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0066 CONNEMARA CIRCLE
I ' -14F i �� _` V VteS�d.ee _J I Message Pagel of 1 Anderson, Robin To: Dabkowski, Cindy Subject: 193 Fawcett Lane, Hyannis Cindy, As I previously brought o your attention, the owner of 193, Fawcett also has a rental property located of 66 Connemara Circle in Hyannis. I inspected an illegal.basement apartment and found disturbing and unsafe conditions. These conditions are common for basement units..As a result, I find it difficult to believe that given all of the time spent with the owner to facilitate 193 Fawcett thru the Amnesty program thus far including multiple inspections by many officials, she cannot claim to be ignorant of safety and liability issues. Certainly, what is unsafe on Fawcett Lane is unsafe on Connemara Circle including deficient or missing fire protection equipment and proper egress windows for example. Now, the tenants in the Connemara Circle have hired an attorney in an attempt to have their rental deposit returned to no avail. The property owner told them she needs the money in order to do work ron the subject unit- not sure if she meant for compliance with my order to restore it to a single-family or not. Attorney Fiset will provide me with a letter stating this. This.information should be considered when the Amnesty application is heard. Amnesty approval is a privilege and not a right. Please advise. P,96in ; Robin C Anderson Zoning Enforcement Officer Town of Barnstable 200 .lain Street Hyannis, NA 02601 5o8-862-4027 10/29/2009 Town of Barnstable Op 1HE 1p� do Regulatory Services Thomas F. Geiler, Director` * BARNSPABLE. r :g MASS. Building Division: 1639. o Thomas Perry, CBO; Building Commissioner 200 Main Street, Hyannis, MA 0260I www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5p8=790-6230 EXIT ORDER DATE: LOCATION: C' UNDER THE PROVISIONS OF 780 CMR THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING PURPPS.FS. . LOC,, TL INSPECTQR r411 P-11a; GNATURE OF RECIPIENTS s ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM O PROVISORIO 780 CMR; CODIGO:DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5J, VOCE ESTA ORDENAD.O DE DEIXAR.DE USAR, IMEDIATAMENTE, A AREA DO PORAOBASEMENT PARA 0 PROPOSITO DE DORMIR. r , INSPETOR'LOCAL: ASSINATURA DO RECIPIENTS '6�.yyiy ..,,x,•y�,,141rf4��.rr.-},�"�'i'it.iL�,ti.ar�..: �g�'W-.t"P�`t'. .4, i_.i," ,"`.:'+.."3�4' -`;,•yy.)i,i.:�.°�. .ter:?,.., . _ .a,'...d_,S-".. + „ _ .. ... -v ..- :;; , Town of Barnstable pF tHE Tpk, o Regulatory Services Thomas F. Geiler, Director BARNSPABLE, MASS. Building Division AIEo �A Thomas Perry, CBO; Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: .508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: / 0? LOCATION: b C 0 11 1l . P UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE.-CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. LOCAL INSPECTOR / SIGNATURE OF RECIPIENTv ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM O PROVISORIO 780 CMR-, CODIGO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE, A AREA DO PORAO/BASEMENT PARA 0 PROPOSITO DE DORMIR. 1 . INSPETOR LOCAL. f ASSINATURA DO RECIPIENTE Tr ., , ����i spa.3��s•�� . CHRIs Fl.ISET 1 'ATTORNEY AT LAW of Counsel STETKIS SPERCO LAW OFFICES,P.C. 9 OLD MAIN STREET WEST DENNIS,MA 02670 TEL: (508)398.5670•FAX: (508)398-7170 E-MAIL:CSFISET@AIM.COM 4cj Ij c ate'' --" CHRIS FISET ATTORNEY AT LAW ` l of Counsel `� �-'1'��� ✓`�� STETKIS SPERCO LAW OFFICES,`P.C. 9 OLD MAIN STREET I WEST DENNIS,MA 02670 TEL: (508)398.5670•FAX: (508)398-7.170 E-MAIL:CSFISET@AIM.COM i Regina Rafael Schlageter: Mass lic. Address 66 Cinerama Cr. Hyannis expires 2013 2 vehicles registered to her @ 66 Cinerama Cr.: 98 Mitsubishi Black Mass plate # 57N C30 93 GMC Sierra Green Mass Plate # 25H Y94 June 9, 2009 Barnstable police called to 193 Fawcett Lane Hyannis 5 people identified themselves: as renters for the summer from Ireland. July 19, 2009 Neighbor called PD and one April Gilligan, was advised to - loud noise complaint. August 5, 2009 Ben Mahoney was advised by PD of loud music complaint September 9, 2009 Andrew Malachuck called PD for landlord tenant complaint. f + ? - Parcel Lookup Page 1 of 1 'k - E Logged In As: Parcel y 2�, Pa rce l Lookup Monday; Augu Road Lookup Condo Lookup Multiple Address Lookup Reports Search Options Search By Owner I VA Owner Name SCHLAGETER er�'C"h - <Prev Next> Page 1 of 1 Rows/Page Parcel Location Owner Village Ma 270-106 193 FAWCETT LANE SCHLAGETER, REGINA R HY 27( 291-284 66 CONNEMARA CIRCLE SCHLAGETER, REGINA R HY 29'nem " s� Win; q3 F&w ce,>pl 66- Co.,nRemar It ' r ' �� ����� ��•, a .� nos �. �� ��' z�r } o � � �'o} 3 R . `'. z i 44 .r -66 Con emara G�rcle H� �anoni - l 1 '0%20/0 _ ry - Y s �r �s Umgg )e-3- "4� a r �d o. �Y a I� £�, n � } 0 d� t t hh}�!!'�.p tie ' .r•n./! max A fy lot ,~. - iw.MkIA=:�HJrt *41 we: K.. I Q. -� .� p. 2 O, �g'`',., ,.^'^w+�' c. '~. " 'ha :�o,y area,:. ° 'tea�..: C' fa.S7'v _Q-r f ° '� •,,, � .• '� a_. � n.;� w�y � �.�,� ;'r ^� Y'. ^�."�A9H ' f:�'eF � - x �+'rt�P i� � �, ^ c 6.6 46.nn�erna+ra �Cir c.l� �Ya'rnsnos��a: � � � ��10/2� g /09 �� �P�a o�° . .a N W, _ �,� S 'y� -•' mow. + ' m y .�s`#.. ° `� v� 1 g a _. '3 � .� �a o_ e".- © �� - 6 �� �;, .,.G C�° '�'�" S.� � ,� � _x���.. a o � .+fin ". ..� 3�. a • � "'+ . 1, a�J" o � .° Gs y,;.'*�r.-w @� "'�d'u c -"� 9 a '"_"*. s. +7 2?o F 41VIA ta � "Q s�a4 o C G. � [•7 �.� p lllV 7 fi �`. `' ��a-«i'r ��u `� ..so n3 a•`r7� 'w,C� {,a`�' o_ v G m � gd7 �©y'��.'� =j •,.''-^'.. RIP vr a _ J`. .a I M M v r �l .v :; ji, }l fi 6 { e "Ti i "T ... . 1�-pillNI � r'' 1 r f I I r I u q ( ]..4 r x�r r rxi rn3lr rr r ur . ti wt w 1 co CD CIO CO gr, VJ .a k„� i a e �T. 66 C_onne.mara_;Circle,- H. �anni��� �. - w t�. r Y lit ,^ II 4 rt�• N • „ r s a s � 3 c ... _ - - ,t MOO Fit cu cu kN a t eti � e r ' ✓ 4 i tt h i n If t{ l i T .] Y �t d 66 Gon'n�emar R !r F T ...............; 5 is t �a s U r ''4 r.�'x'' �'is S�.-i —•�1 r �l b'r 7 Zy t e r ;.s: is rrr�c w � a T .vim q Va- Col dn. " inara, ircljb,,t�� z+ w 4v Omm or Ilk v' a n' r u r« 3� a v A � g.. Y xi yea ? s l e. k4 s' r t -.r t 4 r ti a a fir. OW '_ - ...a .' .,, 4rp ,� �r7 �y.• .,• ^�.? y� 7r.F�' r� �.y� ry c'�' '.sS-`� rs� - 0,�:annWrs: � TOM0.- s09 wa �. _. �,�:, �t'9 k` xa � a ,•y,...,�h'may �° A o� �� a � � B� O 4 S�+1�+� � ¢, ,.-.� a.' n ' -,.. � �' ,;;�C.,a "n a � � � �' �� q� •s ter{ `�'r�, -J p • ® L7 n 13 a v .. ... _ Ed 41 ' , ;?n a , o � i- f ry r 3 I $ s s } I fi2.. r .. .. st -,. .i .. ♦Y.iiM.Y 1 �YnYH�}W5z 1 .. .}..,.• wYl uiY Yt caul:. � �,. { jp ll i pp {y�4 f i it a OT r 1j 1I M g e, t i s VJ ■o co W�. I ,CIO` 7. Co i . 66 Connemara CirCle;- Hyannis - a� - foligva9✓ � `� w ai r x� "k s� :f 3 i f f rC yyk F I r � a ml •r�P K�% � ,�7 �s� °..mow ;p,.. R . . - r ,y t� i F J � s F 4 t yy�y q$j 111AAA `� SA. . 1 f 11/3/09 Returned to 66 Connemara Circle, Hyannis with Jaime Cabot. Found basement apartment was vacant. Upstairs unit passed inspection without a problem: Serious mold issue in basement. Kitchen in apartment still intact. Found dismantled kitchen in storage area of basement. Jaime photographed for record: ±. i i ..� TOWN OF BARNSTABLE CER'l"1 I:CATE OF OCCUPANC . Yt { ARCEL i.0.291 284: GEOBASE II, 2014"7 r DDRESS 66 CObTNEMARA CIRCLE PHONE, 11ya n:ia z I P. - I ,OT 65 BLOCK LOT WILE Btu DEVELOPMENT DISTRICT 1TY f I'RM,IT 2608"3 DESCRIPTION ST_NGLE FAMILY DWELLING (PMT.it15930) ERMJ:T TYPE BCOO Tf:TLE CERTIFICATE OF OCCUPANCY �afet: ONTRACTORS Department of Health, Safety ices PC`HITECTS �. and Environmental Services UT AL FEES: 1HEOND CERTIFICATE OF OCCUPANCY * BAftNSTABLE, s IJE ` ` MA83.SHELTRA, MADELYN Li6g9.DDRES's . 