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Home My WebLink About0064 FOLSOM AVENUE �� .., 'd.;+r�' � � � �,� �\ I �^ , •J `Q V M� 1 \�}7�� i'V �- �/y W 1,, „� a-_ _ i "Overlook" ' 64 Folsom Avenue Hyannis, Massachusetts 02601 - HOME RENTAL AGREEMENT 1�R...y $ t.5.`. .. ,Sd.\�iv`R..v�.\. .ar n .. w l.t,1als•L:,,s ..fn. k,. .. ..4Yi- NAME:Alicia Boire PHONE: 603-481-0686 BUSINESS: _ ADDRESS: 17 Boire Drive, Colebrook, NH 03576 EMAIL: aboire@myfairpoint. net PARTY: #+Adults 10 #Children: 0 Total Guests: 10 RENTAL PERIOD: Arrival: 9I18/19Departure 9/22/1918 Total # Nights: 4 RENTAL RATE: - Nightly Rate: $650 z 4 = $2600 Cleaning Fee: $ 350 Note: $1500 refundable security deposit due at check In • 50%deposit paid at time of confirmation • Final/Full payment due to VRBO 30 days prior to arrival Cancellations, for any reason, including but not limited to reasons of a personal nature, travel interruptions, weather conditions, and road conditions are subject to penalty. Early departure does not warrant a refund. • 120+ days prior to arrival = l night rental fee • 61 - 119 days prior = 25% (of total fee) • 39 -60 days prior=50% (of total fee) • 0-30 days prior = 100% (of total fee) MAXIMUM OCCUPANCY: The home accommodates, and is limited to, a maximum of ten occupants. Renter is advised not to exceed this limitation without express written permission from owner. r: 1Prn-111,sior7 n0s'prEw granted to Ms.,Boire to host a rehearsal dinner for up to 30 people, to Le heid in r, l•;= u.,I 'h;- lo. vn rnr 9r20/19. Local ordinances iequire that extraordinary noise be terminaf*ed by 10 p.mi. Pari<ir.g MINIMUM AGE REQUIREMENT: We rent only to.mature adults. FALSIFIED / SUB-CONTRACTED RESERVATIONS: Any reservation obtained under false pretense or sub-contracted to a third party is subject to full cancellation and forfeiture of payment. SECURITY/DAMAGE/PENALTY DEPOSIT (GUARANTEE): Home Dreservation is nnrmmniint nncl rill rniactr nra 2 required to provide a security deposit. Damage protection insurance is strongly advised to cover accidental damage. Together, they serve as a guarantee that costs associated with property damage and rental penalties are paid in accordance with this rental agreement. Owners will make the inspection before and after the rental. The renter will be advised of any additional costs related to late checkout,property damage, excessive cleaning, key return, or maximum occupancy. Acceptance: I hereby ogre the,above. SIGNATURE OF Renter: t CHECK-IN: Check-in time is 4:00pm or later. Do not enter the house earlier without prior approval. Our cleaning crew has a limited amount of time to prepare properly for your arrival. CHECK-OUT:Check-out time is 11 a.m..Once again,it is important that you abide by this policy to accommodate the cleaning schedule. Late check-out is not allowed without express written approval. We reserve the right to impose a five hundred dollars ($500.00) penalty for late check out. PETS/SMOKING/PARKING: Smoking is absolutely prohibited.inside the home. Pets are not allowed. Parking for a maximum of four vehicles. INTERNET /TELEPHONE SERVICE: Internet access is provided at no additional cost to guests. LIABILITY: The property homeowner is NOT responsible for personal injury or property loss/damage sustained by any of the rental party during the stay. Reservation confirmation serves as full acceptance and it is agreed that all guests are expressly assuming the risk of any harm arising from their use of the premises or others whom they invite to use the premise. ACCEPTANCE: The rental' party acrrees to all terms and conditions as set forth in this agreement. Furthermore, he/she/they assume full responsibility for all damages_to property or contents of the home or penalties as advised above.The individual who signs the'contract acts on behalf of and represents the entire rental party. By signing below, I agree to all terms and conditlons of the rental agreement, SIGNATURE: (AAr.LCA) DATE: Print Name: �'f ' i L t (q —6o r tz- RENTAL CONTACT: Dianne Muller,.Owner 118 Bayview Circle Osterville, MA 02655 (707) 738-8903 msvines� aol.com .e CANAFIS-01 LRANDAZZO AcoRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `� 1 1/22/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CNRA ACT Deland,Gibson Insurance Associates,Inc. HcNN,Ed; 781)237-1615 jAAc,No:1781)237-1805 36 Washington Street Wellesley Hills,MA 02481 A&Nkss:lnfo@delandgibson.com INSURERS AFFORDING COVERAGE NAIC# INSURERA;Norfolk&Dedham Insurance Company 23966 INSURED - INSURER B:Mass Retail Merchants Workers Comp Grou Canal Fish&Lobster,Inc. INSURER C: 2952 Falmouth Road INSURERD: Osterville,MA 02655 INSURER E: i INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR- POLICY NUMBER POLICY EFF' POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR POIJ810891 - 1/12/2019 1/12/2020 DAMAGE TO RENTED 100,000 occurrence) $ MED EXP(Any one erson $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY JECaT LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: A AUTOMOBILE LIABILITY CO e S BINBD INGLE LIMIT $ 1,000,000 ANY AUTO 91764265A 1/12_/2019 1/12/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS yy D BODILY INJURY Per accident S X AUTOS ONLY X AUTOS ONLY PPe�ecuden DAMAGE $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAO CLAIMS-MADE U1706602A 1/12/2019 1/12/2020 AGGREGATE $ 1,000,000 DED X I RETENTION$ 10,000 B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY 014005034176119 _1/1/2019 - 1/1/2020 - - 500,600 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ pF n RIMEMgER EXCLUDED9 N/A SOO OOO (Mandatory in NH) E.L.'DISEASE-EA EMPLOYEE $ ' If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT A Commercial Property P011810891 1/12/2019 1/12/2020 See Below DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES ACORD 101 Additional Remarks Schedule,may be attached it more space is required) COMMERCIAL PROPERTY(Norfolk&Dedham)Policy:0011810891(Effective 1/12/1y9-20) Location#1/Building#1:2952 Falmouth Road Ostervilie,MA 02655 Special Form/Replacement Cost/100%Coinsurance Business Personal Property:$83,200. Deductible:$1,000./Named Storm Deductible:2% Business Income with Extra Expense:$600,000 SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Coverage Verification THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:CANAFIS-01 LRANDAZZO LOC III: 1 AC00RO'. w r ADDITIONAL REMARKSSCHEDULE. :Page 1 of 1 AGENCY - _ :, -NAMED INSURED Deland, Gibson Insurance Associates,Inc. Canal Fish&Lobster,Inc. . 2952 Falmouth Road POLICY NUMBER - - - 'Osterville,MA 02655 SEE PAGE 1 CARRIER NAIC CODE ' PEE PAGE 1 "F SEE P 1 EFFECTIVE DATE:SEE PAGE.1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO,ACORD FORM, FORM NUMBER: &CORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: Waiting Period:72 Hours A Spoilage Coverage:$10,000: Deductible:$500. Location#3/Building#1:10•Jan Sebastian Drive Sandwich,MA¢021955 Special Form/Actual Cash Value/100%Coinsurance Improvements&Betterments: $104,000. Deductible:$1,000./Named'Storrii Deductible:2% Special Form/Replacement Cost/100%'Coinsurance Business Personal Property:$208,000./Named Storm Deductible:2%_ Deductible:$1,000. Location#3/Building#2: 10 Jan Sebastian Drive Unit#2 Sandwich,MA 02656 Special Form/Replacement Cost]100%Coinsurance Building: $10,500. Deductible:$1,000./Named Storm Deductible::2% Business Personal Property:$52,000: Deductible:$1,000./Named Storm Deductible:2"/0 Mortgageholders:Cape Cod Five/US Small Business Administration COMMERCIAL PROPERTY(Lloyds)Policy:.QSRMA11073(Effective 1/12/.19-20) ` Location#1:275 Millway Barnstable MA 02630 Special Form/Replacement Cost/100%Coinsurance Business Personal Property:$80,000. Deductible$2,500: Spoilage Coverage:$5,000: Deductible:$500. Business Income with Extra Expense:$300,000. ACORD 101 (2008/01) ©2008ACORD CORPORATION. All rights reserved.. The ACORD name and logo are registered marks of ACORD- { slog, h. r{. �C f TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Time: In Out ,wner_ &c jZ. Tenant. Address L�jC,�•1' , I Address % �� tL-`bo t J 1-41 Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits .,7f 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing NA 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms ' Number of Vehiclles' owe ma A) Number of Persons Allowed (max) Person(s) Interviewed Inspector J If Public Building such as Store or Hotel/Motel specify here 4, I a Shea, Sally From: Shea,Sally Sent: Tuesday May.14, 2019 3:50 PM To: aboire@myfairpoint.ne't , Cc: Mckechnie, Robert Subject: Tent permit Attachments: EXPRESSPERM,ITPARTDEUXREVISED82418.docx;WORKMANSCOMPAFF.pdf Hi Alicia. We received a tent supplemental form in our mail along with a check. This form is supplemental to our online tent permit application. You can apply online for the tent or you can fill out the tent application (a very similar) form=:that I have attached. If you decide to come in I can give you your check to apply to your,application or you can apply online and can apply your payment: Please let me know.what you decide. Please also include the-following: • Worker's compensation affidavit (I have attached.) . • Site plan showing the tent's location on,the parcel. I cannot read the property,lines and where the tent sits on the lot. • t Exits on floor plan. If I can answer any questions, feel free to call me. Thank yowl Sally Shea 5 Town of Barnstable Assistant Zoning Admin/ Lead Permit Tech. 508-862-4031 C o 1 Town of Barnstable BARNSTABI,E Regulator Services 11 639 , ,. Richard V. Scali,Director Building Division Thomas Perry, CBO . Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Tent Information,. y MAP/PARCEL 3a 4 Qs s1 �L Pa.Q�W d-Q cl w �p1-7,� ADDRESS (p �1!56nl. ,4vt VILLAGE. Q/ifl i � r NUMBER OF TENTS PURPOSE OF TENT h od w inn DIMENSIONS OF EACH TENT 361) ' ARE THERE SIDES ON THE TENT(S)? CHECK ONE ` ✓ YES NO s"decJa.�I cl ea+' T-Ljccc4h er rem CA:re If you checked yes you must attach a floor plan of the layout to insure proper egress for emergency purp&ses per the Building Code requirements. w i DATE TENT s UP . C7-cap J 13 TAKEN DOWN ON ATTACH THE FOLLOWING DOCUMENTS: • FLAME SPREAD SHEET FOR EACH TENT • FLOOR PLAN OF INSIDE OF EACH TENT-THAT HAS ASSEMBLY USE • PROPERTY OWNER'S AUTHORIZATION IF THE APPLICANT IS NOT THE HOMEOWNER • WORKMAN'S COMP.•AFFIDAVIT(AND CERTIFICATE IF REQUIRED BY THE DEPARTMENT OF INDUSTRIAL ACCIDENTS,INCLUDE POLICY INFORMATION PER FORM INSTRUCTIONS). • LOCATION OF TENT ON SITE(PLOT PLAN sOR G.I.S.MAP SHOWING LOCATION) PROPERTY OWNER NAME dI (CC/?n I / /G(,L('Pw, APPLICANT NAME 11` r f4 SIGNATURFae(.G� _DATE 5-741 APPLICANT PHONE NUMBER 100:3-4/F/ E-MAIL 0-130 ('2.Lb-�M. '�QU rp6 i/zi. n d If this is Town of Barnstable property,you must provide the property,owner's authorization completed by the Town Manager.Using theTown Green? Call our Survey Department at 790-6400 x 4939 to ensure water lines are preserved for staking purposes. If you are utilizing Aselton Park call Structures and Grounds 790-6320 Now ststotanct UN"s go PIT Do& o `'` CQtiC1lIIII Ila. lt�� ro +raciw�+a �. #28166 -41 9.01 Tent to waSUP* MARCH 12011 sang a tWM in.Tamp.,FL 33WO This Is to cenlly that the rnaterlelc d6sc ea on this certificate have been flame- reterde ' an�d iiL in rtry nonflammableTE W'qd. CD NAME: CITY Ostemile STATE � . (;erlitkatfon ls'hemeby made that.-. The articles described on this Certificate haws bw treated with a flame-retardant proved chemical and t li approved p cation of said chemical v� n ��tt�tt as done in conformance SWiftcatbn NFL . +��ih Federal "hodof aPplication: inhiNgdly acne resistant o Trade name of flame-resistant fabric or rnatmidl user! Hi-gloss > C•hem.'Reg.f4o.F-419.01 _.. z L The Flame Retardant Process Used will not Removed By Washing r+ :a rria Hart W and is good for the life of the fabric. Renewal Certification unnecessary. Sunblock White 15-16 oz_ s Color and wei t of fabric: psY scription of item certified: n Thomas Scionino Production Supervisor a +Wpw.of tvpncaeor o,Pbadtucsla,. iRW"Ok" talc c*i low '14W o we Oft so be a tv" M*Ii of oft a191"i "CENI l WWATE or FUME N 11RMT,R[IM" t ov" fe tee, '��rf�sst Oepy" of has been Ahi wft a Ca�f+aenis ,M Waleska Rodriguez i May 8, 2019 Town of Barnstable Regulatory Services 200 Main Street Hyannis, MA 02601 Dear Sirs: Enclosed is a check in the amount of$75.00 for the cost of a tent permit for an event taking place in Hyannis on September 20,•2019. The purpose of the event is a rehearsal dinner for a group of 30 individuals. Only occupants of the house will park onsite, all others will be transported in and out by an outside provider. I have also enclosed the following documents: • flame,spread sheet • floor plan for inside of the tent • signed home rental agreement for the property located at 64 Folsom Ave., Hyannis, MA • workman's compensation affidavit(provided by event caterer and tent rental company) • location of tent on site at 64 Folsom Ave. If any additional documentation is needed, please contact me at the contact information below. Once I have obtained the proper permit, I will forward to Clambakes, Etc. Sincerely, 1 Alicia Boire. 17 Boire Drive Colebrook,NH 03576 email: aboire(cr�,myfairpoint.net Cell phone No. 603-481-0686 Enclosures III 1�1 DI�I II I I I 1 II TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel: Application # Health Division 'Date Issued Conservation Division Application Fee Planning Dept. 4 Permit Fee ' Date Definitive Plan Approved by Planning Board Historic - &- CH/ fAf _ Preservation/Hyannis Project Street Address �� ga,�-o x , Villagef Owner � 7 � � Address Telephone : c i Permit Request 1,}�raw2e_ W S'AV¢flom 0 CT o _�su�✓ �a; , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation !-3rd ZJConstruction Type (AL167 zf t/000) Lot Size Grandfath ed: ❑Yes ❑ No If es attach ysupporting 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 ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: 0 existing ❑ new size _ Barn: oPoxisting ti0 newp size_ Z Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other. ..I ` Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# MC Current Use Proposed Use CDrn APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number r Address License # Home Improvement Contractor# Worker's Compensation # w----ALL CONSTRUCTION1DEBRIS�RESULTING�FROM THIS P-ROJE-CT WILL BETAKEN TO �G�C�/�� et SIGNATURE DATE,. FOR OFFICIAL USE ONLY •APPLICATION# -1 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: Q Q o�- FOUNDATION � o� 6 K FRAME INSULATION 513h 4 k FIREPLACE 1, ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111: . www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Indivi dual): �ess:5?4-- City/State � �+ 1.� I (' Phone#: VAre you an employer? Check the appropriate bo�m a Type of project(required): 4. OrLa general contractor and I 1.El I am a employer with 6. ❑New construction ' employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑,Demolition working for mein any capac,ity. employees and have workers' 9. ❑ Building addition orkers' com insurance comp.insurance.$ - p 10.❑Electrical repairs or additions eq ed.] 5• ❑ We are a corporation and its officers have exercised their 11.0 Plumbing repairs or additions I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t e. 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. 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. 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, Lie.# Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce i er he pain nd penalties of perjury that,the information provided abo a is true and correct. St nature:Z Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official . City or Town: PermitlLicense# Issuing Authority(circle one) 1.Board.of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector .6.Other Phone#: Contact Person: i ENERGY,CONSERVATION APPLICATION FORM FOR ENERGY.EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Nam . S>��1� u CSite Address:„ J�. print Town: /-*j I C fi'plicant Pl one:- /�g�/7 Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two o tions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM ' Ceiling or Stab Option 1: Basement p Fenestration exposed Wall Floor Perimeter Wall AFUE HSPF SEER U-factor floors R-Value . R-Value R-Value R-Value R-Value and Depth National Appliance Energy R-l 0 R-10, Conservation Act(NAECA)of 35 R-38 R-19 R-19 4 ft. m 1987 as aended minimums or rester as a licable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must,be completed (780 CMR 6107.3.2) REScheck-Web which can be accessed at http://www.energy6odes.goy/r6scheck/ ADDITIONS OR:ALTERATIQNS,TO EXISTING BUILDINGS:OVER 5 YEARS OLD* *Buildings under 5 years old must use option#1 or 42 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b a) Sj 100 x - = % of glazing ,(b) Glazing area equals SF b a If glazing is,< 400 o use the chart below. If glazing is > 40 %o proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING } LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter n�#� Fenestration Wall Floor Basement Wall R-Value U-factor Exposed floors R-Value -R-value R-Value R-Value and Depth .3 9.;, R-3 7 a R-13 R-19 R-10 R=10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over.the entire ceiling area(i.e. not compressed over exterior walls; and including any access openings). SUNROOM-An addition or alteration to an existing building/dwelling unit where the total FT glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: -Owner to fill out Consumer Information Form (found in Appendix 120T) I Town of Barnstable ` Regulatory Services 4 i t;nRtvsrnst a Thomas F.Geiler,Director rrtass. 1639• ,•� Building Division rFD MA't 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 Please Print DATE:'. JOB LOCATION: tJ �! �v / �" �+ (r number ssttreeet/ villag&4—f-mA "HOMEOWNER": .0 �Y�.JC'CN ��. �� - name �,. home phone t# w phone# CURRENT MAILING ADDRESS: . city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER 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 minimu pection procedures and requirements and that he/she will comply with said procedures and requi is gnature o Wineow erAl . 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 A 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 acNas supervisor." Y Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, <rr. 