HomeMy WebLinkAboutconsent to search premises 2025fi
MASSACHUSETTS STATE POLICE
Consent To Search Premises
(14s- ltllent being the owner or legal occupant and having been informed ofmy
constitutional right not to have a search made ofmy premrses without a search warant and ofmy right to refuse to consent to such a
ofthe SteteFire{,{eF6hek eff€cor and such other person(s) as theysearch. do here authorize ({, AA#
deem necessarv to co a conlplete search ofthe l5c5Ipremtl-,
(location)
SICNED
ozc'7
I anr aware that the_ search is being conducted to determine the origin and cause ofthe fire
which occurred on 9fl?/Z{ 1.! 4-l haS I agree to allow'the above-named person(s)
al o
WITNI]SSES (l).To, -L' -
(l)
\ane
lJ. 'Ift[r.o,A\n ^/A
Case #
or his/their designee to take photographs ofthe premises, to remove papers, letters, materials,
or other property knorving they may be submitted for examination and analysis and,/or testing
I am aware that the above-named person (s) or his/their designee may be on the premises for a number ofdays. This written
consent is being given by nte voluntarily and without threat or promise of any kind.
ADDRESS
'J5-D
I.
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lncident Address:
Town of Yarmouth Fire Department
96 Old Main Street
South Yarmouth, MA 02664
Phone. (508) 398-2212 Fax. (508) 760-4861
Date:
Ownerflenant Name:
Add ress:
Phone Number:Cell#
Email Address:
Notes:
Or
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C4
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Signature Of Tenant/Owner
LIlnterviewer:'Bo^{,
OWN E R/TENANT Statement
Time:_
Please make any additional comments or diagrams in the space below:
Town of Yarmouth Fire Departrnent
96 Old Main S:treet
South Yarmouth, MA 020F,4
Phone: (508) 39&2212 Fax'. (508) 76G4861
Signature:Date:Time:
cident Location lntormation
Total Acres Bumed 0.0
Property Status ln normal us8
Prrjncident Property
Value
10,000
Floors Above Grade 2
Length
Area 3,360
Type of Detectors Smoke
Detector Operation Oetector operated
Presence of AEs
Applr.tus
Lbp.rEllcnt Unat I of 8
Apparatus Namo
Type
# of Crewmembers 3
Use
ALS Support Capable No
Location at Oisprtch Assigned station
Crewmembers
Structure Type Enclmed building
Construction Type Type V - Wood Fram6
(Light W6ight)
10,000
Floors Below Grade 1
widrh
Presenco of Datectors Present
Dot8ctor Powor Supply Hardwire with battery
backup
2840
Detector Effectiveness D€tector alerted
occupants, oc{upants
responded
None Present
4s_ENG / Engine45 Dispatch Oata/Time OAl19l2O25 23:49:OO
Engine Acknowledge Date/Tim€
En Route Date/Time 081 19t2025 23 .51 :39
Supprassion Arrive Datefiime 0811912025 23:57 .10
Clear Datemme OAl2Ol2O25 O'l:35.U
Back in Service
Oate/Time
FOSS, JEFFREY T I MANNING, DEVIN M IWHITNEY, EVAN J
Apparatus Arrived
Patient Dale/Time
Apparatus Transfar of
Care Data/Tima
2t13
Proporty Loss
\
\
Dop.rtrnont Unit 2 of 8
Apparatus l{ama
Type
# of C rawrnembers
Use
CAR_1 / Car 1
Chief ofticer car
Other
ALS Support Capable No
Location at Dispatch Assigned station
Crewmembers ARRASCUE, ENRIQUE M
Dispatch Oato/Time OAl2Ol2O25 OO'.O1 :18
AcknorYlodge Date/Time
En Route Date/Time Ogl2ol2o25 Oo:03:3'l
Arrive Date/Time 08/20/2025 00:08:00
Clear Datemme Ogl2Ot2O25 0'l:30:24
Brck in Sorvica
Date/Time
Apparatus Arrived
Patient tlate/Time
Apparatus Transfer of
Care Date/Time
1
Ooptrtlnsnt Unit 3 of 8
Apparatus Name
Type
CAR_4 / Car 4 DispatchDate/Time 081191202523:49:00
Mobile command post Acknowledge Date/Time
# of Crewmemb€as
Use Othar
ALS Support Capablo No
Location at Oispatch Assigned station
Crewmemberc MORLEY, DAVIO
En Route Date/Time OBl19l2O25 23:51..39
Arrive Date/Tim€08t 19t2o25 23:55 .51
Clear Date/Time OBl2Ot2O25 0'l:38:48
Back in S€rvico
DatelTims
Apparatus ArriYed
Patient Date/Time
Apparatus Transfer of
Care Date/Time
I
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Unit 4 of 8
Apparatus Name
Type
# of C rewrnembeas
Use
ALS SupportCap.ble No
Location at Dispatch A6signed station
Creurmembets
41_TOW / Tower Ladder Dispatct Dabmmo 08hgl2o25 23:50.
