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oF'THE Town of Barnstable *Permit#
y Expires 6 months rom issue date
Regulatory Services Fee
aARNs'rABLE, Thomas F. Geiler, Director
ss Building Division
ESPj erry, CBO,.Building Commissioner
S�P 2 '00 Main Street,Hyannis, MA 02601
6 2008 www.town.barnstable.ma.us
Office: 5TOA Fax: 5087790-6230
EE TV V&RmIT APPLICATION -- R.ESrDENTIAL ONLY
Noe Valid without Red X-Press Imprint
Map/parcel Number S G J !
Property Address F 2-0 Al G
Residential Value of Work S`S`U Minimum fee of$25.00 for work under$6000.00
Owner's Name &Address �.,J ,� t� A �'1 V^-C
�.D ✓�•�..,' r. J �"'• �.y� (� ��,.r�s �'�.�r�. �t ram, .
f l
Contractor's Name G! Ati% tr S f t Q l�!►� V Telephone NumberS�06 - r FU `77 t
Home Improvement Contractor License#(if applicable) ! `�
❑Workmari's Compensation Insurance
Check 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 be on file.
Permit Request(check box) 010
Re-roof(stripping old shingles) All construction debris will be taken to .> `I" •� CX <d i
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum..44)
*Where required: [ssuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of he Home Improvement`Contractors License is required.
SIGNATURE:
Q:\WPFILESTORMSIbuilding permit forrnsEXPPZ §S.doc
Revise02O 108
Board of Building Regulations and Standds , `
} ar J� License or regisfration valid for indiv idul use only J
f ! ' HOME.IMPROVEMENT CONTRACTOR. before the expiration date. If found return to: i
ratio Board of Building Regulations and Standards
Registration: 158367. . j
Expiration: /14/2010 Tr# 263333 One Ashburton Place Rm 1301
{P = Boston,Ma.02108 i
33 Type DDBA
H TWAS H.JOHNSOt%CUSTOMiCARPENTRY I
THWAS JOHNSQW^y=
28 BEACHWAY RD%
S E.SANDWICH,MA 02537 . Administrator: Not valid without signs re
i
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, AfA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectricianslPlumbers
Applicant Information 1 Please Print Ledb1Y
Name(Business/oTia izaEonflndividuan: t) V N i'� r �/n vts "� .0 dis�ym G o.o DG►�}
Address: 2 v���• •
City/StatelZip: (� w� G�, /��G� D S 3j Phone.
Are you an employer? Check the appropriate bor r7.
ype of project(required):
1.❑ I am7' a employer with 4. I am a general contractor and I ❑New construction
loyees(full and/or psrt-time).* have hired the sbb-contractors
Z a sole proprietor or partner-
listed on the attached sheet ❑Remodeling
TTTT��I' ship and have no employees These sub-conixactors have g, ]�emnlition
ees and have workers'loy
working far me in say capacity. emp 9. ❑Building addition .
[NO wOL1CCrs' cow.-inSrranr_C comp.imm�ance$
I am a a homeowneL doing all work
5. [] We are a corporation and its 10.❑Electrical repairs or additions
rtgrued] officers have exercised tbcir 1L[]Plumbing repairs or additions
I❑
right of exemption per MGL 12 Roof r airs
rmy�se�n�o workers comp. c. 152, §1(4), and we havt no � �
��t
employees. [No workers' 13.❑ Other
camp.msurance required.]
*Any applicant that eheclx box#1 must also fill out the rccSon below=bowing their work,='co ncern policy inforroatim
t Hm=wnat who m n it this off davit indicating they am doing all work and then hire outside wnt actors must submit a new affidavit indiraring such.
4-.tractars that cbxk this box moat aIfaclud an additional sheet showing the name of the sub-couftsctors and s�whether or not those entities have
crnployccr. If the sub-contnwtxs have cnploycex,they must pravi&their worka-s'camp.policy number.
i m on employer that is providing workers'compensation insurance for my employees Below is the porky and jab vile
ormationL
Ititance Company Name:
Poli #or Self-ins.Lic.#: Expiration Daft:
Job Si Address: City/statclZip:
Attach a copy of the workers' compensation poUcp declaration page(showing the policy number and ezpi_ration date).
Failure to scenic coverage as rcquimd imA Section 25A of MGL c. 152 can lean to the imposition of criminal penalties of a
fins Tip to $1,500.00 and/or one-year imprisonment,as well as eivtl penalties in the form of a STOP WORK ORDER and a fi
of up to S250.00 a day against the violator. Be advised that a copy o this stat�rit may be forwarded to the Office of
Investi tions of the DIA for inettrance coverer e Verification.
I do hereby certify under aurs-and penalties of pc ' e information provided above Ts true and correct
Date:
Phones
Ofj7chd use only. Do not write in this area, Ib be completed by city or town officIaL
City or Town: Permit/License#
Lzodng Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
r a vas .v. Phone#:
4
°pTHEr° y Town of Barnstable
Regulatory Services
�BARNSrABLF.NLASS. A- Thomas F. Geiler, Director.
�o i63q �m
jFED) Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-623 0
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf, `
in altmatters relative to work authorized by this building permit application for:
(Address of Job) &UO�
Signaftyev Owner Date
Print Name
If Property Owner is applying for permit please complete the Homeowne.ts License
Exemption Form on th•e reverse side.
Town of Barnstable
�opSHE rp�y
Regulatory Services
• .
Thomas F.Geiler,Director
BARNStABLE.
MASS
,639. �m Building Division
pTfD �a Tom Perry,.Building Commissioner
200'Main Street, Hyannis, MA 02601
vt'ww.toym.barnstabl e.ma.us
Office: 508-862-4038 Fax: 508-790-6230
11011'LEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER ,
Peison(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 and si ed"homeowne " ertifies that he/she understands the Town of Barnstable Building Department
o es a requirements an at he/s will comply with said procedures and
i
r en
Signs o orn
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 Constriction 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(ice Appendix Q.
Rules&Regulations for Licensing Construction Supervisors,Scction 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. in this case,our Board cannot proceed against the unlicensed person as it would With a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a forrn/certification for use in your community.
N, '
��� �� '�" • i' st Ul Q _
i
Town of Barnstable
pFtHE 1p�
o Building Department Services
Brian Florence, CBO
&AMSTna[:s.
9� 1 MASS.. �4 Building Commissioner �� " �,�
AfEDMA'�p 200 Main Street, Hyannis, MA 02601 OF ARNST'A8Lt
www.town.barnstable.ma.us tniti -
' 3' r 5
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartmen't,'Affidavit
I, being on o th, epose and st ollows:
My name is I am the owner/resident of the
property located at: �
\� ._Tp-> Ct2
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner:
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
note the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of"occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to note the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No. )
Other
Sw to, d t e pains d p alties of perjury this lb- day of 2019.
Signature Phone Number
Print Name
q:forms/famaffid.doc
rev 11/08/13
i
Town
able ��
Building Department
��`Brian Florence, CBO IygR
• swMsTnBi.E. •
� . � Building Commissioner TOWS
059. 200 Main Street, Hyannis, MA 02601 Ogg
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Afffd[6�vlt
I, being on oath, depose and state as follows:
My name is W'I'l _l , 7 I am the owner/resident of the
property 3located at: VVW'vi4
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address: r
Name & relationship to owner: 1�� t C 1 P's r' S o o
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notes the Building Commissioner in writing. 1 understand that no subletting or subleasing of said
Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to note the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No. )
Other
Sworn t d r th aties of perjury this day of q 2018.
JT Z
Signature Phone Number
Print Name
q:forms/famaffid.doc
rev 11/22/2017
i
i
I
. ...
C
..
Town. of Barnstable
Regulatory Services
°F Richard V. Scali, Director
Building Division -
CDP
•ARNSPABLE Paul Roma Building Commissioner �`" T'
puss. g C) — m
�ArFD NIA' A10 200 Main Street, Hyannis, MA 02601 `
www.town.barnstabie.ma.us
Cn
Office: 508-862-4038 Fa 508-I -6259
Town of Barnstable Family Apartment Affidavit
I, being on oath, `depose and state as follows::
My name is U�l�l � - +�I. `Y�� I am the owner/resident of the
prvpert;'located at: .
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address: r�
Name &relationship to owner:
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
note the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner,listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to note the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location.please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other� _ • ' • •
Sworn tinder/the pains and pena •ies of perjury this day of 0 2017.
Signature Phone Number
W L-t—
Print Name 1 t•��"'�
q:forms/famaffid.doc
rev 11/08/12
Town of Barnstable
Regulatory Services
oFTME � Richard V. Scali,Director -o
Building Division -�
MAS& Thomas Perry, CBO,Building Commissioner '�
Aj%6 ,�p�0 200 Main Street, Hyannis, MA 02601 T,
www.town.barnstable.ma.us
Office: 508-862-4038ax: 508 90-rn0
co
Town of Barnstable Family Apartment Affidavit
I, being on oath, d\ep�ose+ and state as follows:
My name is I am the owner/resident of the
property located at:
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: S�o Gv
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notes the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is permitted.
1 understand that 1 am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to notify the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under pain and pe s perjury this day of _ 2016.
� Q QA 2 ( ,Lc)( (,
Signa Pho a umber
Print NameW LLk
q:forms/famaffid.doc
rev 11/08/12
Town of Barnstable
WE Regulatory Services
Richard'V. Scali,Director
's Building Division
ED IL6519.