1.05 SKA°.l'1NG RINK RD14YANN I S�� MA BUI I�IN'BY DA11:':E -ISSUED: 12"1S/1:996 E;XPi hAT a0N' DATECROACHMENTS ON PUBLIC.PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE'BUILDING CODE,MUSTBE APPROVED BY THE JURISDICTION.STRALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS >� MINIMUM OF FOUR CALL INSPECTIONS REQUIRED ` � �- FOR ALL CONSTRUCTION WORK: APPROVED"PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE 0 CUPANCY ® A, BUI I NSPECTIO PROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 0. P� x� i 2 2 2 K o/ 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT ,i, y "9w , BOAR H OTHER:' - SITE PLAN REVIEW APPROVAL e WORK SHALL N PR CEED ,UNTIL PERMIT WILL BECOME NULL AND VOID IF ON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX . CARD CAN BE ARRANGED FOR BY - VARIOUS STAGES DF'CONSTRUC-- MQNTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFIC TION. 0O NOTF(I. 1 . r .F T10N.— Parcel Lookup Page 1 of 1 Y k Lz0`� '��I"��•����� { ��� ad..u.��1�.t# {A��,xa,�,�,� s•� �: '� L'.'7i 1��� y»t,' +"�f 'k%'R.. E Z� c'' Y:.. Logged In As: r^t,r.^� ��� f�,. t rt,.e I Look ku�. Monday, Auyu Road Lookup 'Condo Lookup• ' MultiPle Address Lookup Reports Search Options" Search By Owner E== Owner Na"me SCHLAGETEarog R i ,n <Prev Next Pagel of 1 . Rows/Page Parcel Location Owner Village Ma 270-106 193 FAWCETT LANE SCHLAGETER; REGINA R HY 27( 291-284 66 CONNEMARA CIRCLE' SCHLAGETER, REGINA R HY 29' • .y r I Regina Rafael Schlageter: Mass Iic. Address 66 Cinerama :Cr. Hyannis expires 2013 2 vehicles registered to her-@ 66 .Cinerama Cr.: 98 Mitsubishi Black .Mass plate'#.S7N C30 93 GMC Sierra Green Mass Plate # 25H-Y94 June 9, 2009 Barnstable police called to 1f93 Fawcett Lane Hyannis 5 people identified themselves,as renters for'the suimmer from-Ireland. s - July 19, 2009 Neighbor.called PD and one April Gilligan was advised to loud noise complaint. August 5, 2009 Ben Mahoney-.was advised by PD of loud music complaint September 9, 200.9 Andrew .Malachuck called PD for landlord tenant complaint. t . � . -� oc nl m . (tJ kel �--�, ��_ r-r---1. cam-- • � bar rA MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING i _ ( a 1�City/Town: .�7f72R� � , MA. Date: Perm! Q BuildingLocation: 11� C,C1 ��.0 ��Y Owners Name: (� Fq, �a 5rin �� gcEf.r Type of Occupancy: Commercial ❑ : Educational ❑ Industrial ❑. - Institutional❑ Residential. New: ❑ Alteration: Renovation:❑ Replacement: ❑ :Plan "Submitted: Yes ❑. "No'�' FIXTURES, a w a z ui W. a oLu `n m O (w7 _J U � tz. W I-- 0 W zr O . W ¢z O W 0 . Q p Q h W CO �, w � . � a W y 0 w C3 = ii f Z W yW- co J Q Q m. W O Z O Fes- F` I— Fw- W - W 0 ¢ w w ¢ > O �¢ O w z w ¢ ¢ ¢ 0 SUB BSMT. BASEMENT —T5T FLOOR 2 FLOOR 3"u FLOOR 4 FLOOR- -5 FLOOR -Pr-FLOOR 7 FLOOR 8 FLOOR . Check One Only . Certificate.# Installing Company Name: YQ Q , I 1 c. � /."lU U'YI�vVe1d� � ❑Corporation Address: City/Town: /"!I � 5., State: O.Partnership Business Tel:(7 7 t�) <47— O'l Fax: [zS.Firm/Company, Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: . I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 Yes No❑ If you have checked Yes,please Indicate the type of coverage by checking the appropriate box-below: ; A liability insurance policy Other type of indemnity ❑ Bond ❑ t.' . OWNER'S INSURANCE WAIVER: i am aware that the licensee does not have the Insurance coverage required by Chapter.-142.of the Massachusetts General Laws, and that my signature on this,permit application waives this requirement. .� Check One Only Owner ❑ Agent ❑ Signature of.Owner or Owner's Agent By checking this box E1,:I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are.true and accurate to the best of my Knowledge and that all plumbing work and Installations performed under the permit Issued for.this appiicgtion will_be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and.Chapter 142 of the General Laws. Type of License: By ❑ Plumber ❑ Gas Fitter- 'Ttie Signature.of Licensed Plumber/Gas Fitter . Master CC CI /Town ❑Journeyman License Number: J tY APPROVED OFFICE USE ONLY• ❑ LP-Installer TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map Parcel Applicatiori` ���Zs �<S r Health Division 'Date Issued �" �" Conservation Division A lication Fee J Planning Dept. Permit Date Definitive.Plan Approved by'Planning Board TM r Historic - OKH Preservation / Hyannis Project Street Address h 6&-1`yy\,9- Cat 2G- Village Owner e C� i; c�` Address UyCe f,.:. p np Telephone C_. LE 5-0 3 6 Permit R est "'� Square feet: 1 st floor: existing ro osed 2nd.floor: existin q g , p p g proposed Total new Zoning District z Flood Plain ' Groundwater Overlay � raoD. o� - *Project Valuation Construction Type' Lot Size Grandfathered: ❑Yes 0 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 ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 4. Basement Finished Area(sq.ft.) > _ a Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 5 " . exiisting,_new Total Room Count (not including baths): existing new First Floor Room Count' Heat Type and Fuel:,I(GaS ❑Oil ❑,Electric ❑ Other VNo• Fireplaces`: Listing New - � Existing wood/coal stove: 0 Yes No Central Air: ❑Yes g Detached garage: ❑ existing ❑ new,.size_Pool:❑ existing -❑ new, size Barn: ❑ existing ❑ new size Ri- Attached garage: ❑ existing ❑new size _Shed: ❑ existing i l new size _ Other: Zoning Board of Appeals Authorization U. Appeal # Recorded`❑ '.' Commercial ❑Yes [! "No , If yes; site plan review# Current Use Proposed Use APPLICANT INFORMATION ' (BUILDER OR HOMEOWNER)v __ _. 50 Name e.g, n�3 ( !;Lck� a�7- Z Telephone Number: S a $'- 3 6 p Address��3 . (�. e.e ." License �� Home Improvement Contractor.# y _ - Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATUR DATE fO/30/99✓ i , -4 3 rt ty C S777 ( qx gk t { •5 �t y i r 1" �µ t x 14 u — nb - �Whe-r' CAVYLC.- cAS iSSvt�S U v V ev� dP to of � . I OF MASSACHUSETTS fustrial Accidents Street, 7th Floor chusetts02111 JOHN C.CHAPMAN Commissioner lavits per M.G.L. c. 152, §25C(6) al reminder that Massachusetts law requires that icense or permit from any city or town agency ation Insurance Affidavit prior to receiving said 3sue a license or permit without first receiving a bo-� l of py- -rUvy'r H OF MASSACHUSETTS dustrial Accidents i Street, 7th Floor achusetts 02111 JOHN C.CHAPMAN Commissioner avits per M.G.L. c. 152, §25C (6) al reminder that Massachusetts law requires that icense or permit from any city or town agency ation`lnsurairice Affidavit prior to receiving said sue a license or permit without first receiving a ` f3i,}� mwc� � b�J�'c�i,S �S�S � bed�vuS � ��� 1 � � � u;�' S��tiS ectricians,plumbers, etc. e for general businesses and another for builders, se applicant must fill out the appropriate affidavit carry workers' compensation, or that the business and is not required to carry a policy. If the business n policy, they .must provide a copy of said policy or town licensing agency is to keep the affidavit on icense. Further, if a city or town agency must issue me business, one affidavit for that business or ent. Please note that a new affidavit must be filed since workers' compensation policies are renewed the Department of Industrial Accidents (DIA) may e affidavits as part_ of our efforts to enforce the please afford our agents every courtesy. If you ill Taupier at 617-727-4900 ext. 560. We thank t in this endeavor. ne at www.mass.gov/dia/EMPLOYER/Affidavits.htm. is—617-727=4900 I Message Page 1 of 1 Anderson, Robin To: Dabkowski, Cindy Subject: 193 Fawcett Lane, Hyannis 1 Y Cindy, As I previously brought to your attention, the owner of 193 Fawcett also has a rental property located at 66 Connemara Circle in Hyannis. I inspected an illegal basement apartment and found disturbing and unsafe conditions. These conditions are common for basement units. As a result, I find it difficult to believe that given all of the time spent with the owner to facilitate 193 Fawcett thru the Amnesty program thus far including multiple