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HomeMy WebLinkAbout0543 WAKEBY ROAD G 0 1 0 I► r � L J vied , sa DIME,, Town of Barnstable B Building Department • aAiwsrAal.e. MASS. Brian Florence, CBO 1639• '°'Fo►u•+" Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January 7, 2019 Nicholas Morin 543 Wakeby Road Marstons Mills, MA 02648 I Re: Family Apartment Dear Property Owner, Please complete the enclosed Family Apartment Affidavit and return it to the Building I Commissioner's Office by February 20, 2019. You are required under Section 240-47.1 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 Family Apartment approval and may result in the loss of your rights. If you have any questions, please call Brenda Coyle, Permit Tech., at 508-862-4039. Sincerely, Brian Florence Building Commissioner ,Enclosure r fHE Tp Town of Barnstable o Building Department Services Brian Florence, CBO + BARNSTABLE, v� " `0$ Building Commissioner 1 ►9. 200 Main Street; Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 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: 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 notiify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2019. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/13 R46:'E. � U.S.POSTAGE>>PITNEYBOWES.^: Town of Barnstable Building Division 200 Alain Street - � ��"'1��' �'�•'�'��£"i) -- ZIP 02601 ® Hyannis, MA 02601 �.� � 1°{• 02 41N $ 000'47 �.- ;; y ""�.# 0000.336455 JAN. 07. 2016. J =fir I- L19 :n= I NICHOLAS MORIN 721-1 543 WAKEBY ROAD MARSTONS MILLS, MA 02648 iw°i`ny7- .R'ttURN TO SENDER, NOT :DELIVERABLE AS ADDRESSED isTincL—a i"v r• QRviAr"iv a 3C: 02601400.200 *3022-04003-07 -38 ! j+� —a io#� ,,,ili`I,Il rl�elililii,ii➢„ii�"9aiil 11 I lit)l 1 13 I :� 117 7 71 7 1 1117 1 171 111 1 it I1 1 ll 1 l-i 1� �Yy.. fi i ar .S i• • �y� S 11 1 lll.l 11 1i1' 1. ill 1 ii hill i ll ill•MU-1 it fi D D , � ' • J 0`t7��� — �o�T 7 IM,le 15 :5&f r'In►p 4o -sE Af T , e,x i is Div aYA�� � Sil�tskL ��ie�4D� 7 ���c 6� del e•tig �7,�� , • . � s I • r � d + r \ e oft r Town of Barnstable Building Department Brian Florence, CBO r r r BARNSTABLE, MASS. Building Commissioner z639. iOrFD AAA's A 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: 8U/LDIIV a DEp7- My name is u yc�L- �._ yl,,tom I am the owner/resident All 2018 property located at: S LAS l,J a Y-t-X' VL-61 0WN 0F13AF?NST48LE 6y =v z a vim, IAA;\VS A,,a , O Z(,,ti The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: &A,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, I 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 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 7Swo under the ains and penalties of perjury this t� day of l—,�� 2018. Signature Phone Number Print Name Ufyl,, k nn§ NA J ,A; q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services of Richard V. Scali,Director °* Building Division r ' MUM sa M ` Thomas Perry, CBO, Building Commissioner �At i639 p�� -200 Main Street, Hyannis, MA 02601 Eo�r 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 - \ UU6V'S f�1.Lj'(t-c1 I am the owner/resident of the property located at: G)ku by (L The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to ownerC�-LUW 1J L�[ m n.� �yYLu N �� W(L 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-i bleasing-'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.Iialsop understand that I am required to comply with all conditions imposed by the ZBA Special.P,ermito and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments.= agree) to note the Building Commissioner immediately in the event of the sale of thislproperty If there is no longer a Family Apartment at this location, please explain: co m 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 AgiCo 2016. lam. ` SU8 -3 Z Z :� i Signature Phone Number Print Name q:forms/famaffid.do c rev 11/08/12 Town of Barnstable Regulatory Services oF�"E Richard V. Scali,Director Building Division r a BAUMNSTABM MAss. Thomas Perry, CBO,Building Commissioner F;a 200 Main Street, Hyannis, MA 02601 _ f1 sv773 wwwaown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790 62301 M Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is d IA1/!/1 � I am the owner/resident of the properly located at: � u 3 J A-a l 1 0 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner:C k (J SAe.X..' V 1-U/- V S �e_FL Name &relationship to owner: AAA 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 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: i ne apartment nas-oeen aismanuea. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Swo o under the p ' i- d penalties of perjury this 1 day of 2016. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 i own of uarnsiawe pFZHE Tqk, Regulatory Services Richard V. Scali,Director IMMSI'ABIE. : Building Division 16jq. ,�•� Thomas Perry, CBO, Building Commissioner lE0 MA'S 200 Main Street, .Hyannis, MA 02601 www.town.b a rn sta b le.m a.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: w� My name is das mof�� I am the owner/residerit;�of the tI 4 property located at: v �.s The following members of my family will be the sole occupants of the Family Apartment atthe aforementioned address: Name &relationship to owner: V/' V f r r Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately 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 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 note the Building Commissioner immediately in the event of the sale of this property. If there is-no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of J0161 2015. __ Si e Phone Number 1 Print Name ' ( V , Jf ,Ce Mon q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Ft�E T �. Regulatory Services • r Richard V. Scali,Director r • BARNSTABLE. • MASS' � Building Division s639. ♦0 ArF039 Tom Perry.,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 Bk- 28698 P:9 9- 7 191` Office: 508-862-4038 AGREEMENT FOR FAMILY APARTMENT I, the undersigned, being the owner of property situated at 543 Wakeby Road, Marstons Mills, MA., holding title under a deed recorded with the Barnstable County Registry of Deeds Book 27360, Page 228, being shown on Assessors' Map 028 as Parcel 062,hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member of the property owner's family as accessory to an owner-occupied single-family residence. Occupant of Main Residence: Nicholas Morin Relationship to Owner. Owner " Resident of Family Apartment; Christen Morin Relationship to Owner. Sister j This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a ' violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year.' This Agreement shall be duly recorded or fled at the Barnstable County Registry of Deeds/Land. Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. I;fITNESS our hands�,nd seas this -.day of .�� 1. — 20 — ----- TOWN OF BARNSTABLE: OW Bv: dG " Nicholas Morin �? ti oma erry, CBO Building Commissioner t THE COMMONWEALTH OF MASSACHUSETT BAiNSTABLE COUNTY, SS Dateiq Then personally appeared the above-named (owner) ►t, S Y1� i��n i n19 doN•.yl made oath as to the truth of the foregoing instrument,befo a me. ;a �&IV ZZ Notary Public My Commission Expires: gsample ...yus�,.• v BARNSTABLE REGISTRY OF DEEDS ''r�� '����n John F. Meade, Register ,t � ��lafl�� -- �.J,l,� b� lY]. -�'�0 � _______. `�,�5 Cam` _ .�'�.�.�` -,-�� ___ _.5 .- - - -- ��_ ___ ____ �� � � �\ IHE Town of Barnstable Building Department - 200 Main Street MAPNST S&M�• f Hyannis, MA 02601 16,39.MAC. (508) 862-4038 RFD MA't A Certificate of Occupancy Application Number: 201407855 CO Number: .20160096 Parcel ID: 028062 CO Issue Date: 05/28/15 Location: 543 WAKEBY ROAD Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: MARSTONS MILLS Gen Contractor: PEACOCK, (SCOTT) JAMES S. Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT FOR SISTER CHRISTEN MORIN -X Building Department Signature Date Signed ,. OFt"E�iyti TOWN OF BARNSTABLE Building201407855 * BARNSTABLE, ; Issue Date: 02/25/15 Permit 9 MASS. �ArF1D 3399. ��� Applicant: PEACOCK,(SCOTT)JAMES S. Permit Number: B 20150349 Proposed Use: SINGLE FAMILY HOME Expiration Date: 08/25/15 [Location 543 WAKEBY ROAD Zoning District RF Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 028062 Permit Fee$ 35.00 Contractor PEACOCK,(SCOTT)JAMES S. Village MARSTONS MILLS App Fee$ 50.00 License Num 94500 Est Construction Cost$ 1,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ' SIS CHRISTEN MORIN,REPL GLASS DOOR WTH FIRE DOOR,PATC i ATHIS CARD MUST BE KEPT POSTED UNTIL FINAL LL GARAGE HOLES WITH,5/8 FIRE DOOR HARD WIRE SMOKES RMiV CAI PECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BANK OF AMERICA,NA BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 7105 CORPORATE DRIVE -. INSPECTION HAS BEEN MADE. PLANO,TX 75024-3632 i Application Entered by: RM Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE 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 FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: !9 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAG ES.OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOTiST4RT.ED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). POST THIS CARD ® • i ' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 Heating Inspection Approvals Engineering Dept F�eet 2 Board of Health S SMOKE DETECTOR:S REVIEWED 00 BARNSTABLE BUILDING DEPT. DATE QVIN OF BARNSTABL o FIRE DEPARTMENT DATE '' ERM r P'�G 'P • _ F _ ,.. _ 2L ION 3 Z YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) ou must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. i DATE: 1 Fill in please: ` M APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: SL4 !% WA"" L-C) TELEPHONE # 2 -l� Home ,�GS�, � �ZZS r NAME OF CORPORATI O Lu 1 `L c,l 1 <<'M NAME OF NEW BUSINESS' TYPE OF BUSINES v-vAg- <�,Q tL-u �`- IS THIS A HOME OCCUPATION? YES NO ` ADDRESS OF BUSINESS. 3 W C YAS51N4 MAP/PARCEL NUMBER / ��' (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth' Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your us'ness in this town. 1. BUILDING COM SIONER'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individualnAu n i r a pe mit requirements that pertain to this type of business. rJ RULES AND REGULATIONS. FAILURE TO o d Sigrmtur COMPLY MAY RESULT IN FINES. OMMENT tz) YJ 00 4-S ui,�,a-4 2. BOARD OF AL �ha�s This individu I ed of the p�rTftquirements that pertain to this type of business.' Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: r Town of Barnstable FTHE Regulatory Services p Tp� . o Richard V. Scali;Director BA ,SMLE : Building Division M �' Tom Perry,Building Commissioner i639• �0 ' ArEo 3y a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax 308-790-6230 Approved: Fee: Permit#: . =l( HOME OCCUPATION REGISTRATION Date: '-1 !`l `t l' Name:�)")t t" WN- 'iyA 1 Phone#: !�;OD 2.CA 4 $-U j Address: L.t NgAe!-y f1 .D Village:AA aSkutiS M dtlS Name of Business:l l Type of Business: tal t1,(- Cu k.Y'UN' Map/Lot 11 1 T: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual.alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home Occupation,other than one van br one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires;parked on the same lot'containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwe ' unit I,the enders' ,have rea ee with the above restrictions for my home occupation I am registering. Applicant Date: "1 l(o Homeoc.doc Rev.103113 YOU WISH TO OPEN A BUSINESS? For Your Information: • Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.:it does not give you permission to operate.)� ou must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: "1 Fill in please: __ APPLICANT'S YOUR NAME S: I:NL,:: mV ..1., / I'::It• "'ry'= ` j* ?"' 