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Home My WebLink About0152 WAKEBY ROAD - �L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `� Parcel Application #C)U v 7 . �� Health Division Date Issued C1 Conservation Division Application Fee 7 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis �Project`StreetAddres�- s�7 Village - 0&9M A4 O� wner� GAG Address Permquest v 0 - �-t, evr- I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ,Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal sure: qEVes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Bar existing,_❑ ne-W size_ c n s� Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Otheb a • Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# 0 N Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name elephone-Number. 3 Address �� License # L/4Z-s aYG" IkI�. Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE- s; FOR OFFICIAL USE ONLY APPLICATION# DATE-ISSUED MAP,/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: I FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL EI,NAL BUILDING; DATEyCLOSED. �srO OUT ASS ,CATION PLAN NO. _ .,. ._.. ... . . - 1 ire Comwownwaith of Vassachuse#s 'dents - Ogre Of 1m es4 Pions 600 Washir-IgIbn&Y-eet Boston,MA 02III wam>>nass:gomfdia Workers, CompensatiouInsnrance Affidavit:Btdlders/ContractoisMectricians/Plumbers AYpI cant Information Please Print Leeribly �'=liTame o sues 0,nization(lndividnat)_ 11'alU-1IMf✓ i City/Stat t-Mp: bI/!1,949-Inf> fU UXf Yr A . Phone 47 Are:you an employer?Checktheapp..ropriatebo _ T�pe.a#project(requirec L ElI am a employer with 4- am a general contractor and I 6- New m statrctioa employees{fullandlor part-hue)_* have hired.thesub=conttact= 2.❑ I am a sole proprietor or partner- listed on the attached sheet_ 7- ❑Remodeling slip and hate no employees These sub-contractors have g_ ❑Demolition w for me in an capacity employees and have workers' -working y apa. ty. I 9_ ❑Building addition [Na'workers' comp_insurance Comp_1nsuranCFL regatred-] 5_❑ re We a a corporation and its 10. ]Electrical repairs or additions 3_❑ I am a home o Amer doing all work: officers hate exercised their 11_Q Plumbing repairs or additions right.of ear�gtionper MGL myself [No workers'comp- IZ.Q of repairs. insurance required-]t c.152, §1(4} and we ha-.m no -- employees-[No workers' comp-insurance required.]; *Any app that checks box-1 must also fill out the section below showing their wodkets'compensation policy inf 3wMtiMI_ T Homeowners who submit this afi5davA indacstiog they are doing s1I weak and then hat outside contractors mast submit anew affidavit intrIcahnr such tContcactors that checlk this boor mast attached an additional sheet showing the name of the mb-contaacton mad state whether oc not those Pities have employees_ If the sulrcontracto.ts have employees,they must pmvide their workers'comp.policy number. I am art employer chat.isprmddurg tt�orkers'compensalion insurance for my*employees. Betoty is Ste policy and job site information Insmance Company-Name: Policy 4 or Self-ins-Lic.4: i Expiration Date: ityiState/Zip: 16.. !!�eirC �1(G9 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A o€MGL c. 152 can lead to the imposition ofciiminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the fbm 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 maybe forwarded to the Office of Im-restigations of the DIA fior instance coverage verification_ I do hereby certe;fy und5r the pains and pen itry StatSre information protzded abm�e is bzwa a'nd correct SiQnatTzre`-�l Dat Phone#: OREdol use only. Do not write in Otis area,fo be completed by city or town off ciat City or Town: Pt rmitUcense# Issuing Authority(drde onep 1.Board of Health- 2.Building Department 3.Cit ylI7own Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone!#- 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shalt withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their cert,ficat4s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Departnent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, aa applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city'or town may be provided to the applicant as proof that a valid affidavit is oa file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Ilse to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Depai#ment of Industrial Accidents Office of kvest igatioas 600 Washington Street Boston,MA 02111 Tel.#617-727-4M W 406 or 1-377-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.massgav/dia Town of Barnstable Regulatory Services �oFttte rOtyy Richard V.Scali,Director Building Division saaxsz'asrs, Tom Perry,Building Commissioner brass. v� 1639. `0� 200 Main Street, Hyannis,MA 02601 RFD FAA't A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION (,. DATE:- N Please Print � _s JOB LOCATION: �i�!/7/1Gf Mdi ig zzue IBC Ly;5 number street village "HOMEOWNER":�`'-� �� /�� c� "name home phone# work phone# CURRENT-MAILING ADDRESS: O city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The dersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pr and e and that he/she will comply with said procedures and requirements. igni ure of Homeowner) Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFLLES\FORMS\building permit forms\EXPRESS.doc Revised 061313 �TMETti Town of Barnstable • • Regulatory Services a �BAMSTABMg` Richard V.Scali,Director 'OrE1 . Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section'. If Using A Builder- I, , as of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by uilding permit application for: (Ad s of Job) ''Pool fences and alarms e the responsibility of th plicant: Pools are not to be filled or tilized before fence is installe and all final inspections are perfo ed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q TORM&O WNERPERMISSIONPOOLS r Client#:957610 CANALFIS ACORD,. CERTIFICATE OF LIABILITY INSURANCE _DATE(MMIDDIYYYY) 4/23/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CT Nancy Durkin USI Insurance Services LLC-SCL PHONE g00 723-2877FAX PO BOX 406 E-MAIL Ext. ac No): 877-775-0110 ADDRESS: nancy.durkin@usi.biz Portland, ME 04112-0406 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of 12572 INSURED INSURER B:Citizens Insurance Company of A 31534 Canal Fish 8 Lobster Inc INSURER C:Allmerica Financial Benefit Ins 41840 2952 Falmouth Road Osterville,MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UB POLICY EFF POLICY EXP LIMITS INSR WVD POLICY NUMBER MM/DD MM/DD NYM A GENERAL LIABILITY S1898836 8/14/2013 08/14/2014 EACH OCCURRENCE $1 OOO 000 X MERCIAL GENERAL LIABILITY DAMAG TO ENTED PREMIS S occurrence $10O 000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000,000 COM GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 POLICY PRO- JECT LOC $ C AUTOMOBILE LIABILITY AWN9043597 5/05/2014 05/05/201 COEa accident MBINED SINGLE LIMIT ANY AUTO BODILY INJURY(Per person) $20,000 ALL OWNED X SCHEDULED r AUTOS AUTOS BODILY INJURY(Per accident) $1 000,000 X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ A UMBRELLA LIAB X OCCUR S1898836 8/14/2014 08/14/201 EACH OCCURRENCE $$1 00O 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $$1 000 000 DED RETENTION$ $ B WORKERS COMPENSATION WBN9364231 1/25/2013 11/25/201 TO YIIMI OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $1 OO 000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $100,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) 'Workers Comp Information** Proprietors/Partners/Executive Officers/Members Excluded: Paul Dean, President Tonya Hudalla,Treas/Clerk CERTIFICATE HOLDER CANCELLATION Duxbu Yacht Club SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ry THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 489 Washington Street ACCORDANCE WITH THE POLICY PROVISIONS. Duxbury,MA 02332 AUTHORIZED REPRESENTATIVE wf ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S12358460/M12358275 NADCX m IL e c e of Flow Nestounce u � T4E AAwe YrrRa=�MM#o4 Q Tiens ► #28166 amo ""��► L-419.a1 Tent w raois5uppty MARCH 2O11 „_ sari E ka.Tamps,a 3ssio Q WWU5-5MFeX8W740. W This is to C*11ty that the materials deserltted on this certificate have been flame- retards rrrdigaeL�fly nonflammable af9g iflO��d. ao NAME: AT aw OWerville STATE Certilfcarlon is herby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and t plication of said chemical was done in conformance with Federal Specification Method of appRcation:_Inhenerrtly Flame resistant T m Trade name of flame-resistant fabric or material used Hi-Gloss Chem.Reg.No.F-419.01 _.. U L The Flame Retardant Process Used will not -8e Removed 6y washing h.ar or wffJ nit w and Is good for the life of the fabric. Renewal Certification unnecessary. _ E Color and weight of fabric_ Sunblock White 15-16 oz. psy scription of item certified: Thomas Sciortino sr Production Supervisor Q IL N&M of Amftaw.or haAw m.&*W*VkV~ rent N o WO d thk to be a Imm espy of as wloul "C!p[TWICAT! OV Rwt N =11UTANCE'• IsfMN to a # ggerWeat ea11" M iddo bse bmw Alaaf wfTh Ow Cal femis ' Waleska Rodriguez r� 1Z0.00 Fla t ram ± r[r `N 13 • ro . + WaLLtl- ruTuQ.G Qaxo fA"ER C' Cav Ir e�o•rct�/ .f C�QTIFIED PLbT PL:111J LocATiot-J MAeATO>.�� /�I�IL.L� ` SG AL_ V,-d0 32ATr-7- c t G ZTI F Y THAT TNE. rouN�ATld1.1 S� -1 -A►•.J lzs;: t tEJZ%O" GOMPLleS u/1 TN &wig SET$ACIC REQUIREMC►JTS OP TNT LOT 1� ', •'[oWU of �A�l15TA8Lt PL• •$�. 30q PG, •� S 0ATC 1 i(l.,t.ti Gt ��C F3�47CTC� �. 1.� (E t•JG_ REGISCE.R�D "WO 5U2VcYvzS TI-LlS VLAI-1 tS LJOT BA'SGt> Oi4 ALJ _ OSTECIV%:.I= -c) AAA57. - 1d" CtJSrClJ�lnEiJT Sv�vC`{ i T1Ar--- OFCSr=TS 60oujl> APPL.1 CA "-r _ ' • tJbT 01✓ USCC> To DC:TEeMt%4C LOT LlW S � P-G� (i-4o"5 UU As6ssor$ map and lot number .. Al —�S'P 79 SEPTIC SYSTEM MUST BE �I"Ir INSTALLED IN COMPLIANCE Sewage'.Permit number ................................:.._...................... n WITH ARTICLE II STATE S IT ND TOWN TOWN , OF BARNS Z 33AHBSTAII i M�a BUILDING , INSPECTOR �O ��bS9• '00 APPLICATION ..:..... ...lJ✓�... ! .: - `........................................................... .� '•: • "J r��w� •` TYPE OF CONSTRUCTION ....:...........�:tl.? ......... .............. L............................................................................... / ... �...........19..� TO THE INSPECTOR OF .BUILDIP*r2S: i ^"':d+.—•--!HP?1l 'b a/�"�'n':-Nm.'^ t:mom- w.-�.,'8.r..;-fir..,: ,n. .. •: t.:y: t e un ersigned hereby applies .5r a permit according to the following information: / Location .3 . n �' �r `��-� �` ................�-. q kA4•is4. .... ..J/ ................................................................,�.......................... Proposed Use ....:...... � / 4Zoning District ...........�.. .....................................................Fire District ......(."!.:' .. /..�!Y .S ...` ......L.. t lkzName of Owner ...... !.� i�,,,� ..... .5 `' ....................Address .................... .: .......................................................`` ............ Name of Builder ...... 1��.��....'.!...:.. ! ............Address z-Z dS � ,�. .................... ... .......................... .. ........... Name of Architect ........ y...�G`�` - ..............Address ......... '?v2... ........`..... .`. ................... Numberof Rooms r O `.................................................Foundation .......................... ................................. Exterior ............. : ^- ..'"....................................................Roofing ........ ...`.`:r`............................................................ Floors ............1.........................................................................Interior ......... .w`.!-.c-:[.................................................... Heating .� — ............................Plumbing................... ............................. .................................................................................. Fireplace ..............6..`L. ..............................................Approximate Cost ...: ! Z mew ............................................. Definitive Plan Approved by Planning Board -----------______-----------19________. Area ........�.7..z...55... Diagram of Lot and Building with Dimensions Fee �. °.................. . .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH C � I hereby agree to conform to all the Rules and Regulations of the Town of rnstable re g the above construction. No .. .. ... ............. ........ ..... ...................... Fisher, William 20212................. Permit for .,,one story............ sin le famil dwelling..................... Location .......152...Wak.eby..Road........................ .. . . ...... .... ......... Marsfons Mills . ............................................................................... Owner .........Wuk4R.)uRhPrx.......................... Type of Construction ...........frame................... ................................................................................ Plot ............................ Lot ..........#.13..................... May 15 78 Permit Granted ............ ......................19 Date of Inspection .....................................19 Date Completed ................ .19 PERMIT REFUSED ................................................................ 19 .................................................. ............... ............................................................... ............................................................................. ............................................................................... Approved ................................................. 19 ................................................................................ I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f �� SEPT Permit# 0>LO? Map r -/� Parcel 6 IC SYSTEQ R :; Health Division INSTALLED IN COc��Aate fssaed 8' R' WITH TITLE P � — Conservation Division / , ENVIROHMENTALH C`fQe , . '7��• � �- TOW RE' Tax Collector 1 __ MOW Treasurer r� Panning Dept. ` -Bate Definitive Plan Approved by Planning Board Historic-OKH f4eservation/Hyannis - /_ J Project Street Address b Village A / - Owner i• Address l -SQM e �. Telephone SOY- Permit Request 6 i I" ,-Square feet: 1st floor: existing — proposed 2nd floor: existing —0— proposed—O — -Total new g Estimated Project Costs 00 Zoning District c, Flood Plain Groundwater Overlay Construction Type f�/G Lot Size &q Grandfathered: Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family W Two Family- ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes W No On Old King's Highway: ❑Yes Qa No Basement Type: I W Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 7 �Q Number of Baths: Full: existing QL new Half: existing new Number of Bedrooms: existing A new Total Room Count(not including baths): existing `7 new o2 First Floor Room Count `T RW Heat Type and Fuel: ❑Gas 51 Oil ❑ Electric ❑Other Central Air: ❑Yes td No Fireplaces: Existing New Existing wood/coal stove: ❑Yes M No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:X)existing ❑new size r Other: Zoning Board of Appeals Authorization d Appeal# l q C/ 7 q Recorded tY Commercial ❑Yes 91 o If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name G(� /i��QJTfJi/P�/ Telephone Number Address .S � License# z'W Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I SIGNATURE FOR OFFICIAL USE ONLY PERMIT NO. 4os oi-- DATE ISSUED MAP/PARCEL NO: ADDRESS VILLAGE OWNER DATE OF INSPECTION" k: FOUNDATION L (� FRAME y IL •T INSULATION !9 FIREPLAC ELECTRIC :!= ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT E ASSOCIATION PLAN NO. w MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 -5-/?9, Checked (by/]Jatg CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-25-1999 DATE OF PLANS: TITLE: COMPLIANCE: PASSES Required UA = 206 Your Home = 195 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA -------- ------------- ------------------------------------- ------------ CEILINGS 384 30.0 0.0 14 WALLS: Wood Frame, 16" O.C. - 1014 -i_R-r0't3TP 0.0 78 GLAZING: Windows or Doors 138 0.400 55 FLOORS: Over Unconditioned Space 1014 19.0 c: 48 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the .requirements, of -the .Massachusetts .Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 .and J4 .4 . Builder/Designer Date f! {' 14 tt .�. i MAScheck INSPECTION CHECKLIST Massachusetts Energy Code -MAScheak-Software-Vers 'ion 2.0 DATE: 10-25-1999 - Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-15 Comments/Location WINDOWS AND GLASS DOORS'i [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No KAF. Comments/Locations FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ; ] Joints, penetrations, and all other such openings in the building i.:,: envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed + ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. , Manufacturer manuals for all installed heating and cooling equipment and service water .heating equipment must be provided. Insulation. R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ J Ducts in unconditioned,:.spaces.•,,must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used -for .fibrous ducts. The HVAC: r system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating �. and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is --not-greater than 125% -of the design - loard' as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ] .Refer to 780 CMR, Appendix J for requirements relating to swimming- pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- r: r Al N� The Town ot Barnstame Department of Health Safety and Environmental Services r� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work' Pt �'�M\� '(�CM�.y _Estimated Cost ®� Address of Work: \SZ \A) qbIt\ Owner's Name: \�\\V�n kk Date of Application: I hereby certify that: a Registration is not required for they following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY l hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. D e er's Name q:forms:AfTdav =0fiRApgmdisJ Tabl JLUb(esndmiee) ha.ipdre Padcafa(crone and Tw04Familr Rentdmdd BalldbW Hewed with Fmd Faeb 1ms ErID�QVl11M Giffizing wan Fhmr a eeu= ) � R�v�e. R-VWU2 Watt P �dea� P=dCw I I R.vdaae f vab�a' 5701 to 6M D Days' Q 12% OAO 31 13 19 1 10 6 Nommi a 12% om 30 19 19 10 6 Normal S 12% QJO 31 13 19 10 6 15 AFEM T 15% 036 3f I a 25 WA WA Normd U 15% QA6 n 19 1 19 10 6 N0und ii 15% .0.44 3G 1+' :3 . WAWA �A1VE w 1A am 30 19 19 10 6 NAME x tVA LL3Z 3f 13 21 WA WA Nmmd Y IVA 0.42 3f 19 25 WA WA Nornm1 Z IVA OA2 >: 13 19 10 6 90AFJE AA IVA 0.30 30 19 19 10 6 �AFM 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 1 S Z Q � 3. SQUARE FOOTAGE OF ALL GLAZING: 13a 4. %GLAZING AREA 03 DIVIDED BY 92): S. SELECT PACKAGE(Q—AA-see chart above): I NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIRB4ENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-fomwt980303a 780 CMR Appendix J Footnotes to Table J52.1b: Glazing area is the ratio of the area of the glazing assemblies (.. iding sliding-glass doors,. skylights, and basement windows if located in walls that enclose conditioned space,t :xcluding opaque doors)to the gross wall. area,expressed as a percentage.Up to 1%of the total glazing area may .s excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 if of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness.over the exterior walls without compression, R 30 insulation may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the stun of the wall cavity insulation plus insulating sheathing ('tf used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-fame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned cxawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements;are for unheated slabs.Add an additional R-2 for heated slabs. 'If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing arras and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels: R value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.53b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c)If a ceiling,wail,floor,basement wall,slab-edge,or crawl space wail component includes two or mom area with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 Department of Industrial Accidents office 811fiYesffoodeffs 600 Washington Street Boston,Mass. 02111 ' Workers' Com ensation Insurance AM davit name: W kkkkyw\ %�m location: ksl tab v city phone# 1771 1 am a homeowner pefforming all work myselL r3 I am a sole proprietor and have no one working in any tv Cl I am an employer providing workers'compensation for my employees working an this job. .... .. . ... ....................................... coma ..... ... . ............. ............. ..........................*..-.'-.'-.. .. .... ......... ......... ...... . .. ...... .... ....... ani ... . ... ... ........ ell n-m—k- ...... .. . ... ....................... .. . .. ..... ... .............. .............. I ... ....... . .1...............1.1 ... . ......... ....... .... ... ........ ... ... ...... ......................... One.: ............ d ........... ................ .............. ................ .... ... . ............................. ............ ...... K. .. ...... .........M ...... .... ...... .. .... ..... ...... ................... .............. ......... .......... ..... . . ....... ... ..................... .... .. ....... Surance,cv;,::. . .. ....... ...%....... 11111111 ---------------------------IMIMMEMEMMM am a sole proprietor,general contractor, homeowner one)and have hired the coirtractors listed below who have the following workers'compensation polices: ........... ............. . ....... ........ . . ... .. ...... ...... ......................... ... ....... coifi .......... .... ------ ................. .......... ............................ ....... • eX. ............I.X., ................... .......... 6% .1........ . ......... . ... . .....Xtj one. ........ .. .. .. ......... .. ................. ..................... N...:Xx 'R . . ........ U� . ..... .......... -------------- ............... ............. ..........f............... ........ ... ... .... — , : Z. X. ...... ....................... ....... ..... ..... ............. .. ... ... ..... ...... .. -:XXX .. ... .............. ............. .......... . ...... . ....X" ...... ....... . .... . . ... .......... .. ... . ............ .. ........ .......... . . ........ ...... . .. ......... .1 1- ........ ..... ..... add ...... .. ..... .................................................... ..... ..... ...... ............................... ......... ...... Iebb .................. ...... ... ... ........ ......... . ................... g uranCL-M.- FafloQe MMM MA to's-e'cure coverage as required under Section 25A of MGL 152 cam lead to the iuWosidm of crhrdnd Pembim of a am up to 51,00.00 and/or one years,imprisorment as wen as dwa penaftks in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand OW a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage veriffcation. I do hereby cerft& epava andpenakigs of perjury that the information provided above is trio and coffect X Si —Pate — k4t 2, .o/ Print name y-LiL2 AW /—, Ievo-- ___YhmLe# V -------------- oincial use only —46 Imto"eb am tommpa I by city or town official veredtfilcense# ❑BuULugDepmj city or town: Cj3 3T.1cengin Board 0 C3 checkifinunedide response is retf..O" C3sdecbnen's Office 0 C3HtealthDeparftnent Ccontactpenon: r phone ---:—❑ .C30ther_ 1111 --------------- -------- (aviud 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However-the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of camnpliance with the insurance requirements of this chapter have been presented to the cantrac* authority. MEE Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Indust dal Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or'Towns Please be sure that the affidavit is complete and printed legibly. 'Ile Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicanL Please be sure to fill in the permit/liceose number which will be used as a reference number. 'Ile affidavits maybe retsamed io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a rail. y The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Inesdoadons • , 600 Washington Street " Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 Department of Health Safety and Environmental Services Building Division L 367 Main Sttzdt,HYMMis MA=01 .. rued Office: S08-862-4038 Ralph Crossm Fait: S08-790-6230 Building C c ROMEOMMLIMUM rtn,er� JOB LOCATIM'. aamber .�,,WNW.. CLTJUNrMAMLI G UMPJM Suxm� tmoa aP coda The a:rneat ocemption for was mended to indade of six=its ar less mtd to allow hoaOwnas to zm Whridni for him who does rat p�a license, mrdedIbUthefMC my-InrYMN CWBOMWW= � ftun(s)who owns apmcei ofland an which he/she nudes ari�t�D &►amwhichth='%or is iatmded to be,a anar taro-f=ft dwdb& or d=chW sus s@9 to each use aodlar farm s ac • A P q�p more than we hum inatwo-rwpododsMR not be cmddard a h=mww tha�d� giibe sba11 Ito the_Bm'tding'O2&W as•�a form _tm a e � + fbrAjj Sob Thawdwiped filitYfor c=Pr18=v&tht;State Bm'Iding code and other applicable codes,byi=M rotes aadregatadoas. The umdecdped"hoMw certifies that Wdw smdeamwb the Town of Hamstabie Budding Department and minimum Iaocedmes andregaitzmmts andthatfvdshe aal compiYwith said pi1Dura r HOW AppewdofBuddinaOZCMi Note: '13..4=-IY 35,000 mbia mar imWvMbe mp red to comply with the State Bm'Iding Code Swine 127.0 Ca =CGOUOL noa�a�a►t�t�s ��te�a:ban��t� i Codesaerstmt A* aPCCW*alfor pWubMof9&=cdm(ft=109.t.1-tiW=9of===admSaPWMW* hhe to do mda aaei. muaeA Bom wmwsbdi m u svpawbOe Mmp 6omeottaes aho ate tttb�'tioa ate�tmt tom! ttdes�R � C°�0° SudOO2.13) 'tom amootpeooadagdoat�esmjioa�dP��naroaid ra6estbatmmeowoQ� � m��,,00tBotad alert a tioeaxd Sttpa+� �liomeowa�a�iag as Sttparaor is dt�r mmf �•a:pau oft6e t� °a To �ma � ►as e:of lta afa� Oathela "FOftmti=isafO===U yused tmttheim�oo*t'a�tmChe�e �� forasainyonr�mmitq by aevaai tot+rta. Yon tns)►care to amend anti adopt sneh a foa�oaa DEPARTMENT OF PUBLIC SAFETY r - CONSTRU.0 N\SUPERVISOR LICENSE Nu b-er:= __= Expires: r t — �Rbsfr; tad io ' ' i 16 fiREE IRY?i VAR IAM f Gf.,Y+w'K C�r�98 MOCK'Ilgo;hD LN MARSTONS MILLS, MA 02648 07 HOME IMPROVEMENT CONTRACTOR xts ir" Registration 110023 r K Ezp ration"i: 10/.02/06 `GRE66RI C.�VARJIAN;BUILDER ? f a , IL 6AE60AY:C: VARJIAN" !,EOCKINGBIRD LiI` '* ADMINISTRAMR NARSTONS MILLS MA 02648 . I 152967 i Restricted To: 16 s 69 - 35,060 cf enclosed space i lA - Masonry only 16 - 1 6 2 Family Homes .Failure to possess a current edition of the Massachusetts State Building Code l is cause for revocation of this license. - I I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map QY3 Parcel 0-54 Permit# 92s;52 7 ,.-Health Division - ? z Date Issued ,.,,Conservation Division Fee d/.oC.) Tax Collector Pd yfzlf � Treasurer l� � 7' � ��ic SYSTEM INSTALLED IN COMPLIANCE — ,;ng pept WITH TITLE 5 '-Bate-Def+nitiare_Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS .{i--eKH Preservation*annis Project Street Address w4lo c',� / Village s]-C VLi_(,Uf M10- , Owner Lk,1/,'L lQ Address S/fit tf- Telephone 11351 Permit Request S i /, )C�2 y Square feet: 1st floor: existing 0 proposed 2nd floor:existing `-� - proposed _O - Total new 3 S Estimated Project Cost kof" -Z d d 0 "Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family >1 Two Family ❑ Multi-Family(#units) Age of Existing Structure c2z?, YO, Historic House: ❑Yes *o On Old King's Highway: ❑Yes No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �7dZ Number of Baths: Full: existing c9- new Half:existing new Number of Bedrooms: existing 3 new L/ Total Room Count(not including baths): existing 7 new First Floor Room Count 4 f Heat Type and Fuel: ❑Gas �4 Oil ❑ Electric ❑Other Central Air: ❑Yes 9No Fireplaces: Existing New Existing wood/coal stove: ❑Yes XNo Detached garage:❑existing ❑new size '-"o_`_ Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size "6- Shed:Xexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Jf Q L6 0� mPL�/ Proposed Use BUILDER INFORMATION Name /.b'.� Telephone Number Address /5J1_ License# M6LA,5TOVS MI-L 4 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREU&Xf_l_,u-•— DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. - ~ ADDRESS ` ; VILLAGE OWNER,. . - �.� • . .., - w • _� , DATE OF INSPECTION FOUNDATION - v FRAME INSULATION ' FIREPLACE ; ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH = FINAL GAS: ROUGH. "�! 0 =� FINAL ' FINAL BUILDING E : lk DATE CLOSED OUT cr ry Q • ,- ASSOCIATION PLAN NO. - -z-z i 4� + As RtCHA AL ..'SAXTER -OF44& C-E Z T I P%r--roi Jkz) LOCATION maoqlo�k LM T"AT' THETHE !�Ou%-4'DATAf;,%4 -j- 5"0%4j' Pl—A I-J ep LOT C AWC> SETBACK U I C E AA "Tr, C ;:' THE 0,-�TAIE�Ltl -To vi ov= IBA ?�, BL B A. LJOT E5Asp-'D ow A,&j izv%L Pp L-1 CA "-r ;4 w • r • 0 �10'Top llll� 0 1 ' 1 i ora e 104 I 4 1 ! I � I I _ I � ' ! - I � T � • 1 I I T I I 1 I --j---J- - kJA- I --�--�- -- I---- ' -- r- I -1-1- I ' i , '• ' � i j , I 7 , ! I ! I � , 1 -T7 - 4- T cz) I �- i _ __I I I I � I l � li i � � jll � II II I L-1 UJ kN�, LT F- 11/fE J.-i--- . ............. ,. �- i t-- j �Tf I i I i I ; F- T 1A ldd A .1 T6i --�- --- -I-' L-- -�_ 1 1 H i �--- i .-� I--��=- I i � i I , oFrt+e t� L _ The Town of Barnstable 9 NMLMK Department of Health Safety and Environmental Services - P Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 4 - 1 Type of Work: (J�A `� Estimated Cost od-v .. Address of Work: L tx-N t/Z ` 1141 014. O 2- Owner's Name: 1AJ2 (J./!ham Al- V4,Yl Ct, Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME H"ROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora permit as the agent of the owner. 7'L �li Date Contractor Name Registration No. ///,x 1'42�2� Date Owner's N e gIbmis:Affidav �ciVIE Department Department of Health Safety and Environmental Services Building Division sni;rttH sa 14 ' 367 Main Street,Hyannis MA 02601 9� 1639. ATED MA'I� Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION G Please Print DATE: � ` 9 . JOB LOCATION: number / street p �! village / // "HOMEOWNER": !/V lt'6116YI?, �'G�/�� OO`'70��' �S� �aS—q30�—7c�� Cam✓, 73 name home phone# work phone# CURRENT MAILING ADDRESS: S/J24!�5 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building,permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and r quirements and that he/she will comply with said procedures and require me Si nature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:F0RMS:E?47vM The Commonwealth of Massachusetts 'z _ r_ Department of Industrial Accidents �' � '-�� Olfice nl/��estigations --- - s 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insu/raanncc(/e///// davit �iirE'tTfi�rII3E',� ��i. %iiiiiiigELtt �� :%",..... name: Firma location city t SJTlJS *6 hone I am a homeowner performing all work myseff. ❑ I am a sole ProDrietor and have no one workin in any c/apa= %///%%%%%%/%//// %//%/%//%%��%%%%//%%%%%/%%%%/%//%%%%/%////%/%%%%%/%�%�%/�%%/�i%ii'.i: , ❑ I am an employer providing workers' compensation for my employees working on this job. comnnnv name address: city: phone#- ins ranee cn. nnlicv# i...... i ////%////////cto/i/////r//////D//// r �cllilrllclllllell�llon aa sole proprietor, general contractor, r homeownernd have hired the contractors Iisted below who aN,e the following workers' compensation polices: company name: address: �i�( ��/✓(lJl1/:�/2U ` ... ..... city: /'/M-SZ/0 /1IUX 4'� 0244 phone*: i 4 r.D,Q pniicv# .: ....::.. r ��•is��' r company name: :. .. :. :.:... address: city. ... phone#' ..:. ..:.. .. insurance co. :;:.:.::.:.:;. :.:::;.;: ... ::...;:::;.