Quint Acknowledge Date/Time
En Route Date/Time OAI1912025 23:53:00
Suppression Arive Date/Time 08/2012025 00:00:'19
clear Date/Time OAl2Ol2O25 01 .35:47
3
Back in Service
Date/Time
CARTER, WILLIAM A I HOTZRICHTER, MORGAN I FRANKLIN, OUANTEZ D
Apparatus ArriYsd
Patisnt Oate/Time
Apparatus Transfer of
Care Date/Time
l
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Dopartnont Unil 5 of 8
Apparatus Nams
Type
# of Crewmembers
56_AMB / Ambulance56 Dispatch Dato/Timg Ogl 1912025 23:51 :44
ALS unit Acknowledge Date/Tirne
Use EMS
ALS Support Capable Yes
Location at Dispatch Assigned station
C revvrnembers CRONIN, ROBERT J
En Route Date/Timo OBl19l2O25 23:5304
Arrive Date/Time Oal2Ot2O25 OO:OO 19
Clear Date,/Time OBl2Ol2025 01:36:59
1
Back in Sorvics
Date/I'ime
Apparatus ArdYed
Patient Date/Time
Apparatus Transfer of
Care Date/Time
Patient Left Scene
Date/Time
Patient Arrived at
Destination Oate/Time
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Dep.rEnent Unit 6 of 8
Apparatus Name
Type
# of Crewmembers 3
Use
ALS Support Capable Yes
Locataon at Oispatch Assign6d sbtion
Crewmemberc
57_AMB / AmbulancssT Dispatch Dalo/Timo OBl2Ol2O25 01:O7:13
ALS unit Acknowledg6 Date/Time
En Route Date/Time OBl2Ol2O25 01:O7:16
EMS Arrive Date,/Ti lYre OBl2Ol2025 O1 :1O:34
Clear Oate/Time OBl2Ol2O25 01 .U:50
Back in S€rvice
Date/Time
ELLIS. THOMAS W I HALL, ETHAN I REARDON, ROBERT J
Apparatus ArriYed
Patianl Date/Tima
Apparatus Transfer of
Caro Date/Timo
Palient Lsft Scene
Date/Time
Paliant Arrived at
Destination Date/Tims
6/13
Departm6nt Unit 7 of I
Apparatus Namo
Type
# of C re*'members
Use
ALS SupportCapable No
Locrtion at Dispatch Assigned station
Crewmemberc
Depar0nent Unit 8 of 8
Apparatus Name CAR_S / Car 5
Type
48_ENG / Engine4S Disparch Datammo 08119t2O25 23:48:59
Engine
3
Acknowledqs Datefiimo
En Route Date/Time 0911912025 23:51:23
Suppression Arrive Date/Time O811912025 23:53:51
Clear Date/Time Ogl2U2O25 01:47:49
Back in Sorvice
Datc/Time
CROSBY, ROBERT M I ENRIGHT, KEVIN P I FOY, PATRICK V
Apparatus Arrived
Patient Date/Time
Apparatus Transfer of
Caro D.t6/Tims
DispatchDate/Time Ogl21l2o2510:33:07
Supportapparatus,other AcknowledgeDate/Time
# of Crewmembers
Uso Other
ALS Support Clpablo No
Location at Oispatch Assigned station
Crewrnembers BEARSE, MATTHEW C
En Route Date/Time 0812112025 10:33:08
Arrive Date/Time Ogl21l2o25 1O:33:Og
Cloar Dato/Time o8t2112025 10:33:09
Back in Service
Oate/Timo
Apparatus ArriYed
Patient Date/Time
Apparatus Transfer of
Care Date/Tims
1
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\
Person 1of 3 - D.mographic lnfomation
lncidsnt lnvolvement
PeEon 2 of 3 - Demographac lnformation
lncidentlnvolvament lnvolvedPerson
Person 3 of 3 - Domographic lnformation
lncident lnvolvement
lnvolved Person
P.imary Phon6
lnvolved Person, Property Primlry Phone
Owner
(774) 286-1375
(5O8) 2924767
Temperature
Humidity
56.7 "F
85%
Wind oirection
Weather Type
North
Clear, less than 1/10 cloud
cover
8t13
Weather lnto.mation
.\
,re lnfomaton
Flame and smoke showing # of Buildings involved 1
Area of Fire Origin Outsida area, other Floor of Origin
Extcnt of Fire
lnvolvement on Arrival
Vehiclc inYolvod in
lncidont?
1
Human Factors
conEibuting to ignition
Fire Spread
Hazardous Materials lnformation
HazMat Released
Actions Taken
Departnenf
Extinguishment by fira servica
personnal
lncident command
Narratives
Depanment NFIRS Narrativs
Causs under invastigation F.ctors contributing to
ignition
None Heat Source
Item first lgnited
Undetermined Equipmont lnvolYod in
lgnition
Acres burned
None
Searcfr
No
Undetermined
Undetermined
Item first igniled, other
Less than one
Ventilate
No
Eng 48 nanative has most tho information for this call. Car 4 took command of the call on anival as Lt in command
was working the fira. Car 'l is on location and checks on oparations in the area of the fire. Fire pravention is called,and they are not answering the phone. Units ar6 on location for some time with axtensive overhaul. No fira extensioninto the hous€. Used PPV to rernove the smok6 from the hous€. HousB is ok to stay in as th€ fire didnl get into thestructure and no CO reading in the living ar6a ofth6 hous€.
