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0158 WINTERGREEN CIRCLE
��� ���� C�� • �" ,� _ ,. � ,� � � o �, �� � � � �� � � � � �� �� � � a o � �� n _ yam. .I r�� Ns1►�N � -"r` � .�!'.�w'.�.^.'�►?R... THENORFOLK DEDHAMGROUP® January 8, 2016 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B Building Commissioner, or Inspector of Buildings c/o City or Town Hall 367 Main Street Osterville, MA 02601 Board of Health or Board of Selectmen c/o City or Town Hall 367 Main Street- Osterville, MA 02601 Fire Department or Arson Squad c/o City or Town Hall 367 Main Street Osterville, MA 02601 RE: Our File No.: P1605072 Insured: ARTHUR & JOANNE CLARK Address: c---158 WINTERGREEN CIRCLE, OSTERVILLE, MA Policy No.: �`--N0724723 Loss Date: 12/01/2015 Loss Type: Building or Other Structure Damage A claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to my attention and include a reference to the captioned insured, location, policy number, loss date and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property, and the claim will be paid in our customary manner. Sincerely, Dawn L. Parmeggiani Property Claims Examiner 1-800-688-1825 x1119 NORFOLK&DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109 DORCHESTER MUTUAL INSURANCE CO. Telephone:(800)688-1825 FITCHBURG MUTUAL INSURANCE CO. o Fax:(781)329-1818 Amnesty Apartments Last Name First Name 2nd Owner F 2nd Owner Last Name First Name Map Parcel 119044 Property No 158 . Property Street WINTERGREEN CIRCLE Village OSTERVILLE State MA Zip MF Status Prospective Action Required Assessors Use Group Comp Per Issue Recorded Date Application# Permit Issued: C of C Total Program Total Descripton Cert of Occupancy Issued: Cert of Compliance Issued Notes AMNESTY APARTMENT ELIGIBILITY VERIFICATION 9/22/10. 10/4/10 MTG, OWNERS WILL REDUCE Th APT TO 1 BEDROOM AND REMOVE A BEDROOM IN THE MAIN HOUSE,ON TOM MCKEAN'S DESK i oF1HE ro,1 Town of Barnstable + Regulatory Services 9BnRMASS. �• Thomas F. Geiler,Director $ArEoMa�A�O Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 AMNESTY APARTMENT ELIGIBILITY VERIFICATION Re: Date After reviewing the street file of the above named property, I verify, to the best of my lrnowledge, that the apartment was in existence before January 1, 2000. This property is now eligible to apply for the Amnesty Program. G Tom Perry Building Commissioner i as TOWN OF BARNSTABLE 21 t,j ZONING BOARD OF APPEALS VARIANCE DECISION AND NOTICE ------------------------------------------------------------- PETITION : #1990-11 PETITIONER: ARTHUR CLARK ------------------------------------------------------------ At a regularly scheduled hearing of the Barnstable Zoning Board of Appeals , held on February 22 , 1990 and continued to March 8 , 1990 , notice of which was duly published in the Barnstable Patriot and notice of which was forwarded to all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts , the petitioner , Arthur Clark , petitioned the Board for a Variance pursuant to Section 3- 1 . 3 ( 5 ) , Bulk regulations of the Zoning Bylaw. The applicant ' s property is located at 158 Wintergreen Street , Osterville , MA as shown on Assessors ' Map 119 , lot 44 . It is in a Residential C Zoning District . The petitioner originally applied for a Special Permit for a family apartment to be located on the second floor of an existing garage and to be occupied by his mother- in- law. At the meeting of January 8 , 1990 , Mr . Clark stated that he would be returning to the Board with an application for variance relief for a gazebo and woodshed both of which encroach into the side yard and the rear yard setbacks . Also discussed at this hearing was the fact that the garage itself is in violation of the setback requirements . A motion was made , and unanimously passed , to postpone the hearing until such time as the petitioner could readvertise for both the variance relief needed and the Special Permit for the family apartment . The petitioner returned February 22 , 1990 with a the application for a Special Permit for a family apartment which is filed as Appeal No . 1990-04 and a petition for Variance relief for the garage , gazebo and woodshed which is filed as Appeal No . 1990-11 . Mr . Clark stated that construction on the garage was begun during the Spring of 1979 and he presented the Board with three copies of bills for the work done and affidavits from the people who performed the work . Acting Chairman , Dexter Bliss , read the affidavits to the board . Mr . Clark stated that he is under the impression that because the garage is now ten years old , it has grandfather protection ( i . e . the statute of limitations for the zoning violation has expired ) . A letter in reference to this matter from Mr . Clark ' s attorney , Albert Schulz , has been submitted to the Board . Mr . Clark stated that when the garage was built he had no intention of adding on to it . The area where the family apartment is to be located was added on five years ago and contained one bedroom used by Mr . Clark ' s in- laws . The problem with the location of the apartment is due to the shape of the existing garage and the location of a garden pool . There is a permitted deck in this area ; the extra deck space was needed for the addition . Mr . Clark stated that the addition was not and is not intended to be permanent ; when the family apartment is no longer needed it will be removed and the deck will be reduced . Photographs of the garage were submitted to the Board . I Mr . Clark stated that he is in the process of removing an attached shed from the garage and this will lessen the amount of encroachment . When the shed is removed , the garage will encroach . 7" into the required ten ( 10 ) foot side yard setback . Mr . Clark addressed the fact that the gazebo is in violation of the setback requirements . The gazebo is located in the southwest corner of the lot . A pine tree belonging to Mr . Clark ' s neighbor grows in this area and due to the fact that this tree is about fifty to sixty feet tall and very dense , this corner of the lot does not receive much sunlight . Mr . Clark stated that due to the lack of sunlight he could not place any part of his gardens in this area and therefore he chose to locate the gazebo there. Mr . Clark further stated that due to the location of pools on the property he could not move .the gazebo further in on the lot . Mr . Clark then addressed the question of the woodshed which is in violation of the side and rear yard setback requirements . Mr . Clark stated that the woodshed was originally a henhouse and was located closer to the center of the lot . However , due to the present location of the garage , the woodshed has been relocated to its current position on the lot . Mr . Clark stated that he feels that the topography if the yard , with the placement of ponds and gardens , does not allow him alternatives as to where he can locate structures . Mr . Clark ' s gardens have been written about in national publications such as Bet te_r H_o_mes _a_nd Gardens . i FINDINGS OF FACT: Based upon the infor.mation provided , the Zoning Board of Appeals made the following findings of fact : 1 . The gazebo is an asset to the neighborhood and it would be a substantial hardship for the petitioner to have to remove it ; 2 . The woodshed is not in compliance with Section 10 of Chapter 40A and it shall be removed or made conforming ; 3 . The encroachment of the garage is minimal ; and 4 . The lot is unique in that it has gardens which have been written about in a national publication . The vote on the findings of fact was as follows : AYES : BOY, BURLINGAME, NIGHTINGALE NAYES : NONE DECISION: Based upon the information provided and the findings of fact , at a meeting held March 8 , 1990 , by a motion duly made and seconded , the Zoning Board of Appeals voted to grant Variance relief for the side and rear of the garage and for the gazebo with the condition that the woodshed and the attached shed on the garage either be removed or made conforming . The vote was as follows : AYES : BLISS, BOY , BURLINGAME, BURMAN, NIGHTINGALE NAYES : NONE Note : Dexter Bliss and Gene Burman cast their votes at the , meeting of February 22 , 1990 . Any person aggrieved by this decision may appeal to the Barnstable Superior Court, as described in Section 17 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts by bringin_g:.an action within twenty days after the decision has been filed in the office of the Town Clerk. Chairman I' Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this day of 19 under the pains and penalties of perjury. . Distribution:. Property Owner Town Clerk Town Clerk Applicant Persons Interested Building Inspector Public Information. Board of Appeals TOWN OF BARNSTABLE'$ Zorong Board or Appeals -- NOTICE OF PUBLIC'HEARING ;I-UNDER ZONING BY•LAWSs,f , Meeting of February 22,1990�' .�• To all persons deemed interested or affected by the Board of Appeals,ugoer Sec. 11 of Chap.40A of General Laws of the Commonwealth of Massachusetts and all amendments thereto, you m herebynotified thatl,,,l,ih«;k.,. l S' t 4 APPEAL NO.1990-08 7:30 P,M. a .•ROBERT & LOUELLA• M. r WILSON have appealed to the Zoning I Board of Appeals and petition for a Special Permit under Section 3-1.3 (3)C), conditional use for a family apartment at Map 190. Lot 81, 1183 Shoot Flying Hill Rd.,Centerville in as RC zoning district A PUBLIC HEARING WILL BE HELD ONTHLS PETITION AT 7:30 P.M:• APPEAL NO.1990.09 7:45 P.M. ..CAREY & SUZANNE GROVER have appealed to the Zoning Board of Appeals and petition for a Variance under Section 3-1.4 (5), Bulk Regulations,for an txisting bam not in compliance with setback requirements at Map 19,Lot 5,444 Poponessett Road, Cotuit in an RF zoning district A PUBLIC HEARING WILL BE HELD ON THIS PETITION�T 7:45 P.M. APPEAL NO.1990.10 8:00 P.M. WILLIAM & MARGARET, PUTNAM have appealed to the Zoning Board of Appeals and petition for a Variance under Section 2-3.6 11). ' Number of Buildings Allowed per Lot, to renovate an existing bam into owner's quarters at Map 228. Lot 224, 288 Scudder Avp.,l Iyannis in an RI}zoning district A PUBLIC HEARING WILL-BE ' HELD ON .THIS PETITION AT 8:00 P.M. APPEAL NO.1990-04/1990.11 8:IS P. I. ARTHUR CLARK has appealed to. t. the Zoning Board of Appeals and petitions for a Special Permit under Section 3-1.3,(3)C,conditional use for ' a family apartment,and a Varianceunder Section 3-1.3,(5)Bulk Regulations,for ..an existing garage not in compliance with setback requirements at Map 119, ! Lot 44, 158 Wintergreen Circle, Osterville in an RC zoning district. A PUBLIC HEARING WILL BE ! HELD ONTHIS PFFITIONAT8:15 ' P.M. THESE HEARINGS WILL DE HELD IN THE SELECTMEN'S CONFERENCE R00IN1, NEW TOWN HALL,367 MAIN STREET', HYANNIS ON THURSDAY EVENING,FEBRUARY�2, 1990., . You are Incited to be present ' 'By order of the Zoning Board orAppealsi Luke P.Lally,Chairman Zoning Board.of Appeals t; Bamstab!e Patriot Februr-v 8 dr 15.1990 PARTIES OF INTEREST APPEAL NO. 1990-04/1990-11 ARTHUR CLARK MEETING OF FEBRURARY 22 , 1990 Robert Pratt 125 Wintergreen Cir, Osterville, MA Joseph & Ann Abely 77 Westgate Rd, Wellesley, MA Kenneth & Cora MOnteith 14 Meadow Ln, Needham, MA Erich & Malvine Rosengarten PO Box 857 , Osterville , MA Ernest & Mary Anne Loane 7 Leona Ln, Osterville , MA Edward & Mary Obrien 1179 Temple Dr, Yardley, PA Gerald & Shirley Litt 43 Willow Rd, Wellesley, MA David & Therese ONeil c/o Edward & Karen Pesce 3 Leona Lane, Osterville, MA Joseph & Maria Amaral 116 Wintergreen Cir, Osterville, MA Vincent Hostetter 88 Wintergreen Cir, Osterville, MA Phillip & Marie Souza 50 Wintergreen Cir, Osterville , MA Albert & June Smith 942 Main St , Osterville , MA William Stubler 55 Wintergreen Cir, Osterville, MA Romas & Audrey More I46C�l swottRufvtd' Kenington, CT arry & Doris en ore , Jonas & Ona Vengris 23 Wintergreen Cir, Osterville, MA Peter & Judith Fitzpatrick 20 Wintergreen Cir, Osterville, MA Albert & JUra Drukteinis 4 Camelot Dr, Bedford, NH Matthew & Barbara Kozma 155 Wintergreen Cir, Osterville, MA Sheila Burchell 146 Wintergreen Cir, Osterville, MA John & Christine Cotton PO Box 630 , Osterville, MA Barbara Nye 39 Lochaven Rd, Bristol, CT Yarmouth Planning Board Sandwich Planning Board Mashpee Planning Board BAY, TOWN OF BARNSTABLESu , ZONING BOARD OF APPEALS SPECIAL PERMIT DECISION AND NOTICE ------------------------------------------------------------ APPLICATION : #1990-04 APPLICANT: ARTHUR CLARK ------------------------------------------------------------ At a regularly scheduled hearing of the Barnst.able Zoning Board of Appeals , held on January 18 , 1990 and continued to February 22 , 1990 and , to March 8 , 1990 , notice of which was duly published in the Barnstable Patriot and notice of which was forwarded f.o all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts , the applicant , Arthur Clark , applied to the Board 'for a Special Permit pursuant to Section 3-1 . 