>..::: :::.::.:::::.>. .. ollev# Failure to secure coverage es required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herehv certify unde t7:72= ' dformation provided above is true and ore at ' / Signature C Date '�` �9 Print name �l/L�/, 7_ rY�/�L Phone# 5 off - Y02 (contact ficial use only do not write in this area to be completed by city or town official ty or town: permit/license tt ❑BuUding Department ❑Licensing Board check if Immediate response is required ❑Selectmen's Office ❑Health Department person: phone#; ❑Other (rcweo 9,95 FIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for th-.- employees. As quoted from the "law", an employee is defined as every person in the service of another under any co=--Z: of hire, express or implied, oral or written- An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more c: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rec.W.. trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, conduction or repair work on such dwelling house or on the grounds cr building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the . commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting- authority. Mons FEE/ i,.%i �/� / ,.. Applicants . Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be .,.Submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is -being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you- .:are required to obtain a workers' compensation policy,please call the Department at the number listed below. ��/ /��i!i:!i.! �i, �/�� ! ? % ir��'�', City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. FMMI The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of laF sugatloas 600 Washington Street Boston'Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or.375 '� ke 0 1 00 i t 00 i o l: XI 5T I Q6 O o� YRoi-oS�� /aGp�Tl vA1 � 4'-0. E x�5T I hl G 1� o'V/ C $'-0 wry M A.2c-10 r.:5 ✓Y I LX,5 14AA 02- b y 8 I FCU►JOAI16P PC-AN 0 'p N � o IT'UUht�F?� g:X1.� Iu1C, {-SOUSE -� I 1 / W M. F. 1:�•�C"� 1Sz V)Akc 3`( ? > ?I�oPOs�'� A bDir�orJ - 12_ PitLF� IZ Rme V) F I SNER I wAK�3Y �. YMAZS'(UWS V-,Ct_5 , yyi q Cl 6y8 REAR eLEvA I01/ 12 PI-TCEI �/ E x�STrW6 HCu,F ex1 s7(UC, UOUS C i r PR oR�Si.p A b I T-10 Q PRpQos(--p At>DirlC)W Ex�sTi UC, EG I ISL lnJp�2G�( R >. W*,A.25Nou.:.• r")'L-L5 NSA pzG'B RIGHT V,+7(011 E+c i STI 1JG I�{UVSC KOpOSCd ADbirtoo i ENSTOiG HoosE wrn. WA O-Z&4z Sc.aye Y4• _ o" ZK IZ P�IpGB Covnovoor$ {:II)GE VCQT - .- R F113EIZG(.�SS BAn5 ASPfIAI-T sNIL6LC5 DV"P #/S F&L:T PAPER ( IGr VJA1E2 SA-RA\Ck AT [AV!S £ VA Lb1'K5 \ j / 1 ZAIID IZPFiC9- IG O.C.. - i� Pl_YwG�'L �•--r- 3 p.G. ' VEWTI-D DRIP r0.'�G' - -- P.-1� FM5 A 5 5 BA?T5 cewD , slllQcLe5 0✓FQ -lYV6K flouSEWP-AP --� yz'F' ��ov9 suca-ruluG --- zK`I sTv�s 16" o.c. TF C, PLYWOOD SWWOR zcoo ,o sTy iz" o.C. /` 2X� PRLSSVR TReATI:6 SILL GLJtO { I)AILED-TO'70\sT-5 8" coNCrzGrC7 Xo,)Voi7fot/ 10", CONC2iTG T:oorIQ6 w1,'1• F�SFIE� �1ARS 01"" fo L( S AMA DL.�`i 4 JC A-Lt I rn Md Town of Barnstab'I'e JUL 27 P 3 :50 Zoning Board of Appeals Decision and Notice Appeal Number 1999-79-Fisher Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment Summary: Granted with Conditions FILE COPY ONLY! Petitioners: Catherine and William Fisher Property Address: 152 Wakeby Road, Marstons Mills NOT RECORDED AT Assessor's Map/Parcel: Map 043, Parcel 058 Area: 0.69 acre REGISTRY OF DEEDS Zoning: RF Residential F Zoning District Groundwater Overlay: WP Well Protection District Background: The subject property consists of a 0.69 acre lot commonly addressed as 152 Wakeby Road, Marstons Mills. It is presently improved with a two-story, single-family residence of approximately 1,820 sq. ft., according to assessor's records dated 04/28/99. The property is located in an RF.Residential F Zoning District and is serviced by public water and a private septic system. The petitioners are proposing to construct an 8' x 12' addition to the east side of the existing residence which will open to a proposed 16'x 24'family apartment addition. The proposed family apartment is 480 sq. ft. in area (including the 8'x 12'connecting space)and consists of a bathroom and open studio. The family apartment will be occupied by Judy McLeavey and Paul J. McPeck, sister and brother-in-law of Catherine Fisher. The applicant is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Family apartments are allowed in RF Residential Zoning Districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 20, 1999. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 14, 1999, at which time the Board granted a Special Permit for a family apartment subject to conditions. Hearing Summary: Board Members hearing this appeal were Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn. William Fisher represented himself and his wife, Catherine. Also present were Paul J. McPeck, Mr. Fisher's brother-in-law, who will be living in the Family Apartment; and their builder, Greg Varjian. Mr. Fisher addressed the Board and explained that there are currently three(3) bedrooms in this house, ! but one of the bedrooms will be converted to an office. The Family,Apartment will have one(1) bedroom so there will be a total of three(3) bedrooms. This is in compliance with Board Of Health Regulations. Mr. Fisher stated he understands, and is in compliance with, all the requirements of Section 3-1.1(3)(D) of the Zoning Ordinance. Public Comment: No one spoke in favor or in opposition to this appeal. Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-79-Fisher Section 3-1.1(3)(D)Special Permit-Family Apartment Findings of Fact: At the hearing of July 14, 1999, the Board unanimously found the following findings of fact as related to Appeal No. 1999-79: 1. The petitioners are Catherine and William Fisher. The property address is 152 Wakeby Road, Marstons Mills, MA as shown on Assessor's Map 043, Parcel 058 and is located in the RF Residential F Zoning District and the WP Wellhead Protection Overlay District. 2. The petitioners understand and are in compliance with all of the requirements of Section 3-1.1(3)(D) of the Zoning Ordinance. 3. The family apartment unit is under the 50% size limitation. All setback requirements of the Zoning Ordinance are met. 4. The application falls within a category specifically accepted in the ordinance for a grant of a Special Permit. Family apartments are allowed in the RF Residential F Zoning District as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. 5. The relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. Decision: A motion was duly made and seconded to grant a Special Permit for a family apartment, subject to the following terms and conditions: 1. The family apartment shall comply with, and be maintained in accordance with, all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family member(s) residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board. 3. A maximum of 3 bedrooms shall be permitted on the property, inclusive of the family apartment. 4. The locus shall comply with all State Building Code, Town of Barnstable Board of Health and State Fire Prevention Regulations. The Vote was as follows: AYE: Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn NAY: None Order: Special Permit Number 1999-79,for a Family Apartment, has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20)days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. •.2 '�' •f'i �. Emmett Glynn, Chairman Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County,,Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this ✓ day of aW444 / under the pains and penalties of p, perjury. A! Linda Hutchenrider, Town Clerk 2 Planning Labels 22-✓un-99 RefNo mappar ownerl owner2 addr city state zip 79 043 001 001 DACEY, BRIAN T TRS HOMESTEAD DEVELOPMENT TRUST P 0 BOX 880 MARSTONS MILLS MA 02648 043 001 002 HOMESTEAD RESIDENT ASSOC IN P 0 BOX 880 MARSTONS MILLS MA 02648 043 005 001 LINCOLN, STANLEY %METCALFE, TERENCE P & PAMELA 145 WAKEBY RD MARSTONS MILLS MA 02648 043 007 001 LINCOLN, JANE L 441 CENTRAL AVE E FALMOUTH MA 02536 043 007 003 STEWART, DAVID A & DIANA B 38 ASTER LN MARSTONS MILLS MA 02648 043 021 LINCOLN, STANLEY F & LINCOLN, ELIZABETH J 441 CENTRAL AVE E FALMOUTH MA 02536 043 022 BRUCE, LEILA A %MCNAMARA, SABINE 9 BURNHAM ST MARSTONS MILLS MA 02648 043 035 LEONE, ANTHONY M & ELEANOR 23 BURNHAM DRIVE MARSTONS MILLS MA 02648 043 052 007 BENTON, THOMAS H & NANCY_ P 75 OLDE HOMESTEAD DRIVE MARSTONS MILLS MA 02648 043 052 008 MAH, WAI FAI & HELEN M T 85 OLDE HOMESTEAD DR MARSTONS MILLS MA 02648 043 052 009 FAHY, JOSEPH T JR & MARY P 91 OLDE HOMESTEAD DR MARSTONS MILLS MA 02648 043 054 HAYDEN, DARLENE K 90 RIVER RD MARSTONS MILLS MA 02648 043 055 SHEEHAN, BARBARA P 0 BOX 625 OSTERVILLE MA 02655 043 056 CHILDS, BRYAN S & JOY J 176 WAKEBY RD MARSTONS MILLS MA 02648 043 058 FISHER,WILLIAM & CATHERINE 152 WAKEBY ROAD MARSTONS MILLS MA 02648 043 060 CRAIG, SUSAN %EDGELY, SUSAN 26 QUINCY ST WATERTOWN MA 02472 043 061 MORCEAU, MICHAEL F & PAULA K 108 WAKEBY RD MARSTONS MILLS MA 02648 1 Proof qLPubjicgfjgn NOW Tawn.pf.Pwrn�tabla Zptn60 lPoord'df Appeals No1i6e1 Pt•blla Haanpyi Under ThO..Zanl�gedina�we .400.July 14. MIR Tg all;persoss.i erestad in,or.pffpci<ed by the Board of Appeals under s9ec:11 of Chapter 49A.O'the. ►sril..twi;of ire Cgrnmonwealth of Massachusi:ttl,end all amendments thereto. are Very notified�F+at: 7 0 P:M Fisher Appeal Number.1.999.79 1E0tfrenfie!0nd•1Mlpam€isher hove petitioned to the Aning 0loai'd of.0 W§fgr.a SpM;W penr►t fora Family Apartment pursuant tp Section 3 1.f t )(>'/l.Qfi tfig Ziinrng Qrnprire.The patitip ra a eQ{ynQ tP add.a B'x t 2"eAace connected f p the et6sffng strupturgi which Will open to a 16"x 24'family 'pertinent The._property is shown on Assessor's iVtap 0+13.Raricel Ob8 and is'cortn5gnly'aissed as 1b2 Wakeby Rgad.;Marstons,M111s, MA In an RF • t�s,deAtial�Zordrig p�tttct _ 7 A0 P.M Henr(ght Appeal Number 1�99-f�f} 446 R _kianrig :;Jr,11a titiunad to the Zoning tloard"A3#ie1�fi i#S if tiSit far John F p�ls far ` a Fami�r Apartmpr?t Pursuant tp Section 3.1.1 t3)(p)pf.the"�iing fJ�rtart�'•�`�Y - _ - is sh�n� �dr��J1s��;4�..�arcekOs t+enc�i;•coliimonly eddress�`a4 t3:Fr1AV#►iWick VYayr nkryAl►4,MA to pn RC Residential C Zoning Aistrict- �: Q'� Cfet9c {>,ppppi Number 1999�1 Robert J Ar3►id DaPhrie Clark have pettioned to Ctrs Zonings rd of peal i for r1 tappciel Permitfbr a f`#?Mty Aparkrrreni,pursw$nt tv Section IA1 t310 of the ZQnin�q 0r 60hce.The P,►r?R�1Y ls.Showr►on gpsw sc s Map.193,Parcel 70p and is cismn►only addressed as 34 Patriotg.Wpy,Centerville,,MA In an RC Residential GZoning District•. 0o P M: Noftoh appeal Nurnk.9 �999 BZ Sf n A Nortain has petitioned'to the Zoning p9ard:.of APP94ls fQr a Sp&s:ipl per[rr)t fpr a Family Apartment Pursuant to Section 3-1.1(3)(pI aYlhe Z001nagt)rtllnanse:The prapeRy is shown an Assessor's Map.- -9.Porcel077 and is comrtii7nnlyaddre0e.0 as 69 RlUebgr►yHAl1 Road,.Hyalnnis,.MA in an Rs Residentiai B Zorfng pisti(ct• @';t�-P.M Mew.r . Appeal Number IW.Q-.-83. Re nd W:Glaser Has ap�lirrd to the Zoning Board pf Appeals fqr a Variance to Section Proh�ited SAgns Roof rjign's.The applicant is seeking to replace Qn existing rpof sign presently or?the building with a new sign face far a n"business.The property le shown on:Assessgr's.Map 209,,Parcel 013 and is commonly addressed as t R60 Felmauth goad/ " R ut�p 29 Centerville MA in an HB Highway Business ZgnlnB R1st►!F!•• p 0 t�M GNiRI.Ihs: Appeal..Numb®r t9W84 GMf�1,`tnc.•d/b/a The QIAve.Garden hes petitioned to the Zonng Board of Appeals fqr e modiflcatlon of$pedal Rerm[t No.'s 1994 04. 1995130 and 1998 4 to a116 far putdQpr :;®atlmJ and foori serviAce,The ptitionpr seeks permission to ppnstnap!en outdoor patio end asspclated seating area At3'septs with no addition►o the'total inaiiinlurri seats of 273.The propi;rty Is shown on Assessor's Map 294,Parce1042 and is coinmonty addressed as 1095 lyenno4yh'Road:tiyarrris,tVtA in an HS'Highway Business Zoping Aistrict• 8:45 P.M: ;1oHnsor► Appeal Number 1999-�5 . Hprry f= end Lucille Jghnson have tppljed to the�an�ny Board of Appa@is for a Variance to saectlen 3 1.1 c5)hulk fjegulations to permit en undersized lot of 23A00 squire feet to be bons�slii�r by�Jilble where a minimum lot size of 43,bfz0 square feet Is required•The propOity is shown an asses§pes Map 188.Partei 07B and is commonly addressed as 1241 kkimps River Road,Centorville.MA in an Rp 1 Residential p 1 Zpning piSMct. Thee Public Hearings wilt be held in the Hearing Room:Second Floor,Ngw Town Hall,�67 Main trewt, Hyannis. Mq,ssachusetts on Wednesday, July 14. 1gg0. All pions gnd epplioafiona may tit:revievygct at the Zoning Board of Appeals Office,town ofYristable, Plonnino`geparfinent,230 South Street.Hyannis,MA. Emmett Calynn.Chairman Zpning Pq.PrO,of AAppgois The 84msWh1-0 Patriot June 24 8 July 1. 1999 ra Town of Barnstable Planning Department Staff Report Appeal Number 1999-79 -Fisher Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment Date: June 28, 1999 To: Zoning Board of Appeals From: �-- `�-y Approved By: Akkie Ltsten, Principal Planner Reviewed By: Art Traczyk, Principal Planner Drafted By: Alan Twarog,Associate Planner Petitioners: Catherine and William Fisher Property Address: 152 Wakeby Road,Marstons Mills Assessor's Map/Parcel: Map 043, Parcel 058 Area: 0.69 acre Zoning: RF Residential F Zoning District Groundwater Overlay: WP Well Protection District Filed:May 20, 1999 Hearing:June 30, 1999 Decision Due:August 18, 1999 Background: The subject property consists of a 0.69 acre lot commonly addressed as 152 Wakeby Road, Marstons Mills. It is presently improved with a two-story, single-family residence of approximately 1,820 sq. ft., according to assessor's records dated 04/28/99. The property is located in an RF Residential F Zoning District and is serviced by public water and a private septic system. The petitioners are proposing to construct an 8'x 12' addition to the east side of the existing residence which will open to a proposed 16' x 24' family apartment addition. The proposed family apartment is 480 sq. ft. in area (including the 8'x 12' connecting space) and consists of a bathroom and open studio. The family apartment will be occupied by Judy McLeavey and Paul J. McPeck, sister and brother-in-law of Catherine Fisher. The applicant is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D) of the Zoning Ordinance. Family apartments are allowed in RF Residential Zoning Districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Staff Review: From the materials submitted, it appears the family apartment meets the following requirements of Section 3-1.1(3)(D)of the Zoning Ordinance in that: • all zoning setback requirements are met, • the apartment unit is under the 50% size limitation, • the unit will be developed in a manner which retains the existing residential character of the dwelling and the area, • the property owner and family member(s) are cited as the primary year round residents, and • scaled plans of the proposed addition and family apartment unit have been submitted to the file. i Town of Barnstable-Planning Department-Staff Report Appeal Number 1999-79-Fisher Section 3-1.1(3)(D)Special Permit-Family Apartment Groundwater Protection The property is located in a WP Well Protection Overlay District. The Town's Wastewater Discharge Ordinance limits flows to 330 gallons per acre per day. There is no variance relief from this ordinance. The lot, being 0.69 of an acre in area, is limited to a maximum of 3 bedrooms. The latest record from the Health Division shows that the existing system consists of a 1,000 gallon tank with a leach pit for a 3 bedroom house(see attached copy). The assessor's field card indicates there are 3 bedrooms in the main dwelling. From the plans submitted, it appears one additional bedroom is being added with the family apartment. Are the petitioners proposing to keep the same number of bedrooms at three? Staff suggests as a condition of approval, should the Board find to grant the requested relief, that the property be limited to no more than 3 bedrooms, inclusive of the proposed family apartment. The Health Division record indicates that the septic permit(#88-320)was issued in June of 1988. Due to the length of time that has passed since the septic system was last inspected, staff suggests the applicant provide the Board with a recent septic system inspection report from a qualified engineer to show the system is functioning properly and can handle the number of bedrooms being proposed for this site. The Board may also wish to consider requiring the septic system to be up-graded to meet current Title V regulations. Special Permit Findings: In addition to meeting all of the provisions of Section 3-1.1(3)(D), the granting of a Special Permit requires the following finding of facts to be made by the Board (as required under Section 5-3.3(2)): • that the application falls within a category specifically excepted in the ordinance for a grant of a Special Permit, (Special Permits pursuant to Section 3-1.1(3)(D)-Family Apartment-are permitted in all residential Zoning Districts provided all criteria are met.), and, • that after evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Suggested Conditions: If the Board should find to grant the relief requested, it may wish to consider the following conditions: 1. The family apartment shall comply with, and be maintained in accordance with, all restrictions of Section 3-1.1(3)(D) and shall be the primary year-round residence of the family member(s) residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board. 