Denver,CO 80202 ADE-MAILDRESS:COMail@cobizinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance Company 31325 INSURED INSURER13:Flremens Insurance Company of WA D.C. 21784 Southern New England Windows,LLC.dba Renewal by INSURER C Liberty Surplus Insurance 10725 Andersen of Southern New England 26 Albion Road,Suite 1 INSURER D: Lincoln,RI 02865 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP L I SD WVD MM/DD MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR CPA3158728 01/01/2017 01/01/2018 DAMAGE TO RENTED 300,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,660 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑spn LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: EBL AGGREGATE $ 2,000,000 A AUTOMOBILE LIABILITY Ea BIKED SINGLE LIMIT $ 1,000,000 X ANY AUTO CPA3158728 01/01/2017 01/01/2018 BODILY INJURY Per on $ OWNED SCHEDULED - AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NO N-0WNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per acc dent $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB I CLAIMS-MADE CPA3158728 01/01/2017 01/01/2018 AGGREGATE $ DED I X I RETENTION$ 0 Aggregate $ 1,000,000 B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN CA3158729-20 01/01/2017 01/01/2018 STATUTE ER 1 000,000 ANY PROPRIETORIPARTNERIEXECUTIVE ❑ , pFFICERIM�MBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory m NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.describe under DESCRIPTION OF OPERATIONS below 1,000,000 E.L.DISEASE-POLICY LIMIT $ B Worker's Compensatio WCA3158730-20 01/01/2017 01/01 22018 1,000,000 C Pollution Liability TIEDE654299117 01/01/2017 01/01/2018 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 17-18 Workers Compesnation Includes-All states except ND,OH,WA,WV,WY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Informational r ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A MM DD yyyy ❑Delete �01922 , U 06 14 2013 11 113-0002692 I 000 NFIRs -1 ❑Change Basic FDID State Incident Date Station Incident Number * * * * Exposure * ❑No Activity ❑Check this bo x to Indicate that the address for this incident is provided on the Wildland Fire Census Tract BLocation* Module In section 5 "Alternative Location Specification". Use only for Wildland fires. 110 ®Street address 1101 " I PITCHERS WY []Intersection Number/Milepost Prefix Street or Highway_ Street Type Suffix ❑In front of ❑Rear of U I Hyannis I IMA 1 102 601 I-1 ❑Adjacent to Apt./Suite/Room City State Zip Code I ❑Directions Cross street or.directions, as anplicable I Incident T * midnight is 0000 C Type El & Times E2 Shift & Alarms 111 JBuilding fire I Check boxes if Month Day Year Hr Min Sec Local option Incident Type dates are the same as Alarm ALARM always required �C I I D Aid Given or Received* Date' Alarm * 1 00 14 2013 17:52 25 Shift I Al u ft or arms District Platoon 1 ❑Mutual aid received �� ARRIVAL required, unless canceled or did not arrive 2 ❑Automatic aid recv. Therm FDIC Thl eirl ® Arrival 1 00 1 141 I 2013I I17:56:55 I E3 State CONTROLLED Optional, Except for wildland fires Special Studies 3 ❑Mutual aid given P 4 ❑Automatic aid given I I. ❑Controlled �J I Local option 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires N $Non@ Incident Number Last Unit Special Special ❑ 06 14 I 2013 1 .49:49 study ID# Study Value ® Cleared � � I II I F Actions Taken* G1 Resources * G2 Estimated Dollar Losses & Values Check this box and skip this LOSSES: Required for all fires if known. Optional ❑ section if an Apparatus or for non fires. 12 I Salvage & Overhaul ' I Personnel form is used. None Apparatus Personnel property $1 1 ,, 015 , 000 ❑Primary Action Taken (1) � -- Suppression 0002 0007 Contents $1 , 010 , 000 u � I El Action Taken (2) .EMS 1 0002 I 0006I PRE-INCIDENT VALUE: Optional I I I I Other 1 00031 1 00031J y $1 00 'U ❑ u Property 000 000 Additional Action Taken (3) ❑ Check box if resource counts I I include aid received resources. Contents $1 , 000 , 000 ❑ Completed Modules Hl*Casualties❑None H 3 Hazardous Materials Release I Mixed Use Property 0 Fire-2 Deaths Injuries N ®None NN X Not Mixed � I 10 Assembly use X❑ Fire Structure-3 L� I 1 ❑Natural Gas: slow leak, no evauation or HazMat actions Education use Civil Fire Cas.-4 Service ' 1 20 ❑X 2 [-]Propane gas: <21 It. tank (as in home Aac grill) 33 Medical use ❑Fire Serv. Cas.-5 U 003 3 []Gasoline: vehicle fuel tank table container 40 Residential use . Civilian or portable QEMS-6 4 ❑Kerosene: fuel burning equipment or portable storage 51 Row Of stores ❑HazMat-7 Detector 5 53 Enclosed mall Required for Confined Fires. Diesel fuel/fuel oil:vehicle fuel tank or portable 58 Bus. & Residential ❑Wildland Fire-8 1 Detector alerted occupants 6 ❑Household solvents: home/office spill, cleanup only 59 Office use QApparatus-9 7 ❑Motor Oil: from engine or pox tabls container 60 Industrial use ❑Personnel-10 2E]Detector did not alert them 63 Military use 8 ❑Paint: from paint cans totaling<55 gallons ' Arson-11 65 Farm use ❑ U❑Unknown 0 Other: special H=t actions required or spill>55gal., 0 O Other mixed use Please c lete the HazMat form J Property Use* Structures 341❑Clinic,clinic type infirmary 539 ❑Household goods,sales,repairs n 342 Doctor/dentist office 579 ❑MOtor vehicle/boat sales/repair 131 ❑Church, place of worship 361❑Prison or jail, not juvenile 571 ❑Gas or service station 161 ❑Restaurant or cafeteria 41999 1-or 2-family dwelling 599 ❑ Business office 162 ❑Bar/Tavern or nightclub 42 9 Multi-family dwelling 615 ❑Electric generating plant 213 ❑Elementary school or kindergarten 4 39❑Rooming/boarding house 629 ❑Laboratory/science lab 215 ❑High school or junior high 44 9❑Commercial hotel or motel 700 [-]Manufacturing plant 241 ❑College, adult education 459❑Residential, board and care 819 ❑Livestock/poultry storage(barn) 311 ❑Care facility for the aged 4 64❑Dormitory/barracks 882 ❑Non-residential parking garage 331 Hospital 519[:]Food and beverage sales 891 ❑Warehouse Outside 936❑Vacant lot 981 ❑Construction site 124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard 655 ❑Crops or orchard 946 ❑Lake, river, stream 669 Forest (timberland) Lookup and enter a.Property Use code only if , ❑ 951 ❑Railroad right Of way you have NOT checked a Property Use box: 807 ❑Outdoor storage area 960 []Other street Property Use 1419 919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway 931 ❑Open land or field 962 ❑Residential street/driveway 11 or 2 family dwelling I NFIRS-1 Revision 03 11 99 Hyannis Fire 01922 06/14/2013 13-0002692 K1 Person/Entity Involved 1 1 1508 - 367 - 4149 ilocal Option Business name (if applicable)PP Area Code Phone Number �J lRamona �� Douglas ®Check This Box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as incident location. Then skip the three 1101 L� I PITCHERS WY duplicate address Number lines. Prefix Street or Highway Street Type Suffix JKASPRZAK, ROBERTA P & Hyannis Post Office Box Apt./Suite/Room City IMA 1102601 State Zip Code More people involved? Check this box and attach Supplemental Forms WFIRS-1S) as necessary Same as person involved? K2 Owner Then check this box and skip I 508 - 771 - 6363 The rest of this section. Local Option Business name (if Applicable) Area Code Phone Number Carla Thibeault I �J ® Check this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as incident location. 