1 ( 3 ) (D) , Family apartments of the Zoning Bylaw. The applicant ' s. property is located at 158 Wintergreen Street , Osterville , MA as shown on Assessors ' Map 119 , lot 44. It is in a Residential C Zoning District . The applicant originally applied for a Special Permit for a family apartment to be located on the second floor of an existing garage and to be occupied by his mother- in- law. At the meeting of January 18 , 1990 , Mr . Clark ' stated that he would be returning to the Board with an application for variance relief for a gazebo and woodshed both of which encroach into the side yard and the rear yard setbacks . Also discussed at this hearing was the . fact that the garage itself is .in violation of the' setback - requirements . A motion was made., and unanimously passed , : .to postpone the hearing until such time as the applicant could readvertise for both the . variance relief needed - and the Special Permit for the family apartment . The applicant returned February 22 , 1990 with a the application for a Special Permit for a family apartment. which is filed - as Appeal No . 1990-04 and . a petition . for Variance relief for the garage , gazebo and woodshed- which is filed as Appeal No . 1990-11 . Mr . Clark stated that construction on the garage was begun during the Spring of 1979 and he presented the Board with three. copies of bills for the work done and affidavits from the people who performed the work . Acting Chairman , Dexter Bliss , read the affidavits to the Board . Mr . Clark stated 'that he is under the impression that because the garage is now ten years old , it has grandfather protection ( i . e . the I. statute of limitations for the zoning violation has expired ) . A letter in reference to this matter from Mr . Clark ' s attorney , Albert Schulz , has been submitted to the Board . Mr . Clark stated that when the garage was built he had no intention of. adding on to it . The area where the family apartment is to be located was added on five years ago and contained one bedroom used by Mr . Clark ' s in- laws . The problem with the location of the apartment is due to the shape of the existing garage and the location of a garden pool . There is a permitted deck in this area ; the extra deck space was needed for the addition . Mr . Clark stated that the addition was not and is not intended to be permanent ; when the family apartment is no longer needed it will be removed and the deck will be reduced . Photographs of the garage were submitted to the Board . Mr . Clark stated that he is in the process of removing an attached shed from the garage and this will lessen the amount. of encroachment . When the shed is removed , the garage will encroach 0 . 7" into the required ten ( 10 ) foot side yard setback . Mr . Clark stated that he' feels that the topography if the yard , with the placement of ponds and gardens , does not allow him alternatives as to where he can locate structures . Mr . Clark ' s gardens have been written about in national publications such as Better Homes and Gardens . The Board addressed the question of the septic . system. Mr . Clark stated that there is a septic system consisting of four tanks. and the system is on file with . the Board of Health . Mr . Clark agreed to obtain this information :from .the. Board of Health and to present it to t'he. Board of Appeals . The necessary information was later presented to the Board and the septic was found to be in compliance with the policies and procedures of the Board of Health prior to Mr . Clark ' s commencing hi.s current applications . The Board .voted to grant Variance relief for the side and rear of the g.ar.age and for the gazebo on the condition that the woodshed and the attached shed on the garage be either removed or made conforming . FINDINGS OF FACT: Based upon the information provided , ' the Zoning' Board of Appeals made the following findings of fact : 1 . The encroachment of the garage is minimal and a Variance has been granted for this encroachment ; 2 . The applicant complies with the Zoning. Bylaw as it - pertains to family apartments . The vote on the findings of fact was as follows : AYES : BOY , BURLINGAME, NIGHTINGALE .NAYES : NONE DECISION : Based upon the information provided and the findings of fact , at . a meeting held March 8 , 1990 , by a motion duly made and seconded , the Zoning' Board of Appeals voted to grant the Special Permit fora family apartment with the following conditions : 1 . The family apartment shall be in compliance with the Zoning Bylaw; 2.. The applicant shall comply with all Board of Health regulations ; and 3 . The Special Permit shall not take effect until the attached shed and the woodshed are removed or made conforming . The vote was as follows : AYES : BLISS , BOY , BURLINGAME, BURMAN , NIGHTINGALE ' NAYES : NONE Note : Dexter Bliss and Gene BUrma.n cast their votes at the meeting of February 22 , 19.90 . i �SZee Dale i -,o "Cw CA r k j Nu WIS !1 cp I. i i E i I w .. y � SNEa • GAZ�F3o e es�LE- - cl i AT/o C � J RICtiAP.D� A. (. B/%X7ER 8� 120 o v Sn. q G no. 240613 •-:.l VOI �Lo7, f�LA Al I I 1 06.4 7 Af)A/ V/LLE SC1,L.&5-- 20� O.gTE /2/Z �. GGZT-1 Fy T4AT TWE $U►UN►JGS 'Si4CV./4 . ,.t/ A2E L.DUTC-D c`��J T�iE (,17.0tJND AS S EaUWl� L oT- 5 , ���. !'G. /07 II 7ATE: EA XT.E,e E .VYE /NC O.,v ,4,f/ AEG/STE,eF1� L.�,c/p $U2li6Ybc�! //✓ST,2U�1•E�/T SU.21/E�E Th�� �STE,21//,C,[.� � �'J,q.SS. I �SEO TJ OE'T�Zt�/�C/E ,�jT L_//V,!=�'S_ A�•��/C/-1~� /`(�T�I:I C �L-��Lf� L U �u�.¢�r. a�u.f aiwz+�c�.s� �GczL� �.i as d.� w �� �� , � — � . �eE �� � �'� � � �h �f ""e,qV?3 I s� a JAN . i A4. .11kat- 1 1 i - I �t i _ G i �__,`` f � _ _- _- _`-` �� � � �) ���� �� - -�.` _ fl %" >. i� `., _�-' _ _�� - -- �`' T i 4THET TOWN OF BARNSTABLE /ao '_ ZONING BOARD OF APPEALS I . i B.1BBSTAEL i - MA 56 NOTICE OF PUBLIC HEARING UNDER ZONING BY-LAWS MEETING OF JANUARY 18, 1990 To.all persons deemed interested or affected by the Board of Appeals, under Sec. 11 of Chap. 40A of"General Laws of the Commonwealth of Massachusetts and all amendments thereto, you are hereby notified that: APPEAL NO. 1990-03 7:30 P.M. KANDY KORNER GIFTS, INCORPORATED HAS APPEALED TO THE ZONING BOARD OF APPEALS AND PETITIONS FOR A VARIANCE UNDER SECTION 3-3. 1 (5) , TO ALLOW THE CONSTRUCTION OF A PORCH AND STEPS WITH HANDICAPPED RAMP AT MAP 308, LOT 78; 474 MAIN STREET, HYANNIS IN A BUSINESS' ZONING DISTRICT. A PUBLIC HEARING WILL.BE HELD ON THIS PETITION AT 7:30 P.M. APPEAL NO. 1990-04 7:45 P.M. ARTHUR CLARK HAS APPEALED TO THE ZONING BOARD OF APPEALS AND PETITIONS FOR A . SPECIAL PERMIT UNDER SECTION 3-1.1 (3)D) TO ALLOW A FAMILY APARTMENT AT MAP 119, LOT 44, 158 WINTERGREEN CIRCLE,. OSTERVILLE IN AN RC ZONING DISTRICT. A PUBLIC HEARING WILL BE HELD ON THIS PETITION AT 7:45 P.M. APPEAL N0. 1989-25/1989-26 8:00 P.M. ` h THE BOARD OF APPEALS, PURSUANT TO AN ORDER OF :7Lar! NTD.FROM SUPERIOR COURT, HAS SCHEDULED A HEARING ON THE MATTER OF BEkNARD J: SMITH 'COMPU-TUNE, INCORPORATED FOR A VARIANCE FROM SECTION 3-3.6 (5) , BULK REGULATIONS- AND 3-3.6 (6) , TO ELIMINATE OR REDUCE THE TEN (10) FOOT GREEN STRIP AND FOR A SPECIAL PERMIT PURSUANT TO SECTION 3-3.6 (3) (A) TO A.LLOW .A -COMPUTERIZED AUTO MOBILE: FACILITY AT MAP 2692 LOT 24, 498 WEST MAIN STREET, HYANNIS IN A HIGHWAY BUSINESS ZONING DISTRICT. A PUBLIC HEARING WILL BE HELD ON THIS PETITION AT 8:00 P.M.. THESE HEARINGS WILL BE HELD IN THE -SELECTMEW S CONFERENCE ROOM, NEW TOWN -HALL .367 MAIN .STREET, HYANNIS ON THURSDAY, JANUARY 18, 1990. YOU ARE INVITED TO BE PRESENT BY ORDER OF THE ZONING BOARD OF APPEALS , -LUKE P. LALLY, CHAIRMAN BARNSTABLE PATRIOT ZONING BOARD OF APPEALS 1/4/90-1/11/90 Assessor's office(1st Floor): _ 80M ��a- Assessor's map and lot number _ yy C�_ �°SY "�'fj Board of Health(3rd floor): �rata,� � BM Sewage Permit number ��_ � v�I��u L L`°: �1rr•,. 1 Z BABd9TODLC i Engineering Department(3rd floor): �re = ' rasa House number : •v�;iq REL�;3„ ._,,,, °o 3639. Definitive Plan Approved by Planning Board 19 ��rav APPLICATIONS PROCESSED 8:30-9:30.A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT T6-�4.:� 4.,9PI A-Y TYPE OF CONSTRUCTION 19 OF TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following i ormation: • Location Proposed Use Zoning District' "`� Fire District�� -Name of Owner a Address -,Ar(? Name of Builder -� -.�-���. Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost ^, Area !/ Diagram of Lot and Building with Dimensions FeeDr I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re rdin ove c t lion. N me Construction Supervisor's License CLARK, ARTHUR F. No 33350 Permit For Convert Garage to Family Room Single Family Dwelling Location 158 Wintergreen Circle Osterville Owner `Arthur F. Clark Type of Construction Frame Plot Lot s Permit Granted November 13, 19 89 Date of Inspection '19 Date Completed 19 W e z i ' „ tse your reasons for applying for a. Special Permit : 14 IMPORTANT .—..All Special Permit applications 7information, drawn to scale, with the p li following a must include the pcation form: 1 the dimensions of-. the land; Z the location of existing buildings .on the land; land. 3. the exact location of the improvements sought to be placed on the action by is filed without such information. will be returned without . . action by .the Board of Appeals. 