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HomeMy WebLinkAbout0521 MAIN ST./RTE 6A(W.BARN.) J i I �//�/ ���n oi*'"1cn tilpl fA �Dz, u�• _r T s � ` i `� i :I o .r _,�� ;y ,I :r �' I.;R/ ,� �` ._ .� .` ° :� 6 ';f �i '1 f �� �i 'a .. -. �� a !j ��? �`ti ` '� i c. a ,_ ._ ;�_ a �,. J� ti �\ 7-' k ���,� roR IWI1J�o�e�H11JCs �N�o r` 00 L�L)th1Cs i?��lc N° c�t� * BARNWABM MAS& �ArEO MA'S A Town of Barnstable Zoning Board of Appeals Decision and Notice Comprehensive Permit No. 2011- 015—Russell Chapter 40B Comprehensive Permit Summary: Comprehensive Permit No. 2011- 015 is rescinded Applicant: William J and Carole Russell Property Address: 521 Main Street, West Barnstable, MA Assessor's Map/Parcel: Map 133, Parcel 033 Zoning: Residential F Zoning District Deed Reference: Doc. No. 96476 Lot 10 Plan 37808-B Permit Reference: Doc. No. 1,203,960 dated October 16, 2012 Locus and Background:. The applicant applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the "Accessory Affordable Housing Program." Comprehensive Permit Number 2011- 015 was issued to the applicant on July 11, 2012 and a Regulatory Agreement and Declaration of Restricted Covenants were recorded at the Barnstable Land Court Registry on October 16;2012 as Document No. 1,203,960. The Applicants no longer own the property and therefore the Comprehensive Permit No. 2011- 015 must be rescinded. Procedural& Hearing Summary: A public hearing to rescind Comprehensive Permit No. 2011-015 was duly advertised and notice sent to abutters and the property owner all in accordance with MGL Chapter 40A. The hearing was opened on July 24, 2019 and continued to August 21, 2019 at which time the Hearing Officer, Alex Rodolakis, made the following findings and decision: Findings of Fact: Town of Barnstable,Zoning Board of Appeals Comprehensive Permit No.201 1-015—Russell is rescinded ; 1. The applicants, William J and Carole Russell, were granted Comprehensive Permit 2011-015 for an accessory affordable apartment at 521 Main Street, West Barnstable, MA on July 11, 2012. 2. The applicants, William J and Carole Russell, sold the property on July 25, 2014. 3. On May 15, 2019, the Accessory Apartment Program Coordinator took action to rescind Comprehensive Permit No. 2011-015. Ordered: Comprehensive Permit number 2011-015 is rescinded. A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen (14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Appeals of the final decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. Alex Rodolakis, Hearing Officer Date Signed 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 filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Ann Quirk, Town Clerk 2 � . i Town of Barnstable Bulldin PostThs Cacd,SoAThai�t is V.isibleFromahe>StreetApproved,PlansxMustbe>Retamed on Job andthis Card-MustbeKept MRIXAS ' ,+rx* `,'x y`,tY4zk ,,`:x`a'4 ` ?C °". `: z`"e5w,'n% a r q's ' '�, �" .a y ,l tf't(? �;_ .rt Tt, n, s .s�3y— MASB.� z�Gx: • iPosteii�Until:Final lnspectwon Has BeenMade.rem 1 _ �a; 3 �z.. .m., i .<8:8*`�:,�,'y"`i"�''�.a�*`<, `�' . "�tY�x ..,�»'�° ,'e' '�`P.a'� °` 'ia� s.t.'R�`s �����ri.c�,d:��:��"�s=y.�cx.1•�L✓,`F'+ �: �� �� �N n s Where a�Certificateof=O cu anc%is Re"u'redsuchBuild�n hall Not`becied'until�a Finallnsnectionhas$been made_ Permit - -.. ��$°�3x.ta-_&,a.:..�.:..,r`.;.+s;:��✓.3fa�6'Yb:'.�pJ<iy :a9Y.���Kz�:' L".iSYeuo.F.��AX.S§� g «3��T.:,",?�icsw.,:ii:p :kxrr.-F.a:K3.,:a_o.�r._itt:•XRi:,7swr-"sz..::'�::wtya;u:��:c; Permit No. B-17-4229 Applicant Name: Elwell Perry Approvals Date Issued: 12/07/2017' Current Use: Structure Permit Type:- Building=Insulation.-Residential Expiration Date: 06/07/2018 Foundation: Location: 521-MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE Map/Lot: 133 033 Zoning District: RF Sheathing: asc e r�s + Contractor Name a Elwell H Per -0wner'6n Record: GRADY;JULIE A- � �� � ��, � � ry.Jr. Framing: 1. Address:. . - 521 MAIN ST - - -r M- � � Contractor License r CS 104088 2 WEST BARNSTABLE, MA 02668 Est ProectCost: $ 1,133.00 Chimney: Description: Air Sealing. Install 10" Cellulose.to:180'open;attic Makepaccess to "x�Permit Fee: $85.00 .� $_ R q insulation: attic with hatch., Install,1 exhausthose for existing bathroom fan Fee Paid ° . $85.00 Install 26 Prop-r-vents. Install 2 rigid.ins board tP�11 ommon i NAY �: 12/7/2017 Final wall Install R-19 fiberglass to 58' common wall�� Date M: ,� -Project Review Re d� �st Plumbing/Ga's 4 � �� �� Building;Official Rough Plumbing: • _ .„"a te'. ,T ; ' This permit shall be deemed abandoned and invalid unless the work a6i%iizecl by this permit is commenced withinyy . six months after,issuance. Final Plumbing: •AII work authorized by this permit shall conform to the approved appl catioh$and�the approved construction documents for whichlf his permit has been granted. * z�� , -t Rough Gas: All construction,alterations and changes of use of any building and structures'shall;be in compliance with the local zoning by laws and codes. g This permit shall be displayed in a location clearly visible from access stree W,road`and shall be maintained open for p0bllc44spection for the entire duration of the Final Gas: work until the completion ofthesame. r r The Certificate of Occupancy will not be issued until all applicable signatures by---,Building and Fire Officials are p ov d yd,yon�thi rmit. Electrical Minimum of Five Call Inspections Required for All Construction Work. 1.Foundation or Footing , R y� r Service: .2.Sheathing Ins ection ,s r Rough: 3.All Fireplaces must be inspected at the throat level before firest fluenlining,is€installed" - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection final: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final inspection before Occupancy - Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. : Health "Persons contracting with unregistered-contractors do not have access to the guaranty fund" (as set forth.in MGL c.142A). Final: Building plans are to be available on,site Fire Department All Permit Cards are the roe of the APPLICANT-ISSUED RECIPIENT property rtY Final: Town of BarnstableREacEI PT 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-4229 Date Recieved: 12/6/2017 Job Location: 521 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE Permit For: Building- Insulation- Residential Contractor's Name: Elwell H Perry, Jr. State Lic. No: CS-104088 Address: Acushnet, MA 02743 Applicant Phone: (508) 992-5770 (Home)Owner's Name: GRADY,JULIE A Phone: (941)525-8615 (Home)Owner's Address: 521 MAIN ST, WEST BARNSTABLE, MA 02668 Work Description: Air Sealing. Install 10" Cellulose to 180' open attic. Make access to attic with hatch. Install 1 exhaust hose for existing bathroom fan. Install 26 Prop-r-vents. Install 2" rigid ins board to 58' common wall. Install R- 19 fiberglass to 58' common wall. Total Value Of Work To Be Performed: $1,133.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. 1 understand that when a permit is issued, it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Elwell Perry 12/6/2017 (508)992-5770 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $1,133.00 Date Paid Amount Paid Check 4 or CC# Pay Type Total Permit Fee: $85.00 12/6/2017 $35.00 XXXx-XXXx-X)M- Credit card 4419 Total Permit Fee Paid: $85.00 12/6/2017 $50.00 XXXX-XXXX-XXXX- Credit Card 4419 RIP � HIM TT� W c/ r/. i3i4t�'� s-U SE 3 S►nnr 7c s I Parcel Detail Page 1 of 3 N t` 17ARti �`'` ;` "ny�y(.i 1.t -.. yr .ar •yooQ\ i,,.�,.�, a '•_„ - �l+G «fie,, -i -` Logged In As: Parcel Detail Wednesday,April 20 2011 Parcel lookup Parcel Info Parcel ID 133-033 l Developer LOTS 2& UNLo l Location 521 MAIN ST./RTE 6A(W.BARN.) l Pri Frontage 174 l Sec Road ALDER BROOK LANE _ Frontage 280 l Village WEST BARNSTABLE l Fire District W BARNSTABLE l Sewer Acct _ �) Road Index 0955 l Asbuilt Septic Scan: Interactive 133033_1 Map - Owner Info Owner GRADY,JULIE A& RUSSELL,WILLIAM J SR& l Co-owner RUSSELL, CAROLE l Streeti 521 MAIN ST l Street2 l City W BARNSTABLE _ µ l State MA zip 02668 Country USA - Land Info Acres 0.94 use Multi Hses MDL-01 l Zoning RF Nghbd 0110 Topography Level l Road Paved l Utilities Septic,Well,Gas l Location Construction Info Building 1 of 2 Year 1973 l Roof Gable/Hip l Ext Clapboard l Built Struct Wall Living Roof AC 1446 l Type Area Cover Asph/F GIs/Cmp l None l - Int Bed PwrBO d� M•Sf'TO ,T1 Style Cape Cod Drywall l 3 Bedrooms l _ Wall Rooms is 1B __ Model Residential l Int l Bath 2 Full Floor Rooms Heat Total .1Q OAS 'b l Grade Average Plus l Type Hot Water Rooms 6 Rooms l M ;•'„ Stories 1 1/2 Stories l Heat Oil )Found Typical l t Fuel ation Gross 3474 l Area Building 2 of 2 Year 2006 Roof Gable/Hip l Ext Wood Shingle l Built Struct Wall http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8427 4/20/2011 Parcel Detail Page 2 of 3 h Living 960 I Roof Asph/F GIs/Cmp I AC None Area Cover Type Style Colonial I wall nt Drywall I Rooms Bed 2 Bedrooms Int Bath 2 WD., Model Residential I Floor I Rooms 1 Full I e `l Grade Average I Heat Type Elec Baseboard I Total Rooms I V_ Heat Found- Stories I Fuel Electric I ation g.S ca Gross 1632 Area Permit History Issue Date Purpose Permit# Amount In Date Comments 05/22/2001 Out Building 53495 $15,840 08/29/2001 00:00:00 03/01/1994 B36546 $14,000 01/15/1995 00:00:00 WB GARAGE Visit History Date Who Purpose 06/05/2008 00:00:00 John Greene In Office Review 07/10/2007 00:00:00 Karen Perry In Office Review 03/20/2007 00:00:00 John Greene New Construction 03/19/2007 00:00:00 Paul Talbot Cyclical Inspection 05/12/2000 00:00:00 Donna Dacey Mea +Corrected Listing 05/01/2000 00:00:00 Donna Dacey Meas/Est - Sales History Line Sale Date Owner Book/Page Sale Price 1 04/26/2004 GRADY, JULIE A& RUSSELL,WILLIAM J SR& C172790 $100 2 04/26/2004 GRADY, JULIE A& C172790 $100 3 06/01/2000 GRADY, DAVID L&JULIE A& C157890 $327,000 4 06/27/1997 CHARBONEAU, BRUCE L& KATHY A C144952 $275,000 5 06/27/1997 CHARBONEAU, BRUCE L& KATHY A 10823/272 $275,000 6 09/15/1984 OCONNER, CLAYTON& DICARLO, KENNETH R 4256/023 $121,250 7 07/15/1982 PENRY, BRIAN STUART TR 3513/343 $0 8 05/15/1982 IPENRY, 3485/225 1 $83,000 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2011 $284,000 $10,000 $2,000 $332,800 $628,800 2 2010 $283,500 $10,000 $2,700 $339,000 $635,200 3 2009 $291,000 $9,100 $1,300 $228,000 $529,400 4 2008 $302,200 $2,600 $5,100 $254,700 $564,600 6 2007 $188,100 $9,100 $18,800 $254,700 $470,700 7 2006 $163,400 $9,100 $19,300 $251,700 $443,500 8 2005 $150,500 $9,000 $19,700 $167,800 $347,000 9 2004 $120,400 $9,000 $19,900 $167,800 $317,100 10 2003 $107,400 $9,000 $20,400 $67,700 $204,500 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=8427 4/20/2011 �t✓ p�pt� °t �� v. 4� LMok ei aa, ' �ca �3 �� a1� r � r '� sl.� �-� �'°�, �b`�SrC,4�� ��'^i'�,.s ,`y. •� - ! .�Ny{ y'S/. 1• "a+ y'1 G ..i i' - t -i,l 1 1�' S r �.t�I• "t t'S t P:A 4f'. � 7 J � 4 Y ,'r.{^��is✓ .:� - ��- •_�= .�. _ � .V`X'.5 �S' t �'tl.- r � 1 • • i Parcel Detail rage I or J f, y`t7AFlS i Gi 1 M1✓• `. .'��.1 '19... M ,� .