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0030 CEDAR STREET
I i i 0 0� �0 Town of Barnstable Building t � Post This Card So That it is Visible From the Street-WApproved Plans Must be Retained on Job and this Card Must be Kept MAS& Posted Until Final Inspection Has Been Made. Permit BAMSM 059 ��� �t Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-3878 Applicant Name: Lloyd R Smith Vivint Solar Developer LLC Approvals Date Issued: 12/18/2018 Current Use: Structure Permit Type: Building-Solar Panel- Residential Expiration Date: 06/18/2019 Foundation: Location: 30 CEDAR STREET,COTUIT Map/Lot: 018-045 Zoning District: RF Sheathing: Owner on Record: JACOBSEN, MELCOLM A TR Contractor Name 4,LLOYD R SMITH Framing: 1 ~�4 Address: PO BOX 1395 Contractor License: 15688 2 COTUIT, MA 02635 4 Est. Project Cost: $ 1,716.00 Chimney: Description: Installation of room mounted photovoltaic solar system Permit Fee: $85.00 Insulation: Project Review Req: Structural repairs must be completed as prescribed in Fee Paid i $85.00 Final: submitted structural report and inspected before panel _ r Date: tf 12/18/2018 installation. Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: Rough Gas: i This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local Zoning by-laws and codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. f f Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are proyided'oh is permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Health 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: . J - of Barnstable ety and Environmental Services ng Division t,Hyannis MA 02601 Ralph Crossen Building Commissioner mmission approval required prior to issuance of storic District (north of the Mid Cape Highway) on the permit application: Administration Building ris is to be disposed of. 'is required. �vit form must be submitted if more than one fps �(7 r 7 4 f �1�1 l �� ��f,�( TSK Ito jd P� eps 4 01(3 f(-! R-1 � MA Town of Barnstable . RECEIPT; ` ,ASS''Bt$ " 200 Main Street, Hyannis MA 02601 508-862-4039—; 163 Application for Building Permit Application No: TB-16-3396 Date Recieved: 11/17/2016 = �' L�l a Job Location: 30 CEDAR STREET,COTUIT Permit For: Building-Solar Panel-Residential Contractor's Name: BRIEN LANGILL State Lic. No: CS-106675 Address: Hanover, MA 02339 Applicant Phone: (508)456-7076 (Home)Owner's Name: JACOBSEN,MELCOLM A TR Phone: (508)221-0582 (Home)Owner's Address: PO BOX 1395, COTUIT,MA 02635 Work Description: install roof mount photo voltaic solar system with 42 panels @ 10.920 Kw Total Value Of Work To Be Performed: $24,024.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. . All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Brien Langill 11/17/2016 (508)456-7076 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : , $24,024.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $172.52 11/17/2016 $172.52 X)M-X)M-XXXX- Credit Card 5254 Total Permit Fee Paid: $172.52 --.....__..._.._...................._..................................................................................................................................................................... ¢IS -.NOE A PERMIT oFIKE, Town of Barnstable *Permit# v� 0 Expires 6 monttrs from issue Ante Regulatory Services Fee • swxxsrnBi.e. 639. ,er s Richard V.Scali,Director X-PRESS PERMIT Building Division Tom Perry,CBO,Building Commissioner OCT 0 6 2015 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I /G L/S Not Valid without Red X-Press Imprint Map/parcel Numbers^ /11 � 1 Q � Property Address 30 l y 1 OIL_ �l-4 C..e Qc4 y l-� h-A C,_ 0 2(,3!S_ Residential Value of Work$ ��O . Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address &Lo I► n, TO_C0b Qj1 -) Contractor's Name R r CZ'n U'e C-C Jr Telephone Number 7 -2717-i Home Improvement Contractor License#(if applicable) �J S Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name A (e.yj It 66(te e— Workman's Comp. Policy# w c y o ff 32 961t Copy of Insurance Compliance Certificate must accompany each permit. Permit Re est(check box) R Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to TuW), Qorfm_ ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PI01 DHR\ExPRESS.doc Revised 040215 f The Commonivealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street M Boston,AAA 02111 svn fv.niass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Conti-actors/Electricians/Plumbers Applicant Information Please Print Le 'bh Name(BusineworgauizatianfIndividnal)_ _ Address: 26 74y T &..16 0< City/State/Zip: ,�yt 1�" A IA 0 Phone#: ' 0 ' 77 4 Are you an employer"Check the appropriate boa: Type of project am a general contractor and I (required): 1.El I am a employer with 4. ❑ I g 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2 I am a sole proprietor or partner- listed on dle attached sheet 7- ❑Remodeling slip and havee no employees Thy sub-contractors have g- ❑Demolition workingfor me in an capacity. employees and have workers' y pa �'• t 9_ ❑Building addition [No workers'comp.insurance comp.insurance-! required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions. self o workers' right of exemption per MGL myself � ��- 12.❑Roof repairs insurance:required.]1 c. 152,§I(4),and we have no employees-[No workers' 13.0 Other comp.insurance required.] infor*Arty applicam that cheds boa#1 mast also fill our the section below showtog their workers'compensation policy mation-Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast:submit a new affidavit iadicatiig sach- fContractors that check this box must attached an additional.sheet shouting the name of the stab-con=tars and state whether oruot those entities ba2e employees. If the sub-contractors have employees,they in=prmide their workers'comp.policy number. I ant an einplayer that isprovidirg workers'compensation irtsrtrance for my ettrph;l,,-m Below rs the policy and job site information. Insurance Company Name: Policy#or Self-ins-Lic.#: Expiration Bate: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify render tepains and penalties ofpednry that the information provided above is tree and correct Signature: c / N Date: 6 o Z 5 Phone#: �7 �3b ti7 f I Officidl use only. Do nat write in this area,to be completed by city or town of'PciaL City or Town.: PermitllAcense# Issuing Authority(circle.one): 1.Board of Health 2.Building Department. 3.Cityrlonm Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: _ 6 s + BARNSTAIMK • 1 A, Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOI DHR\EXPRESS.doc Revised 040215 17ze Cominoinveakh of- assachuseits Depa rbnent of Iirtdustrial Acciderrir �i OJj a ofInuestigations. 600 Washijigion Street Boston,MA 02111 fvivi rnasmg*ovIdia MrGrkers' Campensafion Insurance Affidavit:B•uilderslContractorsJEIectricians(Plumbers Appficaut Inf4rrmation ( Please Print 1*.aly .Name(3assiIIe mization/mroz�azi): sa��IC� Address_ C e d a ✓' _ v CitY/Sta�r Lod L3 > �- MC,L az 3'phone-g J 6 8 -4ZY —1.5 Are you an employer?Check the appropriate box. Type of project(required): I.❑ I am a employer with 4 am a geferal contractor and I employees(full and/or part-time)-* 'have hired the sub contractors 6 ❑New consirucEioa 2.❑ I am a sale proprietor or partner listed on the attached sheet 7. ❑Remodeling ship and have no employees . These sub-canlractors have 8. ❑Demolition woddng fbx me in any capacity. employees and have wortcers' . [No orkoers' comp.insurance comp.msuranc�l 9. Building addifion w- required-] 5. ❑ We are a corporation and its 16❑Electrical repairs or additions 3.❑ I am.a homeou*ner doing all work officen have exeircised their IL❑Plumbing repairs or additions myself.[No workers'comp- ria,,fit of exemption per MGL 12.❑Roofrgmirs insurancerequirEd-]i c.152, §1(4k and we have no employees.(No workers' 13.❑other comp.insurance required.] 'clayapp&mtd=tcbedmboxAE1nmst also fill out the secdonberow showing their ters'compensation policyinfnrms mL Flaareoaaers who submit&S dfid2Vd M&X= g they axe doing RU wodt and then hive outside contrzctm omit submit anew a.ffidsvit indicznng such. zcoatxactors ff=check this box mast attached as additiansl sheet showing the nznre of the sub-contnwtDm and state whether or not these entities hs-e employees.Ifthesub-coat®darshaveemployee%theymustpmvidetheir workexs'comp.polkynumber. I alit all empinyer that is prouidfng workers'cottgw sidimi imniran a for my empFoyees Below is fife policy and job site informaliDm Insurance Company Name: Policy 4 or Self-ins-Lic_; Rxpi€atioa Date: Job Site Address: CitylStatelzip: Attach s copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL m 157 can lead to the imposition of criminal penalties of a fine up to$U.OD 00 andlbr brie-y eiir iahprissoament,as we11 as civil penalties,in the form of a STOP WORK ORDERand a fine of up to$250.00 a day against the violator. Be advised'that a copy of this statement snaay,be forwarded to the Office of Investigates of the DIA€air insurance coverage verification I da hereby cerhfjr nircd pains and penalties afgedury thattlte iriforar a&7tprvridzdabm a is titre and correct Sirmature: Date- Phone lk OB&iai use anty. Do not write in this area,to be cotnpieted by c*y artoan offs iaL Cdy or Town: Permitffikense# Issuing Anthority(circle one): L Board of wealth 3.Building Department 3.Cityaown Clerk 4 Electrical Inspector S.Phmtbmg E aspector 6.Other Contact Person: Phone#- Information and lastrac ions Massachusetts Geherg Laws ch qp l52 mq�es all employs to provide SPo ens'compensation far their employees. pm:sotto this st�te,an empkyee s defined as."