15 Site Plan Review: . Certain applications to 'the Zoning Board of Appeals 'for a Special Permit require site plan review pursuant to Secion 4-7 of the Barnstable Zoning Bylaw.' Therefore, ques must be completed by the Building Commissioner or his designeetoop determine if .site plan review is required for your application. If site pian . review is not required, the Building Commissioner shall indicate SO- in the .space provided below and application with the Town Clerk and the : Office uofa the �Zoning le sBoard of Appeals . If site plan review is ' required, YOU"Certificate of Review” from .the Building Commmsstonerswh�chaindin acates that .you have completed the site plan review process . The Building Commi_ssioner's office will information to a i Provide you with the necessary PP y .for site plan review if. it is required, -if site lap review is re wired failure of the a licant to include a "Certificate of Review"when this application is filed with the 7 Board of A eals shall be rounds for denial of the S ecial Perm—it n � n . yes , Site Plan Review is required for this application. Site Plan Review is not required for the following re sons : AI j Respectfu 1 i y subr ' i (signature) (date) 1.2_—/� �� a AS 2wage Permit number .......................................................... . iNSTALLE01 -TOWNk BE' TOWN OF BARNSTABLE ' BUILDING � NNN0 0 �� 0- . � ��N000_0� N �� �N �� � �� =� � ���� � �� �� m ~~ �m ' APPLICATIONFOR PERMIT TO ................. . 1l cJc4_\._/.i..rv').. ........... . . . ........................... � TYPE OF CONSTRUCTION -------.�- ------.-.-~---.--------..:---. ` � � � ~7__ �n ' ^ .................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: L� � Location -'�����,�-� ............................. - ' .....=..-------------,--_--------- � D Proposed Use ..�-- .-���D !�-...�-.�...... -.. ----.------------.. Zoning District -- ---... ..................................�ne D���� ------------------------..._ . ' ,4�o� Nome of Owner v~�.p��r*�/�,��~�Y_��-.!�,��u�....-=.A66reo --------..------.'------------- . � � . Nome of Builder ..............3 r ---------.A66,es ---------------------------- Nome of Architect ----.-.---------------.A6Jres r-..r------------------------. 7� Number of Roomi --' I -...-------------..Foun6otion ...... ................................................. Ex/e,io, ---' ---------------.RooGng -' ------------_. . . . . �.l-.`��-~ Floors ,------- = ...............................................Interior . -' ------,-------.. _- �-� � . -_--� . Heating --'1~���,----i.!.L..���.]��,-------'Rum6ing --------..------_______ ................. ' �~ Fireplace -------.~----�-----------------App,oximo�a �ou -..'- ^^ Definitive Plan Approved by Planning, Board Lot and ' Area �� �� -----' � Diagram of � on6 Building with Dimensions Fee _�' ................................. � SUBJECT TO APPROVAL OF BOARD OF HEALTH � � \ . . / c7^ -^ �~� � [/ | �^ | / � ` ��_� CLARK, ARTHUR F. 25298 ADDITION N-, ................. Permit for .................................... Single Family Dwelling .............................................................. Location 158 Wintergreen Circle ............................................................... Osterville ............................................................................... Owner Arthur F. Clark. ................................................................. Type of Construction Frame .......................................... .................................................... ..................... Plot ............................ Lot ................................. July 8, 83 Permit Granted ........................................19 Date of Inspection ...................................:19 Date Completed ......... 19 . Assessor's ,ma and lot number ................................` �. C ...... :..�/` Se age Perm t number `• S '� Jr/J:.:...........:......... • ` Z BAHB9TADLB, i House number T MA06 pp i639 9� .. 0 MPv a' TOWN OF BAW-NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO f �- -- �- TYPEOF CONSTRUCTION ............................. .................. - ............................................................................ ............................ .......�....19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thee following information: Location ......� ...!ti..�..'.v i z .. EjcL�:T—J ..................................... ................................... ProposedUse .................... � .....` .. � ...... '� .......... ..................................................... Zoning District ...................... . P • r � .................................Fire District .............................................................................. .............. G2_Ted J Name of Owner ........................:...,,.. .:.....��•�L .��....Address .................................................................................... Nameof Builder ............ ).. f .�....................:............Address .................................................................................... C I Name of Architect ............Address o Numberof Rooms ..................I.....:........................................Foundation .....a-7. .r .............................;. utll _ Exterior .......: ..............i'.�..................................................Roofing ................—�S ...Y1.r� !............................................. Floors ..!............................................................Interior .......................... .. ........................................... ' Heating .........(..X-U'•...y �1J�,t �`� ..................Plumbing..................... �..... .................. ........................................................... Fireplace ..................................................................................Approximate Cost ...........'1... ......................................... Definitive Plan Approved by Planning Board -----------______-----------19_______. Area .... ....::................... Diagram of Lot and Building with Dimensions Fee / ' SUBJECT TO APPROVAL OF BOARD OF HEALTH •�•1 J y U�, �F 3G01 i� r7 �� I ' I vt ILL OCCUPANCY PERMITS• REQUIRED FOR§NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the. Town of Barnstable regard ng the above construction. INo .'ram.............. .. ............. "... ........... Construction Supervisor's• License .................................... • t. CLARK, ARTHUR F. A=119-044 25298 ADDITION .................. Permit for .................................... —Sing.�e'..Famil.y... i ag............... ....... ... ........... Location 158 Wintergreen circle ................................................................ Osterville ............................................................................... Arthur F, Clark Owner ...................................................... ............. Type of Construction ..................Frame...................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....!T14Y..8.4.................19 83 Date of Inspection,....................................19 Date Completed ................................I......19 „ . Y', -. �. .. ...t�.;..:s.. .�=r-.l✓^�,.....�1.��,''t.r'krf4'Si V6'�.:�+"'"�'�7►t.+ r"C�+vti:��'....:�+=ay3`r 3'r. Y'�.:�1�'+. .±�,Q."�,• .'';.+ 7`4�n3•`'�'y t.:fir-"., ...r'f.,.� r-- I Assessor's office(1st Floor): / q Assessor's map and lot number �f;//`-' O�/5/ Q�oi?NE Tod` Board of Health 3rd floor): Sewage Permit number \` • w� BAHd9?ODLL Engineering Department(3rd floor): rasa House number °o,,�+639. \0�' Approved b Planni ng Board 19 C YPY d' Definitive Plan A y g PP 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---�'U(���o � iZf����.. Q t 1 A- y ���a 6'�-{ TYPE OF CONSTRUCTION !// 'i 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location - Proposed Use - Zoning District Fire District Name of Owner OA 42k<- Address 46—(Y�- Name of Builder \� ��--� Address I - Name of Architect / Address Number of Rooms / Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost• P . Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re rding_the-above constr” -ction. Name Construction Supervisor's License >�fJ/� CLARK- ARTHUR F. A=119=044 i No 33350 ' Permit For Convert Garace to Family Room Single Family Dwelling Location 158 Wintergreen Circl P' J Osterville Owner. Arthur F. Clark Type of Construction Frame Plot Lot Permit Granted November 13 , 19 89 Date of Inspection 19 Date Completed 19 >• 'i 1 6;20 too F� Ow Town of Barnstable *Permit# �. 6 n oath Issue date Regulatory Services ♦ ♦ ♦ ♦ SrABLE. M'' g Thomas F. Geiler,Director � 312311° Building Division 0 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �j 'l Not Valid without Red X-Press ILnprint Map/parcel Number I [. ( V C(4 Property Address^%,'� //Z HIV_ s�T �r.�lfT�c� «,'C Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address -" ���'�'�% Contractor's Name Telephone Telephone Number j f t j / Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 0(� ��S 3:3L LWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name 2Z&A&Fzl1�7?�� Workman's Comp.Policy# /2,9 ��x Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) VRe-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is re ired. SIGNATURE: Q:\WPFILESWORMS\building permit forms\EXPRESS.doe Revised 090809 From:Kathy Geddis FaxID:Northwood Insurance Page 2 of 2 Date:11/12/2009 69:59 AM Page:2 of: CERTIFICATE OF LIABILITY INSURANCE OP ID KG DATE(MM/OD/YYYY) DAVID-2 11/12/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood Ins. Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 540 Main Street, Suite 9 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 Phone: 508-771-1632 Fax:508-393-2955 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Insurance Co. INSURER B: Travelers Insurance Company David Cox, Inc. INSURER C: P. 0. BOX 401 INSURER D: S Yarmouth MA 02664 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYYY) DATE(MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A COMMERCIAL GENERAL LIABILITY I-680-1481M796—COF-0903/14/09 03/14/10 PREMISES(Ence) $ 300000 CLAIMS MADE X❑OCCUR MED EXP(Any one person) $ 5000 X Business Owners PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000000 POLICY jEa LOC CSL 2000000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILRY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC AAND EMPLOYERS'LIABILITY Y/N TOR11 LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ 6KUB91OX742209 07/15/09 07/15/10 E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100000 It yes,describe under SPECIAL PROVISIONS below E L.DISEASE-POLICY LIMIT $ 50 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE'HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWNBAR, DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL TOWN OF BARNSTABLE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR BUILDING DEPT 367 MAIN STREET REPRESENTATIVES. HYANNIS MA 02601 AUTHORIZ REPRESE TATIVE ( ACORD 25(2009/01) ©1968-2009 ACORD CORPORATION. All rights reserved. i- The ACORD name and logo are registered marks of ACOR0 i The Commonwealth of Massachusetts Department of Inditstrial.Aecidents Office of Investigations 600 Washington Street Boston, MA 02111 wrvw,mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): /J/ ' Address: %�� j�/ J�LS"� Z79 City/State/Zip: Z, one M C J Z16 Are you an employer? Check the appropriate box: Type of project(required): I.�I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.) required.] 5. We are a corporation and its 10.❑ s Electrical repairs or addition 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL I AOrRoof 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 fit 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. tContractors 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: 4< Policy# or Self-ins. Lic.