3. A maximum of 3 bedrooms shall be permitted on the property, inclusive of the family apartment. 4. The locus shall comply with all State Building Code, Town of Barnstable Board of Health and State Fire Prevention Regulations. Attachments: Application Forms Copies: Petitioners/Applicants Assessor's Card GIS Map Plot Plan Elevations and Floor Plan Septic System Permit 2 Town of Barnstable-Planning Department-Staff Report Appeal Number 1999-79-Fisher Section 3-1.1(3)(D)Special Permit-Family Apartment Copy of: Section 3.1.1(3)(D)-Family Apartments D) Family Apartment subject to the following: a) Not more than one(1)family apartment is provided. b) The family apartment is within or attached to an existing residential structure or within an existing building located on the same lot as said residential structure. c) The residential character of the area is retained as nearly as possible. d) The family apartment contains not more than fifty percent(50%)of the square footage of the existing residential structure if being proposed as an addition thereto.. e) All setback requirements of the zoning district within which the family apartment is being located are complied with. f) The property owner resides on the same lot as the family apartment. g) The family apartment is occupied by members of the property owner's family only. h) The occupancy of the family apartment does not exceed two (2)family members at any one time. i) The family apartment is the primary year-round residence of the family member(s) residing therein. j) The family apartment will not be sublet or subleased by either the owner or family member(s)at any time. k) Scaled plans of any proposed remodeling or addition to accommodate the family apartment have been submitted by the property owner or his or her agent to the Building Commissioner and the Zoning Board of Appeals. 1) Prior to occupancy of the family apartment, affidavits reciting the names and family relationship among the parties seeking approval have been signed and shall be signed annually thereafter for the duration of such occupancy. m) Prior to occupancy of the family apartment, an occupancy permit shall be obtained from the Building Commissioner. n) No such occupancy permit shall be issued until the Building Commissioner has made a final inspection of the proposed family apartment. o) Within sixty (60)days from the date authorized family members vacate the family apartment, the owner or his or her agent shall remove any kitchen facilities in such unit and notify the Building Commissioner to inspect the premises. p) In addition to the provisions of Section 3-1.1(3)(D)(o) above, upon vacation of any family apartment, the premises shall be restored as nearly as possible to their state prior to the creation of such family apartment. q) The Building Commissioner shall have the right to further inspect the premises upon which a family apartment has been vacated at least three (3)times per year for three(3) years consecutive from the time of such vacation. 3 THE ZONING RELIEF BEING SOUGHT HAS BEEN DETERMINED BY THE ZONING ENFORCEMENT OFFICER TO BE APPROPRIATE RELIEF GIVEN THE i•�-:r, C,. ;#,, CIRCUMSTANCES, TOWN OF HAMh'�'s�y zoning eoasdd of Appeals Application for eamily Apartment special Permit '99 ?ifiY L i ; .4t. Data Received M For office use onl ; Town Clerk office 71 ;` 1 , Appeal # v �.. MAY 2 �� Hearing Date o 7 Decision Due The undersigned hereby apple p '►�3LE vp f Appeals for a special Permit for the development an Ag of a Family Apartment in accordance with Section 3-1.1(3)(D) of the Zoning ordinance, in the manner and for the reasons hereinafter set forth: ' Applicant Name: 12 e 4 / J , Phone Applicant address: /s' Property Location: � 6 � Property owner: La `S P , Phone _��_ �'-��0/�S/ Address of owner: / 0/ J j Zf aPp21can differs from owner, state nature of interest: Number of Years owned: 02 Assessor's map/Parcel Number: Q Zoning District: RS [], R8-1 [], RC [], RC-1 [j, RC-2 [], RD [I. RD-1 [I. RF 4Q• RF-1 [j. RF-2 [I. RG [I. Rai [I. PR [] . Groundwater overlay District: Ap [j, Gp [I, Wp � . Name(s) and relationship of the family members to occupy the Family Apartment: Name: L . Relationship to owners: LS/�Sfer' Name: f AcAL4 Relationship to Owners: The Family Apartment is to be developed: ( � within the existing single family structure. 44 as -an addition to the existing single family structure. ( � in an existing accessory building. [ j other - please Explain: l 1 Application for Family Apartment Special permit . r r Description of Construction Activity:.--A ,- Z,Q rD/7f7 PP lP01 AfLle !O.F'i:I�ill� �S'�i��Gl/ 7i%.I S,gwe-e i,�// � DPn �7l /.L /� r .Y�S�� •�!�l/r'y Ql�lLi'��lP Proposed 'Gross Floor Area of the Family Apartm nt unit: ...... .... sq.ft The cross Floor Area of the Existing Single Family Dwelling Unit: sq.ft Do all structures, existing and proposed, comply with all setback requirements for the Zoning District in which it is located? ....... Yes . No Will this be the permanent address of the occupant(s) of the Family Apartment: .............................................. .... yes co No[: ?f no, Please P.xplaln Is tha property located in an Historic District? Yes[] No k4 Zf yes ORH yse only: No Exterior Changes..... . . .....[] Plan Review Number . Date Approved re the building a designated Historic Landmark? Yee(] No" If yes Historic oevartment Use only: Date Approved Is the property served by public water supply? Yeskq No[] Is the property on private septic? Yes DO No I] If yes Health Department Use Only: Title V System /lYea cq NO[] Date Approved 6119 Signature: cT �� y Date: Applicant or Agents Signature Agent's Address: ' GuLl yLt .Wcc Phone: S'C1 �lfZ��`l3 S% I Town of Barnstabel Family Apartment Affidavit ►MF,ul�`1P�%hP / /�Q/� �I/P___� being on oath, depose and state as follows: l.Wr reside at 15,,� �-Jf�7s/"/i�� that Z have owned since, and which is my domicile and principal residence. The property is shown on Barnstable Assessor s Hap and Parcel Number OV-3 2. on , 19the Zoning Board of Appeals, in Appeal No. granted to me a special Permit to develop and maintain a Family Apartment in accordance with Section 3-1.1(3)(D) of the Zoning ordinance and in agreement wit condition of that special Permit at the premises above. 3 The following members of my family will be the sole occupant(s) of the Family Apartment unit Names Relationship to owner: c5�'CeY Name: G , Relationship to owner: Q�jpX;,� Gi I understand that the Family Apartment: * shall only be occupied by members of my family who are persons -related to me by blood or by marriage, * shall be the primary year-round residence for the identified family members, * shall not be sublet or subleased to any other person(s), and * shall, at all times, be in compliance with all conditions of the Special Permit issued.by the Zoning Board of Appeals, including plans and commitment made in the application and approved by the Board. This affidavit shall be filed annually with the Building Inspectors office and if the unit shall be vacated by the above identified family members, I shall within 30 days notify the Building Inspectors office of that and shall immediately proceed with the removal of the family apartment unit. in the event of the sale or transfer of ownership of the above property, I shall notify the. buildinq Inspectora office and shall surrender the Special Permit for this Family Apartment. Sworn to under the pains and�p�ee��ntaltie perjury this day of �� l 19 1` Signature: eatherine AleG�ravP �I�iPr (Please Print) Name: Phone: jai Hailing Address: � aVE JUL 0 1 - 8� July 14 1999 a TOWN OF BAR caoARooF a embers of the Barnstable Zoning Board I have been a property owner in the town of Barnstable for the past 22 years. I love the town of Barnstable and the village of Marstons Mills in which my wife and I live with our two children. Two years ago we learned that my wife, Kathy, has a serious heart ailment called Cardio Myopathy which is a weakening of the heart muscle. Over time Kathy's heart condition will lead to a more debilitating condition. One year ago my sister-in-law, Judy McLeavey and her husband, Paul McPeck, moved to Cape Cod. They have been renting for the past year. Being concerned about my wife's long term health situation and the future upkeep of my home and property, I suggested that Judy and Paul consider adding on to our house and living with Kathy and me. Judy and Paul thought this was a great idea. I am therefore asking for approval of a special permit for a Family Apartment which will be added on to our existing home. Kathy and I greatly appreciate your consideration of this request. Sincerely, William N. Fisher 152 Wakeby Road Marstons Mills, MA 02648 Property Location: 152 WAKEBY RD MM MAP ID: 043/ 058111 Other LD: Bldg#: 1 Card 1 of 1 P►int Date:04/28/1999 _d, 2�- •edl.•'�l�,..7sw a�,> >a,. i`�; K U �e�_ � i �. r . .''s?��.,d x '. •t F �e ,.! �,�SY- t�.�._� m e tl .,.:H_ h�1as ih rl .a{ E"�SY l3 - '�i 4,. s�• eve u c ave escnp ion :o a Appraisea value Assessea Value 152 WAKEBY ROAD as, ep c aved REb SIDNTL 1010 82,60 82,60( 801 MARSTONS MELLS,MA 02648 gg` h ep a SMNTL 1010 10 10 BARNSTABLE,MA dd nx an! Tax Dist. 300 Land Ct# er.Prop. #SR Life Estate I S I O DL 1 LOT 13& Notes: DL 2 12B Tafti u7s,uu 4 1u7j,uut RN V44,y�8AC${ •E'y' /; �� (.. .tlF'�:�� . � SE IVN K• �_S �IP+G T'4•.1•. 7 ! 1 �$i..' �u• y� `:3 .�s?s�`t{�2c! -�,nx.,4.s m ^h:ti- n '.� .. r av 3 J'.e�n_ ra'Y3• - s erl e� a '.K4{n ,¢.9 Rasp*. Y. 'J x z-. 3k•: 'd r. od e' ASSCSSea v value r. o e, Assessed value Yr. Code Asseisea value 199 1010 82,60(1991 1010 82,60 1995 1010 10(1991 1010 10 TO 1.1 iub,uuq.41 o o , :�,,��{{ -1 . + ( '�*f �d r y" u sign re ac now ges a v y a a o e or or ssessor ear p escrip on moun Code escrip on um er ..Amountmm. Appraised Bldg.Value(Card) 91,200 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 300 a Appraised Land Value(Bldg) 25,300 Special Land Value Total Appraised Card Value Total Appraised Parcel Value 106,900 Valuation Method: 106,800 Cost/Market Valuation Aet o a ppraised FarcelValue lub,buti 0. lf f>`"A�+k. erm► issue Liale lype Liescnptlon Amount Insp.' ate Comp. Date Comp. I 4mmentsare Fuiposvicesuir essfU 5528 9/l/83 1/15/84 100 ADD'N s B2 B20212 5/1/78 C 1/15f79 100 MM 1 ST �.3 ra�4'.�"e� rs�2 �a�';. t Yce au!'a �'t �• '�� €� a,, J. r , Use Goile Description zone D ron age Depth Unitsm ce L Factor ac or Nbhd. AdJ. NOW-AaJMPeClal FnCing i1j. Unit Price Land Value Stogie am , , LandUn U.61 Ati otalLand valul , Property Location: 152 WAKEBY RD MM MAP ID: 043/ 0581 Other ID: Bldg#: 1 Card 1 of 1 Print Date:04/28/1999 r f M.. ue p+. 'fsr r f ,,J s- ,c. pP :Y .c- 'f 'i ray. :., s ,=)Et ;.7�uA. `. A.. nl.-w t, _ { 'ii: ° s..i+!2•� �n G Element Description Commercial vata Memens STY e ype o oma Element Description Model 1 esidential ea Grade C C Type aths/Plumbing Stories 2 Stories Occupancy 0 eiling/Wall oms/Prbis Exterior Wall 1 14 Wood Shingle /o Common Wall 4 6 2 all Height Roof Structure D3Gable/Hip Roof Cover 03 sph/F Gis/Cmp x Interior Wall 1 05 rywall 2 emen a Description ftactor Interior Floor 1 4 Carpet omp ex BM S 2 oor Adj US it Location 10 US Heating Fuel 2 Oil Heating Type 5 of Water umber of Units AC Type 1 None umber of Levels 20 /o Ownership 4 bedrooms 3 Bedrooms Bathrooms 1 2 Bathrooms ,, s 0 Full . a a' <•: J. • na 1.Base mate , Total Rooms 7 Rooms ize Adj.Factor .02187 de(Q)Index .01 Bath Type dj.Base Rate 9.54 Kitchen Style ldg.Value New 00,219 ear Built 978 ff.Year Built 978 1 rml Physcl Dep 9 uncnl Obslnc Econ Obslnc / ° �kF Ja ,r .r, E x. pecl.Cond.Code s�.f n s°ra 1,M,1 l V ?u 1. 61a h:�, �� pecl Cond% Go de escn lion erc a e verall%Cond, l ng a tam iuu eprec.Bldg Value 1,200 t' :� ij-,laiE3 .'f'�'+>4 daY7.n�- `u4v_.,'!. a' YG a• 74 +fE. /fZ i.lia ,h. ;'�• Gode Descnphon nits Unit Fnce Yr. Dp la MR 1p—r.- a ue e . t 1 J + - .y .. '-f H^ ti••I y VAR ¢ 1'1, e Description wing rea Toss Area Eff. rea Unit Costprec. Value First Floor ----rlu. IUY , 54,UYI FUS Upper Story,Finished 721 7 721 49.54 36,06 UBM Bssemetit,Unfinished 77 159 9.81 7,62 WDK Wood Deck 48 4 4.91, 2,4 ross Livaease Area , , Val: mu'All TOWN.OF BARN STABLE LOCATION_ /4�4 SEWAGE V 11_LAGE// . /�'l/ ASSESSOR'S MAP Q LOT INSTALLER'S NAME & PHONE NO.I�gwz z SEPTIC TANK CAPACITY IODD LEACHING FACILITY:(type)/ ea - /ood - (size) l7- x 6 PRIVATE YELL Ors "v`►^,LiC �`►AT,�I: BUILDER OR OWNER M 11//AAt iO'-0'/s1`//e< DATE PERMIT ISSUED: 3 . DATE. COMFLIANCE ISSUED: - '7= VARIANCE GRANTED: Yes No i i �y ti kk THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF......................................................................................... i Appliration for 104ripoottl Varks Towitrurtioic Permit Application is��hereby made for a Pe R� Permit to Construct ( ) or /pa-i (16an Individual Sewage Disposal System at: G liv/ /L _------------------------ f. 'on ddreaf or Lot No. ---........---•--------------------------------. ----•-------........_,..11._..._..---•--•--•---••---•_._... a �r'� 1 °� _..... ....r Sl /.1/�.,,_,�".r,a�....---...-•-----------•-------..... Inatallcr Addrm Type of Building I Size LcI4[o" Sq. feet U Dwelling—No. of Bedroom .........................__....,......._._..Expansion Attic (A ). Garbage Grinder Other—Type of Building . ................... No. of persons............................ Showers ( ) — Cafeteria ( ) a+ Other fixtures ............................ W Design Flow........... ......................gallons per person pey)ay,. Total daillr low............ �2-.v...............gallons. fs5 Septic Tank—Liquid capacity. °'Z.galluns Length.......:.......Width../.. Diameter................Depth................ W Disposal Trench—No...................Width .Total Length............... Total teachin arm....................sq.ft. Seepage Pit No........ .......... Dinnictcr.......L9........ Depth below inlet.....A(e..........Total Icaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ti. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ o ................................ ............ ...... Y.... ,J Description of Soil._....... r ....•........... .... . _ _ UNature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescrib Indiv• ual Sewage Dis os stem in accordance with the provisious of TITLE 5 of the State Sanitary Cod Th erslgne rt, r not to place t' system in operation until a Certificate of Compliance has bee s e Ire b a� Signed.. Due Application Approved By................ ..........G?.. Date Application Disapproved for the following re onll:...................._............................_.._..._._......__...._...._...._.._..__..............__.._ .....................................•-•-•--..._............-----............----......._....._..-__........._..---•--_......_............._..........................._..............----••----- Date Permit No...... Issued..._......................................... _ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF r Tertifutttp of Tompliatta THIS IS TO CERTIFY, That,the Individual Sewage Disposal System constructed ( ) or Repaired �, J ., rmlaBcr . at_..................:.............................:......r/.........-.._.........._.__...........•......_........_....._.....................---........_...................................... has been installed in accordance with the provisions of TIT'. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._...`.:..'_.•:...�._ ..1.._....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CbNSTRUED.AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................6..7...)..7. 1_.`Z......_...........— Inspector.......... .1.ID.................................................._... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH y 1 NO...•:11..: rt.�' FEE._t .............. lRispan! Vark,i TaniAruutinn Permit QPermission is hereby granted...........i.-•..............;:.1------./.... ...... ....................... to Construct ( ) or Repair 4,11 an Individual Sewage Disposal System atNo............ .: ... ..........1LCr..:.:`��.: .....1..c. ):k'.......!11.......-'..........................X......................................................... \� Street as shown on the application for Disposal Works Construction Permit No.- o.n'..j�<:.•.'Dated..._..................................... ..............................c........� ..................................._.................. Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS / 1 Lij APO -12 5,2 w o , 52-7' wvu #75 ' '"1 - ; 300 FT. BUFFER 0 1-1 , - _ , 5rg 52- ' D 1-14 #IV wwu 0 1-1 l� t #o r IR�"� r IAN13), #IN S S , #115 it41 � / ryy'v 4k3h S Jul '14 t Juo , , 22 - 2. 1 1 " / 1� D 21 1`' r 31D fns r 43;3 JwQ � #23 ' #)61 X-� '16 -37 Awn - 1 # ,. 0 MAP 43 PARCEL 53 N Katherine & William Fisher , E s SCALE: 1"=150' "OPEN SPACE° H O M E S T E A D S U@ D I V I S I O N N�g'0844�.E 120.00' 13 NOTE: TD 5-1.38 N PROPOSED ADDITIO 0013SERVE SIDEUNE Zg9.21 1' SETBACK ( MIN 15" ) ON 57.35' ) THIS LINE PER BUILDING o INSPECTOR 5-17-99 J4•45 w000 y'o d' t 1 DESK: 0• w?' 1 No 152 m � 1 J• NSE ir. J 1 I Z 1 m 0 3' m 1 J N' 128 I £ RESERVED FOR I `O, 121jt 3 ROAD ROUNDING 0 p}0 SF NS PER RECORD p1� 132.54' 1 81.64' ' 214.18' TO 43.36 .W S 84'16L22" W 1 250, S R O A D 19 67 188.03' ID _ �- 'a Y,. -- r��H U7rivi N O T E S T!av11;1 e�✓afi RECORD PLANS LOT 13 - PLAN BOOK 309 PAGE 75 LOT 128 - PLAN BOOK 366 PAGE 42 FOUNDATION LOCATION DATE: MAY 12. 1978 ASSESSORS MAP 43 PARCEL 58 CERTIFICATION UPDATE: APRIL 28, 1999 ADD PROPOSED ADDITION TO DRAWING: MAY 18. 1999• CERTIFIED P40T PLAN LOCA715N: LOT J 2B & 13 WAKEBY ROAD MAR$TONS MILS, MASS. SCALE: 1° = 46' DATE: 05-18-1999 1 CERTIFY THE EXISTING STRUCTURES SHOWN ON THIS PLAN PLAN REFS: PL BK 309 PG 75 COMPLY WITH THE SETBACK REQUIREMENTS OF THE TOWN OF PL OK 366 PG 42 BARNSTABLE AND ARE NOT LOCATED IM7HIN A FLOOD ZONE. *SEE NOTE RE BUILDING INSPECTOR'S LOT SIDELINE INTERPRETATION BAXTER & NYE, INC. C REGISTERED LAND SURVEYORS S I�•i^ 1 _ 1 & CAVIL ENGINEERS 612 MAIN STREET THIS PLAN IS NyT BASED)ON AN INSTRUMENT SURVEY AND THE OSTERVILLE, MASS., 02655 OFFSETS SHOUL SOT B• USED TO DETERMINE PROPERTY-LINES. APPLICANT: JUDY McLEAVEY O 'p N ,I � o C.1 �PtN To rx!;11u6 r FOUN4ATlpf� Exos-rlujc, koos �L / v WM. FIS�IC-� 1`)R(-S-r 0 N S rV, SC/4 2x IZ P\ID�E CooTiOVOVS P lt)6G VC Tr . .- R-� Fi�3E fLG L-flsS 9A---rT5 AS('EfRL,T sNI W i-C-5 0V1=p 43-1$ FELT 9,4PER2 ( ILC W.Ni9RZ 9AaRR\Ep. Al- EAVCS E \ VA-"'Ln 5 ZXID RAFTERS t6'� O.G. !k„pL,',)CvD ' LIWATH\0 (. -- L v.6wTGD t)R\P etx6L; (L-1') FVNER-GLA55 0A-rr75 c6DHk SAiocsja> OVER -TYV6K ►IwSEIJPW' _ T yz PLYWOOD SgaOW u 7_+c4 sTV 05 16 O.C. d T£C, PLYWOOD SU5fL OR IZ\c\- U'1T -5 C-,WeD f IJAlI�tO TO 7o�sr5 z,cio �a�sTs iZ-" o.C. �_ Zx� PRLSSVRE TREATt'� SILL � 8" cOWCRGr�'.�o�uogT�o�/ 10" cANCRTG FOOri j(. wrn F�SNc� \SZ WaKGl3y ��• Ml�R.S O f I\^ 1.L5 MA oz- ,4 Ric,HT cL,cVA- (00 E+ciSTItJG I�UUSE NOpOsed Abbiriod exlsTojG !-louse wr\ 152 M,A .Sro OS rn° c.s , REAR C-LEVP,T10K) l2 1 / —1 - IL PITCH EXIST(06 HOUSF i %XI STt uc, KoUS c I i P2.OPO:c:D f�D�I r�O�J FROPoSG p. At�DltlO� EAUTi i.U6 bECK WM. F151IC(Z Isi wA%ke-%W Rh r,.a25�ous rlllL-LS / -nA- 0-L6, SGALE ° Ylf r F P-O VAT, I=L L V-4T►o ti ?NoV'05Gb ADDITIOU ' IZ -�- iZ oit�rl IZ EXISTI►JC-1 NOUSG WM. FlSNER ISZ wAKe3�' R �. �/IAQ.sn,OJs v- LL5 , rm A oz.649 , 0 Ooj '. o o j o I-xI5T DECk - L O PRopo; PRoFoSe A00111 oM I 4DITION I I Ir 4 O I EX�s�IQC, NovsC �.o' —o' ,SCALC--: IS2 w9��3Y Rh MAP-5-TOWS 0111U. 5 I NIA o2-(.qe • G J t � 1999 1 F�ll �i ;-'N OF BARNSTAg�,� OF APPEALS ., We, the undersigned abutters of 152 Wakeby Road, Marston Mills, have no objection to the proposed family apartment to be constructed at the above address. Name Address Phone # �6CA ► Id- S ? J,-Q :e.t t)J A. M - yzb b QOs—. / WAc,?\l Lew) . 4 Assessor's office (1st floor): tNE Assessor's map"and lot number ........ .. � l ...... SEPTIC SYSTEM MUST °� •TO`; -Board of Health Ord floor): a INSTALLED IN COMPLIA Sewage Permit number g .... ..... WITH TITLE 5t EASd9TODLE. i Engineering Department (3rd floor): ENVIRONMENTAL CODE •� MM9 t6}q• House number �t ..........1.- r i.... ..... oMAI T0�', N REGULATIONS APPLICATIONS PROCESSED 8:30:9:30 A.M. and 1:00.2:00 P.M. ,only TOWN ,OF ,_':1*1RARNSTABLE BUILDING. " I.NS,,PECT0R APPLICATION FOR PERMIT TO .............j U>VJA-,......... .`....... y. �? TYPE OF CONSTRUCTION ......... ..........................,9'v!!i............................................................. ................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 15 c), ti 12$6 6/� Vlk= M&Y-SETT i�t.LLL9 A� az(b ........................................ ................. ../.................`................. ProposedUse .............................................! ►.. V!!y..... ......V.. ............................................................................ k' Fire District �JLi.c-�" �T�CU7 itir✓ Zoning District ..................................................................... .............................................. �� 99 Cam' S 152 ✓u -vu i Ld..� Name of Owner ......t!`!.�.......��!d1!�...��... ............Address .........................�<G�[ Name of Builder .......... Address �� 1�, (K ' .l 3 cvr tot rn I 6 U076� — etC Nameof Architect ................................................. .............Address ..................................1.-!" tiI.............................................,.. Numberof Rooms ................................................................'..Foundation ....................... .-L-.�e�G.................................... . Exterior A — q.7�e.LL ......................................:............................................Roofing .................................................................................... Floors Interior ..................................................................................... .................................................................................... Heating g ......� ........ .... .� ..............Plumbiri ...................:............................ Fireplace ..................................................................................Approximate Cost .................. <....../................... .. Definitive Plan Approved by Planning Board ________________________________19________ . Area ....�%�v....................... Diagram of Lot and Building with Dimensions Fee ....A; SUBJECT TO APPROVAL OF BOARD OF HEALTH r P"to P05(D a c CAJ ►q'K "� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... tl�.�.i ........ ..... `r ? ....... Construction Supervisor's License o3.4/1 07............ FISHER, WILLIAM No ...29061 Permit for Build Addition ........... .................................... Single Family D ellin ........................ ........... ..................... Location ......152 Wakeby.. ......................... ................... Marstons Mills ............................................................................... Owner .....William Fisher ....................6....................................... Type'of Construction ....F.r.,am.e..................!......... ................................................................................ Plot ............................ Lot ................................ , Permit Granted March 21...............19 86 ......................... 6 0 ::v -. (a........19 Date of Inspection Date Completed .................F-7.............19 > 0, rj 0 'A Assessor's office (1st floor): /! Assessor's map and lot number 7 l.a5F...... Q�OFtNETO� Board of Health (3rd floor): Sewage Permit number ......................................'7 .>,•. ...... 13ASH9TADLE, J Engineering Department (3rd floor):, r �(� 90o rb q. ♦� House number ••� o.. OYpY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only, _ t TOWN OF BARNSTABLE BUILDING INSPECTOR . t �•, 1 APPLICATION FOR PERMIT TO �! L� I Il j � .............. .....................:.......... ....................... .. -��(,�- TYPEOF CONSTRUCTION ...............................r..................................................•.............................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......................... ......W.� ...........................................'!...............T...... .. ,:..6.......v.: ........ Proposed Use ............................................................................................................................................................................ Zoning District ....fire District `j Name of Owner ............. Address ........................ v�/..r�f.............................................. �✓C T IC (3� 17�,�� .2r c1'nI �l G11� GK Nameof Builder ..................................................�?" .......Address ......................................r�.......�.........�........ Name of Architect M ( �� Address -}-Y-3'aM! S�v(� .....................................�................... ''lkj v.. ............... ................................ aC4,/ Numberof Rooms ..................................................................Foundation .............................. ............................................. Exterior ....................................................................................Roofing ..................................................................... ............ Floors Yt. ...................Interior ... ...................................... Heating ............................ ..............................................;.Plumbing ............................. ....:.......................................... i Fireplace ...........;... ..........................'.....Approximate Cost .................. .... �� .............. . ... Definitive Plan Approved by Planning Board _______________________________19________ . Area Diagram of Lot and Building with Dimensions Fee .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r � � 0 e /ST I map i - J. V J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ilk ...................................:............................................. d3 C • Construction,Supervisor's License ........,!...........7............ FISHER, WILLIAM A=43-058 29061- Build Addition No ................. Permit for .................................... Single 'Family Dwelling ...................................................................... Location 152 Wakeby Road .............................................................. Marstons Mills .............................................................. ................ Owner William Fisher . ................................................ .................. Type of Construcition .....Frame..:................... . ........ . ........................................... ............... ................... Plot ............................ Lot Permit Granted ......Xarch..21.,..............19 86 Date of Inspection ............ ......................19 Date Completed ......................................19 Assessor's map and lot number C��!. 7./C fQ4 ' ThlrFY - �oF THEroe♦ jSewage Permit number,........................ ............................. �p d�Q R� /�' , r p �A /3 /2 U Z BAUS'TODLE i House number ;. Oe Ke 6, U ,/ /� a .......... r ........ ...... .... ............. ....... i639• �0 MAY a. .TOWN OF , BARNSTABLE . BUILDING.':-JNSPECTOR ..� G�t7r fti°S� ehc APPLICATION FOR PERMIT TO ...........�............. ..j........ .....q........................� �.:. � ..l°:........ . ........... ..... . U TYPE OF CONSTRUCTION ...........................................Du'```.�`.` 'r...................................................................:.... r ..........sip ......i. .........,9.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a ermit according to.the following information: Location .............(..5 :.....W��.`.-:e......Y.... ..........vC� ... ... . �...Y..` 4.c../.. :...................................................... Proposed Use .......... .....)ex C:� ....... IIYJC' (. ^d ;5 :...................................... ....................... ................................ Zoning District ...... P'!W Vc .................................Fire District ....... !^ .f 't..... �................. Name of Owner .. ...........................Address ....l.s ..... a. � ...!.':.fit.:.......................... wed Name of Builder ......... �................................:. ...............Address .................................... Nameof Architect ......... ....Address.f!.(.°- ................................ ............................................................................. r Number of Rooms ........... .................................................Foundation .....5� �$ �: �...................:. ............................ Exterior .........ppoC�..s. iwy.!.pS:...............:.................Roofing ...........��.5. 4 .L. ..`7-i:. �'�rG (4 sS............... (!'fi /a f .......Interior ......4(r c,� C-�! r 7 Floors ..........+._.......... ...C-.....f................................... / Heating Kl.a ....`.'✓.Q.! .�:....� ......8.(... ...................Plumbing ......4x . ...... .!..'S... Fireplace ............. , ....................................................Approximate Cost ...........QC �yr..o. ................................ Definitive Plan Approved by Planning Board -----------______-----------19_______. Area ...... ... Diagram of Lot and Building with Dimensions Fee .................