Loading...
HomeMy WebLinkAbout0035 WILLOW STREET N® lam+ 0. 1 52 1/3 ORA I` J A / / , � TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map- Parcel ' oel Conservation Divi'on Date ~"''^"^^ Plan Approved "x ` " yBoard Project Street Address Village Wes &425��"le- Historic - OKH Preservation Hyannis Telephone TOW(,rvl R�o _n.A_�o re,011rff_ W 67AO' rm-r ep bw n4c.W "A kkn��e L/ f6e= .2 5 uare feet: 1 st floor: existing Raproposed floor: existing proposed Total new nr /p�`�� m*�uvu// �u r '/uuucuu// Type . . ~ . L8t Size 7 Grandfathered: [3\e8 [3N� �O �yes, attach supporting documentation. �� OwGUng �D : G�o� �Fmn -^� Two Family Ll Multi-Family (# units) _______ ! Age Of Existing StnuCtur8 ' Historic House: [lYeG )d~- {}n Old Kjng'GHighway: L3\teG XNo Basement Type: XFull� � C�� Wa lkout 0 �h� '. | Basement Finished Area(sq.ft.)' YO YBasement Unfinished Area(sq.ft) Nurnb8rOfB8thG: Full: existing n8vv Half: existing Number OfBedrooms: existing __new Total Room Count (not including baths): existing First Floor Roo I Count Ll Heat Type and Fuel: UG8G )K[)i| UB8CtriC El Other____________ ���. Central Air: []`�s ��NO . Fln3p|@C8G� EXiGtiO� N8vv ExGtiOgvv0 Detached garage: �� existing [� n8vv G�o__Pool: �� existing [3nRvv Giz8Barn� -' size— Attachedg8ragG: 0 �x\Gting [� O8� 8iz8 ��h8d� �� 8xiGtiO� 0 n8� size Other: C-u co r- ZOOingB08rdOfAppe8|GAVthOriZ8tiOn [l Appeal # Recorded T co 'n CUnlrn8n:ia| Ll Yes >�NO If yes, site plan m3Vi8vv# Current Use ' ' Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) N8nn8 Te|8phOn8Nunlb8r , Address License Home |nOprOv8m8rt Contractor# ' Worker's Compensation # _ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. Y ADDRESS VILLAGE ' OWNER" .; r� 6 DATE OF INSPECTION: FOUNDATION FRAME INSULATION /3lN Off- $ (l 0f P4'Kc#- - 4 FIREPLACE P ELECTRICAL: ROUGH FINAL k PLUMBING: ROUGH FINAL ! GAS: ROUGH FINAL 3 FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations - 600 Washington Street Boston, MA 02111 •� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information r Please Print Legibly Name(Business/Organization/Individual): �yq [d Cs es ? we' /` Address: Arid City/State/Zip: , d-�/S � Gy Phone.#: 36�- 6Sy Are you an employer? Check the appropriate box: alo- Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-tim.e). * have hired the sub-contractors 6. ❑New construction .2.0 I am a sole proprietor or partner- listed on the attached sheet. T. Remodeling ship and have no employees These sub-contractors have g. 'Q Demolition workingfor me in an capacity. employees and have workers' Y P h'• $ 9. ❑Building addition [No workers'-comp.-insurance comp. insurance. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy.of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do here Y certi under the ain n pena ties of perjury that the information provided above is true and correct Signature: Date: _ Phone k Official use.only. Do not write in this area,tb be completed by city or town officlat City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: -Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation'for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house of on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence•of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work unto acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-con6actor(s)name(s),address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number.-In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in - (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each . year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations- 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-NlASSAFE Fax# 617-72777749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable Regulatory Services awrstasTABLE Thomas F.Geiler,Director MASS °� Building Division rF0 MA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ]� � JOB LOCATION: Jl7 ��/`� ���IRJ 5 � V&_�5 number f street .Q �, t L village "HOMEOWNER":��/� W/w�i (�IJ!! C/`�o�(52/t/� naml home phone# work phone# CURRENT MAILING ADDRESS: O(7// S✓ , e� �c.r city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not.possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and e uirements. �gignaylle of Homeowner Approval of Building Official Note: Three-family dwellings containing 3-5,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Town of Barnstable Regulatory Services y �BAM LE'g` Thomas F. Geiler,Director �'OIE0.19. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section ` If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to rk au rized by this building permit application for ddress of Job) Signature of Own r Date Print Name If Property Owner is applying for permit plea the Homeowners License Exemption Form on a reverse sid . Q:FORMS:OWNERPERMISSION �' .4coR0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5 18 2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION EMDERICKS INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 427 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, MA 02655 508 428-8999 INSURERS AFFORDING COVERAGE NAIC# INSURED Bruce Wilcox, Inc. INSURER A: Savers Property & Casualty CO. 2 Stonefield Drive INSURER B: East Sandwich, MA 02537 INSURER C: INSURER D: 508-566-3675 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION /Y LTR NSRD TYPE OF INSURANCE DATE MM/DDYYY DATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ CLAIMSMADE CI OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GE N'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY I JECOT PR LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO t i •. _ , � OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CI CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE CI WC0002039 5/25/2008 5/25/2009 E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? 100000 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry - residential and commercial . CERTIFICATE HOLDER CANCELLATION ~ - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Doug. Colwell DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 35 Willow Street i NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL WestF �Barnstable,. MA 02668 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. a AUTHORIZED"9FEP_R TATIVE Ck ACORD25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD `pF THE rOh,O Barnstable Old Kings Highway Historic District Committee SA"STABM 200 Main Street, Hyannis, MA 02601;TEL: 508-862-4787 Fax 508-862-4784 y MASS c' 1639. 