#: ��/� J/� 7��' Expiration Date: 7 1 5 Job Site Address: �� � ����� � (/�� City/State/Zip: 7-1 2�_ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against,the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify it der the pains and pe alties of perjury that the information provided above is true and correct. Si nature: ' Date: Phone#: Official rise 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#: 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, constniction 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-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 lnclustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retumed to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a.reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia THE Tow Town of Barnstable do Regulatory Services RA"STABLE, Thomas F. Geiler,Director 1639. A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder JZ , as Owner of the subject property hereby authorize �/J to act on my behalf, in all matters relative to work authorized by this building permit application for. ZL (Address of Job) T— Signature of Owner F5ate fwmye= Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable OF IHE Tp� o Regulatory Services • " Thomas F. Geiler,Director BABrtsrABLE, MASS. 9�P 1639. a,�� Building Division . lfD � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 10B LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns it 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 Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by i I several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORM S\homeexempt.DOC valid for individul use only �z. I or registration to: Nuea ' License iration date. If found return ulations and Standards before the exp Regulations and Standards Board of Building Reg CTOR Board of Building ]301 HOME IMP.ROVEMEN7 CONTRA ` one Ashburton Place Rrrt 02108 100g97 Tr# 268012 Boston, ; iration:=61/812010 ,. �Exp #;�`"Pwzte COrPoration i ^- ITYPer ---------_ ID INC!, Not valid without s• nature j DAB COX, s,: _- I . I David Cox 19 LAVENDER LN x �I --Administrator L ._ W.YARMOUTH,MA 02673 I of Public S,tfct� �t pcpartme"t s.tnd Stand,rrds tictts- „ul�►tion: J ,`. Massachu• uildinl` Rc5 License BoardB ervisor of Uctlon Sup 63537 License: ikfaw to; 00 I Restricted DAvID R coy, So ARMoUTH,MA 02664 Expiration: 1011512011 5822 .� I (utnnii� siunct' r y, t ..µme•• •{R¢ `. tr , 'mot*iio.{I:4. yt Assessor's,`m•,ap'and plot number .. �/ /; ry e �A �� - Lagez:,Perm1i,6m1ber 7,4� THE'`S t...... ' l,A.°STALL.E.G 4P ( 9T LE House number' . :0.. .. ..... ..... . { ...... ... ENV1�30N�E o +��. o ;; 7 is �/N 4 D MAI a\ w t' TOWN: OF BARNSTABLE BUILDING INSPECTOR u; � APPLICATION FOR PERMIT TO; ..................f =.... e .l f� TYPE OF:CONSTRUCTION ......:....:............ ................. ................................................................................. .......................... /'".��...19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... ...... ............................................1....... ......................................................................................................:......... i ProposedUse ..:...................� ........`.....° ....... ......... ........... ..... ............................. ...................................................:.... Zoning District .... .......... ........Fire District .......... .................................................... 1 Name of Owner 2Ti� J cT^.... a K..Address .................................................................................... Nameof Builder ............. .!A. r...............................Address .................................................................................... Nameof Architect ..................................................................Address ...................................................................................... Number'of Rooms ...... ..... .I..............................................Foundation ......Ica.la.�.................................................. lExlerior ................... .4................ Roofing ........... �(ti 4....................... .................. ! 'Floors ................. .............` �.�......................................................Interior ........ ... ....... . ,11 . ......................................... .. o.:T' . �-- Heating ........... ...... ..................Plumbing ..............................`....�..n�............................................ Fireplace ..................................................................................Approximate. Cost .......... �,- A..II.......................................... Definitive Plan Approved by Planning Board -------------------_-----------19 . Area .A.S... ..................... Diagram of Lot and Building with Dimensions �. Fee ........�.................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �. �i ~� �- •�.. � r_.-..J •� I� ' _.. • _•1\ , III .0 CS OCCUPANCY PERMIT REQUIRED FORkEW DWELLINGS i �ZQc�na.� � I f` I hereby agree to co' form to all the Rules and 96gulations of the!Town of Barnstable re C t above construction. I ) Noa ........ ..................... ........... I � Construction Supervisor's License .................................... t CLARK., ARTHUR-.F. �7 ;71 rr ADDITION j4 No. Permit for ............. ...................... -Sihgld Family Dwelling .. ........;.......................... .......................... ...... < Loc--ation 158...Tdinter.quen...Ci.rc.l.e....... ............. Osterville 4!' -1 ...................................................................... Arthur-- F. Clark Owner ......................... �,t................... tT s Type of Construction' Frame I................................... .................................. ....... ......................... ................. .... ..... Lot ...... ..................... Plot .. July 83 Permit Granted ................. ..19 .. ......... ... Date of Inspection.... ................... ........19 .9 Dcte Completed N, a > j THE TOWN OF BARNSTABLE 33AMSTABLE, o�Ya�e��. BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ....Ad.d...t.o...D.w.....e 1...1..i...n.g................................................................................. .. .. .. TYPE OF CONSTRUCTION Wood Frame ...................................................................................................................................... ..................1q..Z?. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit'according to the following information: Location ..,,Wintergreen...g.ircle , Osterville MA. ............................ ................................................................................................................... Proposed Use .....3!edroom-Dining J�rea ................................................................................................................................................................. RC Centerville-Osterville ZoningDistrict ........................................................................Fire District ............................................................................... Name of Owner Arthur Clark ....Address Wintergreen Circle , Osterville , MA. ................... .... . . . . . .... . . . . . . .. .. Name of Builder k.MarnU.?....Tn9.!............Address P.....0. Box 310 Osterville , MA. ................... ........................................................ .Name of Architect ......................None .............Address ..................................................................................... Concrete Block Numberof Rooms .......... ...................I..................................Foundation .............................................................................. Exterior .... ........................:.....................Roofing Aqj.�e.d....Ro.of........................................................ FloorsgArP!E.. ......................................................................Interior ....�)�.elr.qc.k.......................................................... Oil Hot-Water None Heating ..................................................................................Plumbing .................................................................................. Fireplace None ....................................................Approximat� Cost ........ 3 ,900- 00 .......................;...... .............. ................... Difinitive Plan Approved by Planning Board --------------------------------19-------- - Diagram of Lot and Building with Dimensions W U! < A W C12 1111:11I�uj (n Uj M > 3: 0 ca CL LL. CL 0 W 7' LLJ z F- 1:4 + _j 03 0 C r. (n K .2 W CL UJI _j 0 _j - _j UJI V) WV) z z LA W *LLI V) (.9 - Da<C 3 z: z . - 0 >_ LLJ Ir- Q� W U E CL < � LLI F_ 0 W. -Z Z. viI��C.���PCfv C11 1?c I hereby agree to conform to all the Rules and Regulations of the Town a a ns le re, ing the ove construction. 57 Name .... . .. . .. ... .......... .... ........... C-j-ark, Arthur add to single Permit for .................................... family dwelling ............................................................................... Location Wintergreen Circle ................................................................ Osterville • ............................................................................... Ow Arthur Clark Owner .............Arthur T%,,.-.,e of Construction .................frame .......................... .............................. ............................................ Pkr ............................ Lot ................................. Permit Granted .........4-4gWi.t..U...........19 72 D.-.,e of Inspection ..........I.......... ...............19 2- rL.2..........19 Completed ..... ........ ....!........ PERMIT REFUSED ................................................................ 19 ............................................................................... -� ................................................................................ ir5 ............................................................................... A .......................................................................... ✓ -Z Approved .................................. ....... . 