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0336 BUCKSKIN PATH
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".r e•„• tr 'a „a'� rf.t,�.a.,av�n .�a4.th�� -r,lr„ -a '- ..F... 3-., 1 C 'AR -M Md ti l and C,Ommerclal Builder �ITATION SPEC .jro � QuAuvtAci CCARTHYC r October 21, 2014 Town of Barnstable Thomas Perry CBO UQ Building Commissioner 200 Main Stret Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201404019 at 336 BUCKSKIN PATH has been inspected by a certified Building Performance Institute(BPI) inspector.All work performed meets or exceed Federal and State requirements Sincerely, l� Michael McCarthy McCarthy Construction TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION COM Map Parcel Application #M Health Division Date Issued '7 Conservation Division Application F e Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 3 C OLL sL i_ Village Owner Address ��"� Telephone 77 Permit Request cCIIdP.K 00 wb Square feet:. 1 st floor: existing proposed 2nd floor: existing proposed Tofal�new Zoning District Flood Plain Groundwater Overlay Project Valuation 1P-- —"' —Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family a_ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas! ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name Mike McCarthy Construction Telephone Number PO Box 52 Address West Dennis, MA 02670 License # Ceil (508) 280-6964 C-e-,_59633 HIC-469393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V SIGNATURE L DATE C lit/1_, } FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. >; ADDRESS VILLAGEh OWNER DATE OF INSPECTION: ? �`A' a FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL. r f E FINAL BUILDING z c DAT-E.CLOSED OUT AS_SOEIATION PLAN NO. 771'N39F 159225 OWNER AUTHORIZATION FORM 1 (Owner's Name) owner of the property located at 3 3 13 ticks o�c/ L) /°*--1;V, �� v��c� /j . 0-2LJ2 (Property Address) (Property Address) hereby authorize 0 C , t (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signatur V v�✓� �, ��/ . Date rf, The Commonwealth ofMassachusettr rA Department of Industrial Accidents Office of lirvestigations . 600 Washington Street Boston,MA 02111 www.mass gov/din Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le gib Mike McCart4y Name(Business/organizafimVIndivid zal): PO Bog 52 _ West Dennis, MA.02670 Address: C&A1.(508) 280-6964 CSL-58633 VIC-169393 City/State/Zip: Phonelh- Are you an employer?Check the appropriate box: Type of project r 4. I am a eneral contractor and I YP p .l ( eq»ed): 1. am a employer with ❑ g 6. ❑New construction employees(frill and/or rparttim'ems).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling. shipand have no employees These subcontractors have 8. 0 Demolition working for me in any capacity. employees and have workers' insurance_t 9. ElBuilding addition [No workers'comp. insurance comp. rimed-] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers'comp. rat of exemption per MGL 12 Roof repairs insurance required.]t c. 152, §1(4),and we have no 0 employees [No workers' 134 flier comp.insurance required] *Any applicant that checks box 41 mast also fill out the section below showing their workers'compensation policy information. t Homcowoc:s who submit this affidavit indicating theyare doing all work and the n tun outside contractors must submit a new affidavit indicating such: :4Contractocs 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-cowactors have employees,they must provide their workers'comp.policy nmnber. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site informmYon. M Insurance Company Name: Policy#or Self-ins.Lic.#:_ k/W L- 1'66G I N.10C Expiration Date: 17/1? r Job Site Address:_ C Tom.,. �,k,` 1/fit City/StatelZip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requited under Section 25A of MGL c. 1.52 can lead to the imposition of criminal penalties of a. . fine up to$I,SOD.QO 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.0ffice of Investigations of the DIAf6r insurance coverage verification I do hereby certify t p and penalties ofperiury that the information provided ab is true and correct. Si ature: Date: 7 / Phone#: Official use only. Do not write in this area to be completed by city or town officiaL City or Town: Permit/License# issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.PIumbing Inspector. 6.Other Contact Person: Phone#- Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J MCCR ' PO BOX 52 W DENNIs MA 026 7 y Expiration Commissioner 0 411 0/2 0 1 6 Office of Consumer Affairs and Business Regulation. 