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstab1&ma.us
SUL-
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I, being on oath, depose and state as follows:
My name is �J,J��L_x 4-'K- .5— I am the owner/resident of the
property located at:
l
The following members of my family will be the sole occupants of the Fancily Apartment at the
aforementioned address:
i
Name &relationship to owner:
i
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the Bove-ideifte
family members. In the event that the listed relatives vacate said apartment, I will immediately 9
note the Building Commissioner in writing. I understand that no subletting or subleasingof saki
Family Apartment is permitted
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to note the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain.-
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No.
Other
S o to de a pairs an enalties of perjury this �.� day of ILL� 2015.
'llv�. _
Si tune s. Phone Number
Print Name 1�—
q:forms/famaffid.doc
rev 11/08/11
n 1714 02:03p Corp Brothers Hyannis 508-775-5038 p.1
. Town of Barnstable
Regulatory Services
Richard V. Scali,Interim Director
Building Division
Thomas Perry, CBO,Building Commissioner
KAM
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.ns c_
Office: 508-862-4038 Fax�n5,08-790=�30 0
r-
Town of Barnstable Family Apartment AffidavE ^�
I, being on oath, depose and state as follows: N m
My name is �1.1-1.-1� �_ � I am the owner/resident of the
property located at:
1
The.following members of my family will be the sole.occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: �'
4 � ,�►�� - S 6t�
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is permitted
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree
to notify the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location, please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under a ains ti erjury this nA\ day of t _ 2014.
Signature Phone Number
Print Name
q:forms/farnaffid.doc
rev 11/08/11
°Ft Town of Barnstable
r
Regulatory Services
a r
" S"R"&`E„ � Thomas F. Geiler, Director
•i639 ♦�
1639 ° Building Division
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
February 10, 2010
Mr. William B. Adams
820 Main Street
West Barnstable, MA 02668
Re: Family Apartment
b
Dear Mr. Adams:
Please complete the enclosed Family A, partment Affidavit and return it to the Building
Commissioner's Office by February 18, 2010.
You are required under Section 240-47.1.13(2) of the Town of Barnstable Zoning
Ordinances to submit an affidavit annually indicating the status of the family apartment.
Failure to submit the affidavit is a violation of your Family Apartment approval and may
result in the loss of your rights.
If you have any questions, please call Lois Barry, Principal Division Assistant, at
508-862-4039.
Sincerely,
Tom Perry
Building Commissioner
Enclosure
jfamaptaff
Barry, Lois
From: Engelsen, Jennifer
Sent: Monday, September 28, 2009 11:53 AM
To: Barry, Lois
Subject: 820 Main, W.Barn
Lois,
The owner of 820 Main St, W. Barnstable left you a message but also came in to discuss the above property. Linda came
to the counter and explained Amnesty and restore to single family. She took both application packets, your hours and will
go and discuss options with husband. From her conversation, he wanted to restore to single family but Linda explained
Amnesty and now the decision is hers.
I asked her to contact you soon (before Thursday) so enforcement may not have to take place.
Jen
a
1
-Appeal or Permit No- _ 1987 066 Appeal: Special Permit Status:. Pending
Last First;
Applicant: Adams William B.
Addri
Addr2: 820 Main Street
Village: .West Barnstable MA 02668
Aff-Received: 03/05/2009 Map Par 156017 j Zoning: RF
Decision: Book 16844 Page 228
Notes: 2009 Requested change to son Ethan questioned by T.Perry,
sent letter 6/3/09. 9/15/09 memo to Robin for enforcement.
9/24/09 son no longer living there,Will call re restoring to single
family. 2/21/07 Change of occupant of apt.from father to Close
Kevin Adams(son)
Appeal or Permit.No: 1987-066 Appeal: Special Permit a Status: Pending
Last First
Applicant: Adams William B.
Addr:
Addr2: 820 Main Street
Village: West Barnstable MA 02668
Aff Received: 03/05/2009 Map Par: 156017 i Zoning: RF d
Decision: Book 16844 Page 228 _
Notes: '2009 Requested change to son Ethan questioned by T.Perry,
sent letter 6/3/09. 9/15/09 memo to Robin for enforcement.
9/24/09 son no longer living there,will call re restoring to single-
family.--2/21/07 Change of occupant of apt.from father to Close
Kevin Adams(son)
i
(L/
r
Ft►�Ta,, Town of Barnstable
do
Regulatory Services
BAMSTAB„AM Thomas F. Geiler, Director
�p 1639. ♦0
rFOMA�A Building Division
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
MEMORANDUM
TO: Robin
FROM: Lois
DATE: 9/15/09
i
RE: 820 Main Street, West Barnstable
j I have not heard from William Adams since we wrote to him on June 3 (see attached).
Also see my 3/9/09 memo. I've left voice messages for Mr. Adams, but he hasn't called
back.
Can you check into this to see who is living in the apartment? Let me know.
a
Town of Barnstable
do
Regulatory Services
s i
• BARNSTABM
MASS. Thomas F. Geiler, Director
Foi A. Building Division
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
June 3, 2009
Mr. William B. Adams
820 Main Street
West Barnstable, MA 02668
Re: Family Apartment
Dear Mr. Adams:
We have received and reviewed your 2009 Family Apartment Affidavit requesting a
change in the occupant of the family apartment to your son Ethan W. Adams. We have
also reviewed the Town of Barnstable List of Persons for 2009 (see attached) and it is not
clear who is occupying the property.
Please explain who is living on the property in addition to you and your wife.
Please submit documentation that your son Ethan is the occupant of the family apartment
and that he is not a minor child.
The above should be sent to this office to the attention of Lois Barry. If you have
questions, please call her at 508-862-4039.
Sincerely,
Thomas Perry
Building Commissioner
Enclosure
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'TOWN OF.BARNSTABLE200 Sl Htr I' _
YOB OCCUPATION v all—
1 i�'STNO.; NAME F7 1972 CHEF
* 551 PARENT, TAN S
1948 RN , 573 MAKULIS, KERRI ANNE 1976
+ 164:ssySrCOMOLLI, LYNDA A 1980 STUDENT 1944 RETIRED
164 ',•tCOMOLLI, SARAH J 1990 CHILD * 573 WALSH, DIANNE 1942 RETIRED
} 189t ;rt;:XPENNEY,'ALEXANDRA 1959 HOUSEWIFE * 573 WALSH, MICHAELJ 1920 RETIRED
f+, EY,'ANGELAL 1959 PLUMBER * 573 WIINIKAINEN, HELEN E
189 PENN 1928 RETIRED
�+ 189 T'I'PENNEY;�ROBERT E 1955 SALES/OWNER * 590 CAPUTO, LEE J 1964 MERCHANT SEAM
{y-. :AA.A,$ISPRINKLE,'BRAD K 1987 STUDENT * 590 FULLER,JR BARRY O' 1937 RETIRED
* 190 . rTc1SPRINKLE, BRENDON T 1987 RN * 597 BLACK, GABRIELLE 1923 HOUSEWIFE
c« 190' 137`SPRINKLE, DONNA M 1990 STUDENT * 620 X HINCKLEY, BONNIE B 1935 RETIRED
�. 190;k,;" .SPRINKLE, HEATHER M 1988 . 621 MUNDAY;WALTER S
i* 1941 • -• —REGHITTO, ANDREW J * 640 ARAUJO,AMANDA DAWN 1981 OFFICE B.O.F.
