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HomeMy WebLinkAbout0005 STRAIGHTWAY (NORTH) 4� (.t<1 f, I - fi - i Ly � Town of Barnstable SHE do Building Department Services Brian Florence, CBO BAJAy 'M ssB`�g Building Commissioner m 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us t Office: 508-862-4038 Fax:'508-790-6230 P Town of Barnstable Family Apartment Affidavit 3 I, being on oath, depose and state as follows: My name is :HID I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: ' Name&relationship to owner: j Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately j. notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Balding Commissioner listing the names and relationship of occupants in said Family Apartment I also ' understand that I am required to,comply with all conditions imposed by the ZB Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Aparments: Lvagree to notify the Building Commissioner immediately in the event of the sale of this property ,. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. ' The apartment has been transferred to the Amnesty Program(Appeal No. ) Other l TG1 � 2019. Sworn to under the pains and penalties pe 'ury this' day of Signature Phone Number V Print Name n I q:forms/famaffid.doc rev 11/08/13 } Town of tarnstable pF THE Tp� do Building Department Services q Brian Florence, CBO * BARNSTABLE, " v MASS' Building Commissioner 139. 1m AIFp. �s 200 Main Street,Hyannis,MA 02601 .' www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable' Family Apartment Affidavit I,being on oath, depose and state as follows: My name isMAI - `� I'am,the owner/resident of the vt property located at: r The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: - t Name&relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. E, a I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also - understand that I am required to comply with all conditions imposed by the ZB Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. .)agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at his location,please explain: - 5.1 The apartment has been dismantled. . w M The apartment has been transferred to the Amnesty Program(Appeal No. ) Other r Sworn to under the airs and penalties Tury this1. da of 2019. P p P ( � Y \4, AA- f l Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/13 Town of Barnstable Building Department BUILDING ,. Brian Florence, CBO �E�T • snatasTnste. Mass. $ Building Commissioner i6 r[� Z�18 39� ♦0 iOrFv Mor 200 Main Street, Hyannis, MA 02601 FEB O 9 www.town.barnstable.ma.us TOWN OF BABNSIABU Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family Apartment Affidavit I, being on oath, depose and state as follows: 044 My name is ✓� I am the owner/resident of the ' diproperty located at: J�j N OJA {� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: CQ SLE Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains d pe ties of perjury this_ day of 2018. j a✓ o ' �� Signa ! hone Number r Print Name q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable R Regulatory Services of Richard V. Scali,Director TO, ,N OF RTABLE .Building Division, AS& Paul Roma,Building Commissioner. 7017 J 16h 1.0 AM 03ig. 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us 'Office: ,508-862-4038 r: 1Fax 508-790=6230 Town of Barnstable Family Apartment Affidavit - I,being on oath, depose and state as follows: 'My name is �,r)1y62f I am-the owner/resident of the . property located at: V The following members of my family will be the sole occupants of the Family Apartment at the..' aforementioned address: Name &relationship to owner: Name &relationship to owner: 'The Family Apartment will be the primary year-round residence for the above-identified- family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said ` Family Apartment is permitted. I understand that I am required to file an Affidavit annually-with the Building Commissioner listing the names'and relationship of occupants in said Family Apartment. I also understand that I am required to comply withall conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47:1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this-location;please explain:The apartment has been dismantled. The apartment has been transferred to the Amnesty.Program(Appeal No. Other Sworn to under the pains and penalties of perjury thi lU ^tr day of 2017. �T_ Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oFTME rOr�ti Richard V. Scali,Director Building Division r r . 9 RAMSTABLE s& Thomas Perry,,CBO,Building Commissioner 1619. s 200 Main Street, Hyannis, MA 02601 '- EO MA'S www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: Y My name is / I am the owner/resident df the '3, property located at: 'elk, U The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: v� Name &relationship to owner:, " The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said . Family Apartment is permitted. r I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also , understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to.under the sand enalties of perjury thi ' p p p rJury day of 2016. Signature Wone Number_ Print Name +4tj C � ` R*, L, L q:forms/famaffid.doc rev 11/08/12 Town of Barnstable OFTHE Tpk, Regulatory Services Richard V. Scali,Director (gsTABLE BMMSfABM # Building Division y MASSr' 9 12: .17 i639. A Thomas Perry, CBO,Building Commissioner` fD MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us 19VIS70 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is H&L! (N! I am the owner/resident of the property located at: 1 kA - ) The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ` Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under t e pains and penalties of pe ' Y s _ day of7 2015. G6) Signature Phone Number Print Name C — �l A)( q:forms/famaffid.doc rev 11/08/11 Town of Barnstable �F THE Tp� do Regulatory Services r r Richard V.Scali,Director • &U NS"LE, MASS. Building Division 1639. ♦0 �iOTFp►w�° Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 50M62-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I, the undersigned, being the owner of property situated at 5 Straightway North, Hyannis, MA holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 28201,Page 186,being shown on Assessors'Map 271 as Parcel 003,hereby agree,certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s)of the property owner's family as accessory to an owner-occupied single-family residence. Occupant of Main Residence: Hong Mai-Singh Relationship to Owner: Owner Resident of Family Apartment Trang Dai Phan Relationship to Owner: Sister This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, . affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. - The consideration for this Agreement is the isivance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day ofn TOWN OF BARNSTABLE: OWNER: By: Ho` ai-Singh Thomas Perry, CBO, h A Building Commissioner _ THE COMMONWEALTH OF MASSACHUSETT BARNSTABU UNTY, SS Date q 5 Then personally` appeared the above-named (owner), �! — /7 and made oath as to the truth of the fore o' i strument,befor e. UWR9101PIE1R0 Notary W� My Com 's 'on Expire . MessuAus M 5 2017 i f rj 0017 qsa cil"!*sion Expires May 5.2017 SARNSWLE REGISTRY OF DEEDS YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 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 operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate.that is required by law. ' t DATE: , 3A,,P 12 Fill in please: 6ub ��� �� - � APPLICANT'S YOUR NAME/S: � m BUSINESS YOUR HOME ADDRESS: 7i'e/ ��/��s ur4 C:c: _�al���i %OCJr1 _ ys%e TELEPHONE # Home Telephone Number � '0 �. jq a_r,h,s '< q NAME.:OF CORPORATION NAME OE NEW.BUSINESS �, ' �� `�; .. TYPE OF BUSINESS IS,THISAHOMEOCCUPATION� ��NOj ' USINESS /, �'.; w/'''`" M1P/PARCEL NUMBER 7�'G 0:3 (Assessing) ADDRESS OF B o!'.c. ri /-� '7 ; When starting a new business there are several things you must do in order to be in compliance with the rules and regulations 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 business in this town. 1. BUILDING COMMISSIONER'S FFI L� MUST COMPLY WITH HOME OCCUPATION This individual has b informe'�g any.permit requirements that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO . Authorized ignature** COMPLY MAY RESULT IN FINES. COMMENTS: D � D 0� 2. BOARD OF HEALTH This individual has be i formed of the.p req ' e ents that pertain to this type of business. MUST -,OMPLY WITH ALL Aut orized Signature** HAZARDOUS MATERIALS REGULATIONS COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has Wn in e�nof the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable IME Regulatory Services P Thomas F.Geiler,Director Building Division 059. `0� Tom Perry,Building Commissioner A Mpt'' 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Appro�d: I Fee: 3 d-O Permit#: 01 ` HOME OCCUPATION REGISTRATION Date: /17 �v'r-{�� m L. o u) V Name. j/L2-4 Phone#: Oe .2—�J All 1 dress: Village:_ Name of Business: 1 �e.. Type of Business:/ac"' ` -� Map/Lot: aB� • �l INTENT: It is the intent of taus section to allow die residents of the Town of Barnstable to operate a home`occupation ivithin single family dwellings,subject to the provisions of Section 4-1.4 of die Zoning ordinance,provided that die activity shall not be discernible from outside die 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 groundvv-ater pollution. After registration with tie Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by die permanient resident of a single family residential dwelling unit,located va2thin drat dwelling unit. • Such use occupies no more than 400 square feet of-space. • There are no external alterations to tie dweling cv 1iich are not customary in residential building,and there is no outside evidence of such use. • No traffic will be generated m excess of nornial residential volumes. • The use does not urnolve die production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,beat,glare,hunnidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flamnhable or explosive materials,ui excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing die Customary.Home Occupation,and not kztiin the required front yard. • There is no exterior stonige or display of materials or equipment. f • There are no commercial vehicles related to tie Customary Home Occupation,other than one van or one pick-up trick not to exceed one toll capacity, and one trailer not to,exceed 20 feet in length and not to exceed 4 tires,parked on die same lot containing the Customary Home Occupation. • No sign shall be displayed indicating die Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,die street address shall not be included. • No person shall be employed in the Customary Home Occupation cvho is not a permanent resident of the dwelling unit I,the undersigned,have read and- •ee with die above restrictions for my home occupation I am registering. Applicant: Date: /Z Homeoc.doc Rev.01/3/08 • 7 i (e Cape Save Inc. 7-D Huntington Avenue South'Yarmouth, MA 02664: Tel: 508-398-0398 Fag: 508-398-0399 y' Cl 1/20/16ti Thomas Perry CBO s Town of Barnstablern Building Division 260 Main St. Hyannis,MA 02601 , r. RE: Insulation Permit 201508695 Dear Mr. Perry ' This affidavit is to certify'that all work completed for 5 Straightaway North Road has been inspected by a third party Certified Building Performance Institute(BPI)Inspector All work performed meets or exceeds Federal and State Requirements. P 9 Sincerely, William McCluskey E. TOWN OF BARNSTABLE BUILDING PERMIT APPL; ATION Map T Parcel 003 Application # � Health Division Date Issued Conservation Division Application'Fee Planning Dept. Permit Fee2J w Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 5 c5tra�ch�a►�.�/ 1V or4� R� 1 Village yana i s 1 Owner Address a.(1►e Telephone 6 - S 0 6941 Permit Request P1*1A R' 38 �Aotw &IJ ceRsdase/ Ao t ke- 40+1 G. 1s7p, Tke- OL4('c laa W'li h an IIAf 0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Asto Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count "Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 'Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes A6No If yes, site plan review# DEC 16 2015 Current Use Proposed Use �E APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name W11 M N&IM 1�of Ep*t Tf'e- Telephone Number 508 a 9s 0396 Address 7�'D IIAA s4f) Afy License # ,mac Loa Fh S�,►-� �anl�o�'r�, l'l oa 66�I Home Improvement Contractor# 3 Email Worker's Compensation # WV/C 31,3 bat H ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO &rMas A SIGNATURE DATE a- 1 5 1 5 } FOR OFFICIAL USE ONLY f` APPLICATION # ` DATE ISSUED MAP/ PARCEL NO. r ADDRESS VILLAGE i OWNER DATE OF INSPECTION: Y 's FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r , i; J a! . i t .. d' •, �. The Commonwealth of hlassachusetts'''""' 'Departrieni f Accidents It 1 Congress Stree4:Suite 100 T* ' Boston,MA 02114-2017 f _ = t 1 wwx.massgov/dia NA-%rkeis'Compensation'Insuiance AffidavitsBuilders/Contracfors/Electricians/Plumbers. TO BE FILED WITH THE.PERMITTING AUTHORITY. Applicant Information Please Print Legibly - Name (Business/Organization/Individual):Cape Save Inc Address:7-D Huntington Avenue F r • City/State/Zip:South Yarmouth, MA 02664 phone#:508-398-0398 Are you.an employer?Check the appropriate box: _ __ _ _ _ __ Type of project(requko). , _ 1. ✓❑I am a employer with 20 - :employees,(full and/orpart-time)' ; -» �t r 7 _ T Q New construction - r r 2. I am a sole proprietor or partnership and have no employees working.for me in r .T, T. 0 - 8: D Remodeling any capacity.[No workers'comp.insurance required] r « r 3.FI am a homeowner doing all work myself.[No workers comp.,msurance'required.]t 9..Q Demolition - `' a M ,�10[(.Building addition - `"4.❑lam a homebwner and will be hiring contractors to:conduct all work on my property--I will o L, ' r . , ensure that all contractors either have workers'compensation insurancew are sole I LE]Electrical repairs'or additions proprietors with no employees. - �,. ,%,, 12.❑Plumbing repairs or additions . !5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13:[]Roof I..2 repair These sub-contractors have employees and have workers'comp,insurance? > •Insulation 6.❑We are a corporation and its officers have exercised their right of exemption per MGL C. 19.Q Other. 152,§1(4),and we have to employees.[No workers'comp.insurance required.] , *Any applicant that checks box#1 must also-fill out the section below showing their workers'compensation-policy information.- ` 1 t Homeowners who submit this affidavit indicating-they are doing all work and then hire outside contractors must submit a:new affidavit indicating:such. *Contractors that check this box must attached an additional sheet.showing the name of the sub-contractors and state whether or not those:entities have employees. If the sub-contractors.have employees,they must provide their workers'co-p:policy number. " I am an employer that:is providing workers'compensation insurance for my employees. Below is thepolicy and job.site_ ' r infoeinadon. _ _ _ w r l Insurance Company Name:Wesco Insurance Company i WWC3136274 '" _ "" 04/Q9/2016 r- , l Policy#or Self-ins.Lic.#: -' 4. Y - - _. . " . c Expiration Date: 3 1 .Job Site Address: 5 Straightway North Road. City/St4te/Zip; Hyannis t }Y • Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL:c. 152,§25A is a criminal violation punishable by 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.A copy of this statem..ent.may be forwarded to the Office.of Investigations of the DIA.for insurance coverage verification. ' I do hereby certify:under th pains andpenalties of pepjuryahot the information provided above.is trice and correct 4 +, q Si...attire;, Date: 12/15/15 r ry Phone#:508-398-0398 Official use.only."Do nofwrite:in this area,to be completed by city or town ofj'icia[' ...._.• . ....-rw..n. r .�.ww+4m• s..-Y+�--_w..n_r .. _��F. s-. , .Y r.� r.a.�...... ,,. -w _ . +ww..., .....,M-..,.�W.�•n•,�iM. 4-_.. ..`F. ' City orlon',' ;'`+. Permifticense Issuing Authority(circle one).• -� r y ' , 1 Board of Health 2.Building,Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector, 6.Other. _ K• Contact Person: Phone#: ._r ACO UR ® T DATE(MMIDD1YYYY) ��. CERTIFICATE OF LIABILITY INSURANCE ' 10/14/2015 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(les) 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 endorsements. PRODUCER CONTACT AAME: Colleen Crowley Risk Strategies Company PHC►N E : (781)986-4400 NC No: (781)963-4420 15 Pacella Park Drive ". E-MAIL ccrowley@risk-strategies.com ADDFtESSSuite 240 INSURER(S)AFFORDING COVERAGE NAICB Randolph MA 02368 HNsuRERA:Selective Ins. of America INSURED INSURERB Allmerica Financial Alliance Ins Co 10212 Cape Save, Inc INSURERC:Wesco Insurance Company 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL15101402127 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE D SUBR POLICY NUMBER MMIDD EFF MMiDD EXP LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE F_x1 OCCUR PREMISES Ea occurrence $ 100,000 91994480 10/16/2015 10/16/2016 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 1�1 PRCT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED Eaabcident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS X AUTOS AUSA46796600 11/6/2015 11/6/2016 BODILY INJURY(Per aocident) $ X HIRED AUTOS E NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 11000,000 DED I I RETENTION Nil S1994480 10/16/2015 10/16/2016 $ WORKERS COMPENSATION Officers Included for X AND EMPLOYERS'LIABILITY YIN STATUTE ERH ANY PROPRIETORIPARTNE,RIEXECUTIVE NIA Coverage E.L.EACH ACCIDENT $ 500,000 C OFFICERIMEMBER EXCLUDED? N❑ (Mandatory In NH) WVC3136214 4/9/2015 4/9/2016 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 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) National Grid Corporate Services LLC d/b/a National Grid, Action Inc, Colonial Gas Company and NStar Electric are all included as Additional Insureds with respects to the General Liability coverage of Named Insured as required by written contract. f CERTIFICATE HOLDER CANCELLATION ` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing Assistance Corporation -THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 460 West Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA . 02601 AUTHORIZED REPRESENTATIVE Michael Christian/CLC < �"J` `� O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) U�2 02� 2 >?,lCl�tZ CQa ^��I: IJC�CGI/1 Office of Consumer Affairs and Business Regulation \ 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 Type: Corporation Expiration: 3/14/2016 Tr# 249649 f CAPE SAVE INC. WILLIAM McCLUSKEY --- < a 7-D HUNTINGTON AVENUE ' SOUTH YARMOUTH, MA 02664SM Update Address and return card.Mark reason for change. sca i Co 20M-05n1 E] Address E] Renewal 0 Employment Lost Card �T a�r icioiu>veuealC�a`!�f�c�:;ac�cciei/� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only *;'E OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: e istration: -s" Office of Consumer Affairs and Business Regulation 9 �1}71380 Type: > xpiration:»WI41201.6. Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE SAVE INC. WILLIAM McCLUSKEY � 7-D HUNTINGTON AVENUE> _ SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature Massachusetts -Department of Public Safety Board of Budding Regulations and Standards c.�nuuuftifiii ou�iEi vii6T o��t;iiari_v -s.��•�.:�a. License: CSSL 102T76 WILLIAM J MC C'tU - 37 NAUSET ROAb West Yarmouth MA If " J,,�,.,. ,vim '•aritt�` Expiration Commissioner 06/28/2017 t snxr�r"�' ` RlcItarc�'9T'. ,:Ai�ri�tnr. Town -0--.axA able x mpem_oft Op sioOr ?AO,Mam'Sh yazuus,`MA 02G01 W7 Wowa.�t fable zi�a:as Sa8 62-403`8 _ aac. 50$-794 fi23 3; Propt}xE e r Com pe c If + _ lwwr 0 h 1 ! ��f S i Vt � � ;.�o �oaf tl�e s D a p�rvp�r�y hereb `i asmams rea�te:to wor�auio ...� h buiy_ is pnfar iL J . -`"T'�o1eiices and ar ,s aserhespo �ofe aplrc �n� .oas x�ispectzaaas ,p�faicned, ,d a�cep�et� , � - i of 1Qvner: Signaze ofilcax�t , - r prFaRi+ls:arut�kt� zssttt3�tpoa'�5 `' . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION y Map 2a I Parcel Permit#P)603 D Q Health Division Date Issued r -'A R,R51AbI- Conservation Division Application Fee Tax Collector Permit Fee Treasurer Planning Dept. _ _- �', cqe i,i�� a H �yf�J� Date Definitive Plan Approved�.by'Planning Board y _ Historic-OKH Preservation/Hyannis �� Project Street Address Sir Gr A LJ Village Owner pQ d� 6LI Sfrah Address 444 Fa>lW)pt�'fa►iZc�� Isfi�'l; Yanrn ,l�� Telephone (D(4(b- 156 IRON I Permit Request J )5h2I w�ao Of a I 1 (09 aq C_On5isfi rii 6 Cal 1) S?0 23�Mono ne 5 Square feet: 1 st floor: existing proposed 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) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes 0 No Basement Type: ❑Full 0 Crawl O Walkout ❑Other _ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: , Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil 0 Electric ❑Other Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No Detached garage:0 existing O new size Pool:0 existing ❑new size Barn:0 existing 0 new size Attached garage:0 existing ❑new size Shed:O existing O new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan.review Current Use _ Proposed Use BUILDER INFORMATION Name ;L Telephone Number r1�11, Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE A DATE FOR OFFICIAL USE ONLY _ PERMIT NO. -,-. DATE ISSUED �> MAP/PARCEL NO. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: ` FOUNDATION f; ^- FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH '.- FINAL-, ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 3'-4' Snap-N-Rack Rail. Sotar Mounting System Attached to roof using L feet, Flashing, and 5/16'x4 1/2' Stainless Steel lag bolts at a maximum of 48' between roof attachment points V 3'-4' Chimney 2'-3' 3'_4, 2x8 rafters 2 30 degree pitch 2x8 floor ,Joists all 2 16' centers 7' Clean Energy Design, LLC, cleanenergydeslgn.coM 11,685 kW Photovoltaic Array - Main Section - Elevation - 13 panets Total, system sizes Mark Spivey 41 SolarWorld 285 watt markspivey@cleanenergydesign,coM Mit Singh Monocrystatine panels 2 SMA SB6000TL-US-22 .744 Falmouth Road dates 10/09/2015 Inverters •H annis MA 02601 11' Snap-N-Rack Rail Solar Mounting Syystem Attached to roof using L feet, Flashing, and 5/161x4 1/2' Stainless Steel lag bolts at a maximum of 48' between roof attachment point 10, 3'-4' 3'-4' 10' 2x8 rafters @ 30 degree pitch 2x8 floor ,Joists all. @ 16' centers ED Clean Energy Design, LLC, cleanenergydesign,com Total system size+ 11.685 kW Photovoltaic Array - Center Sectlon - Elevation - 12 panels 4i al system 2 e watt Mark Spivey Monocrystaline panels _ mark spivey@cleanenergydesign,com Mlt Sin h -g 2 SMA SB6000TL-US-22 date+ 10/09/2015 Hyannis,MA 0 601d Inverters 33'-5' 5' 5' 10' if-lip 3'-4' 12'-8' 10' 17'-8' Sno=-Rack Ralt Solar-Mounting MS stets A tached to roof usingg L feet, Flashing, and 5/16'x4 1/2' 2x8 rafters @ 30 degree pitch Stainless Steel tag "bolts at a maximum 2x8 floor ,Joists of 48' between roof attachment points all @ 16' centers Clean Energy Design, LLC, cteanenergydes.ign,coM Total s stets size, 11.685 kW Photovoltaic Array - Center Section - Face View 12 anels Y Mark Spivey 41 SolarWorld 285 watt roarkspivey@cleanenergydesign.coro Monocrystaline panels Mit Singh 2 SMA SB6000TL-US-22 dates. 10/09/2015 744 Falmouth Road Inverters Hyannis, MA 02601 24' 3'-10' 6'-10' 3'-4• 2x6 -collar ties 2x8 rafters 8 40 degree pitch 2X10 floor ,Joists all C 161. centers Snap-N-Rack Rail Solar Mounting 3'-41. System Attached to roof usin_gg L feet, Flashing, and 5/16'x4 1/2' _ Stainless Steel tag bolts at a macximum of 48' between roof attachment points Clean Energy Design, LLC. p Total system sizes 11,685 kW Photovoltaic Array - East Section - Elevation - 16 anels. Y cleanenergyolesign,com 41 SotarWortd 285 wat-t Monocrystatine panels Mark S Ive markspv ey@@cleanenergydesign,com 744 Falmouth Road 2 SMA SB6000TL-US-22 dates 10/09/2015 Hyannis, MA 02601 Inverters 2x6 collar ties 2x8 rafters @ 40 degree pitch 2x10 floor Joists all R 16' centers 30' 2.�3. 3'-4' 13'-6' 3 4 2'-4' LE.. \Snap-N-Rack Rail Solar Mounting WS stem Atached to roof usin�gg -L feet, Flashing, and 5/16'x4 1/2' Stainless Steel tag bolts at a maximum of 48' between roof attachment points , ® Ctean Energy Design, LLC, cleanenergydesign.com 11.685 kW Photovoltaic Array - East Section - Face View - 16 PaneLs Total system sizes 41 SolarWorld 285 wc-,- Mark Spivey MonocrystaUne. panel 9; markspivey@cteanenergydesign,com Mit Singmouth Road h 744 Fal 2 SMA SB6000TL-US-Gc:dater 10/09/2015 Hyannis, MA 02601 inverters -- 16'-6' chimney 2'-9, 4' 1'-8. 14' 2'- 40' Snap-N-Rack Rail Solar Mounting System , Attached to roof usingg 2x8 rafters 8 30 de ree Itch L feet, Flashing, and 5/16'x4 1/2' 2x8 floor joists g p Stainless Steel'lag bolts at a maximum all @ 16' centers of 48 between roof attachment points Clean Energy Design, LLC, cleanenergydesign,com 11.685 kW Photovoltaic Array - Main Section - Face View - 13 anels Total system sizes Mark Spivey Mono Solar oriel 285 watt markspivey@cleanenergydesign.com els 74 Singh 2 SMA SB6000TL-US-22 dates 10/09/2015 .744 Falmouth Road inverters Hyannis MA 02601 24, ' 6'-10' T-4' 2x6 collar, ties 2xB rafters R 40 degree pitch 2x10 floor ,Joists all @ 16' centers Snap-N-Rack Rall Solar Mounting T-4' System Attached to roof usingg L feet, Flashing, and 5/16'x4 1/2' Stainless Steel lag bolts at a maximum of 48' between roof attachment points r , Clean Energy Design, LLC, Totals stern.sizes ED 11.685 kW Photovoltaic Array - East Section - Elevation - 16 panels Y cteanenergydesign,com Mono lrystaUne285 wa t Mark Spivey Mlt Singh 2 SMA SB6000TL-US-22 markspivey@cleanenergydesign,com 744 Falmouth Road Inverters date, 10/09/2015 Hyannis, MA 02601 2x6 collar ties 2x8 rafters @ 40 degree pitch 2x10 floor joists all @ '16' centers „ 30, 2'-3' 3'-4' 13'-6' 2,_2,. 3'-4' 2'-4' Snap-N-Rack Rail Solar Mounting System Attached to roof ' s in gg L feet, Flashing, and 5/16'x4 1/2' Stainless Steel lag bolts at a maximum of 48' between roof attachment points CED Clean Energy Design, LLC, cleanenergy design.com 11.685 kW Photovoltaic Array - East Section - Face View - 16 paneLs Total system slzei 41 SolarWorld 285 wrk' •` Mark Spivey Monocrystaline pane(f r;,, markspivey@cleanenergydesign,com Mit Singh 2 SMA SB6000TL-US-- 744 Falmouth Road Inverters dates 10/09/2015 Hyannis, MA 02601 16'-6' chimney 2'-9' 4' Is 1 14' 2'- 1'-3' JII 11 LIEF17 40' Snap-N-Rack Rail Solar Mounting System Attached to roof usi L feet, Flashing, and 5ngg /16'x4 1/2' 2x8 rafters @ 30 degree pitch Stainless Steel lag bolts at a maximum 2x88 floor c joists s of 48 between roof attachment points all CED Clean Energy Design, LLC. cleanenergydesign.com Totals stem: size 11,685 kW Photovoltalc Array - Main Section - Face View - 13 panels 41 Sola tem,ortd 1ze watt Mark Spivey Monocrystaline panels markspivey@cleanenergydesign,com Mit Singh 2 SMA SB6000TL-US-22 dates 10/09/2015 .744 Falmouth Road inverters Hyannis, MA 02601 33'-5' 5, 5' 10' 3'-4' 2'-2' 10' )V //V I OIL_] 17'-8' Snap-N-Rack Rail Solar Mounting System Attached to roof us L feet ingg/16'x4 1/2' g p a 2x8 flooroats 2x8 rafters 8 30 degree Itch , lashing, and 5 • StainlessF Steel lag bolts at maximum all @ 16' centers of 48' between roof attachment points CED Clean Energy Design; LLC cleanenergydesign,com Total s 11.685 kW Photovoltaic Array - Center Section - Face View - 12 anels 41 SolarsWtem, sizes ortd 285 watt Mark Spivey 41 ocrystaline panels markspivey@cleanenergydesign.com Mit Singh 744 Falmouth Road 2 SMA SB6000TL-US-22 dates 10/09/2015 Inverters Hyannis, MA 02601 — 11' Snap-N-Rack Rail Solar Mounting System Attached to roof using L feet, Flashing, and 5/16'x4 1/2' Stainless Steel lag bolts at a maximum of 48' between roof attachment points 10' 3'-4' 2'-3' 3'-4' 10, 2x8 rafters @ 30 degree pitch 2x8 floor ,Joists all @ 16' centers CED Clean Energy Design, LLC, cleanenergydesign,com 11,685 kW Photovoltaic Arraysystem 285 watt size) - Center Section - Elevation - 12 anels 41 Sola Total s Mark Spivey Monocrystaline panels mark spivey@cleanenergydesign,ccm Mlt Singh dates 10/09/2015 .744 Fa mouth Road 2 SMA SB6000TL-US-22Inverters H annIs MA 02601 3'-4°. Snap-N-Rack Rall Solar Mounting System Attached to roof usingg 2' 1'-4" L feet, Flashing, and 5/16'x4 1/2' Stainless Steel lag bolts at a maximum of.48' between roof attachment points 4' 3,_4' Chlmney 2'-3' - 3'-4'- 2x8 rafters @ 30 degree pitch. 2x8 floor ,Joists 1'-8' all @ 16' centers 7" ED Clean Energy Design, LLC, cleanenergydesign,com 11,685 kW Photovoltaic Array - Main Section - Elevation - 13 paneLs Total system slzei Mark Spivey 41 SolarWorld 285 watt mar kspivey@cleanenergydesign,com Monocrystaline panels M Singh dates 10/09/2015 .74 2 SMA SB6000TL-US-224 Falmouth Road Hyannis, MA 02601. inverters i 'down Qf Barnstable Regulatory Services of reiyk R.ichaid V.ScaI4 Director Building Division RSRwsra sxrR F Tom Perry,Building Commissioner MA ss 200 Main Street; Hyannis,MA 02601 QED FAA'I�` `www town.barnstible.mn-us Office: 508-862-4038 3 Fax: 508-790-6230 y— HONMOVPNFER LICENSE EIEh1PTION PImse Print DATE: J JOB LOCAIIObL Vv O nnmbcr shut vdlago o : va namc CJ -bomc phonc g' woric phonc fr CURRENT MAII..ING ADDRESS: ' city/fawn stdc zip codc 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. DEFINrI'ION OR HOMEOWNM 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 forcompliance with the State Building Code and other applicable codes.' bylaws,rules and regulations_ ers - r The undersigned`homeowner"certifies he understands the Town ofBarnsfable Building Department,r,ini,,;um inspection pro es and ' ements that comply with said procedures and requirements. Approval ofBmldingOfcial Note: Three-family dwellings cone 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Constriction Control HOMEOWPIER'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-t-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_I5) 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 n 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 Iast page of this issue is a form currently used by.several towns. You may care t amend and adopt such a form/cert ification for use in your community. , Q:\RTPFII-EST0RMS' u9diagpermitfo=%EXPRFSS.doc ' Revised 061313 �'THE r Town of Barnstable Regulatory Services r V9s Richard V.Scab,Director 1639- ti�� 'OT w Building Division Tom Perry,Building Commissioner 200 Main Street;Hyan is,MA 02601 www.townb arnstablema.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L , as Owner of the subject property, hereby authorize to act on my behalf, in all matters relative to work authorized bythis building permit application for- (Address of Job) 'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or uiilized before fence is installed and all final inspections.are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Dare . Q:FORMS:O WI IIItPERMIISSI0Ie00LS 3'lie ComrlraInveiz 3(l:'of_Massuchasetts 'Deparfrnam of Indus-frial Acciderri_r i _ OfTwe Of IMAM 6917 i[T7ms. Sego Washington S`�reet a. r 7. Bost-on MA 02111 y , , IPF.Pin rnasMgovfdin 4 N%Tnrkers' Cumpens'afiaw Ce davi ticians/Phmherstz � s Applicant InfaiwafTan TT Please Print Le ffi Name(BusmessP snim ionl�Ai f " Address: / Citir/S{3tetziz vm�:_Pha t '_ Are you aii-employer?Check th appropria .h Type of project(regnire�_ "t_❑1I nut a employerwith 4 I am a general confractor andT • 6_ New ccnstmctim employees(full andfor part-time)* have hired the sufi ccmdractars ❑ 2.❑ I am a sole proptieta r or partner- Listed an.the attached sheet. 7. ❑Remodeling ship and have no employees. ' These sul�conErac#ors have $. ❑Demolition wod ny for me in any capacity- ,F `employees andhave workers' LQ workers' camp.insurance comp-insurantc 9. ❑Euilding addition rewired_] 5- ❑<We area corporation and ifs 16_❑Electrical repairs car additions 3_❑ I am a fiomeoumer.doing all work officers have e=cised their 1L❑Plumbingrepairs or additions set£ o workers' �t of exemption per MGL �' � �F- 12.❑Roofrepaus. inc c.152'§1(�andwe have no �rrarirererFuired�1 r' , 1�_❑Other w •i ,employees.(No workers COMP_MELTI ce required- 'Amy app&=ttbstc1mcks box 9lmastalsaf loutthesecBaabelowshmsingdiekww3necompensatianpalicyinformsuaa. &ameovrners wba submit cHis afHdavu i> ratbag they aze claiag MUwo�c and tfum h>re outside cautisctors nmst submit a new affidaYit mdieating rnrTi (Contractors Yhst check ibis box must attached as ad6tia=1 sheet sbowiag thenau�of 11m sub-co�ctats hold state whether or not tbase enfitksha%,e employees.If thesuli-coatmctarshweemPlo zs,thgrnmstpmvi&thek warkm'COMP.policy aumtrer lam all etliployer tTiat is protzdfrrg itrorkers'conrpensafiatr imvirarrce for my empkyees ffetovv is Aq pv c-y and jots rife - infarraation, Inst=ce Campany Name: Policy 4 or Self-ins_Lic_4L. Expitatio'n Date_ Jobtr;.A.ddress iY' 1. cityls#afel7.tp_ C�ZL .j Attach a.copy of the work-ere pensation.20 cy declaration page(showing the policy number and expiration date). ` Failure to secure coverage as required under Section 2 5A of MGL c 157 can lead to the imposition.of criminal penald s of a' fine up to$U-0D 00 au 6r aa�rimpdsonment,as wr a as civil penalties-Ja i e faun of a STOP WORIK€?RDERand a fame of up to$Z50_00 a day against the violator.-Be advised t11at a copy of this statement maybe fxx coded to the Office of lavw stigations of The DIA for insurance:coverage varrEcatim. Ida kzrsTry c nardar tFtapairts ands a,f' -ty that dig itforwa€wiproti&d abm .is bits and correct , # S�imaiure _ f Date_ Phone t7,1 iaL use tartly.-Da not wrke in this area,itx be crrrtcpTeterl Tip city carfen�rr a;�`rciat y , City or TaRsn: PermitfLuense# Lssu* afhar *(drrIe flrie); »' L Board of Health 3.BuffTmg Department 3., atylrown Clerk Al Electrical Inspector S.Plumbmg Inspector C'oitact Person: - Phone#: 6. R , Taformation and lastrueflo-)as Massachusetts General Laws chapt z 152 re purrs all employers fn provide workers'compensation for their evmpIoye9r' purm=tto this ,an mVIayr�is defined as.°_-every person m the service of another under any contract of hie, express or mMplied,oral or Win_" " ' - axis associafioM4 corporation or other gal entity,or any two or mare An.Mope'is di--fined as an.individual,p atsh�, of the foregoing engaged m a joint eoferprise,and including the Iegal Fepreseafatives of a deceased employer,or the receiver or bust:=of an mdividnal,partnership,association or other Iegal 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 - dwelU g house of another who employs persons to do mafi t mon ce,coostuaddon or repay work-on such dwelling house or oa the grounds or building appmt;q�tgreto shonotbecamc of such employmentbe deemedto be an employer-" MGL chapter 152,§25C(6)also sties that"every state or local licensing agency sha11 wi hold tie issuance or renewal of a license or permit to operate a in busess or to construct bdiags in the commonwealth for airy applicant:Who has not produced acceptable evidence of compliance with tb:e insurance covearage requited." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor ray ofits political subdivisions shall enter ink any contract for the performanw 0fpubli c workuntil acceptable evidence of compIiancevrith the inc�T rice. req=meats of this chapter have been presented to time contacting auihozity.