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HomeMy WebLinkAboutBLD-23-000111 ba- ` 6 ( � ;Office Use Only 01‘*Y44 LAY) 1 l 1 ' <Pernut# a t-4 k r b ' 0 ` `t:4 yy0_! Amount 3 6 =.-- e .:g,, .,Permit expires 180 days from +rK,uco �..; issue dates EXPRESS BUILDING PERMIT APPLICAT c E I V E TOWN OF YARMOUTH Yarmouth Building Department JUN 27 2022 1146 Route 28 South Yarmouth, MA 02664 a U1LDING DEPARIMEN1 (508) 398-2231 Ext. 1261 -__, CONSTRUCTION ADDRESS: 314 Girc xhcec&c\ i Y,i (CGrrvtot r`�, M A OZ 6-7 5 ASSESSOR'S INFORMATION: Map: Parcel: OWNER: 6dWt;.,rb. iAGrVkv\ 3a l>iOutrrhreca (.n 01 ly - 62q -619:0g' NAME PRESENT ADDRESS TEL. # CONTRACTOR: b(y'Z &brut 113 i,trilal :"st so.k L( i,/MrLJ gfLi r7). 774 Z6o4,4073 NAME MAILING ADDRESS TEL.# 'Residential ❑Commercial Est.Cost of Construction$ 1-41 5 S 5 O 5 Home Improvement Contractor Lic.# l`1 `i(0 lD S Construction Supervisor Lic.# Q..S— 113 tJ 6 Workman's Compensation Insurance: (check one) �// 0 I am the homeowner ❑ I am the sole proprietor 9'I have Worker's Compensation Insurance ms Insurance Company Name: IAi11/1, M f.�) IXLSi ty'L+y' (4 Worker's Comp.Policy# IObCa023(D1%S2v22, WORK TO BE PERFORMED Tent n Duration (Fire Retardant Certificate attached?) Wood Stove ❑ Siding: #of Squares Replacement windows:# Replacement doors: # Roofing: #of Squares ( )Remove existing* (max.2 layers) Insulation E101d Kings Highway/Historic Dist. Replacing like for like Pool fencing El *The debris will be disposed of at: 12 45 S 11 ' t tA+ CAVC 1 KI etki g eCtcEO(7-K Location of Facility I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answer(s) will be just cause for denial or revocation of my license and for prosecution under M.G.L.Ch.268,Section I. j Applicant's Signature: dig- Date: 6/ l 7/zc2 Z Owners Signature(or attachment) AlA-W Ol�1 , , Date: _ Approved By: /, �/ C Date: ` / z Building Official(or de ._-, e- , EMAIL ADDRES . Zoning District: Historical District: I] Yes I No Flood Plain Zone: = Yes No Water Resource Protection District: Within 100 ft.of Wetlands: i] Yes 1,1, No C. Yes E No r . a.m. 1 t5ost0r Home 1mprol I ifr4C2S ENERGY LLC l 128 UNION ST REET UNIT LL5 NEW BEDFORD, MA 02740 SCA 1 0 20M-05/17 .714 e /, ,y „,/, _44-- , //, ,,,-,,,-,iw:,:*"'',4.---A1:4 ,-- Office of Consumer' Affairs & Business Regulation , HOME IMPROVEMENTCONTRACTOR `_Ak-R t , Y "- x . rYPE. LLC Expiration a Regi$tt'a# 't .. . Est .?. 02/27/2 2S s x 3 ,r C2S ENERGY k t yr} r a , :z.:::;,-,-..:izz z. r.,i V y 0 1 KYLE J. CABRA :k :: ' 128 UNION STR r� � E ,a5 ,`ii , NEW BEDFORD, NA-, 40 Undersecretary 3 A�CCR1J CERTIFICATE OF LIABILITY INSURANCE DATE(MMVDD/YYYY) 03/17/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ali NAME: son Pilotte DONALD J MEDEIROS INSURANCE AGENCY PHONE 508}678 1271 F o.Ea<t): ( AX (AIC,No): L ADDRESS: apilotte@donmedeirosinsurance.com 154 Rhode Island Avenue INSURER(S)AFFORDING COVERAGE NAIL 0 FALL RIVER MA 02724 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURER B: C2S ENERGY LLC INSURERC: INSURER D: 128 UNION STREET UNIT LLL5 INSURERE: NEW BEDFORD MA 02740 INSURER F: COVERAGES CERTIFICATE NUMBER: 754524 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. IN POLICY EFF POLICY EXP SR MWVD LTR INSD VD TYPE OF INSURANCE ADDL POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY CO a INED(SINGLE LIMIT $ (EaANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accidept) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE ERR- AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? N/A N/A N/A VWC10060236782022A 03/09/2022 03/09/2023 EL DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below N/A DESCRIPTION RIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Thielsch Engineering Inc 195 Frances Ave AUTHORIZED REPRESENTATIVE Cranston RI 02910 Daniel M.Croy,CPCU,Vice President—Residual Market—WCRIBMA I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts ►► 1, Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): C125 (--Y1ecc)sy L LC Address: iAn kC>7 LLS) kfibo B-e6 PDA City/State/Zip: 11 jt 0-2,i 4 0 Phone#: -2(0 0-cc CQ Are you an employer?Check the appropriate box: Type of project(required): 1.