4:a BUSINESS YOUR HOME ADDRESS: LA LAIA TELEPHONE # ?a9;:�':. �s•���`'�'•';< Home Telephone Number I� ; —21 S� A nun) c1LS3��YA"Oc) NAME OF CORPORATI OLu Z e-VA NAME OF NEW BUSINESS Qf—u NAUA- I-Rr-x-tS TYPE OF BUSINESEr IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS. 3 W4XSLn �• MAP/PARCEL NUMBER C (Assessing) When starting anew business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth• Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your u 'ness in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEAL This individu I has ed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: �W A Town of Barnstable Regulatory Services '"`W„& _ Richard V. Scali, Director a63y. ,0� 639. ° Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax:508-790-6230 Nicholas Morin 543 Wakeby Road Marstons Mills, MA 02648 Re: Family Apartment Dear Property Owner, Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office by February 22,2016. You are required under Section 240-47.1 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 Family Apartment approval and may result in the loss of your rights. If you have any questions, please call Brenda Coyle, Principal Division Assistant, at 508-862-4039. Sincerely, Tom Perry Building Commissioner Enclosure Town of Barnstable Regulatory Services oFTME tG�,` Richard V. Scali,Director Building Division RAMSrABM Thomas Perry, CBO,Building Commissioner %639. . 200 Main Street, Hyannis,MA 02601 ED MA'S www.town.ba rnsta b le.m a.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 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: 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. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2016. Signature� Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 �} pa6 l& 6D lq --rnaC--h j44ed °° 'R3 . SolarCity June 21, 2016 Town of Barnstable ATTENTION:`BUILDING DEPARTMENT 200 Main Street Hyannis, MA 02601 RE: 543 Wakeby Road, Marstons Mills Permit No.: B-20160019 Our Job No.: JB-0262368 NOTICE OF CANCELLATION This letter is to certify our proposal to install Solar(PV) at the above- referenced property has been moved into a cancellation status. SolarCity Corporation and Nicholas Morin will not be moving forward with the proposed installation at this time. We would greatly appreciate reimbursement for the permitting fees paid, but understand that the town will not refund any fees. If you have any questions or concerns, please don't hesitate to contact me. Thank you for your attention to this matter. a 1 C7 , . a Sincerely, ° :2-1 O Cheryl Gruenstern 1� Cheryl Gruenstern _ Permit Coordinator Direct Line: (508) 640-5397 �=- cgruenstern@solarcity.com 112 Great Western Road,South Dennis,MA 02660 T (888)SOL-CITY solarcity.com AL 05500.AR M-8937.AZ ROC 24377VROC 245450.CA CSLB 888104.00 EC8041.Cr HIC 0632778/ELC 0125305.DC 410 514 0 0 0 0 8 0/ECC902585.DE 2 0 1112 0 3 8 6/T1-6032.FL EC73006226.HI CT-29770.It 15-0052.MA HIC 168572/ EL-1136MR.MD HIC 128948/11805.NC 30801-U.NH 0347C/12523M.NJ NJHIC#13VH06160600/34EB01732700.NM EE98-379590.NV NV20121135172/C2-0078648/B2-0079719.OH EL.47707.OR C81BO498/C562.PA HICPA077343.RI AC004714/Reg 38313.TXTECL27006.UT 8726950-5501.VA ELE2705153278.Vr EM-05829.WA SOLARC•91901/SOLARC•905P7.Albany 439.Greene A-486.Nassau H240971000Q Putnam PC6041.Rockland H-11864-40-00-00.Suffolk 52051-H.Westchester WC-26088-HIS.N.Y.0#2001384-0CA.SCENYC:N.Y.C.Licensed Electrician.#12610.#004485.155 Water SL 6th Fl.,Unit 10.BrooHyn.NY T120L#2013966-0CA All loans provided by SolarCity Finance Company.I.I.C. CA Finance Lenders License 6054796.Sol arCl ty Finance Company,LLC Is licensed by the Delaware State Bank Commissioner to engage In business In Delaware under license number 019422,MD Consumer Loan Llcense 2241.NV Installment Loan Llcense 1L11D23/IL11024.RI Licensed Lender#20153103LL.TX Registered Creditor 1400050963-202404.VT Lender License#6766 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . Map OC2 Parcel bo D Appli �v1 Health Division Date Issued U Conservation Division Ap ' tion Fee S Planning Dept. ermit Fee G Date Definitive Plan A roved by Planning Board Historic - OKH U�C7 Preservation/ Hyannis r'�,n IL NG DE Project Street Address 10kS- e_�tAN 04 2016 Village S Owner Jddress 43 Telephone Permit Request s t� 5�� r�.� o rS' � Il c i t�� -6 c 1,.�. In G c c� S` h• �� K kJ wn e C Square feet: 1 st floor: existing ropose 2nd floor: existing �iproposed Total new ^� Zoning District '� F Groundwater Overlay Project Valuations Cons uction Type Lot Size andfathered: ❑Yes ;"o If yes, attach supporting documentation. Dwelling Type: Single Fam ,f Two Family ❑ Multi-Family (# units) Age of ExisUishedArea TS. Historic House: ❑Yes J25-No On Old King's Highway: ❑Yes ANo BasementArawl ❑Walkout ❑ Other Basement .ft.) Basement Unfinished Area (sq.ft) Number ofing 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: ExistinNew Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new sizPool: ❑ existing ❑ new sizBarn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new si _Shed: ❑ existing ❑ new size V 4 Other: 4� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes pi-�4e if yes, site plan review # Current Use -CeSYtr-(�'6 H-k Proposed Use12e— APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� /�� Telephone Number 5 Address IIX �4AI License # CiS ' A o (S SvlA (o d Home Improvement Contractor# Email C Worker's Compensation # 6LQ1XJ61s--v)) ALL CO RUCTION DEBRIS RESUL FROM THIS PROJECT WI BE TAKEN TO a Au:M 3( SIGNATURE DATE FOR OFFICIAL USE ONLY J f APPLICATION # .1 DATE ISSUED i< MAP/ PARCEL NO. ADDRESS `-= R `�VI,L-LAGE OWNER Jr DATE OF INSPECTION: FOUNDATION °_ FRAME INSULATION r t FIREPLACE � �� s ELECTRICAL: ROUGH FINAL PLUMBING: ROUG'H-ft=-eg., FINAL ' GAS: T ROB UGH FINAL FINAL BUILDING DATE CLOSED,Q:UT ASSOCIATION PLAN NO. DocuSign Envelope ID:B3A9B352-65DD-48D4-9FE5-OE823E1D6E5F SolarCity I AMENDMENT ❑ ❑ Customer Name and Address Installation Location Date Nicholas Morin 543 Wakeby Rd 12/31/2015 MARSTNS ML,MA 02648 543 Wakeby Rd MARSTONS MILS,MA 02648 Congratulations! Your system design is complete and you are on your way to clean, more affordable energy. Based on the information in your System design,there are some amendments we need to make to your Power Purchase Agreement(the"PPA").The amendments are as follows: • We estimate that your System's first year annual production will be 12,412 kWh and we estimate that your average first year monthly payments will be$129.29.Over the next 20 years we estimate that your System will produce 236,800 kWh.We also confirm that your electricity rate will be$0.1250 per kWh,(i.e.electricity rate$0.1250 and tax rate$0.0000). Your electricity rate,exclusive of taxes,will never increase more than 2.90%per year. By signing below,you are agreeing to amend your PPA and you are agreeing to all of the new terms above. If you have any questions or concerns please contact your Sales Representative. Customer's Name:Nicholas Morin Power Purchase Agreement Amendment Signed by: Signature: FAT.a,,94;;Fo;0,4;E.. SolarCity Date: 12.111/701 S approved Customer's Name: Signature: , Signature: Lyndon Rive, CEO Date: Date: 12/21/2015 3055 Clearview Way,San Mateo,CA 94402 888.765.2489 solarcity.com Power Purchase Agreement Amendment,version 2.0.1,June 25,2015 Contractor License MA HIC 168572/EL-1136MR Document generated on 12/21/2015 1427503 OWNER AUTHORIZATION Job 61 d Property Address: ' ri 3 WAKFPy R D• as Owner of the subject property hereby authorize SOLA CITY CORPORATION to act on my behalf, in all matters relative to work authorized by this building permit application. /a - Signature of Owner: Date: SOLARCITY.COM A2 ROC 243771 M(2A54FC!RCO277493,CA l tCVSM8 3.CD EMCAL CT MC C632771ELC 612SZb5,GC 0711014E0fEbC-.A256v.HI Cr.MID,MA H!C 16a572MA EL 1 t2E-"AR,M,D MHZ M914E, t17 MJH;Cl11,>dl{D616IIGQGf34�y173`c70A,OR C618NMfCS52JF81102,PA H:CFA077349,TX 7ECL27000.NIA SOLARG'91961F.ALARC-905P OO 2014 SM ARWY CORPORATMN.ALL RiGWS RESERVED. 543 w��y Appeal or Permit No: 200702813 Appeal: Building Permit Status: Pending Last First Applicant: Couture&Chase Roland&Marcia Addr: Addr2: I543 Wakeby Road Village: Marstons Mills MA 02648 Aff Received: 01/28/2010 Map Par: 028062 _ Zoning: RF Decision: CO issued 8/7/07 Notes: Apt:2010:Jeffrey Keith(son of Marcia Chase)(1/29/09 changed to Steven Keith from Jeffrey Keith,which was changed from Stephen Keith 1/25/08) 5/7/10 LE,they may be --- moving,will check sale records. 10/4/10 LE: they have Close ± abandoned property, bank owned. LE will watch. i j s ' Bk 24534 Ps169 T2?316 05--06-2010 & Affidavit Under M.G.L .c 183 §5B By Attorney Property Address: 543 Wakeby Road Marston Mills.MA Barnstable County Book: 23442 Page: 330 I,Louis Marandola,Esq(BBO#j&3L&hereby certify that I am an attorney at law with Amerititle, LLC, 132 Old River Road, Suite 104 Lincoln,Rhode Island 02865,having personal knowledge of the facts herein stated,under oath depose and say as follows: 1. On February 9,2009, I was the closing attorney for a refinance transaction of 543 Wakeby Road, Marston Mills,MA; 2. On said day, I did witness Roland F. Couture&Marcia Chase execute a Mortgage in favor of Mortgage Electronic Registration Systems, Inc. as nominee for Sierra Pacific Mortgage Company, Inc.,which was subsequently recorded with the Barnstable County Registry of Deeds in Book 23442 at Page 330; 3. Through mistake and inadvertence, Roland F. Couture & Marcia Chase were not named in the notary clause of the Mortgage; 4. However, Roland F. Couture & Marcia Chase did in fact acknowledge to me that they executed Said Mortgage by their own free will and for its intended purpose. Executed under the penalties of perjury this j day of , 2010 Louis andola, Esq IN a� r Bk 24534 Pg 170 #22316 COMMONWEALTH/STATE of.Wn L �rh �Pa�,.•. ,ss On this d,cl day of .\ 2010,before me, the undersigned notary public, personally appeared Louis Marandola, Esq., and proved to me through satisfactory evidence of identification,which was/were [ ] Mass. Drvier's license or[,1 yt.— to be the person whose name is signed on the preceding or attached dS d has acknowledged to me that she has signed it voluntarily for its stated =, iexpires: ! I/ J ��� u•u•u.aN�,�"' :per' I, Louis Marandola,Esq.,hereby certify that I am an attorney at law with Amerititle, LLC, 132 Old River Road, Suite 104 Lincoln, Rhode Island 02865 and that the facts stated in the foregoing affidavit are relevant to the title to the premises therein described and will be of benefit and assistance in clarifying the chain of title thereto. Lo s Mar ola, Esq BARNSTABLE REGISTRY OF DEEDS L Bk 23442 Pg 337 #7134 BY SIGNING BELOW, Borrower accepts and agrees to the terms contained in this Security Instrument and in any rider(s) executed by Borrower and recorded with it. (Seal) (Seal) RO COUTURE -Borrower MARCIA CHASE -Borrower (Seal) (Seal) -Borrower -Borrower (Seal) ( � -Borrower -Borrower OF County ss: "�'�" On this .STD day of before me, the undersigned notary public, personally appeared proved to me through satisfactory evidence of Identification, which were �^ ''�� L� � ►� to be the person whose name is signed on the preceding or attached doc t and acknowledged to me that (he) (she)signed it voluntarily for its stated purpose. • � tq Aires: Loan No: 0000621200 FHA Massachusetts Mortgage with MERS•4/96 (Amended 2198) DRAW.MERS.MA.FHA.DT.