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HomeMy WebLinkAbout0250 TREE TOP CIRCLE na f " � E `f r e _ ^ � c t. 1 _ i _ �'. s � t ?"ti c1,�� w� v,yl !� _ i -- - _ � _ - � � � _ - � - f: - � . � � �. c - -_ - _ `. ,. ,. - � �. - .. _ {. :� -: ... (. .. _ _ _ .E`. 0 _ _ � 2 _ - .. - - � - - _ _ _ / _ `. f }�FF !' (`It i �3 .1' a pealNo 94 092 Appeal Special Permit a Status Family Apt First �� Ap 1P.ant s Fife Anthony Paul w gip' � �AcJdr2 250 Treetop Circle Village Marstons Mills MA 02648 AffRece® � 03/19/2002 MapPar 126024 Zoning RF Decision Granted WC - Motes SIR 34 i r Town of Barnstable Regulatory Services °F�' roi� Thomas F.Geiler,Director Building Division Y OV41i aF B ARmSTABLE snxr►szesM ' Peter F.DiMatteo,.Building Commissioner 039. �0 200 Main Street,Hyannis,MA 02612 19 p� 12: 49 Office: 508-862-4038 -790-6230 •—�'�'"'� V 1510 N Town of Barnstable'Family Apartment Affidavit I, being on oath, depose and state as follows: My name is n� •6 ' ` I am the owner/resident of the property located at:. �5 D "�(-U, oo Map and Parcel Number The ZBA granted me a Special Permit/Variance on CX Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: -�'��`'� Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. Jn the event that the.listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply.with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. Other Sworn to under the pains and penalties of perjury this day of ceL 2002. Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:010702 r Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal No. I994-92 Special Permit- Family Apartment Summary Granted with Conditions Applicant: Anthony Paul Fife Address: 250 Treetop Circle,Marstons Mills,MA 02648 Assessor's Map/Parcel: 126-024, 1.58 Acres Zoning: RF-Residence F District Applicant's Request: Special Permit-Section 3-1.1(3 -D)Family Apartment. Activity Request: The applicant is proposing to utilize a new addition and remodel a portion of the existing dwelling to allow a family apartment of 643 sq.ft.for his mother. Procedural Provisions: Section 5-3.3 Special Permit Provisions. Background: According to the Assessor's Records the lot,located in Marstons Mills on Tree Top Circle,contains a one bath,one story ranch style,single family dwelling of 768 sq.ft.of gross floor area. The structure,initially built in 1971, has well water and a private septic system. According to a building plot survey [Plot Plan of Land located in Barnstable-Mass.prepared for Anthony Fife by Cape&Islands Engineering,Mashpee,MA,dated September 20, 1994] submitted with the application,a recent new addition[Building Permit# 36896,issued July 22, 1994] is completed. The family apartment is to be for the owner's mother. Procedural Summary: This appeal was filed with the Town Clerk and with the Office of the Zoning Board of Appeals on September 29, 1994. A public Hearing duly noticed under MGL Ch.40A was opened,closed and a decision rendered by the Board on the October 19, 1994. Sitting on this appeal were Board Members Betty Nilsson,Ron Jansson,Richard Boy,Emmett Glynn and Chairman Gail Nightingale. Mr.Fife is requesting a family apartment. He explained that he was issued a building permit but it was faulty because of the addition of a second kitchen and so it had been revoked.. He would like the family apartment for his mother. The Board asked if Mr.Fife understood all the Zoning Regulation regarding family apartments and Mr.Fife said yes all items A through Q. He said it would be a full time year round residence for both of them. The existing dwelling is 1,632 square feet and the apartment is 515 square feet. PUBLIC COMMENT: Ester Fife mother of applicant spoke in favor and no one spoke opposed. FINDINGS: The Board unanimously found the following findings of facts as related to Appeal No 1994-92. r Decision and Notice 1994-92 Fife--Special Permit--Family Apartment 1. A family apartment is allowed in the RF zoning district 2. The petitioner has acknowledged he will comply with all regulations of the family apartment section of the zoning ordinance. 3. The request is not detrimental to the neighborhood and is within the spirit and intent of the ordinance. DECISION: Based on the affirmative findings of the Board a Motion was duly made and seconded to grant the request in Appeal Number 1994-92 with the following condition: 1. The family apartment will be developed as per plan submitted. The vote was as follows: AYE:Betty Nilsson,Ron Jansson,Emmett Glynn,Richard Boy and Gail Nightingale NAY: None. ORDER: Appeal Number 1994-92 is granted with conditions. Appeals of this 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. Gail Nightingale,Chairman Date Signed I Linda Leppanen,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 of 19 under the pains and penalties of perjury. Linda Leppanen, Town Clerk copies Applicant/Attorney Building Commissioner ZBA File 2 Town of Barnstable *Permit# 2J6'70(,a 050 Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number \2. L Property Address 7,S0 "�rr—CtOp C-%t -`e, M C-A' WS (7- Z,,66 — [,Residential Value of Work Z,� ,y O Q Minimum fee of$25.00 for work under$6000.00' Owner's Name 8c Address n-} o -u 1, g P. ZSo �t'P -� � C- Contractor's Name S L o k Telephone Number-ED C 61 Home Improvement Contractor License#(if applicable) \O O 3 Construction Supervisor's License#(if applicable) 0 0 Z `7 9 ` ❑Workman's Compensation Insurance ��� � Check one: SS PERMIT ❑ I am a sole proprietor ❑ I am the Homeowner SEP 2 6 2007 © I have Worker's Compensation Insurance TOWN OF BARNSTABLF- Insurance Company Name _ Worlanan's Comp.Policy# w r_t _ �f�C7 <-{c �3 C2 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to S ,4 J C X. L n ❑Re-roof(not stripping. Going over existing layers of roof) ® Re-side Replacement Windows/doors/sliders. U-Value ,.31 (maximum.44) �- :1-4 1' *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: r' Q:Fonm:expmtrg Revise061306 h �r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers"Compensation Xnsurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatioa/Individual):. J, •Address:? City/State/Zip: N az�,,,�.c l,.�v o r . (�'�o O�(��l(� Phone.#:__1;a S .3(Z 9 L . Are you an employer? Check the appropriate box: -Type,of project(required):. L I am a employer with _ 4. ❑ I am a general contractor and I . employees (full and/or part.time). have hired the sttb-contractors 6. ❑New construction . 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet. 7. M Remodeling ship and have no employees These sub-contractors have 8. ❑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 additit;zns '3.❑ I 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 A must also fill out the section below showing their workers'compensation policy information. t Homeowners who subrrrit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 4C6ntractors that check this box must attached ati 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 pravidt their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below 1s the policy and job site information. Insurance Company Name: P E, l Policy#or Self-ins.Lic.#:_W c- C, r,0 00 y�i 2 O kI OC-) io Expiration Date: l'L/Zc.( pJ? Job Site Address: 2�0 '�rr:::eA C.,4 City/State/Zip: �S o„ (�'ltiALE 0 Z G L. g 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 IDIA for insurance coverage verification I do hereby certify:ender the pains•and penalties ofperjury that the information provided above is true and correct: Sienature: Date: 0 Phone#: 3 �, 2 L[9- Official use only. Do not write in this area,'to be completed by city or town offliciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: r NOTICE NOTICE TO U410 TO EMPLOYEESEMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I(we) have provided for payment to our injured employceS under the above mentioned chapter by insuring with: ASSOCIATED EMPLOYERS INSURANCE COMPANY NAME OF INSURANCE COMPANY 54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803-0970 ADDRESS OF INSURANCE COMPANY WCC 5000443012006 - POLICY NUNII3LIt 12/24/2006 - 12/24/2007 EFFECTIVE DATES 24 Federal Street 4th Floor Boston Insurance Brokerage Inc Boston, MA 02110 NAME OF INSURANCE AGENT 617 556-7000 rU)DItiL;SS PHONE J O' Loughlin Inc. 155 Queen Ann Road Harwich MA 02646 � EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) 10/17/2006 MEDICAL TREATMENT DATE 'I'hc above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accord COPY of the First Report of Injury must be give ance with the provisions of the Workers Compensation Act. A n to the injured employee. '"he employee"my select his or her own physician. The reasonable cost of the services provided by the beating physician will be paid by the insurer,if the treatmCnt is necessary and reasonably connected to the work related injury. In cases requiring; hospital attention,employees are hereby notified t the insurer has arranged for such attention at the hat _NEAREST AND BEST MEDICAL FACILITY NAME OF IIOSPI"('AL ADDRESS TO .BE POSTED BY EMPLOYER p � . a - r cr ) - 1 Il IIc 01 cl c 1 l 4 One AshbUl'tOn Place - Room 1301 Boston. MassachUSettS 02108 1-1ome Improvement Contractor Registration Registration: 100398 Type: Private Corporation Expiration: 6/16/2008 J. O'LOUGHLIN, INC. Joseph O'Loughlin 2 Harold St Harwichport, MA 02646 Update Address and return card. Mark reason for change. Address Renewal Employment Lost Card DPS-CA1 Co 50M-04/04-G101216 . �off IHEt�y Town of Barnstable. Regulatory Services BARNSTANX, i asAss $ Thomas F. Geller,Director 16 9.Mpca`e Building Dlvision Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 "v-town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder QAll n Lk aay i�.