HomeMy WebLinkAbout1025 FALMOUTH RD - SOUTHSIDE VILLAGE COI SOUTHSIDE VILLAGE
CERT.S OF INSP.
n
THE r, Town of Barnstable
Regulatory Services
* B" . Richard V. Scali, Interim Director
�EO39. 1%� 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
February 7,2014
Housing Assistance Corporation
460 West Main Street
Hyannis,MA 02601
Attention: Faith Woodcock
Re: Certificate of Inspection
Multi-family Development(5-year Certificate)
Southside Village
1013 Falmouth Road,Hyannis
Dear Ms. Woodcock:
Attached you will find an application for a Certificate of Inspection as required by Section 110.7 of the
Massachusetts State Building Code,Eighth Edition.
Please complete the application and return it to this office with the required fee:
Building 2: 4 Units - $93.00
Building 3: 4 Units - $93.00
Total $186.00
(Certificates of Inspection are not required for the three-unit buildings(Buildings land 4).
The fee has been established by the Massachusetts State Building Code(Table 110),and amended by the
Barnstable Town Council effective 8/6/01,may be issued.A copy of said Certificate shall be kept posted as
specified in Section 120.5.2 of the State Code.
Please call Brenda Coyle,Division Assistant,at 508-862-4039 if you have any questions.
Sincerely,
�0 YLk,�
Tom Perry
Building Commissioner
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
MULTI-FAMILY
FIVE-YEAR CERTIFICATE hi1
Date (X) Fee Required
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL
TYPE OF UNITS NUMBER OF UNITS
TOTAL
STUDIO
1 BEDROOM
2 BEDROOM
3 BEDROOM
OTHER
Certificate to be Issued to:
Address:
Telephone:
Name and Telephone Number-of Local Manager,if any:
Owner of Record of Building:
Address:
Name of Present Holder of Certificate:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certliied.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# EXPIRATION DATE:
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COMMONWEALTH OF MASSAC1 USETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
MULTI-FAMILY
FIVE-YEAR CERTIFICATE
Date (X) Fee Required$
J3
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,'Section 110.7,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL
TYPE OF UNITS NUMBER OF UNITS
TOTAL
STUDIO
I BEDROOM
2 BEDROOM
3 BEDROOM
OTHER
Certificate to be Issued to:
Address:
Telephone:
Name and Telephone Number of Local Manager,if any:
Owner of Record of Building:
Address:
Name of Present Holder of Certificate:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN,OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE: N
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certfied.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# EXPIRATION DATE:
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COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR-CERTIFICATE OF INSPECTION
MULTI-FAMILY
FIVE-YEAR CERTIFICATE
Date (X) Fee Required $ v
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5, I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used: MULTI-FAMILY RESIDENTIAL
TYPE OF UNITS NUMBER OF UNITS
TOTAL
STUDIO
1 BEDROOM
2 BEDROOM
3 BEDROOM
OTHER
Certificate to be Issued to:
Address:
Telephone:
Name and Telephone Number of Local Manager, if any:
Owner of Record of Building:
Address:
Name of Present Holder of Certificate:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the.certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# EXPIRATION DATE:
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I
1
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
MULTI-FAMILY _
FIVE-YEAR CERTIFICATE
Date (X) Fee Required $ �
( ) NoTee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a.Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used: MULTI-FAMILY RESIDENTIAL
TYPE OF UNITS NUMBER OF.UNITS
TOTAL
STUDIO
1 BEDROOM
2 BEDROOM
3 BEDROOM
OTHER
Certificate to be Issued to:
Address:
Telephone:
Name and Telephone Number of Lccal Manager, if any:
Owner of Record of Building:
Address:
Name of Present Holder of Certificate:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# EXPIRATION DATE:
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r The Commonwealth of Massachusetts
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to HOUSING ASSISTANCE CORPORATION
Certify that I have inspected the premises known as:
SOUTHSIDE VILLAGE
located at 1025 FALMOUTH ROAD in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R2
The means of egress are sufficient for the following number ofpersons.
Location Capacity Location Capacity
BUILDING 2(B)
4 TWO-BEDROOM UNITS
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201402285 3/18/2014 3/18/2019 250 002
The building official shall be notified within(10) days of any _
changes in the above information. Building Ofcial
(ek 5 COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
MULTI-FAMILY
Date
)DIVE-YEAR CERTIFICATE }�
_ q r�a
(X) Fee Required$
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106,5,1 hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Narne of Premises:
Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL
TYPE OF UNITS NUMBER OF UNITS
10TAL
STUDIO
I B ROOIv[
2 BEDROOM "'
3 BEDROOM
OTHER
Certificate to be Issued to: �5
Address: _ f di.9� LA)_ �/1 r; -- A-U
Telephone:
Name and Telephone Number of Local Manager,if any: -7? t _
Owner of Record of Building:
O
Address:
C1
Narne of Present Holder of Certificate:_
A RO WJOTTSIG F Pic, M CERIFICAE r J3
CD IS ISSUED OR AUTHORIZED AGENT r n
PLEA E PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF 13AMSTABEE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYAN111S,MA 02601
PLEASE NOTE
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)day$.of any change in.the above information.
FOR OFFICE USE ONLY: -
C)✓!�TIFICATE E:MRATION"DA T E:
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The Commonwealth of Massachusetts
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to HOUSING ASSISTANCE CORPORATION
Certify that 1 have inspected the premises known as:
SOUTHSIDE VILLAGE
located at 1025 FALMOUTH ROAD in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R2
The means of egress are suff cient for the following number of persons:
Location Capacity Location Capacity
BUILDING 3 (C)
4 TWO-BEDROOM UNITS
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201402283 3/18/2014 3/18/2019 250 002
The building official shall be notified within(10) days of any
changes in the above information. Building Official
V I h•
COMMONWEALTH OF MASSACHUSETTS �-
TOWN OF BA.RNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
MULTI-FAMILY
Date—AM FTVE-YEAR CERTIFICATE
(X) Fee Required S <
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5, 1 hereby apply fora Certificate of
Inspection for the below-named premises located at the following address.