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual. Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 WEST DENNI A 0267 - Update Address and return card.Mark reason for change. SCA 1 0 20M-05/11 Address Renewal Employment Q Lost Card - uT t �r -t rr .• Aco CERTIFICATE OF LIABILITY INSURANCE °ATE`MM,°°"YYY'� ��. 10/16/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the ertificate holder in lieu of such endorsement(s). ooNN PRODUCER 01962-001 'NAMEACT Bryden&Sullivan Ins Agcy of Dennis Inc ;�i�l�,�fo.Exl►: (508)398-6060 (508)394-2267 - - PO Box 1497 ;E AREss: So Dennis,MA 02660 �—_-- ------------- ------ —--�- ------ ., A.I.M.Mutual Insurance Company - - 33758 INSURED Michael McCarthy Construction Inc --- - - -- - - "- - - P O Box 52 West Dennis,MA 02670 J1L131 liR:-- _-_..__- -------._.__._ . ..._ .__.... �.- -_---- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDIT!CNS OF SUCH POLICIES.LIMITS,SHOWN MAY HAVF BEEN REDUCED BY PAID CLAIMS. IN.S.R AD LR3UBR;- -- -- ) POLICY EFF TpO I Y EXF— - - ---- LTR: TYPE OF INSURANCE INSPR!WVD POLICY NUMBER - _.._. I_LMMIDD/YYYY) M�ib�d/1^/YY).i LIMITS GENERAL LIABILITY I - -I I EACH OCCURRENCE - $ COMMERCIAL GENERAL LIABILITY I $ j DAMAGE TO RENTED - f-PBF�S�S.(liaoccuRence) - I CLAIMS-MADE I OCCUR "` !MED EXP(Any one person) $ PERSONAL _per - - ' I ; $ K L ENERALAGGRE $ INJURY GATE GENERAL GEN'L AGGREGATE LIMIT APPLIES PER: ! I PRODUCTS-COMP/OP AGG '$ _ POLICY PRO- JECT AUTOMOBILE LIABILITY I - C MBI D INGLE LIMIT -E i (Ea accdei1 ANY AUTO I 1 BODILY INJURY(Per person) $ ALL OWNED -I SCHEDULED L _ - - _ !AUTOS :AUTOS IBODILY INJURY(Per accident) $ _ — HIRED AUTOS !AUTOS j :PROPERTY(Y MAGE $ NON OWNED _. --- -' ---- -- -- — -- - -- - ----. -._: - (Per accede_nt UMBRELLA LIAB OCCUR _i ( TEACH OCCURRENCE S EXCESS LIAB CLAIMS MADE I AGGREGATE - - Is --- - DED RETENTION $ I Cg7 T� T I $ WOoRKKEERggCCppMMP NSppnON I X; TO YLIMITS_..__ R L AfJDEMPLOYERS�LIABAITY ---- . AN yPRROoPRR��E77ooR/P RRTNEEqR��E ECUTIVE( Y I�l I E L EACH ACCIDENT $ 500,000.00 A ;OFFICER/MEMBER EXCLUDED Y I N/A I VWC-100-6017656-2013A 7/17/2013 7/17/2014 r' -'-- - ---- -"-- - (Mandatory in NH) - I I I E.L.DISEASE EA EMPLOYEE I $ 500,000.00 f s dde SS ibbe ndef I FF.L.DISEASE-POLICY LIMIT $ 500,000.00 D CRIor`ON 6 OPERATIONS below. �. - - --------. - . I l � I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES.(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) , CERTIFICATE HOLDER CANCELLATION TOWN OF SANDWICH Attention: BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN HALL ANNEX THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sandwich,MA 02563 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _ i Town of Barnstable *Permit# :-/61 Expires 6 mon0u from issue date Regulatory Services., Fee Thomas F.Geller,Director Building.Division 6 lojldh Tom Perry,CBO,. Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint i Zdt Map/parcel Number 811'R property Address esidendal Value of Work �, � t Minimum fee of$25.00 for4ork under$'6000.00. wner's Name&Address MaI) Z�us 33& 6ad-Ijbil ate. (Welot/,_IM 6 AYE Contractor's Name y�Qi�. (� 'y ,�9� .� Telephone Number b iMq 1 (, Home Improvement Contractor License#(if applicable) T Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: 49rI am a sole proprietor RI E S S PERMIT ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance n C T 1 ® 2007 Insurance Company Name n 1J TOWN e F n A n K��ABLE Workman's Comp.Policy# n I ' Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) -roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt,compliance with other town department regulations,Ti.Firstonci ConsetYati etc., ***Note: Property Owner must sign Property Owner Letter of Permission. A co of Home Improvement Contractors License is required. SIGNATURE. Q:Fonm:expmtrg Revise061306 Tfie Commonwealth of Massachusetts - Department oflndustriaCAccidents ' Office of Investigations 600 Washington Street Boston,MA 02111 , www.m ass.gov/dia. Workers"Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bI Name(Business/Organization/Individual):. v -Address: c l m n �i Cii S Ao-CL&UG_a 1 City/State/Zip:�bjLt.' , M'a Ph ne.#: 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 * have hired the sub-contractors 6• ❑New construction . 8�andhave employees (full and/or parttime).. �a'sole proprietor or partner- listed on the'attached sheet, 7. ❑Remodeling no employees These sub-contractors have 8. ❑Demolition working for me in any capacity.° employees and have workers' co insurance.$' 9• ❑Building addition [No workers'comp.insurance comp. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their , 3.❑ I am ahomeowner doing ell work 11.❑Plumb ing repairs or^sAditions myself; [No workers' comp. right of exemptionperMGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no I employees, [No workers' 1 Other (,U comp.insurance required.] *Any applicant that checks box#1 must also fi l out the section below showing their warkers'cornpmsation policy informa'on 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 Izve employees,they must providh their workers'comp.policynumbcr. lam an employer that is providing workers'compensation insurance far my employees Below is-&e policy and job site information. `� /J Insurance Company Vf ance Company Name: • . Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),; Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment; as well as civil pena iies in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the I)IAfQx insurance coverage verification. 16 hereby certi ains•and penalties of perjury that the information provided above,is true and colrec4 Sienature: Date: Phone #: F6. Other only. Dv not write in this area,'to be completed by city or fawn official;. n: Permit/License# \ hority(circle one); Health 2.Building Departmeat 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: Board of Building Regul ions and Standards r., One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration:' 134313 Type: DBA Expiration: 10/24/2007 DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH, MA 02563 Update Address and return card.Mark reason for change.. Address Renewal ❑ Employment Lost Card -CAI v 50M-WO5-PC8698 ,�,. J/re���vnaaruueall/•a�✓�/taa:urc�uaella =X_ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to- =; = Board of Building Regulations and Standards Registration: 134313 One Ashburton Place Rm 1301 Expiration: 10/24/2007 Boston,Ma.02108 Type: DBA DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. � SANDWICH,MA 02563 Administrator )/ tot vali thout nature i David Sawyer Construction. 318 Meiggs Backus Road Sandwich, MA 02563 (508)-539-1992 Proposal Submitted To: Work Place: Date UtiJ G'YK Strip, emove, and Haul Away all old roof and or side all s inglesJ'� SUPPLY&INSTALL: COLOR: 7 ? Pal G o�cQ c- lq-u vU duo J CLEAN&REMOVE ALL DEBRIS FROM WORK PLACE AFTER JOB IS COMPLETED. ALL DEBRIS TO LANDFILL. / TOTAL INVESTMENT FOR MATERIAL&LABOR$ ly, Ste. All material is guaranteed to be as specified,and the above work to be performed in accordance with the specifications submitted for the above work and co pleted in a substantial workmanlike manner. Payments to be made as followse�[� 1 r`� Any alteration or deviation from the work specifications involving extra be executed only upon written order,and will become an extra charge over and above the estimate. All agreements contingent ' upon strikes,accidents or delays beyond our control.Please remove and/or secure any fragile household items. Not responsible for broken or damage household items. 10YEAR LABOR WARRANTY/PLUS MANUFACTURES SHINGLE WARRANTY. This prop sal may be witted wn by us if n t accepted within 30 days. Respectfully submitted -/ �Cz,c�/ ACCEPTANCE OF PROPOSAL The above prices; specifications and conditions are satisfactory and are hereby accepted.`You are authorized to do the work as specified. Payments will be made as outlined above. Sig natur _ �fe 14"o u Z-4 Z-//C&- /Z---1 see se st LGoL ✓� .�� �l�.f c 6ef �v Assessor's offioe (1st floor): Assessor's map and lot" number .....!..�1.�....... .........r�. .... QyoFTNEto�♦ Boakd of Health (3rd floor): Sewage Permit number ¢aOc�S 1; BAHd9TSDLE, i Engineering Department (3rd floor): �r1� '�c rb 9- Kpse number .......... ........................................................... APPLICATIONS PROCESSED 8:30-9:30 A.M.• and 1:00-2:00. P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR n� 0 r APPLICATION FOR PERMIT TO .... A TYPE OF CONSTRUCTION ..............�.../�./7/`.... ................................... ��d�L ................................................19........ TO THE INSPECTOR OF BUILDINGS: `.+�....} � �r !..�,7C n. ,��F'7�•,r'^' �,�i/'L' �'C ,r f,/' y ""C7� J��' r" r G-'J.`.�..• The undersigned thereby applies for a permit according to the following information/:, Location ...`. .....J,.3�o..... ,14'-.I�� !.'U.... ..0 .>....:.ore. ....!.4:e �.r/.�<E'................................................... e C-j? ProposedUse ........ . ...... ........................:.:............................................................................................ , f Zoning District ........................................................................Fire Distric't ....':...?'................................. ... ......... ('ram c". r Name of Owner /�I.g%L ../1 oS............................... Address ............. ....... A G Name of Builder Address ' Nameof Architect ..................................................................Address ................................................. Number`'of Rooms ... ..............................................................Foundation .�'r.XL,S. ��- Exierior •de�>7 .... .yl 'J� J.....................................Roofing ....�� �.!l.ff ..i ............... .. ..............I................. ...... �L� Gvulr/�........................ PP7 i2oc.� , . Floors ... ......��........ ..................................Interior ....�� .............................. Heating `/4 %.... .........6 4 r............................Plumbing ...��� /�/ �4EA �;...�i/l ............... ....................... Fireplace v ................................................Approximate Cost ..............Q j Definitive Plan Approved by Planning Board --------------------------------19________ . Area ( ... .. . , ....CC7.:6. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 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/ „�� t.ti'." ,��G`' ----' Construction Supervisor's License ....:............. VAMOS , MARK A=191-128 51440 Remodel to No ................ Permit for .................................... FamilX Apartment./....Frame. ....Dwelling. r .... ....... .... . . Location ...336 Buckskin Path ........................................ Centerville .....................................................................I......... Owner ...... ark Vamos ............................................................ Type of Construction F.rame. ... .... .. ............................. .......................................................................... 1- Plot ............................ Lot ................................ Permit Granted .,,., November 24, 19 87 Date of Inspection ....................................19 Date Completed f M THE. TO�� TOWN OF BARNSTABLE fob 0� BAHHSTALU 6 9•O BUILDING INSPECTOR O'E MPY{r APPLICATIONFOR PERMIT TO .............. ............................................................................................................... TYPE OF CONSTRUCTION �:........... . �` �' ..... . .......................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..` . G......................... .............................................................................. .�. ..... . .. ......,.............. ProposedUse .G � ..<, --�V. ................................................................................. zrl/Z. J . Zoning District ....................................... ...........................Fire District ....... .1°z........... ee......... .................... Nameof Owner .................................Address .......... .. ....................................:... Nameof Builder ....................................................................Address ..........................................:.......................................... Nameof Architect ..................................................................Address ............. ........................... ................... Number of Rooms . ....: .......................................................Foundation ....... ........................... 00 Exterior ...... .. ..... ...............................................Roofing .. .. ..:.. .........,,,_t...."' Floors .............................................................Interior .... ...f�f� Heating �T / J..................Plumbing ..........�r�� /................ ................. ............ Fireplace ...... . ...................................Approximate Cost .... ... ...................... Definitive Plan Approved by Planning Board ________________________________19________. Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH W < O �m � ' Via" taQp Z < m O W > W Im ILL 1!0 OC/Wjq \0 >- im Z ¢ w O .J 2 [L W ..! F— F- -�_U Zr Uj a, ?:: z ¢ Of Of � Q V d � -J W F— eC p z I hereby agree to conform to all the Rules and Regulations of the Town of-.BarnstabZrega:rng the above construction. Name ......:.. .. ......:.:............. ..:...... ................... "`( 7 { Sonu]]L» Alan . . ' I�lO7 one story, ' ^ �o —.����.... Permit for sin le .--_ _zao�.ly.osw* ..._...