� ,as Owner of the subject property herebyauthorize 3 C � • °�-� i_ to act on my behalf, in all matters relative to,work authorized by this building permit application for; . (Address of Job) Signature of er Date Print Name Q 10 RM S:O W NERP ERM I5 S ION � N TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY - FAMILY APARTMENT ' ' PARCEL ID 126 024 GEOBASE ID 6866 '.. ADDRESS 250 TREE TOP CIRCLE PHONE MARSTONS MILLS ZIP - LOT 10 BLOCK LOT SIZE : DBA, DEVELOPMENT DISTRICT CO PERMIT 88801 DESCRIPTION FAMILY APARTMENT . PERMIT TYPE BFAMCO. TITLE FAMILY APT. CERT.. OF OCC. CONTRACTORS: Department of ARCHITECTS: Regulatory Services .TOTAL FEES: $25.00 '. BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARNSTABLE, • MASS. i6;9. A1� I F/p MPl BU ING, /ISION BY DATE ISSUED 12/05/2005 EXPIRATION DATE TOWN OF BARNSTAB BUILDING PERMIT--FAMILY SE ID 6866 PARCEL ID 126 024 GEOBA PHONE . ADDRESS 250 TREE TOP CIRCLE : . MARSTONS MILLS 1 LOT 10 BLOCR LOT SIZE DEVELOPMENT DISTRICT CO I PERMIT 88646 DESCRIPTION EXISTING APARTMENT, NO CONSTRUCTION PERMIT TYPE BFAM TITLE:. FAMILY APARTMENT . De artmt of CONTRACTORS: PROPERTY OWNER P �y ARCHITECTS: RegII " O Ces ��, ..•_roc �..s... `. ' .�;�. !1 TOTAL FEES: $25.00 ,.( $.00 J I BO ND � ; CONSTRUCTION COSTS $-00 r ;s 434 RESID ADD/ALT/CONY t � * ;j BVIL,DING DIVISION .{ BY DATE ISSUED 11/29/20.05 EXPIRATION* DATE i nia r2nMi MUN VEY5 NU 1�IGHT Td dCCUF'47�lQY TijE'ET;ALLEY-p1TS1�CD�+Lrc'Cin 7av r r.arn-i r+cinvf,-L�'.,•.c.•.-.m.....�..-.-..----___.:_:...,_.-__.�._ CROACHMENTS ON,PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR l ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS i PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. i MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND ( FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- I 2.PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. f • • BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 F, 1 1 2 2 2 E � lf r 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH' I , SITE PLAN REVIEW APPROVAL OTHER: e WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON•THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 'DL`' Permit# Z,11,6 ' ,W GANSTAB Health Division � 339 [97 _ Date Issued Conservation Division 2095 NOV —9 AM 9: 2 5 Fee Tax Collector WSTING SEPTIC SYSTEM Treasurer #OF BE©ROOMS Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address a so r^cJ� Village noGrO n� �1� �� ©a�OyZ. Owner \V 6 Address M 0o 06o Telephone 0 0 O�'� a ,1 W1n o�� ► ,�IDV �b "1 5� is Permit Request ,r M � `n 0 to CVQ�ew (Awe\ 0'J" MU toAl \�)(4 An!:) 0!2� Square feet: 1 s fl1oor: existing proposed 2nd floor: existing proposed-0 Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type � o-, Lot Size A randfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes & No On Old King's Highway: ❑Yes M No; Basement Type: IdFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 3�� Basement Unfinished Area(sq.ft) J �^ Number of Baths: Full: existing new Half: existing 6 new O Number of Bedrooms: existing new (^ Total Room Count(not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: ❑Gas 0 Oil Electric ❑Other / Central Air: ❑Yes C] No Fireplaces: Existing I New Existing wood/coal stove: 6p Yes ❑No Detached garage:O existing ❑new size 0 Pool:0 existing ❑new size Barn:0 existing O new size 0 Attached garage:O existing ❑new size 0 Shed:O existing ❑new size_Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes dNo If yes, site plan review# Current Usp, Proposed Use BUILDER INFORMATION Q, Name:-- — Ne� Telephone Number b`L kA-a-0 01 Address-, r L Jr SA., License# Gyr,,+�,o fnY % rvwx O A% Home Improvement Contractor# Worker's Compensation# .A ALL CONSTRUCTION DEBRIS RESULTING FROM THI-S PROJECT WILL BETAKEN TO SIGNATURE DATE .'� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE C ELECTRICAL: ROUGH FINAL : PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT j ASSOCIATION PLAN NO. { i ' Bk 20512 Ps 22E '83300 1 1-28-2005 a 02 = 34v „H Town of Barnstable + � Regulatory Services BARNSTABI.E, Thomas F. Geiler,Director y MA89. �A i639' �•� g Buildin Division rFn r�r►+" Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 250 TREETOP CIRCLE in MARSTONS MILLS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book (1'-"5 Page 1 y U�, or as Document No. being shown on Assessors' Map 126 as Parcel 024, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for MARY ANN CALDWELL, SISTER OF OWNER ANTHONY FIFE associated with the residential use on the same premises. This unit shall be used for a"Family Apartment"(as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this C> day of �Zw._tx 200 6-- TOWN OF BARNSTABLE OWNER(S) By: uilding Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS DatehD 7S, ZQ0S Then personally appeared the above-named (owner), AN1ffbN� j FE made oath as to the truth of the foregoing instrument,ZeLeme. and sn+++'rt pt.rn Ik ,0�G� �raw fd �'' ublic v arY 4e My Commission Expires: CARRIE M. MOORE © '.s p="���`' • NOTARY PUBLIC MYCommissionExprm Apr.242= YP U �- Q:word/accessoryagreement BARNSTABLE REGISTRY OF DEEDS r \ deck UP Ctiw�All 15'1 to • bedroom 5 //�p//% o O < NA 0 18'8 ro v dining/kitchen 1 � living '2 � � spiral unheated porch o p° stair 13'10 10'7 e living a den/office front deck 98 ` edr�om f,. spiral stair 117 N 56 gym b den 1L LIVING AREA 355 sq feet t Afnnot Prolmov el ivy o a��.e or �.�le GtiO�tSiv� assite. I+ t t� p 9 9p E i Town ofBarnstable ............ fi atCe rti c e 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. M ons 1Vli l ls MA Location 250 Treetop Cit 1 c e, arst Unit Capacity bedrogNs, not to exceed 2 persons Inspector Tom Terry W.P.No.. 126-024 ' 4/14/2003... .. t 1�; Bk 20449 P041 078483 .. 11-07-2005 a 11 = S4at 9 M'� �p O7P 4g CFO MPy Town of Barnstable Zoning Board of Appeals Decision —Rescinded Comprehensive Permit Anthony P. Fife—Appeal 2002-83 Comprehensive Permit—MGL Chapter 40B Summary Determination that Comprehensive Permit is Rescinded Applicant(s): Anthony P. Fife Property Address: 250 Treetop Circle, Marstons Mills, MA Assessor's Map/.Parcel: Map 126 Parcel 024 Zoning: Residential F and Aquifer Protection Overlay District Background: Anthony P. Fife applied to the town of Barnstable for a comprehensive permit under the Accessory Affordable Housing Program pursuant to Article II of Chapter Nine of Part 1, General Ordinances of the.: Code of the town of Barnstable. The applicant was seeking to convert a former family apartment attached to the principle residence into an accessory affordable apartment. Comprehensive Permit Number 2002-83 was issued to the applicant on September 4, 2002, and a Regulatory Agreement and Declaration of Restricted Covenants was recorded at the Barnstable Registry of Deeds. On August 9, 2005 Mr. Fife submitted a letter to Ms. Gail Nightingale, Zoning Board of Appeal Hearing Officer, requesting that his apartment be released from the Accessory Affordable Apartment Program so that he may convert it into a Family Apartment unit. Procedural & Hearing Summary: A public hearing was duly advertised in accordance with MGL Chapter 40A and notice sent to the applicant that the hearing would be held to review and act upon the request. The hearing was opened on `Y September 28, 2005, at which time the Zoning Board of.Appeals Hearing Officer made the following finding and decision: LU CD CIE Findings of Fact: At the hearing on September 28, 2005, the Zoning Board of Appeals Hearing Officer made the following findings of fact: In Appeal 2002-83, the applicant, Anthony P. Fife, sought to convert a former one-bedroom family apartment of approximately 660 square feet attached to the principle dwelling into an affordable rental unit. The property is shown on Assessor's Map 126 Parcel 024, and is commonly addressed as 250 Treetop Circle, Marstons Mills, MA in Residential F and Aquifer Protection Overlay Districts. On September 4, 2002, a comprehensive permit was issued for the property, and a.Regulatory Agreement and Declaration of Restrictive Covenants was recorded at the Barnstable Registry of Deeds. t' On August 9, 2005 Mr. Fife submitted a letter to Ms. Gail Nightingale, Zoning Board of Appeal Hearing Officer, requesting that his apartment be released from the Accessory Affordable Apartment Program so that he may convert it into a Family Apartment unit. Decision: At the hearing on September 28, 2005, the Hearing Officer determined that the comprehensive permit issued to Anthony P. Fife for the property located at 250 Treetop Circle, Marstons Mi11s,MA is no longer . valid. The request to transfer the unit to a family apartment, which is an as-bf-right accessory use under izoning, is a voluntary act of the owner. Transmission: In accordance with Part II, Section 4.02 and Part III, Section 3.72 of the Town of Barnstable Administrative Code, the Hearing Officer transmitted the written decision to the Zoning Board of Appeals on September 28, 2005. As fourteen days have elapsed since said transmittal with the Zoning Board of Appeals taking no action to reverse the decision, this decision becomes final. Ordered: Comprehensive Permit 2002-83 is null and void. The request to transfer the unit to a family apartment, which is an as-of-right accessory use under zoning, is a voluntary act of the owner. Gai ightingale, earing fer Date Si ned I, L da 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 had been filed in th e of the Town Clerk Signed and sealed this ay of QD under the pains an penalties of perjury. 