Street and Number: P
Name of premises: t
Purpose::;r rhici premises is used:MULTI-FAMILY RESIDENTIAL {
TYPE OF UNITS NUM)3ER OF UN '$
TOTAL
STUD10
I ;BEDROOM
2 BEDROOM
3�ROOM
OTHER
Certificate to be Issued to:
Address: .e
Telephone: 3-5-
Name and Telephone Number of Local Manager, if any:
Owner of Record of Building: lS
Address: U l n 1� t y Q r g�` C
(l A Qnn,S �� ®�
Name of Present Holder of Certificate: v
SIGNAL R 0 1'E SON TO WHOM CERTIFICATE
IS ISSUE OR AUTHPRIZED AGENT
PLEASE PRrNT NAN
INSTRUCTIONS:
1)Make check payable to: TOWN OF 13A.RNSTA8Ll3
?)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN SRIr) T,�iYANNIS,MA 02601
PLE M NOTE T
1)Application form with accompanying fee must be submitted for each building or structure.or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)day§of atiy change in the,above infott iation.
FOR OFFICE USE ONLY:
CERTIFICATE EXPiRATION DATE:
Ir
coiay mf
add
eorr monwealtb of -ft1a.5.arbU.5ett,5
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to HOUSING ASSISTANCE CORPORATION
QLPrtifp that 1 have inspected the premises known as:
SOUTHSIDE VILLAGE
located at 1013 FALMOUTH ROAD in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R2
The means of egress are suf<cient for the following number of persons:
Location Capacity Location Capacity
BUILDING 2 (B)
4 TWO-BEDROOM UNITS
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
200900694 3/18/2009 3/18/2014 250 002
The building official shall be notified within(10) days of any
changes in the above information.
Building Off cial
7R -
Commonbicaltb of Aa.5 arbuott'q
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to HOUSING ASSISTANCE CORPORATION
Q�El'ttfp that 1 have inspected the premises known as:
SOUTHSIDE VILLAGE
located at 1013 FALMOUTH ROAD in the pillage of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R2
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
BUILDING 3 (C)
4 TWO-BEDROOM UNITS
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
200900697 3/W2009 3/18/2014 250 002
The building official shall be notified within(10) days of any
changes in the above information. __ OL,_
Building Of
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X) Fee Required$ /c:PJ�7 . f� J
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5, I hereby apply for a Certificate of
Inspection for the b��-anted premises located at the
following address: Q &LOWA
Street and Number: . - �{�{�- �. I n13-
Name of Premises:
/Id L
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit A ene
Certificate to be Issued to: 5
Address: 1,5
Telephone: —S D
Owner of Record of Building:
Address: rr}1 ,,��
Name of Present Holder of Certificate: V 0e `
Name Agent if any: ,
SIG ATURE OF PERSON TO S'VI$OM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
ER co
PLEASE PRINT NAME
INSTRUCTIONS: 3
1)Make check payable to: TOWN OF BARNSTABLE
2) Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, H ANNIS,�i'rA 02>6;01
c.n ty
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# EXPIRATION DATE:
J020115a 9 7
Message Page 1 of 1
Coyle, Brenda
From: Schlegel, Frank
Sent: Thursday, April 03, 2014 3:40 PM
To: Coyle, Brenda
Subject: RE: Address
Hi Brenda,
The report you sent me was for Map 250 Parcel 002-OOA-ETC. with the address of#1013 Falmouth Rd./Rte.28 in
2006. The address report you sent me has a note saying I confirmed#1025 Falmouth Rd./Rte 28. The#1025
Falmouth Rd./Rte.28 was confirmed as Map 250 Parcel 002.00A-OON in 2007, When this was a vacant parcel
(Map 250 Parcel 094) back in 2003, there were two addresses reserved for this parcel, #1013 & 1041. These two
addresses were established at both ends of the parcel.. As you can see in the enclosed report dated 2003, 1
emailed the building department that a "dummy" parcel was used with the new address of#1025 Falmouth
Rd./Rte.28 for this property because the access into the complex was provided in the middle of the parcel. That
required a change from 1013 to 1025. Sometime later, the parcel was set up as a condo and many records were
established against the parent parcel of Map 250 Parcel 002 Somewhere along the line, assessor's deleted Map
250 Parcel 094 and changed it to Map 250 Parcel 002. When they did that, they carried over the old record
address of#1013. 1 was made aware of this in 2007 and confirmed the new address for the complex on Map 250
Parcel 002.00A-Etc.as#1025. This was a problem in the past when the Assessor's would change a record and
not notify Engineering so I could update the addresses for 911 purposes. So, #1013 was the address for Map 250
Parcel 094 when it was vacant land. When the condo was constructed back in 2003, a temp/dummy parcel was
created to show the new address (#1025)for construction. The assessors changed the parent parcel number
from Map 250 Parcel 094 to Parcel 002 and carried over the old address for that parcel. I discovered the error and
updated the address to the original address for the condo complex in 2007. This is what happened when the
databases were changing and records were changing at the same time. Some records were missed for correction
when the records changed. With the new system, we no longer use those temp. parcel numbers because they
never got transferred to the new parcel numbers. This would happen when there was a change in the land
definitions at the time of construction. The current address for this complex"IS"#1025 and has been since the
building was constructed.
Please let me know if you need more help with this.
Frank Schlegel
E911 Data Liaison
Engineering Records Manager
(508) 790-6400 x-4942
-----Original Message-----
From: Coyle, Brenda
Sent: Thursday, April 03, 2014 11:54 AM
To: Schlegel, Frank
Subject: Address
Hi Frank,
Attached please review and let me know which is the correct address? Currently on Parcel lookup you
cannot view 1013 Falmouth Road.
Thank you,
Brenda Coyle
4/3/2014
�A $firf !� 4"f4Qt4-i iviA'p �3'6sa -
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3nx4 sad
to � �
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Logged I Parcel Lookup Monday, Marc
Nancy Larned ed
Road Lookup Condo Lookup
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Parcel Location Owner Village
250-023-XO1 FALMOUTH RD MELE,STEVEN A
250-027-X01 1080 FALMOUTH RD WEQUAQUET STRAWBERRY HILL LP
250-027-XO2 1080 FALMOUTH RD WEQUAQUET STRAWBERRY HILL LP
250-002-001 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOF 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOL 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOM 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OON 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOA 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOA 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOB 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOC 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOD 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOG 1013 FALMOUTH ROAD/RTE28 HOUSING ASSISTANCE CORP
250-002-OOH 1013 FALMOUTH ROAD/RTE28 HOUSING ASSISTANCE CORP
250-002-OOJ 1013 FALMOUTH ROAD/RTE28 HOUSING ASSISTANCE CORP
250-002-OOK 1013,FALMOUTH ROAD/RTE28 HOUSING ASSISTANCE CORP
250-002-OOE 1013 FALMOUTHROAD/RTE28 HOUSING ASSISTANCE CORP
168-080-003 FALMOUTH ROAD/RTE 28 GRANT, JOSEPH G & CONSTANCE CEN
168-090 FALMOUTH ROAD/RTE 28 BARNSTABLE, TOWN OF (CON) CEN
C
�- r�s c c�e �(� �
http:/hssgUlntranet/propdata/lookup.aspx V �I�D�C 3/20/2006
U
Message Page 1 of 1
Coyle, Brenda
From: Deputy Dean Me anson [dmelanson@hyannisfire.org]
Sent: Thursday, April 03, 2014 1:05 PM
To: Coyle, Brenda
Subject: Re: Address
We list it as 1025 Falmout-i Road.
