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0116 DEER JUMP HILL
° UPC 12543 �o No. R HASTINGS,MN )IOnf- QZ C46 r-,,e.w �� ` �m� tin � �� / 1 i � � , � ` ,, .� . • i � �I � I � � � � 1 � � � � � r � � r • •:. j 11 I � � �. - � II q 228177 11' 9 09/17/2015 q 140208 36 i091 09/17/2015 C 064020 2 S �1506093 09/17/2015 C 109072 59 OLD 201506116 09/18/2015 q 310441 94 WAL 201506117 09/18/2015 C 024126 73 MOO 201506120 09/18/2015 q 335034 3965 M 201506134 09/21/2015 q 337021 256 INDI 201506149 09/21/2015 q 046149 177 WHI 201506162 09/16/2015 q 024126 73 MOO 201506164 09/21/2015 C 252042 71 GOO 201506173 09/21/2015 q 025007007 61 FOR 201506176 09/21/2015 q 11706404A 205 PIN 201506189 09/21/2015 C 173074 81 THR 201506208 09/22/2015 q 021025 143 AB 201506210 09/22/2015 C 270099 336 AR 201506222 09/22/2015 q 144003009 112 FA 201506223 09/22/2015 q 191020003 560 OL 201506225 09/22/2015 C 176012 298 PA 201506240 09/23/2015 C 291143 88 B R III 201506252 09/23/2015 q 126083 29 RH 201506254 09/23/2015 C 248216 31 LIN 201506256 09/23/2015 A 290093 24 BE 201506258 09/23/2015 C 019109 68 GUI ALTER.N-A IVE IZATION WEATHER i + CD .Pl7 Date �c� • W r ., r�, . m Town of Barnstable Building Division ` `>•;'-' - 200 Main St. I•'iyannis,MA 0260 � ;4:I yI"rvp'• 'r'i-:••;'�'•:<F::i'e !?:,5: ��;:�, The insulation work §,-WCMR ; •:, .„:; ?a>;°;;.�; y _z. has been comple in ��1,,,,.,. .1r' �:{l.�`-'}t, �'7•.•,. _ .,•rib J' .:7'.• .. •. ,I� /• I••i::':' •.Si ,Y,. �,I,tY• :•lam t,4•' - :.•�6.:.`4;: :S'�%:�' 7• r.,x: �i::i:•.ti' "-r`yl::ti?' :�i:•'•'�'i;'_•:•,•3;Yr:.:r. -::;�'i::=^. :�•+::::::l.ti;;:•�' tx jY;. 7:,"lx� 2:.•1. �:•_ 4,;:,:r��:..:•�C(?i: c`•.'.a:..}'i:.. tg. 7; .s•;ti_<�.,.i!::3'•�::7.c.. - "'}I'�yc:(•_ "e'l•��"; jJ:N�.,��i'',:;,'�,;�._. - 5b •. _ ;,,.,�Vic% �..�1-;tii:t. •^•�:':. ' President CSL 105454 o e� ER MA 02721 1 150ai 567-4240 ALTERNATIVE'VdEATMERIZATION®GMAIL.COM 58 OICKMSON STREET I FALL . , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # :Health Division Date Issued Conservation Division Application Fee11 _ Planning Dept. Permit Fee �° L Date Definitive Plan Approved by Planning Board co Historic - OKH _ Preservation/ Hyannis j"�j� RnSNC Project Street Address V M P 1'Y1 0- Village Val f-5-r G R(LN Owner Ao&£w 0,,,jv uk v+ Address 116 P HILL Telephone 6o 3 - 7o 3 - 1 31 c� Permit Request )Al -LAw AP1Vz,1-mjv - No Cum,s7YZjCT-igw AN0v"_S"_) 3 �{v NO pW N 1 LNVL I N ft1A\N 1-l-IJ / P"6V T P l.1 V L INJ IA/ -- LAVv j Square feet: 1 st oor: existing ou proposed 2nd floor: existing 404 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size I Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. ili, Two Family ❑ Multi-Family (# units) n .6- .�y J 1'. •cam -r+ Age of Existing Structure 1q� Historic House: ❑Yes ❑ No On Old KingJ,ighway: l Yet ❑ No Basement Type: tk�€ull ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) a� Number of Baths: Full: existing 2 new Half: existing new C) Number of Bedrooms: existing _new Total Room Count (not including baths): existing 3 new First Floor Room Count Z Heat Type and Fuel: t�Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes tkO Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:il existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new---size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization Q� Appeal # ZU1t- 665 Recorded 4 Commercial ❑Yes ❑ No If yes, site plan review# Current Use N - L A--J A#r Proposed Use I N ��°+"" /V T— APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ANpKA-Aft-) (\J 0,9\A,</(A Telephone Number 10-3 " 76 3 - Address 116 D:r_cj. N ,arnP H i L L- License# 'W(_5 T .13Aa LNsrAS_L t, /YVI 6266 F, ' Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNAT R DATE .,7��3 / 7 r4;'E FOR OFFICIAL USE ONLY { APPLICATION # DATE ISSUED MAP/PARCEL NO. w ADDRESS VILLAGE i OWNER DATE OF INSPECTION: ` FOUNDATION FRAME . INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL p E GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Rw- r} ' +P - - Town of Barnstable Regulatory Services Richard V.Scali,Director • sesrrareaM • 1659 �1 Building Division Ep� Paul Roma,Building Commissioner 200 Main Street,Hyar. Doc e 1 7 S 1 L Q 26 1 04-05-2017 9: -1 BARNSTABLE LAND COURT REGIST� Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT.FOR FAMILY APARTMENT We, Andrew Gundlach and Molly Gundlach the undersigned, being the owners of property situated at 116 Deer Jump Hill, W. Barnstable, MA holding title under a deed recorded with the Barnstable County District Registry of the Land Court as Document No.C208855,being shown on Assessors' Map 132 as Parcel 040,hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters,is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a "Family Apartment".(as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must.be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupants of Main Residence: Andrew and Molly Gundlach BCl/LDBtV G 06P, Relationship to Owner: owners APR 062017 Residents of Family Apartment: Robert and Margaret Fawcett TQwN OF Relationship to Owner: in-laws This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances.. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by , the Town of Barnstable Building Department. WITNESS our hands and seals this day of t I 20_L� TOWN OF BARNSTABLE: OWNERS: By: - - Andrew Gundlach Pau Roma, Molly 06ndfaich Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, D OI Then personally appeared the above-named owners C_ made oat]>7r,,�l3eetruth of the foregoing instrument,b re e. ,q..: Nojdji taffy Public Massachusetts BARNSTABLE COUNTY Cw"Isa oa Expires Oct 28.202: My Commission Epines REGISTRY OF DEEDS gsam A TRUE COPY,ATTEST BARNSTABLE REGISTRY OF DEEDS <k�,N,,� John F. Meade, Register I JOHN F.MEADE REGISTER `'T(}VIN OF BARNSTABLE 20,7 FF8 2% r.M 8: 51 r)IVISI0N J� LA,-,N 12,A-r 64 p`J� tiTO'NAI OF BARNSTAE LE 2"7 27 8: 51 -TVTSTON �' \�� or ------------------- �U J� i - , � 1 I 1-7 ----47F A rl P� erH�> I r 1�DD� prGir _ 1 -`cam s� r j • w W., Town of Barnstable Building Post TtiirCard So`That if is Visible From the Street "Approved Plans Must be Retained on Job and this Card Musi be Kept 7-77 Posted Until Final Inspection Has Been Made' Where:a.Certi iicate of Occupancy is Required;such Building shall Not be,Occumed until a Final Inspection has been made Permit Permit No. B-17-484 Applicant Name:, GUNDLACH,ANDREW C&MOLLY P Approvals Date Issued: 04/10/2017 Current Use: Structure Permit Type: Building-Family Apartment no Construction Expiration Date: 10/10/2017 Foundation: Location: 116 DEER JUMP HILL,WEST BARNSTABLE Map/Lot: 132-040 Zoning District: RF Sheathing: Owner on Record: GUNDLACH,-ANDREW C&MOLLY P Contractor N Framing: 1 Address: 25 LUSCOMBE LANE Contractor License: 2 SANDWICH,MA 02563 Est:Projeta Cost: $0.00 Chimney: Description: In Law apartment-no construction,Andrew and.Molly Gundlach in Permit Fee: $110.00 l Insulation: Main house. Robert and Margarer Fawcett Live in Apartment Fee Paid-'i $110.00 Project Review Req: In Law apartment-no construction,Andrew and,Moly Gundlach Dater 4/10/2017 Final: in Main house. Robert and Margarer Fawcett Live rrrApartment Plumbing/Gas Rough Plumbing: -- \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six ter months af 'ssuance..i Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. f Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this-p rmit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection ---- "'" 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �t Town of Barnstable Regulatory Services anaxsrnais. MAM Richard Scali,Director 039. � Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038. Fax: 508-790-6230 April 11, 2017 Andrew C. Gundlach 116 Deer Jump Hill W. Barnstable, MA 02668 Re: Family Apartment Dear Property Owner, Enclosed is the Certificate of Occupancy for your family apartment. If you have any questions,please call me at 508 862 4039. Sincerely, Brenda Coyle Permit Tech. Enclosure faco ru . • c' ru m ,ms .IAL US Q' Certified Mail Fee Er S $ Extra Services&Fees(check box,add tee as appropriate)Return �, 0 ❑Return Receipt(electronic) $ Pgark CO,� p ❑Certified Mail Restricted Delivery $ C3 []Adult Signature Required $ Q ❑Adult Signature Restricted Delivery$ V Postage G ?��, O; $ SA r-I Total Postage and Fees s u'1 � Sen T o - --- -- C- - ----- Streetarld t. rt3�� ...... '0----- - �.... 'r"-1- IP+4® -------� -•--'-ff----------- --- -- � +n ` 1(L M. Certified Mail service provides the following benefits: ■A receipt(this porportof the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mallpiece. associate for assistance.-To receive a duplicate ■Electronic veflfiration of delivery or attempted return receipt for no additional fee,present this delivery. "-- USPS®-postmarked Certified Mail receipt to thej ■A record of delivery(including the recipients retail associate. Ln signature)that Is retained by the Postal Service" Restricted delivery service,which provides f•1 for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent M Important Reminders: Adult signature service,which requires the —D ■You may purchase Certified Mail service with signee to be at least 21 years of age(not -a First-Class Mail®,First-Class Package Service°, available at retail). -� or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age irdemabonal mail.. and provides delivery to the addressee specified 3 ■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent 3 with Certified Mail service.However,the purchase (not available at retail). {7 of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear al certain Priority Mail items. USPS postmark.If you would like a postmark on ft'i ■For an additional fee,and with a proper this Certified Mail receipt,please present your i endorsement on the mallpiece,you may request Certified Mail item at a Post Office"for F-, the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record f Certified Mail receipt,detach the barcoded portion of delivery(including the reciplent's signature)., -of-this label,affix it to the mailpiece,apply F-1 You can request a hardcopy refiiro receipt or an S,appropriate postage,and deposit the mailpiece.M electronic version.For a hardcopy return receipt, .ry complete PS Form 3811,Domestic Return`�u`�_ !-Qr•a� �,) ; Receipt;attach PS Form 3811 to your mallpiece; iMPORTAIWP Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-OM047 t SENDER: COUPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY, ■ Complete items 1,2,and 3. A. Si 1 ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Aeceived y( 'nted Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: p No 3. Service Type "` ❑Priority Mail Express® Il I'll II III I'I I II II ll I I l lllll II lI Illl l I l I III ❑Adult Signature Restoted"'a[ ery . ❑Registered MMai ail Restricted ertified Mall® ;;'F„'.. Delivery, 9590 9402 1933 6123 1646 54 Certified Mall R livery..-• �b Return Receipt for ❑Collect on Delivery' Merchandise - - -- `-' on Delivery Restricted Delivery-❑Signature ConfirmatlonT 7.015' 17 3 0 ' 0 0 01 4993 3292 -'I Mall O Signature Confirmation -Mail Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKING# First-Crass Mail Postage_&Feet Paid USPS i Permit No.G-10 9590 9402 le@Y 911t]l 1646 54 United States •Sender:Please print your name,address,and ZIP+4®in this box• j Postal Service ' TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS, CIA 02601 i i i FiHElp�,_O� Town of Barnstable , MARKMUUMABL& Building Department-200 Main Street 0 �0 °renMA+s Hyannis, MA 02601 Tel. (508) 862-4038 Certificate.Of Occupancy Permit Number: B-17-484 CO Issue Date: 4/11/2017 Parcel ID: 132-040 Zoning Classification: RF Location: 116.DEER JUMP HILL, WEST Proposed Use: BARNSTABLE Gen Contractor: Permit Type: Residential - Single Family Comments: Robert and Margaret Fawcett to occupy the Family Apartment 04/11/17 Building Official Date: Town of Barnstable Regulatory Services ` a" MAS&`E Richard V. Scali,Director i63� ,��' ArE039. Building Division Paul Roma Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 February 2, 2017 Andrew C. Gundlach 116 Deer Jump Hill W. Barnstable,MA 02668 Re: Family Apartment Dear Mr. and Mrs. Gundlach; Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office by February 10, 2017. You are required under Section 240-47-1 of the Town Building Zoning Ordinances to submit an affidavit annually indicating the status of the Family Apartment. Failure to submit the affidavit is a violation of your Family Apartment approval and may result in the loss of your rights. If you have any questions,please call Brenda Coyle,Permit Tech., at 508-862-4039. incerely, Paul Roma Building Commissioner Enclosure /blc Town of Barnstable Regulatory Services B"R`' ` Richard V. Scali,Director ec 39. ��`� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.ba rnstable.m a.u s Office: 508-862-4038 Fax: 508-790-6230 January 24,2017 Andrew C. Gundlach Molly P. Gundlach 25 Luscombe Lane Sandwich,MA 02563 Re: Illegal Apartment located at 116 Deer Jump Hill, W. Barnstable This letter is to inform you that you may currently be in violation of Barnstable Zoning Ordinance 240-11; any use other than a Single-Family home is prohibited. You must contact this office by February 15, 2017 to arrange to bring the above address into compliance or be subject to fines of$100.00 per violation,per day. Sincerely, Robin C. Anderson Zoning Enforcement Officer /blc 1 r Doc- 1 .292P071 04-14-2016 10:42 BARNSTABLE LAND COURT REGISTRY Town of Barnstable »,. Zoning Board of Appeals Decision and Notice `. Special Permit 2016.005--Gundlach Section 240-47.1(A)(1)—Family Apartments Transfer permission for an existing +/- 1,134 sq.ft family apartment Summary: - Granted with Conditions Applicant: Andrew Gundlach Property Address: 116 Deer Jump Hill Rd,West Barnstable Assessor's Map/Parcel: 132/040 Zoning: Residence F District oho Hearing Date: February 10,2016 Q Recording Information: Deed: (� land Court Plan: 37808-6 (Lot 6j Previous Owner&SP 1988-86: C177432 — Background U In Application No. 2016-005, Andrew Gundlach sought a special permit to authorize an existing family apartment located within and attached to the principal dwelling at 116 Deer Jump Hill Road in West Bamstable. The family apartment was originally permitted by Special Permit No. 1988-86. S The permit was issued to the Gillespie's, who are transferring the property to Mr. Gundlach. The Applicant submitted a signed purchase and sales agreement to demonstrate standing. s ft --� The subject property is a 1.46 acre lot, improved with an 8,264 gross sq.ft (3,609 q. living area) dwelling and accessory family apartment, in addition to a detached garage. The family apartment => was constructed with the dwelling in 1988. The apartment is approximately 1,134 square feet, �1 according to the floor plans in the file. The apartment is a two bedroom unit on two levels with a kitchen, one bathroom and living/dining room. The property is served by public water and an on-site �._ septic system. No changes to the dwelling, apartment, or property were proposed. Procedural & Hearing Summary. Special Permit application No. 2016-005 for the transfer of a family apartment was filed at the Town Clerk's office and office of the Zoning Board of Appeals on January 15, 2016. A public hearing +- t,,_ before the Zoning Board of Appeals was duly advertised and notice sent to all abutters and interested parties in accordance with MGL Chapter 40A. The hearing was opened on February 10, 2016 at which time the Board found to grant the special permit subject to conditions. Board Members deciding this appeal were Brian Florence, Alex Rodolakis, George Zevitas, David A. Hirsch, and Matt Levesque. The Applicant, Andrew Gundlach, represented himself before the Board. Also present was the current property owner. He presented the request to the Board, and confirmed he understood all of the requirements of the family apartment ordinance and the proposed permit conditions. The Board Chair requested public comment and no one spoke. Findings of Fact At the hearing on February 10, 2016, the Board unanimously made the following findings of fact in Special Permit Application No. 2016-005, a request to authorize an existing family apartment: 1. In Application No. 2016-005, Andrew Gundlach sought a special permit to authorize an existing family apartment located within and attached to the principal dwelling at 116 Deer Jump Hill Road in West Barnstable. The family apartment was originally permitted by Special Permit No. Town of Barnstable Zoning Board of Appeals-Decision and Notice Special Permit No. 2016-005-Gundlach 1988-86, The Applicant submitted a signed purchase and sales agreement to demonstrate' standing. 