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Home My WebLink About0017 HAMPSHIRE AVENUE �� .; • � �� do r r� ;, �.., _, I V w y t 1 I E To: Barnstable Peg-2-f 2 20'13-OS-'IS '16:28:4'1 (GMT) 1 e09328S734 From: JoI—n McG eo-h 111111 1> Office of Consumer Affairs and osiness Regul.ati - Fig 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvement Cp.ntor 1�egi.strati:oi3 ---- - Re istratjon: 170539' Type: ...L.LC Expiration: 11/4l2013 Tr# 218815 . PARAMOUNT SOLAR.,. LLC. JOC.EEN .MCGEOCH --_ - — — -- 6422 BLACK HORSE,.PIKE EGG HAREO.R.TWR1 NJ 08234 "::° '`':; _:: :: ...; .: . .: - Update Address and return card.Mark reason for change; t Address j ,Renewal. - Lrttptoyn►ent Lost.Card.. -DF57CAI 0 59Pb-DVQ4-GT61216. ......._....._..............;.:.........._.. ................_..............._...... .............._._......_..... _ .. -. �fa7e �II2?hft?'6CLE.IX•�� G�`:��C�FiOF�ct .� -.- .�............. • Offce of ConsumerA tTairs&AdsiaessRegula#io.tt License or registration valid for indiyiduluse valy NZIm MEHOME IMPROVEMENT CONTRACTOR before the expiration.date..1f found.return to ' —"-Registration 4.70539 Type: Office of Consumes Affairs and itusiness Regu}ation Expiration- 4A642093: LLC 10 Park Plaza-Suite 5170 Boston,INIA 0.211.E PAiAMd.UNT SOLAt G p t .. I. JOLEEN MCGE06. k 5760.CEDAR ST MAYS LANDING,t�J D$33f3 L;n.d.ersesretary 1Vat valid without g ture • 1 1 1 i t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- 3o Parcel G Application #Q613 0 tq 1,S Health Division Date Issued o2 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board & FIF Z-Z Z --13 Historic - OKH — Preservation / Hyannis Project Street Address l `1 HK ,p S pYt' qV-C h h f! `N C)A.0/ Village Owner p 0�n/C 10 Address Telephone 1� Permit Request / `� 5,0 4�` ��rl G 6.3,W r`W Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 3)— 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 0 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) r Number of Baths: Full: existing new Half: existing new t 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: '2 C) Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# C. Current Use Proposed Uses' 'J q� APPLICANT INFORMATION , (BUILDER OR HOMEOWNER)y Name �/� ��' 6t 2Md Telephone Number � 's Address �y� tc/vr CO�/�rrl �` License # o 4 3 3 Ci_h7Yr//11,r firl Home Improvement Contractor# �� I Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'SIGNATURE DATE �� FOR OFFICIAL USE ONLY APPLICATION# Y DATE ISSUED • MAP/PARCEL NO. S ADDRESS VILLAGE ,r OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING C DATE CLOSED OUT ASSOCIATION PLAN NO. • < The Cornrnonwealth of Massachusetts Department of Industrial Accidents Office of InveaVations 600 Washington Street Boston,MA 02111 wwa.mass gov1dia Workers' Compensation Insuranee Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Im blv Name(Business/Organization/individual): QYQYYInttt'l 'Q1'" LU— Address: 51 U) Cad oor �s} City/State/Zip: Phone#: j -X y -0333 Ateu an employer?Check the appropriate bog: Type of project(required): 1.M I am a employer with 3 4. ❑ I am a general contractor and 1 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.g 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition No workers'comp.insurance 5. ❑ We are a corporation and its requice.] officers have exercised their 10.❑Electrical repairs or additions 1.❑ I am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.[]Roof repairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required.] *Any appliew chat checks box d1 must also fi11 out the section below showing their workers'common policy information. t Homeowmas who submit this affidavit imtimu%they am Being all work wd then bins outside contractors must submit a new affidavit indicating su& ors that check this box must attached an additional sheet showing the name of the sub-comtiactrns and their workers'comp policy information. I ant an engdoyer drat Is providing workers'Conrensadon insurance for nuy employees Below is die policy_and job site t bMformatim Insurance Company Name: L i kit Y Policy#or Self ins.Lic.#: A 1 C R ��( (r(�t 3'"� G� Expiration Date: 1ILI Job Site Address: 17 r Y ayyeh y.Y I`L City/State/Zip:�QLVM 3&CA. 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 Iltr+estigations of the DIA,for insurance coverage verification. I do hereby certify tauter the d penaties of perjury that the information provided above is true and correcit Date: Z�. Offlc d am only. Do not write in this area,to be cohWMd by city or town of trial 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#: .Office of Consumer Affairs&Busihess�uladon elr� � "` ---..._ OME IMPROVEMENT CONTRACTOR License or registration valid for.mdividul use only + egistration 168607 before the expiration date. If found return to: !�XPiration: 3/8/2015 Type Office of Consumer Affairs and Business Regulation Individual 10 Park Plaza-Suite 5170 RICHARD P. CAZEAULT JR Boston,MA 02116 RICHARD CAZEAULT, l 198 FIVE CORNERS RD CENTERVILLE, MA 02632 _ Undersecretary - t valid wi out si ature. t } i w ' t t l , } y a . } t t i 6 , r • EARM►ssa,KAM ; Town-of Barnstable Regulatory Services Thomas F.Geller,Director Building Division . 4 Thomas Perry,CBO Building Commissioner - 200 Main Street, Hyannis,MA 02601 www.town.barnstable:ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If.Using A_Builder, I. M oy\i ��r�l r cL ,as Owner of the subject property , hereby authorize �. V. L L I tat on my. ehalf, in all matters relative to work authorized by this building permit application for: ( ddress of Job) z 1.2 Sign re of Owner Date , Print Name If Property owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:1usaswecollik1AppData\t,mal\Microsoft\Windows\Temporary Internet Files\ContenlOutlook\DDV87AAZ\EXPRESS.doc Revised 072110 / 7 ® DATE(MM/DD/YYYY) I ,4coRv CERTIFICATE OF -LIABILITY INSURANCE 2/19/2013 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 H NAME: MC S EA INSURANCE AGENCY INC PHONE F . . A/c No EXt:`(508)420-9011 A/c No.(508)420-9010 155 0 Falmouth Rd Ste #2 E-MAIL . `_ ADDREss:chevonne@mcsheainsurance.com Centerville MA 02632 INSURER(S) AFFORDING COVERAGE NAIC# ' INSURER A:Acadia Insurance INSURED Cazeault, Richard. INSURER s:Norfolk and Dedham M F; Inc INSURER C: 198, Five Corners Road - INSURER D`. Centerville, MA 02632 INSURER E: 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. ILTR '- TYPE OF INSURANCE �R WVD 'POLICY NUMBER- t MM/DD� MM/DD� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 OOO OOO X COMMERCIAL GENERAL LIABILITY UAMPREMISES E TU Errence $ SO OOO CLAIMS-MADE F—x]OCCUR MED EXP(Any one person) $ 5` 00 0 A NPP1304049 1/125/121/215 13 PERSONAL BADV INJURY' $ 1AWI000 . 1/25/131/25/14 GENERAL AGGREGATE $ '2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG "$ .,1 OOO r OOO X POLICY P CT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LiMIT- Ea accident $ 11000,000 ANYAUTO 11/17/2011 11/17/2012 BODILY INJURY(Per person) $ ZOO ALL OWNED SCHEDULED 91153275A (Peraccident) $ A AUTOS X AUTOS 11/17/12 11/17/13 BODILY INJURY.(Per 300 NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ 200 - $ UMBRELLA LIAB OCCUR . EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED' RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY X TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YrN WC-20-20'-003093 2/4/2013 2/4/2014 E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? `:�� N/A - _ - (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below- E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION TOWN Of. 'Barnstable SHOULD ANY OFf THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREO WILL BE DELIVERED IN ACCO WITH THE POLIC ROVISIONS. AUTHORIZED REP TATIV 88-2010 ACORdCORPoRATiON. All rights reserved. ACORD25(2010/05) The ACORD name and log marks of ACORD Sunrun : sae �",""�-•� ;SOLAR'FACILITY ADDENDUM CONTRACT PI13B761VAD63 THIS SOLAR FACILITY ADDENDUM CONTRACT("Addendum`')is made by and between Sunrun,Inc.("Sunr n")and UR Solar Power("Contractor")for the design,engineering,procurement,installation,and construction of the Solar Facility described herein.This Addendum hereby incorporates,in total,the terms and conditions set forth in the Customer Origination Agreement("Contract"),and all schedules and exhibits thereto,executed by Sunrun and UR Solar Power in May 18,2010.Capitalized terms contained herein have the meanings set forth in the Contract SOLAR FACILITY TOTAL SOLAR CUSTOM Contract Price:$32,032.00 Host Customer:Monica Pereira ! Street Address:17 Hampshire Ave,Hyannis,MA,02601 Rebate Level-$0.27 per watt Utility:NSTAR-Cape Cod TECHNICAL SPECIFICATIONS System Size w Description Rating Standard Test Condition Direct Current(STC DC kW) 7.280 CEC Alternating Current(CEC AC kW) 6.328 Generation Equipment Photovokaic collectors Manufacturer Model number STC DC rating Quantity LG Electronics Solar Cell Array 1' Division LG260S1C-G3 260 W 28 Inverters Manufacturer Model number Efficiency Quantity Array 1 SMA America SB8000US(240V) 0.96 1 Total Number of Panels: 28 ` Total Number of Inverters: 1 12/08/2012 PI13B7B1VAD63-H(Custom PPA Fixed) Page 1 of 2 x f I . alb-; 7 r,:r t� EXH161TA - ii.., ti 5 SOLAR FACIUTY ADDENDUM CONTRACT, SOLAR FACIUTY DESIGN DIAGRAMS Attach the single-line diagram and aerial-vlew module layout for the Solar Facility to this document, AJSLGNMEN7 When transfer of the title to the Work occurs pursuant to the Contract,title to the Work shall be transferred to the Person designated in Exhibit A-1. MISCELLANEOUS Neither this Addendum,nor the Contract,creates any employment,agency,partnership,joint venture or other joint.relationship between the Parties.Should a conflict arise between the terms of this Addendum and the terms of the Contract that cannot be reconciled,the terms of this Addendum shall govern;provided ho eve ,agreement on a conflicting term in this Addendum shall not operate to modify the conflicting . term in the Contract for future addenda executed between the Parties.This Addendum may be executed In counterparts,each of which will be deemed an original,but all of which taken together will constitute but one and the same instrument. SUNRUN,INC. UR SOLAR POWER ; t Signature Katherine Cross N Name . Title 0 Title 1 2/1 212 01 1 ^) Date /v Date' , 12/05/2011 • PJ1341RVR6R30-1(Low Upfront) Page 2 of 2 I • sunrun Al Sunrun TotaL Solar _ .. � . Solar Power Service Agreement Summary Monica Pereira 17 Hampshire Ave, Hyannis, MA, 02601 ESTIMATED SOLAR ENERGY OUTPUT TO BE DELIVERED ' YEAR 1: 8,768 kilowatt-hours(kWhs) INITIAL TERM: 166,637 kWhs ESTIMATED ANNUAL ENERGY SOURCES SOLARBEFORE • FROM UTILITY 9,046 kWhs 278 kWhs FROM SUNRUN 0-,kWhs 8,768 kWhs *,Actual results may vary. This estimate assumes:1)your use of electricity remains constant,and 2)the Solar Fa8Iity.produces as projected. - CUSTOMER PAYMENT TERMS Non-refundable Deposit(due today) $0 Initial Payment(due at installation) z $0 - Monthly billt ` Year 1 $88.42(plus taxes,if applicable) Annual increase f 0.0°r6 -Cost per kWh,Year 1 �� ' . $0.121,excluding Upfront Payment(if any) ` Average cost per kWh,Initial Term $0.127,including Upfront Payment and annual increase(if any) t Monthly payments shown include a$5 discount for paying through ACH withdrawal from your checking or savings account.If you do not elect automatic payment through ACH withdrawal from'your checking or savings account you will not receive this discount and each monthly payment .' will be$5 greater. PAYMENT METHOD(SELECT ONE) WACH Autopay Pay by check'($5 monthly service fee) .' Your initials indicate that you have,read,understand and accept the explanation of estimated energy output,energy sources and payment terms.You understand that Sunrun has the right to,check your credit and you agree that Sunrun will make final determination of customer eligibility. Accepted by(Initials) THE SOLAR FACILITY IS OWNED BY SUNRUN INC.AND/OR ITS AFFILIATES. SUNRUN INC. l 45 Fremont Street,32nd Floor,San Francisco,CA 94105 1 415-982-9000 12/08/2012 PI13B7B1VAD63-H(Custom PPA Fixed) Page 1 of 17 r SUNRUN INC. CUSTOMER Date: 12/18/12 Signature, Brogan Print Name: Title: SALES CONSULTANT *This email address will be used by Sunrun for official correspondence,such as sending By signing below acknowledge that I am Sunrun accredited,that _ monthly bills or other invoices Sunrun will never share or sell your email address to any 1 presented this agreementaccording to"The RlghtStur and the third parties. Sunrun Code of Conduct and that 1 obtained the homeowners signature on this agreement. Account phone number: Name: t T`c�i0'��6'�— onda Account Holder to [Print Signature: Signature. �Q Print Name: Q Sunrun ID#. , v ` `03 110-digit numberyou received from Sunrun) 12/08/2012 PI13137131VAD63-1-1(Custom PPA Fixed) Page 11 of 17 J I both: Parties; provided, however, that the Program Guidelines are subject to :periodic revision as provided herein. (b) Non-waiver.. The failure,by either Party to insist upon or enforce, in any instance, strict perforniancc byr the other Party- of any provisions of this Agreement, shall not be construed as a waiver or relinquishment of`such Party's right to assert or .rely in their entirety upon the provisions and rights,of this Agreement on any future occasion." (c) No Third Party Rights. The Parties do not intend for this Agreement-to create any rights or benefits to parties other thanURSP and Service.Provider. (d) Severability. In the event that any„provision-of this Agreement is.dee-med to be unlawful or unenforceable, the'remaining provisions of this .Agreement shall remain in full force. and effect. s P (f) Headings. 