;+ 194 qnr REGHITTO, ELISA MOORE 1980 * 640 HAYES, PATRICIA D 1932
i� 194i ,- , REGHITTO, ELIZABETHM 1956 NURSE * 640 HAYES, WILLIAMJ 1934 RETIRED
1956 ORTHO.SALES
* 194 . --t."REGHITTO, LAWRENCE J 1987 651 BOURNIVAL, LAURA E 1986 STUDENT
y ''194 REGHITTO, LINDSEY A : 651 BOURNIVAL, SHEILA M 1951 HOMEMAKER
_J194 REGHITTO, MICHAELLAWRENCE 1990 * 651 HOLTHOUSE,ADAMJ 1980
* HASELTON, EMMAE 1948 CHILD
194 1990 PROFESSOR 651 MCDOWELL, JULIANNE 1971 FLIGHTATTENDEN
+ 195 Ir HASELTON, LEE ELLEN « 66p DAVIS, FRANCES J 1944 SELF-EMPLOY
= 660 DAVIS, MERRILL H 1942 SELF EMP
MAGGIE LN * 695 ELLETSON, JENNIFER M 1965 HOMEMAKER
* 695 LEARY, JOSEPH F 1943 PROFESSOR
40
BARNOCKY, MICHAEL I 1991 STUDENT 695 LEARY, SUSANNE H 1951 RETIRED
40 BARNOCKY-GROSSMAN, KIMELIS1956 REAL ESTATE « 756 STREETER, CLYDE B 1951 MECH EN
1978 CLERK 1955 BANKTELLER
40 FIELDS, TERRY E 756 STREETER, ELLEN L
+ 40 GROSSMAN, ERIC M 1961 RETIRED TE + 756 STREETER, NATHANADAMS 1981 ATTORNMILITAREY
655 CLANCY, ROBERT W 1928 RETIRED * 761 MITCHELL, KATE 1946 ATTORNEY
* 65 MCHUTCHINSON, SUZANNE 1941 RETIRED * 761 TOALSON, PATRICIAG 1938 OFFICE MANAGER
+ 71 CATALANO,KIMBERLY M 1964 ARTIST : 820 ADAMS,ELIZABETH M 1956
71 CHILDS, PAUL R 1956 SELF EMP « 820 ADAMS, WILLIAM B 1959 MANAGEMENT
« « B20 DARDANO, EVAN R 1987 STUDENT
+ 820 DEVLIN, LORRI ANN 1958 RN
MAIN ST * 820 DEVLIN, STEPHEN J 1957 BUILDER
1946 HOUSEWIFE 1952 TEACHER
85 SILVERMAN,CAROL « g25 WHITE, SUSAN M
1977 STUDENT
85 SILVERMAN, DANIELJ « g37 MCCALLUM, LUCILLE B 1917 HOUSEWIFE
+ 85 SILVERMAN, IRA F 1940 PSYCHOLOGIST « B57 6A MORRISON, GEORGE A 1956 ASST PRINCIPAL
• 105 RICE, DAVID H 1954 PILOT * B57 MURTAUGH, KATHLEENA 1971 GUIDE COUNSEL
+ 114 SHERWOOD, JACOUELINE S 1933 TEACHER * 886 CLARKE, ALAN R 1932 TRANSLATOR
ARCHITECT 1935 BUS MGR
1931
= 114 SHERWOOD, LLOYD M + ggg CLARKE, GLORIA M
1955 INVESTMENT
NT
133 LAMBERT, DONNA L . 897 BUNNELL, JENNIFER L 1976 ACCOUNTA
1929 R 1974 COM.FISHERMAt
RETIRED• = 134 DAVIS,BARBARA R = g97 BUNNELL, MATTHEW A 134 DAVIS, ROBERT M 1951 RETIRED 970 MANN, MARLENE D 1961 HOUSE CLEANEF
+ 134 DAVIS, STEPHEN R 1960 RETIRED 970 MANN,JR RICHARD A 1955 MACHINIST
+ 139 PAANANEN,MARY E 1937 = 995 SUNDELIN, PETER A 1949 LAWYER
1975 GOLF COURSE SUP 1952 REALESTATE
+ 13g PAANANEN,RITAJ * gg5 TRAFTON, NANCY RUTH 1973 GOVERNMENT
« 151 LAUZON, MYRNA L 1946 SELF EMP + 999 GIBBS, PETERS
+ 1945 SELF EMP 1946 SALES
151 LAUZON, RAYMOND E + 1025 A OLANDER, ROBERT P 1962 STORE OWNER
* RETIRED
168 CRANE, RUSSELL A 1919 + 1040 COBLISH, JOHN G
1955 POSTAL EMP
+ 168 CRANE, YVETTE B 1923 HOUSEWIFE + 1040 WIINIKAINEN, JOHN A
c = KEITH G 1976 LABORER * 1050 BOYAR,ANDREAS 1988
169 BECHTOLD,
169 BECHTOLD, KEITH ALEXANDER 1991 = 1050 BOYAR, DAMIAN D 1986
+ 169 BECHTOLD,II JACK H 1948 CONSUL ENGIN « 1050 BOYAR, KEVIN M 1960
= 169 BECHTOLD-IMHOF, RUTH M 1954 SOCIAL WORK 1050 BOYAR, MICHEALINA 1989
60
: 194 CALDWELL, CHRISTIANE G 1963 NURSE « 1050 DELLAMORTE-BOYAR, MICHELLE ;9 00
* 194 CALDWELL, EDWARD FARROW 1959 PHYSICIAN * 1064 DOW,IV JAMES A
194 CALDWELL, JULIARENATE 1991 CHILD , 1071 CAPPELLINA,ALLYSONM 1989
s 200 NICKULAS, DONALD W 1934 RETIRED . 1071 CAPPELLINA, BARBARAL 1960 UNEMPLOYED
3 KENNEL OWNEI
196
229 BURKE, JENNIFER ELLIS 1964 ATTORNEY « 1071 CAPPELLINA, JOHN D 1963
+ 229 BURKE, JOHN D 1963 ATTORNEY « 1084 TAYLOR, LAUREN E
+ 1951 BOOK SELLER 1958
240 ONEY, DEBORAH A * 1084 TAYL, S SCOTT 1961 LAW
= 240 ONEY, STEVEN T 1970 WRITER * 1085 PAUL, SANDRA E
+ 1970 PHYS.THERAPIST * 1951 PICTURE FRAM.
259 HAWLEY,JR JAMES E 1085 SAWAYANAGI,JUNICHI
* 280 CHANDLER, MARSHA J 1950 + 1090 SCHERMERHORN, SHARON M 1948 SOCIAL WORKE
+ 1949 FISHERMAN 1969 MATRE'D
KURT D
280 OEHME, « 1094 THOMPSON, DAVID J 1967 SELF EMP
+ g31 RETIRED
300 WILLIAMS,S PATRICIAN • 1094 THOMPSON, SHELLEY M
1958 RETIRED
+ 1929 RETIRED
300 WILLIAMS,JR ROBERT J * 1247 GALL, DARA N S T 1961 UNEMPLOYED
+ 317 BASSETT, PHYLLISA 1957 DISABLED * 1374 GALL, DARAN
1957 SERVER 1930 RETIRED
j = 444 SCHULTE, SUSAN A * 1374 LANG, VE EDMUND 1931 RETIRED
462 CHILDS, ESTHER L 1928 HOUSEWIFE . 1375 LANG, EVEIYN J
* 462 ZEMKE, J ST L 1935 RETIRED * 1425 WENTWORTH, KEVIN PAUL 1945 COMM REAL ES•
* 1935 RETIRED 1946 ENGINEER
504 ZEMKE, ROBERT L * 1504 POGOR, RICHARD L 1963 HOMEMAKER
* 505 KOTWAS, ELLEN LEAN 1978 STUDENT 1504 POGORELC, METRE A
* 1945 DENTIST 1966.
505 KOTWAS,JAMES R * 1515 POGOREL L TIMOTHY J
1945 SECRETARY
as n * 505 KOTWAS, JUDITH A s 1515 MCDOWELL, DENISE PATRICIA-A 1974 CURS
* 521 BENSON, CAROLYN L 1936 1515 MCDOWELL,TIMOTHY 1967 CARPENT TIO
* 521 RUSSELL, CAROLE A 1936 SEMI RETIRED 1525 DESROCHERS, DAVID 1967 CARPENTER
+ 521 RUSSELL,SR WILLIAM J 1935 SEMI RETIRED * 1525 DESROCHERS, JUDITH A 1944 RETIRED
s 1944 SALES DESROCHERS, LISA 1969 PROJ MGR
526 BARRETT,BARBARAJ * 1540
+ 1942 FCLTY DIRECT
526 BARRETT,JAMESM 1912 + 1540 POGORELC, BARBARAA 1938 SHOP OWNER
* 526 ECK, ELIZABETH F * 1540 POGORELC, ROBERT L 1939 RETIRED
* 542 FLEMING, BARBARA 1965 HOMEMAKER * 1549 RAYLOVE, ROBERT GORDON 1949 ACUPUNCTUR!
* 551. PARENT, HEIDI, 1965 SALES
INDICATES VOTER 203
'' 4
Town of Barnstable
tia
r
Regulatory Services
9 BMtN■ ■
MASS. Thomas F. Geiler, Director
039. `0 Building Division
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
MEMORANDUM
TO: Tom
FROM: Lois
DATE: 3/9/09
RE: Family Apartment
820 Main Street
West Barnstable
William Adams was granted a family apartment for his father in 1987. In 2007, the
occupant was changed to his son. Kevin Adams. The 2009 affidavit lists Ethan Adams,
youngest son, as the occupant.
The List of Persons shows William Adams was born in 1959, his wife in 1956. I don't
see Ethan on the List of Persons.
Do you approve this change?
03/10/2009 08:21 5087755038 CORPBROSITYANNIS PAGE 01
Town of Barnstable
Regulatory Services
Thomas P.Geiler,Director �' 0h �d�I��BLE
Building Division 2099 1110, 10 Am g: 48
4 awnx®rws�, g Tom Perry, Building Commissioner
"AO 200 Main Street,Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I,being on oath, depose and state as follows:
`
My name'is ` )�� I am the owner/resident of the
property located at: 22=c)
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address: `,I
Name &relationship to owner:
Name & relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, 1 will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also
understand that I am required to comply with all conditions imposed by the 2BA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree
to notify the Building Commissioner immediately in the event of the sale of this property. .
If there is no longer a Family Apartment at this location, please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No.
Other
SW rn to r th _ pe lties of perjury this day of 2009.
Signature Phone Number Cp1Q1
Print Name '\_U t��
Q/b1dg/fb mmu/amatrd ` `h�C' li � 1`i �• 1-� � -
Rev;12/08
o
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� y
bi � I
f 01/11/2013 15:29 5087755038 CORPBROSITYANNIS PAGE 01
i V 11 u VL L/Na I&L"&S.w....
Regulatory Services
Thomas F. Geiler,Director
�► Building Division Tot�j N dtr poI'�
a t Thomas Perry,CBO,Building Commissioner
200 Main Street, Hyannis, MA 026017g 2 .`r'' d °1 3: j
www.town.b a rn sta b l e.m a ms
Office: 508-8624038 508-790-6230
Town of Barnstable Family Apartment Affidavit
I,being on oath, depose and state follows:
My name iswk)AA ►�� S I am the owner/resident of the
property located at: �� ��QSL t
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relati -onshtp to owner
Name &relationship to owner: do
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is permitted
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said,Family Apartment. I also
understand that I am required to comply with all conditions imposed by the.ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-'47.1 Family Apartments. I agree
to notes the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No- )
Other
wo t d e p an enal 'es of perjury this J day o 2013.
I'k►E
Signature Phone Number
Print Name IL 0y"N",
q:forms/famaffid:doc
rev 11/08/11
01/05/2012 09:09 5087755038 CORPBROSITYANNIS PAGE 01
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Directoii O.j;,,'! �'�'
Building Division wNAM
Thomas Perry,CBO,Building Commis toner
200 Main Street, Hyannis,MA 02601
www.town.barnstable-ma.us
Office: 508-862-4038
Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I,being on oath, depose and state as follows:
My name is 1 �'ItA � I am the owner/resident of the
` property located at:
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner:
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, 1 will immediately
note the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is permitted
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to notify the Building Commissioner-immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No.
