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0029 THATCHER HOLWAY ROAD
,� a � � �� / y ogRC/� a f.� aY ` ,F • � � 0 c � � -ate.. FINE r, Complaint Call Report Printed° 11/22/2019 o� 10 29 A THATCHER HOLWAY ROAD, 'FOMp+° Case# C-19-798 MARSTONS MILLS Case M C-19-798 Address: 29 A THATCHER HOLWAY Date: 10/29/2019 ROAD, MARSTONS MILLS Owner Info: Property Info: MBL: i i Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Illegal Dwelling unit, Zoning, Building Medium Priority Dept Referral Code, Complaint Summary: Former applicant for Amnesty -see file. Planning rescinded Amnesty in April 2019 after 2 yrs of failure to communicate. Now an illegal unit with possible egress issues and property is scheduled for transfer. Action History: Action Taken Date Description Fee Inspector Close Case 11/22/2019 restore to single family $0.00 carterj permit issued and closed. Inspector Assigned to Complaint: carterj Filed by. andersor Comments: Comment Date Commenter Comment 11/22/2019 carterj restore to single family permit issued and closed. Date: 11/22/2019 Town of Barnstable Town of Barnstable Building z Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MARK Posted Until Final Inspection Has Been Made. Permit 16sq s�� �t Where a Certificate,of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. ' Permit No. B-19-3685 Applicant Name: robert leite Approvals Date Issued: 11/01/2019 Current Use: Structure Permit Type: Building-Restore to Single Family Expiration Date: . 05/01/2020 Foundation: Location: 29 A THATCHER HOLWAY ROAD, MARSTONS MILLS Map/Lot: 148-084 Zoning District: RF Sheathing: Owner on Record: LEITE, ELISE M& ROBERT C Contractor Name: Framing: 1 Address: 29 THATCHER HOLWAY RD Contractor License: 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $ 1,000.00 Chimney: Description: Remove basement cooktop Permit Feb: $85.00 Fee Paid: $85.00 Insulation: Project Review Req: fl�W �e: /11/1/2019 Final: C.�'f`T" Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months afte`rgssuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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 Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. i Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: i Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT /�,?� Final: .0� Bk 31959 PSI.49 JeIr-169.38 04-17-2019 & ID3 = 21:10 BARNS.TABLE TOWN CLERIA �ofI IH4 E 19 MAR 27 P 2 '55 -HARNSTABI SS. ArEDM jai Town of Barnstable Zoning Board of.Appeals Decision and Notice Comprehensive Permit No. 2008--044—Leite Chapter 40H ComprehOsive.Pbrinit Summary: Comprehensive Permit N O; 2008-044 is-rescinded Applicants: Robot C. and Elise M.1eite Property Address; Q9 Thatcher ffolway-Rd,Marston Mills.MA Assessor's-Map/Parcel: 10/00 Zoning: Residential F20ning District Deed Reference: Book.l'9873;,Page 302 Permit Reference: Book231:64,'Page;,223 Locus and Background- The applicant appli ed.for a Comprehensive Permit under Chapter 40B of the General Laws of the CommonweaIth of Massachusetts, and,ih accordance with.Article 11 of Chapter Nine of the Code of the town of Barnstable, nibire commonly termed the "Accessory Affordable Housing Program.' Comprehensive Permit.Number 200&044 was issued 'to the.,applicant on July 24, 2008 and a Regulatory Agreement-and.,Declaration of Restricted Covenants were recorded.at the BarnstableC County R un�y egist.ty of Deeds on July.24,2008 in Book 23.f 649,-Fiagp 223, On January 29, a lettervas soiit,to the Applicants-infbi-minit'theni that Compfessive:Permit No. 2.0.0.8-0. 44 would be rescinded. at a public hearing on.March 13, 2019 due to lack of response to repeated communication by Town Staff'over more than 2 years. Procedural &ffearijag$ummary- A p:qbjiia hearing to rescind;Comprehensive Perin No. .2008-044 was duly advertised and notice sent to abutt6rs%.and the property-,owner all,in accordance,with..MGL Chapter 40A. The hearing was,opened an March 11,, 2019*at which time the Hearing,Officer, Alex Rodolald's, made the following findings,and decision:. .rb:wh of Barnstable,Zoning Board of.Appeals Comprehensive Pamit No.2oo8-ro44--,Leitc is rescinded Proposed.Findings of FAtt. 1. The applicants, Robert C. and Elise M. Leito, were granted Comprehensive Permit 2008-044 for an accessoiy' affordable apartment at 29 Thatcher Holway Road, Marstons Mills. 2. The applicants, Robert C. and Elise M. Leito,, did not respond to repeated Communicationfrom Town.Staff over more than 2 years, 3. On January 29, 2019, the Accessory Apartment Program Coordinator took action to rescind Comprehensive Permit No.. 2008-044. Ordered: Comprehensive.Permit number 2008-044 is.rescinded, A written-copy of this.decision shall be forwarded to.the..Zoning Board:of-Appeal ds,required by the Town of Barnstable Administrative Code Chapter 241, section'l L If.afteffourteen(14) days fr6ffi that transmittal the:Members bifthe Zoning BOW of App.dAls'takesino action to reverse the decision, this d6di§ion shall become,fiiial.and 1a copy §half be the filed.in the,office,of f the Towil Clerk. Appeals of the final decision;if'any-,-shall be.made'to the Barnstable Superior Court pursuant to MOL Chapter 40A, Section .17,. Within twenty (20) days after the date of the filing of this decision ision in the offilce of the Town Clerk. The applicant has the right.to appeal this decision as outlined. MGL ap er 40B,Section 22.1 �Pis,.Hearing Officer. DSir Alex'Ro ate S d.e I,.Ann Quirk, Clerk.of the Town,of Bar'nstable,3dinstabI6 County.Massachusetts,hereby certify that twenty(20),days.have,.elapsed since the Zoning Boatd,Of Appeal s.filod this decisioh,and that no 4ppeal,of the decision has b.6.6n.filed in:tho:office ofth&T6wn,Clerk. under th.e,pains and pe.nalties:of ,Signed and seal-edfliis Irl day QAP_ev�_ �Ury, .Ann Quirk;:Town Clerk .;i 7 BARNSTABLE. REONSTRY OF DEEDS io"hn F. Meade, Register 2 F j r Town of Barnstable *Permit r �o-7 o i Expires 6 months rom issue date 'RMIT Regulatory Services Fee '► AMSTABLE, : ^1 L� 9 i' ta3�1 `$�'�It"631 Q � Richard V.Scali, Director J p ATED��p TOWN ® NSTASLE Building Division I Toerry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.tis Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number - Property Address `FAAJUM No�wA�1 ��. t ��n1s M►��S [ ] Residential, Value of Work$ Q S,t9 o y Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1�0&m- T LE nr- got �T�I��c( rZ �laxwA 2�: ( tiN S M c��5 MA- CROP Contractor's Name Telephone Number S0$ .D-41 ?49), Home Improvement Contractor License#(if applicable) Email: Owu Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor a I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ® Re-side [� Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows 2'�L #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 H e Improvement Contractors License&Construction Supervisors License is (1fr. u e . SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: a 'l _TNAi C0R_ ft-wAI `Zh- City/State/Zip: rAQ5`_1-b6J� 6a� l Phone#: $n oc), Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction Z❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.[ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp:insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify �r�thea' and penalties of perjury that the information provided above is true and correct Si mature: Date: 1 9- �Ll Phone#: Official use only. Do not write in this area,to be completed by city or town official City or.Town:, Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of.a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the.application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the-bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. . The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia Town of Barnstable Regulatory Services pU Richard V.Scali, Director Building Division * L►aivsr S Tom Perry,Building Commissioner aUss. s63q. 200 Main Street, Hyannis,MA 02601 CEO www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION • Please Print DATE: "a h;to)H zAW. f�GW JOB LOCATION:' �``� �l' �Lf'` ... 0"LWA�� Zb (0'��� 5 ^►�l.l S number street village "HOMEOWNER":��1,'�-2Y U.'�Tt:� 10 a31 �3 a name home phone# work phone# CURRENT MAILING ADDRESS: 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) I 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 in t inspection procedures and requirements and that he/she will comply with said procedures and req ements. Sign' re o m weer 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. dF� • �axsr,�,a, • • s�. 1639. Town of Barnstable �e� Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building.Commissioner 200 Main Street, Hyannis,"MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If.Using A Builder. as Owner of tl}e�subject property hereby authorize r' to act on my-behalf, L..