'hhe.headings,to the,paragraphs of this Agreement.are for ease of reference only and are not intended to describe fully all of_the content of each of,such paragraphs and will not be deemed'a part of this:Agreement for purposes of interpreting or applying its provisions. (i) In Writing. Unless othei��ise. specifically indicated herein, any "agreements" or "notifications" in relation to this Prograrn Agreement must be in writing in order to be effective. IN WITNESS WHEREOF. the Parties heretor have caused their.authorized representatives toy exec ute this.Agreement effective as of the Effective Date. e Paramount So ar; LLC. UR'Solar Power C By: /oseph By: Name f?McGe�oc Name.!Seasnas kenny Title: President/CE01:Paramount Solar.L'L.0 Title: RresidenY.;Ul2 Sd ar Pot er.LLC Paramount Solar.. LLC. 5760 Cedar Street,Mays Landing,NJ 08330 609-204-0333 Solar installation Contract This solar installation contract is made by and between Paramount Solar,LLC and Richard Cazeault Jr. for the installation and construction of the solar facility described below. This Contract incorporates,in total,the terms and conditions set forth in the"Service Provider Agreement"executed in August 2012. Capitalized terms contained herein have the meaning set forth in the contract. Solar Facility: 17 YAK�\aim \A, Host Name: Host Address: (Z Contract Price: System Size: �,.a'6 System Equipment: a�' a(e�� Q c,,��aas '�G zmo i f\\, Paramount Solar,LLC. Rich Cazeault Jr. Signatu Signature Name Name Title (1 Title .'Date Date 3 1 � 1t3 t �zHe rati Town of Barnstable . . Regulatory Services t uaxsT"LE, MUSS. $ Thomas F. Geiler,Director 039. •� 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 eal, to act on mybehalf, in all matters relative to work authorized by this building pernut application for. (Address of Job) j.� ; Shure of, weer Date a (If . fI . Print Name , If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side, i . Q:FORMS:OWNERPERMISS ION Town of Barnstable , F'THE Tp� Regulatory Services sArwsrAHr.s, Thomas F.Geiler,Director 9� �� Building Division AIFo ,ta Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www,town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 _ HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: village number street "HOMEOWNER": home phone# work phone# .name 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 Persons)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 1D9.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and i requirements. i Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code.Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Many homeowners who.use this exemption Rules&Regulations for Licensing Construction Supervisors,Section 2,15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor, The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify.that he/she understands the responsibilities of a Supervisor, On the last page of this issue is a form currently used by several towns, You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\hqmeexempL.DOC Amnesty Apartments Last Name JEFFERSON First Name STEPHEN&TAMMIE 2nd Owner 2nd Owner Last Name _.. w......_ ._....__ First Name _....__. _ .. Map Parcel 309022 � Property No 171 Property Street HAMPSHIRE AVENUE Village HYANNIS State MAj Zip 02601 Status Rescinded/Revoked Action Required Enforcement , Assessors Use Group ISingle Family j Comp Per Issue 11/26/2007¥ Recorded Date 1/17/2008 Application# 200801112� Permit Issued: 3/12/2008 C of C Total 1 Program Total1 Descripton F1BE7DR010M,2 PEOPLE,EXISTING, LOWER LEVEL Cert of Occupancy Issued: 3/20/20081 Cert of Compliance Issued 3/20/2008 Notes 10/20/08 WITHDRAWING FROM AMNESTY AND APPLYING FOR FAMILY APT FOR SON,ENRIQUE SANTIAGO. FAM APT APP STARTED, SAID HE IS HOLDING OFF DUE TO$. TP:HE MUST APPLY TO ZBA FOR OWNER TO LIVE IN APT. LE WILL CALL HIM, MUST APPLY OR REMOVE. 1/21/09 AMNESTY DECISION--RESCINDED COMP PER--TO LE. 200900453 TO RESTORE TO SF ISSUED 2/11/09,NO FEE PAID,EXPIRED. ti i tT TOWN OF BARNSTABLE :�d i n Application Ref: 200900453 * BARNSTABLE, * Issue Date: 02/11/09 Permit MASS. 163 Applicant: JEFFERSON, STEPHEN D&TAMMIE A prFD MA'1 A Permit Number: B 20090198 Proposed Use: SINGLE FAMILY HOME Expiration Date: 08/11/09 Location 17 HAMPSHIRE AVENUE Zoning District RB Permit Type: RESTORE TO SINGLE FAMILY Map Parcel 309022 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ 50.00 License Num OWNER Est Construction Cost$ 500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND RESTORE TO SINGLE FAMILY BY REMOVING SECOND KITCHEN n1 THIS CARD MUST BE KEPT POSTED UNTIL FINAL BASEMENT INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: JEFFERSON, $TEPHEN D aTAMMIE A /� n Q BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 432 //x D f/ INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO;RIGHT TO OCCUPY ANY;STREET,ALLY OR SIDEWALK OR ANY,PART THEREOF•EITHER TEMPORARILY OR PERMANENTLY; ENCROACHEMENTS ON,PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED`UNDER'THE BUILDING;CODE,MUST BE APPROVED BYrTHE.JURISDIGTION. STREET'OR ALLY,GRADES AS WELL AS DEPTH AND.LOCATION OFSPUBLIC SEWERS:IVIAY BE.OBTAINED FROM-THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF,THIS PERMIT DOES NOT RELEASE THE"APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE:S'UBDIVIS16WRESTRICTI6NS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). v x BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 1; 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health +►' '' ; 1 OF d ( sir M, tiI --.......... i •� i Ii �r is �. �J r I o-j c�J X,n _-- 1� ul Cl �a o •._ ; �+.�� :,��a��s gib-► 0 d •v � , COPY Town of Barnstable * BARNSTABLE, Growth Management Department. rFDN1°�A Accessory Affordable Apartment Program 367 Main Street, Hyannis, MA 02601 Office: 508.862.4678 Fax: 508.862.4782 1/16/09 Jefferson 17 Hampshjire Ave Hyannis, MA 02601 RE: Building Permit Application & Final Inspection Enclosed please find a copy of your recorded decision. As you know, one of the conditions of your recently issued comprehensive permit requires that you apply for a"buil_ding_per=mit for, the taceesso.ry'un_ it`d To assist you with this process, I have enclosed a Town of Barnstable Building Permit application. Please contact Lois Barry in the Building Division at (508) 862-4039 to schedule an appointment to compete the building permit application process. Lois is available on Mondays, Tuesdays and Wednesdays. You will be required to provide five copies of a clear floor plan for both the main house and the apartment which indicates the square footage of each room as well as the total square footage of both dwellings. Smoke and carbon monoxide detectors must also be clearly labeled on the plans. A Building Division inspector will then conduct the f� final--inspecfi.on �of�your Zaccessory iun t. After the unit passes inspection a certificate of occupancy`will be issued by the Building Commissioner and mailed to you. Once you have received your certificate of occupancy 'you may select a tenant for your accesso affordable unit. Please feel free to contact me at 862-4743 with any questions or concerns. Regards, Cindy Dabkowski Special Projects Coordinator 9ARNSTA LE LAND COURT REGISTRY G �'�[ OM�D � I :a . prFO�AAy� - JAN 2 •'.L,2009 .'08 DEC 11 A 9 :17 Town of Barnstable GROWTH MANAGEMENIJ Zoning Board of Appeals Decision—Rescinded Comprehensive Permit Jefferson—Appeal 2007-109 Comprehensive Permit—MGL Chapter 40B,..___41. ,, Summary Determination that Comprehensive Per{m�!ris Rescinded Applicant(s): Stephen D. &Tanunie A. Jefferson Property Address: 17 Hampshire Ave,Hyannis,MAC Assessor's Map/Parcel: Map 309,Parcel 022 Zoning: Residential B Districts Background: Stephen D. &Tammie A. Jefferson applied to the Town of Barnstable for a comprehensive permit under the Accessory Affordable Apartment Program pursuant to Article II of Chapter Nine of Part I, General O Ordinances of the Code of the Town of Barnstable. The applicant was seeking to convert an existing - det ched'un permitted two bedr-oom_cotta'g_e located to the rear of a single-family dwelling into an — accessory affordable apartment. C Comprehensive Permit Number 2007-109 was issued to the applicant on November 26, 2007. A �s Regulatory Agreement and Declaration of Restrictive Covenants were recorded at the Barnstable Land Q Court Registry on January 17,2008 in Document 1,081,146 and Certificate Number I1,u 101 The owner no longer-wishes to participate in the Accessory Apartment Program. Therefore, the property shall be restored to a single family residence to comply with local zoning. + Procedural &Hearing Summary: A public hearing was duly advertised,in accordance with MGL Chapter 40A and notice sent to the applicant that the hearing would be held to review and act upon the request to rescind the permit. The hearing was opened on November 19, 2008, and the Zoning Board of Appeals Hearing Officer made the following findings and decision: Findings of Fact: At the hearing on November 19, 2008 the Zoning Board of Appeals Hearing Officer made the following findings of fact: In Appeal 200 109�, the applicants,Stephen D. &Tammie A. Jefferson, sought to convert-an existing? d�ched un-_perm itted one-bbedroomlpartment..Iocated in the lower-levof,sing family'dwelling into an accessory affordable apartment in accordance with all the conditions of the permit. The property is shown on Assessor's Map 309 Parcel 022 and is commonly addressed as 17 Hampshire Ave Hyannis, MA in Residential B and Aquifer Protection Overlay Districts. On November 26, 2007, a comprehensive permit was issued for the property. A Regulatory Agreement and Declaration of Restrictive Covenants were recorded at the Barnstable Land Court Registry on January 17, 2008 in Document 1,081,147 and Certificate Number t Q,q IO i r , Program. Therefore the property The owners no longer wish to participate in the Accessory A artment Prog p p rty g p P y P shall be restored to a single family residence to comply with local zoning. Decision: At the hearing on November 19, 2008 the Hearing Officer determined that comprehensive permit 2007- 109 issued to Stephen D. &Tammie A. Jefferson of 17 Hampshire Ave, Hyannis,MA is no longer valid and is hereby rescinded. Transmission: In accordance with Part II, Section 4.02 and Part III, Section 3.72 of the Town of Barnstable Administrative Code,-the Hearing Officer transmitted the written decision to the Zoning Board of Appeals on November 19, 2008. As fourteen days have elapsed since said transmittal with the Zoning Board of Appeals taking no action to reverse the decision,this decision becomes final. Ordered: _R Comprehensive Permit 2007-109 is null and void. Laura Shufelt,Hearing Officer Date Signed I, Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County,Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision had been filed in the office of the Town Clerk Signed and sealed this n day under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk k 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Z Map Parcel b2 Application # Health Division Date Issued Conservation Division Application Fee -�G Planning;Dept, Permit Fee' a Date Definitive Plan Approved by Planning Board P Historic _ OKH Preservation/Hyannis Project Street Address l (lVITin ' Village ZR�\� er� h`eln �- T. rrn Address-T -1-----T IVV Telep...,.--h nD Permit Request tO r v PS1 �AMO or Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District; Flood Plain Groundwater Overlay Project ValuatiorT'J' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sx pportipq documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kir s Highway: ot�Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other " C" wli Basement Finished Area(sq.ft.) Basement Unfinished Area (s A � f Number of Baths:,Eull:existing_ new Half: existing never Number.of.Bedrooms: i3 - existin �... 9�—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 q 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) ll� Name;'---- Tel phone Numbers J D License # r� vL Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS R SULTING,FROM THIS-PROJECT WILL BE AKEN TOrA SIGNATURE - _, _, AO DATES " FOR.OFFICIAL USE ONLY APPLICATION# - DATEISSUED MAP/PARCEL N0. - :{ r j r , I ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME t INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL ' s PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL ' FINAL BUILDING - DATE CLOSED OUT x ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston. MA 02111' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly �N�B ness/Organization/Individual): 5A, pio C� ty.tat Z p .1,1 h . M O goE Phone.#: ,gU -7 0 7 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction . 2.❑ I am a sole proprietor or partner-' listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance. # required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions S N-1-am,a homeowner doing all-work officers have exercised their 11:❑Plumbing repairs or additions rn self::_o�workers'co right of exemption per MGL. Y � �mP" 12.❑—Roof repairs " c. 152 1 4 and we have no insurance requued:]'t _ ' e ( )' 13.❑Other employees. [No workers' comp.insurance required.] . *My 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. Pelow is the policy and*ob site information. - Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of tip to$250.00 a day against the violator. Be.advised that a copy of this statement may be forwarded to the Office of In_v_estigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si afore r-Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department:3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other, - Contact Person: Phone#: Information. and Instructions Massachusetts General Laws chapter 152.requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation.or other legal entity,.or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the . receiver or tiustee 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 s to do maintenance,construction or repair work on such dwelling house dwelling house of another who employs person 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 t buildings in the commonwealth for an too operate a business or to.construe _ Y renewal of a license or permit p g _ 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-cont(actor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be.submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that.the affidavit is complete"and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. . Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in _(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or license§. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: w � t The Commonwealth of Massachusetts Department of Industrial Accidents offce of Intvestigatlens 600 Washington Street Boston, ILIA 02111 Tel. # 617-727-4900:ext 40.6 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 wvvw.mass.gov/dia IKE Town of Barnstable y� 0,. Regulatory Services BAMSTABM : Thomas F.Geiler,Director MASS. �bs� .•� Building Division Tom Perry,Building Commissioner 200 Main StreetHy_annis,MA 02601_a_. _....—�_.__------.._� www.town.barnstable.ma.us Office: 508-862•4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print 977rODC� DATE:-=, 4 . JOB-LOCATION: ! A 4. Q 1 l-•P 41' ? -~"number rstreet / / village r� "H4 OMMFOWNBR":� .__ ��[2 3 0��7F6-7-0 7 S/ `ray `(o F3`- Z -7 e-��'`"''��nam home hone# p work phone# CURREN all AILING'AD_ _ DRESS-�(�--o �6� 2— - atyhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that,he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements_. �Signa'' f.Homeo -"� Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. 'HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this.section.(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsrbilities 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 respormbilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forins:homeexempt 'THE I,, Town of Barnstable Regulatory Services r • RAJOWAS a • a MASS.i'E Thomas F.Geiler,Director i63� � '°�En►5xi6 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' r- 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 pl a complete. Homeowners License Exemption Form on a reverse side. Q:FORMS:O WNERPERM ISS10N r --- -- LID -- - - J-Qt elm- ' .( `r •. �J cam! _ -- � O `11 f6 0 o r � - z oFt '°'�ti Town of Barnstable Regulatory Services a s ► BMMSI'ABLE. " MAsc. Thomas F. Geiler,Director 1639. �iOlFc r1% Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 October 2 e 0, 2008 Mr. Stephen Jefferson P.O. Box 432 Hyannis MA 02601 Re: Amnesty Apartment: 17 Hampshire Avenue Hyannis MA 02601 Map 309 Parcel 022 Dear Mr. Jefferson, Thank you for speaking with me today in regards to your desires as to how to address the apartment situation. As we discussed the apartment, whether it is an accessory affordable unit or an accessory family unit, must be subordinate to the main house. The main house, according to the ordnance in both cases, must be occupied by the home owner. If you wish to pursue an accessory family apartment with yourself as the home owner occupying the apartment you need to seek relief from the zoning board of appeals. If you do not wish to seek this avenue this department looks forward to you restoring your residence to a single family home. We will look forward to hearing your response by November 20, 2008 as,to which direction you wish to proceed. i Please feel free to call with any questions. Regards, Linda Edson Amnesty Apartment Investigator Building Department M1y a Fde' . Tools Help ., F r.. ,.' 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Af�� 4�e,-, -, - � . . -, ,., , �,�, x x k CertlV�"fic:at---',-e k......of COm 11-7 Nan1.1,-4,7,ce I a . ,, .°A,^ ,..,'��^;�., 3 ,��,�� , .- -,� ; l-,,,,-.,,�. . . A-ze ----, .-:" } 3-W Lm +. L �'� t r t,y S:c'iR-i; X,. - }.k.1 -P.,`_, r t- 11 - f, 1,,? 2, l , ,,;�. `,4- � l - ss.k °•, �' -� '2-.s- ,?r a -�- >. ?v' >e;y`--, •a s .$ a ,;?.Z��, 1 37• - 4 F.,w� � F-':v '�.' - ` ,.h':_ ? -,,':} F4 �:J :.: �` ,)M1 - ; t#.N � �, r "c_, 1. �1111,1` '«' Y fF3',`..' 4.., .. .",'... , - i ":� :-":N c.�• `:,:: r...::,ram e,..L ,,gg :.: ad _';.:y,. j ..�'. ..++ x. ,.,,, A_:.. TA W,Cerhficate,�ndicates aece table minimum habitable.r "uirements er:MaSsachusetts'State Bu ldm f ,� 'p,*' ,; '• s : :" ,e9 Code ¢ + r :, s P - { P ,g y," N ..s'.I,Y k -""-:E - - , f 3MF.- i,.g- k�:kt% i :zJi U.��at V ,,.v^ , ,::3 v ,,: ,, c and Town;ofBarnstable zomn ;ordinances in accordance=;with.the=Amnest":'ro rams: -::� g Y P B H ,.3E, a ,g ;it r - i-, f ! Y S .1 r 1< P :� wg:vu ti }` s .{, I,., a. y; , n} -,,, �' r ,; is t y �� r ,{; -.; v.?r '"+ zw °a' S v a- y j } ! r ,j,,, o. s: �.,rr rr f ',� k L 'ti't ?t s=: _ ,, s zr.. y,` .. lr- * a' Owner , � , Stephen & Tarnrnue Jefferson s " :SwY b i Y� �t F M ocat;<on 17 Ham sh>Lre,A�enue H:k;an,, s 1VIA a 5 P Y -:s R. Y, 'R t '" .G'.�' :S'$ -o 1. 'ti•t 'f !$. r n >r y n, {„ � +•. _ s Unit Ca ac><t t ,, t p. y One .be m n :exceed two eo: le +> :s rt s f ,T' •, i i Jr Ygf Ins` ector n �4 , �,F� r r•a Y:: �J r a } r {, v ` 4,� F ' 7 .r 4 a'v - r z •'J } a e NNi, K v. r iv ?u r k' a'�a ,y 4 a :. .tzS 1 ,� { - e' ,;., >r a,x, ;q y. r +, v n a !6 v i mr 1 'xy +- ' '> h Y xf t ,s is f '' t 'n r'*q Ft f ';i'. x ,Y c a, s1.1. , R- 4- F$ f - hs y!lx V '`V, a, 4`S . ,y' `$ .S <. C t.., ,, t f n47 ,r; A, �Y ;E .L� k., l fi ..t :q M/P No 309022 l.:[ r a .s« '.} �' d ;a e.r, F :..k t� is j ,r. '1.,, :fs 'r�,r:. -��. 5 F :t `t a- Aat 7'. -a,f {r f.,ti :' rt . . % 3/20/2008 ', . _ ' ,._> -. _ _...,..,..� .....,,w..x�c__,....+...,.,..._.uri..-r-r ...._-wxi., .....,,-s. ..,srJ,x w..,x.".M . tk. - . tti Town of Barnstable - °�' Building Department - 200 Main Street { iARNSTABLE. * H Van n is, MA 02601 MASS 9�A 1639. (5081862-4038 e r Certificate of Occupancy . Application Number: 20080.1112 '" CO Number: 20080053 Parcel ID: 309022 CO Issue Date: 03120108 Location: 17 HAMPSHIRE AVENUE Zoning Classification: RESIDENCE B DISTRICT Village: HYANNIS -r Gen Contractor: PROPERTY OWNER Permit Type: RCO - CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO STEPHEN & TAMMIE JEFFERSON z6 Building Department Signature Date Signed TOWN DF BARNSTABLEBuilding. ��► Application Ref: 200801112* BARNSTABLE, : Issue Date: 03/12/08 Permit 9 MASS. �ArFD 39. a�� Applicant: JEFFERSON, STEPHEN D&TAMMIE A Permit Number: B 20080467 Proposed Use: SINGLE FAMILY HOME Expiration Date: 09/09/08 Location 17 HAMPSHIRE AVENUE Zoning District RB Permit Type: AMNESTY APT NO CONSTRUCT RES Map Parcel 309022 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ License Num Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND EXISTING BASEMENT APT, 600 SQ THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on.Record: JEFFERSON, STEPHEN D u TAMMIE A BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 432 INSPECTION HAS BE E. HYANNIS,MA 02601 LC�r;J/' Application Entered by' LB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR'SIDEWALK OR-ANY PART.THEREOF'EITHER TEMPO RARIrOF PERMANENTLY; ENCROACHEMENTS"ON'"PUBLIC PROPERTY;NOT.SP.ECIFICALLY PERMITTED UNDER THE BUILDING CODE MUST BE"APPROVED" E JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND:LOCATION OF UBLIC SEWERS,MAY-BE OBTAINED FROM THE"DEPARTMENUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOES NOT'RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLI.CABLE S,UBDIVISION;RESTRICTIONS ten. ,I O MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). t� j.. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health Town of Barnstable THE Regulatory Services OF 1p� P� o Thomas F.Geiler,Director Building Division Y Y Y BAMSrABLE. Y v� 63S. ,0$ Tom Perry,Building Commissioner Alep MPS p 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: - � Permit#: c>-: l" HOME OCCUPATION REGISTRATION Date: 1 Name: + Phone#:—Iff 36 o '-fI(3 Address: 1 (�jj0� ��'Q_ Village: SLU1 E1 I Name of Business: F • fie T. Type of Business: Map/Lot:Q!1'0,!2 — O a 1 INTENT: It is the intent of this section to allow'the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual - alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: t • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat, glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Hcme Occupation. • No sign shall be displayed indicating the Customary Home Occupation. S If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. , • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the. dwelling unit. I,the undersigned,h ve read and agree w he above restrictions for my home occupation I am registering. Applicant: f Date: 1 Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost.$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you.permission to ope.rpte.) Business Certificates are available at the Town Clerk's Office, 1'° FL., 367 Main Street, Hyannis, MA..02601 [Town Hall) /yy� aki!ai nura s7yud 9u ki "'" GATE• 1 `l V 10 !& 05Ems Fill in pleasa: �r. APPLICANT'S YOUR NAME: r4 :.;.,: v1 "" BUSINESS YOUR HOME ADDRESS: I J ,A,1A Ore O+U� -3(1a �1�3 ►-�cac>L�l.n c �VI 2-�C�l 4 TELEPHONE # Nome phone Number -3h0 (_/y_6}-�_ ��_70 7r1 NAME OF NEW BUSINESS. L:�) t'4 og\ V Opg6l r �'� TYPE OP BUSINESS ('cr r v1,4,-cam IS THIS A HOME OCC[JPATIOIV?, YES->r- ENO . ision. 0 ADDRESS OF BUSINESS ( Lei r< 41JC MAP/PARCEL NUMBER When starting a new business there are several things you must do in order-to be in compliance with the rules and regi la ions of the Town of Barnstable. This form is intended to assist you in obtaining the information.you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street),to make sure you have the appropriate permits and licenses required to legally operate your busine in this town. 1. BUILDING COas ER'S OFFICE This individ rrtnf ed' ny permit requirements that pertain,to,this type of business. ` MUST COMPLY WITH HOME OCCUPATION Authpr` e atu e** .RULES AND REGULATIONS. FAILURE TO COMMENTS: COMPLY MAY RESULT IN FINES. 2. BOARD OF HEALTH This individual h e VnfDrme per �; 'equ ents that pertain to this type of business. uthorized Si ture* COMMENTS: . 3. CONSUMER AFFAIRSALI ENSING AUTHORITi This individual h e ed-of the li si r q e. ents that pertain to this type of business. Authorized Signature.* ,COMMENTS: 12/2/08 Re: 17 Hampshire Avenue Linda, Have you had a response to your.letter? Lois k 1 oFt Tq,,, Town of Barnstable Regulatory Services * BAMMBLE, " MASS. � Thomas F. Geiler,Director 16yq• '°rEo,,,ora 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 March 24, 2008 Stephen & Tammie Jefferson PO Box 432 Hyannis, MA 02601 Re: Amnesty Apartment 17 Hampshire Avenue, Hyannis Dear Property Owner: Enclosed is the Certificate of.Occupancy for your Amnesty apartment. We have prepared the Amnesty Certificate of Compliance and forwarded it to the Amnesty Program Coordinator. Sincerely, Lois Barry Division Assistant Enclosure amnco r oFtNKE� Town of Barnstable IARNSPABLB, Regulatory Services y MASS. g q,A s6gq. .0 Thomas F. Geiler, Director f Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 fa January 24, 2008 Stephen and Tammie Jefferson 17 Hampshire Avenue Hyannis, MA 02601 ke: Proposed Accessory Affordable Apartment Dear Property Owners: We have received the recorded Regulatory Agreement and Comprehensive Permit for the` accessory affordable apartment at your address. A building permit is required whether the unit is new or pre-existing. We look forward4o receiving your building permit application for the apartment ' Please call me if you have any questions regarding the building permit process. Sincerely, A - Lois Barry ,. Division Assistant t J040616a zz/, Town of Barnstable �pF 1HE Tp� do Regulatory Services Thomas F. Geiler, Director * saxxsrneLe, 9� S. �� Building Division ATE1639. Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: Zo 7 LOCATION: / 7IV UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. LOCAL INSPECTOR SIGN TURE OFRF0(piVVr ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM 0 PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO ESTADO, PARAGR.AFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE, A AREA DO PORAOBASEMENT PARA 0 PROPOSITO DE'DORMIR. INSPECTOR LOCAL ASSINATURA DO RECIPIENTE y Town of Barnstable *Permit# ao Expires 6 months front issue date / Regulatory Services Fee ( Thomas F. Geller,Director p �� J Building Mimi]a7 Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,A4A 02601 wvwvJovm.barnstable.ma.us XBCF. 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint /parcel Number Q �' ierty Address J7 L'L p s: v e igv,!f llfi Sir n s 1222 v Lesidential Value of Work ® , � Minimum fee of$25.00 for work under S.6000.00 ier's Name&Address �Zr jd,4 1) Tfi'e#015®/It tractor's Name Telephone Number $Q$ 79 7 G 7 S� 7 . ae Improvement Contractor License#(if applicable) str�tipervisor'a-1✓i:cerist;-#(zf`appiie•�biej CXrkman's Compensation Insurance ' Check one: z_*! ❑ am a sole proprietor y�I am the Homeo Amer -PRESS IT ❑ 3 have Worker's Compensation Insurance MAY - 1 2007 rance Company Name TewN el BARNSTABLE . lama's Corm Policy# y of Insurance Compliance Certificate must be on file. nit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to t • ❑Re-roof(not stripping. Going over existing layers of roof) IrRe-side o 3 - E'Replacement Windows/doors/sliders. U-Value maximum.44t -� 'Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Cons on,etc.; -� ***Note: Property Owner must sign Property Owner Letter of Permission. '~ A copy of the Home Improvement Contractors License is required, p cn rn NATURE: rms:expmtrg ;e061306 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 60.0 Washington Street �< Boston,MA 02111' wlww.mass.govldia ' Workers -Compensation Insurance Affidavit: Builders/Coiitractors/Eleetricians/Plumbers Applicant Information / Please Print Legibly Name(Business/Organization/Individual): � Address: 1? iY-_ d re•-4 IQ City/State/Zip: 9-sz a P S Phone.#: . a 8'�7�6' f C` Are you an employer?Check agpropriate bog: . :Type of pzoject(required):, 1.❑ I am a employer with 4. I am a general contractor and I o part-time).** , � 6• []New construction . "employees (full and/or p )• have hired the sub-contractors •[] • 2.❑ I am a sole-proprietor on the-attached she� �, Remodeling etor or partner- . ship and have no employees These sub-contractors have 8. [,Demolition: employee,;and have workers' • '�yorking for me in any capacity. $. 9. ❑Building addition [No workers' comp,insurance comp,insurance. aired.] 5. (] We axe a corporation and its 10.