Deputy Chief Dean L.Melanson
Office 508-775-1300
Fax 508-778-6448
dmelanson@hyan ni sf i re.org
On Apr 3, 2014, at 11:21 AM, "Coyle, Brenda" <Brenda.Coyle&town.barnstable.ma.us> wrote:
Hi Dean,
Can you assist me wit.i an address?Which one do you have as existing address 1013 Falmouth
Road, Hyannis or 1025 Falmouth Road, Hyannis. Known as the Southside Village.
Thank you,
Brenda Coyle
Building Dept. Admin.
4/3/2014
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`'. (&I F'36) SOUTHSIDE VILLAGE."
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OF BARNSTAMI
WOME POOLC WOO
N� OXISIN
WAMN(it. M
UPDATE :PROPERTY RECORDS; ADD CHANGE. DELETE NOTES HELP END.
CHANGE RECORDS ON PROPERTY, TABLE
_ _---_ r ��2. '-----.__._._
PENTAMAT:ION---- ---- --- Q;3/18/0'3
PARCEL ID 000 00.0: 261 GEOBASE ID
LOT/BLOCK - -_-- ' DBA
ADDRESS 102S' FALMO:UTH RD'/RTE 28 DEVELOPMENT
ADDRESS LINE 2>
ADDRESS; LINE 3 HYANNIS ZIP'
OWNER NAME SOUTHSIDE VILLAGE
OWNER :ADDRESS Z:IP"
ADDRESS LINE 2' DISTRICT
ADDRESS. LINE 3 PHONE
STATUS CAPACITY`(NOTE;S)
Z.ONING, DIST/ZbC SEWER SYSTEM`
FLO:OD'"PLN/ELEV. WATER SYSTEM
OKH? # BEDROOMS
ZBA DECISION FAMILY APT
LOT. SIZE OVER/MGR "NAME:
WET LANDS MULT ADDRESS
USE PROTECT DI8T
ENTER Y lF ALL :ARE CORRECT OR IN TO'REENTER" Y
UNIQUE :PARCEL. ID
T000fBARNSTABLE
RTMENT OF PUBLIC WOPA
iINIEA1NG BIVISIi
361 MAIN MEET
WANK MAI 02601,
PERMIT NO:
SEPTIC ABANDONMENT PERMIT TOWN OF BARNSTABLE
• OBTAINED FROM HEALTH DEPT.
SEWER.CONNECTION PERMIT
• Abandonment Fetml>: Not. aeao®o®..• HS
Required OFFICIAL USE ONLY 16-24 0085
NS
Assessors Map No.
Assessors Parcel No Coif+00Z _" 07-50 0086
Street: 1015 RxMc7C A 'RJ
Village:
PROJECT CONTACTS �SoZ
PROPERTY OWNER(Mailing Address SEWEi
OB_
Name: 117>ar��ib.GZCJ'�ir U$74 Tv) Name: �a�S 10200
/ 00 3
w
fncu
Address: o gox qZ9 Address:
mfrrl . Q t'I �-row
Phone: �St' j~ �" � Phone: j4 ie Jr��
License No:
l /OWNER'S AGENTIENGINEER
Name: LgA� TP1( �r11�` Address:
PROJECT DESCRIPTION REGULATORY REQUIREMENTS
m m
rmerll
W-h S4vriHyJyeG:W ,•r -v r- ` ` ::r4•.`Z•� •_::•:vry •: •j f• .
--- - .. �'-, �xi+•r -ccf? �_nt-',`.k..ye:S'7�:; .a -
w_;� r'� �:�M,,,M�,uk»max.;.• "�`:.�:s'::r.- �w``. �. rs !•x The Installation of all sewer connections must be done in accordance with the
provisions of Article )OOM, Town of Barnstable , General By-laws and
RESIDENTIAL 1`t regulations Issued by the Department of Public Works. Before ex=mfing
within a Town Way the sewer installer must also obtain a Road Opening
COMMERCIAL permit and comply with the Construction Standards and Specifications
outlined therein. At least 46 hours prior to the Installation,the applicant must
RESTAURANT notlfythe apartment of Public Works,Englneer€og Division for the purpose
or Inspecting the installation. The Inspector WI1 complete the Compliance
INDUSTRIAL Sketch locating the installed/nes.and connection. By sign€ng the Application,
the applicant acknowledges and understands the regulatory requirements and
STANDARD INDUSTRIAL CLASSIFICATION NO, understands that failure io coft*with them shall be grounds for revocation
of the Sewer Connection Permit and the denial of any future application.
NO.OF BUILDINGS ! NO.OF BEDROOMS 3
SIZE OF PARCEL ACRES
ACRES
ESTIMATED DAILY SEWAGE _�] . GALLONS
PIPING:LENGTH �CSC� DIAMETER
EXPECTED W$TALLATION DATE
SIGNATURE(INSTALLERIAGEN DATE '2
SIGNATURE(DPW APPROVA DATE /w. �
Town of Barnstable
_ Engineering Department:
• .ems
30 Main Street, Hyannis,MA 02601
FAX Date: 3
Number of pages including cover sheet:
TO• FROM:
Engineering;D.,epartrnent
�..�7'� �) {.fir -i ,.-" ,-w--•
Phone: 5084624088
Phone:. Fax pbone: 508=8624711
Fax.phone:; ) ;I
CC:
REMARKS: 0 Urgent D For your review Q Reply ASAP 0 Please:comment
Z n c rvs
r� ( _ F
..� � E`?��R-�rs.ra'.�'t"�rt u 1 F�r„��� u a .�. �c;t;c ra t � - i C.�
( � f { �t _. GJtL .. 4�t' LJiiISt~ Y�Vii"ice {.�: CJ 0�'Y.: ';1:
Schlegel, Frank
To: Larned, Nancy
Subject: SOUTHSIDE VILLAGE
Hi Nancy. I've reviewed the plan for this development.Engineering is-just finishing the paper work for the sewer permit.