®I am a employer with lS employees(full and/or part-time).* 7. D New construction 2.0I am a sole proprietor or partnership and have no employees working for me in 8. (]Remodeling any capacity.[No workers'comp.insurance required.] 3.0I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. El Demolition l0[: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 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ b.❑we are a corporation and its officers have exercised their right of exemption per MGL c. 14.®Other j e( Y s 7 0-1 o' l 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 ant an employer that is providing workers'compensation insurance for my employee& Below is the policy and job site information. Insurance Company Name: A\i\f‘ A-ante C. ny / Policy#or Self-ins.Lic.#: VV\JC �OO(l0236- N ZO22A Expiration Date: 63/0 et/ 2 O%3 Job Site Address: .3 L-1 C i Y1 c e'('b rec \ LYZ1 i t�,�nit,,�t1'1 1�bc City/State/Zip: M 14 02.to 7.5 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 the pains and penalties of perjury that the information provided above is true and correct. Signature: 4 61.1 Date: G //-7 /ZO 2 Phone#: (-(') -L(v-13 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CLEAResult CONTRACT CLEAResuit 50 Washington Street, Customer Name:JOAN RALL Westborough,MA,01581 Email:Not provided Phone:914-309-0446 Premise Address:24 Rhode Island Ave,Nantucket,MA 02554 Mailing Address:24 RHODE-ISLAND AV,Nantucket,MA 02554 Project ID:4507536 Date:May 25.2022 Job Description Contractor will perform or cause to be performed the following work on these"Premises"in a professional manner and in accordance with the terms of this Contract,including the attached recommendations/work order describing the work in detail(the"Work")which are incorporated herein by reference Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $92.58 $0.00 Door Sweep(with AS hrs) 3 each $75.93 $0.00 Exterior Door Weather Stripping(with AS hrs) 3 each $90.21 $0.00 Crawlspace Ceiling-6"Fiberglass Batting 888 SF $2,326.56 $581.64 Crawlspace Ceiling-2"Thermal Barrier Polyiso 888 SF $4,244.64 $1,061.16 Total: $6,829.92 Program Incentive: -$5,187.12 Customer Total: $1,642.80 Payment Customer agrees to pay Contractor for the Work,the Customer Share of the Contract Price as follows: Payment#1:$0.00 as a Deposit payable to CLEAResult upon signing the Contract(not to exceed 1/3 of the total retail costs). Mail check&contract to CLEAResult, 50 Washington Street, , Westborough, MA,01581. Final Payment:$1,642.80 as the final payment for the Work shall be payable to the Home Performance Contractor(HPC)or Independent Installation Contractor(IIC) upon satisfactory completion of the Work.Customer understands that he/she will not be required to pay the Utility Incentive Share of the Contract price in the amount of$5,187.12. Changes to individual line items and/or previous incentives may increase or decrease the size of the Utility Incentive Share. Dispute Resolution The IIC and Customer hereby mutually agree in advance that in the event that the IIC has a dispute concerning this Contract,the IIC may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and Customer shall be required to submit to such arbitration as provided in M.G.L.c 142A. You may cancel this agreement if it has been signed by a