- 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. _ QAWPHLESTORWbuilding permit forms\smokecarbondetectors.doc. Revised 050412 THETp�� Town ®f Barnstable Building Department - 200 Main Street BARNSTABLE. = Hyannis, MA 02601 1639.MASS. $ (508) 862-4038 ArED MA'S A Certificate Of Occupancy Application Number: 200806821 CO Number: 20080408 Parcel ID: 148084 CO Issue Date: 08/24109 Location: 29 THATCHER HOLWAY ROAD Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: MARSTONS MILLS Gen Contractor: PROPERTY OWNER Permit Type: RCOO CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO ELISE & ROBERT LEITE Building Department Signature Date Signed TOWN OF, B.ARNSTABLE 4�°FSNETp� Wing Application Ref: 200806821 Permit BARNSTABLE, Issue Date: 12/22/08 9 MASS. 039• $ Applicant: LEITE,ELISE M&ROBERT C Permit Number: B. 20082803 Arf0A1A�A Proposed Use: SINGLE FAMILY HOME Expiration Date: 06/21/09 [Location 29 THATCHER HOLWAY ROADZoning District RF Permit Type: AMNESTY W/CONSTR RESIDENTIAL Map Parcel 148084 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village MARSTONS MILLS App Fee$ 50.00 License Num Est Construction Cost$ 250 (Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND I ADD KITCHEN FOR AMNESTY APARTMENT THIS CARD MUST BE KEPT POSTED UNTIL FINAL ( INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LEITE, ELISE M 81 ROBERT C BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 29 THATCHER HOLWAY RD INSPECTION HAS BEEN MADE. MARSTONS MILLS, MA 02648 Application Entered by:`'-•RM Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BYTHE JUPJSDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 7 �G 3 ©� 1 Heating Inspection Approvals Engineering Dept Fiye1Dept 2 Board of Health ,1 ( w" U A � Amnesty. Program Helping to make affordable housing possible. Bamstable Town ® Certificate of Compliance This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty program. Owner Robert & Elise Leite Location 29 Thatcher Holway Road, Marstons Mills, MA Unit Capacity One be rn not xceed two people Inspector M/P No. 148084 8/24/2009 i °Ft r Town of Barnstable °^ Regulatory Services 9$" MAW`��' Thomas F. Geiler, Director �A z63q. �0 rE039 Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 August 26, 2009 Elise & Robert Leite 29 Thatcher Holway Road Marstons Mills, MA 02648 Re: Amnesty Apartment Dear Mr. Leite: Enclosed is the Certificate of Occupancy for your Amnesty apartment. We have prepared the Amnesty Certificate of Compliance and forwarded it to the Amnesty Program Coordinator. Sincerely, Lois Barry Division Assistant Enclosure amnco i Ft► r Town of Barnstable do BARNSTABLE s Regulatory Services '°rFn►��°i Thomas F. Geiler, Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Cindy Dabkowski FROM: Lois Barry DATE: 8/26/09 RE: AMNESTY CERTIFICATE Here is the Amnesty Certificate of Compliance (original for applicant and copy for your records) for: 29 Thatcher Holway Road, Marstons Mills J030623a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION tq Ma Parcel- Application # C ` .�`� �I p Health`Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ✓ Historic - OKH Preservation/Hyannis Project Street.Address Village mcaC<Atf�", Owner 20,m(<�- 1:ELU!' Address a.c1 ha Telephoneg Permit Request bb M(1 bolSej� AA- Square feet: 1•st floor: existing 13,00 proposed 2nd floor: existing C,700 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o1s�.OD Construction Type Lot Size � 51 occ e- Grandfathered: ❑Yes �LNo If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure so Historic House: ❑Yes 2t No On Old King's Highway: ❑Yes V No Basement Type: A Full ❑ Crawl 09 Walkout &Other ale . t Basement Finished Area(sq.ft.) ��� Basement Unfinished Area(sq.ft) a�52 Number of Baths: Full: existing 3 new Half: existing n new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new. First Floor Room Count Heat Type and Fuel: ❑ Gas li Oil ❑ Electric ❑Other Central Air: ❑Yes IR No Fireplaces: Existing New Existing wood/coal stove: IN Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: I 'Zo o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ � Commercial •❑Yes ❑ No If yes, site plan review# Current Use Proposed Use N rn APPLICANT INFORMATION \\ `` (BUILDER OR HOMEOWNER) Name / Oa)C t" l e-, Telephone Number Sad 1 �5 Address Okl -TkP\"Ar I VC, License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ArnS�.b( SIGNATURE DATE ag 0 8 i FOR OFFICIAL USE ONLY `APPLICATION# DATE ISSUED MAP/PARCEL NO: _ ADDRESS VILLAGE r OWNER i DATE OF INSPECTION: FOUNDATION r FRAME ' INSULATION .FIREPLACE 'ELECTRICAL: ROUGH FINAL .PLUMBING: ROUGH FINAL GAS: ROUGH FINAL _ FINAL BUILDING 3 DATE CLOSED OUT r ASSOCIATION PLAN NO. ' f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Letsibly Name_(Business/Organizarion/Individual): A—ddress:-- _ Q01 'TNh1YcNG(Z. NOuViAly '1:b City/StatelZip: Mft(<S\d�`� Mt1.,LS 1 MA Oab`IZ Phone.#: Sob . sal $tea Are you an employer? Check the appropriate bow Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New construction . employees(full and/or part-time).* have hired tine stab-contractors 2.❑ I am a-sole proprietor or partner- Listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition employees and have workers' working for me in any capacity. 9. ❑Building addition . [No workers' comip.-insurance Coup.incrrrance.t 5. We are a corporation and its 10.❑Electrical repairs or additions r C—3: -I am a homeowner doing all work— officers have exercised their 11.❑Plumbing repairs or additions 'rCgai _. — right 6f exemption per MGL —m�gsclf[No atorkers -comp._: 12.[]Roof repairs c. 152, §1(4), and we have no _ insurance required-)-"t _ . 1-3. Other k�1C�E>J 1NS1AU. employees. o workers' insurance required.] 'Any applicant that chmim box#1 rmut also fill out the soetion below&bowing their worices'cornpers4on policy informatiorL t Homcownm who submit this a$davit udicafmg tbcy are doing all work and then hire outside contractors midst submit a new of davit indicating rurh. tCo ractors that check this box nnrat attached an additional sheet showing the name of the sub-conti act ors and state whether or not those entities have employees. if the sub-contractvrs have employers,they must pivvidt thcrr woTk='eanrp.policy nrunber. I am an employer that is providing workers compensation insurance for my employees. Below is the polity and job site information. ins rancr Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/Sb&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 rrimi ial penalties of a fine rip 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 statcmerit may be forwarded to the Office of Investigations of the 19A for insurance coverage verification. I do hereby certify the ains•andgert attics of perjury that the information provided above is true and correct CDz Phone i- 50 d��) 3 39 Official use only. Do not write in this area,tb be completed by city or town officiaL I City or Town: Permit[License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person- Phone#: Town of Barnstable �Of IHE r � Regulatory Services swt;xsrABLE ? Thomas F. Geiler, Director .9 MASS. $ , Building Division �TFD '�p Tom Perry,Building Comnussioner 200 Main Street, Hyannis, MA 02501 R-my.toym.barnsi2bl e.rna.us Office: 508-862-4038 Fax: 508-790-6230 ROh1±OWN`ER LICENSE EXEMPTION Please Print DATE: n [Og 10B'LOCAnON: r).01 -mium- Nou j(\d `\Zz yfyi .S"CJS M\Ll,S renumber r street village q .,HOMEOWNER": KO name n home`phonc# work phone# CURRENT MAILING ADDRESS: czs�a tJ bawl% 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. DEFINMON 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" meowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspecti oced, -and requirements and that he/she will comply with said procedures and requirements. 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. HOMEOYMER'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 iupervisor." Many homeowners who use this exemption a're 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 responsibic. 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 hdshc 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. • A Of Town of Barnstable Regulatory Services r � n+xxsrAai Thomas F. Geiler, Director 1639. rfo. �a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 026.01 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Prope:rty- Owner Must Complete and Sign This Section If Using A Builder X , 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 off ob) Signature of Owner Date Print Name If Property Owner is�applyingfor permit please complete the Homeowners License Exemption Form on the,reeverse's`ide. � �E L-E ITC 00 z - - tr e �.� r,. IN FIJAIA, OKE DETECTORSBEVIEWED RNSTABLE BUILDING DEPT D� � t/ FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING IMPORTANT - UPGRADE REQUIRED 9, STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN Old€.OR MORE SLEEPING AREAS ARE ADDED OR CREATED. C e NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE �. .71 INSTALLATION OF SMOKE DETECTORS.