2. The subject property is located at 116 Deer Jump Hill Road, West Barnstable, MA as shown on Assessor's Map 132 as Parcel 040. It is in the Residence F Zoning District. 3. Section 240=47:1(A)(1) of the Zoning Ordinance allows for a family apartment greater than 860 square feet, not to exceed 1,200 square feet,with a Special Permit from the Zoning Board, 4. Site Plan Review is not required for single-family residential structures or family apartments. 5. After an evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the , neighborhood affected. There will be no changes to the structure or the property and the apartment will continue to be used in the same manner since it was originally permitted in 1988. The vote to accept the findings was: AYE: Brian Florence, Alex M. Rodolakis, George Zevitas, David A. Hirsch, Matthew Levesque NAY: None Decision 1. Special Permit No. 2016-005 is granted to Andrew Gundlach to authorize an existing family apartment of approximately 1,135 square feet at 116 Deer Jump Hill Road, West Barnstable. 2. The family apartment shall be a two bedroom unit and shall not be expanded without further. relief from this Board. 3. The family apartment shall be maintained in compliance with the requirements of§240-47.'.. 4. There shall be no renting of rooms or lodging permitted on the property during the life of this. permit. 5. When the family apartment is vacated or upon noncompliance with any condition or representation made, including but not limited to occupancy or ownership, the use of the family - apartment shall be terminated and this.permit shall become null and void. The applicant or, property owner shall be responsible for the removal of the kitchen, unless the unit is properly. . permitted under the Accessory Affordable Apartment Program. 6. The decision shall be,recorded at the Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building:'.. Division prior to issuance of a Certificate of Occupancy for the family apartment. The rights authorized by this special permit must be exercised within two years, unless extended. The vote was: AYE: Brian Florence, Alex M. Rodolakis, George Zevitas, David A. Hirsch, Matthew Levesque NAY: None Ordered Special Permit No. 2016-005 to authorize an existing family apartment at 116 Deer Jump Hill Road;. West Barnstable has been granted subject to conditions. This decision must be recorded at the . Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within two years unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty(20)days after the date of the filing of this decision, a copy of which. must be filed in the office of the Barnstable Town Clerk, _d7f to Brian Floren e, Chair Date Sighed 2 Town of Barnstable Zoning Board of Appeals-Decision and Notice Special Permit No. 2016-005-Gundlach I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals tiled this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of ,A,11W/1 under the pains and penalties of perjury. Y Ann Quirk, Town Clerk e _ ec 0 i • I 3 'own of Barnstable Assessing Division MAM %639. 367 Main Street,Hyannis MA 02601 www.town.barnstable.ma.us Office: 508-8624022 Jeffery A.Rudziak,MAA FAX: 508-8624722 Director of Assessing ABUTTERS LIST CERTIFICATION January 22, 2016 RE: Adjacent Abutters List For Parcel(s) : 132-040 116 Deer Jump Hill Rd. West Barnstable, MA 02668 As requested, I hereby certify the names and addresses as submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied. Board of Assessors Town of Barnstable 1 .AbutterReport Page 1 of 1 1 Zoning Board of Appeals (ZBA) Abutter List for Map & Parcel(s): '132040' Parties of interest are those directly opposite subject lot on any public or private street or way and abutters to abutters. Notification of all properties within 300 feet ring of the subject lot. Total Count: 10 © Close Map&Parcel Ownerl Owner2. Addressl Address 2 Mailing Country De CityStateZip WEST 132007 ROSS,DAVID M 60 WIDGEON LANE BARNSTABLE, 29: MA 02668 AHONEN,JANET C& WEST 132009 MULLEN, DANIEL J PO BOX 101 BARNSTABLE, 45: MA 02668 132010 FRANEY, ROBERT J 300 ALDER BROOK WEST BARNSTABLE, 18! &&AMY S LANE MA 02668 GILLESPIE CHERYL 116 DEER JUMP WEST 132040 A ' HILL RD BARNSTABLE, Cl". MA 02668 CUTLER,RICHARD E ARLINGTON, MA 132041 JR&DULIN, 16 DRAPER AVENUE 02474 C21 KIMBERLY A CAPE COD WEST 132042 ROSS, DAVID M TR CRANBERRY RL TR 60 WIDGEON LANE BARNSTABLE, Cl: MA 02668 133037 HUCKEMEYER, 441 BUCK ISLAND WEST TH, MA Cl! CAROLANN RD#14 - 02673 WEST 133039 BEAN, DOUGLAS J 82 DEER JUMP HILL BARNSTABLE, CV. MA 02668 WEST 133070 JOSEPH, LAURENCE 71 ANGELA WAY BARNSTABLE, 23: MA 02668 EGER, BRYAN D& WEST 133072 CATHERINE J 57 ANGELA WAY BARNSTABLE, 28: MA 02668 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.if a certified list of abutters Is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessors database as of 1/19/2016. ) http://66.203.95.236/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 1/19/2016 Town of Bar -ble Geographic Information System Jar v 79,2Q16 `J 133065 ~r33017 13303> 133033 110004004 10 133067 p . #505 521 13301#47 110030001 �1�� $0 S •�542 > #131 133078 133041 133044 110004012 ... #87 'QyC� 133040 50240 #28 09 a #p 110 7 133D74 �4p 133t)G8 133069 133036 f133051 110024 110031 #9 *25 so, ( 81� #so 0 551 #140> #109 • �� 13�3075 1�601 � �" yQ�, 133052 #�15 ;....•. 133046 133038 w 4 40 # 133053 ` l �.::-;'J.:::='..`.:•:':':.:`.::: 133015 110013 1Y 155 193073 'C 7- �-` , its% �'%'s';:':;::= w #573 A138 ::1:.;rr...:,::' 133054 110012 tJ3 3�' � ,•%:::# ✓� ..ii�i'w'.1.JG042'::''�'f '!:•,::,ram^,•�., , .133472:: f/y,;�iyy.:-: .41 "i•.<.•;•' 'i��%!>•'.._/.-;•;; :i.•.: �W32044 _ :•'{:i� .,✓.i I.%1;>//.<//i l�::�l-<i':J•J>.: r%l/1':'::.'•:.: #7 13308 2 All •Traam� '% :•�"'<,:/`:%!•.!• r'/ :-<:•/..•'�f•��/ !. .�<<� #591 •iJ', �/.. 104 ✓t 0164 <F' ). , / J/ 109038 'i• +JOF v /Sr �• #14 . J rfS' f 8 r.' F i- s Y s c ! •; v =i' t, / '. Y 0 035 °�. lip•. > >r. 19 / ., r .rr •R •J;< r. f ! 332010 r /' / •l. ti f 320 2 w. r• 132013002 i 002 #!14 / l •Sv. #32 109025 .r/ C try :•°`% /, r 'r:l'•!,. .. / /. 033 # 00 .S 1 r rrr. ! 1 ' •r •t rr. - - :.¢i>.r;>Jr •/Cur•. lea Mh Y. ��.•- 1 zoo, 109024 #75 109055 1080213 #82 06 0... #85' 132 029 -#9T i l a _ -- 132048 ,Of1tJ032 940 82 • 13037 1 # 10925 #81 A #147 1092 #G8 32008 13202001 r t 031 71 09 - t*le i #86 G► 1 c <n loom - 1r3 20490 #33 O 13#202 8#65 132022 10 t- 4B ,� � #1 o #62 109028 t09022 1 #� 09 #50 132046 #63 ` • ".:''• :`' 132038002 q . 0176 ; :` #251 132008 132023 109029 =;::' .;' :': =' ;'•. 1320381141 #195 #188 1 051 # 109021 i :;:.`;:::;.::;•::': :;::::' `''.:::::':°: ::: 132004 #S7 1 020 #34 132047 t#241 F 132005 132024 #18/#20 #279 #211 #7Aa DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:132 Parcel:040 Zoning Board of Appeals(ZBA) Q boundarydatwminationermgd"interpretation. Entargern"beyond ascale•of Selected Parcel 1• 100•may not meet established map aavracy standards. The parcel Ones on lids map Abutter List Type-Parties of interest are those directly opposite Subject tot on are only graphic representations of Assessors tau parcels. They are not true property any public or private street'or way and abutters to abutters. Notification of all Abutters `` W E boundaries and do net represent accurate relationships to physical features on the map properties within 300 feet ring of the subject lot. such as bu4ding locations. Buffer LEGAL NOTICE LEGAL TOWN OF BARNSTABLE ' NOTICE ZONING BOARD OVAPPEALS ; TOWN01"i11 SOWLE NOTICE OF PUB11C HEARINGS UNDER THE •ZONING BOItRD 0FAPPEALS _ •ZONING ORDINANCE' Mdl'ICEOFPUBM WARNICS UNM TM FEBRUARY10.201i " :.'. .' .1 ZDNIN ORDINANCE .... To all persons interested in or affected by FEDIt11A�Y 1�.2tlli the actions of Uie Zoning Board of Appeals,- ' you are hereby notified, tirsuantto Section To all ionsons"t Zoning card affected by Y Y P the actions of the Zoning Board of.Appeata,' - 11 of Chapter 40A of the General�Laws of• you are hereby notified,pursuant to Section' the Commonwealth of Massachusetts;and: 11 of Chapter 40A of the General Laws`of all amendments thereto,that a public hear-•. the Commonwealth of Mesaarhusetts,and Ing on the following•appeals will be held'.' all amendments.thereW,that a public hear-' on Wednesday;February 10.2016 at the" Ing on the fdlowing appeals will behold ar time Indicated: Wednesday,February 10.'2016 at the tic 7:00 PM Appeal No.2016.005 Gard(ach• " Indicated:..: Andrew'Gundlach,as prospective.owner,•• 7lOPAA.AppdI1M�mili005GWidlach,: has applied for a transfer of Special Permit. Andrew Gundlach�+as prospectim owner,tree 1988.086 to continue the use of an existing- applied for a trarrster of Special Permit 19a family apartment In excess of 800 square• 086 to continue the uae of an exlsting faintly'.: feel Pursuant to.Section240-47.1.A(1),; apartment in excess of Boo square feetpursu, ; family apartments In excess of 800 far*ant to Section 24047.1 A(1),far spar linerds feet raqufre a special permit from the InoxeessofeMsquatefeet require a'speoiai Zoning Board of Appeals.The property Is' pemffi from the Zoning Board of Appeals.The located at 116 Deer Jump Hill Road,West, propergr Is located at 115 Deer Jump HA Road, Barnstable,MA as shown on Assessor's WestBamstable,MA as shown on Assessors Map 132"as Patcef 040.-It Is jr?the Resi-' Map 132 as Parcel 040.it is in the Residence dense F Zoning District. 'F Zoning Dis4kt 7:01PM Appeal No.2016.006Haddock • TS VMApp6djft3ti0.006ytaddoA _. . ..• Lucinda Haddock has petitioned for 9,4 h Lucinda Haddock has peGtlorted for a varianoli ante to Section 240 14.E Bulk Regul.. : . 1• -to Section 240-14.E"Sulk Regulations.The. The petitioner Is requesting a variance to petitlo.—is requesting avariance W ca**W construct a carport wilhiri a required side a Carport within a requlred side yard'setbac k.: yard setback.The property Is located at 108' The property Is located et 108 Buckwbod Buckwood Drive,Hyannis,MA as shown Drava,Hyannis,MA an shown on assessors I on Assessor's Map 272 as Parcel 082.It. Map 272 as PercelD82.It la located in the+ Is located in the'Residence O=1 Zoning Resklance,C-1 Zb1ftDistrict.', District. '. . • .. __..; • .-02 PM Appeal No.2016.007 Mill Waltod/Weigel. . :. tiMa dX (XV-111safL Weigel have i Myles A.Walton 8 Annllsa L.Weigel have arxx♦No., petitioned for a modification of Variance'.: 1991-06S: r+ ape to Section 240- 23.G Bulk"R': "" No:1991-061 and a variance to Sectlom' ebu. 8.The petlUonars 240 23.G Bulk Regulations:The'petitioners`. are propaT iii 11-07odify Use Variance are proposing to modify Use Variance No. No•199T-b81.---j lgk�iexpanelon of the 1991-061 to allow expansidn of the rest- tesldenog'�nd'i ng relief from the ` Dulk I ''. `_ dance and are seeking relief from the bulk. !Bgu.A11' Marine Business regulations of the Ntaririe Business-B DIs= B Distrtot f4 a1i,gAtAi ,dwelling to have tract to allow the dwelling to have two and:' two an Vd' ibv.%0gra the ordinaries y 'h stories,where the ordinance permits only Pernits:*0VW4.--Ud e- The property.ls two stories.The properly Is located at 139• located at 1 9'Rr4Se7Nr toad,Barnstable;'' Freezer Road,Barnstable.MA as shown: MA as sYiourii:''�3�ggessor's Map 300 as do Assessor's Map 300 as Parcel 019.(t Parma l)?9 is 73t tAFme Business B.y -. Is In'the Marine Business B zoning.district; zoning dlstiici=;?_;,' ';' .'• . 7:03 PM Appeal No.201f:008 T 03 PM�p�iei:1,l�eiZ116 pps ' First Hyannis Realty,LLC. FxstHyanniss,'Reel�,i[�': First Hyannis Realty,LLC has.applied for I First Hya k fi;.. ealt�j''r_ELC has applied Special Pernits pursuant to Sectlon 240.56`,'i for Spec4I PRr*Tft.peirguant to Section 1 Schedule of Off-Street Parking Require-'. 240-58S. ei3ufe gf -Street'Parking t ments and Section.240-57 Circumstances, Requirdbrib. r[S' aid,"agcUom 240--W Cir:-.; Warranting Reduction of Requirements.• cumstan'cit?.Vfats"riiigg:Reduction of The applicants are pioposing.to build an' Requlrein9nts1'7*h-:pp�Yca!10 are pno- approximately 19,438 square foot addition' I loosing la build aaapppoximetely 19,438 to the existing 67,179 square foot BJ's: -square fogE.addl0btt`tglieeiiistfrtg6T,1T8 Wholesale Club.Prior to the addition,the•. square fodt:BJ'g.liUhc(gsalo CIuD.-Prior' Zoning Ordinance required 346 parking', to.the addU 3ii.:thaZorifng Ordinance i spaces and 351 parting spaces have been required.346;'parkiiii spaces and 351 provided.With'the addition,the Zoning: parking.a.Pgees Tave"been provided.. Ordinance requires 444 spaces and the With the addlt(aq;lhe.Zonlng Ordinance APollcant Is proposing to keep the parking requires 444:bpeces and the Applicant...1 _ _--•-....