&WPF (DEEDS\FHA-MERS\MAMERSDT.FHA) Page 8 of Bk 23442 Pg 336 #7134 18. Foreclosure Procedure. If Lender requires immediate payment in full under paragraph 9, Lender may invoke the STATUTORY POWER OF SALE and any other remedies permitted.by applicable law. Lender shall be entitled to collect all expenses incurred in pursuing the remedies provided in this paragraph 18, including, but not limited to, reasonable attorneys fees and costs of title evidence. - If Lender invokes the STATUTORY POWER OF SALE, Lender shall mail a copy of a notice of sale to Borrower, and to other persons prescribed by applicable law, in the manner provided by applicable law. Lender shall publish the notice of sale,and the Property shall be sold in the manner prescribed by applicable law. Lender or its designee may purchase the Property at any sale. The proceeds of the sale shall be applied in the following order: (a)to all expenses of the sale, including,but not limited to,reasonable attorneys' fees; (b)to all sums secured by this Security Instrument;and(c)any excess to the person or persons legally entitled to it. If the Lender's interest in this Security Instrument is held by the Secretary and the Secretary requires immediate payment in full under Paragraph 9, the Secretary may invoke the nonjudicial power of sale provided in the Single Family Mortgage Foreclosure Act of 1994("Act")(12 U.S.C.3751 etseq.)by requesting a foreclosure commissioner designated under the Act to commence foreclosure and to sell the Property as provided in the Act. Nothing in the preceding sentence shall deprive the Secretary of any rights otherwise available to a Lender under this Paragraph 18 or applicable law. 19. Release. Upon payment of all sums secured by this Security Instrument, Lender.shall discharge this Security Instrument without charge to Borrower. Borrower shall pay any recordation costs. 20. Waivers. Borrower waives all rights of homestead exemption in the Property and 'relinquishes all rights of curtesy and dower in the Property. 21. Riders to this Security Instrument. If one or more riders are executed by Borrower and recorded together with this Security Instrument, the covenants of each such rider shall be Incorporated.into and shall amend and supplement the covenants and agreements of this Security Instrument as if the rider(s) were a part of this Security Instrument. [Check applicable box(es)] [ ] Condominium Rider [ J Graduated Payment Rider [ J Growing.Equity Rider ( ) Planned Unit Development Rider [ ] Adjustable Rate Rider [ J Rehabilitation Loan Rider [ ] Non-Owner Occupancy Rider ( ] Other (specify) Loan No: . 0000621200 FHA Massachusetts Mortgage with MERS-4/96 (Amended 2198) DRAW.MERS.MA.FHA.DT.7.WPF (DEEDWHA-MERSNAMERSDT.FHA) Page 7of8 gL f4j, Re r=dt Toots Hero A L7 On. n taIf •r rib-n rR >rw o n r� I �x o.-a rn Application Entry-f4unis[TOWN OF BARNSTABLE] Ileum My File Edit Tools Help C� q0 ® : 0 rfi ❑ � � � ❑ � :, O Buf Application - t .Detail ........ t� AppPication 20 0 70 28 13 Owner 189552 +s l Collect Status �, COMPLETES�J "'_ - -:_- _�_ _ _ COUTURE ROLAND F&C_HASE,.M _ - - _ Department 6300-BUILDING DEPARTMENT Contractor y Business Workflow Proect Activ 501 FAMILYAPT W CONST --`y - Active- ^ Get I �___ �_ � - - - - - - I 3 / � rty /NO r+ IF C______� y Desorption 1 EXISTING APT TO BE OCCI�IED BY STEVEN S l�llli X2•,SON �' Il ,l _ � Status code CLSD-CLOSED APPLICATION Description 2 tatus memo Property- � Si! P t Applicant O1NN-PROPER Project/activity description hne 2_ - f --sl f- Reactivate Estimated cost 5,000',f Fees effective 05/08/2007 '► Assigned ip 'Perim !!i Permit MULTIPLE q Adjust Fees SR - -- --- Property/Use Non Conformng Escrow T Dates/H6sc Permits _ I EW �'''''''�� ?Parcel 028062 _ k.. :Seq 1 0 i Audit. i �i Existing Misc Chgs lLocation 543 WAtEBY ROAD - use 1010 it .. SINGLE FAMILY HOME - Field i MARSTONS MILLS MA _ zoning - - i RF RESIDENCE F DISTRICT � PaymtFkstory Municipality MM l MARSTONS MILLS Subdivision r Massy audit History 1, _ i r flood zone 1 . T y � 'tt Summ Pe =` �• G y y 1 �� , Proposed use 1A 10 Il SINGLE FAMILY_HOME f --7, .- lLot/Section/Phase lu I 1 I _ t {} Copy zoning RFi RESIDENCE F DISTRICTmemo } � ! Permit Alerts and LOT 10 — —- v_ -- ��.- flood zone Lotion Nest — - --- - -- 6 r-. Estimate Fees i ( Prerequisites f3 Hazard/Restr 23 Names Bonds - G&Sub Addrs Text Plan Review 23 Find by Parcel - O i` Q Buffering Parking Septic Well r�Find d Related Mantas t ' I Prior His 23 Inspec G&Violations G&Board Reviews ram►Open Items Warnings tions Attachments(0) Maintain project/activity detail for the current application. OyR � f J- R ►f k )Main System... Application---j�" Customers M.. ,;®kibou Micros Amara,William... �Lauzon.Jeffre t Official Web.l Property Maste... 11:43 AM Start �� --- ._. ,. i (� .��, � z���'j� � . oFt�E r Town of Barnstable Regulatory Services v Msrs. Richard V. Scali, Interim Director �AtEOMA'�A`0 Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 29, 2015 i Nicholas Morin 1 543 Wakeby Road Marstons Mills, MA Address Re: Family Apartment Dear Mr. Morin, Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office by June 1, 2015. You are required under Section 240-47-1 of the Town Building Zoning Ordinances to submit an affidavit annually indicating'the status of the Family Apartment. Failure to submit the affidavit is a violation of your Family Apartment approval and may result in the loss of your rights. If you have any questions,please call Brenda Coyle,Principal Division Assistant, at 508-862- 4039. Sincerely, Tom Perry Building Commissioner Enclosure /blc Town of Barnstable r Regulatory Services ti o„ Richard V. Scali,Director s BAMsz,BM : Building Division MAn pT i639. 6. Thomas Perry,CBO, Building Commissioner FO MA'S 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us I Office: 508-862-4038 Fax: 508-790-6230 I Town of Barnstable Family Apartment Affidavit i i I, being on oath, depose and state as follows: My name is 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: i 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 Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2015. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/11 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION_ 1 Map D�0 Parcel` 9Applicatiori #aQ Health Division Date Issued o�2 Conservation Division '•Application F Planning'Dept, Permit Fee: I05'I Date Definitive Plan Approved by Planning Board Historic . OKH Preservation / Hyannis Project Street Address 03 Village aAlm ,,,, rhill's, M4 s Owner di I �l s m] Address JF Telephone ��0 7 �' 7 0 O �� 1 v I�:S IWO . MR U&p&7� Permit Request S' Square feet: 1 st floor: existing proposed 2nd floor• existin �� proposed Total new Zoning District Flood Plain G undwater Overlay Project Valuation l 000 Construction Type Lot Size_ Grandfathered: ❑Yes ❑ No If yes, attach sLf 4pporting documeptation. �• . o Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Ln T = Age of Existing Structure 3 Historic House: ❑Yes &No On Old King ' lighwayfl Yes; ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other ' Basement Finished Area (sq.ft.). Basement Unfinished Area (sq. Number of Baths: Fulls existing Z new Half: existing new �- Number of Bedrooms: g �3 — existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: V Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes `� No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes )6, N MIf yes, site plan review # Current Use �,+P Vl lGo e Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r Name Telephone NumberU . Address —D -6N 1-71 License # //?Q_ CSM)l(e. ko 02-60S Home Improvement Contractor# Worker's Compensation #IXI 0 -�7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS ROJECT WILL BE TAKEN TO L. 7SIGNATURE ! DATE r.. l G 7 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS - VILLAGE OWNER DATE OF INSPECTION: ,FOUNDATION ' FRAME ! " ; INSULATION F •FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH . FINAL- GAS: ROUGH FINAL FINAL BUILDI G Q5 ;?-e C� DATE CLOSED OUT ASSOCIATION PLAN NO'. i P �i f f The Commonwealth of Massachusetts Department.of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lefribly Name(Business/Organization/Individual): -6oLtv—zffL _n Address: ,0 City/State/Zip k`kw 6ZWJb Phone.#: OU�"��0 ,re you an employer? Check the ppropriate box:. Type of project(required): 1 I am a employer with 4. ❑ I am a general contractor and I • employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2:0 I am a sole-proprietor or partner listed on the attached sheet. T. Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] - 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised.their 1 l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ZContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. / Insurance Company Name: !//tN,,[1(� -7 > Policy#or Self-ins. Lic'. M l&K� 8/AU&(—, Expiration Date: G�7/ G� Job Site Address: ��`I� City/State/ZipA(t.7ig"JrUv� Pit. 1.vi66z '" Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the'imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of wup to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance covera>e verification. I do hereby tify under the pains and penalties of perjury that the information provided above'is true and correct. Si mature: �- Date: Phone#: 0 " Official use only. Do not write in this area, to be completed by city or town official .City or Town: Permit/License# r Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,.an employee is defined as "...every person in.the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than,three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of-compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es) and.phone number(s) along with their certificate(s) of insurance. Limited Liability Companies.(LLC) or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance.coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' . • compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials ..Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner.or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, Please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 6.00 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia 4 �® DATE(MWDD/Y ACC> YYY) ` CERTIFICATE OF LIABILITY INSURANCE 06/30/2014 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(les) 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 CONTACT NAME: Germani Insurance Agency PHONE FAX 908 Main Street c o 508 28-9194 AIc No: 508 28-3068 Osterville, MA 02655 E-MAIL certs@oermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC N INSURERA:SAFETY INS CO INSURED INSURER B Scott Peacock Building&Remodeling,Inc. INSURER C: P.O.Box 171 Osterville, MA 02655 INSURER D:Commerce&Industry Ins.Co. 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 CONTRACT OR 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 SUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY CP00001152 7/5/2014 7/5/2015 EACH OCCURRENCE $ 11000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTEIY PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO JECT �LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Peraoddent UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2014 6/22/2015 IPER OT STATUTE I ERA AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N� N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Scott Peacock Building&Remodeling,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD '"--�` - •-C�_�.Jam, ,`�/` _ � -•- . Office of Consumer Affairs&B-si-Iss Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: — = egistration: :T51853 Type: Office of Consumer Affairs and Business Regulation xpiration: 7/7/2.01,6_, Private Corporation 10 Park Plaza-Suite 5170 l -- I Boston,MA 02116 SCOTT PEACOCK B.U,ILDING'::B�REMODELING INC JAMES PEACOCK { 1'4- 1046 MAIN STREET SUITE=7:-' OSTERVILLE,MA Undersecretary Not valid without signature iM Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-094500 JAMES S PEACOCK rr� PO BOX 171 k Osterville MA 02655 Expiration Commissioner 07/22/2016 C ;HEr ti Tow.wofgarn-stable Regulatory Services itA1W5TA13 C.