„ Applicants. Please flI out: the worker'compensation affidavit completely,by chet:Iong idle boxes mat apply to your situation and,if. necessary,supply sub-contractors)name(s), addresses)and phone numb,er(s) along with their certJac atA-_(s) of „m -a„ce. Limited Liability Companies(LLC)or LimitedLiabUityPartierships(LLP)with no employees other than the members or partners,ace not requited to cagy workers' compensation insaz-auce. If an LLC or LLP does have employees, a.policy is regnu-ed. Be advised thattbis affidavit submitted to the Department of rndusfrial Accidents for conffimation of insnraace coverage. Also be sure to sign and date the affidayit. The affidavit should be returned to time city or town that the application for$me permit or license is being requested,not the Department of LodustrialAccidenfs. Sbouldyou bane any quesdo ns regardmg the Iaw or if'you are rujai ed to obtnm.a workers' compensation policy,please call the Department at the number listed below Self-insured companies sh 0 .enter their self-insura ce license number on the appropriate line. City or Town Officials Please be sore that the affidavit is complete andprmted IegiyIy. The Department has provided a space at the bottom. of tie affidavit for you to bll out in the event th-,Office of Investigations has to coact you regaldmg tine applicant. Please be sine to fill in the per�aillicense number which wM be used as a reference number- In addition,an.applicant en ear,need o submit one affidavit indicate c=r-at that must submit multiple pennit/Iicense applications in any gav y my policy inlfbmation.Cif necessary)and under"Job Site A d JTTess"the applicant shoild�e""all locations is . (criY or_ town)-"A copy of the affidavit that has been off ciaRy stamped or marked by the city or town may be:provided to tame applicant as'proofthat a valid affidavit is on file for fdnre permit's or licenses Anew 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 (Le_ a dog license orpeumh to bum leaves etc-)said person is NOT regoned to complete this affidavit The Office of Investigations would hke to thank you in advance for your cooperation and should you have any questions, please do not hesitate to gcve us a call The Department's address,telephone and fax mm�ber. y C_Gmm�M�atiit of M2 ssach-astts . • : Departnent of Ind 1 Aoc�ident% Off i=of I,vedki ati= - Faf��asbin�tan t __ Bagko-m�MA 02111 T(,-L.4 617 -49W W t4-06 or 1477 T&A SSAFF' Fax 9 617` 27 7749 Revised 4-24-Q7gIdia I - From:' 10/16/2015 09:04 #274 P.001/001 AC R& CERTIFICATE OF LIABILITY INSURANCE ` --- 10/1W2015 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),AUTHORED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the Policy(iss)Must be endorsed. ff SUBROGATION IS WANED subject to the terms and conditions of the policy,certain policies may require an endorsement A statemerd on tide cwMcate does not cwfbr rights to the Certificate holder in Rau of such endorsement(s). PRODUCER 02=-001 Leonard insurance Agency eps. N 683 Main Street Suite B Hyannis,MA 02601 A.I.M.Mutual Insurance Com RWRED Clew Energy Design LLC INSURER C 11 Oak Lane Oaterville, NA 02655 INSURER D, 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. NOTWMWANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRH 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 CLAWS_ TYPE OF PaURANCfi AIM POLICY NUMBER LMM GENERAL LIABILRY EACH OCCURRENCE s COMMERCIAL GENERAL LIABILITY DAMAGSTO PREM 161� _ CWM&MADE Ej OCCUR MED EXP(My fie person) PERSONAL A ADV INJURY i GENERAL AGGREGATE s GEWL AGGREGATE LIMIT APPLIES PEW PRODUCTS-COMP/OP AGG s UCY O OC AUTOMORBLELIASLRY comaINED ROLE Gurr = WA s ANY AUTO BODILY INJURY(Per pwwn) $ ALL OYYNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per socldarC) S HIREDAUTOS � PROPERTY DAMAGE s mckwe $ Ur®REL LA Las OCCUR EACH OCCURRENCE s EIR:ESS LIAR CLAW MADE AGGREGATE s DED RETENTION s ; X D A I N NIA VWC-100_W7470-2015A Y UMOIS 5l?JZ016 E.L EACH ACCIDENT $ 5001000A0 I(Mmulawy In HH) E.L.DISEASE-EA EMPLOYEE s 500,000.00 D TIONSbW. EL DISEASE-POLICY LIMIT s $00, &OO DESCRIPTION OF OPERATIONS/LOCATIONS IVENICLES Offuh ACORD W%AdObna!Rsmaeb Sdw^a space Is-R*W) CERTIFICATE HOLDER CANCELLATION Toum of Barnstable Attention:Bundling Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE PALL BE DELIVERED IN Hyannis,MA 02801 ACCORDANCE WITH THE POLICY PROVISIONS. A1ITNOR®IETRESE ITATIYE fAACORD CORPORATION.Ali ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD rightstTrserved. Town of Barnstable ..Building Department - 200 Main Street - BARNSTABLE, * Hyannis, MA 02601 9 MASS 16g9. , (508) 862-4038 Certificatetof Occupancy - , _ Application Number: 201405505 CO Number: 20140160 Parcel ID: 271003 CO Issue Date: 12102/14 Location: 5 STRAIGHTWAY (NORTH) Zoning Classification: SPLIT ZONING _ Proposed Use: MIXED USE SINGLE FAM & COMM Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT FOR SISTER DAI PHAN Z Building Department Signature Date Signed TOWN OF BARNSTABLE Bu-1.1ding 201405505 , , = 7.. F BARNSTABLE, Issue Date: 09/02/14 Permit 9 MASS. $p 039. Applicant: SCHUMANN SAMIRA H rF�MAC A Permit Number: B 20142284 Proposed Use: MIXED USE SINGLE FAM&COMM Expiration Date: 03/02/15 Location 5 STRAIGHTWAY(NORTH) Zoning District SPLTPern it Type: FAMILY APT W/NO CONST Map Parcel 271003., Permit Fee$ 35.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ License Num OWNER Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND I FAMILY APT FOR TRANG DAI PHAN(SISTER)TO OWNER HONG THIS CARD MUST BE KEPT POSTED UNTIL FINAL MAI-SINGH INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SCHUMANN,SAMIRA H BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 443 ELLIOTT ROAD INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered b pP y: SS Building Permit Issued By: THIS PERMrr CONVEYS NO RIGHT-TO OCCUPY.ANY STREET 4LLEYf01 SIDEWALK OR ANY PART THEREOF'ETTHER TEMPORARH;Y OWYE RMANENTLY, ENCROACHMENTS ON P.UBLIG'PROPERTY,IYO SPECIFICALLY PERMITTED UNDER THE BUB,DING CODE,'MUST BE APPROVED BY THE NRISDICTTON STREET OR ALLEY GRADES AS WELL AS^DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED PROM THE DEPARTMENT OF PUBLIC>WORKS,THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM%THE CONDITIONS OF ANY APPLICABLE SUBDNISION;; RESTRICTIONS " ''" •,�.' - 4 MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.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 s ,, BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1�1✓i� � I Z-2- �� 1 _ _ 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 271 003 GEOBASE ID 17956 - � ADDRESS 5 STRAIGHTWAY (NORTH) - PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE BBA DEVELOPMENT DISTRICT NY i PERMIT 81627 DESCRIPTION FAMILY APT. ' PERMIT TYPE BFAM TITLE FAMILY APARTMENT {� CONTRACTORS: J ARCHITECTS: Department of Regulatory Services TOTAL FEES: $25.00 BOND $.00 �tNE CONSTRUCTION COSTS $_00 754 FAMILY APARTMENT AFF. 1 PRIVATE NO * sAMSTABLE, • 039. MAM FD MP'� BUILDAG RIVISION BY ' DATE ISSUED 01/06/2005 EXPIRATION DATE w {fir r : TOWN' OF BARNS. .s �. BUILDING. PERMIT PARCEL ID 271, 00:3 GEOBASE ID 17955 ADDRESS -• 5 STRAIGHTWAY (NORTH) 1 HYANNIS Z:tP _ LOT BLOCK LOT SIZE DBA t DEVELOPMENT DISTRICT HY PERMIT' t3`j230 DESCRIPTION FINISH ROOMS ABOVE GARAGE W / BATH PERMIT' TYPE B EMOD TITLE RESIDENTIAL ALT/0ONV CONTRACTORS:S: WHALE'N DAVID, Department OfY Regulatory Services i T0',t.'AL FEES: $214 8`T BOND $.00 Ott CONSTRUC`I�IQN COSTS $53,184.00 4 RESID ADD/ALL/Cotiv L PRt IVATE T,;0 BAMS'PABLE, .. 039. Al BUILDING DIVISION BY LJAT9 ISSU9D 02/28/2003 EXPIRATION DATE r' r 1 O THIS PERMIT CONVEYS.NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROMTHE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND INHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4:FINAL INSPECTION BEFORE OCCUPANCY. s 1 ® o w e BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS fm ` k, 'flog , , 26 I"V,5 0 0.K '<0 j?j 6 2 ? 2 A ,I � fi'x-�ijry 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT ,Al K 2 BOARD OF HEALTH -7 6.3 OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS. THE INSPECTOR HAS APPROVED THE 'STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS . TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDI � No -- -- - �PE . RMIT "%11 6 I. J 'i TOWNOF BARNSTABLE , BUILDING PERMIT PARCIL: ID 271` 003 GEOBASE ID 17956 ADDRESS 5 STRAIGHTWAYA NORTH) - PHONE HYANNIS ZIP LOT BLOCK LOT SIZE DPA s DEVELOPMENT DISTRICT HY PERMIT 60084 DESCRIPTION KITCHEN ABOVE GARAGE PERMIT # 67230 PERMIT TYPE -BREMOD TITLE RESIDENTIAL ALT/CONY CONTRACTORS: PROPERTY OWNER Department of ARCHITECTS: Regulatory Services TOTAL FEES: ,; $75.00 BOND $.'00 pfr - CONSTRUCTION COSTS $1,500.00 434 RESID ADD/ALT/CONY 1 PRIVATEBAMsrns , MAS& 039. 1 FD MA'S A I C)o BUILi NG IVISION f t BY / DATE ISSUED 10/21/2004 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS, PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE ' + 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. ' 4.FINAL INSPECTION BEFORE OCCUPANCY. m :I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 I I I 1 ,I 2 2 � 2 ,I 3� S r 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH rr OTHER: SITE PLAN IFUUMMing with unregistered contraotop do not have access to the guarar;-y fund (as set forth in MGL c.142,A) WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I I I I MI I I I M I I I L�OFTNE 1q�, Town of Barnstable Regulatory Services BAMSS Richard V. Scali, Director �ATEDMp'�A�m 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 November 24, 2014 Hong Mai-Singh 5 Straightway North Hyannis, MA 02601 � Re: Family Apartment Dear Ms. Mai-Singh, For the final step in the family apartment process, you still are required to have a final inspection of the family apartment. Please contact this office to set up an appointment with the building inspector for your area. If you have any questions, please contact me at 508-862-4039. Sincerely, Brenda Coyle Building Dept. Admin. �j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION _ (L (j Map Parcel _ A lication # Health Division Date Issued Conservation Division Application Fee JK Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis '7Project Street Address Village L.i M �- Owner ' 01 Address IVIA Telephone -Permit Request - a � A Square feet: 1 st floor: existing proposed 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) Age of Existing Structure . .Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stye: ❑JYes ❑ No Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn-O existing ❑ nC size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Othkefl ' C Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# � Ciarrerit Use Proposed Use "` k APPLICANT INFORMATION (BUILDER OR HOMEOWNER) .Name- A JA A Hi& ItA a Telephone Number 6 6- 7' 0 (_Address__-_�A License # � 44, _ 6D Home Improvement Contractor# Emtaiiva �� /�_ G l orker's Compensation # - ALL CONSTRUCTION DORIS ESULTING FROM HIS PROJECT WILL BE TAKEN TO j SIGNATURE j- DATE , J FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: ,-FOUNDATION..., tr FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL s s FINAL BUILDING F' i DATE CLOSED OUT ASSOCIATION PLAN NO. Town.of Bamstable S ' : Zoning Board of.App` cis : D'.cision and Notic Special Permit•No 2014022-Hong Mai-Singh` Section 240-47.1(A)(1).-Family Apartments(Transfer of 2004-0931' To transfer a:Special-Permit for an existing 1,051 Vsq.ft family apartment Summary: Granted with Conditions Petitioner. Hong Mai-Singh,(as prospedtive owner):. Property Address: 5 Straightway,North,Hyannis,MA.. BARNSTABLE TOWM CLERY Assessors Map/Parcel: 271/003 2011,4 MAY 23 Pr2:40 Zoning: Residence C-1 District' Hearing Date: May 14,2014, ; Recording nformation: Deed;Book Background In Appeal No:2014-022`Hong Mai-Singh sought ta'transferpermission to maintain a 1,051.square.. foot family apartment within-the dwelling at 5 Straightway North, Hyannis. In 2004,the Board c:).�grantedSpecial Permit No.2004-93,to prior property owner Samira Schumann for a family e, apartment. The family apartment was constructed above the.existing attached garage.According I_ to the fioor plan in the 200.4 file,the apartment is a one-bedroom, one-bath unit with a kitchen and living room. The Petitioner indicated the family apartment will be occupied by her sister. cr• The subject property is a.55 acre lot located at the comer.of Straightway North and Falmouth Road/Ro41e 28. It is improved with a 51502 g.s.f.single-family,five-bedroom dwelling. The -� dwelling was constructed in.1987 with the benefit of Variance No: 1987-31,which.provided relief from the°100 foot setback requirement along Route,28. The former property owner was also grante of to operate a 400 sq.ft electrolysis studio as.a home occupation. The pmperty`is. r" served by public water and sewer. The Petitioner submitted a copy of a s'sgned Purchase&Sales Agreement;valid,through June 3.0, 2014,to demonstrate standing.to file this Petition. p, Procedural& Hearing`Summary d Special Permit No.2014'022,a request by Hong Mai-Singh to maintain a 1,051 sq.ft family Q_ apartment at 5 Straightway North, Hyannis was filed at the Town Clerk's Office and the.Zoning Board of Appeals office:on April 15,2014. A public hearing,before the Zoning Board:of Appeals - was duly advertised and notice sent to.all.abutters in accordance with MGL Chapter 40A. The. • q ' hearing was opened May 14.!2014,at which time the IBoard.found to grant the request subject to.-,. conditions. Board members deciding this appeal were Craig G. Larson, Brian Florence,George T. Eb Zevitas and David A Hirsch. Attorney Jeffrey Johnson,represented:the.Petitioner before-the Board. The Petitioner's sister,.the proposed occupant of the apartment,was also present. Attorney Johnson indicated that the Petitioner was current,renting an apartment and running a naii.salon, and was seeking to purchase the.subject property and move her family now living in New York. The Board:confirmed that a Purchase&Sales.Agreement had.:been submitted for standing and that the Petitioner understood the requirements of the family apaitment;ordinance.The Board Chair-requested'public comment and no one;spoke in favor,or In opposition to theproposaL ,.;:Findings of Fact At the May,14,2014 hearing,the Board unanimously madeahe following findings of fact for Appeal- 2014022, a request by-,Hoong Mai-Singh to',Maintain an existing 1,051 sq:ft family apartment at:5.,, Straightway North, Hyannis: a ' Bk 28202; Pg156 #25568 -Town of$arnstable;ZoningBoard of Appeals `Deasiait aad Notiec µ . Special Peuait No.2014-022-;Hong Mat-Stagh,-Family Apartmeat !' 1. Section 240.�47.1(A)(9)of.;the Zoning Ordinance allows for a'fareily apa`tment greater Phan 80Q: I.square•feet;;not to.exceed 1200 square."feet;with a Special P:,ermit from the Zoning-B;oard,of- Appeals. ti 2. Hong Mai-Singh isseeking to,transfer permission to maintain a"1,051 square foot family, apartmentwithin the dwelling at 5 Straightway North,Hyannis: The petitioner is seeking.to transfer existing Special Permit No.200",93 from the previous:owner.; 3. The subject property,is located at 5 Stralghtway North, Hyannis„.MA as;shown:on Assessor's Map 271 as Parcel 003. it Is in the Residence"G1 Zoning District. ° 4. .The subject property is a .55 acre lot improved.with a 5,502 gross sq.ftsmgle-family;five bedroom dwelling. The dwelling was constructed in 1.987 with"the.benefit of Variance No:. 1987-31,which,provided relief.from'the 100 foot`Setback requirement along Route.28 5. Site-Plan Review is:noEroo6ired"f6r_smgle=family=retidenti4i structures or family apartments: 'evidece prented;thepp h0 After,an eva e Annt of the-i rrdi 'Zoning Ordinance and_would not;represent a substantial.detriment to the public good or the neighborhood affected. The Petitioner isseeking permission to:use an:existing family apartment within a single-family resldentiat'dwelling !i The vote-to accept the findings was: AYE: -Craig G. Larson Bnan Florence .George T Zevitas, David A, Hirsch NAY: 'None Decision Based on he t ridings of fact;a_nmotion was duly made:and seconded.to.grantSpecial;Permit No ., 2014022 to,Hong Mai=Singh subject#o.the following conditions. 1. Special Permit No.2014-022 is granted:to Hong Mai-Singh,to maintain a farrlily apartment within the existing dwelaing;at 5,Straightway North,.Hyannis. 2. The family apartment shall be limited taa one=bedroom unit not to exceed,1;051'square feet' 3. The family apartment shall be.maintained,in compliance with tlie'requirements of 4240-47:1; 4: The derision hall be recorded at the Barnstable County Registry of Deeds and copies of then recorded decision shall be.submitted to.the Zoning Board of Appeals Office,and the Building,- Division prior'to occupancy of thplamily apartment: 'The,rights authorized by this special, permit must be•exercised within two years;unless;extended. The vote was w.T AYE: Craig G Larson,�Bnan Florence, George T.,Zevitas;•David A, Hirsch,,- NAY: None Ordered r :�u ' Special Permit No 2014022 toallowiHong Mai-Singh tamaintain'•an existing 1,051 sq:ft`family , apartment at 5 Straightway North,:Hyannis has been;,granted subject to conditions, This:decision must be recorded at the,Bamstable;Registry;of Deeds.for it:to be"in effect,and notice of'that recording submitted�to"the Zoning Board-of:,Appeals Office The relief authorized by this decision< must be;exercised within.two-years,unless extended.;Appeals of this decision,:lf.;,any, shall.be made.pursuant to MGL"Chapter 40A;Section,:1.7, within,twenty(20)clays after the date ofahe filing:: ofahis.decision,a.copyof h-aau a filed in theL,office`of a Barnstable TownClerk: Cra arsonChair '" Date igned '< " A T Bk.28202 Pg157 #25568 Town of.Ba=&ble Zoaing Board of Appeals='Deasion;and Notice w Special Permit No.2014-022 Hong Mai-Singh Family;2Ypaitment I,Ann Quirk,Clerk of the Town of Bamstable,:.Barristable County,;Massachusetts,hereby certify that twenty(20)days.have elapsed since the Zoning Board of Appeals filed`this.decision and.that no appeal of the decision has been filed._in the'office of-the Town Clerk. Signed and sealed this /Z day of he ' o2D/17L. under the,palns„and'penaities.of perjury. 0 6� O.. k swt .Ann Quirk,Town Clerk • .,;,'fib .,oa• ^��,.` 3' F Bk "202 Pg158 #255,68 Town of Barnstable ! - Assessing Division 367 Main Street,Hyannis.MA 02601 www.town bsrnstsble.ma.us,' Offico: 508-624022 ,JefferjA.Rudziak MAA FAX: 508.8624722 Director of Assessing"" ABUTTERS-UST CERTIFICATION Ap6124, 2014 `Li RE; Adjacent Abutters, st For Parcels) : 271 003 5'Straightway North 3 Hyannis, MA 02601 As requested, I hereby certify the names and,addresses as submitted.on the attached sheets) as required.under Chapter 40A, Section 11 of'the Massachusetts,G,eneral Laws for the above referenced parcels as they`appear on the most recent tax list with:mailing addresses supplied. f '""``�. .:Board of Assessors " Town of Samstable s s AbuttezRepozE t Bk 8202 Pg15f5�68: Zoning Board of Appeals(ZBA):Abutker Lest:'for Map & M1` PameI(s)s 27 10 0"T ` Parties of interest are those directly oppostte'subject lot on aay public or pi3vate'street or way'• and abutters to aUuttera.NotiHegtioa ot.ati pr6peTues e#II ect lot.! Total•Count*,23 . Cdose e Mallingt Map&Parcel owned Owner! Address! Address a, .. 'atY5� 0 Country Deed _. . VENTAS WMITEHAU UO NATIONAL TAX 303E WACKER OR- - CHIC4G0;IL',: 271001 19738/220 ESTATES LLC.' SEARCH SUr(E•t350 60601'S222 BROWN.DAVID B 'CIO CAPE COD., 762 U"FALMC HYAW",MA 271002 N A D REALTY TRUST. 026 15120/244 lit • CUSTOM:f1:00RS "RD 01:. SCHfIMANN,. CENSERVILLE. 2710D3: SAMIR71 N 443 ELLIOTr ROAD. MA QZfi32 912$/133` MENDOZA, 271004001 CHRISTOPHER&. 3'GUY LANE 8965/272, MELISSA;M WILLIS;GARY E&, HYANNIS I+IA 271004002 3USTINEG. I5 GUY LN 02601. 