0 � arED MA'S��0 APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four(4)complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,-Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: Clxeck all categories that apply; 1. Building construction: ❑ New VAddition ❑ Alteration 2. Type of Building: ❑ House V Garage/barn ❑ Shed ❑ Commercial El -Other 3. E0t_ or Painting roof ❑ new roof ❑ color/material change, of trim, siding, window, or - 4.-Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign { 5. Str�cture: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court Other 6.E ❑ swimming ❑ Other man-made pool °� Type or Print Legibly: Date: Address of proposed work: House# Street: 3 - lam,/�, rp�� Village///L Assessors Map Lot# Description of Proposed Work: Give particulars of work to be done:2 n -Pn2=cam /)/��innF �)s�U l?7�STL?�'��2//YtJU✓�7 .`3i���� � iagp ��y��Je.r �„ f�icfGr� S/�P ' Agent or Contractor Telephone#: Address: Vlzld. ,5�..e.&6ze /()ctt 1/YIG �1, r�z� ., �6 1/`! Contractor/Agent' signature: t NOTE All applications ust be signed by the current owner _ Owner(print): "7�-_c &'; � � Telephone#: Owners mailing ad.. ess: Owner's signature: For committee use only. This Certificate is hereb APPRO /DENIED n Date Members signatures JAN 2 7 2009 TOWN OF BARNSTABLE �0 HISTORIC PRESERVATION 1 5�a�aA Any conditions of approval: �� ,�,•eo o ,5 O Q.IGMD-Groups101d Kings HighwaylOKH New AppIOKHCert Approprinteness 07.doc 1 i Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 Copies Foundation Type: (Max. 18"exposed)(material -brick/cement, other) Siding Type materia �p) ��,j Color: Chimney Material: ,U X1 Color: Roof Material: (make&style) m�7� P,..sz, tv Color: Trim�material l/ �r Color: Roof Pitch:-(7/12 minimum) [ � --y Window: (make/model) �, /�r._e v.. material color Size(s): n�s n d 79- Door style and make: R/Id material Color: Garage Door, Style r),a ,.,, �,' Size �d �a Material TI �r Color Shutter Type/Material: rx. c� _P k 1571 r") Color: Gutter Type/Material: C,, /u r,. Color: eu •�� Decks: material 14 Size Color: Skylight, type/make/model/: A 00 material Color: Size: Sign size: hl : Type/Materials: Colo ��O �a�\aA Fence Type(max 6' ) Style , Mom. material: Color: Retaining wall: Material: io' o Lighting, freestanding on building illuminating sign Please provide samples of paint colors and manufacturers brochure of style of windows,doors, garage door, fences, lamp posts etc ADDITIONAL INFORMATION: JAN 2 TO\N �111 OVRNSigned: (plan re ar print.name TABO tel.no.-7V( Z�d`t `��' oca on of application: Street no. Street �� Gv� �, � �eP Village 2 Q:IGMD-Groups101d Kings HighwaylOKHNew AppIOKH Cert Appropriateness 07.doc i Plans shall include the following: Name of applicant, street location, map and parcel. Name of Builder Designer, or architect; original signature of plan preparer and stamp; plan date, and all revision dates. ALL NEW HOUSE OR COMMERCIAL BUILDING PLANS MUST HAVE AN ORIGINAL SIGNATURE AND STAMP, IF ANY,BY A REGISTERED ARCHITECT, MEMBER OF AIBD, OR A LICENSED MASSACHUSETTS HOME IMPROVEMENT CONTRACTOR,UNLESS THIS REQUIREMENT IS WANED BY THE OKH DISTRICT COMMITTEE. A written and drawn scale. _Elevations of all(affected) sides of-the building, with dimensions including height from the natural grade adjacent to the building to the top of the ridge; location and elevation of finished grade,roof pitch(s), dormer setbacks; trim style,window and door styles. Changes to existing buildings must be clouded on drawings. Landscaping plan,4 copies drawn on a certified perimeter plan containing the following information: Name of applicant, street address, assessor's map and parcel number. Name, address and telephone number of the plan preparer; plan date and dates of revisions. The location of existing and proposed buildings and structures, and lot lines. Natural features of site(e.g.rock outcroppings, streams,wetlands, etc.). Existing buffer areas to remain. Location and species of trees outside of buffer areas greater than 12"caliper to be retained or removed. The location, number,size and name of proposed new trees and plants. Driveway,parking areas,walkways, and patios indicating materials to be used. Existing stone walls,and proposed walls including retaining walls for slope retention or septic systems. (for removal of stone walls, file Demolition Form). All proposed exterior lighting and signs. Sketch or photos of adjacent properties, (1 copy only) A sketch(s)to scale or photographs of nearby adjacent buildings,where present, along both sides of the street frontage, showing the proposed new house or commercial building in scale and in relationship to the existing buildings. Please discuss with staff if you do not think this is relevant to your application. Photographs of all sides of existing buildings to remain, or being �o� sLIE?IV 2 Fee according to schedule. JAN 2 7 2009 Please complete the following: TOWN OF BARNSTABLE Existing building, footprint: HISTORIC PRES RVATIOC•i' Building 1 (.37 sq. ft. Building 2 Existing.Building, gross floor area, including area of finished basement: Op°� Building 1 2 Q `h y sq. ft. Building 2 e ga New building or addition, foot print: �� Building 1 '� _7 sq. ft. Building 2 New Building or addition, gross floor area, including area of finished basement: "\o�a�`Go�� Building 1 sq. ft. .Building 2 4 Q:IGMD-Groups101d Kings HighwaylOKH New ApplOKH Cert Appropriateness 07.doc f _ Ci D; E ' a a • � �O Q~ � O Nc c' � I III 01 q 0 � W PA r I 1 _ ;I ' •meuurr'm ollnuri.iwrt,n,e . ie�='�=`--�-�• •-, M ssochuseitl Che�41'ar for Co;�an•GS.iT a^A say,I.U' .... Massnihnscrb CLecltliel for Cnluplinnce na�c.mm i;:).' - n r " w�+o' •R�I- �/ ur.nxw�••iu.�a rrwieq�we' �- I - •. .. :. � m:eds.o a•navm•.imr—nwwD � FaMw ,�� ; �..we'ms:r..i��ZF r,..etirw.nwr'i ra aia a'.��+aswr rMl��ij�- �gg95[1 Wrp.iraWni�,w.L-.� '�:� I ;1 w•ar � 19�-6� ~�at�a�.••+o b—w'r.wn+•+a..rF tr >� I � RGR �� -Y. wrabnr trrr • -•.ueCt�44,f%Dl Q 6 W•""[.wsw.m..� —`.amaoam•p.®1— .✓ a. � � � i I1�01 a+e _ �wsr.b...r s.r.err—_R.mr.:..uew..xeYy�mrowNw, �✓, �w.w.'"e'.am.me�mmep~'�'�ri.,[ar.wrM1beV neerMMriry 6tr••ril�, y ._ .._-_.. ewamytreeowr I.yn ae ea .�NM • � I ��`:ir'Fm �.amoe'�="un1 -i.s � �as�.�r.w..re..�..,�.r,D. ._ ,.b .ro<-. ! .. Powarriwe.. rtr,a8e,r w,�w.y.,Lw1u y' �wii0••>.al_JI rra — �'n'�`wrr7 R to al9�w Pd'o"rar,r„i �1 wi..a.er.war'6•�_ mm.,.m.n. i[a �,�. � ���' M�aocw a9u war swv ' _-EIXlN�AII�L�L'HISiJ-' � mrmw� -.ria w+r.e e.�r.•mWwes.r e...w.�we . mvrga wua!