inspections by many officials, she cannot claim to be ignorant of safety and liability issues. Certainly, what is unsafe on Fawcett Lane is unsafe on Connemara Circle including deficient or missing fire protection equipment and proper egress windows for example. Now, the tenants in the Connemara Circle have hired an attorney in an attempt to have their rental deposit returned to no avail. The property owner told them she needs the money in order to do work on the subject unit- not sure if she meant for compliance with my order to restore it to a single-family or not. Attorney Fiset will provide me with a letter stating this. This information should be considered when the Amnesty application is heard. Amnesty approval is a privilege and not a right. Please advise. Wp6in Robin C. -Anderson Zoning Enforcement Officer Town of BarnstabCe 200 plain Street Hyannis, M-A 026oi 5o8-862-4027 G , 10/29/2009 I ( L . l N7—+P MASSACHUSETTS'UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING i Ulu14 7(J'4-h(5 City/Town .D:_ VS`�]�C , MA. Date: 10 Permit Building Location: l.v Owners Name: � �q► �Q 5c�n ICI q PG P} Type of Occupancy: Commercial ❑ Educational Industrial❑. Institutional ❑ Residential:9 New: ❑ Alteration: Renovation:❑ Replacement:.❑ Plans Submitted: Yes ❑. No FIXTURES LU Z W Y Ui W � . Ix N .(n to Z E- Q O -W-1 } W . Z (4 W W 0 W z �' W O F- z z W Q co p < n=. O w O a X w U) v w w z ¢ z w w o = v o. LL f z W W Z Cn _j F^ F- O , z J (� u_ W W W W a O j Q W W 'm W O z O y — z SUB BSMT. BASEMENT —is'T FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR / Check One Only Certificate.# Installing Company Name: fir, G Yoe, / Nl�c a /"►U U'Y1�uVJC� �� El Corporation. - Address: a City/Town: ! 1 1is State: p El Partnership . Business Tel �7 7 0 �47`. f�.2.1 Fax: Firm_ /Company ` Name of Licensed Plumber/Gas Fitter: e.x 6)-uso Y INSURANCE COVERAGE: i have a current liability Insurance policy or its substantial equivalent which meets the requirements'of MGL.Ch.142 Yes No❑ ' If you have checked Yes,please indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond. ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter•1.,42 of the Massachusetts General Laws,and that my signature on this;permit application waives this requirement Check One Only' r Owner ❑.. Agent ❑. Sigriature of.Owner or Owners Agent ent By checking this box D,-I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be In compliance with all Pertinent provision of the.Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By. ❑.Plumber , Title ❑Gas Fitter Sighature of Licensed Plumber/Gas Fitter ❑Master ' E GI /Town ❑Journeyman 1 5 a License Number: APPROVED OFFICE USE ONLY ❑ LP.instailer MASSACHUSETTS UNIFORM APPLICATION FOR.PERMIT TO.DO PLUMBING City/Town:�, _ _ MA. Date: G Y� Fermi BuildingLocations ^ L V�1�1 t' �MQ } �;J v�Niy Owners �� P. J u v„ 7 Owners Name:��Id'' -1'1G CcP J Type of Occupancy: Commerciale Educational Industrial 0 Institutional Residential -New: Alteration: Renovation: Replacement: Plans Submitted; Yes No FIXTURES z �o Y LU Z r ❑ 0 r J 2 Cl) a Z Z Z ¢ CO ZZ W - U) aw n } N O o FW- Ser ¢wQ mYO =mm [] 0 a N w w Z O ❑ z U .U. x� LL wwwO O - u � yMOmF- QOOOZZWI- I— LL ¢ iL) ¢ ox � Q a QE 9 `Ne J rn 0 t- 5W3: 3tV O .J SUB BSMT. BASEMENT 15TFLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: }Q,. .Yfl! cj/ -�-- ! Corporation Address:� 1(,W C/� City/Town 5� 'State: MA Partnership b Business Tel: 6 Fax EjFirm/Company Name of Licensed Plumben" INSURANCE COVERAGE: I have a current liabilitv insurance policy or its substantial equivalent which meets the requirements.of MGL.Ch. 142 Yes No: . If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy j Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage.required by Chapter 142 of the Massachusetts General Laws,and that-my signature on this permit application waives this requirement Check One Only Signature of Owner or Owner's Agent Owner Lj Agent - I hereby certify that all of the details and information'l have submitted(or entered)regarding this application are true and accurate to the best of my . Knowledge and that all plumbing work and-installations performed under the permit Issued for this application will be In compliancemith all Peitinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the Gene I Laws. ey� ---"--- -- -- Type of License: . .��� ... Titlel _� I✓,J plumber (� Signature of Licensed Plumber Master �.. �..� City/rown� - Journeyman �' License Number: APPROVED OFFICE USE ONLY C TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel.,; �"Applicationd Zs Health Division Date Issued " Conservation Division Application Fee Planning Dept: Permit Fee' Date Definitive;Plan Approved by Planning Board Historic t OKH — Preservation/ Hyannis P" Project Street Address SL-M- -AC-1 G� Villages 1 M r� ro o E Owner 1�n(� Address :�Q 3Rt�JCtiL;,�-- k Telephone ce- .5-6 - 3 Permit Rqg4est � C.� tYru_ s Square feet: 1 st floor: existing proposed 2nd floor: existing proposedotal new Zoning District Flood Plain Groundwater Overlay Project Valuation's IDoD. o� 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 ❑ No Basement Type: ❑ Full , ❑ drawl ❑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: 'VGas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes NY/No Fireplaces: Existing New D Existing wood/coal stove: ❑Yes No Detached garage: ❑ existing U new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Lld No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION '(BUILDER OR HOMEOWNER) " Name �e6 "" /Z T� Telephone Number 5 o s c/ Address 3A VG2 1-� License# /"t �e7 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE � 3�` �✓ FOR OFFICIAL USE ONLY pAPPLICATION# DATE ISSUED MAP/PARCEL NO. s ADDRESS VILLAGE R OWNER DATE OF INSPECTION: t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. '.4 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street T Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl N�(Business/Organization/Individual): CY �-�' CArddress: '�Q(�l t✓ Z. �} 11� +City/State�/Zip 'n �1 Phone.#: 5 U - 3 6 �� 61 sY 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 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction .2.❑ I am a sole proprietor or partner listed on the attached sheet. 7.. ❑Remodel ing ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• ., $ 9. ❑Building addition [No workers' comp. insurance comp.insurance. required.)- 11 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 t`"" c. 152, §1(4),and we have no - insurance required:]- 11 �13 -(Other y, employees. [No workers' comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. . . ;Contractors that check this box must attached an additional sheet showing the name of the 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.#: Expiration Date: Job Site Address: City/State/Zip: = Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage.as required under Section 25A of MGL"c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine- of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of " Investigations of the DIA for insurance coverage verification. I do hereby Vr in and penalties of perjury that the information �provided above is true and correct Si ature _ N ,Phone#: Official use only. Do not write in this area,to be completed by city or town official - City or Town . Permit/License# Issuing Authority,(circle on I 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 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 . l` c with the insurance ance of public work unto,acceptable evidence of coin .ian e i to an contract for the performance P enter m y p P P requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a P olicY required.uired. Be advised that this affidavit may be submitted to the Department of Industrial q Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should ' o that the application for the permit or license is being requested,not the Department of be returned to the city or town pp p g P you have an questions regarding the law or if you are required to obtain a workers Industrial Accidents. Should y y q g g Y q . compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in__(city or town)."