12301/134 271004003 UMBRELLO,ROBERT 1630 PHINNEY S BARNSTABLE, 26678/175 3&)AHRY V WNE. :MA b2030 GOMEZ,PEDRO P' HYANNIS,MA' .. 271004006 26 GUY LANE 26997/1S8 $' MADURO 0260L; •.: . CENTERVIL E- 271004005 AKKAWL,SALwr, PO BOX-3 1 6 27135/156 ° MA 02632 BROWN,JENN(FER CENTERVILLE,. 22321188 271004006 ;PO,t10X 451'•, L,&ONEIL,3ASEN L MA 02632 .. HYANW$,MA 271008001 WALKER,SriViA L;:. 72b FALMOl1TH RD 8523/351 .,. - 02001 WAIKER,:RICNARD ' 90 STiWGHNVAY "HYANNIS,MA' 271008002 ;A&LAUREM'. (NORTH)'. ,02601 18488/236 271009 LEACH,ANDREW. 361 OAKLAND RD ' ANNLS,MA 107751058 IOHN'IR O'L601. BARNSTABCE.,. 271010 COYN4:mANNe M` 373 OAKLAWD RD ; 10"S/O48 MA 02630 MATA,.CESAR& 271092 VpLpOV[NOS, 321 OAKLAND HYANNiS,MA 25713156 { SOMA. AROAD 02601' { v. HOPEFIElDS C/O RiVERVLEW EASt , 271093 SCHOOL INC SCti00L INC, P551 RTE 6A! SANDWICH,MA 4441/077 0253t. CHASE;_ANNA C HYAIdN15,MPr.� . . 27ID94001 TiLtO- 4 MARKS PATH 35779/159 02601. LARK,PAUUNE+ HYANNIS,MA C10 C 12744/249 271094007. 30YCE,PALUNE M t;M 12`MARK'S PATH•. r, D260L'c_' 271094003- PARKER`MARGARET:' 22 MARK'S:PATH HYANNIS;MfA`: 62678W/23 02601: HYAWS WAR M �t4A 271094008 .: HOLMES, 39 MAWS PATH' 02601' - '8461/300 i' - GAREf + MYANNISy MA:' -271094009 ELLIS,-DEN ISE K Z3 MARK S:PATH 22960/347 ; :02601 " 745 FALMOU7H "YAM his-MA. 271095 „74S'FAL•JHO I .RD A2601; 19301/007 . i BARNSTABLE, ¢ HYANNIS,.MA.- �/25, 271096' 367 MAIN ST ' 02601 TOWN•OF(MUN) 0ARN5TAl3LE . 367 MAIN'5TREE7' W)waS,MA' 1556/214 27T097. 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NoMcailon ofall .Abutters ,:; -w E -Ln e+e.azArmepzdr rapfasoelaftahs'atAsaossoratsa6aeW'fiaruo.rm—Prowny YP D - Y _ _ bound�,loseidaoiwtr'aP enlariauaoa�eaendr�l,gsbpry>teatremura�anmemw prowdeawtthln3007eetlingof the subject lot. �/�/f�,�* wch al Dutt6c9 bce9one.'. x.' ✓`//r � tJ1 Buffer - _ r • -.f " YBk Z18202 Pg161 ..02556:8LEGAL NoTiCE LEGAL WOTfCE • a h � � �!� k TOWN OF,13A[tNg'i/(BLE '''�,v o s ' �POWN OF BIa�tNSTABLE t ZONING BOARD OF APPEA53 s fiH - ZAlialt3 BOI�RD OF AP�FJILS rS 'NOTICE OF PJfBgC 1i I3S UNDt at THE ZONING kOTSCEQF B{UCNEARING§I�N__M.E20f11NG� � aS�w4 1.$�O�piNANCE +1c'��rf�t�r of r•! '"fy3� J�sRDtNIiNS'E'f '�' a'rrt�v �t.�Ff NAYy4 2016 {sons Jet fn of aft¢F �y are $te' To as perbats interested to or aftecu d 4Y are acaona of are 'gr� �APP Y� � Y mbfted, 2onN Band of�ppea%.Ycu are hereby notfttetl lmswaM `to See < 1rof:C►mPbr 40Aof tlre� raral jarsrof:lfia; to:tsetl(ar 11 of Chapter 40A of Osa Geneq+t 9P �� and�FardmeMgtnefo. filar of WlasseEhuseas and all.amendrrienis arereto that a public heansg.44 qte foVvwfng appeals' (>a letd an' :ih$t a pubpo hearing on`the.ioBov/ng trRpeats xnT be held on WedneslPeY MaY 14 2014 at are tirrre indicated ,� , v+ _, (Yky 1A 1014 atthe1ime ipaterf 4 a pa pNF Jtppaal Plc 20 4 p20 tow r9v u.l T 06p!!Tpa�No 14620s' everoN# �tevereai .,�.-1• .�� � "nmaary ar�0ani�t.e�eroni Tr�raas of�ho:3�lhNarboMaw. z Ianothy aml Danis teverord Tnutees of ltte JTO Harbo)vbw •: Realty'That and Pater everani 7nrstee ofihe}kryerad Fer " R�igi'Ttust'arrd'Prder Leverom Tryatee of the Le4eronr Famlty � TiusC have>3piffied"for�'mddflGaOon��ariairce Na 198&050 ,; .�' . ;Tnist havg epp0ad to7 modiftcadon o}Variance No 1908 05D v re�ai hom bt frontage and fbtsimpo r���u�rements vridc�r granted rer if iromdot 6onisge sent bt shape regnrremerds boasts two buNfahle ots Addi6o A"" ill t ie,atterAative lo',aeate two.bir able tots:AddrtWeally.or m the afterna0ve ing A ikardg s�eKa neveyadence to lho ly�io-aaa mfmmmn lot.. It.O.ApplCaNa ssetta new vadancp to the pvo acre TnmT{aamJot else raguaemenb of pie Resoarce Pmtedbn t day DWdd ; rrrgwremenid of the Resource Prolec8on OJreday gtshld The Appticants era Qropoaing b{emrdgura a sTlatd�otGna and Appticanb�arepmposlggtorecdnGgarosostnuedfotMearrd mpdr�!lhe>dtaPeofea�htafth�aughen�veneachangeotto�area •npddyitresltapedeachtotUwughanevonera!tang®'o(Jotarea _ The ptdparUas'arelocatedat.845'8,853PAainStreeC'CotuiRMAt- the properaes ere bated at 84s 8 8ti3'Mafn serest Cohdt NA ,as shoxti on 7�ssessors PAap o35 as Parcels 95?001 a0 059- as shotrm on Assessors Map 035 as Paioeis 0¢9 00��d 059 bested( g,eResafence Faitd Resodme'Proteotlon `:Q02.Ttreyafe,�r�ted�(itheResrdencePandijas04rcoPro,tenon Ovplay,rnnSngiOL�ric�s`t �v i ,•, �.'`�'?va, �t miClg'DistrrCt4 ., ` ' 'T r11 PGIP'G'pPDeal.No 2414-021 + W%11Na piS021 fsrw'.`t3r tt 8 v S x r NY a *�t sJ nr.r nrur v r t k K+a s_ pH a�t t ..... r osgyan has tlorred for a SS Pernnt pursuant `'Gadk Gevorgyatt has petigorted Tor a Sped Pemdt pursvmtt 36 §2A494 for lAang� of a;tiorrc4ntomnng use to anther :y10§240+94 for.clangs oaf a ttorroo�domlbg rrsa m arroaret noncceformmg use aqd§24693 for aligration of a noncotrrning itonoordommig trarrd g24r0 5,i for aiteratlon of a rjorroordonNng sbucfiue pot useQ�s a�rgte+or�v�o-i(arn11} wea mf.Ttfe sbucwre hot nod as a smgte or 1w34mrnty dvtephtg The �w t- g 120 sepl rurent r er see b demo$sh an exishn , peatlorrer see(o;to domoitsh an e>datlng 120,aeat restauiard I and shrgte�am�ycdwc0ing ands recortstrtlgr}worstnultF�amEy - slid singietam➢y 6awe_q,•artd recortstruud lwo muttHainari ihreeiunt dweifcnga with parYring arras and o0uer assodated ske 'three unrt dweitfn�w�Lparlpng areas atother aasddated mte:-.i hnDi6Vementa'Ttre;new cons6ucbon,w�ba moreeorrtcrndttg biyxovements>The Jar+ cOnHruc6on yafi be more cartfomdn9 than egg atrucbtres but vA1 not mast oaitl' ent sett" tlran the e>dsrg structures but vn11 not meet a0 wnent setback tegtdrenletds The properly is located ak36 Ob Colony hoed reyufremerdss The propertyTs located at 30 QId Cdorgoad. on Assessor tr 306`asP3 1 7zRb hlAasshoamatAss+rssorsMap306asPa(CeTT11x 1C� Ham ° is r M g m l f y �'• intha.Res�de�Zanlrrg lNsbid.•� �� m are Resideri6e S Zaung Oishict. i t .r i! �••+ ,, "c'P No;2014-022 ,-+rn �, 7 02 PNf Appeal No 2014-022 tdaW^Irrgfr4Hyar h1aStr�h,tresipraspadlvetow`nerSias�ie6Nah�m� - ° Hoag MatSir}gh DP owner�haa Pew for apa ParSut*tn aaordancefwNh §2d041�A) IfY a Spec�i Pemut ht'accordance wdA §?AO 471(A) FamOY Apartrnerds She peatloner.rs s�ldgg to'Garer,»e9.SP@� . Apattrrtertis.The p�Alerrer b seeking to transfer ezasltng Speaal , Penis No 20t)4 093 pottigte prevroas owm,The e>3stlng[ Y Pemra Na 2t)04-093 ham are prevbUs owner The masimg tangy fiThe�'ptPperly, B.aAP �1i 1051 sggaze teat The`property rs iaxlod ate sbparow arghtway North 5 FAA sham on is bated at'S•StratghhVaYxNaAh ttyannis If11A a5 sftovar an /�asessors Map 27i as Parcel l>03 1P is hr Resraencre G1 •Assessors Map 2Ti as,Parcet OU3 VP Ir ate Residence Crt 7Art6g � ThEse putdb1teatirgs}vflt be field aC{he Banwlable2own E{atl iitrese t>u611cheas�gs►all held etthe Bamstakla Town Hall 357_Mafn sb t ' fs MA:Aeadry Raom�on are ,38t A�a6t Street ltyartafsr HeadTtg t;oom iotatad an Qre 3rot_Place;5(ttedn`es' tday 14,§014ns�ap eppUgOns. ZnO Wednesday May t4 2o14s_Plans and appacaaore may.tie renewed aYthe ZoNng Boatd of Appeals r]tTrco Gtaa Or De reldevie�at the 7aidn9 Board otApttpe�s q��itmxBt; tttarlagament.DepaNnant 7axn 09*3u k209 FN�k�at' Deparlme t.Towny OffiC08s�Z06 MalSyeet HyariiM1R hVl Y "}' sf `n?„y� x '� �• , 6'f�G}�Q1817� .�y'`a,,�M.•2,..y'"#�+'S'c k i�.a�Ci�t,9.G'�er"•r�l;-�ta�(_, lie BARNSTABtE REGISTRY OF.DEEDS h 7:02 PM Appeal No.2014-022 Mai-Singh Hong Mai-Singh,as prospective owner,has petitioned for a Special Permit in accordance with§240-47.1(A)Family Apartments. The petitioner is seeking to transfer existing Special Permit No.2004-093 from the previous owner. The existing family apartment is approximately 1,051 square feet. The property is located at 5 Straightway North, Hyannis, MA as shown on Assessor's Map 271 as Parcel 003. It is in the Residence C-1 Zoning District. Members assigned tonight Craig Larson,Brian Florence,George Zevitas,Herbert Bodenseik Representative: Attorney Jeffrey Johnson. The petitioners cannot be here as there is a medical emergency. The petitioner is the owner of the nail salon atf the mall and will be moving here full time which is one of the requirements of the permit. Her sister,who is to be the tenant,is also here tonight. He explains that this his is a situation where there was a previous family apartment and that the applicants agreed to purchase the house as it had the family apartment. He has reviewed the staff report and believes it is thorough and accurate. Craig clarifies that there will be a deed restriction recorded on the property by the applicant. Attorney Johnson clarifies that they are aware that if the family member moves out that it would revert to a single-family dwelling. He states that Hong Mai- Singh and her family plan on moving here from NY and will rent the apartment to her sister. He clarifies that the husband lives in NY with the children,the owner has been renting a house, and once the house is purchased they will all be moving into the house. Brian Florence makes findings: Hong Mai-Singh,as prospective owner,has petitioned for a Special Permit in accordance with§240-47.1(A)Family Apartments. The petitioner is seeking to transfer existing Special Permit No.2004-093 from the previous owner. The existing family apartment is approximately 1,051 square feet. The property is located at 5 Straightway North,Hyannis, MA as shown on Assessor's Map 271 as Parcel 003. It is in.the Residence C-1 Zoning District. ■ The application falls within a category specifically excepted in the ordinance for a grant of a special permit: Section 240-47.1(A)(1)of the Zoning Ordinance allows for a family apartment greater than 800 square feet,not to exceed 1,200 square feet,with a Special Permit from the Zoning Board of Appeals. • Site Plan Review is not required for single-family residential structures or family apartments. ■ After an evaluation of all the evidence presented,the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Vote: All in favor Craig Larson asks if there is anyone here from the public who.would like to speak either in favor or in opposition. No one speaks. Motion is made by Brian Florence to grant the relief being sought with the following conditions: 1. Special Permit No.2014-022 is granted to Hong Mai-Singh to maintain a family apartment within the existing dwelling at 5 Straightway North, Hyannis. 2. The family apartment shall be limited to a one-bedroom unit not to exceed 1,051 square feet. 3. The family apartment shall be maintained in compliance with the requirements of§240-47.1. 4. The decision shall be recorded at the Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office and the Building Division prior to occupancy of the family apartment. The rights authorized by this special permit must be exercised within two years,unless extended. Seconded by Craig Larson Vote; 3 I TOWN OF SARNITIMBI y ryryt?rtf# AUG 2ac K�TcN�N SAP+4oam Gios67r �'a( �a ' sttoWtk I B�dR�M ��►Xaol ao'x lLPI � ECo3�T pt4,-J, f �; t :, �v jt reovv� i L-i i lei � t ( v - �, ti fo C I f 5 vi Off` VN I �S Town of Barnstable THE p �! • _~'� °� "° Regulatory Services Richard V.Scali,Director r r * &UMSfABLE, r MASS. Building Division 039. �0 '0renr�'tA Tom Perry,CBO,Building Commissioner y 200 Main Street,Hyannis,>�1026011 2834545 P:o 2 3 8 Office: 508-862-4038 Fax: 508-790-6230 C19-13 1-2i o IL Z, Cl I ® e=I;B� AGREEMENT FOR FAMILY APARTMENT I, the undersigned, being the owner of property situated at 5 Straightway North, Hyannis, MA holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book 28201,Page 186,being shown on Assessors'Map 271 as Parcel 003,hereby agree,certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s)of the property owner's family as accessory to an owner-occupied single-family residence. Occupant of Main Residence: Hong Mai-Singh Relationship to Owner. Owner Resident of Family Apartment Trang Dai Phan Relationship to Owner: , Sister This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department.WITNESS our hands and seals this day of&Dki 1 b2�- 201,/. TOWN OF BARNSTABLE: OWNER: By. Ho' ai-Singh Thomas Perry,CBO Building Commissioner THE COMMONWEALTH OF MASSAC1 USETT BARNSTABL LINTY, SS Date 9 5 Then personally appeared the above-named (owner), G(.! — n 6 A and made oath as to the truth of the fore of i strument,befor , e. �. WIREN OIPtE1R0 Notary My Com �Expire0U 17 qsa gj6gft Expires May 5,201Z BARNSTABLE REGISTRY OF DEEDS , Parcel Detail Page 1 of 3 r ICU) el Y AAMS -•p.,'��'d1 IAAy'A" `.. x-sG ? gk 'i''.% ;/— Logged In As: Parcel Detail Tuesday,October 2 2012 Parcel Lookup Parcel Info I Developer Parcel ID L271-003 Lot Location I5 STRAIGHTWAY(NORTH) I Pri Frontage --- Sec Road IROUTE 28 I Frontage 190 Village HYANNIS I Fire District JHYANNIS Town sewer exists at this address sYes I Road Index 2120 Interactive ` Map Owner Info Owner SCHUMANN, SAMIRA H I Co-owner I . Streets 443 ELLIOTT ROAD I Street2 City ICENTERVILLE State A ZipI 2632 Country_�M Land Info Acres 10.5� 5 use Single Fam MDL-01 ) Zoning SPLIT Nghbd 0105 Topography I Road F777777 I Utilities I Location 1 Construction Info Building 1 of 1 Year Roof' Ext 1987 Gable/Hip ) W hin ood Sgle I 1B Built Struct Wall t `- Living 1988 Roof As h/F GIs/Cm — AC Central Area t cover p Type y . ___-__ m, lonlal I Int Drywall ) Bea I5 Bedrooms 1 Rooms Wall Style CO ,--�—._ ---_-, - �. ...��..m._�.-.... IntBath[ - t Model[Resldentlal I Floor[Carpet Rooms 14 Full Total Grade[Average ) Type�HOt Air ) Rooms` I Heat Found- Stories - f' T�) Fuel Gas OUfed COnC. ation Gross 5502 Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20321 10/2/2012 for Cape Cod Real Estate contact Cheryle Sieger of Today Real Estate! Page l of 2 +�4L Home Che Contact Lo in le Sie er , ry g . Centerville Office 1533 Falmouth Rd Centerville,MA REAL ESTATE Phone: (508)568-8125 Fax: (508)790-1388 CSieger(atodayrea lestate.com Welcome Listings Contact Today Real Estate Home> Listings> Listing Detail u km [Please contact for address and map] Hyannis (ID: 21200987) Great opportunity to own this z large, spacious-8000 Sq. Ft Dacey Built Colonial. This home if owner occupied has . - excellent potential for both an - = Law Apartment arrangement.. The curr er does op al , moval business tion. The business area is approximately 1000 Sq.. Ft ...... and includes 2 exam rooms, Property Details waiting area, rest room and laundry area. A great location for a medical/dental professional. The residence is a large central entrance ' -la '�F � '�� colonial with an oversized :- garage, rear decks large living room with a full partially finished basement. Gas heat, Central air and low 4,806.00 maintenance grounds. Perfect Attached,Door Opener location-of.an owner occupied business opportunity. http://www.todayrealestate.com/ agents/index.cfm/do/listings.details/agentID/444/page/Li... 10/2/2012 For Cape Cod Real Estate contact Cheryle Sieger of Today Real Estate! Page 2 of 2 ■ Convenient To: In Town Location, Major Highway, Medical Facility, School, Shopping List Pricer $530,000.00 Request More Information? View Slide Show* Back to listings? ©2012 Today Real Estate All Rights Reserved Y http://www.todayrealestate.com/_agents/index.cfm/do/listings.details/dgentID/4.44/page/Li... 10/2/2012 Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 01/06/2005 Other 81627 $0 FAMILY APT 10/21/2004 Remodel 80084 $1,500 KIT"ABOVE GAR 02/28/2003 Addn+Renovate 67230 $53,184 06/25/2003 FIN 2RMS ABOVE GAR W 00:00:00 BTH 09/01/1987 B31214 $160,000 00:00:00 988 00:00: HY 2 STOR Visit History Date Who Purpose 07/24/2012 00:00:00 Denise Radley Change of Address 12/17/2009 00:00:00 Tony Podlesney In Office Review 08/25/2008 00:00:00 Jeff Rudziak In Office Review 06/25/2003 00:00:00 Martin Flynn Bldg Permit Completed Sales History Line Sale Date Owner Book/Page Sale Price 1 04/15/1994 SCHUMANN, SAMIRA H 9128/133 $1 2 08/13/1992 SCHUMANN, ROBERT F TR 8156/168 $1 3 12/16/1988 SCHUMANN, SAMIRA H 6557/123 $0 4 02/15/1982 1 SCHUMANN, SAMIRA H 3431/27 1 $37,200 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 - 2012 $268,600 $52,300 $2,700 $113,200 $436,800 2 2011 $284,000 $16,600 $0 $113,200 $413,800 3 2010 $284,000 $16,600 $0 $113,200 $413,800 4 2009 $323,500 $14,400 $0 $149,600 $487,500 5 2008 $231,300 $13,900 $0 $155,900 $401,100 7 2007 $231,300 $13,900 $0 $155,900 $401,100 8 2006 $260,900 $0 $0 $163,400 $424,300 9 2005 $222,100 $0 $0 $148,500 $370,600 10 2004 $203,900 $2,600 $0 $126,200 $332,700 11 2003 $153,200 $2,600 $0 $104,600 $260,400 12 2002 $153,200 $2,600 $0 $104,600 $260,400 13 2001 $153,200 $2,800 -$0 $104,600 $260,600 14 2000 $144,600 $2,900 $0 $83,800 $231,300 15 1999 $144,600 $2,900 $0 $83,800 $231,300 16 1998 $144,600 $2,900 $0 $83,800 $231,300 17 1997 $161,300 $0 $0 $34,100 $195,400 18 1996. $161,300 $0 $0 $34,100 $195,400 19 1995 $161,300 $0 $0 $34,100 $195,400 20 1994 $146,600 $0 $0 $53,800 $200,400 21 1993 $146,600 $0 $0 $53,800 $200,400 22 1992 $196,900 $0 .$0 $59,700. $256,600 23 1991 $178,600 $0 $0 $59,700 $238,300 24 1990 $178,600 $0 $0 . $59,700 '$238,300 25 1989 $179,400 $0 $0 $59,700 $239,100 26 1988 $0 $0 $0 $22,100 $22,100 http:Hissgl2/intranet/propdata/ParcelDetail.aspx?ID=20321 10/2/2012 Parcel Detail Page 3 of 3 27 1987 $0 $0 $0 $22,100 $22,100 28 1986 $0 $0 $0 $22,100 $22,100 ► Photos http://issgl2/intrdnet/propdata/ParcelDetail.aspx?ID=20321 10/2/2012 i 4c, r F' '..'to, i_ � r `�`b s," � 3 ' ''"s.' UP ��" � ,� #`,i �• � ��E n <,.a� ��, � �c #"�",`a � ' �.t g� # �. �� tom, s r feondsk 5ub�4ddrs "ex�t � nlPa C� �i� 7e71�791-47 ,4 � trans � iBDar d Reviews ��Qpea Items ?a�arnin ` . 4 to d Em is(0 '' u p' � M '4. ,AAM44%.0 i �� � � �a mm i y' u A� ��"e, •'�'n��NWWllW r,— ,ir��n ri u��� ��' �q�. ������wz o>i' Appeal or Permit No: ` 81627 Appeal: Cert.of Occupancy Status: Pending Last First Apphcarrt: Schumann Isamira H. Addr2i 5 Straightway North, PO Box 549 r Ilage Hyannis MA 02601 F 271003 Zonin . RC-1 TM•.h 01/13/2012 Ma Par: , " � Aff Received p _ 9' ,r--�.; r De ciMon Bk19154 Pg21 ;- k Nb Notes Apt:Adele Hajj-Williams(sister) 1/3/08 submitted affidavit, > apt.for family&friends. TP,not allowed,4/30/08 to RG for s enforcement. 