___.. ~ Buckskin Path ----- --'-----------''-------- Centerville —'----'-----'—''--''--------'----' Alan 8m�ll Owner �-~^�� ' -----''-~--------'-----'--- r/ ' frame Type of Construction .......................................... ----'--`—~^'------^^''--~—'^^^'—'—'- �i�/ Plot ---------- Lot -----.��----' Permit Granted ...........jonq.,7................ g 72 Dote of Inspection --- 19Date Completed ..19 � ~ � , � PERMIT REFUSED .......... lg �| ..^—.—..^---------,,..-..~.,, —__ \ } — —'`` | > . ^^'—`^^^^—~—'---`^`^'--'`-~~^—'---'-'`~`' | ^^'—'`'-----'-~'^^^'--'---~'--^'—~'`~~^--` —'--'—'—'--'---'----'--'--''~-----'- Approvad ................................................. lA � ^ —'-------'----^---~^--^'—`—`^-^ ' . ----'---`--^'-----'^^^'`^'`~-'~'—'-- | ` � � �� TOWN OF BARNSTABLE I)T t:E. I I tIS11!fLE. Zoning Board of Appeals T7 AL 30 AH11. 01 .,.......__...._....................._. Y...._... Deed duly recorded in the _................................................ Kimberly Vamos VarnumProperty Owner County Registry of Deeds in Book ............................ Same_..........................................._.................................._.... Page ................. :............ ........................_...................Registr. .. Petitioner District of the Land Court Certificate No. ......................... ........................ Book ........................ Page .................. AppealNo. ..4.98.7m57........................_._................ . .............................................................................. 19 FACTS and DECISION Petitioner filed petition on ................._.........................._. 19 requesting a variance-permit for premises at _...336_Buckskin Path in the village ._..................................._.._.........................................., (Street) of Cenlexuille._......................_....... adjoining premises of __ _ ....... (see attached list) .._........................... Locus under consideration: Barnstable Assessor's Map no. _..._...._19.1......................... lot no. ..LZB................. Petition for Special Permit: [3 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...al1ow_..a_.gar.age.to....be....remodeled....into...a....family....apar••tment•........ Locusis presently zoned in.............. ...._......R.0.............................._................._.........................................................._............_................ 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 Feld at the Town Office Building, Hyannis, Mass., at ___ 7.:50__ ._...] i. P.M. -------.TulY••••L6......................""'•""•'- 19 87 , upon said petition under zoning by-laws. Present at the hearing were the folio-ving members: ....__Ga.il._Xightingale._........... .........Ilex.ter...Bliss................._........... Chairman ._........Jame-s Mr-Grath............... ........__.............:..__.... ...................._.._..._..._..... _... ...._..._...._._. At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. 1987-57 Appeal No._..�...._...._............................_. 3 3Paga . . ............... of ...... _... ..... On ----.July 16__...._._.._ ._.... .. .................. 19 8.............. The Board of Appeals found The Board voted unanimously to grant the petitioner the relief sought subject to the following conditions: 1. That the alteration to the premises be strictlyadhered the plans submitted to the Board b the rid to as shown on Y petitioner. 2. That the petitioners agree to fully comply with all of the provisions of Section V being mindful that the family apartment is to be used only for two members of the family primarily as a year-round residence, and that such use shall discontinue within 60 days from the date the person or persons residing in the family apartment vacate the premises at which time the owner or his representative shall remove the kitchen facilities and request the building inspector to inspect the premises. 3. It is further understood that the petitioner and the person or persons residing in the family apartment shall sign affidavit(s) prior to occupy- ing the family apartment, and shall sign such affidavit(s) no later than a year from the granting of this special permit, and thereafter each year on the anniversary of the first signing. Such affidavit(s) shall recite the names and family relationship between the parties. 4• No occupancy of the family apartment shall occur until the final inspection by the building inspector and the issuance of an occupancy permit. 