_.every Person m the service of another under any contract of hirer express or implied,oral or wriffr:rL" An Troyer is defined as"an individual,putnership,associaiioxy corporation or other legal entity,or any two or more of the foregoing.engaged in a Joint enterpase,and including the legal representatives of a deceased employer,or the receiver or trustee of an mdi:vidnal,par ship,association or other legal entity,employing employees. However the owner of a.dwelling house having not more than three apartments and who resides therein,or the occupant of the - ciwelliag house of another who employs persons to do mai±=Lance,construction or repair work on such dwelling house or on the grounds or building appu tin-A thereto shall not because of such employment be deemed to be an employer-" MGL chapter 152,§25C(6)also stares that"every state or local licensing agency shall withhold the issuance or renewal of a Hceuse or permit to operate a business or to construct buildings in the commonwealth for any applicant who has notprodnced acceptable evidence of cdarpliance with the i„smran ce.coveirage required." Additionally,M(ff chapter 152,,§25C(7)states-Teith=the commonwealth nor jLy of ifs political subdivisions shall enter in1b any contract for the perfbriamce ofpublic work unfit acceptable evidence of compliap.ce with the fiM=ce.. reTirre eats of this chapter have been presented in the contacting authority_" Applicants PIease fill out the workers'compensation affidavit completely,by checl::ing the boxes that apply to your situation anrl,if necessary,supply sub-contactor(s)name(s), address(es)and phone number(s) along with their cert:rdcateW of insurance- Limited Liability Companies(LLC)or Limited Liability'Pazineiships(LLP)with no employees other than the members or partners,are not regrmed to carry workers' compensation insurance. If an LLC or LLP does have employees,apolicy is regaft-tZ Be advised that this affidavit may be submified to the,Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be rat=(--d to the city or town that the application fur the pemut or license is being requested,not the Department of ; Tnrhstii Accident's. Should you have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the numbea listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials f Please be sore that the affidavit is complete and primed legibly. The Department has provided a space at the bottom of the affidavit for you in flu out in the event the Office ofluvestigafi=has to coact you regarding the applicant Please be sire to fill in the pe rait/licease number which wdl be used as a reference number. In addition,an applicant that must submit multiple pemit/Hceuse applications in any given year,need only submit one affidavit indicating can rent policy infomation(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or- town)_"A copy of the affidavit that has been officially stamped or marked by 16 city or town may be provided to the ' applicant as proof that a valid affidavit is on fle for fid= permit or licenses. A new affidavitmust be fMed out each year.Whew a home owned or citizen is obtaining a license or permit not related to any business or commercial ve;ntle (Le, a dog license or pew to bum leaves etc.)said person is NOT req>ined to complete this affidavit The Office of Investigations would ltloe to thank you in advance for your cooperation and should you have any questions, please do not hesii:E�to give us a call- The Depa:rbnwfs address,telephone and fax nTrm 'FI�e C�Dnmjan—attic of I ac.h Degart�nent cif Iradulzid Accidents Office Qf)hVe&#gRti0= F04�ashingtan • Bin,MA 0�I11 Te,-L#617' -•M ext 406 or 1477 TEA SSA Fax g 617-727 7M Revised4-24-07 mas!�,gpvldia i Town of Barnstable Regulatory Services Fate iAyti Richard V.Scali,Director Building Division * BANSTABLE, ' Tom Perry,Building Commissioner v mass. s6g9. 200 Main Street, Hyannis,MA 02601 rAP�a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: V � number ` �( 1 street village "HOMEOWNER": 4'b cfC Ill V g6265s5n 5&X `�2 ` �� name home phone# work phone# A__11 CURRENT MAILING ADDRESS:?.© X OQ_�v H &,_ 0 zt�3 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements an that he/she will comply with said procedures and requirements. P-- �" . Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules& Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.OutIook\2P101 DHR\EXPRESS.doc Revised 040215 i f Doc21s275s402 08-05-2015 12244 BARNSTABLE .LAND COURT REGISTRY Bk 29058 P9227 4537637 108-05-2015 a THIRD AMENDMENT TO THE JACOBSEN FAMILY NOMINEE TRUST MADE this 3rd day of February, 2015 by MELCOLM A. JACOBSEN, Trustee of the Jacobsen Family Trust dated July 16, 1990 and recorded with the Barnstable County Registry of Deeds in O.R. Book 7252 , Page 135 and the Land Court District. Office of said Deeds as Document No. 511219' and noted on Certificate of Title No. 121176, as amended on August 21, 2010 and recorded in Barnstable County Registry of Deeds in O.R. Book 24800, Page 151, being the present Trustee, pursuant to the exercise of the powers set forth .in Section Five of said Trust hereby amends said Trust by appointing an additional Trustee. The undersigned, MELCOLM A. JACOBSEN, of 30 Cedar Street, Barnstable (Cotuit) Massachusetts, hereby declares that DEBRA M. JACOBSEN shall serve a Trustee of the Jacobsen Family Nominee Trust, with MELCOLM A. JACOBSEN. IN WITNESS WHEREOF, MELCOLM A. JACOBSEN, has .signed this Third Amendment to the Jacobsen Family Nominee Trust appointing DEBRA M. JACOBSEN, as Trustee and DEBRA M. JACOBSEN acknowledges the appointment herein and agrees to serve. Witness MELCOLM A. . COBSEN,. Trustee s Witnes Witness D M. JAC SEN, Trustee Witness t _ { STATE OF FLORIDA ) COUNTY OF PINELLAS ) THE FOREGOING INSTRUMENT was sworn to and acknowledged before me this 3rd day of ebruary, 2015, by MELCOLM A. JACOBSEN, who is personally known of or who produced a identification. as Notary Public ANITA M.BUTLER y * MY COMMISSION i FF 051444 STATE OF FLORIDA ) � EXPIRES:January5,2018 COUNTY OF P INELLAS ) 'ACocnde 80M Dru Budget Nory Services THE FOREGOING INSTRUMENT was sworn to and acknowledged before me this 3rd -day of February, 2015, by DEBRA M. JACOBSEN, who' is personall�k own to me or who produced a as identification. I Notary Public ANITA M.BUTLER * * MY COMMISSION#FF 051444 EXPIRES:January 5,2018 '%Z. a eor%Ied ThrU gEt Nmvv Se„rim _ 8ARNSTaLE COUNTY AEaiST RY OF DEEDS t A TRUE COPY,ATTEST BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D!�� Parcel 6 Application # Health Division " Date Issued . Z. Conservation Division Application Feed+ Planning Dept. Permit Fee U �Lc Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address se Village 1� l y/ Owner , .a-� c� .fr-zOu Address �3o C�UU -Io�ST C� /�sZ�i�l Telephone ~4s___-' Z�- ermit Request f-s—, �4 Square feet: 1 st floor: existing�qyproposed =2nd floor: existing proposed ,Total new Honing District Flood Plain Groundwater Overlay .,.project Valuation .2 DGa ,6_0 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 ® . —d Total Room Count (not including baths): existing new First Floor_.oom Count = Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other :r �- LV Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wo d/coal stove: QiYes ❑ No Ln Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:U existing? ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use 'Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) � C,�-- ' �L Name ��lii7GlZG� .gl2oteC9Y1 Telephone Number Address r?d Ca'` ait ��'/'. 6ZyL7 License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR TE FOR OFFICIAL USE ONLY APPLICATION# [SATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE R,OWNER, DATE OF INSPECTION: FOUNDATION-';.' FRAME ot� -P-Ak bz INSULATION.. w FIREPLACE ' ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL' GAS*;- ROUGH FINAL 1 `,FINAL BUILDING'S J - r' .DATE CLOSED OUT > ASSOCIATION PLAN NO. f I the iConationwealth of Massachusetts Deparpneait ofludustrialAcculela s G OKIce.of Investigatiotrs _ 600 Washingtort Street _ Boston,M4 02111 tuwtn tttass goti�daa- Workers' Compensation Insurance Affidavit: BmldersICantracturs/Elects ci.•tnslPllumbers Applicant Information p Please Print Legilbly Name(BasineswOrganizationdndividual): L y!ol9"iZeAC - Qt1Qp yn n Address: �� •�rc�i42 5T. CitWState/Zip: Go-y I-T- MA 0063,5 Phony'#_ Are you an employer?Check the appropriate box-, Type of.project(required), L❑ I am a employer with 4- ❑ I,am a general contractor and I 6. ❑New construction employees(full and/or part-time). have hired the sub-contracts 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These.sub-contractors have., g. ❑Demolition working for me in any capacity. euployees and.have workers' 9. ❑Building addition [No workers'comp.inaLmmre comp.insurance.: d] 5. [fie are a corporation and its 10.n Electrical repairs of additions pquire3: I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. 'oo right of exemption per MGI �o workers mP• 12.❑Roofrepairs insurance required.]F c. 152,§1(4).and we.have no employees.