�.,A";,' 1'► •i '•f Lh4ti Logged In As: Parcel Detail Wednesday,April 20 201.1 Parcel Lookuo Parcel Info Parcel ID 133-033 I Developer LOTS 2& UNLo I Location 521 MAIN ST./RTE 6A(W.BARN.) I Pri Frontage 174 Sec Sec Road ALDER BROOK LANE Frontage 280 village WEST BARNSTABLE I Fire District W BARNSTABLE I Sewer Acct I Road Index 0955 Asbuilt Septic Scan: P Interactive 133033_1 Map : .' Owner Info owner GRADY,JULIE A& RUSSELL,WILLIAM J SR& I Co-owner RUSSELL, CAROLE Streets 521 MAIN ST I Street2 City W BARNSTABLE I State MA zip 02668 Country USA Land Info Acres 0.94 use Multi Hses MDL-01 I zoning RF Nghbd 0110 Topography Level I Road Paved I Utilities Septic,Well,Gas I Location - Construction Info Building 1 of 2 Year 1973 I Roof Gable/Hip I Ext Clapboard I Built 1 Struct Wall Living 1446 I Roof Asph/F GIs/Cmp I AC None Area Cover Types' .rt I tw; kig Int Bed 1{ sv! K„i pill� mill t r>I'oO Style Cape Cod I Wall Drywall I Rooms 3 Bedrooms I ys E is I r", Int B Model Residential I I 2 Full Bath Floor Rooms Heat Total F q Y6As} Grade Average Plus I T Hot Water I Rooms 6 Rooms I ; Yp Heat Found- Stories 1 1/2 Stories I Fuel Oil Iation Typical Gross 3 Area474 Building 2 of 2 Year 2006 I Roof Gable/Hip I Ext Wood Shingle I Built Struct Wall C N http://isggl2/intranet/propdata/ParcelDetail.aspx?ID=8427 S 4/2rp— 'r ��� L o?d / 7C�26 5 Iowa Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee — + SkRNSTAB� � MASS. $ Thomas F. Geiler,Director 059. Building Division X-PRESS PERMIT Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis;MA 0260J N O V 2 0 2012 www.town.barmtable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIW QFT3ARNSTABLE 133 O 3 3 Not Valid without Red_ X-Press Imprint Map/parcel Number . Property.Address 5 .;2 1 Lj.Q Residential Value of Work 0o A G Minimum fee of$35.00 for work under$6000.66 Owner's Name&Address 5.2l lha)•a SA k Contractor's Name '"' y Telephone Number � Y Y-'j 7 Home Improvement Contractor License#(if applicable) 1 7 6 a 1 Construction Supervisor's License#(if applicable) i, 813 ❑Workman's Compensation Insurance C4eck one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ® Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to rot- ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows. ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required.' *Where required: Issuance of this permit does not ezeinpt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit fomns\EXPRESS.doc The Cammomvealth of Massachuselft 13eparhnent of-Industral Acc�Jider�ts Office of Investigtations Wj-.4. 600 Washington Street Boston,M4 02111 www.mass g*vldira Wnr rs'-Campensatunn Insurance Affi&vitV Buiders/Contractors/EtectncianslPiimdbers Applicant InfOrMMIGn Please Print Leg;ibly Naive O: Address: ( D Z C4,,, city/sta&Zip: t ���l� A a Phe# 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 I 6- ❑New construction employees(full and/or part-time).* have biredthe sub-c1Dntr&ct0ss 24 I am a sole proprie4of or listed on the attached sheet, 7. ❑Remodeling Thy sub-contractors have ship and have no employees These ❑Demoktion'" working for me in any capacity. employees and have worms' 9 ❑Building.addition [No workers'comp.+ns+ tnce comp.+r��* I 5. ❑ and its 10.❑Electrical repairs or additions required We are a corporation 3.❑ I am a homeowner doing all work Officers have ewercised their 11_❑Plumbing repairs or additions myself [No workers,camp right of exemption per NIGL 12.❑goof repairs insurance required.]T c.152,.§1(4).,and we have no employees.[No worms' 13.❑Other comp.insurance required.] 'Any appbcant that checia boa#1 must also fill out the section below showing their woaiters'compensation policy infuriation i Homeowners who submit this affidavit indicating they ale doing all want and then hire outside con -actors mow submit a new affidavit indicating such_ tContractors that check this boat mint attached an additional sheet showi ag the name of the sub-caxtracton and state whether or not those entities have employees. If the sub-con=a-aa bav-e employees,they mast.pmn ide thew workeW camp.policy number. lain an t?m.ployar tliatis prmiding workm'conrpartsrrdon.inmrarice for,iny employees~ Beloty is thepoliq,and job site informaifen. Insurance Company Name: N `� Policy#car.Self ins.Lie.# W A,- Expiration Date: WK f Job Site Address: Cityfstabelzip: t-t/' �wrt F.L 1c Attach a rcupy of the workers'compensation policy declaration page(shoring the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500-00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator:. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage vetifrcation- I do Hereby cetW y under the and penalties ofpedluy that the information provided above is bars and correct Sitmahrtr Date: Phone M Official rise only. Da not w ite in this area,to be camplated by city or tow+wt o icia! City or-ram. Peres itUcense# Issuing Authority(circle one): L.Board,of Health 2.Building Department 3.City/Town Clerk d.Electrical Inspector $.Plumbing Inspector 6.Other _ Contact Person: phone#: S & S CONSTRUCTION 521 Main St. Grady Re-roof 10/19/12 102 Capt. Crosby Rd. (774) 521 - 7885 Centerville, MA 02632 (774) 930—4180 Work To Be Completed: - Apply & Receive Roofing Permit - Remove Existing 3-tab Roof Section - Remove Rotted/Damaged Sheathing & Replace - Apply Ice & Water Barrier - Re-apply All Step Flashings & Chimney Flashings - Install Certainteed ARXT 25 Architectural Shingles - Install Certainteed ARXT 25 Architectural Ridge Caps - Clean-up & remove all wastes COST AND PAYMENTS: Amount: $2,800.00 (TWO THOUSAND EIGHT HUNDRED DOLLARS AND ZERO CENTS) THIS PRICE INCLUDES ONLY THE WORK DESCRIBED THEIRIN. ANY ALTERATIONS OR ADDITIONS WILL BE CONSIDERED AS SEPERATE OF THIS PRICEING AND WILL BE CHARGED ON AN HOURLY BASIS OF $39.00/hr(THIRTY-NINE DOLLARS PER HOUR) PLUS THE COSTS OF MATERIALS. Payment: PAYMENTS WILL BE MADE AS FOLLOWS: ONE HALF DOWN FOR DEPOSIT, STARTING LABOR AND MATERIALS. REMAINING BALANCE UPON COMPLETION OF WORK. S:a in Naoorn Mr. & Mrs. Grady Owner/Operator Property Owners S & S Construction 521. Main Street, W. Barnstab MA f � 711 f: Office f Oo�mer a1rs usiness e u a License or re ist HOME IMPROVEMENT CONTRACT _. . g ration valid for individul use o Registration: R i before the expiration date. If found return to: my f 147624 Type: >'Office of Consumer Affairs and Business Regulation .r ;, Expiration: 7/2572013 Individual 10 Park Plaza- S "=='==__ Suite 5170 A00M - .'` Iqh"-�_��� _� '.Boston,MA 02116 ' SAMUEL Rag,`76 r` NDERMINT LN.�:==z:�•=-= :.:' HY ANNIS, MA 02601" <'V' i w _ d.:_: secretary • ! Not valid without signature --- - - -— Massachusetts - Department p rtment of Public Safety Board of BuildingRegulations gulations and Standards Construction Superl.isor License: CS-096833 SAMUEL F NAO ; 76 VANDERUM LNG 0 Hyannis MA 02601 Commissioner Expiration i. 11/10/2014 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 133 - 0 � 3 • , Map Parcel Application #d©� Health Division Date Issued X1L HAf 7 AAA Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Proj ct Street Address N Villa ) OwnerWAfI_ � SSF.I-�- Address Sa-� /��(YV . o - l2►VSIgbL. Telephone . D 0--7 3 7- c.7 3,( Permit Request t19 c + ,4- I- J_) A-lv gX 1 STj ry U crvf2 Square feet: 1 st floor: existing�ffp posed 1VA2nd floor: existing- proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ��' Construction Type M/l Lot Si.� t llvi � Grandfathered: ❑Yes No If yes,.attach supporting documentation. Dwelling Type: Single Family :.Ua�' Two Family ❑ Multi-Family (# units) Age of Existing Structure 1� Historic House: ❑Yes ❑ No On Old King's Highway: QYYes ❑ No Basement Type: ❑ Full Crawl ❑Walkout ❑ Other 96 e t�.c Basement Finished Areas ft. X Basement Unfinished Area (sq.ft) ; Number of Baths: Full: existing / /?� new Half: existing new Number of Bedrooms: existing new Total Room Count (not iincluding�baths): existing new First Floor Room Count 2- Heat Type and Fuel: ??-Gas j6,Oil ®'Electric ❑ Other Central Air: ❑Yes P\No Fireplaces: Existing New Existing wooWj •oal stovpR❑ ,�I No Detached garage: Elexisting Elnew size_Pool: ❑ existing ❑ new size _ Barn: 0 fisting anew ize v � Attached garage: ❑ existing ❑ new size _Shed: xisting J9,Kew size _ Other: 47- y Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ZQYes",, No If yes, site plan review # Current UseProposed Use APPLICANT INFORMATION .(BUILDER-OR-HOMEOWNER) _ Name /�/��4!/11 �S f�� Telephone Number -7 37 - o1-7.3k1, 1 Address �� / M f i'V License # (ti .V AR.Al sT�Z[F Home Improvement Contractor# �- •` �e 0 Worker's Compensation # -� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE y r /I�DATE ?� G G/2 t Is�t FOR OFFICIAL USE ONLY APPLICATION-# DATE ISSUED k " f MAP[PARCEL NO.- ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATIOW"t.' ". T FRAME F INSULATION- a FIREPLACE _ ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL 5 GAS: .. 0J, ROUGH FINAL !.liFINAL BUILDING`:!.-`- ­R, -$ . y _.DATE CLOSEDAUT 4 o ASSOCIATION PLAN NO � I S\ SMOKE DETECTO REVIEWED ,kc csso� u� Yl�" _ — t o < i C BARNSTABLE B ILDING DEPT, DA,E I FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING I CARBON MONOXIDEA!_-If MUST BE INST M ASSADLWRgoo W . i i I I i i • I I r f E i Q 4 i ------------- -14 Ohj o � c p: � : i ✓.`"' a, • �fl r '� I r owl .mot,P, i � •.,. s. R,a � (1 �,;t �'� 1 d I � • , J - �u. t � Ili t • f, I .x I I I I i, I it I o'er � \s�� '. BARNSTABLE LAND C_-GURT REGISTRY HARNSrAsM AUG —8 P a puss. =i J 1639. �e DM -Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice . Comprehensive Permit No. 2011-015 Russell Chapter 40B Comprehensive Permit �-� Summary: Granted with Conditions Date: July 11, 2012 Applicants: William J. Russell Sr. and Carole Russell Property Address: 521 Main Street West Barnstable, MA Assessor's Map/Parcel: Map 133, Parcel 033 -- Zoning: RF Zoning District O Recording Information: Deed Reference:' Document 96476 Certificate'172,790 Date Application Filed July 3, 2012 Date Hearing Opened July 11, 2012 Date of Decision (Closed): July 11, 2012 Property Ownership: The applicants are William J. Russell Sr. and Carole Russell, the owner and occupants of 521 Main Street West Barnstable as evidenced by a deed recorded in the Barnstable Land Court Registry on April 26, 2004 in Document 96476, Certificate 172,790. A copy of which has been submitted for the record. Relief Requested: Mr:and Mrs. Russell have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-15 of the-Code of the Town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program". The permit is sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B. This existing apartment is a one bedroom apartment located in the detached structure to the rear left of main house. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to'Section 240-14 (A) Principal permitted uses in a RF Zoning District to permit an accessory apartment unit above the detached structure. The issuance of this Comprehensive Permit would allow for a separate, approximately 660 square foot, one bedroom accessory affordable apartment. Locus: The subject property is a .94-acre lot located at 521. Main Street West Barnstable MA. The lot was developed in 1973, with a Cape Cod style home. The.living area of the dwelling is approximately Town of Barnstable,Zoning Board of Appeals Decision and Notice,comprehensive Permit No.2011-015-Russell 1,446 square feet. The secondary structure was developed in 2006, with a colonial style structure and is approximately 960 square feet in living space Site Conditions. The lot is served by public water and on site septic. The Town of Barnstable's Health Director Thomas. McKean reviewed the application, and has no objections to a total of four (4) bedrooms for the entire propel. t Procedural & Hearing Summary: A site approval letter was issued for the property by Acting Town Manager Thomas K. Lynch on June 11, 2012 in accordance.with MGL Chapter 40B and 760 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application for a Comprehensive Permit was filed at the Town Clerk's Office on March 30, 2012. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on June 15, 2012 and June 22,2012, and notices were sent to all abutters in accordance with MGL Chapter 40B. The Public Hearing was opened on July 11, 2012 at 6:00 p.m. by the Hearing Officer Laura F. Shufelt. The applicants, William J. Russell Sr, and Carole Russell were present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Laura F. Shufelt read the proposed conditions to the applicants. Mr. and Mrs. Russell.consented to the conditions. Mr. and Mrs. Russell gave testimony as recorded'in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment. No one spoke. 'The July 11, 2012 hearing was closed by the hearing officer at 6:30 p.m, On July 11, 2012 the hearing officer granted comprehensive permit No. 2011-015 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen (14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision, this . decision shall become final and a copy shall be the filed in the office of the Town Clerk. Findings of Fact: At the hearing on July 11, 2012 the Hearing Officer made the following findings of fact: 1. The applicants are William J. Russell Sr. and Carole Russell who are the owner-occupants'of the property located at 521 Main Street West Barnstable, MA. 2. William J. Russell Sr. and Carole Russell were granted title to the property by deed recorded in the Barnstable Land Court Registry on April 26, 2004 in Document 96476, Certificate 172,790. 3. On June 11, 2012, a site approval letter was issued for the property by Acting Town Manager Thomas K. Lynch, in accordance with MGL Chapter 40B and 760 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2), and no issues were cornmunicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 960 square feet in living area and is located within the detached structure. 2 Town of Barnstable,Zoning Board of Appeals iDecision and Notice,Comprehensive Permit No.2011-015—Russell 5. The applicants were informed that the AAAP unit shall meet all applicable health and building codes to be occupied and that the Building Division and Fire Department will also be :inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and on site septic. The proposal has been reviewed by Thomas McKean, Health Director, and he has no objections to a total of four (4) bedrooms at the property. 7. On May 16, 2011 the applicants William J. Russell Sr. and Carole Russell each signed an Accessory Affordable Apartment Program affidavit that commits, upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at'the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicants are aware that the affordable unit shall be rented to a person or family whose income,is 80% or less of the Area Median Income (AMI) of the Barnstable Metropolitan Statistical Area (MSA) and agrees that rent (including utilities) shall not exceed 30% of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event that utilities are separately metered, the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of August 31, 2011, 6.65% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MG Chapter.40B Section 20-23 or its implementing regulations. 10. The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing housing stock to create affordable units and the dispersal of these units throughout Barnstable. Summary: The Hearing Officer ruled that the applicants William J. Russell Sr: and Carole Russell have standing to . apply for a Comprehensive Permit under MG Chapter 40B and the Town ofBarnstable's Accessory Apartment Program. The proposal was deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. ' Conditions: Hearing Officer Laura F. Shufelt ruled to grant Comprehensive Permit No. 2011-015 with conditions in accordance with MGL Chapter 40B and Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program" to the applicants, William J. Russell Sr. and Carole Russell who are the owner and occupants of the property located at 521 Main Street West Barnstable, MA. As seen on map 133 as parcel 033. This Comprehensive Permit allows for a one bedroom apartment unit in accordance with the foll6ving conditions: 1. Occupancy of the affordable unit shall not exceed two (2) people. 2. The total number of bedrooms on the property shall not exceed four (4). 3. The accessory unit shall NOT at any time be.occupied by a family member of the owners. 4. All leases shall have a minimum term of one.year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the AAAP 3 Town of Barnstable,Zoning Board of Appeals J Decision and Notice,Comprehensive Pemut No.2011-015-Russell 5. On May 18, 2011, the applicants were sent written copy of the inspection findings, submitted for record, that the unit must meet all applicable health and building-codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. All parking for the accessory apartment and the principal dwelling shall at all.times be on-site. On street parking for all structures and uses on this property is expressly prohibited 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive Permit. 8. To meet affordability requirements, the rent charged (including utilities) shall not exceed 30% of 80% of the median income for a household for the Barnstable MSA (adjusted for family size). In the event that utilities are separately metered, the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 9. AAAP Coordinator shall be the monitoring agent for the accessory apartment.. Annual . monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS). The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for they rental registration program. Currently that fee is $90.00 per unit. 10. The applicants shall apply for a building permit for the accessory unit; whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance, the Building Commissioner shall determine that the 'unit conforms to the approved plans as submitted with the building permit application and meets state building.and fire codes. The Health Division shall determine that the dwelling is in compliance with applicable on=site wastewater discharge requirements. 11. The applicants may select their own tenant(s) from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall'be reviewed and approved by the Growth Management Department.-The applicant shall work with the AAAP Coordinator to provide necessary information and documentation of tenant income eligibility. 12.The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice shall be given to the Growth Management Department and the applicant shall request potential tenants from the administrator of the Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit, the applicant may select the tenant after open and'fair marketing, providing that documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13. Should the accessory affordable apartment become vacant the.property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator. The property owner shall also notify the AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelve months the applicants shall review the income eligibility of the AAAP unit tenant. No later than a year from the.date of issuance of this Comprehensive permit, the applicants shall file with the AAAP Coordinator; as Monitoring Agent, an annual:affidavit stating the.rent charged and income of the unit tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit. • I 4 Town of Barnstable,Zoning Board of Appeals J a Decision and Notice,Comprehensive Permit No.2011-015—Russell 15. Upon any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. .16. This Comprehensive Permit shall NOT be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants'and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds 17. Should ownership of the subject property transfer the permit holder identified herein shal I notify the AAAP Coordinator and provide, within 60 days of the date of transfer, the name and current contact information for the new owner of the subject property. 18. This Comprehensive Permit shall be exercised, all conditions met, and the unit occupied within twelve (12) months of its issuance or it shall expire. Ordered: Comprehensive Permit number 2011-015 has been granted with conditions. A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable.Administrative code. If after fourteen (14) days from that transmittal the members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be filed in the office ofthe Town Clerk Appeals of the final decision, if any, shall be made to the Barnstable SuperiorCourt pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. S- la, Laura F. Shufelt, Hearing Officer Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this'decision and that no appeal of the decision -has been filed in the office of the Town Clerk. Signed and sealed this %� day o under the pains and penalties of,perjury. Linda Hutchenridir, Town Clerk 5 fro.._j1 920ce:P961 IL-16- :0I2 . 2m43 BARNST4BLE LAND COURT REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this 10�h *day of September,2012,by and between William J.Russell Senior and Carole Russell of 521 Main Street West-Barnstable,MA 02668 and its successors and assigns (hereinafter the "Owner"),andthe TOWN OF BARNSTABLE (the"Municipality"),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted-a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows:. I. PROJECT SCOPE AND DESIGN• A. The terms of this Agreement and Covenant regulate the property located at 521 Main Street West Barnstable, MA 02668 as further described in deed recorded herewith as Barnstable Land Court Registry Doc.No. 964,768&certificate of title 172790. B. The Project located at 521 Main Street West Barnstable,MA 02668 will consist of one accessory c apartment unit which will be rented to an eligible low or moderate income individual or family(the"Designated o Affordable Unit" or the"Unit"). 00 MC. 'fhe Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2011-015 and any plans submitted-therewith and all applicable state,federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable Land Court Registry document a &certificate of title D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. 0 o II. TEE OWNER'S COVENANTS AND RESPONSIBILITIES• a A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80%of the area median income of Barnstable Metropolitan Statistical Area(MBA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income(AMI) of Barnstable MSA and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utilityallowance established by the Barnstable Housing.Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated anyprovision of any indenture,agreement,mortgage, J` V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all-actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for.the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are,granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26.which shall run with the land described in deed recorded herewith as Barnstable Land Court Registry Doc. No.. 964,768 & certificate of title 172790 and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality-shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded-herewith as Barnstable Land Court Registry Doc. No. 964,769 & certificate of title 172790. IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall onlytake effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the . recording of said notice at the Barnstable County Registry of Deeds or Barnstable CountyRegistryof the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 3 X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i)that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's - successors in title, (ii) are not merelypersonal covenants of the Owner,and(iii) shall bind the Owner,its successors and assigns and inure to the benefit of.the Municipality and its successors and assigns for the term of the Agreement. M. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality-mayexercise any remedy available to it. The Owner will pay-all costs and-expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. MI. MORTGAGEE CONSENT- The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals this vdayof SQ0('{-ri ke K 2012.. OWNER BY: . Signature n Printed A KA Ca ry I R ( .s Se 11 COMMONWEALTH OF MASSACHUSETTS Countyof Barnstable,ss: On this 10th day of Se ternber,2012 before me,the undersigned notarypublic,personally appeared act► )le P - ;�U sse. I� ,the Owner(s),proved to me through satisfactory evidence of identification,which were MA , b r i vP v S / I( . s6 f!%Q b a 3 3 ,to be the person(s)whose name(s) is signed on the preceding or attached document and acknowledged.to be that he/she signed it voluntarily for the stated purposes. o I Public Printed: Cindy L.Dabkowski My Commission Expires:Feb ruai 29,� 9i15��,F s oV 9 a � •u rn� 4 _N_ CINDY L. DABKOWSK6 — r Notary Public A � � �2•`}��1 COMMONWEALTH OFMASSACHUS�TTS ...� My Commission Expires O February 29; 2016. 1'� O`%'p• �I X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii) are not merely personal covenants of the Owner,and (iii) shall bind the Owner, its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XI. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have a lien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such a lien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals thisday of 2012. OWNER S' lure `` . tinted: I,-& COMMONWEALTH OF MASSACHUSETTS County of Barnstable, On this 1& dap of September,2012 before me,the undersigned notary public,personally appeared :auk,e- (� . Gr c�v ,the Owner(s),proved to me through satisfactory evidence of identification,which were n s-r:Ae, SKI- ,to be the person(s)whose name(s) is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposesk&, l—• rl►��� Notary Public KNotary KIRK C.LEVATO Public.State of Florida4 Commission#EE 128760 omm.expires Sept.8.2015. h OWNER BY: Signature ` • Printed: LI J T COMMONWEALTH OF MASSACHUSEM County of Barnstable,ss: On this 10th day of September,2012 before me,the undersigned notary public,personally appeared \Aj I j �\G tM 1 - !� U SSP J j ,the Owner(s),proved to me through satisfactory evidence of identification,which were A4A .i r i V? v.0 I( S.S 119 -7kl ail ,to be the person(s)whose name(s) is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. ' No Public Printed: Cindy L.Dabkowski My Commission Expires:February 29,2016 a. =February OWSKI l,�t;° •�`°°�� s�' lic • �� `0 — R '� SSACHUSEiiS tie ,.! �� `� -�• .: Expires 2016 'P• C O:A . 5 f ` TOWN OF BARNSTABLE BY: TOWN MWAGER COMMONWEALTH OF MASSACHQSETTS County of Barnstable, ,ss:� On this O&Yof S� r• 2012 before me,the undersigned notary public,personally appeared ,the Town Manager for the Town of Barnstable,proved tome through satisfactory evidence of identification,which were ��IU' p— ,to be the person whose name is signed on the preceding or attached document and ackabwledked to be that he/she signed it voluntarily for the stated purposes. Notary#'ubhc .;r Printed: �n{✓`� (� My Commission Expires: . ; X • 6 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division 0/` Application Fee Planning Dept. Permit Fee Z� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis r04 Project Street Address J'r� / ' Q[ w EST 'rR4K' tv fn-6 L ViIIaW-!'-B6R N S^T P,6 L C OwnerIAi I [A m A , �-RV5S61L-- Address 5 a 1 9&A ' l � • ' W. BAQ(J4 Telephone .-D k- 7 3 7 -A 7 3/6 r t Permit Request c �e �f 0 n(I lU v p I V11 i l� xl S N yn e VV ' ' f�-.sQ) e 4-. i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay C7 R �R o --}--- Project Valuati n Construction Type s n I�Ge ar F YV \ .8 -- / CD Size h 3 A-U2-P 9 S Grandfathered: ❑Yes M No If yes, attach supporting dogume#ation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 3 AS. Historic House: ❑Yes LKo On Old King's Highway: QrYes�p No Basement Type: 101611 ❑ Crawl ❑ Walkout ❑ Other — rn Basement Finished Area (sq.ft.) Basement- inished Area(sq.ft)_= J �-- Number of Baths: Full: existing new Half: existing I new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 216a's ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes U,<o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ®-Pdo 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 ❑-N'o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) I I 1 r I �(' Name I�tJ Ill G IM � 1, 1iU<S F LL S(�--zfTelephone Number Address I M �«Y� �T. License # (_ I Y llq . Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 75Pw ro, IP SIGNATURE DATE C - FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME J Q INSULATION FIREPLACE -- ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH I FINAL FINAL BUILDING a 7 Ll YL DATE CLOSED OUT ASSOCIATION PLAN NO. 1 1 t�. The Commonwealth of Massachusetts e Department of Industrial Accidents ,jt; r Office of Investigations I 600 Washington Street ti t ,� ti Boston,MA 02111 e www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizationflndividual): W_( ' t t9 VA �i 1 \ (J $ Address: J` a i I Y l V4 ( r\J S ` - ,,r ff Da's� City/State/Zip:W, �A R N J� OI F Mfq, Phone #: J�O 7 3 7' 7 3 Are you an employer?Check the appropriate box: ` Type of project(required): L❑ I am a employer with `4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7 emodehng ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its re ed.] officers have exercised their 10.❑ Electrical repairs or additions 3, am a homeowner doing all work right of exemption per MGL I LEJ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ 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. xContractors 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 and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce�na&under the pains andpenalties ofperjury that the information provided above is true and correct: Si ature: f r[ Date: - C� Phone#: 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 S. Plumbing Inspector 6. Other ~ -Contact Person: - Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house baving not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es).and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for 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,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia i Town of Barnstab-le- ��THE Its.. Regulatory Services ttxsTsste Thomas F. Geiler, Director MAS& Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.t6wn.barnstable.ma.us Office: 508-862-4038 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �/ �� J �y� JOB LOCATION:' /, ll�f ry �T• t^�/ `L ,9ICN S A"6 (C i`I'n''umber street village "HOMEOWNER": W I� I I YA J �u�S 6CC Se. �e)e 73 7-�7 �� P name (�y [�home..pbetrc# evark'Ftione#` tCURRENT MAILING ADDRESS: tp BnpeNST6-b1F MO. 69668 city/town ' I state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations..' The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply witir'said procedures and requiremenrt. Signature of Homeowner ` Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section')09.1.1 -Liccnsing.of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this cxemption'arc unaware that they are assuming the responsibilities ofa supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.)5) This lack ofawareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is uldmatcly responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities ofa Supervisor. On the last page of this issue is a form currently used by m several towns. You may care t amend and adopt such a fo ✓certification for use in your community. Q:forms:homccxcmpt pF THE Tpk f e BARNSTARLE, MARS. Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 08-862-4038 Fax: 508-790-6230. Property 4w er Must Complete and S' This Section If Usin A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work au rized by s building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\dccollik\AppData\Local\Microsofr\Windows\Tcmporary Intcrnct Files\Contcnt.Outlook\DDV87Ap,Z\EXPRESS.doc Revised 0721 10 e �Floo K ro v a � X0 VZ- Oi � k MI5 C� S 6-` �. rb J _ IR-O G rAQ a r i bd�t i Dog I J :511 e12- NO :RIM M:�:jl4i:j ry1 1j I! 1:-Ii•1:;1Y.1!-1!i1:1!:1 DR.:1!:1 :i! !.�::4yy;i:■=.:'Ir■:•::•i•.\•`I jI •!••!:°j•°•'°j.�:i-•1!i::'::'::=::=::�:� Via;.! i. i;i" :;!:•;:':-:!ii�::•-i r ;�;;�'•:�'�� ::p:i�-�:e!:e!:e!:e_.= . i1!:!�:i 't,n� .:I.h;.•.•■:■�..h soon NNY - !!:-■_! 1-:-'::::'� •�:is����;::.�i:::�::;::::�: : � NNo OON?-..��.�• ': :i'•.:':::y::i1:i!:i!C:':�:y:y:��! 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W � W at � --' -- - •t 4 ' Doc -. 1p203°96�:1 1{)-16-2012 2�43 BARNSTt'.1BLE LAND �QyRT 1R.EGISTRY ' ��� \. � n\ �' ' ' /p ' � | \ | ' ~ /2 AUG p1 . ^ -Town ofBarnstable r�\ Zoning Board ofAppeals Comprehensive Permit Decision and Notice /\ ComprehensivePermit No. 2011'01SRussell ' -- Chapter 400 Comprehensive.Permnit | | Summary: Granted with Conditions ! Dote: July ll, 2012 y\ ~/ Applicants: William]. Russell 5�'and Carole Russell '~ Property Address: 521 Main Street West Barnstable, k4A Assessor'sMap/Parcel: Map 133, Parcel U33 � -J Zoning: RFZoninQ District � \ Recording Information: � - Deed Reference: Document 98476 Certificate l72790 i � Date Application Filed Ju|y3, 2012 Date Hearing Opened July ll, 2Ol2 0a1e mf Decision (]osed): July ll, 2012. Property Ownership: The applicants are William J. Russell Sr. and Carole Russell, the owner and occupants of 521 Main | Street West Barnstable as evidenced 6vadeed recorded in the Barnstable Land Court Registry on April 26, 2004in Document 96476, Certificate l72,79O. A copy uf which has been submitted for the record. Relief Mr.