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r t� •�d gym-• � �' 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. r � Name ........ ....... .. ... ........... ....................... .................. Construction Supervisor's License o C(? FISHER, BILL No ..2,5528 Permit for .,ADDITION ............. .... Single Family. Dwelling... Location 15.2 Wakeby. Road...... Marstons Mills ............................................................................... Owner ...Bi.11 Fisher Type of Construction .....FIPPJX........................ Plot .............::............. Lot ................................ Permit Granted ..Sept... 13................19 83 C � r Date of Ins O14 pection 'Z*'7�0................19 Date Completed ... ... ........19 t a Assessor's map and lot number .<.:........;.. , d�'�`�'�`C tiU . . L. le.�.A• 7- 13 -F3 - fz'� Th.�c=� <� ) caC�`.Foo�yt o° yo�7MEtp`� Sewage .Permit number..-....................................................... S� �v�s / 3 G� F�U Z BASB9T1\DLE. i House number._........................ '°0 639 e�+ . :... .......... ?...............v , ....... OM a� l .TOWN * OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Vdr „7 fSC<l.... c h, TYPEOF CONSTRUCTION ........................................................... ......................................................................... -.� ..........s.. ...?...:.......................,91 TO THE INSPECTOR OF BUILDINGS: " The undersigned hereby applies f/or a permit accoo/rding to the following information: Lljg_Location ................................................................................. .................. !..5..........!....... ......................:............................... ProposedUse .......... ..... <F..... . ........ .. ...,dr1..y..5 .................................................................................. , ................ Zoning District ...... ...P2v.r4.....................................Fire District .......L GVS,1::c�:.s....V`�E ��L............................. Name of Owner <.rf.. .SG,+ C'c-. . ..............................Address ..... ...... c`/c P1!......... .......................... . r : � WrName of Builder .........: z...............Address ...... .5.. ... ... I .... Name of Architect ......... .wA .i°..V .....................................Address ......5 cr wee ............................................................... Number of Rooms ........................................./ Foundation P �� .n............... `........ .................................... Exterior (a�0 0 5 r r.G !�5........................... s ��h I �i.hc°..7 ss................ Roofing ......../....../............................. Floors GV e. .......................................... Interior 4 (r c Cv Heating ..... ...... 7......0.!.........................Plumbing ...................... .l.�� e �......1 19 S41 t rs... �. .....................................................A Approximate Cost t) �.v..�..................... Fireplace ............. .8?�.�'. pp !?�.....�. ........... Definitive Plan Approved by Planning Board ----------__--_---------19______. Area �/.6 `'. ... `�.. .... Diagram of Lot and Building' with Dimensions Fee .................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH V , I� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above _construction. s Name ...... . ' ,...�...� ................ N.. V 0 ��Construction Supervisor's License ......................... .......... FISHE , BILL A=43-58 2552 ADDITION No ........... ..... Permit for .................................... ...S. ng..�..F=Uy...Dw.ell1ag.............. Location ...1. .2 Wak! bj?y ..Road...................... M stons Mills Owner .....'Bi 1 Fisher ..................................................... Type of Constr ction .FramQ ........................... .................................................... Plot ................... ........ Lot ............................. Permit Granted Sept. ........... 13, 1'9 83 .... ...................... Date of Inspection ...................................19 Date Completed ... ..................................19 �( wz) � - o i i Op 111E Q ; BARNYrABL& MAPA i67P f0 MP11i Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal Number 1999-79 -Fisher Special Permit Pursuant to Section 3-1.1(3)(D) - Family Apartment Summary: Granted with Conditions Petitioners: Catherine and_William-Fisher Property Address: C� 152 W bkea y Road,Marstons Mills Assessor's Map/Parcel:—Map 043, Parcel 058 Area: 0.69 acre Zoning: RF Residential F Zoning District Groundwater Overlay: WP Well Protection District I Background: The subject property consists of a 0.69 acre lot commonly addressed as 152 Wakeby Road, Marstons Mills. It is presently improved with a two-story, single-family residence of approximately 1,820 sq.ft., according to assessor's records dated 04/28/99. The property is located in an RF Residential F Zoning District and is serviced by public water and a private septic system. The petitioners are proposing to construct an 8'x 12' addition to the east side of the existing residence which will open to a proposed 16'x 24'family apartment addition. The proposed family apartment is 480 sq. ft. in area (including the 8'x 12'connecting space)and consists of a bathroom and open studio. The family apartment will be occupied by Judy McLeavey and Paul J. McPeck, sister and brother-in-law of Catherine Fisher. The applicant is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Family apartments are allowed in RF Residential Zoning Districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 20, 1999. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 14, 1999, at which time the Board granted a Special Permit for a family apartment subject to conditions. Hearing Summary: Board Members hearing this appeal were Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn. William Fisher represented himself and his wife, Catherine. Also present were Paul J. McPeck, Mr. Fisher's brother-in-law, who will be living in the Family Apartment; and their builder, Greg Varjian. Mr. Fisher addressed the Board and explained that there are currently three (3) bedrooms in this house, but one of the bedrooms will be converted to an office. The Family Apartment will have one (1) bedroom so there will be a total of three (3) bedrooms. This is in compliance with Board Of Health Regulations. Mr. Fisher stated he understands, and is in compliance with, all the requirements of Section 3-1.1(3)(D)of the Zoning Ordinance. Public Comment: No one spoke in favor or in opposition to this appeal. Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-79-Fisher Section 3-1.1(3)(D)Special Permit-Family Apartment Findings of Fact: At the hearing of July 14, 1999, the Board unanimously found the following findings of fact as related to Appeal No. 1999-79: 1. The petitioners are Catherine and William Fisher. The property address is 152 Wakeby Road, Marstons Mills, MA as shown on Assessor's Map 043, Parcel 058 and is located in the RF Residential F Zoning District and the WP Wellhead Protection Overlay District. 2. The petitioners understand and are in compliance with all of the requirements of Section 3-1.1(3)(D) of the Zoning Ordinance. 3. The family apartment unit is under the 50% size limitation. All setback requirements.of the Zoning Ordinance are met. 4. The application falls within a category specifically accepted in the ordinance for a grant of a Special Permit. Family apartments are allowed in the RF Residential F Zoning District as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. 5. The relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. Decision: A motion was duly made and seconded to grant a Special Permit for a family apartment, subject to the following terms and conditions: 1. The family apartment shall comply with, and be maintained in accordance with, all restrictions of Section 3-1.1(3)(D)of the Zoning Ordinance and shall be the primary year-round residence of the family member(s) residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board. 3. A maximum of 3 bedrooms shall be permitted on the property, inclusive of the family apartment. 4. The locus shall comply with all State Building Code,Town.of Barnstable Board of Health and State Fire Prevention Regulations. The Vote was as follows: AYE: Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn NAY: None Order: Special Permit Number 1999-79,for a Family Apartment, has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20)days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. Emmett Glynn, Chairman Date Signed Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider, Town Clerk 2 oFt r Town of Barnstable do BARNSPABLP.,+ Regulatory Services '0'Fc 39. 00 Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 4, 2005 Mr. & Mrs. William Fisher 152 Wakeby Road Marstons Mills, MA 02648 Re: Family Apartment Dear Mr. & Mrs. Fisher: Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office by May 2, 2005. You are required under Section 3-1.1(3)(D)(1) of the Town of Barnstable Zoning Ordinances to submit an affidavit annually indicating the status of the family apartment. Failure to submit the affidavit is a violation of your Special Permit and may result in your loss of the rights granted therein. If you have any questions, please call Lois Barry, Division Assistant, at 508-862-4039. Sincerely, Tom Perry Building Commissioner Enclosure jfamapt L.,.Baiwtable Assessing Search Results Page 1 of 2 "KE wPv No rr,� �F�! +. .t✓ [., ! r•,try t Zen +j 1f i,f Home: Departments:Assessors Division: Property Assessment Search Results 152 WAKEBY ROAD .a Owner: FISHER,WILLIAM & CATHERINE Property Sketch Legend Map/Parcel/Parcel Extension 043 /058/ �' V Mailing Address {A FISHER,WILLIAM & CATHERINE98 j ��` ,} l& t'w �r }: M; it „, C/O WENDOVER-BANK ONE tF1' (BA%E f 1 Sa v BIS� - r c, DURHAM, NC. 27709-3909AV 41' ' 2005 Assessed Values: D Appraised Value Assessed Value Building Value: $ 199,600 $ 199,600 Extra Features: $4,500 $4,500 Outbuildings: $3,200 $3,200 Land Value: $ 157,100 $ 157,100 Interactive Property Map: ap requires Plug in: iCIL�F-oi,, Totals:$364,400 $364,400 1 have visited the maps before Show Me The Map ��• April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: FISHER,WILLIAM &CATHERINE 2624/226 $0 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $66.14 Town Fire District Rates Other 1 $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $368.04 C.O.M.M. -All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $2,204.62 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $2,638.80 Due to rounding differences these values may vary http://www.town.barnstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 4/4/2005 i.,Barnstable Assessing Search Results Page 2 of 2 Land and Building Information Land Building Lot Size(Acres) 0.69 Year Built 1978 Appraised Value $ 157,100 Living Area 2332 Assessed Value $ 157,100 Replacement Cost $221,762 Depreciation 10 Building Value 199,600 Construction Details Style Colonial Interior Floors Carpet Model Residential Interior Walls Drywall Grade Average Heat Fuel Oil Stories 2 Stories Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 3 Bathrooms Total Rooms 9 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value APTX Extra Apartmt 1 $4,500 $4,500 SHED Shed 384 $2,700 $2,700 SHED Shed 64 $500 $500 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area (Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area (Finished) UHS Half Story (Unfinished) CAN Canopy , FUS Second Story Living Area (Finished) UST Utility Area (Unfinished) FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story (Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story (Finished) 14 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 4/4/2005 TOWN OF BARNSTABLE"BUILDING PERMIT APPLICATION D,5'$ Map d Parcel % Permit# Health Division j 7'� T~` Date Issued 2 2 -�I O Conservation Division ) Fee Tax Collector. ' J Al Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis OProject Street Address U�— I Village All + Owner 1 ��1% S�,�P� P�/9P C e dress 1" ,/S 4011, `(�� Telephone Permit Request Square feet: 1st floor: existing` proposed 2nd floor: existing proposed Total new Valuation ��OQ• O d Zoning District F Flood Plain Groundwater Overlay , Construction Type U 0 y"Yw�'►� Lot Size . O�O S,,---f Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Qa Two Family ❑ Multi-Family(#units) Age of Existing Structure eqlob Historic House: ❑Yes XNo On Old King's Highway: ❑Yes 1No Basement Type: Full ❑Crawl ' ❑Walkout Cl Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing / new First Floor Room Count Heat Type and Fuel: ❑Gas AOil ❑ Electric ❑Other Central Air: ❑Yes $,No Fireplaces: Existing New Existing wood/coal stove: ❑Yes XNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:Cl existing ❑new size I Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial "❑Yes ANo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �(,y�Pi�/ Telephone Number Address License# AAKS jZMJ �s �'I` Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. — r DATE ISS ED ,, ' MAP/PARCEL NO ' ADDRESS, VILLAGE y - a OWNER , I µ DATE OF INSPECTION: FOUNDATION FRAME _ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r � ' d PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. i" ; 11he Town of Barnstable 9` ►`e� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 , _ • Rai eh Crosse Fax: 508-790-6230 Building Coramiss; Permit no. i Date _WU d6 Q d AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,moderaization,conversion, improvement,remova[,demolition,or consunctkM of an addition to any pre-existing owner-occupied ,building containing at least one but not more than fmw dwelling units onto structures which are adjacent to such residence or building be done by registered cantiacnors,with certain exceptions,along with other requirements. Type'of Work ,;- Estimated Cost Address of Work_�So� I/(/�'A0 Owner's Name: &0111�v L Date of Application: 1 & I hereby certify that Registration is not required for the following reason(s): p Work excluded by law CjJob Under SI,000 pBuilding not owner-occupied MOW=Pulling own permit Notice is hereby.given that: OWNERS PULLING THM OWN PERMIT OR DEALING WITS UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT.WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR.GuARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as.the agent of the owner: Date Contractor Name Registration No. 0, o 0 OR G7" Date Owner's Name q:forms:Affidav �= The Cvmmnent of In&uvid Accidents . c�, __: =�� D� O�caatla�es7laas rx 600 Wasidogton Street Boston,Mass. 