The new address is#1025 Falmouth Rd/Rte 28, Hyannis.The dummy parcel is 000 000 261. 1 built the account in
Pentamation. I will fax the sewer permit along with the printout for the dummy parcel to McShane Construction. Note, there
was a wide telephone easement across this property.The easement appears to have been released by Verizon and is
recorded at the Registry of Deeds under Dbk 15583 Page 233. 1 have a copy of the easement release here if you need a
copy. I believe this is all you needed.
1
Mar 18 03 11 : 16a McShane Construction 508 428 8508 p. 1
ReEdtors s
Builders
Fh) Developers
AmTo: (/y/ From:
Fax: O Pages:
Phone; Dabx
Re: I CC:
❑Urgent ❑For Review ❑Please Comment 0 Please Reply ❑Please Recycle
Boa 429
Osterville, MA 02655
Phone: 508.428.8500
Fax: 508.428.8508
email:ofhce@nicshane.wu.�u-uction.com
wv�rNv.mesh anecc nstzucti on.co m
Mar 18 03 11 : 16a McShane Construction 500 420 8508 p. 2
Nov 04 2002 16:30 FR TO 15OB42BBSOB P.03iO3
Dull k Raney ri n
125 High W081
B.09on,MA 02110
Phone 617.7414088
Fdl('617.743.4078
September 7, 2002
1,David A. Raney,Assistant Secretary of Verizon New England Inc.
(formerly known as New England Telephone and Telegraph Company, do
hereby certify:
1. That Henry B.Gamsby, Director, OSP/Mass. Engineering,was duly
authorized to execute the attached Partial Release of Easement,
dated August 12, 2002, partially releasing an easement on property
situated in Barnstable,Massachusetts unto Waiter Bailey.
2. That Henry B.'Gamsby,who executed said instrument,was then
and is now the duly appointed Director,OSP/Mass. Engineering.
2. That the signature appearing thereon is that of the aforesaid Henry
8. Gamsby.
David A. Raney
Assistant Secretary
(Corporate Seal)
* TOTAL PAGE.03
Mar 18 03 11 : 16a McShane Construction 508 428 850E P. 3
,.u.r u-e cerise iu•e7 rre lu lz0tf4_ItS ">W r.b1/b..
Sk L5583 P9233 9743727
09-12-2002 4 10911a
PARTYAL RELEASE OF EASEMENT
VERIZ.ON NEW ENGLAND INC. (formerly known as-New England Telephone and Telegraph Company). a
corporation duly or 'zed under the laws of New York and having a principal place of business at 185 Fnnkl n
Street,liostoa clrrrsetfs OZ110;libldcr of an Easetnaut froru Welaiuee Coipo4don to Southern Massaehuseifs
Telephone Company as assigned by Southern Massachusetts Ttlephorte Company to New England Telephone and
Telegraph Company,said Easement being dated November 20.1913 and recorded at the Barnstable County Registry
of Deeds irk kAi1Yu Book 323,page 592(assigned in Book 393,Page 315)aid an Easement tram Charles L.Ayling to
New England Telephone and Telegraph Company,said Easement being dated August 14, 1929,and r�oordcd at the
Barnstable County Registry of Deeds in Ma Book 468, Page 100, ibr One Dollar (31.00) and aficr-fahmbio
ceaeideua6en paid by the herein current property owners,the receipt of which is hereby acknowledged,does hereby
release to Walter Sail being the vorent property owner,his heirs,successors and assigns in title,of".premises
•alanonth Roa4 Barnstable,Barnstable County.Massachusetts.appearing as Parcels 2 and 94 of
Assessors Map 250 and described in deed recorded at the Barnstable;County Registry of Deeds in Book 4343,Page
111,all rights and interest it acquired under Me said Easements in the following described ponioo of the propertY
burdened by said Easements:
SEE EXHIBIT A
W But this Release shah not impair any wher rights acquired under said Easement
dIN WITNESS WISREOF,flee said VE MN NEW ENGLAND INC.has caused its corporate seal to be
hereto a&red and these presents to be signed, acmowledged and delivered in-Its Ram Ad behalf by Henry B.
rantsby lie Director,FMC Mass..hereto drily authorized,this �"�'day of '2002.
VE NEW EN INC.
By-
H G y
D' o Mass.
The Commonwealth of munc'huft"s
ss.
(County)
Then persopally appeared the above-named Mary B.GamLsby,who acknowledged hiQwK to be thq Director,FMC-
Mass of VEMON NEW ENGLAND INC.and that he,as sttch being authorized so to do,exccaled the foregoing
insuv acne in behalf of said corporation and acknowledged the foregoing to be hae acr and deed and the
and deed of the said corporation,before me.
My Commission expires^J 3
Notary c(slgttataa<e
Nosy P61ic(please 2uittt)
Return to: Vetizon New England,Inc
Right of way
44 Old Town House Road
South Yarmouth,MA 02664 02--E I S
.tt�
f
Mar 18 03 11 : 17a McShane Construction 508 428 8508 p. 4
w <enx to:� rK M 15084288508 P.02/03
EX ]Bff A
cel 1
The land situated in that part of Barnstable known as Ccntetville,
de mIxd as follows: Bamstable County,Massachusetts,bounded and
Beginning at a stake in the southerly aide line of the State Highway at land of Annie B.Hinckley,at al;
7bence in a southerly dLmv6on,by land of said Hinckley about one hundred twenty--five (125) feet to a
stake at a corner,
'I hence in a nOrthW=erly direction by land now or foraietiy of KobM Elliott to the State Elighway;
Thcm in an ft5tvdy direction over the southerly side lint of tho Stato Highway to the first mcntioned
point or place of beginning
Contain M WIDO (.92)aCres more'or less and shown as Parcel "B" on a plan made by Nelson Beatse, C. B,,
Centerville,Mass
For title reference see deed of Nancy B. Gdffia dated March 22, 1937, recorded with the Barnstable County
Registry ofDeeds,Book No.523.Pagc No.436.
.Parcel Z
A certain parcel of woodland shuated in said aacnttable (Ceumnille)and adjoining Premises of the grantee, and
bounded and described as follows_
On North by land of the grantee,there tneastuing three hundred thirty-two(332)feet.
On the East by land newer f anedy ofMym B.Hinckley,tlrare measuring ninety-live(95)feet;
On the South by tend of the grantor,there measuring one hundred ninety-five(195)feet;and
On the West by lead of the"to;tbaoe ttteasurinl;two hundred(200)feet.