..A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02.111 Tel: # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-774 9 Revised 11-22-06 www.mass.gov/dia THE rq` Town of Barnstable Regulatory Services IARNSPABLE Thomas F.Geiler,Director MASS. 1639. a,�� Building Division rED 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 I Please Print DATE: A �4/ (,% JOB LOCATION: ck9 rK_Z w"-e— number ` qq ���jjj�- street 7 7 village "HOMEOWNER": Ve ` d D`� G /11�'T54":- C703 4 31 l` q_l p name A home phone# work phone# CURRENT MAILING ADDRESS: f l f E R bu L-2 M 0-n—c 14-1/4hn�:i 5 M�2s en 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 require pnts Signature of Hkneowner 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:\WPFILES\FORMS\homeexempt.DOC Town of Barnstable ` Regulatory Services vBARNSTABM MASS, g Thomas F.Geiler,Director 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 I, o 1'Yh A R C—ICY�—,#g Getek , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS D WNERPERM IS S ION M F y r4X� IT- 9 � . r-T � � 91 t • ji I VN S CD 1J' &T a 2213 V�lr Engineering Dept. (3rd floor) Map, Parcel �, _ Permit# House# Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) � ' ee cvz �© Conservation Office(4th floor)(8:30-9:30/ 1:00-2:00) G °� Planning Dept. (1st floor/School Admin. Bldg.) SEPTIC SY ST BE ' INSTALLED ANCE Defini an Approved by Planning Board 19_ W VORONME E AND TOWN OF BARNSTALBIT TOWN AEG iams Building Permit Application - Project Street Address C 0 C,`�- cl e Village n,� J1 / S Owner /{� t/ IN it Address /,I n se-M I L-,4 C t�4cl�p Telephone Permit Request ) u• - PC. l /� /`9 First Floor / square feet Second Floor c� square feet Construction Type Estimated Project Cost $ D, 0 0 © 0 Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure �,v- Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl Q 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 Q Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes Q No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) Q Barn(size). ❑None ❑Shed(size) ❑Other(size) be,k Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Curre_A Use Proposed Use Builder Information Name p h/` [ Telephone Number 7 S Z Address �3/ 3 �IJ 'ye)s� f P /,7,e A 0•e License# ® 2 C e� r PL izilLe /A A /216O 3 Home Improvement Contractor# ! /Q —S Worker's Compensation# t 6R14UB-997K277-3977 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 TOdY�1d /.P SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE,OF INSPECTION: FOUNDATION ! FRAME INSULATION 1 FIREPLACE ELECTRICAL: ROUGH,,, FINAL _ - M1t. 4 PLUMBING: °,: tCkJGII • FINAL GAS: 4 iJ La FINAL e FINAL BUILDING1 r1V = t DATE CLOSED OUT ASSOCIATION PLANNO. v i . caNc. pov•va /O dbt� scP-� . O AWivDi)770tj I, paA, /3.,; - BD.OG ' CoNC• BotjN a CERTIFIED PLOT PLAN LOCATION SCALE 30.... DATE`-!uLy 3.I59L PLAN REFERENCE f>'E"7NG GoT�'GS ./ _E Y/'RO KELLEY "' . .. . . . . . . . . .. . . . . . . . . . . . AJO. 25100 3�,.�pf��S1ER�0 I CERTIFY THAT THE tT�1s17�t/G I�vNDA770aJ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND 0 . `•,`�L� AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE T ./'9f4 S -5 yVSZ770,49 -- A--r/TJb / REGISTEREDND SURVEY R O � n � O — —'� m � s s a i 1 1 } 4 t � arj Y fr � 4 � i ;r � 1 .. 1 .s s f" DEPARTNEKI OF PUBLIC SAFETY CONSIRUCIIOK SUPERVISOR LICENSE - Restricted To 00 w 6EORSE,J ALLAIN ^wero PLEASANT PINES AVE CENTERVILLE, NA 02632 i • WX l ROVE EItI CONTRACTOR NEI w INDIIIDUAL t ry iort`" 109/" �r it plea �� 'Q2632 v a gpMMIST�TOR re•��" �Tx Nita+.�.� w The Commonwealth.of fassachusettt Department ajLtdustria!Accidents lill-r Olfceol/m�estl INVOs -17;_zZi.' 600 Washington Street Boston.Altus. U2111 ' Workers' Compensation Insurance Affidavit - Please PRINT a�ssr—� citv nhone# 1 am a homeowner performing all work:myself. 1 am a sole proprietor and have no one working in any capacity m an employer providing workers' compensation for my employees working on this job. om a 1- o,h -eG m id Pet t v� sit) Ce q 4,or-vi 169 /V\ 61=&3 Z phone#• C �• nolic,# 6R14UB=997K277-3971 Jnsur Jnce Co. I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name* iddress: cil phone#• incurnncc co policy# �• . - - .... • _ '1� -•. -- ire-•�'t.��n.,rs-a..•ry«•-'�'.r�•ncr��eaan•rF--+�r�a�ac�u►-'x�'�iZT7�'4T.7�!S�lf_��°!•'�..9R`-'_':"►h6RL}��-�!�^s� crimpany name: address, , citi nhone#• - policy# :Attach addIti6haI'shcef if tiecessa .•..:.: w,__;__�;`i'_��xp�'�-"'``•' :"`'{.' ,"'" '. ""�'�'�„ Fuilure to secure coverage as required under section 25A of A1GL 152 can lead to the imposition of criminal penalties of a fine up to s1.500.00 and/or 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. 1 understand that-a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. I do herehr cerdf}' ntier the pains and enalties,of perjury that the information provided above is true and correct. Sianature ate'" Date a 74 Print name P D I" I'L I Phone# 3 � ' 9 S r olTicial use GO do not write in this area to be completed by city or town official cih or town: permit/license# -Building Department OLiceasing Board check if immediate response is required 0seiectmen's Office 1311ealth Department ' -Other#hone • - contact person: - p - (wised 3M5 P1A1 �,tf1E The Town of Barnstable � $ Department of Health Safety and Environmental Services BuiIding Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 BuiIding Commi 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 done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cost 0 0 aQ I Ad dress of Work: I• C,� Owner's Name /YI 4,ale 4e 14 Hto Date of Permit Application: 0 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under 51,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WTPH 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. ed D to C ractor Name Registration No. nu N00-26-2001 15:10 BARN'=THBLE ';Oi_ISl'•h=, 15e877B9312 P.01 , Fax 5(a1;�(r11 777751 `Z,t_ LQQ tsed Hou.ving Oept. ?5(rti)771-7_ 2 1 ousiner Authority 1 11; 5+ uln 51�i?I • r3y lnn:�, IV[.:�s.(1=fd)I ZONING VERIFICATION TO: Gloria U►renas FROM: Robert Hooper, Leased .Rousing Coordinator RE: Legal Rental Unit Verification ®ate: Address- Village, - — - Unit Type: _ -5;.,-, _Ira a Bedroom Size: Mafia & Parcel No.: 12Z1 •^„_..r The owner of the above listed property is entering into a contract with cis for the rental -of th-e property as listed , above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it dues not, please list reason here: .,�-------� ------....._ ----- ---.— --__---- hank you fury ur Nassistanoe in this matt Si store Tint name Date y' VIA FAX ' 7k 62vi) MRVP- 5ecti06 a Rev.9/98 x. 4 TOTPL R.9. ` s TOWN OF BARNST.ABLE CERTIFICATE. OF OCCUPANCY PARCEL IDt291 284 GEOBASE ID 20147'' ADDRESS 66 CONNEMARA CIRCLE PHONE Hyannis ZIP w LOT 65 f BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 2b08`3 DESCRIPTION SINGLE FAMILY DWELLING (_PMT.015930) ( PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY i CONTRACTORS: Department of Health, Safety ARCHITECTS; and Environmental Services TOTAL FEES: $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * HE►RNSTABLE, MASS. OWNER SHELTRA, MADELYN L , ADDRESS 105 SKATING RINK RD EO MICI HYANN I S MA BUII.DQ �S BY DATE ISSUED 12/19/1996 EXPIRATION DATE 'kLv/ ` K'.:�. ,!a, rr•� � �, .:y J �7 f>++ �' h� �r r 6� �.�y` a ,{�. "r �w° ,y�yl,�Yrf,«,�,� ' xa- g .�^M4 "2.T� � ..�. S t y 1y t Z {s t •�• ��Y r rk_��?c"��it Kf' ��t _.� I f.. �.