—THE ELECTRICAL PERMIT DOE_ S NOT SATISFY THIS REQUIREMENT. CARBON MONOXIDE ALARMS MUST BE INSTALLED PER MASSACHUSETTS BUILDING CODE f � E d � l 777� o y � �.G�Q.6a:��G•�"�' . � . 5ey � •�k'��' �(ZO1��S�F� Y9� �D�SC j s 3 12 �INvc. F r ,a . _... _....... ...... ...... ..•�. �. 09-19-213CIS & 11 a 14cx BAAN31'AHM MA.9S Y� 63? °rED MPy� Town of Barnstable '08 JUL 24 P 1 :36 Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2008-044—Leite Decision-Chapter 40B Comprehensive Permit Q Est F--;1 n Applicant: Robert C. and Elise M. Leite A U(; u -F py Property Address: 29 Thatcher Holway Rd,Martons Mills, MA Assessor's Map/Parcel: Map 148,Parcel 084 Zoning: F Zoning District GR0WTI7 ';i,,:v „E d!`, Applicants: The applicants are Robert C. and Elise M. Leite,who reside at 29 Thatcher Holway Rd, Martons Mills,MA. 02648. The applicants were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on May 27, 2005 as recorded in Book 19873, Page 302. Relief Requested: The applicant has applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the"Accessory Affordable Apartment Program." The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 9-14 of the Code—Amnesty Program to permit an accessory apartment unit attached to a single-family owner-occupied residential dwelling. The issuance of this Comprehensive Permit would allow for an accessory affordable apartment unit in the lower level of the principle residence. Locus and Background: The property at issue is a 0.49 acre lot located at 29 Thatcher Holway Rd,Martons Mills,MA. The lot was developed in 1979 with a Colonial style home. The effective living area of the main residence is 1,816 square feet. The accessory apartment is a one bedroom unit in the lower level of the principle residence. The square footage of the rental area is approximately 483 square feet. The lot is served by public water and on-site septic, and is located in a Wellhead Protection Overlay District. The Town of Barnstable's Public Health Division reviewed the application, and on June 9, 2008, approved a total of three (3) bedrooms at the property. Procedural Summary: A site approval letter was issued for the property by Town Manager John Klimm on June 9, 2008, in accordance with MGL Chapter 40B and 760 CMR. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760. An application for a Comprehensive Permit was then filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Cape Cod Times on June 18,2008 and the Barnstable Patriot on June 27, 2008, and notices were sent to all abutters in accordance with MGL Chapter 40B. On July 9, 2008 Hearing Officer Gail Nightingale presided over the public hearing. The applicants,Robert C. and Elise M.Leite, were present at the hearing. Cindy Dabkowski of the Growth Management Department was also present. Ms.Nightingale reviewed the file with the applicant to assure compliance with all of the program requirements. Findings of Fact on the Comprehensive Permit: At the hearing on July 9,2008 the Hearing Officer made the following findings of fact: 1. The applicants are Robert C. and Elise M.Leite, who reside at 29 Thatcher Holway Rd Marstons Mills,MA. They are requesting a Comprehensive Permit to convert an existing one bedroom apartment in the lower level of the principle residence into an accessory affordable apartment. The conversion of the unit to an accessory affordable unit within a single-family owner-occupied residential dwelling qualifies for the"Accessory Affordable Apartment Program." 2. The applicant was granted title to the property by deed recorded in the Barnstable County Registry of Deeds on May 27, 2005 as recorded in Book 19873,Page 302. 3. On June 9, 2008 a site approval letter was issued for the property by Town Manager John Klimm, in accordance with MGL Chapter 40B and 760 CMR.Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of CMR 760, and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 483 square feet, and is in the lower level of the principle residence. 5. The applicant is aware that the unit must meet all applicable building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and a private on-site septic and is in an identified Groundwater Protection Overlay District. The proposal has been reviewed by Thomas McKean, Health Director, and he has approved a total of three(3)bedrooms at the property. 7. On April 30,2008 the applicant signed an Accessory Affordable Apartment Program Agreement Affidavit that commits,upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants at the Barnstable Registry of Deeds. That document will restrict the unit in perpetuity as an affordable rental unit and requires that the dwelling be owner-occupied as his principal residence. 8. The applicant understands that the affordable unit will be rented to a person or family whose income is 80% or less of the Area Median Income (AMI) of the Barnstable Metropolitan Statistical Area(MSA) and further agrees that rent(including utilities) shall not exceed 30%of the monthly household income of a household earning 80%of the median income, adjusted by household size. In the event that utilities are separately metered,the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of May 7, 2008, 6.7%of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20=23 or its 2 i implementing regulations. The Town of Barnstable's Local Comprehensive Plan encourages the use of existing housing to create affordable units and the dispersal of these units throughout the town. Finding Summary: Based upon the findings,the Hearing Officer ruled that the applicant has standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is also deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Based upon the findings, a ruling was made to grant the Comprehensive Permit in accordance with MGL Chapter 40B to the applicant,Robert C. and Elise M.Leite. It is issued to allow for a one bedroom accessory affordable apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two (2) people. 2. The total number of bedrooms on the property with the existing on site septic system shall not exceed three (3). 3. This unit shall not be occupied by a family member of the owner(s). 4. All parking for the accessory apartment and the main dwelling shall be on-site, and no additional lodgers shall be permitted on site for the duration of this Comprehensive Permit. 5. To meet the requirements of affordability,the cost of housing (including utilities)shall not exceed 30%of 80% of the median income for a single individual for the Barnstable MSA. In the event that utilities are separately metered, the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 6. All leases shall have a minimum term of one year. 7. The Growth Management Department shall serve as the monitoring agent for the accessory apartment. 8. The applicant must apply for a building permit for the accessory unit, whether the unit is new or pre-existing. Before securing an occupancy pernut and certificate of compliance, the Building Commissioner must determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division must determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 9. The applicant may select his own tenant,provided the tenant meets the requirements of the program as cited above and provided that person's income is reviewed and approved by the Growth Management Department of the town of Barnstable as a qualified individual. The applicant will be required to work with the town to provide information necessary to document that the tenant qualifies. The unit shall be rented on an open and fair basis to an income eligible individual or family. Whenever a vacancy occurs, notice must be given to the Growth Management Department and the unit must be listed with the Town. 3 i 10. Every twelve months the applicant shall review the income eligibility of the individual occupying the unit.No later than a year from the date of issuance of this Comprehensive Permit, the applicant shall file with the Growth Management Department of the town of Barnstable an annual affidavit listing the rent charged and income level of the occupant of the unit. The applicant shall provide the town any additional information it deems necessary to verify the information provided in the affidavit.Upon any report from the town that the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 11. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred,the Growth Management Department of the town of Barnstable shall be notified within 60 days of the name and address of the new owner. 12. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Ordered: Comprehensive Permit 2008-044 has been granted with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen (14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision,this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Appeals of the final decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. In accordance with Chapter 241, section 11 of the Town of Barnstable Administrative Code,the hearing officer transmitted a written copy of the Comprehensive Permit decision to the Zoning Board of Appeals on July 9, 2008. Fourteen(14) days have elapsed since the transmittal to the Board, and no Board Member has taken action to reverse the decision. _ a YW44az—) `7 �yk � Gai` ightingale�Hearing l fficer Da e Signed I, Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts, hereby certify. that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day o �-, � � ) ' under the pains and penalties of..perju.ry. Linda Hutchenrider, Town Clerk 4 Bk 23164 P:9227 7r439'33 0'9-19'—'200u a 11 0 1 ,4-rx REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this !() day of ,2008,by and between Robert C.Leite &Elise M. Leite of 29 Thatcher Holway Rd Marston Mills,MA 02648 and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"Municipality"),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/ Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN: A- The terms of this Agreement and Covenant regulate the property located at 29 Thatcher Holway Rd Marstons Mills, MA 02648 as further described in deed recorded herewith Barnstable County Registry of Deeds Book 19873 &Page 302. B. The Project located at 29 Thatcher Holway Rd Marstons Mills,MA 02648 will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the"Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2008-044 and any plans submitted therewith and all applicable state, federal and municippal laws and regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds Book `�3 t G Ll & Page D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. IL THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW- 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80% of the area median income of Barnstable Metropolitan Statistical Area (MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household.whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body, and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants n,nn;ng with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable Metropolitan Statistical Area(MSA) and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authorityshall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA.In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authorityshall be deducted from the rent. IV. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Pro)ect consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court (collectively hereinafter the"Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. I 2 f V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attraney's fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184, Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 19873 &Page 302. and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable County Registry of Deeds Book 19873 &Page 302. IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case maybe,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 3 X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii) are not merely personal covenants of the Owner,and (iii) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XI. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that.the Municipality and the Alonitoring Agent will have a lien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such a lien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,w hereunto set our hands and seals this 11 day of ��'rn��'" 2008. i OWNER OWNER BY'- l BY: Si g` Si nature ria p 11 $ Printedc7 l� .� i T Z- Printed: COMMONWEALTH OF MASSAC HUSEM Countyof Barnstable ss: t On this tiay of, _ 2008 before me,the undersigned notary public,personally appeared "C +Ftu&M the Owner(s),proved to me through satisfactory evidence of identification,which were /AA 4; IUS to be the person(s) whose name(s) is signed on the preceding or attac ."ocument and acknowledged to be that he/she signed it voluntarily for the stated p os $. Notary Public] Printed: ,jh iflee- Met4(Oak-h My Commission Expires: �0Int 4 o R wNi � s TOWN OF BARNSTABLE BY: TON MANAGER COMMONWEALTH OF MASSACEiUSETTS County of Barnstable,ss: On this/S day of 2008 before me,the undersigned notary public,personally appeared ,. AN . loll A4 ,the Town Manager for the Town of Barnstable,proved to me through satisfactory ,a y evidence of identification,which were son&114 &*4) ,to be the person whose name is signed on the preceding or attached document and acknowl ged to be that he/she signed it voluntarily for the stated purposes. q4otary iublic Printed: 4,14)p4 My Commission Expires: Bog. d LINDA R.WHEELDEN NOTARY PUBLIC COYYONWEALTH OF MUSSACHUSETTS My Comm.EyOm Feb.7,2014 5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION: Map O Parcel Application# d Health Division ,, 'Date Issued' Conservation Division Application Fee, Tax Collector Permit Fee ob Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 6�01 1 W GAS- I�OUn/Ay �7 Village f'y1o:&S;A_?2n1 S MI Lu S., Owner O&ER.Y �, ewsE 1 Address �� RI CH 1at11,1n��N Q�. Telephone b02 25---�C1 a Permit Requesfi,`7�_ 7, .0nnalLP' . 60 and K,�el,zn 1fIl ?ASEMEN/ro RPRox S17- 4, X s1j CF P irg M A yb 0 o Lr e-5 4V�"6Z S ,k �ll�2y AA��QZ �C St? 5 °I 1 i Square feet: 1 st floor:existing i Sa proposed ,� 2nd floor:existing ' proposed Zoning District �} Flood Plain Groundwater Overlay •Project Valuatio Construction Type TiE11AqyLLt1Z0V0J4 Lot Size �� ACc-e or .51 Aec\CGrandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 1A Two Family ❑ Multi-Family(#units) Age of Existing Structure act yrs. Historic House: ❑Yes RNo On Old King's Highway: ❑Yes No Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) HSD �,g 4 Basement Unfinished Area(sq.ft) W — y(� c�i�_ Number of Baths: Full:existing new Half:existing / new Number of Bedrooms: existing (4 new _ Total Room Count(not including baths):existing new First Floor Room Count o� C7 Heat Type and Fuel: ❑Gas W Oil ❑Electric ❑Other _I _p Central Air: ❑Yes V No Fireplaces: Existing —New l Existing wood/Coal)stove: Yes= ❑No Detached garage:❑existing ❑new size `�g g g _Pool:O existing ❑new size��Barn:❑eWsting L�".new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: f . I N Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial_.❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION /Name 5�0(�NZ•T LE nz-- Telephone Number '92 Mdress TA�tT ta M Wo�''1 W*) License# nAi\ Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ATE FOR OFFICIAL USE ONLY r APPLICATION# �-;DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING � G't Ofaen�„c� DATE CLOSED OUT- ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial accidents Office of Investigations . ' d 600 Washington Street Boston, MA 02111 www.mass•gov/dia Workers' Compensation Insurance•Affidavit;.Builders/Contr.actors/EIectricians/Plumbers Applicant Information Please Print LedblY ame(Business/Organization/Individual): ROURT L,r- lTr C. ATddress: 11�R`�C �2I,W�R�I r City/State/Zip: MZ!R \)NS mtU_S; MA (kl� Phone.#: bQ g.1 F-1 e you an employer? Check the appropriate box: -Type of project(required): I am a employer with 4. I am a general contractor and Iemployees(full and/orpart,time). have hired the shb-contractors6. ❑New construction 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 workingfor me in an capacity. employees and have workers' Y P ty $. 9. []Building addition [No workers' comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.0Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MG l 12,0 Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] , *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Hamowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors mat check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors trove employees,they must providb their workers'comp.policynurnbcr. , I am an employer that is providing workers'compensation insurance for my employees Below isthe policy and job site information. Insurance ComplNe:Policy#or Self Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),• Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine iip 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 violater. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of th DIA for insurance coverage verification. hereby certi er the wins and pe hies ofperjur)�that the information provided above is true and correct (do ienature: Date:hone #: 0 Ma 1 2 3:!!�a Official use only. Do not write in this area,'tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: 1 a • °FiMEro Town of Barnstable Regulatory Services �aaxr STAB i.s�' Thomas F.Geiler,Director 0.19. 0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. (ype of Work: &L-TE&ON L'0►� .VuCct&J Estimated Cost JO Address of Work: Q� J ��1C"M I QLU�JAV 21>• *ZMK)S mILL wner's Name:( Ta (� fate of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. 