[No workers' 13_LJ Other �'1 � comp.insurance:required.] •Any apphcaut thatchecks box#1 tumst also fillow the secrionbelaa showing their workers'compensation policy infortmtian- 1 Homeowner wbo submit this affi&nrlt indicating they are doing all wort and then hire outn&contractors nmst submit a near affidavit indicating such. Contactors tint check this bait Faust attached an additional sheet sdowiog the name of the sub-contractors and state wbethsr or not those entities have, employees. If the sub-contractors hate employees,bray must provide their workars'camp.policy number_ I am art employer that is protzding tl orkers'contpensadon insurance.for rtry employees. Below is the policy and job site itfortuat7on Insurance Company Name: Policy 9 or Self-ins.Lac.I#: E piratiou Date: Job Site Address: Cityistnte/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGI-c.152 can lead to the imposition of criminal penalties of a fine-up to S 1,500.00 and/or one=year imprisoament,as well as civil penalties in the form of a STOP W,ORK ORDER and a fine of up to V 50.O0 a day against the violator. Be advised that a copy,of this statement may be f6mrarded to the Office of Investigations of the.DIA for insurance coverage verification. I rIo Jterel»ce fj•under the pains,geld penalties of peryilry that the information prol�iderl�rtlim a is true and correct Si to _ Date: Phone Official use onit. Do not write in this area,to be completed bt do-or town of ciaL City or.Town; Permit&icense€€ Ls§ning Authority(circle one➢: 1.Board of Heailth '2.Building Department 3.Cio-ff o,%m Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone 9: 6 °FWE Town of Barnstable °� Regulatory Services MSS Thomas F. Geiler,Director 1639. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us r• Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: G�, S 1• co-T u LT number {� street village p ""HOMEOWNER": l��a�e�+JG� �V 1 spg- Az&-w4n soc name �Qr home phone# work phone# J CURRENT MAILING ADDRESS: A Y'Y1.e - V9 city/town state zip code The current exemption for"homeo,+vners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official of a'fonn - acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The and signed"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proce and requirements and that he/she will comply with said procedures and requirements. na[ re of The Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors),provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q.Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\iMicrosoft\Windows\Temporary Internet Files\ContenLOutlook\DDV 87AAZ\E\PRESS.doc Revised 072110 Melcolm A.Jacobsen 1744 Emerald Dr Clearwater FI 33756 727-446-2186 The Jacobsen Family Trust January 11, 2012 I Melcolm A.Jacobsen Trustee of The Jacobsen Family Trust give Laurence A. Brown II permission to sign all paper work that is needed for the permit on 30 Cedar Street, Cotuit Ma 02635. For the replacement of the shed permit. If there are any questions on this please contact me at: 727-446-2186 house or cell 727-251-6217. Thank you Melcolm A.J sen Trustee STATE OF FLORIDA COUNTU OF ��� �4� The forgoing instrument was / `/- acknowledged before me this 2— day off . 2012 By �"!�L (2�Y Who i ersonally known to me r produced as identification. '/z Signatu a of the person takin acknowledgment Name type, printed or stamped rooar f '� RC+BERT SKWIR * , MY COMMISSION A DD 915982 EXPIRES:December 12,2013 9TFOF F1�P\O wed ThN Budget Notary Services 10 _ PLAN OF LAND IN fiAR NSTAF3LE 138 Charles N. Savery Inc. , Surveyors November 16, 1973 PINE RIDGE RD. r: 4Q Frar�k S_ Perkins• . W . }' LQ 14 0C 5 71 C -10 /00.00 i v 1 U Chester C• b `i Wilcox 01, o \: LH.wrence. :. �l ill m a, ,r•' .. _._._ v.UO - :.J.JJ .'n. ,V 71 :SO' 2r'W ..l w / O A K Pri✓a Le .zO fG. wide J 0M. C.;y of part of p%Ja LAND REGISTRATION p,;n c1-o frrt to an ircli'':; f 1 d c1 c I d.. l r r � 1 i� tII f - I I � , o 2ill" -� Y t • I A SF V f I I \n �� 'p �� l m s� t l� lt� I n I , z f ( , i • � I i , 'cam t UQ:> � I PHILBROOK ENGINEERING & CONSTRUCTION 107 Beach Street,Dennis,MA 02638-1826 Phone—508-385-8682 E-mail—Tvarnphil@MSN.com SHEDOOT HOUSE MNSTRUmON Date: 28 March 2012 To: Mr.Thomas Perry Building Commissioner—Town of Barnstable From: T.Varnum Philbrook,P.E. RE: BROWN Shed/Hot House, 30 Cedar Street,Cotuit,MA Dear Mr.Perry; I have reviewed the plans prepared by Larry Brown for his Shed&Hot House being built on an existing 8"CMU foundation. As designed it will be connected to the foundation w/bolts and Simpson MSTA24 strap ties at all 4 comers. This is a Utility use structure and can be considered a shed or crop protection shelter(App.C CMR 780 2009 IBC). This falls under Occupancy Category I which provides for some reduction in snow loads which were not taken. I applied loads JAW the 2009 IBC with MA amendments to check wind and gravity loading. Shearwalls were checked using APA Rated 303 Siding(3/8"effective) fastened to the block foundation. Nailing and connections are shown. The foundation was accepted as-is in that it is in good condition,shows no disruptions or settlements and allows for proper connection. Although this is a new building it is a shed w/wider spaced light-weight framing and a plastic fylon style roof,needed in order to provide hot house or a type of cold frame construction. This is a non-habitable structure for store purposes only. This narrative outlines the assessment. The attached memo sheet specifies materials,construction and the connections needed for the work. Please review the notes and if you have further questions or need more information do not hesitate to contact me directly. Thank you. Respectfully, T.VARNUM PHILBROOK,P.E. Cell;508-364-1301 1 encl;Design Plan Package F11 l y � - �\ OF MASS�ryG T. VARNUI41 PHILI3rR00K N MECHANICAL No. 30690 FFSS/OP��&l E� Wp/encls PHILBROOK ENGINEERING FIELD REPORTMORKSHEET Project No: 107 BEACH SMEET ?� DEHH&uA� Sheet No: 1 of GENERAL DESCRIPTION Lawrence Brown 508-221-0582 Pit-45 Narrative: 1-1/2 Story Shed over Shed Constructed Addition ---------- on Full Foundation Location: BROWN, 30 Cedar Street, Cotuit, MA Construction: 21'x 4" @ 24" o/c Platform Frame on Existing ------------- 8" CMU Foundation, Stick-built Roof & floor SPECIAL CONSIDERATIONS Use Group(s) : U (Accessory Shed < 400 sq ft) ------------- Construction Type: V-B (unprotected) see separation below ------------------ Misc or Comments: o Site Meeting & Plan Review, Size & Layouts «< ----------------- o Design Reviews - Roof, Walls & Foundation voo w/ Connections & Shearwalls o MEMO w/ Construction, Shearwalls & Certification =N? DESIGN CONSIDERATIONS Soil Data: - Site Plan or Boring Log available: NO =F^ ---------- Preparer of plan or log: Direct Observation: YES, Nearby CHN/Silvia work from site; Medium-Fine Silty Sand, Some Gravel i Description- (? USCS = SP/GC SBC Class = _-8-_ e Specifics: Br(allow) = 2,000 lb/sq ft w/ no allowable width increases Fire Data: No Insulation, Open Stud Bays Loads SEC Location #/sq ft Dur Note ----------------- ---------- ---------- -------- ------------------------ Basement Floor - Slab 100 1.0 Tbl. R301.5 1st Floor - Utility 40 1.0 Tbl. R301.5 Decks/Stairs 40 1.0 Tbl. R301.5 Partitions: 2x4/6 6 1.0 Bear/Non-Bear WFCM 1&2 Family_ - Chhp 3, Prescriptive_Method for Snow & Wind UON Snow - m = .75 30 1.15 Tbl. R301.2(5) (MA) Wind - Speed = 110 MPH EXP = B 1.33 Tbl. R301.2(4) (MA) Height & Exposure Coef. = 1.00 Tbl. R301.2(3) Ref Pres (Horiz) Zone 4 = -20 MWFRS Tbl. R301.2(2) Ref Pres (Horiz) Zone 5 = -28 C&C Tbl. R301.2(2) Roof Pitch > 0" to 10" Mrh = 12 ft Low Pitch Shed Dormer Ref Pres (Vert) Zone 1 = -21 MWFRS Tbl. R301.2(3) Ref Pres (Vert) Zone 3 = -49 C&C Tbl. R301.2(2) Loadings 1 Basement 1st Floor Roof ----------------- ---------- ---------- -------- ------------------------ P LIVE LOAD 1 100 40 30 ----------- ---------- ---------- -------- ------------------------ DEAD LOADS 1 30 4 5 Misc 1 21'x 6" Joists & 2"x 6" Rafters - Stick built DESIGN TOTAL 1 130 45 35 w/ round 1 w/ 5% on DL Tbl. 12 NET UPLIFT = (0" to 10") ( ) - .6 x ( ) = lb/sq ft -255 @ 24" o/c for MWFRS (-51) - .6 x (10) _ -15 lb/sq ft -180 @ 24" o/c PI)_,jam I T. ;ray; UM v ME. ,ANI A' cn fro. 3U890 SSlONAL P82-FRW-7 Z P_ r-�,2 f r . PHILBROOK PIN ENGINEERING I FIELD REPORTMORKSHEET Project No: 107 BEACH SHEET DENM&MA026M Sheet N0: Z of 2— , GENERAL DESCRIPTION Lawrence Brown 508-221-0582 8th ed Pll-45 Narrative: 1-1/2 Story Shed over Shed Constructed Addition ---------- on Full Foundation �S Location: BROWN, 30 Cedar Street, Cotuit, MA DESIGN ANALYSIS: Engineered Design (IAN Para. R301.1.3) for Beams, Trimmers & Columns p T vARNUM pRii_BROOK #2-Plywood Bracing Method (Shearwall) w/ Holdowns a MFGHANICAL V(wall) = (Roof/Ceiling) x (Width)/2 (Mrh=81) `' No. 30690 V(wall) = (20# (Zone 4) x 81/2) plf x 281/2' = 1,120 lb endwalls .o v(wall) = V(wall)/Leff = 1,120 lb/10' = 112 lb/lf E 10M a« OR to 130 PLF from Tbl. 19 APA Construction Guide OK by design & Mfg. 1. »� 000 Uplift(corner) = (V)lb x Ht/Portal Span = 896 lb total uplift Z n�R�1 Requires Simpson MSTA24 Strap Ties = 1,455 lb for all corners (4 ea) OK by design & Mfg. Tbl. aoa - #5-Rafters; 21'x 6" KD SPF @ 24" o/c Wul = 2 x (30+5) lb/sq ft = 70 lb/If 1 Span; 12' o-o Mmax = 1,260 ft-lb f(b)req = 2,000 PSI F'b = 1,334 PSI w/ Cd = 1.15 N_G_ z ADD 2"x 4" KD SPF sister to each open rafter @ 24" o/c f(b)req = 1,426 PSI F'b = 1,435 PSI w/ Cd = 1.15 OK by design i #6-Rafter Uplift; 2"x 4"/6" @ -24" o/c @ Eave (Tbl. 12) -255 lb and @ 105 lb/nail for 10d Nn = 3 nails OK by Tbl 6B #8-Floor Joists; 2"x 6" KD SPF @ 16" o/c Wul = (40+5)x 1.33 = 60 lb/lf w/ 2 ft cantilever w/ roof 1 Span; 10'0" w/ 210" cant. Pend = 345 lb @ 16" o/c Mmax for span = 600 ft-lb Mmax for cant = 812 ft-lb