-;" t'Vr , ,:• r, ..••uyCu a„_ 3r �• FFFyy . �f1`pia+}fy'. 4 �+.rsr f 1-,A;� yr -.\'f.f Y S _-- sue.-,' r •A�p"= c od35sy 6. A'DI GEOBA VI , ,r 3vt - ,+:-; • v s - R ID y^gyp 1�7 �� � hs rss.t l Q LVL�IV a r m i. ,� li t'fa t"���' Hyannis" t z iri,�.{T . 6 .s. BLOCK DEVE ,OPfi�fiNT ° ` yy��IAT� sDT.STRICT HY ," HERMIT 15930 DESCRIPTION SINGLE FAMILY DWEI ,ING SEW PMT.#9Ci 283j IPERMIT TYPE BUILD � >TITLEr' NEW RESIDENTIAL `BLDG ,PM �F .F j CnNTRACTORS: PALTSIQS, CHARLES G. ` Department of Health; Safet• a ARCHITECTS: ,..>. "and Environmental Services TOTAL. FEES: $235.60 ' Im BOND - $.Qp CONSTRUCTION i COSTS COS .00 = . ._ .', ...: .•: ... -;i• t;..dt •.1E 15. :j5'"sxr444Y?: . -. 101 SINGLE F_AM HOME DETACHED 1` PRIVATE !p STD ` MASS. ` OWNER SIfELTRAs MADELYiV .L �5. f' 1639: �� } z AI7Dri 1.S5 105 SKATING- RINK RD HY:4NN I S MA [ a BUILBY D w ; >T s 4 DATE ISSUED . 06/18J1996 EXPIRATION •DATE „r a THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLEY OR SIDEWALK-OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.E CROACHMENTS ON PUBLIC.PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET.O ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE'OF.THI PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS + � C.. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED % ,:' J 111 FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST,BE RETAINED ON J v OB AND = `$ THIS CARD KEPT POSTED UNTIL FINAL.INSPECTION . WHERE. APPLICABLE,'SEPARATE 1;FOUNDATIONS OR FOOTINGS 3 HAS BEEN MADE.WHERE.A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED .FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE- ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE 0 CUPANCY. VISIBLEPOSTTHIS CARD SO IT IS BUIJVINQ INSPECT100PROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1� .k •t 2 - ` - 2 2 3 1 HEATING INSPECTION APPROVALS 4 � ENGINEERING DEPARTMENT •. BOAR `1 tv OTHER: SITEiPLAN REVIEW APPROVAL, kr WORK SHALL Ng PR CEED UNTIL PERMIT WILL BECOME NULL AND VOID IF ON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT'STARTED-WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTfU q- MYTHS OF DATE THE:PERMIT'IS'ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. CEO NOTFf. �a —..-- ,.� x �r —•�.,� ,7 f....x T.ION.: ! ; ' - _��..z..,, .•.tom.-.�—....r~-.��_�—._ f .� .. -.. ._.,. - ': -�„_..T�--..'t!�!.'�', ...... - ' ..i-_ � r_— _. 1j h q Town of Barnstable QUERY P QUERY" NLT QUERY Building Division ` 367 Main-Street,Hyannis MA 02601 BAFMABM 0 PENT OPfm- ---------------5W-790-r227------------=----------------- 12/19/96 i639• ♦0 �rEO MA'S 6 PER NUMBER 17110 PARCEL ID 291 284 P1F TenWY*6ice to the abML-ff&19 WIRING PERMIT-NEW BLDG DESCRIPTION MASTER PERMIT INSPE.CTIQN REQUIRED REQUESTED SCHEDULED INSPECTED RESULT .. INSPECTOR BEFIN 1Q/1:7/I996 A RWES . BEROLT 08/09/ 996' 0$/Q9/1996 P, RWES BESER 08/09/1996 ;;; 08/0 /19'96 A RWES W` t. r 0 PRESS ESCAPE TO END DISPLAY . . . . NOTE: PURCHASE ORDER NUMBER MUST APPEAR ON ALL - CORRESPONDENCE,INVOICES,SHIPPING PAPERS AND PACKAGES PROCUREMENT OFFICER SIGNATURE DATE f Parcel Permit# /3 b Conservation Office(4th floor)(8:30-9:30/1:00-2:00),� JNc��O1*16 Date Issue �� Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) �� fFee �� �X✓ Engineering Dept. (3rd floor) House# Planning Dept.(1st floor/School Admin. Bldg.) -, ` SEPTIC USA'BE I NSTA Definitive Pla pp oved by Planning Board 19 "'; EN1ViRONI t. - 00 ! TOWN OF BARNSTABLE Toum Building Permit Application Project Street Address / f Village Owner '�'/' Address ? L t C S Zf P�v/1 d Telephone ,Permit Request W �aU t e 2in n (,e rJu3 ell v,C ' First Floor �/,, square feet Second Floor ---- square feet Estimated Project Cost $ "7 C , 6co, rk, ^^ ) � Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use ,�A Proposed Use Construction Type (Ar)oc)CI 4)VA¢,M e Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished / Historic House Unfinished f/ Old King's Highway Number of Baths 1 ��� No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel to/.' GAS Central Air Fireplaces_�( 'On e Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name r1-1A►^I PS �,¢Z-21/Os Telephone NumberC 6p 141/O Address Z 6,s '.1-04q 1l/Pl e) T;kI y e License# OC2 a�o s- Ce`I f lre f%t /&4 "2.... Home Improvement Contractor# l qy_ Worker's Compensation# 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 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOI LOWING REASON(S) c, FOR OFFICIAL USE ONLY it W ` • P dIT NO. ISSUED 'P/PARCEL NO. DRESS ` ;, VILLAGE OWNER _ # DATE OF INSPECTION: FOUNDATION FRAME > 1- INSULATION 1 FIREPLACE _ 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: r ROUGH ^ FINAL FINAL BUILDINGS 1 f: i DATE CLOSED OUT I � ASSOCIATION PLAN NO. ' 4 I N poya a $O.OG � 39 L.oTG�, ro abd scp,FT: . 0 0 `C4isT� 7 CERTI FI ED PLOT PLAN LOCATION SCALE . . � ' 30�... DATE�!uL PLAN REFERENCE if hs E�DlRt'!D ,f I KEI_LEY ••', Ada. �900 .. I CERTIFY THAT THE t7�?/sy7NG I�v�vDAT70� �r^SfC°ST£ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND � AS SHOWN HEREON"AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF t�Aa ,5.7?9,eAc!F ,, , . , ,WHEN CONSTRUCTED. DATE ��r r76 tv& . REGISTERED LAND SUR�R • �"' The caninfullN•ealtll of Atassachusens AL •r.'t: �:��� Department of Industrial Accidents rA _ ,. _:1 O/IlCeolloeestlgatleas , �?; ; ' -,•a' 600 !1 ylunglan Street op Bturon.Mau. 02111 `•''� Workers' Compensation Insurance•AtTdavit in?rmaiii=�n Pleflse PRINT le iy sADnhcan� i��rni ..... ... a . � e� . nameo locntien• cin, phone# ❑ 1 am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity ❑ 1 am an employer providing workers' compensation for my employees working on this job. m address• cih•• phone#t incurtnce co policy,# am a sole�proprietor, eneral contractor, or homeowner(circle one)and have hired the contractors listed below who ha 0 owing wo •ers' compensation polices: company n address- city: phone#. incurnnc ce •• nniicv# . • �_ ... . L'�..'s;+..•'�: «--:-;.r•• - .:- smrr�4..•saws4*r.+..?..�„�' 'r-r-' at''." 'ir'�'�...- _ address: cih phone#• inc noiicv# _ Atiach additional•sheet if tiee .�• _..t^c: ."'"`"'r` °"'r�'-`"'' '"`''"' �" r 'r'''�" failure to secure coverage as required under Section 3A of h1GL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or oneyears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine ofS100.00 a day against me. I understand that a copy of this statement may be forwarded to the OQice of Investigations of the DIA for coverage vetitteation. I do hereby cenifj•u •r r/rc nips and pe ' •that the infamunion prorided aboveis true and coffaz Sienatu au ��_ , Print name�1f' 011f,5 ( /O S Phone# omciai use only do not write is this area to be completed by city or town ofilcial permit/1lcense# ntluiiding Department ' gin or town: C3Licensing Board check if immediate response is required OSeleetmea's Omcc Ottealth Department contact person• phone#; r•K)ther.�_ Information and Instructions • t Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees: As quoted from the "law", an empinvee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplitrer is dermcd as an individual, partnership,association.corporation or other :,gal entity, or any two or more 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 liou or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 1'52 section 25 also states that ever}•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 commonWcaltfi for any applicant who fins not produced acceptable evidence of compliance with the insurance coverage required. Additionally.neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter Izz been presented to the contracting authority. ........�-+.... ;� ••1^. y.ra.. ; •:. .,:.. -1 .:V 5 v yyr'r.: . � :VY-a. .1. Tt:. 1 •rr. ..l .r+ l�"'.-'•: 1:�• s. �t .Y.:::-..L,•.'.._. mot. V' - - .Ra:rr,' r•,- - -. ,iY:•' •a.