All Of the abovC distanecs and measumments being more or Ices.
For tine rrei'mnce,see deed of Robert S.Elliott dated April 2, 1940,m ordcd with tltc egistry BaatstabiE Courty,R
of Deeds,Book No.564,page No.424.
eorA343 r-ati 10
a -cHus—oui-r-AIM osso s11o1 Foam timalvic-1)as,Y
59901
1, MYRTLE A. WOOD,
of W a i.i k&m h G It,t O L eSk County,Massachusetts,
being unmarried,for consideration paid,and in full consideration of Forty Seven Thousand Dollars
($47.000)
grants ro WALTER BAILEY •
Of 25 Lyman Street, Waltham, Masaachusetts, with 4uarinEm rautuania
PARCEL. 1 _
the landiypt a tuate in that part of Barnstable known as Centerville, Barnstable County,
Massachusetts, bounded and described as follows.,
[Desa papa and e"wnk Km U Any]
Beginning at a stake in the southerly side line of the State Highway at land of
of Annie B. Hinckley, at el;
Thence in a southerly direction by land of said Hinckley about one hundred
twenty-five (125) feet to a stake at a corner;
Thence in a northwesterly direction by land now or formerly of Robert Elliott
to the State Highway;
Thence in an easterly direction over the southerly side line of the State Highway
to the first mentioned point or place of beginning;
Containing 92/100 (.92) acres more or less and shown as Parcel "B" on a plat
made by Nelson Hearse, C.E., Centerville, Mass.
Subject to easements given to the Southern Massachusetts Telephone Co. by
Charles L. Ayling,
For title reference see deed of Nancy B. Griffin dated March 22, 1937, recorded
with Barnstable County Deeds, Book 523, Page 436.
PARCEL 2
A certain parcel of woodland situated in said Barnstable (Centerville)
adjoining premises of the grantee, and bounded and described as follouas
On North by land of the grantee, there measuring three hundeed thirty-two
(332) feet;
On the East by land now or formerly of Myra B. Hinckley, there measuring
ninety-five (95) feet;
On the South by land of the grantor, threre. measuring one hundred
ninety-five (195) feet; and
0n the West by land of the grantor, there measuring two hundred
(200) feet.
All of the above distances and measurements being more or less.
For title reference see deed of Robert S. Elliott dated April 2.
1940, recorded with Barnstable County Deeds, Book 564, Page 424.
sooK4343 FAc=' IAi -,
- . ......:.
JOUm e...........lmd ttnd seal dds...2.Z...........dav of LLz�u�1..................t9..TY
.................r).',4uy.,".............a
.. .�.•,iS:r��•..:.5.:' 1'.. ,fit� ..�'4 ;..�
...................................... . ........ .. Q' C2 E .. •is; N;'=f1Q7 1
...................,....................................................
alp Qcamunwatt$of Marssadplutts
fpP�pser ss �u'� 2Z 19k-/
Then personally appeared the above named
aad admowledged the foregoing msm went to f act dtxdt
_ .. �.... .« a of Peace
My mmission aPim Z f 19
r
($todividud—Joint Te Tenaats ' Common—Tenants by the Entirety.)
CHAPPBB ta!SEC.6 AS AMENDED BY CHAPM 697 OF 1969 1
Every deed preshated for tecotd slat)conWa or have endoned upon it the full name,reddawe and poet office eddsas of the grams
ad 11
mc�W of the amount of the full comidemlloo thereof in dolim or the astum of the other coraidemd"thewor.it not delivered for
a speafie monetary awn The full cotaidention shall mean the toted luice for the coaveysmce without deduction for am liens or en,
tvmbram es usamed b1 the grantee or[emainhtg thereon. AB such eodarumats end seeiiab shall be recorded ss part of the deed.
Failure to comply with this section shall eat of 1 the validity of ay deed.No register of deeds shdl accept a deed for recording unicas
it is in compliam with the requirements of this section. ,i(d f"IrIj DEC +
�1�ubiltl;.L () .
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....... . .. ........
WITNESS our has�da and-common.seal this• eighteenth day of
Mareh,:'nineteen bundred'and forty.
' Ck. CL .
N
• fin... \c] � n.�r`� .
=p
STATE OF CALIFORNIA
CWlmy OF
LOS AWEM.. .. so. March 21st, 1940.
,;:�� �• 0 ersonally appeared the above-named ltamiltlm Garland
clged the foregoing instrument to be his as aot and
"k Notary Public
cv..
NY Commission Expires Y 11, 1942.
;'. .i Please attach Certificate
of Notaryts authority.
eTAT®00 CAL"O>tfl�A l 111 Y.1
C—tr of L Atgalas J an
k, �, LAMPTON, County Clerk and Qerk of the Superior Court of the state at' Cabfondl In and far "Id
Colmty, the g of record, of the afar.said County, having by law a seal. do hereby sentry that ..
whore naaa is sabeedbed to the attaabed aertltlrate
.r aahmawledsnent, proof Of amdavlt, wee at the time of taking Bald aoknowleagumt, Proof Or elCdavlt, a Notary Public
IN Aq{o_irDti 101wApC>€Ly#,..CQU,NTY,dui,coumttsaioned asd sworn and raekUng In said County,and Iran,u suah,on officer
of said$fete,duly wtbo d by tbe.laws thereof to take iad oortity the name,as well we to take and eortity the Proof and
acknodledamdat .qttr'fl�yr fuetrutnaats is wrlUU to he recorded in send state,nod that full Wth ned oredit use and
ought to.by '•a7Sts•bit the kno—don of Me elselal.eel 1e oat reWred by law to be dMed La the ofAce Of the
— Coahr4 " E,:m waU agqu.].ted with ids handwriting and verily breve that the elPatare to the altaobed
daptg - .. n 'thtrther that tbs wooaed kwitnjo®t 1s emonted and acknowledged lacording to the lawn
Of the u 1: g Wll.ea.,ra„„t f lava herwete not®baaa and al'at"M superior Coact
1Yt
.:•
f��. e(ft� ` �•' County Chest and Clerk of the saparlar Court of the elate
.y,r}�4C Q,?' • of Calltornls,Pn an Cou of Led AU9610L
ri,•1R.R. 4.+ .'.ti•
•. �.... • :. ,' ey � Deputy.
._ .na
C.
rs a g? l ;F';+ V.E.MOROAN
Barnstable, ssa, Received April 13, 1940, and is recorded.