11101 PITCHERS WY Then skip the three duplicate address Number Prefix Street or Highway - Street Type Suffix lines. JKASPRZAK, ROBERTA P & I I LHYANNIS Post Office Box Apt./Suite/Room City IMA 1 026� 01 -1 State Zip Code L Remarks Local Option Dispatch_1 ; 2013/06/14 17:56:55 - 802 AT EVENT MANNING IS 1 Dispatch_1 ; 2013/06/14 17:57:01 - 826 AT EVENT MANNING IS 0 Dispatch_1 ; 2013/06/14 17:57:04 - 829 AT EVENT MANNING IS 0 Dispatch_1 ; 2013/06/14 17:57:57 - 806 AT EVENT MANNING IS 1 Dispatch_1 ; 2013/06/14 18:03:57 - 805 AT EVENT MANNING IS 0 Dispatch_1 ; 2013/06/14 18:08:04 - 825 AT EVENT MANNING IS 3 Dispatch—1 ; 2013/06/14 18:08:13 - 828 AT EVENT MANNING IS 0 Dispatch_1 ; 2013/06/14 18:14:05 - REQUESTING BUILDING INSPECTOR cad ; 2013/06/14 18:14:36 - REQUESTING BUILDING INSPECTOR cad ; 2013/06/14 18:14 :49 - REQUESTING BUILDING INSPECTOR Dispatch—1 ; 2013/06/14 18:53:31 - BUILDING INSPECTOR ON LOCATION Dispatch_1 ; 2013/06/14 18:13:24 BUILDING INSPECTOR REQUESTED Dispatch_1 ; 2013/06/14 18:45':35 BUILDING INSPECTOR NOTIFIED AND IN ROUTE Dispatch_1 ; 2013/06/14 18:45:45 RED CROSS NOTIFIED Dispatch—1 ; 2013/06/14 18:53:47 L Authorization 1198501 IMelanson, Dean L. JIDEP/EMT 1 1 061 1 1911 2013 Officer in charge ID Signature Position or rank Assignment Month Day Year Boxcif(] 1 198901 l Kristof ferson, Eric I CAPT/EMT-I I I U 1 2013 same Position or rank Assignment Month Day Year as Officer Member making report ID Signature in charge. Hyannis Fire 01922 06/14/2013 13-0002692 MM DD YYYY 01922 U 161 L14J 2013 1 13-0002692 000 Complete FDID State Exposure Incident Date Station Incident Number Narrative -] Narrative: Dispatch-1 ; 2013/06/14 17:56:55 - 802 AT EVENT MANNING IS 1 Dispatch-1 ; 2013/06/14 17:57:01 - 826 AT EVENT MANNING IS 0 Dispatch-1 ; 2013/06/14 17:57:04 - 829 AT .EVENT MANNING IS 0 Dispatch-1 ; 2013/06/14 17:57:57 - 806 AT EVENT MANNING IS 1 Dispatch—1 ; 2013/06/14 18:03:57 - 805 AT EVENT MANNING IS 0 Dispatch-1 ; 2013/06/14 18:08:04 - 825 AT EVENT MANNING IS 3 Dispatch—1 ; 2013/06/14 18:08:13 - 828 AT EVENT MANNING IS 0 Dispatch_1 ; 2013/06/14 18:14:05 - REQUESTING BUILDING INSPECTOR cad ; 2013/06/14 18:14:36 - REQUESTING BUILDING INSPECTOR cad ; 2013/06/14 18:14:49 - REQUESTING BUILDING INSPECTOR Dispatch—1 ; 2013/06/14 18:53:31 - BUILDING INSPECTOR ON' LOCATION Dispatch`l ; 2013/06/14 18:13:24 BUILDING INSPECTOR REQUESTED Dispatch-1 ; 2013/06/14 18:45:35 BUILDING INSPECTOR NOTIFIED AND IN ROUTE Dispatch—1 ; 2013/06/14 18:45:45 RED CROSS NOTIFIED Dispatch 1 ; 2013/06/14 18:53:47 BUILDING INSPECTOR ON LOCATION Dispatch-1 ; 2013/06/14 19:26:06 RED CROSS REP ON SCENE Dispatch_1 2013/06/14 19:36:03 802 REPORTS PROPERTY TURNED OVER TO PROP REP, 802 CLR We received a call for a house fire at 1101 Pitcher's Way. The caller states she tried to put it out and believes the fire is out. She was told to exit the house. We sounded a first alarm assignment and responded with E-826 and L-829. 802, 805 and 806 also responded. Upon E-826's arrival we parked just beyond the property side A. We found a' ranch style home with the front door open and a haze of, smoke. I didn't see the RP so I had FF Pina stretch a dry line to the front door and I entered for a quick size up and search with FF Webb. As I entered the front of the house into the living room I found a sectional couch thatwas smoldering. There was a moderate smoke condition and dry chemical dust on the floor. I exited to side C to look for the RP. The tenant was "sitting on the back deck with 2 children. At a quick glance I could see that 'the mother and son were exposed to products of combustion. The mother said she wasn't hurt and FF Webb started to render first aid. I called fire alarm and requested that I would need 2 ambulances as the next to respond. I walked back to have a face to face with Deputy Melanson to give him a situation report. I Hyannis Fire 01922 06/14/2013 13-0002692 1922 U 1 6 1 14 2013 1 13-0002692 000 complete FDID State Incident Date Station Incident Number Exposure Narrative _] Narrative: told him that the fire involved a sectional couch that was knocked down with a dry chem. I told him the mother and two kids would need medical attention and I requested 2 ambulances. I told him I was going to have the ladder crew remove the smoldering sectional and check for extension. We would systematically ventilate the house trying not to spread the dry chem dust throughout the house. Deputy Melanson assigned a few to help with first aid on the front lawn while we were awaiting ambulances. We removed the sectional and a chair that was in close proximity to the sectional. We ventilated from side C to side to side A with the electric fan. Then ventilated down the hallway and out the bedrooms. Lately we vented through a door on side B and down the cellar stairs and out a window on side D. After ventilation was complete we swept up the majority of the soot and dry chem. Two ambulances treated and transported the 3 people that were in the house at the time of the fire. They were treated and released. The home owner arrived on the scene and was going to meet her daughter and grandchildren at CCH. WE had her call a friend that could come to the property so we could turn it over when we were done. Kenneth Svensson later arrived. He was going to make contact with a restoration company. The Red Cross was called because the family was going to be displaced until the cleanup could be completed. There was also an illegal bedroom in the cellar and that person was also displaced. His name is Sean Williams. There were several code violations and the building inspector was also called. There was a blocked bulkhead inside and out. The mentioned bedroom in the cellar without proper egress. No working smoke detectors in the cellar and a cluttered utility room that was questionable if there was enough make up air. The building inspector arrived and gave a verbal eviction. He said it would be- followed up by a written letter on Monday and a follow up investigation on Monday morning. After our dealings with the Red Cross and the Building Inspector, we turned the property over to the owner's boyfriend. Lt Cosmo had gone down to CCH to try to get a story of how the fire started. The children have some autism issues and Lt Chase also went down to CCH with some comfort items that were requested by the mother of the children. The cause of the fire is unknown. The story from Ramona is that she was in the bathroom vomiting because she was sick. She then could smell something burning. When she got to the living room she noticed the sectional on fire. She went into the kitchen to grab the dry chemical extinguisher. She noticed a burner on the stovetop and turned it off. She used the extinguisher to knock down the fire. She grabbed her son and brought him out front. She went to a bedroom and grabbed her daughter and then exited the house. She then called the fire department. It is unclear how the burner on the stove started a couch fire. Ramona speculates that Cameron sometimes will climb up the counter to get snacks. Some of the snacks are over the Hyannis Fire 01922 06/14/2013 13-0002692 MM Q1922 U �1 D4 2013 13-0002692 000 1 Complete FDID State Incident Date Station Incident Number Narrative Exposure Narrative: stove. He may have climbed up the stove and turned a burner on. This may have caught clothing on fire and he removed this clothing and threw it on the couch. It is also unclear the order of events. Where the kids removed first or was the fire put out first. The patients were treated and released. The Red Cross was going to make arrangements for the displaced. The building inspector was going to follow up on the code violations. The boyfriend was going to call a salvage company. All units cleared Captain E Kristofferson 6/19/13 Hyannis Fire 01922 06/14/2013 13-0002692 A MM DD yyyy ❑Delete NFIRS -2 01922 U 1 061 1 141 1 20131 1 1 113-0002692 I 1 000 ❑Change FDZD * State* Incident Date * Station Incident Number * Exposure * ❑No Activity Fire B Property Details C On-Site Materials[:]None Complete if there were any significant amounts of commercial,industrial, energy or or Products agricultural products or materials on the Property, whether or not they became involved Enter up to three codes. Check one Bl 0001 ❑Not Residential or more boxes for each code entered. 