+.�:."^ ,�.a 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 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. t ems:': -:.,•:...='i__ -�rr%.:.y , ►,...rRtis7+'.'."~ 0�•.. •s��!sx:• 'i. •A..w City or Towns 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. Plea be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned tc the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question! 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 400 Washington Street - Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext, 406, 409 or 37.5 O ' (M LN ' d .C. d o d -.r p O� C -.Qr .. IWj M Co -1 ' V O ..r G , -.r �;. N �•W O e-1 . N W O N Y 0 W �1 V O IO +1 to =S M V ^J r - F7 1 1 1 va ad S W 00cra apa cm, � o N � an craa - I' • O a - OPSq�6 VDy a =Is f - V m 00 4j G O=r. ►LA E M 2 LA 5 t � t\iV,\t \ \' 1 ��r tl.� �a r✓ �` IY� Y.i 11 1\:l / � . \ { 3 `t � - _ I L_ I i I 1 I I i; i I �- I I-1 I 183 LONGVIEW DRIVE ��® PA"I"A %10'i So 40 5 Z 0 N CEN7IERVILLE, MA. 02632 o.re,S,/7] 9L nEwsE� loll " EMCMELIN 771-1410 ` LICENSE # 006653 x y Nf W[NUIaNt)NFPFUGNA('/!lCfl D S'UPPtY CG, LZ t-- - L -!__L�I ' r :.I I I I I r -i..a I I_ 'I— Xi�Yfr riot PALTMnS 183 LONGVIEW DRIVE CENTERVILLE, MA. 02632 s----; APPAOVEDDY; OMWN Bv: f .. oAre s.ra 9( - eYisen 771-1410 LICENSE # 006653lmn BiLmialu" & RIPEMODEUNU onAWigD DMDEH •//EW fAG(gAL gFPg0Gq4Pq/CS B$UPPCY f.0 i t tr 1 _ ':Zll! _ _ /7i.MACf;[y � .cfrsc XP.9 ,LoT'c.r PA LT ��® 1: S 0 N 183 LONGVIEW DRIVE o CENTERVILLE, MA. 02632 °P^°°E°B o"rf. S')7 pF nev�seo 771-1410 B U uNU w '-m2"Mf%DELlNU x LICENSE # 006653 MEW fNCIRND RFPHOGRnMRC50 SUPPlYGO. -. i rD 1 I r y\p �•( _ ff' I OO e ]yY]45f U 1 A4v14$f I �� 1 r y t; z, PALT%`rlt%N0,dN3`h 183 LONGVIEW DRIVE _ Ca.vNSMAR� GR'C�cC Nf'..NNi� YA CENTERVILLE, MA. 02632 DATE: S J7%V HEv�5E0 771-1410 ,�a s (Mo 'R`Mo"""DENu U LICENSE # 006653 oflAw'�aN�.aEq . -'"lY fNG(ANO gfgqOCflAONICS B SUYMYCU, i .tea..... ...... - ... .a.. r } 7 e ds&d'rS ATtr! B,Qi_���!/4mSFi[..5+Lns�6fr Eb 16 • \ - .. _1=�1r.�y / JlX/O-/L•O.0 - - ro•Ywnr,1 /h+Th{b �itoss sC���i � ff /7hDE<YN.fN2,7Pew - for 183 L EWD VE PAU 0 CENTERVILLE, V . 02 632 �oKKr- YnRn"C,? �E !�r�^✓� �� TEES)) ♦PPPUVEO BY; nwil Bv�, {j Ev�SEU 771-1410 foa vofi�io Y eYiss Jrvrro�� onswiHo HuueEn' e. LICENSE # 006653 Hum I L rup%I IN & OR M 0 am,:rr)E L I N G III x i IE FNUTANB NEPPBCHAPNICS B SBPPGYCU, - n ♦a FCATI'ON ,/ /'q/VN�S SCALE . , . . .�..?. . .. . . DATEan PLAN REFERENCE . ��!.�lG y � SA,fo ,ov Oil/ CC •�70�(. -uL.Y • •S'i/�T Z !QSSE5SG25 . . . .•. . . . . ,ti �6• 2E000 Ic/� Lo tz�lo ,o oo Sep, r ; z'o L�frLv 7-bp O 0... / 10 Zb c:o o 0 � 1 ;y sty;vc p� K /e/ /oo, se, 97 C S TOP OF FOUNDATIO14 CONCRETE COVERS 4 CAST IRON 9' OR SCHEDULE 40 4"SCHEDULE 40 P.V.C. (ONLY) A 9"MIN . ' P.V.C. PIPE MIN. - 36�� MAX. ►,. �. PIPE- hilN. PITCH 1/4 PER.FT. PITCH 1/4"PER.FT. LEACHING TRENCH (......REQUIRED) e I/d -I/2" wASHEDP%STONE o'. INV RT �n c�� n .o EL.. 9• SEPTIC TANK ir�BR� D1ST. IN gis "a1l � A` EL....:...... BOX El' 3/4 I I/2 WASHED STON A INVERT /500. ... GAL.. INV$��" ELJV81'6�.. EL••7�•3Z INVERT o FLOWDIFFUSORS INVERT �B .,; 6' CRUSHED STONES EL.4 �g.. REQ. EL...�.� O -; •', PROFILE OF GROUND WATER TABLE SOIL LOG SENVAGE DISPOSAL SYSTEM TYPICAL CROSS SECTION NO SCALE LEACHING TRENCH . DATE !�>XZ'9 LG. TIME NO SCALE TEST HOLE 1 TEST HOLE 2 /03 8 . . /oe co DESIGN DATA „ , -1/2" ELEV. . ELEV. 1/8 9 �MiN. WAS'r.EDF36"tM'Ax. r loY2 413 /. F. , 3 N R s.*" 4 c NUMBER Or BEDROOMS STONE �u O ski►+ oY lL�r� $�� / TOTAL EST1hiATED FLOW . .3'30 GALLONS/DAY '' 2 *'v 7 / �Z./o3,Z{�'y'�� Q•94.9q� LZL. .. _ t tys � 8 l sa�yo EOTTOr,i LEACHING AREA a +eD�... SOF T./TRENCHG.pD� o 1Z v �v y -574 a /m yiz �/� . y Z9 3L SIDE LEACH ING AREA . . ��'����. . . SQ.FT./TREP;CH1118�4' „ „ EZ /o/.4'z Lam.97,9¢ 3/4-11/2 WASHED GARBAGE DISPOSAL .^/0M'!F..(50% AREA INCREASE) STONE Ga♦ ioVAC -114 cs� -6C TOTAL LEACHING AREA .'��?.• SQ.FT. - • , 84" ��y" �`Z PERCOLATION RATE LC �"OJO PER.INCH �o G Z. ` /� C L G,NE LEACHING AREA PER PERCOLATION RATE •3 SQ.FT/CAV SA•,vo SA•,.ID y Z io �/y GROUND WATER TABLE /Zd" ie rt_7/ Y,e /Zo' �Z,f^o.`o APPROVE) . . . . . . . . . . . . .. BOARD OF HEALTH No.,,WATER ENCOUNTERED DATE ... . . .. . . . .. .� f +iqS AGENT OR INSPECTOR y�� �E�3vdt�I;D t WITH ESSED BY -1 m BOARD OF HEALTH . . . . . . 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S (I D5 \e 12 ¢ Al m 1� ia� U rJ O. 120 et►a "zW .a 60 S .. ! .3j�' R ti .l4 !G '„� n4 .✓' 1T0 ROAD (iy i, 9 u 10 •.� .tor .s1 AC _ 1.Tto' 1y►C - - 1 v Ib (� tl 31 Ac t9A OD .xe W O • 59 a nl .e 'aJ _'q -354C� its 114 AC q IIAC � • t I•+ nT O O A Gt¢CLF+ w- 1 no l9 AilY6 10o a .MDG ,SAAC O A '� ST04\P SB 57 56 as IBJe ,aaAA-A, .. \off`: '•; .]TAC. .29AC. .x 9AC O .tIAG O 1iA°L •tS� t` S2 t4' C� fO�tG J gat N►M =3 ) sat ..a .sew Aix. 194 Iel y • .' tyo. 4 n D'at� -� ilk ZIA •drat =91rc .••l+c ><••:, .49AC f r la .ts.x-.• 1e9 •�� \ It) .'Le ♦e1 n•SA.e .slave �•1.e f �)- tt .! a1Rc1.• _ y �1®_ }^ 198 (l je t. 60` e3,'aq , nrw .49AC lea op hoe 301 ',-5 - O'A Cj %A a Yconns a9T L'a•rt' ._ . I 7fR\ti (L.C.IMet4^ .1� 4. .11 r••e.��..iiwe j o aeT �.39Z Ot© - o�wva•L gyp° •T a .��9 n!A i 1' .y1n'[ =•d AG v 9AC A �/ a 1•t d+e ae1 • r A 15 A A< e .dd n• a•,b • `� a 199 let °.o - Ixt t11 tltc �LD �.- `• .a�� ,, .as* q1 • SL qC t3 Ac ' o .eoq d4d� ® .•s�.o � ; d94 ® •ut •AC .T1 AG r ' � n UA� © ® ®® r F^•1n ''? ® • Z • .aj�®J a 201 0 >l 11e yu�, LAAt- G v na Ye♦�:1li• teJ,ief�193 t4�• Qa ? a• 48 Q y1 ..Y9A6 ;'� .61 N Sll .7AIA v� l9At f O I- 1 •iS.c t �Jti� ,2erc 1 s "� A1•tT.+j°®'q•t9• .N d»..,t4 tttt14 REV BY :;AVIS /97D A� NnMO�' _ \ x1,•4•-1st n•a• -w-•i�� + ;ORIOINAI_ISSUE: '/980 1 sc r.100• �A �j pa ••too InfT 1A4 ii9Yk t s is t 9A wnn ,r r• { .� 292 310 t s x+ 7 / 1 ! 289 290 S09 ' iFa .t n4 .Ilf . s. Town of Barnstable Planning Department,,., ,T 4<.: —J Decision and Notice Variance, Bulk: Min. Lot Area & Width Appeal No. 1994-80 Summary Granted with Conditions Applicant&Owner Madelyn L. Sheltra Address: 105 Skating Rink Road,Hyannis,MA Property Location: 66 Connemara Circle[vacant lot]and 105 Skating Rink Road [home] Assessor's Map/Parcel: 291-284 and 291-055; respectively 0.23 Acres and 0.34 Acres EAIi7YiYg: RBa Residential.R.rliv ^i Applicant's Request: Variance to Section 3-1.1 (5)Bulk Regulations,Min.Lot Area and Min.Lot Width;and Section 2-3.2 Confm.to Bulk and Yard Regs. Activity Request: To permit vacant lot at Map 291 -Parcel 284 to be considered buildable under zoning and to permit existing lot with home at Map 291 -Parcel 005 to be a buildable lot under zoning. Procedural Provisions: Section 5-3.2(3):Variances Background Information: According to the Assessor's Records the vacant lot is indicated as Map 291,Parcel 284 with.23 acres, commonly referred as 66 Connemara Circle,Hyannis. The lot with the applicant's home,Map 291, Parcel 055 and commonly addressed as 105 Skating Rink Road, is directly abutting the rear of the vacant lot to the south and contains 0.34 acres with a 2,915 sq.fi.,.two and one half bath,four bedroom, single family dwelling. Both lots are on public water. Structure is on private septic system. According to the application,the petitioner purchased both lots in Dec. 1990. Each lot is registered separately as follows: Map 291,Parcel 055- 1963 Land Court Plan 14034-H [105 Skating Rink Rd., SF Dwelling] Map 291,Parcel 284- 1972 Land Court Plan 27099-B [66 Connemara Circle,vacant lot] The application also notes that the RB-Residence B District was changed from a minimum lot area of 10,000 sq.ft.to the present minimum lot area of 43,560 sq. ft.by the Town of Barnstable on February 28, 1985. The five year extension provided for in Section 4-4.5(2)expired on February 28, 1990. The petitioner is requesting relief from the bulk reguiatiows iu allow birth.vw 4 be