5. All affidavits required to be file hereunder shall be filed in duplicate in office of buildinginspector pector and in the office of Zoning Board of Appeals of the Town of Barnstable. The petitioner's failure to comply with the provisions of this decision and the provisions ions of Sec tion V of the current zoningbylaws, laws whichto time be amended, ma result in the revocation of this special from time in Y pe permit and fines. V '-` U'Q�✓.......................... Clerk of the Town of Barnstable, Barnstable County, DTassachusetts, 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 deeision has been filed in the office of the Town Clerk. - �iSr trc� ��Sr crr"l Signed and Sealed this ::�ti�.:..... Ala} of ............... `.� � penalties of perjury. "....................... lri+-��►-•..........._. unt�r the pains and Distribution:— Property Owner ........................................................................................ Town Clerk .................................................. Board of Appeals Applicant- h'Town of Barnstable Persons interested Building Inspector Public Information y ........ ...... . . Iinar<l of Appeals Chairn At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. Appeal No._ 1987-57.. Page ..........2........... of __:3.......... On _.__.__July .16....._..._.......................................... ...... 19$..7..__....... The Board of Appeals found The petitioners seek to establish a family apartment pursuant to the provisions of Section V of the zoning bylaws at 336 Buckskin Path, Centerville, MA. Appearing on behalf of the petitioners on July 16, 1987 was Mark Vamos, who presented a set of scaled drawings entitled Garage Conversion Scale 1/4" equals one foot. The petitioner seeks to convert an existing garage into a family apartment for the use of his mother. The remaining portion of the premises is to be occupied by himself and his sister, Kimberly Varnum. The petitioner related that he, his mother and his sister currently own the premises which consists of a one story wood frame building on a lot con- taining 17,193 square feet of land. The premises is located in an area of single family dwellings. The petitioner indicated that he is aware of all of the provisions and requirements of Section V of the zoning bylaws. Two neighbors spoke in opposition to the petition expressing their concerns regarding the impact of such an apartment in an area of single family dwell- ings. Dexter Bliss made a MOTION to grant the relief being sought on the basis 9 that the petitioner shall be complying with all of the provisions of Section V and that an evaluation of all the evidence presented by the petitioner would indicate that the granting of the relief being sought would be fulfilling the spirit and the intent of Section V without substan- tial detriment to the public good or the neighborhood effected. The MOTION was seconded. I, _.._................................................................................._._..................._............. Clerk of the Tnivii of Barnstable, Barnstable County, AZassachusetts, 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 deeision has been filed in the office of the Town Clerk. Signed and Sealed this .-- . aY of .........................:................ ..............:............ 19 under the pains and penalties of perjury. Distribution:— PropertyOwner .:........................................................................................................................................ Town Clerk Board of :Appeals Applicant 'I'owu of Barnstable Persons interested Building Inspector Public Information 1;} .:......_ .. . ... .. Y.... ....................... Board of Appeals Chai man TOWN OF BARNSTABLE BUILDING DEPARTMENT h t ' HOMEOWNER LICENSE EXEMPTION - Pl.ease print. DATE F JOB:.`LOCATION um er Street address ection .o town "HOMEOWNER" � ame,. Home phone ork p one. PRESENT'MAI LING ADDRESS .��� �✓�G�✓��.� �•S T�-/'' ity townState rP:co e The: current exemption. for "homeowners" was extended to include owner-occupied dwellings. of six. units ,or less and to allow such homeowners to engage. an in- ivi ua ;for. hire. who:does not possess a license; provided that the owner acts' as supervisor. (State Building Code Section . ,DEFINITION OF HOMEOWNER: ,Person(s). who owns a parcel...of land on which he/she resides or intends to re- .side, on.which there is, or is intended to be, a one to six family dwelling, attached P' 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 bui1 ding permit, (Section . . .sThe undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the'Town of Barnstable Building Department.Ah.inimum inspection pr..ocedures and requirements ;and that he/she will comply.with said procedures and requirements 'i HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet,"yorelarger, will be .required to comply with State Building Code Section 127.0, Construction Control . 