19 7'. ...................................................... ............... T ............................................................................... Ja9FPH D. DALuz Brii/dinR Commi,tioner TELOPHONEt 775.1120 EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 December 5, 1989 M Mr. Arthur Clark 158 Wintergreen Circle Osterville, MA 02655 Re: A-119-044 158 Wintergreen Circle, Osterville Dear Mr. Clark: - Our records indicate that on August 18, 1972 you applied for and received a building permit to add a bedroom/dining area to your dwelling located at 158 Wintergreen Circle, Osterville. On July 8, 1983 you applied for and received a building permit to add a deck and a mud room. The setback from the property lines is shown on your application as 25 feet and he feet. A notation "no living quarters on 2nd floor" is also shown on the application. The permit application was signed by you as owner of the property. On November 13, 1989 you applied for and received a building permit to convert the existing garage to a family room. I am now in receipt of a written com— plaint dated November 16, 1989 alleging that you have a two family dwelling and a possible encroachment on the property line. This letter is to advise you that if you have created a second living unit in your dwelling a zoning violation does exist. Relief from the Town of Barnstable Zoning By—laws can only be granted by the Board of Appeals follow— ing a public hearing. In addition, I am also requesting a certified plot plan by a registered land surveyor showing the location of the buildings on your lot and the property line setbacks and sidelines. Please submit the information within the next ten (10) days. Peace, � ' oseph D. DaLuz Building Commissioner I JDD/gr cc: M.. Sheila Burchell Board of Appeals C /4V 146 Wintergreen Circle Osterville, MA 02655' November 16, 1989 Mr. Al Martin Building Inspector Town of Barnstable Hyannis , INiA Dear Sir : This letter is in regard to the structure owned by Arthur Clark on Wintergreen Circle, Osterville, MA. Over the past ten years the structure has grown from a garage into a two family dwelling with abutts my propety line. My concerns as the abutting neighbor are : (1) The structures closeness to the property line. (2) The size .of the dwelling. (3) The laws regarding notification of change in building use before the change occurs . \ (4) Zoning violations . The resale value of my home has depreciated due to these changes over the last several years . Some notification should be forth coming before construction is allowed to continue. I am looking forward to your response. Sincerely, MSB/d M. Sheila Burchell. cc : Board of Health Planning Board Selectmen L WOOD _._.__------ . GAzG30 a e Zon wA y 4,i . /0A7*Io . �IAII.I p I A. CO 4 - BAXTER g Na. 24040 �L'1$T[P. • / `1 �'�� lfi 1 Sys 7- 6 6.4 7/OA�/ OSr4g�2Vel_16 SC,4LG- ��/ 20� O.•4TE /2�Z/f�'9._ I. Gam"I TµAT -�1E UI L-DI NGS Si4CVA4. .�L;�I.V .2E�E.eE.UC•� B A2� l—OG.�TC—b c�t� 'CITE ..:GROUIJD AS S N�;IJhJ LOT- i SATE; 12-I Z=8 CI'.l�Jcaf B�4 ,t/o7- � BASE"O O�c/ Ai!/ AEG/STE,eE� ,C•,qc/p SU.eY6Yar�! OSTE,2Y/,CL.� �•c,•�SET.S Syal.��/S�v[� �t/o7' g� I AG�4/C. �n ALBERT J. SCHULZ D ATTORNEY AT LAW O 7 PARKER ROAD OSTERVILLE.MASSACHUSETTS 02655 (508)428-0950 TELECOPIER(508)420.1536 I February 13, 1990 Luke P. Lally, Chairman Barnstable Zoning '8oard of .Appeals Town Hall 367 Main Street Hyannis MA 02601 re: Appeal No. 1990-04 & 11 Applicant, Arthur F. Clark Dear Mr. Lally: I enclose herewith Affidavit of Paul F. Williams, addressing the concerns set forth in the Department of Planning and Development Report of February 2, 1990, in connection with the above captioned matter. Although Mr. Williams states that, to the best of his knowledge, construction of the garage began in the fall of 1979 , I submit that for purposes of the 10 year statue of limitations, the only important date is the pouring of the foundation, since under M.G.L. c. 40A Section 7, any action to remove a structure must be commenced "within ten years after the commencement of the alleged violation" (emphasis added) . If .you require additional information, please feel free to call me. Sincerely, r Albert J. Schulz AJS: ssh Enc. File No. 19376 cc: Joseph D. DaLuz , Building Commissioner Arthur P. Traczyk, Principal. Planner Arthur F. Clark I �l `r'.'�1 ( t jJ� r a � �/ ./ wi1liame_at£ AFFIDAVIT I , PAUL F. WILLIAMS, on oath depose and state the following: 1. I am the same Paul Williams who poured and finished a concrete garage slab for Arthur Clark at his residence at 158 Wintergreen Circle in Osterville in April of 1979. A copy of my bill is attached hereto. 2. The original size of the slab was approximately 22 ' x 32 ' and is highlighted in yellow on a copy of the plot plan attached hereto. 3 . To the best of my knowledge and belief, Arthur Clark began building the garage in the fall of 1979. SIGNED under the pains and penalties of perjury this 13th day of February, 1990. Paul F. Williams 148 Wintergreen Circle P. 0. Box 473 Osterville, MA 02655 February 12, 1990 Board of Health Barnstable Town Hall Barnstable, MA 02630 Attention: Building Department Please send me copies of all permits issued to Arthur Clark, Wintergreen Circle, Osterville, MA for the building of a garage, an apartment over the garage and- converting the lower garage area into living quarters . Please include copies of all inspections completed by your department for occupancy, plumbing, septic use and wiring as well as copies of all surveyor 's documents with regard to distance from property lines . Any fees for this information I will pay upon receipt of the documents . Sincerely, M. Sheila Burchell MSB/d 5 148 Wintergreen Circle P . 0. Box 473 Osterville, MA 02655 February 12 , 1990 Board of Health Barnstable Town Hall Barnstable, MA 02630 Attention: Building Department Please send me copies of all permits issued to Arthur Clark* Wintergreen Circle, Osterville, MA for the building of a garage , an apartment over the garage and converting the lower garage area into living quarters . Please include copies of all inspections completed by your department for occupancy, plumbing, septic use and wiring as well as copies of all surveyor ' s documents with regard to distance from property lines . Any fees for this information I will pay upon receipt of the documents . Sincerely, M. Sheila Burchell I MSB/d i I f_ A=119-044 JOsF.PH D. DALuz I JI Building Commitrioner \ --- TELBPHONEr 773-1120 EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 December`5, 1989 Mr. Arthur Clark 158 Wintergreen Circle Osterville, MA 02655 Re: A-119-044 158 Wintergreen Circle, Osterville Dear Mr. Clark: Our records indicate that on August 18, 1972 you applied for and received a building permit to add a bedroom/dining area to your dwelling located at 158 Wintergreen Circle, Osterville. On July 8, 1983 you applied for and received a building permit to add a deck and a mud room. The setback from the property lines is shown on your application as 25 feet and 12 feet. A notation "no living quarters on 2nd floor" is also shown on the application. The permit application was signed by you as owner of the property. . On November 13, 1989 you applied for and received a building permit to convert the existing garage to a family room. I am now in receipt of a written com- plaint dated November 16, 1989 alleging that you have a two family dwelling and a possible encroachment on the property line. This letter is to advise you that if you have created a second living unit in your dwelling a zoning violation does exist. Relief from the Town of Barnstable Zoning By-laws can only be granted by the Board of Appeals follow- ing a public hearing. In addition, I am also requesting a certified plot plan by a registered land surveyor showing the location .of the buildings on your lot and the property line setbacks and sidelines. Please submit the information within the next ten (10) days. Pea-cep 1 oseph D. DaLuz Building Commissioner JDD/gr cc: M. Sheila Burchell Board of Appeals JOSF.PH D.'DALU2 TELBPHONEs 773-1120 EXT. 107 77 Building Comminiontr TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 January 9, 1990 Ms. M. Sheila Burchell P. 0. Box 473 Osterville, MA 02655 Re: A=119-044 158 Wintergreen Circle, Osterville Dear Ms. Burchell: Upon receipt of your written complaint this office did inspect the property located at 158 Wintergreen Circle, Osterville, owned by Arthur Clark. Please be advised that there is a family apartment located on the second floor of the garage. There is no record of a Special Permit to authorize the family apartment. A public hearing will be held -on January 18, 1990 to permit use of the family apartment. A recent survey of the property indicated .that a portion of the existing structure is less than the distance required from the property line. The owner has informed me he plans to remove the shed from the side of the garage. The accessory buildings on the property appear to be in violation also. Mr. Clark's attorney plans to file an application for a Variance in the very near future. If I may be of any further assistance please contact my office. Peace, Jo�seph D. DaL`ifli Building Commissioner JDD/gr i . } t f f i. � i d � 1 i 1 � 3 7 . ' y f' • r �3 F/pF ' '" � .7� .. {� .. _. 1. .:,:. . _. ��� � � _w _�: ... .__._._ . . .� . ;, Town of Barnstable Regulatory Services cF Thomas F. Geiler, Director Building Division sysTnei e » n. c 9 Mass Thomas Perry, CBO, Building Commissioner , A,i639' aim 200 Main Street, Hyannis,MA 02601 fD Mpr www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508�-790-6230 Town- of Barnstable- Family Apartment Affidavit I, being on oathAOZA�'— N-30L_ ,, depose and state as follows: My name is � �L,(.2 K I am the owner/resident of the property located at: M- (/—J t.> -zc� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: t Name & relationship to owner: (/I y The Family Apartment will be the primary year-round residence for the above-identified family members. in the event that the listed relatives vacate said apartment, 1 will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn t unde pai alties of perjury this / day of 2011. Signature Phone Number Print Name of The Town of Barnstable Department of Health Safety and Environmental Services MRMNST UM& : Building Division 0 9. � 367 Main Street, Hyannis MA 02601 RFD MA'S A Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission January 26, 1998 The Clark Residence 158 Wintergreen Street Osterville, MA 02655 Re: Family Apartment located at the above address Dear Mr./Ms. Clark, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by February 15, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Ralph Crossen Building Commissioner Town. of Barnstable Regulatory Services FTHE Tp� Thomas F.Geiler,Director Orr �►:R n('{ 1 1 � u' Building Division "����������� s BARNSPABLE, Tom Perry, Building Commissioner , ,., �; n 9 16.39. ,0$ 200 Main Street,Hyannis,MA 02601 j r �ATFn �a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and-state as follows: My name is vL7 AA,_2K 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: k I SS ✓7 �����— I` A 011 i�✓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 notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I.am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pai/ nd penalties of perjury this /y ' day of��.0 2010. . � = - JCS• � .z 8'-�7� ignature ' , Phone Number Print Name2-'r�-1-�- -�Y Q/bldg/forms/famaffid Rev:l2/08 • . Town of Barnstable Regulatory Services otrr+E> Thomas F.Geiler,Director ` Building Division TOWN OF BARNS2ABLE r r BAMSTABUF. ' Tom Perry, Building Commissioner 1639. ,0� 200 Main Street,Hyannis,MA 026609 JAN 20 PM 1� 00 �EDMp�A www.town.barnstable.ma.us DIVUSIO'N. Office: 508-8624038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows. iviy narne'is 2�-1�^�Z -- '�-� I am the owner/resident of the property located at: f�j NS� 2 �-r_ �> 2- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: , .Name & relationship to owner: �-l�' A • Name & relationship to owner: L/1 ✓1 Z 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 subldtting 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.] Family Apartments. I agree to note the Building Commissioner immediately in the event oJ-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 penalties of perjury this day of ,Ju4,ZV 2009. e Signature Phone Number Print Name c>n" Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable. Regulatory Services °FINE toy, Thomas F.Geiler,Director ti Building Division BA"STABLE. ` Tom Perry, Building Commissioner y MASS. i639• 200 Main Street Hyannis,MA 02601 plFD Mp'l a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Ate- I )RZ �- � I am the owner/resident of the property located at: /56 � 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:V;yJ �v��-. �� r/� � �0 _,e v4k-v 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. 