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. e 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. . t , Q:\WPFILES\FORMS\homeexempt.DOC . oFINKEr� Town of Barnstable Regulatory Services �WABv MASS.'Eg` Thomas F. Geiler,Director 039. ;A� 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 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. f Q:FORMS:O W N ERP ERM I S S I ON I project: Deck Loads Project No: I)ate: 27 TanaurY 2003 DESIGN DATA General Notes: - ---w— —�---- -- - -------- --_—.—•-_------ 11 Use Group: R-4 • 2. Loads: TAW Tbls 1606 and 1615.5 5tate .Building Code, 6th ed. Cd = 1.00 Stairs/Decks: Live Loads:. 60 lb/sq ft• for Exterior Decks Stairs/Decks: Dead Loads; 10 lb/sq ft for Exterior Decks Cd = 1.00 Railing Loads: 200 lb Point; 50 lb/1£ Horiz.; 100 lb/lf Vert. Cd = 1.25 Snow & Wind Loads: not checked - OGcupanay hive Loads govern Cd - 1.15 Technical Specifications: Joists: 2"x 6" @ 16" o/o Pressure Treated #2 or BTR SYP W/ Fb(rep) = 1,440 psi Joista: 2"x 8" 8 16" o/o Prassurs Treated #2 or BTR SYP w/ Fb(rep) = 1,380. psi Joists: 2"x 10' 8 16" .o/c Pressure Treated #2 or ATR SYP w/ Fb(rep) 1,245.psi Main Girt: 2/2"x 8" ,Pressure Treated #2 or BTR SYP w/ Fb(sgl) = 1,200 psi -- Main Girt: 2/2"x 10" .Pressure •Treated #2 or BTR SYP w/ Fb(sgl) = 1,100 psi Post4: 41'x 6" Pressure Treated #2 or BTR SYP w/ rc(ll) = 1,450 psi & E 1,600,000 psi .pical Layouts: _ _—------- ----------------- -- -- -- - -------- Joist Joists: 2"x 6"^ @ 16" o/c____._ *•--- 8.83 ft— — �8 ft 10 in Spans Joists: 2"z 8" 8 16" o/a 11.40 ft 11 ft 4 in .Joists: 2"x 10" 8 16". o/c 13.81 ft 13 ft 10 in Joist Spans 6 ft S ft 10 ft 12 ft 14. ft Girt Beams: 2/2"x 6" @ 16" o/a 7,90 6.84 6.12 5.59 7 ft 10 in 6 ft 10 is' 6 ft I in 5 ft 7 in 5 ft 2 in Spans Beams: 2/2"x 8" @ 16" o/c 10.01 8.67 7.78 7.08 6.55 10 ft 0 in 8 ft a in 7-ft 9 in 7 ft 1 in 6 ft 6 in Beams: 2/2"x 10" 4 16" o/a 12.22 10.59 9.47 8.64 8.00 12ft2in 10ft7in 9ft5in 8ft7in 8ft0in • ...,,.,,�� +e irCl:ffOLV .SKET N OF PROP RW R c IL In �rIIPiVST �Lc y,MA Applicant: Ro46Wr i1P/E r PST�rt/ L.C.Cert.No. I Scale: Date: LOT7y 9� T - bi v I ./�jpp�y ,M•, io•oa � �. i.9 VAC Ani r zaT 4 k � . "t. Certified To; e, In my professional opinion the buildings are approximately located on the ground as shown hereon and conformed to the applicable.horizontal dimensional yard setback requirements of the Zoning By-Laws of the T the time of construction. The dsaJt�' �N of 3°NSTiq�L at Hazard Zone as delineated on the A= 5 as shown does not fall within a Special Flood �+I. A/FIA National F " Community W. -?�Panel# 040 D �Insurance Program Map: Mi_KMAl1 Thq*-;h wi op.m to, (dated Zone•�_. r u N i 6 MVI OCCUI 7 Irl�l�m�Ina1 Ilan IR �Y and 4 MN IO bl Aopr*d,a ponlry r. R t... tk TIE: w+de"10190 so a e.+ea upa„eren , + er.�: �r manors ' 1ion ON 1 T9dtniC81 Park prtyp ►+o�: •w...ay gym„ .,�4"not"CW* in ft Holbrook,MA 02 343 . W++ac abor.v►a„nu m PSI c tAl. F (617) 7074873 {8 7)�y67-1400 r t v S Jp 1 ET f1744) C E RS q7 f ©o R d t s`7- F,tVDS r POSTS mlq}x 7 ©,C, X� 1000 psi = 1.1300,000 psi l }1Pic<.il V.-A-LICS. I'Ur Sc�utliej-tj YcllUw Pine #2 (1'ressurc; 7�i•et�tecl1 1 / Lxle�'iUr use (e.�. clecl(S) Joist Size - J o is l - ---�--- Sl-Mcillo 2x6 W WO 2x1.2 12" S-G I I -;' 14-3 17-4 6« 7.-4 '10-0 '12.74 '15-0 20 6-7 -1 i .; 1-0 13-5 24 G_U' -2 10-1. 12-3 N s . FG� o G� 3 3� I�IU 3 �STrv�F�s N 0 10 .rr r 1 i ,l r::,' � � 1 Jul-07-03 09:4511131, � MORTGAGE .INSPECTION SI EWN -60 PROPERTY f In Courtly,IA Applicant: 1�0 ?P7"/{ NA.PI b' R-`TJ✓ i • Book /99 Page,aS..' /" .ill Date: Scale: 91 •`, Oat •.� 'P'AXT-cl� LQT5. 4-1 01, - Yam• .. /{� $� ,. ,. .Y - f IP 1 s � d r \\ yA cAuT Ia Certified To: RrcNARP A. Gk/G'PYAI 5oc�77/ r in m rotegslonal opinion inion the buildings_are Approximately located on the ground as YP shown hereon and conformed to the applicable horizontal dimensional yard setback requirements of the Zoning By-Laws of the LUY& of- -'¢��ST`4BL E at Special Flood the time of construction.The,#�.1 as shown does not fall within a Spa i Hazard Zone as Delineated on FEMA/FIA National Flood Insurance Program Map. Community No. •1309 Panel# 400 D Dated -Zone r 11 TedUi Park Drfne Tho Iiiiiii W�s.n for n wrr;.e«e o�M WW M na M Mt MWOW.a— ZFL d a an lu".a � Mobrook,MA OZ;43 '"'p'p O .i.M�dM,e,.e wa1 na to ratFw�a.!a OMNI afiauld 6.hrNwir urdn pad R m mtvumern tufaaY b aooamDtiMd w,oow,Thre a bared won gcnryctu arm a�by ri.M. �i0n at � (817)7B7�5B73 tk+w.rwr aro�•u�c. (St 7)7fi7.146� 9ramq r.��!q NOTE:Mvi MUMM"y avcft or we nm noud d in =ft o.�Ma6vo,fi.a.&A t.above pbolel 6,tA�• Town of Barnstable Regulatory Services aIF rbr Richard V.Scab,Director ` Building Division ' IMIUMAMM ' Paul Roma,Building Commissioner BEAM 9. ` 200 Main Street,,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNM LICENSE EXEMPTION q �y Please Print DATE: J0B-LC6ATION: "HOMEOWNER: Ag '---�'#name /� - homeApho®ne# work phone# CURRENT MAILING.ADDRESS: � ."4dl�n� �Y U C4/tDVM State zip sae The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less-and to allow homeowners to engage an mdividual 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 perfoimed under the building permit. (Section 109.1.1) _ The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and oxher applicable codes, bylaws,rules and regulations. TThe ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection nts and that he/she will comply with said procedures and requirements. S r o omeovvner� 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 EXXAIPn0N 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 hirexo 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 it 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q-WPFlIMTORMMuilding permit fonnsOGIRESS.doc 0620116 K' Town of Barnstable t r Regulatory Services. KAM Richard V.Scaly D reetor - 16 Building Division. Paul Roma,Balding Commissioner 200 Mum Street,Hyannis,MA 02601 www.town.barastable.maus Office: 508462-4038 Fax: 50&790-6230 Property Owner Must Complete and Sign This Section If Using A Builder , y , as Owne=of the subject Prop hereby authorize to act on my behalf, in I-Z matters relative to work authorized this ertuit a Iication for .� bu=lding P PP (Address of job) **Pool fences and alarms are the-responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QY0RM3:0VAsMRPERMMSIONPOOIS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I Map Parcel V Application Health Division Date Issued, Conservation Division all Application le � Planning Dept. rmit Fee Pe Date Definitive Plan Approved by Planning Board A[Fk\ - Historic - OKH _ Preservation�(A'i annis Project-Street-Address Village Owners S 6&f--1;V1j Address Telephone'--� Gil 7, Permit,Request,._ _ d S�ti�� )29 X 411a a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District I Flood Plain Groundwater Overlay GP_roje'ct Valuation CJ 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: 0 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 Number 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 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ j . e Name 7 �� -Tlephone -Number Address 6 �� ,Qr/� License # Home Improvement Contractor# rEmail' f, �% S6Zos&A [)f,'_Ubjy . COA- Worker's Compensation # AL CL ONSTRUC-ION;DEBRIS,RESULTING°FROM'THIS PROJECT WIL-L.BEwTAKENgTO p7, S!L �/r� SIGNATURE,, ATE-` �� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER 1 DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . .� 0 ^ F • Lei. 37w Commomveakh of assadrusetfs Department af1m ustrid Ac ddeTz& - 0Jjwe ofrnves4ations 600 WashhWtorz&reef _-- Boston,MA 02111 mvrvM snassgov/duz Warlmrs' CamppensafranInsuranzce AfEdavri -Bnitdexs/CantraactursJEIecEriciaurJPbm3Lhers Information Please Print Add y4 Are,you an employer?Cieck the appro ' to box: Type of project(required): I.❑ I am a employer ssith 4 ❑I am.a general coafractor and I emP10YeW(full andfor part-i=))* have hired if9e sub-coal 6_ ❑Aieuv oo an 2.❑ I am a sale propdetor orpaztuer- fisted oathe attached sheet 7. ❑'-'--- ode Hng ship and have no employees These sub-cofactors have S. -0 Demolition 1 and have woakers' wonting for roe in any capacity- �°� # 9. El Budding addition I 5. E] We are a corporafian and its 10L E]Electoral repairs or additions • F—�33`- '1 ama fiomeouner doing an Work have e�rcised f3�r 1L�PlumUmgrepaiss or additiom osc per MGL rxtpsel€[No workers'camp- fl�of egempfi P - 13.❑Roofrepaiss insuxz=e retpirBd_]1. _ c.152,§1(4k aadwe have no employees.[No Wadmrs' a❑Other cam-insuraum mgdmed_] #Any zMBacatthatcheclsbox9lmmastvisafMaittbesecdcmbelawshosiagtheirwadcess'c mpens&fW•peEgyinft=mz wL, t Ekm=vrcers who submit dis afiidavdr-xM-xrag they&m daiag rZ w,o*=—&Hies hie autside co=Rc=ww sohmit a new affidat3[mdirstim sacb TCauuact=that ehecY this b=mast wits d m addiii—shed shoRtng the name of the mar cad state whether or nut those eolideshaRe employees.lfthe ub-c ,�hawe ampIcyees,theymuscgm ade dLek wadsers'tmmp.pGlL5 mmilsen I am arr erlipI�r tleat-is prmadircg x�xrkers'coirp,eismriQrt ntstirance for�}�earpfv}�ee� $etary is fits paIicy�arul jQb site a information Insurance Company Name: LL Poficy 41or Self-inL Iio. ` FspiratinuDafe Job Siite A ddre= CitylStde 2e p: Attach a copy of the workers'corapensationpolicy declaration page(showing the policy member and-e-piration.date). Fail m to secure,coverage as required under Sw ibn 25A of MQ,c 1572 can lead to the imposition of criminal penalties of a fine up to$UO D andfor on-' —year imprisonment,as well as civil penalties' 1n the fay of a STOP WORK ORDER and i fine of up to$250-00 a dap against the violator. Be ads}ised that a copy of this statement maybe fxwarded to the Office of lavesfagafions of1he DIA for msura w coverage-vmcd=oa_ I do heraby cerfi a pails did pen ahies ofperjuq f iattha info rmadmprurt.`i&d abmv is bars and correct Phone lk 027ciai use onZ. Do not write in ibis area,to 5e c mp&ed 5y city or town a•j dnE Chy or Town: P`ermitllicense;g Inning parity(t-r&one): i-i3oard of nmi& t.Bwiaag+Dq=r went 3.cityadynt Clerk 4.Electrical Inspector 5.Plumbing IuspwWir 6.Other Combo Person: Phone f: ormation and Iastruc ons Msrecarlincetf8 General Laws cdsEqY=M requires aR employers Yn provide worxas'compensation fm theiF employees. Pm�rrani-fa this stye,an=V&Tw is defined as.6.emypmsonm the service of another under auy 001ft-act ofhirP;, express or h33PHD4 oral or VZiff= " An rnvloyer is defined as"an indivi ffimL parnership,assoCiEian,corporation or other legal entry,or any two or more ofthe foregoing emgaged is a joint ,audi whdngthe IegaI ipL serves ofa deceased employer,or fe receiv=or trustee of an individual,pax=shrp,association or other legal entity,employing employees. However the owner of a.dw j ng house having not more than three apartments and who resides therein,or the octet of the - dw U533g house of another who a xaploys pmrscm s to do mai�oanm,cams ac t;on or repair work on such dwelling house nds or on&D grou or other appmtmanrt`fiiereto shan not becange of such employment be d=nedto be an employer." MM chapter 152,§25CC6)also stems that¢evey sty or local Rcensi ag agency shag withhold the issuance ar renewal of a He use or permit to operate a business or to construct buildings im the commonwealth for any applicant Who has not produced acceptable evidence of compIiance with ffxe sarance coverage regni ed." Additionally,MGI.chapter 152,§25C(7)shies¢Nmffi=the commmweahhnor my ofifspolitical subdivisions shall Mnr into any contraLt fur the perf=mm of pobho Wok uutiI acceptable evidence of compliaAce with the ice.. re quo muent.S of this chapter have been.presented to&e camtrartiag anthozity." : Applicants Please fill out the wor3='compensation affidavit completely,by chexkiag the boxes thatapply to your situation and,if necessary,supply sub-mntcactor(s)name(s), ad&=s(es)and phone:ux m(s) along with their certc7aca:te(s)of insurance. Limited Liability Companies(LLC)or Limited Liab, ty Parfnemhips CLEF)with no c loyees other titan the members or partners,are not required to cant'wdrkers' compensation insurance- If an.LLC or LLP'does have rmployees,apolicy is regnired_ Be advised that this a$daQrtmaybe submtttDd to the Department of Industrial Accidemts fbr confmnation of woe coverage Also be sure to sign and date the affidavit The affidavit should be ret=tme;d In the city or town that the application for the permit or license is being rEgneste,not the Department of Tn�a1 A rq Pats_ Should you have any questroms regarding the law or ifyou.are required to obtain a woricers' compensation pofcy,please call the Department at the amber listed below. Self-fim ed co33panies should enter their self-insur-mlce license number on the appropriate line. City or Town O ffx all f - Please be sure that the affidavit is complete and prkrte:d.legibIy. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office ofIuvestigat ons has to comisct you regarding the applicant Please be sure m fill in the pm�icense nu nber which will be used as a refermce number. In ad:diiion,an applicant that must sabmit mulfple pennWHcense applizstions in any averar;ye need only submit one affidavit indicatm coseot policy nf= ation Cif necessary)and under"Job Site Address"$e applicant should wr-"sII locations in (city or town)-"A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the . applicant as proof that a valid affidavit is on file for future permits or Breasts A new affidavitmust be fMcd out each year.Whew a home owner or citi=is obtaining a license or permit not related fn any business or commm vial veofrne (Le- a dog license orpen it to buts leaves etc.)said person is NOT regmiredto complete this affidavit ' The Of of Investigations would like tothank you in advice for your cooperation should you have any questions, please do not heshate to give us a call The Departmmfs.address,telc Phone and fax mnnbea: CMMMWMM of Massachuseag met cif li al AODUenta Of of 1 tio= Bin=MA Oil 11 T(,-L 4 617- -4 eft406 or 1=977 1v1�� Fax#617-'2'-W49 Rtvismd 4-24-07 a cct lT C�3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0� Parcel D T ' '%" Bj�RNSTABLB Application # Health Division Date Issued js Conservation Division Application Fee _ Planning Dept. Permit Fee ou a� E Date Definitive Plan Approved by Planning`Board7,M'4 Historic - OKH _ Preservation/ Hyannis Project Street Address `a Z C Village �,S Owner L2&9 S 4 EARZ L Address Telephone Permit Request 70 7 X R fl?o3 6 Z,�,� —//0 � Z<' Ahf u J 1&/ a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District ,� Food Plain Groundwater Overlay Project Valuation J r 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 ❑Crawl l]Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new HaY new Number of Bedrooms: existing _new NOV 1 9 Total Room Count (not including baths): existing new First16��Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other14 , 8L� Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name , , 1� �iL !'�L/yl Telephone Number Address 1'a`l ya License,# IC S FA . d- Home Improvement Contractor# �� Email t �fy` .`/C.c�rid �'-fy Worker's Compensation # n s ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .1tJJJ ��Lc� C� SIGNATURE DATE /6J�y ` 7 y t FOR OFFICIAL USE ONLY APPLICATION # r' DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Office Ofrmv�mkdfivm 600 Waddagim&reef Baston,MA 02HI '. . tvrvtta.ttta��f�ia • Workers' Cumpensz6m7usII =ce AfEdzvi-S.lritdez-dCanhacinr err ----- I- ---- - - - / Pease Friat 'Name - �G62gj/� 4 C�{ � sir y5 �, o� 4 Are you an employer?'.Checkthe appropriate bay L❑ I aura 1 vii#b. 4. El am a general coafnfc�r and I Type of project{rexl�e�_ . =1e am Morpad-limed 0I+Ie�oonst ti2. psopdgtmr orgarfaer Iisfed as the attErcbed sheet 7- ❑�o�g strip and have no emplayees �es�sob com�actars have, 9-;Q Demal6bn - tvoriipg :fix=in any capacifg N, eu rlayees a have o s' 9. ❑Building addition [No wadmrs!cc ir�vcranr•R cozup_4nsur2mn:I reTlie&1 5_ r7 I Wears a corpm-afica and its 16-0 Eleckdr repairs or add iaas 3"❑ I ama homeowner doing all wmk , officers have exercised f nk 1LD,Fhnnbiugrepaim ar arliRgaas nlylldE[No w a&ms'camp- . ' ` right of esempiiou per MM 17 0 F.oafrepaim k%UM=e regsired_]T- c-M JIM andwe lave no emplagees.[No was' 13.0#)fFier camp.in=ar m required.) `�IIY BPp coeds 6oz�1�t also ffia�the SecE2oaheimr53svuaIIg sbeswa�ces'm�P,•�++,,•pcycgiafmsa� #�amea WbD sabmr�t i�4 af5daeg IID�g Hieg axe+�a e1F WIC SII�IE]ffi�IFLE aamel�caamst sIIh�it anezv�da�it mdica�sack. fC==tUM79=ci—+ box==ittsa sasddifiaxatShe sbaa agthea ofYlsesaleccmdst6a¢s�ris �heth�arnattfieseeat s e933p6oyeaL?flhe m s+-rm+*a kmm mgiiaytrs,B2eY�stgmvide tip Rorer'�mp.IaaTicg airmbes I am mr suip sr ffkLt j9Fr4Vhffng ivrtrkets'cam;perisrd3isrtr irrsriratfca ar UL'empta3'2gm 6erinv is triapoac jaFa uts Fa�ornxe�u - - Ia-ce C=panym2 - Pohcy or Sslf- €Lic_ auRafe_ Job Rte Addre= a400 Cis - Attach a copy of the Warkers'compensationp.olicy declaration page-(shaving.the pc►ficy b and e=piratioa date}. Fail=to secures caverage as required under Se cti=25A o€MGL c.IP can lead to the imposff of csimiaal pe KF,- of a fine up to$1540-OG anYor apse-gearimp isomnent,as well as civil peualge•s i n fhe fans of a STOP WGR K ORDFRand a fm- of up to$250M a dog against the vio}afur_ Be advised drat a copy of this zW=6t maybe faiwarded to the Office of Iavesttatiom of the D.TA fhr inc erat,r coverap vesfficati Fria&a-Bby anr} aF flratilia iafbprmrlerd abctns is tray:a correct �y PbQne , Gffl;W use a nfy. Do not et r&ifi dis afeO be arisglet d by city Ortawvn d f'ieiat Chy orTaw= P e nse:9 IssIeMg AHffia•=•rip(ch-de one): L ward of Ma I& .2. 3.Otp Towa Ocrk �F cdrical Iuspectnr S.i'l biag r 6.Other r f act Persna: Phow 9.- - 6 J: •..: -.i/�`n• - ■ - _- .••[i•. i•to:.. 1 i+rlt• •'�R IB rl ■• ■- •••I.A�R rr1BB■•.'.■ :t.•n t1t !• l .+■■n • �- -Bl •Yt■1 all Be J, rn...- ..■ Ir!! / ■.�/11�■ :j• -'�' r.+•.■Il 31 ■■ - ' • .1.•n f1■■ -la r•)■la r • -pt �.�. • nnr �• •lr: a -'oil • • �..l ! .� •ana�• : _n n\■ n■1: •.■ n�R nn .-�•wr_n•n r•I ■• Ja■n ■7 •is� -r a■u[ a .n• •.• ■ n n " • n- nl - nn �■1::�• n •n �rta:� rn/:-� _u• n u nu: it" ": ■1 �.a!ur_■•:. • : •- � �• �+un ••� n i■ a . • r r ri' • :■. 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Town of Barnstable Geographic Information System November 17,2016 9 39 3 324088 #30 #34 324089 #54 CAR e - 324081 #27 324055 324107 #55 #33 324078 y / #38 324108 #43 324109 j #22 s ^ 324079 #28 32464l)# Ae 3.24066 O` 963 324061 #74. .,324057 #55. . 