Other
SW Lmd th s of r ury this day o _ 2012.
Signature Phone Number
t Print Name
q:forms/famaffid.doc
rev 11/08/11
01/11/2011 14:07 5087755038 CORPBROSITYANNIS PAGE 01
Town of Barnstable
Regulatory Services ¢ �e
Thomas F. Geiler, Director
Building Division a d 2: 12
i aARN9TABL6. L Thomas Perry, CBO, Building Commissioner
' MA88.
n'�+•�� 200 Main Street, Hyannis, MA 02601
www,town.barnsts ble.ms ms
Office: 508-862-4038 Fix: 508-790-6230
Town-of Barnstabie Family Apartment Affi avit
1, being on oath, depose and state as follows:
My name is � ' � � I am the owner/re5ide nt of the
property located at-
L40
The following members of my family will be the sole occupants ofthe family Apartment at the
aforementioned address:
Name & relationship to owner: v
Name & relationship to owner:
the Family Apartment will be the primary year-round residence for 0 e above-identified
family members. in the event that the listed relatives vacate said apartment. 1 will immediately
notify the Building Commissioner in writing. 1 understand that no subletting subleasing of'soid
Family Apartment is permitted,
I understand that. 1 am required to file an Affidavit annually with the I uilding
Commissioner listing the names and relationship of occupants in said Family. partment. 1 also
understand that 1 am required to comply with all conditions imposed by the Z1 A Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240--47.I Family Apartments, 1 agree
to notify the Building Commissioner immediately in the event of the sale of'thi property.
If there is no longer a .Family Apartment at this location, please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal N
Other
Sworn t u enalties of perjury this day of 2011.
0': —
Signature Phor e Number
Print Name V)4_�
03/31/2010 12:55 5087755038 CORPBROSITYANNIS PAGE 01
o own o Barnstable
1lZegulat ry Services
IMF
Thomas)F Geiler,Director
Buildi g DivisionTOWN OF BARNSTABLE
S enra Amz.
6M t om terry, B ilding Commissioner
.� 60 Main Stree ,Hyannis,MA oz�6o1 � 3 I Pit 2 0.6
rsD � www,towi barristable.ma.us
Office: 508-862-4038 DIVISION Pax: 508-790-6230
Town of Bart ftstable F mily Apartment Affidavit
I, being on oath, depose and st itt as follows:
My name is l X am the owner/resident of the
property located at:
I
The following members of to� mily will be the sole occupants of the Family Apartment at the
aforementioned address.
1 :�� 'Sj
Name &relationship to ownel .,
Name &relationship to owneq:
The Family Apa4t dnt will be th primary year-round residence for the above-identified
family members. In the Iv nt that the lis led relatives vacate said apartment, I will immediately
notify the Building Com. i sioner in writing. I understand that no subletting or subleasing of
said Family Apartment i ermitted.
I understand thdt am required o file an Affidavit annually with the Building
Commissioner listing the atnes and rel tionship of occupants in said Family Apartment. I also
understand that I am reo ed to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnet ble.Zoning D dinances Section 240-47.1 Family Apartments. 1 agree
to notify the Building Coen' issioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location, please explain_
The apartment has beexi e.ismantled.
The apartment has been ansferred to he Amnesty Program (Appeal No. )
Other
wor toftunthe enall s of pe ury this_3_bdayof_b2RLL 2010.
S i gY1 ature Phone Number
Print Name r
Q/bldg/forms/fsmaffid
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920 MAIN ST rnie 75.00 -
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apt 264.06 _
TOTAL' 383.06
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ills taooids:li{th9 F4,Iv dame oa�lule�oibcel at,ffia d ay�hlae
IF THIS VEHICIaE IS MBSMY ACQUIRED, IT
KUST BE IN WITHIN SBVSI'I (7} DAYS /°'� D
OF REGISTRATION.
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Town of Barnstable
Transfer Station and Recycling Center OD
2010 Sticker Application
Please print k
Name
Barnstable Street Address
to
4 �
Village CO
• D
Vehicle #1 Vehicle #2 - Z
H
Registration
Registration
By purchasing a Transfer Station sticker and signing where indicated below, I am agreeing to
comply with all rules of the Barnstable Transfer Station, including, but not limited to those on
the back of this form.
Signature: Date:
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I' 04/23/2008 07:39 5087755038 CORPBROSITYANNIS PAGE 01
Town of Barnstable
Regulatory Services
Thomas F. Geller,Director ;z Y �,� i,ABLE
1" t r
I .
Building Division
Tom ferryNAM , Building Commissioner �}7
IL
! �� 200 Main Street,Hyannis,MA 02601d ��� �3 ��
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
1, being on oath, depose and state as follows:
My name is W���K � I am the owner/resident of the
property located at: Klkl �
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
CName&relationship to owner: -� Sd�1
Name & relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing.I understand that no subletting or subleasing of
said Family Apartment is permitted,
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit'
and/or the Town of Barnstable Zoning Ordinances Section 240-47.]Family Apartments. I agree
i to notify the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn t d e pa' alties perjury this day of 4kvh 200 D�
Signature Pone Number
Print Name
Q/bldg/forms/fhmaPfld
Rev:1/03
02/23/2007 08:47 5087755038 CURPBROSITYANNIS PAGE 01 n ��
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
Building Division
II a�arars,►®u, 3 Toro Perry, Building Commissioner
.eye. 200 Mein Street,Hyannis,MA 02601
i
www.town.barnstable.ma.us
I
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
1, being on oath, epose and�sfollows:
My name is � `-, I am the ommeriresident of the
property located at: � Kim �.. �
The following members of my family will be the sole occupants of the'1;amity Apartment at the
aforementioned address:
Name&relationship to owner:
Name&relationship to owner:
j C
The Family Apartment will be the primary_year-round residence for the above-identi It
family members. In the. event that the listed relatives vacate said apartment,l ivill immediatel+jam
notify the Building Commissioner in writing. I understand that no subletting or subleasing of w W
said Family Apartment is permitted. �}
1 understand that I am required to file an Affidavit annually ivith the Buildi g "
Commissioner listing the names and relationship of occupants in said Family A.partm nt. I also
understand that I am required to comply with all conditions imposed by the ZBA Speci'al Permit oa
and/or the Town of Barnstable Zoning Ordinances Section 240-47,1 Family Apartments. 1 agree rrn
to notify the Building Commissioner immediately in the event of the sale. of this propeity.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No.
Other
Sworn t ur1 the a man en lties of perjury this day of �, 2007.
Signature Phone Number
Print Name
QNdg/fnrms/fhMafTid
Rev:1/03
02/20/2006 09: 46 5087755036' CORPBROSHVaNNIS PAGE 01 O]t
Town of Barnstable
Regulatory Services
'I"bomss F.Geller,Director
Building Division
$ a Tom Per Builds Commissioner,
WAK zoo Ma sweet,x a;s,r4A oa6o170fi FEB 21 A� 0. 0 4
M1 A
www.tow®.barnstable.rn a.us
- �i ISION
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
1,being on oath, depose and state as follows:
My name is __ + -�`� -- I am the owner/resident of the
prop located at;
property located rr
Map and Parcel Number b -
The following members of my family will be the sole occupants of the Family Apartment at the
aforermentioued address:
Name &relationship to owner:
Name&relationship to o Amer:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listen relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing.I understand that no subletting or subleasing of
said Family Apartment is permitted.
I under.tand that 1 am required to file an A f davit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment.l also
understand that I am required to comply with all conditions imposed Hy the ZBA Special Permit
cxn&or the Town of Barnstable Zoning ordinances Section 240-47.1 Family Apartments. I agree
to notes the Building Commissioner immediately in the event of tFte sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been tratisferred to the Amnesty Program (Appeal No. _ )
Other
S W Eta
tiethis day of _ 2006.
i
Signature Phone Number
Print Name 11L - —�
i
ctteidWfomsfimnififfid
Rev:1/03
03/04/2005 09:00 5087755038 CORPBROSITYANNIS PAGE 01
�.c....._—.._...
--.__.--^Town of Barnstable
;�..
Regulatory Services
Thomas F.Geiser;Director ToviPl 0 6WAS1A$lE
a Building Division
t t -Tom perry, Building CornmisssonRAMPTASUL QS MAR —I A" 9, 26
b1A 200 Main Street,Hyannis,MA 026
es9
� www.town.barnatable.nla.gs
MY ISIGH
Fax: 508-790-6230
Office: 508-862-4038
Town of Barnstable Family Apartment Affidavit
I, being on oath,depose and s 9 as follows:
My name is I am the owner/resident of the
property located at:
R4 -
Map and Parcel Number
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address: i l
Name& relationship to owner:
Name & relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment.I also
understand that I am required to comply with all conditions imposed by the ZBA in the Appeal
No, identified above. 1 agree to notify the Building Commissioner immediately in the event of the
sale of this property.
If there is no longer a Family Apartment at this location, please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to tige;,_ �a
nalties of perjury this day of 2005.
Signature Phone Number
Plaint Name _
Q/b Idg/fonnsdfamaftid
Rcv:1/03
02/03/2004 09:14 5087755038 CORPBROSITYANNIS PAGE 01
'Town of Barnstable
Regulatory Services
Thomas F.Geller,Direc or 1 r. !ABLE
1 Building Divisio
_ .mil AMA $ Tom Perry, Building Conim ssionern r
�e 19
200 Main Street,Hyannis,A 02601����` ��'� °� ��
Office: 508-862-4038 j 4' !I I D'i"l Fax: 508-790-6230
Town of Barnstable Family A artment Affidavit
I,being on oath,depose and state as follows:
My name is t tl Tam the owner/resident of the
(I /
property located at:
i Map and Parcel Number
The ZB A granted me a Special Permit/Variance on
Date Appeal No.