Last updats on 08 t2012025 at Oti,l'i3.l by Commander, Shift
9t13
Causo of lgni6on
Typ€ of l atcrial
Confined to building of
origin
45_ENG / Engino,t5
See department nanative
CAR_I , Car 1
So€ d6partnant nanative
Last update on J-./- at -:-:- by ENRIGHT, KEVIN
Last update on -/-J- at -:-:- by Commander, Shift
CAR_4 / Car 4
responded to the scene to take command
Last update on 08/20/2025 at 06:59:01 by Commander, Shift
4'|_TOW / Tomr L.ddel
See departrnent nanative
Last updrte on -/-J- at -:-:- by ENRIGHT, KEVIN
't0 I 13
56_AMB / Ambulance56
See department narrative
L-ast update on JJ- at -:-:- by ENRIGHT, KEVIN
57_AMB / AmbulancssT
responded to the sc6ne to help pack up the trucks
Last update on 08/20/2025 at 06:58:33 by Commander, Shift
11 t13
,rraliYos
/I8_ENG / Engino/t8
E48 Dispatched for a reported d€ck fire impinging on th€ house
E48 aniv€d on sc6na and found visible exterior fire and heavy srnoke on the EVC comor of this 30'x40', 'l 1/2 story
!flood trame residence.
Erl8 Lt. assumed command and E48 crew sfetched a I U4' lin6 to the C side of the struc,ture and began
extinguishment- Command ordered E45 upon anival to attain a water supply with the assistance of E48 Chauffer.
Car 4 anived on scen€ and assumed command
Etl8 crew with the a8sistance of E45 & TL41 crews overhauled lhe deck and opened up the B/C comer to expGe any
chardng. The fire was confned to the deck with soma minor stuclural dam€g€ to tho BiC lower comer. There was no
smoka or water damage to ths int€rior of the rBsidancs. The dsck Eize was 22'x20' with significant damago to about
2y3 of the deck.
[ast update on 08nOl2O25 at 02138:.10 by ENRIGHT, KEVIN
EzlS crew confirmed lhat the firs was out with th6 aid of the TlC. Cret/rs wet down the area and picked up tools,
equiptnent and hoso lines. Erl8 crew b€bre leaving m€terod the rosidence finding 0 change in rB€dings on the first
and sacond floors- There were lo\iv levels of CO in the basem€nt at 18 ppm well within p€rmissible limits. E48 crew
set up tho r€sidents fan in the bas€ment to vontilats. ThB rasident cfios€ to stay at her fathefs hous€ for the n(lht
even though the hous€ was dearod for occupancy.
Upon speaking with the rBsidenl, she statad thst hor friend and herself were smoking a joint prior to her frisnd
leaving. The ftiend left the back dock leaving by the B sida of the rasidence. The mosl significant chaning was in that
s€me location. Th€ rasident stated that her lriend may have thrown the ioint in that general area. The resident went to
bed and about a hatf hour later heard some crackling and wont downstairs to fnd heavy smoke and fire coming from
the d6ck. The resident evacuated her family and animals and awaited th6 fire deparlment response.
12t13
.ratiYes
CAR 5/Car5
FIRE INVESTIGATION Lt. Matt Bearse
I was not available to investigats this fire until Aug 21, 2025, at 0900 hrs. I met the homeowner Ryan and his fiance
Jocelyn at the house and obtained written permission to access the property to investigate the tire that occured
Tuesday night 8/19i25. I was able to sp€ak with Jocelyn who stated to me that she and her friend Mary w6rs out on
the deck in the area of origin just prior to the fire starting. They were smoking a hand rolled cigarette. Jocelyn
remembers Mary discarding the cigarette by "dead heading" the buming ember and Mary retained the unbumed end
and discarded the unbumed end in the trash. Tha area of origin matches the area the cigarefte was put out. I took
photos of th6 back yad and deck area.
Jocelyn stated to me that they were not using any c€ndles or torches or lantems that night. They have no lighting or
exension cords in that area of the deck that was bumed. They could not ,ecall if any containers of lamp oil or any
type of liquid tuels ware in the area of origin. They did say a bluB rBcycle bin was in the arsa, and a cooler. I did
notics the deck gata was of vinyl material and also a vinyl tenucanopy type structure was folded up and partially
bumed in the comer of the deck, in the area of origin.
Based on the findings and interview, the fire appears accidental at this time, the only ignition source seems to be a
improperly discarded cigarette.
-end- Lt. Bearse
Last updata on 08/211i1025 at 10:32:18 by BEARSE, MATTHEW
Roport Com?brion
OIficer ln ChargG
MORLEY, DAVID
Position
Rank
Assignment
Member Completing Report
ENRIGHT, KEVIN P
Position
Rank
Assignm6nt
Date
FIRE CAPTAIN
Captain
Cat 4
FIRE LIEUTENANT EMT
LieutenanUEMT
Engine4S
2s2r0&21
{"*TM
Signature
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