_..�—.__._ � •1 mil'
�a_..R4k9' .g._•. .4�t,__»:_.»._....•.._.._»...»..:...».._............_...._.....__..»......_.•.__...._•».•...•»•._•........._.......
of.. Barnstable_(QenCervill Massachusetts
e marW..x-,kd,far ConsideratioRpaid,grant tau.. _._...._.»._._............_..»....»...»
Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, MA 02664
Tel: 508-398-0398 Fag: 508-398-0399
2/12/16
Town of Barnstable
Thomas Perry CBO
Building Commissioner
200 Main St. Hyannis,MA 02601 C) -'
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1
RE: Building Permit#B-16-26
rnrn
TO: Building Inspector(s),
This affidavit is to certify that all work completed for 1025 Falmouth Road Apt D3,Hyannis has
been inspected by a third party Certified Building Performance Institute (BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
William McCluskey
`1bWN OF BARNSTABLE BUILDING PERMIT APPLICATION
aso o.
Map Parcel �. �6 Application
Health Division 2 Date Issued
Conservation Division % �6, Application F
Planning Dept. O�2 �yd ?'� Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address l 0 aS FA. mo w
Village lk- nn t(
Owner i SisikCorpAddress 6O W• ��^ St u
Telephone $0 36
Permit Request All 'k-j 9 cP2 �05C 1'0' "'Fht gAr
(�,r spa -}-he- �I►���f��.G LJ it 4 e4 Dan \a '6 ,M #
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 9 O Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes )(No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
t m (BUILDER OR HOMEOWNER)
w ll� �A+, l C� �^ —�-nc, Telephone Number 56B 4$ D 3 4
Name c kS „L �,��
Address _ t��hn5'�d� �'1'vP/ License # rtC
6.cyn6% k oa 6��( Home Improvement Contractor# � 8�
Email Worker's Compensation # W W C 313
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO
SIGNATURE DATE s L
ti
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1
FOR OFFICIAL USE ONLY
APPLICATION #
c' DATE ISSUED
F
MAP/ PARCEL NO.
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V
ADDRESS VILLAGE
OWNER
F
y DATE OF INSPECTION:
i
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} FOUNDATION
.t
FRAME
}
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
r
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
l
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
t
14. The Parties acknp.mviedge that this Agreement is under seal. It.10 intended by the Parties that the Tenant or any
successor Tenant is the intended beneficiary of the Agreement and shall hive a right of enforcement:
Propertyy ai ne�.S.Signature. .c n,- ;ivua ,,-Date t
Phone: • -"Ik.
Address:. to rA)
Tenant Signature
Date—`
►gency Approved.Weatherization Company
Adam T. Incorporated I.All Cape Energy I Altemative Weatherization / Building.'Scio ce; Construction
Cape Cod Insulation ! Cape Save. ! Frontier.Energy Solutions. ! Lohr Home Improvement
Resolution Energy i Tupper Construction
Agency Signature Dat
The Commonwealth of Massachusetts
' Department ofI>idustrialAccidents -
} 1 Congress Stree4 Suite 100 t
'Boston,MA,021144017
eJ' www mass gov/dia r
R'orkers'Compensation Insurance Affidavit:Builders/Contractors%Electricians/Plumbers.Y '
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Leeibly
Name(Business/Organization/Individual):Cape Save Inc
Address:7-D-Huntington Avenue
City/State/Zip:South Yarmouth, MA 02664 phone#:508-398 0398
Are you an employer?Check the appropriate box: Type of project(required):
1.�✓ I am a employer with,20 ' employees(full and/orpart-time).* `- w7, :Q,leW COriStNChOn
2. I am a sole proprietor or partnership and have no employees working forme in 4'
e
❑ :
+ any capacity.[No workers'comp.insurance.required.] � -
8 ❑Remodeling
3.a i am ahomeowner doing all work myself:[No workers'comp.insurance required.]t 9. El Demolition
4.❑I am a homeowner and will be hiring contractors to.conduct all work on m 10❑Building:addition
y property..I will � •
ensure that all contractors either have workers'compensation insurance or are sole l l.n Electrical repairs or additions
proprietors with no employees.
IZ.❑Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1 .❑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.
14.2 other,Insulation
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information..
t Homeowners who submit this affidavit indicating'they are doing all work and then hire outside contractors must submit 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:Wesco Insurance Company
oSeLVC3124Policy# . Expiration Date:04/09/2016
Job Site Address: 1025 Falmouth-Road City/State/Zip:.Hyannis
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable 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 th pains and penalties of perjury that the information provided above is true and correct" -
Si ature: Date: 1/15/16
Phone#.508-398-0398
Official use only. Do not write in this area,to be completed by c° or town o caal.
City or Town; - ' - Pertnifticense#
Issuing Authority(circle one):
1.Board of Health 2.Building
n Department 3.City/Town Clerk 4.Electrical Inspector 5..Plumbing Inspector
P g P
6.Other
Contact Person: Phone#:
-DATE(MMroorvYYY)
ACIOR � CERTIFICATE OF LIABILITY INSURANCE ,
�r. 10/14/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsements.
PRODUCER CONT:C Colleen Crowley
NAME
Risk Strategies Company PHA E (781)986-4400 FAX
No: (781)963-4420
15 Pacella Park Drive EMAIL ccrowley@risk-strategies.com
Suite 240 INSURER(S)AFFORDING COVERAGE NAICt
Randolph MA 02368 iNSURERA:Selective Ins. of America
INSURED INSURER Allmerica Financial Alliance Ins Co 10212
Cape Save,' Inc INSURERc Wesco Insurance Company
7 D Huntington Ave INSURER D: I
INSURER E:
South Yarmouth MA 02664 INSURER F:
COVERAGES CERTIFICATE NUMBER:CL15101402127 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.