'nda Itutchenrider,Town Clerk 2 Barry, Lois From: Dillen, Elizabeth Sent: Tuesday, August 16, 2005 9:30 AM To: Barry, Lois Subject: RE:250 Treetop Circle, Marstons Mills a Hi Lois - Based on the ordinance and permit conditions, Mr. Fife's letter is actually sufficient to lift the deed restriction and release him from the program. However, since September we have been scheduling the revoked or expired permit for a hearing to have an official ZBA decision in the file - more for"housekeeping" purposes than anything else. The units are then removed from DHCD's affordable housing inventory. Mr. Fife's permit will be officially revoked at the September hearing, but he should be eligible to apply for a family) apartment permit as of the date of his letter. Let me know if you have any other questions! Beth -----Original Message----- From: Barry, Lois Sent: Monday,August 15, 2005 9:17 AM To: Dillen, Elizabeth Cc: Perry,Tom Subject: RE: 250 Treetop Circle, Marstons Mills Hi Beth, I don't see a family apartment building permit application yet. It's impossible to say how long the process will take because so much is in the hands of the applicant. Do we need an official document from you on the removal of the deed restriction? What is your procedure for removing an Amnesty property once the Certificate of Compliance has been issued? Lois -----Original Message----- From: Dillen,Elizabeth Sent: Thursday,August 11,2005 11:57 AM To: Barry,Lois Subject: 250 Treetop Circle, Marstons Mills Hi Lois - I just wanted to let you know that Anthony Fife of 250 Treetop Circle, Marstons Mills is opting out of amnesty and will be applying for a family apartment permit. The lease term with his tenant has ended and the unit is vacant. He has submitted a written request to opt out of the program to the ZBA hearing officer, which I will send to you interoffice. He is hoping to have his sister move in on or around September 1. Assuming his family apartment permit application is approved, do you think this will be a problem? Elizabeth Dillen Town of Barnstable Office of Community Development 508.862.4683 1 I 4fet ivi to Pry Ake, A or� ke, AxPi4511ni ossike,- p 9p Town ofBarnstable 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. Location 250 Treetop Circle,Marstons Mills, MA Unit Capacity bedropas, not to exceed 2 ersons Inspector Tom Perry M/P No. 126-024 4/14/2003 av i rti el oat At,w.000-v i 3arry, Lois 'o: Dillen, Elizabeth iubject: RE: 250 Treetop Circle, Marstons Mills 1i Beth, don't see a family apartment building permit application yet. It's impossible to say how long the process will take because ;o much is in the hands of the applicant. Do we need an official document from you on the removal of the deed estriction? What is your procedure for removing an Amnesty property once the Certificate of Compliance has been ssued? .ois -----Original Message----- From: Dillen,Elizabeth Sent: Thursday,August 11, 2005 11:57 AM To: Barry,Lois Subject: 250 Treetop Circle,Marstons Mills Hi Lois - I just wanted to let you know that Anthony Fife of 250 Treetop Circle, Marstons Mills is opting out of amnesty and will be applying for a family apartment permit. The lease term with his tenant has ended and the unit is vacant. He has submitted a written request to opt out of the program to the ZBA hearing officer,which I will send to you interoffice. He is hoping to have his sister move in on or around September 1. Assuming his family apartment permit application is approved, do you think this will be a problem? Elizabeth Dillen Town of Barnstable Office of Community Development 508.862.4683 1 r t AI 1 HO1�I=Y6 P, FIFE 230 THE E 't OP CIRCLE RSTONS MILLS, MA 02648 August 9, 2005 Mm. Gail Nightingale Hearing officer, Tcwn of Bzm5table Zoning Board of Appeals 200 Main Street, Hyannis,.MA 02.601 Dear Mrs. Nightingale; .I am writing to inform you that I wish to withdraw my apartment at 250 Treetop Circle, Marstons Mills MA from tho Accessory A507&'ble Apanment Program. The term of the lease with my tenant has ended and the unit is vacant. It is my intention to apply fcr a Family Apa=ent permit a&ad resat the unit to ray sister beginning September 1, 2005, Please feel frw to contact rce at 1503j 420-280 with any questions, .Siucercly; . - Anthony P. Fifb j EXHIBIT Sk 15797 P9332 0943a4 VAM Town of Barnstable Zoning Board of Appeals of Comprehensive Permit Decision and Notice . cry Appeal 2002-83-Fife Applicant: Anthony P.Fife Property Address: 250 Tiee'Top Circle,Marstons Mills,,MA -- Assessor's Map/Parcel: Map 126 Parcel 024 Zoning: Residential F Groundwater Overlay: AP Aquifer Protection Overlay District Applicant The applicant is Anthony Fife,with an address of 250 Tree Top Circle,Marstons Mills, MA. Mr. Fife is the individual to whom this Comprehensive Permit is issued for the conversion of a,former family apartment into an accessory affordable unit adjacent to the single-family dwelling in accordance with all conditions of this permit. Relief Requested: The applicant has applied for a Comprehensive Permit under the General Law of the Commonwealth of Massachusetts,Chapter 40B—§20-23 and in accordance with the General Ordinance of the Town of Barnstable Chapter III,Article LXV,"Pre-existing and Unpermitted Dwelling Units and for New Dwelling Units in Existing Structures," more commonly termed the"Accessory Affordable Housing Program" The zoning relief necessaryfor this Comprehensive Permit to be issued is that of a variance to Section 3-1.3 (2) of the Zoning Ordinance—Accessory Uses to permit an accessory apartment unit to a single-family owner-occupied residential dwelling.The issuance of this Comprehensive Permit would allow for an owner- occupied single-family residence with an accessory affordable apartment unit located within the single-family dwelling. Locus and Background: The property is a.46 acre lot that is developed with a 3-bedroom,2-bathroom,2,839 square feet single- family,Ranch style home. The applicant bought the property eight years ago and was granted a special permit(Appeal#1994-92) by the Zoning Board of Appeals to build a family apartment for his mother. The applicant's mother lived in the unit until her death two years ago. The applicant heard about the program through a staff member at HAC (Housing Assistant Corp) and decided to apply for the program. The accessory unit is attached on the ground level with the'principal single-family home. The unit is approximately 660 square feet. The locus is in a Residential RF,in AP Aquifer Protection Overlay District. The unit has been documented to pre-exist before January 01,2000,'and qualifies for the Accessory Affordable Housing Program as an.Amnesty unit. Procedural Summary: This appeal was 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 and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on July 24,2002 at which time the Comprehensive Permit was granted. The Hearing Officer,Gail Nightingale presided Bk 15797 Ps333 -94344 over the public hearing. Also present were Paulette Theresa-McAuliffe,Accessory Affordable Housing Program Coordinator,and Michelle McKinstry,Barnstable Housing Authority. Findings as to Standing and The Comprehensive Permit" At the July 24,2002 hearing,the Hearing Officer made the following findings of fact: 1. The applicant is Anthony Fife with an address of 250 Tree Top Circle,Marston Mills. Mr.Fife has owned the property since July 5, 1994,as documented and recorded at the Registry of Deeds in Book 09269,page 144. Mr.Fife is requesting the Comprehensive Permit to convert a former family apartment into an accessory affordable rental unit. The unit qualifies for the "Accessory Affordable Housing Program" as an Amnesty unit that existed prior to January01,2000. 2. The applicant was issued a site approval letter dated July 22,2002 from Kevin Shea,Director, Office of Community&Economic Development,qualifying his application for the Accessory Affordable Housing Program. The source of the subsidy is the federal Community Development Block Grant(CDBG)program 3. The rental unit is approximately 660 square feet and has one bedroom. It is attached to the single- family Ranch style home. 4. According to the Assessor's record,there is a total of three bedrooms on the property. Two are in the main house, and one is in the former family apartment. The property is serviced by public water and the site is in the AP Aquifer Protection Overlay District. The Public Health Division approved the septic system at the site for a total of three bedrooms as per the Housing Amnesty/Public Health Form dated July 3,2002. 