1 Bulk storage or warehousing Estimated Number of residential living units in 1241 I (Furniture I 2 Processing or manufacturing building of origin whether or not all units on-site material (1) 3 Packaged goods for sale became involved 4 Repair or service 1 Bulk storage or warehousing $2 001 ❑Buildings not involved 1J I I 2 Processing or manufacturing Number of buildings involved on-site material (2) 3 Packaged goods for sale 4 Repair or service B3 I ®None 1 Bulk storage or warehousing 1 � I 12 Processing or manufacturing Acres burned goods for sale (outside fires) ❑Less than One acre on-site material (3) 3 Packaged g 4 Repair or service D Ignition El Cause of Ignition E3.Human Factors ❑check box if this is an exposure report. Contributing To Ignition Skip to section G Check all applicable boxes D1 114 lCommon room, den, I 1 ❑Intentional 1 [-]Asleep ❑None Area of fire origin * 2 ®Unintentional 2 ❑Possibly impaired by 3 ❑Failure of equipment or heat source alcohol or drugs D2 140 (Hot or smoldering 4 ❑Act of nature 3 []unattended person Heat source * 5 [:]cause under investigation 4 Possibly mental disabled U❑Cause undetermined after investigation 5 [:]Physically Disabled D3 21 JUpholstered sofa, I E2 Ignition 6 [:]Multiple persons involved Factors Contributing To Item first i Check Box if fire s ignited prea g * l ❑None 7 []Age was a factor ❑was confined to object 1�J (Abandoned or of origin Factor Contributing To Ignition (1) Estimated age of ' I D4 71 JFabric, fiber, cotton, I person envolved u Type of material Required only if item first 1� first ignited ignited code is 00 or <70 Factor Contributing To Ignition (2) 1 ❑Mal@ 2 ❑Female F,1 Equipment Involved In Ignition F2 Equipment Power G Fire Suppression Factors ❑None If Equipment was not involved,Skip to Section G I I Enter up to three codes. None II I Equipment Power Source Equipment Involved F'3 Equipment Portability �� INone I Fire suppression factor (1) Brand I I 1 ❑Portable IUI Model I I 2 ❑Stationary Fire suppression factor (2) Serial #I I Portable equipment normally can be moved by one person, is designed tj I I be use in multiple locations, and L_J Year I I requires no tools to install. Fire suppression factor (3) Hl Mobile Property Involved H2 Mobile Property Type & Make Local Use ❑Pre-Fire Plan Available ❑None some of the information presented in this report may be based upon reports 1 ❑Not involved in ignition, but burned Mobile property type from other Agencies 2 ❑Involved in ignition, but did not burn I ❑Arson report attached 3 ❑Involved in ignition and burned LJ I I [:]Police report attached Mobile property make ❑Coroner report attached ❑Other reports attached I I I I Moblie property model Year I I U I I License Plate Number State VIN Number NFIRS-2 Revision 01/19/99 I Hyannis Fire 01922 06/14/2013 13-0002692 I1 Structure Type * 12 Building Status * 13 Building* 14 NFxRs-3 �J Main Floor Size* if Fire was In enclosed building or a Height Structure Apo.table/mobile structure complete the rest of this form Count the ROOF as part Fire 1 ®Enclosed Building 1 ❑Under construction of the highest story 2 ❑Portable/mobile structure 2 ®occupied & operating 3 ❑Open structure 3❑Idle, not routinely used 1 001 u , 1 00111 500 4 ❑Air supported structure 4 ❑ Under major renovation Teton number r of stories Total square feet grade 5 ❑Tent 5❑Vacant and secured 6❑Vacant and unsecured OR 6 []Open platform (e.g. piers) 1 001 7 [:]underground structure(work areas) 7 ❑Being demolished Total number of stories ❑ below grade u 030 gy u 050 [:]Connective structure 0 Other 8 (e.g. fences) 0 ❑Other type of structure U❑ Lenht in feet Width in feet undetermined 4 J1 Fire Origin * J3 Number of Stories K Material Contributing Most Damaged By Flame To Flame Spread Below Grade Count the ROOF as Ski To 001 part of the highest story ❑ Check if no flame spread P Story Of fire origin 001 OR same as material first ignited Section L Number of stories w/ minor damage OR unable to determine (1 to 24% flame damage) J2 Fire Spread* K1 3! 3 1JLinen; other than Number of stories w/ significant damage 1 []Confined to object of origin (25 to 49% flame damage) item contributing most to flame spread 2 [:]confined to room of origin Number of stories w/ heavy damage 3 ®Confined to floor of origin (50 to 74% flame damage) K2 171 (Fabric, fiber, cotton, Type of material contributing Required only if item 4 ❑Confined to building of origin most of flame spread contributing Number of stories w/ extreme damage 5 []Beyond building of origin I I code is o0 or<7o (75 to 100% flame damage) L1 Presence of Detectors * 1i3 Detector Power Supply LS Detector Effectiveness (In area of the fire) Required if detector operated N ®None Present Skip to 1 ❑Battery only section M 2 [-]Hardwire only 1 ❑Alerted Occupants, occupants responded 1 ❑Present 3 ❑Plug in 2 [:]Occupants failed to respond U ❑Undetermined 4 ❑Hardwire with battery 3 [:]There were no occupants 5 ❑Plug in with battery 4 [:]Failed to alert occupants 6 []Mechanical U [:]Undetermined L2 Detector Type 7 ❑Muitple detectors & power supplies L6 Detector Failure Reason 1 ❑Smoke 0 ❑Other Required if detector failed to operate 2 ❑Heat U ❑Undetermined Combination smoke - heat 1 ❑Power failure, shutoff or. disconnect 3 ❑ L4 Detector Operation 2 ❑Improper installation or placement 4 ❑Sprinkler, water flow detection 1 ❑Fire too small 3 ❑Defective to activate 4 [:]Lack of maintenance, includes cleaning 5 More than 1 type present 2 ❑Operated 5 ❑Battery missing or disconnected 0 Other (Complete Section L5) 6 ❑Battery discharged or dead 3 ❑Failed to Operate 0 ❑Other U ❑Undetermined (Complete Section L6) U U ❑Undetermined []Undetermined Ml Presence of Automatic Extinguishment.System * M3 Automatic Extinguishment iN15 Automatic Extinguishment N ®None Present System Operation System Failure Reason Complete rest Required if fire was within designed range Required if system failed 1 ❑Present I 1 Operated & effective (Go to M4 of Section M ❑ 2 ❑ (M4) Operated & not effective 1 ❑System shut off Type of Automatic Extinguishment System * Required if fire was within designed3 ❑Fire too small to activate 2 ❑Not enough agent discharged range of AES 3 ❑Agent discharged but did 1 ❑Wet pipe sprinkler 4 ❑Failed to operate (Go to M5) 0 ❑Other not reach fire 2 []Dry pipe sprinkler 4 ❑wrong type of system 3 ❑other sprinkler system U ❑Undetermined 5 [:]Fire not in area protected 4 ❑Dry chemical system Number of Sprinkler 6 []System components damaged 5 [:]Foam system Heads Operating 7 [:]Lack of maintenance 6 [:]Halogen type system g ❑Manual Intervention Required if system operated 7 ❑Carbon dioxide (CO 2) system 0 ❑Other 0 ❑Other special hazard system U ❑Undetermined U 0 Undetermined Number of sprinkler heads operating NFIRS-3 Revision 01/19/99 Hyannis Fire 01922 06/14/2013 13-0002692 �� � � � � t i�♦� �b�' 1 •.III l' , t � i �5 d. .. ....- — _ .—_ ..�...._.�,��--�«s• .per:' m . _ l I t� mill 11H�l i aIIIIIII :.�;:�.� � �; _ ,.;..� �. .•�..� . �r 1i1111 II IIIIII -, �T A, .� ��I��IIM IIIIII � • _ �_, . �s,�,y... ..-� '" .4.. 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M1I y 4 � • I illu.,, c C�i lion 1 4 . i n t t. ., � a �� � e:/� j��� � '��`�.�� wok+ k�'• �k i t TYLEIR � I Est �� yp icr4 a. 3 5 -- six;. took, Ig s.: ^ £ do- PUT e § h Y . f }Ia w�tl"i uq�u o- fu n n�i r 'n tlOu lUi NIi in n�i a w Ili, ii Iu� f i i@I� I u I 'IIIW�M mWllW i c y wu»j117r r :�{i�'�YIW�k I i fiA y r 4 t 3 - §4 .. r 3 t"irruY�lYY�i1�'" r I� n i if s " "a" u a s x�r1 N 8M1 5= 1 f i."3 4- �m�,•.„ „��a�.�� Pull. eiw.lauu �uwamuu r ru nou[auw a ......a . .�.mu..n NR VAN 1�I 1� p �a h ,} r R Ems., ad+ � 3 }f v � r i g,e a k � e yz d a f ` qY�p .. t� 4� a, E fiuz yJ�_ a� F t F wii n.nni inno— wmm. � NOi npoiuUu11W600AGUIDINd muWlOin ro ui ` Niulwumtl(�GW(Wiu NAI inn ni�u � �rn,nummnmuo ifuUu• r.„wpmipapu�oa0 rmnm,.,. .�y m�WlipnULlNI iLuul�i Wuuur�L .,� m:».ao• , �CU� um' '� monuny�tlM��„ ,wyWLww.