324059 , 02 324058 #45 0 29 Feet 324042 _ -1 #0 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:324 Parcel:080 ' - - boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:SEGERSTEN,ROBERT H&MARIE Total Assessed Value:$583700 Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:%SCHEPPLER,GEORGE Acreage:0.30 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:64 FOLSOM AVENUE '"✓,;': ' such as building locations. - Buffer 82 WALTON AV. HYANNIS . MA. 02601 CSFA 106219 508 245 2906 OCT 25 2016 ` George Scheppler 64 Folsom Av..y Hyannis mass Job Description Remove siding and plywood and install new header for window opening. Then install one new 24x61 Andersen 400 double hung window with low def grill on top .Then Install new trim and sill with new white cedar onoutside Inside case new window :On roof install one new velux solar power rain senor skylight .install new trim and bead board on inside sky light All wirers"to be move.cost of homeowner all painting done by homeowner. Michael Silva Will pull all permits Material and labor$4585.00 When start$2,200.00 done$2,385.00 ILV AScheppler Client#:45489 2SILVAMI DATE(MM/DDIIl11YY) ACOR& CERTIFICATE OF LIABILITY INSURANCE 11/09/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil Insurance Ag ac°NN ,508 775-1620IFAX ac No): 5087781218 973 lyannough Rd,PO Box 1990 E-MAIL Hyannis,MA 02601 ADDRESS: 508 775-1620 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:National Grange Mutual Insuranc INSURED INSURER B: Michael Silva 82 Walton Avenue INsuRER c INSURER D: Hyannis,MA 02601 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE IANSRL Hn u POLICY NUMBER MMNDY EFF MMM/VDDY EXP LIMA A GENERAL LIABILITY MPT3583J 5/30/2016 05/3012017 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DpAMqq�ET RENTED PREMISES Ea occurrence $500,000 CLAIMS-MADE OCCUR- MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 POLICY E O- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON-0WNED PROPERTYDAMAGE $ AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITYTORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS i LOCATIONS i VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Tim Evans SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 14 Sugar Bush Lane ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis Port,MA 02647 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S180078/M180076 LS1 ivmas<<nzhuaeiia ileNmtiIlie of i uuiic SaieiY ' Board of Building Regulations and Standards License: CSFA-106219 . 1 arr;ld MICHAEL SILVA 82 WALTON AVENUE HYANNIS MA 02601 /l Lxpitabon: commissioner 06/28/2019 . . (97. acfivaet Office.of.Consumer Affairs&Business Regulation- �OME IMPROVEMENT CONTRACTOR egistration 175708 Type: ` Expiration 6f4/2a47_y Individual IF MICHAEL SILVA MICHAEL SILVA 1- 82 WALTON AVE. r HYANNNIS,-MA-02601 Undersecretary' !- I Construction Supervisor 1 S 2 Family Restricted to: Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS License or registration valid for indiv_idul:use..only` = I before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 �' Not valid w:ithouf signafure j i n° ---------------- dog �� -C� c/C)c S PF-067C (Rev.01115) CERTIFICATE OF COMPLIANCE M.G.L. CHAPTER 148, SECTIONS 26F, 26FI12 - City or Town: HYAMS FIRE DISTRICT Date: I Z This certifies that the property located at l¢ (D�So w, 6\) �- c,Kh S M`�} has been equipped with approved smoke detectors, and carbon monoxide alarms'and was found to be in compliance with Massachusetts General Law, Chapter 148.Sections 26F,26F112 and 527 CMR 1.00.Section 13:7. Inspectian/Testing completed an: . �- t By. , �- (InsifeLtad . Fee Paid: "—Read of Fire Department CHIEE SOLD S. BRUNELLE Note:This certificate expires sixty(60) days after date of issue. .165'75 SELLER'S COPY PERMIT # , s. ' a . -� En r- - r r i Assessor's map and lot number 3L3 ...............................�4f' TIC SYSTEM MUST BE Pr P't INK E Sewage Permit number ...�� P........ `9 SA ITAXY COI'E AND-•TOW1, �OF THE T��y TOWN OF B A 1rAB LE BAHBSTADLE, i BUILDING INSPECTOR y MAO& � �1 L ,0 G'li APPLICATION FOR PERMIT TO .....f7.OprT*M"'? ..j�...I!..[.T.� ... I�isT'10........................................ TYPE OF CONSTRUCTION ........ 4.a Q.... f� �r'...............................:.......................................................... .....................l.:�./..a .........19.�.y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....( �......FAA. ..... �.........:./.T..��l�� X. .: .............................................................................. ProposedUse ............................................................................................................................................................................. ZoningDistrict ...............a.................................................Fire District .......Ny.!��...:..................................................... Name of Owner ..Ce.n?.......Mlzlr/.!�;..........................Address ....Ry !..................... Name of -Builder ...1."1.1.`....... .........................Address .......��'yg...................................................... Nameof Architect ..................................................................Address ..............................................................................:..... Number of Rooms ..............................Foundation �'r`°yej-7' �..................... ........... .................................................... ......... 'f Exterior /e..... H/ -rz .Roofing ....&.011 ?Ly........................... . .......................................................... ........................................ Floors Interior ........ HeatingF/?9/ ....Plumbing .... G►...................................................................... Fireplace .........A Approximate Cost 1 ODG p �......................................................... pp /............................................................. Definitive Plan Approved by Planning Board --------------------------------19--------. Area �� S� F� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH. r / L H ry I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... Jnal.lv .. ............ C. K. Martin 324 80 ' No sewage ` 17397 / � No ------ Permit for ...... R�.tcba-T%.. i ............................................. Location —.64..Fol��.�\�R, ............ ~ ~ ^ ` + �� -----------------.. —.-------. ~ ' Owner --D�..��.� � —._________. . .� .~ . � Wodd Frame' ^ Type of Construction .......................................... � � --------------------------. ~ , ' | p|c» .32�--QD--- Lot ----------.. / --� —' ' ~ ! Permit Granted --..October..25.—.—]9 74 \ Date of Inspection ...'...,� � Do�e Completed y lA . . . .' | �r | PERMIT REFUSED ' | .................... lV .---.— ---------' ---------...--.—..----.. ---.. --. —. --.----.—.—~-------..�-------. —^—^----'-------~~----.—'---. - | � . ( � ---------~----------.-----.. �� Approved ................................................. lg ^ ---------------..—..-----.--. . / ' . | -----------''—^-------'—'—^'~^'' ' . / | �..�. t -y X Assessor's map and lot number .049:...............: I Sewage Permit number ... !% f. % I.fi} ®,,,,,,,, ?"ET°�� TOWN OF BARNSTABLE Z BAHHSTIIDLE, i Mb 9 BUILD [ G INSPECTOR •. _ _ _ �; 4 !? tr �vn / i lTt 1r/f-- t Ll Irtt?Cr r APPLICATION FOR PERMIT TO .... / ... ......... ....... ................................ ........................... TYPE OF CONSTRUCTION ........L`f'..:= '` '�. ................................................................................................................ 1 ....................... .1.....`.............19...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to, following information: Location`..:..t .. ... . .. ....?................... ....... ..............................................."1 ..... ...... . .... ........................... ProposedUse ............................................................................................................................................................................. .. ZoningDistrict t .......................i<%.....................Fi.re District ....... . .�................................................................................ w r Name of Owner ..: ...... 3!4'T�tIl ....Address �f °L °"`t f') V � i ., Name of Builder ;4 ".........�"�..:......:....�.�!-.:`��.!s':�.........................Address ...........�'..:.....:............................................................. Nameof Architect ....................`..............................................Address ..........,......................................................................... A;r. Number of Rooms .............. ..................................................-tFoundation ............................................................................. . , Exterior /.. . . S... � ..Roofing"?...�'lc D,...�jG S r t�'e`r j oy Floors .................:.....:..............................................................Interior .................................................................................... Heating ......................... ......Plumbing ..... ' '.'......................................_ ........................... Fireplace ' ......Approximate Cost Definitive Plan Approved by Planning Board _____________________-___y____19________. Area � .... "h Diagram of Lot and Building with Dimensions t Fee _ - SUBJECT TO APPROVAL OF BOARD OF HEALTH r_ r J- . T _ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ti construction. � r Name ..............:....................... `............:. .................... D. K. Martin No sewage � No 17.3.9t7-- Permit for ...M/±A.—.�it��*n3.. " � --------~----^-------'-----'' ` Location ..£4..Fulaom...ft.e......H}oursn1o........... PERMIT REFUSED ` _ ` ' \ � } � '^^' / Approved i ................................................ 19 � ' . -----.------------------- ' � . ---------^-------`—'^^'---^' | | 4 T�LS O(YI, ban do tom. 1 r To Oete Time WHILE YOU WERE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT URNED YOUR CALL Mess p Operator d!� AMPAD 23.021-200 SETS 1 EFFICIENCY® 23-421-400 SETS CARBONLESS r TO Cate / 2- Time WHILE YOU WERE OUT M Of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALLAGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message iz ?' E Operat - hAMPAD 23-021-200 SETS EFFICIENCYa 23-421.-400 SETS CARBONLESS t Engineering Dept. (3rd floor) Map c;) -/ Parcel Permit# _ House# �/ Date Issued /2 - /d q 7 -. Board of Health 3rd oor (8:15 -9:30/,1:00-4:30) F �Z-�P-�jZ Fee p �7 f /l/�rJ L�✓tD li�-' Conservation Office(4th floor)(8:30-9:30/1:00-2:00) -Dec, Z 2 2:PLe Planning Dept.(1st floor/School Admin. Bldg.) THE Defin' Plan Approved b Planning Board 19 PP by k : BARNSTABLE. . MARA- esv .� TOWN OYBARNSTABLE 'F°"A�p Building,Permit Application Project reet AddressoL Vi lage Alylex '1 If Owner G,�',¢! lamt `�� ef', Address 121-1 G41ov y,!E Telephone + 6 Permit Request .L First Floor square feet Second Floor square feet Construction Type 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_�5,69 V6,qes- Historic House ❑Yes J,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 .ZT New Y Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count (® Heat Type and Fuel: fIGas ❑Oil ❑Electric L))Other Central Air ❑Yes p'Ko Fireplaces: Existing New Existing wood/coal stove 'es ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) C A t ❑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 Name Z4&1L e0c, 'Lcc -64SO4 t Telephone Number Address t-)6p: �Z License# 0 7Gc l7- /-Al.* v xG j< Home Improvement Contractor# - 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 Y`"t AC_ g� i��d Eke 1.t1 c_0 SIGNATURE D /r / BUILDING PERMIT DENIED FOR THE OLLOWI EASON(S) FOR OFFICIAL USE ONLY _ PERMIT NO. -DATE ISSUED w MAP/PARCEL NO t ADDRESS VILLAGE' w OWNER 'r DATE OF INSPECTION: - = FOUNDATION FRAME INSULATION y loz— FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL + GAS: ROUGH FINAL FINAL BUILDING + t + DATE CLOSED OUT _ ASSOCIATION PLAN NO. ` 3 own ®f Ba rnstable f. . . . The T , � Department of Ifealth Safety and Environs tat Services "9- Deb Building Division 367 Main Streit,Hyannis MA 02601 Raipn Crosse.^ Office: 508-7,90-6227 Building Comm` Fax: 508-790�6Z30 For office use only Permit no. Date c 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 flr b nIdia t more r to be done hby registered coan four ntractors,actor s units ,with structures which are adjacent to such residenceg certain exccptions,along with other requirementL .�TYPe of Work: Cost (��t �Ll S/i�tS / / ISt. Address of Work: SQL 3� 4 y zi f'�'/��i ►`, . Owner's Name t _ ate of Permit Application: 1 - I hereby certify that: Registrntion is not required for the following reason(s): Work excluded by law Job under S1,000. adding not owner e=upied Owner pulling awn permit Notice is hereby given that: DEALING WORK UNREGISTERED OWNERS PULLING THEIR OWN PERMIT OR _ RAVE CONTRACTORS FOR APPLICABR RAM OR GHUME M'PRO N'I'Y FUND ACCESSMGLo 14ZA ACCESS TO THE ARBITRATION P SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. i� �u CC Coaractor Name Registration No. Date Thc• Cu111111utt11•calth of:3fasrachuscttt of Industrial Accidents 9MCZOfMO.'*11ya11,OAS 6XI if a.v1 itrtuit Street Busts»t.Man. 03111 Wonccn' Compensation Insurance Al ruavit �PP1ic minfrirmatinn _ Plc^�e ORf= v nhn i* n•d �/ `� L/ � 1 am a homeowner performing all Nvork myself. �am a sole proprietor and have no one working_ in anv capacity _ I am an enipiover providin_�workc.,s compensation for my empiovees working on this job. entimnov nnmr- �rirlrrcc• cite nhnnc dr incnrnrr ^n nniir•iI _ arr a soic Yropric: ;^nerai contractor, or homeowner tcircic oiicJ and have hired the cont<rc:ors il5ted 'e:o«' 'a'C: _ :he oilowin_ worker' ccm==sation poiic.-s: com-•1•11 n• inr' 1tirirrcc• nhnnc a• rnc!ir--1rr rn _._.. •a- cnn�^^m �nrnc•• nt� nhnnc ce• nniici incnr..nrc rn. _ Atlzc.^.additionai sheet If ner:S1 r5 r _ .•. �ii:- ��•,.•r. �. ,�a^...v ... —. f::iiurc to sccurc cuvcrnf:r::s reeuircu u ucr Ziecaon_`A of 11GL 153:an lead to the imposition of criminal penalties of a line up to SIZOU.L'U sou:u: unc •cars' imprisonment a. %%cis as cisii prnaitics in the form of a STOP WORK ORDER and a Toe ufS100.00 a day against me. l undersund t1_t Mom -1f Ihis.staicrf(cnt ma% be furrnardcu to the Orrce of 1m•estications of the DIA for coverace verificztion. 114,0 hercSr ccrriti urrricr tlrc prrirrs nerd penalties of perjurr.char the iniormarion provided above is true tired carrct~ Oate a z ��/ S �.. . _ Phone otTicui use only do nut st site fn this area to br completed b� cin ar torn oRciai ` r cite arm n: prtmitilicense>+ r'tluifdin_Department r [Licensinc Board �ciertmen's Orrcc 1 cncci< iriminct iatc rrspunse is rcauircu C t` [tlealth DeParrmc: phone F• —Uttier�_ = _ :ciir:.. rcrerrn: Information and Instructions 11ass,,e;i:usciis General Laws chapter IS-! section _'s requires all e.�rtplovers to pm��ide workers' cnmpe:at::ir,n e:nniovecs. .4s quoted !rom the "1a:�". an cmrpturer is dcfincd as ever},person in tlfe serti•icc of cot::rc: of hire, eNpress or implied. ornl or-,vrinc:i. An cmphi er is dcfincd as an individual. partnership. association. corporation or other legal entity. or any two Cr the :urcuoing enungcd in a joint enterprisc. and including the le'=f representatives of a decc: c-2 efnpiover, or rcCC.'Ver or tnistce of an individual , partnership. association or other legal entity. employing employees. Holy e•. _ mW r.cr of a d��clling !rouse Navin_ not more than three apartments and who resides therein.,or the occ::. of do c!!in-u !fousc of another who employs pe:-sons to do maintenance ;construction or repair wort: on such dwcili::_ or an the __.rounds or building appurtenant thereto shall not because of such employment be deemed to be an e:n:. \1Gi_ h:::tcr !52 section =5 also states that every state or iocni licensing agency shall witlihold tlfe issu.-Mc.' c. .,_W.11 of a license or hermit to 011ertte a business or to construct buildings in ttre commomm ealtlt for::m, .c:u:t who has not produced acceptable evidence of compliance with the insurance covcra;c required ;c . :onail\.. neither the coin ,Ionwe:lth nor any of its political subdivisions shall enter into any contrct for ti.e per: rnr::cc of public work until acceptable evidence of compliance with tite insurance require:neats of this c::cc: to the cOtttrac:int' authorin,. ai;i)iic::r,ts ?!� sc ail in :hc �.vori;crs' compensation adavi.t completely, by cltechin_ the box that applies to your situ.::i .: c: ;ucc:, .nc _omcan� names. sddress and phone numbers as all afTdavits may be submitted to the Departm= at 'n zi �cc:de:as for confirmation of insurance covem_P. Also be sure to sign and date the of Iidn"it• Tire c. :t _ fcuid be returned :o the cin• or;own that the application for the permit or lice-se is beinc :equested. n c of Industrial accidents. Slfould you have :nv questions re`arding the "law" or if you are comet^sa:ion policy. please call the Depar..;.e^t at the number listed beio�t. :he affid:.� it is complete and printed !e`ibly. T1fe Department has provided a space :.t :he 'ccnc- rite or y ou to fill out in the event the Off of Inves-rigaticns has to comae:you re`ardin: the appiic:. be _ :o fill in the per:,titilicense number which will be used as a reference number. T1ie affidavits may be ::e by mail or FAX unless otlicr arrangements have been made. �i:e :e ci ins esti_ations would like :o thank you in advance for you cooperation and should you have anti goes: not hesitate ro _ive us a Ti re �ecar,:;,e^t's address. teieritone and fax number. The Commomvenith Of Massachusetts Department of Industrial Accidents Office --f Investigations 600 «'ashington Street Boston- Ma. 02111 fati : ;6I� 7`___;-�9 =D6. '109 or _ II , ?/ oa ��/ ✓UCQQd ✓JtC jpp�)�i))tf10ZlIJ8CLI.CIL . DEPARTMERT Of PUBLIC SAFETY CORSTRUCTIOR SUPERVISOR LICERSE Rutber "Expires: - G�.; Restricted foe �00 �_ , tKRaRCE KccurcHEOR F 101 791 "�•x�l� ;;t COTUIT, BA 02635 b •��iQ�l� .RQ. Q�ITR C�9.k �, 4 k . -. M- ,.. , a.. is '.: ..- ....' 6 .. .:_ �_ �' _.. - :?S xGYs_.•... _. i + REM"ALLCOUNYWTWS 1 + FEMOVE WAMOW SAVE FM iiB.00ATION = Fit C013T.PLAN ' e� ieIOVE VINYL �------ , Ries.Ti19we 7 feve R&T-M CARNET BIOME BUILT-MB ,!