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0019 WHITEHALL WAY
PA N �o t Town of Barnstable BUILDING DEPT. Building Department °F r ti Brian Florence,CB0 AUG 'Q.5 2021 Building Commissioner r.E, _ 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE MASS www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: �j� � HOME OCCUPATION RPGISTRATION Date: Z v J Phone#: Address: k4C, !.taa Village: 1✓ory% �`CJk-. Name of Business:��lt�. -C ale �tVbafln . Type of Business: S�r J O r1 . Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke, dust oT other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard • There is no exterior storage or display ofmaterials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • N person shall be employed in the Customary Home Occupation who is not a permanent resident of the Ming " I,the undersi d,h e�d d agree with the above restrictions for my home occupation I am registering. Applican • Date: O J 2� ti Town of Barnstable Building Department p THE Tp� o Brian Florence,CBQ Building Commissioner BAHNSTABLE, r 200 Main Street,Hyannis,MA 02601 - MASS. Q3 1639• www.town.barnstable.ma.us 'OTpU MA'1 A Office: 508-862-403 8 Fax: 508-.790-623 0 Approved: Fee: Permit#: (Hill HOME OCCUPATION REGISTRATION 1013019 . Date: \,N(Wa i ¢� VVU.IIZ f� �.v �. iL 2:0- ��z Name: Y , t9� r--Phone#.1,Z Address; 1 LL0 1l h Village: nr so-.. 9 0 UJ UJ Cr Name of Business: Cj } aaQ ® < Type of Business: Map/Lot: !a=, � O < UJ INTENT: It is the intent of this section to allow the residents of the.Town of Barnstable to operate a home occupation u) within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the :D, activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor-1-no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is.carried on by the permanent resident of.a single family residential dwelling unit,located within that dwelling unit: • Such use occupies no more than 400,square feet of space. There are no external alterations to the dwelling which are not customary.in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential-volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or.other particular matter,odors;electrical disturbance,heat,glare,.:humidity or other objectionable effects. a� • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials, in excess of normal household quantities. •. Any need for parking generated by such use shall be met;on the same lot containing the Customary Home Occupation,and not within the required front yard. • , There is no exterior,storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity, and one trailer,not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included: • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwellm' unit. 1,the undersigned,h e read a agree with the abo estrictions for my home occupation I am registering. Applicant: �' � Dater\—\o _ ?z l q Homeoc.doc Rev. 10/17 �r Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.to wn.b arnstab le.ma:us Pre-application for Business Certificate Date �wnuk911 40, aDili Map C7 1 Parcel Applicant Information Applicants Name W Ul Applicants Address W Eti Email Address �je y'e Low'Ae Y LG `%Ls. h 00 r (.Oro Telephone Number 5-0 36--7-— ' -4 45 Listed ❑ Unlisted f E Business Information New Business?` ---------------------------,-------------- es:J No Business is aregistered corporation? -------------------------- Yes 1190� If yes Name of Corporation Does business operate under the registered corporate name? Yes (;No Is the business a sole proprietorship or home occupation? --------- Yes) No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business 1\6.r (? ®1� J 10 i Business Address -I 1 Mxl (1 r h S MA tit (Q V y`L Type of Business co h s \ �-U-c, 014 Buildmi Com issioiier Office Us Only Conditions ,0 or d Building Commissione Date 0 Clerk Office Use Only I - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a 7 Parcel g� ipip Map lica�tio Health Division Date Issued /�'2y` PoC' Conservation Division Application Fee So Planning Dept. Permit Fees ' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address C a, Village t217kiK'S Owner / A4_ 1- n/C IN Address Telephone 6 5_72- 4/S7a Permit Request dVC V- 2;, J /IlVew 9! TC /Y .L/i✓ d l • /�Gc..J UY /✓! V G1E'4.,Tc pi 77� Square feet: 1 st floor: existing roposed - 2nd�fioor: xisting proposed Total new Zoning District Flood Plain Groundwater Overlay roject Valuation ob 0 b y 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 �G� Historic House: ❑Yes X No On Old King's Highway: ❑Yes dNo Basement Type: �Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing %3 new Half: existing new Number of Bedrooms: existing _new k •', y Total Room Count (not including baths): existing new First Flo 09 oom Count o Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other ` Central Air: ❑Yes No Fireplaces: Existing New Existing wo t /coal sfQve: Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size Barn: existing.. ❑ 46W size_ Attached garage:A existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION y - (BUILDER OR HOMEOWNER) c I Name t! 'PQ_&47 �,5;;0'* Fi�Gr Telephone Number K & T� O 4 7.3 Address TAN License # 5fND" KYqq- ©-.!L Home Improvement Contractor# l bra 7 Email G h,4NT�Sc�i�'I/ICe� �CZ�L (f:6AA Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WIL BE TAKEN TO gci ,&d —1e bt1� w SIGNATURE 6 DATE /7 FOR OFFICIAL USE ONLY APPLICATION# t DATE ISSUED 'k MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: y , FOUNDATION r FRAME ' INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t + R ASSOCIATION PLAN NO. `= ? xe Commonwealth of-Massachuseffs Departnenit of Ind— ftial Accidents - - 0,, ce 0fr it st°igIrdiorrs 600 Washington Street Bostart,MA 021E v 1wt w nass:gof-Adia Workers' Compensafnon Insurance-Affidavit.BlIITdeI's/C�antract'Or3/ectrici-ans/Plu b ers pphi azrt Infarmation Please Prin Llepihly Flame(lltt�Ogpnizafion&dmdnaq= ,hC-t'J C �Zt 6 7 i R. , . _ Are ytr emplayer?Check the appropriate bow: - Type of Pro]ect(rev fired): 1_ I am a employer with 4. ❑ I am a goal contractor and I 6_ I�t va employees(fill andlorpart-time)* have hirea the sub-coutractors. �_❑ congtruction I am a sole proprietor or partner- listed on the attached sheet. 