4/10 2009 note in file,single family only unless k" s� r ra. approval. See 443 Elliott Road--same owner,TP approved use `Gore by family&guests.8/19/2014 New H/O came in to complete a 1 �F, Town of Barnstable o„ RegulatoU Services Thomas F.Geiler,Director �pm�' 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 HOMEOWNER LICENSE EXEMPTION Please Print ("IHOMBOWNER!': E: LOCATION: numb _ street village name h�o/me phone# work phone# RENT MAnJNe ADDRESS: Iq 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 re ements. _ ignature 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 100.1.1-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, at 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 se towns. You may care t amend and adopt such a form/certification for use in your community. Q:fomms:homeexempt lsk 1 a F's21 ,_— 817466 �. _ 3 T if Town of Barnstable A, Zoning Board of Appeals • Decision and Notice Appeal 2004-093 - Schumann Special Permit- Section 3-1.1(3)(D)Family Apartment Summary: Granted with Conditions Petitioner: Samira H.Schumann " Property Address: 5 Straightway North,Hyannis,MA ~ Map/Parcel: Map 271,Parcel 003 Zoning: Residence C-1 Zoning District- Background- The subject property is a 0.55-acre lot located oii Route 28 at Straightway North in Hyannis. According to the Assessor's card,the lot is improved with a two-story,five-bedroom single-family dwelling:wth a;living area of approximately 3,820 sq. ft. The dwelling was originally constructed in 1987. The.,property is located in a Residence C-1 Zoning District and is,serviced by public water and a private on-site septic system According to the application,it appears that the'petitioner is proposing to'finish the area above,the garage and a.breezeway for use as a one-bedroom family apartment. Staff estimates the area of the apartment to be` ' approximately 1,051 sq.ft. 5 • wr_ The family apartment is to be occupied by the applicant's daughter Amira Schumann. The petitioner is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the r Zoning Ordinance. Family apartments are allowed in all residential zoning districts as a conditional use, provided a Special Permit is first•obtained from the Zoning Board of Appeals. Procedural &Hearing Summary:: This appeal was filed at the Town Clerk's Office and at the Offi&of the Zoning Board of Appeals on April 22,2004. An extension of time for holding the public hearing and for filing of the decision was.executed between the applicant and the Board.�A public hearing before the Zoning Board of Appeals was duly ,_ advertised and a notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 07,2004 andcontinued to August 04,2004, at which time the Board found to grant the appeal. Board Members deciding this appeal were Richard L.Boy, Sheila Geiler, Gail Nightingale;Ron Jansson, and Chairman Daniel M. Creedon III: Ms Samira Schumanne represent herself before the Board. She_ p explained that the desire is to create a family.apartment within the existing dwelling. The area.to be used for the family apartment is above the existing attached garage:' The area was unfinished but recently has been improved except for the installation• „ of the kitchen for the unit:`'The Board questioned if the residence requirement had been met and Ms . ;. Schumann stated that she now resides within the home. It was also.noted that an electrolysis home e: occupatioiis also_carfiedon from the home. The Board determined to continue the'appeal to'August 04, 2004,to gather further information on the area of the dwelling and apartment and area being used with ; - resp.ct to the'home occupation. M ; *._ 4 + .. - r .. .. "; °Ft ro<,ti Town of Barnstable Regulatory Services • BARNWABLE, MASS. Thomas F. Geiler,Director �ptF039. O Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 July 27, 2005 Samira H. Schumann 5 Straightway North Hyannis, MA 02601 Re: Family Apartment Dear Property Owner: Please complete the enclosed Family Apartment Affidavit and return it to the Building Commissioner's Office by August 22, 2005. You are required under Section 3-1.1(3)(D)(1) of the Town of Barnstable Zoning Ordinances to submit an affidavit annually indicating the status of the family apartment. Failure to submit the affidavit is a violation of your Special Permit and may result in your loss of the rights granted therein. If you have any questions,please call Lois Barry, Division Assistant, at 508-862-4039. f Sincerely, Tom Perry Building Commissioner Enclosure jfamapt B :19-1 4 P s 2 1 �81766 ERK Ar Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2004-093 -.Schumann Special Permit-Section 3-1.1(3)(D)Family Apartment Summary: Granted with Conditions Petitioner: SamiraH.Schumann Property Address: 5 Straightway North,Hyannis,MA Map/Parcel: Map 271,Parcel 003 Zoning: Residence C-1 Zoning District Background: The subject property is a 0.55-acre lot located on Route 28 at Straightway North in Hyannis. According to . the Assessor's card,the lot is improved with a two-story,five-bedroom single-family dwelling w th.a;living . area of approximately 3,820 sq. ft. The dwelling was originally constructed in 1987. The properfy;is located in a Residence C-1 Zoning District and is serviced by public water and a private on-site septic system " According to the application,it appears that the petitioner is proposing to finish the area above the garage and a,breezeway for use as a one-bedroom family apartment. Staff estimates the area of the apartment to be approximately 1,051 sq.ft. g The family apartment is to be occupied by the applicant's daughter AmirSchumann. The petitioner is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Family apartments are allowed in all residential zonih districts as a conditional use, provided a Special Permit is first.obtained from the Zoning Board of Appeals. Procedural &Hearing Summary: >.. This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 22,2004. An extension of time for holding the public hearing and for filing of the decision was executed between the applicant and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and a notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 01,2004 and continued to August 04,2004, at which time the Board found to grant the appeal. Board Members deciding this appeal were: Richard L.Boy, Sheila Geiler, Gail Nightingale,Ron S Jan sson, and Chairman Daniel M. Creedon III. Ms Samira Schumann represented herself before the Board. She explained that the desire is to create a family apartment within the existing dwelling. The area to be used for the family apartment is above the existing attached garage. The area was unfinished but recently has been improved except for the installation of the kitchen for the;unit. The Board questioned if the residence requirement had been met and Ms Schumann stated that she now resides within the home. It was also,noted that an electrolysis home occupation is also carried on from the home. The Board determined to continue the,appeal to August 04, 2004-.to gather further information on the area of the dwelling and apartment:and area,being used with re'spectto the home occupation. BARNMBIX Fp MC3 s Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2004-093 - Schumann Special Permit - Section 3-1.1(3)(D) Family Apartment Summary: Granted with Conditions Petitioner: Samira H.Schumann Property Address: 5 Straightway North,Hyannis,MA Map/Parcel: Map 271,Parcel 003 Zoning: Residence C-1 Zoning District Background: The subject property is a 0.55-acre lot located on Route 28 at Straightway North in Hyannis. According to the Assessor's card,the lot is improved with a two-story, five-bedroom single-family dwelling with a living area of approximately 3,820 sq. ft. The dwelling was originally constructed in 1987. The property is located in a Residence C-1 Zoning District and is serviced by public water and a private on-site septic system. According to the application,it appears that the petitioner is proposing to finish the area above the garage and a breezeway for use as a one-bedroom family apartment. Staff estimates the area of the apartment to be approximately 1,051 sq.ft. The family apartment is to be occupied by the applicant's daughter Amira Schumann. The petitioner is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Family apartments are allowed in all residential zoning districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural & Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 22, 2004. An extension of time for holding the public hearing and for filing of the decision was executed between the applicant and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and a notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 07, 2004 and continued to August 04, 2004, at which time the Board found to grant the appeal. Board Members deciding this appeal were: Richard L. Boy, Sheila Geiler,Gail Nightingale,Ron S Jansson, and Chairman Daniel M. Creedon III. Ms Samira Schumann represented herself before the Board. She explained that the desire is to create a family apartment within the existing dwelling. The area to be used for the family apartment is above the existing attached garage. The area was unfinished but recently has been improved except for the installation of the kitchen for the unit. The Board questioned if the residence requirement had been met and Ms Schumann stated that she now resides within the home. It was also noted that an electrolysis home occupation is also carried on from the home. The Board determined to continue the appeal to August 04, 2004 to gather further information on the area of the dwelling and apartment and area being used with respect to the home occupation. At the August 4"'continuance,the Board reviewed a letter from the building commissioner and plans of the existing dwelling. IT was determined that the electrolysis complied with the 4000 sq.ft. limitation and that the area of the family apartment would also comply with the 50%restriction imposed in the Ordinance. ) Public comment was requested and no one spoke in favor or in opposition to the request. Findings of Fact: At the hearing of August 04, 2004,the Board unanimously made the following findings of fact: 1. Appeal 2004-93 is that of Sandra H. Schumann seeking a Family Apartment Special Permit in accordance with Section 3-1.1(3)(D)to allow for a family apartment to be developed above the existing attached garage. The property is shown on Assessor's Map 271,Parcel 003 addressed as 5 Straightway North,Hyannis,MA in a Residence C-1 Zoning District. 2. The property is approximately 1/2-acre in size located on Route 28 at Straightway North in Hyannis. The lot is improved with a two-story,five-bedroom single-family dwelling with a living area of approximately 3,820 sq. ft., originally constructed in 1987. 3. The petitioner is proposing to finish the area above the garage and a breezeway for use as a one- bedroom family apartment of approximately 1,051 sq.ft. The family apartment is to be occupied by the applicant's daughter Amira Schumann. 4. The applicant has the benefits of a special permit allowing a home occupation of electrolysis, and it has been documented by a visit to the property by the Building Commissioner,that the use for the home occupation complies with the requirements of zoning. 5. The petitioner is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Family apartments are allowed in all residential zoning districts. Decision: Based on the findings of fact,a motion was duly made and seconded to grant the appeal with the following conditions: 1. The family apartment shall comply with, and be maintained in accordance with all restrictions of Section 3-1.1(3)(D)of the Zoning Ordinance, and shall be the primary year-round residence of the family member residing therein. 2. The family apartment shall be developed and maintained as per plans submitted to the Board, a copy of which has been initialed by the Chairman. 3. The applicant shall apply for a building permit for the family apartment from the Building Division. A copy of this recorded decision must be submitted with the building permit application. The family apartment shall not be occupied until an occupancy permit is obtained from the Building Commissioner. 4. The locus shall comply with all State Building Codes,Town of Barnstable Board of Health,and State Fire Prevention Regulations. The property shall be connected to Town sewer. 5. This decision must be recorded at the Registry of Deeds and a copy of the recorded document must be submitted to the Zoning Board of Appeals Office and to the Building Division before any permit is issued. The relief authorized must be executed within one year of the granting of this permit. 6. No further uses are allowed for the property without permission form the Zoning Board of Appeals The vote was as follows: 2 AYE: Richard L. Boy, Sheila Geiler, Gail Nightingale,Ron S Jansson,Daniel M. Creedon NAY: None Ordered: Family Apartment Special Permit 2004-93 is granted with conditions. This decision must be recorded at the Registry of Deeds for if to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision,if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20)days after the date of the filing of this decision, a copy of which must be filed in the office of the Town Clerk. Daniel M. Creedon III, Chairman Date Signed I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk 3 Page 1 of 2 9 Century 21 Shoreland 5 North Straightway , Hyannis MA 02632 x " a Price Beds Baths MLS# .. 4530,000 5 4 21200987 Century 21 Shoreland 1220 Route 132 Suite 8,Hyannis,MA 02601 Ell •� �' "� Office Phone:508-771-2008 Fax: ; info�c2lshoreland.com www.c2lshoreland.com ... �1•llnk •� r� cam. 4,tk ��.: � �'T b r)r Property Description: Great opportunity to own this large,spacious 3000 Sq.Ft Decay Built Colonial.This home if owner occupied has excellent potential for both an in home business and an In Law Apartment arrangement..The current owner does operate a laser hair removal business at this location.The business area is approximately 1000 Sq.Ft and includes 2 exam rooms,waiting area, rest room and laundry area.A great location for a medical/dental professional.The residence is a large central entrance colonial with an oversized garage,rear decks large living room with a full partially finished basement.Gas heat,Central air and low maintenance grounds.Perfect location of an owner occupied business opportunity. Interior Details: --- — --------------...-- -..-. .__—_.._...----- .....---. .-- __,., _-._ ........-. Floors:Hardwood,Partial Carpet Total Levels:2 lead Paint:Unknown Exterior Details: - --------- ---- -—--....- - __....- ......... ---- .................. ................. Exterior Features:Deck,Exterior Lighting Parking Description:Paved Driveway Roof Description:Asphalt Siding Description:Vinyl/Aluminium Mechanical Heating Cooling:3+Zone Heat,AC Water Sewer Utility:Town Sewer,Town Hot Water Water Heat:Natural Gas Central,Natural Gas,Gas Fireplace Water Underground Fuel Tank:Unknown Assessment/Betterment To Be Assessed:Unknown Improvement Assessment:$52,300 Land Assessments:$113,200 Total Assessments:$165,500 BeachMater Water View:No Water Front:No Beach Description:Ocean Beach Ownership:Public Miles to Beach:1 to 2 Water Access:Beach,Ocean,Public Pool:No Dock:No Flood Zone:Unknown Other Property Details: — ------ ------.. _.__ . .. ------- --._. ... ... - Property Type:Single Family Town Barnstable MA Village Hyannis County:Barnstable Total Rooms:10 5 4 Fireplace Yes,1 Garage Description:Attached,Door Year Built:1987-Actual Year Round:Yes Opener Style:Colonial Square Footage:3000 Lot Size:0.55(23958.Sq.Ft.) Zoning:,101, Annual Tax:4806 in 2012 Directions to Property:Rt.28 to Straightway North. Additional Photos: http://www.c2lshoreland.com/realestate/detailview/53/1043/21200987?nositedesign=true 10/2/2012 Page 2 of 2 t lie ��. S Q6 s ce a k ! ✓ x3 ..i k .i J}" rr + r , .f� M x a Listed by: Today Real Estate BK Sharinb i 1s6b+ly The data relating to real estate for sale on this site comes from the Broker Reciprocity(BR)of the Cape Cod& Online Islands Multiple Listing Service,Inc.Summary or thumbnail real estate listings held by brokerage firms other than Century 21 Shoreland are marked with the BR Logo and detailed information about them includes the name of the listing broker.Neither the listing broker nor Century 21 Shoreland shall be responsible for any typographical errors,misinformation,or misprints and shall be held totally harmless. This site was last updated October 2,2012.All properties are subject to prior sale,changes,or withdrawal. Century 21 Shoreland has chosen to display only certain towns and/or types or styles of properties.This site may not show all listings that are available through the Cape Cod&Islands Multiple Listing Service,Inc. http://www.c2l shoreland.com/realestate/detailview/53/1043/21200987?nositedesign=true 10/2/2012 �,. �`�4 �, C� �' �~ �\� �j � � � _ J oFWE r Town of Barnstable Regulatory Services * BARNSrna[.eJ MASS. Thomas F. Geiler, Director 10;ar",� 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 MEMORANDUM TO: Tom FROM: Lois DATE: 4/30/08 OTHER FAMILY APARTMENT ISSUES Margaret Barabe, 1351 Hyannis-Barnstable Road, Barnstable We had a letter from her in 2003 re her husband's death and her health problems(see 0 attached). This year she returned the affidavit with a note that she has removed the kitchen. Do you want Linda to inspect to verify? ' Thomas Marcello, 35 Bretwood Lane, Centerville Did not return the affidavit last year. Called him several times last year. He said it was no longer a family apartment andwas supposed to write to you giving the status of the apartment, but never wrote. Do you want LipddT son to contact him? Samira Schumann,,5 Straightway North, Hyannis See my note of 1/30/08 and your response. Do you want Lyad'a to enforce? famaptmemo . 1/30/08 Tom, - We have received a Family Apartment Affidavit(attached) from Samira Schumann, 5 Straightway North, Hyannis, listing visitors, family & friends as the occupants of the family apartment. The previous occupant was Adele Hajj-Williams (sister). Robert Schumann has a family apartment at 443 Elliott Road,Centerville, and has been submitting his Affidavit listing family, friends, visitors since at least 1998. 