party at a place other than an address of the seller,provided you notify the seller in writing by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Page 1 of 4 Joao Ralf 05/26/2022 17,R. Customer Signature Date Indicate your selected IIC here, if applicable Initial here if you want the Program to assign a Participating C }� Contractor 5/26/2022 Kevin Cote CLEAResult Signature Date Name of CLEAResult Representative Page 2 of 4 Permit Authorization Form ostowy Site ID: 4507536 Customer: JOAN RALL I, Joan Rail ,owner of the property located at: (Owner's Name,printed) 24 Rhode Island Ave Nantucket, MA 02554 (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Signature: ,7oma Date: 05/26/2022 tees et *, FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: C25 C ercw Lac 6 /ti jzo2.2_ Participating Contractor Date Name: CLEAResult Phone: 800-480-7472 Email: Page 1 of 1 For Office Use Only Ac CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �. 05/24/21 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 CONTACTNAME: Donald J.Medeiros Insurance Agency (A/C,ll,ExtY. 508-678-1271 (arc,No): 774-365-6552 154 Rhode Island Ave E-MAIL ADDRESS: Fall River,MA 02724 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A: Nautilus INSURED INSURER B: Pilgrim Insurance Company C2S Energy LLC INSURER C: Evanston/Markel C2S Construction LLC INSURER 0: 128 Union St Unit LL5 New Bedford,MA 02740 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I EXP LT R AODLTYPE OF INSURANCE INSD WBR POLICY NUMBER (MM/DOIYYYY) (MM/DFF D/YYYY) UMITS LTR INSD WVD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 � DAMAGE 10 RENTED 100,000 CLAIMS-MADE I"I OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A y NN1263804 05/14/21 05/14/22 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY n jECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY (Ea acccidenntSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED CSC00001008276 05/14/21 05/14/22 BODILY INJURY(Per accident) $ B AUTOSIREDONLY X NON-OWNEDAUTOS y PROPERTY DAMAGE HIRED UTOSON (Per accident) $ $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 — A X EXCESS LIAB CLAIMS-MADE y AN1239725 05/14/21 05/14/22 AGGREGATE $ 2,000,000 DED I RETENTION$ i OOTH $ WORKERS COMPENSATION PEATUTE AND EMPLOYERS'LIABILITY Y I N ER ANY PROPRIETOR/PARTNER/EXECUTIVEn N)A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below Per Occurrence 1,000,000 C Contractors Pollution CPLMOL104359 10/07/20 10/07/22 Aggregate 2,000,000 (2yr policy term) DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) As per written contract,RISE Engineering is and additional insur4ed on primary non contibutory basis with respect to the General Liability and Excess Liabiltiy policies and additional on the Pollution Liability and Commercial Auto Liability Policies. 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. Thielsch Engineering Inc a Frances Ave iii ' Cranston,RI 02910 AUTHORIZED REPRESE .., l 4AItrI 1111 ©1988-201-AC•f-t c_:::n14-i •N. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Bk 34837 Pg63 #2825 01-18-2022 @ 02 : 04p NOT NOT AN AN OFFICIAL OFFICIAL COPY COPY N O TQUITCLAIM DEEn T AN AN OFFICIAL OFFICIAL KNOW ALL MEN BY VI1 E $RESENTS that We, /iNEEV L. PUDLO and COLLEEN PUDLO, being married to each other, of 43 Gingerbread Lane, Yarmouth Port, Massachusetts, for consideration paid and in full consideration of Six Hundred Twenty Five Thousand&00/100 Dollars ($625,000.00), Grant to: Edward John Hagenah and Theresa Marie Hagenah husband and wife,tenants by the entirety now of 43 Gingerbread Lane, Yarmouth Port,Massachusetts with QUITCLAIM COVENANTS, 4. the land in YARMOUTH (Port), Barnstable County, Massachusetts, together with the buildings