•- NNW m Bons " -FR"TO iB:f1AN NNW in&FRAME �® -- �'! WALLS me RM ' tiEQ1!'O FM `YR PLAN •�t'IORIE RADIATOR BELOW F49* E OR&FPAW NOW*WAU S l\ FMONE OR d FRAFIE RI4E BIALT-IN ZF04ME CLG& CABNA:T B&TRM "FIN.7 SAVE FOR IEWALLATION IWWW ALL WALL FM Cows iium FROM TO Sm AN PL re4m EXISTMS WN" DEMMITION Pam! REMOVE VANS AS plew9 FER OONSM PLAN WiN. 6 FRAME Fg"M GLASS Wr WaW F B*W WALL AS RgA M PER COMM PLAN REMOVE PLYW D tieldVE WALL COVER a TRIM / _ ! NONE FOL FL RM, i i i r�--� e' LKNff G FWTtM i__r_� AND VENDS flEMOVE OR a FRAME REHM WALLS iEHM WALL AS REG'D PER COMam RAK SALVAGE WALL PoMm FOR PATCHMG Q OTM=An" d REMOVE OR a FRAME REMOVE CLG FK Ii00l+r Iai TIiN CfRifWACT Cal1RACTOR rAWONME FOR COOIW MTm wxAm T ISTALLMR CuffM CADII!'I•a AID/IN ROOM ' N EXTOD lV NEW OROR Bow"TO TO ALIINI W w, FAIR wD MAR N OR AWN 04 Nal AS WIMM ED FILL NOATHMa t Dean lV s CM c ALIGN on 1w FLLNA►Tlb 9 N COwfvwOF8 iman FOR m = as WNW Come" Q i wN.t OCATiai (7 1 1 AS Mn 61 CAMW • wAtL AS RAQ'D MILT IN ZQCtB� ------- fL I - I 1 TO� • _J 1 � . KXTOI W " i g 3 FIATCN FR FLWG D s 1 I— I I o i 1 1 I I � 1 -- ----- - I w New vt 1. I ll f" 4 1 TO a&way. , WALM• A-2 MATO#EXIL m 1 i I CAB, 1 a COWLEM I t l NW FK 0 1 I I D FLAM 1 � 1 ® a I S I 1 f I , 1 i RlIwm L nj"7 i f --------- ------------- Nl��tDOr1 N N NEW a Ass + BMW Q R OR ABM TO At16N W/ � FU w amTt a swan FORM � TaC�a M�PM� GASM FVC N o �n LU � N 1 � a U 4'-0' 1 OMATCH EX18T'G A Cumm 1 1VOM M'rM ON ON 2M M S W FRAM 1 ❑I i 0 WALLS AS MO-D. 1 PAKr FK.lAEIaSE SALVAGED FIR PAMELM i7 t 1 i i 1 1 I A Y / I 1 � i 1 1 I � L-- I 1 I 1 1 I 1 ALL COtmmt-TOP$-----.F-� SAVE FOR FabCATION MR GIST.PLM 1 RAW.ROOM 8lJI�tR A$RaR"D - TOWN K&T-N CABNFT M&T-M II I ME MRS loan m 1 � Mm 11 fvmTm NLOw RHNOVE OR 8 FRAME WALLS 18IOVE OR a FROM R&NM BAt.T-N Z F04OVE CLS a CABNEMT A V AR FN.7 SAVE FOR TALLAMM 10*m ALL wou FER CONSTRCFM mmum TO sm PLAN rtr ��_ WM0LIT'l0 i NO NE WALL AS REWD AN PLAN &FRAM FOW EGLASS . •Agr Ott° REHM WALL AS i2E " PER CONSM FLAN REMOVE FLYWT COM 8 TRIM 1 Is ' , 1 1 1 , 1 REMOVE FK RJWS. nS.TOLET.SW ALL ACCMURIM LIGM��IG Sr ��FKfLP {TN 6-�--J AM E 1�7 RMaME OR a FRAME 143M WALLS RE11 W WALL AS RM FER CONSM FLAK SALVAGE WALL PAta"FOR PA,TCHM 9 OTHER LOCATHM FMM OR 8 FRAM ac FMl. - 9ErdwoeMA FOR CODf�4A1ATi0t1 wICAYNLrT WTA L19t cuum cow a tle"m IN I�6O19 M0.3 BY COMnVLTM N Mcfm 1 own"TO TO ALItiN�/ � t'JR AtIl0i11E ---� 'PEPAtR MOD&iKR IN 04 M0.1 AS MUW PILL.si WAD"a Oman 1 0 psi Flo.. A"oft IM OTCHM=a. Q�IRdL�! F"N!tom►""a � tEw COMBUM L 3HNM O POfiM = a aummcjamm EXISM AS � j tMTl�4 4i�CLOG cAMW 11 1 I i 14EIFJ 1 I wALl AS t1 p� U&T Of t I ! I t I TA Lt------ ---� I HOW MI I / i tM4 t I FATOI PO PL WG 3 1 1 3 1 _ I 1®D'tD � AL I 1 I t I I I i ' -- I i w m w ur f ur KAAW 1- I i a,1M t TO am OfilIMAY, WILLS• O i A-2 a 1 N wl�oo�rl I I I I FLRM i Q I ' +s7I 1 t I -----------------------I Illl�i k O' a N tV mw 61ASS +emm Q ( R6 rQ AL1GN wi n I*mm —� Fu et S'" a %*GLES*Faww 4'-0 g' a � N i a W I ll I OLNNIf�F!�Mardi.16 TOO I CLOSETS I I 1VENM PLASM ON NEW Vr KAENNO I ON vw NO STW FRAWHM r f LAW NEW€n rngL" •WALLS AS MOOD, I PANE FN..Wn S&VAGO FIR PA14&M • 1 I i I 1 I Assessor's office (1st floor): Assessor's ma and ;lot number ........ ......... �T • P .$:�'... Q�oF roe♦ • - .• � THE O Seage Permit number, . .• .•••••. Z BAH39TADLE, i Engineering' Department (3rd floor) Jf 'oo "639- House number ....: .. ...: . .. . ....... .!...... r Ar Definitive Plan 'Approved.-by Planning4$oard '_ _: ______ 19 ' --- --------- APPLICATIONS Da 8:301-9r30 A.M. and 1:00=2:00 P.M. only OWN 'OF BARNSTABLE s BUI10IHG+ I SPECTOR APP4ICATION FOR PERMIT TO .o✓� S�cG� pE No s ...... .........uSE !4�cQ... lt. ..... 4�.''�f... ................ ..... 6 TYPE OF CONSTRUCTION . ..4. .a .c�... ........... ...... ........ 3 19• TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a -permit according to the following information:". Location ...4? .:.1....:..cl[LS-0 ivN.......A.-U-6......... ..:..�'�.ftr.�l�. .... . ��..� 61.... Proposed Use .:.-.: 4.s1.4a+�..........AIALAI;........ ........ ........ ..:...: ......... .......: ........ ..... ......................... .. Zoning. District ... e5+ '7. rho ... . ...... ......... .. ..Fire District .... .... .. A Name of. Owner. 1).L,.,�)^T........ C.1 ,P..I. h(:...... .......Address .: ..:.: o G�V°'%....... Name of Builder 4 .li,tJar ✓(4... C .�G. >✓p.. ..........Address�Q .. 4, Cad�c�t1 (re�i�'.. 076?.AA �.s3�0�J "Name of Architect �i'�..,.�1� �4d .:...1Q �tdl�lll.......: .........Address �. .7.. { ISS A��...rik J. ..... /�. tvi�t�0.'1... �. / Number .of Rooms .... ..... ... .......Foundation ......... Exte for .. CQ.!9.✓. �. .1.�1 ..L� ..,.. ......... ........Roofing .r�N'..:. ..... g .� l �. ti>�.. Floors ..�.....,. .OvA..... :.. ....... ........I,nterior t. A .rh.......:..........................................:. ©vcQ A-1�1� Heating ........ : ..... Q(.... .. .... ............ .:....... .....Plumbing, ..... Fireplace .... (`�.a.: i�............................... .............................Approximate,Cost :. _ ....... . .0..©.6 ........:........... . ....... • .. � ' Area • �.�.��... ...... Diagram of Lot. and Building with Dimensions Fee ............... z3 7. (12 f OCCUPANCY 'PERMITS RE UIRED FOR NEW DWELLINGS Ai I Thereby agree'to conform to al -fie Rules and Regu latio'ns of the-Town of Barnstable regarding the.above construction. 76 Name .... . ...................... -t - \ 2 5 Ji yy 'Construction Supervisors License ........ �. ..... - ` , o fGLn No.........709 Permit for .Addition .................... ................... ...:.............................. 7 1 t Location :..64 Folsom Avenue -� - >. ......... _ ........ ' s Hyannis.a..M�..02601.......:.•.................. Robert H. Sebersten Owner .... .... ......................................... .......... +; _ Type of Construction ........................................... • , , I _ __r _ _ : �' b Plot ......3..:4............... Lot ..080.. _ Permit Granted ......... `�...... ..... 19 Date of Inspection ... ..... .......19 Date Completed ......:............ .......!.......19 Ir > _ a ' Robert - • -Me To: T. Perry, Building Inspector,Town of Barnstable From: Bob Segersten,64 Folsom Ave, Hyannis CC: Date: 7/7/03 Re: Building permit for 64 Folsom Ave, Hyannis;- . , Last Monday,when we spoke,you indicated that you would come to my house and revisit your denial for a building permit to convert my garage into a bedroom with a bath. I feel strongly that once you have had an opportunity to view the site first hand your concerns will be alleviated. I was hoping that you would come out sometime this week because I will be away for eleven days�starting Saturday and I am in danger of losing the builder to another job. If it is possible to give me a day when you would be available I would appreciate it because I commute to Boston and would need to take the time off from work. You may contact me at: - Home: (508)-775-9814 Work: (617)-360-9700 Thank you for consideration in this matter. ' 1 Hans & Ingrid Thamhain 43 Circuit Avenue Hyannis, Massachusetts 02601 Phone(508)778-1241 [Hyannis];(508)620-0370[Off-Cape]; Fax(781) 891-2896 hthamhain@bentley.edu July 10, 2003 Mr. T. Perry, Building Inspector Town of Barnstable Building Services 367 Main Street d� N� Hyannis, MA 02601 ti 1� Subject: Support to Building Permit for 64 Folsom Avenue, Segerston Dear Mr. Perry, We are writing this letter in strong support of granting a building permit to Mr. &Mrs. Robert Segerston of 64 Folsom Avenue in Hyannis. The Segerstons are direct abutters to our property. We share the property line on the side of the Segerston's garage that is being considered for remodeling. We have seen the building plans, which include interior construction work and some minor external modifications. We do not see any problems, and have absolutely no objections to the planned modifications of the Segerston's home at 64 Folsom Avenue. To the contrary, we are grateful for having neighbors in our community, who are making a continuous effort of maintaining and improving their property, which is being appreciated by all the people in the neighborhood and a benefit to the town of Hyannis/Barnstable. We are strongly supporting an actions b the Building Department g y pp g y y g and the Zoning Board toward granting the Segerstons the required building permit. Sincerely, Hans &Ingrid Thamhain IKE Z Town of Barnstable *Permit# Erpires 6 monrlu from issue daleo ,,�,,p�c Regulatory Services Fee BARv� MAM Thomas F.Geiler,Director te3y. .0 "rfD MA+� Building Division y Elbert C Ulshoeffer,Jr. Building Commissioner /1•�R� Office: 508-862- 038 367 Main Street, Hyannis.MA 02601w SUN 7 Fax: 508-790-6230 1 �-u TpW EXPRESS PERMIT APPLICATION N OF S.,R Aq s_ Not Valid with N L out Red X-Press Imprint 1/{ 3LLL� � Map/parcel Number 11 Property AddressU esidential OR ❑ Commercial Value of Work J l�D Owner's Name&Address FCY,� Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) ,It nstruction Supervisor's License#(if applicable) .�*]Workman's Compensation Insurance Check one: ❑�., I a sole proprietor , 1 a"the Homeowner ❑ I have Worker's Compensation,Insurance Insurance Company Name Workman's Comp.POlicv# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Ccnservadon.etc. � Stern ature ezomtre TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel y Application Health Division S 3� Date Issued Conservation Division Application Fee Planning Dept. -Permit Fee Date Definitive Plan Approved by Planning Board. Historic - OKH Preservation/Hyannis Project,Street-Add ress V� illage A) �OwnerA ._Address [Telephone Pie mit Fieques, -'t- 6�,�Zltl� S/,t�� ;��P�ayt ��d•2 �� C�l�� 4� �rh► ��., 1 w�7�,.��r��Jf� .0�. .�0�� u/iy u��Tt/�,��,�'ic�c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay �Proje 1.,Valuation D e) 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 ❑ 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 ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 7N adAe 1�r7� � ��f,�i(� �Te ephone Number Address , GSe/�j / � License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L- SIIGNATURE' '� DATE 4 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r FRAME b INSULATION FIREPLACE k ELECTRICAL: ROUGH FINAL ` t, PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 'FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t+Y r a Y. y The Commonwealth of Massachusetts Department of Industrial Accidents „ Office of Investigations ; f 600 Washington Street �f . Boston, MA 02111 www.niass.gov/ditt Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly # Name (Business/Organiiationllndividual) ,A`ddress: Phone City/State/Zip: ire 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"orpartner- listed on the attached sheet." 7. Remodeling ship and have.no employees These sub-contractors have g„ ❑ Demolition ees and have workers'' working for me in any capacity.. employ 9 ❑'Building addition - orkers' comp. insurance. comp. insurance. equir ed•] 5. [] We are a corporation and its 10.❑ Electrical repairs or'additic officers have exercised their" 1 LE] Plumbing repairs or additit y' homeowner doing all work , 3. I am a horneown g ' right of exemption per MGL I2: Roof repairs m self, o workers comp: ❑ p Y #d c. 152,§1(4);and we have no required]insurance q uire ] 13.0 Other, employees. [No workers' . comp:insurance required,].. *Any applicant that checks box 41 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. I am an employer that is providing workers'compensation insurance for my employees., Below is the policy and jab site information. Insurance Company Name: Policy#or Self ins.Lie,#. 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 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 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 DIA for insurance coverage verification. Investigations of the f do hereby certi under the pains andpenaldes ofperjury that m the info ration provided above is trite and correct " 9"Sa natt. - Phone.#: Official use only. Do not write in this area, to be completed by city or town of 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 "...evey person in the service of another Linder 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, constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed.to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." .. Additionally,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation'and, if necessary, supply sub-contractor(s)name(s), address(es) and phone number(s) along with their certificate(s) of ' ited Liability Partnerships LLP with no employees othe r than'the insurance, Limited Liability Companies (LLC)or Lim ty p ( ) P ' c an LLC or LLP does have members or partners; are not required to carry workers compensation msuran e. If employees, a policy is required. Be advised that this affidavit maybe 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 pen-nit or license is being requested,not the Department of Industrial Accidents. 'Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in.the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled.out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required,to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617.-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORD FOR ENERGY EFI'ZCICIENCY FOR ONE- AND TWO-FA1Y�Sz.'Y DETACHED RESIDENTIAL C01`ISTR[1CT)O1� (7eo clmz 61.00) Applicant-Name:. �' ,c=S-i.t.rr ddress:4¢�J4-!'Om !/7`1ll+e tom. .. print Town. r L Appaicant Srgzfature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two—options) ;780'CMR.TABLE 6107.1 PRESCRfPTXVE ENVELOPE COMPONENT CRTT E RTA FOR NEW ONE-`AND TWO-FAMILY BUILDINGS ��M •MI]�IMUM Ceiling or Slab Option 1: Basement Q Fenestration exposed Wall Floor Perimeter Wall AFUE HSPF U-factor floors R-Value :R-Value R Value - R-Value andbe Depth R-Value National Appliance-Encr R-10, C°n3CryAo1h Act(NAB( .35 R-3 9 R.-`19- R- 19 R-10' 4 ft.- 1997 as amended,minim. cater as.applicablr Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Opfiion 2:_. REScheck Version 4.1.2 or later variant software analysis must be„completed 780 CMR 6107.3:2 , RESc1ie'ck—Web which can be accessed at http•//www energyc,6des goy/reschecld UDXX OIVS 0 2 A Y,T RA`X ZOI S.I O E SS'Z ZN TJLGDXNGS.OWER 5 YE.ARS OLD *puildiags under 5 years old must use optioa#1 or#2 iaNcw Construction section'above; _ Complete the following fo mala to determine the %o of glazing: (a) Gross V,rall,& Ceiling Area equals Formula: (IOO.x b = a) SF1 100 x . _ % of glazing . b a (b) Glazing area equals SF 7f 'lazin j <40°10:611S`e the"chart below. If glazing is > 40 % rQceed to "SUNROOM"section 780 CMR TABLE 610.3 PRESCRXPTFVE ENVELOPE COMPONENT.CRITERIA ADDITIONS TO EXISTzNG. L0 Sri.-�TSE RESIDENTIALBUSC.DZI`IGS ' MrfClvICIM h9TTaMUM f' Ceiling and Wall Slab?erir. Fenestration Walt Floor Basement R-Ya11 Exposed floors R_value R,valuc R-Value U-factor and De R-Value 3� R-37 a R-13 . R-19 R-10 ` R.10, 4 a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area i.e, not com ressed over exterior walls, and including any access openings). SUNROOM—An addition or alteration to an existing building/dwelling unit where the tot glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of t addition. Note: Owner to fill out Consurnerlii ormatian Form found is A radix 120.P a • Town of Barnstable Regulatory Services sixxsriat� Thomas F. Geiler, Director Building Division 1659. . .4 �PrED Tom Perry,Building Commissioner. 200 Maiu•Strr_ tx Hyannis,MA 026.01 R�tv.tofsn.barnstabie.ma.us Office: 509-962-4038 Fax:, 508-790-6230 HO)\,MOWNER LICENSE EXEMPTION " Please Print DATE: Jr JOB LOCATION: number street village name /. G home phone#` workpbone# CURRENT MAILING ADDRESS: city/town / states 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. DEYNMC>N OF EOMEOW FR Persons) who owns a parcel of land on which be/sbe 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 stnlctures. A person who constructs more than one home in a twa-year period shall not be considered a homeo,Amcf. Such haeowner"shall submit to the Building Official on a form acceptable,to the Building Official, that be/she shall be m responsible for all such work performed under the building permit, (Section 109.1.1) The undersigned"homeowner assumes responsibility for courpliancc with the State Building Code and other aPPlzc able codes, bY laws;rules and regulations. c cnt of Baxnstable Bu'din D partru `hem eowner"certifies that..he/she iinders[ands the Town • g , The undersigned e_uon pro,cedures and zequuemcnts and that he/she,will comply with said procedures and qSignatiirc H cwwner Approval of Building Official Note; Thrce-family dwcllingg containing 35,000 cubic feet or larger will be required to comply with the Stsite Building Code Section 127.0 Construction Control. HOMEOWNER'S EXY_MYTTON .The Code states that: "Any homeowner performing work for which a building pernvt is required shall be exempt from the provisions of this section.(Scction ]09.1:1 -Licensing of ccnstroction Supervisors);provided that if the,homcown•a engages a poson(s)for hire to do such work, that such Homeowner shall act as supervisor. Many hofncowners who use this exemption arc unaware that they arc assuming the rcsponnbi)itics of a supervisor(see Appendix Q, Rules &Rcgulations for Licersing Construction Supervisors,Section 2.1.) This lack of awarcness'ofirn results in serious problems,particularly this cast,our Board cannot procccd against the unlic=scd person as it would with a licensed when the homeowner hires unlicrnscd persons. In Supervisar. The homeowner acting as SupcTyisor is ultirnatclyresponsiblc. To ensure that the homeowner is fully aware of his/her responslbilities,many communities require,as part of the permit application, that the homeowner certify thathdshe understands the responsibilities of a Supervisor. On the last page of this issue is e•form currently used by tifieation for use in your community. several towns. 'You may care t amend and adopt such a forrrJctr r Y r Towfi of B arnstahle Regulatory Services t 4 `9skjzH $ Thomas F Geiler, Director Ito) Building bivisiort Tom ferry, Building Commissioner 200 Main Strcet, Hyannis, MA 02601 ivwPv.tow n.barnstable.ma.us Office: 508-862-403.8 Fax: 508-79( Propexty Owner Must Complete and Sign This Section If Using A Builder T as Owner o£the subject ro , t .P Pe rtY . herebyauthorize to act on my behalf, is all matters relative to work authorized by this building permit application fox: (Address of job Signature of Owner - Date Print Name if Proprty Owner is, applying for perm-it please complete the omeowmers License Exemption Form on theeide . "--- -- - -- -- - -- - _..