-and Mrs. Russell have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9'15 of the Code of the Town nf8arnstab|e, monecommon|ytc,med'the "AocexsoryAffordab|eApartmuntPnngrum" The permit is sought to allow for an affordable apartment accessory to a.5ingle family home as provided for in the Code of the Town of Barnstable andrestrictedto b ingaffordable housing forqua|ih d persons as required under Chapter 408. This existing apartment isa one bedroom apartment located inthe detached structure tothe rear left o/main house. | The zoning relief necessary for this Comprehensive Permit to be issued isthaf.of a variance to'Section 240'14 (A) Principal permitted uses in a RFZuning District k) permit on accessory apartment unit above the detached structure. The issuance of this Comprehensive Permit vvnu|d a|/ovv for u separate, approximately 660 square foot, one bedroom accessory affordable apartment. ' . Locus: | The subject property is .94-acre lot located at52l Main .Street West Barnstable MA. The lot was developed inl973, with a Cape Cod style home. The living area cf the dwelling isapproximately � i ' - cr Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2011.015-Russell 1,446 square feet. The secondary structure was developed in 2006, with a colonial style structure and is approximately 960 square feet in living space Site Conditions The lot is served by public water and on site septic. They Town of Barnstable's Health Director Thomas McKean reviewed the.application, and has no objections to a total of four(4) bedrooms for the entire property. Procedural & Hearing Summary: A site approval letter was issued for the property by Acting Town Manager Thomas K. Lynch on June 11, 2012 in accordance with MGL Chapter 40B and 760 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application for a Comprehensive Permit was filed at the Town Clerk's Office on March 30, 2012. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on June 15, 2012 and June 22, 2012, and notices were sent to all abutters in accordance with MGL Chapter 40B. The Public Hearing was opened on July 11, 2012 at 6:00 p.m. by-the Hearing Officer Laura F. Shufeit. The applicants, William J. Russell Sr. and Carole Russell were present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Laura F. Shufelt read the proposed conditions to the applicants. Mr. and Mrs. Russell.consented to the conditions. Mr. and Mrs. Russell gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment. No one spoke. The July 11, 2012 hearing was closed by the hearing officer at 6:30 p.m. On July 11, 2012 the hearing officer granted comprehensive permit No. 2011-015 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen 04) days from that transmittal the Members of the Zoning Board;of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Findings of Fact: At the hearing on July 11, 2012. the Hearing Officer made the following findings of fact: 1. The applicants are William J. Russell Sr. and Carole Russell who are the owner-occupants of the property located at 521 Main Street West Barnstable, MA. 2. William J. Russell Sr. and Carole Russell were granted title to the property by deed recorded in the Barnstable Land Court Registry on April 26, 2004 in Document 96476, Certificate 172,790. 3. On June 11, 2012, a site approval letter was issued for the property by Acting Town Manager Thomas K. Lynch, in accordance with MGL Chapter 40B and 760 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application: 4. The proposed accessory affordable unit is approximately 960 square feet in living area and is located within the detached structure. 2 i ve Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2011-015-Russell 5. The applicants were informed that the AAAP unit shall meet all applicable health and building codes to be occupied and that the Building Division and Fire Department will also be .inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and on site septic. The proposal has been reviewed by Thomas McKean, Health Director, and he has no objections to a total of four(4) bedrooms at the property. 7. On May 16, 2011 the applicants William J. Russell Sr. and Carole Russell each signed an Accessory Affordable Apartment Program affidavit that commits, upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at'the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicants are aware that the affordable unit shall be rented to a person or family whose income,is 80% or less of the Area Median Income (AMI) of the Barnstable Metropolitan Statistical Area (MSA) and agrees that rent(including utilities) shall not exceed 30% of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event that utilities are separately metered, the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of August 31, 2011, 6.65% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. 10. The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing housing stock to create affordable units and the dispersal of these units throughout Barnstable. Summary: The Hearing Officer ruled that the applicants William J. Russell Sr: and Carole Russell have standing to . apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal was deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. ' Conditions: Hearing Officer Laura F. Shufelt ruled to grant Comprehensive Permit No. 2011-015 with conditions in accordance with MGL Chapter 40B and Article II of Chapter Nine.of the Code of the town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program"to the applicants, William J. Russell Sr. and Carole Russell who are the owner and occupants o€the property located at 521 Main Street West Barnstable, MA. As seen on map 1:33 as parcel 033. This Comprehensive Permit allows for a one bedroom apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two (2) people. 2. The total number of bedrooms on the property shall not exceed four(4). 3. The accessory unit shall NOT at any time be occupied by a family member of the owners. 4. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and.all information necessary to verify eligibility with the AAAP 3 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Pennit No.2011.015-Russell 5. On May 18, 2011, the applicants were sent written copy of the inspection findings, submitted for record, that the unit must meet all applicable health and building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. All parking for the accessory apartment and the principal dwelling shall at all-times be on-site. On street parking for all structures and uses on this property is expressly prohibited 7. Lodging or renting of rooms is prohibited for thE!duration of this Comprehensive Permit. 8. To meet affordability requirements, the rent charged (including utilities) shall not exceed 30% of 80% of the median income for a household for the Barnstable MSA (adjusted for family size). In the event that utilities are separately metered, the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 9. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS). The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for they rental registration program. Currently that fee is $90.00 per unit. 10. The applicants shall apply for a building permit for the accessory unit; whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance, the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codq's. The Health Division shall determine that the dwelling is in compliance with applicable on=site wastewater discharge requirements. 11.The applicants may select their own tenant(s) from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall'be.reviewed and approved by the Growth Management Department. The applicant shall work with the AAAP Coordinator to provide necessary information and documentation of tenant income eligibility. 12.The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice shall be given to the Growth Management Department and the applicant shall request potential tenants from the administrator of the:Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit, the applicant may select the tenant after open and fair marketing, providing that documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13. Should the accessory affordable apartment become vacant the.property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator. The property owner shall also notify the AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelve months the applicants shall review the income eligibility of the AAAP unit tenant. No later than a year from the date of issuance of this Comprehensive Permit, the applicants shall file with the AAAP Coordinator, as Monitoring Agent, an annual`affidavit stating the rent charged and income of the unit tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit. 4 r Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive pennit No.2011-015-Russell 15. Upon any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. .16. This Comprehensive Permit shall NOT be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds 17. Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator and provide, within 60 days of the date of transfer, the name and current contact information for the new owner of the subject property!. 18. This Comprehensive Permit shall be exercised, all conditions met, and the unit occupied within twelve (12) months of its issuance or it shall expire. Ordered: Comprehensive Permit number 2011-015 has been granted with conditions. A written copy of this decision was forwarded to'the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable Administrative code. If after fourteen (14)days from that transmittal the members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be filed in the office of the Town Clerk Appeals of the final decision, if any, shall be made to the Barnstable SuperiorCourt pursuant to MGL Chapter 40A, Section 17, within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. Laura F. Shufelt, Hearing Officer Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the-Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day o - / under the pains and penalties of.perjury. Linda utchenrider., Town Clerk 5 11 ` �r 219. .�. 5 f,�;�.y.'�"•v...i_ _��5,. .6�r' :��3.r._ .f d.`'� r r*{.h$�a"Tc'a •E_. E: !_C-tND COURT T REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE OOVENANTS,is made this 10,Lh day of September,2012,by and between William J.Russell Senior and Carole Russell of 521 Main Street West Barnstable,MA 02668 and its successors and assigns (hereinafter the"Owner"),and the TOWN OF BARNSTABLE (the"Municipality"),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted•a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows:. I. PROJECT SCOPE AND DESIGN: A. The terms of this Agreement and Covenant regulate the property located at 521 Main Street West Barnstable,MA 02668 as further described in deed recorded herewith as Barnstable Land Court Registry Doc.No.964,768&certificate of title 172790. B. The Project located at 521 Main Street West Barnstable,MA 02668 will consist of one accessory 0; apartment unit which will be rented to an eligible low or moderate income individual or family(the"Designated Affordable Unit" or the"Unit"). 00 r- C:. The Owner agrees to construct the-Project,in accordance with the terms of comprehensive permit M Appeal No. 2011-015 and any plans submitted.therewith and all applicable state, federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable Land Court Registry document a �&certificate of title D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. o o II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A THE OWNER HEREBY REPRESENTS,CbVENANTS AND WARRANTS AS FOLLOW- 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80%of the area median income of Barnstable Metropolitan Statistical Area(MSA)and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80%of the Area Median Income(AMI)of Barnstable MSA and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA- In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing.Authority, shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound;will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement)or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be_deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. G LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80%or less of the Area Median Income(AMI) of Barnstable Metropolitan Statistical Area(MSA) and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from.the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30)days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated bythe Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80%or less of the Area Median Income (AMI)of Barnstable MSA and that rent ('including utilities)shall not exceed an amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA.In the event that utilities are separately metered,a'utilityallowance established by the Barnstable Housing Authority shall be deducted from the rent. IV. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in parr of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the"Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediately transmit to the Municipality evidence of.such recording or filing including the date and instrument,book and page or registration number of the Agreement. 2 1 V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a parry may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all-actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must-be in writing,executed bythe parties,and appended to this document. B. This Agreement and all of the covenants,agreements and restrictions contained herein shall be deemed to be for.the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are,granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26.which shall run with the land described in deed recorded herewith as Barnstable Land Court Registry Doc. No.. 964,768 & certificate of title 172790 and shall be binding.upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality-shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded-herewith as Barnstable Land Court Registry Doc. No. 964,768 & certificate of title 172790. IX. TERM OF AGREEMENT: The tern of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1)expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2)notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the. recording of said notice at the Bamstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which'is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. i 3 X SUOCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns @ that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title,(i�are not merely personal covenants of the Owner,and(in)shall bind the Owner,its successors and assigns and inure'to the benefit of.the Municipality and its successors and assigns for the term of the Agreement. M. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30)days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or anyportion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. )GI. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set-our hands and seals this L"day of SP IT�('h 1 h�' r 2012. I OWNER BY: l+ Signamre n Printed: 0,Afii► L C vsc.c� AKA 1?il.IS SC� l� (.a ry le, COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: On this 10th day of September,2012 before me,the undersigned notary public,personally appeared 0'61 a))e /� • U sS P ,the Owner(s),proved to me through satisfactory evidence of identification,which were /LJ A . b r i vP r S I LC s 6 f!�o C-d 3 3 ,to be the person(s)whose names)is signed on the preceding or attached document and acknowledged.to be that he/she signed it voluntarily for the stated purposes. `No Public n P'F' Printed: Cindy L.Dabkowski ;1 My Commission Expires:Februar 29.�� �n+S�'�! 4 CINDY L. DABKOWSKa " , ` 4 Notary Public 'rt COMMONWEALTH OFMASSACHUSETTS My Commission Expires February 29. 2016, X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and.any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit- B. '1hc.Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Ownces successors in title,(u)are not merely personal covenants of the Owner,and(ui) shall bind the Owner, its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement XI. D1'UI.AULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30)days after notice to the Owner thereof,then the Monitoring Agent may send notification to die Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will.have a lien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such a lien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and.conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOI�,we hereunto set our hands and seals this day of _2012. OWNER S amre ' rintcd: COMMONWEALTH OF MASSACHUSE'ITS County of Bamstabl ,ss: On this *day of September,2012 before me,die undersigned notary public,personally appeared l U k'e— (1. ('rz;CL-," the Owner(s),proved to me through satisfactory evidence of identification,which were +10 r.:*,k, XK_ .to be the person(s)whose names) is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. J=E— Notary Public a KIRK C.LEVATO Notary public.State of Florida 4 Commissiorr#EE 128760 My comm.expires Sept.8.2015 OWNER BY: Si narim Printed: COMMONWEALTH OF MASSACFiUSETI'S County of Barnstable,ss: On this 10th day of September,2012 before me,the undersigned notary public,personally appeared (�G M V SCP ( ,the Owner(s),proved to me through satisfactory evidence of identification,which were. 84A I r' VP C S S 1 to �� ,to be the person(s)whose name(s)is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. Notar'Public Printed: Cindy L.Dabkowski J My Commission Expires:February 29,2016 is,313176•,�. CINDY L..DABKOWSKI �r: Notary Public ^ .i o���;�° "<� •u'd COMMONWEALTH OFMASSACHUSETTS "1 ° °' -J• My Commission Expires �- a February 29, 2016 o �l J•'� i Q• .n, 5 v TOWN OF BARNSTABLE BY: TOWN MWAGER COMMONWEALTH OF MASSACHUSETTS Countyof Barnstable,ss: On this }�I day of S4 •r• 2012 before me,the undersigned notarypublic,personally appeared the Town Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were 27 rzJ(D%jt(p•• ,to be the person whose name is signed on the preceding or attached document and ackn6wled ed to be that he/she signed it voluntarily for the stated purposes. Notaryyublic � .�r „. Printed: ��► �� G� 'My Commission Expires: k -l: .1 6 Inspection Report — Building Department Date '"a 7- i Address Sol �;► 7Z Referred B Reported to Site with Purpose of Inspection Observations & Notes , G�' N� 1 i 200 ) , 046 4. W LOY' I • 0 TO T 2 P, 511 A AV)IMOA TION A AL LOY' 10 AL IL AL fill hAL 0i v ILL—j L adsLOT S) OFBARNSTABLE ING, I -Ay 1)A VIIJ -IUVE CRADY JrU). .1 RUSS U We & CAROLE Rw..Zrll., OLD is Vor ZOIVF,.. "Pr, Plan Thir MORTGAGE INSPECTION -Bank.-U-:.c Only PZOOD ZOA!F,.- "C" TOMN: 767, 2- HARL-' — REGISTRY 0 WN KR: -,qVU,CtZT L. KAZH' rLA— L-MA—MBOX-011,1L DEED REF: -1yyJ1LV1-'1',p72 - — .. 3 Tj Y Ek A 90 VE, DA'11 ,Z�?412-0.0 PLAN P: -4�6, S "A U-T REMEDY CERTIFY TO YANKEE IS''URVEY ------------THAT TIIE BUILDING SHOWN ON THIS PLAN IS LOCATFT) ON THE GROUNU) AS CONSULTANTS SHOWN ANO THAT ITS POSITION DOE'S — . CONFORM ion (sum,G 1) TO THE ZONING LAW SETBACK RP-QUIUMENTS OF THE A. TOWN OF H11 dl-vlf LA&L, ___-_AND THAT INDUSTRY ROAD . w MARSTOI�S MILLS. MA. 0264A AZAP IT DOES-M-7--- LIE WITHIN THE SPLeCIA1, F1.00T) H AREA AS SHOWN ON' THE H.U.D. MAP DATED 7,-`�Y-LJ TEL: 428 00,1- 1.) MI F A K 4 2 0-565;b.11 ZE TiB FLAN NOT MADE Fr-0m RmqVjmw.1mF.NT A-U3J'-hX-M6&TE19w. Mr 1-16916 AA V SUHVP,Y, NOT TO BE Usf;D FOR F.CNCES. ETC. I /I OMPH !wvnp:n in-p?-qoi !P(jqq n?,t R6q I !ARA-McS F)S1111PI :Aq 111a9, CF 1HE T� The Town of Barnstable • BARNSTABLF. ' • Regulatory Services 1659.A�FDntn't61 Thomas F. Geiler, Director Building Division Elbert Ulshoeffer,Building Commissioner 367 Main Street,Hyannis MA 02601 'Office: 508-862-4038 Fax: 508-790-6230 _. IOMEOWNER LICENSE EXEMPTION / Please Print DATE: JOB LOCATION: SOS �I/h ,ST l,,241 T' 610-17 S-fi-­S& number street village .,HOMEOWNER".:_(g41/l4/,y�' 1ASK`(/ 3'75— 9�Jn ry --- name home phone# work phone# CURRENT MAILING ADDRESS: so�f ///!�In G,je,f J'— rns-741*s4 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) . The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. c Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hives unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FOR MS:EXEMPTN C 0 Barnstable P"t, . Ali ftftaCny y��pFtHE Tp�'4p� I The Town of Barnstable s,►xxsrna Growth Management Department 9 MASS. i63q. �0 www.town.barnstable.ma.us/11rowthmanallement 2007 �ArFD Mp'�A Jo Anne Miller Buntich Director September 14, 2011 William J. Russell Sr. and Carole Russell o c5-217-Mai7n--Streeter -- O West Barnstable;-M6j02668 Dear Mr. and Mrs. Russell; o Thank you for your interest in the Accessory Affordable Apartment Program. w As you maybe aware the main objective of the Accessory Affordable Apartment Program is to use existing housing to provide safe and affordable w rental housing for our citizen's. A review of health and building department records could not produce documents showing the wastewater disposal system for the apartment located in the rear structure of 521 Main Street West Barnstable, MA. Without this information we can not submit an application for a comprehensive permit. Please contact the Building department to apply for the appropriate permits to restore the property to a single family home use in compliance with applicable zoning requirements. Please be aware that this issue is time sensitive. If you are able to provide the necessary information and you are still interested in pursuing an accessory apartment please contact me at 508-862-4743 or email at cindy.dabkowski(a),town.barnstable.ma.us. Sincerely lava. Cindy Dabkowski Accessory Affordable Apartment Program Coordinator cc: Thomas Perry, Building Commissioner File 367 Main Street, Hyannis, MA 02601 (o) 508-862-4678 (f) 508-862-4782 Co. P%- Barnstable OftedcaMy �pF tHE Tp t ' I p� The Town of Barnstable BABNSTABLE: Growth Management Department MASS�Qp 1639.. ,0� www.town.barnstable.mains/growthmanagement 2007 ATFD MA'S a Jo Anne Miller Buntich Director September 14, 2011 Jane Rossignol o Z J12-0ak Street o West Barnstable;MA 02668 , Dear Jane; w w rn Thank you for your interest in the Accessory Affordable Apartment Program. As you maybe aware the main objective of the Program is to use existing housing to provide safe and affordable rental housing for our citizen's. A review of floor plans submitted shows a bedroom count in excess of the number allowed according to health department records. The property is ineligible for the Accessory Affordable Apartment Program with the current floor plan layout. Please contact the Building department-to apply for the appropriate permits to restore the property to a single family home use in compliance with applicable zoning requirements. Please be aware that this issue is time sensitive. If you are able to provide updated floor plan that reflects a maximum of four bedrooms and you are interested in pursuing an accessory apartment please contact me at 508-862-4743 or email at cindy.dabkowski@,town.bamstable.ma.us. Sincerely cul CindY Dabkowski Accessory Affordable Apartment Program Coordinator cc: Thomas Perry, Building Commissioner File 367 Main Street, Hyannis, MA 02601 (o) 508-862-4678 (f) 508-862-4782 �u�•,}may i'4'••JT���•i••F\!y, gs 1. i�•-� - �`j�;• •r•-•�Y�,a�4!•••F"� �-+i•Y- '•i!••Yi-'• •i=+•'4 1. � �F�,••� Mai • �-,hh�h_ �F j�.__•jSySq \ �:��jKiS::4il��� ti�l S -••�•�+�Ya.�'••j'4•,ti•�!� r r r-r r! raj;•-r I' Y ar •L!•.!