7. �deling ship and hawe no employees These sub-contractors have g_ ❑Detnolitiorx w for me.in an capacity- employees and have wofkers' ot�ng y � tY- 9- 0 Building addition [No woikem.comp_incarzanre comp_tnsurance_I required-] 5.0 We are a corpotaticn and its 10.0 Electrical repairs or additions 3_❑ I are a homezwner doing all work of have exercised their 11-0 Plumbing repairs or additions myself[No warkers'comp- right ofeimiption per MGL 120 Roof repaim insurance regnimd-]1 c-152,§1(4} and we hHve urn employees-[No workers' 13.0 Other ` comp-insurance requked.] "`Aiay appDotat Chit checks box 91=t also fill out the section below s&wkg ihea wakes'm=ensation policy informfiul T Hnmeownem who submit this af5dxm indicating they am doing aII vo*and then hire outside contactors nmst submit a meta a�dsvit mrt'rx��mch- tComtractots that rhxk this box must attar had an additions]sheet showing the name of Hie s64-oaaft2ctors xnd stale whether ocxwt those mitifies have anp]oyses Ifthe sub-coutnEctuts have empIoyees,they must pmvi,de their warkers'comp_polio nmvher. lam art ampler that is pm idiag tt�orkes'conWensation irtsuranca for rity R,tpfoyeas Hdow is She policy and jah site inforYrmati m c Insurance Company Name: L) � �S• 1�—C Expiration Date: /7r S lob Sites 14ddress: LUhI CitvfStaW7ip: ARach a ropy of the workers'compensatixm policy 40daration page(shoming the policy num m and expiration date). Failure to secure coverage as required under Section 25A of MGL c- 152 can lead to the imposition of crimirnl penalfies of a fine up to$1,500.Oa and/or one yearimpnsonment,as well as civil penalties in the form of a STOP WORK ORDER and a fnti ofup to$250-00 a day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of litvt:stigatiom of the DIET;for inQass-ance co-,rage v catitm l do hemby ce a th-opains and ena 's iu Btatthe irtformatiun pro tided abvtre is hue and correct S.itmature: Date: Phone 9 sag (f l f 67 3 u use a ;, to be wmpL-ted by city vi town City or Town:. PerraitUcertse Issuing Authority(tarcle one): 1.Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical inspector S.Plumbmg Ia*ctor. 6.Other Contact Person: Phone#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold,the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required.'" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of.compliaice with the insurance requirements of this chapter have been presented to the contracting authority" Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addresses)and phone number(s)along with their certificatc-(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Lie advised that this affidavit may be.submitted to the Department of Indusirial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit '11 e affidavit should be retumed to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below_. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the permit/licease number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the'applicaut should write"all locations in (city or town).''A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lice to thank you in advance far your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commanweatth of Masssachusctt " Depalt eat Gf 1i.dnstial Aeeideuts 4 Office of lqvesfsgatiam 6O0 WashiDZaa Stet Baston=IAA 02111 TeI.A 617-727-4900 W 4-06 or 1-977-MASSAYE Revised 4-24-07 Fax# 617-727-7 749 W .mas.5_gav1dia Rightfax N2-1 11/7/2014 7:02:30 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATEIMf+l1712n YY1 T IFICATE 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 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 and endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s. PRODUCER CONTACT NAME: FAX UNITED INS AQCY INC PHONE PO BOX 1013 (AIC,No,Ext): (A/C,No): E-MAIL BUZZARDS BAY,MA 02532 ADDRESS: 28JBG INSURER(S)AFFORDING COVERAGE NAIC P INSURED INSURER A: ACE AMERICAN INSURANCE COMPANY C&J CONSTRUCTION SERVICES LLC INSURER B: INSURER C: INSURER D: 31 KENSINGTON DR INSURER E: SANDWICH,MA 02563 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: Y TRA"14F POLICES 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,UMS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAMS. NSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM WDIYYYY) (MAR MVYYY) LAM , ' GENERAL LIABILITY J CH OCCURRENCE $ COMMERCIALGENERAL LIABILITY IREMISES MAGE TO RENTED $ CLAIMS MADE OCCUR. (Ea occurrence) D EXP(Any one person) $ RSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: NERAL AGGREGATE. $ POLICY PROJECT LOC ODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY , COMBINEDSINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per Person) SCHEDULE AUTOS BODILY INJURY $ HIRED AUTOS (Per accident). NON OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB r7 OCCUR .. EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKER'S COMPENSATION AND WC STATUTORY OTHER AX EMPLOYER'S LIABILITY YIN UB-2E196677-14 05/07/2014 05/07/2015 LIMITS ANY PROPERITORIPARTNERIEXECUTIVE WA E.L.EACH ACCIDENT. $ 1,000,000 OFFICER/MEMBER EXCLUDED?, (Mandatory In NH) E.L.DISEASE EA EMPLOYEE $ 1,000,000 It yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION or-OPERATIONSILOCATIONSIVEHICLES/RESTRICTIONSISPECIAL ITEMS ; THIS REPLACES ANY PRIOR,C6[RT[nCATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE ti Z CERTIFICATE HOLDER CANCELLATION _ =' CHARLES HUNT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL B OELIV 31 KENSINGTON DRIVE IN ACCORDANCE WITH THE POLICY PROV AUTHORRED REPRESENTATIVE SANDWICH,MA 02563 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD -y 1866.2010 ACORD COR r g is reserved. �; lARt�sPA61t, ' Town of Barnstable . Regulatory Services i Richard V.Scah,Interim Director i Building Division . Thomas Perry,.CBo Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508462-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder. f ✓) as Owner of the subjectproperty - I l / an , hereby authorize �I1�rM VyL I G M cr GrYytl Y to.act on m} behalf; in all matters;relative to work authorized by this building permit application for: (Address of Job) t Signature e o caner Date i Print Name If Property owner is applying for permit,please complete the Homeowners License.Exemption.Form on the reverse side. 3 I TAKEWN_MBuildingChangeslEXPRESS PERIvIIAEXPRESS.doc Revised 061313 i i I k y Office of Consumer Affairs;and Business Regulation 10 Park Plaza Suite:5170 Boston, Massachusetts 02116 Home;Improvei ent Contractor Registration Registration: 165004 , T. LLC *NY t _ Expiration: 12/T072015: Tr#. 247234': C&J HUNT CONSTRUCTION SERUIc q. , - t GHARLES HUNT 31 ,ENSINGTGN DR _...,,_.... SANDUVICH; ;MA 02563 :" ```" - Update Address an tu d rern card.Mar`kreason.for change. s Address Renewal ❑ Employment_ 0 Lost Cacti: SCAt Ca:ZOM-05f.17 :. e` c. :,. -. e tnanvnr�Trcu�ci aC�/li�a3ac/rccreCls ' - - - Office of Consumer Affairs&Business Regulation License or reg[strati-, valid for indmdul use Drily - - OME IMPRgVEMENT CONTRACTOR before the exprrahon date if found return to egistravoo t165004 .' Type 7:Office of Consumer Affairs and Busioess'Regulation pirat.on 12/1012D15 LLC f 10 ParkPtaza ;Suite SI70 • z���'= � � C8J HUNT CONSTROCTION.SEP_VICES LLC qf- GHARLES HUNT 31.KENSINGTQN DR t z i r c SANDINIC ' H MA;02563 x: Not,vand without s nature Untlersecretary t 1 k Massachusetts Department of Public Safety.'" LVJ Board of Su..�tding Reyuflons anii Standaids Gnn�tv�hon Supen�sir License CS-102829: �HARLES3HUN 31 KENSINGTOlYD r SANDVYICH 1V1A 02563 'f X 1.