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
V
Name&relationship to owner: ��c_&_�
Name &relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment,I will Immediately
notify the Building Commissioner in writing.I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment.I also
- - understand that I am required to comply with all conditions imposed by the ZBA in the Appeal
No. identified above. I agree to notify the Building Commissioner immediately in the event of the
sale of this property.
If there is no longer a Fatnily Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No.
Other
Sworn to under th ns ies f perjury this I RL) day of 2004.
Signature 1 Phone Number
Print Name I
Q/Dld@/forM/tatMMd
Rev:VW
02/26/2003 10:49 5087755038 CORPBROSITYANNIS PAGE 01
Town of Barnstable
Regulatory %Vsel BtatZI�ISTABLE
Thoom F.Geiler,Director
Building RP44 126 PM 12: 34
i ,�, Tom Perry, Building Commissioner
1°AW 200 Main Street,Hyannis,MA 02601
+ssv.
DIVISION
Office: 508-862 4038 Fax.: 508-790-6230
Torn of Barnstable Family Apartment Affidavit
1,being on oath,depose and state as follows:
My name is l I I am the owner/resident of the
property located at:
Map and Parcel Number
The ZBA granted me a Special Permit/Variance on _
� 7- a 6 6
Date Appeal No.
The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in
Barnstable County: Book Page
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address: , u
Name&relationship to owner:
Name&relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment. I will immediately
notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA in the Appeal
No. identified above. I agree to notify the Building Commissioner immediately in the event of the
sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No. )
Other
Sworn to under pal ' s of perjury this day of 2003•
)LUAA�
Signature Phone Number
Print Name —
Q�n��t�taa
Rev;1l03
r u
%'03/ON2002 11:47 5087755038 _- CURP8ROSITYW4I.3 PAGE 01
_-...--�----�_T®von of Barnstable V
Regulatory SeFv Osc.
Thomas F.Geller,Director
Building Divisro 1N Qr gAR1dSTABIE
peter F.Di.Matteo, Buulding
Gou=bsioner
>a 200 Main Street,Hyannis. L �1R 8 P
Fax: 508-790-6230
Office: 508-862-4038
DIY N
Town of Barnstable Family Apart nt Affida�lt
I, being onn oath,depose and state as follows:
My name is �� � � — I am the owner/resident of the
property located at:
Map and Parcel Number
The ZBA granted me a Special pezmit[Variance on 9Date Appeal No.
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name&relationship to owner:
Name&relationship to owner:
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. l.understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that 1 um required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA in tine Appeal
No. identified above. I agree to notify the Building Commissioner immediately in the event of the
sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.. .
The apartment has been transferred to the Amnesty Program(Appeal No. , _)
Other
Sworn to under the pains and penalties of perjury this day of_ Mg_Ck 2002.
Signature Phone Number
1500
Print Name EVE
j bldg/fo=s/famafl'd
Rcv:010702
;!, 01J30/2001 11:12 5087755038 CORPBROSITYANNIS PAGE 01
COMMONWEALTH OF MASSACHUSETTS
a BARNSTABLE AFFIDAVIT _
being on oath,
depose and state as follows:
1.)I reside A ao
2.) l am the owner thF pro located
at
shown on Barnstable Assessors maps as MAP PARCEL -'7
not live a Family Apartment at this location.
4.) On , 199 ,the Zoning Board of Appeals, on Appeal No.
granted me a Special Pemut/Vanance to xn;kintain a Family Apartment at the above address.
5.) 1 understand that the Family Apartment may only be occupied by members of ray family.who
are persons related to me by blood or by marriage.
6.The following members of my family will be the sole occupants of the Family Apartment at the
above address:
a) NAME
Relationship to owner:
b) NAME--
Relationship _
Relationship to owner:_--
7.)The Family Apartment will be the primary year round residence for the above-identified family
members.
8.) In the event that the above-listed relatives)vacate said apartment, I will immediately notify the
Building Commissioner in writing.
9.) I understand that no subletting or subleasing of said Family Apartment is permitted.
10.) I understand that I am required to annually file an Affidavit with the Building Commissioner
listing the names and relationship of my family members occupying said Family Apartment
1I.) I understand that I am required to comply with all conditions imposed by the Board of
Appeals in Appeal No.
12.) I agree to immediately notify the building Commissioner in the event of the sale of the above-
hoed property.
Swom to under the pains and penalties of perjury this �h day of
signature
Print Name
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE E C E3�Iv
0
1, ----LQ ------ — ---------- — — Tod
depose and state as follows: '
N OF B RNSTABLE
1.) I reside at_— aO_—�1'��� Lpl IV,
2.) 1 am the owner of the pro erty located
at--------- '------------------ ---------------------------------
shown on Barnstable Assessors' maps as MAP___, --__PARCEL___________
3.) 1 Do-- _----Do not have a Family Apartment at this location.
4.) On____--____---__—, 199____, the Zoning Board of Appeals, on Appeal No.______
granted me a Special Permit/Variance to maintain a Family Apartment at the above address.
5.) 1 understand that the Family Apartment may only be occupied by members of my fainily who
are persons related to me by blood or by marriage.
6. The following members of my family will be the sole occupants of the Family Apartment at the
above address: 1
a) NAME--- K�L c_oL
----------------------------
Relationship to owner:---- �1��_----------------------------------
b) NAME--------------------------------------------------------------------
Relationship to`owner: I -_ ---- -----
7.) The Family Apartment will be the primary year round residence for the above-identified family
members.
8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the
Building Commissioner in writing.
9.) 1 understand that no subletting or subleasing of said Family Apartment is permitted.
10.) 1 understand that I am required to annually file an Affidavit with the Building Commissioner
listing the naives and relationship of my family members occupying said Family Apartment.
11.) 1 understand that I am required to comply with all conditions imposed by the Board of
Appeals in Appeal No. —_—___________
12.) 1 agree to immediately notify the Building Commissioner in the event of the sale of the above-
listed property.
Sworn to`und&-the pains and penaE6s' of
penury this — , 99_ _ ___ ____
_
Signature
------------ -- ----- -- ----------------------------
Print Name p —L�� ��
----- — -- — -- -----------
a � vrrd d �
� 7
U
s�
�5 Zo ���
COMMONWEALTH OF MASSACHUSETTS
BARNSTAB�jLnE AFFIDAVIT
being on oath,
depose and state as follows: ` RNSTABLS
?OWN OF BA
1.) I reside at " x_ a d -----(� I rV _ 1 _ V�/ i_ ��d�{ E_TL/� /�
fAN209
DJ
2.) I am the owner of the property located ��pp
at — ---------�� -------- — -�shown on on Barnstable Assessors' maps as MAP ____---PARCE
3.) I Do N4 &M I L J �s ( 1'`SC ------ --
o not �•�
—_—have a Family Apartment at this location.
4.) On ? —, 199 , the Zoning Board of Appeals, on Appeal No. 7
granted me a Special Permit/Variance to maintain a Family Apartment at the above address.
5.) I understand that the Family Apartment may only be occupied by members of my family who
are persons related to me by blood or by marriage.
6.The following members of my family will be the sole occupants of the Family Apartment at the
above address:
a) NAME- _MA f C 0 4 nl�_1 -----------------------------
Relationship to owner: A M L-
b) NAMEL�'l� A PJ1 -
Relationship to owner:_
-ter.
7.) The Family Apartment will be the primary year round residence for the above-identified family
members.
8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the
Building Commissioner in writing.
9.) I understand that no subletting or subleasing of said Family Apartment is permitted.
10.) I understand that I am required to annually file an Affidavit with the Building Commissioner
listing the names and relationship of my family members occupying said Family Apartment.
11.) I understand that I am required to comply with all conditions imposed by the Board of
Appeals in Appeal No.
12.) I agree to immediately notify the building Commissioner in the event of the sale of the above-
listed property.
Sworn to under the pairis and penalties of perjury this-----day of_ � _, 199
Signature
ADA AA_5�
Print Name
,oFVE bra, The Town of Barnstable
Department of Health Safety and Environmental Services
Building Division
�a� �� 367 Main Street, Hyannis MA 02601
APED MA'S�
Office: 508-790-6227 Ralph M. Crossen
Fax: 508-790-6230 Building Commissione
January 7, 1998
The Adams Residence
820 Main Street(Route 6A)
West Barnstable, MA 02668
Re: Family Apartment located at the above address
Dear Mr./Ms. Adams,
Our records indicate you have not filed an affidavit regarding the above referenced family
apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of
Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of
such occupancy. Please indicate the status of the family apartment on the enclosed affidavit
return to this office by January 30, 1998.
Enclosed is an affidavit for your convenience.
Thank you in advance,
Ralph Crossen
Building Commissioner
i
QUERY PROPERTY: QUERY END
QUERY PROPERTY
PENTAMATION----------------------------------------------------------- 01/07/98
PARCEL ID 156 017 GEO ID 8892
LOT/BLOCK PARCEL DBA
PROPERTY ADDRESS OWNER ADAMS
820 MAIN STREET/RTE 6A ( MALCOLM H &
ADAMS WILLIAM B
W BARNSTABLE 820 ROUTE 6A
W BARNSTABLE MA 02668
PHONE DISTRICT WB
DEVELOPMENT STATUS C ASSESSOR' S CODE
CAPACITY(NOTES)
ZONING DIST/ZOC RF SEWER SYSTEM
FLOOD PLN/ELEV. WATER SYSTEM
OKH? Y # BEDROOMS
ZBA DECISION FAMILY APT
LOT SIZE 1147806 OPER/MGR NAME
WET LANDS MULT ADDRESS
USE 718 PROTECT DIST
(N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS /
(V) IOLATIONS / (G) EOBASE / (E) XIT
NO MATCHING RECORDS FOUND
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, ss:
x ' H�] `� � I4 ��� AF'F'IDAVIT
jIkCOL being on oath and state as follows :
1 depose
1 . ) I reside at�'►�� l�d>C t�"c20 E'�' Vl/'�J� .� �J�.�
2 . ) I am the owner of the property located at
shown o
18C X-UC� eAss ��or , Maps as -
Map 414ALot /�DpG�SS.
D r- 3
3 . ) On - ,mil/�i�,L� �'� , 19__D?_., the zoning Board of
Appeals, on ApP-e'al No._
granted me a special
permit to maintain a family apartment at t �1�,
� • ) I understand that the familyapartmentto O e address.
occupied by .members of my family who areperso may only be
me by blood or by marriage . persons related to
5 . ) The following members 'of my family will be the
so1.e occupall s of the family ap rtment at th
(1) Name : e move address:
Ia4,Go /' 1 C)ANtS
Relationship to Owner: - o
(2) Name:
Relat.ions1lip to Owner: r
6 . ) The fanjily -apartment will be the primary year-°
round residence for the above-identified family members.
7 . ) In t:.h(-::, event - that the above-listed relative(s)
vacate said apartment, I will immediately notify the
Building Commissioner in writing .
S . ) I understand that no subletting or subleasing of
said family apartment is permitted.
9• ) I understand that I am required to annually file
an Affidavit with the Building Commissioner listing the
names and relationship of my family members oc
family apartment . cupying said
10 . ) I understand that I am required to•.comply with
all conditions imposed by the Board of Appeals in npnca` l�o.
agree to immediately notify the Building
Commissioner in the event of the sale of the above-listed
Property .
-Sworn to under the pains aid
S 1 day of _ �) U�/ o penalties of perjury this
19 3.
TOWN OF BARNSTABLE CFT. (signature) ��-6�
BUILDING DE
(Please Print Name) : .'
(JU N 2 2 r199T I, L.0- Fez ,4
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, ss: J AFFIDAVIT
I ' MALCO14A �� /TPA rn��5 , being on oath
and state as follows : depose
1 . ) I reside at F22-o MA//y 5TR r�- /
2 . ) _ I am the . owner of the property located at
shown on Barnstable Assessors ' Maps as :
Map DTAi-A I Qk6 Lot P.4GF +/((yC . 166(> 3 156 ,017
3 . ) On PAA 19�, the Zoning Board of
Appeals, on Appeal No. granted me. a special
permit to maintain a family apartment at the above address.
4 . ) I understand that the family 'apart.ment may only be
` occupied by ,members of my family who are persons related to
me by blood or by marriage .
5 . ) The following members of my family will be the
sole occupant., f the family a art en at the above address:
(1) Name: A LCU4 D MS
Relationship to Owner:
(2) Name:
Relationship to Owner:
6 . ) The family apartment will be the primary year-
round residence for the above identified family members .
7 . ) In the event that the above-listed relative(s)
vacate said apartment, I will immediately notify the
Building Commissioner in writing .
8 . ) I understand that no subletting or subleasing of
said family apartment is permitted.
9. ) I understand tt-at. I am required to annually file
an Affidavit with the Building Commissioner listing the
names and relationship of my family members occupying .said
family apartment .
10 . ) I understand that I am required to..comply with
all conditions imposed by the Board of Appeals in Appeal No.
10 . ) I agree to immediately notify the Building
Commissioner in the event of the sale of the above-listed
property.
—jSworn to unde the pains and penalties of perjury this
day of _ 190-71_�' A DAM 5
RDA" (Signature)
^" (��N 5 I�992 (Pl �e Pr nt N me )
� r
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, ss° AFFIDAVIT
I . 2� being on oath, depose
and state as follows :
1 . ) I reside at ,1 L6z (az �Q`4 (�4
N2 . ) I am the owner of th propsrzt,� 1 - ted =�
shown on-11 n� e Assessors ' Maps as :
1� 1 of IVD l L- SU A/C
G 6e 3 . ) On , 19 '?/ , the Zoning Board of
Appeals, on Appeal No. granted me a special
permit to maintain a family apartment at the above address .
4 . ) I understand that the family apartment may only be
occupied by .members of my family who are persons related to
me by blood or by marriage .
5 . ) The following members f my family will the
sole occupant, f the f m ' tm a e addre s:
(1) Name: r
Relationsh to 711ner:
(2) Name :
Relationship to Owner:
6 . ) The family apartment will be the primary year-
round residence for the above-identified family members .
7 . ) In the event that the above-listed relative(s)
vacate said apartment, I will immediately notify the
Building Commissioner in writing .
. 8 . ) I understand that no subletting or subleasing of
said family apartment is permitted.
9 . ) I understand that I am required to annually file
an Affidavit with the Building Commissitoner listing the
names and relationship of my family members occupying said
family apartment .
10 . ) I understand that I am required to•.comply with
all conditions imposed by the Board of Appeals in Appeal No. 7
10 . ) I agree to immediately notify the Building
Commissioner in the event of the sale of the above-listed
property.
worn to unc� the pains and penalties of perjury this
day c J U ti 19 .
la fN�w AF
RECEIVED
,� (Signature)
`
J U 6 ���' (Please Print Name) :
/A ))A MA�� NNALCOLA4.
TOWN OF BARNSM
.t b
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, AFFIDAVIT
ss:
I , being on oath, depose
and state a follows :
1 . ) I reside at �'�� � ��� V cq
2 . ) I am the owner of the pro rty loc ted at
N0R j H SIDE -Ti- ,
shown on Barnstable A sessors , Maps as : A/04
Map , Lot F,AG'-44 /1/ 66,0--3 js-6 °o/rl
3 . ) On MAZ 19 90 , the Zoning Board of
Appeals, on Appeal go. granted me a special
per to r f.-m_;R,sf, _ p tm �t the cuove address .
emit ., mamas- � a- �,.,�y a .1r en,.. - �. �' s
4 . ) I understand that, the family apartment may only be
occupied by .members of my family who are persons related to
me by blood or by marriage .
5 . ) The following members of my family will be the
sole occupants of the family y�par' nt at the above address:
(1) Name: �C U 1, }'I L; a
Relationship to Own r: 1 A M TH L^ 0 W �_R
(2) Name:
Relationship to Owner:
6 . ) The family apartment will be the primary year-.
round : residence for the above-identified family members .
7 . ) In the event that the above-listed relative(s)
vacate said apartment, I will immediately notify the
Building Commissioner in writing.
8 . ) I understand that no subletting or subleasing of
said family apartment is permitted.
9. ) I understand that I am required to annually file
an Affidavit with the Building Commissioner listing the
names and relationship of my family members occupying said
family apartment .
10 . ) I understand that, I am required to:.comply with
all conditions imposed by the Board of Appeals in Appeal No.
10 . ) I agree to immediately notify the Building
Commissioner in the event of the sale of the above-listed
property.
,worn to under the pains and penalties of perjury this
day of �{� 19$Q.
a
(Signature)
(Please Print Name) :
Jmseph D. DaLuz Telephone: 775-1120
Building Commissioner Ext. 107
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
TOWN OFFICE BUILDING
HYANNIS , MASS. 02601
May 16 , 1990
Mr. Malcolm H. Adams
820 R6ute 6A
West Bar.-nstable, MA 02668
Re: Family apartment located at
820 Route 6A
Dear Mr. Adams:
A year ago you filed an affidavit with this office re
the above referenced family apartment . It is required, by
Section 3-1 . 1 (3) (D) (1 ) of the Town of Barnstable Zoning
By-law, that an affidavit be submitted annually for the
duration of such occupancy.
Enclosed is an affidavit form for your convenience .
Please complete this form and return it to this offic.•e as
30on as possible.
Peace,
J s ph D. a z
uilding C.o issioner
7 T)D/km
enclosure
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, ss: AFFIDAVIT
being on oath, depose
and state as follows: ;
t
1 . ) I reside at C �1� T\O<.� ��/�� W'3Lw�/, ,
2 . ) I am the owner of the property located at {
A hU V C-, A DD�E
shown on Barnstable Assessors , Maps Lot as :
map �s�C�L. 1. �3°�5
� — - - '..�'_"
3 . ) On C the Zoning Board of
Appeals, on Appeal No. granted me a special
permit to maintain°-a family apartment at the above address .
4 . ) I understand that the family apartment may only be
occupied by members of my family who are persons related to
me by blood or by marriage .
5 . ) The following members of my family will be the
sole occupant the family apeAtment at the above address:
(1) Name:
Relationshi to Gw
per:
ti �2 ✓ �,aJ—z 9 �1 �, /der
Relati ship to Owner:
6 . ) The family apartment will be the primaiVy year
round residence for the above-identified family members .
7 . ) In the event that the above-listed relative(s) r
vacate said apartment , I will immediately notify the
Building Commissioner in writing. {
8..) I understand that -no subletting or subleasing of
said family apartment is permitted.
9. ) I understand that I am required to annually file
an Affidavit with the Building Commissioner listing the
names and relationship of my family members occupying said
family apartment .
10 . ) I understand that I am requited to comply with
all conditions imposed by the Board of Appeals in Appeal No. 7
/7 T7 6 6
10 . ) I agree to immediately notify the Building
Commissioner in the event of the sale of the above-listed
property.
j lSworn to un the pains and penalties of perjury this
(( day of
(Signature)
(Please Print Name) :
I..1-
'I 1J i. rt u rr,i,n i s F..,,i :1 1-1<--,r,
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
TOWN OFFICE BUILDING
HYANNIS, MASS. 02601
April 24,
Malcolm H. Adams
820 Route 6A
West Barnstable, MA 02668
Re: Appeals No. 1987-66
Dear Mr . Adams :
On August. 13 1987 , as applicant(s) you were granted a
Special Permit for a family apartment. "The intent of this
by- law shall be to allow one ( 1 ) additional living unit , complete
with Kitchen and bath to supply a year-round residence for a
member or members of the property owners fam i I y. . . . . . . . . . . . .� In
addition, the by-law also states that "The property owner, and
the person or. persons who will reside in the family apartment
snail sign affidavits before occupying said family apartment and
further, all shall sign said affidavits each year said family
apartment is occupi6cl. . . . . . " . Within sixty (60) days from the
date the person or persons residing in the family apartment
vacate the premises , the owner or his representative shall remove
the kitchen facilities and request the Building Inspector to
inspect the premises.
It is important that you understand that there are
restrictions which relate to the applicant's family living at the
same Premises. The use cannot be transferred.
Conviction of a violation of this by-law is subject to a
fine of $100 r-)e-r clay for each clay from the established date of
offense and, also, subject to a criminal complaint to issue from
the First District Court of Barnstaple.
Affidavits must be signed and filed at the Building
Commissioner ' s office between toe nours of 9: 30 A. M. and 1 : 30
P. M . Monday through Friday.
"finis rjy- law snall be strictly enforced.
Peace,
- o2p 1 r) D. ) uz
Building Commissioner
JDD/km
cc Board of Appeals
Town Counsel
f 1'viN i L E R K
'iIILE. "1GSS.
s
TOWN OF BARNSTABI;E
Zoning Board of Appeals '87 AUG 26 All 8 3l
Ir,.QIm_.H......Adams........._._.........._.._.__........_.........._...._...._._.
_. Deed duly recorded in the
M
Property Owner
County Registry of Deeds in Book ............._.._..._......
Page ................ReOstry
.....................................................Petitioner
District of the Land Court Certificate No. r
................ Book ........................ Parre ..................
AppealNo. _....... ._............................... .............................................................................. 19
FACTS and DECISION
1
William B. Adams filed petition on .........July,.,28,.........._ 19 87
Petitioner
requesting a variance-permit for premises at 820 Rte 6A •,..,.•,,,,,,•,-.,.,••......................._........., in the village
(Street)
W. Barnstable——._ ......... , adjoining premises of __ ...._._. (see attached list) ._.................................
of ......_..___...___..__....._..._ ______
Locus under consideration: Barnstable Assessor's Map no. ........_.15.6............................. lot no. ........Q. .L............
Petition for Special Permit: Is
Application for Variance: ❑ made under Sec. _..........V...............-••••........................... of the Town of Barnstable
• ii
Toning b laws and Sec. ..... _._._................ ........................ Chapter 40A., Mass. Gen. Laws
for the purpose of __An...apa:tz)ent...abaue._attached....garage-..w,ith....kitche ...� ld...pR�...kZr tk�......
Locusis presently zoned in._......._ RF .......................... ..................................._..........................._............
Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and
by publishing in. Barnstable Patriot newspaper published in Town of Barnstable a copy of
which is attached to the record of these proceedings filed with Town Clerk.
A public hearing by the Board of Appeals of the Town of Barnstable eras Feld at the Town
__u..3L?....st...............R..........__._........__.._.........._ 1987 ,
Office Building, Hyannis, )Mass., at P.M.. A 13
upon said petition under zoning by-laws.
Present at the hearing were the following members:
i
!A.........................................
Ron....Janszm................_..........
..._
_...
Chairman
James..
1vlcGrath..,...._..........._......�;.:� Wi,rtarien.._....:.:............ ...:..........._.............................
f vAt.the conclusion of the hearing, the Board took said petition under advisement. A view of the
locus was made by the Board.
Appeal No 1 9 8 7-6 6 Page 2 . of 4
On 19 , .The Board of Appeals*found
DECISION-NO: -1987=66
On August 1.3, 1987, The Board of Appeals found as
follows: ,
FACTS:
The Petitioner represented himself and seeks a special
permit pursuant to Section V of the Zoning By-laws under the
terms of which he seeks to establish a family apartment at 820
Route 6A, West Barnstable, in an •RF zoning district. Mr. Adams
stated that his family consisting of his wife, two children, and
his father are currently all living in the main house. He
proposes to construct a family apartment for his father by
placing the apartment above an attached two car garage, which
would enable the elderly father to have some privacy yet to be
close to his son • in the event of illness. Mr. Adams indicated
.that his father is a year-round resident of the Town of
Barnstable.
The Petitioner indicated he had read and was fully aware
of all of the provisions of Section V of the Zoning By-laws.
There was no opposition presented to the petition.
DECISION:
Gail Nightingale made the following findings:
A. . That -the Petitioner fulfills all of the criterion
set forth under Section V of Zoning By-laws;
I, Clerk of the Town of Barnstable, Barnstable
County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals
rendered its decision in the above entitled petition and that m) appeal of said decision has been filed
in the office of the Town Clerk.
Signed and Sealed this day of .. r 19 under the pains and
penalties of perjury.
Distribution
Property Owner
Town Clerk ]bard of Appeals
Applicant Town of Barnstable
Persons interested
Building Inspector
Public Information By
Board of Appeals Chair
ma
: i
rAt the conclusion of the hearing, the Board :took said petition under advisement. A view of the
locus was made by the Board.
Appeal No-- 19 8 7-AA__
—Y— Page ___3— of d
On 19_ , The Board of Appeals found
B. That the granting of a special permit to the
Petitioner for the conversion of the above area over
his garage into. a family apartment, would not result
in substantial detriment to the public good or the
neighborhood effected.
Based upon these findings, member Gail Nightingale made
a motion. to grant the special permit to -the Petitioner for the
family - apartment, pursuant to the plans being submitted provided
that:
A. The Petitioner fully complies with all of the
requirements of Section V, including affidavits to
be provided by the persons occupying said family
apartment to be filed with the Building Inspector
and to be filed annually;
B. A final inspection of the family apartment obtained
by the Building Inspector prior to the issuance of
an occupancy permit;
C. With the understanding that the Petitioner must
remove the kitchen facilities within sixty days from
the date the person(s ), residing in the family
apartment vacate the premises, and notify the
Building Inspector to inspect the premises,
restoring the building involved as nearly as
possible to the original character of the building
as they were before the family apartment was
created.
The motion was seconded by Dexter Bliss.
I, Clerk of the Town of Barnstable, Barnstable
County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals
rendered its decision in the above entitled petition and that no appeal of said decision has been' filed
in the office of the Town Clerk.
Signed and Sealed this _____ _ day of ___..._._ ._ _ _ 19 under the pains and
penalties of perjury.,
Distribution:—.
Property Owner
Town Clerk Board of Appeals
Applicant Town of Barnstable
Persons interested nt
Building Inspector\
Public Information
By
Board of Appeals Chairma
At
the conclusion of the hearing, the Board took said petition under advisement. A view of the
`xr s,w w,as made by the Board.
Appeal No 19 8 T-6 6 Page __A._ of '4
On 19 , The Board of Appeals-found
Gail Nightipgale, Dexter Bliss, James McGrath, Helen
Wirtanen, and Ron Jansson unanimously voted to grant the petition
subject to the conditions enumerated.
Y
IU fLL- . 6 SS`T._ Clerk of the Town of Barnstable Barnstable
County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals
rendered its decision in the above entitled petition and that no appeal of said decision has been filed
in the office of the Town Clerk.
Signed and Sealed this �7 _ day of �F�:. � 19 � under the ains and
penalties of perjury.
Distribution:-
Property Owner r __ .._ .._ .......
Town Clerk Board of Appeals
Applicant ;; 'Down of Barnstable
Persons interested
Building Inspector
Public Information By
Board of Appeals Chairm n
°�" - ----- ------------------"--- ----- --------------------------------------- --- .
R 156 017. A P P R A I S A L D A T A KEY 88924
ADAM'S, MALCOLM H
LAND BLD/FEATS IRES BUILDING'S NUMBER ZN/FL=RF
207, 500 7, 100 106,300 1 A-COST 320, 900
B-MKT 198,900
BY 00/ BY AM 5/87 C-INCOME
PCA=71 S 1 P_L,=Oo SIZE= 2482 JUST-VAL 320, 900
LEV=500 CONST-0 0
----COMPARISON TO CONTROL AREA 88AB -- --MAY NOT BE COMPARABLE--
NEIGHBORHOOD 88AB WEST BARNSTABLE
PARCEL CONTROL AREA TREND :STANDARD
103 10 LAND-TYPE
207500] LAND-MEAN +67.
3209001 97:1,03 IMPROVED-MEAN +9% . 25%
] ' FRONT-FT
13 100 DEPTH/ACRES TABLE 02
100%3 LOCATICAN-ADJ APPLY-VAL-STAT 1
LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA-MEASUREMENT, NOR]NOTES
COM]MARKET INC] INCOME PMR]PERMITS GRR]GRAPHIC
FUNCTION-[ ] STRUCTURE-CARD 1\1 i-C f_00] DATA-' [ ] XMT C ]
R 15G 017 o P E R M I T C PMT] ACT I ON C R] CARD C 0001 F-EY . 88924 .
00000000],.