f(b)ctr = 952 PSI F'b = 1,160 PSI w/ Cd = 1.0 f(b)cant = 1,288 PSI F'b = 1,334 PSI w/ Cd = 1.15 OK by design DESIGN NOTES - X-Section & Plan Views Pg.1/5 #1 Existing 8" CMU foundation w/ corner return walls #2 Exterior Walls; 3/8" APA 303 rated sheathing to be nailed w/ 8d ring-shank nails @ 6" o/c all edges & fields - 24" o/c #3 Existing shallow foundation IAW Para. R403.1.4.1 Exp. 2 Pg.2/5 #4 Minimum 2 ea 41011+ shearwall panel zones using 3/8" APA 303 Pg.3/5 #1 Existing 8" CMU foundation w/ corner return walls #5 Rafters; 21'x 6" KD SPF @ 24" o/c. SISTER 21'x 4" KD SPF @ 24" and o/c to one side of each rafter to create a stiffened set #6 End Connections; Flush 21'x 6" w/ 3 ea 16d nails Pg.4/5 #7 Full Height APA sheathing ties rafter ledger to rim joist. Observe 6" o/c sheathing nailing requirements #8 Cantilever Floor Joists; 21'x 6" KD SPF @ 16" o/c #9 Building Anchorage; Simpson MSTA24 strap ties. Release panels and install up under panels onto studding. Re-nail siding and continue attachment to grouted cores w/ 3/16" Rawl Nails NOTE - Optional interior corner fastening TBD #10 Provide dedicated 2/2"x 4" stud column to receive tie nailing #11 Solid block between joists over cantilever bearing line Pg.5/5 #8 Cantilever Floor Joists; 21'x 6" KD SPF @ 16" o/c #9 Building Anchorage; Simpson MSTA24 strap ties. Release panels i and install up under panels onto studding. Re-nail siding and continue attachment to grouted cores w/ 3/16" Rawl Nails NOTE - Optional interior corner fastening TBD #11 Solid block between joists over cantilever bearing line #12 Provide minimum 2 rows 8d nails staggered 3" o/c to rim joist P82-FRW-7 1 • is - '.� .�a.," _. __""� �A, ♦ s s Y• 77 IF— WALL CONSTRUCTION Building codes require that walls resist wind pressures caused by the design wind speeds,resist wall-racking forces and provide weather protection.This section provides details on how wood structural panels can be used to meet these fundamental requirements. APA Sturd-ll-Wall" The APA Sturd-I-Wall system consists of APA RATED SIDING(panel or lap)applied direct to studs or over nonstruc- tural fiberboard,gypsum or rigid foam insulation sheathing*. Nonstructural sheathing is defined as sheathing not recognized by building codes for meeting both bending and racking strength requirements. 'Where panel siding is applied over foam sheathing,see APA publication APA Ratrd 5iding Panels over Rigid Foam Insulation�heathin,,Form C'46 i. TABLE 19 FASTENING APA RATED SIDING(PANEL)APPLIED DIRECT-TO-STUDS OR OVER NONSTRUCTURAL SHEATHINGI"Ilb M(d)(.) Minimum NaHN Panel Nail Spacing Maximum Wind Speed(mph) - — -- ___ ---- ---- Shank Penetration Wall Stud Intermediate Wind Exposure Category APA Rated Diameter in Framing Spacing Edges(g) Supports --- --- Panel Siding (in.) (in.)- (in.o.c.) - (in.a.c.) (in.o.c.) B C D 3/8 Performance 16 6 12 110 90 90 Category 6 140 120 110 1.5 _.. - APA MDO 12 90 NP NP GENERAL 24 6 - b 130 110 100 APA Rated Siding 12 125 105 90 16oc 16 6 — - -. - - - 6 140 120 110 APA Rated Siding 2.0 12 100 85 NP 24 oc 24 6 6 140 120 110 (a)Table is based on wind pressures acting toward and away from (d)Hot-dip galvanized nails are recommended for most siding building surfaces,at 30-ft height in wall Zone 5(corners)with applications,see Siding Fasteners section on page 48 for more smallest effective area,per Section 6.4.2.2 of ASCE 7-05 and information. Section R301.2 of the 2009 IRC.Stud specific gravity=0.42. (e)Maximum stud spacing shall be in accordance with Toble 21A. (b)Recommendations of siding manufacturer may vary. (f) See Table 5,page 14,for noil dimensions. (c) For use as wood structural panel wall bracing,the minimum fastener spacing of 6'o.c.at panel edges and 12'o.c.at interme- (g)Supported panel joints shall occur approximately along the a - diate supports shall be sufficient except: line framing with a minimum bearing of 1/a Fasteners shall all be located 3/8'from panel edges.Siding installed over two or (1)For braced wall section with Performance Category 3/8 panel more spans. siding applied horizontally over studs 24'o.c.,space nails 3'o.c.along panel edges. 45 I ENGINEERED WOOD CONSTRUCTION GUIDE•FORM NO.8360P•m 2011 APA—THE ENGINEERED WOOD ASSOCIATION.WWWAPAWOOD.ORG Parcel Detail Page 1 of 2 �Y T tl E71 //.(/ � i BAA15rAALE > .1-_ � i MASS, C. +! _� =dpd 1G79 tA°y �.. ,f � - �;,.r._ _ `:� ""e' r+w.r_-.ram a'v Pfp µtad a. � —� �CGU.-!U%(fir✓�� � e... Logged In As: Parcel Detail Tuesday, November 15 2011 Parcel Lookup Parcel Info Parcel ID 018-045 I DeveloperLot 59,60 Location 130 CEDAR STREET I Pri Frontage 220 Sec Road OAKWOOD STREET I Sec Frontage 100 Village JCOTUIT I Fire District I COTUIT Sewer Acct I Road Index 10258 Interactive Ma - Owner Info Owner IJACOBSEN, MELCOLM A TRS I Co-Owner JACOBSEN FAMILY NOMINEE TR Streetl I PO BOX 1395 I Street2 City JCOTUIT I State MA zip 02635 I Country " Land Info Acres 10.92 use ISingle Fam MDL-01 I zoning IRF Nghbd 0107 Topography ,Level I Road ,Unpaved Utilities I Public Water,Gas,Septic I Location - Construction Info Building 1 of 1 Year 1970 I Roof Gable/Hip I Wood Shingle Built Struct Wall all Living Roof AC p70 Area 1404 I Cover Asph/F GIs/Cmp I Type Central I __ gip, 1 \vo SFB� , s:RN'., I 14 - tg 4 Style I Ranch I wnt all Drywall I Rooms Bed 4 Bedrooms BM7 P,Tq Model Residential l Floor I Rooms 2 Full I `� a4 Heat Total 1 Grade Average I Type Hot Air I Rooms 9 Rooms Stories 1 Story I Fuei Gas F I ation Typical Gross 4228 Area Permit History Issue Date Purpose Permit# Amount Insp Date Comments http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=563 11/15/2011 Parcel Detail Page 2 of 2 12/2/1983 B25870 $20,000 1/15/1986 12:00:00 AM CO 12/1/1983 B25870A $0 3/15/1986 12:00:00 AM CO GARAGE 11/1/1973 B16760 $0 1/15/1974 12:00:00 AM CO SHED 6/1/1972 B15206 $0 6/15/1974 12:00:00 AM CO 2 STOR - Visit History Date Who Purpose 1/14/2005 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 8/26/2002 12:00:00 AM Paul Talbot Meas/Est 7/16/1999 12:00:00 AM Frederick Stepanis Meas/Listed-Interior Access 13/15/1990 12:00:00 AM IML - Sales History Line Sale Date Owner Book/Page Sale Price 1 8/15/1990 JACOBSEN, MELCOLM A TRS C121176 $1 2 JACOBSEN, MELCOLM A C77782 $0 3 JACOBSEN, MELCOLM A 2900/096 $0 -w Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2011 $156,200 $14,200 $28,000 $190,700 $389,100 2 2010 $156,100 $14,200 $28,800 $184,500 $383,600 3 2009 $150,600 $15,300 $16,500 $227,100 $409,500 4 2008 $178,300 $15,300 $16,500 $253,600 $463,700 6 2007 $177,300 $15,300 $16,500 $253,600 $462,700 7 2006 $162,000 $15,300 $16,900 $250,600 $444,800 8 2005 $149,000 $15,200 $17,400 $167,100 $348,700 9 2004 $123,500 $15,200 $17,600 $167,100 $323,400 10 2003 $128,600 $15,700 $11,800 $9 AO $251,100 11 2002 $128,600 $15,700 $11,800 $95,000 $251,100 12 2001 $128,600 $15,700 $11,800 $95,000 $251,100 13 2000 $106,600 $15,000 $12,200 $57,400 $191,200 14 1999 $106,700 $12,000 $0 $57,400 $176,100 15 1998 $106,700 $12,800 $0 $57,400 $176,900 16 1997 $121,000 $0 $0 $52,400 $173,400 17 1996 $121,000 $0 $0 $52,400 $173,400 18 1995 $121,000 $0 $0 $52,400 $173,400 19 1994 $107,000 $0 $0 $58,900 $165,900 20 1993 $107,000 $0 $0 $58,900 $165,900 21 1992 $121,400 $0 $0 $65,500 $186,900 22 1991 $168,600 $0 $0 $69,900 $238,500 23 1990 $155,900 $0 $0 $69,900 $225,800 24 1989 $155,900 $0 $0 $69,900 $225,800 25 1988 $93,800 $0 $0 $41,200 $135,000 26 1987 $93,800 $0 $0 $41,200 $160,700 27 1 1986 1 $89,900 $0 $0 $41,2001 $134,800 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=563 11/15/2011 l Town of Barnstable Geographic Information System November 15,2011 I��y9 f. 4 s�= �5 s DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:018 Parcel:045 Selected Parcel F-1 N boundary determination or regulatory interpretation. Enlargements beyond a scale of MELCOLM A TRS Total Assessed Value:$389100 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:JACOBSEN, are only graphic representations of Assessor's tax parcels. They are not true property 9 w � Co-Owner:JACOBSEN FAMILY NOMINEE Acreage:0.92 acres Abutters =�a2 boundaries and do not represent accurate relationships to physical features on the map Location:30 CEDAR STREET such as building locations. Buffer Aerial Photos Taken April 19,2008 00 4,pE • °°a TOWN OF. BARNSTABLE,. MASS ' _ate THIS IS TO CERTIFY THAT`A PERMIT IS HEREBY GRANTED TO (PROPERTY OWNER) - (ADDRESS) 'o oo ` 5I �G d TO . .......... r y.. EPAIR)`H (BUILD) (ALTER) Ili .»...: »...» ».:.....:_ . V1 0ICi »_ » ]� ........................ ........ ........ ......... ......:. (TYPE OF BUILDING) N y (APPROXIMATE SIZE) 40. WWWo _� LOCATION t#! `>t fr`f wei W V N (STREET AND NUMBER( IS6IVILLA6E1 AMANAME OF BUILDER OR CONTRACTOR —.�" x _» -----__.»_»».».. :. ...»...._ _w... .....»............. d APPROXIMATE COST* 104)bem I HEREBY AGREE-TO CONF.ORM'TO.ALL'_THE RULES AND'`'REGULATIONS OF THE TOWN d y OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION. eP4op .........».............................................. W.»._............w....... ........ ......._.........»......................................:............................ yyd (OWNER) (CONTRACTOR) ca N r .» BUILDING INSPECTOR Subject to Approval of Board of Health �.,w:_.,� _.�..•' .�_ +� ..:.::.>...� ..�, ":: .. ..' ,. .....>,..t. c»s=„_�'..ltku.�s. .».^"�ssm.,y.�.'��`�^. ..�.s-� �k c&'.�w.s x�t�. ,,.� /y �- 17 - a Assessor's map and lot number .. ( '........ .. ? Sewage Permit number .............. s... ......... 