�^ Thomas F. Geiler,Director �rEnnv�i Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barngtable.ma.us Office: 508-862-403 8 lax: 508-790-6230 Property OwxierMust Complete and Sign This Section If Using A Builder z z� I ANS Q ,,as Owner of the subject.pmperty liercby authorize to act on my behalf, in all ft:utters relative to work authorized by this bddiag permit application for. (Address of job) A ZCJ Signature of Owner Date riot Mune If Prope;gy Owner is applying-forpermit please�coxnpl.e�e.tl-le Home owners License Exemption Form on the reverse side. e Q:FORMS:OWNERPER fIss10N - SMOKE DETECTORS REVIEWED BARNSTABLE BUILDING DE PT. DATE Cf pzn la TT. — TOWN OF BARNSTABLE if =.il.tr { PM �{ 3 7 - FIRE DEP 3Tr, ATE f�--1 " b /L`ur ATRE:%�n. E4UIR. 0 l0- �rilAFfll , ,� :. j K . ;r 1 , � 3 _ i - ,� go f'---"'�— An � � fINETown of Barnstable RARNSTABLH. Regulatory Services MASS. t6,9. Building Division 200 Main Street,Hyannis,N A 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location & AK 61i Z&A Permit Number Z D` 'Z o 7 FS s Owner lktaWI-AJ Builder One notice to remain on job site,one notice on file in Building Department. . I The following items need correcting: ctl iS-eWM s . 3 Please call: 508-88662,-4030&for re-inspe ion. Inspected by Date S ':•d TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i MapQ2 Parcel O Application # Ir Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ;L1?11a NUWT) Village Mp,L�wS m7w5 Owner kSWChowr ka Address SAMt. Telephoned Z(t4 Permit Request �Sar�QP / I� A Se u �A�+o��� ��f QVJyk SJV 0!i —+ 11USAII Q5e0fLWMS _� �(a 0 �1V It e►�0. 1-F. �.l Fe Nu ►�e Q4./ o��` , ► u" —tll US 14 Q��,�a I�ckt►�. .�M o� i ����. ��A�a� A@ Q�.�►�►.r� a.�e.�y Square feet: 1 st floor: existing$by proposed SA N\k 2nd floor: existing^ proposed Total new Zoning District Flood Plain Groundwater Overlay EP§ ct Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family d/ Two Family ❑ Multi-Family # units) Age of Existin Structure Historic House: ❑Yes Q No On Old Kin 's Highway: ❑Yes r3 No 9 9 9 = o Basement Type: U'/Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) &N S(x,c.F' Basement Unfinished Area (sq ft) -� Number of Baths: Full: existing new Half: existing :Z neff' Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count �-- Heat Type aid Fuel: O'Gas ❑Oil ❑ Electric ❑ Other Central Air: ,❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 60w - 24y-37-tY Address 5-43 Lym4.by 4-0 MntSU)PiS AAi to License # UZcoU u Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1�, it�^SkAOA IwJ4 i Q. SIGNATURE DATE 3 41-'Li r FOR OFFICIAL USE ONLY s ` APPLICATION# DATE ISSUED_ MAP/PARCEL NO. ADDRESS VILLAGE 1� OWNER y DATE OF INSPECTION: FRAME — — — - - =INSULATION:'- FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING-; DATE CLOSED OUT G ASSOCIATION.PLAN NO. r - e Commonwealth of Massachuseft Deparbnent of IndusbidAccidents Office of Invesfigations 600 Washington Street Bostoni MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legil�Iy Name(Business/organization4ndMdaal):_,A+t.\^c)l(�s 1v�U�lo — �-�c �^e�k.1►. e'o Address: 5 ti z, R�vy t1.0 City/State/Zip: w�Atj,►) o t%, N\A,tmpq V Phone#: Qbs- z q 4 s 2 Z s Are you an employer?Check the appropriate box: Type of project(required): 1.El am a employer with 4. ❑ I an a general contractor and I * 6. ❑New construction employees(full and/or part-time). have hired the sub-rout actors. 2.❑ lam a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. [ Demolition working for me in any capacity. employees and have workers' insurance,# 9. ❑Building addition • [No workers'comp. rpm insurance. P• � E] tam =ahomeowner We are a corporation and its 10.❑Electrical repairs or additions 3. doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance rNuhrAl t c. 152, §1(4),and we have no employees..[No workers' 13.❑Otlier comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. tContracfars that check this box must attached an additional.sheet showing the name'of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they mast provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c:152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of. Investigations of the DIA for insurance coverage verification. I do hereby c under a aws and penalties ofpelwy that the information provided above is true and correct Signature- Data: 1 t Phone#: aQU 2.4 y 3tiZ 5 Official use only. Do not write in this area,to be completed by city or town official City"or.Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk. 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: ' i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.' Purmautto.this statute,an employee is defined as"...every person in the service of another under any contract of hire, .express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the inner ce 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 number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for conformation 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. Shouldyouu have any questions.regarding the law or if you are required to.obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple pemut(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the :.applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for.your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department ment of Industrial Accidents Of of Investigations 600 Washington Street Boston,MA 02111 TO.#617-727-4900 ext 406 or 1477-MASSAFF Fax#617-727-7749 Revised 424-07, www.mm.gov/dia Town of Barnstable Regulatory Services r seM_ R, • Thomas F.Geller,Director .�� BuRding DIVIS1011 TomPerry,Building Commissioner 200 Main Street; Hyannis,MA 02601 wwW.town.barnstable.rnz us Office: 508=862-0038 F=•508-790-U30 HOMWWMLICIIME332d ION Please Print DATE: JOB LDCATION: number •shoat village xoMEowrlEx": �,1 rC,hu�As Mt)a.�,J . SUS-.2.Gq-322S._ �- . name home phone# work phone# CURRENT MAZANG ADDRESS: city/towo state zip code The cmarnt exemption for"homeowners"was extended tD include owner-occupied dwellhw 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. . DEFIN TTON OF HOMZOwNLa 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 strmtnres. 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 1)edbrmr-d 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 inspe cedures and requh-en=ts and that he/she will comply with said procedures and nfs. �A1N' Signature of Homeowner Approval of Building Official Note: Threa-fimnly dwellings containing 35,000 cubic feet or lugerwM be required to comply with the Stab;Building Code Section 127.0 Construction ControL HOMKOWr]x's ExEaenoN I . The Code stales that Airy honeowrier pmformi gwork 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 wodr,that such Homeowner shaD act as supervisor." Many homeowners who use this exemption ate unaware that they are assuming the ttsponzibilities of a supervisor(see Appendix Q, Rules&Regalations fi3r Licensing C tructim Supervisors,Scotian 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hies unlicensed persons. In this case,our Board cannot proceed against thc.unlicensed person as it would with a licensed Supervisor. The bomeowner acting as Supervisor is ultimately responsible. To crimm that the homeowner is fully aware ofhis/herrrsp manyonsibilities, any communities require,as part of the permit application, that the homeowner cer y thatbe/she understands the i�ponsrbrlrh'-es of a Supervisor. On the lastpagc of this issue is a fmm cimsa@y used by seyeral towns You may cats t.amend and adopt such a timri/cxit5cation Sur use in your rmnimunity. Q*rms:hmrueecempt Town of Barnstable t Regulatory Services Thomas F.Gerler,Director , Bufl ing Division Tom Perry,Building Commissioner 200 Main. twt,$yannis,MA 02601 www.town.barnstable.maus Office:: 5OM624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ev , as Ownet of the subject property hereby authorize— {- l(� to act on my behat� in all matters relative to work authorized by this building permit (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections'are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date f Q:FoxM owt1WM;tIMMNPoorS 0012 r 1�5tol A- � r. In�t�llal� L►n� . �- ` - ® o O ZE ~ra Q�ldunn. �, 1 kk U M 02 S=-i- ! r e—•e 1. Mom.. 1 1 I � ' I �IA �!_ .: jI PIP""' . �� 1� AM .�'✓ _ W jl.� , MA .. �- - .� 1 1 � � � a� Message Page 1 of 1 Coyle, Brenda From: Coyle, Brenda Sent: Tuesday, March 04, 2014 12:55 PM To: 'nicholasmorin02533@yahoo.com' Cc: Anderson, Robin Subject: 543 Wakeby Road Marstons Mills Hello Mr.. Morin, We spoke last August regarding your family apartment, which needs to be brought into compliance with the Town of Barnstable ordinance. You stated, you were going to apply for a building permit and include house plans of the property, as of today March 4, 2014 we have not received anything from you. Please contact me by the end of this week(March 7, 2014) in order to resolve this matter. My phone number is 508-862-4039. Thank you, Brenda Coyle I 3/4/2014 jj� i Message Page 1 of 1 Coyle, Brenda From: Dabkowski, Cindy Sent: Monday, August 12, 2013 2:23 PM To: 'nicholasmorin02533@yahoo.com'; Coyle, Brenda; Dabkowski, Cindy Subject: Accessory Affordable Apartment Program Hello Mr. Morin I received your email stating that you would like to pursue Family Apartment. I am including Brenda Coyle in this email. Please contact Ms. Coyle as soon as possible at 508-862-4039. She can assist you with the Family Apartment Process. If you have any questions about the Accessory Affordable Apartment Program please feel free to contact me. Thank you Cindy Dabkowski Affordable Accessory Apartment Coordinator Growth Management Department 367 Main St Hyannis, MA 02601 508-862-4743 8/12/2013 r Town of Barnstable Regulatory Services Mass Thomas F. Geiler,Director i639.� `0�' °r 039 Building Division Thomas Perry, CBO,.Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 November 15, 2011 Roland Couture 543 Wakeby Rd Marstons Mills, MA 02648 Re: Family Apartment Dear Mr. Couture: You are required under Section 240-47.1.13 (2) 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 the Family Apartment Rules and Regulations and may cause the Family Apartment approval to be rescinded. What is the status of this area of your property? If your family member is residing in the apartment, please return the enclosed affidavit as soon as possible. If you no longer have a family member residing in the family apartment, please contact this office as soon as possible to: Apply for a building permit to restore the property to a single-family home, or Apply to the Amnesty Program If you have any questions, please call Brenda Coyle, Division Assistant, at 508-862-4039. Sincerely, Tom Perry C Building Comm' sioner Enclosure Q543wakeby AWE Town of Barnstable Regulatory Services NAMLE' 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 25, 2013 Nicholas Morin 543 Wakeby Road Marstons Mills, MA 02648 RE: 543 Wakeby Road,Marstons Mills, Ma. Map: 028 Parcel: 062 Dear Mr. Morin: This letter is in response to application number 201302382 submitted to remove 2 bedrooms from the basement at the above referenced address. Unfortunately,the application is not approved at this time for the following reason(s): 1) The property is currently in violation of the Town of Barnstable Zoning Ordinance Section 240-47.1 Family Apartments. This violation must be addressed and corrected with a separate permit application to Restore to a Single Family before any other applications are submitted. Your.prompt handling of this matter is essential. Please include readable, labeled, ' complete plans with this application. Respectfully, Robert McKechnie Local Inspector (508) 862-4033 -!t .. r•- * S .. 'r .._ .t"-f' •fir}^7' Y; -1-• I If ' i Town of Barnstable Regulatory Services FT He lok, Thomas F.Geiler,Director Building Division ,` i' G '' Y anxxsrnaiE Tom Perry, Building Commissioner..,, "7 9Q� 1639. ,e$ 200 Main Street,Hyannis,MA 02601 J ATED � 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 � -ii /^tom. I am the owner/resident of the property located at: ��y�j a,2aAo _T The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: 1 /^L°c 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. 