� .. „-e it em 1 , rn�atrzlw�.aoouc �'°a.a..r�ae,eew,....a �a�.w.�a�opiu�l RU r,. _ianw )'��4+a iw me.1pieawre.•m+.netr•apwe.a.o+!.,.ue+e.we- • �� �•robed.T•O,so�adaw-�mt,.o,woO.s•praw.e '-Y ema .� r.r+.wfw fa.m I oae4i' prwaw.aw.— � eapah -ate - ' "• °"""=`� °! WIVor- - 'I ' HISTORY.pFSt_..-..—'----....... .. _ .._ ... a �.•�.^_�� ` � � PPP 11p49 FE6 9iae\e SowK°�9S rPs N a Sri .3:� }o• ,a• ,.o- ,.a- O\d O°m i I t , B UCE DEVUN DESIC,NS. CHATHAH,HA. W'tocaer' ))4.209.5)SD �cieuQwsss�ctr.sinu�ni� .: - I � o a C> rQ j d.A I, N o v �ct oCD ma moo uU Z� rf C9r z'p O QT IE o A S� 2 � �c o W 2 N 94 as i a r , o z — I✓ � II �.'� '' G �� _ nGaz�nav 1 _ n. a .. i. i I i`` ♦Y rq _ � 1 I ' I 17 I1 P'I ppig 9 �F, kkepp �be e ' , r h 881 - H 8 H HHBH H 8888@@ .8`- HH 8 a 8H 88 88 $' 8 fill '' 1111111 11 79 h 3. IF 7 r -o i{ ((�i LC �• 1 I I 1 _ Status Not Famil Apt rApp4ealiNo z 02 62 ` F Appeal Special Permit y p •Applicant Meriam lWorcester andPamela n Addr 35 Willow Street ._ llage West Barnstable MA 02668 . rgTy .` 2, r 'AyT " ? Aff Received�5/29/2002 Map"SPar. 059001 ion 4 Notes 6/9/03 Mr.Merlam called,never built family apt.,has sold ��r$ house. Change in status approved by T.Perry. nr „rXrC 4���`�z.'�' ` Lf �` •..,,.�A �=. .r--; �'-` ri'�,gi�_2�, a� - � .,�, ''�* -_ r ��FTME Tpk, Town of Barnstable P � BARNSTABLE, Regulatory Services i639• �0 Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: File FROM: Lois Barry DATE: 6/9/03 RE: 35 Willow Street,W. Barnstable Mr. Meriam called. They never built family apartment and have now sold the house. House continues to be a single family dwelling. i oFt ra,, Town of Barnstable BARNSTABLE, ` Regulatory Services 9� 119.MASS. ,0� ABED A Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 29, 2003 Worcester and Pamela Meriam PO Box 474 W. Barnstable, MA 02668 RE: Family Apartment 35 Willow Street, W. Barnstable Dear Mr. and Mrs. Meriam: Please contact this office as soon as possible regarding the family apartment special permit approved by the Zoning Board of Appeals in May, 2002, Appeal 2002-62. You have not filed for a building permit for the family apartment, and the relief authorized must be exercised in one year from the date of the decision. Our file also includes a 1997 letter to you stating that anything other than a single- family home is illegal. Is your home now a single-family residence? Please call me at 508 86274039 to review the status of your property. Sincerely, Lois Barry Division,Assistant j03O430A -:-- BILL INQUIRY- TOWN OF BARNSTABLE (I 1 Actian I Year Type Bill # 2� Cust # Notes/SC Bill Name Ph rHistory F2663, RE-K 18894 9 2 0 21: MERI,AM, WORCESTER & - Parcel ID 156-059-001 BOX 474 Detail Alt Parc _ W STABLE, MA 02668 Ong Bill Prop Loc 35 WILLOW STREET __. . _ -. _.. _.. -.._ _._ Lien/Sale j 4guick Scan Int Dt Billed Abt/Adj Pmt/Crd Interest Unpaid bal t �SpecificBill 1 11/21/02i 1, 129 .86 00 1, 129 . 86 00 . 00 11 --- _ =Cu 2 05/02/03' 1, 12986 f _ 00W UtUdy Acct stomer 3 _ Y=Parcel T Fees/Pen: 0 0: 0.0 ..0 0' . 00 . 00 i I`---Name Totals: 2,2,59,7,2 00; 2, 259 . 72I . 00 00; : .:: t4 ExR JAN 1 Owner: MERIAM, WORCESTER & Q Due 05/29/2003 .00 Preferences Per Diem 00 == Int Paid r 00 l 1 1 of 7 II ! J.-. I� .,L�,,Fron�xlipn,hie.Fnrn Fnr.fhc.ni irronF F,vIL........................_........._...J,..........,..........,...;........,.................._ �.....«......,........_...._... ..........�.........,....,......_.....�t.AII IAA,I�sO��I'. .6.a: .,,._.,, _E�la...r: ._.. fFm�_ L�C].�_,ti�t OFTHElati Town of Barnstable snxrrsrnBi e : Regulatory Services MASS.� 39. ,0r Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 30, 2003 Worcester and Pamela Meriam 35 Willow Street W. Barnstable, MA 02668 RE: Family Apartment 35 Willow Street, W. Barnstable Dear Mr. and Mrs. Meriam: Please contact this office as soon as possible regarding the family apartment special permit approved by the Zoning Board of Appeals in May, 2002, Appeal 2002-62. You have not filed for a building permit for the family apartment, and the relief authorized must be exercised in one year from the date of the decision. Our file also includes a 1997 letter to you stating that anything other than a single- family home is illegal. Is your home now a single-family residence? Please call me at 508 862-4039 to review the status of your property. Sincerely, Lois Barry Division-Assistant j030219a 3�z - �.yiz • BABNBiABL& MAB 9� 163A CEO MPS e Town of Barnstable Zoning Board of Appeals Decision and Notice Meriam Appeal 2002-62 - Section 3-1.1(3)(D), for a Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Worcester and Pamela Meriam Property Address: 35 Willow Street,West Barnstable,MA Assessor's Map/Parcel: Map 156,Parcels 059-001 Zoning: Residential F,Aquifer Protection and Resource Protection Overlay Districts Relief Requested& Background This appeal is for a Special Permit to allow a family apartment in accordance with Section 3-1.1 (3) (D) of the Zoning Ordinance. The locus is a 1.07-acre.lot located on Willow Street just off Route 6A in West Barnstable. The lot was developed in 1972 with a one and one-half story single-family dwelling. According to the Assessor's Record,the dwelling is a three-bedroom home of 1,860 sq.ft. and has been owned by the applicant sense 1983. Procedural& Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 24, 2002. An extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened May 15,2002,at which time the Board found to grant the family apartment special permit with conditions Board members deciding this appeal were Gail Nightingale,Richard L. Boy,Ralph Copeland,Jeremy Gilmore and Ron S.Jansson. Mr. Meriam,the applicant represented himself on the appeal. The proposal is.to add onto the existing dwelling a one-story,one bedroom addition for a family apartment. He stated that he has read and understands the zoning requirements for a family apartment and that upon.the vacating of the unit,the apartment use would cease and the kitchen would be removed. He stated that the apartment is to be occupied by Gertrude Grantham-Pamela Meriam's mother. Board members discussed with Mr. Meriam the on-site septic system. Mr. Meriam stated that he has been in contact with the Health Division,and he understood improvements needed to be made to the system for the additional bedroom. He stated that he is prepared to do whatever improvement will be necessary to bring the system into compliance. Findings of Fact: At the hearing of May 29,2002,the Board unanimously made the following findings of fact: 1. In Appeal 2002-62,the applicant is Worcester and Pamela Meriam. The subject property is addressed 35 Willow Street,West Barnstable,MA,as shown on Assessor's Map 156 as Parcel 059-001. It is zoned Residential F,Aquifer Protection and Resource Protection Overlay Districts. The applicant has applied under Section 3-1.1(3)(D), for a Family Apartment Special Permit. 