5. The Barnstable Housing Authority completed an inspection of the unit on April 23,2002. It was noted that the applicant needs to replace faulty smoke detectors. The applicant is aware that a final inspection by the Building Division will be required before he is given an Amnesty Certificate of Participation. 6. On July 2,2002,the applicant signed an Accessory Affordable Housing(Amnesty) Program Affidavit agreeing to comply with the programs requirements,including owner occupancy of the principal dwelling unit and further agreeing to comply with the provisions set forth in Article LXV(65) of the Town Ordinances that include their signing and recording of the Regulatory Agreement&Declaration of Restrictive Covenants. The subsidizing agency has determined that the signing and recording of the regulatory agreement qualifies the applicant as a"limited dividend organization" as that term is used under M.G.L.c.40B %20-23. 7. 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 Barnstable-Yarmouth Metropolitan Statistical Area(MSA) and further agrees that rent(including utilities) shall not exceed the rents established by the Department of Housing and Urban Development(HUD). 8. The Barnstable Housing Authority has committed to the monitoring of this affordable rental unit. i 9. According to the Massachusetts Department of Housing and Community Development, as of October 1,2001,4.7%of the town's year-round housing stock qualified as affordable housing units. The town has not reached the statutory minimum under M.G.L. c.40B 45 20-23 or its implementing regulations. Under the Town of Barnstable's Local Comprehensive Plan,the use of existing housing to create affordable units and the dispersal of these units throughout the town is encouraged. 2 Sk 15797 pS334 '0943., 10. Based upon the findings,the project is 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,the Hearing Officer ruled that the applicant has standing to apply for a Comprehensive Permit under the General Law of the Commonwealth of Massachusetts,Chapter 40B— §§20-23 and in accordance with the General Ordirmce of the Town of Barnstable Chapter III,Article LXV,"Pre-existing and Unpermitted Dwelling Units and for New Dwelling Units in Existing Structures," more commonly termed the "Accessory Affordable Housing Program." The granting of this Comprehensive Permit is to the applicant,Anthony Fife.It is issued to permit an accessory apartment unit to a single-family owner-occupied residential dwelling of 660 square feet,subject to the following conditions: I. The property owner shall occupy the principal dwelling as his year-round residence. 2. Occupancy of the affordable unit shall not exceed two people. 3. This unit shall not be occupied by a family member. 4. To meet the requirements of affordability,the cost of housing(including utilities) shall not exceed the Department of Housing and Urban Development's (I-M) (or anysuccessor agency) 80% rent limits as published from time to time. Eligible tenants shall have an income at or below 80%of the Area Median Income,adjusted by household size. Both the rent limits and income limits can be secured from the Barnstable Housing Authority or from the agent of the town implementing this program. 5. All leases shall have a minimum term of one year. 6. The applicant shall have the unit re-inspected by the Building Division to assure that all necessary requirements are met according to minimum state building and fire codes. It shall also be reviewed by the Health Division to assure compliance with applicable on-site wastewater discharge requirements. 7. The applicant may select their own tenant(s)provided the tenant(s) meet all requirements of the program and provided that person(s) income is reviewed and approved by the Barnstable Housing Authority as a qualified individual. The applicant will be required to work with the Housing Authority to provide information necessary to document that the tenant(s) qualify. To insure that the unit is rented in an open and fair basis to an income eligible individual or family, the unit must be listed with the Bamstable Housing Authority(BHA) and the Housing Assistance Corporation MQ whenever a vacancy occurs. Also,the applicant must notifythe monitoring agent of a vacancy whenever it occurs. I ' 8. Everytwelve months the applicant shall review the income eligibility of those individuals occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit the applicant shall file with the Barnstable Housing Authority an annual affidavit listing the rent charged and income level of the occupant(s) of the unit. The applicant shall provide the Barnstable Housing Authority any additional information it deems necessary to verify the information provided in the affidavit. Upon anyreport from the Barnstable Housing Authoritythat the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the abilityto hold a hearing to show cause as to why this permit should not be revoked. 3 Sk 15797 POZ35 094304 j 9• The Accessory Affordable Unit shall be affordable in perpetuity as affordable is defined herein) unless this Comprehensive Permit is rendered void 10. 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 Barnstable Housing Authority shall be notified within 60 days the name and address of the new owner. 11. All parking for the dwelling and accessory unit shall be accommodated on site,and no lodging shall be permitted on site for the duration of this Comprehensive Permit. 12. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Transmission of the Decision of the Hearing Officer to the Barnstable Zoning Board of Appeals In accordance with Part II, Section 4.02 and Part III, Section 3.72 of the Town of Barnstable Administrative Code, the hearing officer transmitted her written decision to the Zoning Board of Appeals on 7/24/02,and fourteen days having elapsed since said transmittal with the Zoning Board of Appeals taking no action to reverse the decision,this decision becomes the decision for this Comprehensive Permit application. Ordered: Comprehensive Permit 2002-83 has been granted with conditions. Appeals of this 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 d cision as outlined in MGL Chapter 40B,Section 22. Ncghtingal , ice Date Signed I,Linda Hutchent*der,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,herch certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this drMi neat no appeal of the decision een filed in the office of the Town Clerk Signed and sealed this ! da o f �` 's+'•�� ��t Y O under the pains lot f Linda Hutchenrider,Town Clerk ���� ;'k"� I BARNSTABLE REGISTRY OF DEEDS 4 I ��J ISA sr I j SECTION 8 HOUSING INSPECTION CHECKLIST ITEM 4.OTHER ROOMS USED YES I NO IN.- FINAL NO. FOR LIVING&HALLS PASS FAIL coNc COMMENT am tR,�o�TE NAME OF FAMILY PHONE NO. TENANT APPLICATION NO. Room Cede' ROOM Location Cheek One ❑ Ri hVCenter/Left' 4.1 Check One ❑ Front/Center/Rear Floor Level INSPEC+OR _ PHONE NO. DATE OF INSPECTION 4.2 Electricit rllluminatfcn I 4.3 Electrical Hazards - 4.4 Security TYPE OF INSPECTION ❑ Audit ❑ Initial C. Special ❑ Refnspection ❑ Annual LAST INSPECTOR: 4.5 Window Condition INFORMATION4.6 Ceilinq Condition F STREET CITY Number of Children 4.7 Wall Condition ..r in family with HOUSING TYPE UNIT I" �r�' ,, � heck as appropriate) GRADE q.g Floor Condition (- I N (C STATE ZIP Elevated Blood Level FAMILY COMP ❑ Manufactured Home A ❑ 4.9 Natural L:.ht ' IN\IVMALE FEMALE -{a•Single Family Detached ADULTS 8 ❑ 4.1 Room Cooe'� Room Location (Check One) C RI ht/Cententeft (Check One) ❑ FronVCenter/Rear_Floor Level \altE Or Oyr'•EP:9 AG-',*ALEnCRIZED to LEASE UNIT INSPECTED PHONE NO ❑ Duplex or Two Family MINORS ❑ 3 Family House C ❑ u 2 Electnat !luum ahcn / 1 4 w 0 F 31 ❑ Row House or Town House D ❑ i 4.3 Electrical Hazards ADDRESS OF OWNER OF AGENT CHILDREN ❑ Low Rise:3 or a Stories (UNDER 6) including Garden Apartment 4.4 SecurityU n L ❑ High Rise:5 or more stories 4.5 Window Condition FAMILY SUBSIDY SIZE: ❑ Multi Family 4.6 Ceiling Condition i I No.of rooms used for sleeprng ` " �fPass ❑ Fail = Inconclusive Date Passed 1 u (or could be used d unit rs vacant) ` a.7 Wall Condition 4.8 Floor Condition INSPECTION4.9 1 Natural Liaht ITEM YES NO IN.- FWAL 4.1 Room Code' = Room Location (Check One) CI Right/Center/Left (Check One) ❑ Front/Center/Rear_Floor Level NO, 1.LIVING ROOM PASS FAIL coNC COMMENT APPROV. wanALMATE 4.2 Electricity/Illumination 1.1 Living Room Present 4.3 Electrical Hazards 1.2 Electricity / _ PIA 4.4 Security 1.3 Electrical Hazards / 1 ( 4.5 Window Condition of 1.4 Security t 4.6 Ceiling Condition 1.5 Window Condition.Screens 4.7 Wall Condition 4.8 1 Floor Condition 1.6 Ceiling Condition 'ROOM CODES i-Bedroom or ar,oiner room used for sfeepmg trega,aess or type of room) 3.Second Lmng Room,F-ly Room.Den.Playroom,TV ROOM 5.Aoeraonal Batnroom 7.Garage 9.Other 2+Ommg Room o-D-ng Area a.Entrance Rails.Corridors.Rails.Sta-ses 6.Ae,c 3.Lauocry 1.7 Wall Condition ITEM 1.8 Floor Condition / NO. 5 RLoomsC oN�sed fo ARY ROOMS Pass FAIL CONIC PPRO i COMMENT MALMA. INmAl1DATE ITEM 2 KITCHEN YES NO IN.