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 explairi: 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 yb day of 2010. Signature Phone Number Print Name 41� zf Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services THE�qk, Thomas F.Geiler,Director , ' � t:;' ►1= 6 AfZNS TABLE Building Division �'�� • BARNSTABLE, ' Tom Perry, Building Commissioner v� iM 39- �0� 200 Main Street,Hyannis,MA 02601 2009 JAN 29 i l �9 AlEo �A www.town.barnstable.ma.us • - 1fiIViSION 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�D�Q/�(t� l :PLC�LC r'C_ I am the owner/resident of the property located at: 5 7j::�) YY�(.�f'��n�5 rn IIIS . /Y� • ad�� The following members of my family will be the sole occupants,of the Family Apartment at the aforementioned address: Name & relationship to owner: SU et'1 C 1 v Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand-that 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 ;3L day of. . an 2009. 4zae,4z z 751- d6l�- Signature Phone Number Print Name Q QY_ / ODU4Lt rL Q/b I d g/fo rm s/fa m a ffi d Rev:12/08 Town of Barnstable Regulatory Services °FtHe t°� Thomas F.Geiler,Director ti Building Division BARNSTABLE, Tom Perry, Building Commissioner y MASS qj 1639• ,0� 200 Main Street,Hyannis,MA 02601 ATFD�,IA 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 tate as ollows. My name is 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: 'S fin 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. 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 no 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. a The apartment has been transferred to the Amnesty Program (Appeal No. e, Other a7 c I Sworn to under the pains and penalties of perjury this day of = 2008.tv P c:) �- tz J4, &zctz���, 01z o�� Signature Phone Numb r Print NamQ Q/bidg/forms/famaffid Rev:1/03 THE Town of Barnstable Regulatory Services &UMSTAMB� a ` MAS& E' Thomas F.Geiler,Director i639' A�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Apri125, 2013 d� 1 G i N 0, L D� rL SE1V7 `��Ya7rFic�/�.4 r� Nicholas Morin 543 Wakeby Road Marston Mills, MA 02648 RE: 543 Wakeby�Road, Marston Mills, Ma. Map: 028 Parcel: 062 Dear Mr. Morin: This letter is in response to application number 201302382 submitted to remove 2 bedrooms from the basement at the above referenced address. Unfortunately, the application is not approved at this time for the following reason(s): 1) The property is currently in violation of the Town of Barnstable Zoning Ordinance Section 240-47.1 Family Apartments. This violation must be addressed and corrected with a separate permit application to Restore to a Single Family before any other applications are submitted. Your prompt handling of this matter is essential. Please include readable, labeled, complete plans with this application. Respectfully, Robert McKechnie Local Inspector (508) 862-4033 v Postal (DomesticCERTIFIED MAILT. RECEIPT ru rq —u For delivery information ur website at www.usps.come O 1 .1 AL USE CO 'Postage $ rlJ - 47 O Certined Fee � �`�- � O Return Receipt Fee fA P O (Endorsement Required) z n Restricted Delivery Fee Q V (Endorsement Required) O Total Postage&Fees ✓✓o3 ' J r� fU Sent To rlGfl.�:.....0 --------------------- C3 Street,Ap. o.; lti --PO Box No. ._ QJ4 State,Z/P+4 PS Form 3800,August ,,. See Revers�fo,�instructions D Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Town of Barnstable Building Department f 200 Main Street I1!.0001383424APR U.S.POSTAGE>>PiTNEreowES Hyannis, MA 02601 j v - 7012 1010 0000 2846 5612 02 •1VV- 26. 2013 Nicholas Morin •ice:. '.nd NOTJUI 543 Wakeby Road "Tt►RNED- Marstons Mills,.MA 02648 NIXIE 015 DE 1 00 05/18/13 RFT1JRN TO SFN-DFR � UNCLAIMED I UNABLE TO FORWARD ! BC: 02601400200 *0269-065 18-2 6-41 ............111 i11t 111(tlllllllll{1iII1 tI J1�1�I1 i1 T!Ilfil'�1111 - ` SENDER: COMPLETE THIS SECTIGiv 1H01U 3HICOMPLETE 1 SECTION • DEUVERy ■ Complete items 1,2,and 3.Also MPLETE complete A. Signature item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse X ❑Agent I so that we can return the card to you. ❑Addressee r. j ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery I or on the front if space permits. I 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No 3. Service Type ❑Certified Mail ❑Express Mail Q ❑Registered ❑Return Receipt for Merchandise I ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) r I 2._ArticleNumber. ❑Yes ,(rranster from:service lab 7012 1010 0000 2 8 4 6 5 612 PS'Form 3811,`August 2001 ^ 9 Domestic Return Receipt 1 r 102595-02-M-1540 I � i•S yy{ { qi i i . AWE Town of Barnstable Regulatory Services BMWSTABM MASS, 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 25, 2013 Nicholas Morin 543 Wakeby Road Marstons Mills, MA 02648 RE: 543 Wakeby Road, Marstons Mills, Ma. Map: 028 Parcel: 062 Dear Mr. Morin: This letter is in response to application number 201302382 submitted to remove 2 bedrooms from the basement at the above referenced address. Unfortunately, the application is not approved at this time for the following reason(s): 1) The property is currently in violation of the Town of Barnstable Zoning Ordinance Section 240-47.1 Family Apartments. This violation must be addressed and corrected with a separate permit application to Restore to a Single Family before any other applications are submitted. Your prompt handling of this matter is essential. Please include readable, labeled, complete plans with.this application. Respectfully, 111!1&0 1i01 Robert McKechnie Local Inspector (508) 862-4033 IA x - 079 pia nr�lfan inf.,grh nrR loan i - p o on 4 i My File Edit Tools Help ----�- - ---- — - ---- � - - Pa Appl*.cabon R r Application 20 0 70 28 13 +1 Buf Dad Owner 184552 f Se Co".ect Status C COMPLETE COUTURE,ROLAND F&CHASE,M Department 6300-BUILDING DEPARTMENT ' Contractor A Close/Deny project/Activity 501-FAMILY AFT W/NO CONST Active Business I Gec Workflow Description 1 EXISTING APT TO BE OCCLIPIED BY STEVEN S.147TH,JR.,SON Status code CLSD-CLOSED APPLICATION - Description 2 Status memo Si Property � AppScant OWN-PROPERTY OWNER j Penot Business ! Estimated cost 5,000 Fees effective 05/08/2007 Assigned to J Permit MULTIPLE NE Reactivate i Property/Use Non-Confbrmstg 1 Dates/Msc Permits Audit Adjust Fees Type Status T.Issued Number Restrtn Contractor Fee Total Unpaid Arr t Field Escrow I) 11MI-XV2111V 10.,4111MI-Syj • r r a COO RESDNT ISSUED 08/07/2007 02DO70175 PROPERTYOWNER 25.DD .00 Other Misc Chg., Mass Paymt History ; u C Audit History qSumm Permit - - i Total fees 50.00 Total unpaid .00 Copy n Permit Alerts Link Insps (3 Prerequisites Hazard/Restr 23 Names Q3 Bonds G3 Sub-Add,, Text (3 Plan Review 23 Find by Parcel LJ I Estimate Fees G&Buffering 193 Parking GO Septic 93 Well GO Find Related Maintain t L3 Prior History Inspections Violat�ions� 23 Board Reviews (3 Open Items 13 Warnings I of 6 , =J i Attachment,,(0) OVR A [[ Start �,Main System... �iti•I/Voication --- G�uj Customers-M... ®krbox-Macros... Amara,V ,".iam... r Lauzon.Jeffre... Official Web... c&4 Property Maste �VV 0,$ r 11:43 A.M 03/25/2009 13 : 25 TOWN OF BARNSTABLE PG 1 berkelea (APPLICATION PROFILE 1piappent GENERAL APPLICATION ------------------- Application ref 200702813 Fee Effective Dt 05/08/2007 Department BUILDING DEPARTMENT Location 543 WAKEBY ROAD Parcel 028062 Cross streets Add' 1 loc desc LOT 10 Municipality MARSTONS MILLS Subdivision Lot 0 Existing use SINGLE FAMILY HOME . memo Current Zoning RESIDENCE F DISTRICT Flood zone Applicant PROPERTY OWNER Proj/Activity FAMILY APT W/NO CONST Class of work NEW CONSTRUCTION Description EXISTING APT TO BE OCCUPIED BY STEVEN S . KEITH, JR. , SON Proposed use SINGLE FAMILY HOME memo Proposed zoning RESIDENCE F DISTRICT Flood zone Non-conforming N Applic received 05/08/07 Estimated cost 5 , 000 Estim start/end Actual start/end 08/07/07 Impervious Surf Assigned to Status COMPLETE Status code desc CLOSED APPLICATION Multiple submissions N Next action Government owned N memo Ordinance ref Reason for app Parent app Point in time fee effective date Fee expiration date ROLES/NAMES Role Name/Address PROPERTY. OWNER COUTURE, ROLAND F & CHASE, MARCIA CID 189552 543 WAKEBY RD MARSTONS MILLS, MA 02648 GENERAL CONTRACTOR PROPERTY OWNER CID : 813776 , Phone : (000) 000-0000 Tradesman Name Lic Type License number Class Expires PROPERTY OWNER OWNER 03/25/2009 13 : 25 TOWN OF BARNSTABLE PG 2 berkelea (APPLICATION PROFILE 1piappent Application ref : 200702813 (continued) PREREQUISITES ------------- Prereq Action Dept Needed By Approved By Status HEALTH APPROVAL 6500 05/09/07 DSTA APPR PROP LIMITED TO 3 BEDROOMS MAX 2 bedrooms per plans, but septic and assessors say 3 bedrooms . Ranch house, unfinished basement . TAX APPROVAL 6300 05/09/07 LBAR APPR PERMITS Type Permit Number Status Issued Fee Unpaid Amt RESADD/ALT ' 20071544 ISSUED 07/03/07 25 . 00 . 00 COO RESDNT 20070175 ISSUED 08/07/07 25 . 00 . 00 TOTAL: 50 . 00 . 00 INSPECTIONS Type Requested Scheduled Insptr Permformd Results Bal Due BLDG FIN 1 TPER 08/07/07 PASS . 00 AUDIT HISTORY ------------- Department Action Source Created by Date Comments BUILDING DEPARTMENT EXCEL COO APP rudziakj 05/08/08 BUILDING DEPARTMENT EXCEL Export APP rudziakj 05/08/08 BUILDING DEPARTMENT EXCEL TEST2N APP pilookup 09/12/07 BUILDING DEPARTMENT EXCEL Sept07Export APP pilookup 09/12/07 BUILDING DEPARTMENT Permit issued APP barryl 08/07/07 Permit no 20070175, Permit type COO RESDNT, PAID BUILDING DEPARTMENT BLDG FIN 1 APP barryl 08/07/07 08/07/2007 PASSED INSPECTION BUILDING DEPARTMENT Permit issued APP barryl 07/03/07 Permit no 20071544 , Permit type RESADD/ALT, PAID BUILDING DEPARTMENT EXCEL Supple2 APP pilookup 06/01/07 BUILDING DEPARTMENT Permit payment collected APP barryl 05/10/07 Payment collected on permit CERTIFICATE OF OCCUPANCY RES O BUILDING DEPARTMENT Permit payment collected APP barryl 05/09/07 Payment collected on permit RES ADD/ALT BUILDING PERMIT B BUILDING DEPARTMENT Prerequisite approved APP barryl 05/09/07 TAX on 05/09/07 BUILDING DEPARTMENT Prerequisite approved APP health 05/09/07 HEALTH on 05/09/07 BUILDING DEPARTMENT Application entered. APP permit 05/08/07 BUILDING DEPARTMENT New plan review started. APP permit I 03/25/2009 13 : 25 TOWN OF BARNSTABLE PG 3 berkelea (APPLICATION PROFILE 1piappent Application ref : 200702813 (continued) 05/08/07 Plan review number 00 was created. ** END OF REPORT - Generated by Berkeley Annette ** Town of Barnstable Building Division -- - - U.S.POSTAGE>>PiTNEreoWES 200 Main St. Hyannis, MA 02601 ZIP 02601 $ 000.440 i 02 19V 0001.3614.75 NOV. 15. 2011 Roland_Couture t 543 Wakeby Rd Marstons Mills,:MA ,02648 X 029 NF"E' 1 31AZ 00 11/151 11 F CiRWAPD TIME EXP RTN TO SEND COUTURE 5 OLACKSTONE ST SUTTON MA 01590-3824 RE�°URN. T®...aE►IOER i i Ii i i �S i ss� iii i p if \„`\\ � �. // � '� \ .f ' '\`` __ _ ���. _ Town of Br.rnstable : �,/•�! Building" Division:-, 0 U.S.POSTAGE>>PITNeveowes 200 Main St. r; Hyannis, MA 02601 1 �® ZIP 02601 $ 000.440 • 02 1 N! 0001.3614.75 NOV. 1.7. 2011. :.ROL'AND'COUTURE r-.k 5°BLACKSTONE STREET SUTTON, MA.01590 X" OT 51 N F E' T" B'10G' GO, FORWARD TIME EXP RTN TO SEND COUTURE$ROLAND PO DOX 304 DOUGLAS MA 01515-0304 RETURN TO SENDER . � ' ` � ' ... �. �. �� � .y..� / `� b �� � ` _ � ` ._ \. �..I " �r`.. �� ,. � �� � tom:. t �, t �� � -�.