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As quoted from Sue, - . . -� - - • cf hire. e:�'pTess or implied, _ -. . association, corPoranO�or other legal entity', or and-��m0^ emplvt�er is defined as as individual,parmerShiP, of a IIII ed einplov er, o. e andmcludm*the per the ooener o=a _ �e foregoing ended in a joint�association or other legal e� employees. Honer -- of an individual, parnnership, ass ' tb�,:or the occupant of the dv'el"n=ho''� dwelling house havmg not more than three aparur�s who or repw p on sQrh house or on the you: toys persons to do , construction ,nmher who atop shall not because Of s� be dew �P building apPurte=:t a sho withhold a issuance 2 section 25 also states that every state or local kt;� ��th for any aPP iicant wnc- -- MGL chapter 15 't to operate a business or to const:'act bm�Ps - Additionally, a,,c�=r tnr of a license or perms p Ranee wit the�ce�P r of work u•- not produced acceptable evidence of comp -act£osthe subdivis M _ anted to - c otmealth nor any of its political ��° `s shave been pros tn.. co,-ntn liana with the iasar•�ce acceptable evidence �P authority. Avg M ?y /,/ / - Applicants -' �your��and -*ft jug that applies • be the , cotapeasatio� by aft as all atadavits may .. is Worl�rs : Phase fiIl aCY��ass es mmibes alarm$wrdt•,tia aft Also be sure to si=u l��Dep�memt Gi Industrial A� eu��Hion�rtb.'pit o`uc=se . affidavit should be to the ff�nlhc �the "law" or .. date the af$davit• Accide . questions being requested,not the Deparn =ai'Ia ��. member listed bemw• . • - - • waders c®pp 9,*& ,..,.. .. are required to obtain a _ _. __ .;, - - / IM City or Towns _.. .. as the bottam c::- a ac: the af$davrt is and painted Y• 'lie D theme.applic m P"I c P:ase be sure that fM o=kthe eveatthe Offux rcpra bu tD�Q The nits may be amdavit for you wii lb.usalas a V- _ Ce sure to f0I m the pe have�erama� the Deparaneat by mail or FAX - would MW to thank you m adva>� °°a CO operatioa and should you hay'"2nY VcMc'= T ne O Ce of Investi_srat* _ give us a ca]L ,- do not hesitate to _ /,,�:,;:: in ephane dad fax number: Tne D��ncat's addms,tel The COMMOnweldth OfMassa�� Department oi�s�� of Oates 600 Washington Street Boston,Ma. 02111 far 0: (617) 77.7-7749 _�.:..e a• 16171727-4900 exL 4069 409 or 375 ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57Isq. foot= GARAGE (UNFINISHED) square feet X=/sq. foot= PORCH square feet X 520/sq.foot Od DECK square feet X$15/sq.foot= OTHERsquare feet X M/sq. foot= Total Estimated Project Cost I �es ,uc e SP �x 8 ro Jos /o "sauna. z/ud�r ��i - � � � i j i. 1P�j ;�� x J�� ' �' L�� ✓ i ,, ��b .-f�,r=- !, �/ F. SPi�j'� /K n :. �� , � , ,, , � ,= � :!� -�.. ��' i , l� i '�, � ;,\ �: �� `�; � .+ �; �. . �; . ,�, � . . . . i i i j :,,,. - - -�, . � r ��, ;- �I � ,:. 1 :; o v �, _ . -- _ �y •^� �� : °FVE'O`ytio Department of Health Safety and Environmental Services Building Division BARNSTABLE. = 367 Main Street,Hyannis MA 02601 KASS. 9 ra?q. 16 Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ` JOB LOCATION: street village number 4- "HOMEOWNER � one# work phone# name CURRENT MAILING ADDRESS.- S d city/town state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage as individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER or is Persons)who owns a parcel of land on which he/she resides or intends to reside+on which there n intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible t. for all such work performed under the building-per (Section 109.1.1) The undersigned"homeowner"assumes respo nsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said proc ores an requirements- %'��Pr/' Signature of an Approval of Building Official Note: Three-family dwellings containing 35,06b cubic feet or larger will be required to compiv with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors):provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.^ Many homeownf:rs who use this exemption Ve unaware that they rue assuming the responsibilities of a supervisor(see Appendix Q.Rules&Regulations for Licensing Construction Supervisors section t�21�o is lack k of awarenessp often results in ceed against the serious problems,particularly when the homeowner hires unlicens.d pets unlicensed person as it would with a licensed Supervisor. The homeowner acting as supervisor is ultimately��Pp�of the permit To ensure that the homeowner is fully aware of his/her responsibilities,many application,that the homeowner certify that he/she understands the responsibilities of a supervisor. On the-last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certiftcation for use in your community. I i Q:FORAIS:EYEMPTN r Town of Barnstable F1ME 1p��O Regulatory Services Thomas F.Geiler,Director 9lA MMAMA. Building Division 1639. �0 ArE0 MA1 a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 4IL�law� _ PERMIT# FEE: $ SHED REGISTRATION 120 square feet or less S2 VJP�\ek\�D 0 9of NO e5 AJ Location of shed(address) Village. Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? i Old King's Highway Historic District Commission jurisdiction? I.?cj� Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 f The Town of Barnstable �� enaxsr�er�. • P � Department of Health Safety and Environmental Services Eo " Building Division 367 Main Street,Hyannis.MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner MEMORANDUM DATE: October 13, 1999 TO: Mary Blake,Assistant Accountant FROM: Kathy Maloney,Office Assistant RE: Refund of permit fees Attached is a letter requesting a refund of a building permit fee. The permit was never exercised and has now been voided. Copies of the canceled check and voided permit are attached. Please let me know if you need any additional information. cc: William Fisher Q990909A To. Town of Barnstable Building Department From: William Fisher Date: Oct. 8,1999 Re: Request to cancel building permit. Please find enclosed a copy of the cancelled check for building permit #37527 and the original building permit. - It is no longer my intention to build this structure and J am requesting. a reimbursement of the building permit fee of $31.00. 1 thank you for considering this matter. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM ^�c� C DATA UPDATE PERMIT RECORDS: ADD CHANGE DELETE PRINT FEES HELP END CHANGE ,RECORDS IN PERMIT TABLE, PEN'TAPIATiON------------------------------------------------------------ 10/13/99. PERMIT: NO. 37527 PARC%li, 'ID 043 058 152 WAKEBY ROAD PERMIT TYPE BUILDA NEW BUILDING PERMIT ACCES DESCRIPTION 16X24 SHED/BARN STATUS 0 PERMIT VOID/FEE REFUNDED . APPLICATION DATE 04/02/1999 DATE ISSUED .04/02/1999 EXPIRATION DATE DATE COMPLETED MASTER PERMIT VARIANCE VALUATION 10.000. 00 BOND 0. 00 CONSTRUCTION TYPE 437 GROUP TYPE 1 CONTRACTORS OWNER PROPERTY OWNER ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON—PROPERTY RELATED PERMIT. CTRL—I FOR HELP. . s 'TOWN OF,jBA'RNSTABLE BUILDING PERMIT PARCEL ID 043 058 G20BASE ID 2661 r ADDRESS 152 WAKEBY ROAD ;.' ` PHONE MARSTONS MILLS ZIP LOT 13 & 12 BLCYCK L.T SIZE DBA DE EL PMENT DISTRICT CO "PERMIT 37527 DESCSIPTI 1 X24 S ?D/BARN PERMIT TYPE BUILDA TIT N BUIL ING PE IT _ CES CONTRACTORS: PROPERTY OWNE Department of Health, Safety ARCHITECTS': and Environmental Services TOTAL FEES: $31. 0 �TME BOND $.0' CONSTRUCTION COSTS �1 ,000.00 437 NONRES./NONHSKP ADD/ 1 -it"VATE P '' ?BARN3I'AB M MASS. 03 A�O� ' FD MI�►I BUIL/654DIVISl01V� BY DATE ISSUED 04/02/1999 ' EXPIRATION DATE — TOWN OF thRNSTABLE BUILDI G PERMIT ,PARCEL ID 043 058 CEOBASE, ID 266 i ADDRESS . 152" WAKE$Y ROAD PHONE MARSTONS 'M:ILLS �, Y zIP LOT. Z` &;12 DBt .a DEQPIEN ' �. I ?'RIGT CO _' RMIT 37527 . _ EStxPT024..: EO/BAt. PERMIT" TYPE DUILDA TITF4E, NEVI BUIL�ING P RAT ACCES !CONTRACTORS: P 2OPER . •`OWN � � - ` —�Department of Health, Safety AcHITETS; and Environmental Services I TOTAL FEES: INE BOND "'° .0,0 CONSTRUCTION CZSTS 1 ,_000.00 ` ,437- -_ _.N014kES_� 0 P. AAD 3 ,4 .y } P VAT8 P �: grABM + MASS. l 1639: BUILMN DIVI�"IO .DATE. ISSUED 04/02/1999 EXPIRATION DATE } , THIS'PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK,OR'ANY PART THEREOF„EITHER TEMPORARILY OR PERMANENTLY..EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLYB PERMITTED UNDER THE BUILDING CODE;MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.' , MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: ti APPROVED.PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- 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. 11 VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE 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. BUI . LDING i rP 9: C. Assessor's map and lot--number .......a � . 4 Sewage,_:Permit number ................ .....:°............................. T"E� TOWN O� BARN-STABLE I EJHBSTSDLE, i "6 S.a• BVILDING INSPECTOR �'o Apr • . P - APPLICATION FOR PERMIT,;TO .............. .. .:.....K !` TYPE OF CONSTRUCTION ................W a<? .11... !t ``^ �S- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ,�1„ /3 (AIA /�4, .,... i;' �Gu-� S...............................................................4�� f C .......................... ProposedUse ............................................................................................................................................................................. Zoning District ...........2.. .....2........................................Fire District ...... ....... ' Name of Owner ......�'.!......... ................... ....................Address f . Name of Builder .... ............Address zzs .......................................................................... 4 Name of Architect ...............Address .........r�� 'o- ....................'°........:. ................... Numberof Rooms .................................................Foundation .............�° ...... ................................. Q Exterior .............: .............Roofng ........A.�y y .�...�.......�....................................................... Floors ............t........................................................................Interior .........r .C.."11 Y Heating ...........................Plumbing................wGd:............................. Fireplace (�'� //C ......Approximate. Cost ... a.'?.:. �U........................................ .t. ...................................... Definitive Plan Approved by Planning Board -----------______-----------19-------- . Area ........ . Diagram of Lot and Building with Dimensions Fee S .. .................n ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH CD I hereby:agree to conform to all the Rules and Regulations of the Town of Barnstable'regarding the above construction. Name... // ...... .......................................... F1abar^ Willi �O2l2 ` � one No -----.. Permitfor ----..��---.. ' single-family dwelling--------'—'------'-------~--' l5� Road Location ----..��-----------. ` . ' ` Marotono Mills °~--^^--------'—^---------~— ' ` William Flobar . Owner ----------------'-----' � � � Type of Construction ~----raom�........................ ' ' ......................---- � . ~ Plot ' ' ` re,mn, Granted ` ~~'~ of Inspection~° ' Date completed � ` RM 'REFUSED ' � ' ' l�~' ' \ LT ` ........ . ............................. � rv" ' .. —.. —..�.. _��.—.,`-----.—.. 0 ~�L � ' v ' . .—...—....--_----._---_.—.—.---.. / . ' � ' —.------.--.-.~.~—..—~~.--.---... ` ' | Approved ................................................ 19 � -------.------..—......—....----.... ' � ' ----''----------'—^—^--^'~^^^^^'' | / | \ --- .w._._�. � _ ... � . _ i..„,.n.•.>�-.:..e..ray..yw�ui..u.uLL:muu:>s:2i..c:..>.au�-as>�:.�'SE,'t"is�i�_:ir• =��.�'itTs::un.>aisau'1'°..a�nu�.'��.iu::.c+.�: .-�_,...�;,��x��..��._�'_'�:::cr".'-.;�.-c::t.zzt_:::::a.::a:ia:_.:.'1�.:.:=r.:.=.;_t....-._�;j.s'ls::lc::r.:ss:a.'�. ^�.�,r^^.�_' ,_....... . ..•.•..�..t�:'.�1.uA�4h :�L1'iaitiakt�y,.'_xi� &tlY7,!A+�k1.'��'?: i="rtvt k�f .,. � , x.. r, x „ .. t �.,. i. .., ,...r. . . , ., .- . . .. _. -._ }F. ��' � F'F' ,ftlsJs yr_ „axe �t. �k � .r r ' ` .. .,. ; . ,i/ .. . 1 � y _ �� r � � � > � � 1 i I � '+ _ ,. � � I i i � .� • f i i I i . ,. � .. - � �, / • if � • I .. . .. �, i Town of Barnstable ` oFt►+E r Regulatory Services Richard V. Scali,Director ?VAIN OF BARNSiABLE BAMSTABM « Building Division •0� Thomas Per CBO Building Commissioeri�� API I A Perry, > g AjFp 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 D MSIONFax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is s� I am the-owner/resident of the property located at: r �/�O Y�i.S+✓'Tv�/S //Lt-GL� �/Ll i�- D Z� ��' The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: ' Name &relationship to owner: A,t&Q/e / — �s/� /A/-L 4-tc) Name&relationship to owner: U 3 'LQ71�c�-�w 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. 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 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 penal ' of perjury this day of ,J oe_!�12015. Signature Phone Number Print Name Z101&t11JW1 /V /-7-6. q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services of rgri, Richard V. Scali,Interim Director Building Division TOWWOr BARNSTABLE MAS&BARNSTABM Thomas Perry, CBO, Building Commission�4 JA _ AF1 9 9 ie39. p�0 200 Main Street, Hyannis, MA 02601 FD MA'S www.town.barnstable.ma.us Office: 508-862-4038 Q7gFax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is (I�jl�//1a �iLlG �'�— I am the owner/resident of the property locate at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �i9'l/7iG ��L ��n� '►�—�'1/— � Name &relationship to owner: � � L GLG�2 si SJZ-'�—/'✓—� , 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. 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 andlor 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. 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 day of ✓L�22' 2014. Sigriat6V Phone Number Print Name q:forms/famaffid.doc rev 11/08/11. i . Regulatory Services Thomas F: Geiler,Director Building Division Thomas Perry, CBO,Building Commissioner �•� 200 Main Street, .Hyannis,MA 0260 „ '' or L013 tip'. i 1: 32 www.town.barnstable.maxs Office: 508-862-4038 . Fax:. 508-790-6230 DIV.,. Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is /��l/ ,�. �' � ' I am the owner/resident of the property erty located at: t W1446TVU�5 Aja_:5J A/14D 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 note 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 andlor 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 bezm dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to.und r pains and p alties of perjury this day of 7 d 2013. Signa Phone Number Print Name G�'�f-(�C' I vd► �C✓Z q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services o� Thomas F. Geiler,Director Building Division OWN QE BAR NSTA8LE BAMSTABIX Thomas Perry, CBO,Building Commissioner 163q. `eg 4N I 'r;" 1 I AH 9= 21 Arm . 200 Main Street, Hyannis, MA'_02601 www.town.barnstable.ma.us Office: 508-862-4038IlllS�O�d Fax: 508-790-6230 i Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 14,6/RW Z, I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: �i9-t1L AIC, Name &relationship to owner: i 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 note 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 andlor 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 and r the pains and penalf s of perjury this 4/p f� day of 2012. Phone Number Print Name /L(�/ /V s� q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services of Tod Thomas F. Geiler,Director T '`'{ ! s`: ','a; ;` Building Division • BARN ssB� ' Thomas Perry, CBO, Building Commissioner Ar i439' 1 200 Main Street, Hyannis, MA 02601 f0 MA'S www.town.barnstable.ma.us Office: 508-862-4038 Fax: 'S08-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Al- A�SlkC c I am the owner/resident of the property located at: 2— The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: lwc'40zf+U -- 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. 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. ]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 pe jury this '$ day of 2011. Signature Phone Number Print Name &�16611OV4 Alt ej S'11- � Town of Barnstable Regulatory Services pp1Me rqy� Thomas F. Geiler,Director Building Division BARNSfABLE, Tom Perry, Building Commissioner y MASS. g 1639. �0 200 Main Street,Hyannis,MA 02601 ArEo � 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 ' �� I am the o.1.1ner/resident of the property located at: `5Z 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: �G'�7 fy1GC� ri�; /rtl —Ci9u� 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. 