�_ wMing g�doors ,,,, .. 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Fa�nre to..... eoterap=�mLw Seetiaa 2U otMQ.LSt esslaai ba Wa atadaattlai pma@ts ota Itaa ap to S1.SOO.QO ; fa tba[arm of a STOP SYO�OBDF.B aai a�d=10ao0 a dq amot ma.I tosdsntaod - oae f�, :s weS as eiTff peaattlsa - , eopF o[tbta��l ba[o�dsd to tba tJPLRa otlanstliaffaaa otmaDlAfor co�Qia+�• !do hen3y tlu paint osd olPal 9 �° °A P above it ttmc ilia casTrd Dge A Pifidn 6 o(ndd use ontl da notwefta is tW3 area to ba—plated by cKy crtaws Ol"C ai ` �ortcwn: P .� p M4[�rd ' QSd==Zn's OIDte Q ar&Lf b=r aw r"ponsa is regmred ❑HealthDep:s� elontaet person: (�errm V195 PIN • • ... . .1111• . . . . .- . . . . . .. . . . •O-1 . •1• 1• 1 • • •• - e -• • • \ -• • . 1• 1 • •• • •r. • war.•• • • �•101 was•• • \•• -a1• • •• •- •• •�• • •w ••a w0• •1 •• • be.- 71 • • •• •• t• • oil 1 • •• •• �11 •\ •- • 1 \1 0 1+ • • 1 wa1• • •a w•1 1 •Ewa�• 1• a .•• w0610 • •: • 1 • Y / • .11 1 1 1 1 1 • • 0 1 • . •. � a •01 • r.1 a- - _ / • • • 11 1 • • • iTl 1 1 7 / ■ • 1a Its 7 y. / • Ie7// • 1 1 / • • • • 1 • 1 7 1 • 1/ 1 • 7 t - 1 1 1 r / �• • �• ' ••1••11 1 1 w1f1�/ •' 110••1•■1 • • 1• • • •e. •/ I\W 1 ■• ••le 1 w•1•w 0711• .7• r•17/■ M 1.1 07 •�1 • a- 0 •Y • ■�1• • stases \ 1 •• H •• 1• �•\\• w•1 was. •1 •a• M•.•••w • •mow• • w w11 we • • •••1.1■ ■•• o• Z �/!/�jj�j�/��iALLU/ I. .. 11 •1 • ••.�/ V•1011•w1 .•••10 O•• • 1 ■11.10 _ see 0 10 • •1•a••be •.•10 w 1•1 w•`► .01• •••11 e1\11/1 w 11•_ 111 Vw ••••�•• •1 1• •• ./1 \•la 10�• • • 1 / •Oe w•1 •1 1 1/1 ■ M•w1\•. •1 V•11•e••a Y.O••1• 11 •1 •• .••r V/ • _ - ME IN / • t1 1 • ••• • 1 1• •• • •.•eles•w/ 1e e1 w• ' •1 1••'1 1•.■ ■\ .•• / 7►.7a•11 • • •w•1.11 •1 • U � w•w11 e. ale•• • ••• •. ../ • ••�. ••n •r. •••_ 1 w/7• w••w •�• 1 • • •aa w11 • •11 •.. • 1 •. •••—•1 .7 a nn•1•w we • • •• r.nlV...e ••1 •r. also • •• ••= n • . ie•. • •r • • al • 1 1a a w/1 n • i• • • w• •ru•u •- _ • 1 • 0 wf1011 w• •1\/11 1 w ••• • ' 1 \ �/ ./•�• w1 r a1.11••w • Of 0 of. 0 lease�• - • fee.la • of • 11 • •�• • .e•`w0•w111 1 •ww0 •IY. /j /LG(/////if///j��//// jjjjj/��//jjjj��j/�j/N�/!//��sLG!/iLU/��iN�.f%/�� • 11 n 1 1 1 1 - . . u1 - e 1 Il • ' 1 1 1 1 1 l 1 1 1 . 1 1 � • • • e 1 : • 1 • 1 • 1 t l • \ 11 la 17 1 F rV Town of Barnstable CF THE T� Regulatory Services Thomas F.Geiler,Director Mnss. 9g, 1639 ,•� Building Division o�Ep�.IA Tom Perry,Building Commissioner 200 Main Street,`Hyannis,MA 02601 W Office: 508-862-4038 u ry. , Fax: 508-790-6230 I HOMEOWNER LICENSE EXEMPTION 1 Please Print DATE: a—��3 Y JOB LOCATION: ➢5`f/� � I!�AGU r number street = (� village "HOMEOWNER': Ub /� — d"/ name hom�efph ne.# worg phone# y CURRENT MAILING ADDRESS:_(Wl= itty/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 individuaffor hire who does not possess a license,provided that the owner acts as - supervisor. DEFINITION OF HOMEOWNER r 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-submitao 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 m;n;rrnLm' pection procedures and requirements and that he/she,will comply with said procedures and x„. re ts. Signs o om er _ � a x Approval of Building Official a -Note: Three-family dwellings containing 35,000 cubic feet or largei.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 4rn of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages'a person(s)for hire Ito 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. 7 Q:forms:homeexempt d y , t RESIDENTIAL BUILDING PERMIT FEES . APPLICATION FEE New Buildings,Additions $50.00 O Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ` g ! 6 square feet x$96/sq.foot= 3 a x.0031= 1 1 1^ G plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot=s x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1� , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= square feet x$96/sq.foot= . • . .r STAND ALO NE PERMITS Open Porch _er x$30.00= (number) Deck _x$30.00= (number) Fireplace/Chimney _x$25.00= (number), Inground Swimming Pool $60.004' Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 , (plus above if applicable) Permit e F 7 �_ projcost Town of Barnstable.,4 " Regulatory Services BWSTABLM « Thomas F.Geller,Director 9 MASS. `bAr fo 3;. a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 - }.�µ Fax: 508-790-6230. Permit no. - Date a' .] • ".. AFFIDAVIT HOME MROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERAUT 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 4 such residence or building be done by registered contractors,with certain exceptions,along with other requirements. K Type of Work /d Estimated Cos Address of Work: 64:: d 1_ 1�L/L Owner's Name: ,�r�. a27 Date of Application: 4 I hereby certify that: . Registration is not required for the following reason(s): { _ FWork excluded by law 3 FlJob Under$1,000 EIB ' g not owner-occupied weer 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. F... SIGNED UNDER PENALTIES OF PERJURY = I hereby apply for a permit as the agent of the owner: F Date Contractor Name Registration istration No. R A a Date Own 's Name r '„.. , n QIorms:homeaffidav 4 ' J , no CMK App md'ac! Table d5.3..lb(eaatinned) Prescriptive Fsdmges for Oils and Two-Famitr Resldeatisl Enildiap Hested with Foasrl Fuzk MAXIMUM MRYIMUM Wall Floor 8ascmeat Slab Hcating/Caoling Glazing Glazing Ceiling der Equipment EMclency' Area'(%) U.yalunl R-valuer R-value' R-yalua1 RWalu s �uer package 5701 to 6500 Heating Degm Dsys' Nacmai 12`/. 0.40 38 13 19 10 6 Q (9 6 Normal R 12% 0-52 30 19 10 6 95 AFUE g 12•/. 0.50 38 13 19 10 NIA Normal T 15% 036 33 13 M N/A 6 Normal U 15% 0.46 38. 19 19 10 N/A 93 AFUE Y 15% 0.44 39 13 ZS N/A 6 85 AFUE • 30 19 19 I 0 W 15/. O.SZ Normal x 18`/. 032 38 13 25 N/A NIA N/A Normal . y 13% 0.42 3E 19 25 N/A 6 90 AF'US Z 19% 0.42 31 13 19. W AA 18•/. 0.50 ]0 19 14 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 44"�� GE OF ALL EXTERIOR WALLS; X—a� 2. SQUARE FOOTAGE t 3. SQUARE FOOTAGE OF ALL GLAZING: �o 4. %GLAZING AREA(93 DIVIDED BY#2): ' S. SELECT PACKAGE(Q.-AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-f0rms-f980303&- 780 CMR Appendix J Footnotes to Table A2.Ib: a Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example, 3 fl of decorative glass may be excluded from a building design with 300&of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling•R-values do not assume a raised or oversized fruss construction. If the insulation achieves the full insulation,thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sumo£the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R 19 requirement c ould be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus It 6 insulating sheathing. Wall requirements apply to woad-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-firame construction. The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages)-Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meat the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d*scribed in Note b. 'The R-value requirements are.for unheated slabs.Add an additional R-Z for heated slabs. ' If the building utilizes eleetric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. . For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-valueno greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. t One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). If a ceiling,wall, floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with c) d average R-value is greater than or equal to area-weighted to different insulation levels, the component complies if the area-w gh g the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). s Jul-07-03 09:45A P.02 MORTGAGE INSPECTION SCE"; .OF PROPERTY In 23tiR &6 ) 0ARA/SM&4f may,MA - Applicant Roomer d- � Ow lc S�6�RsT�1✓ Book /�_ Page:_.aS..' L.C.Cert.No. Scale: Date: LOT -�/7 [o- 9/ a' I 4C y -PARYC,F LOT5 -A18 r0LrGOA-1 A VIE HUE Lor �. ZO7 VA C AA17- Certified To. zi—NARP A. R/FF/q/ soc.�TN 'S . .4G •4NK In my professional opinion the buildings are approximately located on the ground as shown hereon and conformed to the applicable horizontal dimensional yard setback requirements of the Zoning By-Laws of the TawN of {�.4,�n157ABLE at the time of construction.The d,-mllxnq as shown does not fall within o Special Flood �� ruffs Hazard Zone as delineated on the Ft�A IA National Flood insurance Program Map:. Community No. AM991 Panel# 000 hated 2:2-fg, Zone Ina O wn ara.n to. awaeeea env and■not m e»�.- Ou .a WL*d a an maw n 11 Technical Park Drive d,ard b.aad��d.,.m�r" �� w�,evrnern w�wr 4 scowww"d�a.rw d-.�"na ea,-Z wr M dldr .Molbrook,MA 0$343 �n.,eoaf.Tlts maa.e�o�.a eaesd upon am�,u �e, d M s»M■eeeeMuallt aan 0[.MF (617)787873 Sviaras xv aura ft. 1 7 NOTE:Moat*,�.aay pnKww We mt nCu*d m On wr*9 o�aon.fi.a.Mod.above VWN a Y PMal 6XN. S$ 7) 67.1400 SG330 30 AHISID38 31OVISNHVS Bk 17691 Ps 313 03 S. -,j I'`1 3: 12 09-24--2003 of 10 : 34-cx BA HE _ LE �. &ER BABNSfABM i67¢ �0 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2003-105- Segersten Section 3-1.1(3)(D),- Family Apartment Special Permit Q) Summary: Granted with Conditions \� Petitioner: Robert Segersten \\ Property Address: 64 Folsom Avenue,Hyannis,MA Assessor's Map/Parcel: Map 324,Parcel 080 Zoning: Residential B Zoning District Relief Requested&Background: The subject property is a 0.30-acre lot located south off Gosnold Street at Circuit Avenue in Hyannis. According to the Assessor's card,it is improved with a one-story,4-bedroom single-familydwelling with a living area of approximately 2,406 sq.ft. The dwelling was originally constructed in 1930. The property is located in a Residence B Zoning District and is serviced by public water and sewer. ,Accordingto the application,:Thep petitioner is Proposing to convert a- aracrP:i_nto a farnih arrment, 'r ey Fr > - F F r g g 0 F proposed family apartment is approximately400 sq.ft. and is designed as a one-room efficiency unit with a bathroom and kitchenette. The family apartment is to be occupied by the applicants'father-in-law,John E. Makinen. The petitioner is requesting a Special Permit.for a family apartment pursuant to Section 3-1.1(3)(D) of the Zoning Ordinance. Family apartments are allowed in all residential zoning districts as a conditional use, 'CI provided a Special Permit is first obtained from the Zoning Board of Appeals. C Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on July 0�,2003. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened August 06,2003 and continued to August 20,2003,at which time the Board found to grant the appeal. Board Members deciding this appeal 4 were;Randolph Childs,Ralph Copeland,Thomas A.DeRiemer,Sheila Geiler and Vice Chairman Gail Nightingale,who was also Acting Chairman. Mr.Segersten presented his request for the family apartment to the Board. He stated that the efficiency unit was to be developed in the area of a garage. The two garage doors would be removed and new windows built in their place and repairs would be made to the area to accommodate the apartment. Inside would have a full bathroom with built-in shelving,cabinets would also be installed in the living area and a small area would have a sink and refrigerator. He stated that there would be no stove. Mr.Segersten said that his father-in-law,Mr.John E.Makinen would occupy the unit. He stated that his father-in-law is elderly and in need of care and he can no longer live,by himself. i He noted that the area of the apartment is within the required setbacks of today's zoning,however,the area had existed and predates zoning. Public comment was requested and no one spoke for or against the appeal. The Chairman received a letter from Hans and Ingrid Thamhain,an abutting neighbor,in favor of granting the family apartment. This letter is on file. The issue of the structures non-compliance was discussed. It was noted that in previous cases a variance would have been required. It was also remarked that this is an existing condition— a legal pre-existing non- conformity in structure and given there is no new intrusion,the Board should be able to see it's way clear to grant the permit without variance relief. The Board also discussed the fact that no stove was going to be provided and if the unit would constitute an apartment without the stove. The Board requested additional information from the applicant including a copy of the building permit application and the opinion of the Building Commissioner. At the August 20,2003 continuance,the Board received a memorandum for the Building Commissioner citing that he sees the unit as an apartment and that a permit is required. Findings of Fact: At the hearing of August 20,2003,'the Board unanimously made the following findings of fact: 1. The applicant is Robert Segersten seeking Family Apartment Special Permit in accordance with section 3-1.1(3)(D). The applicant is proposing to convert the existing garage into a 400 sq.ft.family apartment. The subject property is located as shown on Assessor's Map 324,Parcel 080 addressed 64 Folsom Avenue,Hyannis,MA in a Residence B Zoning District. 2. The subject property is a 0.30-acre lot located south off Gosnold Street at Circuit Avenue in Hyannis. According to the Assessor's card,it is improved with a one-stony,4-bedroom single-family dwelling with a living area of approximately 2,406 sq.ft. The dwelling was originally constructed in 1930,prior to the inception of zoning in this area of town and the imposed dimensional requirements for developable lots. w 3. The petitioner is proposing to convert a garage into a family apartment. The proposed family apartment is approximately400 sq.ft.and is designed as a one-room efficiency unit with a bathroom and kitchenette unit. The family apartment is to be occupied by the applicants'father-in-law,John E. Makinen. " 4. The petitioner is requesting a Special Permit for a family apartment as identified in the application pursuant to Section 3-1.1(3)(D) of the Zoning Ordinance 5. According to the materials submitted,the family apartment meets the requirements of Section 3- 1.1(3)(D) of the Zoning Ordinance in that the apartment unit is under the 50% area limitation,the unit will be developed in a manner which retains the existing residential character of the dwelling and the area and scaled plans of the proposed family apartment have been submitted to the file. 6. The property is connected to Town sewer and would not pose concerns for nitrate loading to h groundwater or to the nearby wetlands. 7. In accordance with Section 5-3.3(2),the application falls within a:category specifically excepted in the ordinance'for a grant of-a Special Permit in that family apartment are permitted in all residential Zoning Districts,and,after evaluation of all the evidence,presented,the proposal fulfills the spirit and intent of 2• 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 the appeal with the following conditions: 1. The family apartment shall comply with,and be maintained in accordance with,all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family member residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board entitled Renovations Segersten Residence 64 Folsom Ave.Hyannis,Ma." As drawn by SBP Design dated 4/29/03. 3. This special permit must be recorded at the Registry of Deeds and copies of that recording submitted to the Zoning Board of Appeals file and the Building Division at the time an application for a building permit is made. An occupancy permit from the Building Division must be issued prior to the occupancy of the apartment unit. 4. The locus shall comply with all State Building Codes,Town of Barnstable Board of Health,and State Fire Prevention Regulations. The vote was as follows: AYE: Randolph Childs,Ralph Copeland,Thomas A.DeRiemer,Sheila Geiler,Gail Nightingale NAY: None I. Ordered: , Family Apartment Special Permit 2003-105 is granted with conditions. This decision must be recorded at y the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. s W 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 S Jx GIda Nightingale, ice Ch Date Sign �/ I, Hutche der;Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify o J oVA {��, that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal 7' of the decision has been filed in the office of the Town Clerk. 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F,l 5• SY�, S,.w .. �Prt0,�OQ�+26,�'f+�Q�r• s1oh ,��anln�.'�ard 0�' e�ffiC,�y;t"or�i;3 4�CBsy��14Q" 4 l t y to r a 1 I� - ,�� !t�y�,�it +[y��,►�.�e,�y��i F sv� •rfiAt��'F}tr F y y M -+ �„evy�ss�v's3 6S `�k ai��J N'�' „y'UT'�`'JI ri 4 � - MR mm 1E r Pu•(} f .