9��� d�Qy fTHEt 1►`� House number ................ �'" C�� . BASa9TA8L U SAM t639. TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. TYPE OF CONSTRUCTION ............... a ...............................C...... ... ............................................ ................................J ) .19. 'TO THE INSPECTOR,:OF BUILDINGS: The undersigned hereby applies for a permit according, to the following information: Location ! ., �..���,` ! k ............ c^ U i. Proposed Use ^w p .Zoning District ........t. .....................................................Fire D.isfrict .............................................................................. Name of Owner ... 7c<.c;pk?,c:.A..Address .... ?...� :.� �. '.t....... `?.�'::.................................... Nameof Builder' ........... _q................................... .................... ............................................................. Name of Architect ..........X.1 rV.V\•Q.............. ...............Address .................... ............................................ Numberof Rooms ....................:.............................................Foundation ............ .Y', .'. ........................................... Exterior ................ ........�''::.�.1............................Roofing ............I�...... ..... i ....: ........ Floors ............... k:F" ..........^.......................................:.......Interior ............... ....::. . Heating ...................L , c'.........................................................Plumbing .....................0ZZdna.: ,..:...... Fireplace .................. ...(: lA�'-.•.............................................Approximate Cost ...........�.Q' n.Q0.......................... Definitive Plan Approved by Planning Board ___________ _19 . Area ...................i p'.. .......... ,. 'Diagram of Lot and Building,with Dimensions Fee µ` SUBJECT TO A_PPROVAL'OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ~ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 119. ?. *y - :: .................. ;r�' JACOBSEN, MELCOLM /A=18-45 No .. . 5 8..0.,Permit for Accessory to Dwe ,�,ig s, Location .... ......... ...................CotU.it............................................ Melc-o.lm Owner ........... ....................J aq.Pbs.�n............... Type of Construction ..Fz 4MP........................... ................................................................................ �,.. Plot ............................ Lot ................................. Permit Granted ..... Dec,. ..15, 19.................... 83* Date of Inspection ..............:.....................19 - a Date Completed ......................................19 till 5-- 7,0 -�5e _a_ PLAN . OF LAND IN fiAR NSTABLE 386, Charles N. Savery Inc. , Surveyors ' November 16, 1973 PINE RIDGE RD. • ' 01 Frank S.• Perkins• Lu 5 _71 -10 20' E GB' 0 /00.00 _ tZ Chester C. ,V Q 3t Wilcox Q i i i O rr viny Al. { e 04; p L a wrence Z cS �l LU o `� R lay- 000.00 -- 2J0.00 - .tJ.00 - .Y[.o.j o A' 7/0 ..to' 20 'w 7! 10' 2o'iy O A /1 P,'ivate-40 ft. *vide) STREET CO,•+y Of part Of p/d.7 LAND REGISTRAT/ON OFFICE NO 1' 15,/:>7d Scale of thic p!on G 0 feet to an ireb - �'L.lYoeclvr�, Engineer tEr Court. . h a4ssess&'s map and lot 'number ..........l�..c�. 3 8 y. y�f TN E T0� Sevc}ge Permit number ............ - � 1 �/�.!`� d �� (� � _/ ( House number ................... sesasTana .:...11 r.........}................: /��l,V� ✓�/�� '� MAN ` �l w,039. on d. TOWN . OF BARNS.TABLE BUILDING INSPECTOR s . APPLICATION FOR PERMIT TO .:..... .<I.a..!-.........:.. r.....................................:.................... TYPE OF CONSTRUCTION ...............4t.;1.QA.0\.........:......................................................................................... ......... � r/...� ......I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........�Q. .............QO k.....Z-'.........C..QA.V CA ...........:.............:............................................... ProposedUse .........�:�Q t 4�A........................................................................................................................ ............ ZoningDistrict ....... .. .....................................................Fire District ..............................................:............................... . f Name of Owner ... P.1.�i4.�.Y.Y.I..... Address ....��?.Ca.4�c�rQ ......SS.. .................................... r Name of Builder .............. �................................Address ................ ?.Q.!^^^ ................................... Name of Architect sa1.+1?I-A.................................Address .................. ........................................... Number of Rooms ..................... .. .........................................Foundation. ......... ? ?. 'Q. ............................................. Exterior ................�V.A.uep....... ............................Roofing ............�i..S.�J..f1�i�. Floors .............. t ..........�...............................................interior ............... k...............................:........ Heating ...................4.>,?.ocQ4'k...........................................Plumbing ................... Q.! C-................................. ............ Fireplace .................. .Y.. -.......................................... �{p ..Approximate Cost p�. }.�.CSC�C�....................... ........... Definitive Plan Approved by Planning Board _______________;___________19_______. Area .....��U....�e .............. - - . 0 Diagram of Lot and Building with Dimensions Fee .51� SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding.the above - construction. Name ..... ..... ....... .. ..,......................... .................... l 4 f/ f JACOBS EN, MELCOLM 25870 GARAGE No ...............rPermit for .................................... Accessory to Dwelling . .............................. ............................ eet Location Lot t 45, J�W-Yr ............................................. ..................C.......otuit...................................................... Owner .....Me 1.c.o 1N...Jacob. o.b.s.en. ................... .. .... .. .... .. Type of Construction ..F.rame........................... .. .......... ................................................................................ Plot ............................. Lot ................................ 'Permit Grahted ....Dec,. 15.a................19 83 Date of Inspection I.Z� .. .............. ......19 Date Completed ............. T9 r+ '' 5 s E vt 4 ;'CL�i } i Y �' d'e it "'♦ R 6'f r 4 LL_ N _ i _ .ram ..w��y � r.•� .. i '.y �{y... ;' rrrir. _ ; ..� � a r � •Li!! r r na Ott f _ `fm7ll/ti, o Barnstable Assessing Search Results Page 1 of 2 'At .ae^ • it ''�', a kr fr c. .w '<e—'—,„',:..s'�ii ACC /�l5. �$�'i' �f* ." u✓: ��+'�.� .::. .2 ;':: e x wa .tiiy. ... ... / '.. :-, ...,;_5✓^r7#'' . .:, .. '{x*� Y.c ilsx.i.�Yahc���..�`_SG.'_... W a ve Home: Departments:Assessors Division: Property Assessment Search Results r- v 30 CEDAR STREET pcP OWY Q Owner: JACOBSEN, MELCOLM A TRS Property Sketch Legend Map/Parcel/Parcel Extension npi" �A018 /045/ i� (' `0 '.1+1f1� Sa Mailing Address y JACOBSEN, MELCOLM A TRS r MC JACOBSEN FAMILY NOMINEE TRPO BOX 1395 � , i �r COTUIT, MA. 02635 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 149,000 $ 149,000, Extra Features: $ 15,200 $ 15,200 Outbuildings: $ 17,400 $ 17,400 Land Value: $ 167,100 $ 167,100. Interactive Property Map: ap requires Plug in: �xck�Fo�r Totals:$348,700 $348,700, 1 have visited the maps before Show Me The M"a April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: JACOBSEN,MELCOLM A TRS 8/15/1990 ' C121176 $ 1 JACOBSEN, MELCOLM A C77782 $0 JACOBSEN, MELCOLM A 2900/096 $0 Tax Information: Tax information is currently not available for this parcel r � °Land and Building Information Land Building Lot Size(Acres) 0,92 Year Built 1970 Appraised Value $ 167;100 Living Area 1404 Assessed Value $ 167-100; Replacement Cost$177,322" . http %/WWW-.town.barr siab,le.ma:.us/tobO2/Deets/AdministrativeServices/Finance/Assessin... 10/18/2004 i Barnstable Assessing Search Results Page 2 of 2 Depreciation 16 Building Value 149,000 Construction Details Style Ranch Interior Floors Carpet Model Residential Interior Walls DrywallPlywood Panel Grade Average Heat Fuel Gas Stories 1 Story Heat Type Hot Air Exterior Walls Wood Shingle AC Type Central Roof Structure Gable/Hip Bedrooms 4 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 9 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value BRN4 Barn w/Bmt&Lt 728 $ 17,400 $ 17,400 A/C Air Condition 0 $0 $0 BFA Bsmt Fin-Aver 936 $ 11,800 $ 11,800 BGAR Bsmt Garage 1 $3,400 $3,400 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) .UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.barnstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessin... 10/18/2004 Town of BarnstablePermit: '�x 796g � °PIKE Regulatory Services ate: ie-y 1V Thomas F.Geiler,Director BARNffriim ' Building Division ee:a oo Mass. 1639. `0� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: �g,�G�a h�� �r/culv �l Phone: I Install at: 3 C Village: Map/Parcel: elf( O y 6— Date: Sto A New Used B. Type: Im Circulatin C. Manufacturer: �'�fi Lab. No. OSa' — S ' O3 Z D. Model No.: 0 Chimney A. New/Existin / (If existing,please note date of last cleaning l'7 B. Flue Size C. Are other appliances attached to Flue? /-e S D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: 51)9,- <— B. Sub Floor Construction: ku Co i Installer Name: �a �P-v� �-�G s--� Address: /,�pl Phone: S'c� Fr- d-3 7 ' JX�L 7 Location of Installation: '3 v C r Sr A APPROVED BY: ,� t®ZqLav Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev IiMi /04 30 Cedar St. , Cotuit ,p L h - � 1 11 - soon _ i -,,A I P — /,� L( 5— CIA — /1.7o — 7� Assessor's map and lot number .....:. ...... ........................ SEPTIC SYSTEM MUST BE I .STALLED IN COMPLIANCE Sewage Permit number d.:..... ........ ............. k, I i IN A. TiOLE I I STATE R /� R _ SAS ITAIRY CODE AND TOWN ?yOf?NE tp�1 TOWN♦1 N F �J l'l.a N ST AR�� i • i BAHHSTODL "b BUItD.IHG INSPECTOR D ABI 6• APPLICATION FOR PERMIT TO �............ ... .... ............................................................................................... i"� " / -� TYPE OF CONSTRUCTION ........ .. ................:"!................................................................................................... ..................2..........................19..>3 TO THE INSPECTOR OF BUILDINGS: ✓ The undersigned hereby applies for a permit according to the following information: Location .. .:.. ........ .................. ...........................................:................................................... Proposed Use s. ....... Zoning District .. �..� Fire District_... :.�?�.'Lei. :�...................................................... Nameof Own . 4. /�:.. ..�l��r ............Ad'dress .... .................:......... ............................�................ Q Name of Builder .. .'. .:...L. ......................................Address .............................. +tr Name oo=A�wraitet- .........................................:.......:...............Address ................ Numberof Rooms.........1.. . ............................................Foundation .... ................................................. ExteriorI ...Roofing .... ............. .............................................................. q Floors .... ..: . ..........................................................................Interior ........ .................................................... Heating ......... ....................................................Plumbing ......,f ................................................................. Fireplace ......... L.......................................................Approximate Cost ...: -��.d.d......�.� . ....................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .. 6 i Diagram f Lot and Building with Dimensions Fee ...... ..�................. .... SUBJECT O APPROVAL OF BOARD OF HEALTH 0 2 z6L + 3v f c d I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......... ........... ` ....................................... No 16760...... Permit for .Shed...........................: ............................................:........... .... ' ,(�d Location Cedax..A.t...� T r j . :. ..................................... , Owner .. 61x'Q ..1laWX'8X3�Q................................. I _ l/ i Type of Construction El.oCk .... ............................ .................:............................................................... r' Plot .....1:.....5........... Lot ....... ,a -7 Permit GrantecRovrerabeY'.......3p........:.....1973 r., Date of Inspection .... ...............................19. 1 Date Completed .1 .1617y.... � o , is PERMIT REFUSED ................................................................ 19 Nl 4 .... ...................................................................... 1 ................................................................................ N'! .... ........ ............................................ Approved ::.............................................. 19 ............................................................................... i oFt Ta,, Town of Barnstable _ Regulatory Services Thomas F.Geiler,Director 39.0 $ Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624024 Fax: 508-790-6230 November 23, 2004 Mr. Malcolm A. Jacobsen 1744 Emerald Drive Clearwater FL. 33756 Re: 30 Cedar Street Cotuit ,MA. 02635 Map 018. Parcel 045 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a two-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home. • Apply to the Amnesty Program. • Prove that this is a legal two-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Linda Edson Amnesty Officer Building Department gforms:zoning3 ToWn of Barnstable . �TME�� • Regulatory Services „Sr ; Thomas F.Geiler,Director 9�A M;9. �. Building Division • �Eo��� Tom Pe _- rry,Building Commissioner, 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 P ll=, # p FEE: $ I;z_ SHED REGISTRATION 120 square feet or less Location of shed(address) Village -L. C,� Property owner's name Telephone number i j;- . Size o�- hed Map/Parcel# de) Z, Signature • Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE.THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN ti S TREE T k WA NUT m O - to C ti rREE T o Z o • p`.� (Pri✓�+� •p'y QO.ore.wide> cc pA o ° o' a4 A O N 11 w V ` C \ CD N . ��- /20.QO � �• O �. to i e /g' .a "FV • O �� � c� .; S /B m � ` 0 I r Z �� • O h P. B1, _ T I `naw a0 Wade S TREE p A K W®00 Private-4of � •. I 1 ' VD "`faZlm O J i �¢� � . �� a M, r ,' �� .f 4! «u w4 � ,� �:fi � '�' v �:,: �o, t a. +t '�"r E i � ��, ��yY� {:�a. x 4 3.;. .;, A b �.�. `� "j, k � „�4 4 �� �,, `=�l� F, �9 j�Y �^ u; �. 1 �.� ,�,... .' a<� ,,,- f i t �+� l_��� r y 1 � � I �t T ��� � i1 ��) �� � � i ,* ti i � '�� .. 4 ysa o 1 ��� r w�q. [� ��.� �� ��" •�, °� �-�w I �. `�., t " �` I I ,' { f i � �`.. fr�Ys�� .. ._ .�K. � .........._. J � mr. A � L� -5 IQJry, atp 0 •Il CLI-4 f je.� r , IT1 c S �S ;n rf) ►�c�c�3 S d �1` �-�v► �y iYt-S � of�� P 017 014 287 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to rA Taal v, Ae Street and No. 0." P.- tate and ZIP Code D^ L Postage S[7 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered u� ION Return Receipt showing to whom. y Date,and Address of Delivery - S TOTAL Postage f I Fee p�s1� S� o Postmark or DAZ nIV A, C14 U. STICK POSTAGE STAMPS TO ARTICLE-TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) I 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of ' the article,date,,detach and retain the receipt,and mail the article. i- 3. If you want a return receipt,write the certified mail number and your name and address on a return ` receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. I �l 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. It return receipt is requested,check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. U.S.G.P.O.1987-197-722 • SENDER: Complete items 1, and 2 when additional services are desired, and complete item"s � 3 and 4. Put-your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you.The return receipt fee will provide ou the name of the person delivered to and the date of delivery.For additionaltees thefollowing services are evai a a. onsu t postmaster or tees and c ec c Doxlesl,for additional servicels) requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. "❑ Restricted Delivery (Extm charge) (Extra charge) 3. Article Addressed to: 4. Article Number 7elOaIP" /I . P o l r7 o l`� ;-8-`7 Y1 JXGpti S e�-, Type of Service: 3 n w„ ,�y si� ❑ Registered El Insured l Certified 0 COD 10Express Mail ❑ for Me Recent for Merchandise O 2-6 3 5' Always obtain signature of addressee or agent and DATE DELIVERED. 5. Sign�urdre 8. Addressee's Address (ONLY if X requested and fee paid) 6. Signatur Agent X 7. Date of De jive ,, 0 PS Form 3811, Mar. 1988 • U.S.G.P.O. 1988-212-865 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name,address and ZIP Code _ In the apace below. `� • Complete Items 1,2,3,and 4 on the U.S.MAIL reverse. �0 • Attach to front of article If space permits, otherwise affix to back of article. PENALTY FOR PRIVATE • Endorse article "Return Receipt USE, $300 Requested"adjacent to number. RETURN Print Sender's name, address, and ZIP Code in the ace below. TO ?b5 �- Z ,-z- j v",l �nr55ioY2r /bcwt 0 Y vn$1 A2 HY4 n n 1-5 , 0/� 4 Z601 ctg i Joseph D. DaLuz Telephone: 775-1120" Building Commissioner Ext. 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS, MASS. 02601 September 5, 1989 Melco'lm A. Jacobsen edar Stneet. Cotuy A U2635 Dear Mr . Jacobsen: On April 20, 1989, this office mailed a letter to you outlining the conditions set forth in the Zoning By-law pertaining to family apartments. In that letter, the importance of the required affidavit was stressed. You will note that the penalty for a zoning violation was also outlined in your letter. This 'letter is to advise you that, unless the affidavit is received by this office within ten ( 10) days of receipt of this letter, I will be forced to file a complaint in the First District Court at Barnstable. Each day the violation continues will constitute a separate offense. Peace, dse7p TDaLuzT Building Commissioner JDD/km cc Board of Appeals Town Attorney L• � Joseph D. DaLUZ Telephone: 775-1120 Building Commissioner Ext . 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS, MASS . 