thereon,bounded and described as follows: WESTERLY by the Easterly sideline of Gingerbread Lane,one hundred ten(110)feet; NORTHERLY by Lot 14,one hundred thirty-two and 75/100 (132.75)feet; EASTERLY by land now or formerly of Mrs. Anna M Swift, one hundred ten and 03/100(110.03)feet;and SOUTHERLY by Lot 10,one hundred thirty and 12/100 (130.12) feet. �.' Containing an area of 14,460 square feet. on Said premises are shown as LOT 12 on a plan of land entitled,"Subdivision Plan of Land in Yarmouthport,Mass. as surveyed for Ruth Boardman, Scale 1 inch = 50 feet—December 26, 1950, vl Bearse & Kellogg — Civil Engineers, Centerville", which said plan is duly filed with Barnstable County Registry of Deeds in Plan Book 97,Page 15. O '-a Together with a right of way over said Gingerbread Land in common with all others entitled thereto, from Main Street to Thatcher Road. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS BARNSTABLE COUNTY REGISTRY OF DEEDc1te No. 19,734-A Date: 01-18-2022 @ 02:04pm Date: 01-18-2022 2 02:04pm Ctl#: 495 Doc#: 2825 Ctl#: 495 Doc#: 2825 Fee: $2,137.50 Cons: $625,000.00 Fee: $1,912.50 Cons: $625,000.00 Bk 34837 Pg64 #2825 NOT • NOT AN AN OFFICIAL OFFICIAL COPY COPY Also,another parcel of landtadpoiIIing the above described Lit 10,libunded and described as follows: AN AN OFFICIAL OFFICIAL SOUTHERLY by 6.op122 as shown on hereinafteepl noonp hundred thirty-two and 75/100 (132.75) feet; WESTERLY by Gingerbread Lane,as shown on said plan,sixty(60), feet; NORTHERLY by the remaining portion of Lot 14A, as shown on said plan; and EASTERLY by land of Anna M. Swift, as shown on said plan, sixty and 03/100(60.03) feet. Being shown as the Southern 60 Feet of Lot 14A on a plan entitled "ReSubdivision of land in Yarmouth Port, Mass for Kenrik-Boardman Trust Scale 1"=30' October, 1958, Gerald A. Mercer &Co.,Engineers West Yarmouth Mass"which said plan is duly recorded in Barnstable Registry of Deeds in Plan Book 144, Page 121. Subject to and with the benefit of all rights,rights of way,easements,appurtenances,reservations and restrictions of record, if any, as the same are of legal force and effect. This deed releases any and all homestead rights created either automatically by operation of law or by a written declaration that is recorded, and we hereby warrant and represent that there are not any other persons entitled to any rights of Homestead under M.G.L. c. 188 in the premises conveyed by this deed. For Title see deed recorded with Barnstable County Registry of Deeds in Book 29533, Page 210. [Remainder of Page Intentionally Left Blank] Bk 34837 Pg65 #2825 NOT NOT AN AN OFFICIAL OFFICIAL COPY COPY WITNESS our hands and sepals is OT f day of January 20p�2 N 2 T N OFFICIAL OFFICIAL COPY COPY 42 /;42:".. e/ Stanley L. Pu o l(ioth,,, ,e01.___ Colleen Pudlo COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. January /O ,2022 Before me, the undersigned notary public,personally appeared Stanley L. Pudlo and Colleen Pudlo., proved to me through satisfactory evidence of identification, being (check whichever applies): Ef driver's license or other state or federal governmental document bearing a photograph image, 0 my own personal knowledge of the identity of the signatory, to be the person who signed the preceding or attached document in my presence, and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of their knowledge and belief and signed the foregoing instrument voluntarily of their own free act and deed. 1 14 SAMUEL H. CROWELL ' / _./(Y cl Nolary Public Notary Pu He- I I )COMMONWEALTH OF MASSACHUSETTS i) My Commission Expires July 15. 2022 My commission expires: i JOHN F. MEADE, REGISTER BARNSTABLE COUNTY REGISTRY OF DEEDS; RECEIVED & RECORDED ELECTRONICALLY