�...1l Expiration Camn�ssioner: " t2015.. . fi TOWN OF BARNSTABLE rl Ali - ` 3 -- .r+ 127 52 ' I III 36- - 35 19 C 3 24 34�1:2 34 1.12 32 22 127 127 Room 1 - Wall 3 st 127 —40 30—;1 1i2-24 1.1 13 40 14 12 43 24 30 11 7 13 2 een 35 ' 2 24 8 2I5 49'between 02 206 1A 30 30 V2 I 2 peen 24 19 c 23 1$ 2 =3 123 Room 1 rn� 4_ a i r- 27 2 f f 7 l f ' ♦ ♦ 2.2. \ rr r r ♦ ,36 \ r 17 r \ r \ \ fr ♦ r r \ \ t \ rr 76114 UI r ILJ21 , 1 66 s 34 'r2 OCI 5 -3a 35 24 33 112 —►2- 1:2 206 174 Room 1 - Wall 2 J Spice Pull out 40 30 11 1;2 -- 24 1/2--� 12 ' � 1 • 36 35 1 43 •+ 1 / 91 F/ Q D• lu7 24 34 ;2 45 34 2 49 K 36 127 Room 1 - Wall 1 p THE Tp Town of Barnstable o Regulatory Services Thomas F. Geiler,Director tKnss Building Division Argot a Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 5.08-790-6230 March 4, 2010 Sergio Montero 19 White Hall Way Hyannis, Ma 02601 Re: Overcrowding Complaint Dear Mr. Montero: I am writing to you as a result of a complaint I received concerning overcrowding at your property on Whitehall Way. During a previous inspection I found a separate dwelling unit on the second floor and advised you to obtain approval as a family apartment..You did so and our file now contains an affidavit that identifies Wilson Calle as the family member residing in that unit. However, during the initial inspection Iadvised you to limit the number of cars associated with your property as there seemed to bean excessive amount parked not only in your driveway but across the street on property other than your own. I explained that this was likely the source of the complaint. In turn,you informed me that a couple of those vehicles were for sale and the others belonged to family members, some of whom left their cars there while they went to work. I directed you to limit your parking to your property, dispose of the cars that were for sale and be sure to instruct all visitors as well as the residents to park only in your driveway in order to prevent additional complaints. You indicated that you not only understood what I explained but subsequently agreed to comply in order to avoid additional complaints and associated investigations. You should know that I am now once again receiving complaints about your property and it appears that the aforementioned parking situation continues. As a result I am compelled to reiterate that ALL VECHICLES must remain on your property: You do not have the right to park vehicles on property you do not own. Therefore, it is imperative that you limit the number of cars on site and park ONLY in your driveway. In the event that you ignore this directive I will be forced to explore other means in order to make you comply. Please contact me by March 16,2010 with your,intentions. a Sinc rely, Robin C. Anderson Zoning Enforcement Officer JA19 whitehall way montero letter DOC Town of Barnstable Regulatory Services * BARNMBM MASS, $ Thomas F. Geiler,Director �A 1639. `0 jFc39�s 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 January 4, 2010 Mr. Sergio Montero 19 Whitehall Way Hyannis, MA 02601 Re: Family Apartment Dear Mr. Montero: Enclosed is the Certificate of Occupancy for your family apartment. Sincerely, Lois Barry Division Assistant Enclosure faco Barnstable Assessing Search Results Page 1 of 2 l � �rnui � g -,..'^"sue`✓' 'r L .: ..... Home:Departments:Assessors Division:Property Assessment Search Results New SearchMR ;,, New Interactive Maps>> Owner: 2009 Assessed Values: MONTERO,SERGIO E&AIDE R 19 WHITEHALL WAY Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $167,900 $167,900 250 /162/ Extra Features: $0 $0 Outbuildings: $0 $0 Mailing Address Land Value: $145,300 $145,300 �y MONTERO,SERGIO E&AIDE R LJ Totals $313,200 $313,200 19 WHITEHALL WAY Residential Exemption Received= 0,964 HYANNIS,MA.02601 U ` � 2009 REAL ESTATE Tax Information: Tax Rates:(per$1.000 of valuation) Community Preservation Act Tax $43.933 Fire District Rates Town Residential V Barnstable FD-All Classes $2.37 $6.90 /t �� C.O.M.M.-All Classes $1.08 Town Commercial Y (� Hyannis FD Tax(Residential) el,464.43 0 Cotuit FD-All Classes $1.43 $6.12 � Hyannis-Residential $1.78 ��"�n t lbiY-j Town Tax(Residential)(� Hyannis-Commercial $2.77 \ W Barnstable-All Classes $2.11 Community Preservation Act 3%of Town Tax ' Total: $2,066.86 Construction Details 1 V , Building Property Sketch &ASBUI Cards Building value $167,900 Interior Floors Hardwood Property Sketch Legend Style Cape Cod Interior Walls Drywall Model Residential Heat Fuel Gasti- -- . Grade Average Heat Type Hot Air * ' Stories AC Type None) Exterior Walls Wood Shingle Bedrooms 3 Bedrooms ' n Roof Structure Gable/Hip Bathrooms 2 Full 1 ,� Roof Cover Asph/F GIs/Cmp living area 1576 Replacement Cost $184509 Year Built 1986 Depreciation 9 Total Rooms Land CODE 1010 AsBuilt Card N/A Lot Size(Acres) 0.44 Appraised Value $145,300 http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=250162 12/4/2009 I Barnstable Assessing Search Results Page 2 of 2 Assessed Value $145,300x View Interactive Maps » Sales History: Owner: Sale Date Book/Page: Sale Price: MONTERO,SERGIO E May 5 2003 12:OOAM 16865/023 $0 MONTERO,SERGIO E& Oct 2 2000 12:OOAM 13274/064 $180,000 LIZZA,PETER P&HELEN Jan 15 1988 12:OOAM 6113/045 $153,000 FRANCO,NICHOLAS D TRS May 15 1987 12:OOAM 5725/149 $142,000 GREENBRIER CORP Jun 15 1986 12:OOAM 5113/332 $1,735,000 WHITEHALL MANOR NRS HME INC Sep 15 1983 12:OOAM 3881/337 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value Property Sketch Legend BAS First Floor,Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRIN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=250162 12/4/2009 Town of Barnstable Geographic Information System December 4,2009 .y } ti "260035 `#876 " 2501633 1 a?f31 , - -„ .. _ T "I > 250 i 62 t � $ #19� t i#790 250036 r r c ,.- : �-- 2250161 _ k#5 160 #3 AD, 21 Reet DISCLAIMERS:This map is for planning purposes only. it is not adequate for legal. Map:250 Parcel:162 boundary determination or regulatory interpretation. Enlargements beyond a scale of SeleCYed Parcel Ej 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:MONTERO,SERGIO E Total Assessed Value:$313200 are only graphic representations of Assessors tax parcels. They are not true property Co-Owner:%MONTERO,SERGIO E&AIDE Acreage:0.44 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:19 WHITEHALL WAY o ' such as building locations. Buffer - , f . Town of Barnstable Building Department - 200 Main Street ELMMSTABLE, = Hyannis, MA 02601 MASS. 9Q�A 16g9• .A (508) 862-4038 rF0 MP't , Certificate of Occupancy . - . Application Number: 200905947 CO Number: 20080468 Parcel ID: 250162 CO Issue Date: 12128/09 Location: 19 WHITEHALL WAY Zoning Classification: RESIDENCE C-1 DISTRICT Proposed Use: SINGLE FAMILY HOME h Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RCOO CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APARTMENT ISSUED TO SERGIO MONTERO FOR COUSIN WILSON ROMERO Building Department Signature Date Signed T TOWN.