1 have a note that you reviewed and approved it on 3/4/03. See attached. See Mr. Schumann's note in response to Elbert Ulshoeffer's letter of 12/1/02. Munis lists the owners of 443 Elliott Road as Robert and Samira Schumann. It lists the owner of 5 Straightway North as Samira Schumann. How do you want to handle the Affidavit submitted by Samira Schumann for 5 Straightway North? Cl p ?A . r7 VT �2 S l dCPN Ue, ® a R-s C 64­0 o Town of Barnstable Regulatory Services oFtHE rok� Thomas F.Geiler,Director Building Division r r saxxsrne . ' Tom Perry, Building Commissioner v MASS. 1639• 200 Main Street,Hyannis,MA 02601 �plF�MAC p www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is � � hr H'�lYl J4AJ I am the owner/resident of the property located at: S a The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: / 1 '5 7O A.S A M I L' F11 i eP� Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment-is permitted. ' 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit. and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury.this day of 2008. Signature Phone Number Print Name ST 1Q AlAlI R A S Um�'7..�� Q/bidg/forms/famaffid Rev:l/03 Town of Barnstable a �� Regulatory Services l� Ft► t°�� Thomas F. Geiler,Director Building Division sAvsrASLE, Tom Perry, Building Commissioner 9 MASS. 039• 200 Main Street Hyannis,MA 0260 o Y ,� 7 A s�. www.town.barnstable.ma.us Office: 508-862-4038 D 1 JSj0 N Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: MY name is SFl M I rz-�9 P 5G><l U l uI am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. .I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this_4rl I day of 2007.jz > f _Signature` To�F _ _ .- _. . ___ __._ e_k_ Phone Number -- _-- Print Name. Q/bldg/forms/famaffid Rev:1/03 r Town of Barnstable Regulatory Services oME tok, Thomas F.Geiler,Director Building Division MU NSTA13 Tom Perry, Building Commissioner MAW. �m� 200 Main Street,Hyannis,MA 026010 PM�ArEG�AA�A www.town.barnstable.ma.us DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is 5A M `��GITIlrf�4✓ I am the owner/resident of the property located at: Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 4Tl/ L Anr- 15 K Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of Uj2 2006. Signature f..r -. Phone Number-. Print Name Q/bldg/forms/famaffid Rev:1/03 Ck Town of Barnstable Regulatory Services �pFIKE�0 Thomas F.Geiler,Director - °� Building Division '7 �'�Sr 13 DI 2: 33 3ARNSTnBLE Tom Perry, Building Commissioner ! 9 MASS. 1639. �0� 200 Main Street,Hyannis,MA 02601 n www.town.barnstable.ma.us _ Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is SprK f pl- �� �(� t? I am the owner/resident of the e� PfM6 property located at: Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address:Name &relationship to owner: � ���T 1 L L I A A45 C.S 1 SILK 5 Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this / day of 2005. Signature Phone Number Print Name Jp -� Q/bldg/forms/famaffid Rev:1/03 �FIKE� Town of Barnstable do Regulatory Services BAMSTABLE. MAS& Thomas F. Geiler,Director i639' ♦0 ATFDMa.°i Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.t ow n.b a r ns t a b l e.m a.u s Office: 508-862-4038 Fax: 508-790-6230 August 3, 2004 Re: 5 Straightway North, Hyannis, MA Dear Members of the Zoning Board of Appeals: This correspondence is in regards to the house and business located at the above listed address. I personally visited the site with the homeowner on July 21, 2004 and was shown the inside of the premises. The main house consists of a colonial style single family house with a kitchen, bath, living room and dining area on the first floor and bedrooms on the second floor. The basement is composed of a small finished corridor with the remainder unfinished which leads to the garage. The area between the garage and the house is where the electrolyses business is located, which comprises approximately 425 square feet. There is a two car garage with a finished area on the second floor, which has been improved under permit#67230. This area.is where they would like the family apartment to be located. If you have any further questions please call me at 508 862-4030. Sincerely Thomas Perry Building Commissioner TP/AW BOOK5744 PAGE 07 t TOWNOF BA.RI`�IS,TABLE I IJ rf: t�Ll; Zoning Board of Appeals Schuman ..H. AFR 3.0 dill 59 .Sam............ ...._.......... : . . . ..... .......... Deed dnl}• recorded in the ........:...........:....... Property Owner Comity Resistry (J Deeds in Book .............................. Same ..................................................... . ...........:.......................................... y ... Petitioner _..:..._..........Registr;- District of the. Land Court' Certificate \o. .................. .... Rook Page .................. I� :lppeal No. ...................1.98�-31..................... ..............................................: PACTS and DECISION I Petitioner ..............Samira H_` Schuman ........................................... filed petition on ....................... ...................:..... 19 requesting a variance- ermit for remises at Route 28 & Straightway P P _.._..:...__.._._...._...._....._.. in: the villase (Street) _ Of ..... is.....: --- - ••-- •-•-.••..._......, adjoining premises of _................ (see attached list i Locus under consideration: Barnstable Assessor's 1tla 271 3 p .no :....:... _.'__ ...._.. ...r. lot no. Petition for Special Permit: ; Application for Variance: _ made under See: ............................... of the Town of. Barnstable Z,onin- bl-laics and Sic. _ ...._--• .... (_•haliter 40A.. Mass. Gen. Laws for the purpose of _._...._.to_ llol�._elzc.trolysis_/h.gm. ._..Q.Cs<upa .�on._.us.e...... __......... i ......................... __......__....._................................... ... lr Locus is presently zoned iu..:.............................. ........RG.-1............................... \once of thi: Ilt;;!!Il`' :11'l' mall, .Hostage prepaid. -to all persons ;ieeuieki affected Ily Iublishin, i Barnstable Patriot ' newspaper publislie(1 'if) T0wII of Barnstable :I cop} i si t+inch is attached tl ti i"' o i or dies^ liroce^dims filed with 1"owii'Cierk. Cr A public he.ari17L' P1 , t2 P b} the lin;rr i of :1 isalc of the Town of barustiil.li(- «;t. held at the Tows) Office Building, IIYannis. Mass., i; 'S: 15 �{ ' �„ �. Xp.11. r i T 16 -- ..._..._-_ - _:l fl S 7' .� upon said petition cruder ronin,_- -'.�- 1 resent at the Itr riuc wort, the inl'ntti;i_ inemher.: -Richard L Bo Gail N'ightin .................................................... _.___...._--..._. . �.. ... Bale _Ronalc Jansson C iiairmatt Luke P ....L''t 1 �� / g..._.... _.._:_. _' .a.t :cGza.tn.................:..... i - ........ g'by the Boaro. ' Page .......... ...Hof n:..._.._._..._.... T~ 1.9.E7 31..........................._. 0.^ 8 A ril 16, ly The Board of Appeals found P _._. __._._..___...................._............_............... On represented the petitioner who is seeking a Special Attorney Richard .Largay repr residence with an attached Permit to allow the construction of a single-family consisting of electrolysis use at the northwest intersection of Route 28 office and salon for - and Straightway, Hyannis in an'RC-1 zoning district on a structure with a total 23,945 square feet. The petitioner proposes atwo-story arkin s aces are provided with" three expansion of 2, 151 square foot area. Six P g P the home occupation _use will all with access from Straightway; 12.E In addition, parking spacesf uired under Section I, ParagraphS corl;isr of 400 square feet as q A 100 foot setback -requires . - ,. the petitioner is see ,1ng variance relief from the compliance the petitioner cannot place the house elsewhere on the lot for comp liance with on this area of RoutUe28 are in hape and therefore setback regulations. Other properties etitind t meets with the 100 foot setbackshequiifmnot.ableltoluse the alot,gthe p due to a substantial hardship, criteria for Variance relief. ation use. e to be what the Zoning By-law allows for home occup Signag —. made a finding that the petitioner meets the criteria under the Luke Lally and could permit a good use of the land, and would proposed home occupation use r al to the neighborhood which has many riancecr. eria. 1 The existence* • motion not be detri unique shape meets va e mental Also find that the lot having a was seconded by Gail Nightingale. The Board voted unanimously to grant the Spe cial Permit as requested - approved per compliance with signage as indicated in Zoning By-law, Section U, 5 (c) • - I Clerk of the 'L' yn� of Barnstable, ;Barnstable ....-..r.......__ -...._.._ Appeals County, 1•Iassachusetts, herebr'ccrtify that twenty {�0} days have elapsed since the I3�ard of rendered its decision i, the above entitled pc tit.ion and that. no appeal of said dccisii,n has been filed i in the office of the Town Clerk. 3 a r 19 under tile' pains and Signed and Sealed this ila�' o. ... dd penalties of perjury. fiDistribution:— ......... Property Q«nor l;oard of Appeals_ Town Clerk Town of I3arnstahle .a _applicant i �� 1'ersous interested Building Inspector Public Information _ Chairman I oard of Appeals - - I r jL bb 1 112 § 87GGG PROFESSIONS AND OCCUPATIONS i Cross References Licensing without examination,see section 87000 of this chapter. Law Review Commentaries Occupational licensing in Massachu- setts. . Henry Paul Morgan. (1961) 41 ErykE Boston U.L.Rev.157,173. f Library References Physicians and ,Surgeons e-4, 5(2). C.J.S. Physicians and Surgeons §§ 12, C.J.S.Corporations§956. 13, 23, Y Notes of Decisions i I. In general St.1964, c. 518, amending this section, Board of Registration of Electrolo- provides that certificates issued or re gists lacks authority to.charge fees oth- newed by the Board of Registration of er than those specified by this section, Electrologists will automatically receive even where because of change of expira new expiration dates. Id. tion date, license issued or renewed will i be quite short in duration. Op.Atty.Gen. Aug.18,1964,p.67. ' l § 87HHH[. Licenses; recording; display; place of business Every person to whom a license has been issued under section eighty-seven GGG shall cause the same to be recorded in the office of : the clerk of the town where he principally practices electrolysis, and if he moves his principal office he shall, before engaging in practice at a new address, notify the board.in writing of the place where he is to engage in practice:-*.If such removal is to another town,' he shall. obtain from the clerk of the.town where his license is recorded`a cer- t 4 tified copy thereof and file it with the clerk,of such other town.f The fee for recording such license or certified copy thereof shall be one . dollar. , Every licensed electrologist shall display his license in a conspic- uous lace in the p principal office wherein he practices electrolysis, and shall, whenever required, exhibit it to the board or its authorized representative. b The practice of electrolysis shall be engaged in only in a fixed s( a place or establishment, which place or establishment shall be provided C. with such instruments, implements and equipment, and subject to c, such,sanitary regulations and inspection, as said board may'prescribe. c, f LNothing� in the preceding paragraph, or in any statute,t ord' P' friarlce,provlsionTtof law rule or reK�l'u7atlon,shall be construed to..pro-L � 'eg lati.r�s .4 ,, e.,,qo r- ru Y . tE mblt the rac�__...-_ x��.,,,-gyp_•,p tice of�electrolpsis�and the mam�enance�of any electroly- . A 642 x a ELECTROLOGISTS 112 § $7J JJ sis offl'cMe,'krn the lleens�'eels hMW e o ,e ldel ce; ._Y_0_W dde`d toe f see ;complies with the condltigns outl ned abo�e: Added by St-1958,C. 625, § 2. x Historical Note St.1958, c. 625, § 2, adding this section, also, Historical Note and was approved Oct. 7, 1955, and b sec- under section y MEE of this chapter: tion 5 made effective Aug. 1, 1959.. See, Library References �§ 12, Physicians and Surgeons(S-10. C.J.S. Physicians and Surgeons H 31— r 35. I 87111.. Revocation of licenses action or re- , `, The board may suspend or revoke any license issued by.it-after +on of due public hearing upon finding the holder of such license to be 2ceive t of a crime involving moral turpitude, or of unprofessional guilty. which is her p ssional conduct ! ' hereby defined to include (a) misrepresentation or fraud in f the conduct of his practice, '(b) false, fraudulent or misleading adver- tising, � and (c) fraud or misrepresentation in obtaining a license. i Any electrologist whose license has been suspended or revoked may !! "apply to the board to have the same reissued, and the license shall be reissued upon a satisfactory showing to the board that the cause for lion dissatisfaction has ceased. of Added by St.1958,c.625, § 2. and t1Ce Historical Note is St.1958, c. 625, g 2, adding this section, .also, Historical Note under section tall ; was approved Oct. 7, 1955, and by sec- 87EEE of this chapter. er- tion 5 made effective Aug. 1, 1959. See, !I I, 'he a Library References i ne Physicians and Surgeons 4_111, 2. ) C.J.S. Physicians and Surgeons §§ 16, ic- . 17. ?dIS) § 87JJ1 Appeal'from revocation of license ,�. Any electrologist aggrieved by any decision or ruling of said board may, within thirty days after receiving in writing notice of !f 'd such decision or ruling, a i� d g, appeal therefrom to the superior court for the county in which he resides, by filing in the office of the clerk of said o court his reasonsIor appeal, and within seven days thereafter filing a copy thereof with the chairman of said board. The court shall as - m[ promptly as may be, after such notice as.-it may direct, hear.and de .1 Fit - - x� termine said appeal. The decision of said court shall be final. < Added by St.1958, C.625, §2. 643 M. �/zz/�g SF o� i �y�- �� �'"'e� 5�� 1533 Falmouth Rd.,Rt.28 Centerville,MA 02632' Bus.(508)790-2300 Ext.46 I Fax(508)790-1388' Cell(617)312 2787 'dMcgovem@todayrealestate.com w,w.todayrealestate.com 1 } DACEY McGOVERN REAL ESTATE REACTOR® ®was 05/17/2011 09:22 TOWN OF BARNSTABLE PG 1 permit APPLICATION PROFILE piappent. ,ti GENERAL APPLICATION ------------------- Application ref 81627 Fee Effective Dt 01/06/2005 Department BUILDING DEPARTMENT Location 5 STRAIGHTWAY (NORTH) Parcel 271003' . Cross streets ...• _ Add'1 loc desc Municipality HYANNIS Subdivision Lot Existing use MIXED. USE SINGLE FAM & COMM memo Current Zoning SPLIT ZONING Flood zone . Applicant Proj/Activity F�AMILY APT"W/CONSTRUCTION Class of work W CONSTRUCTION Description MILY AP_T. Proposed use MIXED USE SINGLE FAM & COMM memo Proposed zoning SPLIT ZONING Flood zone Non-conforming,,_ ,,,_ . Applic received 01706%05 Estimated Ecost 0 Estim start/end 01/06/05 Actual start/end 12/01/04 Impervious Surf Assigned to Status COMPLETE Status code desc CLOSED APPLICATION Multiple submissions 9 Next action Government owned N memo Ordinance ref Reason for app ;. Parent app Point in time fee effective date Fee expiration date ROLES/NAMES Role Name/Address PROPERTY OWNER SCHUMANN, SAMIRA H CID : 94517 P O BOX 549 CENTERVILLE, MA 02632 GENERAL CONTRACTOR CONTRACTOR UNKNOWN CID : 810904 , Tradesman Name Lic Type License number Class NAICS Expires CONTRACTOR UNKNOWN CNTRUNKNOWN 05/17/2011 09:22 TOWN OF BARNSTABLE PG 2 permit Y APPLICATION PROFILE piappent Application, ref 81627 .(continued) PERMITS Type Permit Number Status Issued Fee ' .Unpaid Amt FAM APT 81627 ISSUED 01/06/05 25.00 .00 - ** END OF REPORT - Generated by Permit counter User ** ` Y. 05/17/2011 09:21 TOWN OF BARNSTABLE PG 1 permit APPLICATION PROFILE , piappent ..GENERAL APPLICATION ------------ Application ref 81458 • Fee Effective Dt 12/28/2004 Department BUILDING DEPARTMENT Location 5 STRAIGHTWAY (NORTH) Parcel 271003 Cross streets Add'l loc desc Municipality •HYANNIS Subdivision Lot Existing, use MIXED.USE .SINGLE FAM & COMM" , memo Current Zoning. '.SPLIT,"ZONING' .Flood zone w Applicant Proj/Activity ELECTRIC .RES. .ADD/ALTER .Class of.work OTHER - Description ORANGE HOOD & PLUG Proposed use MIXED USE SINGLE FAM & COMM memo Proposed., zoning SPLIT ZONING Flood zone .Non-conforming- N Applic received. 12/2.8./04= Estimated cost p' Estim start/end 12/28/04 Actual start/end . 01/05/05 Impervious Surf Assigned to Status COMPLETE Status code desc CLOSED APPLICATION Multiple submissions N Next action Government owned N memo Ordinance ref Reason for app Parent..app Point in time fee effective date Fee expiration'date ROLES/NAMES Role Name/Address PROPERTY OWNER SCHUMANN, SAMIRA H CID : 94517 P O BOX 549 CENTERVILLE, MA 02632 GENERAL CONTRACTOR RICHARD F. PATTON CID : 813928 PO BOX 1525 Phone: (508)564-5602 MASHPEE, MA 02649 Tradesman Name Lic Type License number Class NAICS Expires PATTON,RICHARD F. 15542 07/31/13 05/17/2011 .09.:21 TOWN OF'BARNSTABLE 1,PG 2 permit APPLICATION PROFILE piappent _ Application ref: 81458 (continued) PERMITS Type Permit Number . Status Issued Fee Unpaid °Amt RES ELEC 81458 ISSUED 12/28/04 25.00 00 ** END OF REPORT - Generated by Permit- Counter User ** 05/17/2011 09:21 TOWN OF BARNSTABLE PG 1 permit APPLICATION PROFILE" Ipiappent' a GENERAL APPLICATION ------------------- Application ref 80084 Fee Effective Dt 10/21/2004 Department BUILDING DEPARTMENT Location 5 STRAIGHTWAY (NORTH) Parcel 271003 . Cross Streets - Add'l loc desc - Municipality HYANNIS Subdivision Lot Existing use MIXED USE SINGLE FAM & COMM memo - Current Zoning SPLIT ZONING Flood°zone 'Applicant Pro]/Activity RESIDENTIAL ADDITION/ALTERATIO, , Class of work ALTERATION Description-- KITCHEN ABOVE GARAGE PERMIT # 67230 Proposed use , MIXED USE SINGLE FAM & COMM memo Proposed zoning SPLIT ZONING Flood zone Non-conforming N Applic received l0/21/04 Estimated cost 1,5'00. Estim start/end, 10/21/04 Actual start/end 12/01/04 Impervious Surf Assigned to Status COMPLETE Status code.desc CLOSED APPLICATION Multiple submissions N Next action Government owned N memo , Ordinance.ref Reason for aPP Parent app Point in time fee effective date` Fee expiration date ROLES/NAMES Role Name/Address PROPERTY OWNER SCHUMANN, SAMIRA H CID : 94517 P O BOX 549 CENTERVILLE, MA 02632 GENERAL CONTRACTOR PROPERTY OWNER CID : 813776 Phone: (000)000-0000 Tradesman Name Lic Type License number . Class NAICS Expires PROPERTY OWNER OWNER 05/17/2011 09:21 TOWN OF BARNSTABLE PG 2 permit APPLICATION PROFILE_ piappent Application ref: 80084 .(continued) - PERMITS .. Type Permit Number Status Issued Fee — Unpaid Amt RESADD/ALT 80084 ISSUED 10/21/04 75.00 .00 AUDIT HISTORY .. Department Action Source Created by Date Comments BUILDING- DEPARTMENT. EXCEL Supple2 APP pilookup 06/01/07 ** END OF REPORT - Generated by Permit Counter User ** "s 05/17/2011 09:21 TOWN OF BARNSTABLE PG. 1 permit IAPPLI.CATI,ON PROFILE piappent GENERAL APPLICATION ---------- -------- . Application•,ref 68997, Fee Effective Dt :OS/23/2003 Department', BUILDING DEPARTMENT Location 5 ,STRAIGHTWAY (NORTH).