1 also understand that I am required to comply with all conditions imposed by the ZBA Sp cial Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apart nts. 1 cree to notify the Building Commissioner immediately in the event of the sale of this pro erty. ! L If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. 1 The apartment has been transferred to the Amnesty Program (Appeal No. Other co Sworn to t ins penalties of perjury this %/ day of 2016$. Signature Phone Number Print Name 2;►. ,� I'� 1- Q/bldg/forms/famaffid Rev:1/03 l Town of Barnstable o /< Regulatory Services °F1KME roy� Thomas F. Geiler,Director Building Division i'J E'''ry' t:'= E3„it o S TA PLE snnrvszna Tom Perry, Building Commissioner i639• ,� 200 Main Street,Hyannis,MA 02601 24 P11 2; 26 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oat , depo and state as follows: My name-is _ l J� �� 1. -z// I am the�owner/resident of the.. property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name & relationship to owner:V/l/ '2-0,L) The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 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 explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn IQ un the alties of perjury this d ay of 4¢ 2007. nature . Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable o k /_161 Regulatory Services °Ft►+e rod, Thomas F.Geiler,Director Building Division fDlI u BP,Rf5iA6LE anaivsznacs, Tom Perry, Building Commissioner MAS& 039. ,m� 200 Main Street,Hyannis,MA 02601 2006 JAN 18 Phi 1: 4 www.town.barnstable.ma.us ~DIVISION - Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being oh'oath, depose and state as follows: My name is ��Z-- � y� I am the owner/resident of the property located at: Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner:jJ) V i-V,D N 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. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn t �pai ties of perjury this T day of24_.��)/2006. 'p 2 - gnature Phone Number Print Name 2 _4 U.r'k" Q/bldg/forms/famaffid Rev:1/03 n�c Town of Barnstable Regulatory Services °ftME ropy Thomas F.Geiler,Director ti Building Division r + e snxNsrna Tom Perry, Building Commissioner`;. ` ''� ?: 4 3 g ��o i 3 e (. 9Q� MASS.9 ,0� 200 Main Street,Hyannis,MA 02601 Argo a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath depose and state as follows: My name is !Z— LKI am the owner/resident of the property located at: o� 5 Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 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 in the Appeal _ 1'7 f<5--0 No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale oft is 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 Swo un pa' alties of perjury this day of LO _Y 2005. gnature Phone Number Print Name (2jL �1.C_ Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable �d Regulatory Services pFtME rod, Thomas F.Geiler,Director Building Division snwvsrnB Tom Perry, Building Commissioner ��;� JAH 2 ��; 5 9� MAS&0. 'i �� �0� 200 Main Street,Hyannis,MA 02601 CEO MA'S A Office: 508-862-4038 ' U e ti I J i Q tl Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is I� ;�?_ e-L(-Q-C I am the owner/resident of the property located at: Map and Parcel Number Cc�'roS/et/ The ZBA granted me a Special PermitNariance on 1 D %cf�0 - eel Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name&relationship,to, owner: u 'y Name &relationship to owner: ✓t t+y��� �' ••�� ��� D4 LS5' r�-Z� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn un e pai an ies of perjury this day of 2004. Signature F Phone Number Print Name '. ��-�� PS, Q/bldg/fomis/famaffid Rev:1/03 L Town of Barnstable ����� OA_ Regulatory Services pF'IKE Thomas F.Geiler,Director ti Building Division BM W9rABM Tom Perry, Building Commissioner HAM v 1639. 200 Main Street,Hyannis,MA 02601 0 QED MA'1 a Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �`t'u �= CL �� I am the owner/resident of the property located at: Map and Parcel Number The ZBA granted me a Special Permit/Variance on Date Appeal No. The decision of.the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book 213 3 6 Page 7 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified , family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to and the ns and e ties of perjury this l�'"r� day of 2003. yoze-2?Z 9 Signature Phone Number Print Name lz Q/bldg/fomis/famaffid Rev:1/03 ALBERT J. SCHULZ ATTORNEY AT LAW 7 PARKER ROAD OSTERVILLE. MASSACHUSETTS 02655 (508)428-0950 TELECOPIER (508) 420-1536 April 24, 1990 Arthur Clark 158 Wintergreen Circle P. O. Box 563 Osterville MA 02655 re: Appeal No. 1990-04 Appeal No. 1990-11 Dear Arthur: I enclose ,herewith attested copies of the Special Permit and Variance in connection with the above captioned matter, which were recorded, in the Barnstable Registry of Deeds in Book 7136 , Page 217' and Book 7136 , Page 223 respectively. You will receive the originals directly from the Court. Sincerely, Albert J: ,7chulz AJS: ssh Enc. File No. 19376 I - BOOKY136 PILE 223 ZU 461 RECORD IN REGISTRY OF DEEPS IN'' CUMPLIANCE WITH SEC. 11 CF CHAPTER 40A, M.G.I. TOWN OF BARNSTABLE ZONING BOARD OF APPEALS VARIANCE DECISION AND NOTICE ------------------------------------------------------------ PETITION : #1990- 11 PETITIONER: ARTHUR CLARK ------------------------------------------------------------ At a regularly scheduled hearing of the Barnstable Zoning Board of Appeals , held on February 22 , 1990 and continued to March 8 , 1990 , notice of which was duly published in the Barnstable Patriot and notice of which was forwarded to all ---- interested parties pursuant to Chapter 40A of the General i Laws of Massachusetts , the petitioner , Arthur Clark , al � petitioned the Board for a Variance pursuant to Section 3- ` t0 1 . 3 ( 5 ) , Bulk regulations of the Zoning Bylaw. The applicant ' s property is located at 158 Wintergreen . fy Street , Osterville , MA as shown on Assessors ' Map 119 , lot r-; 44 . It is in a Residential C Zoning District . C6 The petitioner originally applied for a Special Permit for a family apartment to be located on the second floor of an o existing garage and to be occupied by his mother- in- law. At the meeting of January 8 , 1990 , Mr . Clark stated that he would be returning to the Board with an application for variance relief for a gazebo and woodshed both of which encroach into the side yard and the rear yard setbacks . Also discussed at this hearing was the fact that the garage itself is in violation of the setback requirements . A motion was made, and unanimously passed , to postpone the hearing until such time as the petitioner could readvertise for both the variance relief needed and the Special Permit for the family apartment . The petitioner returned February 22 , 1990 with a the application for a Special Permit for a family apartment which is filed as Appeal No . 1990-04 and a petition for Variance relief for the garage , gazebo and woodshed which is filed as Appeal No . 1990- 11 . Mr . Clark stated that construction on the garage was begun during the Sori'ng of 1979 and he oresented the Board witn three copies of bills for the work done and affidavits from the people who performed the work . Acting Chairman , Dexter Bliss . read the affidavits to the board . Mr . Clark stated that ne is under the impression that because the garage is now ten years old , it has grandfather protection ( i . e . the statute of limitations for the zoning violation has Town of Barnstable _ Regulatory Services °FI►IE ro,. Thomas F.Geiler,Director Building Division DOWN OF BARNsTABLE innrrsTAai E Peter F.DiMatteo, Building Commissioner MAM 9Q� 1639. `0$ 200 Main Street,Hyannis,MA 026AU MAR -4 AM 11: 49 QED MA'1 a Office: 508-8624038 Fax:.508-790-6230 tJl ION . Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �— - I am the owner/resident of the property located at:. �'i'-tilL�Za Map and Parcel Number The ZBA granted me a Special Permit/Variance on I990 / 990 —oq Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: dam ' 3 A— Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains,and penalties of perjury this J s r day of 2002. Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:010702 9r COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT d� ' + I, `t being on oath, \i depose and state as follow : /J 1.) I reside at `.l 8 l� -�t 2��� >GZ,, 2.) I am the owner of the property located at-4-,a shown on Barnstable Assessors' maps as MAP // PARCEL 3.) I Do DORW have a Family Apartment at this location. 4.) On a-zli , 1990 , the Zoning Board of Appeals, on Appeal No.?V76-C"/ granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME Relationship to owner:. b) NAME-,( . .. Relationship to owner: A 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. /9?O- a q 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn:founder the pains and'penalties of perjury this Vf — day of Signa Print Name I ,f -• COMMONWEALTH OF MASSACHUSL Jon ' BARNSTABLE AFFIDAVIT being on oath, depose and state as follows: 1.) I reside at Z" C l 2—, 4 2.) I am thepkpmer of the property located at Aft�- shown on Barnstable Assessors'maps as MAP / PARCEL 3.) I Do have a Family Apartment at this location. 4.) On N1e , 1990 .the Zoning Board of Appeals,on Appeal No. 9 muted uic it Spcc:ial Pcrruit/Variance to maintain a Family Apmuncui.al dic above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me"by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: { a) NAME "`.;,Relationship to owner:_ '` r lam_ Relationship to owner- "' 4 7.) 'Me Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s)vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 14 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to,comply with all conditions imposed by the Board of Appeals in Appeal No. 12.).I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Swoin_to under the pains'and penalties of perjury.,this day of .',-+99'A0o0 Print Name ;,7!�^.2mmrrrn.,wi�vSUKm?9asr• .. »„ ...>n. . .,. >. :a'�ror'a.. .... .,.,.._,�..�,�<...�r...:?'3.. ..„atiu., .n.rna:.:�ara -.< , ,w:.�... .,... .. .,,,r�,.. .:.r�..c,•s,....`�"3wr i7:r;�:t�.:vrzr'aiai/'2;7:t;:}rm•'�.3'»z�?.:Z"3:s�"'k'•.�?' z; l COMMONWEALTH OF MASSACHUSETTS R E C E ' V D BARNSTABLE +FIDAVI 4 1999 de ose and state as follows: N OF BARN p BUILDING Ns BLE 1.) I reside at �- 2.) I am the owner of the property located at I SR shown on Barnstable Assessors' maps as MAP __PARCEL_________ 7 3.) 1 Do__ -----—___ _____________have a Family Apartment at this location. 4.) On__—_ 2 , 199 __, the Zoning Board of Appeals, on Appeal No.l�4"� granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME---- L l ,-54 ��- ----- — ----------------------- Relationship to owner:----- � �_�---------------------------- bY NAM E--- ---------------- ------------------------------------- ;Relationship.to owner:_ ____ -------- ------- ---------------------------- -- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. _ 19170 Oq — -------------------------------------------------- 12.) I agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property., Sworn to under the pains and_penalties.of perjury this_ —day of 199-- Signatu - -------- ------ ------- ----------------- Print Name COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT ------------ being on oath, depose and state as follows: -F8 1.) I reside at-1� �_ L01 AJ 2.) I am theMer of the property located - - ------------------------------ shown on Barnstable Assessors' maps as MAP— —PARCEL——6V _ 3.) I Do _ have a Family Apartment at this location. 