02601 April 20, 1989 Melcolm A. Jacobsen 3 Cedar Street Cotuit , MA 02635 Re: Appeals No. 1986-09 Dear Mr. Melcolm: On February 6, 1986, as applicant(s ) you were granted a Special Permit for a family apartment. "The intent of this by- law shall be to allow one ( 1 ) additional living unit, complete with kitchen and bath to supply a year-round residence for a member or members of the property owners family, . . . . . . . . . " In addition, the by-law also states that "The property owner, and the person or •persons who will reside in the family apartment shall sign affidavits before occupying said family apartment and further, all shall sign said affidavits each year said family apartment is occupied. . . . . . " . Within sixty (60) days from the date the person or persons residing in the family apartment vacate the premises , the owner or his representative shall remove the kitchen facilities and request the Building Inspector to inspect the premises . It is important that you understand that there are restrictions which relate to the applicant's family living at the same premises. The use cannot be transferred. Conviction of a violation of this by- law is subject to a fine of $'100 per day for each day from the established date of offense and, also, subject to a criminal complaint to issue from the First District Court of Barnstable. Affidavits must be signed and filed at the Building Commissioner's office between the hours of 9:30 A. M. and .1 :30 P.M. Monday through Friday. This by-law snail be strictly enforced. Peace, ( oseph D. uz I Building Commissioner JDD/km cc Board of Appeals Town Counsel V`dfli SEC. iI 01TOWN OF BARNSTABLE CHAPTER 40A, M.G.I. Zoning Board of Appeals FF8 I d UU FI..........._.................................................... Deed duly recorded in the ........................_.........._................ Property Owner County Registry of Deeds in Book .............................. SCUM._......_.............................................................................................._....... Page ................_....... ...._......................................................Re� istrY Petitioner District of the Land Court Certificate No. .............:......... ....................... Book ......................... Page .................. AppealNo. _]9.8.6-.09........................................... .............................................................................. 19 FACTS and DECISION Petition(Melcolm..A__-Jacabsen.................._......._.._........................._ filed petition on ................................................ 19 g3 Cedar Street requesting a variance-permit for premises at _..._........_.......................................................................................... in the village (Street) of Cotuit adjoining premises of see attached list Locus under consideration: Barnstable Assessor's 11fap no. ....._............................18............ lot no. .....47 ... 48 Petition for Special Permit: U1 Application for Variance: ❑ made under Sec. _........___................................................. of the Town of Barnstable Zoning by-laws and Sec. .................._..._._................................................................................_......... Chapter 40A., A-lass. Gen. Laws for the purpose of ,to allow an existing family apartment to be considered .......................-..........-..................................................le.al............................._......_...._.._................._...................................................._.......................................................... Locusis presently zoned in.............RF................_............_..............................................._............................................._.................................. Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by. publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy -of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals ,of the Town of Barnstable was held at the Town Office Building, Hyannis, Mass., at __2. 30..__.? f. P.11i. ____._..Febnaa......5 _ _...__.._ 19 86 upon said petition under zoning by-laws. Present at the hearing were the followin .rnembe*rs: .............._.....__ ........... Y...................... .Rgnald....Jan son ........_.._............ Chairman Elizabeth Horton Helen Wirtanen r At the conclusion of the hearing, the Board took said petition under advisement.. A view of the locus was made by the Board. Appeal No._.__1986.-.09 Page ........................ of ........................ On Februar 6._....._.........................._......_..._...... 1S► .86...._..... The Board of Appeals found _._. . ........ ........... Mr. Jacobsen presented his petition for a Special Permit to allow a family apartment at 3 Cedar Street, Cotuit in an RF zoning district. The petitioner's step son would occupy the family apartment which is existing - when the tenant vacated the apartment, the petitioner found that he did not have a legal apart- ment -never able to locate a building permit (valid) . The structure is a split level building with a garage - a long ranch style - the bottom section is exposed - the rear portion is below .ground - from the front it appears to be a two-story building - all of which was built prior- to the petitioner owning it. The petitioner does meet the requirements of Section V - the area of the apart- ment is 665 square feet - within the acceptable range. The Board voted unan- imously to grant the Special Permit for the family apartment; to allow this would not be detrimental to the neighborhood and would be within the spirit ttt and intent of the Zoning By-laws, Town of Barnstable. IAU�_�-_.............� !' SS_7.... Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled Petition and that no appeal of said declsifin has been filed in the office of the Town Clerk. Signed and Sealed tliis ...l�.�'...... day of _........11 ... ................................. 14 ............_. under the pains and penalties of perjury. Distribution:— PropertyOwner .................................................................................................._.....................__............ Town Clerk 'Board of Appeals Applicant Town of Barnstable Persons interested Y s� Building Inspector Public Information 13y _... __._ __..._...._.................. . :......_ Board of Appeals Ch, ' man i _ _-.- -- - - - - ----- - - - - --- - - - -- - --- - -- ------------------- ------ ® i 18 045. A P P R A I S A L D A T A JAC:OBSEN,; MELC:OLM..A .. F.:EY 5158, LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 15•- , r 25,8001 135 t-)Qt) BY:. 004.:. i_ iNC:CiME . PCA=1011 F'i_:w=oc) SIZE= 1740 -_`'LEV='2C�t=). .. ..::. - - JUST-VAL ��c, C 7 r_:ONST-), 0 TO. CONTROL AREA i_)_:AB -- TREND EXCEEDS STANDARD 14E:I GHBORHOOD...03AB,_GOTI�I T . PARCEL CONTROL AREA TREND STANDARD ,.. 101 10 LAND-TYPE 699001 LAND-MEAN +0% 225E001 97/_65 IMPROVED-MEAN +I_-0% 2_% FRONT-FT w I., 100 DEPTH/ACRES TABLE 02 1 i 0%] UOi__'.AT I C iN-AD_I APPLY-VAL-'=TAT 1 I ... ._LNR I LAND. LF'T/I_+:MP 1 AD,_IC,/SB/FEAT STR I STRI_IC_TUBE ARR 3 AREA-MEAL-:I.IFEMENT NOR I NOTES i::CAM I MARKET. I NC:I I NC OME PMR I PERMITS 7RR I GRAPHIC: FUNC:T.I C iN-E .1 STRUCTURE-CARD Ni i--E t7001 DATA-[ I XMT E'? �,---- --- ----- -- - ------ ---------- --------------------------------------- ---- C 31RO18 045. 7 LOC]0092 OAK STREET CTY]01 TDS] 200 CT KEY] 515.E ----MAILING ADDRESS------- PC:A] 101 1 PC S]CCU YR]i 0 PARENT] 0 JAC OBSEN, MELC OLM A MAP] AREA]i�:CAB JV] MTC•]00i_0 CEDAR ST BP 1 ] SP2] =:P3] I IT 1 ] UT' ] . 74 SO FT] 1740 C:C iTU I T MA 026:35 AYB]1 970 EYB] 1970 OBS] CONST] 0000 LAND 69900 IMP 155900 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 225800 REA ' C:LASS I F I ED #LAND 1 69, 900 ASD LND 69900 ASD IMP 155900 AS -OTH #BLDG(S)-►. ARD-1 1 155,900 DESCRIPTION TAX AR CURRENT EXEMPT - TAXABLE #PL 92 OAK ST TAX EXEMPT #S 1 04/79 21 $00064000 I RE'=,I DENT'L 135000 . 22 5800 225800 #RR 1123 0200 020 0220 OPEN SPACE #SR CEDAR STREET COMMERCIAL INDUSTRIAL EXEMPTIONS SALE]00/00 PRICE] C iRB]C:777C,'2 AFD] LAST ACTIVITY303/30/88 PC:R]Y I QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 12/30/97 PARCEL ID 018 045 GEO ID 515 LOT/BLOCK DBA PROPERTY ADDRESS OWNER JACOBSEN 30 CEDAR STREET MELCOLM A TRS JACOBSEN FAMILY NOMINEE TR COTUIT PO BOX 1395 COTUIT MA 02635 PHONE DISTRICT CT DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? ## BEDROOMS i ZBA DECISION FAMILY APT LOT SIZE 32234 .4 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PERMITS / (V) IOLATIONS / (G) EOBASE / (E) XIT 1 f S t i �i Y ;TOWN OF BARNSTABLE - `'' =1. . 30 C , !s: , � Qla, Il'. .�• Zoning Board of Appeals FEt3 1 c bMI11 UO I`1e1 Q1D1.A._Y�dG.Qk?S n............._-..........................................._. Deed duly recorded in the ..............................._............... Property Owner County Registry of Deeds in Book _...:................._. Sam.________._........_................................................................................. Pale ..._..........._....... ._._......_........................_..........-...... ne�list►.�• Petitioner District of the Land Court Certificate No. ........................ ....._................. Book ........................ Pa=e .................. Y • AppealNo. -19.8.6.-.Q9.........._............................_.... ........................................_........................_.......... 19 FACTS and DECISION Petition(delcolm..A_._.Jacobsen_................_...._............................... filed petition on ................._............................. 19 3 Cedar Street requesting a variance-permit for premises at ......