❑Electrical repairs o=additions 3. am a homeowner doing ill-work . officers have exercised their 11.❑Plumbing repairs or additions ' right of exemption per MGL 12,(]Roof repairs myself,[No workers'comp. ed fi .c, 152, §1(4),and we have no insurance.required-]] employees. [No workers' 13.❑ Other . gomp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 40meowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.pohdy number. I arri an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Comp any Name: Policy#or Self-ins.Lic.#: Expiration Date: lob Site Address' 7�.?x,A•S Q ��'�n s� r�s /1��4 City/State/Zip: 1 24 0 Attach a copy of the workers' compensation policy.declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required trader Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the-Office of investigations of the INA for insurance coverage verification. I'do hereby certify under the pains•and penalties of perjury that the in provided above,is true and correct: Si tore: Date: DO 7 _ Phone#: Official use only. Do not write in this area, fo.be completed by.city or town official City or Town:" .Permit/License# Issuing Authority(circle one): :1•Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and instructs ns Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hive, express or implied, oral or written." An employer is defined as "an individual,partnership;association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house . or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to*operate a business or to construct buildings in the commonwealth for any applicant who has not produced:acceptable evidence of compliance with the insurance coverage required." Additionany,MGL chapter"152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performaance of publia work until acceptable evidenee-of•ca llam a wiithtlie insurance requirements of this chapter have been presented'to the contracting authority.'• Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance, Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the . members'or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage, Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pennit.or license is being requested,not the Department of any Y questions Industrial Accidents. Should you have 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-inn►*•attce 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 aff davit 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 fo 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%. e co.mmot�w th of M.t=ehusett3 D ar ent of ladusWal A.cddmts ' Put"of TU''Vesttgations 600 WaWA&6 Stet- 1-6,4m., 1A 02111 • . TO. 617-727-000 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22.06 W .M=.&e VM8 oFVE ram, Town of Barnstable Regulatory Services + BARNSTABLE, Thomas F.Geiler,Director 9 MASS. i639•_" .•� Building Division rEn Ntp 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 t Please Print DATE:F� Y_ IZ' Q(� JOB LOCATION: �1 L�/j/yt,p S 1. I i P 14 11 `e number street village "HOMEOWNER": Z�MeAh 2 h 7 —�bSS 7SD- a 7 5/'S'4 f 4 T y 7 5'_5' name 1' home phone# work phone# W CURRENT MAILING ADDRESS: O RO X y 3 Z I l&�a,,7 li,, s &.4 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowl Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section-127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt _ - •i). :� .•i$�*-� rrs';..-•7.,,�. ;'-`F,r , .n•-. `Yi� � ^i�:=o[~��"r ;.1-jt'y�Fg.'� n,r�' �++.-1�.» �. Town of Barnstable , BABNSTABLE. Regulatory Services MASS. pfFD6AP+a. Building Division. 200 Main Street, Hyannis,MA'02601 Office: 508-862-4038 f Fax: 508-790-6230 Inspection Correction Notice / 751 %fir/� Type of Inspection / / �� lGK/u-s' . A Location Permit Number k)0 fu E Owner Builder `7, One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 4F Vo C,(/e Please call: 508-86�2/-40-3.8 €ar r-ennspuction. Inspected by Date 4„ r G Amnesty Apartments Last Name IJEFFERSON j First Name STEPHEN&TAMMIE _ 2nd Owner 2nd Owner Last Name First Name Map Parcel 309022 B Property No 17 Property Street HAMPSHIRE AVENUE i Village JHYANNIS !State 02601 P Status Rescinded/Revoked Action Required Enforcement _... __.r__ Assessors Use Group Single Family Comp Per Issue 11/26/2007 Recorded Date 1/17l2008 Application# 200801112 Permit Issued: 3/12/2008 C of C Total -,. _ 1) Program Total 1 --... --- -- --- Descripton FlBEDROOM, 2 PEOPLE, EXISTING,LOWER LEVEL Cert of Occupancy Issued: 3/20/20081 Cert of Compliance Issued 3/20/271 Notes 10/20/08 WITHDRAWING FROM AMNESTY AND APPLYING FOR FAMILY APT FOR SON, ENRIQUE SANTIAGO. FAM APT APP STARTED,SAID HE IS HOLDING OFF DUE TO$. LE WILL CALL HIM, MUST APPLY OR REMOVE,AND WILL CALL CINDY(WHO REFERRED HIM HERE). 10/20/08 LE LETTER,ZBA FOR FA OR RESTORE. 12/3/08 LE: AMN HAS APPROVED APP TO WITHDRAW-WHEN-PAPERWORK FROM-AMN,WILL WRITE-ANOTHER'L'ETTER^(FILE IN AMN UNTIL PAPERWORK). 1/21/09 RECEIVED AMNESTY DECISION--RESCINDED COMP PER--TO:LE=� I 1 - f i °FtHE r Town of Barnstable Regulatory Services " BARNSPABLE. ` Thomas F.Geiler,Director y MASS. �A .i6gq 10 rE1639 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 January 23, 2009 Mr. Stephen D. Jefferson 17 Hampshire Avenue Hyannis, MA 02601 RE: Illegal Apartment: 17 Hampshire Avenue Hyannis MA 02601 Map 309 Parcel 022 Dear Property Owner, This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by Febuary 15, 2009 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. This property must be restored to a single family home as per the terms of Rescinded Comprehensive Permit dated December 3, 2008. Thank you for your attention in this matter. By Order, a Edson Amnesty Apartment Investigator Building Department Q:zoning5 r DQ._. 1" s 104 s 7t37 i I 1-16—?�409 4--_00 `-� BARNSTA LE LANE) COURT REGISTRY pF THE TOM, B A .�,S , 0 _L_ 1 LJ U L L3J 6.2 rE 0 drE ED �p 63 9.'tea IED MP'� JAN 2 `4:2009 'o8 DEC 11 A 9 :17 Town of Barnstable GROWTH MANAGEMENT Zoning Board of Appeals Decision-Rescinded Comprehensive Permit Jefferson-Appeal 2007-109 Comprehensive Permit-MGL Chapter 40B Summary Determination that Comprehensive Permit is Rescinded Applicant(s): Stephen D. &Tammie A. Jefferson Property Address:' 17 Hampshire Ave,Hyannis,MA'S Assessor's Map/Parcel: Map 309,Parcel 022 Zoning: Residential B Districts Background: 4-. Stephen D. &Tammie A. Jefferson applied to the Town of Barnstable for a comprehensive permit under the Accessory Affordable Apartment Program pursuant to Article II of Chapter Nine of Part I,General O Ordinances of the Code of the Town of Barnstable. The applicant was seeking to convert an existing 4- detached un-permitted two-bedroom cottage located to the rear of a single-family dwelling into an accessory affordable apartment. C Comprehensive Permit Number 2007-109 was issued to the applicant on November 26, 2007. A �s Regulatory Agreement and Declaration of Restrictive Covenants were recorded at the Barnstable Land Court Registry on January 17,2008 in Document 1,081,146 and Certificate Number 1 L k 101 The owner no longer-wishes to participate in the'Accessory Apartment Program. Therefore, the property shall be restored to a single family residence to comply with local zoning. -}- Procedural &Hearing Summary: i 4 A public hearing was duly advertised in accordance with MGL Chapter 40A and notice sent to the applicant that the hearing would be held to review and act upon the request to rescind the permit. The hearing was opened'on November 19, 2008, and the Zoning Board of Appeals Hearing Officer made the following findings and decision: Findings of Fact: At the hearing on November 19, 2008 the Zoning Board of Appeals Hearing Officer made the following findings of.fact: C In Appeal 2007-109,the applicants, Stephen D. &Tammie A. Jefferson, sought to convert an existing detached un-penmitted"one-bedroom apartment located in the lower level of a single-family dwelling into . an accessory affordable apartment in accordance with all the conditions of the permit. The property is shown on Assessor's Map 309 Parcel 022 and is commonly addressed as 17 Hampshire Ave Hyannis, MA in Residential B and Aquifer Protection,Overlay Districts. On November 26, 2007, a comprehensive permit was issued for the property. A Regulatory Agreement and Declaration of Restrictive Covenants were recorded at the Barnstable Land Court Registry on January 17, 2008 in Document 1,081,147 and Certificate Number 1 (o �p The owners no longer wish to participate in the Accessory Apartment Program. Therefore, the property shall be restored to a single family residence to comply with local zoning. Decision: At the hearing on November 19, 2008 the Hearing Officer determined that comprehensive permit 2007- 109 issued to Stephen D. &Tammie A. Jefferson of 17 Hampshire Ave, Hyannis,MA is no longer valid and is hereby rescinded. Transmission: In accordance with Part II, Section 4.02 and Part III, Section 3.72 of the Town of Barnstable Administrative Code,the Hearing Officer transmitted'the written decision to the Zoning Board of Appeals on November 19, 2008. As fourteen days have elapsed since said transmittal with the Zoning Board of Appeals taking no action to reverse the decision,this decision becomes final. Ordered: Comprehensive Permit 2007-109 is null and void. Laura Shufelt,Hearing Officer Date Signed I, Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County,Massachusetts,hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision had been filed in the office of the Town Clerk Signed and sealed this (1 l. day under the pains and penalties of perjury. Linda Hutchenrider,Todyn Clerk 2 °F THE Town of Barnstable • snxtvsrnat.�. 9�A 1639. ,�� Growth Management Department Accessory Affordable Apartment Program 367 Main Street, Hyannis, MA 02601 Office: 508.862.4678 Fax: 508.862.4782 F 1/16/09 Jefferson 17 Hampshjire Ave Hyannis, MA 02601 RE: Building Permit Application & Final Inspection Enclosed please find a copy of your recorded decision. As you know, one of the conditions of your recently issued comprehensive permit requires that you apply for a building permit for the accessory unit. To assist you with this process, I have enclosed a Town of Barnstable Building Permit application. Please contact Lois Barry in the Building Division at (508) 862-4039 to schedule an appointment to compete the building permit application process. Lois is available on Mondays, Tuesdays and Wednesdays. You will be required to provide five copies of a clear floor plan for both the main house and the apartment which indicates the square footage of each room as well as the total square footage of both dwellings. Smoke and carbon monoxide detectors must also be clearly labeled on the plans. A Building Division inspector will then conduct the final inspection of your accessory unit. After the unit passes inspection a certificate of occupancy will be issued by the Building Commissioner and mailed to you. Once you have received your certificate of occupancy you may select a tenant for your accessory affordable unit. Please feel free to contact me at 862-4743 with any questions or concerns. Regards, Cindy Dabkowski Special Projects Coordinator 12/3/08...17 Hampshire Ave Hyannis. Mr. Stephen Jefferson. He withdrew from Amnesty 11/19/08 and wants to apply for a family apartment and live in apt while renting then main house. TP says "no". As soon as paperwork comes down from Amnesty. We will write another letter. S I I I i I 1 ' I CV �� O 000 i 0 000 •_- O 00 OY U-) L.C7(YJ COU V' C OWC!] - J O=C^ W Q iVf;.- H _ W O U WZ W JW O I W 0::: m= (D C» Q_F-I-N 0.7 I m ac�LUZ G7QW0 CDrl ..0 .. Z.. W =CLC= NO 1 h-I M-• _-- _ r�Wt---Q '!T: ! Q WO Zt-li d CIOC'9Z 00 I 4R DJ hH--== j H OIHQH I !- WdW UZZ H OgZ 1 H HQC3 HWW - Of 3r-IOQ �= I = I---F-Q �m� W 000} QH W =_= �QQ Cl- 1-cc N= C t- i d QQU QdW TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis 5 Project Street Addres Village Owner Address Telephone Q Permit Request MV Square feet: 1 st floor:existing proposed_ 0 2nd floor:existing proposed �_ Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family ) (#units t` , Age of Existing Structure Historic House: ❑Yes t-No On Old King's Highway: ❑Yes Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ,,..^^�� Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new V Half:existing new Number of Bedrooms: existing_ new 0 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 VAppeal# 4 ' 07'- d Recorded Wd Commercial ❑Yes L/No If yes, site plan review# Current Use Actin 0 YAW Proposed Use V - - r BUILDER INFORMATION r J Name 6 - Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO _SIGNATUR DATE °? l� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION 0. FRAME ! INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT > ASSOCIATION PLAN NO. ; i e i g�J81. s 14+6 Fig-1:7-2p�C �`7m.y:g BARNSTA LE LAND 'C-C.Ai.66RT REGISTRY C kp w ' 9.aLL NOV 26 P 1 :i 8= 1659. d� Town of Barnstable Zoning Board of Appeals , Comprehensive Permit Decision and Notice a Appeal 2007-109-Jefferson Decision Chapter 40B Comprehensive Permit . Applicant: Stephen D. Jefferson&Tammie A. Jefferson Property Address: 17 Hampshire Ave,Hyannis,MA Assessor's Map/Parcel: Map 309, Parcel 022 Zoning: Residential B Zoning District Applicants: The applicants are Stephen D. Jefferson&Tammie A. Jefferson, who reside at 17 Hampshire Ave, M Hyannis,MA. Stephen and Tammie Jefferson were granted title to the property by deed recorded in the Barnstable Land Court Registry on January 31, 2003 as recorded in document numbered 904,093.and certificate of title number 168101. . Relief Requested: The applicants have applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article 11 of Chapter Nine of the Code of the J town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program. �— The zoning relief necessary for this Comprehensive'Permit to be issued is that of a variance to Section 9 14 of the Code—Amnesty Program to permit an accessory apartment unit within a single-family owner- occupied residential dwelling. The issuance of this Comprehensive Permit would allow for an accessory. I�A affordable apartment unit in the lower level of the principal residence. Locus and Background: �— The property at issue is a 0.237acre lot located at 17 Hampshire Avenue in Hyannis. The lot was developed in 1964 with a single-family ranch style home. The effective living area of the main residence ` is 1,219 square feet. The accessory:apartment is a one-bedroom unit located in the lower level of the principal residence. The square footage of the rental area.,is approximately 600 square feet. The lot is served by public water and on-site septic, and is located within an Aquifer Protection Overlay District. The town of Barnstable's Public Health Division reviewed the application, and on August 21, 2007, approved a total of three(3).bedrooms at the property with the existing on-site septic system. - Procedural Summary: . A site approval letter was issued for the property by Town Manager John Klimm on September 25, 2007, in accordance with MGL Chapter 40B and 760 CMR. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760. An application for a Comprehensive Permit was then filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. 1...` n a public hearing before the Zoning Board of Appeals Heanng Officer was duly advertised in the Barnstable Patriot on October 12,2007 and October 19, 2007, and'notices were sent to all abutters in accordance with MGL Chapter 40B. On November 7, 2007 Hearing Officer Gail Nightingale presided over the public hearing. The applicants, Stephen and Tamrnie Jefferson, were present at the hearing. Madeline Taylor of the Growth Management Department was also present. Ms.Nightingale reviewed the file with the applicants to assure compliance with all.of the program requirements. i Findings of Fact on the Comprehensive Permit: At the hearing on November.7, 2007 the Hearing Officer made the following findings of fact:` 1. The applicants are Stephen and Tammie Jefferson who reside at 17 Hampshire Avenue, Hyannis, MA. . They are requesting a Comprehensive Permit to convert an existing one-bedroom apartment located in the lower level of the principal residence into an accessory. affordable apartment. The conversion of.the unit to an accessory affordable unit within a single-family owner-occupied residential dwelling qualifies for the"Accessory Affordable Apartment Program." 2. Stephen and Tammie Jefferson were,granted title to the property by deed recorded in the Barnstable Land Court Registry on January 31, 2003 as recorded in document numbered 904,093 and certificate of title number 168101. 3. On September 25, 2007 a site approval letter was issued for the property,by Town Manager John Klimm, in accordance with MGL Chapter 40B and 760 CMR. Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of CMR 760, and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 600 square feet, and is locate_d in the basement of the principal dwelling: 5. The applicants are aware that the unit must meet all applicable building codes to be occupied and that the Building Division and Fire.Department will also be inspecting the unit for compliance'with all applicable building and fire codes. 6.The house is served by public water and private on-site septic and is in an identified Aquifer Protection Overlay District. The proposal has been reviewed by Thomas McKean,Health Director, and he has approved a total of three (3)bedrooms at the property with the existing on-site septic system. r 7. On July 1.6, 2007 the applicants signed an Accessory Affordable Apartment Program Agreement Affidavit that commits,upon the receipt of a Comprehensive Permit,-to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants at the Barnstable Registry of Deeds..That document will restrict the unit in perpetuity.as an affordable rental unit and requires that the dwelling be owner-occupied as their principal residence. 8. The applicants understand that the affordable unit will be rented to a person or family,whose income is 80%or less of the Area Median Income(AMl) of the Barnstable Metropolitan Statistical Area(MSA) and further agrees that rent(including utilities) shall not exceed 30% of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event that utilities are separately metered, the utility allowance established by the town of Barnstable shall be deducted from rent level,so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of November 7, 2007, 6.63%of the town's year round housing;stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. The Town of Barnstable's Local Comprehensive 2 f Plan encourages the use of existing housing to create affordable units and the dispersal of these units throughout the town. Finding Summary: Based upon the findings,the Hearing Officer ruled that the applicants have standing,to apply for a Comprehensive Permit under MGL'Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is also deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed.; f - Ruling and Conditions: Based upon the findings,a ruling was made to grant the Comprehensive PermittYin accordance with MGL Chapter 40B to the applicants,Stephen and Tammie Jefferson. It is issued to allow for a one-bedroom accessory affordable apartment unit in accordance with the following conditions: 1..occupancy of the affordable unit shall not exceed two persons. 2. The total number of bedrooms on the property with the existing on site septic system shall not exceed three (3). 3. The property owners shall occupy the principal dwelling as,their principal residence. 4. This unit shall not be occupied by a family member of the owner(s). 5.All parking for the accessory apartment and the main dwelling shall be on-site and no lodging shall be permitted for the duration of this comprehensive permit. 6.To meet the requirements of affordability, the cost of housing(including utilities) shall not exceed 30% of 80%of the median income for a single individual for the Barnstable MSA. In the event that utilities are separately metered,the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. ; 7. All leases shall have a minimum term of one year. 8. The Growth Management Department shall serve as the monitoring agent for the accessory apartment. 9. The applicants must apply for a building permit foi the accessory unit,whether the unit is new or pre-existing. Before securing an occupancy permit and certificate of compliance, the Building Commissioner must determine that the unit conforms with the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division must - determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. w ; 10. The applicants may select their own tenantprovided the tenant meets the requirements of the program as cited above and provided that person's income is reviewed and approved by the Growth Management Department of the town of Barnstable as a qualified individual. The applicants will be required to work with the town to provide information necessary to document that the tenant qualifies. The unit shall.be rented on an�open and fair basis to an income eligible individual or T 3 family. Whenever a vacancy occurs,notice must be given to the Growth Management Department and the unit must be listed with the Town. 11. Every twelve months the applicants shall review the income eligibility of the individual occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit,the applicants shall file with the Growth Management Department of the town of Barnstable an annual affidavit listing the rent charged and income level of the occupant of the unit. The applicants shall provide the.town any additional information it deems necessary to verify the information provided in the affidavit. Upon any report from the town that the terms and conditions of this permit are not, being upheld, the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 12. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is.transferred,the Growth Management Department of the town of Barnstable shall be notified within 60 days'of the name and address of the new owner. . 13. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Ordered: Comprehensive Permit 2007-109 has been granted with conditions. A written copy of this decision shall be, forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen(14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision,,this,decision shall become final and a.copy shall be the filed in the office of the Town Clerk.. , Appeals of the final decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. + In accordance with Chapter 241, section 11 of the Town of Barnstable Administrative Code,the hearing officer transmitted a written copy of the Comprehensive Permit decision to the Zoning Board of Appeals on November 7, 2007. Fourteen(14) days have elapsed since the transmittal to the Board,and no Board Member has taken action to reverse the decision. ,26 A 1 Nightin e,Hearin Officer' t Dat Signed .I Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,,hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that nos appeal of the decision has been filed),n-th"ffice of the Town Clerk. Signed and sealed this day f nder the pains and penalties c�f_perjtzry. Linda Hutchenrider,Town Clerk 4 e 1-17-2008 12:46 BARNSTABLE LAND COURT REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this &A day of .,,2008,byand between Stephen D. and Tammie A.Jefferson of 17 Hampshire Avenue,Hyanifis,MA and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"Municipalit/'),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/ Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other... good and valuable.consideration,the receipt and sufficiency of which is hereby acknowledged,the parties.agree as follows: I. PROJECT SCOPE AND DESIGN A. The terms of this Agreement and Covenant regulate the property located at 17 Hampshire Avenue, - Hyannis, MA as further described in deed recorded herewith as Barnstable ;Land Court Registry document 904,093 &certificate 168101. , B. The Project located at V Hampshire Avenue,Hyannis,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the "Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2007-109 and any plans submitted therewith and all applicable state, federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable Land Court'Registry document 1 &certificate of title -I�S1bl D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. t II. THE OWNER'S COVENANTS AND RESPONSIBILITIES• A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80% of the area median income of Barnstable Metropolitan Statistical Area (MSA) and that the Designated'Affordable Unit shall be deemed to be impressed with a public trust. , 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable MSA and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utilityallowance established by the Barnstable.Housing Authority shall be deducted from the rent level. 3: The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit iwith at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. ; 5. The execution and performance of this Agreement by the Owner will not violate or, as applicable,has not violated any provision of law,rule or regulation,.or any order of any court or other agency or governmental body,and will not violate or, as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the Owner is a parry or by which it or the Owner is bound;will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. r 7. There is no action,suitor proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending;or,to.the knowledge of the.Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted (and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE s The Owner hereby agrees that any and all requirements of the laws of the Commonwealth'of Massachusetts to be satisfied in order for the'provisions of this Agreement to constitute restrictions and z covenants running with the land shall be deemed to�be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable Metropolitan Statistical Area (MSA) and that rent(including utilities) shall not exceed an amount that is. . affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that . utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be . deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the-Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of.the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town.Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the'Area Median Income (AMI) of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA.In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the"rent. IV. RECORDING OF AGREEMENT:, Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land . Court (collectively hereinafter the"Registry of Deeds"), and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling, as applicable,the Owner shall immediately transmit to the . • • y I i Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in.writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the, parties hereto at the addresses set forth below,or to such other place as a,party may from time to.time designate by written,notice. VII. HOLD HARMLESS: R The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such.actions: VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall .be deemed to be, and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184, Section 26 which shall run with the land described in deed recorded herewith as Barnstable Land Court Registry document 904,093 & certificate of title 168101 and sfiall be binding upon the Owner and all successors in title. This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the,defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable Land Court Registry document 904,093 & certificate of title 168101 IX. TERM OF AGREEMENT: J The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date . certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. i t X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,.declares, and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be and.are covenants running with the land,encumbering the Project for the,term of this Agreement,and are binding upon the Owner's . successors in title, (ii) are not merely personal covenants of the Owner,and (1) shall bind the Owner,its successors and assigns and inure to the benefit'of the Municipality and its successors and assigns for the term of the Agreement. i XI: DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available,to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth th e e amount of the cost s and expense due and d owing n e Registry g r istY i the ist of Deeds or the Re of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the.purchaser's acquisition.of.the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing'mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals.thisk dayofQzza�- 2008. OWNER OWNER a BY: E BY: f Signa ignan= D Printed: Ste en D. Jefferson Printed:Ta A.Jefferson COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: y On thisl�'1-day o 2008 before me,the undersigned notary public,personally appeared_ •��- he rgmm1EA, ,the Owner(s),proved to me through satisfactory evidence of identification,which were&L1C S'yJ l9l qy ¢S 559GY17S ,to be the person sO whose name(ss is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. Notary Public Printed: I)b1t 1 j,1j�,� My Corrmr ssion Ex ires: UNDA R.WHEELDEN NOTARY PUBLIC COItlIW EXTH OF MASSACHUSETTS My Comm Egku Feb.7,2014 TOWN OF BAR STABLE BY: TOWNrVLANAGER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss: O this ; day of 2008 before me,the undersigned notary public,personally appeared t k own Manager for the Town of Barnstable,proved to me through satisfactory evidence oT identification,which were '/106 (L(�(/ to be the person whose name is signed on the preceding or attached document and ackno dged to be that he/she signed it voluntarily for the stated purposes. Y Notary-Public Printed: My Commission Expires ELIZABETH ANN OILLEN Notary Public p' Commonwealth of Massachusetts h 1' My Commission Expires October 27,2011 t - 5 R. osrT N rh Cri �n F y � o l C� • t� _r V a _ + t i S - 7c7L �1 0j clq 01-17-2008 1`:46 i BARNSTABLE LAND "CGURT . REGISTRY BAR�IST",BLE T 0°IF,aMASS • -07 NOV 26. P 1 :18 "eta Town'of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2007-109-Jefferson t r Decision-Chapter 40B Comprehensive Permit Applicant: Stephen D. Jefferson&Tammie A. Jefferson, Property Address: 17 Hampshire Ave,Hyannis,MA Assessor's Map/Parcel: Map 309,Parcel 022 Zoning: Residential B Zoning District. 1 Applicants: The applicants are Stephen D. Jefferson&Tammie A. Jefferson,who reside at 17 Hampshire Ave, Hyannis,MA. Stephen and Tammie Jefferson were granted title to the property by deed recorded in the Barnstable Land Court Registry on January 31,2003 as recorded in document numbered 904,093 and certificate of title number 168101. 1 Relief Requested: + The applicants have applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article II of Chapter Nine of the Code of the J town of Barnstable,more commonly termed the"Accessory Affordable Apartment Program." �— The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 9- 14 of the Code—Amnesty Program to permit an accessory apartment unit within a single-family owner- occupied residential dwelling. The issuance of this Comprehensive Permit would allow for an accessory affordable apartment unit in the lower level of the principal residence. Locus and Background: ` �- The property at issue is a 0.23-acre lot located at 17 Hampshire Avenue in Hyannis. The lot was developed in 1964 with a single-family ranch style home. The effective living area of the main residence is 1,219 square feet. The accessory apartment is a one-bedroom unit located.in the lower level of the principal residence. The square footage of the rental area is approximately 600 square feet. The lot is served by public water and on-site septic,and is located within an Aquifer Protection Overlay District. The town of Barnstable's Public Health Division reviewed the application, and on August 21, 2007, approved a total of three(3)bedrooms at the property with the existing on-site septic system. Procedural Summary: a A site approval letter was issued for the property by Town Manager John Klimm on September 25,2007, in accordance with MGL Chapter 40B and 760 CMR. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760. r. An application for a Comprehensive Permit'was then filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on October 12, 2007 and October 19,2007, and notices were sent.to all abutters in accordance with MGL Chapter 40B. On November 7, 2007 Hearing Officer Gail Nightingale presided over the public hearing. The applicants, Stephen and Tammie Jefferson,were present at the hearing. Madeline Taylor of the Growth Management Department was also present. Ms.Nightingale reviewed the file with the applicants to assure compliance with all of the program requirements. Findings of Fact on the Comprehensive Permit: - At the hearing on November 7,2007 the Hearing Officer made the following findings of fact: 1. The applicants are Stephen and Tammie Jefferson who reside at 17 Hampshire Avenue, Hyannis, MA. They are requesting a Comprehensive Permit to convert an existing one-bedroom apartment located in the lower level of the principal residence into an accessory affordable apartment. The conversion of the unit to an accessory affordable unit within a single-family owner-occupied residential dwelling qualifies for the"Accessory Affordable Apartment Program." .4 2. Stephen and Tammie Jefferson were granted title to the property by deed recorded in the Barnstable Land Court Registry on January 31,2003 as recorded in document numbered 904,093 and certificate of title number.168101. 3. On September 25,2007 a site approval letter was issued for the property by Town Manager John Klimm, in accordance with MGL Chapter 40B and 760 CMR.Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of CMR 760, and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 600 square feet,and is located in the basement of the principal dwelling. 5. The applicants are aware that the unit must meet all applicable.building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and private on-site septic and is in an identified Aquifer Protection Overlay District. The proposal has been reviewed by Thomas McKean,Health Director, and he has approved a total of three(3)bedrooms at the property with the existing on-site septic system. 7. On July 16, 2007 the applicants signed an Accessory Affordable Apartment Program Agreement Affidavit that commits,.upon the receipt.of a Comprehensive Permit,to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants at the Barnstable Registry of Deeds. That document will restrict the unit in perpetuity as an affordable rental unit and requires that the dwelling be owner-occupied as their principal residence: 8. The applicants understand that the affordable unit will be rented to a person or family whose income is 80%or less of the Area Median Income (AMI)of the Barnstable Metropolitan Statistical Area(MSA) and further agrees that rent(including utilities) shall not exceed 30% of the monthly household income of a household earning 80%of the median income, adjusted by household size. In the event that utilities are separately metered,the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of November 7, 2007, 6.63% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. The Town of Barnstable's Local Comprehensive 2 Plan encourages the use of existing housing to create affordable units and the dispersal of these units throughout the town: Finding Summary: Based upon the findings,the Hearing Officer ruled that the.applicants have standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment " Program. The proposal is also deemed consistent with local,needs because it adequately promotes the objective of providing affordable housing for the town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Based upon the findings, a ruling was made to grant the Comprehensive Permit in accordance with MGL Chapter 40B to the applicants, Stephen and Tammie Jefferson. It is issued to allow for a one-bedroom accessory affordable apartment unit in accordance,with the.following conditions: 1. Occupancy of the affordable unit shall not exceed two persons. 2. The total number of bedrooms on the property with the existing on site septic system shall not exceed three(3). , 3. The property owners shall occupy the principal dwelling as their principal residence. 4. This unit shall not be occupied by a family member of the owner(s). 5. All parking for the accessory apartment and the main.dwelling shall be on-site and no lodging shall be permitted for the duration of-this comprehensive permit. , 6. To meet the requirements of affordability, the cost of housing(including utilities) shall not exceed 30% of 80% of the median income for a single individual for the Barnstable MSA.•In the event that. utilities are separately metered,the utility allowance established by the town of Barnstable shall be . deducted from rent level so calculated. . 7. All leases shall have a minimum term of one year. " 8.The Growth Management Department shall serve as the monitoring agent for the accessory apartment. 9. The applicants must apply for a building permit for the accessory unit,whether the unit is new or pre-existing. Before securing an occupancy permit and certificate of compliance, the Building Commissioner must determine that the unit conforms with the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division must determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements., 10.The applicants may select their own tenant provided the tenant meets"the requirements of the program as cited above and provided that person's income is reviewed and approved by the Growth I Management Department of the town of Barnstable as a qualified individual. The applicants will be required to work with the town to provide information necessary to document that the tenant qualifies. The unit shall be rented on an open and fair basis to an income eligible individual or • family. Whenever a vacancy occurs,notice must be given to the Growth Management'Department and the unit must be listed with the Town. 11. Every twelve months the applicants shall review the income eligibility of the individual occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit,the applicants shall file with the Growth Management Department of the town of Barnstable an annual ` affidavit listing the rent charged and income level of the occupant of the unit. The applicants shall provide the town any additional information it deems necessary to verify the information provided in the affidavit. Upon any report from the town that the terms and conditions of this permit are not -being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold.a hearing to show cause as to why this permit should not be revoked. 12. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership'of the property is transferred,the Growth Management Department of the town of Barnstable shall be notified within 60 days of the name and address of the new owner. 13. This Comprehensive Permit must!be exercised and the unit occupied.within 12 months of its issuance or it shall expire. Ordered: Comprehensive Permit 2007-109 has been granted with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen(14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision,this decision shall become final_,and a copy shall be the filed in the office of the Town Clerk. Appeals of the final decision,if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20)days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. In accordance with Chapter 241, section l'l;of the Town of Barnstable Administrative Code,the hearing officer transmitted a written copy of the Comprehensive Permit decision to the Zoning Board of Appeals. on November 7, 2007. Fourteen (14) days have elapsed since the transmittal to the Board, and no Board Member has taken action to reverse the decision: 1 Nightin e, Hearin Officer Dat Signed I Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,,hereby certify that.twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no. appeal of the decision has beenfiled}n-tlr�ffice of the Town Clerk. Signed and sealed this/day f /' nder the pains and penalties of.perjr.ry. Linda Hutchenrider, Town Clerk 4 12. REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this 1 day of M ,2008,by and between Stephen D. and Tammie A.Jefferson of 17 Hampshire Avenue,Hyaurfis,MA and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"Municipality'),a political subdivision of.the Commonwealth; WHEREAS the Owrier has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B.and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low,or Moderate Income Person/Family(hereinafter "Designated Affordable Unit");_and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: 1. PROJECT SCOPE AND DESIGN , A The terms of this Agreement.and Covenant regulate the property located at 17 Hampshire Avenue, t Hyannis, MA as further described in deed recorded herewith as Barnstable Land Cour t .Registry document 904,093 &certificate 168101. B. The Project located at 17 Hampshire Avenue,Hyannis,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable . Unit" or the "Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2007-109 and any_plans submitted therewith and all applicable state, federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable Land Court Registry document T a gel I4� &certificate of title _. D. The Owner agrees to occupy the principal dwelling unit located on the propertyas their principal residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES _ A THE OWNER HEREBY REPRESENTS,COVENANTS AND WAS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80% of the area median income of Barnstable Metropolitan Statistical Area (MSA)and that the Designated Affordable Unit shall be deemed to be impressed with a public . trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable MSA and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA In the event that utilities are separatelymetered;.a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3.. The Designated Affordable Unit will be retained as a permanent;year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal.right,power and authority to execute and deliver this Agreement. �M 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body, and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited.encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted (and as now contemplated by this Agreement) or would.materially adversely affect its financial condition. - B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of. . estate are also deemed to be satisfied in full. C LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable Metropolitan Statistical Area (MSA) and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by-the Barnstable.Housing Authority shall be deducted from the rent. E. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or-units.•Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA.In the eventthat utilities are separatelymetered,.a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. IV. RECORDING OF AGREEMENT: ' Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court (collectively hereinafter the "Registry of`Deeds"), and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner,shall immediately transnut to the c Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. V. GOVERNING OF AGREEMENT: This Agreement.shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a partymayfrom time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the 1VMunicipality'and/or its delegate from any and all actions or inactions_ by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such,actions. . VIII. ENTIRE UNDERSTANDING: A This Agreement.shall constitute the entire understandmg.between the parties and any amendments or changes hereto must be in writing,executed by the parties, and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,.Section 26'which shall run with the land described in deed recorded herewith as Barnstable Land Court Registry document 904,093 & certificate of title 168101 and shall be binding upon the Owner and all successors in title. This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the defense'of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed.recorded herewith as Barnstable Land Court Registry document 904,093 & certificate of title 168101 , IX. TERM OF AGREEMENT:# - The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after. 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2)notification by the Owner of said - dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,`.thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the.use permitted under zoning and the restrictive covenant shall be rendered void. X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of'themselves and any successors and assigns their rights and duties as defined,in this Regulatory Agreement and the attached comprehensive permit. e B. The Owner intends,declares,,and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants,agreements and restrictions contained herein shall be.and are covenants nm g with the land,encumbering the Project for the tern of this Agreement,and are binding upon the Owner's successors in title, (H) are not merely personal covenants of the Owner,and (1) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. Xl. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have a lien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such a lien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land . Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms-and conditions hereof and that all such . mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and,seals this eday 08. of �G 20- _f��✓�l'' 4 OWNER OWNER BY: -BY: SignaAim Signatum Printed:Ste en D. efferson Printed:Tamm A.Jefferson COMMON REALTH OF MASSACHUSETTS County of Barnstable,ss: On this&wl-day 2008 before me,the undersigned notary public,personally appeared he the Owner(s),proved to me through satisfactory evidence of identification,which were�4&c I/yy¢S�SyG9/7S --,to be the personQ whose name(Ds is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. Notary Public Printed: My C.oAr r ssion Ex[res: UNDA R.WHEELDEN NOTARY PUBLIC COWJIONWEALTH OF MASSACHUSETTS Mir Came.Egim Feb.7,2014 TOWN_OF B STABLE BY: TOWN XdANAGER. COMMONWEALTH OF MASSAC HUSETTS County of Barnstable,ss: - O this Ri7WIpj day of 2008 before me,the undersigned notary public;personally appeared 1own Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were l il4"d kECcx4^- to be the person whose name is signed on the preceding or attached document and acknowkdged to be that he/she signed it voluntarily for the stated purposes. otary Pu lic Printed: My Commission Expires: y ELIZAIKTH ANN OILLEN Notary Public n Commonwealth of Massachusetts a v; My Commission Expires ;;� Jctober 27,2011 oF1HE ro,,, Town of Barnstable � o Regulatory Services • BARNFrABLE, p MASS. $ Thomas F. Geiler,Director �A 1639. ♦� IEDMa+A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 AMNESTY APARTMENT ELIGIBILITY VERIFICATION Re: 31)'? &�4 6%),-P b)I After reviewing the street file of the above named property, I verify, to the best of my knowledge, that the apartment was in existence before January 1, 2000. This property is now eligible to apply for the Amnesty Program. Tom Perry Building Commis ner Property Location:17 HAMPSHIRE AVENUE MAP ID:309/022/// Bldg Name: State Use:1010 Vision ID:25182 Account#222903 Bldg#: 1 of 1 Sec#: 1 of 1 Card 1 of 1 Print Date:07/03/2007 15:26 EFFERSON,STEPHEN D&TAMMIE 1 evel ublic Water 1 aved Description Code Appraised Value Assessed Value Gas SIDNTL 1010 128,000 128,000 801 O BOX 432 ES LAND 1010 143,200 143 200 6 eptic � � 2007 Visions Data,MA SIDNTL 1010 300 300 YANNIS,MA 02601 '.- SIIPPEMEI�!1A ,DA7A :! -. Additional Owners: Other ID: Plan Ref. 14034-A-2 ax Dist. 400 Land Ct# er.Prop. #SR VISION Life Estate DL 1 LOT 21 Notes: DL 2 GIS ID: 25182 ASSOC PID# Totall 271,500i 271,500 RECORD.OF.OfI1VERSHIP ; BK=:VOLTAGE'. S. E A-T:E /u fv/t -S Er.• VC s:;- 4 AL, ,D. . ,...� EFFERSON,STEPHEN D&TAMMIE A C168101 01/31/2003 Q I 255,000 00 .Yr. Code Assessed Value Yr. Code I Assessed Value Yr. Code Assessed Value - LEGEYT,LINDA L C158370 07/14/2000 Q I 139,900 00 2006 1010 119,000 2005 1010 99,200 2004 1010 81,700 CKEAN,MARY KERWIN C148734 05/29/1998 Q I 92,100 00 2006 1010 142,600 2005 1010 128,100 2004 1010 96,000 YNEK,DANIEL P&JOANNE C82720 Q 0 2006 1010 300 005 1010 300 004 1010 300 Total.-I 261,9001 Total: 227,600, Total: 178,000 „OTHER1SSESSMEIVTS. ., This signature acknowledges a visit by a Data Collector or Assessor Year T e escri tion Amount Code escri tion Number Amount Comm.Int. 0 5C SIDENTIAL EXEMPTION 0 2007 22 TERAN 0 r F APPRAISED�VALaITESUMMARX ,: s Appraised Bldg:Value(Card) 106,600 ASESSZ�YGNIGHBORHOOD: r ` Appraised XF(B)Value(Bldg) 21,400 NBHD/SUB NBHD NAME STREET INDEX NAME TRACING .. BATCH Appraised OB(L)Value(Bldg) 300 0105/A Appraised Land Value(Bldg) 143,200 . Special Land Value 0 s NOTES Y ..., , �. £ " 3 w, ,. .u.«. ...... o. •, '.�'•1 .. - Total Appraised Parcel Value 271,500 Valuation Method: C Adjustment: 0 et Total Appraised Parcel Value 271,500 ... , u z £., r z ., 3 ,. . ,y B L N �., .r .r_� .,.. ,�.. ...•,,.r„ a. UI DX�,G,I'ERMIT"RECORD;, . _:�� .�fl. ��:,: , ,�,; :e r ,,, �,� �•, ;VISIT/CHANGE ISTQR.I'�. .: Permit ID Issue Date Type Description Amount Insp.Date %comp. Date Comp. Comments Date T e IS ID Cd. Purpose/Result 1/10/2005 GB 03 Data Mailer 9/8/2003 GB . 01 eas/Est 6/5/2003 PT 01 eas/Est 3/8/2001 PT 00 eas/Listed 11/15/1987 ML & .k ., a, TAND LINE V 4L I�ATIONSECTION B Use Use Unit L Acre C, ST. # Code Description Zone D Frontage Depth Units Price Factor.S.A. Disc Factor Idx Ad'. Notes-Ad' S ecial Pricingi. Unit Price Land Value 1 1010 Single Fam MDL-01 RB 4 0.23 AC 172,000.00 3.62 5 1.0000 1.00 0105 1.00 622,485.20 143,200 Total Card Land Units:1 0.231ACI Parcel Total Land Area: .23 AC Total Land Value: 143,200 Property Location: 17 HAMPSHIRE AVENUE MAP ID:309/022/// Bldg Name: State Use:1010 Vision ID:25182 Account#222903 Bldg#: 1 of 1 Sec#: 1 of I Card 1 of 1 Print Date:07/03/2007 15:26 ' CONSTRUCTION�L7TAIL,.... s CONSTRUCT70N�D TAIL CONTIN teb: � h•-, , �, ..0 , Element Cd. I Ch.Pescription Element Cd. ICh. Description Style 01 Ranch Model 01 Residential Foundation 01 Poured Cone. 10 Grade - Average Minus Stories 1 1 Story Bath Split 20 2 Full Occupancy 1IXIrD.rlSl. ..; Exterior Wall 14 Wood Shingle Code Description Percentage 15 PTO 1 Exterior Wall 2 1010 Single Fam MDL-01 100 Roof Structure 3: Gable/Hip Roof Cover 3 sph/F GIs/Cmp 10 ` Interior Wall 1 05 Drywall 12 38 ` Interior Wall 2 % COST%MA.R% T VALUATION• terior Fir 1 14 Carpet Adj.Base Rate: 105.31 Interior Fir 2 Section.RCN: 128,376 Heat Fuel 03 Gas et Other Adj: D.00 Replace Cost 28,376 Heat Type 5 of Water 0 FOP 2 C Type 1 one YB 964 BAS Total Bedrooms 3 Bedrooms . ep Code EYB 990 6 BMT 2 Total Bthrms z Remodel Rating Total Half Baths Year Remodeled Total Xtra Fixtts Dep,% 7 12 Total Rooms 7 Functional Obslnc Bath StyleExternal Obsinc Kitchen Style Cost Trend Factor 38 Condition %Complete Overall%Cond 33 pprais Va 106,600 Dep%Ovr Dep Ovr Comment Misc Imp Ovr isc Imp Ovr Comment ost to Cure Ovr Cost to Cure Ovr-Comment OB'-OUTBUILDINGf&YARD ITEMS(L)%�,F BUILDINAG'�'�TRA f.-VA,RES(B} • Code Description Sub Sub Descri t LIB Units Unit Price Yr Gde Do Rt Cnd %Cnd Apr Value SHED Shed L 48, .00 . 1990 1 100, 300 PLI FireplaceB 1 3,000.00 1990 1 100 ,500 BFA B_ smt Fin-Aver 988 15.00 1990 1 100 12,300 PTXw zt a Apartmt- B-1 - ;000.00•-1990 y 1 100 6,600. - No Photo On Record BUILCDING 5UB-AREA&UkR IRYSEGTZON4', Code Description Liviniz Area Gross Area E .Area Unit Cost Unde rec. Value BAS First Floor 988. 988 105.31 104,049 BMT Basement Area 0 988 17.91 17 692 FOP Open Porch 0 240 21.00 5,055 TO Patio 0 150 j 10.53 1,580 toss Liv/Le 988 2,.' 128 376 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION it Map 3 6'q Parcel Z2, Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee ohs. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis `Project=S free t Addre-ss------ -e— �Uillage- ,�Owner e-, b -C eev Address TTelephone� $7 �I G 70 7 Permit Request_ ��v r� �,2e�.r,c��l�( -1 0 A re-ors, Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay C_Pc`oj-(tzQaluation - =� 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 ~ c ._ Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other ^' . Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/cc a stove: CbYes �❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑ex i ting ❑ynbw 0- e cn co Attached garage:❑existing ❑ :❑new size Shed existing ❑new size Other: Cn rn Zoning Board of Appeals Authorization ❑Appeal# -� —Recorded-0 Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION r 1 Na i �e QU�� Telephone Number -' �56 � Q v 6_7 I Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO s�GNATzURE,:, _ ,...-._DAT_E, Z 2 2.ar> FOR OFFICIAL USE ONLY ' PERMIMNO. DATE ISSUED MAP/PARCEL NO. r r[3 ' S � ' ADDRESS VILLAGE OWNER z DATE OF INSPECTION: s } FOUNDATION FRAME INSULATION f i FIREPLACE l ELECTRICAL: ROUGH FINAL 's PLUMBING: ROUGH FINAL GAS: ROUGH FINAL € FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. " i4 r The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations _ d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please_Print Le 'bl Iallle_(BnsinessLOrganization/Individual): . a 'c® `Addiesi7 � SA rr Ci _./State/Zi n r� 02Co. Phone.4:6-6T -1 ® " 70 7 S� _Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. New construction . employees(full and/or part-time).* have hired the s ub-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 me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance. t, • 9. Building addition aired.] 5. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbin repairs or additions 3._ I am a homeowner doing all work ❑ g P myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] . "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ZC6ntractors 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,worker'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify:ender the pains-and penalties of perjury that the information provided above is true and correct Sim tu�e: "" ". " ' Date: 2 ev _ Phone#: Official use only. Do not write in this area,to be completed by city or.town of cciaL m City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two.or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance,_construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of'Industrial r Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Commonwealth of Massachusetts Department of Industrial Accidemts Office of Investigations 600 Washington Street Boston, MA 02111 Tel. 4 617-727-4900 ext.406 or 1477-MASSAFE Revised 11-22-06 Fax 4 617-727-7749 v ww.mass.gov/dia y� �pTHE 1p�� 3.own d Barnstable regulatory Services sAxrrsrAB Thomas F.Geller,Director MA16 9.SS. � Bi idin.g Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,NIA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date�� AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction;alteiations,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, n Type of Wozk - 'i CP�[]6J,!LJ C�CQQ C� 40 S0t)'CQ2MEsti1n4ted.00st0a I doo Al.00U Address of Work; 7— 1TC2 YVl p 5� Se. u . d_aLo—L owner-sName. . �re, w Date of Applrc_�n Tt) N- a 5 Q D O I� hereby certify that. Registration is not required for the following reason(s): ❑Work excluded by law ❑lob Under$1,000 ❑Building not owner-occupied' [Owner pulling own permit Nonce is hereby given that: OWNERS FULLING THEIR OWN PERMIT OR DE+ALING NTH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERTURY I hereby apply for a permit as the agent of the owner; Date Contractor Name Registration!No. O - s 1 ate rs:Name: . - . Q:fomshomezffidav z'aa�e asz�ta(en�rcaaste� . , i?rsscrigtivm Facksged forflae sad 7xo-FA=ll�Raldcutls ZuU;linga'Hes04 w9tk Faail'Ppele ' Iylli�LfRNh9 . 