-OF BARNSTABLE Building Application Ref: 200905947 BARNSTABLE, Issue Date: 12/22/09 Permit 9 ' MASS. �ArEG 3�A1� Applicant: MONTERO, SERGIO E Permit Number: B 20092481 Proposed Use: SINGLE FAMILY HOME Expiration Date: 06/21/10 Location 19 WHITEHALL WAY Zoning District RC-1 Permit Type: FAMILY APT W/NO CONST Map Parcel 250162 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ License Num Est Construction Cost$ 500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND PERMIT EXISTING 2 BEDROOM APARTMENT FOR WILSON ROMERO THIS CARD MUST BE KEPT POSTED UNTIL FINAL COUSIN INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: MONTERO, SERGIO E BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 19 WHITEHALL WAY INSPECTION HAS BEEN DE. HYANNIS, MA 02601 Application Entered by: LB Building Permit Issued By: THIS PERMITCONVEYS NO RIGHT TO OCCUPY ANY:STREEIT,ALLY OR SIDEWALK`OR ANY PART THEREOF,EITHER TEMPORA Y OR PERMANENTLY: ENCROACHEMENTS ON PUBLIC PROPERTY;NOT.SPECIFICALLY PERMITTED'UNDERTHE BUILDING CODE,•MUST RE BEAPPROVED BY THE JURISDICTION. . STET OR ALLY.GRADES.AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OFTUBLIC,WORKS. THE ISSUANCE OF,THIS PERMIT-DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISIONRESTRICTIONS: MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). s 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS-NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). .; a Y i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS OL 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board f He th :�i . /a/Zy/R K T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mao Parcel Application#R ATJ Health Division ': j " 3 Conservation Division ! .UG Permit# Tax Collector t,,`,' � �; `-`"Date Issued 7/1 Treasurer Application,Fee VZr Planning Dept. Permit Feet Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address /Y /Jib �Jif7� Village �1� /-�� Owner � ���/o � d� �d Address _ ��,/ /G -.C�1�u �✓�`�` Telephone �� Permit Request (-,L" 4� Afec <77 ��ei rat /l ��Or J Square feet: 1st floor:existing proposed 2nd floor:existing proposed ��C Total new Zoning District Flood Plain /V(l Ground at r Overlay Project Valuation Construction Type A� dv_ -Lot Size Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation. -Dwelling Type: Single Family I/ Two Family ❑ Multi-Family(#uZo Age of Existing Structure 9UiGT d k Historic House: ❑Yes On Old King's Highway: ❑Yes No Basement Type: iFull . ❑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: as ❑Oil ❑Electric ❑Other Central Air: ❑Yes 4o Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage:W/existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size tkttached garage:❑existing ❑new- size Shed:❑existing ❑new size Other: Zoning Board of Appeals A orization ❑ Appeal# Recorded❑ Commercial ❑Yes ° No If yes, site plan review# ._Y CurrentUseY" . - - - - --- __, Proposed Use__ BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOd ��1 SIGNATURE DATE Q ppppp� FOR OFFICIAL USE ONLY _ s r. =PERMIT NO. x DATE ISSUED i 1 • I J �R MAP/PARCEL NO. R ADDRESS VILLAGE OWNER t ,f I } DATE OF INSPECTION: ; 1 FOUNDATION FRAME INSULATION r � r w FIREPLACE i fl ELECTRICAL: ROUGH FINAL 3 PLUMBING: ROUGH FINAL ! 1 GAS: ROUGH �I FINALL ' FINAL BUILDING d o Cam--- � 1 i DATE CLOSED OUT - ASSOCIATION PLAN NO. ' 9 1 T 1 ne L ommonweazm Of IY asyavnuse,,Y Department of Industrial Accidents Office of Investigations ' a 600 Washington Street Boston, MI 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plu>i>mbers Applicant Information Please Print Lezibly Name (Business/organization/Tndividual): C.0 �� �� �� Address: L,/,VL,7 City/State/Zip:_ ' 11'-1)V /�/,�,� Phone#: �� Are you an employer? Check the-appropriate box: Type of project(required): 1•❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6' 'construction rietor or partner- listed on the attached sheet $ : 7 S Remodeling 2.El I am a sole pro , ship and have o�employees These sub-contractors have 8. 0 Demolition working for me in any capacity., workers' comp,insurance. g, Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] - officers have exercised their : 10•❑ Eiectricai repairs or additions 3. I am a homeowner doing all work right of exemption per MGL I:[] Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners wbo submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp•policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. / Insurance Company Name: 0 Y Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500•.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to.$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th(ee pains andpengities of perjury that the information provided above is true and correct Signature: Date: "� — el Phone#: X D131. Official use only. Do not write in this area,to be completed by city or town official.. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Eealth 2.Building Department 3.'City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other IL Contact Person: - - --- Phone#: j i °F"E�° Town of Barnstable Regulatory Services �sT^BM ' Thomas F.Geiler,Director 9 Mass. 16.19.�ATfD r�6. 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 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: f)moovew 6As Estimated Cost U Address of Work: Owner's Name: �, T� - 1cA Date of Application: e' qs 0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑J0 Under$1,000 affuilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply f r a permit as the agent of the owner: w Date Contractor Signature Registration No. X �— C`3-� OR`X, Date Owner's Signature Q:wpfiles.forms:homeaffid av Rev: 060606 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Y a 600 Washington Street Boston, K4 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluffibers Applicant Information Please Print Legibly Name (Business/Organization/Individual): , V_.E YY6 Address: City/State/Zip: //YV,&/V/.< A Phone Are you an employer? Check the-appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6 ❑ ew construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet'$ 7 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition o workers' comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] officers have exercised their 3. I am a homeowner doing all work right of exemption per MGL I1.[] Plumbing repairs or additions myself. (No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t . employees. (No workers' 13.❑ Other comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonrration.' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: J Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the farm of a STOP WORK ORDER; and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded.to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sienature: Z �X. Dater S Phone t S/ O?_J Cn 2. 