considered buil _ under zoning. Procedural Summary: Filed on August 30, 1994 and scheduled for ZBA Mtg of Sept.21, 1994,sitting on the appeal are Board Members Emmett Glynn,Richard Boy,Robert Thorne,Ron Jansson and Chairman Gail Nightingale. Attorney Michael Ford representing the petitioner explained that Lot 65 is on Land Court Plan 20799B and Lot 9 is on Land Court Plan 14034,both with separate certificates of titles. Lot 9 has a single family home on it. The lots are semi-abutting contiguous. The lot on Skating Rink Road,shown on the assessor's map as lot 55 is the residence of Mrs. Sheltra and has a house on it. The lot that is before you is part of a 100 lot subdivision and there are 98 houses built and this lot and only one other lot is vacant. v - 1 zB�A Decision and Notice ,,.Sheltra-1994-80 Variance t % The Chases were Mrs. Sheltra's predecessors. They bought Lot 9 on Skating Rink Road in 1965 and built a house on it in 1968. They then purchased the other lot,when that subdivision was created in 1973. It was conforming in 1973 and conformed until 1985 as a separate buildable lot. However,in 1985 the zoning changed in this area. As a result,the Chases owning both on two separate certificates of title and t� two separate tax bills,from a zoning standpoint,the lots merged. The grandfather clause gave protection for a five year period to 1990. Mrs. Sheltra bought both lots in 1991,separately under separate Purchase and Sales agreements. She paid full value for both. She paid$40,000 for the lot before you. That price is full and fair market value for lots in the area.Mrs. Sheltra bought the lots in good faith. The lots are unique in that the access by road is 2 miles apart. Both roads are private ways and separate from each other. The parties have learned from the building commissioner that the lot is not buildable. Mr.Ford argues that the lots are unique as they abut but of the 150 feet of land only 80 feet abut. There would be an overburdening of easement right to cross from one piece of land to the other and they are on separate roads.Both are serviced by public water. Mrs. Sheltra would experience a financial hardship should she not be allowed to sell vacant lot as buildable. For these reasons Mr.Ford argues that they have met variance conditions. Ron Jansson asked Mr.Ford if the two lots were not usable together. Mr.Ford answered that they really can not be used together because of the separate accesses and an overburdening of easement existing between the two lots. PUBLIC COMMENT: Chairman Nightingale asked for public comment and none was given except one letter in the file stating that a neighbor had no objection to this plan. Ron Jansson asked Mr.Ford if his client could live with a restriction of a small square footage for the house on the vacant lot? Attorney Ford,after consultation with his client,agreed. FINDINGS: 1. In Appeal Number 1994-80 for Sheltra;the property involved is located at 66 Connemera Circle and 105 Skating Rink Road both in an RB Residential B Zoning District 2. The 66 Connemera Circle is a little less than a quarter of an acre and 105 Skating Rink Road is about one-third of an acre upon which there is an existing residential dwelling consisting-of approximately 3,000 square feet of habitable area. 3.:The zoning in,this district requires 40,000 square feet. That zoning change came in 1985 at which time the zoning required only 10,000 square feet. Based upon the representation of the petitioner's attorney full and fair consideration has been paid for the vacant lot and it is being taxed as a separate buildable lot. 4. The properties are serviced by town water. 5. The bulk of the lots in this particular area are the same size or even smaller than the lot that is not built upon for which zoning relief is being sought. 6. The petitioner needs variances on both lots. 7. The development consists of single family housing and that none of the adjoining lots are available for add ons for the lot that has not been built upon. 8. If this Board were to deny the relief being sought,it would work a significant hardship to the petitioner due to the fact that it is taxed as a separate lot. Also she paid a separate consideration of$40,000 for this lot above and beyond the lot that she has her residence. 9. In view of the fact that all the other lots in the area are similar sized it would not be a derogation of the spirit and intent of the.Zoning Ordinance to grant the requested variance. 2 :BA Decision and Notice �Sheltra-1994-80 Variance / 10. No findings are made with reference to conditions under M.G.L.40A, Section 10. VOTE:f, f AYE: Emmett Glynn,Richard Boy,Robert Thorne,Ron Jansson and Chairman Gail Nightingale. / NAY: None. r � - Based upon the affirmative findings of this Board a Motion was made by Ron Jansson and seconded by r. �;. Emmett Glynn to Grant the petitioner the relief being sought in Appeal Number 1994-80,that is a n Variance for 66 Connemera Circle and for 105 Skating Rink Road subject to the following terms and conditions. 1. Any new structure being constructed on 66 Connemera Circle must comply with all other zoning ordinances except those granted by this variance. 2. The owner of both lots comply with all existing regulation of the Board of Health as well as Rules and Regulations promulgated by the Building Commissioner of this Town. 3. The structure to be constructed at 66 Connemera Circle be a residential dwelling and if it includes a garage that the inclusive square footage of the area totally not exceed 2,000 square feet. VOTE.- AYE: Emmett Glynn,Richard Boy,Robert Thorne,Ron Jansson and Chairman Gail Nightingale. NAY: None. ORDER: Appeal Number 1994-80 for a Variance has been granted with conditions. This Decision and Notice must be brought to the Town Clerk's ice to be certified and then must be recorded at the Registry of Deeds in compliance with Chapter 40A, Section 11 of the M.G.L. and implemented within one year. Appeals of this decision,if any,shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20)days after the date of the filing of this decision in the office of the Town Clerk. l� Gai ightingale, airman Date Si ed I Linda Leppanen,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(% )days lravz elap � -1 die�.-;n-Board of Apn--*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 19 under the pains and penalties of pedury. Linda Leppanen, To)pn Clerk copies Applicant/Attomey Building Commissioner ZBA File k 3 k 1002 Page 106 No. 519,919 Ctf. No. 122386 t TRANSFER CERTIFICATE OF TITLE From Transfer Certificate No. 41754 Originally Registered December 22, 1967, in Registration Book 330 Page 84 for the Registry District of Barnstable County. THIS IS TO CERTIFY that Madelyn L. Sheltra, of 105 Skating Rink Road, Barnstable (Hyannis), Barnstable County, Massachusetts 02601, is s; the owner(s) in fee simple ' of_that land situated in Barnstable 4 in the County of Barnstable and Commonwealth of Massachusetts,-bounded and described as follows: LOT 9, (BLOCK 8) _ PLAN 14034-H (Sheet 2) Said land is subject to and has the benefit of the rights and reser- vations set forth in Document No. 117,368. Said land is subject to the rights granted in an easement given to the Cape & Vineyard Electric Company et al dated June 27, 1955 being Document No. 44,755. Said land is subject to ,an agreement dated July 7, 1955 being Docu- ment No. 44,756. Said land is subject to the rights granted in an easement given to the Barnstable Water Company dated July 1, 1955 being Document No. 44,757. , s And it is further certified that said land is under the operation and provi- sions of Chapter 185 of the General Laws, and that the title of said Madelyn L. Sheltra to said land is registered under said Chapter, subject, however, to any of the encum- brances