- �, 'Na 'FP EAT � I i f 03 SEp - PM. T. 12 MAE& 019. TOWN CLERK Town of BLrvstable Zoning Board of Appeals Decision and Notice Appeal 2003-105- Segersten Section 3-1.1(3)(D),- Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Robert Segersten Property Address: 64 Folsom Avenue,Hyannis,MA .Assessor's Map/Parcel: Map 324,Parcel 080 Zoning: Residential B Zoning District Relief Requested&Background: The subject property is a 0.30-acre lot located south off Gosnold Street at Circuit Avenue in Hyannis. According to the Assessor's card,it is improved with a one-story,4-bedroom single-familydwelling with a living area of approximately 2,406 sq.ft. The dwelling was originally constructed in 1930. The property is located in a Residence B Zoning District and is serviced by public water and sewer. According to the application,the petitioner is proposing to convert a garage into a family apartment. The. proposed family apartment is approximately400 sq.ft. and is designed as a one-room efficiency unit with a bathroom and kitchenette. The family apartment is to be occupied by the applicants'father-in-law,John E. Maldnen. The petitioner is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D) of the ZoningOrdinance. Family apartments are allowed in all residential zoning districts as a conditional use Y P � g provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural&Hearing Summary- This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on July 02,2003. A public hearing before the Zoning Board of Appeals was,duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened August 06,2003 and continued to August 20,2003,at which time the Board found to grant the appeal. Board Members deciding this appeal were;Randolph Childs,Ralph Copeland,Thomas A.DeRiemer,Sheila Geiler and Vice Chairman Gail Nightingale,who was also Acting Chairman. Mr.Segersten presented his request for the family apartment to the Board. He stated that the efficiency unit was to be developed in the area of a garage. The two garage doors would be removed and new windows built in their place and repairs would be made to the area to accommodate the apartment. Inside would have a full bathroom with built-in shelving,cabinets would also be installed in the living area and a small area would have a sink and refrigerator. He stated that there would be no stove. Mr.Segersten said that his father-in-law,Mr.John E.Makinen would occupy the unit. He stated that his father-in-law is elderly and in need of care and he can no longer live by himself. He noted that the area of the apartment is within the required setbacks of today's zoning,however,the area had existed and predates zoning. Public comment was requested and no one spoke for or against the appeal. The Chairman received a letter from Hans and Ingrid Thamhain,an abutting neighbor,in favor of granting the family apartment. This letter is on file. The issue of the structures non-compliance was discussed. It was noted that in previous cases a variance would have been required. It was also remarked that this is an existing condition- a legal pre-existing non- conformity in structure and given there is no new intrusion,the Board should be able to see it's way clear to grant the permit without variance relief. The Board also discussed the fact that no stove was going to be provided and if the unit would constitute an apartment without the stove. The Board requested additional information from the applicant including a copy of the building permit application and the opinion of the Building Commissioner. At the August 20,2003 continuance,the Board received a memorandum for the Building Commissioner citing that he sees the unit as an apartment and that a permit is required. Findings of Fact: At the hearing of August 20,2003,the Board unanimously made the following findings of fact: 1. The applicant is Robert Segersten seeking Family Apartment Special Permit in accordance with section 3-1.1(3)(D). The applicant is proposing to convert the existing garage into a 400 sq.ft.family apartment. The subject property is located as shown on Assessor's Map 324,Parcel 080 addressed 64 Folsom Avenue,Hyannis,MA in a Residence B Zoning District. 2. The subject property is a 0.30-acre lot located south off Gosnold Street at Circuit Avenue in Hyannis. According to the Assessor's card,it is improved with a one-story,4-bedroom single-family dwelling with a living area of approximately2,406 sq.ft. The dwelling was originally constructed in 1930,prior to the inception of zoning in this area of town and the imposed dimensional requirements for developable lots. 3. The petitioner is proposing to convert a garage into a family apartment. The proposed family apartment is approximately400 sq.ft.and is designed as a one-room efficiency unit with a bathroom r and kitchenette unit. The family apartment is to be occupied by the applicants'father-in-law,John E. Makinen. 4. The petitioner is requesting a Special Permit for a family apartment as identified in the application pursuant to Section 3-1.1(3){D) of the Zoning Ordinance . 5. According to the materials submitted,the family apartment meets the requirements of Section 3- 1.1(3)(D) of the Zoning Ordinance in that the apartment unit is under the 50% area limitation,the unit will be developed in a manner which retains the existing residential character of the dwelling and the area and scaled plans of the proposed family apartment have been submitted to the file. 6. The property is connected to Town sewer and would not pose concerns for nitrate loading to groundwater or to the nearby wetlands. 7. In accordance with Section 5-3.3(2),the application falls within a category specifically excepted in the ordinance for a grant of a Special Permit in that family apartment are permitted in all residential Zoning Districts,and,after evaluation of all the evidence presented,the proposal fulfills the spirit and intent of 2 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 the appeal with the following conditions: 1. The family apartment shall comply with,and be maintained in accordance with,all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family member residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board entitled Renovations Segersten Residence 64 Folsom Ave.Hyannis,Ma." As drawn by SBP Design dated 4/29/03. 3. This special permit must be recorded at the Registry of Deeds and copies of that recording submitted to the Zoning Board of Appeals file and the Building Division at the time an application for a building permit is made. An occupancy permit from the Building Division must be issued prior to the occupancy of the apartment unit. _ 4. The locus shall comply with all State Building Codes,Town of Barnstable Board of Health,and State Fire Prevention Regulations. The vote was as follows: AYE: Randolph Childs,Ralph Copeland,Thomas A.DeRiemer,Sheila Geiler, Gail Nightingale NAY: None Ordered: FamilyApartment Special Permit 2003-105 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision 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 I - 3 I L 3 Grd ightingale, ce Date Signed/ I, a Hutche der,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 ' office o i Town Clerk Signed and sealed this ! day ",&4t2upd'eiI 'penalties of perjury. . Linda Hutcl ergider,Town,Clerk 3 Gr ' TOWN OF BARNSTABLE fi CERTIFICATE OF OCCUPANCY PARCEL ID 324 080 GEOBASE ID 23754 ADDRESS 64 FOLSOM AVENUE PHONE HYANNIS ZIP - LOT 92 & 21 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY E PERMIT 81770 DESCRIPTION FAMILY APT. GARAGE INTO BEDROOM PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department Of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 �tNf CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE 0_ * BAMSMABLE, MM& i639. BUIULDfk DIVISION BY j/ 11 DATE ISSUED 01/14/2005 EXPIRATION DATE U TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL I' D 324 080 GEOBASE ID 23754 ADDRESS 64 FOLSOM AVENUE PHONE HYANNIS ZIP i OJT I ZE 92 & '..!1 BLOCK LOT S L DBA DEVELOPMENT DISTRICT HY. P2RMIT 317170 DESCRIPTION FAMILY APT . GARAGE INTO BEDIROOM PER� VT...LT TYPE BCOO TITLE CERTIFICAl"E OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS - Regulatory Services a- OTAL FEES: $25.Utz BOND $.00 OFF CONSTRUCTTON Cj0STS $.0() 756 CERTIFICATE OF OCCUPANCY I PRIVATE BARNSTABM MASS. BUILDIA D ISION BY p '/j z/ DATE ISSUED 01/14/200b EXPIRATI'QN DATPE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS 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 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 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 OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ��/3/0 � 1 1 2 2 2 J� 0 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT b(f A/ 0 1< I f 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON]- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. Parcel Detail / Page 1 of 3 7 7-STim - y Logged In As: Parcel Detail Monday, Jut Parcel Lookup Parcel Info Developer Parcel ID 1 324-080 Lot LOT 92 & r ......... Location j64 FOLSOM AVENUE Pri Frontage 1260 Sec Road CIRCUIT AVENUE Sec r70 Frontage 1 Village 'HYr'-ANNISJ �� I Fire District jHYANNIS�� Sewer Acct,3385 Road Index 0554 te I n ra ct ary • Map Owner Info owner jSEGERSTEN, MARIE Co-owner i, Streetl i64 FOLSOMJAVENUE m _ Street2 City ,HYANNIS State zip s02601 Country Land Info .._ u Acres i0.30 _. � � m MDL-01 zoning FRB J ......... Use Single Fa lv9nbd I0112 _:. :... _ Topography Level I Road Paved _....._. ..... ......... _._... _..__ ..._ Utilities All Public I Location Excel View Construction Info. Building 1 of 1 0 - Year F1930 - R0°f;�Gable/Hip Ext Wood Shingle Built - Struct Wall Effect Roof' AC , ...,..,_.:w .. q/O Area '2870 I Cover Type GIs/Cmp Type None I G Style;Ranch Int Plastered ( Bed `5 Bedrooms I �Q Wall Rooms i a�, Model Residential 1 Int Bath _________ I Floor[Pine/Soft Wood Rooms 3 Full + 14H _ Grade(Average Plus Heat Hot Water I Total '------Rooms I Type! Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=26897 6/29/2009 Parcel Detail Page 2 of 3 ' �MT[636j�j .., eat� Found-r-..........�._...,__�...w._.___,,-- Stories i1 Story Heat Found- Conc. - ; h3 Permit History __ Issue Date Purpose Permit# Amount Insp Date CommE 09/26/2003 Remodel/Renov 71834 $35,000 06/14/2004 00:00:00 ' 06/15/2001 Re-siding 54018 $600 04/29/2002 00:00:00 06/01/1995 7690 $75,000 01/15/1996 00:00:00 HY ADC Visit History Date Who Purpose 06/14/2004 00:00:00 Martin Flynn Meas/Est + - 04/29/2002 00:00:00 Martin Flynn Drive by inspection only 04/04/2002 00:00:00 Paul Talbot Meas/Listed-Interior Access 03/15/1996 00:00:00 ME Sales History.. Line Sale Date . Owner Book/Page Sale P 1 07/26/2007 SEGERSTEN, MARIE 22215/77. 2 06/15/1993 SEGERSTEN, ROBERT H & MARIE 8646/154 ; 3 11/15/1990 MARTIN, EVERETT K 7364/282 4 MARTIN, MURIEL 0443-E1 5 MARTIN, EVERETT K 1987/165 Assessment History ............. ........ ............... ........... ......... Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2009 $198,900 $2,400 $400 $350,900 2 2008 $231,700 $2,400 $400 $358,300 4 2007 $231,300 $2,400 $400 $358,300 5 2.006 $239,200 $2,400 $400 $332;700 ; . 6 2005 $205,400 $2,300 $400 $298,200 ; 7 2004 $153,100 $2,300 $500 $298,200 8 2003 $154,600 $2,300 $500 $148,100 9 2002 $164,400 $2,400 $500 $148,100 ; http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=26897 6/29/2009 r Parcel Detail Page 3 of 3 10 2001 $164,400 $2,400 $500 $148,100 11 2000 $121,800 $2,200 $300 $72,300 ; 12 1999 $121,8100 $2,200 $300 $72,300 13 1998 $115,400 $2,200 $0 $72,300 14 1997 $105,300 $0 $0 $55,000 15 1996 $97,300 $0 $0 $55,000 16 1995 $97,300 $0 $0 $55,000 17 1994 $86,100 $0 $0 $76,200 18 1993 $86,100 $0 $0 $76,200 19 1992 $98,200 $0 $0 $84,600 20 1991 $113,200 $0 $0 $101,600 21 1990 $113,200 $0 $0 $101,600 22 1989 $113,200 $0 $0 $101,600 23 1988 $109,000 $0 $0 $42,100 ; 24 1987 $109,000 - $0 $0 $42,100 ; 25 1986 $109,000 $0 $0 $42,100 Photos d http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=26897 6/29/2009 Robert7-7 - • Memo To: T. Perry, Building Inspector,Town of Barnstable From: Bob Segersten,64 Folsom Ave, Hyannis CC: Date: 7/10/03 Re: Building permit for 64 Folsom Ave, Hyannis Attached please find my attorney's position regarding your denial of my building permit. I look forward to receiving your written denial of the building permit along with the basis for the denial. Bob Segersten Page I of 2 ::Subj: Folsom Ave Date: 7/9/03 4:01:26 PM Eastern Daylight Time ':From: nsabbeyO-Iwelaw.com ::To: SOLOSENDOa-aol.com ':,Sent thxwInte/net __________________^� .__________________. Bob � | have reviewed the Barnstable Zoning Ordinance concerning the remodeling of your house. You intend to repair the"garage area" of your house to make it into a bedroom with a bath. The "garage area"violates the ' current setback nusthctioO, but the entire house was in compliance with zoning, if any,when built. � | do not see the issue involved. If your living nuorn were on that side of the house and you wanted to put m day bed in the nmnno or add a bathroom, or whatever, | can ema no objection since you are on the public sewer ' system. The fact that the room you are remodeling is used basically as a storage area is not relevant.You are not adding to the structure. The garage or storage area is part of the single family use which is a permitted use. If someone considers the remodeling to be a change in use, then there is no issue because you are . "ohanging"toa permitted use. Even if there is an argument'that you are extending the nonconforming structure by remodeling the storage area, the zoning ordinance permits you to make this change "As of Right" if the physical alteration or � expansion does not encroach on the setbacks. You are not encroaching on the setbacks bebause you,are not � expanding nr altering the exterior of the structure. ` If you are unable to obtain a Building Permit for your remodeling,then you should appoal the denial of the Building Permit to the Zoning Board of Appeals and you should besuccessful. If you do not want to appeal the denial of the Building Permit, then you should apply for a Building Permit for � a Family Apartment. Although you are not adding a'Family Apartment because you are not adding a kitchen � (which is necessary under the definition of a Family Apartment) you should receive a Building Permit because a Family Apartment is a permitted Accessory Use in your District. Although a Family Apartment cannot be built over a setback restriction (without a Special Permit), you are not "building"the Family Apartment but just locating it in the current area of your house. If you one denied a Building Pennit, then you can appeal this denial and you should bm successful . ' � . � If you want on easier route than appealing the denial of the Building Pennh, you can apply for a general � Special Permit to"alter" m non-conforming structure. This Special Permit should be granted because the proposed alteration "will not be substantially more detrimental to the neighborhood than the existing building". . � � There is no procedure to apply for a Special Permit to construct a Family Apartment in an RB District. ' Please contact rneif you would like 1m discuss these issues. ` ' | NmrmanC. Sabbey, Esquire � Lvno. Woodworth & EvartaLLP � GOOAvenue Atlantic Boston, K8A0221O 617.523]6855 G1T��77 /Fm�\ . . . ' � The information contained in this electronic message im intended solely for the named addressee and may � contain information which is privileged, confidential or exempt from disclosure under omiomb|a |avv If you are not the addressee, please call collect 617-523-6655 and notify Norman C. 6abbey of this misdirected ' Wednesday, July 09, 2003 America Online: SOI.OSE NDO Town of Barnstable Regulatory Services �q , fo(gb� oF1MEti Richard V. Scali,Director Building Division (t�x", flk--, &UN ss Thomas Perry, CBO,-Building Commissionero ✓� 200 Main Street,., Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: ' My name is I am the owner/resident of the property located at:. The following members of my family will be the sole occupants of the Family Apartment at the- aforementioned address: ' Name&relationship to owner: _ Name &relationship to owner: The Family Apartment will lethe primary year-round residence for the gbove-idenlif'ed-ii family members:--In the event that the,listed4elatives-vacate said apartment,I will immediately notes the Building Commissioner,m writing.I understand that no subletting or'subleasingof said Family_Apariment is permitted. I understand that I am required to file an A 'davit annuall with the Buldm =` ' =�' Commissioner listing the names and relationship of occupants in said Family Apartment 1 also understand that I am required to comply with all conditions imposed by the.ZBA Special Permit andfor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: 'The apartment uaS been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to der p ' s and'penalties of perjury this day,of 2016. Signa a Poe Num er Print Name q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services o� -Richard V. Scali,Director "` C> BAMSTABUL Building Division tbs� a,0 Thomas Perry,CBO,Building CommissionerCD f FD"u`v 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 08-79A230 rs+ Town of Barnstable Family.Apartment Affidavit I, being on oath, de se fate as follows: My name is �a'� I am the owner/resident of the &14 ' m +o So property located at: The following members of my family will be the sole occupants of the Family Apartment at e aforementioned address: J . Name& relationship to oti�mer:' ell Name &relationship to owner: The Family Apartment will be the primary year-round residence far the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand thatl ani required to comply with all conditions imposed by the ZBA Special Permit. and/or the Town of Barnstable Zoning Ordinances Section 240-47,1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Swo o th pains and penalties of perjury this day of 2015. fignat&etJ Phone dumber 7 Print Name q:forrn s i famaffi d.d o c rev 11/08/11 Town of Barnstable Regulatory Services .. THE toy, Richard V. Scali Interim Director Building Division STABLF� Thomas Perry, CBO,Building Commis' . erg �� MAMy N 14 f=. 9�A 1639. �� 200 Main Street Hyannis, MA 02601 rFD MA'S a www.town.barnstable.ma.us Office: 508-862-4038 ' Fax:08-10-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is � V I am the owner/resident of the property located aL o c.Si�r/11 1�`l 26*01C t dA Ozxj The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: A Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swo o er the ains and enalties of perjury this day of 2014. P P P Jam' � Y ��• Signature Phone Number Print Name � e q:forms/famaffid.doc rev 11/08/11 f 1 94 17:02 IC6177277122 DEPT IND ACCID Qo eiS.. /' �T _ —r; Cor><unoiutleahli ol Waj�jaclz.usetb ' ..C>aParfinenl o�..Jius!uafrial,�fccici!en�s 600 Wwkaylon.�fm l James J.Campbell &ton, // magwA 02f f f - Commissioner Workers', Compensation Insurance Affidavit (aomsee�peimatee) with a principal place of business at: covlst"izph do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number I am a sole proprietor and have no one working for me in any capacity. lk I am a sole proprietor, eneral contractor r homeowner (cirde one) and have hired the contractors listed below w o ve the following workers' compensation policies: �o iLf Contractor Insuralice Company/Potty Number -�GO lam ��way ��¢•.� i�L7c, d�® �foo7 Contractor Insurance Compa y/Policy Number rr � ��L Contractor Insurance Company/Policy Number () I Am a homeowner performing ail the work myself. 1 understand that a copy of dais s:uernent will be fomuded to the Office of investigations of the DIA for coverage verification and that hilure to sere, coverage=rec.;.ed under Section 23A of MGL 152 can lead to the Imposition of criminal penalties consisane of a fine of up to S 1,500.00 and/or, years' imprisonthent w well as civil penalties in the form.of a STO P WORK ORDER. and a fine of S 100.00 a day against me. Signe is J �`A day of --T,, l -------------- 19 Licensee/Permittee. Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409,-375 • . °: The Town of Barnstable MMMAMM NAM peg Department of Health Safety and Environmental Services 3� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 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 done by registered contractors,with certain exceptions, along with other requirements. s Type of Work: C-C) .E �- Est.Cost o Address of Work: �e�C-S o A W c% Owner.Name: �n ��'r C-1 Date of Permit Application: I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000 Building not owner-occupied Omer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH iJNItEGISTERED 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 hcrcby apply for a permit as the agent of the owner: Dat Contractor name Registration No. OR Date Owner's name or 4ed �c r r0�� me �'� S� <� Venn 4� :r h birv0'.*7 ' f /1),us, � �C S �br .��c� � er�►r ` MORTGAGE INSPECTION SKETCH OF PROPERTY J 1n-w�uut-.mom., &y,6aN u> SARNST W-,t5 County,MA Applicant`. 1zoiBE71�T f7/.. ` .l9/7�P/E �.�^EGF-�t'ST /✓ r.. Book /99 7. Page L.C.Cert.No. -93 Scale: /.._. 30 Date: 1 T /.7 , z.OT 9/' 4t a\s✓ I { i Sra y `� I xtrdF LOT 9.2 yt'oo� r F,OL.S0 A VENUE �ZOT..94 _ VA rAaT , `o Certified To: .. RrGMARD GR/jP�-IAI Soup/ S a,Af JQ.9NK ." . In my professional opinion the buildings areapproximately located on the ground as shown hereon and conformed to the applicable horizontal dimensional yard setback requirements of the Zoning By-Laws of the TOwN of (3A,P/VSTABLF at the time of construction.The e as shown does not fall within a Special Flood Hazard Zone as delineated on the A/FIA National Flood Insurance Program Map: 001 4 � O D - _ G 50 I 000 Dated Zone '`:Community No.�L Pane #—�Dat 2.�.�d_ , �•dY Tous', r* .ws dawn forrtpr�psge kgmcbon purposes only errd k not to be re w eed,or oonenued as an insburnern survey.tt 11 Tecftnloal;PSrI(Drive hk shld be hnlher understoo/that ff an arsvument survey is acoonVisted at a taer date we will not be napwWble for any Mrarges Holbrook UA OM3 that oocui:'ihis morwaiie wgwcuon based upon NCfmicsl as adopted by the a Maadrtws Assotla0on of Wr0 survayws.nd Inc. s 'F (617)767-3673 NOTE:Mov�le accessory svuetures are nw k+dudw In Ow zwfq OwNcetiwr.(i.e.sheds,above ground swig—ft Doak)G,rM. (6 7):767-1400-- T 5084775772 06-19-95 1243 P.02 NOTES: � \\ 94" WIDF X 12 DEF.. FOOTING;' \ (TYP, ALL LOCATIONS). 1. CXISTING FOUNDATION TO BE EXAMINED FOR DEPTH OF FOOTING, AND CORRRECTED TO 4 FEET RElOW GRADE, IF NECESSARY. z. 2. ALL NEW I OUNDATIONS AND PIERS TO BE SET ON FOOTINGS WITH BOTTOM ELEVATION ,! AT 4 FEET BELOW FINISH .GRADE: ' 3. NEW FOUNDATION TO BE EITHER 8" MASONARY BLOCK WALL OR ' 10' POURED CONCRETE WALLS. ; 4. USE 10" DIA SONOTUnF' FORMED CONCRETE PIERS - FOR DECK FOUNDATION. S. RCI-LR TO ARCHITECTURAL PLANS FOR ALL DIMENSIONS \ A 47 2' X 2' X 1',FOOTING;FOR COLUMN, ABOVE. r t u - i n , , y y }G 4_ 15 .JUNE, 1995 REMOVE SCALE: 1140 _ 1'-0 � \\\ ��\ s P n EXISTING \ \ FOUNDATION .. WALL AS 5EGER5TEN RE5IDENGE -- � \\ \\� REQUIRED TO FOUNDATION PLAN; ; AvolO t `. \. CONFLICTS; # ..\. S1RUCIURAL ENGINEER MICHAEL H.'GROTZKE, P.E. " 203 SNORE DRIVE . y r P.O. BOX '1736 MASHPEE—MA 02649 k I 508—477-7395' 7 T 5084775772 06-19-95 12:44 P.03 _L NU'fLS: 1. KFFFR TO ARCIIITCCTURAL PLANS FOR ALL DIMENSIONS. __.................................. ............... ........ ............ 2. ALL LUMBC•R TO HAVE MINIMUM . Fb-1000psi (HEM—FIR NO. 2 OR BETTER. OR F:QUAL). i i I PROVIDE SOLID i STRUCTURAL SUPPORT AT COLUMN LOCA— STRUCTURAL POSTS ABOVE (TYP.) TION: CONCRETE BLOCK PILLAR, 6X6 POST, OR r.t EOUAL TO SOLID FOUNDATION • I �j i LOLLY COLUMN OR PRESSURE TREATED 6X6 POST BELOW USE DOUBLE 2X8 HEADERS 6X6 PRESSURE i ACROSS TREATED WOOD POSTS OPENINGS IN TO CONCRETE FOUNDATION FOUNDATION BELOW _ I (6' MAX.) (TYP, 3 tOCS). J F r . DOUBLED 2X8 OR NOTCHED - 2X10 FLOOR JOISTS m 15' OC. 15 JUN£! 7995 SCALE; 1 4" 1`0" 5EGER5TEN RE5IDENGE FIRST FLOOR" -`FRAMING y - I STRUCIUWV. ENGINEER: _ MICHAEL H. GROTZKE, P.E. (� 203 SIIORE DRIVE 2 X 6 ® 16" OC, P.O. BOX '1736 PRESSURE TREATED MASHPEE, MA 02649 W/DOUBLE HEADERS 508-477-7395 COMMONWEALTH '~DEPARTMENT OF PUBLIC SAFETY QCfi91C:o:F a <OF i'.,ONE ASHBORTON PLACE :r r°moca4tos MASSACHUSETTS "BOSTON,MA 02108 LICENSE 9 �y.�• CAUTION EXPIRATION DATE.: C,3NSTR. SUPERVISOR 1 21/19 D FOR PROTECTION AGAINST RESTRICTIONS EFFECTIVE DATE. LIC-NO. ` THEFT, PUT RIGHT THUMB NONE 06130/', 993 032r-99 PRINT IN APPROPRIATE BOX ON LICENSE. NICC'IJT(.*HEf)N P O 30 791 STIN PERAT S COTU 3 T i 0263.E TIN DE PH<�O. PHOTO(BLASTING OPR ONLY) FEE' �•;p� I 1 1 W CJ 7 i NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY S E 1y� V 199.3 HEIGHT: STAMPED-Oft-SIGNATURE OF THE COMMISSIONER LLJ _ THIS DOCUMENT MUST BE I'r i�.� .V• SI M 1 CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE I THE HOLDER WHEN EN OTHERS•RIGHT THUMB PRINT GAGED IN THIS OCCUPATION `/� ��- ISSIONER t r, 7/. Ppo,,aneavuuneall�i o� mac/uiaella 1, HOME IMPROVEMENT CONTRACTOR Y Registration 115986 Type - INDIVIDUAL ` Expiration . 05/08/96 LAWRENCE V MCCUTCHEON LAWRENCE V. MCCUTCHEON G�caMeo�i "WAOUOT RD ADMINISTRATOR COTUIT MA 02635 I �Q�� Town'of Barnstable Regulatory Services o�TME Thomas F. Geiler Director pp Building.Divisio$MNIIA MUMSTAB Thomas Perry, CBO,Building Comm'� e l 200 Main Street, Hyannis, MAC 0�601-y www.town.barnstable.ma.us Office: 508-862-4038 508-790-6230 Town of.Barnstable. Family.Apartment Affidavit' I, being on oath, depose and state as follows: My name is ` �� I am the owner/resident of the property located at: lr.� The following members of my family will be the sole.occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 7�� I Name & relationship to owner: The:Family Apartment.will be the primary year-round residenfo ce r the above-identified family members. 'In the event that the listed relatives vacate said apartment, I will.immediately. note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other. Sworn to der the pains and enalties of perjury.this d� 2013. Sign tune Phone Number (� Print Name ,6 Vt- Town of Barnstable Regulatory Services oFt"E � Thomas F. Geiler,Director Building Division TM—OF$ARHSTAgtE ' '"R''',,�M ' Thomas Perry, CBO,Building Commi QQ�� au i6;9. ,0� N Nn 11 200 Main Street, Hyannis, MA 026 39 z www.town.barnstable.ma.us Office: 508-862-4038 ©IVN ° 'y9790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath se an fate as follows: My name is I am the owner/resident of the,. property located at: 6 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: 7 - The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit _ and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 'I agree to note the Building.Commissioner immediately in the event of the sale of this property. _. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No: ) Other Sworn to under the pains and penalties of perjury this day f . P P p Jam' �.y �v Y o � 2012. Signature Phone Number. D If Je Print Name rE T q:forms/famaffid.doc rev 11/08/11 IOW11 V1 CAI IIJlA411C Regulatory Services oFT►+e ram, Thomas F. Geiler, Director Building Division BARNsrABLE, : Thomas Perry, CBO, Building Commissioner 9 i63939, 200 Main Street, Hyannis, MA 02601 AlFO MA'�A www.town.barnstable.mams Office: 508-862-4038 ` Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �tir�r' I am the owner/resident of the property located at: 6�- U!�l�I�• (�� W1 .c The occupancy of the property will be as follows: MAIN RESIDENCE: Name(s) & relationship to owner FAMILY APARTMENT: Name(s) & relationship to ownerk'.�" The property will be the primary year-round"residence for the above-identified family members. In the event that the listed relatives vacate the apartment or main residence, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of the property is permitted. K. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants.of the said family?apartment;and main residence. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit andlor the Town of Barnstable Zoning Ordinances Section 240-47..1 Family Apartments. I agree to notify the Building Commissioner immediately in the event f the sale of this property. fi If there is no longer a Family Apartment at this location, please explain: v, The apartment has been dismantled. c:) The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swo n �e pains and penalties of perjury this ay ofh&� 2011. 9_ s%I• �6QG S gnature Phone Number Print Name FCJf._7 ..�� gfaaff Town of Barnstable 7- Al Regulatory Services pF1ME TOk, Thomas F. Geiler,Director ;7,/;7.//D Building Division OF n �'�"�S' l'��q� BARNSTABLE, Tom Perry, Building CommissionerInIg , p. s63q. �0 200 Main Street,Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 DhJ 10"l Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 5'• �`� I am the owner/resident of the property located at: Gos" The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: 1 Name & relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner imrnediaiely in the event-of the sale of ihis property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swor under-the pains and penalties of perjury this day of 2010. Signatur Phone Number Print Name Q/bldg/forms/f aura f6d Rev:12/08 pp y I I TOWN OF BARNSTABLE 2009 STREET LISTING PRECINCT 13 V STNO NAME YOB OCCUPATION V STNO NAME YOB OCCUPATION i * 33 DINEEN, DOUGLASS X 1968 FOREST ST * 33 GOLDSTEIN, SYLVIA 1922 AT HOME * 33 WALENGA,AMY 1962 * 21 SHEPLEY, HAMILTON N 1952 LUMBER SALES i * .35 JAMES, DANIELE 1936 INS AGENT * 21 SHEPLEY, LORRAINEE 1961 HOUSEKEEPER * 35 JAMES, ELEANOR DIANNE 1938 TEACHER * 82 BRENNAN, WILLIAM A 1948 SALES * 47 GALLAGHER,AMYC 1985 * 47 GALLAGHER, HELEN C 1953 MANAGER FOSTER .RD * 47 GALLAGHER,III LEONARD J 1950 GEN MGR * 47 GALLAGHER,IV LEONARD JAMES 1983 15 HOLDEN, ELAINE A 1949 SECRETARY * 57 MALENFANT, YVETTE 1920 RETIRED * 15 SILVIA, CHRISTOPHER D 1974 MECHANIC * 67 COLFORD, ROBERT WADE 1949 TV ENGINEER * 27 ARNOLD, PAUL S 1943 RETIRED * 67 CONROY, LYNNE 1950 RETIRED * 27 MANNING, KATHLEEN M 1943 RETIRED 67 SHIN, VICTORS 1991 STUDENT * 50 LITTLE, KASSANDRA R 1986 * 79 VINGO, APRIL C 1973 * 80 MCGINNIS, MARION V 1913 FOURTH AVE * 80 VIOLA, JOHN F 1940 RETIRED * 80 VIOLA, KATHLEEN L 1954 RETIRED * 58 HARRIS, HELEN M 1938 RETIRED * 65 ADAMS, FRANKLIN J 1931 RETIRED FIFTH AVE * 73 EDDY, STEPHEN P 1962 * 81 COADY, ANNE B 1930 HOUSEWIFE * 59 DILK, MARSHAL 1951 TEACHER * 92 GALES, KAREN E 1959 SALES * 76 PRENDERGAST,JEAN M 1928 RETIRED * 92 SAVOIE, DANA R 1959 SALES * 76 PRENDERGAST-SEYMOUR, JANIC 1955 READING/CONSL * 102 NINIVAGGI;ANTHONY P 1952 PROJ MGR * 76 SEYMOUR, KATHLEEN E 1987 STUDENT- * . 102 NINIVAGGI, CAROLYN 1951 HR MGR * 84 DONOVAN, FREDERICK M 1926 LAWYER * 166 CAREY, MICHAEL C 1951 CONST MGR * 111 JAPPE, RUTH A 1932 HOUSEWIFE * 166 CAREY, SUSAN E 1950 ARTIST * 111 JAPPE, WILLIAM F 1926 RETIRED * 191 CASE, JENNIFER JUNE 1984 TEACHER GLEN RD * 223 GOLDSTONE, DOLORES B 1929 AT HOME * 223 GOLDSTONE, STANLEY 1928 RETIRED * 12 MCAULIFFE, ELLEN K 1961 AT HOME * 246 KENNEDY,III JOSEPH P 1980 STUDENT * 12 MCAULIFFE, MARYT 1925 DISABLED * 253 BARREIRO, DONNA M 1964 REST MGR * 12 MCAULIFFE,JR TIMOTHY J 1949 DISABLED * 253 BARREIRO, FELISBERTO 1961 REST OWNER * 15 BORELLA, MILDRED J 1912 AT HOME . * 30 OBRIEN, ANNIE N 1929 RETIRED FIRST AVE 32 BERESFORD, DEBORAH A 1950 SALES * 32 BERESFORD, ROBERT J 1950 RETIRED * 21 LIGOR, JOHN PETER 1930 RETIRED * 49 HAAGSMA,JOYL 1952 PROF NURSING " * 30 EGAN, JEANNE C 1954 PHY.THER. * 53 ARIEL, LISA J 1967 WELDER •-I� * 30 EGAN, RICHARD B 1955 GEN MANAGER * 53 ARIEL, WILLIAM S 1963 PLUMBER ' 50 HANDEL, LEIGH ANN 1988 * 66 CALLAHAN, MARY J 1938 * 50 HANDEL, MAUREEN A 1951 TEACHER AIDE 50 HANDEL, MOLLY C 1990 '50 MAHONEY, DANIELJ 1968 GOSNOLD ST * 65 LOCKHART, BETTY 1 1932 RETIRED * 59 SMITH, ROBERTA F 1941 RETIRED 80 MCCARTHY, ITAP 1913 RETIRED * 59 SMITH, STEPHEN L 1940 * 80 SULLIVAN, KATHERINE E 1915 RETIRED * 70 BENNETT, DAVID T 1948 TEACHER * 90 WOODRING, DEBORAH H 1948 DISABLED * 70 BENNETT, LINDAA 1948 TEACHER 95 WAECHTER, DIANE C 1931 * 81 MCKEON, AUDREY C 1924 R ETIRED 95 WAECHTER, RUSSELL J 1971 NONE GIVEN 86 BELKA,ANGELA VALLAS 1944 TEACHER 95 WAECHTER, WILLIAM H 1923 RETIRED * 86 VALLAS,MARY M 1972 * 95 WAECHTER, WILLIAMH 1960 86 VALLAS, MICHAELT 1938 RESTAURANT„ Y. =; * 100 ST CYR, LORI A 1963 ACCOUNTING * 91 GRENON, MICHAEL A 1971 108 VAN NOSTRAND, DIANE 1958 WEALTH MGMT 91 HOMEYER, SCOTT 1795 * 122 MOROSKI, EILEEN M 1945 RETIRED * 91 MALLORY, BERNARD - 1949 COOK * 122 MOROSKI, WALLACER 1943 RETIRED * 91 TZANNOS, SANDRAF 1942 ADMITOFFICE `<,'',, 92 BOWLER, CARAJ 1984 ''�; FOLSOM AVE 92 DAVIS, JANE F 1945 ATTORNEY ? * 121 RAYMENT, SHARON E 1948 R N } * 22 FERLAND, CAROL G 1938 RETIRED * 121 RAYMENT,JR LAWRENCE 1947 PORTER/COOK " '' * 22 FERLAND, RONALD L 1937 RETIRED * 128 SEMINARA,JOSEPH A 1950 RETIRED r * 27 HUGHES, EDWARD J 1924 BUSINESS MGR * 128 SEMINARA, PAULA F 1951 RETIRED * 27 HUGHES, PATRICIAA 1932 HOUSEWIFE * 138 HULTEEN, CARLTON W 1928 RETIRED * 28 HAMMERSTROM, EVERET GORDO 1944 * 138 HULTEEN, LILLY A 1931 HOUSEWIFE t. * 64 SEGERSTEN, MARIE E 1942 SOCIAL WRKR * 145 ZINCHUK, ANN L 1908 RETIRED -�• `" * 64 SEGERSTEN, ROBERT H 1941 LAWYER * 150 SOBY, MICHAEL STEVEN 1976 64 SEGERSTEN,VANESSAA 1977 HOUSEWIFE * 157 ABLITT, DIANET 1942 SALES * 158 CARREIRO, JOAN K 1927 RETIRED kri 171 GULACHENSKI, DOROTHY 1930 RETIRED FOREST GLEN RD 171 GULACHENSKI, EDWARDM 1930 RETIRED 3L ' * 15 GOLD, PORTIA A 1947 RESTAURANTEUR * 180 MEECE,_DEAN F 1975 SALE SASSOC 15 GOLD, ROBERT K 1950 EXE CHEF 180 MEECE, MELISSA ANNE 1977* ; : * 17 LUNA, JESSICA D 1989 * 225 FLANAGAN, DONNA L 1964 YOGA INSTRUCiRp e; * 29 BIGELOW, TROY M 1974 * 225 GASPARD,CHRISTOPHER MICHA 1985 STUDENT, 43 g _ * 43 OUEALY-WASSER, SUSAN M 1958 SALES * GASPARD, MICHAEL B 1958 BUILDER * 43 WASSER, BRIAN J 1970 * 230 10C BARROS,SR JOSHUA MANUEL 1976 UNEMPLOYED 't h 43 WASSER, SUE 1795 * 230 50, BARROWS WIGHT, TERESA L 1978 STUDENT 43 WASSNER, SUE 1795 * 230 DALEY, WILLIAM KNOX 1982 ref ai . i * 230 1A GULDEN, LINDA JILL. 1945 MANAGEMENT I`�j 230 54 TOSCANO, ELIZABETH MARIE 1929 MANAGEMF yr: * 230 94 VELCHEV, NIKOLAY V 1975 fis i'r II : `INDICATES VOTER 240 c. Y Town of Barnstable LE Regulatory Services � ��R�dS � P�°FTME t°�'� Thomas F.Geiler,Director Building Division 2�09 • BARNSTABLE, Y Tom Perry, Building Commissioner MASSs . 200 Main Street,Hyannis,MA 02601 m ATEp�,�p Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �_47 l`/ u1�/� I am the owner/resident of the property located at: Map and Parcel Number CIO 0 The ZBA granted me a Special Permit/Variance on Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book Page The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Up''�' A"YJ Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other / Swo WunUde' e p ' and penalties of perjury this Z6 day of Signature Phone Number Print Name latk-7 • S;56,4�C-SY Q/bldg/forms/famaffid Rev:1/03 05/13/2008 14:42 15083626634 SOLOS ENDOSCOPY PAGE 02/02 May, 13, 2008 9: 1OAM - No, 6424 P. 2 Town of Barnstable Regulatory Services r� Tbomas V.Geller,Director a Building.blV3si' A MAY 13 Pl`1 3 18 UAM ' Tom Perry, Building Commissioner 200 Main Street,Hyannis,MA 0?60l _.,__ www,town,barnstableanaxs 11!1141 i sl0 m Office: 508-862-4039 Fax: $08-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, de ose and slats a�follows: My name is I am the owner/,resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: - Namc&relationship to owner: Name & relationship to owner: The Family Apartment_will be the primary year round residence for the above-identtf:ad family members, In the event that the listed relatives vacate said apartment,l will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is.pern:itted. 1 understand that 1 am required to f le an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in,said Family Apartment, 1 also understand that 1 am required to comply with all conditions Imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47J Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property, If there is no longer a family Apartment at this location,please explain: The apartment has been,dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. Other Swo cr pain a penalties of perjwty this�j day of_��2008. 'i�ma e Phone Number Print Name / Q/b1dg1r&mVfsmef3ld Rev:1/03 Town of Barnstable o X Regulatory Services 1� FTHE T° Thomas F. Geiler,Director Building Division BARNSTAaLE, Tom Perry, Building Commissioner MASS. g �A 1639• �0 200 Main Street,Hyannis,MA 02601 s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oat/deose and state as follows: My name is I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: �O Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. .I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. _ If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. 6 The apartment has been transferred to the Amnesty Program (Appeal No. Other Sworn to and e pains and penalties of perjury this day of 2007:Y c� r Signa ure Phone Number Print Name Q/bld g/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services °FTHE rok, Thomas F.Geiler,Director r Building Division "f-L ss 4Bg' Tom Perry, Building Commissioner ,fir A � _2 �� v �� 039. �� 200 Main Street,Hyannis,MA 02601 art p �s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: r My name is 1,61, I am the ownerhesident of the property located at: Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name&relationship to owner: j�,_�_ Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the.event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other , Sworn to:under ai penalties of perjury this day of 4&161 _2006. Signature.,_!; _._ .,r:, ;�; � ,� .. - . . . .. . ,.. -Phone-Number Print Nam . . Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services ®FtwE rok, Thomas F.Geiler,Director8 LE Building Division snxxsTnai.s,"� .c ;• .. -, ,.. .Tom Perry, Building-Commissioner ��+_ _ _._ � 5 FE� 16 ��' '�• � Y Mass.` ',..Tom 1639. 200 Main Street,Hyannis,MA 02601 `♦ www.town.barnstable.ma:us- Office: 508-862-4038 "` Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is � ��5 � I am the caner esident of the property located at: Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: 7#ot aA1 e r S t40't-AW7 (fc,q tsJ1 a //�,�a5— Name &relationship to owner: �J � �� G - ' /�S S � .� y7S A7 G Gf.�s The Family Apartment will be the primary year-noun reisidence fort theJ aobove-identifietb A , lq family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other S o d pains and penalties of perjury this�f day of 2005. nature Phone Number Si Print Name Q/bldg/forms/famaffd Rev:1/03 • S0330 J0 AUISID38 318VISNUVG E'•8, 17691 P9 313 _DL 1 1 1 e=04_5 03 SEP -3 PM 3. 12 1 039-24-2003 a g n_0 m 34Lx BARNSTABEE 'TKE► TOE -OLER 'AM Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2003-105 - Segersten Section 3-1.1(3)(D),- Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Robert Segersten Property Address: 64 Folsom Avenue,Hyannis,MA Assessor's Map/Parcel: Map 324,Parcel 080 Zoning: Residential B.Zoning District Relief Requested &Background: The subject property is a 0.30-acre lot located south off Gosnold Street at Circuit Avenue in Hyannis. According to the Assessor's card,it is improved with a one-story,4-bedroom single-familydwelling with a living area of approximately 2,406 sq.ft. The dwelling was originally constructed in 1930. The property is located in a Residence B Zoning District and i.s serviced bypublic water and sewer. According to the application,the petitioner is proposing to convei-t.a-.garaae,into.a famil}T apartment.. .The- . proposed farnilyapartment is approximately400 sq.ft. and is designed as a one-room efficiency unit with a bathroom and kitchenette. The family apartment is to be occupied by the applicants'father-in-law,John E. Makinen. The petitioner is requesting a Special Permit.for a family apartment pursuant to Section 3-1.1(3)(D) of the Zoning Ordinance. Family apartments are allowed in all residential zoning districts as a,conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural&Hearing Summary: This appeal was filed.at the Town Clerk's Office and at the Office.of the Zoning Board of Appeals on July 02,2003..A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A.- The.hearing was opened August 06,2003 and continued to August 20,2003,at which time the Board found to grant the appeal. Board Members deciding this appeal were;Randolph Childs,Ralph Copeland,Thomas 'A.DeRiemer,Sheila Geiler and Vice Chairman Gail Nightingale,who was also Acting Chairman. Mr. Segersten presented his request for the family apartment to the Board. He stated that the efficiency unit was to be developed in the area of a garage. The two garage doors would be removed and new windows built in their place and repairs would be made to the area to accommodate the apartment. Inside would have a full bathroom with built-in shelving,cabinets would also be installed in the livitirg area and a small area would have a sink and refrigerator. He stated that there would be no stove. Mr.Segersten said that his father-in-law,Mr.John E.Makinen would occupy the unit. He stated that his father-in-law is elderly and in need of care and he can no longer Eve.by himself. ,1 He noted that the area of the apartment is within the required setbacks of today's zoning,however,the area had existed and predates zoning. Public comment was requested and no one spoke for or against the appeal. The Chairman received a letter from Hans and Ingrid Tharnhain,an abutting neighbor,in favor of granting the family apartment. This letter is on file. The issue of the structures non-compliance was discussed. It was noted that in previous cases a variance would have been required. It was also remarked that this is an existing condition- a legal pre-existing non- conformity in structure and given there is no new intrusion,the Board should be able to see it's way clear to grant the permit without variance relief. The Board also discussed the fact that no stove was going to be provided and if the unit would constitute an apartment without the stove. The Board requested additional information from the applicant including a copy of the building permit application and the opinion of the Building Commissioner. At the August 20,2003 continuance,the Board received a memorandum for the Building Commissioner citing that he sees the unit as an apartment and that a permit is required. Findings of Fact: At the hearing of August 20,2003,the Board unanimously made the following findings of fact: 1. The applicant is Robert Segersten seeking Family Apartment Special Permit in accordance with section 3-1.1(3)(D). The applicant is proposing to convert the existing garage into a 400 sq.ft.family apartment. The subject property is located as shown on Assessor's Map 324,Parcel 080 addressed 64 Folsom Avenue,Hyannis,MA in a Residence B Zoning District. 2. The subject property is a 0.30-acre lot located south off Gosnold Street at Circuit Avenue in Hyannis. According to the Assessor's card,it is improved with a one-story,4-bedroom single-family dwelling with a living area of approximately 2,406 sq.ft. The dwelling was originally constructed in 1930,prior to the inception of zoning in this area of town and the imposed dimensional requirements for developable lots. 3. The petitioner is proposing to convert a garage into a family apartment. The proposed family apartment is approximately400 sq.ft.and is designed as a one-room efficiency unit with a bathroom and kitchenette unit. The family apartment is to be occupied by the applicants'father-in-law,John E. Makinen. 4. The petitioner is requesting a Special Permit for a family apartment as identified in the application pursuant to Section 3-1.1(3)P.) of the Zoning0rdinagce 5. According to the materials submitted,the familyapartment meets the requirements of Section 3- 1.1(3)(D) of the Zoning Ordinance in that the apartment unit is under the 50% area limitation,the unit will be developed in a manner which retains the existing residential character of the dwelling and the area and scaled plans of the proposed family apartment have been submitted to the file. 6. The property is connected to Town sewer and would not pose concerns for nitrate loading to groundwater or to the nearby wetlands. 7. In accordance with Section 5-3.3(2),the application falls within a category specifically excepted in the ordinance for a grant of a Special Permit in that family apartment are permitted in all residential Zoning Districts,and, after evaluation of all the evidence presented,the proposal fulfills the spirit and intent of 2 �O ,1 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 the appeal with the following conditions: 1. The family apartment shall comply with, and be maintained in accordance with,all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family member residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board entitled Renovations Segersten Residence 64 Folsom Ave.Hyannis,Ma." As drawn by SBP Design dated 4/29/03. 3. This special permit must be recorded at the Registry of Deeds and copies of that recording submitted to the Zoning-Board of Appeals file and the Building bivision at the time an application for a building permit is made. An occupancypennit from the Building Division must be issued prior to the occupancy of the apartment unit. 4. The locus shall comply-with all State Building Codes,Town of Barnstable Board of Health,and State Fire Prevention Regulations. The vote was as follows: AYE: Randolph Childs,Ralph Copeland ,Thomas A.DeRiemer,Sheila Geiler, Gail Nightingale NAY: None Ordered: Family Apartment Special Permit 2003-105 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one 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 0� Town Clerk. Q�-/ 1 0i -� G Nightingale, ice Ch ' Date Sign �i6 (� • (i I, da Hutche der, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,herebycertify QVA V that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal 0 n� W 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. e,4 Linda Hutchenrider,Town Clerk Ap 1� IL VLYS C/ 3 `\� XY i -, S0330 JO AUISID38 318VISNHVG Bk 17691 Ps313 -m111045 03 SEP -3 Pik 3: 12 039-24—21303 8 10 u _ 34ct BA NSTABEE °`. r TO HIV N CLERK MASS. Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2003-105- Segersten Section 3-1.1(3)(D), - Family Apartment Special Permit C) Summary: Granted with Conditions Petitioner: Robert Segersten \ Property Address: 64 Folsom Avenue,Hyannis,MA Assessor's Map/Parcel: Map 324,Parcel 080 Zoning: Residential B Zoning District Relief Requested&Background: The subject property is a 0.30-acre lot located south off Gosnold Street at Circuit Avenue in Hyannis. According to the Assessor's card,it is,improved with a one-story,4-bedroom single-family dwelling with a living area of approximately 2,406 sq.ft. The dwelling was originally constructed in 1930. The property is located in a Residence B Zoning District and is serviced by public water and sewer. According to the application,the.petitioner is proposing.to convert a._garage:into a family apartment. The, proposed family apartment is approximately400 sq.ft. and is designed as a one-room efficiency unit with a bathroom and kitchenette. The family apartment is to be occupied by the applicants'father-in-law,John E. Makinen. i` The petitioner is requesting a Special Permit.for a family apartment pursuant to Section 371.1(3)(D) of the Zoning Ordinance. Familyapartrnents are allowed in all residential zoning districts as a.conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. O Procedural&.Hearing Summary: This appeal was filed.at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on July 0�,2003: A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The.hearing was opened August'06,2003 and continued to August 20,2003,at which time the Board found to grant the appeal. Board Members deciding this appeal were;Randolph Childs,Ralph Copeland,Thomas A.DeRiemer,Sheila Geiler and Vice Chairman Gail Nightingale,who was also Acting Chairman. Mr. Segersten presented his request for the family apartment to the Board. He stated that the efficiency unit was to be developed in the area of a garage. The two garage doors would be removed and new windows built in their place and repairs would be made to the area to accommodate the apartment. Inside would have a full bathroom with built-in shelving,cabinets would also be installed in the living area and a small area would have a sink and refrigerator. He stated that there would be no stove. Mr.Segersten said that his father-in-law,Mr.John E.Makinen would occupy the unit. He stated that his father-in-law is elderly and in need of care and he can no longer live by himself. r He noted that the area of the apartment is within the required setbacks of today's zoning,however,the area had existed and predates zoning. Public comment was requested and no one spoke for or against the appeal. The Chairman received a letter from Hans and Ingrid Thamhain,an abutting neighbor,in favor of granting the family apartment. This letter is on file. The issue of the structures non-compliance was discussed. It was noted that in previous cases a variance would have been required. It was also remarked that this is an existing condition— a legal pre-existing non- conformity in structure and given there is no new intrusion,the Board should be able to see it's way clear to grant the permit without variance relief. The Board also discussed the fact that no stove was going to be provided and if the unit would constitute an apartment without the stove. The Board requested additional information from the applicant including a copy of the building permit application and the opinion of the Building Commissioner. At the August 20,2003 continuance,the Board received a memorandum for the Building Commissioner citing that he sees the unit as an apartment and that a permit is required. Findings of Fact: At the hearing of August 20,2003,the Board unanimously made the following findings of fact: 1. The applicant is Robert Segersten seeking Family Apartment Special Permit in accordance with section 3-1.1(3)(D). The applicant is proposing to convert the existing garage into a 400 sq.ft.family apartment. The subject property is located as shown on Assessor's Map 324,Parcel 080 addressed 64 Folsom Avenue,Hyannis,MA in a Residence B Zoning District. 2. The subject property is a 0.30-acre lot located south off Gosnold Street at Circuit Avenue in Hyannis. According to the Assessor's card,it is improved with a one-story,4-bedroom single-family dwelling with a living area of approximately2,406 sq.ft. The dwelling was originally constructed in 1930,prior to the inception of zoning in this area of town and the imposed dimensional requirements for developable lots. 3. The petitioner is proposing to convert a garage into a family apartment. The proposed family apartment is approximately400 sq.ft.and is designed as a one-room efficiency unit with a bathroom and kitchenette unit. The family apartment is to be occupied by the applicants'father-in-law,John E. Makinen. 4. The petitioner is requesting a Special Permit for a family apartment as identified in the application pursuant to Section 3-1.1(3)p.) of the Zoning Ordinance 5. According to the materials submitted,the family apartment meets the requirements of Section 3- 1.1(3)(D) of the Zoning Ordinance in that the apartment unit is under the 50% area limitation,the unit will be developed in a manner which retains the existing residential character of the dwelling and the area and scaled plans of the proposed family apartment have been submitted to the file. 6. The property is connected to Town sewer and would not pose concerns for nitrate loading to groundwater or to the nearby wetlands. 7. In accordance with Section 5-3.3(2),the application falls within a category specifically excepted in the ordinance for a grant of a Special Permit in that family apartment are permitted in all residential Zoning Districts,and, after evaluation of all the evidence presented,the proposal fulfills the spirit and intent of 2 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 the appeal with the following conditions: 1. The family apartment shall comply with, and be maintained in accordance with,all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family member residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board entitled Renovations Segersten Residence 64 Folsom Ave.Hyannis,Ma." As drawn by SBP Design dated 4/29/03. 3. This special permit must be recorded at the Registry of Deeds and copies of that recording submitted to the Zoning Board of Appeals file and the Building Division at the time an application for a building permit is made. An occupancy permit from the Building Division must be issued prior to the occupancy of the apartment unit. 4. The locus shall comply with all State Building Codes,Town of Barnstable Board of Health,and State Fire Prevention Regulations. The vote was as follows: AYE: Randolph Childs,Ralph Copeland ,Thomas A.DeRiemer,Sheila Geiler, Gail Nightingale NAY: None Ordered: Family Apartment Special Permit 2003-105 is granted with conditions. This decision must be recorded at j the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one 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. aa SA 3 op -3 GAINightingale, ice Ch Date Signe I, da Hutche der,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify J 0 o that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal n�q 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. of Linda Hutchenrider,Town Clerk VY , sCA tNA ' � ...t.�� i "':.ini 4 .".-•i '1�'.� .i 1..+ f 1 h 4 h 5 � : "i..-:. .r..t..-I..��K.: ;.':'r`C�..v.e T't.v'f"k"^;�.F-T-,-•{,"�=�.�+y«�T.'1 !, t .... � .. n i r' f i 1 407 rR " ^ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION rr .- ffl� Map S ` `Parcel �(�0 U Permit# 3 Health Division oWll � / 33g5 +C030 Date Issued a d Conservation Division Application Fee JSd �r Tax Collector D Permit Fee _f/ l, Treasurer ,I MCINTMUSTOBTAIN A SEWER Planning Dept. t ONNECTIO PERMIT 1?110.I Tflu G O '��v�It31:ERI�iO DIVISiflN PUoB T0 Date Definitive Plan Approved by Planning Board (� CONSTRUCTION. Historic-OKH Preservation/Hyannis Project Street Address aD 74::�o6Sngn del Village I/ II A.I 1 ( &14 Owner eoxff--7 Address 4er Telephone - �x 2 7S�_9" Permit Request f kI AJ)A�IG SWRX4� . /Aa} d¢- 1 iU aO —' &Gz< DYL Square feet: 1 st floor: existing proposed 0 D 2nd floor: existing --t-L'=— proposed Total new q u b Zoning District Flood Plain Groundwater Overlay Project Valuation�zc o n c Construction Type L�l��r��a/ 7/ '� L Lot Size 1ACJ& Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0//-Two Family ❑ Multi-Family(#units) Age of Existing Structure �`2� Historic House: ❑Yes On Old King's Highway: ❑Yes W-bo Basement Type: Mfull CO' rawI ❑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 ! Zat Heat Type and Fuel: 4-/Gas ❑Oil ❑ Electric ❑Other ,' Central Air: ❑Yes &No Fireplaces: Existing New Existing wood/coal stove: Oye ❑No t Detached garage:❑existing D new size Pool:❑existing ❑new size Barn:❑existing 0-new size Attached garage,�(existing ❑new size Shed existing ❑new size Other: f - . Zoning Board of Appeals Authorization ❑ Appeal# 003 /0� Recorded 0--� , Commercial ❑Yes 9-No If yes, site plan review# r Current Use �� Q Proposed Use _KS �OLWI BUILDER INFORMATION Name :f� �'y ,,��, �A �_Telephone Number Address 6CWI , xUo License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOA-�(��l/h�+�dL S SIGNATURE DATE �� ✓ FOR OFFICIAL USE ONLY 4-fp E R M I NO. DATE ISSUED MAP.,/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING r/v VfZI/ O -c O k DATE CLOSED OUT ASSOCIATION PLAN°NO. v Town of Barnstable oFtMME r Regulatory Services HAMSTABM 9� MASS.. � Thomas F. Geiler,Director A'E01Ap�A Building Division Tom Perry Building Commissioner 200 Main-Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 29, 2Q09 Mr. and Mrs. Robert Segersten 64 Folsom Avenue Hyannis, MA 02601 Re: Family Apartment Dear Mr. and Mrs. Se gersten: You are required under Section 3-1.1(3)(D)(1) of the Town of Barnstable Zoning Ordinances to submitj ari affidavit annually indicating the status of the family apartment. Failure to submit the affidavit is a violation of the Family Apartment Rules and Regulations and may cause the Family Apartment approval to be rescinded. What is the status of this area of your property? If your family member is residing in the apartment, please return the enclosed affidavit as soon as possible. If you no longer have a family member residing in the family apartment, please contact this office as soon as possible to: Apply for a building permit to restore the property to a single-family home Apply to the Amnesty Prbgram If you have any questions, please call Lois Barry, Division Assistant, at 508-862-4039. Sincerely; Tom Perry . Building Commissioner Enclosure f olsomAve64 . ti t . - ;;' • , . I I. r . . , . _ - _ _ ._ . , - - _ � . > . i. , t . ,, - 3 'i i I ^.} -. ,� ti , - . �. , � t- , -. .Y . ` .' .. 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