• FINAL 5.1 (NONE Go to Part 6 . NO. PASS FAIL CONIC COMMENT APPROV. = ounALMATE 5.2 Security 2.1 Kitchen Area Present f 5.3 Electrical Hazards 2.2 EIQCirlCily oCher Potentially Hazardous 5.4 Features in an of these Rooms 2.3 Electrical Hazards ITEM YES NO IN.- FINAL 2.a Security 6.BUILDING EXTERIOR COMMENT A°PROV. NO. PASS FAIL CONC wmAUDATE 6.1 Condition of Foundation 2.5 Window Condition,Screens 6.2 Condition of Stairs.Rails,and Porches 2.6 Ceiling Condition 6.3 Condition of Roof and Gutters 2.7 Wall Condition 6.4 Condition of Exterior Surfaces 2.8 Floor Condition 6.5 Condition of Chimney ! 2.9 Stove or range with oven (TT) (LL) I (, 6.7 Manufactured Homes:Tie Downs 2.10 Refrigerator (TT) (LL) 6.8 Manufactured Homes:Smoke Detectors ITEM 7. HEATING&PLUMBING YES No IN.- FINAL COMMENT E12 Kitchen sink i- N0. PASS FAIL CONC uirtuw�TE Kitchen space for storage&prep r 7.1 Adequacy of Heating Equipment ! jVentilation 7.2 Safety of Heating of Equipment - I ITEM 3 BATHROOM YES NO IN.- AFINAL v 7.3 Ventilation/Cooling . N0. PASS FAIL CONC COMMENT eaTLAAATE 7.4 Water Heater Gas/Elec/Oil 3.1 Bathroom Present 7.5 Approvable Water Supply - ! 3.2 Electricity 7.6 Plumbing 3.3 Electrical Hazards / 7.7 Sewer Connection I 3.4 Security / REM S.GENERAL HEALTH YES NO IN.- FINAL NO. AND SAFETY PASS FAIL CONC COMMENT o ffnAl.11) E 3.5 Window Condition,Screens 8.1 Access to Unit 3.6 Ceiling Condition 8.2 Lead Paint,LOC ❑ Not Applicable 3.7 Wall Condition / 8.3 Evidence of Infestation 3.8 Floor Condition 8.4 Garbage and Debris ! 3.9 Flush Toilet in enclosed room in unit 8.5 Refuse Disposal 3.10 Fixed washbasin or lavatory in unit .1 8.6 Interior Stairs and Common Halls i 3.11 Tub or Shower in unit 8.7 Other Interior Hazards 3.12 Bathroom ventilation / 8.8 Elevators ❑ Not Applicable ! rTEM 4.OTHER ROOMS USED `YES NO IN.- FWAL 8.9 Interior Air Quality NO. FOR LIVING&HALLS PASS FAIL CONC COMMENT r 8.10 Site and Neighborhood Conditions i 4.1 Room Code'® Room Location (Check One) ❑ Ri hVCenter/Left (Check One) ❑ FronV tFArIAE 8.11 Entry Door Secunty ❑ Not Applicable Center/Rear_Floor Level 9.1 Heating System Type ❑ Gas ❑ Oil ❑ Electric ❑ Other 4.2 Electricitwlllumination fiEM YES NO IN.- COMMENT AFVM PPROY. 4.3 Electrical Hazards NO. PASS FAIL CONC NMUDATE 4.4 Window Condition .353 Asbestos Material 4. Security .482 Smoke Detectors 4.66 Ceilin Condition �'' 4.7 Wall Condition i This inspection has been performed to determine compliance under the HUD/DHCD Section 8 Programs.While some of the inspection requirements may be 4.8 Floor Condition i similar or identical to provisions of the Icoal codes this inspection does not certify compliance with said codes. In all instances,it is the Owner's responsibility to maintain property to meet all applicable state and local codes and a tenant's right to request an inspection by the local code enforcement agency. a.s NalLiral light ROOM COC•ES. I=Bedroom or an other room used for sleeping(regardless of Y P 91 9 type of room) 4=Second Living Room,Family Room,Den,Playroom,TV ROOM 6=Additional Bathroom 7=Garage 9=Other Pan;Pre%cni at ln»pecuun In%pcc•uir Signamrr 2=Caning Room,or Dining Area a=Entrance Hillis.Corridors.Halls.Staircases 6=Attic 8=Laundry +I f White Copy for Agency-Yellow Copy for Landlord-Pink Copy for Tenant- y .^Dair• Wic Darr SECTION 8 HOUSING INSPECTION CHECKLIST REM 4.OTHER LIVING &HALLS YES No IN.- COMMENT FINAL NO. FOR LIVING&HALLS PASS FAIL CONC INMAUDATE NAh,EJOF�4iAMILV PHONE NO. TENANT APPLICATION NO. 4.1 Room Code' W Room Location Check One ❑ Ri ht/Center/left Check One ❑ Front/Center/Rear Floor Level 4.2 Electricit /Illumination INSPECTOR :�� _ PHONE NO. DATE OF INSPECTION 4.3 Electrical Hazards 4.4 Security TYPE OF INSPECTION ❑ Audit ❑ Initial ❑ Special ❑ Reinspection ❑ Annual LAST INSPECTOR: 4.5 Window Condition A-GENERAL INFORMATION 4.6 Ceilin Condition STREET CITY Number of Children � HOUSING TYPE UNIT 4.7 Wall Condition n family with (Check as appropriate) GRADE 4.8 Floor Condition Elevated Blood Level ❑ Manufactured Home 4.9 Natural Light STATE ZIP FAMILY COMP MALE FEMALE A ❑ ADULTS ❑ Single Family Detached B ❑ 4.1 Room Code' Room Location (Check One) ❑ Right/Center/Left (Check One) ❑ Front/Center/Rear_Floor Level ❑ Duplex or Two Family NAME OF OWNEP OR AGEW AUTHORIZED TO LEASE UNIT INSPECTED PHONE NO. MINORS ❑ 3 Family House C ❑ 4.2 Electricity/illumination 00b37 ❑ Row House or Town House D ❑ 4.3 Electrical Hazards ADDRESS OF OWNER'OF AGENT CHILDREN ❑ Low Rise:3 or 4 Stories 4.4 Security (UNDER 6) including Garden Apartment ❑ HiFTEFIgh Rise:5 or more stories 4.5 Window Condition DECISION • ORM HAS BEEN FILLED OUT.) FAMILY SUBSIDY SIZE: ���'� <, ❑ Multi Family4.6 Ceiling Condition No.of rooms used for sleeping 4.7 Wall Condition ❑ Pass ❑Fail ❑ Inconclusive Date Passed (or could be used it unit is vacant) 4.8 Floor Condition INSPECTION CHECKLIST i 4.9 Natural Light ITEM YES NO IN.- AR"or 4.1 Room Code'= Room Location (Check One) ❑ Right/Center/Left (Check One) ❑ Front/Center/Rear_Floor Level No. 1.LIVING ROOM PASS FAIL coNc COMMENT UDATE 4.2 Electricity/Illumination 1.1 Living Room Present 4.3 Electrical Hazards 1.2, Electricity 4.4 Security 1.3 Electrical Hazards - 4.5 Window Condition 1.4 Security -- 4.6 Ceiling Condition 4.7 Wall Condition 1.5 Window Condition,Screens 4.8 Floor Condition 1.6 Ceiling Condition ROOM CODES =Bedroom or any omen room used for sleeping(regardless of type of room) 3:SewM 4vmg Room.Femiry Room.Den.Playroom.N ROOM 5:Aooittonal Bathroom 7:Garage 9.Other _ 2=Dining Room,or O,ning Area 4=Entrance He Is.Corndors. ells.Staircases 6.Anc e=laundry 1.7 Wall Condition FINAL 5.ALL SECONDARY ROOMS YES NO IN.- " APPRov. 1.8 Floor Condition = NO. Rooms not used for Living) PASS FAIL CONC �' �'' = `� ��' COMMENT "' INmAUDAM ITEM �� YES NO IN.- q COMMENT �.5_-,� �; 1 APPPROV. 5.1 NONE Go to Part 6 NO. 2.KITCHEN U PASS FAIL CONIC txmAuuATIE 5.2 Security 2.1 Kitchen Area Present _ 5.3 Electrical Hazards 2.2 Electricity 5.4 Other Potentially HazarclWs Features in an of these ooms 2.3 Electrical Hazards ITEM 6.BUILDING EXTERIOR YES NO IN.- COMMENT FINAL FlNAL NO. PASS FAIL CONC IN MALMATE 2.4 Security 6.1 Condition of Foundation 2.5 Window Condition,Screens 6.2 Condition of Stairs,Rails,and Porches 2.6 Ceiling Condition 6.3 Condition of Roof and Gutters 2.7 Wall Condition __ 6.4 Condition of Exterior Surfaces 2.8 Floor Condition 6.5 Condition of Chimney 2.9 Stove or range with oven (TT) (LL) -_ 6.7 Manufactured Homes:Tie Downs 6.8 Manufactured Homes:Smoke Detectors 2.10 Refrigerator (TT) (LL) FINAL 2.11 Kitchen sink ITEM 7.HEATING&PLUMBING PASS FAIL CONC COMMENT a APPROV. 2.12 Kitchen space for storage 8 prep 7.1 Adequacy of Heating Equipment 2.13 Ventilation 7.2 Safety of Heating of Equipment REM YES NO IN. FINAL 7.3 Ventilation/Cooling NO. 3.BATHROOM PASS FAIL CONC COMMENT ,Tt;FATE 1 7.4 Water Heater Gas/Elec/Oil 3.1 Bathroom Present 7.5 Approvable Water Supply 3.2 Electricity _ 7.6 Plumbing 3.3 Electrical Hazards 7.7 Sewer Connection FINAL IT S.GENERAL HEALTH YES NO IN.- COMMENT APPROV. 3.4 Security NO. AND SAFETY PASS FAIL CONC INIMAUDATE 3.5 Window Condition,Screens O 8.1 Access to Unit 3.6 Ceiling Condition 8.2 Lead Paint,LOC ❑ Not Applicable 3.7 Wall Condition r!- pZ 8.3 Evidence of Infestation 3.8 Floor Condition 8.4 Garbage and Debris 3.9 Flush Toilet in enclosed room in unit 8.5 Refuse Disposal 3.10 Fixed washbasin or lavatory in unit U 8.6 Interior Stairs and Common Halls 8.7 Other Interior Hazards 3.11 Tub or Shower in unit = 8.8 Elevators ❑ Not Applicable 3.12 Bathroom ventilation 8.9 Interior Air Quality REM 4.OTHER ROOMS USED '? YES NO IN.- FKAL COMMENT A R . 8.10 Site and Neighborhood Conditions NO. FOR LIVING&HALLS" PASS FAIL CONC .mAwATE 8.11 Entry Door Security ❑ Not Applicable 4.1 Room Code' Room Location Check One ❑ Right/Center/Left (Check One) ❑ Front/Center/Rear_Floor Level 9.1 Heating System Type ❑ Gas ❑ Oil ❑ Electric ❑ Other 4.2 Electrici /Illumination = ITEM YES NO IN.- FINAL 4.3 Electrical Hazards NO. PASS FAIL gONC COMMENT .'AMAT. E 4.4 Window Condition .353 Asbestos Material 4.5 Security _ .482 Smoke Detectors 4.6 Ceiling Condition _ This inspection has been performed to determine compliance under the HUD/DHCD Section 8 Programs.While some of the inspection requirements may be 4.7 wall Condition similar or identical to provisions of the Icoal codes this inspection does not certify compliance with said codes. In all instances,it is the Owner's responsibility 4.6 Floor Condition I to maintain property to meet all applicable state and local codes and a tenant's right to request an inspection by the local code enforcement agency. 4.9 Natural Light - -ROOM CODES: t=Bedroom or any other room used for sleeping(regardless of type of room) 3=Second Living Room,Family Room,Den,Playroom,TV ROOM 5=Additional Bathroom 7=Garage 9=Other Pany Present at Inspection Inspector Signature 2=Dining Room,or Dining Area 4=Entrance Halls.Corridors,Halls,Staircases 6=Attic 8=Laundry ------------ White Copy for Agency-Yellow Copy for Landlord-Pink Copy for Tenant- Date Date Date :A7s As"sessor•s office(1st Floor): c�Assessor's map and lot numb a SEPTIC SVSTE MUST BE pf THE Tp Conservation(ath Floo INSTALLED IN COMPLIANCE Board of Health(3rd fl • Sewage Permit numbe WITH TITLE 5 = ssai�r�nc ENi/IRONMENTAL CODE AND o Engineering Department(3rd floor)::: House number TOWN RECUL.17IONS Definitive.Plan Approved by Planning Board ' i 19 , APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING ; INSPECTOR APPLICATION FOR PERMIT TO /y�Gti /.S✓ 3,3 ,; �^ i TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 7—,5_0 G Proposed Use ,/3 �j aa.,. ���-�f /�c��3 .1y0%L 7-0 /3��i���s ��G 7e-- � � oo� f� r j,�'r�ti��-m l_a•''y�y Zoning District / r 7 Fire District Name of Owner /yT/J Golf/ //--� Address �,S�v T� c T G i•— g�;`v ���.,-lf Name of Builder-7:d—,47'_111,1 Address /S /3�•!I ct' �s fr�r�r��� >,�.. Name of Architect Address Number of Rooms Foundation Exterior u.