mentioned in Section forty-six of said Chapter, which may be subsisting. WITNESS, JOHN E. FENTON, JR., Chief Justice of the Land Court, at Barnstable, in said County of Barnstable, the thirty-first day of December in the year nineteen hundred `and ninety, at 3 o'clock and 14 minutes. Attest, with the Seal of said Court, JOHN F. MEADE, Assistant Recorder. Land Court Case No. 14034 fi Book .1003 Page 54 Doc. No. 520,308 4 „ Ctf. No. 122454 TRANSFER CERTIFICATE OF TITLE From Transfer Certificate No. 59231 Originally Registered July 10, 1973, in Registration Book 476 Page 31 for the Registry District of Barnstable County. - r THIS IS TO CERTIFY that Madelyn L. Sheltra, of 105 Skating Rink Road, Hyannis, Barnstable County, Massachusetts 02601, is the owner(s) in fee simple of that land situated in Barnstable in the County of Barnstable and Commonwealth of Massachusetts, bounded and described as 'follows: LOT 65 PLAN 27099-B (Sheet 2) There is excepted and excluded from said land the FEE in Connemara Circle adjacent thereto. Said land is subject to and has the benefit of the rights, reser- vations and restrictions set forth in Document No. 176,709, said restrictions to remain in full force and effect until January 1, 1996. Said land is subject to the rights granted in an easement given to the New England Telephone & Telegraph Company et al, dated October 16, 1972 being Document No. 166,052. e o v And it is further certified that said land is under the operation and p ri- sions of Chapter 185 of the General Laws, and that the title of said Madelyn L. Sheltra --to said land is registered under said Chapter, subject, however, to any of the encum brancr_s, mentioned in $e::ria:a.fo_4}P-GiY. 'of said Chapter, wh I may b�- Huh-{-`-4tiPg. WITNESS, JOHN E. FENTON, JR., Chief Justice of the Land Court, at Barnstable, in said County of 'Barnstable, the ninth day of January in the year nineteen hundred ' and ninety,-one, at 10 o'clock anad. 03 minutes. Attest, with the Seal of said Court, ���. ... JOHN F. MEADE, Assistant Recorder. Land Court Case No. 27099 Town of Barnstable *rerr„it# 201 16055 H Expires 6mondis from issue date Regulatory Services Fee Thomas F.Geller,Director. Bu€iding.Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstab le.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PER UT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press imprint A 1 x Map/parcel Number , Property Address `t Y f�� "�C1 Lit PyA k ❑'Residential Value of Work C, Minimum fee of$25.00 for work under$6000.00 r Owner's Name&Address ' Contractor's Name JcL a Je�; `'� Telephone Number 1 q 0 :-4e;* Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 9 1 13 ❑Workman s Compensation Insurance sy °u` � r ,:l x,, yiff Ch�ek one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance (,.ANt' C) BARN d A-,,E3�- Insurance Company Name Workman's Comp.Policy# : Copy of Insurance Compliance Certificate inust:be on file, Permit Request(check box) Re-roof(stripping old shingles)..A-Tconstruction:debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) [] Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) TM*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Propry O ei ty Owner Letter of Permission. copy o the Hozrte provemc Contractors License is required: Q:Forms:expmtrg Revise8'i na `oFIHEI l � -o :Town of Barnstable, Regulatory Services i 1ARNSTASLE, + MM $ Thomas F. Geller,Director 1639, A' Building Division Tom Perry, Building Commissioner 200 Main Street; Hyannis,MA 02601 Www.town.bamstabl e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sigri This Section If Using A Builder 7kI as Owner of the subject property herebyauthorize .5 to act on my behalf in all matters relative to work authorized bythis building permit application for: CQ�o ara �ccf (Address of Job) • n ' - III Signature of Owner Date Print Name QT0RMS:0WNERPHRMISS l0N The Carnmanwealth of Massachusetts Department ofIndustrialAccidents ` Office efrnvestigations 600 Washin_r n Street Bvstan,MA 02I11 lwrVli'.rn ass.gov/dia Workers" Compensation lasur,'nce Affidavit: Builders/Contractors/Elecfriciana/PIumbers 'Applicant Information Please Print L,�_- 'bZ Narno (Business/Organization/ladividunal); , lA1Y I�S Kr •Address: (h� City/State/Zip: �I S j IV 1� o tJ y(D I Phone.#: Forneowncr n employer? Check the appropriate box: a employer with "4. [].I am a general contractor and T Type of project(requi ed)r, oyacs (full and/or part-time).* have hired the sub-contractors 6 E]New construction.. a'sole proprietor or partner- listed on tho'attached sheet, 7. []'Remodeling nd have no employees These sub-contractors have ng for me in any capacity employees and have workers' $' ❑Demolition. orkers' comp, in.s„ranee comp.insurance,$' 9• []Building addition ed_] 5, [� We are a corporation and its 10.0 Electrical repairs or additions homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions rnyse]f [No workers' comp. right df exemption per MGr insurance required,] t c, 152, §1(4),and we have no 12'[ toof repairs employees, [No workers' .•13.0 Other comp. insurance required.] *Any applicant thatcbecks box#1 most also fiR out the section belowsbowing their warkm,campcnsation policy infom�aHan. t Homeowners who submit this affidavit indicating they are doing au work and then hire outside contractors must submit it new affidavit indicating such. #Contractors that cheek this box must attached an additionalsbcctsbowing th❑niuna of the sub-contractors and state whether ornot employees. If the sub-contractors(rave employees,they must providt:their wor7ccrs'co mp.policy nurnlicr. those entities have - X am an employer that is proNiding workers compensation insurance for information. my employees.employees. Below is iha policy and job site. Insurance Company Name: . Policy#or Sclf-ins.Lic.#: Expiration Date Job Site Address: City/State/Zip- Attach a copy of the workers' compensation policy declaration page(sho ct ing the policy number and e Failure a as re xpiration date), to secure covers g required under Section 25A of MGL c. 152 can lead to the imposition of crjminil penalties of a fine tip to 31,500.00 and/or one-year imprisonment, as,well'as civil penaltics in the form of a STOP WORD ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office Investi ations of the bJA or insurance covers e verification. of I do hereb certify:r der th p Ins- ndpenaktes ofperjury that the information provided a ve is ue an correct: Sienature: --//� . Date: Phone #: I`�I Q - — Offzcia!use only. Da not write in this area,'fo,be completed by city ox fawn acial City or Town: Permit/Iicense# IssuingAuthority.(cirde ones' 1.Board of Health 2.Building Department 3, Ciiy/Toisn Clerk 4,Electrical Inspector" 5,P1u1n6inglnsleti. O they Contact Person: Phone# Nlassachusetts- Department of Puhlic SafetN Board of Building Regulations and Standards Construction Supervisor Specialty License License: CS SL 99138 Restricted.to: .RF;WS . JAMES CURLEY 287 FULLER ROAD I CENTERVILLE, MA 02832 i j Expiration,: 1/28/2012 Conmiissiuner Tr#: 99138 c Boa d ofBuil�mo a_R guJations an.dSt dards--.—_ ..1:icebse or'"gis ration tali tfor ndiNO EIMPROVEM C i7 use onlytore the e !ration her de found return to: Re stration _a24 0 „„,�. Board of$ui din;22e ulatid and-S- n.dards 3 s 1 E iration 8/ /2g g OneA hburto PlaceRm 3 _ Tr# 1 087 Boston,Ma.0 lob_Type andivid al. p James urley James urley 287 Full r.Rd. --�-C e A 02632 Administrator ,�H t,yali without ure Bba4of6-'1t mg eg>:itio-ai� ar s License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:. 124310 Board of Building Regulations and Standards Expiration: 6/1/2011 Tr# 284683 One Ashburton Place Rm 1301 Type: Individual Boston, Ma.021013. .. . James Curley — James Curley 287FullerRd. Centerville,MA 02632 Administrator ot valid without signature