10 l 0 OR Datl Owner's Name Q:foims1omeatfidav OF SME Tp� Town of Barnstable Regulatory Services i BARNWABLE. Thomas F.Geiler,Director y Muss. q,A i639. s� Building Division lF0 MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ` Please Print DATE: t b 11010 JOB LOCATION: e T_ "1 IHTCA WPVLj is ^S-T �'WS ( L5 number street village HOMEOWNER": 05 +MT LE)Tr bol 301 name , home phone# work phone# n CURRENT MAILING ADDRESS: 5 -WAR-OM ROUWia-' Zb 0*RS1,110vS m 1U,5 city/town state zip code The current exemption for"homeowners"was extended to include oamer-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 inspec ' n procedures and requirements and that he/she will comply with said procedures and requirements. x Signature of Hom owner 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. Q:forms:homeexempt /hid ao 1 J U' nY' Y r j ( SUP�1�S use)) PA � ��ZS �RFZr12S PmAcNE6 -ToSb s A potjT -lbPLATr gig= 1 ` CON LmR N Town of Barnstable BARNSTABLE, : Regulatory Services .9 MASS. 039• �0 Thomas F. Geiler, Director AtfD MAC a � Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 6, 2008 Mr. & Mrs. Robert C. Leite 29 Thatcher Holway Road Marstons Mills, MA 02648 Re: Proposed Accessory Affordable Apartment Dear Mr. & Mrs. Leite: We have received the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment at your address. A building permit is required whether the unit is new or pre-existing. We look forward to receiving your building permit application for the apartment. Please call me if you have any questions regarding the building permit process. Sincerely, Lois Barry Division Assistant amnbp i 0,ptHE 1 The Town of Barnstable + BARNSTABLE, � 9Gb 'MA39.i63q. Growth Management Department �0 A�FD"A°�A 367 Main Street, 3rd Floor Hyannis, MA 02601 Tel:508-862-4678 Fax: 508-862-4782 Apri1.30, 2008 John C, Klirrun,Town Manager Janet Joakim, Town Council President Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re: Leland &Louella Gaines 116 Audrey's Lane, Marstons Mills; one-bedroom accessory unit Robert-&_Elisa:Leite-==29-ThatcheriHolway Road;lVlarstons Mills;-studio-accessory 1ynit This letter is to inform you that the Accessory Affordable Apartment (Amnest� Program has received requests for project eligibility letters under the Community Development Block Grant (CDBG) Fund and under Article II of Chapter Nine of the Code of the Town of Barnstable and the criteria for the Local Chapter 40B Program. This office is reviewing the requests. If the Town has any comments on the project, please forward them to me so that they can be addressed in the site approval letter. This letter gives you official notice "of our receipt of the above application(s). We will issue a decision as to the acceptability of the sites and the consistency of this development within the guidelines of CDBG. ' Sincerely, Elizabeth Dillen Special Projects Coordinator Growth Management Department cc: Building Division(�. Health Division Barry, Lois From: Taylor, Madeline Sent: Tuesday, October 09, 2007 1:50 PM To: Barry, Lois Subject: RE: 29 Thatcher Hollway Rd Yes he did but there was a problem in that the unit did not exist prior to 1/1/2001 so it is not eligible for amnesty. I referred it back to Bob. -----Original Message----- From: Barry, Lois Sent: Tuesday,October 09,2007 12:52 PM To: Taylor, Madeline Subject: 29 Thatcher Hollway Rd Hi Maddy, Has the owner of this property contacted you? Bob McKechnie found an illegal apt. there in August and referred him to you. Lois 1 �9 tc, lw� 7�d�'� � ti.. Parcel Detail Page 1 of 3 40 +`Ei t[11..L_ LA55 A . \\ `/ / l �i r�•4 rC 'k ;`��ED� 11�W a - � �+ .�. i��/i�y���/f%zfCG'l/� (�/ •.+a s 'elLj3E��A�`�•,.��..�. Logged In As: Parcel Detail Friday, Augu Parcel Lookup 4##*A_r* Parcellnfo _ Parcel ID 148-084 I Developeer LOT 12 / �►� Q� Location 29 THATCHER HOLWAY ROAD I Pri Frontage 1125 Sec Road I Sec Frontage village'MARSTONS MILLS I Fire District rC-O-MM Sewer Acct• I Road Index 7703 j, Interactive r Map - Owner Info_ Owner!LEITE, ELISE M & ROBERT C I Co-owner streetl 129 THATCHER HOLWAY RD I Street2 City[MARSTONS MILLS I State KJ zip 102648 Country F_ - Land Info Acres,0 49� use[Single Fam MDL-01 l Zoning I RF Nghbd 0105 Topography Above Street I Road Paved utilities;Public Water,Gas,Septic I Location - Construction Info Building 1 of 1 11 r Year F 979 "- Roof( Ext Built I Struct Gable/Hip I wall Clapboard Effect 1811 I Roof Asph/F GIs/Cmp I AC None I Area Cover Type Style I Colonial I wn, Bed all Drywall I Rooms 4 BedroIn Bath oms ModellRes4ential I Floor+carpet I Rooms 2 Full I //V � Q� Grade Total Average 4 I Type Hot Water �I Rooms 6 Rooms http://issql/intranet/propdata/ParceiDetail.aspx?ID=9809 8/10/2007 Parcel Detail Page 2 of 3 DK Heat;-� Found- stones!2 Stories I Fuel i0il I ation Poured Conc. as FU$ I BAS 2 2L 8 Permit History Issue Date Purpose Permit# Amount Insp Date Comrr 7/1/1987 B31013 $15,000 1/15/1988 12:00:00 AM MM X Visit History Date Who Purpose 7/19/2007 12:00:00 AM Paul Talbot Cyclical Inspection 1/4/2006 12:00:00 AM Paul Talbot Meas/Est 10/28/1999 12:00:00 AM Paul Talbot Meas/Listed 2/15/1988 12:00:00 AM M Sales History Line Sale Date Owner Book/Page Sale P 1 5/27/2005 LEITE, ELISE M & ROBERT C 19873/302 2 6/30/2000 BEKESHKA, BARRY W & PATRICIA A 13108/075 3 1/15/1987 SMITH, CAROL B 5540/179 4 SMITH, THOMAS J 3046/231 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $174,700 $10,500 $0 $153,200 2 2006 $154,700 $10,500 $0 $159,300 3 2005 $142,800 $10,400 $0 $123,000 4 2004 $116,000 $10,400 $0 $108,600 5 2003 $100,700 $10,400 $0 $48,500 6 2002 $100,700 $10,400 $0 $48,500 7 2001 ' $100,700 $10,400 $0 $48,500 8 2000 $73,700 $2,600 $0 $30,000 9 1999 $73,700 $2,600 $0 $30,000 10 1998 $73,700 $2,600 $0 $30,000 11 1997 $77,200 $0 $0 $22,500 http://issgUintranet/propdata/ParcelDetail.aspx?ID=9809 8/10/2007 Parcel Detail Page 3 of 3 12 1996 $77,200 $0 $0 $22,500 13 1995 $77,200 $0 $0 $22,500 14 1994 $75,700 $0 $0 $27,000 15 1993 $75,700 $0 $0 $27,000 16 1992 $86,300 $0 $0 $30,000 17 1991 $86,900 $0 $0 $48,700 18 1990 $86,900 $0 $0 $48,700 19 1989 $86,900 $0 $0 $48,700 20 1988 $63,600 $0 $0 $21,000 21 1987 $63,600 $0 $0 $21,000 11 22 1986 $63,600 $0 $0 $21,000 Photos d t: t http://issgI/intranet/propdata/ParcelDetail.aspx?ID=9809 8/10/2007 Building Detail Page 1 of 1 THE r0* I I TP%—zic,-4 y BARNSTA r- Logged In As: Building Detail Friday, Augu Parcel Lookup Parcel Detail Error: LoadOBGrid: EXECUTE permission denied on object 'getOB', databas, 'TOBI_Production_Property', owner 'dbo'. Building 1 of 1 ` / Q V P Q Code Description Gross Area Effective Area Living Are FOP Open Porch 30 6 UST Utility Enclosure 54 19 BAS First Floor 1180 1180 BMT Basement Area 528 90 FUS Upper Story 528 486 WDK Wood Deck 298 30 Extra Features Code Description Units Unit Price Year Built Value Commen BFA Bsmt Fin-Aver 600.00 15.00 1995 $7,900 FPL1 Fireplace 1.00 3,000.00 1995 $2,600 Out Buildings http://issql/intranet/propdata/BuildingDetail.aspx?PID=9809&BID=10194&N=1&NN=1 8/10/2007 Town of BarnstablePermit: yy of tKE /0� /(Regulatory Services ate: / Thomas F.Geiler,Director Fee: a O O BAMSTABLE, s Building Division 9 MASS. i639• .0 Tom Perry, Building Commissioner �plED MA'1 200 Main Street, Hyannis,MA 02601 rc . -08=862'4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Phone: Install at: ���(a��� . �� � village- Map/Parcel: Date: Stove A. ew Used B. Type: Radiant/ Circulating C. Manufacturer: Lab. No. D. Model No.: Chimney A. New/Existing (If existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined t Hearth A. Materials: B. Sub Floor Construction: Installer Name: Address: Phone: Location of Installation: APPROVED BY: 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 122801 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) m A��J LI DATA Town of Barnstable ermit: G yy 6 OFZHE Tp� Regulatory Services ate: -lel yP`�tio� Thomas F.Geiler,Director Fee: a.f O 0 BARNSTABLE, Building Division 9 MASS. i639. Tom Perry, Building Commissioner 4''°Tfn►�� 200 Main Street, Hyannis,MA 02601 0 038 Fax: 508-790-6230 - \ E TOWN OF BARNSTABL SOLID FUEL STOVE PERMIT s' Phone:— _ — a Village: � Install at: �T����-- � Map/Parcel: 14 � - O o 7` Date: Stove A. ew Used B. Type: Radiant/ Circulating C. Manufacturer: Lab. No. D. Model No.: Chimney A. New/Existing (Tf existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: B. Sub Floor Construction: Installed -.----. - --_---- r -_ Name ., Phone NOTES RECEIP _ DATE r_° . 8 1 71 F RECEIVED FROM APPRI , ADDRESS (,�..r� Z.t�l,,_, Please ., FOR ACCOUNT HOW PAID jThi',' CASH \� CHECK _. :100NEY" BY ORDER ©200 REEWORMC 8L808 Q:forms:stove Rev 122801 -- ----------------------__ • e� 1 cy J' i l H M s , _ �. ��� •� ''' f� •�` `_y ` +{ .�` '�" �''t�,.x I i I i SLR f PI ' ^�y F: o x 3• i Assessor's offioe .(1st floor): _ Assessor's map and• lot number ...... � cF T,HE to Board of He'aloth (3rd floor): Sewage...,PeSmi.t Pumber ..... ............... .............................. i MAUSTGDLE; S Engineeii�gg, Y'''pt n nt (3rd•floor): 'oo Mb3e \e0� Hou n rye 'ra' .:, ..... ..................................................... se O YPa. MA-4 APPLICATIONS'':PAOtESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......A- ...... ....... .1.