__..__. ._ :..--.-_-- `Is Proposing.10*89p.ihe parking'spaces. s aces provided at 351.The ro arty Is provided at` 51-lherpiopefty la located [ P P property at 420 Attuckg.GjAer.l3amstable,MA as' •'located at 420 Attucks Lane,Barnstable, MA as shown on Assessor's Map 274 as shown onAssessor4�Aap274 as Parcel Parcel 040-001."lt is located fn the Business. 040-001. It-is loiafe(;f'in the Business Zoning District.`: Zoning OisU(cti :'r - These public hearings will•be held at the Those pub lic:lle'a"rings'will be held at the , Barnstable Town Hall,367 Main Street, Samstable'Tovm EIaII;'367 Main Street;,'; Hyannis,'MA,Hearing Room Iodated on the tennis,Ma.fjear{n Room located on ' 2nd Floor,Wednesday.February 10;2016. the 2nd Floor,•.Wedrlesday February 10,';j Plans and applications maybe rvrlewed at 2018.Plan .bpet:iapplfcatlons may be :` the Zoning Board of Appeals Office,Growth mviewed.at Oi*o Zoning Board of Appeals Management Department,Town Offices, i :c,Offlc%G!owlti.Nla(iagement Department,.j 200 Main Street,Hyannis,MA •' hT1A Main Street,Hyannis, Brlan Florence,Chair - - i Zoning Board of Appeals - Brian Floreriee;'ChaTf'" The Barnstable Patriot Zoning Board pf Appeato January 22 and January 29,2016 The Bamstable.Pabiot January 22 and:JanUary 29.7rifa BARNSTABLE REGISTRY OF DEEDS John Fr Meade, Register Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 P p g - Select Language I Vj Assessing Division Property Lookup Results - 2017 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< 9Print Friendly Owner Information-Map/Block/Lot:132/040/-Use Code:1010 Owner Owner Name as of GUNDLACH,ANDREW C& Map/Block/Lot G/S MAPS 1/1/16 MOLLY P 132/040/ 25 LUSCOMBE LANE Property Address 116 DEER JUMP HILL SANDWICH,MA.02563 Co-Owner Name Village:West Barnstable Town Sewer At Address:No GIS Zoning Value:RF Assessed Values 2017-Map/Block/Lot:132/040/-Use Code:1010 2017 Appraised Value 2017 Assessed ValuePast Comparisons Building $277,600 $277,600 Year Assessed Value Value: Extra $59,100 $59,100 2016-$715,600 Features: 2015-$700,100 2014-$700,600 2013-$701,200 Outbuildings:$28,100 $28,100 2012-$705,400 2011-$700,900 Land Value: $174,200 $174,200 2010-$716,100 2009-$840,900 2017 Totals $539,000 $539,000 2008-$826,700 2007-$831,400 Residential Exemption Received=$90,532 Tax Information 2017-Map/Block/Lot:132/0401-Use Code:1010 Taxes W.Barnstable FD Tax(Residential)$1,455.30 Community Preservation Act Tax $128.35 Fiscal Year 2017 TAX RATES HERE Town Tax(Residential) $4,278.38 $5,862.03 Sales History-Map/Block/Lot:132 1 0401-Use Code:1010 History: Owner: Sale Date Book/Page: Sale Price: http://www.townofbamstable.us/Assessing/propert-ydisplayscreenl 7.asp?ap... 1/24/2017 Official Website of The Town of Barnstable - Property Lookup Page 2 f GUNDLACH,ANDREW C&MOLLY P2016-02-29 C208855 $505000 GILLESPIE,CHERYL•A 2005-07-27 C177432 $0 GILLESPIE,WILLIAM A&CHERYL 1987-06-1.5 C111048 $102000 SHIELDS,THOMAS M 1987-06-15 C111047 $102000 SHIELDS,JOHN F 1985-05-15 C101575 $45000 SHIELDS,THOMAS M,B W C 1985-01-15 C99732 $200000 FRISHMAN,DANIEL 1984-09-15 C98157 $0 Photos 132/040/-Use Code:1010 Sketches-Map/Block/Lot:132/040/-Use Code:1010 UAT' FUS 0 BAS '4 W� 10. a VMS 1 6 FAT;` eqg BAS, 4- BMT 24 FEP' secrtzl 5 As Built Cards:Click card#to view:Card #1 1 Constructions Details-Map/Block/Lot:132/040/-Use Code:1010 Building Details Land Building value $277,600 Bedrooms 4 Bedrooms USE CODE 1010 Replacement Cost $330,492 Bathrooms 4 Full-1 Half Lot Size.(Acres) 1.46 Model Residential Total Rooms 10 Rooms Appraised $174,200 Value Style Colonial Heat Fuel Gas Assessed $ Value 174,200 Grade Average Heat Type Hot Water Year Built 1988 AC Type None Effective 16 Interior Floors CarpetHardwood depreciation Stories 2 Stories Interior Walls Drywall Living Area sq/ft 3,609 Exterior Walls Clapboard Gross Area sq/ft 8,264 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp http://www.townofbamstable.us/Assessing/propertydisplayscreen 17.asp?ap... 1/24/2017 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 r� Outbuildings&Extra Features-Map/Block/Lot:132/040/-Use Code:1010 Code Description Units/SQ ft Appraised Value Assessed Value FPL3 Fireplace 2 story 1 $5,600 $5,600 FGR2 Garage-Avg-Wd 832 $24:800 $24,800 Shingle FEP Enclosed porch- 144 $8,100 $8,100 roof,ceiling WDCK Wood Decking 268 $3,300 $3,300 w/railings FOP Open Porch-roof- 30 $1,700 $1,700 ceiling BMT Basement- 2264 $43,700 $43,700 Unfinished Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn 'GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio lAlPrint Friendly Contact Director of Assessing (Jeffrey Rudziak 'P 508-862-4022 IF 508-862-4722 http://www.townof bamstable.us/Assessing/propertydisplaysereen l 7.asp?ap... 1/24/2017 Official Website of The Town of Barnstable - Property Lookup Page 4 IQ 8:30a.m.to 4:30p.m. Public Records Request Jeffrey Rudziak Email P 508-862-4022 367 Main Street Hyannis,MA.02601 `Helpful Links to Downloads Abatements SALES LISTINGS Barnstable FD Residential C.O.M.M FD Residential Commercial-Industrial- Mixed Use Cotuit FD Residential Hyannis FD Residential Townwide Condominium W.Barnstable FD Residential Department of Revenue Exemptions Parcel Consolidation Questions about values FY17 Combined Tax Rates Town Land Use Codes Helpful Maps All Town Maps Flood Insurance Maps Property Maps FY17 Tax Maps Owned and Operated by The Town of Barnstable-Information Technology Home Departments&Services I Boards&Committees I Residents&Visitors I Doing Business Town Calendar Phone Directory Employment Email Town Hall http://www.townofbarnstable.us/Assessing/propertydisplayscreen l 7.asp?ap... . 1/24/2017 I Panel Detail Pagel of 3 f, y At ASS. ooplEO M A+ C` C-r/L//lsJ `lf'"l�Ci .�. �zA{1,a._ a Logged In As: Pa rce I D eta i l Tuesday, January 24 2017 Parcel Lookup I Parcel Info Parcel ID 132-040 I Developer Lot ILOT 6 iI Location 1116 DEER JUMP HILL I Pri Frontage 1165 iI Sec Road II Sec Frontage Village iWest Barnstable �� Fire District JW BARNSTABLE Town sewer exists at this address INo I Road Index 10433 yv— Asbuilt Septic Scan: Interactive Map 132040_1 Owner Info Co- Owner IGUNDLACH,ANDREW Owner Streets 125 LUSCOMBE LANE I Street2 City SANDWICH state MA Zip 102563 Country Land Info Acres 11.46 I Use Isingle Fam MDL-01 I Zoning JRF I Nghbd 10106 �I Topography Level I Road jPaved Utilities jSepfic,Wel1,GaS I Location�— Construction Info Building 1 of 2 Year 1988 I Roof Gable/Hip I Ext Clapboard Built Struct Wall Living 3609 Roof Asph/F GIs/Cmp AC None Area Cover .Type uar Fus Int Bed Style lColonial I wall Drywall I Rooms 4'Bedrooms I o eAF 4C w Int Bath Model Residential Floor Carpet I Rooms 4 Full-1 Half I io Grade Average Heat Hot Water �I Total 10 Rooms I aeras� s Type Rooms Fat eAs eatl Heat Stories 2 Stories Fuel Gas F anon Poured Conc. « sW(2l 24FEP Gross 8264 �I Area Building 1 of 2* Year 1988 iI Roof Gable/Hip I Ext Clapboard Built Struct Wall Living 3609 Roof Asph/F GIs/Cmp I AC None Area Cover Type Bed Style Cape Cod Wall Drywall `I Rooms 4 Bedrooms Int Bath Model lResidential I Floor Carpet Rooms 14 Full-1 Half http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8384 1/24/2017 Parcel Detail Page 2„of 3 Grade Average I Heat Hot Water I Total 10 Rooms !� uAi Type Rooms io Fus Heat Found- BMT Stories 2 Stories Fuel Gas ation Poured conc. waI io. Gross 8264 o emv -� Area C BAsc't 31 eqq 1 4 RMTT(2) 2,FEPUU: 5l Permit History Issue Date Purpose Permit# Amount Insp Date Comments 11/17/2016 Insulation 16-3347 $4,989 weatherization 9/26/2002 Addition 64048 $18,000 3/21/2003 12:00:00 AM 8/1/1988 Dwelling B32165 1$500,000 1 1/15/1991 WB DW/GAR 12:00:00 AM Visit History Date Who Purpose 5/17/2016 12.00:00 AM Jeff Rudziak In Office Review 12/23/2014 12:00:00 AM Anne Leonelli In Office Review 3/14/2007 12:00:00 AM Paul Talbot Cyclical Inspection 3/21/2003 12:00:00 AM Martin Flynn Bldg Permit Completed 3/8/2000 12:00:00 AM Donna Dacey Meas/Listed-Interior Access 1/15/1990 12:00:00 AM ML Meas/Listed-Interior Access - 'Sales History Line Sale Date Owner Book/Page Sale Price 1 2/29/2016 GUNDLACH, ANDREW C & MOLLY P C208855 $505,000 2 7/27/2005 GILLESPIE, CHERYL A C177432 $0 3 6/15/1987 GILLESPIE, WILLIAM A & CHERYL C111048 $102,000 4 6/15/1987 SHIELDS, THOMAS M C111047 $102,000 5 5/15/1985 SHIELDS, JOHN F C101575 $45,000 6 1/15/1985 SHIELDS, THOMAS M , B W C C99732 $200,000 7 9/15/1984 FRISHMAN, DANIEL C98157 $0 Assessment History Save Building Total Parcel # Year Value XF Value OB Value Land Value Value 1 2017 $277,600 $59,100 $28,100 $174,200 $539,000 2 2016 $361,400 $61,400 $35,000 $257,800 $715,600 3 2015 $360,800 $56,100 $36,900 $246,300 $700,100 4 2014 $360,800 $56,100 $37,400 $246,300 $700,600 5 2013 $360,800 $56,100 $38,000. $246,300 $701,200 6 2012 $369,000 $54,600 $33,400 $248,400 $705,400 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8384 1/24/2017 Pacel Detail Page 3 of 3 7 2011 $420,000 $3,800 $28,700 $248,400 $700,900 8 2010 $420,600 $3,800 $29,500 $262,200 $716,100 9 2009 $513,100 $2,800 $22,800 $302,200 $840,900 10 2008 $513,100 $2,800 $22,800 $288,000 $826,700 12 2007 $517,800 $2,800 $22,800 $288,000 $831,400 13 2006 $497,100 $2,800 $23,300 $291,400 $814,600 14 2005 $443,100 $2,800 $24,000 $240,500 $710,400 15 2004 $377,300 $2,800 $24,200 $240,500 $644,800 16 2003 $320,100 $2,800 $24,000 $79,800 $426,700 17 2002 $320,100 $2,800 $24,000 $79,800 $426,700 . 18 2001 $320,100 $2,900 $24,000 $79,800 $426,800 19 2000 $241,400 $2,900 $24,200 $57,100 $325,600 20 1999 $241,400 $2,900 $20,400 $57,200 $321,900 21 1998 $241,400 $2,900 $20,400 $57,200 $321,900 22 1997 $237,100 $0 $0 $41,300 $292,700 23 1996 $237,100 $0 $0 $41,300 $292,700 24 1995 $237,100 $0 $0 $41,300 $292,700 25 1994 $208,200 $0 $0 $51,100 $273,900 26 1993 $208,200 $0 . $0 $51,800 $274,600 27 1992 $236,700 $0 $0 $56,700 $310,100 28 1991 $236,500 $0 $0 $97,800 $349,000 29 1990 $94,600 $0 $0 $97,800 $192,400 30 1989 $0 $0 $0 $97,800 $97,800 31 1988 $0 $0 $0 $44,400 $44,400 32 1987 $0 $0 $0 $44,400 $44,400 33 1 1986 1 $0 $0 $0 $34,400 $34,400 Photos I i http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=83$4 1/24/2017 �,►,�„ Town of Barnstable Regulatory Services ' = Richard V.Scali, Director Building Division Paul Roma, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 January 6,2017 Cheryl Ann Kresge 116 Deer Jump Hill Road West Barnstable, MA 02668 v O z O W Re: Family Apartment � Dear Property Owner, Co w O m Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office by February 2,2017. You are required under Section 240-47.1 of the Town of Barnstable Zoning Ordinances to submit an affidavit annually indicating the status of the Family Apartment. Failure to submit the affidavit is a violation of your Family Apartment approval and may result in the loss of your rights. If you have any questions, please call Brenda Coyle, Permit Tech., at 508-862-4039. Sincerely, 1 a p l Paul Roma Building Commissioner Enclosure 1 S� C-' h1: a u �v C- C5� 1 6p t f 77 'n;,a z _ _ _ _ ` _ 4 •_ `, ..�. 1�� �(' �.i�. ,� i. '� �� 1. a� / '� � + ,� � ._ �� _ � �" . a S,j iq, KA•: 5 .. / �• .../ ` ►.n � rr' .w ' I' J ��.� 'I , r..r i ' 1 Q �� ��r •Y',s � ��' • •r.r J • r..� 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION~' ~`�" / O Map Parcel Application # - Health Division : r Date Issued /�✓ 7�6 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis � LJ Project Street Address TY01f TM2 tfiIFE5 Village . OwnerAnkw Cmd I XhAddress&,P Ul.�l �� ✓J �// �� Telephone ()IDS I A0 3 ` /,3/0 y Permit Request V e P�t'� z1( Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuatiJ 14 Ct Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# un' FF Age of Existing Structure Historic House: ❑Yes ❑ No On Old King sDHigh�vay: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other_ Nov 10 �n9� Basement Finished Area (sq.ft.) Basement UnTiQA6WFffA§ Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # - .,Current Use Proposed Use - 4 NN APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I I m4w Cobraf Telephone Number 502 SOT WOO OO P � Address Z 4C St License # Jllny � II ��- �Q,r I►► Q�1 Z I Home Improvement Contractor# Gu-�xna� Email e Gh Worker's Compensation # Mq2e 7 ALL CONS; TION DEBRIS RE ULTING FROM THIS PROJECT WILL BE TAK TO e V SIGNAT RE V DATE �k. 5 `- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` MAP/PARCEL NO. ADDRESS '; VILLAGE r: OWNER 'j DATE OF INSPECTION: FOUNDATION FRAME f^ INSULATION �a �t FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL it FINAL BUILDING DATE,CLOSED OUT r� . ASS,OCIATION PLAN NO. 'R J . r T Town of Barnstable . Regulatory Services *ST.A.1osMAM ' diehard V.Scab,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hymnis,MA 02601 www.town.ba rnstable.ma_as Office: 508-8624038 Fax: 508-790-6230 Property Owner Mwt Complete and Sign This Section If Usin _ A Builder T, AND►',£ x-� U j-Kjo tIA�-- H _ ,as Owner of the subject propen:y hereby authorize t` to act on my behalf, in all matters relative to work authorized by this building permit application for. --` (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pool-, are not to be filled or utdized before fence is installed and all final i.nspectzons are performed and accepted- ` Signature of Owner Signature of Applicant / At.,2n&vj Pont Na zae — - Print Name Date i Q:F0RMS:0XVI%T PFRMI=0NPWL5 -\ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 -Boston,MA 02-114-2017 www massgov/dia NN'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMrrMG AUTHORITY. ApVUgggt Information Please Print L2 ibly Name(Business/organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK ST City/State/Zip: FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓�I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction 2.a I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9, ❑Demolition 3.E)I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Q Building addition 4.[]l am a homeowner and will be hiring contractors to conduct all work on my property. I will ❑ 11. Electrical repairs Or additions ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 12.❑Plumbing repairs•or additions S Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[]Roof repairs These sub-contactors have employees and have workers'comp.insurance? INSULATION r• 14.0% Other. . 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out.the section below showing their workers'compensation policy information. t Hornebwners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such *Contractors that.check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.polity number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy:and job site information. STAR INSURANCE COMPANY Insurance Company Name: Policy#or Self-ins.Lic.#: 0849257 00 Expiration Date:02/26/2017. �� Job Site Address: �� �)urn �I 1 I City/State/zip: . Attach a copy of the workers'compensation policy declaration page(showing the policy number and egpiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation.punishable by 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 may be forwarded to the Office of Investigations of the DIA:for insurance day against the violator.A copy of this statement coverage verification. I do hereby certify u` pains a o erjury that the information provided above is true and correct Si e: Date: Phone#:508-567 40 Official.use only. Do not write in this area,to be completed by city or town official City.or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i I ALTEWEA-01 CCOSTA CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDWY YY)wlP2a46 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER ACT Mason&Mason Insurance Agency,Inc. PEE 458 South Ave. No :{781)447-5531 ; a :(781)447-7230 Whitman,MA o2382 ADDRESS:info(alrtasonandmasoninsurance.com INSURE S AFFORDING COVERAGE i NAIC N INSURER A:Evanston insurance CO. IOOOOg INSURED INSURERS:Safety insurance Company 39454 Alternative Weatherization,Inc. INSURER c:Star Insurance Company !0000 2 Lark Street INSURER D: Fall River,MA 02721 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13OVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRR TYPE OF INSURANCE IN POLICY NUMBER M/ MI SR C I SUB UMUS A j X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S 1,000,00 I CLAIMS-MADE X 1 OCCUR �C41683 10610712016 06/0712017 1 DAMAGE TO PF=.WED-- PREMISES occurrence) S 100,00 MED EXP(Anyny one person) $ 5,00 PERSONAL&ADV INJURY S 1,000,000 !GEHL AGGREGATE LIMIT APPLIES PER: r-1 I IPRO- GENERAL AGGREGATE S 2,000,000 POLICY I I JECT I _,!LOC i Iiii ! PRODUCTS•COMPIOP AGG S 2,000,000 I OTHER: i S j AUTOMOBILE LIABILITY B ( ' Ea accident NED SINGLE I I S 1,000,000 L-11ANY AUTO �237702 04/OS/2016 04/0812017 1 BODILY INJURY(Per person) !S ALL OWNED rX:SCHEDULED AUTOS i X l AUTOS I BODILY INJURY(Per accident) S HIREDAUTOS �(AUTOS i I ERT�OA�A f—�--- ix UMBRELLA UAB X OCCUR ! OCCURRENCE ! i ,s /� !EXCESSUAB EACH 1,000,000CLAIMS-MADE) I �TBD 06/071�0161 O6/07/2017 AGGREGATE i DIED ! RETENTIOtdS �— �5 1,000,000 WORKERS COMPENSATION I ! AND EMPLOYERS'UABIUTY STATUTE i ERTH- C ANY PROPRIMBFRiPXCLUDEDXECUTIVE Y/N C 0849257 00 0",V2016 04AW2017 E.L.EACH ACCIDENT s 500,000 OFFICE ory In NH)EXCLUDED? N!A (Mandatory In and E.L.DISEASE-EA EMPLOYEE S 600,000 H yes,desaibe uridar i DESCRIPTION OF OPERATIONS belay I ( li I E,L,DISEASE-POLICY LIMIT 3 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional RemaAce ScImfule,may be allched K mom space to required) Nat'l Grid Corp.Services LLC,d/Wa National Grid,d/b/a MA Electric,d/b/a Boston Gas and Action Inc as additional insured with respect to the GL anc contracted with Certificate Holder.Kathy Tobin @1BCD,Tremont St,Boston;Nstar Gas&Electric—James Care @ New England Gas,45 North Main St,Fall RiverMA 02720-AI Mickee,GLCAC,305 Esses St,Lawrence,MA;Columbia Gas of MA are included insured with respects to GL.Only for the following projcect,Weatheritaiton Installation for Low income Housing are Additional Insured with respects to Auto Liability per terms and conditions of form SCA 005 (02 16).Form Available Upon Request. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 40 Washington St ACCORDANCE WITH THE POLICY PROVISIONS. Westborough,MA 01681 AUTHORIZED REPRESENTATIVE 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza --Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175683 Type: Corporation Expiration: 5/29/2017 Tr# 265489 ALTERNATIVE WEATHERIZATION, INC. TIMOTHY CABRAL - "- _ ---- ----v 2 LARK S T - ---- -- —----- -- — FALL RIVER, MA 02721 Update Address and return card.Mark reason for change. - . Address Renewal 11 Employment . Lost Card SCA Office of Consumer Affairs&Business Regulation License or registration valid for individul use only "= (BOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ' a istration: 9 175683 Type: Office of Consumer Affairs and Business Regulation Expiration: 5/29720':7 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 ALTERNATIVE WEATHERiZATION;INC. TIMOTHY CABRAL 2 LARK ST A. FALL RIVER,MA 02721 Undersecretary l !'o valid wit ut signatu l Massa0h6S4btts:-Department of Public Safety aoard of Building:Regulations and Standards License`-CS-105454' tit t rSr'Il TIMOTHY CABR*41 M DICKERINSON FAR River MA 0 7' I V . •fib ExplrattOn Con itfissioner. 05/08/2017 1 Y Town of Barnstable *Permit# II Expires 6 mopthsfirom 'sue date ` Regulatory Services Fee 12 4/ V� x 4 Thomas F.Geiler,Director R� Building Division X-PRESS PE RM ` Tom Perry,CBO, Building Commissioner Ir ` 200 Main Street,Hyannis,MA 02601 MAR 2 9.2006 www.town.bamstable.ma.us Office: 508-862-4038 7'OW N Q-FaXBMjjVMtS EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY z Not Valid without Red X-Press Imprint p/parcel Number 1✓R NO perry Address ® th 1 J Residential Value of Work Minimum fee of$25.00 for work under$6000.00 er's Name&Address tractor's Name_,Tww &T-� Telephone Number I ` WO e Improvement Contractor License#(if applicable) p` 10 truction Sur, sor's License#(if applicable) orkman's Compensation Insurance Ch k one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance ance Company Name kman's Comp.Policy# } y of Insurance Compliance Certificate must be on file. 't Request(check box) E Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ; ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *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. Horn rove nt Contractors License is required. NATURE: mms:expmtrg 6e071405 t Town of Barnstable Regulatory Services b $nRt € MAS& Thomas F.Geller,Director v nsa $ 039. Builc1ing 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 bust Complete and Sign This Section If Using A wilder as Owner of the subject property hereby authorize � Q S l I to act on my behalf, in all matters relative to work authorized by this building permit application for. r► l_v p�r�i�rY��p (Address of Job) Signature f Nmer Date Print N IQ:FORMS:OwNERPERMISSION The Commonwealth of*Massachusetts Department of Industrial Accidents . Y Office of Investigations Y ' ' a 600 Washington Street Boston, AM 02111 M •v' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Lf_�q Address: P 0- Wyk L3I City/State/Zip: S YYI� gZUo I ' Phone#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. EINew construction mployees (full and/or part-time).* have hired the sub-contractors 22 I am a sole proprietor or partner- listed on the attached sheet $ 7. ❑ Remodeling ship and have no employees These sub-contractors have &. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' romp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.] t employees. (No workers' 13.❑ Other comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisomnent, as well as civil penalties in the form of a STOP WORK ORDER and a flue 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 under the pains and penalties of perjury that the information provided ablov�e ' true and correct Si ature: Date: 3 k� Phone#: 0 - —I Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Boa-rd of Realth 2.Building Department 3.City/Town Cleric 4.El:ctricai inspector S.Plumbing Inspector 6. Other Contact person: Phone#: 1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the . receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean 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),addresses)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, NIA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 wzvw.mass.ffov/aia f , • J 4, registration valid for individul use only s License or reg ion date. If found retur before the expiration Standards3 Re Regulations and Standard nlations and � Board of Building g CTOR 1301 ° HOME iT-' (:VEMENT CONTRA Board of Building Reg One Ashburt020 place Ibu Re lstra- , 24310 Boston,Ma. lug 007 i r idual James Curley t 1 na re Curley " Not valid without James " �,�.....-� 287 Fuller Rd. Administrator 2632 Centerville,MA 0 __ ... ._. d .. n CRaO TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 30 Parcel O L1d Permit# Health Division , 1 /1, Date IssuedIF Conservation Division �� �7/`" a �'N 'PM!WOV3, Tax Collector OCR — �- 1/ 0 �r �p�v� � �� ao a� N '7 t pp yy sT P P 5YS7E� SIL Treasurer � � �-- _ d� � NC� "STA..I.ED IN COMPUA Planning Dept. VffN TITLE 5 EWRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REC�1Le T10 K?3 Historic-OKH Preservation/Hyannis Project Street Address 7�- ,4 A� �l Village Owner �����`�C�M �s � �>> � Address I I to ������,a-gyp �� �` (- Telephone .wog - 3 to - '7 r7 D Permit RequesT-P.aQZt-, 1 >C 1�� 3- S��SaY\ Sv,bZ��`1 p(� G- 1 ?C �;O Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation 1�; o� . Zoning District Flood Plain Groundwater Overlay Construction Type 5A Lot Size L 3, Sff�] Grandfathered: O Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#units) �, •'I Age of Existing Structure Historic House: VYes O No On Old King's Highway: O;Yes z-5.i O No Basement Type: O Full O Crawl ❑Walkout O Others Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) � Number of Baths: Full: existing new Half: existing new `_" Z N > l / Number of Bedrooms: existing new c r- -�.L N Ti �Z. Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O Gas O Oil ❑ Electric ❑Other ►J[fi Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: O Yes O No Detached garage:O existing ❑new size Pool:O existing O new size Barn:O existing ❑new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded O -J -Commercial ❑Yes---O No If yes, site plan review# Current Use Proposed Use 3, S WZFUIZZ)M BUILDER INFORMATION NameArN V cJkCri1vt:---'d&�Gz+-l5 Telephone Number 5y8�-3`T3 Address I O� C'6 s - License# O-?O 9 9 7 o`5�a- Home Improvement Contractor# 1 �),S j (�,g Worker's Compensation# 35 t.ZgC 4:'=3cf35 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z L . as'�S SsR SIGNATURE e` DATE Z FOR OFFICIAL USE ONLY RMI TIN 0. t DATE'ISSUED `- MAP/PARCEL NO. ADDRESS VILLAGE OWNER , DATE OF INSPECTION:p 1*� FOUNDATION l7 j o - ti lC E FRAME ,�'..� 0 1 - INSULATION - FIREPLACE ELECTRICAL: _ ROUGH FINAL PLUMBING: �' ROUGH ; FINAL GAS: ' ROUGH '°„ FINAL FINAL BUILDINGS zr C 7 DATE CLOSED OUT i ASSOCIATION PLAN NQ" 3 ! n � 1 r r� °FIME T° Town of Barnstable Regulatory Services BAMS'^BLE, Thomas F.Geiler,Director v`bArE.4 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: SUlh API ,' Estimated Cost Address of Work: ii6 P6cg y `4MP 141 L r_I , Owner's Name: W I e LC—_S f l C� Date of Application: 7 Z� , I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY F UNDER MGL c. 142A. SIGNED UNDER PENALTIES Y I hereby apply for a permit as the agent of the owner: 5169 D to Contractor Name Registration No. OR Date Owner's Name > Q:forms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES ' APPLICATION FEE 50 . 0 New Buildings,Additions $50.00 Alterations/Renovations $25.00 - Building Permit Amendment S25.00 FEE VALUE WORKSHEET NEW LIVING SPACE �/ UZ . /q % square feet x$96/sq.foot= ` x.0031= gS plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >120 sf-500 sf ` $35.00 >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf-1500 sf .100.00 >1500 sf-Same as new building permit: square feet x$961sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (mrmber) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S150.00 (plus above if applicable) Permit Fee Lprojcost Ip. �t . 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' :Y.::.$.}::Y:{:;:.:):?�:::::•...:.: F iw'Failure to secure coverage required under Section 25A bf MGL 152 canlead to the imposition of csimiiwl penalties of a fine e. to S1,5oo.Q0 and/or one yearn'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of Sloo.00 a day against me. I midetstand that a' copy of this statement any be forwarded to the Office of tigations of the DIA for coverage verification I do liereby'Certifyu ai vf-Perjury that-the-information-pr-ovidedabnve_issr - d co Date Signature ,�7L117I2 l.^✓ �, ::Phone# .:. .S g� L/y Print name official use only do not write in this area to be completed by city or town offidal city or town: .-permit%license# C3Bullding Department ❑Licensing Board ❑Selectmen's Office ❑ checkif immediate response is required ❑$ealthDepartment phone#; ❑Other contact person: , Qnised 9195 PIA) r , i Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is:defined as every person in the service of another under any cortract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,-and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a - dwelling house having not more than three apartments and who resides therein;-or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit.to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the' commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and' supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be ' submitted to the Department.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and F date the affidavit. The-affidavit should'be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law".of if jy ii are required.to obtaki i a workers' compensation policy,please call'the Depaitmerit at the number listed below:. City or.Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bott0m�0_Y& affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please A be sure to fill in the.pemutlhcense number which will be used as a reference:num. er. Tlie:affidavits rrray e'r _,to the Department b `email'or FAX unless othei arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any pestions. . 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 fax#: (617) 727.7749 .' phone #: (617) 727-4900 eat. 406, 409 or 375 ' FROM :COX FAX NO. :7813564432 Apr. 27 202 Ili:4WH P9 LoT 8 kor —� aa�r�t CN. T 6 a � a Carf4ra Ife11. CvMPm,, JOB �► 88-104 _ l�ERTIFIED PLOT PLAN COCATIM �L=6 DEER JUMP ILL RD W BARN PREPARED FAR: SCALE. 1"-60 DATE: 7/28/88 AE'FFJtENCES LCP 37808A GNERYL GILLESPI I HEREBY CERTIFY THAT TlE: BUIOrm sHomm ON TNXS Puts IS I.0"TEO ON Tfff 6RMM AS 54UN N NEWN. EUIriOINS VOW OW TO SETBACK AEOUTAEKNTS OF THE TOMN WEN COMSYRUCTM jolt a F: � 5+ y l.ar.+a+� o =4�r�♦.� � r � t'n, � r �a r!"rti �, ;�. 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F7 , Ew5nNG 6' 170M FRorn HouSE PRoPo5ED WW DECK 02'X21'APPROX) I.2XIO Pf FRAME @ 16"O.C. 2.LEDGER PaltD I/2"15"LAG5 52"O.C. 5.J015f HANCER5"W5 4,m SIDE J015f5 2XIO Pf DDL END MAM(HIDDEN) b.(1) ITT X 46"DEEP FI65 W/MICHORS �.(1) 26"0 X 12"DEEP rile FOOf FOOTING 8,5/4"f8G PLY OVMAY 9.bX6 P0515 10.5/4116"PT DECKING IL W APLE HAND RAiL5 12.5fM5 2' —21' PROP05W 5 5EA50N PORCH 12'X 12'(APPROX) A FRAME 5TYl.E 5"EP5+ H ROOF 5Y5fEM (6 SPAN) NEW b'SLIDING DOORS FROM PORCH (DOORS Nor SHOWN TH15 VIEW) - - k I _ LiiJ . LJ 1 L__J LJ LJ LJ STAIR&RAIL O 3(7"H&RAC, ® II"TWAO 8 05E 4"r4&VER VALE Pro)cct: Scale:1/8" etterl ivi ng 61LLfftHLL f?�51n�NC� A.I PEERPATIO ROOMS IVVE5ff 6AWAPLE,MA02668 100 Otis Street Nothbom,MA 01532 Phone(508)393 0400 Fax(508)393 0340 V te:61 V 02 15hact I of I LAYOUT PLANS WALL 5ECTION5 EXISTING BUILDINGGN - -• . 96.75" I x I (MAX) II (MAX) 69 � 2I I •_. jlj�,' I II! ►I IL 11 G-A6LE 51DE'A RILL-(A) --- GABLE 51DE WALL(G) A55EM13LY DETAILS i 63"xi8"D - 6,i's7c'D I I + IliCir-- —Apr —o1Ji I t i -.WALL 12'-2" ( n I j I 5EE ALLOWABLE LOAD I. TABLE FOR PANE!SIZES GABLE FLOOR PLAN g6.75" I I' - _.(I\I0T TG SCALE) MAX)( ;t'I i) II •I i (i ice': r ITCH 1:12 TO 5:12 II. I 'II II II III! c'F A-FRAME RIDGE BEAM UP � 5UPFORT BEa,��,i^1 Imo' 1 IL li �; III I {� GLUE LAMINATE)BEAM i 1 I TRAN50M(CPTIONAL) 1. GABLE FRONT WALL(B) ALUM.SLIDING I.I ALLOWABLE LIVE LOAD TABLE FOK 9 FT. PANEL (WITH 8 FT.OR LE55 5PAN) DOOR ORe✓INrCV I 20 PS'r 1 25 PSF j 30 P5F 35 P5F 1 40 PSF 1 45 P5F 1 50 P5F i 55 PSF 60 P5F TEMPERED GLA55 I1 13 3"HC 3"HC 13"HC 3"HC 3"HC 13"HC 3"HC 1 3"HC 13"HC SLIDIFIG POOP ON SILL! - . _,.___ _._ �-, ;�'Ei 5+r1 ,'i`ram 5 ri 3"Er:S..ii 3"EP5+i i ;j'u 5+i i 3"EP5+H.. ,`lt`gtquur�,� J EPS+H I J'crb+H I�;i tPS+H I I * t I I ! I Cf 1EY�••q�''.;, bc:,ii0id'rriiri DO A FLOOR CHANNEL NOTE5 FOR GABLE CON5TRUCTIONcnA,c 1.5TRL'CTURAL MEMBER5 5HA.LL COMPR15E 4.WIND LOADS=20 P5F 10.A5BP.E'/IAf10N5r _y;' JOHN ° CECK/SLP.B 6C63 TG ALUMINUM EXTRU510tJ5 PROVIDED OM 80 MFH EXPOSURE A,B•C D=DOOR = . Joss 5 DEAD LOADS OM=DOOR MULLION BY CRAFT-G . =5 PSF ILT MANUFACTURING COMPANY. W=WINDOW. %o TYPICAL GABLE SECTION 2.ALLOWABLE LOA05 APE BA5ED UPOt 1 6.DOOR AND WINDOW LOCAI'lON5 WM=WINDOW MULLION ''�,�Fy'..... „j; NOT TO SCALE THE LE550R OF THE ULTIMATE LOAD/2.5 ARE INTEP.CHAIJGEABLE• U=U-CHANIJEL OF THE LOAD AT 5PAN/120. 7.GLA55 KNEE WALL5 ARE HC=HONEYCOMB PANEL5 - 3.HC/EP5 REFER5 TO GRAFT-GILT 5TRUCTURAL INTERCHANGEABLE WITH PANEL5. EP5=POLY5TYP,ENE PAIIEL5 �\�SA 6F/*�Ss' PROJECT: I CONTP,ACTOP.: PANEL5 WITH ALUMINUM 5KIN5 BONDED TO 8.ROOM FP,OJECTION(A cr C WALL H=THEP.MALLY-BROKEN o2 CAAtG J cam` ° " HONEYCOMB/POLY5 T(RENE COPE5(3",4%z" WIDTH)MAY VARY PER DOOR& ALUM H-STIFFEN'cR 12'-0 X 12'-2 Jo AND6"THICKNESSES.). WINDOW RIDGE BEAM/ OGII=O'/E7HAN 4 S}RUCFURAL �;A GABLE ENCL05URE COLUMN DE51GN(UP TO 16 F_ P5F=POUN05/50.FOOT 40324 IDWG NO.: I ADJACENT PANEL5 APE CONNECTED USING P=PANEL a 9- �o y„' RAPJM B':CJJ v, 9.AUTHORIZED FOR BE TEPLP/ING p =' ' o �STE?�/�: em40-l2x12-2 j GENERAL.LAYOUT IN(L CLEATS OR H5. FT=FE_T c: :I. 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L. :i�.... -Tra L:=o__.. �.,__.._i.e i� -r j?ij• �.:iaL •:Y J r`<.._ J.'. ri.!_7_�.i .�TLO in- 'atZij i/�1 a^ -?:J'y,r�..'.r^n I'-.'.�C'. _ •�=_ _o ! `J?���i.i''�= �.''_ i✓'?1•` _; �J cV Tv, +�.So_ �. u�� _ _ 1»C' C- 8 _?ldsiP.�4��i t:, i0- 1 O cl _ 2S`2-:�.-- a�S?=� 1`-;? 13 S' 7- ..._�0-'_:=-:.,.. _t �ajj _li,._t.�3i'Y .,., =T,..c-�:��'- --"_yj- _. utt _n=r'- t-._,. ?' _.. .3 _ _ �: ! - -•--�.�: i r"!.:t�-?:�_ _:S :=Glii '_r.: f i?j? .ACdRID CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YY) PRODUCER 12/18/2001 Joseph McKeone THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JP McKeone Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 333 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ann Arbor, MI 48106-0333 INSURERS AFFORDING COVERAGE INSURED Patio Rooms of America, Inc. INsuRE�8: TFORD INSURANCE OF THE MIDWEST John Esler INSURE 100 Otis St. INSURER C: Northboro,MA 01532 INSURER D: INSURER E. - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE D 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 REDUC D BY PAID CLAIMS. JINSKI LTR TYPE OF INSURANCE POLICY NUMBER I pq M DDlVY D MMIDDIYY LIMITS A GENERALCOMMERCIAL 35 UUC 35019 11/01/2001 11/01/2002 1,000,000 EACH OCCURRENCE g COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) S 100.000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000 000 GENERAL AGGREGATE 5 2 OW D00 r(GIEN*LGREGATE LIMIT APPLIES PER:ICY PRO- LOC PRODUCTS-COMP/OP AGG S 2 0001000 I q AUTOMOBILE LIABILITY 35 MCC 302718 11/01/2001 11/01/2002 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000.000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY X HIRED AUTOS (Per person) $ NON-OWNED AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO i I AUTO ONLY-EA ACCIDENT $ H OTHER THAN EA ACC $ AUTO ONLY: AGG I$ EXCEss uAeluTv EACH OCCURRENCE �S OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION g A EEMMPLOYeRSUABILITY TION AND 35 WBC F13935 '08/01/2001 08/01/2002 TDRY LIMITS ER $ I E.L.EACH ACCIDENT $ 1 000 000 E.L.DISEASE-EA EMPLOYEE S 1,000 O00 OTHER E L.DISEASE-POLICY LIMIT $ 1,000.000 A PROPERLY 35 UUC 35019 11/01/2001 11/01/2002 Includes Richo;Copier AFFIC10270 Account 41997706 to include Theft DESCRIPTION OF OPERA NwLNSILOCATIONS/VEHICLESIEXCLUSIONS ADDED BY EI DORSEMENTISPECIAL PROVISIONS Certificate Holder is additional insured CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE IDAYS XPIRATION INSURED COPY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE T SO SHALL IMPOSE-NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, GENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I ' ACORD 25-S(7197) 0 ACOR-15 CORPORATION 1988 CIF B..H f Building Regulations and.Standards License or registration valid for individul use only ?y 1116 before the expiration date. if('found return to: 15 HOME IMPROVEMENT CONTRACTOR Board of Buildirfg Regulations and St.-T).dzrdg xpjratidb'.r� 6/21103 One Ashburton Place Rm 1301 Boston,A/fa. 021.08 _pr ivate Corporation PATIO ROOMS qR N BjQST0.'N-.-- - ,41 C' ANDREWS MALON 100 OTIS ST NORTHBOROUGH,MA 01532 Administrator Not valid without signature el S -S 277 BOARD OF BUILDING REGULATIONS UCTI-rDN SUPERVISOR License: 'CONS: Number: 070998 B -�ite�'C&20h 967 irth Ekmirds;.02120/2003 Tr. no: 7227 Restricted T66 !'G-' ANDREW T MALONE: 41 WASHINGTON ST 2' NATICK, MA 01760 AArnihistrator r A"IMAVIT zn accordance with Article 1 Section 114-1.3 of the Massachusetts State Huildir_g Code, X certify Chat all debris resulting from work associated with Permit #Will be properly disposed of at EL- }�gVCY#S�A1S - {�~• licensed Solid waStz diSr)oSa, f3c�ility 3S EEL ed by GL Signature of Permit Applicant E . L . HaRvEx & soNsIN 8$ HOPKINTON RO print game of aPalica*nt WESTBO RO , MA 4t (R E 135) 15et Firm Name (if any) A? oT dt- Address Effective September 12, 1.991 the Department of Health/Code Enforcement acting under C:Zaptew 2 Article 13 of the 1985 "t proof v.f rq4 ="C?aa i nT YVOz'(;e$t6r 2CCV15Cta. V111111Cu1t.GJ yG..i.a�•.c:a debris generated as a result of this permit. The proof shall be a• dated and signed receipt from the lice-used disposal facility containing rbe following information. A description of the debris, the waight and volume of the debris and the location of the disposal facility• '11,e receipt must also have a signature of the o�rner/operator of the disposals facility. Failure t0 comply with the Tequir'eme_nts of tb.is ordinance ill result in en=o_ce_meat action by the City. w ` TOTAL P,02 Application to ®�� 21TCg'� igTj�xlaip egiDTCI Y pi5taric �BiE;tritt Committee In the Town of Barnstable 2 0.02 CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. 'Exterior building construction: New Addition ❑ Alteration Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other - 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole Other -LV,kX/L $L-� TYPE OR PRINT LEGIBLY: DATE ADDRESS OF PROPOSED WORK &Ilte 6610-w �'��If� 1i(� ASSESSOR'S MAP NO. ,�- OWNER lJ�1L��M �I!i�.SPIE�e2#iCG EIuEsp16 ' 1P—ti ASSESSOR'S LOT NO. HOME ADDRESS (1JF.Si TELEPHONE NO.9, b@- 6!9-�]-704 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) rC-(kAN"- ED �A AGENT OR CONTRACTOR 1�(Z ;rrrs OFA ��R {Q ��z, WIK% TELEPHONE No. Sru��R�ort S ADDRESS ��iC3 �s 711Et /I�QJ27au�t�2c�� � (� 7 S'3 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. C.0fgP8k,,y T& �J��� I Z X /x X t Z a2 549►'7� 51 ,,��=�AM� 5`rY� J,tiyc S��v ^mo {�csc�r L GE %NERin�aN INSU� � I�ii'4l. tgLJtiM�vu ��ptsS- i�iN J Oe' LS %�J 6.,f%D6, �.,-c c-���;. �m��ay To 3,�►�a g x i z c���,� 7F"CIC � � non -- Signed ' /OPner- ontractor-Agent —Fo_r-Committee`Use-Only D Lam.`J a 0 » !- This Cerificate is hereby Date j A,proved/ ied JUN 2002 Com ittee Members' Signatures: TOWN OF B,6P' , &44tt :A t Town of Barnstable 0 0 2 ; 12 .9 Old King's Highway Historic District Committee SPEC SEEET it �� F oUr]DATIONr�oy W�Ly�ooD SigFuo& otj I Z x 48 SIDING TYPE V I YL. CA-PKIID RAW � COLOR D.A(Tr CHIMNEY TYPE -)/ COLOR Aj/A W44 ITC ROOF KiTERIAL(�QS f .C0(Z(_. COLOR . PITcti ✓AIUAgeE wlNDows ,4�` c?�� Lt,�p SLtnE coLoR W� a n SIZE VAPUUES . TRIM COLOR � E P�6n;ELOWiuN iT6^C6�r� DOORS A-PbcAJ COLORS SHUTTERS-- ''" I A COLORS AJ t ALuM n! ��►rE� GUTTERS ",t` p $ COLORS j l E ECKS -MA �� Lupi6(e D q �ailccYa� GPT.Z_kC-E DOORS tq COLORS SKYLIGHTS �/ SIZE COLORS SIGNSCOLORS a J U N 2002 NC COLOR F E W �pmge, r^ 1� out coLiole ely,-Jincludinq measurements and materials/colors to be used. Four copies or this form are required for subri.ttal of as application, along with Four copies of the plot plan, landscape elan and elevation plans, when applicable. SPECS11T Revised 11198 sz, qJ COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I depose being on oath, de and state as follows : p ' o /1'. ) I reside at1/f 2 . ) I a wner m the o of t O2� property located ate' t _ ; shown on sa Barnstable ,.. Assessors ' - o Mapes Maps as : 3 . ) On Got-- . 1 ' •- 4� Appeals, on Appeal No. 19 , the Zoning Board of permit to maintain a family apartmPr.+ ` -granted me a special understand that the Tamil p a a""ve address. occupied by .members of my family who are Persons may only be me by blood or by marriage . er,,on related to 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name: 61*79c f' Relationship to Owner: &,w �ypT,y�z . (2) Name: Relat.ionsllip to Owner: o 6 . ) The family apartment will be the round residence for the above-identified family Jmembers . 7 • ) In t-he event that the above-listed relative(s) vacate said apartment., I will immediately notify the Building Commissioner in writing . S . ) 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 , i0 . ) I understand that I am required to'.comply with . all-conditions imposed by the Board of Appeals in AnDoi ;,Too agree to - immediately notify the Building - Commissioner in the event of the sale of the above-listed property. Sworn to un r i3 h pains a day -of the penalties of perjury this, 19 (Please P iritgnan ere ) .' Q �JUN 2 8 V94 C G a a I U a COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFI.DAVIT I , i;, "g r` � , being on oath, depose and state as follows : I reside at 6 .9/2 nJsr y C p xC • 2 . ) I am the owner of the property located at /fin �cr•r,r f/iL L- nV" - W_ /11/w.S E e.//- O•Z 0/ v shown on Barnstable Assessors ' Maps as : Map /3P Lot_ O V,4 3 . ) On 19 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 to me by blood or by marriage . 5 . ) The following members of my family will be the sole occupant; of the family apartment at the above address: (1) Name:Relationship to Owner: - (2) Name: 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 . S . ) 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 Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of th e e sale of the above-listed property. Sworn to under the pains and penalties of perJury this ay of 1,14r 19 9L, RECEIVED (Signature) r MAY IS [1992' - (Please Print Name) : OW,DEPT W,ri � q�SS�ibnS G 1 �. Cc.P.f, ' 30, g0,, 6 (�WI� COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , `' I, (/lJ / S •�and state as follows : being on oath, depose/1 � 1 . ) I res i- at� /J�e �u s �,a �" 2 . ) 1 am a owner of -)the property located at shown on Barnstable Assessors ' Maps as : Map 432-, Lot O!;!�O 3 . ) On , the Zoning Board of Appeals, on Appeal No._ I 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 occupa l)t of the �m/l y a ai tment at the above address: (1) Name: / Relationship to Owner: (2) Name: 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 th- :jt. 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 Appeal No. Iq -8'6 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 and penalties of perjury this day `• &64 rro (Signature) (Please P rint N �e) ; 5 ,1991 6UiLD!;d^9t�i COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , William A. Gillespie being on oath, depose and state as follows : 1 . ) I reside at___]�16 veer ,Tumn Hill Road .,_ West Rarnsyable, Mass 02668 2 . ) I am the owner *of the property located at 116 Deer Jump Hill Road - West Barnstable, Mass 02668 shown on Barnstable Asses q�s ' Maps as : Map 112 Lot -to 3 . ) On , 19�g_, the Zoning Board of Appeals , on Appeal No. 1Q88_86 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:_grace E Gillespie Relationship to Owner: 1�Sot}aex (2) Name: 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 Appeal: its Appel No. 1�R8-86 10 . ) 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 24_ day of May 19 . (Signature) (Please Print Name) : 1 W i 11 i s -Gillespie Joseph D. DaLuz Telephone: 775-1120 Building Commissioner- Ext . 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS , MASS. 02601 May 16 , 1990 Mr. William A. Gillespie 116 Deer ,.lump Hill Road West Bar-nstable, MA 02668 Re: Family apartment located at 1.16 Deer Jump Hill Road Dear Mr. Gillespie: A year ago you filed an affidavit with this office re the above referenced family apartment. It is required, by Section 3-1 . 1 (3) (D) (1 ) of the .Town of Barnstable Zoning By-law, that an affidavit be submitted annually for the duration of such occupancy. Enclosed is an affidavit .for-m for your- convenience. Please complete this form and return it to this office as soon as possible. Peace , J� s ph D. uz wilding Cc missioner JDD/k.m enclosure 7 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I being on oath, depose and state as follows: 1 . ) I reside at GcJFt� �A/I�Us7A.PLF� /`7� 02 G 6� 2 . ) I am the owner of the property located at .SAS A , shown on Barnstable Assessors ' Maps as : Map i 3 2- , Lot Lla 3 . ) On /Vov,5m aF,& �_, 19 k� , the Zoning Board of Appeals, on Appeal No. 1 9S,-a( , 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 ap rtment at the above address: (1) Name: G G 6F Z L - zi r L Relationship to Owner: (2) Name: 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 Appeal No. /9kJ_ -ke 10. ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to un e e pains a penalties of perjury this day of 19 (Signaturej- (Please Print Name) : I Joseph D . uaLuz Telepnon.e: 775-1120 l0luiI•ding Commissioner Ext . 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT -TOWN OFFICE BUILDING HYANNIS, MASS. 0260 ). April 26, 1989 William A , and Cheryl Gillespie 02 'i i moer- Lane West Barnstable, MA 02668 Re: Appeals No. 1988-86 Dear, Mr. and Mrs. Gillespie : On November 3 , 1988, as applicant (s) you were granted a Special Permit for a family apartment . "The intent of this ray- law shall be to allow one ( 1 ) additional living unit, complete with kitchen and bath to supply a year-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 persons who will reside in the family apartment small sign affidavits before occupying said family apartment and further . all small sign said affidavits each year said family apartment is occupied. . . . . . " . Within sixty (60) days from the date the person or persons residing in the family apartment vacate the premises , the owner or his representative shall remove the kitchen facilities and request. the Building Inspector to inspect the premises . It is imoortant that you understand that there are restriction wnicn relate to the applicant.'s family living at the same premises . The use cannot be transferred. Conviction of a violation of this by-law is subject to a fine of $100 per day for each day from the established date of offense and, also, subject to a criminal complaint to issue from tree First. District Court. of Barnstable. Affidavits must be signea and filed at the Building Commissioner's office between the hours of 9:30 A. M. and 1 :30 N. M. Monday through Friday. This oy- iaw sha11 be strictly enforced. Peace, o4 1 0. zu z Building Commissioner •ADO/km cc hoard of Appeals Town Counsel r' TOWN OF BARNSTABLE ',I. n ZONING BOARD OF APPEALS BW' .`: SPECIAL PERMIT '$$ NOV 18 A 8 :44 DECISION AND NOTICE PETITION NO: 1988-86 PETITIONER: GRACE E. GILLESPIE At a regularly scheduled hearing, held on October 13 , 1988, and continued to November 3, 1988, 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, Grace E . Gillespie, requested a special permit for a family apartment pursuant to Section 3- 1 . 1 (3) (D) of the Town of Barnstable's Zoning Bylaws for the property located at Assessor's Map 132, Lot 40, Dear Jump Hill Road, West Barnstable in an RF zoning district. In support of the petition, the petitioner presented evidence that the following conditions applied which would warrant the grant of a special permit: The petitioner's son is building a new house at the above described location, and she is seeking to turn the garage area into an apartment for herself, which will be her principal year-round residence. Her son will also be living in the house year-round. It was pointed out in the staff report to the Board that. the plans as submitted, indicate that the proposed apartment may exceed the 507. total area allowed under the bylaw. The Board made Ms. Gillespie aware that the apartment would have to meet all of the provisions of the bylaw, most particularly that section requiring that the proposed family apartment is to contain no more than 50% of the square footage of the residential structure. FINDINGS OF FACT: Based on the evidence submitted, the Zoning Board of Appeals made the following findings of fact: ~� Family apartments are allowed in all zoning districts of the Town and the petitioner understands that she must comply with Section . 3- 1 . 1 (3) (D) of the Bylaw. The use as proposed, will not be in derogation of the spirit and intent of the zoning bylaw and will .not result in detriment to the neighborhood. Based on the above findings, the Zoning Board of Appeals , at a public meeting held -on November 3, 1988, voted to grant the special permit to allow a family apartment.' The vote was as follows: AYES: JANSSON, NIGHTINGALE, LALLY, BLISS, BOY NAYESs NONE In granting the special permit, the Zoning Board of Appeals has imposed the following conditions, the breach of which shall invalidate the special permit being sought: 1 . The petitioner shall provide the Board of Appeals with a set of accurate plans containing such modifications as necessary, to assure compliance with the bylaw. j i Any- person aggrieved by this decision may appeal to the Barnstable Superior.. COurt, as prescribed in Section 17 of Chapter 40A of the General Laws of Massachusetts by filing a Complaint in said Court as well as a notce of action with the Barnstable Town Clerk, within twenty (20) days of the filing of . this deci.sion with the Barnstable Town Clerks Office. Chairman Clerk of the Town of Barnsta e, Barns a le 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 ay of / , 1�?�under the pains and penalti s of perju - Town Clerk. DISTRIBUTION Town Clerk Property Owner Applicant Persons Interested Building Commissioner Public Information Board of Appeals x� `• p / 5 D R 1 2 040• A P P R A I S A L D A T A KEY 7135 GILLESPIE, WILLIAM A & LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF . 97,800 A-COST 97,800 B-MKT 44, 400 BY oo/ BY /00 C-INCOME PCA=1301 PCS=010 SIZE= ,JUST-VAL 97, 800 LEV=500 C ONST-C 0 ----COMPARISON TO CONTROL AREA 14AC: -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 84AC WEST BARNSTABLE PARCEL CONTROL AREA TREND STANDARD 133 10 LAND-TYPE 978001 LAND-MEAN +i�% 978001 100293 IMPROVED-MEAN +O% 257. FRONT--FT 11 100 DEPTH/ACRES TABLE 02 100 7 LOCATION-ADJ APPLY-VAL-✓TAT 1 LNR I LAND LFT/I MP I ADDS/SB/FEAT STR I S TRUCTI JRE ARR I AREA-MEASUREMENTS NC iR I NOTES COM I MARk::ET I NC i I NC:OME PMR I PERMITS GRR I GRAPH I C FUNC'T I ON-C I STRUCTURE-CARD NO-C 000 1 DATA-[ I XMT C?7 R 1=2 040 o P E R M I T C PMT I ACT I ON C R] CARD C 000] KEY 71.353 00000000l PERMIT-NO MO YR. TYPE VALUE C:K-BY MO YR %C:MP NEW/DEMO COMMENT fB3 '1657 1083 C887 CND] ] 5000003 C ] E003 1003 10003 [NEW I CWP DW/GAR I C I C 1 C ] C 7 1 ' C 7 C I C I C ] C 7 C I C ) C 1 C 31 7 7 ] C 1 C I C 3 C 1 C 7= C I C I C I C 1 C 7 3 7 C ] C 3 C 1 C ] C a E 1 C 7 C I C I C 1 3 3 C 3 C 3 C 7 C ] E ] C I C I C ] C 3 C 7 3 7 C ] C I E I E I C I C I C 7 C 1 C 1 C ] ] 3 E 3 C 3 C 3 C 7 E I C I C I C 1 C 3 C ] 7 ] C 7 C 7 C I C ] [ J C I C ] E I C 7 C 17 I C 7 C I C ] C 3 [ 1 C C 7 C 7 C 3 C 3 1 3 E I C 7 C J C 1 C 7 C 1 C 3 E I C I C 73 31 7 C 1 C 7 C ] C 3 C 1 C I C 1 C 3 C 13 .1 C 3 C I C 3 C I C I C I C I C I C I C I I I C I C ] C ] C I C 7 C a C 3 C 3 C I C 1 1 3 C 1 C I E I C I C ] C [ 3 C 3 C 1 C 3 3 7 C 1 C ] C . 7 C 11 3 E I C 1 C 3 C 1 C 1 1 ] C I C 7 C 7 C ] C ] C ] C 7 C 7 C I C 73 1 C 1 C 1 C I [ 1 C 3 C C I C ] C 7 C I I 1 C ] C 1 C. 1 C I C I C C I C I C . ] C I I 1 E 3 C ] C 3 C 1 C 1 C 1 C 1 C I C ] C 1 3 1 C I C ] C 1 C I C I C 3[?] t f�• i C ] C R 132 040. � L=iC]0122 DEER _SUMP HILL CTY3 05 TDS]. c00 ' WB KEY] 71:35 ------MAILING ADDRESS PCA] 1'301 PC:S]00' YR]00 PARENT] 0 GILLESPIE, WILLIAM A & MAP] AREA384Ai_ _VI MTG3000o GILLESPIE, i_HERYL SP13 SP23 SP^] 152 TIMBER LANE UT 1 ] UT2] 1 . 46 SO FT] W BARN STABLE MA 02668 AYB I EYB] OBS] C:ONST] Qt_00 LAND 97:300 IMP OTHER ----LEGAL DESCRIPTION---- TRUE MKT 97800 REA CLASSIFIED #LAND 1 97, SOO ASD LND 97800 ASD IMP ASD C iTH #DL LOT. 6 L 37808-B DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 116 DEER JUMP HILL TAX EXEMPT #RR 043 :02 77 RES I DENT'L 444i O 97800 97800 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS - SALE 10G/87 PRICE] 102000 ORB I C 1 1 1048 AFD 7 V 'TE LAST ACTIVITY]04/05/S PCR3Y COMMONWEALTH OF MASSACHUSET FS BARNSTABLE AFFIDAVIT ---------------- being on oath, depose and state as follows: 1.) I reside at//6buE1 AMP �eJz _- VV——� �R./t� 2.) I am the own of the roper located MAR r ��cc-- - G � at/1_!o b� Rs.L1�1�Jtt�! y9 shown on Barnstab e Assessors' maps as MAP----------___PARCEL_----- ED Co ------ Do not---- --have a Family Apartment at this location. 4.) On_ �� _, 19 __, the Zoning Board of Appeals, on Appeal N0.1 -- -- granted me a ecial Permit/Variance to maintain a Family Apartment at the above address. 5.) 1 understand that the Family Apartment may only be occupied by members of my fainily 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------ R�C�_ l7/L L�SP�E ------ -------------------------- Relationship to owner:_1H4If/�ER_z __L ________—_ ----------------- b) NAML--------------------------------------------------------------------= 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 relativc(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.) 1 understand that I am required to annually file an Affidavit with th- Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) 1 understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. ---� a$-36 -------------------------------------------- 12.) 1 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 ofE _____, 199_�____ Signature / -------------=--------- -- - -- - - -1 ---------------- Print Name --0#E?_�L 5P1 E------------------------------ COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT UWAI I, --���i�•�r__�—��L L E's•�i�-------- ---��OFF, . depose and state as follows: F,4(ol-I Q^'�B( D� �qN Apr F n / 1.) I reside a 2.) I am the owner of the property located / l ate/C__ �9 shown on Barnstable Assessors' maps as MAP_— _ PARCEL___— _--_— 3.) I Do_— ' \ Do not_____—________have a Family Apartment at this location. 4.) On , 199_ , the Zoning Board of Appeals, on Appeal No.____— granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME__ 15'/t A9GE �i G GEf�°iF ---- --- --- ----- Relationship to owner: 0 b)-NAME__ -- — ---- ---- ------- Relationship to owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Conumissioner 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 Conirmissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this _2 __day of 3 �_____, 199_9 ,Signature — — -- -- --- -------- Print Name oFVE'g The Town of Barnstable Department of Health Safety and Environmental Services ,PJ,,ff„BM : Building Division MAM 16 9. 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissione January 5, 1998 The Gillespie Residence 116 Deer Jump Hill Road West Barnstable, MA 02668 Re: Family Apartment located at 122 Deer Jump Hill Road Dear Mr./Ms. Gillespie, 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 January 30, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Ralph Crossen Building Commissioner QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 01/05/98 PARCEL ID 132 040 GEO ID 7135 LOT/BLOCK 6 LC378 DBA PROPERTY ADDRESS OWNER GILLESPIE 122 DEER JUMP HILL WILLIAM A & GILLESPIE CHERYL W BARNSTABLE 116 DEER JUMP HILL RD ' W BARNSTABLE MA 02668 PHONE DISTRICT WB DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? Y # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 63597 . 6 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT 1 TOWN OF BARNSTABLE Permit No. ....32165..... BUILDING DEPARTMENT { """ I TOWN OFFICE BUILDING Cash t'D �67G 4. / •�/��{ k �ta�,r HYANNIS.MASS.02601 Bond 4 l/Y_� CERTIFICATE OF USE AND OCCUPANCY Issued to CHERYL GILLESPIE Address lot #6 116 Deer Jump Hill Road, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOA6 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. June ...... ................. 19.8............. ........ ..... ................. Building I Spector ,'. ,.�..�.z:;.'y+1.3� y� ;;��[ia-u "�,,M ;�,�' sy3ati4+S*,sf�rr ��..� °�•'. TOWN OF BARNSTABLE BUILDING_ DEPARTMENT �saaeT TOWN OFFICE BUILDING 4 °b '639• �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: ` r An Occupancy Permit has been issued for the building authorized by Building Permit ...._..........................................................._......_....... ............_......_ ....... issuedto ................... ..... .. )....... _.... ......................................... ....... . .. _. ._ _..... _........._. W.___ Please release the performance bond. T E M P O R A R Y TOWN OF BARNSTABLE Permit No. .3?.165...... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ................ 7 �Ml 9 i6jq' \ tau+ HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Chervl Gillespie Address Lot #6, 116 Deer Jump Hill Road West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR—UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I January 5, 8 9 ............................ 19................. B... gInspector ..F ............. uil in Insctor e ...,... w•,.: ��.: �.t+n'�}'�, �y �ei Tt{.�C�ti ....,�:�.. f.�.�.;i..���.��,..�y,,.,��,:--.: �,-.�r.at._ �.-,_.o.��:�t.:..r.�-�Vrr'w �..�•a .p....�..1.:'.�f ,.,nr.-a �:..,,,�;y. . i r T E IA P •0 R A R Y o�n�rro TOWN OF BARNSTABLE Permit No. .3?.165...... • BUILDING DEPARTMENT t ""'� } TOWN OFFICE BUILDING Cash 7 •N� .ego•''roar HYANNIS,MASS.02601 Bond A CERTIFICATE OF USE AND OCCUPANCY Issued to Cheryl G11 lesoie Address Lot 06, 116 Deer Jump Hill Road West Barnstable, Nass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY_ THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS-ANDIN ACCORDANCE WiTff SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. January •!......., 19..8.... . ........... ...................z....................... Building Inspector I 4 -TOWN OF BARNSTABLE, MASSACHUyr, . , BUILDIkt DATE -,1_ J. �fl PERMIT NO..� APPLICANT ADDRESS L 0 16 98 1 (STREET) (CONTR'S LICENSEI PERMIT TO -I NUMBER OF J, �OWEL L ING UNI TS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) '..'u ZONING (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) ... (CROSS STREET) SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY —FT. IN HEIGHT AND SMALL CONFORM IN CONSTRUCTi TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR $ VOLUME 0 1 ESTIMATED COST $ j'o PERMIT (CUBIC/SOUARE FEET) FEE OWNER ADDRESS BUILDING DEPT. BY w THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY A( PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINI FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON INSPECTIONS REQUIRED FOR JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLNOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS Pr Jo- S 21 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT A OTHER BOARD 11 H gm 711 PPR V 0-12 TV.. xt - WB*UILDING IN ECTO WORK SHALL NOT PROCEED UNTIL THE lNSPEC- PERMIT BECOME NULL AND VOID IF COI �,.L� / �j/ ��• �' TOR HAS APPROVED THE VARIOULIS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS CONSTRUCTION. PERMIT ;S ISSUED AS NOTED ABOVE. 4 1 � L °t 'I r °.c Cl. c m d N 44.^r• ref p�( to vY` LOT 6 + m 1 . 