0 j 11 Official use only. Do not write in this area,to,be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.hoard of Health 2.Building Depai trneat 3.City/Town Clerk a.Electrical Inspector 5.Plumbing Inspector y 6. Other I Contact Person: Rhone#: ., Town of Barnstable OF THE Tp� ; .. � 'Regulatory Services anxxszssr.>r Thomas F. Geiler,Director 63. �. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print 1ATE: DB LOCATION: number street village HOMEOWNER": s tu` t O rl�o�lTL`Q O �06 _. 62 name home phone# work phone# -URRENT MAn NG ADDRESS: W I-A i T E f l A LL A,<o.t I city/town state zip code [he current exemption for"homeowners"was extended to include owner-occupied.dwellings of six units..or less and :o allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as ,upeNisor. 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 of 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•Officials that he/she shall be responsible for all such work performed under the building hermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,.rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109,1.1=Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack'of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons.-In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsi ilities,many communities require,as part of the pemut application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns, You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt -p yt iij i {} FT � .�., yj§ ...� �p ...•...�....»....,s ..,..nv-+j...r�•+_�,.....•+.}.a<-,.++-' ! '� j ..�.�".-,..�.'..r.». _....r.,+...nl.s..�.�•...y..:,.»,R. ,.., } •- 1# .• -+- -. , ,- .�� tt .� 1 „., ad .1. k t 7 1 _(f�_ •}t' -: A. O.USF�I�GN.�..�.r.ILJ 0,e u�4cx u vN6 ��Lw10 k,.QO(e 0 - k _ �' f i N W d( w► R- �N0 _ a17N �r� :.�.._ri_� a.....:.,.,..;.r_ ,.:..1:wLi...0�eM .:«,m:-�...-n .:_ � ..�_�::: .�..•':.:.. a.. � r,i,w 'i+r-:.� �Mn...rm»+ �jjjj.� ��w _I:..a. �' 't i '-.li+.e_... _ .!r`� �•.r+a...-.,1 1 � .n-w+fvwurwNS...+w j 1 �"'�} ,f �`�. 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' �. �, �` ( 1 � ; � _� . �.., � SC14t Ift T C'N/a[L /"AN a JL 11 N u-R s i�/C>r. . =A1 C • 3.5 ' ...0 1 19, 301. 9 3ah SF G- - � .. '-� —� SGvsr M Vi L ' AS'Suir..Ep LcT M a P/earEerED vN06At O %9 H TowAl �EGc.Ar¢T7�cH jfL: 2.3 lry h 27- V1 J 2c d a a. i L H /� L L (5� ' .JrDE �r21eJf►TE} �! Y of ;� �, CERTIFIED PLOT PLAN ROBERT��; o B• �`_q + � ELCRELY;E "I"); �. _ �,r` 9:•�,,.,�r,'a/.t�`fi!. �� .`Ili SCALEi / '= —0 DATE, • . 22 G N & ELDREDGE ASSOCIATES, INC. CLIENT zI(}It�f I CERTIFY THAT THE JNEERS-LANDSCAPE ARCHITECTS O SHOWN ON T"M PLAN IS LOCATED JO B NO. -�--�.-T ON THE G NNERS ' LAND SURVEVOHS -� R99ND A�9 INDICATED AND CONFORMS T , DR.By , '��I 1'1�• ZONING LAWS �: OF BA�iN§ITiA��, ASS, 712 MAIN STREET CH.BY, 224 _,� �, f f PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 12/08/09 TIME: 09:08 -----------------TOTALS----------------- PERMIT $ PAID 50.00 F AMT TENDERED: 50.00 CHANGEPLIED: 50.00 APPLICATION NUMBER: 200905947 PAYMENT METH: CASH Y PAYMENT REF: a { TOWN OF BARNSTABLE BUILDING PERMIT„APPLICATION .,,. R r Map Z s-D Parcel /L :'Application #02M A'"7 y-7- Health Division �;Date Issued Conservation Division Application Fee Planning:Dept. Permit Fees Date Definitive Plan Approved by Planning Board 07 -y Historic _ OKH Preservation/ Hyannis Project Street Address It�A e 4q (I . Lx_, C(`y Village �� A % tis�`S V7 �\ �o�(, of Owner e r-O i J "O vnfie V O, Address Telephone ✓�� = Pn - o 13 i Ov i-N G i Permit Request iez�z 74 0_ �f 7'D (�1Ji Sdy1 /2ym 8-f - C��u s All Square feet: 1 st floor: existing proposed :2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater,Overlay Project Valuation .50, Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ;:r. Two Family ❑ Multi-Family (# units) Age of Existing Structure z 2 Historic House: ❑Yes tiWo On Old King's Highway: ❑Yes J"o Basement Type: ;R�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: �!7 existing —new Total Room Count (not including baths): existing new First Floor Room Count `. Heat Type and Fuel: was ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: ExistingKNew Existing wood/coal stove: ❑Yes J�o Detached garage -eisting ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use 8 s APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Y-4�O V hm fieyJ Telephone Number 5 0 �5 G A- 0 f'zl 1 Address �� Gc t (4ci 1.1 G,/a -j License # H-7 4 N Lr �`( !� ®�(�d I Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Id— - O 117 - D 9 i FOR OFFICIAL USE ONLY ' APPLICATION# { DATE ISSUED MAP/PARCEL NO. 5` o f ADDRESS VILLAGE OWNER . t DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. P Bk 24244 P:945 -our-7e 0887 Iff 12=17-2009 a 11235u WE Town of Barnstable Regulatory Services BA STABr.E. : Thomas F.Geiler,Director MAes. 1639. g Buildin Division 1°rEc tbo+'' _ Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 19 Whitehall Wu in 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 16865, Page 023, or as Document No. , being shown on Assessors' Map 250 as Parcel 162, 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. The intended and authorized use is for(Wilson Romero, Cousin]associated with the residential use on the same premises. 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. 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 1'ZZ day ofDT&eA-61, 200d . TOWN OF BARNSTABLE OWNER(S) By: W Sergio ntero o uilding Commission r Aide R. M/llontfefrtoo THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date 2 Then personally appeared the above-named (owner), r _M o��_t� made oath as to the truth of the foregoing instrument,before No Pub c ' 'tV34:�• �a- My Commission 6. Notary Pu'' Commonwealth of Nfi9 us My Commission Expires' h 8, Q:word/accessoryagreement v�'• t:''fi;e`' BARNSTABLE REGISTRY OF DEEDS (v IT-felt 0 ci rr% reer e�PoM ` r 5TIOcnS �,� C� l7eet / ..c.c�L C� Vie.+ (J— �cev,i � + I l� t-MO(2 Vtoo Z D n D 1� ---------------- iz r - r L 'L �� OF THEE` TOWN OF BARNSTABLE Permit No. ..299.52..... BUILDING DEPARTMENT M I TOWN OFFICE BUILDING Cash HYANNIS,MASS.02601 Bond ......x CERTIFICATE OF USE AND OCCUPANCY Issued to Greex-ib.r.]_ter Corn. Address . Lot # 3, 19 Whitehall Way Hyannis, Klass. 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: August 11 , 19 xe Building Inspector TOWN OF BARNSTABLE _ BUILDING DEPARTMENT _ SARISTAU TOWN OFFICE BUILDING out ay ..:3y HYANNIS, MASS. 02601 MEMO TO: Town Clerk s FROM: Building Department DATE: `1/� An Occupancy Permit has' been issued for the building authorized by BuildingPermit $k» ..................... ....................................................».»..........»......:.... ......_......» ......»..»».»...»»». issuedto .............,....r/� ......... !......,......................... Please release the performance bond. e, PIE WN'OF BARNSTABLE;'MASSACHUSETTS: .:: NG e.'