� r� r ..,f' f �. r Town of Barnstable do Regulatory Services • BARNSfABLE, MASS. � Thomas F. Geiler, Director �A 039. ♦0 rFDnw'�° Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 August 13, 2007 Roland Couture Marcia Chase 543 Wakeby Road Marstons Mills, MA 02648 Dear Property Owners: Enclosed is the Certificate of Occupancy for your family apartment. Sincerely, Lois Barry Division Assistant Enclosure faco 114ET Town of Bar able do Building Department - 200 Main Street t BABNSTABLE. * Hyannis, MA 02601 MAC. (508)16 862-4038 79• ,� a Certi fi cate of 0ow ncy Application Nzyber: MM02813 CO Number: 20070175 Parcel 0 02MM CO Issue Date: 08/07/07 Location: 543 VJWMY ROAE) Zoning Classification: RESIDENCE F DISTRICT I Village: MARSTONS MILLS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT ISSUED TO ROLAND COUTURE & MARCIA CHASE FOR STEVEN S. KEITH, JR., SON BUIcing Departrnam Signatme Ze4ned HE TOWN OF BARNSTABLE Building Application Ref: 200702813 BARNSTABLE, Issue Date: 07/03/07 Permit 9 MASS. �ArFG 3319. Ih Applicant: COUTURE,ROLAND F&CHASE,MARCIA Permit Number: B 20071544 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/31/07 Location 543 WAKEBY ROAD Zoning District RF Permit Type: FAMILY APT W/NO CONST Map Parcel 028062 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village MARSTONS MILLS App Fee$ License Num Est Construction Cost$ 5,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND EXISTING APT TO BE OCCUPIED BY STEVEN S.KEITH,JR., SON THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: COUTURE, ROLAND F 81 CHASE, MARCIA BUILDING SHALL NOT BE OCCUP UNTIL A FINAL Address: 543 WAKEBY RD INSPECTION HAS B DE. MARSTONS MILLS, MA 02648 Application Entered by: LB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY 0 ERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY RHE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/09/07 cT TIME: 09:34 -----------------TOTALS------------ -- - PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT CHANGE PLIED: 25.00 APPLICATION NUMBER: 200702813 PAYMENT METH: CHECK PAYMENT REF: 453 P - r PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/10/07 TIME: 10:01 -----------------TOTALS----------------- PERMIT $ PAID 25.00 1 AMT APPLIED 25_00 CHANGE: APPLICATION NUMBER: 200702813 PAYMENT METH: CHECK PAYMENT REF: 454 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �670 7 erg Map Parcel Application# - Health Division Conservation Division Permit# Tax Collector Date Issued 7 3 l0 7 Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis C� b-- Project Street Address S V3 wac!y b�d - Village(ba r-<,r(` n s on'd o Owne` ,n1cc-r).d F C'0 lk: & z.k, y- Telephone 7 Permit Request •_ ..��',I��T�i������ �n-J�� `_ ��� ��i�� ..r Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new / Zoning District Flood Plain Groundwater Overlay %� Project-Valuation rev.00 Construction Type � Lot Size '�� Grandfathered: ❑Yes &No If yes, attach supporting documentation. Dwelling Type: Single Family .O' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: •❑Yes ®< On Old King's Highway: ❑Yes 31-0- Basement Type: Mull ❑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 �j new First Floor Room Count Heat Type and Fuel: ©'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes a<ol Fireplaces: Existing 1 New Existing wood/coal stove: ► Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing Ell new size Barn:❑existing ❑new size Attached garage:2'existing ❑new size Shed:Qle"*x�isting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 1 lephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ;�=f- O 7- I� ,•'J FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ?. ADDRESS VILLAGE OWNER s DATE OF INSPECTION: FOUNDATION Y 16 FRAME ! INSULATION f FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT '} ASSOCIATION PLAN NO. 1r , l Bk 22159 Po236 039315 07-02-2007 a 12 - 14v �t r Town of Barnstable Regulatory Services ewaxsrnBM Thomas F.Geiler,Director �b039. ••� Building Division AjEo Mpl Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT l(We),the undersigned, being the owner(s)of property situated at 543 WAKEBY ROAD in MARSTONS MILLS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 1,210 , Page 7Z or as Document No. , being shown on Assessors' Map 028 as Parcel 062, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment,for year-round occupancy. The intended and authorized use is for STEVEN S. KEITH, JR., SON OF OWNERS ROLAND F. COUTURE& MARCIA CHASE associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this � I day of Uji C_ 200 TOWN OF BARNSTABLE OWNER(S) By: ` 2 ut ding ommissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date -JUilt, Then personally appeared the above-named (owner), �`��t�( 5� !t�;c, i u _ and made oath as to the truth 91_the foregoing instrument,before me. ouC4F Notary Public ��•' �a��'.�� My Commission Expires: LLBAR/N0S_0TAB COUNTY •d REGISTRY OF DEEDS •". ;r a A TRUE COPY,ATTEST BARNSTABLE REGISTRY OF DE JO""F."'E"' REGISTER Q:word/accessoryagreement DEEDS r Parcel Detail Page 1 of 3 �OF TNT �\•\ ��'�tct±-`.'ice--�._'f"� � ,�y�!�J1�• lez y MASS16;. ca 6 C"371 r ra "�VMlL LIN tt���i � Q'�•a 'r• Logged In As: Parcel Detail Wednesday, lN Parcel Lookup Parcellnfo Parcel ID I028-062 ( Developer LOT 10 Lot Location 1543 WAKEBY ROAD I Pri Frontage 1149 Sec Road I Sec Frontage Village IMARSTONS MILLS I Fire District C-O-MM Sewer Acct I Road Index 1773 ter• Interactive Map - Owner Info owner COUTURE, ROLAND F & CHASE, MARCIA I Co-owner Streets 1543 WAKEBY RD ( Streetz City IMARSTONS MILLS I State MA zip 02648 Country I- - Land Info Acres 0.47 use Single Fam MDL-01 I zoning I RF Nghbd 0105 Topography Level I Road ,Paved Utilities jGas,Septic I Location I Construction Info Building 1 of 1 Year 1976 I Roof Gable/Hip I Wood Shingle Built Struct Wall all Effect 1826 —I Roof Asph/F GIs/Cmp I AC None Area Cover Type LJ Bed Style Ranch I wan Drywall I Rooms 3 Bedrooms I Int Bath Model iResidential I Floor Hardwood I Rooms 2 Full Grade Average I Heat Hot Water I Total 5 Rooms Type Rooms http://issql/intranet/propdata/ParcelDetail.aspx?ID=1767 5/9/2007 Parcel Detail Page 2 of 3 Heat Found- i rr� + � Stories 1 Story I Fue Gas ation Poured Conc. � `° l w 'T x2 2, 301' S. -- Permit History Issue Date Purpose Permit# Amount Insp Date Commi 6/3/2003 Wood Deck 9250 $1,000 9/18/2003 12:00:00 AM 3/1/1991 B34193 $10,000 1/15/1995 12:00:00 AM MM AD 5/1/1976 B18406 $0 1/15/1977 12:00:00 AM MM 1 - Visit History Date Who Purpose 5/5/2005 12:00:00 AM Paul Talbot Meas/Listed 9/18/2003 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only j 2/6/1999 12:00:00 AM Frederick Stepanis Meas/Listed 1/15/1992 12:00:00 AM ML - Sales History Line Sale Date Owner Book/Page Sale P 1 3/5/1999 COUTURE, ROLAND F &CHASE, MARCIA 12108/172 2 10/15/1989 COUTURE, ROLAND F & MARIE R 6928/080 3 6/15/1985 MCCARTHY, GEORGE A& JOANNE 4603/251 4 5/15/1983 GREGOIRE, ROBERT N ETAL 3752/075 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parce 1 2007 $163,300 $14,500 $2,000 $152,500 2 2006 $166,100 $14,500 $2,000 $157,900 3 2005 $145,800 $11,700 $1,000 $143,500 4 2004 $127,600 $11,700 $1,000 $121,900 5 2003 $102,800 $11,700 $1,000 $40,600 6 2002 $102,800 $11,700 $1,000 $40,600 7 2001 $102,800 $11,700 $1,000 $40,600 8 2000 $81,300 $11,700 $500 $22,100 9 1999 $72,600 $2,400 $500 $22,100 http://issql/intranet/propdata/ParcelDetail.aspx?ID=1767 5/9/2007 r Parcel Detail Page 3 of 3 10 1998 $72,600 $2,400 $500 $22,100 11 1997 $80,100 $0 $0 $22,100 12 1996 $80,100 $0 $0 $22,100 13 1995 $71,500 $0 $0 $22,100 14 1994 $75,000 $0 $0 $19,900 15 1993 $75,000 $0 $0 $19,900 16 1992 $63,200 $0 $0 $22,100 17 1991 $62,800 $0 $0 $40,600 18 1990 $62,800 $0 $0 $40,600 19 1989 $62,800 $0 $0 $40,600 20 1988 $47,700 $0 $0 $10,900 21 1987 $47,700 $0 $0 $10,900 22 1986 $47,700 $0 $0 $10,900 Photos http://issql/intranet/propdata/ParcelDetail.aspx?ID=1767 5/9/2007 pP1ME rop, Town of Barnstable i Regulatory Services ► f * BMWSfABLE. » 9 MASS. g Thomas F.Geiler,Director �ptE1639. &`0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 April 24, 2007 Mr. Ronald Couture 543 Wakeby Road Marstons Mills , MA 02648 RE: Illegal Apartment: 543 Wakeby Road Marston Mills, MA 02648 Map : 028 Parcel : 062 Dear Property Owner This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-14 You must contact this office by May 15 , 2007 to arrange to bring the above address into compliance or be subject to fines of no more than$300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, rinda Edson Amnesty Zoning Enforcement Officer Building Department Q:zoning5 �OFIKE TOy, Town of Barnstable Regulatory Services } } * BAR NST • Thomas F. Geiler�Director 7 MA Ss. � OOA 1b39, `0 rEnMPts, Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 November 22, 2006 Mr. Ronald Couture and Ms Marcia Chase 543 Wakeby Road Marstons Mills, MA 02648 Re: Illegal Apartment: 543Wakeby Road Marstons Mills, MA 02648 Map: 028 Parcel: 062 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerel i a Edson Amnesty Zoning Enforcement Officer Building Department gforms:zoning3 s Parcel Detail Page 1 of 3 091 Wift vusal raSasCl , xq � r f� ix�i'7`53 �„ YG� �Yay.'�9J�•RT_FI•,•""� �S:O ,Y, '-Y R � �i� ��(/' A'�� Tl,�� 1 � —� > „:�J�#)A" � R,,p�. Logged In As: Tuesday, Novemb, Pa rce 1 • Deta i Parcel Lookup I ' Parcel Info ....................._................................................................................................................................................................................................... Developer i..........................................................................._........................................................:........................ ...........: Parcel ID;0-28-062 Lot 1 LOT 10 Location 1543 WAKEBY ROAD" I Pri Frontage 1149 i Sec; Sec Road r Frontage 1..:. ..............................:...........................................................................................................................................................:............................................ _.................................................................................... ................. Village jMARSTONS MILLS Fire DistrictC-O-MM ---............._...__........._............_....................----._....._.._.................................-...._..._.._........ -----....._.._.__....... ................._._..._ Sewer Acct j Road Index 11773 A.— ' 1 Interactive f�` q � Map R q'oa�q� i Owner Info f..._._............_..---.................................. .... ... ............................._.__.. ..._.... -..._._.. owneriCOUTURE, ROLAND F & CHASE, MARCIA Co-owner �.............. ................. ......... .................. .....:........_........_..._ ._.. Streets j543 WAKEBY RD Street2 City MARSTONS MILLS State HAj Zip 02648 Country Land Info _........................_............__.......---................_..................................................................................................._.._._.__.._._................................._........._....._.....__.........................._._........................_......__._._.....................................................................__....................._..._.._....................................................._..._.._...._._._.... Acres 0�47 Use Single Fam ,MDL-01" I Zoning I RF Nghbd 0105 TM Topography I Level _ Road 1,Paved Utilities GaS,Sepfic Location F �� " Construction Info Building 1 ®f I Year, ._ .. Roof ........._..-- -.._.. Ext .... .. _ . Built .1976 I Struct Gable/Hip Wall Wood Shingle I Effect 1826 Roof Asph/F GIs/Cm AC None 1 Area Cover Type rY.. ..... .- ........._... __......._ ........ Ranch Style Int Drywall Bed 3 Bedrooms ..._ Wall ... Model Residential I"t Hardwood Bath 2 Full Floor Rooms Grade jAverage Heat Hot Water . Rooms Total Type 5 Rooms 1 http://issql/Intranet/propdata/ParcelDetail.aspx?ID=1767 11/21/2006 Parcel Detail Page 2 of 3 R 1s K r �wyr .... .............................. p FAT stories 1 Story Heat Gas Found-IPoured Conc.N s sAR` Fuel ation is eAS, } 40 ByTUS r3�Wyk Permit History Issue Date Purpose Permit# Amount Insp Date comml 6/3/2003 Wood Deck 9250 $1,000 9/18/2003 12:00:00 AM 3/1/1991 834193 $10,000 1/15/1995 12:00:00 AM MM AD 5/1/1976 B18406 $0 1/15/1977 12:00:00 AM MM 1 Visit History Date Who Purpose 5/5/2005 12:00:00 AM Paul Talbot Meas/Listed 9/18/2003 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only 2/6/1999 12:00:00 AM Frederick Stepanis Meas/Listed 1/15/1992 12:00:00 AM ML Sales History_ _ Line Sale Date Owner Book/Page Sate P 1 3/5/1999 COUTURE, ROLAND F & CHASE, MARCIA 12108/172 2 10/15/1989 COUTURE, ROLAND F & MARIE R 6928/080 3 6/15/1985 MCCARTHY, GEORGE A& JOANNE 4603/251 4 5/15/1983 GREGOIRE, ROBERT N ETAL 3752/075 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2006 $166,100 $14,500 $2,000 $157,900 2 2005 $145,800 $11,700 $1,000 $143,500 3 2004 $127,600 $11,700 $1,000 $121,900 4 2003 $102,800 $11,700 $1,000 $40,600 5 2002 $102,800 $11,700 $1,000 $40,600 6 2001 $102,800 $11,700 $1,000 : $40,600 ; 7 2000 $81,300 $11,700 $500 $22,100 8 1999 $72,600 $2,400 $500 $22,100 9 1998 $72,600 $2,400 $50.0 $22,100 http://issgl/lntranet/propdata/ParcelDetail.aspx?ID=1767 11/21/2006 Parcel Detail Page 3 of 3 10 1997 $80,100 $0 $0 $22,1 GO 11 1996 $80,100 $0 $0 $22,100 12 1995 $71,500 $0 $0 $22,100 13 1994 $75,000 $0 $0 $19,900 14 1993 $75,000 $0 $0 $19,900 15 1992 $63,200 $0 $0 $22,100 16 1991 $62,800 $0 $0 $40,600 17 1990 $62,800 $0 $0 $40,600 18 1989 $62,800 $0 $0 $40,600 19. 1988 $47,700 $0 $0 $10,900 20 1987 $47,700 $0 $0 $10,900 21 1986 $47,700 $0 $0 $10,900 Photos i I http://lssgl/Intranet/propdata/ParcelDetall.aspx?ID=1767 11/21/2006 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 7Heal.1 t Parcel Permit# J � b 0 h Divis�gn �t • 6 e< ,}�'s bv,-1 I Date Issued "03 ervation Division Application Fee ollector Permit Feeurer SEPTIC SYST'EPJ MUST CE Planning Dept. INSTALLED IN COMPLI, NCF Date Definitive Plan Approved by Planning Board �yyl�® TN TITLE 5 E AW) Historic-OKH Preservation/Hyannis TOWN RECUIL,'?'10N3 Project Street Address ,5V(,I)OLke bL4 . Village Pna am his D201 )LS Owner N In nd 0 6u4u� Address 5 0 (� -t :)��l Telephone �ao " 7 �(p Permit Request ,� ,l�y r Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation T _ — Construction Type ez m 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 O No On Old King's Highway: ❑Yes ❑No Basement Type: CAFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) /' Basement Unfinished Area(sq.ft)v 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: AGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:(4 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use f BUILDER INFORMATION r Name Telephone Number Address License# i rwpY7S rri l i L n,-v - Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY i PERMIT NU'' , DATE ISSUED - MAP/PARCEL-NO. y ADDRESS 4 VILLAGE OWNER' r DATE OF INSPECTION: FOUNDATION LY r t y FRAME 21 (a 103 o INSULATION FIREPLACE Is^ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH t S FINAL s � GAS: ROUGH 3 ' FINAL FINAL BUILDING t-J DATE CLOSED OUT ` ` r • ASSOCIATION PLAN NO. ` 7 LOT 11 127.'Ob' o. LOT 10 co o LOT 6 cy.) 5 o..t. .36: 0. co 0± 5 0.3' —-———— ———— — cr) HsE 24 c\l — Oj 14.V .k -H co L::=l 0 9.4 1 ' p R:=:31 2.2 4 .0 "Ah-EBY ROAD RES. ZONE 1 Fl; FLOOD ZONE: "C"' This MORTGAGE INSPECTION Plan is For 'OVN.- _AAR5TUN.5 Mlij_L6 Bank Use Only REGISTRY GEORGE- A. & JUANNE MCCARTHY IEED REF: _3jC27_j:5!——————— B=R:— YOLUPP. -r-ffA'R=lr--CM'MMLr-————————— - ———— ———— )AXE: -.l.Q/.l a4a I PLAN'REF:_2YZTf ---———_ ScAL—E:Tr=---TCF- FT. 'HEREBY CERTIFY TO DUBIN _& STEPHENS0 THAT TEE WINGS OF YANKEE SURVEY HOW ON THIS PLO ARE LOCATED ON THE GROUND AS HOW AND* THAT THEIR POSITION DOES — CONFORM PAUL JL CONSULTANTS 0- TIE LAW SETBACK REQUIREMENT'S OF THE mm� . 01fINN' OF BARNSTABLE —AND TUAT NcL32098 143 ROUTE 149 • HEY DO LIE WITHIN THE SPECUL FLOOD HA%ARD ARSTONS ims , MA: 02648 REA AS SHOWN ON THE RU.D. MAP DATE 8/19/85' 'ed.. S TEL' 428-0055 ' ......wtc-_,4 THIS PLAN NOT MADE PROM FKUL A, PLS SURVEY. NOT TO B3-USED R FE - Em. ,xv� The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: u � /(Lr41�C / ��r � S MV number stredt village "HOMEOWNER" /d f � �_��.�I— name home phone# work phone# CURRENT MAILING ADDRESS: 5V 3 T''' city tl"�°wn state zip cocre 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. DEFIN Ior-i OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"'shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable.codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. '� Signature of Homeowner Approval of Building.Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. 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-Sup ervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many cornmunities 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 The Commonwealth of Massachusetts Department of Industrial Accidents =- = Office allnyestigations . 600 Washington Street -_ Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i name: ��-- locatio //,, cityit n, hone# V— 4 9-I am a homeowner performing all work myself. I am a sole proprietor and have no one working in ca achy �%% %%% %%%%/%/%%%%%%//G%%%��%/%/G�%%%%%%%%%%%%�/�%%%%/�%/O�%%///%%%%/%%/O/ I am an employer providing workers' compensation for my employees❑ working on thsj•i `sriv n m tOIID •£'s' xx rc?. 'rY< ? ?2I% ::; ` : %'r�% o•`:? E i ;B:;;::F::;;"$:;:::;:>.:i:; FFFFFF};:FfFFF:+ Ix :viF: X. . ...........:FFF i:}F :v:>,>,:Fi}is ...t.c'i::}��..jj::;iti?:i;ir:ivF; is4FF::;:FFFFFF:4rF:Ciri:4:•::4:i•i;yrri:•ri:•rF:.•vi:F:4FFFFFiF:v:F:�Fi!FF::F)FF:riiFYi {.•.:/Fi:FF+::vrF:;'.•:!i ir:':>.:::;•:: ir:.F:v'::::G:':v;;ii.:;:;i:F:i}:;:i;ijiri:•r::iFF:i�::v;:;::i:J::F:;?4:4:A ;.:rxFoll . CG' }'::•i:+:y.r�?):;:•FF:�i:? F'j�;':;:L; ••::: :::•�v::'.'v{v�•.''F.vi;:;.:•}:???:;i::i'r<: y�: is%?iF:•:�`':X:: ti;:;i:;:;:•,i:;:;:;i::!;:i;:�:;:;:; asurax l% ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have thefollowing wkers' co ..........:..:...:.......................................:.:.....:.:.:....:.:.::::.:.:.:::.:.:::::.: ,: :::.::..........:.:.:::.:;:. 'rom '"riam k `: F;,..:.:. •:F .,.................. ............r::;tr;;•;•:;•::•::•:;.;:>:;•:::�.:::::;:F::F:'t::�F:OFF:k�::::::i:.rr:nrr::•r:;;+::::•:::.::::;.>..y�.. ............... ............ ,,„ ...; �x�tl:rai�Ce::COxF:%:F::FF:;.::.:;:.;:.rF::•:;•r:;•r:<.:.;:n:;•:•r:•r;rrr:<•::•;:;•r:�:>:.;:.:.;:.:::.::::::.�:::.�::.::.:::::::::.::::.:,:::.::.:::::::::::.�.�::::::.: Ors ..#............................... FFi::>isF:>:::>:::FF::::<:.:<:,:<:F::;:;rr:<•;:>::F;:.;>:.>F>»»>:<:F::FFF:.F::FFF::>:::F:.F::FFF::<r:<:::>:>::;F::F:::«::<.>::>:<:::;::::;:«:;:::::<:<: e$S ?'%r% < '< " `>y2 % r2'` `:<`> 'y `' ;` ; 2 `:?;' :::: :: >l .'•;:;;•::::;::;:::F:::F adi€r bh II :::..::::.::..:::..:::::..:::...;•Fri:?;:FF::FF•:+;r:SFF i:•:;•::F:;;::iFF::F::FrFF:::•r:•r:•rr::�;>:;•::•:•:::;:�;::::•:;:<.>:•::•:;:•>::�:;:•.;::...::::::::•:.�•:::.:: ;.y::;::.r•or:;•;:::•rr:•r:�:::• e:: �iriiinr�rice. oli #:::;<:�;<;;<::>::<:::::;::;::;:::>F;;>:<:>:.rr:.r:.r::;.r:;.:.:;•:.;rr::.;::;;:.>..:.F:.r:;..r::.:.r.;::;.::.r:.:tr:.�;.rr::.Fr::; --------------- Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,SooAo and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK 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 DU for coverage verification I do hereby,certify under the pains and penalties of perjury that the information provided above is trU--and correct signat. Date Print name f> C1�'1[Y al-- CQ I A7�l.0 �C� Phone# � � official use only do not write in this area to be completed by city or town offidal - city or town: pendt/license# ❑Bufiding Depart nent ❑Licensing Board ❑checkif immediate response is required ❑Selechnen's Office ❑Health Department contact person: phone#; L❑Other (revised 9/95 PJA) r 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 compliance with the insurance requirements of this chapter have been presented to the contracting authority. 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. 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 eveat the Office of Investigations has to contact-you regarding the applicant. Please be sure to fill in the penntt/license number which will be used as a reference number. The affidavits may be ietiiined to 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office 01 Investigations 600 Washington Street Boston, Ma. 02111 fax##: (617) 727-7749 phone#: (617) 727-4900 ezt. 406, 409 or 375 r °FZME�p� Town of Barnstable Regulatory Services BAMsTABLE 'HAM Thomas F.Geiler,Director ED.19 a6 . �°� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 i Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work:(r-('lr03 f � Estimated Cost Address of Work: . fyyl cm n � 1 5 o— Owner's Name 1Q/_O Date of Application: (11 �1 (�- I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied 'c_1Qwaer 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. ,F SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date Owner's Name iF, a�,1•r��_L '��'ie p� '.�`. .ice - • : 110 Z � k i _.P,% ', .. _ ... ��'�. .-aW„`"..v-� •f, ?. _.fir .::;i� � .. ,. ,. ,t y ^ y: Town of Barnstable ermit:S;I+ � ,THE A Regulatory ServicesDate:1 Thomas F.Geiler,Director MMSTABLFw Building Division ee:�OQU MA y SS 039.�p�0� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: �,)e �/ QG( �.(l/?� Phone: Install at: ,�P�j c� �. Village: fiQ Map/Parcel: D g o 6 'o\ Date: j/�j�/Qe'_1 Stov A. New Use B. Type: Radi t/Circulating C. Manufacturer Lab. No. D. Model No.: gV670 J Chimney A. New/Existing (If existing,please note date of last cleaning �Qyl B. Flue Size C. Are other appliances attached to Flue? /7U D. Pre-fab Type and Manufacturer E. Masonry: Line relined Hearth A. Materials: B. Sub Floor Construction: Installer Name: Address: Phone: - Phone: Location of Installation: i APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 T TOWN OF BARNSTABLE BUILDING DEPARTMENT ---HOMEOWNER-LICENSE EXEMPTION Please print. DATE , ,21 Z6 •. / a JOB LOCATION Number u19 � � • ' �� : . .: . Stre t address Section�.of town: "HOMEOWNER" Name Home. phone Work phone PRESENT MAILING ADDRESS t' Milt Y own ` s t `at e The current exemption for "homeowners" was ex z1P code dwellings of six units or less and to allow such dhomeo include owner-occupied dividual for hire who does not homeowners to 'engage an in- acts as supervisor. Possess a license, provided that the owner DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which side, on which ich ich there is, or is intended to be, resides or intends to re- attached or detached structures accessory to such use and/or f 1' A person who constructs more than one home � one to six family dwelling, considered a homeowner. me in a two-year periodrshallunotrbe� on a form acge.ptable to thecBuildingwOfficial, submit to the Buildin for all such work erformed under the buildin g Official that he/she shall be res onsible The under ned " ermit. (Section 109. 1.1) Building g '!homeowner" assumes responsibility for compliance with ' the Code and other applicable codes, by-laws, rules and re the Stat The undersigned "homeowner" certifies that he/she understandgulations. Barnstable Building Department minimum ins inspection s the--Town of and that he/she will comply with said Procedures P ion procedures and requirements and requirements. HOMEOWNER'S SIGNATURE ` APPROVAL OF BUILDING OFFICIAL 6 ;Note Three family � to dwellings 35, 000 cubic feet Ply with State Building Code Section 127 0 Construction°r larger,g will be required ruction Control. t HOME OWNER'S EXEMPTION do The code state that: "Any Home Owner 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 .Home Owner engages a person (s) for hire to do such work; that such Home Ownei shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are. assumin the responsibilities of a supervisor (see A g Uations for licensing Construction Supervisors, Sectiond2. 