1 understand that I am required to f le 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. Ln The apartment has been transferred to the Amnesty Program (Appeal No. Other Sworn to under the pains and penalties of perjury this day of G 201 M _ Signature Phone Number Print Name Al, Q/bl dg/forms/famaffid Rev:12/08 r Town of Barnstable Regulatory Services Ft►E Thomas-F. Geiler,Director d-d OF BARNS rABLE . ..,wilding Division sA"STABLE, Tom Perry, Building Commissioner JAN 13 APB 11: 35 9 MASS. 1639. 200 Main Street,Hyannis, MA 02601 ATEo �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: My name'is ��i� -I S/�� I am the owner/resident of the property located at: d"IA-t s rnki� At"164-Y, s21 , DZ4�1 YS The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &.relationship to owner: �6 �%Ae A-:=W —✓�2�/�✓�/du� Name & relationship to owner: lqe L61✓L6�, — Y/s a5t /"V—C,,h 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 1 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.e vent 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 Tom' Sworn to u der the pains and penalties of perjury this day of LT/ln 14,V 2009. S' at re Phone Number Print Name /-7 Q/bldg/forms/famaffid Rev:l2/08 Town of Barnstable f Regulatory Services °PIKE T°� Thomas F.Geiler,Director r °� Building Division f 0�4 �`� 6';�ky''�dLi~ BARNSTA13 Tom Perry, Building Commissioner F1 11 �3 MASS. g 000 J NN 15 1659. .0 200 Main Street,Hyannis,MA 0260 Alen 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: My name is �1�-1/ ,/1/� ��' I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: G"1411L /AC/ee.&l �Y'IC //✓�-Gti� Name & relationship to owner: �_7uzqy WC 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. 1 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 unde t e p ins and penalties of perjury this day of \AW7a 2008. Signature Phone Number Print Name Q/b Idg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services OFIKE Tp Thomas F.Geiler,Director Building Division ►r i,dF MRHSIt.E7LE BARNSTABM ' Tom Perry, Building Commissioner 9 MASS. g 1639• A�0 200 Main Street Hyannis,MA 02601 ., www.town.barnstable.ma.us . `��1 �Q� 29 pH rt z A 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: [i A17Z,�S % `C The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: �7�G7 fie LC Name & relationship to owner: �G `�c �L� �.Go�� t—��✓—vim 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. 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 penalties of perjury this o? day of 2007. tea - C/2 r- V3.S/ SigndtiiZ Phone Number Print Name W/'6(i/4Pt J l S/�ice_ Q/bldg/forms/famaffi d Rev:1/0 3 Town of Barnstable k Regulatory Services °FINE A Thomas F.Geiler,Director Building Division j saxxns s�sn Tom Perry, Building Commissioner v seg9• `0� 200 Main Street,Hyannis,MA 0260, zm �ATeor 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 ��G 66-/1,17W A// '�iS I am the owner/resident of the property located at: Map and Parcel Number T ,P r f06�66i_ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 'J C6e IvaGc�Z��-� c�/ SGZ�f�✓`�`_�� 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 p nalties of perjury this a o?A4 day of iJ�� 2006. Signature Phone Number Print-Name 6&,tPV-/2nt, I i57Id4 Qfbldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services FINE t Thomas F.Geiler,Director gp,RASTABLE g Buildin Division snxxsenar.s. + Tom Perry, Building Commissioner v i639• ,0� 200 Main Street,Hyannis,MA 02601 2�Q5 www.town.barnstable.ma.us - pId1S10PI 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 (A)I'LL-L✓A-OA- Al � 1'►5Wr62. I am the owner/resident of the property located at: wn± r' Map and Parcel Number M 6e= d L4 3 / P1a"LC—"-t_= 0.5-g The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book i d o Page © 6 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: "rU 6 Yylc Lc�,8U1� mil. ice, /^ L i4yj Name & relationship to owner: me, ryc4rl� N 7J�' / 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. 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. 1 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. 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 19r° l L_ 2005. Signature Phone Number Print Name_( l t CA,t/.,�4--y nl . rt S e-L Q/bldg/forms/famaffid2 Rev:1/03 i �tM T Town of Barnstable do BAMSTABLE, Regulatory Services MASS. •i639 �� 1639 Thomas F. Geiler, Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 4, 2005 Mr. & Mrs. William Fisher 1.52 Wakeby Road Marstons Mills, MA 02648 Re: Family Apartment Dear Mr. & Mrs. Fisher: Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office by May 2, 2005. You are required under Section 3-1.1(3)(D)(1) of the Town of Barnstable Zoning Ordinances to submit an affidavit annually indicating the status of the family apartment. Failure to submit the affidavit is a violation of your Special Permit and may result in your loss of the rights granted therein. If you have any questions, please call Lois Barry, Division Assistant, at 508-862-4039. Sincerely, Tom Perry Building Commissioner Enclosure jfamapt f n� 0o 8-1 r — 1 99aE3 I21 1 1 - 36 Town of Barnstable Zoning Board of Appea�`s� Decision and Notice Appeal Number 1999-79-Fisher Special Permit Pursuant to Section 3-1.1(3)(D) -Family Apartment Summary: Granted.with Conditions Petitioners: Catherine and William Fisher Property Address: 152 Wakeby Road,Marstons Mills Assessor's Map/Parcel: Map 043, Parcel 058. Area: 0.69 acre Zoning: RF Residential F Zoning District Groundwater Overlay: WP Well Protection District Background: The subject property consists of a 0.69 acre lot commonly addressed as 152 Wakeby Road, Marstons Mills. It is presently improved with a two-story, single-family residence of approximately 1,820 sq. ft., according to assessor's records dated 04/28/99. The property is located in an RF Residential F Zoning District and is serviced by public water and a private septic system. The petitioners are proposing to construct an 8'x 12' addition to the east side of the existing residence which will open to a proposed 16' x 241amily apartment addition. The proposed family apartment is 480 sq. ft. in area (including the 8' x 12'connecting space)and consists of a bathroom and open studio. The family apartment will be occupied by Judy McLeavey and Paul J. McPeck, sister and brother-in-law.of Catherine Fisher. The applicant is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the c� Zoning Ordinance. Family apartments are allowed in RF Residential Zoning Districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural Summary: ^� This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 20, 1999. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 14, 1999, at which time the Board granted a Special Permit for a family apartment subject to conditions. Hearing Summary: Board Members hearing this appeal were Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn. William Fisher represented himself and his wife, Catherine. Also present were Paul J. McPeck, Mr. Fisher's brother-in-law, who will be living in the Family Apartment; and their o builder, Greg Varjian. Mr. Fisher addressed the Board and explained that there are currently three(3) bedrooms in this house, but one of the bedrooms will be converted to an office. The Family Apartment will have one(1) bedroom so there will be a total of three (3) bedrooms. This is in compliance with Board Of Health Regulations. Mr. Fisher stated he understands, and is in compliance with, all the requirements of Section 3-1.1(3)(D)of the Zoning Ordinance. Public Comment: No one spoke in favor or in opposition to this appeal. " t:, Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-79-Fisher Section 3-1.1(3)(D)Special Permit-Family Apartment Findings of Fact: At the hearing of July 14, 1999, the Board unanimously found the following findings of fact as related to Appeal No. 1999-79: 1. The petitioners are Catherine and William Fisher. The property address is 152 Wakeby Road, Marstons Mills, MA as shown on Assessor's Map 043, Parcel 058 and is located in the RF Residential F Zoning District and the WP Wellhead Protection Overlay District. 2. The petitioners understand and are in compliance with all of the requirements of Section 3-1.1(3)(D) of the Zoning Ordinance. 3. The family apartment unit is under the 50% size limitation. All setback requirements of the Zoning Ordinance are met 4. The application falls within a category specifically accepted in the ordinance for a grant of a Special Permit. Family apartments are allowed in the RF Residential F Zoning District as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. 5. The relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. Decision: A motion was duly made and seconded to grant a Special Permit for a family apartment, subject to the following terms and conditions: 1. The family apartment shall comply with, and be maintained in accordance with, all restrictions of Section 3-1.1(3)(D)of the Zoning Ordinance and shall be the primary year-round residence of the family member(s)residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board. 3. A maximum of 3 bedrooms shall be permitted on the property, inclusive of the family apartment. 4. The locus shall comply with all State Building Code, Town of Barnstable Board of Health and State Fire Prevention Regulations. The Vote was as follows: AYE: Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn NAY: None Order: Special Permit Number 1999-79,for a Family Apartment, has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20)days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. ff. Emmett Glynn, Chairman Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of + perjury. Linda Hutchenrider, Town Clerk 2 1�� hbyle6l - yx P �ye2pt - Town of Barnstable �FTHE ip� o Building Department Services Brian Florence, CBO * BARNSTABLE, r� MASS. �0� Building Commissioner ®' 01 3ARNSTA6L °rEn ray" 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us ,0;^ `r ks 9 i VI.3 iy 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 A G�1 /4 I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �IrN ocag/ s�✓Z'�-flit/—� Name &relationship to owner: A'L r /lc 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. .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 7t� Sworn t d e pains enaltie of perjury this day of 2019. Signs e Phone Number Print Name q:forms/famaffid.do c rev 11/08/13 Town of Barnstable Building Department Brian Florence, CBO snitxsrnai.E. • � Building Commissioner i63� 200 Main Street,Hyannis,MA 02601 RFD MAr� www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Wffhd[A�vit I, being on oath, depose and state as follows: My name is �� ZS�fZyL_ fam the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: �� `� % � , "' S�� ://✓�L-/D� 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. 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 artmentZ;jalsG8 understand that I am required to comply with all conditions imposed by the ZB Special Fermi and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Ali tments.�;E agr 6 to notify the Building Commissioner immediately in the event of the sale of t i3 roperty.= -n If there is no longer a Family Apartment at this location,please explain: o The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. Other o «+ Sworn to er a pa' sand nalties of perjury this /� �Vday of 2018. s Signature / Phone Number Print Name' q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services Richard V. Scali, Director �2 O Building Division t?, "B Paul Roma,Building Commissioner 200 Main Street, Hyannis, MA 02601 ED MA'S www.town.barnstable.ma.us s Office: 508-862-4038 Fax: 08-790-6t30 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 1/0 ICZt Y47VL /y 6StJ'-�2 I am the owner/resident of the property located at: /&7043 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 0-�Chyl( meS'��7ZZ fi(/�—G,EcJ Name &relationship to owner: Rey-L, 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. 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 240-4Z I 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 7 Sworn to under the'pains an pen es of perjury this f� day of iJ� > 2017. Signature Phone Number Print Name w-cu-'l1doc, /01 19!5/�Z�-2 q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services of * Richard V. Scali,Director Building Division BARNSTABM ' Thomas Perry, CBO,Building Commissioner 1639. p�0� 200 Main Street, Hyannis, MA 02601 ED Mpl 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 ///1-66,ZA& N, 4<12c I am the owner/resident of the property located at: / off ��1 1,y2e" the fo�lowing members of my family will be the sole occupants of the Family Apartment at the %orementioned address: ;M!klame &relationship to owner: *e_ &4 — Name&relatioh'sl.ip to owner: Ijfie Family Apartment will be the primary year-round residence for the above-identified. C>-- family me r)4ers. 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. 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 the s d es of perjury this 7 day of � ,wY 2016. r Si ature Phone Number Print Name W 1( -G q:forms/famaffid.doc rev 11/08/12 ul "O P E N S .P A C E" H O M E S T E A D S U D I V I S 1 0 N N: 7$08 44 .. 120.00 13 NOTE: 57,35' N. PROPOSED ADDITIO. *OBSERVE SIDELINE SETBACK ( MIN 15" ) ON 2657,39 THIS LINE PER BUILDING INSPECTOR 5-17-99 & NA Z I 00 nII' rG�t 3 - N 12B I �� r I 12A W 13 N RESERVED FOROAD R,,Lj DING • 30,p30•:p PLANS. PER co 132.54 81.64' 214.18' TD i}3•36' S 84'1�2 W w 2o' s 4 R p A D I 62 g0 _ 19.67 188.03 W AK � g `l iZ.1 t (4 t 'h //l NOTES RECORD PLANS LOT 13 - PLAN BOOK 3O9 PAGE: 75 LOT 126 _ PLAN BOOK 366 PAGE 42 FOUNDATION .LOCATION.DATE: MAY 12, 1976 ASSESSORS, MAP 43 PARCEL 58 CERTIFICATION UPDATE:. APRIL 28, 199.9. ADD PROPOSED ADDITION TO DRAWING: MAY 18, 1999 F' CERTIFIED PLOT PLAN LOCATION: 40T 12B & 13 � %#AKEBY ROAD MARSTONS MILLS. MASS. SCALD: 1" 40' QATE: 0$ 9 1 CERTIFY THE EXISTING STRUCTURES SHOWN ON THIS PLAN PLAN R�F$: PL BK 309 PG 75 COMPLY WITH THE SETBACK REQUIREMENTS OF THE'TOWN OF P� 0K 360 PQ 42 BARNSTABLE .AND ARE NOT LOCATED �11THIN A FLOOD ZONE.*SEE NOTE RE BUILDING INSPECTOR'S LOT SIDELINE INTERPRETATION BAXTER & NYE; INC. REGISTERED .LAND SURVEYORS �'I`l-I^,� - ._....!✓ ..,} ,_(? .._.._ti & CIVIL ENGINEERS " 812 MAIN STREET - THIS PLAN IS N T BASE ON AN INSTRUMENT SURVEY AND THE OSTERVILLE, MASS,, 02655 OFFSETS SHOUL OT 6 USED TO DETERMINE PROPERTY-LINES, APPUCANT: JUDY MdLEAVEY 99036. (CPP02:DWG) rn "OPEN SPACE" H O M E S T E A D S U D I V I S I O N .12U.00 � 13 NOTE: PROPOSED ADDITIO. $ ��' *OBSERVE SIDELINE TD �'' 21 SETBACK ( MIN 15 .) ON �6 2�57 THIS LINE PER BUILDING �4.h6 o, INSPECTOR 5-17-9.9 W0OD 03 l 1 0 3 RESERVED FOR ROAD-ROUNDING ; LD t 30,030.O p�06 PER :REcOR 132.54,, I 81.64' 214.18' TD 43,36'. S. 84`1622" w } w R 0 q D W AKEgY yyyyr. �bl {jf j/N K �r �iw 4 •;f V .��Yy `/� � N 0 T E S RECORD PLANS LOT 13 — PLAN BOCK 30.9 PAGE: 75 LOT 12B = PLAN BOOK 366 PAGE 42 FOUNDATION.LOCATION.DATE: MAY 12, 197$ ASSESSORS MAP 43 PARCEL 58 CERTIFICATION UPDATE:. APRIL 28, 1999.. � ADD PROPOSED ADDITION TO DRAWING: MAY 18, 1999 CERTIFIED PLOT PLAN LOCAI11ON: LOT .12B & 13 WAKEBY ROAD MARSTONS MlILM MASS. SCALE: V* 46' DATE: 0$-+18-1999 PL 8K $09 PG 75 1 CERTIFY THE EXISTING STRUCTURES SHOWN ON THIS PLAN PLAN RCF$: p� DK 365 PC 42 COMPLY WITH. THE SETBACK REQUIREMENTS .OF THE'TOWN OF BARNSTABLE .AND ARE NOT LOCATED WITHIN A FLOOD ZONE. *SEE NOTE RE BUILDING INSPECTOR'S LOT SIDELINE INTERPRETATION BAXTER & NYE; INC: REGISTERED LAND SURVEYORS & CIVIL ENGINEERS 812 MAIN STREET i THIS PLAN IS N T BASED ON AN INSTRUMENT SURVEY AND THE OSTERVILLE, MASS,, 02655 OFFSETS SHOUL OT B USED TO DETERMINE PROPERTY-LINES. APPLICANT: JUDY VEY ��" 99036 (CPP02:DWG)