//7-1 �����— Roofing Floors !��d /�<9�/�e✓� Interior Heating Plumbing A Fireplace / Approximate Cost Area Diagram of Lot and Building with Dimensions Fee ScP?.o •, � i is S Z Ni 0 1 �a I� 1 _ 1 12 �+ /=" 7— a 17 y 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. A. Name Construction Snpervisoes License ����% - Fife, Anthony a=126 024 i No 3F' Permit For BUILD ADDITION Location 250 Tree Top Circle Nlarstons Mills / Owner I Anthony Fife Type of Construction Plot Lot ' Permit Granted July 22, 19 94 r Date of Inspection: Frame 119 Insulatid-n 19 ! Fireplag >-� 19 A:' F h a ' Date Completed 19 ' '..,rar • . L T V3- 0160 ;-h zx I n i • I 1 t ' I COMMONWEALTH ;J's'DEPARTMENT OF PUBLIC SAFETY ' OF ,t 1010 COMMONWEALTH"E. MASSACHUSETTS ; BOSTON, MA 02215 L I C E N S E CAUTION r EXPIRATION DATE - t C O N S T R'. "U P E R V I S O R nn'' qq94' EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RE ffA '11C)S THEFT, PUT RIGHT THUMB 113 6 � ;u 9/3 C)/1 9 9 2 046234 PRINT IN APPROPRIATE 1 & 2 FAMILY HOME BOX ON LICENSE. ,O-IMOTHY GRAY-- f ``�t"L:' ;6 �3LASTING OPERATORS T� � Y1 MUST INCLUDEPHOTO. f %S j oO1/JJ sor ST` ,f PHOTO(BLASTING OPR ONLY) . FEE: i t 100.00 # NOT VALI LINT SIGNED BY LICENSEE AND OFFICIALLY ,! i STAMPED-OR-SIGNATURE OF THE COMMISSIONER HEIGHT: 1•' THIS DOCUMENT MUST BE°; 'I!tl�• I //f/V �!« SIGN NAME IN FULL ABOVE SIGNATURE LINE IIA CARRIEDONTHEPERSONOF�! TURF OF LICENSEE I? • ,h��ti , THE HOLDER WHEN EN. ;� r- OTHERS-,( THUMBPRINT. GAGED IN THISOCCUPATION. COMMISS1014ER t' F. r a ;HOME-;IMPROVEMENT CONTRACTOR '' �` Re9i$traLl�on102634 � Expiraiio �.07/02 tia�o`t6rar uildi►p Reaod I Lop, iir,;Gray, ;�r,• c n 'f' b8 Est a M�N ashpae�NA 02644�� ��b r' t _ VLnT • t VGnT ` ' I I c�`iC7 fio • 2 puf— Cover I � I ( - 1 r O - oN Al FIRt Giy: /14 I. 3-0 i IF 0 \'y \Nba�? z/L awk o Z � r "-•ram g 1 APPLICATION FOR PERMIT TO INSTALL AND REQUESTS>sillo� FOR ELECTRICAL SERVICE ��� Inspector of Wes '� ' Wiring Permit# Electric # 297942 Town of , IAAoml P Massachusetts i Building Permit # Date 6 U Customer: 4/V 7l�orvl, P on (Street #) Lot # in the village of utility pole number or underground number �r ��ow �( Customer's billing address �j Temporary —New installation Change of service �`. . Starting date Job description N f 6 r r4 .A .0 se.—I"i f = o.a l 3 O "0 / f r Service entrance voltage 410 Amperage d(� Phase Wire size(cu.or al.) b C Conductor per phase Number of meters Water heater Rev Off peak: YesNo E� Estimated load: Electric heat kw,lights kw,Range dryer Motors, H.P.&Phase Ready for first inspection< < " C_ I e Ready for final inspection CA Electrical Contractor Aloe 14 e Ar, r P 71/ Lic.# � D� � � Telephone # tS73�-3 o D Address -7 t /"7 e Additional Remarks: Do Not Write Below This Line ECTRICAL WIRING INSPECTION CERTIFICATE u'�l INSPECTOR OF WIRES i INSPECTIONS u DATE FEE CHARGE Temporary Service— Roughing in Service and Meter Off Peak Meter { ,r Final Approval ' f Disapproved' �Iaf ,GG'G 'For the following reasons Service has been changed Builder was Tiia Gray. Left card with owner to notify/ as to who installed the service. Feb 23, 1995 PSy �jGV yl� CERTIFICATE OF INSPECTION ' �. Date To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has beenicompleted and has this day beenniinspected and approval granted for connection to your service. ��e ¢ %CJ .Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY,FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 ' INSPECTOR'S NOTICE � a o MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) / I L�15 r�sd1� Mass. Date v �� 19 9y Permit #� a Building Location �Owner's Name A141-Jh"t 441111( Type of Occupancy ti V New A Renovation O Replacement O Plans Submitted: Yes ❑ No ❑ FIXTURESv/���� Z n Z Y Q H y J n O Z F V W W Y J n > U Q n (7 In Z n Q K Q ~ Z O = n O W F W rt — J n n n S Cc F- U W n Y C 0. Q d C 3 X U = m n W > Q f- n Z O Q n Z S a ¢ O _ F W Q n c i Q J n C S J O C O LL X c fY6..rCo w 6 Al 1- U Y F- 0 X d 7 n F- Y d O N z z Q F U. %U W Z O 0 = W U = S n n Q Q O Q J J Q 2 C 2 Q C Q F o �0��� ®� SUB-BSMT, lYokS BASEMENT A _ 1ST FLOOR X,1C 2ND FLOOR 3RO FLOOR 4TH FLOOR 5TH.FLOOR 6THFLOOR 7THFLOOR 8TH FLOOR TELLIER PLUMBING & HEATING Installing Company Name Check one: Certificate Address BUZZARDS BAY, MA A25351 ❑ Corporation 759-2466 ❑ Partnership Business Telephonerm/Co. Name of Licensed Plumber _/y//C t �Q �'� /�iC2 ✓ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No O If you hav hecked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance polio Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent O Signature of Owner or Owner's Agent 'I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the er issued for this appl' tion will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code a d Chap f the General BY Signature df Licensed Plumber Title Type of License:Master yi(' Journeyman O City/Town APPROVED OFFIC USE 0NL License Number /�0 L �_ Pell319y i f,. CONMONW£A.L ;T OF £AC751 - 1:SJU70PT""DUSbl78,ri.�,CCIDF�7T$ - - ��-�• • Goo �:•'.'.5;�?TG�'O;\S7;�L-"T � 1 l games_ Ca-+��cr ?iOS7O.\'.T4ASSAC14 USL�ITS 021]J 'wOR)CEPS'GOMPZNSATION INSURANG£AFFmAwT A�«ttacc%.«srtit*<v .� Kith a principal plaocofbcuinas/raidcnm=c . � yq do l"ereby errtifj.un<kr the pains and pmalria ofpc:qucy that: 7 am an cmplovcr providins the followinsworkcrs'jotcompensation coverage for mycmployccs u,orl:inS on his to . Cv 22 WC,l.721 Z 0912-r0// lnsurancc Company Policy Numbcr j) 1 am a sole proorictorz*nd have nooncworicing for me j J 1 am a sole proprietor,gcnc.J contraor or homeov cr(tardc onc)end h:vc hired the concrsaors Iisc<d belox• `"ho have tlic`followingvorkc:'comp=don ian=ncx poliocs: - F--rac ofConazczor Ins:u-scc Co=p:ayk'oligr N nbcr N<mc of(Qntr:czor lnsurancc Co:np:nyPolicyNc:mbcr Namc ofContr_Gor Inn=ncc Cemp=yfTbTky Numba j) l rm c horacox�crper:or-ias:]lt�cw•orkmy:dL ?�OTt- 1'1c:;<lxa�:t<istY�cl<Cc<Y`<rs�o<rAloypKrseeriolotrsictcLr�ccCrtrva.ceef[c�iir�ec<oc�: �1•-,c�1:o�aft+oc raer<L:_ttt<c ecivic�%' t «r�r:tcr<1 to '�t.<1'O'xo"'=« ]'o ccrilu of oe tS<F<cvcL appunrc aat 6octo&cc ooc Ecocr?1j' be cr:pkrcn c lcr tx�<l.<.;Co<opcst:tioe/�«(CL G 7 52,.<ct ](3)).applk:t:ce by t Ltcx -acr foe a G<ccs< or F<rrna r..;y Itrz!r::r•r<!:_<r:I<;,tr uc ecr tit�Veticcr;Cor�pco�atioe/.<t. _Xix is+rGcl to ei.<�<^ ....cnr eClnlc:v: <OT.a e.lar�:rcr Ioae�`•er-•e ����rLt'c�st t!::t!�-�Icrc rc:c«rc c:�;r-<�rccc:rcl url<r.S.ccvcr.3S/,cf 1/.Gl,]Sl c_.1c:C tc trc ir..pca.�r:cn c!•�nin:J Pc�-]<+<: -1. f"< tc SIS«.C< acc. .ct c!a:p to cr c yc: =rl Z.-2 c!S 100.00 e. pc:,!4;i.-t.Sc(cr-i Cr:StcptzC&Or1cr frac : I 'y:.t�-:cr..c. SlZnce.this Town of Barnstable Regulatory Services °Ft►u rq,_ Thomas F.Geiler,Director �Y/ Building Division T0�4 h 0r BpRNSTABLE ' BMWSTnai.E, Peter F.DiMatteo, Building Commissioner 9�A '0 200 Main Street,Hyannis,MA 0260�tt2"NR 19 Pm 12* 49 EED MA'1 a Office: 508-862-4038 790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is ri �.6 ' ` �✓ I am the owner/resident of the property located at:. �s O �0 C},cL� yACXrq_\DnS K UO Map and Parcel Number �a` -dD�4 The ZBA granted me a Special Permit/Variance on o Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. Jn the event that the.listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. i If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has-been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this 5 day of MeL 2002. Signature Phone Number U)-o vq 3 Print Name Q,%Idg/forms/famaffid Rev:010702 ld. oG� BARNSTABLE AFFIDAVIT N I, �)C ,O f N m �GN` �'l �= —"being on oath, depose and state as follows: \N —� ' 1.) I reside at �^0 2.) I am the caner of the prope.M located at D-sa G LL_ c cv s shown on Barnstable Assessors' maps as MAP 13-L PARCEL. Q al {"S 3. I Do V Do not 9�'�9�have a Family Apartment at this location. 4.) On d , 199I_, the Zoning Board of Appeals, on Appeal No. granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above addre s. a) NAME Relationship to owner: Vt)zo �T b) NAME n� Relationship to owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment_ 11.) 1 understand that I am uired to comply with all conditions imposed by the Board of Appeals in Appeal No. 4- q '1. 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. n Sworn to under the pains and penalties of perjury this _day of , I99 a Signature Print Name rhos `_� COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT 1, ---------�� depose and state as follows: 1.) I reside at 19� ----�1-'- ---=�=--- 2.) I am the o er,of the property located TOWN OF BARNSTABLE at_---_ JoL-A BUILDING DIV. shown on Barnstable Assessors' maps as MAP __PARCEL-----— 3.) I Do_—_ ____Do not —have a Family Apartment at this location. 