4.) On e-A 199C the Zoning Board of Appeals, on Appeal No. 119 —01 granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a NAME --- Relationship to owner:_—` r �__________—______—__ b)NAME_ — =----. — Relationship to owner:_____—_—_ 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. J_-------------------------------------=- 12.) I`agree fo immediately notify-thd building Commissioner in the event of the sale of the above- listed property. . sT Swoiri,to under the pains and penalties of"perjury this _ — day of_ (� , 199 __ Signature Print Name A i F�v L . COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT r� I L 21< , being 01-1 . oath, depose and state as fo lows : 1 . ) I re-s ide at $ LkDi eA-) 2 I am the owner o the' prope -ty .shown on Barnstable Assessors ' Maps- map _ �I Lot. . _ I 3 . ) On _ 2 �- 19qC>, the ,;- y Board of Appeals, on Appeal No. granted rug, a spE:!cial j permit to. maintain- a family apartment at the ab�,ve address . i 9 . ) I understand that the family apartment may only be occupied by members of my family who a,:,:. P,-.'.LE(DII_; rl._-ited to ` me by blood or by marriage . 5 . ) The following members of my faniil; •mil_'. be tt1( sole occupar t' of the fa ily apartment at. the ,_al:,o � +d<Ires- - (1 ) Name: 2 / r - �-� N I._C�.._-- ---- -- _ Relationship to wner: (2) Name:.._ L ,sue --- Relationship to Owner: c� ------ - ------- 6 . ) The family apartment will be theyeai:- round residence for the above-identified f�mil.y 7 . ) In the event that the above-1 is te•rl vacate :aid apartment, I will immediately n,::)i-..,;A7v Building Commissioner in writing. f understand that no sublett incr c,r �.;_i1:,:L_,3 . .r,�:; :�f said family apartment ' is permitted. 9 . ) I understand that. I am required to 81-11-)WD11y file an Affidavit with the Building Commissioner li�.l.ir-Ig names and relationship of my family mernk)i:!rs o(-cupyir,g family apartment . 10 . ) I understand tha'l_ I am required to c(Dmply with all conditions imposed by the Board of AjDpeal::. ir-i P,Ppeal No. 10 . ) I agree to immediately notify tt-j,:: E'uild:in�4 Commissioner in the event of the sale of the al-Dove-list_.ed property . ��`r„�LSworn to unde the pains aid penalties of t-,erjury this ( v day of t�sc3 2�. 19Mill . (Si nature) - -- .-_- (Please Prin Name) : JUN 15 1994 Gz F LL-) v , J COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , 2T' �2� �• L 21� , being on oath, depose and state as fo lows : i 1 . ) I reside at 2 C �/Zc �, 2 . I am the owner o the prope ty locatl,d ..-It. ' shown on Ba Map // rnstable Assess(D maps M s as - , p Lot 3 . ) On 2 19�¢, the Zon i,-ry !3c and of _ j Appeals, on Appeal No._j �t-e�:ial ,I ^ _., granted n,E: ,� permit to maintain a family. apartment. at the abc:ve address . 4 . ) I understand that the family apartment may only be occupied by memberss �* f my family who are! person,_ reL::�ted to by blood rr by marriage . 5 . ) The following members" of my family will be t.!-,,, sole occupar t�; of the f�a nily apartment. at �v (1 ) Name: t-hcr r:l:ic_; t., address: . Relationship to wner• (2) Name: i4t C Relationship to ---- 6 ..) The family apartment will be t�tprir:;.�: , car round residence for the above-identified fermi y - -; r;c n:!_ear 7 . ) In the event that the above-1 is tv_rl rL_ t vacate Said apartment, I will immediately nct:i_, y Building Commissioner in writing . I understand that no sublettinq or su!-,_1_<.as .nc; :�f ! said family apartment is permitted. 9 . ) I understand that I am required to a) r-,ually file an Affidavit with the Building Commissioner names and relationship of my family nrernhers oi::C_tr�,;� .;,g said family apartment . . H . I understand that_. I am required t.c r"on,E ly witt, ail condition-- imposed by the Board of Appeal-s in ADIDcal No. 10 . ) I agree to immediately notify Commissioner in the event Of the sale of tI-,e abOv, -listed property. Sworn to unlar the pains and penalties of perjury this day, of --jv,�C, 19 t"e y TOWN OF BARNSTABLE BUILDING D&T ( g na t u r e (Please Pri t Name) : D (jUN 2 2 i9931 _ L->9� _-F- �� < CEI VCR , COMMONWEALTH OF MASSACHUSETTS r BARNSTABLE, ss : AFFIDAVIT I , R'Y 00, being on oath, depose and state as ollows : reside at Jr �;Z� 10 • 2 . ) I am the owner of the property locatecl at shown on Barnstable Assess rs ' Maps as : Map I/q , Lot_ 'Y/ 3 . ) On .A-Q.-i„_ T , 199o, the Zoning Board of Appeals, on Appeal No._L490-0Af granted me a special permit to maintain a family apartment at the above address . , 4 . ) I understand that the family apartment may only be ` occupied by .members of my family who are persons related to me by blood or by marriage . 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name• Relationship to Owner: ,�_,�,'—'� (2) Name: sl_ C Relationship to Owner: ID Av-T ' 6 . ) The family apartment will be the primary year— round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment., I will immediately ratify the Building Commissioner in writing .* 8. ) I understand that no writing..* or subleasing of said family apartment is permitted. 9. ) I understand t.hyt. I am required to ,annually file an Affidavit with the Building Commissioner listing the names and relatio►iship of my family members occupying said family apartment . 10 . ) I understand that I am required to-.comply with all conditions imposed by the Board of Appeals in Appeal No. 10 . ) I agree to immediately notify the, Building Commissioner in the event of the sale of the above-listed property. Sworn to under he pains and penalties of perjury this day of 2 3 RECEIEO (Si nature) (Please Print Name) : r MAY• 18 1992 r zr v0 , C7 1 J COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, AFFIDAVIT I ► being on oath, depose and state as follo s: Aaar4o 1 . ) I reside at /,t;-ff i L�Z- L L--�--•- 4 GS , 2 . ) 5am the owner of t propexty located at shown on Barnstable Assess rs ' Maps as : Map 1/� of 3 . ) On , 19 the Zoning Board of Appeals, on Appeal No. /11;6-O� granted me a special permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be occupied by .members of my family who are persons related to me by blood or by marriage . ° 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name: 'D©0--► 3 A42-IJN _ _ Relationship to Owner: A 4 (2) Name: S Relationship to Owner: • 6 . ) The family apartment will be the primary year- round residence for the above-identified family' members . 7 . ) In the event that the above-listed relative(s) vacate said apartment , I will immediately notify the Building Commissioner in writing . 8 . ) I understand that no subletting or 'subleasing of said family apartment is permitted. 9. ) I understand that. I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to•.comply with all conditions imposed by the Board of Appeals in Appel No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed ..property. Sworn to and r the pains and penalties of perjury this kP days v A's C 19.7 -� RECVO � (Sig lature) (Please Print Name) : - JUN 6 1991 J 7:7 �L 5 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT being on oath, depose and state as .follows : 1 . ) I reside at 2 . I am the' owner q�k the prope ty located at shown on Barnstable Assessors ' Maps as : Map //1�1 , Lot _ 3 . ) On 2 19g4, the Zoning Board of Appeals, on Appeal No. granted me a special permit to maintain a family apartment,at the above address . 4 . ) I understand that the family apartment may only be occupied by members of my family who are persons related t'o me by blood or by marriage . 5 . ) The following members of my family will be the sole oecupa s of the fRily apartment at the :_-it)ove address : (1 ) Name: ,v£ Relationship to wner: (2) Name: Relationship to Owner: -- 6 . ) The family apartment will be the primary year- round residence for the above-identified family rnernbers . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify 't;je' Building Commissioner in writing. 8. ) I understand that no subletting or Subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listil-ig the names and relationship of my family members occup;'ing said family apartment . 10 . ) I understand that. I am required to comply with all conditions imposed by the Board of Appeal, in Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to der the pains d penalties of _, rjury this day of / 19 (Si ' )at e) (Ple se Prin Name) : Telephone: 775-1120 Lru i Commissioner ..Ext . 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFF'ICE 017ILDENG HYANNIS , MASS , 02601 March 26 , 1990 p7r.. Arthur Clark 158 Wintergreen Street Osterville , NA 02655 'Re: Appeals No. .1990704 Dear Mr. Clark: On March 8 , .1990, as You were granted a SF)ecial Permit for a family apartment . "The Intent -of this by-18w shall be to 3110w one .(1) additional living unit, complete with kitchen and bath to Supply a gear-round residence for a. .. member or members of the Property owners family, . . . . . ., . . . . . " In addition , the by-law also states that "The property owner, and -the person or pet-sons who will 1-(2sjcle in the family apartment shall sign affidavits before Occupying ,,aid family apartment and further, all shall. sign said affidavits, each year said family apartment is Within sixty ('60) days from the date the peroor*, (.,).r 1*.)Prs(-))-)s residing it-, the fan'lily apar mien t vacate the premises , the owner or his representative shall remove the kitchen facilities and request the-- Building Inspector. to Inspect the premises . It is Important that you understand that there are restrictions which relate to the applicant 's family living at the same premises. The use cannot be transferred. COnviCtion of a violation c)f this by-law Is subject to a fine of $100 per clay for each day from the established date of offense and, also ,- subject- to - a- criminal complaint to issue from rom the First District Court of Barnstable. Affidavit,-_; must be signed and returned to the Building Commissioner 's office. This by--.Zaw be strict..*19 tLnforced. Peace, Building Conlflljs.Sioner 30DIkm cc Board of Appeals Town Counsel f TOWN OF BARNSTABLE 1 ZONING BOARD OF APPEALS SPECIAL PERMIT DECISION AND NOTICE ------------------------------------------------------- APPLICATION : #1990-04 APPLICANT: ARTHUR CLARK ----------------------------------------------- At a regularly scheduled hearing of the Barnstable Zoning Board of Appeals , held on January 18 , 1990 and continued to February 22 , 1990 and to March 8 , 1990 , notice of which was duly published in the Barnstable Patriot and notice of which was forwarded to all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts , the applicant , Arthur Clark , applied to the Board for a Special Permit pursuant to Section 3-1 . 