2. The locus is a 1.07-acre lot located on Willow Street just off Route 6A in West Barnstable. The lot was developed in 1972 with a one and one-half story,three-bedroom single-family dwelling of 1,860 sq.ft. The applicant has owned the home since 1983. i 3. The applicant is proposing to add a one-story 16 by 24 foot addition to the existing structure for the apartment unit. The unit would be a one bedroom and not have more than 384 sq.ft. The apartment is to be occupied by Gertrude Grantham-Pamela Meriam mother. 4. According to the information submitted and plans for the unit the proposal satisfies all requirements of Section 3-1.1(3)(D) for the issuance of a family apartment special permit. 5. The application falls within a category specifically accepted in the ordinance for a grant of a Special Permit. 6. After evaluation of all the evidence presented,the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Decision: Based on the findings of fact,a motion was duly made and seconded to grant a family apartment special permit in accordance with Section 3-1.1(3)(D),and with the following conditions: 1. The family apartment shall be as developed as presented to the Board in plans entitled; "Meriam Residence 35 Willow St.—West Barnstable,Proposed 15'x 22'Addition For Jack Klim-Builder",except that the addition can be as optionally proposed and presented to the board as 16 feet by 24 feet. 2. The apartment unit shall be maintained in accordance with all requirements of Section 3-1.1(3)(D). 3. The family apartment is limited to one-bedroom and shall not exceed 384 sq.ft. 4. The on-site septic system shall meet the requirements of Title V. 5. The proposed addition shall be limited to one-story and shall be conditioned upon approval of the addition by the Old Kings Highway Historic District Commission. 6. The property shall be maintained in compliance with all applicable building,health and conservation regulations. The vote was as follows: AYE: Gail Nightingale,Richard L. Boy,Ralph Copeland,Jeremy Gilmore,Randolph Childs,Ron S.Jansson NAY: None Ordered: Family Apartment Special Permit 2002-062 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized must be exercised in one year. Appeals of this decision,if any, shall be made pursuant to MGL Chapter 40A,Section 17,within twenty(20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. Ron S.Jansson,Chairman Date Signed I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk 2 P 229 805 329 oFTMe US Postal Service o� The Town of Barn Receipt for Certified Mail '+ t3ARNSTAHM No Insurance Coverage Provided.� . MAC 0�' Department of Health Safety and Envir Do not use for International Mail See reverse i6;9. ♦ n to 'O�Eo ppp►'l" Building Division Street&Nu!mbpr 367 Main Street,Hyannis MA 02E S(4J4� POpt Office,State,&ZIP Cgg _ Office: 508-790-6227 Fax: 508-790-6230 Postage Certified Fee Special Delivery Fee February 25, 1997 Restricted Delivery Fee � Return Receipt Showing to Whom&Date Delivered Rehm Receipt Showing to Whom, Date,&Addressee's Address O O TOTAL Postage&Fees Merian Worcester oo $ . S� 35 Willow Street CO Postmark or Date West Barnstable,MA 02668 0 rn A Re: 35Willow Street,West Barnstable,MA 02668 Map/parcel156-059-001 Dear Property Owner: A review of our records,including the permitting history of 35 Willow Street,as well as the Zoning Board of Appeals records indicates that the use of that address as anything other than a single family home is illegal. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single family home. You are to accomplish this work and notify this office to inspect within 14 days of your receipt of this letter. A building permit must be applied for to redesign the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. Very truly yours, 92�� Gloria M.Urenas Zoning Enforcement Officer GMU/lb CERTIFIED MAIL P 229 805 329 R.R.R. Q960712B Ir •" �M4`i c..-.rye,_ � ,� _ i .__ _ ram. :rd...:r r. � Hr-"' iY^^%�+"• _ �.+[. yy .,"'�fc":4'r-ir"�'t'" , w,+TJr•t�ts^yt_..��:. :1'1.Ti•:,xiv:•^r, ;:-:?r �$� •x;:7�;,"L,:'y�ts '�-.L;Fs"►fy�'�`+^��YN�fiy+sy�;y''�jb'�4h:tit. INE ° Town of Barnstable - � BARNSTABLE. ' Regulatory Services MASS. �AfE0�;:,6. -- ._ Building Division _ 200 Main Street, Hyannis, MA 02601 Office: 508-8624038 Fax: 508-790-6230 . Inspection Correction Notice r� Type of Inspection `srk K-c Location .S� Or ct,o cJ S . 0JB Permit NumDeT -z O O 9 D Z �a W� Owner � / Builder T I . One notice to remain on job site, one notice on file in Building Department. The following items need correcting: �Q Am e7 r so fay Please call: 508-862-4 for re-inspection. Inspected by �l%� G��►,Gl.�;� Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION.- Map Parcel `Application# 6676 ­ nb I Health Division Date Issued- �P Conservation Division Application Fee V. Tax Collector Permit Feed• 40 Treasurer 60 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street/Address 3� /mil I/D y S7Ar�� Village I e&7f" Owner yr� Ids . [ �2�Gc�(1�� Address �3 Vi 1Jy14J.-!5;�k Telephone 3,6 Z r Permit Request 7f'_k,9_ E22A2'1f' �i roOb ko/S it �� ;✓ Re PuLle .01A/ Ae S ilx, Zel?,ez?��Ae Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation P12 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric 0 Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ' ❑No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:O existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial 0 Yes ❑No If yes, site plan review# Current Use L4 4 4 Proposed Use r UILDER INFORMATION LZ Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /Owe'/ 19P90-0-4o.91 )d i lV SIGNATUR DATE Z FOR OFFICIAL USE ONLY i�3~ ` APPLICATION# DATE -ISSUED r MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME } ' INSULATION i FIREPLACE } ELECTRICAL: ROUGH FINAL I ' PLUMBING: ROUGH FINAL ' GAS: ROUGH f: FINAL t FINAL BUILDING m ti DATE CLOSLD OUTS 3 - . ASSOCIATION PLAN NO. j =' _ .1 -{ - - -- ,- , - Jl- `r t 3 i � � j • ` � I I ` � l ' 1 I i � i I � 1 I ' I _ I I { I_ __� _ ' ' •_. � r t 1 3 _ M - �' '- ► _ ' - Imo; _' -f - q V I I 1 ` _ I I 1 Jl. 1 J _ 9 J� x f - I I � I � f Town of Barnstable Geographic Information System July 18, 2007 4005 156016 695 #780 0 156061 #761 156060 156059002 #775 #725 ram. - 156059001 Q � 3. o* o O 156032 #12 156003 #47 1 O#69 69 156033 #50 0 36 Feet DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:156' Parcel:059001 ' boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map Owner:COLWELL,DOUGLAS E. Total Assessed Value:$414200 W+f- are only graphic representations of Assessor's lax parcels. They are not We property Co-Owner: Acreage:1.07 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:35 WILLOW STREET such as building locations. Buffer /��` '� Town of Barnstable. Op THE 1p� Regulatory Services BAMSTABLE, : Thomas F.Geiler,Director MASS1 . ,�� Building Division Ar�O MAC A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION f Please Print DATE: / J� /� JOB LOCATION: W! number ff�� (j street n yQ village / Q "HOMEOWNER": 4 ma's & 1� b:X29, �r��y 1/O^1�n/!