4.) On___O L _ � 1991__, the Zoning Board of Appeals, on Appeal No.__—__ granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME------___— � �& Relationship to owner: P 0 ------------------ b) NAME--___ --------------------------------- -------------------- Relationship to owner:_____________ 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the naines and relationship of my family members occupying said Family Apartment. 11.) I understand that I ary required to comply with all conditions imposed by the Board of Appeals in Appeal No. _ ------------ ---------- 12.) I agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this-___—day of/ Ci_ 1991 Signature Ij i Print Name -------------�-�1�=�'�- - 1 fL------------ BARNSTABLE CONSERVATION i COMMONWEALTH OF MASSACHUSETTS BARNSTABLE 10wN FFIDAVIT BUILD �_"'VSZASLE I� -- ---•�•.1''"10v � ------------ being on a$i, depose and state as foll- owl . B9 199 1.) I reside at -J 2.) I am the owner of the property located at shown on Barnstable Assessors' maps as MAP_ 6 --PARCEL —^--- 3.) I Do__— Do not _have a Family Apartment at this location. 199_�_, the Zoning Board of Appeals, on Appeal No.1%J- 1� granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family.Apartment at the above address: 1 _ a NAME ------ Relationship to owner:__= •b) NAME Relationship to owner:— ---- ---___— __- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am r ' nd to ply with all conditions imposed by the Board of Appeals in Appeal No. _- -` ------------------------- 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this __ ___day of--_ —, 199- Signature Print Name oFy The Town of Barnstable °.� Department of Health Safety and Environmental Services a,R,RrM,,E, 's Building Division � 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission January 26, 1998 I The Fife Residence 250 Tree Top Circle Marstons Mills, MA 02648 Re: Family Apartment located at the above address Dear Mr./Ms. Fife, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by February 15, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Ralph Crossen Building Commissioner QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 01/26/98 PARCEL ID 126 024 GEO ID 6866 LOT/BLOCK 10 DBA PROPERTY ADDRESS OWNER FIFE 250 TREE TOP CIRCLE ESTHER H & FIFE ANTHONY MARSTONS MILLS 250 TREE TOP CIR MARSTONS MILLS MA 02648 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS i ZBA DECISION FAMILY APT LOT SIZE 20037 . 6 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 01/26/98 PERMIT NUMBER 1475 PARCEL ID 126 024 250 TREE TOP CIRCLE PERMIT TYPE BPLUM PLUMBING PERMIT DESCRIPTION 842 RENOVATE FOR FAMILY APARTMENT CONTRACTOR PERMIT FEE 0 . 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION EXPIRATION VALUATION 0 . 00 DATE ISSUED 08/25/1994 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT J Town of Barnstable Zoning Board of Appeals D Decision and Notice Appeal No. 1994-92 Special Permit- Family Apartment Summary Granted with Conditions d1 'Applicant: Anthony Paul Fife Address.: 250 Treetop Circle,Marstons Mills,MA 02648 Assessor's Map/Parcel: 126-024, 1.58 Acres Zoning: RF-Residence F District Applicant's Request: Special Permit-Section 3-1.1(3 -D)Family Apartment. Activity Request: The applicant is proposing to utilize a new addition and remodel a portion of the existing dwelling to allow a family apartment of 643 sq.ft.for his mother. Procedural Provisions: Section 5-3.3 Special Permit Provisions. Background: According to the Assessor's Records the lot,located in Marstons Mills on Tree Top Circle,contains a one bath,one story ranch style, single family dwelling of 768 sq.ft.of gross floor area. The structure, initially built in 1971, has well water and a private septic system. According to a building plot survey [Plot Plan of Land located in Barnstable-Mass. prepared for Anthony Fife by Cape&Islands Engineering,Mashpee,MA,dated September 20, 1994] submitted with the application,a recent new addition[Building Permit# 36896,issued July 22, 19941 is completed. The family apartment is to be for the owner's mother. Procedural Summary: This appeal was filed with the Town Clerk and with the Office of the Zoning Board of Appeals on September 29, 1994. A public Hearing duly noticed under MGL Ch. 40A was opened,closed and a decision rendered by the Board on the October 19, 1994. Sitting on this appeal were Board Members Betty Nilsson,Ron Jansson,Richard Boy,Emmett Glynn and Chairman Gail Nightingale. Mr.Fife is requesting a family apartment. He explained that he was issued a building permit but it was faulty because of the addition of a second kitchen and so it had been revoked.. He would like the family apartment for his mother. The Board asked if Mr.Fife understood all the Zoning Regulation regarding family apartments and Mr. Fife said yes all items A through Q. He said it would be a full time year round residence for both.of them. The existing dwelling is 1,632 square feet and the apartment is 515 square feet. PUBLIC COMMENT: Ester Fife mother of applicant spoke in favor and no one spoke opposed. FINDINGS: The Board unanimously found the following findings of facts as related to Appeal No 1994-92. `Decision and Notice 1994-92 Fife—Special Permit—Family Apartment 1. A family apartment is allowed in the RF zoning district 2. The petitioner has acknowledged he will comply with all regulations of the family apartment section of the zoning ordinance. 3. The request is not detrimental to the neighborhood and is within the spirit and intent of the ordinance. DECISION: -L= Based on the affirmative findings of the Board a Motion was duly made and seconded to grant the request in Appeal Number 1994-92 with the following condition: 1. The family apartment will be developed as per plan submitted. The vote was as follows: AYE:Betty Nilsson,Ron Jansson,Emmett Glynn,Richard Boy and Gail Nightingale NAY: None. ORDER: Appeal Number 1994-92 is granted with conditions. Appeals of this 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. 9�' - /0 2S Ga' Nightingale, hairman Dat Signed I Linda Leppanen, 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 To Clerk. Signed and sealed this day of 19 ender the pains and penalties of perjury. t_ Linda Leppanen, Town Clerk copies Applicant/Attorney Building Commissioner ZBA File 2 r s ,._. Town of Barnstable Regulatory Services oFTMEti Richard V. Scali,Director °* Building bivision qB"x'',',& Thomas Perry, CBO,Building Commissioner &639. s`0 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: BUILDING DEPT. My name is I am the owner/reJI&I df V96 property located at: aj 0 70", r TOWN OF BARNSTA13LE The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: r (AW-n UDVA &SA ON Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. 'In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted Lunderstand that I am required to file an Affidavit annually with the.Building. Commissioner listing the names and relationship of occupants in said Family Apartment:I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this `� day of 0e.. 2016. `vim �6Q 3��5 Signature . �- Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 Town of Barnstable oFn+e, Regulatory Services Richard V. Scali,Director Vic) !",� OF BARNSTABLE 1 BARNMBLE. « Building Division �pl039. Ago Thomas Perry, CBO,Building Commissioner ED MA'S 200 Main Street, Hyannis, MA 02601 www.town.ba rn stable.m a.w Office: 508-862-4038 Divi. a®x: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and states follows: My name is 6 I am the owner/resident of the property located at: aTd 10'4 io G am.. 14 Tt11( o The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 01.V%A Q1 Name &relationship"to owner: .The Family Apartment will be the primary year-round residence for the above-identified family members: In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 201 v#114 Signature / Phone Number -Pri ,1ntName /`I q:form s/famaffid.do c rev 11/08/11 i is I i ..,.,..[[.........:a1 .r 1.�.1u'1...R. .wy r.Yr+.3.ar..Ya.... ....w...w.�l�..}i..Jl S•..asn..4'. .,.,.. .,.a'I.0., .....Y........:Ys....,S...f.[.. ,5..�..iwY.�asra 1 1. (,1- `.�(M,'i r , r. -., -. - .�...._„_.u.-_�, ... � ,4 � ��..,-.—['S'�"�i 7'G"r_Y".`"s-n?l,"G'I,�"':v'art,'�t"i�'rr.^rr['A"'�`t'y"i'?�S?"�'L?"'t'G"T'�'S"4'S.,�"C'r?'L"4`CCrT,'[—r•('C';'C'i't�S'r'i'-F�—r^lYt..� 5"4.Y,t. '� � � �-t r , �.. �.. _ . r � t �• e Town of Barnstable Regulatory Services tqy�� Richard V. Scali,Intert rbMRNSI UL E Building Division anRrr Thomas Perry, CBO,Buildin (Colnmti4s�sion rt i L%639�- �e�' rl`1 #2' 50 `bArFo��p 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 . DIVI Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is ��k�10'��n ? f�� I am the owner/resident of the property located at: a5-�D Tcoo G1 r`CJi.