. �. DATE ' 19 PERMIT IOj� 5 ` A 250 162 - — .. APPLICANT ��. _ ADDRESS ._T.ic;i-ad lOGR ([- VWLIG L. - - , t (N0.) (STR EErI ( C NSE1 9 PERMIT TO NUMBER OF O STORY DWELLING UNITS F O. single1 D ZONING AT (LOCATION) DISTRICT—RC-1 1 S V BETWEEN: AND (CROSS STREET) (CROSS STREET) ,. . LOT ' SUBDIVISION LOT BLOCK SIZE i v, BUILDING IS TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL.CONFORM IN CONSTRUCTION TO.T.YPE USE GROUP BASEMENT WALLS-OR FOUNDATION . (TYPE) REMARKS: AREA OR - Bond.PERMIT VOLUME. c F ESTIMATED.COST $ c 900 :nn FEE. $'_ " ' (CU IC/S ARE FEET) � � ���� • � - 76.75. OWNER Gf eeab, ADDRESS r - .BUILDING DEPT. • BY67\ 7 i i THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY t ART THEREOF, EITHER TEMPORARILY OR ® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED 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 THREE CALL APPROVED PLANS MUST BE RETAINEDON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH 3:FINAL INSPECTION BEFOREE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. - POST THIS CARD S® IT IS VISISLE FROM STREET BUILDING INSPECTION.APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 9 ,q j HEATING INSPECTING APPROVALS -REFRIGERATION INSPECTION APPROVALS 1 NEE G OTHER2 � ��brva�r 2 BOAR �LTH - � n WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BEM E ULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED.ON THIS CARD ?NSPECTOR HAS APPROVED T-IE VARIOUS WORK IS NOT STAR EDpWITHIN SIX MONTHS OF DATE THE STAGES OF CONSTRUCTION. CAN BE ARRANGED FOR BY TELEPHONE PERMIT IS ISSUED AS NQTED ABOVE. OR WRITTEN NOTIFICATION. r Assessor's offioe;(lst floor): {._ ti'v ►Eiw MOST 8 % THE Assessor's. map and lot number ...�C�a. ......... F tp� y ii��4STALLED IN COMPLI/i o Board of Health`(3rd floor): Q,� WITH TITLE 5 Sewage Permit number .... ..° . ....................... ...f :.a...::..... • ENVIRONMENTAL CODE9TA LE.NAB Engineering Department (3rd floor): (1 i'' o0 oCJ .Y House number ..:.....................:...�/... .. ...�...... ....... �, TOWN REGULATID ''Fo v d`e� 63 :' YP APPLICATIONS PROCESSED 8:30.'9:30"A.M• and 1:00 '2i00 P.M. TOWNr OF BARNSTABLE . Y BUILDING �IHSPECTOR _ .. DL. .ei��APPLICATION FOR PERMIT TO ..;.. .......QI .....%��%f. .......... 1.�f . ................................. 1 TYPE"OF CONSTRUCTION ...... JQC3QC .. G7%?7."P............................................... 4... ............ 19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fof a permit according to,the following information: Location ...l...CJ ........ .. .......°-. A!.��'.1�4�.GZ.� ....V!✓G . .. .....:.........t (i"lwC :: .................................................. ProposedUse ......5, J.l. . .1... .... .Gt mil. ........ .....:..................;.................................................................................. Zoning District .............................. .. ...... Fire District .....(. . C�/.. .............. r_ Name of Owner .... ..,.. t,' .C�/�1: r..�.. .....Address ...........r.....r...9.0....... 'Name of Builder ........ .4.....:......."............4...........Address ........:...:....................................................................... ` A f • t Nome,of Architect ...:..............................................................Address .................................................................................... Number of Rooms ....... ............................ .`:..: .............:....Foundation 4 l� .C '...... 4�! �.. ram . ....... Exterior ..! -?. ..C...�!!llh. 1.� ...... ...C.��F(�1-S...Roofing ...� . ..N.� ./..�..�..3.3.�............:........... . vvv � . C ...++ e........ .Floors ..t!. ... I .. ......................Interior ..... .. e.... ..�.. ......... L....... ..(A..�.....L,. ...... ...... - . ,.. Heating g... �i�..-�. .Plumbin • Fireplace ............................................................. ...................Approximate Cost ...q..-J`... .00.................................... Definitive Plan Approved by Planning Board ___ ....../ ...... ... ______, _ ____ 19 Area . f a A Diagram of Lot and Building•with Dimensions Fee ..�.. ...... SUBJECT TO APPROVAL OF BOARD OF HEALTH �\\ c(c(�< 'Z 1, I4-t-e6 — , ®je 6,11-lsv--C 7S/ 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 ........ �..... F / G Construction Supervisor's License .... .f.: ../.:.ell--.. • i N.lGREENBRIER CORP. . ' •: __- . � r ' 1_ 29952 ;permit for One Story No .... Y ................... _ - 1 Single`:Family Dwelling r , ............................................... .................... "s T Lot #3 19 Whitehall `Wa Location ~ r :Hyannis* � Greenbrier...Corp.... ......y ..'.......... �• �, 1 •� ,� �:' Y ,�}. is -�.�^ r _ �• ' tOwner ...... ............... ...................... .... . Type of_Construction .Frame......................................... ' ......... .. ..... .......... _ �� ell : - k Plot`...... ........ Lot Permit Grariled .......�etember••23, q 86 Date of"Ins ection .. .. .� . 4... f^ 19 { p `... r V 5: � a „ Date Completes. / ; r.19� F r �� � ��•t ry r 1- 1 ' r r lam' t ' 3- C/- f Assessor's offioe Ost floor): s®' / 2 �, cooC FtNET assessor's map and lot number ............................................ Q�� ��` Board of.Health Ord floor): Sewage Permit number ....(.0. ..................... .:.17a........... i BARNSTABLE, S Engineering Department (3rd floor): °o "639. 0� House number ` 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/ � .........�................................�..�.........�.�.1�................................... TYPE OF CONSTRUCTION .............................................................................................................. ......................<!..... ....... 19 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for /a permit according to the following information: Location ... � W r / //�G2 (� �cJ • (I �Ar'" ...`!....... .��.dd.............�... 9/ .................. � .................... ProposedUse .......:.....�./. ' ../f'....r(�t� .i./........................................................................................................... Zoning District l..l..C....................-............Fire District ..... .�1 �. .................f...................... Name of Owner ....(. ,l r! .. F�....1.....Address r ��x.,J�/ .....�1i7,TPG �//Ille .......... .................................. ........ ............ l� Nameof Builder ........ .i✓1.f.....................................Address .................................................................................... Nameof Architect ..................................................................Address ....................................................................................... Number of Rooms ...... .....................................................Foundation .5Q6k.r C%`...... CL�1..c..���. .. e......... Exterior A. _. v... ....Roofing ... .........v .... -.......... - .., ........................ n �• C 9 l� Floors .. ..�.... ..�.......... G ...... ..!.....................Interior ...... ).V1,.P.L� ... 0. ...!'�.................. L V / Heating :. .._ ...............:(�.5...a.... ......5...........Plumbing .......07�....... G f'1 S ....................................................... J _ Fireplace ..................................................................................Approximate Cost ... . 1..r�oc)............. Definitive Plan Approved by Planning Board ---------------------_----------19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH .y 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 ............... G.G/%'; %1 Construction Supervisor's License ....v��� �y.. .. GREENBRIER CORP. A=250-162 Na .... Permit for ... L Qry............. .........S.ingle...FAMi1y..jpWgjjjng................ Location JePA..13.3.....19...Whit.P-hall...way....... ................. ..................................... ......... Owner ....Gr.e.e.nb.r.i.e-r..CoU.... ......................... Type of Construction ....EXAMP............................ ............................................................................... Plot ............................ Lot ................................. Permit Gran*ed ........S.e.ptem.b.er. ...2.3........19 86 . . . ........ . .... Date of Inspection ....................................19 Date Completed ......................................19 0 s r 1 /^.A!Y G p2. /./u R S ZN i I liI L4 �{ a—�— 3 Z C- / 1 9 Sot S/— y 3, SGv S. r 3 � �!1 `I 9K ASSuMED �oT O PRoTE.�r6D �ND�R M T T-Pwwt f- a.Aar,7=ciI�L. O � � � � s o � 2.2 En 2v" ro v v1 f N hz.9 1, o N 2G � G a. i s L L DE /Dr2ivATa u % CERTMED PLOT PLAN ROBERT� LCfsGrE I e 7 WHlTFHALL Wi9Y .1 N•1o. 1s3 .'l l 'ry. IN . v " SCALE' ( '' o - DATE, - 22 G 1 CERTIFY THAT THE LEVY & ELDREDGE ASSOCIATES INC. CLIENT a F �- SHOWN ON THIS PLAN IS LOCATED ENGINEERS- LANDSCAPE ARCHITECTS JOB NO. .L!_ ON THE GROUND AS INDICATED AND j PLANNERS LAND SURVEYONS DR.BY: CONFORMS TO THE ZONING LAWS ! OF BARNSTABL ASS. 04 712 MAIN STREET CH.BY' l2L'.C4 --- �i 4TE -NYAN15; MASS. fSHEET�OA EG. LAND/SURVEYOR I 'Town of Barnstable °� tic Building Department Services Brian Florence, CBO RAMSTABM ! v MAC' Building Commissioner E` .fLE 039. �• prFonA�+° 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us F Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: E 1 My name is O ti I am the owner/resident of the .,, property located at: V Q The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: t`S u y l V,O I -e �$" I 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 .f Y P Y j 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. 1 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. ) 1 Other f Sworn to under the pains and penalties of perjury this day of cun,,, 2019. ` Signature Phone Number Print Name 2 �z T v i i r q:formsdamaffid.doc t i rev 11/08/13 i F1 ram, Town of Barnstable tia Building Department Services Brian Florence, CBO BARNSrABM v� so `�g Building Commissioner;q. A�FD 39 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.usr @ "+¢ '2' 33 Office: 508-862-4038 Fax: 508-790-6230 fPo Tl' Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is ) e Y �o 0 A'r E V 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: Ck2 y l-S ( t7 ►'� lZ i� y`c> �e t-- 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 and penalties of perjury this L day of Su.n,�:, 2019. .�• '5 O C2 9a Signature Phone Number Print Name e T v q:forms/famaffid.doc rev 11/08/13 Town of Barnstable Building Department �. Brian Florence,CBO 11 ,, ®'���?�P�. Mass.EAMSTMLF g Building Commissioner i639. ♦0 iOrFo 39.1 200 Main Street,Hyannis,MA 02601 JAN 24 2018 www.town.barnstable.ma.us t N OF BA�RNSTABLI Office: 508-862-4038 �ax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is e-!_r3 Vo kO 4 tC�22 I am the owner/resident of the property located at: 13 (,t�f f H A(. t o Q y The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: V4�0 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 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 andlor 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 ,1 4. day of n 2018. )jLk'�_' � O Lk'_ C'� Signature Phone Number Print Name' �Vie- 1^�lvD q :forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services �t Richard V. Scali,Director - Building Division MAS& Paul Roma,Building Commissioner " A 039. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us - Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I.being on oath, depose and state as follows: My name is -e r� ' -e-.O 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: U l,50 (rl rJ1 .' CD Name&relationship to.owner: The Family Apartment will be the primary year-round residence for the a ove-ideWled UI family members. In the event that the listed relatives vacate said apartment,I will mmedidtRy �: notify the Building Commissioner in writing. I understand that no subletting or su leasing©paid r 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 240-4Z I Family Apartments. I agree to note the Building Commissioner,immediately in the event of the sale of this property: If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this 7 'day of ` • a , �� 2017. Signature Phone Number Print Name d\—A 10 a _ q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oF,T"Eti Richard V. Scali,Director Building Division 9 $ Thomas Perry, CBO,Building Commissioner `bArF p pm 200 Main Street, Hyannis, MA 02601 www.town.barnstable.mains Office: 508-862-403.8 Fax: 508-790-6230 Town of Barnstable Family Apartment.Affidavit I,being on oath, depose and state as follows: My name is e r y ► y KO(4-V e Y( I am the owner/resident of the property located at: I (A 4,( �f 14 a 1 L .)a &/A 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 o ubleasing of said Family Apartment is permitted. .A q I understand that I am required to file an Affidavit annually with the Bull ing 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 S c'alp-r-mit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartie ents. Iagree to notes the Building Commissioner immediately in the event of the sale of this lo prperty. 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 1-5 day of 2016. Signature Phone Number Print Name Lo 0r q:forms/famaffid.doc rev 11/08/12 Town of Barnstable ofE r Regulatory Services Richard V. Scali,Director MMSrABI.E. : Building Division r�Ar 1639. 