�. ., ............ ,............. TYPE OF CONSTRUCTION ......WBPid7r v►M1 .C-_.......................................................................................... ........ : Z3:......19..F7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .--�dAu.. ..k.J.Q.lwA . ............... --....................................... ProposedUse J0_.W..j..... .................................................................................................................................................... Zoning District ...G .... LL . ...........................Fire District . / � �'t'1............................................. . ,mil ►�� Nameof Owner .... .................................................................................... Nameof Builder ....................................................................Address .................................................................................... Name of Architect ..................................................................Address Numberof Rooms .................................................................Foundation .............................................................................. Exterior .........4 .Y �.fO�!"!`'�?!`............................................Roofing .... V! .......................................................... Floors ...................Z.............................................................Interior .. .!r(. ...U! y� • Heating .....'...`"`. .................................................................Plumbing .................................................................................. Fireplace ........ ...........................................................Approximate Cost ......� .GQ.Q.............:.......... ................ Definitive Plan Approved by Planning Board ________________________________19-------- . Area ...... ....................... a Diagram of Lot and Building with Dimensions Fee `� `� a SUBJECT TO APPROVAL 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. Nameil.�... ..._ ... �/li.......... .................. Construction Supervisor's License ................. SMITH., CAROL B. A=148-084 No Permit for ...Add. :.t.o.....&....Remo. del Cellar . .... ... .. .. . . .... .... Single Family * Dwelling ........... ............................................................. Location 9_T)A4tcher Halw!�y ........................... .........................ftrp.tpn.q Mills..:. .... M.i.1I's....................... Owner ....Carol...A Smith........................... .. .... .. Type of Construction ....Frame ... ....................... .. ....... ............................................................................... Plot. ....................... Lot .................................. Permit Granted ............July 23 , 87 ............................19 Date.of *Inspection ....................................19 ,-,Pate Completed .......................................19 r „ �.+: �x dry+,:•_ .' " _ .... ..•y�' '['p!Kb..;�.h�'. ._ mo epD,Ma.?4ct. 7-/-/ATG H G7 +I 732 S•-F' . . i .�o Z7 - LO --� ? • - - izs.00 __- 171f C/�ESTE� L_ . B � SSETT oc-gT/O.v: ' / 7 STONS M/Lf.S , M/9gSS. B E/NC- L oT /Z /9ti/ 800,E Zg7 o w rye r':: OFj C o /e E/4 L T S .T 2 f+/EeEBY CE,eT/FY. T/-IRT THE BV/LD/�c./F �.v• - \ '' LOCgTEO O../ T/-/E E`ou a AS -'-T/•/OWA-1 f/ECEO�V .4�1/D TNgT /T f" I ► �r CO.�/FOGit 1 TO 7-i4/,AS- Y- LRN/S O-= Tf-/E 7bWil/ OF BH��✓ST.9BL� �\� p,:.. TEGf/�//G AL • �i9 ST O�/Vit//S /'�lA S S. .� 172— - ' ' a.q rt .ems. .c..k��va sue cvoe Assessor's offioe .(1st floor): '`' • p m ��,f� Assessor's mao .and, lot number ...... ....:��.... ......./......,. .,°�TME TO` Board of Health (3rd floor): SYSTEM MIDST BE �� o Sewage..Pe mi! dumber ....7.°l.' .....�.......... ......... � ��E® 9 C®�HPLIA C i 33Aaa9?GOLF, fa�;ovt rn, , 1G3.nt (3rd floor): WITH TITLE 5 16 o•Engineetiic.' House :.... Ili;. ` �p� tl �B �� L � ®®� � � o'fOYAY a\e APPLICATION8'!'��66ESSED 8:30,-9:30 A.M. and 1:00-2:00 OW Y66M REGULATIONS TOWN OF . B•ARNSTABLE BUILDING INSPECTOR ......... APPLICATION FOR PERMIT TO ......iLo... ,iy,��4 „ TYPE OF CONSTRUCTION ......!AIBPI� Yv►hA,,-........................................................................................ .......J t 4.. 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...2—'j.-- .`;t/1�/�,,. .Q.�lal� ►`� ....Y.."k.Q��ar wv a v vl.�.Y.k3. / ' . ProposedUse ....Y�r'. ........ .................................................................................................................................................... Zoning District ..... / 1!.......1.........................Fire District (�Y"` ldv' � V.( ............................... Name of Owner .... . .. . ... .....................Address ......... ......... 1 [ / -f r Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ........1 f.........................................................Foundation .............................................................................. Exterior .........C*.. ..bo............................................... ....((!V!� .. ...................................... Floors .............................................................Interior ...: d � ¢.---= Heating, = _ _ ............................................................Plumbing Fireplace ......... ...........................................................Approximate Cost .......<..�� �B� Definitive Plan Approved by Planning Board --------------------------------19-_------ . Area .....:<. ........................ Diagram of Lot and Building with Dimensions �i Fee ............................................. SUBJECT TO APPROVAL 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. I Name . .... .......... ... ....... .... Construction Supervisor's License .C% ''" ................... I . SMITH, CAROL, B. No 310i3 permit for Add To & Remodel Cellar ......Sins le...F.ami.1v. Dwelling location€.:_•..:29_ Thatcher Hallway Road Marstons Mills ........ ................................................ Owner Carol B. Smith I Type of Construction Fra.me........ .. ...................... ....................................................................... r ' Plot, ............................ lot ................................ ¢t Permit Granted ......Juix.... 3.!..............19 87 { Da a of Inspection �...�,l... .. ........19 .Date Completed ..............f:. .............19 • it r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1Y9 Parcel P'W-I Permit# qq c7 Health Division 7-�jVhOd A/2/� Date Issued 3 Conservation Division SA �Z� ®O _Fee dU Tax Collector �'�'``E7� '' al Iot Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH T- M 5 ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address I � �� J A�GIJ� Village A1Z5 ,NS IV IC" S b 2bt{8 OwnerS1A•- 13EkC;54 A- Address 5 A;K� Telephone Permit Request Jam!\ Row:_ 01/c92 is Ov& C-X/S TAP(r C6N c;e-L-?� SM606:9 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Al A Groundwater Overlay — Construction Type (AJO—tO �g1LP.,C-- ,,,Lot Size a I . 32 SOFT-. Grandfatliered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 9 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: ❑Yes 0<0 Basement Type: 9-Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)Number of of Baths: Full: existing 4A7 new Half:existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas @161 ❑ Electric ❑Other Central Air: ❑Yes ❑'No Fireplaces: Existing New Existing wood/co I stove: ❑Yes a-Ko Detached garage:❑u.i_ t'ng ❑new size Pool:❑./e iWng❑new size Barn:O kx�ting ❑new size Attached garage:❑exislk ❑new size Shed:asting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION p NameD-B—n//C`2 Telephone Number 7 � —�7 S� Address /( T M M,4 License# C S 0 O 1 3 6 3 02.05 Home Improvement Contractor# Worker's Compensation# ALL CON TRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /d'Li.SaUjf �f CU tQi�.�S/74k� �v�L f(i G,l� (,�• SIGNATURE DATE f t Q FOR OFFICIAL USE ONLY s PERMIT NO. DATE ISSUED' MAP/PARCEL NO.- ADDRESS �( _ VILLAGE OWNER . r� DATE OF INSPECTION FOUNDATION FRAME �. r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING (I la��(} rt DATE CLOSED OUT .-F v o r; ri ASSOCIATION PLAN NO. " ' } - 125.00 ' E 301-5 w LOT 11 ............. p „IYSE';;' ............. a .1� DECK o LOT 1,2 arn_ 5 00 LOT '13 12 RES.. ZONE.• "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.