LTRR TYPE OF INSURANCE POLICY NUMBER POLICY
MIDD EFF MPMMI ICY EXP LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED-
A CLAIMS-MADE Fx_1 OCCUR PREMISES Ea occurrence $ 100,000
S1994480 10/16/2015 10/16/2016 MED EXP(Any one person) $ 10,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY�ACT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIM
Ea accident $ 1,000,000
B ANY AUTO BODILY INJURY(Per person) $
ALL OWNED Ix
SCHEDULED AWMA46796600 I1J6/2015 11/6/2016 BODILYINJURY(Peraccident) $
AUTOS AUTOS
NON-OVVNED -_ P
X HIREDAUTOS ROPERTYDAMAGEAUTOS Per ecddent $
$
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000
A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000
RDED RETENTION Nil S1994480 10/16/2015 10/16/2016 $
WORKERS COMPENSATION Officers Included Por X
AND EMPLOYERS'LIABILITY STATUTE ERH
ANY PROPRIETORIPARTNERIEXECUTIVE — NIA Coverage E.L.EACH ACCIDENT $ 500,000
C OFFICERlMEMBER EXCLUDED? HRC3136274 4J9/2015 4/9/2016
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company and NStar
Electric are all included as Additional Insureds with respects to the General Liability coverage of Named
Insured as required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
460 West Main Street ACCORDANCE WITH THE POLICY PROVISIONS.
Hyannis, MA 02601
AUTHORIZED REPRESENTATIVE
Michael Christian/CLC
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025(201401)
Sl—
xe
Oo � rz1 >2t'�eay
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
E V- Registration: 171380
Type: Corporation
.� Expiration: 3/14/2016 Tr# 249649
CAPE SAVE INC. r
WILLIAM McCLUSKEY - --
7-D HUNTINGTON AVENUE
SOUTH YARMOUTH, MA 02664 . ' ---- --- - ----
{ ' Update Address and return card.Mark reason for change.
SCA 1 % 20M-05/11 D Address n Renewal Employment Lost Card
,��� .----.._ ---._._
2lltn �r-ii�:ttu-saueul,C�r j��f�(trt:;ur�rtre/%
Office of Consumer Affairs&Busir_ess Regulation License or registration valid for individul use only
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: -�111380 Type: Office of Consumer Affairs and Business Regulation
9 Expiration 3L14/20:16, Corporation
10 Park Plaza-Suite 5170
Boston,MA 02116
CAPE SAVE INC.
WILLIAM McCLUSKEY `
7-D HUNTINGTON AVENUr
SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
Ct)intructitl'u.�iinE�—�i�fiT:���cC
License: CSSL 102776 '
WELLItAM J MC
37 NAUSET ROAD
West Yarmouth 1VIA
Expiration:
Commissioner 0612=017
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250-023-XO1 FALMOUTH RD MELE, STEVEN A
250-027-XO1 1080 FALMOUTH RD WEQUAQUET STRAWBERRY HILL LP
250-027-XO2 1080 FALMOUTH RD WEQUAQUET STRAWBERRY HILL LP
250-002-001 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOF 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOL 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOM 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OON 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOA 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOA 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOB 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOC 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOD 1013 FALMOUTH ROAD/RTE 28 HOUSING ASSISTANCE CORP
250-002-OOG 1013 FALMOUTH ROAD/RTE28 HOUSING ASSISTANCE CORP
250-002-OOH 1013 FALMOUTH ROAD/RTE28 HOUSING ASSISTANCE CORP
250-002-OOJ 1013 FALMOUTH ROAD/RTE28 HOUSING ASSISTANCE CORP
250-002-OOK 1013 FALMOUTH ROAD/RTE28 HOUSING ASSISTANCE CORP
250-002-OOE 1013 FALMOUTHROAD/RTE28 HOUSING ASSISTANCE CORP
168-080-003 FALMOUTH ROAD/RTE 28 GRANT, JOSEPH G & CONSTANCE CEN
168-090 FALMOUTH ROAD/RTE 28 BARNSTABLE, TOWN OF (CON) CEN
Cc S D --mot m ou 4 7d,
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eft
http://lssgUintranet/propdata/lookup.aspx �-��`�S �e I��Die 3/20/2006
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COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
MULTI-FANHLY
FIVE-YEAR CERTIFICATE (�
Date (X) Fee Required$
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: f il 01 _ V
Name of Premises: 4- 1
Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL
TYPE OF UNITS NUMBER OF UNITS
TOTAL
STUDIO
1 BEDROOM
2 BEDROOM
3 BEDROOM
OTHER
Certificate to be Issued to:
Address:
Telephone: _ t p ` ZZI
Owner of Record of Building:
s
Address:
Name of Present Holder of Certificate:
Name of Agent,if any:
. l
SIGNATURE OF PE ON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
CERTIFICATE#__ �/ _ EXPIRATION DATE:
coiappmf..
,J G,
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
MULTI-FAMILY
_ I �� lL FIVE-YEAR CERTIFICATE p
Date 7 (X) Fee Required$ -
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: �(
Name of Premises: S 6�I t32 i //
Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL
TYPE OF UNITS NUMBER OF UNITS
TOTAL
STUDIO
1 BEDROOM
2 BEDROOM
3 BEDROOM
OTHER Certificate to be Issued to: Ass 1 S+a yl Lo—
Address: WSt. Ka
Telephone:
Owner of Record of Building:
Address:
Name of Present Holder of Certificate:
Name of Agent,if any:
ATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
�72z/ 4a�o-d(f
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before,the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
CERTIFICATE# 7 L��(� . EXPIRATION DATE:
HOUSInG RSSISTRIICE CORPO
Tel. (508) 771-5400 877-852-9317 Fax: (508) 775-7434 TTY on all lines
460 West Main Street, Hyannis, MA 02601-3698
www.haconcapecod.org
February 18, 2004
Tom Perry, Building Commissioner
Southside Village, 1025 Falmouth Road is a complex of 4 buildings. Building A has three
apartments,Building B has 4 apartments,Building C has 4 and building D has 3. Every
unit has their own private entrance and exit and there is not a"common"access at all.
If the units actually do need to-be-inspected-to-meet a state requirement,I-can be reached
at 508-771-5400 x250 and I could contact the tenants and request permission to enter.
erely, s
Faith Woodcock
Property Manager
Housing Assistance Corporation
f
A housing partnership and community development corporation
eorr monweattb of �r� �rcYju�ett�
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to HOUSING ASSISTANCE CORPORATION
QCErtifp that I have inspected the premises known as: SOUTHSII)E VILLAGE
located at 1025 FALMOUTH ROAD in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R2
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
BUILDING 2
4 TWO-BEDROOM UNITS
Certificate Number: Date Certificate Issued: Date Certificate Expired: Mar Parcel
75410 3/18/2004 3/18/2009 000 000 261
The building official shall be notified within (10) days of any
changes in the above information.
Building Official
,e.