�(S94N��+uw ��Ipmp�i6, u� u TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a7.3 Parcel o-loa Application #J � � i "1�`tV Health Division Date Issued cR 113 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board .3'I'.. cK 7— 2 —/3 P 4-7 Historic - OKH _ Preservation / Hyannis s Project Street Address f Pirc-IAe-rr.S wAj Village 141 A Ajouk Owner CA2(.o} T14� 13CAu L-- Address PID 130d(, 161 a. 13AAiUS`rA t5 Telephone SO�, -7 7l (3 C 3 Permit Request 0>r Go i a 4 ►t oow• C a, P a,N Q „4 NC 4 I f COL„ I y F0 to tAJ WO�AX) Square feet: 1 st floor: existing 139 proposed 2nd floor: existing proposed, i Total new Zoning District Flood Plain Groundwater Overlay 411 Project Valuation 1 0 0 0 0 Construction Type 1®{ Lot Size 0; 3 A c Re S Grandfathered: ❑Yes ❑ No If yes, attach supportinol docut>�entation. e Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure -3 7104 Historic House: ❑Yes $No On Old King's Highway: ❑Yes )6 No Basement Type: [Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) NIA _ Basement Unfinished Area (sq.ft)4A Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing <o new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Coexisting ❑ 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 IJ° 11%hyV\ W tt A LGq-4 Telephone Number 7&o /9// Address as �1N1!"1RlCl4l1� �A`} �EI tS License # CSe O 7y?a9 W 6�� P6 D&AT1 S , =kZu C.� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE Uy ' �—'`-J DATE 0 FOR OFFICIAL USE ONLY 3 I APPLICATION# t DATE ISSUED ;< < i MAP/PARCEL NO, r _ 'r ADDRESS VILLAGE ,4 OWNER` j y. y I l DATE OF INSPECTION: FOUNDATION_ E s FRAME r INSULATIONS: FIREPLACE ELECTRICAL: ROUGH FINAL--.. PLUMBING: ROUGH FINAL GAS:-: ;, - ROUGH.,--, FINAL .,FINAL B.UILDING,s „ .DATE CLOSED OUT s ASSOCIATION PLAN NO. t r Restoration Services Inc. Fire, Smoke, Soot,Water Damage&Mold Remediation Services Cleaning Deodorization Reconstruction Specializing in .Fire Restoration - All Work Guaranteed Access, Authorization and Direct Payment Request Form I (we) authorize WHALEN RESTORATION SERVICES to perform work as per estimate at property located at 1101 Pitchers way, Hyannis, MA 02601 to repair damage caused by fire on 6/14/13 As owner(s) of this property, 1 (we) understand that I (we) must authorize this work. I (we) hereby authorize WHALEN RESTORATION SERVICES to perform this work and accept responsibility for payment upon completion. I (we) authorize and direct my Insurance Company Narragansett Bay Policy No. 3112O019438 to make payments directly to WHALEN RESTORATION SERVICES, Insurance Claim Specialists, for doing this work and to that extent I (we) assign the benefits applicable to this loss to WHALEN RESTORATION SERVICES. (we) acknowledge receipt of,a copy hereof: OWN DATED SIG D a , OWNER WHALEN R TORATION REP. SIGNED . 22 American Way, South Dennis, MA 02660 Phone: (508)760-1911 Fax: (508) 760-9995 • 1-800-244-2598 •E-Mail: restore@whalenrestorations.com Web Page: http://www.whalenrestorations.com OFFICE COPY MassacInusens Department of Public Safety , Board of Building Regulations and Standards Construction Super icor License. CS-074928 W ILLIAM WHAUN 122 POND STREET BREWSTER MA�026 3I Expiration Commissioner08/10/2014 � License or registration valid for individol use only Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 'Office of Consumer Affairs and Business Regulation y egistration: 129244 Type 10 Park Plaza Suite 5170 " Expiration: 7/30/2013 Private Corporatio Boston,MA 02116 Whalen Restoration,Services Inc. William Whalen r �- 22 American Way <.,�- - South Dennis;MA 02660, undersecretary Not valid without signature :Theresa -ft*U$12_Tg:Kath1een S.s11aiqrMl1pr§er4'l1ng'yCiKo Tt0kdW6fM2 Fax SAQ%P'/21/13 EST Pg 3-3 CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDIYYYYI- 7 TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,FXTENn OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE.HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies maytequire and endorsement. Astatement on this certificate does not eonler rights to the certificate holder in lieu of such endorsemenl(s). PRODUCER CONTACT NAME: HUB INTERNATIONAL NEW BN PHONE FAX. 265 ORLEANS RD (AlC,No.Exl): (AIC,No): EMAIL - NORTH CHATHAM,MA 02650 ADDRESS: 77GKF INSURERIS)AFFORDING.COVERAGE NAIC B INSURED INSURERA: ACP-A 4p..RICANrNSUR.ANCRCANTPANY WFALEN RESTORATION SBRVICHS,INC' INSURER B: INSURER C: INSURER D: 22 AMLRICAN WAY INSURER E: SOUTH DENMS,MA 02660 INSURER F: 1 OVERAGES CERTIFICATE NUMOER; REVISION NUMDCR; THIS Is TO allify'YPAI ME PoLicles OF MurtANCE LISTED BELOW NAVCOnW1&SUro 10 TUCINSUREO IIAMM ABOVE FOR THE POLICY PERIO"DICATEO. NOTWI111STANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VAIN RESPECT TO WHICH TIUS CERTOK:ATF MAY AV 15SUEO OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS Of SUCH POLICIES.LIMITS SH01VN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADD SU8 POLICY EFF UATE POLICY EXP DATE LTR TYPEOFINSURANCE L R POLICY NUMBER (NA CG%YYYY) (MLI1001YYYY) - UTAIS - GENERAL LIABILITY -ACH OCCURRENCE S CO.14Y.ERCIAL GENERAL LIABILITY )AMAGE TO RE ED CLAIMS MACE OCCUR_ --REMISES(ES a occurrrence) S 11EO E`R(Art/one pelsos) 4 PERSONAL&ADVINJURY S GENT AGGREGATE LiMIr APPLIES PER. - GENERAL AGGREGATE IS POLICY 0PROJECT OLOC *0OUCTS-CONIPIOPAGG S AUTOMOBILE LIABILITY COAtBINEOS!NGLE 5 ANY AUTO LIMIT IFa amiderl) - ALL OWNED AUTOS BODILY INJURY 3 SCHEDULE AUTOS (Per person) ; n BODILY INJURY HIRED AUTOS �3 (Per accden!) .r - NONOWNED AUTOS • PROPERTY DAMAGE 3 - (Peracarlenl) _- UMBRELLALIAEI , OGCUR EACHOCCURRENCE 9 EXCESS LIAR CLAIMS-MADE AGGREGATE. 3 DEDUCTIBLE is RETENTIONS S - A WORHOrs COMPENSATION AND WCSIAIUTORY JU111EN EMPLOYER'S LIABILITY YIN UR-513894502-13 041O1R013 OWI/7.014, LIMITS ANY P ROPE RITORIPARTNERIEAE CUT TVE a NIA E.L EACH ACCIDENT S 1,000.000 CFFICERneE%16ER EXCLLOE07 (Mandalory In killE.L.DISEASE-EA EMPLOYEE S 1,000,000 Q yes.oeSnaa IArYr oEscRl?nQVOFOPERAT»NSWoo E1.DISEASE-POLICY l{MIT Is 1;000,000'. , DESCRIPTION OF OPERATIONSA-OCATIONSfVEHICLESIRESTRICTIONS!SPECIAL ITL-MS THISREFLACF"S ANY PRIOR CP-RTIFICATE ISSUED TO THE.CERTIFICATE HOLDER AFFECTINO WORKERS COMP COVFRAOE. CERTIFICATE HOLDER'' CANCELLATION CARLA THIBEAULT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL Pf DEUV 1101 PITCTTGRS WAY IN ACCORDANCE WITH THE POLICY PROV(;iIQ � � AUT14DRI7F.O REPRESENTATIVE HYANNIS,MA 02601 " .-.-......_.......-..._.. -ed. ACDRD 25(2o1oro5) The ACO name an go are registered marks otACORO 1986.2010 ACORD CORPO . ri►�r j�l s reserved. -\ The Conintonlivealth cif Massac'hitsetts Department of Industrial Accidents Office oflnvesre= Lions 600 �i'aShiT t�1e: .T!'i l . Boston, ,►'.=1 Ur't 1! ►4'w►V.1/1a ss.go vIdi" Workers' Compensation Insurance Affidavit: B►ailders/C'.tntruttors/Electricians/Plumbers .applicant Information Please Print Legibiy, \ame tl;usinss c)rgan;z:u;un'lr.,lividu:tli Whalen Re :ation Services k .Address:_T Amrican Wa_y �__ C" 'State/Zip: _fig--.2660 _ Phunc 508 760 1911 Are you an employer?.Check the appropriate box: 1. Type of project (required): 1.© I am a employer with 25 4. ❑ I ant i general contractor and employees (full andlor pan urne). havehired the sub-contractors fi. ❑ New construction 2.❑ I aril a sole proprietor or partner-. listed on the attached sheet. 7. ❑ Reinodeline ship and have no employees These sub-contractors have 8. ❑ Demolition workim_, for me in any capacity, etttployees and have workers' 9. F.3uildin� addition [No workers' comp. insurance comp. insurance. ❑ required.) 5 ❑ We are it corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 ant a homeowner doing all work officers have exercised their ! I.❑ Plumbing repairs or additions m self. �;o workers' corn right of exemption per MG1. p 12.❑ Roc:rf repairs insurance required.] ` " c. 152 §1(4). and we have no employees J'No workers* 1 3.