/ name W,1 home phone# work phone# CURRENT MAILING ADDRESS:�3E I>V l f�2y]l- 5�t city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned,"homeowner"certifies that he/she understands the Town of Barnstable Building.Department minimum inspection procedures and requirements and that he/she will comply with said procedures and Cequirements Si ure of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt °FTME,, Town-of Barnstable Regulatory Services Z snarisWLE, _ Thomas F.Geiler,Director 9 MASS i639 •� Building Division � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 office. 509-862-4038 Fax; 508-790-6230 Permit no. AFFIDAVIT. HOME MROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: a' lro4o&4 Estimated Cost Address of Work:--, kt l owner's Name: ®f/G� Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law []Job Under$1,000 ding not owner-occupied 'Nowner.pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED . CONTRACTORS FOR APPLICA11LE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. O A&7 Owner's Name Q:f0nTa home�tdav L The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbiy Name(Business/Organization/Individual): Zpan Address: IT �•ke' �7� � City/State/Zip: W gir-,fNS/ bk,Hl�l"Phone.#: Lrog: Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction . employees(full and/or part-time).* have hired the sub-contractors 2.El am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity.acitY• employees and have workers' #. 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ❑Plumbing repairs or additions officers have exercised their 11. n '3.�I am a homeowner doing all work , P myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no ,Q employees. [No workers' . 13001her comp.insurance required.] . 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site AddresS: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the MA for insurance coverage verification. Ido hereb erti zinder the pains-an'dp�enalties ofperjury that the information provided above is true and correct Si ature: ./��" Date: Phone#: 5-E(J" Off cial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C( )states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure.to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture i (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. Tbe Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 4.06 or 1-877-IvlASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia Application to (sib Ring"q -)�igbwap 3.egionaY �)fgtDrir �Dtgtritt Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application.is hereby made,with four complete sets, for the issuance of a Certifcate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1.' Exterior building construction' ❑ 'New ❑ Addition Alteration � . Indicate type of building: House ❑ Garage ❑ Commercial Other 2. Exterior Painting: ❑ \\ o 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign - ❑ Repainting Existing Sign! W 4. Structure: [I Fence ❑ Wall ❑ Flagpole Other : � 1 Gam`- c�D TYPE OR PRINT.LEGIBLY: DATE cc �s ADDR ESS OF PROPOSED WORK' 5 t. � 6�l J! ASSESSOR'S MAP M, 1 OWNER ��[\�( L } ,YLt/�( � L "' t'-Lt,` S L L ASSESSOR'S LOT . -1._ I HOME ADDRESS ,3 �u`Zv S 7 TELEPHONE NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners,across any public.street or way. (Attach additional sheet if necessary.) rz< 4:2 Wd -142 AGENT OR CONTRACTOR TELEPHONE NO, ADDRESS DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. �YJY1Y � Ck S f �c�r� C '��j �tiv ���C� ��S (;� �l lC.l'z 7 C Signed Owner-Contractor-Agent For Committee Use Only This Certificate is hereby Date D � � � � U � pp ! enied Committee Members' Signatures: MAY 0 2 2007 TOWN OF BARNSTABLE "�TORIC PRESERVATION Town of Barnstable Old Mug's Highway Historic District Committee SPEC SHEET FOUNDATION - SIDING TYPE_ .fCOLOR -7 CHIMNEY TYPE COLOR ROOF MATERIAL_ _ — _ COLOR - PITCH WINDOWS I. COLORS�U1` SIZE c�ti..• TRIM COLOR _ DOORS _ __- __ _ -_COLORS _ SHUTTERS i� _ - __-- — —' COLORS_ - GUTTERS_ _ _ —:_COLORS ._: ' MATERIALS i ► J� DECKS. � 1 �O GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS. COLORS UJ CD FENCE COLOR NOTES: Fill out completely, including measurements and material s/c sd.� nLon of `S farm are reeuir=_d for submittal of an application, along With lll�� =the plot M -an lands -� plan and elevation plats, when applicable. 07 V MAY 0220 SPECSHT Revised 11/98 TOl^i:j nc r.PVJN ON 4" _ t l o. Zt r-4 i ./00 i LAY b W/ l�Qus� .:vat, 40, FURRING mtp I AV is R. LOVFJOY CO. F S3,rst6bja, Maass. 02630 _ yt tee, 362-3632 END Appeal°No:` 02-62 "'Appeah °Special Permit •Stcitus Not Famlly Apt Meriam Worcester and Pamela - z Y 35 Willow Street a/11 mg, >West Barnstable MA 02668 j £ ON ' ' r =Recce ved 05/29/2002 Maps,a" 059001 ni g RF v • w,- Notes-" 6/9/03 Mr.Meriam called,never built family apt.,has sold �� - ,.j_ . ;try • house. Change in status approved by T.Perry: 5 f G - r OFtHE Tpk, Town of Barnstable O „ s,ABLE Regulatory Services 9� MAS& 39. � pTEO a Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: File I FROM: Lois Barry DATE: 6/9/03 RE: 35 Willow Street, W. Barnstable Mr.Meriam called. They never built family apartment and have now sold the house. House continues to be a single family dwelling. I oFtHe 1ph, Town of Barnstable O BARNSI'ABLE, Regulatory Services MASS.1639. 