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
MULTI-FAMILY
`l FIVE-YEAR CERTIFICATE
Date — 7 (X) Fee Required$ T
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises: c
Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL
TYPE OF UNITS NUMBER OF UNITS
TOTAL
STUDIO
1BEDROOM
2 BEDROOM
3 BEDROOM
OTHER c
Certificate to be Issued to:
Address: St' Ma/m/6
Telephone: -66 - 171 --`�JZjO
Owner of Record of Building:
Address:
Name of Present Holder of Certificate:
Name of Agent,if any:
SIGNATURE OF RSON TO WHOM CERTIFICATE �--
IS ISSUE/D/ORfA�fU�THORIZEDD AGENT
PLEASE PRINT NAME //
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
CERTIFICATE# EXPIRATION DATE:
coiappmf. '
The �tComm�onbicaltb of �c�� c�ju�err
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
- CERTIFICATE OF INSPECTION
is issued to HOUSING ASSISTANCE CORPORATION
31 Certifp that have inspected the premises known as: SOUTHSIDE VILLAGE
located at 1025 FALMOUTH ROAD in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R2
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
BUILDING 3
4 TWO-BEDROOM UNITS
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
75411 3/18/2004 3/18/2009 000 000 261
The building official shall be notified within(10) days of any
changes in the above information.
Building Official
d,
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
MULTI-FANULY
FIVE-YEAR CERTIFICATE (�
Date — LJ T (X) Fee Required$ /a
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: i dt z2 - V
Name of Premises: /
Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL
TYPE OF UNITS NUMBER OF UNITS
TOTAL
STUDIO
1 BEDROOM
2 BEDROOM
3 BEDROOM
OTHER
Certificate to be Issued to:
Address: �(l1
Telephone:
Owner of Record of Building: �IS_e� a CJ .)
Address:
Name of Present Holder of Certificate:
Name of Agent,if any:
SIGNATURE OF 119ASON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
1777� S-/c�5
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
CERTIFICATE# EXPIRATION DATE:
L coiappmf.
oFt r Town of Barnstable
BARNSTABLE,A Regulatory Services
9� MASS.1639n. -
'°rEc Na+" (Thomas F. Geiler, Director
Building Division
Tom Perry Building Commissioner
200 Main Street, Hyannis, MA 02601
Office: 508-862-403 8 Fax: 508-790-623 0
February 10, 2004
Housing Assistance Corporation
460 .West Main Street
Hyannis, MA 02601
Attention: Allison Rice
Re: Certificate of Inspection
Multi-family Development (5-year Certificate)
1025 Falmouth Road, Hyannis
000 000 261
Dear Ms. Rice:
Attached you will find an application for a �Certificate of Inspection as
required by Section 106.5 of the Massachusetts State Building Code,
Sixth Edition.
Please complete the application and return it to this office with the
required fee:
Building 2: 4 Units - $ 93.00
Building 3: 4 Units - $ 93.00
Total $186.00
(Certificates of Inspection are not required for the three-unit
buildings (Buildings 1 and 4) .
The fee has been established by the Massachusetts State Building Code
(Table 106) , and amended by the Barnstable Town Council effective
8/6/01, and must be paid before the Certificate of Inspection (Capacity
Card) may be issued. A copy of said Certificate shall be kept posted as
specified in Section 120.5.2 of the State Code.
Please call Lois Barry, Division Assistant, 508 862 4039 if you have any
questions.
Sincerely,
Tom Perry
Building Commissioner
J040202a
2/10/04
Tom,
As a result of our conversation yesterday, it seems that you do want COIs for the 4-unit
buildings, correct? And that we would charge the fee, correct? (We do charge HAC the
COI fees for the shelters and Angel House.
Lois
4, 7
oFWE Ta Town of Barnstable
BARNSTABLE• : Regulatory Services
MASS.
�j s6g9• ��
039 Thomas F. Geiler,Director
Building Division
Tom Perry Building Commissioner
200 Main Street, Hyannis, MA 02601
Office: 508-862-4038 Fax: 508-790-6230
MEMORANDUM
TO: Tom
FROM: Lois
DATE: 1/29/04
RE: Southside Village
g
1025 Falmouth Road, Hyannis
Do we consider this development a multi-family?
Do we need a Certificate of Inspection?
Building 1: 2 two-bedrooms, 1 three-bedroom
Building 2: 4 two-bedrooms
Building 3: 4 two-bedrooms
Building 4: 2 two-bedrooms, I th e-bedroom
Town of Barnstable
tia
MUMSTABLE Regulatory Services
039.A�FD3.�A Thomas F. Geiler,Director
Building Division
Tom Perry Building Commissioner
200 Main Street, Hyannis, MA 02601
Office: 508-862-4038 Fax: 508-790-6230
MEMORANDUM
TO: File
FROM: Lois Barry
DATE: 2/10/04
RE: Certificates of Inspection for Multi-Family
Tom Perry confirmed his 7/17/02 to continue requiring COIs for 3 units with a
common entrance and for 4 or more units whether there is a common entrance or
not.
Therefore, Certificates of Inspection are not required for the three unit buildings at
Southside Village, 1025 Falmouth Road,Hyannis. Certificates of Inspection are
required for the two buildings with 4 units.
J040210b
FIMMElo Town of Barnstable
0
,, „ ABLE Regulatory Services
HAM
z63q.
pr039�6. Thomas F. Geiler,Director
Building Division
Tom Perry Building Commissioner
200 Main Street, Hyannis, MA 02601
Office: 508-862-4038 Fax: 508-790-6230
MEMORANDUM
TO: Tom
FROM: Lois
DATE: 1/29/04
RE: Southside Village
1025 Falmouth Road,Hyannis
Do we consider this development a multi-family?
Do we need a Certificate of Inspection?
Building 1: 2 two-bedrooms, I three-bedroom
Building 2: 4 two-bedrooms
Building 3: 4 two-bedrooms
Building 4: 2 two-bedrooms, 1 th e-bedroom
FtMME� Town of Barnstable
do
BA NSTABLE, * Regulatory Services
1°rEn Ma+°' Thomas F. Geiler,Director
Building Division
Tom Perry Building Commissioner
200 Main Street, Hyannis, MA 02601
Office: 508-862-4038 Fax: 508-790-6230
MEMORANDUM
TO: File
FROM: Lois Barry ,
DATE: 2/10/04
RE: Certificates of Inspection for Multi-Family
Tom Perry confirmed his 7/17/02 to continue requiring COIs for 3 units with a
common entrance and for 4 or more units whether there is a common entrance or
not.
Therefore, Certificates of Inspection are not required for the three unit buildings at
Southside Village, 1025 Falmouth Road,Hyannis. Certificates of Inspection are
required for the two buildings with 4 units.
J040210b
7/17/02
Tom,
The attached fee schedule lists
Certificates of Inspection $50 min
El had said to add$10 to all the COI fees, so multi family COIs would be $85 (rather
than$75) plus $2 per dwelling unit. Do you agree?