❑ Other comp: insurance required. I •.1m applicant that checks box q 1 "it's,also lilt out also sccuon below sho%mg their workers'compensation III,:% utRtrntution- t I lunteo�tner tvho suhtnit this affidavit Indicating they are doing all\sork and then hire outside contractors mist suhnut a new altidartt indicating>uch �C:ontractors that check this box must attached an additional sheet sho%vutg the name ot'iltc sub-contractors and state\shcther nr not those entities h.vc employees lathe sub-contractors have employees.then must provide their workers'comp.policy number I am an enrplgver that is providing worker'compensation insurance for nrp eniplovees. Below is the policy crud job site information. --Ace rican Insurance Company ' Insurance Company' Name , rA Aiae _ an ` : Policv° r or Self=ins.'Lic. 5B894542 : 4/1/14. Expiration Dale:Job Site Address: (IQ P,Tt.hle era,.., W49 I C ityiState'Lip: LAf.i Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 1a: •an lead to the imposition ofcrintinal penalties ut'a lineup to S1.500.00 and/or one-year Imprisonment. as well as civil penw;ies in the form of a S'TOp WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of ties statement ntav he forwarded to the.Office of Investigations of the DIA for insurance'coverage verification, l do,hereb,v certify udder the pains and penalties of perjure Neat the inforinatioi�provided ahove is true and correct.- t.- Si nat -ure: -- --- � Date: Phone ::. 508 760 1911 Of Tc•ial use onli'. Do not write in this area,to be completed b►'city or town official. City or Town: Permit/License 9 Issuing Authority(circle one): 1. Board of Wealth 2. Building Department 3. City[i'own Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone ti: Main Level Main Level At 1101 Pitchers Way,Hyannis,Ma. 32'1" 16.4" 26' _=3' 4'5' Dinhw/Kitehen Bathrao m - o 3'2'---1 16.5 M t7 smoke detector --z r n Q 6'S' o - in i 1 T6 �lrr•— r smoke detector s `�' Lhdncroom 9' 7 1l1'3- c_ - o Iledroom � @S�4B1D. � Lr 36'1 12'3' Ceilings and walls in the hallway and livingroom will need to be demo'd due to Are and heat damage.Hardwood floors In the livingroom and hall will be remvoed as well Main Level THIBEAULT_PERMIT 6/24/2013 Page: 1 � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Cx Parcel Applicati' Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fees Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project:.Street i � ,Address 1- Village a�,C� XA,I LS Owner o _ 0a," Address PD bOKS12 Telephone — Permit Request S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) AA Basement Unfinished Area (sq.ft) VL4 Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing Lnew First Floor Room Count at Type and Fuel: U'Gas ❑ Oil ❑ Electric ❑ Other F .entral 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: ® ^'Cd —� Zoning Board of Appeals Auth ization ❑ Appeal # Recorded ❑ o Commercial ❑Yes ; o If yes, site plan review# ` I w -Current Use - Proposed Use - � -_- LO c M APPLICANT INFORMATION (BUILDER OR HOMEOWNER) L3 dress s?D License# CA)�Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRI SULTING FROM THIS PROJECT WILL BE TAKEN TO IHE DATE .t�� — �` f FOR OFFICIAL USE ONLY = *.: APPLICATION# } DATE ISSUED MAP PARCEL.NO. ADDRESS VILLAGE OWNER t. DATE OF INSPECTION: FOUNDATION'S FRAME - - - -- - - h i tINSULATION..,. ; FIREPLACE Y ELECTRICAL:: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:_. ___ ___ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. , r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please r 1 d E�ameu iness/Organization/Individual): City p: S Phone#: e an etnplaye ?thdck the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance. � , Xuired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. m a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.RGther comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' ce coverage verification. I do her y ce er the ns enaldes erjury that the information provided above is true and correct. Si a e: Date: r Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: - } Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local'licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for'any ;. applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of . insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit foryou to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia 'THE> Town of Barnstable Regulatory Services ' UM ' Thomas F.Geller,Director 9`�''°rE •`�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: C 4 JOB- umber s t village c ` OMEOWNER : � e home phone# work phone# CURRENT MAILING ADDRE0 PO l city/town to zip code The current exemption for"ho a mem;Lw�as-extended to include o nerr-occu ied d el or Eess and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. dersigned` cerh es /she understands the Town of Barnstable Building Department minimum inspection proce re and th he/ a comply with said procedures and requirements. =ign. e er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EXPRFSS.doc Revised 053012 �'ME ri Town of Barnstable Regulatory Services BARNns�as Thomas F.Geiler,Director i639. ♦� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must s Complete and Sign This Se ion I£Using A Builder a Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this b g permit. (Address of Job) **Pool fences and alarms are the res onsibility of the applicant. Pools are not to be filled or utilized before f nce is installed and all final inspections are performed and accep d. Signature of Owner Signature of Applicant Print Name Print Name Date QTORM&OWNERPERMISSIONPOOLS 6/2012 ortTHE,, Town of B ariistable .; y� Regulator' Services xr�sras i Thomas F. Geiler, Director Jul Building Division ,;1•,,, Thomas Parry, CB0,Buil din g Commissioner 200 Main Street, Hyannis,MA 02601 wWw.town,.harnstablama,us • Office: 5 0 8-8 62-14 03 8 Fax: 508-790-6230 PLAN REVLE Owner . '/k etcvl �- Map/Parcel: Project Address /10/ /T�-�u'S �G7/ Builder: • The following items were noted on reviewing: vY. e'i -� G . n � o �ee S � nn and -/�V— 17�ryo&'! Zeviewed by: / I' ie-1 fate: 4 —tg —/ p v m Js 6' - _ 7? I b ;. Ln Ir O Ln i cO Postage $ � N Certified Fee ^ c 0 ark O ReReturnReceipt Fee C3 (Endorsement Required) are Restricted Delivery Fee (Endorsement Required) % '1 O Total Postage&Fees $ !O 9 fU Sent To -------------------------- ............ - l Sheet,Apt N � or PO Box No.. Ciry,State,ZIP+4 - G z� i�w �m Certified Mail Provides: a A mailing receipt a A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. a Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For tvaluables;pslease consider Insured or Registered Mail ® 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. , , a 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". a 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 '-- Loop Up Print` M ��� S Page 1 of 3 -t- 00k _ • Owner Infoor(,mation/I- M, pBlock/Lot: 273 /202/- Use Code: 1010 Owner 0/1\ 7-( 3 Map/Block/Lot _ THIBEAULT, CARLA J 273 /202/ GIS MAPS Owner Nam & JENNIFER ( S'e-$W") PO BOX 812 Property Address as of 1/1/12 ARNSTABLE, MA. 1101 PITCHER'S WAY 02630-0812 Co-Ownewvs ' j fkn rde"I"t-Orl Village: Hyannis Name Town Sewer At Address: No � t s �� GIS Zoning Value: RC-1 . �.J • Assessed Values 2013 - Map/Block/Lot: 273 /202/- Use Code: 1010 2013 Appraised Value 2013 Assessed Valu Past Comparisons n /D Building $ 91,800 $ 91,800 °�/ �' Year Total Assess Value: `�� Value Extra $ 34,700 $ 34,700 2012 - $ 232,200 Features: 'S � Outbuildings: $ 1,100 \�� $ 1 U 2011 - $ 232,200 �,100� �� �, 2010 - $ 225,900 Land $ 105,400 \9` $ 105,4 009 - $ 248,900 Value: - br �1' b� 2008 - $ 275,600 007 - $ 274,900 2013 33,000 Totals $ 233,0 0 �, - . • Tax Information 2013 - Map/Block/Lot: 273 / e Code: 1010 / Taxes L� l" Hyannis FD Tax A. (Residential) $ 466 Community Preservation 61.23 Act Tax $ Town Tax (Residential) 2,041.08 `6 Fiscal Year 2013 TAX RATES HERE v $ 2,568.31 Sales History - Map/Block/Lot: 273 /202/ - Use Code: 1010 History: Owner: L Sale Da& Book/Page: Sale 00 sMvl w d'�' f\bk http://www.town.bamstable.ma.us Assessing/printl3.asp?ap=0&searchparcel=27320� 6/17/2013 I i -Lo3p Up Print Page 2 of 3 Price THIBEAULT, CARLA J & JENNIFER 11/12/2009 24157/315 $251( KASPRZAK, ROBERTA P & MARCIO A 8/18/2008 23106/100 $1 MURTA, ROBERTA P & KASPRZAK, MARCIO A 1/23/2002 14732/026 $100 MURTA, ROBERTA P 12/27/2001 14630/103 $1891 NYMAN, JAMES A 10/11/2001 14319/250 $115( CAMERA, MARY B 1/9/1976 2286/047 $0 . Photos 273 /202/ - Use Code: 1010 There are not any photos for this parcel . Sketches - Map/Block/Lot: 273 /202/ - Use Code: 1010 e As Built Cards:Click card#to view: Card #1 . Constructions Details - Map/Block/Lot: 273 /202/- Use Code: 1010 Building Details Land Building value $ 9100 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $107,951 Bathrooms 2 Full Lot Size 0.35 (Acres) Model Residential Total Rooms 6 Rooms Appraised $ 105. Value Style Ranch Heat Fuel Gas Assessed Value 054 Grade Average Heat Type Hot Air Year Built 1974 AC Type None Effective Interior http://www.town.bamstable.ma.us/Assessing/printl3.asp?ap=0&searchparce1=273202 6/17/2013 s 7 Loop Up Print' Page 3 of 3 depreciation 15 Floors Carpet Stories 1 Story Interior Walls Drywall Living Area sq/ft 1,227 Exterior wood Shingle Walls Gross Area sq/ft 2,954 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp • Outbuildings & Extra Features - Map/Block/Lot: 273 /202/- Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value PAT1 Patio- Average 212 $ 15100 $ 19100 GAR Attached Garage 288 $ 8,300 $ 8,300 BMT Basement- 1227 $ 22,900 $ 22,900 Unfinished FPL1 Fireplace 1 story 1 $ 3,500 $ 3,500 • Sketch Legend Property Sketch Legend B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) TQS Three Quarters Story(Finished) BRN Barn GAR Garage UAT Attic Area(Unfinished) r CAN Canopy GAZ Gazebo UHS Half Story(Unfinished) CLIP Loading Platform GRIN Greenhouse UST Utility Area(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UTQ Three Quarters Story(Unfinished) FCP Carport KEN Kennel UUA Unfinished Utility Attic FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) PRG Pergola WDK Wood Deck FOP Open or Screened in Porch PTO Patio Y http://www.town.bamstable.ma.us/Assessing/printl3.asp?ap=0&searchparce1=273202 6/17/2013 S 1 # ��=� =� __.. � �� i i � k! �� ' � � � I 1 _ . ; _ { �_ _� I UNITED STATES POSTAL SERVICE. First-Class Mail Postage&Fees Paid USPS Permit No.G-10 •Sender. Please print your name, address, and ZIP+4 in this boxTABLE • TOWN 01p BMNS MA am I I <i SENDER: COMP LETE THIS SECTION G.. • Complete iteri k),2,and 3.Also complete MPh'nted item 4 if Rest�rlj 9d Delivery is desired. ❑Agent ■ Print your nameand address on the reverse ❑Addressee so that we can return the card to you. Nam) c. yte i ry ■ Attach.this card to the back of the mailpiece, or on the front if space permits. m ? i D. Is delivery address different from ite 0 1. Article Addressed to: _ If YES,enter delivery address below: ❑No r0 1 3. Service Type /t 7� O ll O Certified Ma Express Mail Z (1 & 0 Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Articl Number (transfer from service labeq i J 1 7 01�2 I �010 10 0 0 D. 2850 9 6 7 5 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; Town of Barnstable Regulatory Services Thomas F.Geiler,Director 'OrE039. � Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 November 8,2012 Carla and Jennifer Thibeault P.O.Box 812 Barnstable,MA 02630-0812 Re: Illegal Apartment 1101 Pitcher's Way,Hyannis Dear Property Owners: Our records indicate that your house at the above-referenced location is currently being used as a multi- family home with more than 1 unit,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor,conviction for which results in a criminal record and you could be fined up to $100.00 per day,per violation. You must contact this office within 14 days(December 3,2012)to either: • Apply for a building permit to restore the property to a one-family home. • Apply to the Zoning Board of Appeals for a variance,or • Prove that this is a legal two-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Brenda Coyle Division Assistant Enclosure: cc: Robin Anderson Zoning Enforcement Officer I gforms:zoning3 t Town of Barnstable Regulatory Services * BAM fABM „AM Thomas F. Geiler,Director �''�Fo;pr►�� Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 June 17, 2013 Carla and Jennifer Thibeault PO Box 812 Barnstable, MA 02630-0812 Re 1101 Pitcher's Way, Hyannis,MA EXIT ORDER Dear Ms.Thibeauh, This office responded to an emergency call from the Hyannis Fire Department on Friday,June 14, 2013.At that time, several rooms in the basement were being used as illegal sleeping areas.A verbal Exit Order was given at that time and is being confirmed by this written Exit Order. This is the second such order issued in less than a year. Please be advised that a building permit must be obtained by June 30, 2013 to remove these unpermited rooms. Please be further advised that because this property is not owner occupied it must be registered as a rental property by June 30, 2013. If you have any questions or feel aggrieved by this decision, please contact this office. Sincerely, Paul Roma Local Inspector I •7.'d'�fP""" ,.rr:-..^iit.e>..-..°r .q..�_, •Ai4-, i.: L i ►i-..f :"(t.. .«faFk :: .s:wst .ra`'.r .:... .^'• '-�x.J: ,, .•..,�p>—: .-, .,;i.ke,r-h'+',�e ,.3,?a'YY".,'r. J .; .v4,w...,,...,...•., .. . , Town of Barnstable oFt"e,o,�, Regulatory Services do Thomas F. Geiler, Director + BARNSfABLE, MASS. Building'Division tG39' " �� 639. ' Thomas Perry,'.CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: //-7 A 2-- LOCATION: UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. LOCAL INSPECTOR SIGNATURE OF RECIPIENT ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM 0 PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1. VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE, A AREA DO PORAO/BASEMENT PARA 0 PROPOSITO DE DORMIR. INSPETOR LOCAL ASSINATURA DO RECIPIENTE UL) yyyy 0ID U 06 27 2012 11 1.12-0002829 000 aDelete S State* Incident Date * Change c .Station _ Incident Number * Exposure * ivi ❑Check this box to Indicate that the address for this incident is provided on the Wildland Fire No Act $ Location* Module In section B "Alternative Location Specification". Use only for Wildland fires. Census Tract u10 -u ®Street address ❑Intersection 1101 " IPITCHERS WY I f I L J Number/Milepost Prefix Street or Highway �I �In front O£ Street Type Suffix ❑Rear of I J JHYANNIS IMA J 02601 ❑Adjacent to Apt./Suite/Room City State Zip Code ❑Directions Cross street or directions as applicable C Incident Type.* Midnight is 0000 E1 Date Times .'2 Shift 6 Alarms 412 ]Gas leak (natural gas or LPG) I check boxes if Month Incident Type - dates are the Day Year Hr Min Sec Local Option same as AlarmALARM always required L-•-J D Aid Given or Received* Date. Alarm * L O� 1 271 1 2012 20:23.37 IC I Shift or .Alarms District 1 ❑Mutual did r@C@1V@d ARRIVAL required, unless canceled or did not arrive Platoon 2 []Automatic aid recv. Tneil z FDID ITnI eiJ ® Arrival * 06 27 2012 20:30:03 State E 3 3 ❑Mutual aid given CONTROLLED Optional, Except for wildland fires Special Studies 4 ❑Automatic aid given []Controlled u I I Local option 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires N nNone Incident Number Last Unit ® Cleared L� 27 2012 21:34:13 Stacy lDk Special l alue l ri' Actions Taken 71r Gl Resources * G2 Estimated Dollar Losses & Values Check this box and skip this section if an Apparatus or LOSSES: Required for all fires if known. Optional 86 (Investigate I Personnel form is used. for non fires. None Primary Action.Taken (1) Apparatus Personnel property $1 1 000 000 Suppression 0001 0004 �--_1 El 45 lRemove hazard Contents $1 000 000 Additional Action Taken (2) EMS I -I PRE-INCIDENT VALUE; J J Optional Other Additional Action Taken (3) � Property $I I 000 , 00Q ElCheckbox if resource counts include aid received resources. contents $I I 000 , 000 Completed Modules Hl*Casualties®None H3 Hazardous Materials Release I Mixed Use Property ❑Fire-2 Deaths Injuries N ElNone NN Not Mixed Structure-3 Fire U 1 [:]Natural Gas: 10 Assembly use ce slew leak, no evauaticn or xarmt actions ❑Civil Fire Cas.-4 Servi 20 Education use ❑Fire Serv. Cas.75 2 ❑Propane gas: <zi lb. tank (aa in home RRQ grill) 33 Medical use Civan�� I J 3 [:]Gasoline: vehicle fuel tank or portable container 40 Residential use ❑�_6 4 ❑Kerosene: feel bur 51 Row of stores Detector n ing equipment or portable storage ❑HazMat-7 53- Enclosed mall Required for Confined Fires. 