1 (3 ) (D) , Family apartments of the Zoning Bylaw. The applicant ' s property is located at 158 Wintergreen Street , Osterville , MA as shown on Assessors ' Map 119 , lot 44 . It is in a Residential C Zoning District . The applicant originally applied for a Special Permit for a family apartment to be located on the second floor of an existing garage and to be occupied by his mother- in- law. At the meeting of January 18 , 1990 , Mr . Clark - stated that he would be returning to the Board with an application for variance relief for a gazebo and woodshed both of which encroach into the side yard and the rear yard setbacks . Also discussed at this hearing was the fact that the garage itself is in violation of the setback requirements . A motion was made , and unanimously passed , . .to postpone the hearing until such time as the applicant could readvertise for both the variance relief needed - and the Special Permit for the family apartment . The applicant returned February 22 , 1990 with a the application for a Special Permit for a family. apartment which is filed -as Appeal No . 1990-04 and a petition for Variance relief for the garage , gazebo and woodshed .which is filed as Appeal No . 1990-11 . Mr . Clark stated that construction on the garage was begun during the Spring of 1979 and he presented the Board with three copies of bills for the work done and affidavits from the people who performed the work . Acting Chairman , Dexter Bliss , read the affidavits to the Board . Mr'. Clark stated that he is under the impression that because the garage is now ten years old , it has grandfather protection ( i . e . the �,�. =emu; �•s��' 71 statute of limitations for the zoning violation has expired ) . A letter in reference to this matter from Mr . Clark ' s attorney , Albert Schulz , has been submitted to the Board . Mr . Clark stated that when the garage was built he had no intention of.' adding on to it . The area where the family apartment is to be located was added on five years ago and contained one bedroom used by Mr . Clark ' s in- laws . The problem with the location of the apartment is due to the shape of the existing garage and the location of a- garden pool . There is a permitted deck in this area ; the extra deck space was needed for the addition . Mr . Clark• stated that the addition was not and is not intended to be permanent ; when the family apartment is no longer needed it will be removed and the deck will be reduced . Photographs of the garage were submitted to the Board . Mr . Clark stated that he is in the process of removing an attached shed from the garage and this will lessen the amount. of encroachment . When the shed is removed , the garage will encroach 0 . 7" into the required ten ( 10 ) foot side yard setback . Mr . Clark stated that he feels that the topography if the yard , with the placement of ponds and gardens , does not allow him alternatives as to where he can locate structures . Mr . Clark ' s gardens have been written about in national publications such as Better Homes and Gardens . The Board addressed the question of the septic . system. Mr . Clark stated that there is a septic system consisting of four tanks and the system is on file with the Board of Health . Mr . Clark agreed to obtain this information from the. Board of Health and to present it to the. Board of Appeals . The necessary information was later presented to the Board and the septic. was found to be in compliance with the policies and procedures of the Board of. Health prior to Mr . Clark ' s commencing -his' current applications . The Board .voted to grant Variance relief for the side and rear of the garage and for the gazebo on the condition that the woodshed and the attached shed on the garage be either removed or made conforming . FINDINGS OF FACT: Based upon the information provided , the Zoning Board of Appeals made the following findings of fact : 1 . The encroachment of the garage is minimal and a Variance has been granted for this encroachment ; 0 P 2 . The applicant complies with the Zoning Bylaw as it perta.ins to family apartments . The vote on the findings of fact was as follows : AYES : BOY , BURLINGAME, NIGHTINGALE NAYES : NONE DECISION : Based upon the information provided and the findings of fact , at a meeting held March 8 , 1990 , by a motion duly made ' and seconded , the Zoning Board of AppealsQ,voted to grant the S,pecia,l Permi 't', for . a family apartment with the following conditions : 1 . The family apartment shall be in„ compliance with the Zoning Bylaw; 2 . The applicant shall comply with all Board of Health regulations ; and 3 . The Special Permit shall not take effect until the attached shed and the woodshed are removed or made conforming . The vote was as follows : AYES : BLISS , BOY, BURLINGAME, BURMAN , NIGHTINGALE NAYES : NONE Note : Dexter Bliss and Gene Burman cast their votes at the meeting of February 22 , 1990 . t i G i r y 1 l ' r t Town of Barnstable F THE Tp� do Building Department Services Brian Florence, CBO • BABNSfABM rT M^M 0g Building Commissio�.l erg r� � � ��� p i639• ♦ j1?.FP L nr n-, . 'Fc 0,4 200 Main Street, Hyannis,MA 02601 www.town.barnstablerma.us>,,. �'�, !4; 56 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apa"rtMent Affidavit I, being on oath, depose and state as follows: MY T'' name is ` nIQ tl I am the owner/resident of the property located at: 1 5!� t,y i�'I'�2�'►? A s (�7 i-J--_ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: J �( Name &relationship to owner: Name &relationship to owner: 11 I V 1 tiA--O K__�)-L, C4 6:Ae ? 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 un er the pains d penalties of perjury this rXday of f_ 2019. 2. Z Signature Phone Number Print Name /�n;r-t �z '. (� q:forms/famaffid.doc rev 11/08/13 f Town of Barnstable Building Department .. Brian Florence, CBO • snaivsrnei,E, • ruas. g Building Commissioner s639. ♦0 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family Apartment i avit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: 0_29 �7 The following members of my family will be the sole occupants of-the Family Apartment at the aforementioned address: Name &relationship to owner: Li 'S' 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 p immedi�ly --i note the Building Commissioner in writing. I understand that no subletting orb bleasingf said Family Apartment is permitted. :;z I understand that I am required to file an Affidavit annually with the A : ing z Commissioner listing the names and relationship of occupants in said Family 5i� tment. aso n understand that I am required to comply with all conditions imposed by the ZBA pecial Permit z and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 FamilyApa tments. Fa5greeg to note the Building Commissioner immediately in the event of the sale of this p operty. -- w If there is no longer a Family Apartment at this location,please explain: v 'rn The apartment has been dismantled. _ The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn ii de pains alties of perjury this )�"'J-day of � 2018. o 2 k 7 gigrrature Phone Number Print Name a q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services Richard V. Scali,Director _ Building Division •"�''�"B Paul Roma,Building CommissionerMAW 03 -n �. 039. .�� 200 Main Street, Hyannis, MA 02601 `? w www.town.barnstable.ma.us �- Y.- 7v Office: 508-862-4038 Fax: 508-79T-6623 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is wpm4na=� am the owner/resident of the property located at: 1I.5�� (•y t Y��✓c-4'rzc�� �t�C� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �.t�-,� \G� �2+� .7�0� _ Name &relationship to owner: V j-Z� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. 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 S to der the s and alties of perjury this day of k /6 2017. D Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 i Town of Barnstable Regulatory Services oFTMEti Richard V. Scali,Director Building Division S"x'„& Thomas Perry, CBO,Building Commissioner pTEo a 200 Main Street, Hyannis, MA 02601 www.town.b a r n s to b l e.m a.u s Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is A- A-r 4 vc , �L-A-2I- I am the owner/resident of the property located at: t!�78 U, Ay V--Vr - z2X_� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Lt :D S cz Name &relationship to owner: V� The Family Apartment will be the primary year-round residencefor 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 p ' s and penalties of perjury this / 7 r� day of 2016. afore Phone f�tiiber Print Name err �FEB 22 2016 TOWN OF. BARNSTABLF . q:forms/famaffld.doc rev 11/08/12 r Town of Barnstable oFTME r Regulatory Services Richard V. Scali,Director TO' t' OF BARNSTABLE STABLE, « Building Division ;1 ry 1639. A Thomas Perry, CBO,Building Commissioner EO MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us 1 WISION 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 AaAof-;-_ , I am the owner/resident of the property located at: T--14 Z_q fZ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: / I S .�-�K o z� Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains an enalties of perjury this &>o day of 1�q g-,,,AV2015. Signature Phone Number Print Name 7. LIZ, q:forms/famaffid.doc rev 11/08/11 h JL Town of Barnstable Regulatory Services TME Richard V. Scali,Interim Director TOWN OF 5ARNSTA2 E Building Division BARNSPABLF Thomas Perry, CBO Building Commissionr S. � & 4 AN 21 M I2: 3 2 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 DIMS Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 2-' J Z T C-/ -� I am the owner/resident of the property located at: t� ��� AZ�2 .v Cj-0—, 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: V, ✓t �� - �� (�- --� �� �'� r��: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Fainily-partment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to un r s and penalties of perjury this day of )_(�,uoAg7 V 2014. _Cz',qo - 2 - 7 1gnature Phone Number Print Name �z;-,� y R_-1:7 q:forms/famaffid.doc rev I 1/08/11 Apt , klirrwqvo? f _ Y . Town of Barnstable Regulatory Services of rq Thomas F. Geiler,Director Building Division BARNWABLE, " Thomas Per CBO,Building Commissio n OF � � � �- Mnss. Perry, g 1639. ,,0 200 Main Street, Hyannis, MA 02601 �Fc � www.town.barnstable.maxs 7913 JAN 31 t,,X 11: 33 Office: 508-862-4038 Fax: 508-790-6230 DIVISION Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is e t:L 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: L A Name & relationship to owner: 21 �t �fc��2� �. , �/ �� � ��� r , The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately 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: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pain ties of perjury this day of 2013. S ature Phone Number Print Name q:forms/famafd.doc rev 11/08/11 Town of Barnstable Regulatory Services oFti Thomas F. Geiler, Director Building Division '+ snaxsTest,s ,,, Thomas Perry, CBO,Building Commissioner �Ar p`0� 200 Main Street, Hyannis, MA 02601 ^ " °�" 72 www.tow n.ba rnsta b le.m a.u s Office: 508-862-4038 7 -Fax: '508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: �� My name isA4&� OR . 4' , �-�/�2.K I am the owner/resident of the property located at: ��� UDt �D I Stiff �I sZ� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: 1 Name &relationship to owner: Name &relationship to owner: V y) 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 andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to he s d pen es erl this 1S day of , 2012. �~ e .1-0 CAI T� Signature Phone Number Print Name IZ,, q:forms/famaffid.doc rev 11/08/11