16 Thomas Perry, CBO,Building Commissioner ED MA'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 is G r�s 10 ct- h(D VIT e r 1 am the owner/resident of the property located at: L4-"uy The following members of my family will be the sole occupants of the Famil�z." artment.at tht aforementioned address: $N Name &relationship to owner: -is �w J ery Name &relationship to owner: r= The Family Apartment will be the primary year-round residence for the above-denti zed 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 the pains and penalties of perjury this 0 Q day ofurt��,,v�l 2015. r Signature Phone Number Print Name \r' q:form s/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services ,THE rqy� Richard V. Scali,Interim Director TOWN OF R ARPT # Building Division vssB �; Thomas Perry, CBO, Building CommissionM1� I , s639. �0 t3>Env "', pi . �ArB% MACp 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 DI1117,_1,a 50`8--7%,6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: 0 VI tc My name is '- f��`ct to kh7 I am the owner/resident of the propery located at: I q (Lk;j2 �4 a 1 I" " The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 13VOTOtI2, cji )`S tt pin i e !ro 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 notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2014. Signature Phone Number Print Name - N k k q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services a Thomas F. Geiler,Director i Building Division. TOWN Of BARNSTA6I:E BAPIMABLE ' Thomas Perry, CBO,Building Commissioner gp� �, �/ I MASS "i Y s f ! S K 'fi,�1 T' �l 1639. �� 200 Main Street, Hyannis, MA 02601 L ArFD�p www.town.barnstableana.us Office: 508-862-4038 � F 8=79U=M30 Town of Barnstable Family Apartment Affidavit j I, being on oath,depose and state as follows: M Y name is c j� I am the owner/resident of the c � E property located at: Ha 11 10J.0cl ' 7VS The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: f Name &relationship to owner: ;7 The Family Apartment will be the primary year-round residence for the above-identified I „ 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. ' 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 1 with all conditions imposed b the ZBA Special Permit understand that I am.required t�comply r Y r 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. y 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 15 day of Q/ 2013. Signature Phone Number J ;! Print Name q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services Tqp, Thomas F. Geiler,Director Building Division TOWN Q' BAR STABLE � snuvsTns Mass. Thomas Perry, CBO;Building Commissioner 200.Main Street, Hyannis, MA 02601 ' www.town.barnstable.maxs . Office: 508-862-4038 F - 88 790M230 Town of Barnstable Family Apartment Affidavit I, being on oath,depose and state as follows: . My name is r. 1'- i r�: �14 I am the.owner/resident of the property located at: IL The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: F Name &relationship to-;owner: h hS tf on e VD b Ko Iq 11 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 hat 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. Ifthere.is no longer a Family Apartment.at this location, please explain The apartment has beenAismantled. The apartment has been transferred to the Amnesty Program (Appeal No.- ) Other Sworn to under the pains and penalties of perjury this day of d/ 2013. Signature . Phone Number : Print Name - q:forms/famaffid.do c rev 11./08/11 Town of Barnstable Regulatory Services of � Thomas F. Geiler,DirectjDj q a _ $ Building Division 'AR1131AB Thomas Per CBO Building Commissioners .z , . Mass g Perry, g19 �.�1639. h�• 200 Main Street, Hyannis, MA 02601 Fc per www.town.barnstable.ma.us Office: 508-862-4038 3 ti 1 Fax; 508-79076230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: A e- k gm� Mod V6.s h a 0 2 6' The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: DLM S a,i L e 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 note the Building Commissioner.in writing. I understand that no subletting or subleasing of said Family Apartment ispermitted. 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 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 notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2012. Signature Phone Number Print Name V1 e Y �-� q:forms/famafd.doc rev 11/08/11 Town of Barnstable Regulatory Services �t►+Erok, Thomas F. Geiler, Director T Vq,-ji, I n'JSTA rD LE Building Division " - `1BMWSTABLY, ' MASS. Thomas Perry, CBO Buildin Commissioner Ar 1639 Aim 200 Main Street, Hyannis, MA 02601 ED PAp`l www.town.ba rnsta ble.ma.us Office: 508-862-4038 1`4 Faxes `508-790-623.0 Town of Barnstable- Family Apartment Affidavit I, being on oath, depose and state as follows: My name is h4 V1`-f2'-O I am the owner/resident of the Ni property located at: C U,k1,'i e- �6[I W(LV The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: CI VO TtiE_vL_t fiS a' ed O Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members._ In the event that the listed relatives vacate said apartment, 1 will immediately note the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Famiiy Apartment is permitted. 1 understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 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 C21 day of jj v�Loy y 2011. Signature Phone Number Print Name Town of Barnstable Regulatory Services ' �F1He to Thomas F. Geiler,YdWWbF BARNSTABLE .. 0 Building Division 9sARNST SSABLE,g* Tom Perry, Building e GufCC"" n 200 Main Street,Hyannis,MA 0T601 2' 37 iOrEn Mpt°` www.town.barnstable.ma.us DIVIS10N 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 J �, I am the owner/resident of the property located at: tl (,z.l�la{�. LAq U The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name& relationship to owner: W t-LSoPO 9-e-) ONSazJ ergLL Name & relationship to owner: c0 o S L A') 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 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA 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 ::Sggc(U S1 2010. Signature Phone Number Print Name e v-c 0 V1 le ry Q/bldg/forms/famaffid Rev:12/08 12-17_200159. 11 = .35ct IKE Town of Barnstable Regulatory Services aaxtvsrns[a Thomas F.Geiler,Director MAW. 94� i639. .�� Building Division Tom,Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY,APARTMENT I(We), the undersigned, being the owner(s) of property situated at 19 Whitehall Way in 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 16865, Page 023, or as Document No. , being shown on Assessors' Map 250 as Parcel 162, 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. The intended and authorized use is for(Wilson Romero, Cousin]associated with the residential use on the same premises. This unit shall be used fora"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. 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 (Z? day of �kxelA-6x, 200 . TOWN OF BARNSTABLE OWNER(S) By: Sergio o ntero uilding Commission r Aide R.Montero THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date Z Then personally:appeared the above-named (owner), i- i o _M o" r-r, �C_ made oath as to the truth of the foregoing instrument,before 3fl7► J, No Pub c My Coom ssion�e*s- u �®e Nota')'feu,, Commonwealth of Nta. Us Q:word/accessoryagreement My Commission Expires h8, ��'� t�:;,� •: