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0169 SHOOTFLYING HILL RD
/� � �` �� ��11 9 �o�r�� � �y K Y _ �.. �_ _....,., rr,�....,,,,_��;^r_*--..-.nw�...--_�^`e,���_+...-r_, _�.- .e.-...r �.,_..._.I'!+. _. _-_.fi-x....n .__..._.�.r...:.,.y....�,_.,� - ..'r:. -�::�+�s�d.^...�'...-.-�. �.._:. 1c,'.i....� ':^'^ '�}.��"_ `-"r^"' ...�r..r f I I oxforcr NO. 1521/3 ORA MAM w use. ESSEITE ,.T TOWN OF BARNSTABLE Permit No. 32983 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 M� '�tor+r► HYANNIS,MASS.02601 Bond LY 1"}� ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Richard Knowlton Address 169 Shootflying Hill Road Centerville, MA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION OF THE MASSACHUSETTS STATE BUILDING CODE. October 22, 91 19.......................... ................. ................i ...........ell .... Building Inspector Y � ` Permit No. ..... Tor TOWN OF BARNSTABLE 32983.: .. . ....... e�$iYL1 BUILDING DEPARTMENT 1 BAR= TOWN OFFICE BUILDINGr' Cash ................ "°" N/A HYANNIS.MASS.02601 Bond ................ ,r CERTIFICATE OF USE AND OCCUPANCY Issued to. Richard Knowlton _ Address 169 Shootf lying Hill*Road Centerville, NIA USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH:ZECT�O� OF THE MASSACHUSETTS STATE BUILDING CODE. October. 22, 91.......................... 19................. yr'`'/�............... Building Inspector Assessor's office (1st floor): . Assessor's map and lot number .... � Q`'�, ...; �oFtNEto` hy" Board o")ealth (3rd floor): e�Q ♦� Sewage Permit number .....`�^��. ...0...*... Z BAMSTSDLE, Engineering Department (3rd floor): �� 7 rJ V rasa House number ........_. °o 26}9• \0� ................................... YP�d• ' Definitive Plan Approved by Planning Board _______________________________19-------- . T APPLICA TIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only y ., TOWN OF BARNSY BLE BUILDING INSPECTOR i l s 1, i4Se/YPa.9�l-"�=Nly �t :i21t",c1 APPLICATION FOR PERMIT TO .. ....................................................... .................................. .. .. .... TYPE OF CONSTRUCTION ....C.IJ,P�© ....T/ fF/`tE.....:'......................Pi�EL......�./..89-3 ........... 11 q � ......�J.(.(1J ...... ........19.��1 TO THE INSPECTOR OF BUILDINGS: The undersignedG hereby applies for a permit according to the following information: Location !�1 hGcaf ��... nQ....l fi,��...d �". ...(...�!'�.7 erVLL'F:. ....M../q.........C...�-�?T:..7 D.�.. J II Proposed Use ...... PS./ �tJ i� f — /.�`-'9��� ... /-!/�.......wl ?�!n .T—A.) � VJ /4 t1�2Y�rP.cJ�' .... ... . . . r �° .......................... .................... II ' Zoning District ...... .. .........................................................Fire District ..Ies ... ARS 6�e< ........................... lflome of Owner r Address ....................off......F"l�l,%" .... �................... I` Name of Builder .. RAJ //�(( .•.......Address ................../.../..Ot!.iT7�iC� S�/`t.0............................................................. 171Z Nameof Architect ............ ....................Address .................................................................................... Number of Rooms ......./..........................................................Foundation SY./....V......... } ............................................. Exterior ..... yCi59.i�..........................................................Roofing ....... !/R.................................................................. Floors 5-X,/S !v ........................................................Interior .................... e ...r�� Heating Y" ................. Plumbing Fireplace ..jvc F3.e..............................................................Approximate Cost ...3,,...00..............:. Area Diagram of Lot and Building with Dimensions Fee G7 16-3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations-of the Town of Barnstable regarding the above construction. Name ... .................. ......ke ..5.� Construction 'Supervisor's License .................................... KNOWLTON, RICHARD A=214-022 No Permit for ...Remodel Basement To ............I.......... .Family Apartment ............Apartment Location .....16.9 Shqq�...Flying...Hill Road .... ........ ..... ............ Centerville ............................................................................... Owner R.i.c.ha.rd...Kno.w.l.t.on......................... . .. .... ..... .. ... .. . .. .... Type of Construction ...,Frame.......................... ........................ ...................................................... Plot ............................ Lot ................................ Permit Granted ......June 15, 89..................................19 Date of Inspection ....... ............................19 Date Completed ......... ...........................19 fr ti PERMIT COMPLETED 1111-2j- 0 Cj 14�Z4 t,}�.nd �. ,. RA -:1 e . 4. Low ss �. \ L� ft cv ti � � • � ' 3 Q N h o N ,C.0 y Q CERTIFIED PLOT .;PLAN. :NOTE: Tt�E P2oa�r�ry. vuEs.:No7-f=i4C� uiir�in� LOCATION -.. /�9.s�`°ors=cyrNGyicc,P�,W.BfRl�s7 ZO ."._e� f}s . . SCALE . ��= ��. . . DATE 3 oGi7%tl_4�1/.:C:o �i'��livj7y-Pf}�✓ AD.:-0:ro0..4../ ... �. . . . . PLAN REFERENCE ,P�!�v /Vo.• ZZS-r6 S -SvT3pjdcsian� . . . low/ N OF-Af q 7 NOv��}6/L /96/-ScgtE/Zo�7'Tit!9,d�i✓Gj� o JO N . . •. . . . . . . ,. . g' E �, I CERTIFY THAT THE EMI!/SING .d[lIEZG/lUri• ` � NE ON y SHOWN ON THIS PLAN IS LOCATED,ON TVE.GRObNDi • AS SHOWN HEREON su ZL DATE 9 4; ,.o�� ` PETITIONERS . ' �ES'T•� mG(/ ',!yl�fs ,;REG. PROFESSIONALAND:;SURVEYOR r ; 1 V r� x � '7 at x r7 13 x /y i' F i t x 3 Assessor's office (1st floor): �� a SEP71C SYSTEM MUST BE yoF T"E,,` Assessor's map and lot number ....�...../....a................�1 Board of Health (3rd floor): INSTALL1091 CE Sewage Permit number g.... 3q ''.�..... Z 11AUSTSDLE. i G Engineering Department ,(3rd floor): f c0 �� ENVI CODE AND moo ;'6}& 0� House number' ...... ................................./................................ TOWN REGULATIONS 'Fo ray a� Definitive Plan Approved by Planning Board ________________________________19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only .TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..t'?.!`-1.4.5. ..... i9S �!� / N._ Lt..... R�-n}" TYPE OF CONSTRUCTION .... .W&...Pf.�/.4?`.n�.......:....................P !gL......./.f gL. ........... ' q JLIA?C' ...... 5... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 'I Location ..... ....5ho&...-iy.in .../' .........C. r.. o..�.::......................... Proposed Use ..........: C '.���?t?. I>?-1...`...... /..! �le-... '/`!!l !.....ff:. N.......I.U.`�f} ...../t�Ri2�i�c.. �" Zoning District ....... .. ...................................................Fire District .:l eS`�� ... ARA1-S17;; e. Name of Owner .1..11.C1RR0...IQu9�. ?.tl............:....:Address ...................... en1� i�hA....�...... �Spu!?� S 1`t c....... Name of Builder ............ .......Address ............ Name of Architect ..�?G�!4R/J..... !tJ.......Address ........ .............................................................. Number of Rooms ......./............:.,........... Foundation............................... Exterior ......C'Afs.. i;P7. .........................................................Roofing ...... !�R Floors . 5.1. ........................................................Interior Woo ... r ............................................ Heating ...(.!.4�L� ...J.[Ctc,U..............................................Plumbing r p� 0 No O.........: .� Ooo Fireplace � ..........................................................Approximate Cost ........�........................ ....... .......................... Area .... . �... t7�?..:. Diagram of Lot and Building with Dimensions - � Od Fee ........ .. ...................... ....... OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... Construction Supervisor's License .................................... . KNOWLTON, RICHARD No �2.9..8.3.... Permit for�.Remodel....Basement to .. .... .. . .... .. .... . Family Apartment ...................................... .................................. Location ...1..6.9...Shoot...Flying...Hill....Road .. . .. ....... ....... `Centerville . ........................ .. .............................. OwnerRichard Knowlton .................................................................. Type bf-Construction ....Frame........................... .. ....... . ............. ................................................................... Plot Lot ................................ Permit Granted ....J.Une...15-1................19 89 Date of Inspection ....................................19 Date Completed ....... .........196 */ ................ cc Assessor's office (1st floor): / - E Assessor's map and lot number Board of Health (3rd floor): c fO�Q ♦� Sewage Permit number ..............................r?......��..f..�. .� Z BASBSTSDLE, i Engineering Department (3rd floor): . ri ✓'�� 0M a 039. House number /`0 ......... .......................... 0 MO a' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............. rIJsZ?Ly,cT......•� ®�R... G(/Od✓J 2�lxti� .................................................................... TYPE OF CONSTRUCTION .......................1.C / �.....?.1.4''fF?+r!� ...............................................................:......... .............t9 . TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby/ applies for a permit according to the/following information: Location ....................../�.O..f....���....c f dP.........��!Gtl..... ,/.... .......... �/,..�/�eQ!.1�7�1�r►�Z.... ProposedUse ............................................................................................................................................................................. ZoningDistrict .............. ..........................................................Fire District .(.�!,I.:....................................................................... Name of Owner .....1./ /dr/J ...... ...�........ j�d .r.•��r i.Address ..../�?..7......`�f .. :... ............ Nameof Builder .......\j4,04.e...........................................Address ........... ........................................................ Name of Architect '�P.! .!:.1...9.;. /L%3...�`'`. 19 Esi¢ "(.{/4r/�� ............... ........................... .. Number of Rooms ................ ... .,.4 0....Foundation ............e4X1,-�2G'r ..........`J4-1!. Exterior ...............v4ad......./..`?(P=..... ![P. . ...................Roofing ............... �5..,... �t��f �!?'r....:.T � GVDO® Z �!�' U Floors .... .......................... `.. -q�/ / ...Interior /% e�.� Heating ............ .4,:-el�,..t.c..............................................Plumbing ........................... ..................................................... Fireplace ..................................................................................Approximate Cost ..... �a.........:.............................. Definitive Plan Approved by Planning Board ---------------------------------19________ . Area ........ �1. ...s",i!. ` Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH l�f �l. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , Name .............. ... W.AA............... Construction Supervisor's License .................................... v CAPPELETTI, DONALD J. A=214-02.2 No 29752 -Permit for ....1 ...Story............... .•••••••••••Single Family...Dwelling................... .................................in.......... Location ... 169 Shoot FlHill Rd. West Barnstable ............................................................................... Owner ......Donald...J. . ...Cap.p.ele.t.ti................ ...... . .... ...... . . .. Type of Construction ......Frame......................... ................................................................................ Plot ............................ Lot ................................ August 5., 86 .....Permit Granted ............ . . I *....19 ................... Date of Inspection ...........!........................19 Date Completed .....................................19 1111,�7 ,.THE>, TOWN OF BARNSTABLE Permit No. 29752 � ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 Y� ��067Y Q'Q u HYANNIS.MASS.02601 Bond ..... CERTIFICATE OF USE AND OCCUPANCY Issued to Don4ld J. Cappelett-i Address Lot ?�10, 169 Shootflyr3ng Hill Road .lest B4r.l� able, �:a:». USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Dt-ccmbb: r 28, 19 88 ...... ............... .. .../. _ �i..... Building Inspector ~ K511 ��•.° °°.w TOWN OF BARNSTABLE BUILDING DEPARTMENT = rsHa°r ' TOWN OFFICE BUILDING � rua HYANNIS, MASS. 02601 I MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit # �9 7� Z_ issued to ......._... .p ./��_��....... L .,, .. �6 ... J.�`i/�� Gl� �''1 '/L� F-k. v ...... _.......... .. a , Please release the performance bond. •., 1. TOWN OF BARNSTABLE, MASSACHUSETTS PER' r+�L1v,U�,� JOB WEATHER tAR�.:, ,. ff;w�11r�� I�AA//t�. •� t 'w.. C DATE 19 PERMIT NO. - y�7'J °: ---_ uw•., 17V1LL1ir.,�..5�rT.T... .. APPLICANT _• _—_. ADDRESS ,- .__.__•,• " ". IN0.) - (STREET)., - (C ONTO'S:LICEMSE)« L'y`,ix NUMER OF PERMIT TO :!'.l:.J Ll :In.. . .. (`�I STONY ,.a.. ... ..-..,.. :.Jtr:.a°.:.: DWELLING UNITS ; • (TYPE OF IMPROVEMENT) NO.. (PROPOSED USE) ZONING I:a','= 1 .4 AT (LOCATION) I '• DISTRICT "i71i�M 1.U2.1 UlV I.1/'J .�rl•.. 1.1S�Fft,1 Ci�jl hU..ti• HC`.;>L: N:iL'[lu%_:li�. - . . ,°�, � - BETWEEN AND (CROSS STREET) (CROSS.STREET) .-elT'�iY•3' + SUBDIVISION LOT : LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION 5 � TO TYPE _ r � «r#l..- •• T ` USE GROUP BASEMENT WALLS OR FOUNDATION REMARKS: cr ' -----�onaonornrdr:ba tit r DOLlU ter, rt t•, AREA OR �L's�• •• • r►• Jll LIU'-, li•. b`f Uu • PERMIT. • j'?• VOLUME ESTIMATED COST ,$ FEE $ r•s" ` > (CUBIC/SO'UARE FEET) .t,:1,1 A LI .r . \.. .:.. L OWNER ADDRESS ' ` ' • 'vt:.r. l :.a�,.,� c' BUILDING DEPT. ' ESS BY 'ti `1t c sti~ THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET. ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER'TEMPORARIL'Y,�.OR` PERMANENTLY, ENCROACHMENTS ON PUBLIC PROPERTY, NOT► SPECIFICALLY_ PERMITTED UNDER THE BUILDING CODE, MUST38EIAP;,PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS OEPTH AND LOCATION OF PUBLIC SEWERS MAY BE 013TAINEO4 FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVI$ION"RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RE•TAINEO ON JOB AND THIS WHERE APPLICABLE' SEPAR•ATE'', L EQUTAEO. FOR CARD•ktPT"POSTrO&-LNTSLPRN: EL EC?R1C.ARE FCll)1MYINO`t AN4 ALL'CONSTftUCTTOq'WORK: I� AtFN6PirGF10N MAC�Et:I/ 1. FOUNDATIONS OR FOOTINGS MADE. WHERE A.CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTAL•LAT,IONS.i••: 2. PRIOR TO COVERING STRU{tURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSIREADY TO LATHI'. � i S:,F.INAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. ►OCCUPANCY. r•_ ,a{,.� POST THIS CARD SO IT IS VISIBLE FROM STREET :. t. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL'S'/,. 3 � « la cl 3 HEAT:NG NSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS A c 64-s" GI °E IN a. >.: . ,� • r z _....1 1 BOR 0 OF HEALTH wiFK =nq.: NC' -a0' cD r r _ r a'.t b:.. .•.., E• : PERMIT 'A,LL BECOME NULL AND VOID IF CONSTRUCTION iNSFECTIONS INDICATED ON�THIS'CA 6., 7A E S '3F :04!AS FJJ_J :•rF •-•• I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE '-AN 9E ARRANGED FOR BY,TELEPMONEf _'AGES ?F CONS W r:':�N' OR WgITTEN NOTIFICATION T PERMIT IS ISSUED AS NOTED ABOVE. S r 2�' , FERN, ANDERSON, DONAHUE, JOKES & SABATT, P- A. ATTORNEYS AT LAW DANIEL J. FERN P. O. BOX 516 RICHARD C.ANDERSON 436 MAIN STREET ROBERT J. DONAHuE HYANNIS. MASSACHUSETTS 02601 STEPHEN C. JONES ' CHARLES M. SABATT AREA CODE 617 77S-S625 June .25, 1985 Joseph Daluz, Building Inspector Town of Barnstable. Town Hall . Hyannis, MA 02601. . Dear Mr. Daluz:'. Reference is made to certain lots located on Shootflying Hill Road and shown as lot 15 and lots 18. through 24. on Barnstable: Assessors' Map 214. By instruments dated September 22.,. 196J,' Lot .15 and Lots 18, 20, .22 and 24 were placed in the name of D_ onald. Cappelletti and Lots 19, 21 and 23 were placed .in the sole name-of Ann Gertrude Cappelletti. ' I do not have a copy of the zoning map that was in effect in .September of 1967, but I can only. presume that the lots in question com- plied with the then current area requirements, as .otherwise there would have been no purpose to checkekboarding the lots on September 22., 1967. 'Sincer , ' Ri a RCA:esj z _ Lor ►o .i, 00 N oe � n► ExisT►�1L1 - N 4' 2 V�1 a JS 12 i I CERTIFY THAT "I f It t-UUNUH e iUN SHOWN DOES 1-40T ViOLATC ANY EXISTING ZONING REGULATION OF THE TOW14 OF 9ARtjSTA,P,L-F. i �VRA." P. o.2S22 J3AVZNSTP•BL_� MASS. ' Goo.����;:�:� 1 � Ov�.1DA''rt.0►J Cop TI Fri CAT►O� PELIr TT U v }.gyp H A L O � Uv 13. ST�A.F3L-fie ASS. OS E►JG+R HSSOG I�10 R�yNEIAIA 5CALE 1. - 3o J ��y zs, IggC� f L , Assessor's ,gffice (1st floor): F TBE ' t Assessors map and lot number .R—...AP 1.T/....�..�.�... ofe— Board of Health (3rd floor): _ SEPTIC SYSTEM NFU Sewage Permit number .. INSTALLED IN COMP ��LE Engineering Department Ord 'floor): �(� WITH TITLE 5 °oo "639• House number ........................... .................. ENVIRONMENTAL CO® APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN REGULATION'S TOWN: OF BARNSTABLE BUILDING INSPECTOR • APPLICATION FOR PERMIT TO ............. .Q/� ?1��l.�%.........(.."60"t...... !;D !�..r,'V,* .................... TYPEOF CONSTRUCTION .......................G(/ 41.... 'B r......................................................................... ........... ............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......................fLO.r....��....�/./ l�f? .....!.�-�/rGti!" ....... ................ ProposedUse ............................................................................................................................................................................. : Zoning District �i .................Fire District ..'. .......... ! .••............................... Nome of Owner ..... �. ...... . .Address 1..4 7 fw°:.. ... w �T/fi/,1�,�. Oaf/` ...... ........ Nameof Builder .......V ...........................................Address ...........e� ........................................v ................ Name of Architect ............. ..dl,'. .9.x./ 11.'f... ..........Address ....... .......��c�/j......: '� G'�e,"?P�..,.................,.. �! n ...G�/t/`.'✓� "?' . ..v�� Number of Rooms ................GF.'../C�'GQ. �'........................Foundation ........... ...... ©e�?d Exterior �/ /�`�ti ..... t!(/'....................Roofing ............. ....:.... ....?y�ss..;. ,C.�d/� l. ......�� � Floors v./„G°09• Cal . ...Interior .................................................................................... i I // -,— ®. V Heating ............ [! ? :.t..............................................Plumbirig .......................a........................................................... Fireplace ..................................................................................Approximate Cost ..... 1 INTr Definitive Plan Approved by Planning Board --------------------------------19________ . Area .. ..... . .�:.... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH MCI .<01 / 3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ..... ... ... .. .. //0............... 1 t Construction Supervisor's License .................................... v CAPPELETTI, DONALD J. 29752 11 Story No ............... Permit for .................................... Single Family Dwelling .. ............................................................................... Location ....L.o.t...#.1.0........1.6.9...Shoot. a t...Flying. Hill Rd. .. . . .. . . . . . .. . . . .... . .......... West Barnstable ............................................................................... Donald J. Cappeletti Owner .................................................................. Type of Construction ...Frame............................. .......... ............. ....................................................... Plot ............................ Lot ................................ Permit Granted ....Aug45.t...5..................19 86 Date of Inspection ...19 Date 7 Com`I t d ................190 % ._ .-. . - - � �j _-_- _ -- -----_________._____.__ _.�____.____ _____ _ � __ _ .� ._ - - � ._ _. �. ._ _ _ ... _ . - - ^ ; -rr�rV;n�'$'"L;T'r�'r'l�`C?-�'�'L'^�^r�-r..-Lz•[,� ..'.�y'.C�-C.rT;rt-r+�r•n+'r'f C7'T',4zT.=. _:'.r.. � . .�...4T'.;r—+-�,�C''� .. �� .. -may•.., � .. • � ..♦ • , v. 1 . _ ',' . • t ♦. ` . Town of Barnstable CF 1HE 1p� a� Building Department Services Brian Florence, CBO • BAMSTABLE, MASS. Building Commissioner TOWN OF SARN t i639• A'Fo �a 200 Main Street, Hyannis, MA 02601. ; www.town.barnstable.ma.us 70.0 )AN IS PM M. 45 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family ApartniejntSAA idavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: UnoAqUI*c)(3 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: •77 10 �p /7c y — ZE2i/ L Name & relationship to owner: -/t7�,thE#7 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. 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 notift 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 (Aeal No. ___ - -- - - � Other - pp i .� I Sworn t under the pains and penalties of perjury this day ofJ 2020. Signature des Phone Number Print Name �&6L Ili !'jQ6�/ q:forms/famaffi d.doc rev 11/08/13 Town of Barnstable o Building Department MSCNNED Brian Florence, CBO aAaxsznaM • wit M Building Commissioner ec 59. 200 Main Street,Hyannis, MA 02601 www.town.ba rnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family Apadment i avit I, being on oath, depose and state as follows: My name is be6a_A eYrWLr1 e'S I am the owner/resident of the property located at: I to _y O4a is i 1'r 11 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Mmo Name &relationship to owner: 'T-P eS -] jc Name 8,Kelationship to owner: I i 7a i'La rdos--- g LU co Th Family Apartment will be the primary year-round residence for the above-identified Artily me ers. In the event that the listed relatives vacate said apartment, I will immediately Qnotes the ilding Commissioner in writing. I understand that no subletting or subleasing of said fila,lily Ap Rent is permitted. "' I e Wtand that I am required to file an Affidavit annually with the Building 0 C"ommissio fisting the names and relationship of occupants in said Family Apartment. I also o uWderstand at I am required to comply with all conditions imposed by the ZBA Special Permit t- a7Wor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) . Other Sworn to under the pains and penalties of perjury this /0 day of. 2018. AA& 711 ,,d4A- 3G -oai3 Signature Phone Number Print Name 34m _ >�P�naytd e5 q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services Richard V. Scali,Director o Building Division BIUUIWABLF� Paul Roma,Building Commissioner MAM 'gyp 16.19. 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us i Office: 508-862-4038 F 508-1,20-60 0 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: \ My name is y - icoE'%' I am the owner/resident of the property located at: rQ o . The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: n Name &relationship to owner: 42h.7�6 Name &relationship to owner: SS - ram" The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at&,is 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 ✓l�7 .2017. A xlzel r I_Oezxe4� Signature Phone Number Print Name_=L�=C� ���Py�7tdL? E'-S q:forms/famaffi d.do c rev 11/08/12 Town of Barnstable Regulatory Services of Richard V. Scali,Director Building Division ,', Thomas Perry, CBO,Building Commissioner ib39. s�e� 200 Main Street, Hyannis, MA 02601 Fp Mp'l 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 Ahra I am the owner/resident of the property located at: sAeQ( &i_t?a &I hw- �:: co Cmi ryi/le A4 zo4,3a —+ c"It Th4bllowuig members of my family will be the sole occupants of the Family Apartment at the afozmer; oned address: � n Name&-relationshipto owner: N me &elationslitp,to owner:�,�A I"—jel-Aal—deS UI t2 � Th"e Family Apartment will be the.primary year-round residence for.the above-identified family memRrs. 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 I am required to file an Aff davit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of u 2016. Signature Phone Number Print Name` , �eA r a- rerneilldP-S q:forms/famaffi d.do c rev 11/08/12 Town of Barnstable �F1F1E T Regulatory Services Richard V. Scali,Director TOWN OF BARNSfaBLE * . STAB . Building Division 1639. A Thomas Perry, CBO,Building Commissioner FD MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is .A-.19rA L F-rno r7das I am the owner/resident of the property located at: //9 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: ��++ Name &relationship to owner: f ,&1,o A;j nm� - Ea_A,,�r Name & relationship to owner: ,Elie /na� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all.conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this _ day of_71_U1,Ug1U2015. Signature Phone Number Print Name De&a q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services �VE to Richard V. Scali,Interim Director TOE Qc. �` �, � Building Division BMWSTABL& Thomas PerryMASS , CBO,Building Commissions�� JAN i AIM H. 24 �ATFn ,�p 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 DIVIS11 ax: 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: J(p�f S kn l 41-b- 'j 4 W . Cen+prv► � ��r A A oazo� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ha6nin Ff 1- n+-s - Far r Name &relationship to owner:r I i 7—CL6A Ti fYYYMes r sec` The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pans and penalties of perjury this day of 2014. v Signature Phone Number Print Name 2W t-6L L q:forms/famaffid.do c rev 11/08/11 TOWN OF BARNSTABLE 20Iq JAI 17 AN II* 29 Debra Fernandes �Y;, 169 Shootflying Hill Rd. Centerville, MA 02632 January 16, 2014 To Whom It May Concern, We no longer have a post office box, (PO Box 1001,Centerville, MA),can you please change the mailing address for this form to: Debra Fernandes 169 Shootflying Hill Rd. Centerville, MA 02632 1 know I came to Town Hall and asked for this change last year,and it was still sent to the post office box this year, so I would appreciate if it could be fixed to make sure I receive it. Thank°you, Debra Fernandes I i y 5�� - •; ` [ �`11 ti jj ' is � L Pv� ��• _ F � i. l�: i Town of Barnstable F THE 1Q� o Building Department Services Brian Florence, CBO • BARNSTABLE, � v� MAss. g Building Commissioner 039. jMK () STABLE �0 AjFo n►A�" 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us 6r't!1. 14 rE°F.� r 3= 37 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Wffidavit I, being on oath,.depose and state as follows: My name is &hra .L.rerron4l4 I am the owner/resident of the property located at: Lj ZIA The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: �//� Name &relationship to owner: 41776lO Fe-azandes R-Aea- Name &relationship to owner: Gka bt &-fw&e5 N0%C'_r The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2019. Signature Phone Number Print Name ')1ekra nt�2g . q:forms/famaffid.doc rev 11/08/13 r _ 1 shac� �I //7C n� f Town .of Barnstable Regulatory Services Tq�y� Thomas F. Geiler,Director Building Division TOWN OF, BARNSTAKE i MAxxsTnBM ' Thomas Perry, CBO,Building Commissioner 'SAT s6s�. a` 200 Main Street, Hyannis, MA 026012013 JAN 17 P14 ,. 0 f ED Mp'l www.town.barnstable.ma.us Office: 508-862-4038 "'""` :-5,8 790-6230 DIV! 1UN Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is N_46 F; Lr)�,G I am the owner/resident of the property located at: I C' 411 :I?AA Cih+eryide . MA The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: +0'0 Lr) lam((rv--ti_-Aa d Name &relationship to owner: 1 I zaloG '� f"P� nrjAk—S 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 andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this / day of lllun4,ea 2013.' Signature Phone Number Print Name q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services . oFTME Thomas F. Geiler,DirectorTO _ A 3 Building Division BAMSTABIX Thomas Perry,CBO, Building Commissioner 17rx 1639. 200 Main Street, Hyannis, MA 02601 12 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 !)ek►^Q� -I am the owner/resident of the property located at: t Po Box loo f Cen+ervi l le M The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: A-n4nn1',0 Name &relationship to owner: FejrnnMe5— Fffik� Name &relationship to owner: E! i Za"A FErnaryje-s - M r The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately 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. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this ,— day of 2012. Signature Phone Number Print Name Ued ra /e Sa lZle5 q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services op1"E T Thomas F. Geiler, Directory r. n• ..--I I � Building Division BAMSTABLE, ' Thomas Perry, CBO, Building Commis"sioner`; 11: 29 Ai 16J9. e`0� 200 Main Street, Hyannis, MA 02601 ED MA't www.town.ba rnstable.ma.us Office: 508-862-4038 ! .>;. .. 3 Fax: 508-790-6230 Town of Barnstable, Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 1�e-rno4rd 5 I am the owner/resident of the property located at: 169 Shy T1 H o MA The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: /� Name & relationship to owner: /4+o ni o Name & relationship to owner: C/ i ZC-bP,4) f,�e ernaydes mAef 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 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. 