` •Parcel 271003. Cross streets Add'1 loc desc Municipality HYANNIS 'Subdivision Lot Existing use MIXED,USE SINGLE FAM & COMM memo Current Zoning SPLIT 'ZONING Flood zone Applicant ,' Proj/Activity ELECTRIC RES. ADD/ALTER Class of work OTH-ER ` Description r-2ND FLOOR 1 Proposed use MIXED USE SINGLE .FAM & COMM memo Proposed zoning SPLIT :ZONING Flood zone Non-conforming—N Applic received 05/23/03 Estimated cost--) Estim start/end 05/23/03 Actual start/end .12/01/04 Impervious Surf Assigned to Status COMPLETE Status .code desc CLOSED APPLICATION Multiple submissions N Next action- Government owned N memo Ordinance ref Reason for app Parent app Point in time fee effective date Fee expiration date ROLES/NAMES Role Name/Address PROPERTY OWNER SCHUMANN, SAMIRA H CID : 94517 P O BOX 549 CENTERVILLE, MA 02632 GENERAL CONTRACTOR SOUSA, ROBERT A.. - CID : 814410 208 OSTERVILLE/W.BARN.RD Phone: (508)428-9958 OSTERVILLE, MA 02655 Tradesman Name Lic Type License number Class NAICS Expires SOUSA, ROBERT A. E17147 05/17/2011 09:21 TOWN OF•BARNSTABLE PG 2 permit APPLICATION PROFILE 1piappent Application ref: 68997 (continued) m � PERMITS Type Permit Number Status Issued Fee Unpaid Amt RES ELEC 68997 ISSUED 05/23/03 25.00 .00 ** END• OF REPORT - Generated by 'Permit Counter User ** i a 05/17/2011 09:20 TOWN OF BARNSTABLE PG ;1 permit- APPLICATION PROFILE Ipiappent GENERAL APPLICATION Application ref 67230 .Fee Effective Dt "02/28/2003 ' ;"Department BUILDING`DEPARTMENT Location 5 STRAIGHTWAY (NORTH) ` Parcel 271003 cross streets Add'7 loc desc Municipality HYANNIS' Subdivision, Lot Existing use MIXED_USE -SINGLE FAM & 'COMM memo Current Zoning SPLIT ZONING Flood zone Applicant Pro]/Activity RESIDENTIAL--ADD-I-T-I"ON/ALTERAThO Class of work�ALTERA-T-ION___`_ d Description EINISHa_ROOMS ABOVE GARAGE-+W-/ BATH " Proposed use MIXED USE SINGLE FAM & COMM tF memo r r Proposed zoning 'SPLIT,ZONING Flood zone Non-conforming.,_N` Applic .received 02/28/03 x Estimated cost-r^-'^'""`53;184 Estim start/end- 02/28/03 . Actual start/'end ` 12/01/04 ' Impervious .Surf Assigned to .Status COMPLETE Multiple submissions N- Status code -desc, CLOSED APPLICATION w L Next action . _ ,. Government_owned: N ,, - memo ; Ordinance ref Reason for app Parent app Point in" me fee effective date - . -Fee expiration date ' ROLES/NAMES - -----Role Name/Address PROPERTY OWNER SCHUMANN, SAMIRA H <` CID : 94517 P O BOX 549 CENTERVILLE, MA 02632 GENERAL CONTRACTOR WHALEN DAVID CID : 814954 108 MOSS LANE Phone: (508)896-2601 BREWSTER, MA 02631 Tradesman Name Lic Type License number Class - NAICS Expires WHALEN DAVID CONT SUPER 2782 10/15/09 WHALEN,DAVID HIC 115205 01/06/10 05/17/2011 09:20 TOWN OF BARNSTABLE PG .2 'permit APPLICATION PROFILE piappent Application ref: 67230 (continued) ` PERMITS Type Permit Number Status Issued Fee Unpaid Amt _ RESADD/ALT 67230 ISSUED 02/28/03 214.87 .00 *.* END OF REPORT Generated- by Permit Counter User **' Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION L J Map A7 Parcel Permit# i r7 C) Health Division 03 C i'< OF' BAR1`4 I- Q�Date Issued ci s DD Conservation Division IN0163 n013 JAN 16 AM 9. 36 Application Fee - SD i i?Tax Collector Permit Fee Treasurer 2 . DIVISION Planning Dept. APMCAMMMOBTAIN A SEA Date Definitive Plan Approved by Planning Board CONNECTION PERMIT FROM THE ENGINEERING DIVISION PRIOR TO Historic-OKH Preservation/Hyannis CONSTRUCTION Project Street Address Village Owner T� � y � S' c! t�. ��� ddress Telephone 2 Permit Requested�T• d 4eldl✓_4_ c�j Square feet: 1st floor: existin9 proposed 2.nd floor:exstin9 ��Vg�l ne w,,>ts =/" Zoning District Flood Plain .A rr 6' NEW purr. � t_, R s EQ 'REM .ENTS Project Valuation — Construction TypeARE HOW LAW. EVEN THE ADDITION OF A -- � here�d� ® tgMo ;WW§P6A.N Lot Size GrandfatRN FOR THE WHOLE HOUSE_ YOU MUST Dwelling Type: Single Family ' Two Family ❑ AND HAVE YOUR Age of Existing Structure Historic HEuLseE §tCetIAKE 6?WT1 K �iv�a r�.QFY5- o IzIRE DEPA Tyr E T. Basement Type: $(Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ;— — Basement Unfinished Area(sq ft) Number of Baths: Full: existing new -_ial`f_existing new Number of Bedrooms:. existing _3 new Total Room Count(not including baths): existing 2 new 47,* ount Heat Type and Fuel f Gas ❑Oil ❑ Electric ❑Other Central Air: A Yes, 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage existing ❑new size Pool: ❑existing 0 new size Barn:0 existing ❑new size Attached garage existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes,site plan review# Current-Use .-Proposed Use I BUILDER INFORMATION Name- '94axl 2 Telephone Number Address -�00g License# 2 Z. �.u�;fix Home Improvement Contracto # �S'� -1 Worker's Compensation# ej 12S'.3✓li o, , 1� � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 4 - s a�s SIGNATU E DATE 4 FOR OFFICIAL USE ONLY » l 4 r• 'f PE MIT NO. ti"t DATE ISSUED MAP/PARCEL NO. ,✓ .; r -} } 1- � 1 � II• r / r ADDRESS `1 '"� `� i" VILLAGE ;' t .OWNER i } DATE OF-INSPECTION: FOUNDATION FRAME r/Z m (9 INSULATION I/ // � _ ._ 1 "-� ,-; , • • s � FIREPLACE ELECTRICAL: ROUGH FINAL .f" d �✓ t� � �� r, J s PLUMBING: ROUGH FINAL �- •i I 6 _ ^' x.. `? . t'jam GAS: ROUGH FINAL FINAL BUILDING "s; ✓. { ; . , � ~' 1 t ` DATE CLOSED:OUT ASSOCIATION PLAN NO: y r VE Tpy� Town of Barnstable ' Regulatory Services BARNS''BLE. " i Thomas F.Geiler,Director MASS. Building Division ^ �ArED n+A'�a g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Zg/z laewz r A-,!&Ostimated Cost_ j� Address of Work: ei7_ Owner's Name: //� Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: a e Contractor Name Registration No. x OR Date Owner's Name ' Q:forms:homeaffidav i The Commonwealth of Massachusetts --�- = Department of Industrial Accidents Office Ofln�estigadans . 600 Washington Street �r Boston, Mass. O2111 Workers' Com ensation Insurance Affidavit I MR mate: location: S� -• _ GL�.S hone# ❑ •I am a homeowner performing all work myself ❑ I am a sole r netor and have no one workin in ca dt I am a�//%% % %/%%//%%%%%%//G% /%% // %% G%//////S//w%//�//////n//// com ensationfor my 9e :4}}:{4: :: >.. $.4:y .: {•,�3,, {;: t;, },} •.:'Y.> workers' „ •• <{: :.•.Y.;w}::}: 4k4.4::':2•'. :'•is .}:•}^:{:i:2;}:nn•::,•i }3>!:;.•.:$.:'t er_ rovidin w ...�... ;.;}:'•}:.:{.:+;•?•J..:.n.:2.}ft$�{}•ti:-:33�;.}..:.$:...:,....^ :.}:r<:>': ":.>;:ttY-:<'<•..,..{:.::�;.;..,..,•.r..:?:.,.....:.::::;;,:: ane 1 g Y!;:;:�:::33!? ..,::n:........rv, :..,.. n•.4:i}}:.:. :.4}f:.Y::.::.tY.:Y;::4. .,;. 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'I•S�'::•���}}:4:4:•:•: 4yf.{4}'r::.v�:r..:?•::}nv^}:-:::•::}.?•.•:..N,:..,,.?:v, r.v. .. :?.:4:•p{,..}. ...:...........•:... .......};:....:::..Y.0 v?:y};+;{}.}i{tit•:5:.}{}:l�ti:`•:•:?4'r.r:.;v'.•.:::•n:'r'•i'!:4v'v'{r:?•:......n:.:::.:::v. ..v.?.} ...:.:::.... :irunrsac�::tnz::�;<:::t::$:$t;s?:•:;::;t:Jt{{.}::;{a}::.::?.Y:.}:•;:{::.:::.:::.,.;.}. �/ ties of a fine 500.00 d/or Failure to secure coverage as required under Section2' of MGL 152 canleadto theimpositlon of crinnitu+lpenalnp to 51, an and,fine of 00 a dap against me one pears'imprisonment as well as civil penalties in the form of TO of O K O i rco eraLe r��tion I nndersEand that a' copy of this statement maybe orR arded to the Office of Investiga I do hereby�e he. ai d pen perjury-that'the-information-provided-abnve_issr-up—and-cnu-ect Date /� T Phone Print name V official us a only do not write in this area to be completed by city or town oilcial "permitllicense# CIBuilding Depniment city or town, OLicensing Board ❑Selectmen's Office ❑ checkif immediate response is required ❑HeslthAepartment phone#; ❑Other contact person: + f—i—A 9f95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is.defined as every person in the service of another under any contract of hire, express or implied, oral or written. artaershi association corporation or other legal entity, or any two or,more of An employer is defined as an individual, p P> > 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 thaathree 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 groudds or big wppurtenant theretd shall not because of such employment be deemed to be an employer: MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance br 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, neitherthe' 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 7. autho#ty. . . . r , r 1 ' r.• _ w Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation•and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be ` subbed to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and ;*4 date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is A, being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law",o%_ifyQu rw ed,to obtain a workers' c6inpensati6a policy please call Jie Depaitiiieut at the number listed below.: aie requir ' City or Towns •_ Please be sure that the affidavit is comp f`� lete and printed legibly. The Department has provided a space at the bottom o affidavit y to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please for you , , . • .... e>�iit"llicense number wlucli will tie used as a refeieace nuui�ei. Tfie'--*EA 'avits may. 'e'r t�• . be sure to fill int}ie.p - :: of FAX iiniess other arrangements have been ida.de. the Department by mail .. ..,�,,.• • F . The Office of Investigations would like to thank you in advance for you cooperation and should you have anyguestions, . please do not hesitate to give us a call. The Departrnent's address;telephone and fax number. . . • vim,.... - ThCCommonwealth Of Massachusetts ._Department of Industrial Accidents Olflce of lnYestlgatlona • 600 Washington Street Boston,Ma. 02111 fax ff: (617) 727-7749 : phone#: (617) 727-4900 ext. 406, 409 or 375 13 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE O New Buildings,Additions $50.00 t" Alterations/Renovations $25.00 y Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE Q square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONNS/RENOVATIONS OF EXISTING SPACE '( 3 1 square feet x$64/sq.foot= 5 3 N9 x.0031= • plus from below(if applicable) GARAGES(attached&detached) r , square feet x$32/sq. ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) • i Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00-- Relocation/Moving $150.00 (plus above if applicable) Permit Fee ' 1 r� ®Z 'y�S�'O/� /CJ/�a�l�vooll Dr. /�y,��•�is �� psT.�,-v�//p Wj� ZS�� / y lze ��" ��ylp r (�QNJ1rvcTiO Ai . y w oS��QA1�ll�a5�on /f� 'I o, d�/�Inov11� 1� �l 720 C$IR Appa�d6r Table JSZlb(continued) -; Prncriptive Packages for One and Two-Famify Residential Buildings Heated with Fossil Fuel MA)dMUM MINIMUM Glazing Glazing Ceiling . Wall Floor Hasem.em Slab Hesting/Cooling Arm '('�s) U-value= R-value, R-value, R-valusa Wall Pesimcta Equipment EfEcienryp Package R valuer R-value, 3701 to 6500 Hating Degm Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S ` 12% 10.50 38 - 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A N/A Normal U 15% 0.46 38 1 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A ES AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 25 N/A. N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 1 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19. 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: Z. 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): i /l 5. SELECT PACKAGE(Q--AA-see chart above):—r NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a e 780 CMR Appendix J i Footnotes to Table J8.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,.expressed as a percentage.. Up to 1%.of the total glazing area may be excluded from the U-value requirement. building design with 300 ft of glazing area. of decorative lass may be excluded from a g gn g S For example,3 fl g y 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with . the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values ar e for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between conditioned space and the ventilated onion of the roof. the p P 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other,glazing. Basement doors must meet the door U-value requirement described M" Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes eleetric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: - a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or•crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 a� \ II � 3� CV Fou NCR -[ t w�p EYE V o c; 1 to N dl ry, 0.w• 150.4E STAT E. 1-1 1 G H W AY R o v-rE 2s �i i i i i JOB n 87-3304 CERTIFIED PLOT PLAN LOCATION: ROUTE 28 HYANNIS PREPARED FOR: SCALE. 1 "=40 DATE.- 09/18/87 REFERENCE: PB 356 PG 33 BAYSIDE BUILDING I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED_ ON THE GROUND AS SHOWN HEREON. BUILDING CO.NFOP..MS TO SETBACK REQUIREMENTS OF THE TOWN WHEN CONSTRUCTED. \Nk of U4 ARNE down cape engineering ()JALA CIVIL ENGINEERS LAND SURVEYORS -211 /9fi7 A. ROUTE 6.A Y.ARMOU T H MA DATE PEG. SUP,VEYOP � •�� BOAR®®F�B�lJi1LD4N,G REGUtATIO • STF License ®ICTION SUPft�Us1�,O f' - `, Num7ber'� 0027i$Z u Bkr4F+�da'�.e�'� /��r1195r�' r fi �rc r5 13 -fr..no- 7t4? nt-x f Re41r At �f { DAUID G MO&S N.iN '�'7 •�B�R�E�i���RN�P� 02 �1---r ` , ._'mias°�,trrator � i i �. GTE`-��� �✓��> ` Board of Buiiding.Regulations and Standards HOME IMI RpVEMENT CONTRACTOR \\ _ Rehr t__ r9m 15205 {I 4 ._ DAVID WHALEN,I { DAVID WHALEN ,r dT "1 r. 108 MOSS LANE BREWSTER,MA 02631 Admunistrator. y y-. � a u V is l ,.6 i r op � ®KE DETECTORS O.K. „ � ����,� � • �, 6 to ir � L pal B NSTABLE BU LDING DEPT. , _ jo CvG>Y B Yrl. E'� .t 5 -(or �,c� r- If�13 K 23cl s :t F F- r J�z �"��ii� j`��•1 i Q Y � S Ixop 7 O "r�7. �`per. � ._��—. __ ,`_._• � --� - _ —.--� ' 9® 6 . tIVI leln --- � � � M �_ � ,....,�,E.s,..g...;,�,...r—^+...�,.,,-'=w:_, , ,t�'da..e,,.._-.::i.� Yu'_'"'r.r- sj:,:,.v+-v!'�.. ^ °x��".'3::�'.".'Y""" Ay.. T� .:?f•:,^v'+�+.., . .�wa. _ ..r.,..� A I �Z 1 yofTNE� TOWN OF BARNSTABLE 31214 e Permit No. ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 1.}/97 rara X .! HYANNIS,MASS.02601 Bond ...... y CERTIFICATE OF USE AND OCCUPANCY Issued to Semira H. Schuman Address Lot #3, 5 Straightway Hyannis, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 18, 8719........... :X.. Building Inspector Assessor's offioe (1st floor): `TNE T Assessor's map .end lot number ..P � ........1-....:�.3:.... o�♦� Board of glealth [3rd floor): Sewage _Permit number ..7c Sl'?j� i BAH39TODLE, Engineering Department (3rd floor): 0e MAY°P6 1639. House number ............................................ .............. \00� d' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE " BUILDING INSPECTOR APPLICATION FOR PERMIT TO .COA16 ... .............. ....:.... .......... L�CTKQ1-Y.5 IS HO6tt;_:� dCCUPRr/Ok/ ,� U5 i•��='s5 TYPE OF CONSTRUCTION /,rf!}. ...e_l.eA?:e................................................................................................... ................... '.. ?�....19.. .7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....L 0..T......~'—i ll......`...%/'i}/.6' .... /� Y/�,e%//5 ............................................................ ProposedUse ..?W mc.....A.! .......A.0 ?./ 5................................................................................................... Zoning District �. C s �.............................................Fire District ............. �����5 . ................ Name of Owner y5../ t`....84-0� �0 f'.lJ. 6 0X 9 5 z............................Address ............. ...............................................T.................... Nameof Builder ....................................................................Address .................................................................................... �s��=,v Nameof Architect ..................................................................Address .... 'Q7U.�r.......................................................... Number of Rooms .............Foundation ..... D,IJ/P l�,.......�,®NC� =,T ........... Exterior , Q .... :...5 .�,v,(1 .5............Roofing ...:/�- a.!�H✓�G ..................................................... Floors ...C✓�ee.P 7...1�4.... .................................Interior .. AI a (�l�FSU ?� .... ....... . . ?............................ 2 VCHeating ...... ....Plumbing `f 7- / ........... C................................................... Fireplace pA � Tw.... `OC(<Y /��' ..Approximate Cost ��Q �v ........._................... .................,.................................................. Definitive Plan Approved by Planning Board ------------------------_-------19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH it OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......= ? .. `/ ................................ Construction Supervisor's License ............. ..° `lS SCHUMAN, SEMTRA H. A=27 —3 No 31214 Permit for ... Story ...... t .......Single...Fami1-Y..Dwell,ing.......... Loco i n .......Lot,., 3, 5 Straightway ......................Hyannis........................................ Owner ....aemira H. Schuman.... Type of Construction ......Fr.4.Me....................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .....September 21 ,19 87 ........................................ Date of Inspection ....................................19 Date Completed ......................................19 a'fy ••°, TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING � rya °�' �679• �� HYANNIS, MASS. 02601 �0 tlAY►' MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit #........... »z. ..................................................................... ........................................_................................»»». issued to ....� . .f��»....»»S.»C.. QlAr hl lJ.................. .`5 .....................................� c j. �'� ..»....». �» 9,411 » Please release the performance bond. s al, Q cu IL Fau oNCR 1 16.1� N�AT�aN (A O � L N `- Z3�q�..1 N dl e,�a•0� PAo20. 