155) . RuThisand lackeoflawarene: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed `against�.:the ' . inlicensed person as it would with licensed Supervisor. The Home- Owner astir. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities mar, communities require, as part of the permit application, that the Home Owner 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. i LOT 11 i - 127. 00' o{ LOT 10 0 co o LOT M � 5 Ot ---- Ot 50.3' -=-_- in __HSE-# 543==__ 36 --- c 36.4'_ ---- --- 1.4.1' \3 -H i 00 L=109.41 ' ' 40.0(IC 8Aff BY ROAD ' RES. ZONE. "RF1; FLOOD ZONE. "C" Tbls MORTGAGE INSPECTION Plan is For Bank Use Onl CCARTHY T -_-__--_ REGISTVOLMFP GEORGE A & ________ DEED REF: 3?52T75---------BUYER. ___ -��°rp,RrE-R:_crmTtrn�-.- DATE; _141131M2_ PLAN REF' _ 272192 _SCALE:1"-=-�� _FT. 1:`BEREBY CERTIFY TO DRANETZi, DUBIN & STEPHENSO �ytN OF __THAT THE IUILIIINGS YANKEE SURVEY SHOWN ON THIS PLAN ARE LOCATID ON THE GROUND AS o� SHOWN AND THAT THEIR POSITION DOES CONFORM PAMA . CONSULTANTS TO- THE ZONING LAW SETBACK REQUIREMENTS OF THE MERMiEW 143 ROUTE 149 TOWN' OF BARNSTABLE AND THAT N432A98 -THEY DO NnT-LIE WITHIN THE SPECIAL FLOOD HAZARD A �� AR3TN3 MILL9, MA. 02648 AREA A3 SHOWN ON THE H.U.D. MAP DATED 5/19/85 st l9 OFESsv �Q TEL 428-0055 • THI9 PLAN NOT MADE OM NT 5 5 0 3 is s USEDIc fig; SEPTIC SYSTEM MIST B ASS. 001 s office(1st Floor): a��0 6�, INSTALLED IN COMPLI It o Assessor's map and lot number v Board of Health (3rd floor): ENVIRONMENTAL 5 NMENTAL COD Sewage Permit,num"':� -� TOWN REGULgTIO Department(3rd floor): "` riu� House number. � 4._ o 163o• Definitive Plan Approved by Planning Board 19 �0 Mix d' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only .• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ;,,Op OAJ/0 TYPE OF CONSTRUCTION �(�(j� ��ypry//•= FE 19 1L TO THE INSPECTOR OF BUILDINGS: / The undersigned hereby applies for a permit according to the following information: Location Proposed Use S Zoning District Fire District Name of Owner �a' CG��rrL, Address = Name of Builder &lAazd !G [_aLy-t�✓t' Address �y3 &zzjj!2r* Name of Architect ti Address 1 Number of Rooms em, Foundation Exterior uloolo 6d#z6�S CG,04r C,°44p hWd Roofing Floors �!wCCU Interior P"6,0 Heating /bwy Plumbing 4V01Z1L Fireplace 'rye)X16:- Approximate Cost /Gs ODD. eO Area r Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree ree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License COUTURF, ROLAND F. !, ADD TO = tuo 34.193 Permit For GARAGE Single Family Dwelling Location 543 Wakeby Road Marstons Mills Owner Roland F. Couture Type of Construction Wood Frame ; Plot Lot Permit Granted March eG 4 - :19 91 Date of Inspection 2`��f l 19 t Date Completed 19 M � Co � CL 3 C ' m0 � � � a ._ . ;_ _ . . _ . ___ ���� a a ~..... ' / t, \. n Bk 22159 PS2Z36 ''CL39315 07-02-2007 �t r Town of Barnstable Regulatory Services RMWSrABLE4 Thomas F.Geiler,Director 9`bA,E..�•� Building,Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We),the undersigned, being the owner(s)of property situated at 543 WAKEBY ROAD in MARSTONS MILLS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 1.2109 Page 7j—,, or as Document No. being shown on Assessors' Map 028 as Parcel 062, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment,for year-round occupancy. The intended and authorized use is for STEVEN S. KEITH, JR., SON OF OWNERS ROLAND F. COUTURE & MARCIA CHASE associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this �� da -- — Y of i C(.!1 200_!/. TOWN OF BARNSTABLE OWNER(S) By: kiding ommissioner o 2 L THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date_ �U g' _azo Then personally appeared the above-named (owner), kolth t fd' �'���;c� �Au_ and made oath as to the truth Ithe foregoing instrument, before me. '�� •,�ti� ouC�� .� Notary Public / 9 .<e 1!<r•�'�la♦� • ; My Commission Expires: :it • • y ;� 13ARNSTABLE COUNTY REGISTRY OF DEEDS '•'••� A T..R-��U'E COPY,ATTEST •.1, •• .k- V3t.�tea• Q:word/accessoryagreement � BARNSTABLE REGISTRY OF DEEDS 1a"N F.MEADE,REGISTER '�."n'ti...S.,�Y' .'w.� -M•-'.Y....� .5..o^r�+• .=Y R^r y"r"�M:-r.r� 'f!^ ti�•�...F^"o-�.Vrd.� 'ro".._ +. -r ' `ln.•'"...j'a+Y-,.•.y.��.Srr-r• •.a- �/���/f•�+'^f" _r/// //�/♦J � � -...'SR..Sf //��//J/�/� -+^"'7.✓�-: ^/ S T:"� '^r/�Ic....r-�ws'.-r.. Assessor's 'map` and lot number ......... ............................... 1: -- r Sewag"e Permit number .................:.................. ............... . r �F7NEt� TOWN" OFF BARNSTABLE6 ZAR aSTi ABLE,� t, 9o�O1639-MPYa`�'b ~D-UILDING !` INSPECTOR APPLICATION FOR PERMIT TO' TO...............................................................................................:......................:........ TYPE OF ..CONSTRUCTION �`� � .i ��/�� �!_(`� F { ....................... ........� ..........19�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to'the following 'information: /V�1 Location ' . ad.......�ftTS�y....! ..... ✓ )1�� s'.. S�.r/E:7";l :f........ Ps!r/G'f r✓�•l� . �... ....... Proposed Use � �./- L f {!G ............... . . ZoningDistrict ...............:........................................................Fire District ............................................................................... O �)lcr��t� . 17 <r'. ............Address :..... 'k� 7i� k' ........................ Name of Owner �' �{ T �'r' '`�� PA Name of Builder ..::.. ..... ��...� ......... .... </,c � Address Name of Architect �I�il.�<. �'� k',%(�- ��� Address ................✓. ...................... / .eiE CG./f/f r(�h' , �c Number of Rooms :....................................Foundation .......... Exterior „0ri �� S�r/�(i�� ...................Roofing .. 5 .-a.%d c. ... �/ /d/.�C.h:..:f.............. .............. .......... Floors �� fl �%`' ..`..'�......r ...� If t�I // ✓........Interior .. / r .�.... �.0 (c ........................................ Heating 7/ :�e- ATIT R..... ..:.....................,.... r .......®..../..�............... Plumbing ................................................._................... � Fireplaces / .....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 . (v AK 13 r.7 ON: 2 OS1U�, - 1 � I hereby agree to conform to all the Rules acid Regulatioris of the Town of Barnstable regarding the above construction. Na�/. ....z'�.. .................... ....... .. Crowell, Edward A=28-62 ' 18406 one story, ' ' No ................. Permit for :................................... single-family dwelling ............................................................. Location Wakeby Road.............. .................. • NXX Marstons Mills ' Edward Crowell Owner .......................................:...........::............. Type of Construction ......,frame } ......................................... ......... .......-......\ - Plot ............................ Lo\.. ... � .......... . May 20� 76 Permit Granted ........................................19 Date of Inspection ... ....... ... 19 Date Completed ...... . .........19 i PERMIT R FUSED ....................... ................ 19 5 ..................... .............. .............................^ �-. J'. .. '...�*. .... .............. ..... ... ....................... ............... Approved ................................................ 19 � b✓F�L ��.. F tr r y I t i ! S at' t tf• 'yam •,. .Iri1l."' — �'1 ra,; �' f` .. }�� Imo( �f 10 ,+ O <''c r �.. ..t ,y' bpi-,a•,.�z of l iCsF/fiD 3TbAl, .f"•TT f l�p r� , �. f � • YN 3 � t wYvT i; !a a�• `v�r 14 iL � 4 �ZSOO s < �.GO ® r �/� --- <GT'-mac>-. a A . �� _/C./O 7-L� : �TEfi1/AGE SyST�'�t/lti/9•S r tit ty 'A 0C'-,4'r/0—/t iliJA 257O/C/5 G S, aj4Ci7l'dP- • /z �h/OH�iC/� %S P.PO.oQSE�`f} G�',�r ° ev f fu ,� \ •'SA**4.9H/rL/ CA,/ r/.//s PLoQA.1 /W L00097000 CA/ 7'I & ,� " ' V .•': , -'1 '''T�s ,j;;,; "+Bsap / p � o wv gy N D OF WA.1 AW COA/Sr4?NC7-4e a. PeiARH. NE! t OJAl�A� Wn C LAPS /fie/"//7 +.4k263 r5Y 1� T I Y v+y X L s�,v a su�v©Yo�s !Vp' {c• ;� 4 11 I x ;�t�TE•6A^-Y��"MOCJTs-1 MA�3. . _ _. a�a�`r � B�:� wa,,sc�e✓s�+s%c��� , Assessor's hmap .and lot number ........ SEPTIC SYSTEM INSTALLED IN CWIT MPL ANC Sevva a`.Permit'number ....:.......°2..v,.�.. :.. H ARTICLE II STATE y g ... SAP4ITARYPCODE AND TOWN ('y0F?NETD R EGU 1 SBLE TOWN OF BA N .��� ego ♦; ��• . Z BARISS DLE; i iy °o "6 9. N BUILDING INSPECTOR f� w��y�c� �l' R' APPLICATION FOR PERMIT TO. .. ....�......... .............. ........ .................................................................... TYPE OF "CONSTRUCTION ./�'. w.... �L�.L. /�z! T� ...' .......................��/l'62............9(..4, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora per pmiit according to the following information: Location .Q..f �....... K�cry.....!S.a.....!! !?. .�Z �Tt,�fT�4.f........ / ! /1/�'TB.<..lg'............... ProposedUse .................................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. S 4w� Name of Ownerkf)� �/217 GIQ. �.........Address ��.�=�� r Lv,�,�T/Z'2i�1 R.0........... �y )4A/Wl4 y j/ ?&/<,o q ,e S- / Name of Builder K.�,�f. L j ... ... �/"..�,-�Address ' Name of Architect . . .�"�'�:��f.�.........,.��.G..�4.t'�1=...d r ......Address ............................. Numberof Rooms ...... / S......f...........................om......................Foundation &........�..�................... .................... .................................... Exlerior 14XI64!ef ............... f .Floors .W�'.`.. ...... ...C14.WI.PX4..'.f........Interior �� .. �C/C (`........................................ any ® Heating ��..�...�/..�':�.�'��.......... .............i. L. ................Plumbing .................................................................................. .f' Fireplace ....ie!�.........K......................................................Approximate Cost ..... .... ...................................... Definitive . Definitive Plan Approved by Planning Board ---------------_---------------19--------. Area ......./.V W.v.. .... . ...'.... " � 6 Diagram of Lot and Building with Dimensions Fee . ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH (Al A r jif V I a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na ..5�................. .. Crowell, Edward 18406 one story, No ................. Permit for .................................... single family dwelling Wakeby Road........ ..................... s' � � � •�, Y- Locati ............................................................... 114' Marstons Mills ............................................................................... • Owner ..............Edward Crowell 1 .7 .................................................... 9 e .I Ile Type of Construction ...................frame....................... ................................................................................. #10.< Plot ............................ Lot .................. ............ Permit Granted .......k!ay,...2.0. ...... 9 7 6 ly L17 Date of Inspection ... .. ........ 19 9 Date Completed Jq...... .... PERMIT REFUSED l. ..................................... .... 19........................ ....................................................................;........... Ir ............................................................:................... V, % .................................................................................. ......................................................................... �Approvecl ................................................. 19 ............................................................................... ifi ............................................................................... - I 1- --I'----I- \; -i----f---L✓ ----- �- J �-_I�- - (-_��=t-�__L:1-- -- �-I----�--,--'-� --�=f---i=_�J =C- �---.r. .__�.___I. _�.--i---1-•�_-r_ �_'7_�r �_.__._.__._.___.,`---- ------ - ---'---------------'---------- \\ � JAl I I_Z - C6 r /� f i i i� i i 14ouSE Y O)? ! 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