`,^�+ii I. li�j�•i��4�4;!�.�:;.•;�:j�•y_I IIp'I �• tip=: " nv • r•�._ ram'• N now MSi_gK'! . K a•• in t4d - o y o -aN 4 t !I Y !!- .._._ ol'�•:' pp • • '=I -- �'' -'` .tip;af'r'�"S 'Y'•:•�.�F�►y ,�.'•a_'"~�+F.7-'}_ I' I�-�_w��'�'�_�L'-sal;• . �...:_.._-K:s:��.�".���'-"�'•�•y.•-'°.-,�-,j��ti� •YY_'3•► m•,�'.• ■�� Rio r�:ry. � •Mj, � 9 r'!-yi' •Y: :\.•jam' d� ra ice• �- _F - •� ��y i i i i r cF t�ram, • The Town of Barn= stable • anxxsTnsi.e. "ASS 9. � Regulatory Services rEc►�►►�° Thomas F. Geiler, Director Building Division Ralph,Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 nix-, 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: Estimated Cost-A, 35, C" - vd Address of Work: ,Job / 117a Y/ Owner's Name: -/"�`ll�/1'7 v f' Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 e❑ ilding not owner-occupied [Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affida v �> rLLr LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X.$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) 6 square feet X.$25/sq. foot VOE PORCH square feet X$20/sq. foot DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value _ For Office Use,On Inclusionga Affordable Housing Fee Residential [] Commercial" Property.Owner's Name Project Location Project Value Permit Number "Existing Sq. Ft. "ProposedNew Sq. Ft. Fee $ IAHFORM 1/3/00 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 3 Parcel 0 33 Permit# ✓� Health Division 97�S�o8 � ems, < ' ]J�p, PR *qio) Date Issued 2 Conservation Division .f� PMA/ Fee Tax Collector �t3��i Treasurer �► �1u1��� d.���1Aio0SEPTIC SYSTEM WiL157 BE PlanningDept.p INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL COD`2 AND Historic-OKH Preservation/Hyannis ,1, TOWN REQULAW';GNS Project Street Address �_Z I M A- Village h r4rZ N�,Ta Owner Wi i m ssxLL Address Sal �A�r✓ ff ����'I�ivs���� "Telephone 7= a 6 — Permit Request X ST r n. 5 pi Square feet: 1st floor: existing ®�-cy�/�proposed APO 2nd floor: existing 3�0 proposed , Total new Valuation (so ( Zoning District Flood Plain do Groundwater Overlay Construction Type G✓ovd Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Cl Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes &"No On Old King's Highway: ❑'Yes ❑ No Basement Type: ❑Full ACrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing I new 0 Half: existing new Number of Bedrooms: existing new (5 Total Room Count(not including baths): existing /. new First Floor Room Count oZ Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other ����� Central Air: ❑Yes �Ao Fireplaces: Existing —f— New Existing wood/coal stove: ❑Yes 044o Detached garage:Vxisting ❑new size/6��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 A!�,No If yes, site plan review# Current Use .92ef Proposed Use BUILDER INFORMATION Name C)c Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE - i Q FOR OFFICIAL°USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. Y 7 ADDRESS VILLAGE 0 OWNER . DATE OF INSPECTION:4 FOUNDATION FRAME f y CI o2 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING. o ,. G DATE CLOSED OUT 1 ASSOCIATION PLAN NO. s v� f - LIP oL /l.S 4/. 4..� iC'ws sel� G!ws cd _Co_cc_w��" 1 y cam- i -�• a,�.�� �a L iK, - -- -- _ ..,P.c�G -- - -c.� _:w-�c.l�--<(K ,�nyL a_ d�C-c�a-•, `� �� _,�..: _____ _ IV 7- 1 -� - Cook- ••yam ti •�.c� �� _ Jz .�C� �� �•. `�� \'� l, a 'y � � 1 It a - �' .�t 1 ° ''�` -_'_ �-.•. "SjA '� '`C�yI"' ',r^a`i J"Y � �, t �'.4 ,� 5+.. C'X..'.. i� ..,:•� ���::r �-i r i?:r/ 1 Z•I'' •Y S,:r..-�. , t +` C -Tll-e (: mmonweatrn o iyia3:yaGit4a La A . _=_!� Department of Industrial Accidents - ' = aflce alf�estlgatfoos - = 600 Washington Street Boston,Mass 02111. Workers' Com. ensation Insurance davit � //iiic^.rif name: 1/1 !Acl'1 a location S l7A- 69 Z 6 9 phone -7 S 9296 ❑ I am a homeowner performing all work myself: I am a sole rietor and have no one working in any ca achy ❑ I am an employer providing workers' compensation for my employees working on this job. comDnnv name: ...::.:........... .........................:...... address: .:..... .. one.#::...:::. .:.:,..: . ••'>•.'.:':••:. city: oiicv W: insurance co. %/// 0i%///%///%i%///%/////D%//%%/%////////%///% /////// l� l am a sole proprietor,general contractor, or homeowner ' de one)and have hired the contractors listed below R he have the follo Mng workers' compensation polices: company name! address: :..:: :.:.. ....:. .... .:.... .:.�-:...... . .. .. ...{:::. .............:........ .. .{{.. .....J.....:v:::. .. ::::::::.; One:#'.:.:,>:•:•.:::::;�.:<:.:�:�:::::8:<;:;:%::� };:;{;:;}::::;::?.;:-:;•:;::;�:;•:�:•;::<:-:....«: ............ .... .... ...... .. ........................:.::.:v:•::::::::w:::::::.+..::::::•:::::.�:::::::::....:.+v::: . .. w::::.:::{::..•. ....... .::�....:}:}':4:•::i::.w::::�::•::;{?^:.. .....:.:::....{..:::?iti{{•:•:::.:w:}.:}}r:::$:?i`i:?�is :...vim, w:•.:. insurance co. comr3nv na me: dress: ::•. ::;:::...:;•::.'•:.;. .. ... • one' •..:,;•:';;:::>::>::>';:•>:.:..:...:::::::::.: ... city-� ........:::::.: ..................... :?'::i rill:•}iiiii }'i'iy}:r:i::Y'..::ii....:.: .. ......::v:i:iii:•:�:.::::n:::;::r:::`:a;.;..:-:..�:::.:;.;; ..aiv:{> :;'•ir{:rr:}i:R :•.:::.v.........:•::::............�.�:; ..... .... ...........................:............. ...............:............... .....{v::...• ........n........:.J.w::{{J} .......... ....�:.}•::::?;ryi};•};:;{{ry};:•}?y.;i}::•"�'>�:�i:�:�i:i:;is>;%-:'i::� ::::::� K,>�;::.:;.;;•.::<:;.,:..;,;,...::: . pricy#...:.�::...., .... ..... ...... insurnnce co. n of criminal inilties of a tine up to S1.500.00 andlor. Failuu a to secure coverage as required under Section 25A of MGL 152 can lead to the impasitlO p one years'imprisonment as sbe well as civil Penglti to the es in OlIIee of Investigations o[MIA ORDER form of a STOP WORK r coverage v�of 00 a day against me etiflntion, I understand that a copy of this statement I do herehy certify under the pains and penalties of perjury that the information provided above is tnv mid coned Date �' 8'/2 Uo sigimmi-e print name ��l!Lu � ��' /�y�J z✓`/ _Phone# 7�� 3 7 ���L s L c' olucw use only do not write in this area to be completed by city or town olIlt3al permitAlcense tt ❑Building Department city or town: ❑Licensing Board ❑Selecmten2s Office check if immediate response is required Health Department phone#; QOther contact person: raven:, ,:P:A) , Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thy.: from the ,law", an employee is defined as every person in the service of another under any ccnr: employees. As quoted 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 the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rr.=:•e- trustee of an individual,parniership, 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, cans=cfum or repair work an such dwelling house or on the grounds c 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 rer-e- of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h: not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall eater into any couact for the performance of public work ' of this chapter have bees presented to the contr•.-c" acceptable evidence of compliance with the insurance . authority. r„ /7. T Applicants compensation affidavit completely,by checking the box that applies to your situation and '4s Please fill in the workers' comp with a certificate of insurance as all affidavits may b e 7: supplying company names, address and phone numbers along submitted to the Department of Industrial_Accsdents for ofinsurance coverage. Also be sure to sign; :mod date the off davit. The affidavit should be rearmed to to the city'or town that the application for the petaiit or license is being requested,not the Deparariettt of Industirial Accidents. Should youhave any questions regarding the"law" or L"'c ate required to obtain a workers' compensatiam Policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Deparment has provided a space at the bottom of aidavit for you to fill out in the event the Office of investigations has to camtact you regarding the applicant- Please be sure to fill in the peii iit/licease number which will be used as a reference number. The affidavits may be retuaied io the Department by mail or FAX=less other==9= have been made. The Office of Investigations would like.to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of Investl0atlons 600 Washington street _ Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 i , Application to Old Kings Highway Regional Historic District O'omm t ZE, h,"AS�. in the Town of Barnstable for a 7001 AIM _5 AM 11: 07 CERTIFICATE OF APPROPRIATENESS 4 S t,r5 - Application Is hereby made, iri eripiiwte, 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 Building ('Addition ❑ Alteration �Indicate type of building: ❑ House ❑ Garage ❑ Commercial- [-Other l��n ,,VN Z Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other IPlease read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK E�2 / �Ydz,/V � I 'TdI�F ASSESSORS MAP NO. ! 3�2 OWNER 0,/�g � L-4RcItic ll 1-f- W -( ►- l,''R d ASSESSORS LOT NO. I HOME ADD RESS,Saj M,41 N sI• Gt/' ,AiPNS����� MCL,0a(,,(,P TEL. NO. 7 -21� 26 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). (�`� �lN/di >`"%a/4FN ��S S ( �I�a-i Iv ��. �.�,-; L�Ni' n.• ���1. 1,��=- �'fF-I • �•�-�-��'• LQ 1.2t � Sf J)�r NsT� �� M r� AGENT OR CONTRACTOR � � � �oc�l TEL. NO.�9(;-2 -97'-2 ,c Q3 ADDRESS 61='X- ZZ4 , w- 49EI 0" 5�• �� DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done WoOdO, 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 necessary). /S ' A / G ' d re-ti/nc d 3,c4 ,i Signed 0 er-Cot o►-Agents ce e i Fig et�"-n-u V-/ L15 IrrHURU 3 Da a OlThe ate is hereby Date J���� Time---- ay Approved ❑ IMPORTANT: If Certificate Is approved,approval is subject to the 10 day appeal period nrnwirInd in thn Nrt 1 i C°!2/ ; -F c C a�-�s �v � �i �-f-F i2 c°i✓� �'o�t/���9-c��2 S -"ry "i�°9--fire �v 2 001 , 046 Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION GaIycrcte. SIDING TYPE G✓ • C- s/ir rI!�!Ie j COLOR fi,7 CHIMNEY TYPE f'I merle COLOR ROOF MATERIAL COLOR ­7 PITCH Z/;z WINDOWS A1dec cr a" YIln2 COLOR G,.J/ IC SIZE TRIM COLOR DOORS COLORS 6✓11r to SHUTTERS l?u 4/a COLORS GUTTERS COLORS L✓�?r fe DECKS MATERIALS ',r�i�'>� h ��► ��j� i �t "I GARAGE DOORS 2(W-Ti-7 COLORS SKYLIGHTS oi'� SIZE �� COLORS, FEB 21 2001 SIGNS ��TI c-. COLORS RARNSTAS�-E ?JT� c� gN\Nt"y FENCE / ` `mac COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 1.1/99 9. jUil eg i;%;���:i�::li:1:�i ,•_,•-, ME WE i;:j�:�-'i-iii•ii;ii;. -•:_!:`•i q:::!:i�:"C;;!-i'jigii.•r• �I ••,;•,;a4y,; is�•�! 4 ;::; ■■■■ ;mono i'aiiiii.j,.j,.ji%i'iia ii%ii \ - - ipigii%,HII i I� III Hi.Hi ! :G-1 \ \ 1 r u ggggg 1112 �I is I onow HIN IS MEM Ono on 1:1111 MEN .if.WEENW; Qlgi OMEN ::''::::'::'y: : ;ii i iC!i:"i-$-,-i i'•-i:-i--.•-i--i: •......--i I I! :h:! !::i:'i;:!:4:::!, • - - ii� .�.15;;:` r 4%::%;:%is%ii%ii%ii�•i-ij:•j:i::i=�,::::; ;•r_a�.,h., .901 ME pggiT mom Son so W. ,Y,••,••�••�-•••k•�•••••,~ ••,yr •-• 'Ph ••, • I I II • tl� r9� r r� I i ------------------ -- ------------- � b DAM AVMTM m m N'9 _- m'l•IM_ tl' i 4 ... bo • to a � � o � �Yy]i ■ pf17[ en.ro smm p SUIL�i DR11VN wC KV Of1M10 D[flAl PMD A /y2P 133 ORS n r' / B COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY _� s. •;fl ONE ASHBORTON PLACE 3 ":`',y'``'�°` OF MASSACHUSETTS BOSTON,MA 02108 =d; CAUTION CONSTR. SUPERVISOR 7 EXPIRATION DATE FOR PROTECTION AGAINST O 5/12/1 99b EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS r / 1 /1 9 51' 5 PRINT IN APPROPRIATE 1 G o _ BOX ON LICENSE. _ 1 & Z FAMILY !i0!"E s o: t ° PO BOX 708Q. BLASTING OPERATORS" SS U33-32y217 m S DENNIS MA 02660 �;� . ;� I NCLUDF.PHOTO., ((i PHOTO(BLASTING OPR ONLY) F 1 E 6 1 6 �J NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY , 1 I ar... HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONERJ-F - ';` DOB: f- .