150.4B STATE I'-a I G l-1 WAY RO V TE 2$ ,JOB # 87--304 CERTIFIED PLOT PLAN LOCATION. ROUTE 28 HYANNIS PREPARED FOR: SCALE: 1 "=40 ' DATE. 09/18/87 REFERENCE: 'PB 356 PG 33 BAYSIDE BUILDING I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. BUILDING CONFORMS TO SETBACK REOUIREMENTS OF THE TOWN WHEN CONSTRUCTED. !o� AS._E down cape engineering 0j LA CIVIL ENGINEERS LAND SURVEYORS z/1 2J 7 ROUTE 6A YARMOUTH MA DATE PEG. URVEYOR BooK5744PAGE 071 i u N L5 TOWN OF BARNSTABLE Zoning Board of Appeals H7 hl','i 3.0 011 59 ...................S.ami.ra....H..... S.chuma.n..................a.............................. Deed diIY recorded in the .................................................... Property Owner County Registry (if Deeds in Book .............................. ...................S...a...Re.. PaLc. ....Registry . ...................................................................................... ............. .........................................Petilioiler District of the Land Court. Certificate No. ......................... ........................ Book ........................ Paze ......... ................ ........ .\ppeal No. ................... FACTS and DECISION .Samira H. Schuman Petitioner .......................................I. .............................. filed petition on .......................................... 19 Route 28 & Straightway requesting a variance-permit for premises at ................................................................................................. in: the villaee (Street) A .a!!�is.............. of ........... ...... ........................................ adjoinin.- premises of ................. (see attached listl ................................... 271 3 Locus under consideration: Barnstable Assessor's Map no. ................................................ lot no. ..............I............ Petition for Special Permit7 Application for Variance: 77 made under See. ............................................................ of the ToNvn of Barnstable Zonin(, by-lags and So(.. ..................................................................................................................... (Aiaptcr 40A., 'Mass. Gen. Lags to alloiq electrol .......................................................... for the purpose of ........................................................................X;5 .................................................................................. .................................................................................................................................................................................... Locusis present], zoned in...................:..............................RC: ...........................................................................................................................- r\ Notice of this i1varhi- iva:z gl-eil by mail, postage prepaid. To all persons 3eeined affected aui,: by Barnstable Patriot newspaper published iij Town of Barnstable :1 copy Which is attached t( Z11.0 ITC01:,'I o: those procef=dings filed Nvith Tuivii Uierk.. A public hearinL by the Board of 'Appeals of the Town of Barnstable Nva, held at the Town I-j 8: 15 '1� 87 Office Building, 1-1.�aniiis. Mass.. a-, ................................. upon said petition under r.on.I bvdaws. Present at the hoarinEr wore the iollowin,-, members: . ..Richard L. Bo\ - Gail Ni-htin2ale Ronald Jansson ................................................................................. ................. .............. ........................... .................................................................................... Nk Luke P. Lall%* ................................................................................. ....... th.............................. ................... Unlc col- AMOUNT PLUMBING PERMITS 40.00 k°...,y 7' , ,., a • 1 1 1 SURER'S CASH PLUMBING PERMITS 52.00 z • 11 SURER'S CASH GAS PERMITS 40.00 V r . • 1 1 1 SURER'S CASH GAS PERMITS 40.00 • 1 11 SURER'S CASH WIRING PERMITS 100.00 SURER'S CASH BUILDING PERMITS 50.00 • 1 11 TO OF A NSTA LE ? TABLE. �hSS. Zoning Board of Appeals '87 APR 30 AM11 59 .yam ra...H.......Sc.... ..............................:..................... .... Deed duly recorded in the ...................................._................ Property Owner County Registry of Deeds in Book _............................ SamePage ......................... ............................................................Registry .......................................................................................................................................... Petitioner District of the Land Court Certificate No. ......................... ........................ Book ........................ Pagc .................. AppealNo. ..................1.987-3. .............................. .............................................................................. 15 FACTS and DECISION Samira H. Schuman filed petition on ................................................ 19 Petitioner ............................................................................................................................ p Route 28 & Straightway requesting a variance-permit for premises at ..............................................................................................................., in the village (Street) Hys ............................ ad o p of ..................anni................_................................ jom�n� remises of ................. (see attache list) 271 3 Locus under consideration: Barnstable Assessor's Map no. ...................................................... lot no. .............................. Petition for Special Permit: ❑ Application for Variance: ❑ made under Sec. ................................................_................ of the Town of Barnstable Zoningby-laws and Sec. ................................................................................................_...................... Chapter 40A., Mass. Gen. Laws for the purpose of ..............tO....allow...el.ec.trolysis,/home....s?.G.c.up.a.tl2x�....uae.........._..................................................... ........................................................................................._..........................................................._.............................................................................. Locusis presently zoned in..................................................RC:..l....................................................................................._........................................ Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable -Patriot newspaper published in Town of Barnstable a copy of which is attached to the record• of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town 8: 15 Aril 16, 87 OfficeBuilding Hyannis, Mass., at ....................__..............A�. '.11Z. ....._.................P..........................._..........._.............._. 19 upon said petition under zoning by-laws. Present at the hearing were the followine members: Richard L. Boy Gail Nightingale Ronald Jans.son........................... .................................................................................... .... Chairman LukeP.' Lally _...lime. _.i1� . .th....__...................... ....................................................__.__....................... .............................................................._................._. ax pl I, At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. AppealNo-------19.81=31..................................... Page ........................ of ....................... April 16, 87 On ............................................................................................................. 19 ................... The Board of Appeals found Attorney Richard Largay represented the petitioner who is seeking a Special Permit to allow the construction of a single-family residence with an attached office and salon for electrolysis use at the northwest intersection of Route 28 and Strai2htwav, Hyannis in an RC-1 zoning district on a lot consisting of 23,945 square feet. The petitioner proposes a two-story structure with a total of 2,151 square foot area. Six parking spaces are provided with three expansion parking spaces all with access from Straightway; the home occupation use will Consist of 400 square feet as .-c'equired under Section I, Paragraph 12. In addition, the petitioner is seeking variance relief from the 100 foot setback requirement - the petitioner cannot place the house elsewhere on the lot for compliance with setback regulations. Other properties on this area of Route 28 are in compliance with the 100 foot setback requirement. This lot has a unique shape and therefore due to a substantial hardship, if not able to use the lot, the petitioner meets criteria for Variance relief. —Signage to .be what the Zoning .By-law allows .for home occupation use.. Luke Lally made a finding that the petitioner meets the criteria under the proposed home occupation use and would permit a good use of the land, and would not be detrimental to the neighborhood which has many commercial uses in existence. Also find that the lot having a unique shape meets variance criteria. The motion was seconded by Gail Nightingale. The Board voted unanimously to grant the Special Permit as requested - approved per compliance with signage as indicated in Zoning BY-law, Section U, 5 (c) . .......................................................................................... Clerk of the nowii of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this ............... da,A- of ....................................................................... 19 ........................ under the pains and penalties of perjury. Distribution PropertyOwner ........................................I............................................................................................... Town Clerk Board of Appeals Applicant Town of Barnstable Persons interested Building Inspector Public Information .......... ............... .................. Board of Appeals Chairman Assessor's�,fioe-(lst floor}: �:. ' /o�RCL .- ofTNE,o Assessor'�S map Viand lot number ..... r .. , � SYSTEM MUST SE Q � Board of,Health (P rd.floor): o r °:'. �.VmE® IN COMPLIA: F ,Sewage Permit .number , ,7,. �� .... F, 2 BAHd9T4DLE, ' Engineering Depaj!rnent (3rd floor) �T� TITLE rb a House- number `:..:...... F'�S'¢ �...;:: ��� I �E�T�9� CODE i�_ , 9 �y r �O 79• �0 0 MIR APPLICATIONS PROCESSED 8 30=9 30 A.M and 1:00-2:00 P,M, rv"4A REGULATIONS TOWN OFBFAR.NS�TABLE , t BUILVDIHG IRSpECTOR APPLICATION' FOR :PERMIT«TO ....................7, E .0 G p L11 , . �.. CT %� ®�Y�is dL'f oCcv' ,�Tfo;v... us'� css TYPE�OF CONSTRUCTION 0100,16. ,1-/i fT to "... t .19J 7 .. TO. THE INSPECTOR OF BUILDINGS: ' : ! The undersigned hereby~applies for- a permit according to the following information: ' .. ......... 5 .�. ... � ..............Location ....4aT. 3C - Proposed'Use 1710 ..�:!� :..... .(J. f S.S. . Zoning, District ,..... .�� ... .. ....�. : ire Distnct ` . ........ . . . N ... + a e , 'Ndme affOwner :.. ys �1� . ..�a �'0 Address �v(� ............ ......... _ ... P. .... x ..`�.5 Name of. Builder ............ ......... .......... .. .... ....... .........Address ......... ................ Name of Architect ........... .. ....... ...................... ..:..:..........".Address ..:..C... .Z.U.:� ...:, , Number of Rooms- ... ...:...0 Foundation .:. !�Qv�' L� ..:..C� �...:......... - e ......... `. ....... ........ Exterior :. .. � :5. .Roofing hS.Pi9LT... Y r _ Floors ...C � .�.... ....V.f�`fL.......... :..............Interior : //1/ `l ?`J�/i?� « " J9 T w ....Heating 2...... .....Plurrbing � : ..C'UP P..i .s... .....d... /3Tff 5... .... 'Fireplace Ga� Z .. �Ldc(�.?`....... � .p :. ....:....Approximate`Cost :..... . ...Q, U ........ ......... ... Definitive Plan Approved by Planning -Board i -_--_ ____ , d 19 I Area . ... .r.67 AV s. Diagram of Lot and Building with Dimensions ���" g g _ y Fee :.... . :.. SUBJECT TO APPROVAL OF BOARD OF HEALTH % 4? f „ OCCUPANCY PERMITS -REQUIRED FOR NEW DWELLINGS s ' I herebyagree to conform to all the Rules and Regulations g of the Town of Barnstable regarding ,n the above bove 9 construction. 9 Name .. /, ................................. Construction Supervisor's License .:..4.... S0 Y5 �tSCHUMAN, SFMIRA H. N.i, .31214..... Permit for ...Tw ..Stork......... _ Single...Fami.lX..Dwellinc......... I` Location. Lot..#3.r. ......5...StraihtwaY.... W Iiyanns / �O .. Semira H. Schuman.... ................... f t Type of`Construction ......Frame... ................................. . ... .•p........ :.. ............................• ................ Plot ...: `....r..... Lot`................................ �- f �„• ......,,;,•{ �, ,,ram , Sep ember 1, Permit Granted ............................... ......}9 Date of Inspection ............... ....... f 19 Date Compl ted �... . Y...`..�,...:...f 1 � ! �'V.- - •�•� l a *a.�. 8 .g #'� ., it f f �•F �,.� .« ♦� �� � ✓� � _ f - °�s y� r1 tL ' ., �� 1, t � • ` . r - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION fi c/ Map ' Parcel Permit# efG 0 Health Division Date Issued e 2 G ' 'Conservation.Division Fsf y1 / a cApplication Fee . Tax Collector - Permit Fee !�,2.S,®`� - Treasurer` Planning Dept. F ACCOUNT * . Date Definitive Plan Approved by Planning Board I0 Historic-OKH Preservation/Hyannis s Project Street Address Village tywm�4 Owner l Rag iA . S }-f u m A O A) Address X Telephone �L� 3:z—. Permit Request ® _ C5-e.e Square feet: 1st floor: existing oposed q,90 2nd floor: existing 1X0 proposed Total new ?r Zoning District Flood Plain Groundwater Overlay Project Valuation dZ) Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family C9' Two Family ❑ Multi-Family(#units) Age of Existing Structure j 7 Historic House: ❑Yes lWo On Old King's Highway: ❑Yes ❑No Basement Type: tb'Full ❑Crawl k 0 Walkout ❑Other ` Basement Finished Area(sq.ft.) J& Basement Unfinished Area(sq.ft) Number of Baths: Full: existing newJ Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing - _ new First Floor Room Count Heat Type and Fuel: Cfd'Gas '0 Oil O Electric ❑Other Central Air: ❑YeVexisting No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes 3No Detached . ❑new size a ' garage: - Pool: O existing O new size Barn:0 existing Cl new size Attached garage:®'existing ❑new size Shed:0 existing ❑new size Other:. Zoning Board of Appeals Authorization Appeal# bO " d 3 Recorded❑ Commercial 0 Yes ❑No If yes, site plan review# Current Use n2ctt Proposed Use BUILDER INFORMATION Name - ' Telephone Number Address License# I� Home Improvement Contractor# Worker's°Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l FOR OFFICIAL USE ONLY 1 PERMIT NO. A DATE ISSUED I ' MAP/PARCEUNO. ADDRESS VILLAGE OWNER A DATE OF INSPECTION: FOUNDATION FRAME 3 / �� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH O � FINAL GAS: ROUGH FINAL FINAL BUILDING flu DATE CLOSED OUT n ` ® I ASSOCIATION PLAN NO. + own. of Barnstable Regulatory Services axxtsTa�t _ t Thomas F.Geller,Director Al16 5 k � Building Division . Tom Ferry,Building Commissioner . 200 Main Street, Hyan�:14 MA 02601 Office: 508-862-4038 Fax; 508-790-6230 ' Permit ao. a' t Date • r AFMAVZT ROM WROVEMENT CONTRACTOR LAW' SUPPXXMFNT TO PEW=APPLTCATZON MQL c,142A requiies that the"reconstruction,alterations,renovation,xepair,modernization,conversion, -improvement,removal,demolition,or oonstruction of an addidonto any p=e-existing owner-occupied bu{lrling containing at least one but not more than four dwelling units or to structures which are adjacent to such r'aideace or buildiag b e done by re contractors,with certain exceptions,along with other regwents ram Type of World ' Bstim�ted Cost Address of Work; Owner's Name; �--- Date of Application: hereby certify W: Ite#stradon is not required for ke following reason(s); QWork excluded by law fi , ' []7ob.Vader$1,000 - � • ' ' ° []Building zot o4mer-occupied �v�net pctltiag owtt pea�s{t , Notice is hereby given that; ONMIZ3 PUlLLTNG TEEZR,OWN PER1YII'!'OR DEALING WITH MWGISTERED CoI'i'IRACTORS FOR APPLIC4]i HOME IMPROYEMMNT W OPX D 0 NOT HAVE ACCESS TO THE ARBITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A, SIGNED MMERPENAMMS OF PEIWRY E' - •Ihereby apply for&permit as the agept of the m4er: - Contractor Name - Data RegisErationl�l0. OR Owner's Name The Commonwealth of Massachusetts 5 ON— 6� Department of Industrial Accidents 600 JEashinston Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses name rn - address: state: zi : phone# d ' work site location full address): I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. j0-1 Once❑ Sales( luding Real Estate,Autos etc.) ❑I am an em loyer with em�loyees(full art time her/1Ul1Y.� �///%/ /�/%%%%%/O%%%%/%/ %/%/ d I am an employer providing workers' compensation for my.employees working on this job. company name- ' address: • . .;. . . : . .:, ;, " .. :.;.• , city Phone#: insurance.co: olle # .:: .. ❑ I am a sole proprietor and have hired the independent contractors.listed below who have the following workers' compensation polices: co- MP anY name: address: :.' .: ..' city Phone insurance co. comp anYiiame::!'::' .. address - c.fiy insurance so.' olicv#. Failure to secure coverage as-required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DlAfor coverage verification. I do hereby c under the pains an penalti of Hury that the information provided above i� ue nd corr et - Signa Date c :Print name ��'esx+s�.,�.a.=,•r�'�'�� aim-z��•�r" �.�x � -- official use only do not write in this area to be completed by city or town official - city or town: permittlicense# ❑Building Department []Licensing Board ❑check if immediate response is required ❑Selectmen's Office []Health Department 5S contact person: phone#; ❑Other (revved Sept 2003) - - ' ��_'- .. v'„� n '-Y:.�.a"" '. h: -^m'`. `�. .: 't^-'�•- "' r�vr�� 'msrn.�a` r+.n s `^u' tr 'i+ r`�. ir " Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an 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 section 25 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,neither the comrrionwealth 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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. Tie 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 pernrit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imsugaflons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 ` RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 10.0.00 >1500 sf-Same as new building permit: - square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004