46 AC . o J N ?2G.00' I I Gin Ce(--,4r.a ` ( o c1 , Joe # 88-104 CERTIFIED PLOT PLAN . . PREPARED FOR: LOCATION: L-6 DEER JUMP HILL RD W BARN SCALE: 1 `• =60 ' DATE: 7128188 REFERENCE: L_CP 37808A CHERYL GILLESPI.E I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. BUILDING CONFORMS-.TO SETBACK REQUIREMENTS "OF 'TF-!E 'TOWN WHEN',CONSTRUCTED ��N OF ARNE G . down cape engineering, inc . OJAL. #263 IVIL ENGINEERS LAND SURVEYORS - ROUTE 6A YARMOUTH MA 6AT PErvwnND SURVEYOR 1 ) Application• to ' ✓.��PP .t�P,,,.GN . VIA Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a i. CERTIFICATE OF APPROPRIATENESS , Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: j r. 1. Exterior Building Construction: ZNew Building ❑ Addition ❑ Alteration i Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other !• 2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other I (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY' DATE_ ��__ ADDRESS OF PROPOSED WORK `'A, �L@- �"�P � > �'�^Q�IS ASSESSORS MAP NO.- 13-2 OWNER wM.r (�LLJVIHl ( I�SPtE ' ASSESSORS LOT NO. !lo HOME ADDRESS b`=2. �. 'Q. '.blL 1 G?C6FTEL. N0. '109 730 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public i street or way. (Attach additional sheet if necessary). Lai `II � �rf \Z�Oyi``V1i 10#-1 1>E@L- Mun e �41tl Ra tr, 3llatfs4 N/ r- OP66 LA •)2 SL.t C1 bC "7Lom, . iDj jrtpo&� RD. AGENT OR CONTRACTQR TEL. N0. ADDRESS 7 r+� q v l DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if neces ary). ��Q� S1st Ig \ AM^� � �ow�>t. �r q� ACI`tb �� �••Aw v✓+�<<l �rr� 1 �YIG 'Sp e_ S .»c t + -4 I,W. VA Sign .i = ;• i Owner-Contractor-Agent Specb.below line for Committ4id'se. Received by H.D.C. ' R Date The Certif' ate is hereby �—�•�'�'� ` Date �� 1 / L Tim By - Approved -;Eq— IMPORTANT: If Certificate Is approved, approval Is subject to the 10 day appeal period provfded'In the-Act. "�— Disapproved ❑ Application to •" Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a `I CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: I CHECK CATEGORIES THAT APPLY: l 1. Exterior Building Construction: ZNew Building ❑ Addition ❑ Alteration Indicate type of building: ZHouse ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). ?. TYPE OR PRINT LEGIBLY DATE ' ADDRESS OF PROPOSED WORK "O 1 G E.k \""P ��'� �'��QrIS . ASSESSORS MAP NO.- OWNER �M - ( tl�PI� elO I ASSESSORS LOT NO. HOME ADDRESS G?CGYiTEL. NO. J-1t)8, 73iJ�f FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public ! street or way. (Attach additionl sheet ifnecessary). 1f Lo� 41� Carl , Ni:) AS 10#-1 EEC -SUM!• S 3nR►�t'����L fa�GG k Lv�1 I II � •12 r sl�t �IL• ( I �om,S . 1D AVnpoti� �eD. ttwArlr(l( OpGC, �t AGENT OR CONTRACT t v ` ' TEL. NO. ? 1 r I N t ADDRESS 7` '`� t�V I ►! `ir DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if neces ary). 's `1L AV-' S Y. r, ��i ' Sign .i) Owner-Contractor-Agent Spacb.below line for Committdeiuse. Received by H.D.C. Date The Certif' ate is hereby ,' 7'-r Datev�� y Tim 116- 19 By t� Approved IMPORTANT: If Certificate Is approved,approval Is subJect to the 10 day appeal period provided In the Act. Disapproved ❑ 0 K 4 a pprat 4eb S, q #ssessor'� offioe (1st floor): 22 _ Ep�C SYSTEM MUS� �� p*THEto Assessor's ma and lot number ...�}10�......QyV.....::a'a- Board of Health (3rd floor): ,{.�� � ���������'��� �• fO� �"���'g o� 0 Sewage Permit number ..... $' .��� WrFH TITLE'S : 9TGD .......................... BABd LE. i , Engineering Department (3rd floor): 1� °O��MENTAL CODE' ' '��� „ �o risen House number ............................... . ......... . � ..............?�...TOWN AEGdIL.AT[®9�S '" ''rE0 Apr die APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 49#r0 REGULATIONS � � R ° ° ' N OF BARNSTABLE .. 4signed ole Conservation ss UILDING INSPECTOR >p$t! ^ APPLICATION FOR PERMIT TO .......6ai..ld...u...New...}lv.uae.............<... ,,.................................................. TYPE OF CONSTRUCTION ..........wo.ud...�Aame................................................................................................. u .y...12......1.9.. 8.........�9........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L .w t...(��...1�ee.a...��.��...,�.�,(..,(....2v.a.d...j....W e�.t...Q•a•n ri•a�•a•lL.e�...,(I rsn n....................................................... dweL. i n ProposedUse ..................... ..................................................................................................................................................... Zoning District ......................?f./............................................Fire District ..�il.....Q�/t.n� .`s�. .g.......................................... Name of OwnerC�.eny.�...q.U.4e4,9...0 e..............................Address 1 2....Ti a&e.n...L.ane,...L�1_...l�i Name of Builder v9Ya44...4......W.Ul.[a.M1...SA. Address ��...��.2��.v.lz..�.G.L2.e.....�I. ��.C��/J..rGrA1J........ ........... . . none n0r•_e Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......................./..8....4.o..o.m..a......................Foundation .......coactaeie.................................................. Exterior ..........C�4.npAo.a.4d................................................Roofing ...........a&pJtaf........................................................ Floors ....W(. jqr-lc.qn.?.e�.l.?n.C.L.2........................................Interior ......../1.Leet...n.czG.1/w.uv.d..................................... Heatingfl.o..C�...........................................Flumbing ...t�2�. ....:................................................................ Fireplace ........U.e..".....................................................................Approximate Cost . $Sao,.oaa. ao...................................... aae Definitive Plan Approved by Planning Board ________________________________19-------- : Area .. . ...Z.04AR............. 832 ana e detached Diagram of Lot and Building with Dimensions attached Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH n OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS LI GS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...� .................... ........... Construction Supervisor's License ....a./.�j.98.1................. �I -GILLESPIE, CHERYL ``No..32...65,,, permit for .--...] .�. .Stan �t..Dwelling & Garage . ...F.ami.ly .Az�?s] lin i1' g.... �l Location ...LrO Lt...#.6.,:......7 i. .. .eex...Jump..Hill Road .................Me.a t..Na,xlra s.t 1b.I e................... a Owner ....ChexY . ;G7. ,�. p.1�.................... Type Construction ...;.k'r.aMe........................ ........:f�.....:.................. ..... .......................... y. G u Plot .. ..... ................ Lot ................................ Permit Granted August 12,.....19 88 cD�te=-of Inspection :: }' .�19 D6t'e Comple d ...Q�............. ...�........1 b Assessor's offioe'(1st floor): / TNETo`Ke/l(�V Assessor's,map. and lot number ...... ?...... Board of Health (3rd floor): Sewage Permit number .....p.$�J �� `. i BASII9?ODLE . Engineering}Department (3rd floor): ��o r o• \0�° House number ............................ ............................... b .... �c 3 APPLICATIONS PROCESSED 8:30-9:30 A.M. and�1:00-2:00 P.M. only TOWN OF BA•RNSTABLE gUILDING INSPECTOR h_.r \_ s APPLICATION FOR PERMIT TO ......Ru l d..a...N..em..fl o.uA e......................................................... TYPE OF CONSTRUCTION ...........imo.9d...&.ra.me.................................................................................... ........... r �u�. ...i2.....�.W.........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lof...6..d ...gmmp ..{(.�L.(...?o.ad...,....Wei..t.. ta-61.ay...Aa-.s-a....................................................... � alwelL Ln -- ProposedUse .....................�..................................................................................................................................................... Zoning District ...................... f. .................................... .......Fire Districtee .......................... ,J Chen L ' Name of Owner �I......Lei1J�c.................................Address 1.52...1..Lab.e.!t...LCtt2e, .A 1.f1."A.n... Name of .Builder d.ou.�Cu4...I......W.i..i.La.mA...SA............Address ..Ne.L l2fz...L.anet...h1.....1�1.i AA.4A........ none none- Nomeof Architect ..................................................................Address .......................................................................::........:.. Number of Rooms .......................�8....A.00TA......................Foundation ........CQAC.Aet..e................................................... Exterior .........C�Q,�J(J.QO¢/CCl�........................................ .......Roofing ...........aA.P/tf7lt.......................................i '. ........... Floors tuoodlCaA.net,/t Le.....................•...:............... Inferior ........Q.. .2..P.. ...lt.O.C.f? 1GzrJf?.LJ......................'............. Heating ....................1 OU.-2 jU..................................::.::'...Plumbing .."'IASA............................................................. �e�Fireplace pp 5• ..........................................................................A roximate_Cost .., �IQ.1.OQ.O.e..O ......................`: ............. Definitive Plan Approved by Planning Board ________________________________19________ . Area ...4.024._.hou!ie....... Diagram of Lot and Building with Dimensions attached Fee ........ . 83?...gaaag. ... e d.efached .. .. . ............. .. .. ..... SUBJECT TO APPROVAL OF BOARD OF HEALTH c � \ e OCCUPANCY PERMITS,REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _— j� Name .... ......: ................. ........... rJ t Construction Supervisor's License ....oi.6.9. d GILLESPIE, CHERYL A=132-040 11 Story No -.3-2.1,6.5.. Permit for ........Story ........Si ...Family dwelling ..........�.!............................... Location ....Lot #6, 116 Deer...Ju��p.. Hill Rd. ............................................. ..... .Jum p Hill Rd. WestBarnstable ' ............................................................................... Cheryl Gillespie Owner ............................................. ............. Type of Construction ...Frame....................................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ..,August...12, 19 88 .. .. .... .. .. Date of Inspection ....................................19 Date Completed ......................................19 /Dd �� e� .3 a PERMIT COMPLETED 1,111AL Town of Barnstable pF SHE 1p� do Building Department Services Brian Florence, CBO * inewsrnais. v� MAM ,0g Building Commissioner y► ArFO 39. 200 Main Street,Hyannis, MA TQ"OF BARMSTANX www.town.barnstable.ma.us tDi9 IFS -1 PM 12. 18 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family AparthAS Affidavit I,being on oath, depose and state as.follows:U My name is _ AN f�rl�w %j N o "uk, I am the owner/resident of the property located at: I I b tam. )„/Vy lAt t,t✓ ItV, n M N5'TAt3LE_ , MA o2G& 6 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: (4-r�qjm- FATt-4-, kN L,� Name &relationship to owner: M/M 6-/VLy-C' fAW C--'%T - Mom{t"- %N L4'U' The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no,longer-a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the Pains and penalties of perjury this -2-7 day of yANuA/L`/ 2019. o �703 -f3ly Signature Phone Number Print Name :/�Ot'Lf t:'j (V ND V" i q:form s/famaffid.do c rev 11/08/13 Town of Barnstable Building Department Brian Florence, CBO t swiwsrnsi.E. • MASS. g Building CommissioneTOWN OF BARNSTABLE i6Jy iOTic,„or 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.UM NN Office: 508-862-4038 Fax: 508-790-6230 t Town of Bamstable Family Apaftftent Affidavit I,being on oath, depose and state as follows: My name is 1J0AqA'- L-30 u_ k I am the owner/resident of the property located at: I I p E4.n_ rr\P H��,L K.� . The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: YU P)1zfLr fAV4 QA-`7 Name &relationship to owner: MA&G-A .Vy- FAW /A6rq" z ,� L The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately 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 j Sworn to under the pain d penalties o this Z day of )ANu/Vt,) 2018. 03 -7a3 -) �l0 i Phone Number Print Name A&[0n.4_j CU o q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services Richard V. Scali, Director o Building Division ME �sABM ' Paul Roma,Building Commissioner o -40 039. 200 Main Street, Hyannis, MA 02601 10 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79036239 . tr► r— Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is N n-4 tJ � I am the owner/resident of the property located at: �- \N. (�0-N S;ALL >m A Q?- The following members of my family will be the sole occupants of the Family Apartment at.the aforementioned address: Name &relationship to owner: VAkmc t T v LAW Name &relationship to owner: N LAV-J i The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 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 Sworn to under the pains and _enalties-of perjury this �� day of Fo3(tjiw 2017. 63 - -7cj3 - 1314 Signature Phone Number Print Name A N O(uc&� q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oFt"E rw�ti Richard V. Scali,Director. Building Division vU ssB Thomas Perry, CBO,Building Commissioner `bAr i ,19. p 200 Main Street, Hyannis,annis, MA 02601 Ec Mp'l www.town.barnstable.m a.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is ` l it n A i� �i 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: Q Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this p`roperty. If there is no longer a Family Apartment at this location,please explain: U The apartment has been dismantled. _ The apartment has been transferred to the Amnesty Program(Appeal No. Other -� / w to 2:ms unde enalties of perjury this ! q- day of (_ 2016� m e .J Phone Number Print Name her L X re s q:forms/famaffid.doc rev 11/08/12 �O n f(-a a 1 �,na�er � s � Town of Barnstable FZHE i Regulatory Services OF Richard V. Scali,Director T()!