(i�r::• 7H1$DOCUMENT MUST BE TUR O ICE EE - •, %r,Lt ;:� CARRIEDONTHEPERSONOF %"�- =t S- ';�'i'• THE HOLDER WHEN EN- ISSIONER OTHER5fi16fiTTHUMB PRINT GAGED INTHISOCCUPATION. HOME IMPROVEMENT CONTRACTOR t Registration 109374 ><F PRIVATE,CORPORATION ExPiTAtion 09/11/94 PINE HARBOR WOOD PRODUCTS DAMES•D. MCGRATH 120 GREAT WESTERN RD., P.O:*B ADWNaMTM S.- DENNIS MA.02641 • .i ' J i -- - J:J'ILT:T T1\tT O r r*\TD tlSd?AIAa.lICCIDENTS 600 Sii?NG 'O;N S77`�L�t"`T �a•*ccs= Ga'»x� i;OSTO\'• )\ZA-SSf,Gi.3USI-TTS 02111 �f—�rSS•�nC' 'ORKERS'COMPENSATION INSURANCEAFRDAVIT 1. (Nccnscc4wrmi"<,c) ith principal plscc of business/residcnoc zc - - 2v — -s; ,.1 go: <GtylStacclZip) 'v r , do hcrcby ccrZifj; under the pains and pc nitia ofperjuTY.d=r: kj,zln an cmplovcr providing the following workers'ccmpcnsarion covcr� for _job_ gc mycrnployccs workrns on acD Insur2ncc Company -- I'olrcy Number �---"9 :7s6C&A j) I am s sole proprietor snd h2vc no oncworlcing for me () 1 2m s sole proprietor,gcncr<J eonzr:aor or homco ,nv(cirdc onc)end h:vc hired the eontr2aors listed bolo-A- -who hzvc=bc followia .. rns� gworkc 'oomption instirancr polidcr 2�Mc ofconrmcror Insur--ncc Company/Poiicr Number >12mc of Contr<aor ]nsurancc Co;,P:nymolicy Lumber N2mc of Conrrczor Inn=ncc Qmp=ylPojky Humber D 1 �m� homco.{-ncr perjor„ring r11 r}�c vrork my:c]L • NOTE_ 1•-c1l:n�of riot ror<L t 'k�<c<c•=crz�.?o<r_�]o2-perwo:to 10 rraiCZCC 4C.4CCm(va;,-C or tcpsir--cc'.c ors u«cc:cr iC"t:c tt<barxe..rce sJ�.o rcr:�cs or oc t3<FrvvCL z <er�r:Z<reZ to b<<r_p1oY<tr e_Ier tx be j<a ��C=t tSereeo sett Doc E<ntr_m-)- 'Gorxpc=:c t;oc�CeZ JCL G]52,,<et-1(5)).=pp]:e:t;oe by a bcrxo_O<c toe 2 j;c<os< or perr�it r.,- Y CCt Lt 1<tcJ 1::T.-1 c��«��OKf CCZCf Vc�Or�<fr't..o t•JpcOi lt�0t)/JCL r Cn. C icr:<r.<.-Z' is a <Z co ci.< '�<p_ -cnc c�)nZcariJ/.<cZ<nc'Or�«c�l�:c::ncc for.cc�<r c Orfi.-(snzur.Zcr S<ct;or.?Sf.cI}/,�;J_)52 c:Jc:l co u ir..fcr:c.cn cf•�tjnin_3 p<nJc�<: cor:i:t no of_ - p f.�<of vp'cc S]SGG.GG�.Zlcr;-rr`errn�c of up to orK YCZ:=nZ e;Y3 �z;c i�eSc fcc z Cr:Sce Gcfk Or2er sL= I SIZncc' Licc :c Pcrmitzcc L'ccnsorlPcrrnittot Application to �• 6�NS• ;NNsI P•NGN f Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a 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: 1. Exterior Building Construction: tz New Building ❑ 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 (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY , r DATE 12 28 9-3 MA/N ADDRESS OF PROPOSED WORK �� �l .. �'` ASSESSORS MAP NO. f OWNER �N �'Cy�ll�J�/2. ASSESSORS LOT NO. HOME ADDRESS !�;_2_1 M61A) S! , EOS�OAQ TEL. N0. 3�2.-8 -yesI FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). tp}tj (n) i r ICC4} 5 - Ma 5+ (n5l ski.. OO 15 No Sh 606 3Z ar�d T �I cox 5s[ �v terns S W• 1r� (�. r r _ gyp Tr'a e!'i N6T�7�; Z�N1 �n P� r yS3 w �,ttrn5 b ��8)`'f�C�C(�'tcarol6i►& Po,BOX 66gi� AGENT OR CONTRACTOR ��� �T -Yd� Gt�OD� dxlGlCT� 7f�/1'�SA� ,Yb31 TEL. NO. ADDRESS /ZO 69-2-4r S, &,t/RJ/S 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 necessary). CONS rGULr P2PS:> /(o X Zy ' / C &AJZ4c 401 zr'o Fovr— EiJEN�AZ oFFicE `s iD A s`'RcE �� 'Vow. n R-rvRt - P/A—,= &^e.o t BF7r7v 5J O/NFS — SSJ? AlEJ 15rZ4V. D,0U3ir_- bA)AA!;- WltioordS u�l6�i�cES — 5r'f%fh r Ka& Signed bz� owner-Contractor-Agent TierawT'�fqz Cortsm,ttee use. ,i22ed.1�Y . The Certificate ,s hereby Q e�� v'—Z �'Al Date a. U� ° L.J S�/\///1/1 r' / � g• Time '[OWN OF BARNSTABLE / i ,.ING'S HIGHWAY +nnr�r�,cf IMPORTANT It Certificate ;s approved, approv Alp t appeal penotl provided ;n the Act OWLU f OLD KING'S HIGHWAY HISTORIC DISTRICT S P E C S H E E T FOUNDATION S 10 I NG TYPt PlIle � "'v,) HIV COLOR CHIMNEY TYPE_ A COLOR ROOF MATERIAL j COLOR L I j PITCH Z WINDOWS RIVc-01POV&C 17�A1 S I ZE 30 i TRIM COLOR ,vOM+0E DOORS f -COLOR�2�L�/ SHUTTERS �} GUTTERS A DECK /U14 GARAGE DOORS_ d/S �COLOR Notes : Fill out completely. Including measurements and materials/colors to be used. Three copies of this form are required For suCmittal of an application . along with three copies each of the plot plan . landscape plan and elevat ! on plan; when applicable . ' 'Plot plan need not be "Certified" , but should �n._•, all structures on the lot to scale . d F a`.:....., :by q 1 Nit 11 t � t a ((f IN 17 VAll ` ,tea - on Ell iic it To w m� ®F ARNSTABLE k LD KING' HI HWAY ' Assessor's office(1st Floor): Assessor's map and lot num e /3? 3� SEP-nc SYSTEM DUST o•TM[>o. Conservation(4th Floor): L9 INSTALLED IN COMPL, �j Board of Health(3rd floor): AP AohrrfoAm - WITH TITLE 5 Sewage Permit number / , 2c��s 7F.1 [ pLf&i� ?fi' �a q� ZE spa�yant 1 �'4,td°C•c..dt ,� ��� 1�t,t°_...° yO Engineering Department(3rd floor): House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only i y -TOWN " OF BARNSTABLE ` -BUILDING " INSPECTOR, ,p , APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 77 i 1 19 TO THE INSPECTOR OF BUILDINGS: -f The undersigned hereby applies for a permit according to the following information: Location 521 /lit-Al t,S <�;T. 7R . (,,A Proposed Use :STz)Ie_&&g-- aA-ew l <9A-ejY-f. Zoning District Fire District r Name of Owner Ci_/ 0`C_QAJ N 1R. Address Sz! MJ+) J 'QT Name of Builder i f'Tir b UVODI� fX(�J Address lra 6 (�7-£ Name of Architect dmvSeu(' Address u Number of Rooms Foundation f d •�oC)a& CAAJ�2� Exterior ��q2b +- �I D I N Roofing p 3 T�i Floors CO WUZETE tVWAJ SH l PoV-- UP Interior W I E>6 ?I Heating �j — A Plumbing Fireplace Approximate Cost _'rt' I "f . Area 8 L S ,Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable to I g the above construction. Name Construction Si ipervisor's License /--D f O'CONNOR, CLAYTON� No 36546 Permit For BUILD GARAGE Accessory to Dwelling Location 521' Main Street West Barnstable - a Owner -May -on O'C'onno - ; Type of Construction Frame Plot Lot Permit Granted March 18 , 1.9 94 Date of Inspection: - Frame 19, Insulation 19- Fireplace 19 ` Date Completed 19` L t• r - I ' # { y 1 1 COL_LAq T1Es, 2- _ 7-S KooF P.ic,+ 1 � `��' i4$P/-{AL•T SNING�E.S � �-'--Y� ROOF BOARDING, 2'on! pf - UP•PLAif 1 - �96 / 00 R QOARt> t4 SNIPCft p y d.- r4 TaP PLA--rC LAP 'PINT I v ' po2L�Ns yx6- I PURLiNS i 2-GUPR1N0LE0 S.LL OF JAMES E. �+ EGA� STRUCI�JRAI -- -- NO.2 1 1 . f or GISTER�� V FSS/ONAL cNG� PINE HARBOR WOOD PRODU ii- 2 �o SCALE r- . . .- . -,- -ry _ r e • - . :. _ _ ♦ - .. , , _ , . ♦ - .- .: , - - - • i"A • .. .. • _ -. . o I�� � . . � � I � . . I . I I I I I . I . --. . I I �1;I�.�1�I I., .I.I I � I I � 1 1. .� � . - . 1 . I � I � I I . . 1 . �� . 1. . I � I I. I � I I I. I � .1 I II �� I I .I 1.I 1 I� I . 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SHEET NUMBER: � , V �O 1b.IL r...�I�..I,L,.r.L1 r�-,.,...r I;�.-...-..I:I I I I�II..I..I..I,.q,..�-,r.II..Ir,I�v Irr.I._.ILL I L-.I I.L.L L II...r.I.II r ..I-.I....,I I�Iq.I�q.r-r.I.rL�I.�..z-.I....­..-I...�.��I"�.I r�I..�I.'�'...LI�I.-I.r 4�r.I, �I..L.;b II�.�II.- r&�L.&L-.I..-,.-.b-I.I-I II I".�.r -.I"�r I IL.I.rI.&L..I Iq-I'-....I!.-I.-T\�I�,�r.I.1.q....�..r�r-I.rII.I�I 1..-I I-L�II rII r I:I&I I�I�.I I I�L II,I.I.....L I�..�.I-, .II L I.I...L..I,.�.;..I Ir..�-I r.�I.I,Ir I�IL r I4 I..I..'.II.�I.I,r.. ,.r.II.I..I.0-..�.LI 0.M L 1 I �I o V ��% ?, P�� -.III.-II.,.L I,,II.I.�.L I.r�.I1�b I I.-..I:I.I.I..I...I..IIL...,�L:L..I.�IL.I�.I\ ..I r-I II�1-.I,I..I.I-1 II�II..I.-I,I.,L L1 LOVATION P�NS� P� [� . t I D _�• A I O SCALE: 1/.4" . 0-0" O� ��! ,'. ,.;-�.----r--i.-i-,-.I..----LI I--,�.----,,-----i1r-,-.�,l-,1---I-II-IL-,.-,.-----t-.-4.Q�-:-.Q!-.q--,;-.--I-=-_-I I--=.---�-;�L--,L-�=-,,---.---=-I.-"-ii LI-II----=-�-�-I-.---=--_--;-I-I-=--!�,;-.IIq=-��.�1-�r=rL--=-----_-II=-:I IL�Ir LIIr I....I I .I..I...,..I I.r II.I...r r.�I.�.b rI I-I II r...L.�I�.I I.I.....1 II I..I .I L L I LI..b�.L..Ir I-.�L I�I..I..LLI...II.I.""�II�rr..I�.4.I-ILI.-..L II I�..b L I.... c Q��\�r SCALE: 1/4" 1'-C" i ,� I, . • , _ , IL, NAME • •;fOb34 , - - �' . . •, , : _ �f. t . - ' - : 01 046 ;, . , . - , IICONTINUOUS RIDGE VENT cD 2:ARC441TECTURAL- ASOALT IZOOF SIWNGLES TO MATCW EYISTING , IZ 4 Lo clu FASCIA t 'SOFFIT TO x z z C3 CY_PQ < co cz II (L 1 c- COR NER BOARDS IIIJT I2NO FLR. ';t7�7_�t.,ZD FLR.II7­ II.6 C, PIT.* POST IIII7 II -7 7- IST FLR. IIST FLR. lei,TING I'PROPOSED co E3 CD Z CD La Z ui P4 a_-FRONT ELEVAT ION u 0� a_9:4 V) f::1 u <SCALE: 114� V-O" ELEVATION I DE 5CALE: IIAO I'—Of II2N FLR—KJD FLR II ­7 LZ IIJ __ IST FLR.15T FLR -7 ISHEET NUMBER:REA _ELEV I ON.5 I 0 E F:1. SCALE- V—O'one 11A'_f YA . .SCALE. -IIA I'—O" 6 F ILE NAME 0034 z I o' t - e 3 - NEW10 i I P' - - clu 3'-4' t ' n f I I I 0 tj r I Z .- � t�. -- i ELEC. ; h Z PANEL 5T8. 3'-4. w Q ^ � PORCH-I k 5.-8.�---- —.� --__ —, - -�--- � f I w o co in a 3 ., 24A2 2442 j I i 2d32 2432 t ' — j L_ " " 9 t I 16 X CUSTOM 1 r STAINED GLASS i 1 I 1 WINDOW a 1 GARAGE i ! r REMOVE EXISTING . I , WINDOW f'c- --- REMOVE EXISTING DOOR I I 8 I I 4 WINDOW 1 I UP 1 3 b�Q, r 11 p, I N 2 x STUD PKT cF � 4 I < • f I I STORAGE! f oz } 1 I (EXISTING) ' { j AGE , ,. I STOR ++ r s, j I REMOVE EXISTING Q WINDOW 1 1 2442 2k42 i 2432 '. W o ►- U i a•-2- 1 9'-10' 4'-0' i ON. z �s j f ----- ----1'--- ---------- - -- ------f ------- —+ nr�m If (1.1 M 4--O' 14'-0' I W J 3 A f A V) A V• Q 4 FIRST Al SECOND FLOOR PLAN. SCALE: 1/4" - 1'-0" SCALE: 1/4" r 5'-4 1/2' S'-10' 6'-3 1/2" t I 1 10"m CONCRETE i {� PIER---- TYPICAL ROOF CONSTRUCTION: 15# FELT PAPER/ASPI�ALT ROOF SWINDLES/t/2' P.W. SWEATNING/2 x 10 RAFTERS (D I6" O.C. ---- MATCW SLOPE OF EXISTING ROOF BE'(OND (ABOVE) - EXISTING FOUNDATION 2 X 8"S �' io" O.G. -- -- -- - -- - -- -- - - - -- -- SOFFIT SYSTEM TO --- - -- -- �` MATCW EXISTING --- i k ` JOIST SHELF 3 k , �I Z � - �i�� STORAGE t -' ' 12 Qw - i 2 x 6'S 49 16" o.c.____-_. 4t� j 3/4" T t G P.W. ------ TYP. WALL ,FRAMING { GARAGE � GLUED E NAILED I SUINGLES TO MATCH EXISTING f 5" T.W./TYVEK Cl (ABOVE) -- -t __-2_X_t0'S_- ? 16"�OG -- - - _ BUILDING PAPER/ 112' COX PLYWOOD i9 G.C. :O VER, Y LOCATION - ----- 5WEATNING/2 x 4 STUDS AT 16 O.C./ I '"I OF SEWAGE EJECTOR /� _� + _ _ _ _ ,. __ ;-___ - -- 3 1/2" F18ERGLASS INSULATION 1 AND ADJUST FOUNDATION ` I AS REQUIRED - 3 -2x8 5 ---- f 12" #6 DOWELS DRILLED W/ I/2" CDX --- — — - - AND GROUTED 'b" 1NT0 EX;STING I �; 3 WORKSt-1Of F. 6 x 6 P.T. POST -- -- j NEW 8" CONTINUOUS CONCRETE i WALL v I eO f lZ7 U~1fV 1 • FOUNDATION WALL; 10" X '16" - -� =;- -- 1 x MAHOGANY n I ; a w + { . CONTINUOUS CONCRETE FOOTING a! DECKING ----- rr i - -- -- - - -- - _ - ;• i --- - -- EXISTING SEWAGE I I I 3/ " * G P.W. J EJECTOR BELOW. GL 4 NAILED ----- - -- -- -- -- -- - - - - -- -- - _ - -r- -�-- - 2-2 x 8 P.T BAND �- 1 . ( j FACED uw/CEDAR X 11p'S ib" O.G. t p' P.T. 2 x 6's f 12" O.G. NEW 8" CONTINUOUS CONCRETE71 v 14•-O' i 4'-O' (CRAWIL SPACE) FOUNDATION WALL; 8' x 16" [ . CONTINUOUS CONCRETE FOOTING v- 1-----__ -------- ------ _-__ _-__�- -_ _- I 10' CONCRETE PIER `k- �-1 • ' 18'-O' ' � � I A3 F• I SHEET NUMBER: r ;t r i SCALE: 1/4" � 1'-O4 FOUNDATION Pl..AN r SCALE: 1/A" 1'-0" FILE NAME f 0034A2