16 Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 29, 2003 Worcester and Pamela Men*am PO Box 474 W. Barnstable, MA 02668 RE: Family Apartment 35 Willow Street, W. Barnstable Dear Mr. and Mrs. Meriam: Please contact this office as soon as possible regarding the family apartment special permit approved by the Zoning Board of Appeals in May, 2002, Appeal 2002-62. You have not filed for a building permit for the family apartment, and the relief authorized must be exercised in one year from the date of the decision. Our file also includes a 1997 letter to you stating that anything other than a single- family home is illegal. Is your home now a single-family residence? Please call me at 508 862-4039 to review the status of your property. Sincerely, Lois Barry Division Assistant c - j03O430A ineering Dept. (3rd floor) Map /5';�o Parcel QS ,,gy�pp�/—�6/ � 'ermit# 22-033 House# -15 4L Date Issued 2(oLi Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) (', 3 0l V—97 Fee c� Conservation'Offi ce(4th floor)(8:30- 9:30/1:00-2.00) Planning Dept. (1st floor/School Admin. Bldg.) INS P P�v EIUI MUST BE Definitive Plan Approved by Planning Board 19 - COMPLIANCE MARITLE 5 ENV TOWN OF BARNSTABLE Td; . �TION 4�.,a Building Permit Application 4 Project Street Address 3S W,,kX j,.,j St Lp 7—, l Village ` r ArvLgt4yle Owner W o re P t rnseAkc wM Address Telephone 3tc2 2 Z - Permit Request First Floor square feet Second Floor t square feet Construction Type 2-con Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 5 v QS Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No e Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) I ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information iName J t Telephone Number Address S7S DPII/ License# C3 t,Z 2X�b �1�Yn�s�►�� Home Improvement Contractor# 1 l l�1.2Z Worker's Compensation# Sete NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ir h( &Qckl&le C SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) G:�tli FOR OFFICIAL USE ONLY /w PERMIT NO. DATE ISSUED' ` MAP/PARCEL NO. f 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION . FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL _ GAS: ROUGHS J� FINAL FINAL BUILDINGrl DATE CLOSED OM-,-- ASSOCIATION PL.AN,I . cr N The Conttttonit calth of Afassac•husctts ' f usil • _�-__-=j. Department of Industrial Accidents ` off Ceoflttyesagallans t:w la �•��_, ;�j.._y, 600 N ashiti ton Street ' Btistott, Ma.u. 02111 Workers' Compensation Insurance Affidavit t�mlic•tnt information• _ - : _ Please PRINT lebi� y=� , name loc•ttion• city nhone# Z 2�(2- 1 am a homeowner°performin_ all work myself. am a sole proprietor and have no one working in any capacity _ .:. ..:•-..'�-....,..+ewe-:�.....• ..... -..,.r,,.. . .. I am an employer providing workers' compensation for my employees working on this job. contimov name: '- address: city nhone#- insurance co policy# I am a sole proprietor. Uneral contractor, or homeowner(circle one) and have hired the contractors listed below who have the followin_ workers' compensation polices: com any name: address: city nhone#• insurance co nolicy# _ com any name: address: city• nhone#• insurance co policy# — Attach additional sheet if Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur one years' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do here •certi to/ rile ains and penalties of perjure•that the information Provided above is true and correct. rignatureoe Print n w\. Phone# 3G 2 31 ' official use only do not write in this area to be completed by city or town official - city or town: permitAiccnsc# nlluilding Department 4 ❑Licensing hoard t Selectmen's Office _ �check if immediate response is required ❑ ❑Itcalth Department contact person: phone#: r,Othcr i (,p,scd is"-;NA information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law". an empinree is dcfincd as every person in the service of : 11 ither'Under any contract of hire, express or implied. oral or written. An eynpinrer is dcfincd as an individual. partnership, association. corporation or other legal entity. or anv two or more the foreuoina enunued in a joint enterprise, and including the legal representatives of a deceased em'plover. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a d��ellin�u house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling_ hous or on tiie grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chajner 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewai of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance -with the insurance coverage required. Additionallv. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha. been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not fire Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers* compensation policy. please call the Department at the number listed below. .--- --........�.._...�. ...,._ ... ..ter... �......_._...._..__._...,_�—..,_........� .. •----.. . City oC rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas: be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to Live us a call. b �-r.y..r��...,... ....-..�.^v.n.•- ..��+wv.•r-�.r..::�r�:�...ts��3.��+r..i--....—�wlTw^'�.!^��aerwr�.R.T+..TT�1+�+���.1.��..—....�..1w.A..tYe.O.R'lT'•_ TV.�1•�[f.w/41r�C Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents vq;... Office of Investigations 600 NVashington Street ' Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 0,* tp� y y°� The Town of Barnstable • enxrrsTnste. • 116Jq. `0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be don4bby gistered contractors, with certain exceptions,al g with other requirements.Type of Work: Est. Cost Address of Work: 3S W A6W SA- ",__�Owner's•Name �bo-reesAj_A, fy\2y%ovv�,, ate of Permit Application: 2A2. ��4-1 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: z 9 zti. Date Contractor Name Registration No. OR Date Owner's Name `. - -First-Class Mail UNITED STATES POSTAL SERVICE Off. 1�14 0 „_` -Postage=&Fees„Paid �- is(� ems _. —=LISPS _-,_.,PermitNo._G 10 . o' 0 Print your name,,address, and ZIP Code in this box Town of Barnstable y Building Division ' 367 Main St. Hyannis, MA 02601 I I I I SENDER: I Ig ■Complete items 1 and/or 2 for additional services. I also wish to receive the w ■Complete items 3,4a,and 4b. following services(for an ry ■Print your name and address on the reverse of this form so that we can return this extra fee): I card to you. ai ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address (d permit. d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery I« ■The Return Receipt will show to whom the article was delivered and the date I c delivered. Consult postmaster for fee. °X 3.Article Addressed to: 4a.Article Number c a ` E 0'Z�-4— -- 4b.Service Type 10 I rn ❑ Registered ❑ Certified 3 S GCJ,t,Ge-d�J I W ❑ Express Mail ❑ Insured S N io C � iptforMerchandise ❑ COD �a OCR 6b8' �y a1%e c I z F5. a eived By: (P'nt Nam 8. a dress(Only if requested I¢ (,Ce N and f s t t- 0 6.Sig tore: (Addres rAgen T I y PS Form 3811, December 1994 Domestic Return Receipt P 229 805 329. US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse n to R..rc� C✓1 Street&Numb r s�, F-[-e-2-e�.c� Pot Office,State,&ZIP Cam_ Postage Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom, Date,&Addressee's Address O TOTAL Postage&Fees $00 a rh Postmark or Date 0 LL rn a Stick postage stamps to article to cover First-Class postage,certified mall fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,slick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carder(no extra charge). I > 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. w 3. R you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends R space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. if you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. c� 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in Rem 1 of Form 3811. ti 6. Save this receipt and present R if you make an inquiry. a i OfWE� � The Town of Barnstable • E Axr seasMMASS - 9e� �0 Department of Health Safety and Environmental Services AtFDMA'�p Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 25, 1997 Merian Worcester 35 Willow Street West Barnstable,MA 02668 Re: 35Willow Street,West Barnstable,MA 02668 Map/parcel 156-059-001 Dear Property Owner: P A review of our records, including the permitting history of 35 Willow Street,as well as the Zoning Board of Appeals records indicates that the use of that address as anything other than a single family home is illegal. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single family home. You are to accomplish this work and notify this office to inspect within 14 days of your receipt of this letter. A building permit must be applied for to redesign the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. Very truly yours, Gloria M.Urenas Zoning Enforcement Officer GMU/lb CERTIFIED MAIL P 229 805 329 R.R.R. Q960712B OFF RUtNSTABL4 1639. Town of Barnstable Zoning Board of Appeals Decision and Notice Meriam Appeal 2002-62 - Section 3-1.1(3)(D), for a Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Worcester and Pamela Meriam Property Address: 35 Willow Street,West Barnstable,MA Assessor's Map/Parcel: Map 156,Parcels 059-001 Zoning: Residential F,Aquifer Protection and Resource Protection Overlay Districts Relief Requested&Background This appeal is for a Special Permit to allow a family apartment in accordance with Section 3-1.1 (3) (D) of the Zoning Ordinance. The locus is a 1.07-acre.lot located on Willow Street just off Route 6A in West Barnstable. The lot was developed in 1972 with a one and one-half story single-family dwelling. According to the Assessor's Record,the dwelling is a three-bedroom home of 1,860 sq.ft. and has been owned by the applicant sense 1983. Procedural& Hearing Summary: This appeal'was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 24, 2002. An extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened May 15,2002,at which time the Board found to grant the family apartment special permit with conditions Board members deciding this appeal were Gail Nightingale,Richard L. Boy,Ralph Copeland,Jeremy Gilmore and Ron S.Jansson. Mr. Meriam,the applicant represented himself on the appeal. The proposal is to add onto the existing dwelling a one-story,one bedroom addition for a family apartment. He stated that he has read and understands the zoning requirements for a family apartment and that upon.the vacating of the unit,the apartment use would cease and the kitchen would be removed. He stated that the apartment is to be occupied by Gertrude Grantham-Pamela Meriam's mother. Board members discussed with Mr. Meriam the on-site septic system. Mr. Meriam. stated that he has been in contact with the Health Division,and he understood improvements needed to be made to the system for the additional bedroom. He stated that he is prepared to do whatever improvement will be necessary to bring the system into compliance. Findings of Fact: At the hearing of May 29,2002,the Board unanimously made the following findings of fact: 1. In Appeal 2002-62, the applicant is Worcester and Pamela Meriam. The subject property is addressed 35 Willow Street,West Barnstable,MA;as shown on Assessor's Map 156 as Parcel 059-001. It is zoned Residential F,Aquifer Protection and Resource Protection Overlay Districts. The applicant has applied under Section 3-1.1(3)(D), for a Family Apartment Special Permit. 2. The locus is a 1.07-acre lot located on Willow Street just off Route 6A in West Barnstable. The lot was developed in 1972 with a one and one-half story,three-bedroom single-family dwelling of 1,860 sq.ft. The applicant has owned the home since 1983. s—' 3. The applicant is proposing to add a one-story 16 by 24 foot addition to the existing structure for the apartment unit. The unit would be a one bedroom and not have more than 384 sq.ft.The apartment is to be occupied by Gertrude Grantham-Pamela Meriam mother. 4. According to the information submitted and plans for the unit the proposal satisfies all requirements of Section 3-1.1(3)(D) for the issuance of a family apartment special permit. 5. The application falls within a category specifically accepted in the ordinance for a grant of a Special Permit. 6. After evaluation of all the evidence presented,the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Decision: Based on the findings of fact,a motion was duly made and seconded to grant a family apartment special permit in accordance with Section 3-1.1(3)(D),and with the following conditions: 1. The family apartment shall be as developed as presented to the Board in plans-entitled; "Meriam Residence 35 Willow St.—West Barnstable,Proposed 15'x 22'Addition For Jack Klim-Builder",except that the addition can be as optionally proposed and presented to the board as 1.6 feet by 24 feet. 2. The apartment unit shall be maintained in accordance with all requirements of Section 3-1.1(3)(D). 3. The family apartment is limited to one-bedroom and shall not exceed 384 sq.ft. 4. The on-site septic system shall meet the requirements of Title V. 5. The proposed addition shall be limited to one-story and shall be conditioned upon approval of the addition by the Old Kings Highway Historic District Commission. 6. The property shall be maintained in compliance with all applicable building,health and conservation regulations. The vote was as follows: AYE: Gail Nightingale,Richard L. Boy,Ralph Copeland,Jeremy Gilmore,Randolph Childs,Ron S.Jansson NAY: None Ordered: Family Apartment Special Permit 2002-062 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized must be exercised in one year. Appeals of this decision,if any,shall be made pursuant to MGL Chapter 40A,Section 17,within twenty(20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. Ron S.Jansson,Chairman Date Signed I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk 2 r y A' �ssor,s^map and lotrnumber w . ypI.THE 9 lvkidge Permit number ..... J House number : �ASa LE, i ��...................................... � a��� ��s��� n�u�� '�;a �p a63q. INSTALLED IN COMPLIA� 0 MAI a' TOWN OF BARN5,T, ,3 &� �,- E pp te�rr,,BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....Ji,T/.14C ...`. . ................... ......... ......... ....... ................................................ TYPE OF CONSTRUCTION ..............�1®d. .` .. ... .. ..Rt..................................................................... !.......a..L/......19 gy TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...lN.l. / Y,'P`P ......................................................... ProposedUse .... ................................................................................. Zoning District ......kjp:�z....................................................Fire District �e . . �1 .5�7�18 �-- Name of Owner ..! �/� , �Z� .1. � ........Address . d[!/ .S/y GIPS ..........v' Name of Builder ...�Y// ......GD,,./`'�!�r�\( 6 ....Address Y ....................................... Name of Architect ... ✓VGt 13��tl�,Us °l (l7`�" ......... ... ...X//,,�z.`�....Address ............................... ................ Number of Rooms j...................................................Foundation ..... ..0v Exterior ......:. .�...L '1SfR.....�W/. /....g..'GS......Roofing ........ .S. ............................................ Floors ......?,MeA... d®. ................................................Interior ...............S......Yl-e-e7- a .........................:...................... Heating a� du t2 Plumbing .......... .............................0 .......................................... l Fireplace �� 7..�Uf"-}} .... lircpproximate. Cost .........1�:}Oae............................... .......... .......... Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area ... . �o................. d Diagram of Lot and Building with Dimensions Fee f SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Namek� 1...^..C.... . . .. .......................... 7 r , Construction Supervisor's License ....:/�.3../.........:........ W J'MR-TAMr WORCESTER ADDITION -to Z7,003...... Permit for .................................. ^Single F ly..I)Weui, ....................... Location 3.5..W�aloW..Street........................... West ............................. -55 Owner ... ........................... 47 .................... -7 jo Type of Construction ...F:,KCA M........................... /Al .............................................................................. Pilot ............................ Lot ...:............................ 4 84 September 2. 11 �4,5 -3 Permit Granted ......................................�l 9 >/ Al ate of Inspection ...........................4.t...-:`l 9 ate Completed .... ..........-�D . .............19 Z-4-1 e- Cj iel evv -oly 0 AS50 r`'s ma and lot 'number P cL.....�. THE �. Y Tod Q�pF Sewage Permit number .�� - Z SARNST/1DLE, i House- number. ............... ....... 9 rasa ..... r �p 039• v TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... ..................... ......... ........ ................................................. TYPE OF CONSTRUCTION ................rV.�d.D....... ..................................................................... `�.......i 9 g".G TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: U /"Y Location ............... .�.-P............................................................................................................ ProposedUse .... 3 ./. ./ ..y........ ..................................................................................................................... Zoning District ...... ....................................................Fire District .............�.7....... ... �IVS�....................nn....''..... Name of Owner l,(..V.. S� MER/�}J'�I � )/ dcv .S 1Y,.....GU.�S� �...... . Address ..........5....1/� L .................C_ Name of Builder .... .1.�.�.....�....�` ��.., . �/ .P� ........................................... ` Y. d ��..G,/ ....Address ........ Y...........:r5�p °e Name of Architect ... ✓V.G..........C14..... >E .,l ....Address ..................../ .D................................................`� ........ ... Number of Rooms ....................................................Foundation �.. D Exterior . �.f/ /� Lt R �/T/ L .......Roofing .......�:5�!�` ................................ ............... ... ................................................... Floors .....Y f.l!`. ... aa. ................................................Interior ............5�P f�.�a.G. ................................... HeatingG� 1{J ��............................................Plumbing `v a...^........................................................... ........ Fireplace ... Orr� -iT�(/.t�- ?!BIZ Te }/M.1/Approximate. Cost �d yaa "�� /J......... .......................... ....... ...... .... ........... .................................. /�D s . Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ...................... Diagram of Lot and Building with Dimensions Fee ...D ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 MERPM, WORCESTER A--156 59-1 A Y15.6 5. No Permit f or ...MPITTON, ...... ......... .......... ... .... ............ Location ...35-WIllow-Stre-et.......................... West Barnstable ............................................................................... Owner .....Worces,tex-betiaM......................... Type of Construction ..............Frarre............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted .......September '24 1,9 84 .......... ........ Date of Inspection ....................................;�,19 Date Completed ......19 s ® 15g $ �0 I. LAAl b WIT# FURRING- S fa a: .✓ ri �t ...- IS? 02630 let 362-3632 a � r „✓S ENO,lgelzU N�4