� � ' '�' iAB�E .AIMSTMLE. = Building Division a _7ell 101 Thomas Perry, CBO,Building Commissioner FD MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oAlal, depose and state as follows: Q MY name i U L e I le l(1, the owner/resident of the property located at: ar The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: I _ M 0 Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to 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 S 4,1.e der the pai s d penalties o p rjur this day of n 2015. cI �n hone Number D I/ I/p ` Print Name L YAno Y C e q:forms/famaffid.doc rev 11/08/11 Regulatory Services �oF rW�ti Richard V. Scali,Interim°Director Building Division Sr M MAM" Thomas Perry, CBO, Building Conl "' iQnerARN 1ABLE �Ar 039.p�m 200 Main Street, Hyannis, MA 02601 FO MAC www.town.barnstable.ma.uH14 rile, I 1 8: 36 Office: 508-862-4038 Fax: 508-790-6230 QIVISICI,, Town of Barnstable Family Apartment'Affidavit I, being on oan depose and to as fol ows: c My name is t�� ��S I am the caner/resident of the property located at: p�. II The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: c Name &relationship to owner: � � bLw Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other o o unde pains an::I� nalties of perjury this��day of 2014. -360 - D) 7 t&re Phone Number 1 Print Nam Ce h U L Kce�oe_ q:forms/famaffid.doc rev 11/08/11 ~ = Docais033.057 05— 08-2006 10aiC_ BARN8TABLE lND GOURT REGISTRY Commonwealth of M--- lichusette Barastab The Trial Court on Probate and Family Court Department Docket No. 04D-0273-DV1 1 Judgment Of Dlv*Me Nisi Cheryl Gillespie G ,Plaintiff �.. arnstable (West) in the County Of Barnstable V. William A. Gilles ie ,Defendant of Barnstable (West) in the Countyof Barnstable All persons interested having been notified in accordance with the law,and after hearing,it is adjudged alai that a divorce from the bond of matrimony be granted the said plaintiff for the cause of irretrievable breakdown of the marriage under Rule 1B as provided by Chapter 208,sections 1,2 and that upon and after the expiration this judgment,it shall become and be absolute unless,u the application of aofa of ninety days from the entry e Court shall otherwise order. It Is further ordered that any person within such period,the The parties are bound by an agreement dated Janu ary 26. 2005 which shall be incorporated but not merged into the Judgment of Divorce Nisi,and notwithstanding said incorporation,said agreement shall survive and have independent legal significance except for all matters pertaining to the minor child and alimony support which shall remain within the jurisdiction of the Probate Court. The Court finds said agreement to be fair and reasonable and not the product of fraud or coercion. The Wife may resume her maiden name of Cheryl Ann Kresge. . gsrnetable,ss�n'�� � _�20SCp PROBATE COURT TM C Certified. �c ^f gate Z F, � �_' , �� Justice of Probate and Famlly Court e�. bop, Idea,►,�t� : ., h N �fo�1o5 eti,�c BARI�TJ181E REGISTRY OF 0 S Town of Barnstable Regulatory Services rod Thomas F. Geiler,Director Building Division �- MAMSrABM ' Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 0260f`` a""eI I I www.town.barnstable.maxs Office: 508-862-4038 — Fax:_. Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: I l p My name i �r� I dam the owner/resident of the property located at: etf .� f bO4 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: J. Name &relationship to owner: Les -� / l Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or 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 lrn to d r the p ins and pen ies of perjury this day of 2013. 44A, ( 1)) ,c� �- 3�a 6' I Signaturf Phone Number Print Name ru 1 q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services �xTME Thomas F. Geiler, Director r. r+ ; ,.�� Building Division TO 0 Thomas Perry, CBO, Building Commissioner_° 1MAM ;^; E ; � 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs J'--`-- - -- `— Office: 508-862-4038 t Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name d"NA&I I I� I am the owner/resident of the property located at: A, 14 00a� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to 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 Sw to under the pains and penalties of perjury this p� day of.(�O 2012. Signature Phone Number Print Name hay �a_zi�e ei`J 6 q:forms/famaffid.do c rev 11/08/11 Town 'of Barnstable Regulatory Services 51 R X � °F1"e rokti Thomas F. Geiler,Director T�J'4,a!o;� �y. Building Division BARNSPABLE, ' Thomas Per CBO Building Commissioner 9' 12 mass. Perry, > g A)i639' a,0 200 Main Street, Hyannis, MA 02601 fD MA'S www.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable-Family Apartment Affidavit I, being on oath, depose and st to as follows: My name is A " I I am the owner/resident of the property located at: ' �� n. n � 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: I The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 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.I 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 Prorle.p i and penalties of perjury this Lo day of 2011. v, Signature Phone Number Print Name Town of Barnstable Regulatory Services F1ME t Thomas F.Geiler,Director Building Dive JW OF BARNS 1 ABLE BARNSCABLE, Tom Perry, Building Commissi n r ti MASS. i �0j� ;N� 1 ail �5 i639. �0 200 Main Street,Hyannis,MA,02601 A�Eo � www.town.barnstable.ma.us Office: 508-862-4038 DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on o ,depose and state as 11 ws: M name is LnA I A ,� I am t e owner/resident of the Y I property located at: �j A&E) W` e The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: 0 - i Name & relationship to owner: � �J Name & relationship to owner: wW The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other S 'or to under the Ans d n"lties of perjury this day of 2010. 'v (A I Signature . Phone" imber Print Name Q/bldg/forms/famaffi d Rev:12/08 �:. Town of Barnstable Regulatory Services �tHe tqy Thomas F. Geiler,Director Building Division RyI BAR( 6[ABLE * saxxsTnate Tom Perry, Building Commissio q JAN 1 "`"ss. 200 Main Street,Hyannis, MA 022 10� 59 " www.town.barnstable.ma.us QIVISION` 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 e r `— &I I e ( I am the owner/resident of the property located at: becr 1 W e5f E)OL r ns4a, bit ) M A (oe- �5 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationshipto owner: �� - L O 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 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family 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 o toi 'A dhens, d penalties of perjury this I O day of �� • 2009'. ' 1� I r,,n _'S (0(0� - ())_� 0 __7 Signature Phone Number OhLPrint Name Ir (S� NA[)J� Q/bldg/forms/famaffid Rev:12/08 r Town of Barnstable Regulatory Services F1HE tWy� Thomas F.Geiler,Director Building Division BARNSTABLE• Tom Perry, Building Commissioner y MASS. 1639• .0 200 Main Street Hyannis,MA 02601 AIFp�(A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows:: / r My name is �y L /'t' LVl%`� l� I am the owner/resident of the property located at: Lt'i� �Lk�A Hl L L W�4)' AA . fl 69 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: r Name & relationship to owner: i /HbfML1r\ - 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 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 a so 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 Apart2ents. I&gree to notify the Building Commissioner immediately in the event of the sale of this p o'erty. -- 11 •✓r If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. ;r The apartment has been transferred to the Amnesty Program (Appeal No. co Other r— © rrt Sworn to under the ains and penalties of perjury this�_day of;SA2008. ton) ;�5S �� �qv Signatur Phone Number Print Name ►I �yL L ;�j PSG Q/bidg/forms/famaffid Rev:1/03 Town of Barnstable �/C Regulatory Services �1ME T° Thomas F.Geiler,Director Building Division pp r r •� " I-�8 L E BARNSTABM ' Tom Perry, Building Commissioner 9 MASS. g 039. ,0 200 Main Street,Hyannis,MA 02601 � nl MAR _ s www.town.barnstable.ma.us Office: 508-862-4038 •�i "� Fa 5x 08 790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is J L I'l kLE'5 PI�. I am the owner/resident of the property located at: �p E15 R I1/l.P �'( L• WFST BA. Oa- a& 13. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: qDTff Name & relationshi to owner: �% L — (t� p L1A 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 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 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 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 Sw rn to under the pai and penalties of perjury this day of N 2007. Signature.; Phone Number n Print Name � L Q/bldg/forms/famaffi d Rev:I/03 Town of Barnstable o �� Regulatory Services °F1ME t0 Thomas F.Geiler,Director Building Division TOWN u>= SAfi�NST�ABLI anxNSTnat E Tom Perry, Building Commissioner 1639. ,0� 200 Main Street,Hyannis,MA 02601 2006 JAN 18 PM I plFo �A www.town.barnstable.ma.us DIVISION 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 0,hervLI am the owner/resident of the property Ylocated at:� Map and Parcel Number — D Z/ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner:Grace- E. G1 I e e- JI n" Low/ . Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other o to under the pains penalties of perjury this '3 day of Q 11 • 2006. Signature Phone Number • Print Name�" t I i Q/bldg/forms/famaffid Rev:1/03 - /n TL'k Town of Barnstable D Regulatory Services oFt►+e r Thomas F.Geiler,Director' 7 -S /✓F is f 1/E!'y�,S'q Building Division TABLE �BARNSTABLE,�* Tom Perry, Building CommissioneriN S 1 MASS 039. .0 200 Main Street,Hyannis,MA 02601 ' ATFD MOB p 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 isAka �T� I am the owner/resident of the property located at: low Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: (/ (�, �n '^ / Name &relationshipto owner:\J / ` �� �L G/��� 'V 1��� LAv'� 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 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 to under th ai d penalties of perjury this ' day of 2005. p P P JmY Y ( §tda'ture Phone Number Print Name Q/bl dg/forms/famaffid Rev:1/0 3 DX Town of Barnstable Regulatory Services IV- °trt►+E'rgk� Thomas F.Geiler,Director ��`� Building Division snRvsTna Tom Perry, Building Commissioner MASS. � seg9. �0�' 200 Main Street,Hyannis,MA 02601 plFO MA'S 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 �' l-05 I am the owner/resident of the located at: /j& b V OLM r ALL l� A ��� property ( F�- Map and Parcel Number 01040 The ZBA granted me a Special PermitNariance on 11130 I " v D D e 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: al, L I`� , ` 0T` ' L I�- Name &relationship to owner: �� L The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately 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 S o o under the ins enalties of perjury this day ofJ Q n 2004. Si afore Phone Number I Q � Print Name l� / 1 , G-1 " Q/bl dg/forms/famaffi d Rev:1/03 D2 Town of Barnstable 4' Regulatory Services °Ft tgk, Thomas F.Geiler,Director TbWN OF BARNSTABLE Building Division 2003 JAId 2 �h I 115 snaivsTesi.E. = Tom Perry, Building Commissioner 1639. ,0�' 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 g14f1SI0N� � O� Fax: 508-790-6230 R.,V�0L �3 OL n (gg Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: < �� LU A M A My name iseyEpL AAJIJ ffi &L E5 e(t—_ I am the owner/resident of the x M P ,L-� i2� w�i A cdA6 property located at: � � �FED T�- Nl �"f Map and Parcel Number 3� 4 D The ZBA.granted me a Special Permit/Variance on k)v V' zp Date The decision of the Zoning Board of Appeals has been reco e ith the Registry of Deeds in Barnstable County: Book Page C 6-A.T The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: ]�/J Name &relationship to owner: � ZAC L% U t 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, 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 No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of J4 2003: Signature Phone Number Print Name Q/bldg/fornisdamaffid n_...1 HY1 Town of Barnstable 0/C Regulatory Services °FIB rqy, Thomas F.Geiler,Director TbwN OF BARNSTABLE Building Division &UtN9rAste Tom Perry, Building Commissioner 2003 JAN 22 AM 11: 15 v . 200 Main Street,Hyannis,MA 02601 • iOlFn Mai°i DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: .i. �/1 LUPrM G I,a-E5�1 My name isOY Y(- AWJ ff/ LL E5 P1 G I am the owner/resident of the ro ert located at: �° E Tt Mekl'L- 1")r P Y Map and Parcel Number The ZBA granted me a Special Permit/Variance on Ob VI Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book Page 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. 1 also , understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swo to under the pains and penalties of perjury this day of �A 2003. s7 ,,,).Ao, qu Signatute p Phone Number Print Name C� Q/bldglforms/famaffid Rev:1/03 Town of Barnstable ;ram Regulatory Services �- °at low Thomas F.Geiler,Director - C b Building Division TOWN OF RARNSTABLE L snxxsrnsi.E = Peter F.DiMatteo Building Commissio 9�A 200 Main Street,Hyannis,MA 02601 01 FEB I I PM 3: 19 tF0 MA'S�• 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 Clue t/ L Ann let I am the owner/resident of the ro located at:. Dee✓ u � � � Rd We S�- Q✓'i 5-h� b l e-�� rert'P �' lI o 'zG� )9 Map and Parcel Number Z�� T The ZBA granted me a Special Permit/Variance on D to 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: ce L• G41k5c)'IC - I " \O e r - 1 o ' �Q 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. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2002. Signature Phone Number q'02L Print Name Rev:010702 /famaffid Ckty"yL A Rev:010702 COMMONWEALTH OF MASSACHUSETTS , BARNSTABLE AFFIDAVIT f LC A AI AI Crl�- F50' , being on oath, ` depose and state as follows: 1.) I reside at EE J'UmeHILLRd. wa�/ �i/N5�AOLEAA 0� 2.) I am the owner of the property located � at shown on Barnstable Assessors' maps as MAP PARCEL \ 3.) I Do Do not have a Family Apartment at this location. 4.) On , 199 , the Zoning Board of Appeals, on Appeal No,99 1 granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. I . 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: nC� r eS r a) NAME !-I Relationship to owner: 7 7 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 notil'y 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. 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- fisted property. - Sworn to under the pains and penalties of perjury this day of Signature ' Print Naniq /I TOMIN OF BARNSTABLE Department of Public Works :r Hyannis,MA 02601 Find Map�Pareei 132040 _ Find Owner Parcelld- 13204 0000000 Devei t_otE LOT 6 LC37808-B t.ot Size: cres �� Gorr Ownyi GILLESPIE,WILLIAM A&CHERYL State C lass: . 101 v ! No.Bdgst 1 00003384 116 DEER JUMP HILL RD Year Addeds 00 W BARNSTABLE MA 02668 sewer acct 00 0000-000 5" Deed©ate: 060187 References C111048 y. Condo Gomwexs Building:" Unit: January 1st: . GILLESPIE,WILLIAM A&CHER Deetl MMYY�;".0687 _t)eetl Ref: C111048 Values: Lantl 000057100 Buildings 000268500 Extra Features: 0000014300 Location 122 DEER JUMP HILL Road Index: 0433 Frrmtg: 0277 Fire Dist: :WB Sec Index: 0000 frntg 0000 } a. r