1 agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of ti 2011. z ` 260 3 ZY -6 7a7 Signature Phone Number Print Name ��j/ �P�P'Y10•l�GI PS Town of Barnstable Regulatory Services F1He tOiy,� Thomas F.Ceiler,Director Building DivisiopoVjli OF * BARNSTABLE, Tom Perry, Building Commissioner 9 MASS. r 1639• ♦0 200 Main Street Hyannis,MA 02601,�t 9 Py, = } �AlEO MA'1 A www.town.barnstable.ma.us Office: .508-862-4038 DM SION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: l My name is 'Debra FPrnox-.elL�S I am the owner/resident of the property located at: (d S(nCX :L 2u Q t The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: AI�Iva,l D trPrn a i:t es Name & relationship to owner: (Prnn r- A6S - �►%1�7-t'[nPP' The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2010. Signature Phone Number Print Name DebrCt Q/bl d g/forms/famaffid Rev:l2/08 Town of Barnstable Regulatory Services °UTKE tqy� Thomas F.Geiler,Director Building Division l`d ; OF BARKISTABLE snxivsrnai�, " Tom Perry, Building Commiss r 9� � 0r it DAN 25 PM 1: 22 1639• 200 Main Street,Hyannis, MA 601 �Eo nAA't A www.town.barnstable.ma.us - DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name•is ���%Ora ,/"i2r/J�P� I am the owner/resident of the property located-at: ,/n The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Ahnia z2:Ci'at;VJ s 4�� ' Name & relationship to owner:` ,Z;E/22 "z� S M-02%2C The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this -2 31 day of 2009. Signature Phone Number Print Name _�P_Ara Q/b l d g/fo nn s/fa m a ffi d Rev:12/08 Town of Barnstable Regulatory Services Thomas F.Geiler,Director I (IF 1s/RN'S'l.BLE Building Division 2008 JA 2 B^aTM ^B Tom Perry, Building Commissioner a I 33 y MASS. 1639• �0 A 200 Main Street,Hyannis,MA 02601 lED MA'S 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 ])?,Lret Feraxodes I am the owner/resident of the property located at: T9Fi IWial an Q Q. DX (oo I CerterulIle tM� 'bjq6x vi(1 e M oo63Q 0&t030 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: �/►io Name & relationship to owner: r�/?� ii rS-/IatF.S- a7ylPr . The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this �2b day of 2008. J - �-5 27 Signature Phone Number Print Name 2)e61-a- �eir�tanG�es Q/bldg/forms/famaffid Rev:1/03 ' Town of Barnstable Regulatory Services lC Thomas F.Geiler,Director °^ Building Division 3 4, t�z , 0 `; a:`: LE BARNSTABLE . Tom Perry, Building Commissioner 1639. ,0$ 200 Main Street'Hyannis,MA 026'U 1 F EB —1 P�i ..� �°tEG MA'l A c.�s�-. www.town.barnstable.ma.us C''tvlSIOi Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: r My name is I P�f[ L• f"�erna es I am the owner/resident of the property located at: - O( The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: kdrnnio FePrry Mes — f'CAef Name & relationship to owner: •E i i za�2� &roa YJI S M C 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 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the,pains and penalties of perjury this day of 2007. �_Odp'-,375---0 727 Signature Yl Phone Number Print Name Q/bldg/for ms/famaffid Rev:1/03 Town of Barnstable Regulatory Services °FINE Tqy� Thomas F.Geiler,Director fU Building Division , ,; • WIN OF Br,RNS iAE3LE sniwsrnste. Tom Perry, Building Commissioner 0a �� 200 Main Street,Hyannis,MA 0 6 ���R JAIL 23 Phi i- OS Argon A www.town.barnstable.ma.us Office: 508-862-4038 - DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is �J��a �P.#�ne5 I am the owner/resident of the property located at: Map and Parcel Number Map a I 1�a�^cP�l as The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: An�2(11 ��mres - FA—c' Name&relationship to owner: 9rf(1�e-S - MCffie�1 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swo to under the pains.and penalties of perjury this _day of jQ 4 2006. c 7 ; Q7 Signature Phone Number ' Print Name Z1)ebA0_ Fcrnc4ncles Q/bldg/forms/famaffid Rev:1/03 L__ I Town of Barnstable Regulatory Services °FINE roy, Thomas F.Geiler,Director ]Building Division :7 I2 Tom Perry,' 7111C �� i �r� , Building Commissioner,_ AN 1 '9 G ;, : 4 3 9 MASS 1639• 200 Main Street,Hyannis,MA 02601 ATFo �a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is T"ra L• T rnande-s I am the owner/resident of the property located at: «R ShO I-T1 u i n [I -•. Ced6y1 11 e, Map and Parcel Number Y#j0 Z/q PgyfgL oaa The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: 'Name & relationship to owner: ` 4-n f O qr;, , S _ F� ex Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties.of.perjury this day of 2005. Signature Phone Number Print Name ))e_dra L.-Fe-na,,des Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable j� Regulatory Services oFr+E'ro�, Thomas F.Geiler,Director a� `;;. ` . :,°::�e,vi�tNIL �o Building Division � �M. 21 1: 23 snawsrne . : Tom Perry, Building Commissioner'• � . ,0MAS& $ 200 Main Street,Hyannis,MA 02601 iOrFc Hwy a Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is -1pebra � . &Laal) I am the owner/resident of the property located at: //a,?Sh6n-f Flu �� [//11e, /Va Map and Parcel Number "(�� 'z2 s�Q�"CG� Daa The ZBA granted me a Special Permit/Variance on S 311 Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: '611zalj The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other 'Sworn to under the pains and penalties of perjury this 15' day of 2004. 3 7T-a Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services INKETqy� Thomas F.Geiler,Director Building Division .0;WN-OF 8Att;,jSTABLE EAMSIABM = Tom Perry, Building Commissioner MASS. Zfl03 JaN 22 AMI I: i 5 P 1639. .0 200 Main Street,Hyannis,MA 02601 �AtED PI1A�A DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is Debra L • Ferno�qdes I am the owner/resident of the property located at: �u Map and Parcel Number Ma 4 Z Z Paj^aP?l 022 The ZBA granted me a Special Permit/Variance on Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book �� Page The following members of my_.family will-be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: lc/i 7l219P. 1 i'n2 PS /YJD P/� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under.the pains and penalties of perjury this day of 2003: --o Signature � Phone Number Print Name 21 P, -a- rera c de.,5 Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services g Y °Ft tq Thomas F.Geiler,Director Building Division -TO\dN OF.,BARVSTIME sAxrrsr"M Peter F.DiMatteo, Building Commissioner ; 29 nrnss. v� ie;q. 200 Main Street,Hyannis,MA 026COU OR ABED MA'1 A Office: 508-862-4038 ,� ..--Fx790-6230 p ISION Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �t✓bro- Lcl' j S I am the owner/resident of the property located at:. log (� Map and Parcel Number Maio - a.)4 pelcep l * � The ZBA granted me a Special Permit/Variance on M /89 19�9-3q Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: -The Family Apartment will be the primary'year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. . I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other /S"4_ Sworn to under.the-pain's and penalties of perjury this day of 2002. SSignature Phone Number s-IM-2 76-o 717 Print Name Q/bldg/forms/famaffid Rev:010702 !y COMMONWEALTH OF MASSACHUSE17M 0 BARNSTABLE AFFIDAVIT 5\ I, �o�/'u L. Ee es , being on oath, depose and state as follows: 1.) I reside at—Ile— S"i- E1-u�g 4i 11 1A. C'erifery� le_ tAA 2.) I am the owner of the property located at-LLA Shoes+ Fluinn I-l-i l\ Pd. Cenieryi tle MA shown on Barnstable Assessors'ors' maps as MAP 014 PARCEL 0 929� 3.) I Do Y Do not have a Family Apartment at this location. 4.) On Yy1GQ(,4 , 1999g—, the Zoning Board of Appeals, on Appeal No. Iq 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: pp a) NAME �&&gzI PY/1a1/llJP.� Relationship to owner:--_._Jf4Z1 � -- — b) NAME l za�efl ernes Relationship to owner: /LJOTiy 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. I q Xei - 34 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this day of, Lld Y" Signature - I& /� Print Name 2�e" Z. �r/I5 _ �tGLr�eS am./ 1-2o7�" � ��ocJ� � reSiG� daG '7'Z3 Q Gl�i'�/o�cE. T C �i�geQ9 �ac� 1,7 rnazlden /e7� /ash -ear aSA 17 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT I, - depose and state as follows: I V E D 1.) 1 reside at ((69 S� _Fj —t4_LLLj9aT�'------- -MAR 1 TpW OF 2.) I am the owner of the property located UI /NG NSTgBLE --- shown on Barnstable Assessors' maps as MAP__o2I�I, _---PARCEL DaoZ 3.) 1 Do---- --Do not_—_—__---have a Family Apartment at this location. 4.) On_ , 198Q__, the toning Board of Appeals, on Appeal No. -34 granted me a S ecial Permit/Variance to maintain a Family Apartment at the above address. 5.) 1 understand that the Family Apartment may only be occupied by members of my 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--- ? n�r ��-�_�trx��5 ---- ------- ------------- Relationship to owner:___—__—_�___---__ i b) NAME 41�er12_ �25 ----- ---------------------- Relationship to owner:---/ -------------- ----------- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) 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 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. ��=3 -- ---------------------_—__-- I2.) I agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property. Al;;?"J; is Sworn to under the pains and penalties of perjnry_this d_yof-- -- a_, _� _��_,_199_q Signature _. ------- Az>G ------ - -- ---------------------------- Print Name COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT I, _—� A" �' 15 TGleing on oath, depose and state as follows: eU/CD/N�n'�SjgB 1.) I reside at1 � U_ � cti Ll� -1> ��-- _ DC-P _ 2.) I am the owner of the property located at-JO Shoo+ A U 100 Jk-l\ cenl?'Ev i l.I e MA shown on Barnstable Assessors' maps as MAP p _ QL4�------PARCEL__0 3.) I Do V Do not_ —have a Family Apartment at this location. 4.) On- rn _ 199a_-, the Zoning Board of Appeals, on Appeal No. IcUn-314 J 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_ PM-bd n 1: err es --- --- --- Relationship to owner:__ iP2t" b) NAME_ EJ! ��r�1 �s---------------- ---- Relationship to owner:__f\An±+ieX' — --_—_ 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. __A Rq ^ 34 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this day of L , I99R ___ Signature Print Name i L�i'—f�'r_�coss 1��r�r��� i�s. 170�e �n 1)o4 ems `1p� P� Q r2s �� � ASS P Q G i'► tyi7- AcIziQ- Q� IS �es r�P �-any ii17L —evv�y�c�P r a� n1ldpio .Z wa.�sWy/)l2el,7P I-In���i���.�ure D�� 1 , �1 � � � � � { , / � � � _ 1 .. t Commonwealth of Massachusetts The Trial Court Barnstable Division Probate and Family Court Department Docket No. 9 6 D-0 8 5 0-DV Judgment Of Divorce Nisi Under M.G.L. Ch. 208, Sec. 1A Debra L. Knowlton of Centerville in the County of Barnstable and Richard A. Knowlton of Centerville in the County bf Barnstable All persons interested having been duly notified in accordance with the law,and after hearing,it is adjudged nisi that a divorce from the bond of matrimony be granted the parties for the cause of irretrievable breakdown as provided by Chapter 208, Section 1A and that upon and after the expiration of ninety days from the entry of this judgment it shall become and be absolute unless,upon the application of any person within such period,the Court shall otherwise order. It is further ordered that The parties are bound by an agreement dated January 27, 1996 which shall be incorporated and merged into the judgment of divorce nisi, until such time as the husband' s payments have been satisfied in full then the agreement shall survive as an independant contract. The Court finds said agreement to be fair and reasonable and not the product of fraud or coercion. Upon entry of Judgment the Wife may resume her former name of Debra Lee Fernandes . Date November 14 , 1 9 9 6 Justice of Probate and Family Court W-D 403A(2/90) ��,(t t/� v''c.�� (�•ry,..' REk.�i6l Eh The Town of Barnstable o� Department of Health Safety and Environmental Services SUMSTABIZ : Building Division `""9' 367 Main Street, Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission January 26, 1998 The Knowlton Residence 169 Shoot Flying Hill Road Centerville, MA 02632 Re: Family Apartment located at the above address Dear Mr./Ms. Knowlton, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by February 15, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Dab Ralph Crossen Building Commissioner COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I . o ,cam le A 1'S being on oath, depose and state as follows : l. ) I reside at A6 � ��/y,,�,g /pill �'cv9O 2 . ) I am the owner of the property located at shown on Barnstable Assessors ' Maps as : Map e2 I4/ , Lot a2 a 3 . ) On 0`7i9 V. ,, 19 ' ` , the Zoning Board •of Appeals, on Appeal`No._ 3y , 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 occupagts of the family apartment at the above address: (1) Name: �� .c�ioPR.c1.9,c1d1�5 Relationship to Owner: (2) Name: Relationship to Own er: o�iS�,� • 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. B . ) 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. 1,989-- .ate' 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. uSworn to under the pains and penalties of perjury this day of1r��f6�.2 19�. 6 7 1 B �. �► (Signature) f R (Please Print Name) : SEP, 6.199f o � ,� TOWN OF BARNSTABLEf= ZONING BOARD OF APPEALS » SPECIAL PERMIT DECISION AND NOTICE PETITION: 1989-34 PETITIONER: 41CHARD KNOWLTON DATE : MAY 16, 1989 At a regularly scheduled hearing, held on May 4, 1989, notice of which was duly published in the Barnstable Patriot and notice of which was forwarded to all interested parties pursuant to Chapter 40A of the General Laws of the Commonwealth of Massachusetts, the Petitioner, Richard Knowlton, requested a Special Permit pursuant to Section 3- 1 . 1 (3 ) (D) of the Town of Barnstable Zoning Bylaw to allow a family apartment in the basement of an existing single- family dwelling located on Assessor's Map 214, Lot 22, 169 Shootflying Hill Road, West Barnstable MA i-n -an RF zoning district. In support of the petition, Mr. Knowlton presented evidence that the following condit.ions. applied which would warrant the grant of a Special Permit. Mr. Knowlton submitted a Purchase and Sale agreement on the property and will be passing papers on May 5, 1989. He is seeking a Special Permit to allow .the construction of a family apartment to be located in the basement of the existing dwelling for use by his wife' s parents who. will be residing in the proposed apartment year-round. The apartment will consist of a living room, kitchen, dining area, bedroom, bath and closet space,, all in compliance with the requirements of the Zoning Bylaw and less than 507. of the square footage of the primary residence. FINDINGS OF FACT Based on the evidence submitted, the Zoning Board of Appeals made the following findings of fact: Family apartments are allowed in all zoning districts of the Town and the petitioner' s proposed family apartment to be constructed in the basement of his new home meets all of the :,j criteria for tttie grant of a Special Permit under Section 3- . . 1 . 1 (3 ) (D) of the Bylaw. Based on the above findings, . the Zoning Board 'of Appeals, at a public meeting held on May 4, 1989, by a motion duly made and seconded, voted to grant a Special Permit to allow a family apartment subject to the terms and conditions of Section 3- 1 . 1 (3 ) (D.). of the Zoning Bylaw a copy -.of 'which is attached hereto and made a part hereof. A violation of the terms herof shall constitute a basis for revocation of the Special Permit. The vote was as follows; AYES: JANSSON, LALLY, MCGRATH, MORIN, BURMAN NAYES: NONE . Any person aggrieved by this decision may appeal to the Barnstable Superior Court, as prescribed in Section 17 of Chapter .40A of the General Laws of Massachusetts by filing a Complaint in said Court as well as- a notice of action with the Barnstable Town Clerk, within twenty (20) days of the filing 'of this decision with the Barnstable Town Clerk' s Office. Chairman t; n Clerk of the Town of Barnstable, =Cou 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 seal.ed this day of 019 under the pains and penalties of perjury. 4-1 Town Clerk DISTRIBUTION Town Clerk Property Owner Applicant Persons Interested Building Commissioner. Public Information Board of Appeals ,on 3-1.1 (3) (D) Family apartment subject to the following: rAMILY APARTMENTS a) Not more than one ( l.) family apartment is provided. b) The family apartment is within or attached to an . existing residential structure or within an existing building located on the same lot as said residential structure. c) The residential character of the area Is retained as nearly as possible. d) The family apartment contains not more than fifty percent (50%) of ' the square footage of the existing residential structure if being proposed as an addition thereto. e) All setback requirements of the zoning district within which the family apartment is being located are compiled with. f) The property owner. resides on the same lot as. the- family apartment. g) The family apartment is occupied by members of the property owner's family only. h) The occupancy of the family apartment does not exceed two (2) family members at any one time. 1) The family apartment is the primary year-round residence of the family member(s) residing therein. I J) The family apartment will not be sublet or subleased by either the owner or family members) at any time. k) Scaled plans of any proposed remodeling or addition to i? accommodate the family apartment have been submitted by the, property owner or his or her agent to .the Building Commiss.loner and the Zoning Board of Appeals. 1) Prior to occupancy of the family apartment; affidavits reciting the names and family relationship among the parties seeking approval have been signed and' shall be signed i annually thereafter for the duration of such occupancy. m) • Prior to occupancy of the family apartment, an occupancy permit shall be obtained from the Building Commissioner. n) No such occupancy permit shall be issued until the Building Commissioner has made a flrlal Inspection of the proposed family apartment. i o) Within sixty (60) days from the date authorized family members vacate the family apartment, the owner or his or her agent shall remove any kitchen facilities in such unit and notify the Bulldi.ng Commissioner to inspect the premises. p) in addition to the provisions of Section 3-I . 1 (3) (D) (o) above, upon vacation of any family apartment, the premises ' shall be restored as nearly as possible to their state prior to the creation of such family apartment. q) The Building Commissioner shall have the right to further inspect the premises upon which a family apartment has been vacated at least three (3) times per year for three (3) years consecutive from the time of such vacation..