�. V\v`0 M The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: inn Cc,1 kouV 1 r- Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2014. Signature \ Phone Number Print Name �F16 q:forms/famaffid.doc rev 11/08/11 Regulatory Services �n+E Thomas E Geiler,Director Building Division t &UtNWABM ' Thomas Perry, CBO,Building CommissionerTOWN OF BARNSTABLE 1619. �••� 200 Main Street, .Hyannis, MA 02601 www.town.barnstable.ma.us 10I3 FE2 9 i (( l Office: 508-862-4038 . Fax: 508-790-6230. DIVI5iON . . : Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is J ' I am the owner/resident of the property located at: 4X0 C6 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: -/ Name &relationship to owner: / 4tej1 '1 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. i I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to,under the pains and penalties of erjury this day of 2013. Signature Phone Number A4 A 4 a-g- Print Name q:forms/famaffid.doc rev 11/08/11 ROM FAX NO. Jan. 07 2012 11:04PM P1 Town of Barnstable Regulatory Services TOWN OF ��R�ISTABLE Thomas F. Geiler,Director 2012 JAN _9 AN 7.' 46 Building Division ? AAANUMBM = Thomas Perry, CBO,'Building Commissioner XAM 200 Main Street, Hyannis, MA 02601 _ — r� www.town.barnstable.ma.usM Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is � I am the owner/resident of the property located at: C'ftoo The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner.- M O n CAA tAk S 1 siAnc Name&relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment I also understand that I am required to comply with all conditions imposed by the ZBA Special Fermit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree ` to notes the Building Commissioner immediately in the event of the sale of this proporty. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been tranlferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2012, tf OS37 Signature Phone Number Print Name 42-/h O A 4 A rAF4 q:form s/famafl'i d,do e rev 11/08/11 Town of Barnstable Regulatory Services oFt"E rori� Thomas F. Geiler,Directofl 0`.,!P 0c P r, -iSTikBLE Building Division 9 BMWSTABLF�MASS. g Thomas Perry, CBO, Building Commissioner) 2 M €: ,59 �Ar i639 Aim 200 Main Street, Hyannis, MA 02601 ED MA'S www.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Family A Barnstable, Affidavit y artment p j I, being on oath, depose and state as follows: My name isI)M)n0TVA �• I am the owner/resident of the property located at: p The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: CvNA Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this /D A, day of 2011. i Signature Phone Number Print Name �"�0 h j 1'�b Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division * anxxsTnaLe, = Tom Perry, Building Commissioner Y MASS. i639• •200 Main Street,Hyannis,MA 02601 Argo��A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: r My name is � �1�k' I am the owner/resident of the property located at: QJ6p (.JA�OrQ Ql.. %� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner CA^ ca&VIASA Lr Name & relationship to.owner: r The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apar'im#ents. I agree p to notify the Building Commissioner immediately in the event of the sale of this p,�operty. If there is no longer a Family Apartment at this location, please explain: — ' lv The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. Other Sworn to unWthens and enalties of er' this p perjury j � day of 2010. Signature V Phone Number Print Name Q/bldg/forms/famaffid Rev:l 2/08 Town of Barnstable Regulatory.Services FIHE Tq� Thomas F.Geiler,Director . Building Division Dr' " 13ARF�STABLE a a * snxrvsrna . ' Tom Perry, Building Commissioner 2004 FEB 10 PM 12: 44 v� 1639. ,0� 200 Main Street,Hyannis, MA 02601 ATEo �a www.town.barnstable.ma.us . DIVISIOf Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name•is '''n���nH �• ' `V4 I am the owner/resident of the property located at: ,rj'(� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name & relationship to owner:'' : • , The Family Apartment will be the primary year-round residence for-the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notes the Building Commissioner immediately in the event of'the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this_ day of & 2009. 613 3 319 Signature or : Phone Number Print Name Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services oF'THE tort, Thomas F. Geiler,Director Building Division r RMtNSPABLE, Tom Perry, Building.Coiwmissioner 7 MASS. 8 �A i639• .0 a 200 Main Street,Hyannis,MA 02601 lFD MA'1 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is h 1 1 E- I am the owner/resident of the property located at: C>Ul ID alAJt'JW The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: 1')c*I-A Name & relationship to ownIer:nl The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartm nt. I al understand that I am required to comply with all conditions imposed by the ZBA Spe�c�iial Perm�� and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartmep,s. I agree to notify the Building Commissioner immediately in the event of the sale of this propLr< o If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. ! cn The apartment has been transferred to the Amnesty Program (Appeal No. 9 rn Other Sworn to under the ams and penalties of perjury this day of ^ 2008. Signature Phone Number Print Name Y)T' WnL Q/bldg/forms/famaffid Rev:l/03 Town of Barnstable Regulatory Services °FINE T°� Thomas F.Geiler,Director Building Division1 a BARNSTABLE, ` Tom Perry, Building Commissioner L� MASS. 7 c� 9�A s639. ,0$ 200 Main Street,Hyannis,MA 02601 / I —2 p lF0 MA'I A �� (]' S 4 www.town.barnstable.ma.us 0'9=VlS p Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �'n} '�� �• r 1 E- I am the owner/resident of the property located at: �) p� ` IV IA�_ oz'_�6�%7104 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: 0(n'n Name & relationship Io owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. .1 understand that I am required to file an Affidavit annually with the Building 'Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the. ains and penalties of perjury this day of 2007: Signature Phone Number Print Name Q/bldg/forms/famaffi d Rev:1/03 Town of Barnstable G 16 Regulatory Services �1HE Tok, Thomas F.Geiler,Director ti Building Division -fU.�lf9 n,, BARi bIABL BAMSTna[.c. Tom Perry, Building Commissioner MASS. ,� 200 Main street,Hyannis,MA 02601 Z��S FEB -B 2' S4 ArF p �s www.town.barnstable.ma.us !SION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is ''�"��� I am the owner/resident of the property located at: a'� `r C u ` ' Y Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ��'M1Pn S15 � Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and enalties of perjury this 5� day of 2006. Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 i TOWN OF BARNSTABLE 1 . - CERTIFICATE• OF OCCUPANCY - .FAMILY APARTMENT I PARCEL'. 'ID .126 024 GEOBASE ID 6866 i :::ADDRESS 250 TREE TOP CIRCLE PHONE . . .MARSTONS MILLS.: ZIP I. - I ...WT...::.' . 10 :--BLOCK LOT SIZE I DBA . DEVELOPMENT DISTRICT CO PERNI:T 88801 DESCRIPTION FAMILY .APARTMENT I HERMIT TYPE BFAMCO. TITLE.. FAMILY APT. CBRT-....OF OCC.: l CONTRACTORS: . i ARCHITECTS: Department of Regulatory Services TOTAL' FEES: $25.00 BOND $.00 �TME CONSTRUCTION. COSTS $.00j; 756 CER Q" I TIFICATE .OF. 00CUPANCY . : • BAMffrABM: i MASS. Al j 1639. I BU ISIO BY'� I DATE ISSUED 12/05/20.05 . EXPIRATION DATE DATR IssuhrD- ` ? MOr"crmir,UNVtYSNUHIGHTTdO�`iGUF�P7lT1Y�THEET,'AZTEYZJISSIUCOVT+LicTinrivrr'crn-incnvr,�T CROACHMENTS ORPUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR l ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS j PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. E MINIMUMOF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 1 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATW. PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS T 1 1 i 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH i ` OTHER: SITE PLAN REVIEW APPROVAL J i 1 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON.THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. Bk 20512 P 228 t83300 1 1-28-21705 & 42 2 34P mot . Town of Barnstable Regulatory Services S 13MMSfABLB, : Thomas F.Geller,Director rFo Na't'' Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 250 TREETOP CIRCLE in MARSTONS MILLS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book �1, Page �—, or as Document No. being shown on Assessors' Map 126 as Parcel 024, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for.use as a family apartment,for year-round occupancy. The intended and authorized use is for MARY ANN CALDWELL, SISTER OF OWNER ANTHONY. FIFE associated with the residential use on the same premises. This unit shall be used for a"Family Apartment"(as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room,or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this o2Y6 day of_ 200 TOWN OF BARNSTABLE OWNERS) By: uildin Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Dateh ZS Q0!5 Then personally appeared the above-named (owner), P. FI F and made oath as to the truth of the foregoing instrument,be a me. d..b .. ',0Nwf4•.f`G ary ublic pQQ[[..�• °;' `p e G My Commission Expires: 4 I'I t ,#ri ,� CARRIE MORE 0�•�s�''a egg• NOTARY HU9F 14 Commission EVirm Apr.24,2D09 Q:word/accessoryagreement BARNSTABLE REGISTRY OF DEEDS ,wI -ASPHALT_ ' _ _ f__ _-- -� 1,� , � �� I I -�- �-•--.-_....__ w __.��.. ,.__...____. -_._.___._ _.._______-.._�__.. _ ____ _ . ._.__ ____..__._ _...__.�__.... ____ � ;- �,�> _ _ r`-�' I S , f C?i4. Tay I li . _ C Ir ' BUIILDING_ SECC_N I READ E!EVAT I C N ,.c ! REVISION* n e I -- e a 2 2 TITLE - NO. I m W 0