• ""C" � a Use Only TOWN: �A,�7'01YS �ILL�_ — _ REGISTRY OWNER: �RO�_,7Ml1LL DEED REF: _54AVI- ,2 — _BUYER: �ABR}' �'L4c 1'dTRLCfA-A REKESHK•� — — DATE: �Z5/Q2QQQ _ — PLAN REF: 287 27 SCALE:1"= 30 ___FT. I HEREBY CERTIFY TO SALEM &Yff —_____________ Shof �A SHOWN ON THIS PLAN IS LOCATED ON THE GROUND DASD �c�� �yG. YANKEE SURVEY SHOWN AND THAT ITS POSITION DOES ____ CONFORM a ' CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 40B INDUSTRY ROAD TOWN OF ---&ARL1/STABLE_____________AND THAT MARSTONS MILLS, MA. 02648 ,IT DOES_ 1VOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD FES ��P TEL: 428-0055. AREA AS SHOWN ON THE H.U.D. MAP DATED V_J,9/_6,1_ C ' unit -Panel 250001 0015 C �SURv FAX: 420-5553' _______� THIS PLAN NOT MADE FROM AN INSTRUMENT ,28767 •JF C A• MER�GS` i SURVEY, NOT TO BE USED FOR FENCES. ETC. f s u z 3 I � � ID � 1 (5C/s n/j tr Crl ffT ST& 7 00 l4J ' 4 M1\ o c -s ID i 'lvVI 6V — y �j�1itY!os IL `/w rr�� tlp 6 -per Cc-/yc'n�trly i I 3 i . 1 GX 1s77N6- C ON c.P c r L Sz L:-(-, OD 1 1 1 11 1 1 1 1 1 I I=41 1 %::%' •��..i:%�:i% ':i�.'Via' AA ��'.:.'.::::.�� :%�.�_.:i!f.%!.:. OR ■ 11 I 1111 1 ':1 . 1 • . 1 • •. :1 •. 111/i/ .1111 1 11 :11111 1il Is _ .. 1 • 11 1 ..IN 1 1 1 ■ 11 .. 1 1 11• .) 1 1 I 1 1 / I I I I 1 , .11 . 1 1 . I •/ 1 . . �, 1 1 • ••1/ I . 1 1 / • 1 1 .. �I •. I11/III .11 . 1 1. w�+ • II 1 I 1 � 11 ' 17 1 • I I E %//////%/%////......//////////////%////////////l%//////////////////%////////////%/////%//%/////%/////////////////%%///////////%%%/////%%///////////////%////%//%%/%f% / III I I i i I II i i III /alai/ir '!:i%i{i�r/•�p�r�rr/iqi/�o�jai{��� ������������������������������������������������������������������������ 6. M 1 1 1 i _ _ • it 1 i I I I I / ✓/ Ali MIS use G* 11W wrfte inthis _ Ili dal E3BufldingDeparilm011dpenuMcense IN `- C3Lkzmsing Board Mice j 3 C3HeallhDepsrbnent person: phone 0; (� • ...................._....................... .._............... ...... ...:..:.�:::::. ....... ...... Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any camtract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than.three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair worm on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until .:,acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. �/ �. U Applicants `r workers compensation affidavit completely,by checking the box that applies to your sitnatiiam and Please fill in the ' comp lY company names,address and phone numbers along with a certificate of insurance as all affidavits may be 'F� submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sip and date the affidavit. The affidavit should be mused to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you .Y are required to obtain a workers compe�sadoa policy,Please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pei iuit erase number which will be used as a reference num_ber. The affidavits may be retuined,to the Department by mail or FAX unless other arrangements have been made. . The Office of Investigations would bite to thank you in advance for you cooperation and should you have any.questions• please do not hesitate to give us a call. The Department's address,telephone and fax mimbw.. The Commonwealth Of Massachusetts Department of Industrial Accidents Ottloe of Nvesugadens 600 Washington Street Boston,Ma. 02111 fax*: (617) 727-7749 phone#: (617) 7274900 eat 406, 409 or 375 °F 1ME A . The Town of Barnstable ��3 Department of Health Safety and Environmental Services "rFD +a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. II — CcJ0e6-r&5Md111 Type of Work: ���clf�1+A?-J OVA Estimated Estimated Cost Address of Work: Owner's Name: `� s Date of Application: f / 61) I hereby certify that: Registration is not required for.the following reason(s): []Work excluded by law Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. G � � cs oo13�3 Date Contractor I�1 Registration No. A7J OZ. tdg OR { Date Owner's Name q:fomis:Affidav X EST/MA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK 5 X 5 �?06F square feet X$15/sq. foot= d v $^(,� OTHER L-'X I Ste,(5- .5 n? _�0 square feet X$??/sq. foot Total Estimated Project Value For Office Use Only Inclusionaty Aff rdab/e Housin Fee idential Commercial" Property Owner's Name Project Location } Project Value Permit Number _. **Existing Sq. Ft. ** posed New Sq. Ft. Fee$ IAHFORM 1/3/00 - I ` r . \: i � 4 . i ��� I ,� '- � ,� �. .<� .J f' r FROM BROOKS 438B FPX NO. 308 399 5216 Nov. 02 2000 05:39PM P1 ... ............ ...P. --� . 13-� • • Fzpi�at�ao����`p1/lb%2GG2 "'».y� :.s • 47 • • MI�}IkEhT ?HpR6BITA.'.�' '; ;.`:.=.: ._( �IICNAEL•';:Nk26p,TTA;';;_:;;.,.::;'.;�;,"•'. aorninlsraatoA 9REYS ..... NR;- :. ` TfR' •02631` , M.D. BUILDING $s REMODELING LICENSOR i.INSUAED (503)696.5722 Mike MergOtt9 SM896.2167 Oanlel Eisenberg SM945.9750 724 Millstone Rd. Breon-er,MA 114 Main St. Chaftm,MA -ro I-C•: �vr�.,t���rG- �c M t r" T 2-9 7Nwuev, �Gd-azt_w N)$M744s 14 J' , 705 Va f 1 Vp`C 1�1 ✓1�..-Cv�� r4-4 C-Taws � I C6-46-. k//174- TKE L k 1 NOW , • (.' ------�--- ,-,;�z: _ ✓� ,(omv.,wouueall�i a�✓uavoac�ucae� BOARD OF BUILDING REGULATIONS • ?, License: CONSTRUCTION SUPERVISOR Number: CS 001363 ! Birthdate: 0612 48 l Expires: 129/2002 r.no: 2511 Restricted To: 0 DANIEL A EIZENBERG 114 MAIN STREET Administrator CHATHAM, MA 02633 4 �a ryI1�T.�t`j.{l� te�s� t • i VDAC LIBERTY ISSUING OFFICE 181 MUTUAL• Workers Compensation and INFORMATION PAGE Employers Liability Policy ACCOUNT NO SUB ACCT NO. Liberty Mutual Insurance Group/Boston 1-318684 0000 LIBERTY MUTUAL FIRE INSURANCE CO. 16586 POLICY NO. /CD SALES OFFICE CODE ALES REPRESENTATIVE COD N/R LST YEAR WC2-31S-318684-019 XX X WESTWOOD 101 ASSIGNED 3000 1 1999 Item 1.Name of DANIEL A EIZENBERG Insured FEIN 04-2974039 Address 114 MAIN ST RISK ID 288491 CHATHAM,MA 02659 Status 01INDIVIDUAL Otherworkplaces not shown above: SEE ITEM 4 Mo. Day Year Mo. Day Year Item 2.Policy Period: From 12-25-99 to 12-25-00 12:01 AM standard time at the address of the insured as stated herein. Item 3. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A.The limits of our-liability under Part Two are: Bodily Injury by Accident 100,000 each accident • Bodily Injury by Disease 500,000 policy limit # Bodily Injury by Disease 100,000 each employee C. Other States Insurance:Part Three of the policy applies to the states, if any,listed here: SEE END WC 20 03 06A s D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE Item 4. Premium - The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rates LINE 110 Estimated PerS100 Estimated Code Total Annual of Re- Annual Classifications No. Remuneration muneration Premiums SEE EXTENSION OF INFORMATION PAGE ii Minimum Premium $ 500 ( MA) Total Estimated Annual Premium $ 516 I , I Interim adjustment of premium shall be made: ANNUAL This policy,including all endorsements issued therewith, is hereby countersigned by SEE ATTACHED FORM 1710 Authorized Representative Date 01404-00 I i . Loc.Code I Term. Oper. Audit Basis I Periodic Payment Rating Basis Pol.H.G. Home State Dividend !; !� I Y'�.i{C •�3�.[yc. 33� s.r L,'��y"' aJE�" fM`J� +e,- • - c r�,. i t ��\�_ f'Y ''£�.'..- ar '� J .r W1r -I'af°-;: ..'✓' '`iy.�E. ,F' W +� ` .oi.-"Y.t2x„ - ^ i l_"p 2:.i2 tr ,'Ka i'i sc n� T" r_,MY2 � :�•--r' � `-,. ,a'L.:t 'pia`'S 2,�.'3°�.`v; W� y , .-•".r rs' .:. s .. - � ���tR't�.r-�3-"��'t.1��+r"..1�t{�•dtr"/J3'2�x.�.' 11"���9+�'+d.�r.}. Rl f 24288 .::....:.�::::.::::�:.:::::::::..:.:.:::.::::.:::: v::... BILL:::::::>:'':;:^:P LILY:NUMBER^:::':':: ;>:::::PRODtiCER.'..1Vt�1718ER:>:::::::<:>:::'AC..::: »::;::':,::: "..;: .:.:::::::::::0 ...:. . . . . ::::::::::::. ::;::;:::::AGGQUNT::;NUMBER:::. . AUDIT ;.:.::::::::::::: D SCP 31397665 1 15323124 1 1 M005562079-001-00001 ANNUAL BRANCH XA ZURICH GROUP-AUBURN RENEWAL EFF 05/20/2000 ASSURANCE COMPANY OF AMERICA SPECIALTY CONTRACTORS POLICYs" COMMON DECLARATIONS REMODELERS PROGRAM f This policy consists of the declarations as well as the coverage forms and endorsements I listed on the Forms and Endorsements Applicable List. i . NAMED INSURED AND MAILING ADDRESS AGENCY NAME AND MAILING ADDRESS DANIEL EIZENBERG DBA MD CONSTRUCTION WALLEY, FRANCIS M. INSURANCE AGENCY, INC. 114 MAIN STREET PO BOX 469 CHATHAM MA 02633-2467 DEDHAM MA 02027-0469 (781) 326-8383 f i BRANCH NAME AND ADDRESS POLICY PERIOD f ZURICH GROUP-AUBURN FROM TO 15 MIDSTATE DRIVE AUBURN MA 01511 05/20/2000 05/20/2001 (508) 721-9101 12:01 am 12-01 am BUSINESS ENTITY: INDIVIDUAL POLICY PREMIUMS In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts. This premium may be subject to adjustment. PREMIUM COMMERCIAL PROPERTY COVERAGE PART $ 150.00 MINIMUM PREMIUM COMMERCIAL GENERAL LIABILITY COVERAGE PART $ 824.00 TOTAL POLICY PREMIUM $ 974.00 Countersigned by Authorized Representative Date Includes copyrighted material of Insurance Services Office, Inc., with its permission. T OF B STABLEV LOCATION z ;OVrN o�` � SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �- LEACHING FACILITY: (type) �:w�Z ,l�o�> �_ (size) /O X 30 �X, NO. OF BEDROOMS 3 BUILDER OR OWNER 51,,-71>-7) i PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom.of Leaching Facility S t Feet ' Private Water Supply Well and Leaching Facility (If any wells exist. I, i on site or within 200 feet of leaching facility) i!//� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �e,1 rb t� O r s •r j``�o •e TOWN OF BARNSTABLE Permit No. _________------------------- 1 ��n.n Building Inspector Cash ---------------------- - `"�tc/'Y�\ OCCUPANCY PERMIT Bond ----_- _ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .....................................................1 19...... _ ........................................ .... .................._............_.........._..__._ _. Building Inspector HO L l�//9,Y . � o,9 O Z- O 7- 5•f It 52 " - oY'I G� G � 'E /± - z7 /z5.00 --' BF� SSETT LOCAT/O.V: /''� STONS M/LLS , M�9g55. ' .e EFE.�ec•/CE: B E/NG L oT /2 �-- PG r9.N Boo, Zg7 • P/4GE 2�7 Moir oc�r�er: O/9G0 /eE/9LTY ST Vk,:: y�� 2 /NECEBY DEBT/FY. Tf/FaT THE BV/LD/.t/G �r� Gf,� �i SNOIV V O.V Tf-//S /S L O G ATE Z� RGE OA/ T/-/E c AS ENO N/.t/ �O�S CO.�/FOGti1 TO T/•/� zO.C,//�/G CGV JR• . Tg 1-.,QW5 c �/ / /B � GfiPCE Goo ''\ vRy TEG/" Ai/GAL PL ANN/NG F�SSOG/AYES /NC. 9 ST'" OEiI//V/S /✓!fl 5 S. — -- D/9 TC' .el��a SV BYO e 79 - /4 2 Oi9 G o ,e•T Ty l T G H E HD L D Z— 0 7— /z 732 S•f $z G or-7 j /+ o � X V � o 1-71f CHESTE�E? L. �F�SSETT GOC/4770.W: l''� 5TON5 M/LL5 M/9SS: B E/NG LOT /z �-- PL/9ti/ Booms Z87 T� owr�er: I�.CjGO /eE.9LTY S.T = i-/E,eEBY CEeT/FY. TNFaT T/�E BC//LD/�c/F t� ��`t.'3' SHON/.V O.V Tf//S PL.4A./ /S LOCo9TEi� ON TI-/E GECRGE ci ooS AS 3NOWN 14EE6oti/ <a,vD 7-.5/og:?7- /T ��B LOW,JR. ► ;' CO.�/FOGti 1 TO TA/--- 7-A/E 7t'>WA.1 OF �SSOG/,9TES /NC. 9/ -E/9 ST- OEiViv/S'.jI M/9 -- n�a 3 7q Assessors ma'' *a lot number r _ Y,f . p , V� /��� OFTNETO Sewage Permit number ..... .. 9..C4�� SEPM o� '> ..................................... INSTALM IN STADLE, House number ............... .............................................., r ATH TMA 5 94p 1639 -; '"RONMENTAL CODE MAX Planning TOWN OF BARNSTABI ELATIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ' TYPEOF CONSTRUCTION ............ ................................................................................................... ....................... ..........1.9.7).9. TO THE INSPECTOR OF BUILDINGS: 'I The undersigned hereby applies for }a—permit according to the following information: Location ....... . ......'.. `-�s1!. ...!' .. ......... .............. .-_ ProposedUse ..............................................................................:.............................................................................................. ZoningDistrict ........................................................................Fire District ................................................................:............. Name of Owner .... C.c.... .... �1,•..v' Address .....17.6x.....4?�s�Y. ... J.`1 Nameof Builder ................... ...................................Address ................. .._... ................................................... Name of Architect ...............<�..............................Address .................. .v--r-?-................................................ Number of Rooms .............'�...............................................Foundation ........`�1��......1.../.C...,........................................... .... Exterior .... .......E► 4,.,..Roofing ................A�ll ................................................ u n `Floors � ..... Interior ........... J � ..........................................Y .............................. Heating .. [aA............................................Plumbing ........wl....�.... . .... ..... Fireplace ........V.......................................................................Approximate Cost ............ .��?c'.r......................... . ........ Definitive �O S d - Plan Approved by Planning Board ----------------------------_19 . Area ...................�. ................ 1- Diagram of Lot and Building with Dimensions Fee /......�......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH S'OO. CJ U r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ Name ............ .. .... 1( . DAW Realty Trust WA7... Permit for .'...two...story............. t� ...... . ........ .............q.in&!A.A!R4Y..dwell.i.ng..................... . .... .. ........ . .... Thatcher Holway Road Location . 2................................................... . .........................Ida aeons Mills . ........................................... Owner ........TACQ..ftA!tY.Trost.................... Type of Construction ...........fra.....me................. ...... ............................................................................... Plot ............................ Lot .............#12............. Permit Granted .......$61).temb.e.r...1.3.......19 79 Date of Inspection .....................................19 Date Completed .......19 PERMIT REFUSED .03...... ....................................... 19 C ... ...... . .. .......... ... ... . . . .. .............. . .. ..................... a-o-t........................... C) Appr ...... ............................I.......... 19 ............................................................................... .......................... ................. Assessor's map and lot number ....... .J.........:..............:..r..� C �' - l y0*TM E tp�I Sewage Permit number .....!._... ...... .:�.............................. d L Z BA"STADLE, i HO a number MAO& p 039. \00 TOWN OF BARNSTABLE BUILDING - INSPECTOR APPLICATIONFOR PERMIT TO .................T' .........-...'............................................................................................ TYPEOF CONSTRUCTION .......... I^ ..:..: .......................................................• ............................................... J ....................... ...:`...........19... ?.4. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to they following information: Location ..........................!.:1........................................ .:..1...... ,............1:...��:......^........ \. "A: ............... ProposedUse ......................................................................................................................................................................:...... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner 4. ...�..�.......... .:.ar`.....Address ... !lac.....1 �. ......... Name of Builder — _ �— ...................................................Address ................... ................................................................ Name of Architect �^- - ...............................Address -. .ter_ ................................... .................................................................................... �c Numberof Rooms ............. ................................................Foundation ........`............. .r. ............................................. fi ....,.. .... ........�:............................................... Exterior �. !1 Floors } 4 .. ,..t.:c....................................Interior ..................... .............................................................. Heating ................................?......................................... ..Plumbing ................... 1.r..1?........�f;C...... ..... . ................F....' i 1.tiJ r .I Fireplace ..............................Approximate Costn •(-r--. .............. .................................................. Definitive Plan Approved by Planning Board _____________________1_________19_______. Area .......................................... Diagram of Lot and Building with Dimensions `7� Fee ........c'!... -- ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTHDc7. (� G U - 9 �r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. y'1 H w Name ......r 1�-. a r . _,fir 1 f......... � .......................... DACO Realty Trust A=148-84 No ........216.....47 permit for two story.. .... .... single family dwelling ......................................................................... ..... Location ..........29...That.c.her..H.ol�!FIY..Road..,.... ........ . ...... .. .... Marstons Mills ............................................................................... DACO Realty Trust Owner .................................................................. Type of Construction . .......frame................................ . .................................... ........................................... Plot ........................ Lot ........... 1.2............... ' September 13 79 Permit Granted .. 119 Date of Inspecti. .... ..... .......19 .................... Date Completed .... ............19 P RMIT REFUSED ......................... j ............. 19 .. . .......I ........................... ................................................... ............................................................................... ............................................................................... Approved ................................................ 19 .......................:....................................................... ..................... ...................................