PERMIT-NCB MO YR TYPE VALUE CK-BY Mu YR. %CMP NEW/DEMO COMMENT
C B3008G] 1103 1861 [AD] a 300001 [AM] C 01 1 , C 87 J 11003 [NEW J C WB GARAGE ]
C ] C .] C ] C ] ] ] C ] C ] C ] C ] C ] C ]
C ] C J C .J C a s ] C ] c J C ] C ] C ] C ]
C J C ] C a C ] J J C J c J C ] C J C ] c J
C J C a C ] C I ] C ] C ] c ] C J c ,] C ]
C ] C ] L ] C J ] 7 C ] C J C J C ] C ] C ]
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C J C ] C J c a ] J C ] c ] C J C ] c ] C ]
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i
-%- --- --- -- - -- - - —�— -- -- ------- - -- - - --- ----------- --
d .!
C J CR15/. 017. ]
1-ii_10820 : - ROUTE 6—A CTY J 05 TDS] 5q0 WEB KEY] 88904
----MAILING ADDRESS------- PCA 17181 PCS J 00 YR J Oft PARENT] 0
ADAP'S, MALCOLM H MAP] AREA]:3:3AB JV] MT0]cJ000
820 ROUTE /_-.A sF.1 J
SF' 'J SF"3 J
UT 1 ] UT2] 26. 35 SO FT] 2482
W BARNSTABLE MA 02668 AYES] 1965 EYD J 1` 65 CiBS] C:ONST J
0000 LAND 207500 ' IMP 106300 OTHER 7100
----LEGAL DESCRIPTION---- TRUE MKT 320900 REA CLASSIFIED
#LAND 3 207, 500 ASD LND 207500 ASD IMF' 106300 ASD C►TH 7100
#BLDG(S)—CARD-1 :. 106? =,00 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE
#OTHER FEATURE _ 7, 100 TAX EXEMPT
#PL. 820 RTE GA W BARNS RES I DENT"L
#DL PARCEL 1 OPEN SPACE
#RR 1:387 0473 COMMERCIAL n198900 320900 320r900
*CHAPTER 61A INDUSTRIAL
11
EXEMPTION:
SALE304/84 PRICE] ORB34064/244 AFDJ I A
LAST ACTIVITY312/01/88 PCRJY
QUERY PROPERTY: QUERY END
QUERY PROPERTY
PENTAMATION----------------------------------------------------------- 12/23/97
PARCEL ID 156 017 GEO ID 8892
LOT/BLOCK PARCEL DBA
PROPERTY ADDRESS OWNER ADAMS
820 MAIN STREET/RTE 6A ( MALCOLM H &
ADAMS WILLIAM B
W BARNSTABLE 820 ROUTE 6A
W BARNSTABLE MA 02668
PHONE DISTRICT WB
DEVELOPMENT STATUS C ASSESSOR' S CODE
CAPACITY(NOTES)
ZONING DIST/ZOC RF SEWER SYSTEM
FLOOD PLN/ELEV. WATER SYSTEM
OKH? Y # BEDROOMS
ZBA DECISION FAMILY APT
LOT SIZE 1147806 OPER/MGR NAME
WET LANDS MULT ADDRESS
USE 718 PROTECT DIST
(N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS /
(V) IOLATIONS / (G) EOBASE / (E) XIT
S
r.
SYLv t A
1314/55"
Rcr� AL
TEEX0,01
i+nLi SC a�ZE�lu. _ N 1
3
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10
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o WIL-LI AM
Z1 4g /2.0
!„NPO\�P`MOV�H Application to
y1`0
,
0PE pE S�.PM
k, c Old Kings Highway Regional Historic District Committee
in the Town of Barnstable for a '
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Constructio ❑ New Building9 � Addition Dk Alteration
Indicate type of b i
ng: House ❑ Gara e ❑ Commercial ❑ Other
2. Exterior Painting:
3. Signs or Billboards: ❑ New sign ❑ Existingsign 9 ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole
❑ Other ,
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY 1
DATE
ADDRESS OF PROPOSED WORK �'�r�i'7 (,L.�. 1�`�/�IA/ 1
ASSESSORS MAP N0.
OWNER 1A 11.1)&An
ASSESSORS LOT NO.
HOME ADDRESS (I t=t_
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
AGENT OR CONTRACTOR ��V i Il � ��j! TEL. NO.
ADDRESS �CZ �� R �� ��' 1T
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).
Y2 Y►'16d�1 (lJ �p(� Signed a t
Z �u dons atom. s t&di �p � _
ce low_line for..Co mittee use. S�b�� dY1 �6y`Owner-Contractor-Agent
ceiva.,lh ,,.� °C. I
rw
fF
Date The Certificate is hereby �" Da e CJ 6
Time '�itee
n
Approved IMPORTANT: If-Certificate-is approved,approval is subject to the 1
provided in the Act. 0 day appeal period
Disapproved 171
r— `*.sessor's offioe (1st floor): _
fI
Assessor's map and lot number .../;,. .4........ 1 :".... . 2PTIC SYSTEM U THEro``
oard of Health '(3rd floor): 44 WALLED IN COMPL '.
°ewage Permit number .... .6....t.t. ....�...." ............ L BAaa9?eBLL, J
WITH TITLE 5
Engineering Department (3rd floor): � ��,D � n ENVIRONMENTAL COD 9•
..................I........... ............... ..�. ... -
House number ... TOWN REGULATION 0 raY a.
APPLICATIONS PROCESSED 8:30-9:30 A.M.,andt 1:00 2:Ob P.M. only'
TOWN OF.. S'BARNSTABLE
BUILDING' INSPECTOR
APPLICATION FOR PERMIT TO .... . 4*.*i*)D. 5...'7/ I' .... ...:.....:1' ?��..........................
TYPE OF CONSTRUCTION ................... .......... ..... .? . .�..........,..............................................
19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for an permit according to the following information:
Location ....��..... ..lY?.-.t ........ ..<.......................................................
ProposedUse ....5 .........................................................................................................................................:...................
Zoning District ........................................................................Fire District ... ....B"N. .....................
Name of Owner .NAG ,- !,.A-....Ab0A6...................Address ..-, ..................................................................
Name of Builder .. yrl�n�.. ...............Address *4��.................................................................
Name of Architect Address . o,...P b.......... Gl .l� .�. .....
Number of Rooms ..:.. .......................................................Foundation .. ...d / �...� e?lLwv`1. ..:�74?!C�L'?eQ.
/ I
Exterior .:!":..k11:qke—�'2,bAe....................Roofing .....11.�,1Lb`. f—. I�t—
Floors C.AIe�-............................ f`
.....�����.�:. ..........Interior ...�.��...�-G.G.6�1�...................................................
Heating .... .........................:........Plumbing
Fireplace ...........N .A...............................................................Approximate Cost ....�c) 0.60
ii
J '
Definitive Plan Approved by Planning Board ---j2G-6__ ------------19_Ito . Area .......SR�..(�.....5:'.
d
Diagram of Lot and Building with Dimensions Fee 0
. .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
5q�o
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the To of BqEas ab r garding the above
construction. 1
Name .... ....................
Construction Supervisor's License ....................................
r
N�ADAMS, MALCOILM H.
No 30086. Permit for ....ADD...BR.E.EZEWAY..& GARAGE
.... . .............
Single Family Fwe'lin�
......L.................................. ....... .......................
Location ............820 Route...6A
.. ................t..e........................................
West Barnstable
...............................................................................
Owner
Malcolm H. Adams
..................................................................
Type of Construction ....Frame............................
...............................................................................
Plot ............................ Lot ................................
October 27, 86
Permit Granted ........................................19
Date of Inspection /:!.77.�7.............1..1*9
Date Completed ......19
CT
Assessor's offioe (1st floor):
Assessor's map and lot number ... j�v/....... THE
tboard of Health (3rd floor):
wage Permit number ... -11),............................................. BARISTABLE.
NABIL
Engineering Department (3rd floor) 039.
....5� ......House number ........................... Ibl.
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:60 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ✓...........
TYPE OF CONSTRUCTION ................... ................
..............................................
........................./�.7.1A./...19.........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....'�- D Z> 9A,......................................................
..0
.. . ......... . ..........�xaia�.....
ProposedUse ... ................ .............!............................................................................................................ .....................
Zoning District .........................................................................Fire District ......................
Name of Owner .N. 41....AbW� ......Address SAMS...................................................................
Name of Builder ................Address
-................................
..:..................................
Name of Architect .............................Address .5 <
� 9�k_ -
9 ........45 ..1 .(A...
Number of Rooms ...13........ .....................Foundation.......................... 6>4
Exlerior ....................Roofing .... ...........................................
Floors ..... ......................................Interior .......
Heating ....�-A 1.44--.....................:........:..Plumbing .................... ....................
.................. ........................
Fireplace ......ILL I& rricite Cost ...
T1.1....... .......................................... ..........Approii" ().................................
Definitive Plan Approved by Planning Board --- -----------19 Area ..........................
Diagram of Lot and Building with Dimensions i i Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF 'AEALTH
A
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of BGrz9s.oble,fegarding the above
construction.
Name ....... ..................................................
Construction Supervisor's License .....................................
ADAMS, MALCOLM H. A=156-017
30086 ADD B EE WAY & GARAGE
No ................:jPermit for ....................................
........Single...Fam.i.ly..D.welling..................
1"Ic" YL
Location ...... ...F.."k.eM26* ................ ............
West Bamstable..................... . ... . . . . . .........................
Owner ......Ma.1co.1m...H......Ad.Aa§..............I...........
.. . ...... ... H. ....
Te. ype of Construction .............FKAIRP...................
...............................................................................
Plot ............................ Lot ..................... ..........
Per OctobOr- 27..........19 86
Permit Granted ...............................
Date of Inspection ....................................19
Date Completed .......................................19