5 ❑Diesel fuel/fuel oil:vehicle fuel tank or portable [:]Wildland Fire-8 58 Bus. 6 Residential 1❑ []Household Detector alerted occupants 6 household solvents: ho /office spill, cleanup only 59 Office use 0 Apparatus-9. 7 ❑Motor- oil: rom f engine or portable container 60 Industrial use Personnel-10 2❑Detector did not-alert them 63 Military use []Paint; from paint cans totaling<ss gallons ❑Arson-11 8 65 Farm use U❑unknown 0 ❑Other: special HarMat actions required or spill>ssg.l., 0.0 Other mixed use Please c lets the BazMat form '- J Property Use* Structures 341❑clinic,clinic type infirmary 539 ❑Household goods,sales,repairs 131 342�Doctor/dentist office 579 Motor vehicle/boat sales/repair Church, place of worship 361 ❑Prison or jail not juvenile 571 ❑Gas or service station 161 ❑Restaurant or cafeteria 162 ❑Bar/Tavern or nightclub 419®1-or 2-Family dwelling 599 ❑ Business office 429❑Multi-family dwelling 213 Elementary school or kindergarten 615 ❑Electric generating plant 215 [:]High school or junior high 439❑Rooming/boarding,house 629 ❑Laboratory/science lab 449❑Commercial hotel or motel 700 [-]Manufacturing plant 241 ❑College, adult education 459 Residential board and care 311 ❑Care facility for the aged ❑ 819 ❑Livestock/poultry storage(barn) 464Dormitory/barracks Non-residential parking 331 ❑Hospital 882 ❑ p g garage Outside 519❑Food and beverage sales 891 Warehouse 936[]Vacant lot 981 ❑Construction site 124 [:]Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard 655❑crops Or orchard 946 ❑Lake, .river, stream 669 ❑Forest (timberland) Lookup and enter a Property Use code only if 951 Railroad right of way p y 807 ❑Outdoor storage area ❑ g Y you have NOT checked a Property Use box: 960 [:]other street Property Use 1419 919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway 931 ❑Open land or field 962 ❑Residential street/driveway for 2 family dwelling NFIRS-1 Revision 03 11 99 Iyannis Fire 01922 06/27/2n19 �9_nnn000n F'rson Entity Involved Local Option Business name (if applicable) - - - Area Code Phone Number ❑ �� (Ramona Irst Name I_� Douglas same address as MI Last Name Suffix 1 L� Check This Box if Mr.,Ms., Mrs. First incident location. - - - Then skip the three � - I U duplicate address Number I lines. Prefix Street or Highway Street Type _ Suffix J jHyannis Post Office Box Apt./Suite/Room .City MA 02601 -� J State Zip Code - - - - - More people involved? Check this box and attach Supplemental Forms (NFIRS—lS) as necessary K2 Owner Same as person involved? Then check this box and skip 508 - 771 - 6363 The rest of this section. - Local Option - Business name (if Applicable) Area Code Phone Number L-�Check (Carla �� �Thibeault 1 �� ® this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as incident location.Then sk IPITCHERS WY dupli ip the three or LJ cate address Number Prefix Street Highway lines Street Type Suffix IKASPRZAK, ROBERTA P & I LHYANNIS Post Office Box Apt./Suite/Room City. LtLj . 026� Ol I-�J State Zip Code L Remarks Local Option " Caller Phone 508-367-4149 Dispatch-1 2012/06/27 20:30:03 .- 826 AT EVENT MANNING IS 0 Dispatch-1 ; 2012/06/27 20:40:14 - REQUESTING GAS COMPANY Dispatch-1 ; 2012/06/27 20:40:23 -.GAS CO. NOTIFIED Dispatch-1 ; 2012/06/27 21:20:32 - GAS CO. ON LOCATION Dispatch_1 2012/06/27 20:25:04 SMELL OF GASI Dispatch-1 2012/06/27 20:25:23 SMELL OF NATURAL GAS NEAR DRYER We received a call reporting an intermittent odor of gas when they run their dryer. We responded with E-826 to investigate. Upon our arrival I spoke to the resident of the home and said she has no other problems with gas except her dryer. She said when she runs it she gets an odor of natural gas. We checked the meter and all of the gas appliances and had no odor or readings. When we ran the dryer we had an odor and a reading of 10% on the meter. This was outside near the vent-while the dryer was running: I had the gas company respond to-check the dryer. [, Authorization 1198901 L IKristofferson, Eric IICAPT/EMT-I I I I 061 LL7j2012 Officer in charge ID Signature, Position or rank Assignment Month _ Day Year lox if© 1198901 - I 1 Kristofferson, Eric 'I .1 CAPT/EMT-I 1 1 I�0.6-1 I 2u7I 2012 �s Officer Member making report ID Signature Position or rank Assignment I Month Day Year .n charge. annis Fire 01922 06/27/2012 12-0002829 'I- 'ON22 U 1 61 27 L 2012 1 124002829 l 000 complete FDID State Incident Date Narrative Station Incident Number * Exposure Narrative: Caller Phone 508-367-4149 Dispatch 1 2012/06/27 20:30:03 - 826 AT EVENT MANNING IS 0 Dispatch-1 2012/0&/27 20:40:14 - REQUESTING GAS COMPANY Dispatch-1 ; 2012/06/27 20:40:23 - GAS CO. NOTIFIED Dispatch 1 ; 2012/06/27 21:20:32 - GAS CO. ON LOCATION Dispatch-1 2012/06/27 20:25:04 SMELL OF GASI Dispatch_1 ; 2012/06/27 20:25:23 SMELL OF NATURAL GAS NEAR DRYER We received a call reporting an intermittent odor of gas when they run their dryer. We responded with E-826 to investigate. Upon our arrival I spoke to the resident of the home and said she has no other problems with gas except her dryer. She said when she runs it she gets an .odor of natural gas. We checked the meter and all of the gas appliances and had no odor or readings. .When we ran the dryer we had an odor and a reading of 10% on the meter. This was outside near the vent while the dryer was running. I had the gas company respond to check the dryer. National grid checked the dryer and found that the.ignighter was only working intermittently and causing some gas to be exhausted. We locked out the gas supply to the dryer and the resident will have the dryer checked by an appliance technician. While investigating I found several smoke detectors and CO detectors without batteries. I told the tenant to get them replaced asap. I also noticed a bedroom in the cellar and told, them that it was illegal to have a bedroom in the cellar because of egress through a bulkhead. She said it was for an occasional guest but I reiterated to dangers of someone sleeping in the cellar. E-826 cleared and returned to qtrs. Captain E Kristofferson 6/27/12 r ' Hyannis Fire 01922 06/27/2012 12-0002829 Parcel Detail Page 1 of 3 Logged In As: Parcel Detail Thursday,November 8 2012 Parcel Lookup • Parcel Info Parcel ID 1273-202 .� Developeer LOT 53 Location 11101 PITCHER'S WAY Pri Frontage 11225 Sec Road Sec _I Frontage Village HYANNIS ( Fire District LHYANNIS _ I Town sewer exists at this address No I Road Index 1276 Asbuilt Septic Scan: Interactive r ' 273202_1 Map - Owner Info _ Owner ITHIBEAULT, CARLA J&JENNIFER Co-owner �I Streetl I PO BOX 812 I Street2 j City BARNSTABLE State�MA Zip!02630-081 Country W Land Info —,-- — I Acres IT335� use jSingle Fam MDL-01 I Zoning 1RC-.1 Nghbd;r 0105 _J Topography,jLevel ( Road Paved utilities iPublicWater,Gas,Septic ( Location - Construction Info Building 1 of 1 Year;197 4--�-� RoofiG bl /Hip. Ext g Wood Shingle Built I Struct Wall Living F 1227 Root Asph/F GIs/Cm p AC I one Area I 1 L Cover- Type rid . Style Rai—nCh Int? Bed Wall MS Drywaif I Rooms 13 Bedrooms s ,e Int I—� �— Bath 0 Model Residential 12 Full Floor Carpet Rooms Heat — Total Grade jAverage Type(Hot Air Rooms�6 Rooms , Heat Found- PO �. stories�1 Story IGasPouredCone. Fuel� ation Gross 2954 _ I Area Permit History — - - --.. -- http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21047 11/8/2012 Parcel Detail Page 2 of 3 1IIssue Date jPurpose I Permit# I Amount I Insp Date I Comments II Visit History Date Who Purpose 5/7/2010 12:00:00 AM Tony Podlesney In Office Review 1/11/2010 12:00:00 AM Michele Arigo Change of Address 5 7 12:00:00 AM Karen Perry In Office Review 5/24/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 9/15/1990 12:00:00 AM IML I - Sales History Line Sale Date Owner Book/Page Sale Price 1 11/12/2009 THIBEAULT, CARLA J&JENNIFER 24157/315 $251,000 2 8/18/2008 KASPRZAK, ROBERTA P&MARCIO A 23106/100 $1 3 1/23/2002 MURTA, ROBERTA P&KASPRZAK, MARCIO A 14732/026 $100 4 12/27/2001 MURTA, ROBERTA P 14630/103 $189,800 5 10/11/2001 NYMAN,JAMES A 14319/250 $115,000 6 11/9/1976 1 CAMERA, MARY B 12286/047 1 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $91,800 $34,000 $1,000 $105,400 $232,200 2 2011 $123,600 $3,200 $0 $105,400 $232,200 3 2010 $117,300 $3,200 $0 $105,400 $225,900 4 2009 $111,300 $2,600 $0 $135,000 $248,900 5 2008 $132,300 $2,600 $0 $140,700 $275,600 7 2007 $131,600 $2,600 $0 $140,700 $274,900 8 2006 $120,200 $2,600 $0 $142,300 $265,100 9 2005 $112 400 $2,600 $0 $129,000 $244,000 10 2004 $91,100 $2,600 $0 $109,600 $203,300 11 2003 $82,800 $2,600 $0 $39,300 $124,700 12 2002 $82,800 $2,600 $0 $39,300 $124,700 13 2001 $82,800 $2,600 $0 $39,300 $124,700 14 2000 $66,000 $2,300 $0 $25,800 $94,100 15 1999 $66,000 $2,300 $0 $25,800 $94,100 16 1998 $66,000 $2,300 $0 $25,800 $94,100 17 1997 $61,300 $0 $0 $25,800 $87,100 18 1996 $61,300 $0 $0 $25,800 $87,100 19 1995 $61,300 $0 $0 $25,800 $87,100 20 1994 $58,700 $0 $0 $29,000 $87,700 21 1993 $58,700 $0 $0 $29,000 $87,700 22 1992 $66,800 $0 $0 $32,300 $99,100 23 1991 $78,800 $0 $0 $45,200 $124,000 24 1990 $78,800 $0 $0 $45,200 $124,000 25 1989 $78,800 $0 $0 $45,200 $124,000 26 1988 $52,000 $0 $0 $20,700 $72,700 27 1987 $52,000 $0 $0 $20,700 $72,700 28 1 1986 1 $52,0001 $01 $01 $20,7001 $72,700 http://issql2/intranet/propdata/ParcelDetail.aspx?ID=21047 11/8/2012 Parcel Detail Page 3 of 3 � Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21047 11/8/2012 Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Wednesday, November 07, 2012 3:16 PM To: 'jcosmo@hyannisfire.org' Subject: RE: 1101 Pitchers Way We don't have a street file on this property but I am making one today. The only permit I see in Munis was issued for a gas dryer. Did the Capt.identify what rendered the bedroom illegal? I am assuming it was a lack of egress but I need confirmation. If he identified it in a report, please send a copy over. The local building inspector may issue issue an exit order based on the official report otherwise we need to get it to see it. Robin C Anderson Zoning Enforcement Officer 1-bwn of BarnstabCe 200 Nain Street Hyannis, NA 026oi 5o8-862-4027 -----Original Message----- From: Lt. John Cosmo [mailto:jcosmo@hyannisfire.org] Sent: Wednesday, November 07, 2012 1:49 PM To: Anderson, Robin Subject: 1101 Pitchers Way _ Original call to the property was for an odor of natural gas which was tracked to the dryer. Captain reported there was possibly an illegal bedroom in the basement that the owner stated was used for an occasional guest. Very limited information any questions drop me a note.Thx John 11/7/2012 Page 1 of 1 Anderson, Robin From: Lt. John Cosmo Ucosmo@hyannisfire.org] Sent: Wednesday, November 07, 2012 1:49 PM To: Anderson, Robin Subject: 1101 Pitchers Way Original call to the property was for an odor of natural gas which was tracked to the dryer. Captain reported there was possibly an illegal bedroom in the basement that the owner stated was used for an occasional guest. Very limited information any questions drop me a note.Thx John 11/7/2012 (_17Y C 6/1SkaC40,-\ i Official Website of The Town of Barnstable - Property Lookup Page 1 of 3 Select Language! ♦I Assessing Division Property Lookup Results - 2012 367 Main Street,Hyannis,MA.02601 «BACK TO SEARCH« Print Friendly Owner Information-Map/Block/Lot:273 1 2021-Use Code:1010 -- -------- ------ .._.._...__..--.....- ---- ------- Owner - - Owner Name as of l/1/12 THIBEAULT,CARLA J&JENNIFER Map/Block/Lot GIS MAPS I PO BOX 812 27312021 BARNSTABLE,MA.02630-0812 Property Address Co Owner Name I 1101 PITCHER'S WAY Village:Hyannis Town Sewer At Address:No .............. .. .... .......... ... ......... _.._ _.._ Assessed Values 2012-Map/Block/Lot:273/202/ Use Code:1010 .._.... .......... _...._.... --------- 2012 Appraised Value 2012 Assessed Value Past Comparisons Building Value: $91,800 $91,800 Year Total Assessed Value Extra Features: $34,000 $34,000 2011-$232.200 Outbuildings: $1,000 $1,000 2010-$225,900 Land Value: $105,400 $105,400 2009-$248,900 2008-$275,600 2007-$274,900 2012 Totals $232,200 $232,200 2006-$265,100 ..... ...................... ......-....... - ..... .................-............... ....................................................................... Tax Information 2012-Map/Block/Lot:273/202/-Use Code:1010 F --- ------ ----— - ---- --............_......-............. .......--..._......._........._.............._ Taxes Hyannis FD Tax(Residential) $520.13 Fiscal Year 2012 TAX RATES HERE Community Preservation Act Tax $58.65 Town Tax(Residential) $1,955.12 $2,533.90 Sales History-Map/Block/Lot:273 1 202/-Use Code:1010 --- ---- -- - History: Owner: Sale Date Book/Page: Sale Price: THIBEAULT,CARLA J&JENNIFER 11/12/2009 24157/315 $251000 KASPRZAK,ROBERTA P&MARCIO A 8/18/2008 23106/100 $1 MURTA,ROBERTA P&KASPRZAK,MARCIO A1/23/2002 14732/026 $100 MURTA,ROBERTA P 12/27/2001 14630/103 $189800 NYMAN,JAMES A 10/11/2001 14319/250 $115000 CAMERA,MARY 8 1/9/1976 2286/047 $0 _ .....................................--.................. ....... Photos 273 1 202/-Use Code:1010 _.. There are not any photos for this parcel -- - .. ... .............. Sketches-Map/Block/Lot 273/202/ Use Code:1010 I 0 AS Built Cards:Click card#to view: #1 ) }( _..... ..._ . " .. ..... l Constructions Details Map/Block/Lot 273/202/ Use Code 1010 http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen l 2.asp?ap=0&searchpa... 11/7/2012 Official Website of The Town of Barnstable - Property Lookup Page 2 of 3 - Building Details Land Building value $91,800 Bedrooms 3 Bedrooms USE CODE 1010 Total Improvements Value $107,951 Bathrooms 2 Full Lot Size(Acres) 0.35 Model Residential Total Rooms 6 Rooms Appraised Value $105,400 Style Ranch Heat Fuel Gas Assessed Value $105,400 Grade Average Heat Type Hot Air Year Built 1974 AC Type None Effective depreciation 15 Interior Floors Carpet Stories 1 Story Interior Walls Drywall Living Area sqlft 1.227 Exterior Walls Wood Shingle Gross Area sq/ft 2,954 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp -- - _ ... --- _........ ......... ............ Outbuildings&Extra Features Map/Block/Lot 273 1 202/-Use Code:1010 ..... ........ ........... _ ........ Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement-Unfinished 1227 $22,900 $22,900 GAR Attached Garage 288 $7,900 $7,900 PAT1 Patio-Average 212 $1,000 $1.000 i FPL1 Fireplace 1 story 1 $3,200 $3,200 Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only i BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area TQS Three Quarters Story(Finished) (Finished) BRN Bam GAR Garage UAT Attic Area(Unfinished) CAN Canopy GAZ Gazebo UHS Half Story(Unfinished) CLP Loading Platform GRN Greenhouse UST Utility Area(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UTQ Three Quarters Story (Unfinished) FCP Carport KEN Kennel UUA Unfinished Utility Attic FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) PRG Pergola WOK Wood Deck FOP Open or Screened in Porch PTO Patio i ...................._---............................._... ................ ......... ...._ ... ........ 4.Print_ Friendly Contact Director of Assessing Jeffrey Rudziak P 508-862-4022 F 508-862-4722 8:30a.m.to 4:30p.m. Helpful Links to Downloads Abatements Department of Revenue Exemptions Parcel Consolidation Questions about values Town Tax Rates-FY12 Town Land Use Codes ,Helpful Maps All Town Maps Flood Insurance Maps Property Maps Contact Director of Assessing Jeffrey Rudziak http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen 12.asp?ap=0&searchpa... 11/7/2012 Official Website of The Town of Barnstable - Property Lookup Page 3 of 3 �P 508-862-4022 F 508-862-4722 8:30a.m.to 4:30p.m. Related Boards Board of Assessors Owned and Operated by The Town of Barnstable-Information Technology Home Departments&Services I Boards&Committees I Residents&Visitors I Doing Business I Town Calendar I Phone Directory Employment I Email Town Hall 0 http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen 12.asp?ap=0&searchpa... 11/7/2012