_...._.._._....................._..................................................................7 in .the village (Street) Cotuit ad Joining remises of _...__.._..... see attached list of __ -----_.._._..._...-._...................... J o P ) .................................... Locus under consideration: Barnstable Assessor's Map no. ....._...........................18............ lot no. ....-47 &. 48 Petition for Special Permit Application for Variance: ❑ made under Sec. _....................................._...._................ of the Town of Barnstable Zoning by-laws and Sec. ....................... ......................................................................_...................... Chapter 40A.. Mass. Gen. Laws to allow an existing family apartment to -e considered forthe purpose of .._..........._.... ............................._.......___.................................................._.........................._.......__..................................................... _._..____.........._..._..._............_...._i e�al...._...._....._._...._............-.._.................-....._....................._...._......._......_.........................._................_............ Locusis presently zoned in.............RF.................__.........._._................................................_..._....•••••......................._....._....._........................... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a coPy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable «a held at. the To:+n Office Building, Hyannis,, Mass., at 7'30 f. P.`I. �eby'�'=—"' r iPRh upon said petition under zoning by-laws. Present at the hearing were the followin,• members: D ike_P r.r��Y,____.____ ..........Ri Qbard_L...._JTW...................... ....__Ronald...Jan.sson.......... Chairman Elizabeth Horton Helen Wirtanen At the conclusion of the liearing, the Board took said petition under advisement. A view of the locus was made by the Board. _ -peal 'No._....._1986-09...................................... Page ........................ of ....................... On Februa?Y...6.c._..-......................-. 1S► ,86._._..... Tlie Board of Appeals found . Mr. Jacobsen presented his petition for. a Special Permit to allow a family apartment at 3 Cedar Street, Cotuit in an RF zoning district. The petitioner's step son would occupy the family apartment which is existing - when the tenant vacated the apartment, the petitioner found that he did not have 'a legal apart- ment -never able to locate a building permit (valid) . The structure is a split level building with a garage - a long ranch style - the bottom section is exposed - the rear portion is below ground .- from the front it appears to be a two-story building - all of which was built prior to the petitioner owning it. The petitioner does meet the requirements of Section V - the area of the apart- ment is 665 square feet - within the acceptable range. The Board voted unan- imously to grant the Special Permit for the family apartment; to allow this would not be detrimental to the neighborhood and would -be within the spirit and intent of the Zoning By-laws, Town of Barnstable. � IfQU .. .......__.._._.!rSS`T Clerk of the Torn of Barnstable, Barnstable _..._._..____.............. County, Massaehusetts; heroby cortify that twenty (20) days have elapsed since the Board of 3ppeais rendered its decision in the above entitled Petition and that no appeal of said decision has been filed in the office of the Town Clerk. Sin l �' ��/yf'`N ............_... 19�.-..-._ _. under the pains and t maned and Sealed this ... ..0............. da}• of _.......}_...._..........................:..__. penalties of perjury. Distribution Property Owner .........................:._..................................................................._.................... ---_._.... Town Clerk Board of Appeals Applicant Town of Barnstable Persons interested Building Inspector fr —Y Public Information By ----- Board of Appeals Ch. ' man QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 01/13/98 PARCEL ID 018 048 GEO ID 516 LOT/BLOCK 59 & 60 DBA PROPERTY ADDRESS OWNER JACOBSEN 133 OAKWOOD STREET MELCOLM A TRS OBSE LY NOMINEE TR COTUIT 3 CEDAR ST � � COTUIT MA 30 02635 PHONE DISTRICT DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 7840 . 8 OPER/MGR NAME WET LANDS MULT ADDRESS USE 106 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT AJ 77 Date: January 10, 2006 To: Building File From: R. Giangregorio Re: 30 Cedar Street, Cotuit Owner: Melcom Jacobsen M&P: 018-045 Zoning: RF Overlay: AP This property formerly had a family apartment. The current owner resides in Clearwater, Fla for the winter. He has a caretaker(a carpenter) resides in the basement of the main house with all amenities except for a stove. The family apartment located on the second floor is a distinct unit. The property owner is a snow bid and therefore does not meet the residence requirement for the Amnesty program. The two defining issues that come to mind are as follows: 1) The Amnesty Program appears to discriminate against snow birds by requiring year round residency. The Cape &Islands maintain a large population of retirees, a circumstance that is unique to tourist areas and specifically distinguishes this area from other urban cities and towns over the bridge. A large part of our community winters in warmer climates. The original intent of that residency requirement was to prohibit absentee slum lords,by providing an on-site caretaker; the property owner by virtue of a care taker can meet the spirit and intent of that requirement. 2) Maintaining a caretaker on site is not necessarily the same as having an additional tenant. It is not clear whether or not there is a monetary exchange for room & board in this case. Whereas the ordinance allows for the renting of 3 unrelated lodgers, I opine that this right is extended to this property owner in the primary dwelling unit. Conclusion: The town would benefit from adding the former family apartment to the inventory of affordable units by amending the residency restriction to allow for on-site property managers or care takers. JAComplaint Inv ReportsUnvestigate-Report\30 Cedar St Cotuit.doc Jacobsen Family Nominee Trust Revised Schedule of Beneficial Interests The undersigned hereby certify that Melcolm A.Jacobsen is the sole Trustee of the Jacobsen Family Nominee Trust, as may be amended from time to time, and said Trustee certifies in accordance with the terms of that Declaration of Trust that the beneficiaries of said Trust are the persons named below and that their interests in such Trust are to be held as tenants in common,in the proportions set forth beside their names: Beneficiary Beneficial Interest Melcolm A.Jacobsen 80 % 30 Cedar Street Cotuit, MA 02635 Jasen W.Jacobsen 10 60 Dillwyn Drive Newport News,VA 23602 Laurence A.Brown,H 05 % 30 Cedar Street Cotuit, MA 02635 i Carla L.Brown 30 Cedar Street 05 % Cotuit,MA 02635 Total: 100 % The Schedule of Beneficial Interests has been amended and revised to reflect the assignments of a 5%beneficial interest by Melcolm A. Jacobsen to Jasen W.Jacobsen; a 2 1/2%beneficial interest by Melcolm A.Jacobsen to Laurence A.Brown,II and a 2 1/2%beneficial interest by Melcolm A. Jacobsen to Carla F. Brown; and a 2 '/2 % beneficial interest by Joel L. Jacobsen to Laurence A. Brown, H and a 2 '/z %beneficial interest by Joel L. Jacobsen to Carla L. Brown .. The terms of said Jacobsen Family Nominee Trust, dated July 16, 1990, as amended from time to time, are hereby approved and the above-named sole beneficiaries of said Trust, in consideration of the execution at their request of said Trust by the Trustee(s) therein named, for themselves and their heirs and assigns, said beneficiaries agree with said Trustee(s) (a)to be bound by said Trust, (b)to save said Trustee(s) and their successors and assigns harmless and indemnified from and against all claims and demands of every name and nature which they may suffer or incur by reason of this Trusteeship,unless caused by their willful act or default,and(c)that the Trustee may withhold from any distribution,transfer or conveyance such amounts as he/she/they from time to time reasonably deem necessary to protect himself/herself/themselves from such liability,and(d)to reimburse said Trustee(s) promptly upon request for all costs and expenses, including their reasonable compensation, incurred or suffered by them incurred in the performance of his/her/their duties. Page 1 of 2 WITNESS the execution hereof under seal as of the a7_day of August, 2010. I Melcolm A.Jacobsen,Trustee &,Beneficiary Jase .Jacob en, Be eficiary i I Laurence A.Brown, II Beneficiary Carla L,Brown, Beneficiary I 1 I L COMMONWEALTH OF MASSACHUSETTS Barnstable, ss On this all(day of August, 2010, before me, the undersigned Notary Public, personally appeared Melcolm A. Jacobsen and Jasen W. Jacobsen, proved to me through satisfactory evidence of identification,which was Y-photographic identification with signature issued by a federal or state governmental agency, ❑ oath or affirmation of a.credible witness, � personal knowledge of the undersigned, to be the person(s)whose names are signed on this document, and acknowledged to me that they signed it voluntarily for its stated purposes i William A. Price,Jr. Notary Public My Commission Expires: November 22,2013 Page 2 of 2