1Y[A1R'ILT» ' �Cilaring GSazing Gelling Wall Flvoe Basemr� Slab '$estlaglCoeling AmI C'lA) U-valuct R-vain.; ' R vsIIuel &value' Wau ceder EtSdeac.? Pac�sage 5701 to 6300 N fling Ilegrsr B 12%. 0.40 31 13 19 la d Idarmsl R 12% a it 30 19 -. 19 1a. $ 1218 00 31 Y3 19 10 6 13�tJE � � ldormal• T 13 a 038 31 13 25 IVA NIA. I5'fo 0.44 31 19 19 l0 ?dcrusaI 13oJ 0.4=4 31 13 25 NIA 1SIIA U AE IV 13% am 30 19 Is 10 � AFSR7E I1B�a 032 31 • 13 ZS TI/A NIA ldanssal bier. a,4Z 31 19 23 N!A NIA Notasal Z 13% 0,42 31. 13 19 id a 90 AFUE 0•.80, 30 19 19 10 a S~l AFLI£ 1. ADDRESS OF PROPEPITY' 2, SgUARE FOOTAGE OF ALL EXTM- OA.WAIfM 3, SQUARE FOOTAGE OR ALL GLAZING. 4, y® aLAZINO AREA.(#3 DIVIDED E`Y'*2)o g, SELECT PA=CIE(Q m AA m sea chmt abav*' COTE= CZAR MORE IN-IOLVED I MTHODS OF DE I MM .G WERGY REQt7IREME3�TE ARE AVA.ILAELI ASK.TJS FOR TfIIS MF0RMA-71CJN, BMDINGTNEPECTOR APPROVAL: I e . �FTHE rqk, Town of Barnstable Regulatory Services &UMSTABLE, : Thomas F.Geiler, Director MASS. pr i639• 6. Building Division eon 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 LICENSE EXEMPTION Please Print \ DATE: 1 ( )U, JOB LOCATION: number , street �' village "HOMEOWNER": �I _p II'e V) c f f�e(��O Y) S��7 7U VZ 6—n o —6S— name home phone# work phone# CURRENT MAILING ADDRESS: l,0 , )3 bX q 3 a. 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 su erp visor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and requirem ,U A9 Zoc�� Sig r o omeowner Approval of Building Official ! Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt IT --------------- Ask i ram_ J I �l i T 7 {j ' h its i� W '�� - ,.ICON .�'ORN� URNt" SIIN�OOMS" ` �;• `�. .^,•-. aches State uildin C .o e• ..BDr ;.` en ` echo L 2 3b1 "wry The Massachusetts State Building Code(780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental .CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall,seeks to utilize a special energy conservation exemption option for "sunroom" additions to,an existing house (780 CMR, Appendix J, Section J1.123.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation,form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" strictures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that .a homeowner may 'wish to consider before actually constructing/installing a"sunroom".It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential.'energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading - - • Type of Glazing • Insulating value • Solar heat gain' • Frame materials • Glazing to frame sealing and gasketing materials✓.seal durability and/or weather tightness of the gunroom • Adequate ventilation Operable windows and fans • AppIied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment r The Massachusetts State Building Code, Section J1.123.1,,requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes'"sunroom" additions to an-existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. Si a of Actual`ifd1WJ Owner r lT Il N Print Name Address of Permitted Project 4 Owner Address(if different than project location) Owner's telephone number Property Location: 17 HAMPSHIRE AVE Hy MAP ID: 309/022/ Vision ID:25182 Other ID: Bldg#: 1 Card 1 of 1 Print Date:09/26/2006 12:23 "CURRENT O7Account# UTILITIES STRT./ROAD 'LOCATION:- $`- 4 _ "CURRENTASSESSMENT CKEAN,MARY KERWIN Description Code Appraised Value Assessed Value 17 HAMPSHHiE AVE S LAND 1010 18,600 18,60gg' 801 YANNIS,MA 0AVE SIDNTL 1010 62,400 62,40b „ ,x ESIDNTL 1010 200 2<�0 Barnstable 2000,MA r- -SUPPLEMENTAL,DATA _ _ . 222903 400 14034-A UP FY00 LOT 21 VISION GIS ID: Total 81,200 81,200 R:'�RECORD`OF-OWNERSHIR, BK-VOLIPAGEI SALE DATE.jlu yr SALE:PRICE VC'. :.PREVIOUSASSESSMENTS HIS TOR CKEAN,MARY KERWIN C148734 05/29/1998 Q 1 92,100 00 Yr. Codel Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value HYNEK,DANIEL P&JOANNE C82720 Q 0 1999 1010 18,600 998 1010 18,600 1999 1010 62,400 998 1010 62,400 1999 1010 200 998 1010 200 Total: 81,200 Total: 81,200 Total: 73,300 =EXEMPTIONS try .. �.' ." �, ?;°� OTHER ASSESSMENTS °� This signature acknowledges a visit by a Data Collector or Assessor ti Year TypelDescription, Amount Code Description Number_ . Amount Comm.Int. 4P y: PRAISED VALUE SUMMAR . .xx _ Appraised Bldg.Value(Card) 56,200 Appraised XF(B)Value(Bldg) 6,2006 Total APpraised raised Land Value B Value(Bldg) dl g 18,600 • may_ N - .�: = PP (Bldg) ) .NOTES, _ Special Land Value Total Appraised Card Value 81,200 - Total Appraised Parcel Value 81,200 Valuation Method: Cost/Market Valuation et Total Appraised Pared Value 81,200 F r <= BUILDING PERMIT RECORD ss<t 5 € '. g - ;' ." VISIT/CHANGE HISTORY Permit ID Issue Date Type Description Amount Insp.Date %Comp. . Date Comp. Comments Date ID Cd. Pur ose/Result 11/15/1987 ML ,y ` &r . ark p �` LAND LINE VALUATION SECTION ;« ':;; °'; _ B# Use Code Description Zone D Frontage Depth Units Unit Price I.Factor S.I. C.Factor Nbad. Ad'. I Notes-AdjlSpecialPricinz Ad'. Unit Price Land Value 1 1010 Single Fam RB 4 0.23 AC 270,000.00 1.00 5 1.00 62BC 0.30 PCL(.23,U10)Notes:10 1BLT 81,000.00 i8,600 Total Card Land Unitsl 0.231 ACI Parcel Total LandArea:j 0.23 ACI Total Land Valuol 18,600 a Property Location: 17 HAMPSHIRE AVE HY MAP ID: 309/022/// Vision ID:25182 Other ID: Bldg#: 1 Card 1 of 1 Print Date:09/26/2006 12 CONSTRUCTION DETAIL. -.. n' SKETCH ' Element. Cd. ICh.I Description Commercial Data Elements Style/Type 1 Ranch Element Cd. I Ch. Description Model 1 Residential Heat&AC Grade C C Frame Type PTO 10 Stories 1 1 Story Baths/Plumbing Occupancy 0Ceiling/Wall ooms/Prtns 15 1 Exterior Wall 1 14 Wood Shingle %Common Wall 2 Wall Height Roof Structure 03 able/Hip Roof Cover 03 sph/F Gls/Cmp CONDO/MOBILE HOME DATA 10 'K,Pt, FCP 12 AS 38 nterior Wall 1 5 Drywall lement ode Description Factor UBM 2Complex interior Floor 1 14 Carpet Floor Adj 2 nit Location Heating Fuel 3 Gas umber of Units Heating Type 5 Hot Water umber of Levels 0 2 C Type 1 None /o Ownership 26 2 - Bedrooms 2 Bedrooms 'COST/MARKETVALUATION... Bathrooms Bathrooms 0 Full . nadj.Base Rate 48.00 12 otal Rooms Rooms _ Size Adj.Factor 1:19035 Grade(Q)Index 1.01 - - Bath Type Kitchen Style Adj.Base Rate 57.71 38 Idg.Value New 72,080 Year Built 1964 ff.Year Built 1975 rml Physcl Dep 22 MIXED'USE uncnlObslnc 0 on Obslnc 0 1010 Single Fam 100 Specl.Condo Code g Specl Cond/o verall%Cond. 78 eprec.Bldg Value 56,200 OB,--OUTBUILDING A.YARD ITEMS(L)`/XF BUILDING EXTRA FEATVRES(B) g,,`,' . Code Description LIB Units Unit Price Yr. Dp Rt %Cnd Apr. Value FPLl Fireplace 1Sty B 1 3,000.00 1975 1 100 2,300 BRR Bsmt Rec Room B 988 5.00 1975 1 100 3,900 SHED SHED L 48 4.00 1900 0 100 200 " A a, `? _.BUILDINNG SUB AREA`SUMMARI SECTION M . ", „'. = Code Description LivinjzArea Gross Area E .Area Unit Cost Unde rec. Value BAS First Floor 988 988 988 57.71 57,017 FCP Carport 0 240 48 11.54 2,770 PTO Patio 0 150 15 5.77 866 UBM Basement,Unfinished 0 988 198 11.57 11,427 9881 2,3661 1,249.Blde VaL, 72 080 RESIDENTIAL PROPERTY MAP NO.. LOT NO. - STREET 17 Hampshire' Ave..' Hyannis FIRE DISTRICT SUMMARY 309" 22 H 73 LAND 7A Del OWNER _S: � BLDGS. a o 3 J o y .. :. .. ., .. •... ._ :- ...- ^ TOTAL a '� b U LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot 21 LC 14034-A (Slit.ftLDGs. ..�,2, vcn-r-tf- ,,;.. .3'.2.09- - B. TOTAL 700, oo . •2 a - LAND BLDGS. TOTAL . -- — LAND Hynek, Daniel P. F, . Hynek, Joanne 3-80 Ctf , 8.272 ($S6 BLDGS. g54. ANDaveR LANDL � BLDGS. TOTAL , .. - : - _ _ .:. •, LAND - • • , .. Ol BLDGS. TOTAL .- .. . .. -. - LAND � . BLDGS: - TOTAL -.. . '. . . .'LAND INTERIOR INSPECTED: BLDGS. i TOTAL DATE:' LAND tom. b - ACREAGE COMPUTATIONS BLDGS. LAND TYPE" - .# OF ACRES PRICE TOTAL . bEPR: VALUE : TOTAL HOUSE LOT �j —�3cs pZ3 Oc7 �/JO a 0 U LAND CLEARED FRONT " � BLDGS. REAR TOTAL WOODS&SPROUT FRONT' LAND REAR .. .- -' -. BLDGS. 0) WASTE FRONT TOTAL REAR . .. -. � -� . . . -.. ": LAND ' BLDGS. m r TOTAL dM LAND - . . BLDGS. LOT COMPUTATIONS. '. LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND i ROUGH TOWN WATER BLDGS. . HIGH GRAVEL RD .' - ^ TOTAL LOW DIRT RD. LAND SWAMPY NO RD. rn BLDGS. ". TOTAL - TOWN OF BARNSTABLE, MASS. - UNITED APPRAISAL CO'..-EAST HARTFORD.CONN. FOUNDATION BSMT. & ATTIC PLUMBING PRICING LAND COST Conc.Walls ./� -+.�. Fin. Bsmt.Area Bath Room Base BLDG. COST St. Shower Bath Conc. Blk.Walls Bsmt. Rec. Room -Bsmt. , Conc. Slab - Bsmt.Garage St. Shower Ext. PURCH.-DATE ,.:.5� Walls PURCH. PRICE - Brick Walls Attic , &Stairs P.,J Toilet Room Roof RENT Stone Walls Fin.Attic Two Fixt. Bath Floors `.Piers INTERIOR FINISH lavatory Extra � / A- /c.. Bsmt. F '1• 2 3 Sink � � i a/� I/z Attic /y Plaster Water Clo: Extra C o n,JC EXTERIOR WALLS Knotty Pine Water Only Double Siding.. - Plywood ' No Plumbing Bsmt. Fin. fl G_ w� ��.-*/G•y �• � Single Siding - Plasterboard - Int.. .._+ (Cl—e C C:GTE • Shingles ✓ TILING ZL3 ;onc. Blk. G F P Bath Fl: Heat Face.Brk.On- Int'Layout BathFl.&Wains. Auto Ht.Unit" Veneer Int. Cond. 7Bath_FI.&Walls Fireplace Com. Brk.On. - H EATING Toilet Rm. FI - - Plumbing -•-- L) - - 3olid Com. Brk. Hot Air, Toilet Rm.FI. &Wains. • — -- Tiling `v�• Steam Toilet Rm. FI. &Walls Blanket Ins: r Hat Water B St. Shower .Roof Ins. Air Cond.. Tub Area - - Total - - - - Floor Furn. ROOFING COMPUTATIONS. Asph. Shingle Pipeless Furn. S. F. Wood Shingle - No Heat - - - :. ��<O S. F. j 39 Asbs. Shingle - Oil Burner S. F. � � %'` - - - Slate Coal Stoker S.F. file. Gas S. F. OUTBUILDINGS ROOF TYPE Electric Sable / Flaf s.F. 12 3 4 5 6 7 8 9 10 1 2 3 4 5 161 7 8 9110 MEASURED Hip Mansard FIREPLACES S. F. Pier Found. Floor Gambrel Fireplace Stack- Wall Found. 0..H. Door LISTED FLOORS FLO RS Fireplace o[ Sgle.Sdg. Roll Roofing / Conc.' LIGHTING ' Dble:Sdg: Shingle Roof c� Earth No Elect. DATE Shingle Walls Plumbing /Pine 7/ Hardwood - ROOMS - Cement Blk. - Electric TOTAL z- Brick Int. Finish Asph.Tile Bsmt. 1st L/+,8 PRICED Single" Ind 3rd FACTOR - - - " - 7: -.. :. REPLACEMENT OCCUPANCY ,CONSTRUCTION. SIZE AREA CLASS - AGE REMOO. CO/NO. �}REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. - _DWLG. /. lr fh'�ii 5. ."/S i� - - "--2:7 qG �. G'� 1,3 - 3 -< - 4 - 5 6 - ... 7 9 .. - - - - 10 - TOTAL r HAMPSHIRE AVENUE - - - -. - - - - - - - - - - - - - - - - - -� (nun) I I Sda C41k 6.10 P Soter Cd ane k.l6ru6cturor LG ... ar.rw. F .iwe 4d° .bnp.lds sole cJr.Ty". m«x.>yevim,4. .... X— • ( SdaCd4DGaa 156 156—z seta 4lh,Buthau 3 4F. I "fowr. . .._. ...Gtaa 2,3 ...._...... n, H a.. roh d ,� F— /Jwmeenta JJ � I I V( _ Dknge is (L x W x M-... 1632 986.42 V-0 ... / pit I Wh ft a te•i 5400 Pe + 19 ky .. ' 1 O. � Comeaoc Tjpe Vukita.t P 67 :Aalrllon Bor ... 11s+a with 38"a . I ,, I Oiodea,IP65 -ms lwglhdC•li•• 2zl=mm RIDGE 30_ — — _ t..aAcaltebslttF�.�.11 w — T CafMWa�e ICC 61215,IEC 617301/.2 �` 0 1 _ HoBet WartwRp 10years .._ PAAEL ..... . c C E A A pew•rW.mtydPln•x 12yems9o%Syeas1109[ . 1 34' 0 00 vwr I 50' HAMPSHIRE AVENUE C70 , - - - - - - - - - 1 - - - - - - - - - - - - '- - - - - - - -- - TUB- - -�— I .I EcoC-asten GF-1 I 10e r 3.00. RIDGE 30- - - - - - - - - - - � ,&e PAMM - - - - - - - - odm � T -_ a w1y L -L - —. — — 1.570 o dm xRs C9 C8 C7 C6 C5 C4 C3 C2 C1 B9 B8 B7 86 B5 IRON RIDGE . •; 1 Al A2 A3 A4 A5 A6 A7 A8 A9 A10 B1 B2 B3 64 n ROOF SOLAR PLAN ROBERT BRUCE&ASSOCIATES R �0� . PEREIRA Consu/tfty Engineers and Planners 9 ngo J e; 17 HAMPSHIRE AVENURE 91�Mays [miring Road + $ 0 1} Somed Point AW. 018244-1111 `J CITY OF HYANNIS N �, Te%phone :(609)!926-3311 Fox :(609) 926 2212 E , ^ 672 w► Br o rpx a BARNSTABLE COUNTY, MASSACHUSETTS R E v i s 1 0 N s GENERAL NOTES: 15A FM cc 1. INSTALLERS SHALL VISIT THE SITE OF THE PROPOSED WORK AND BE FULLY ACQUAINTED WITH THE DasnNG 1a 1'caw TOM � CONDITIONS PRIOR TO INSTALLATION IN ORDER THAT ALL REQUIREMENTS AND CONDITIONS ARE FULLY 010 USE RRS am pm UNDERSTOOD. ALL AREAS AND CONDITIONS INDICATED ON THE DRAWING MUST BE VERIFIED BY INSTALLERS AND °C°800 SUBCONTRACTORS AT THE SITE PRIOR TO START OF WORK.. + 2 UNKNOWN OR HIDDEN STRUCTURAL DEFICIENCIES OR DIMENSIONAL DISCREPANCIES RELA + _ + + _ + _ + + - + - + - + oa TING TO THE EXISTING + STRUCTURE OR THE RENOVATED AREA MUST BE REPORTED TO THE ENGINEER IMMEDIATELY UPON DISCOVERY. I Al AZ Aa µ m An Aa As Ado ALL CHANGES TO THE PLAN MUST BE APPROVED BY THE ENGINEER. METHODS AND SYSTEMS OF ERECTION, AC DEMOLITION AND RECONSTRUCTION AND JOB SITE SAFETY IS THE THE ABILITY OF THE CONTRACTOR. op PR0°�"OM 3. KARNAK RUBBERIZED FLASHING CEMENT TO BE APPLIED WHERE EACH LAG SCREW 1S INSTALLED. wo 4. 3- LAG SCREW TO HAVE A MINIMUM OF Y OF THREAD. i odour 5. L FOOT WILL BE ATTACHED TO EX mm ROOF USING 5/16- X 3- STAINLESS STEEL LAG SCREW. I w 1a s r odour ; 71� 1MN" A: MWME S. EXACT PANEL LOCATION TO BE FIELD ADJUSTED FOR EXISTING ROOF PENETRATIONS. 1� o°Cc 7. IRON RIDGE MOUNTING SYSTEM TO BE INSTALLED ACCORDING TO MANUFACTURES DIRECTIONS. + _ + _ + - + - + - + + - + - T Dooeooioe:r NIBS in I' az IS e6 IS ee w m w V i oc : Fi O L FOOT ' Ys1 Ac O 5/16"X3- LAG SCREW -c cx o a as a a m a as ao DIVER 0 WWWR R, - odour - Hoer N 610D. TYPE INN . . - MMU E(YYV)(IYV) ®IilE11f g101ND - At COMBNM low"RN®NIB ` 5/16- X 3- STAINLESS a CMMW At 10 ama oe SOMM a%AC aaast AID ao►%:WAnW Y STEEL LAG SCREW SECTION Sejamms.o&CUIMM SWLarsurIM ar 2011 INSTALLED AT CENTERLINE »I 1—AYY a E RAFTER/ WMM +ter rm1 u oa AIp aE 1oa OF THiRl1SS Z lV A AIDNOE IIAIE PY/aE ON aC oY9001/�N Ao001mY10E ISMIB l00.43. TT Y P�aIE 2 PCtF - W { IIEYFMIE awaE 1EIHt/ - L FOOT - 28 LG Mono 260 Module - i Fronius IG 5100 Inverter 5/16 X3- LAG SCREW 1 Fromus IG 3000 inverter u=06000mr. o . ��e°a(aursoq WASHER 3-0 ,r Dolour ------ -----------1 (qunmraeE r - EXIST RAFTER/TRUSS M } J � . am P®No N CONNECTION TO TRUSS FM BE uulrc I WE�NO wwPL IS RATED FOR CATEGORY 11'. I ! rw E �o �wNoe-1aa EXPOSURE B' 120 Ns w i10ND:Tao AMPS I MPH WIND. L-------- -------- -- ---� ROOF SOLAR PLAN ROBERT BRUCE&ASSOC/A TESt4- R E PEREIRA ConsuNgg Engineers and Planners o lass/p�r>d�/ 9� O 1� 17 HAMPSHIRE AVENURE gf Moo La►dng Road �i a Somers Poln� N./. Obt244-f f 1 f WE e" °ten°" CITY OF HYANNIS " �' N BARNSTABLE COUNTY,MASSACHUSETTS Te/spnale jew) gm-mil Fox -(Bog) gm-2212 6M R E V 1 S 1 0 N S