8 .. HOME OWNER'S EXEMPTION The Code state that : "Any Home Owner 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 a Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " . 1 Many Home Owners who use this exemption are unaware that they are assuming, the responsibilities of a supervisor (see Appendix Q, Rules and Regulations -for, Licensing Construction Supervisors, Section 2.15) . This lack of awareness ten results in serious pfioblems, particularly when the Home Owner hires unlicensed persons. In . this case our Board cannot st the unlicensed person as It would with licensed Supervisor. TherHome ,Owneroceed nacting �tias;supervlsor is ultimately responsible, To ensure that the Home Owner is fully aware of his/her responsib( Iitfes, man communities require, as part of the permit application, that the.'Home certify that he/she understands the responsibilities of a Owner supervisor . On the last-page of this Issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. I I V V. A' Assessor's offioe (1st floor): rq • . ` y J d l AA ,�� SCPTIC SYSTEM MUS P E TO Assessor's map and lot number ..... .. ...!!1Lt........ .. 0 IN COMP Board of Health (3rd floor): Q� S' C of �- WITH TITLES Sewage Permit number i B6Ha9TAXLE, Air ! Aea Engineering Department (3rd floor): }q• 0� House number Ate, ,�hFt t �- '.rtoYA9 a` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BAR.NSTABLE BUILD G. INSPECTOR r APPLICATION FOR PERMIT TO . .......... .WC4 l TYPEOF CONSTRUCTION .............. ... ..................................................................... .-........... ..... 4 w .............................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... �.............. ...................... .............................................. . Proposed Use ....... /14.�. ��!........ . .A. ........................................................................................................................... ZoningDistrict ........................................................................Fire District ............g..................................................................... Name of Owner / !. /Llc.1r �'!�us..................................Address ......�. ..{JNU`c,��C« ... (� k Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .........�.................................................FoundationItL .T� . ?............................................ Exterior ,ouY�.....,,f.&l/' . ....EDJ.....................................Roofing ....� ./!!12..!.................................................. Floors ✓!L ..wuu,a .Interior .............................................. Heating `/IJT...G� i"?f7L G 1",f............................Plumbing ...1.4 /`/ / O C/V L r/` .................... ....... p r� Fireplace .........................................................................Approximate Cost ...........1®,1.......... ........... ......................... Definitive Plan Approved by Planning Board ------------------------_-------19_______ . Area rJ... .. ....�. ... �' , © ©cJ Diagram of Lot and Building with Dimensions Fee r SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 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 ......... ....... .................. 0-ATMOS, MARK �- o No ..3...1.4.4.0.. Permit for ..Remodel t.................................. Family.. .................. pe.n.t./...Frame...D.we 11 i ng ..... ....... Location ..3.3.6....Buckskin...Path. . ................... .. . .. .... .. . .. ..... .... .. A Centerville ............................................................................... Owner Mark Vamos, Type of,Construction ........F.r.....ame..................... .. .. .. ............ ................................................................. Plot ............................ Lot ................................ 719 Permit-Gran+ed .......!�!�yember';'� 9 Date of Inspection .........Z7..................... --Date- Completed. ...........................f.......:"P 19 1 12 iv 1 t= vy \i� •1 J I. F rlA t. C6iZT1FIED P.L.CT LOCAT1ofJ CJEI_If NIL• t SCAL 1 C G lZ T 11=%4 . T"A r T 14 E PQGP,�Tft-so-ow�.D PL A�.1 R F c 21=�.J GE u E�E��J CUN�PLYS W I TI•� THE 51�'E.LI N� ;' A1.ILD 5�7F3nCIC ('C-Qc�iQENtc1.1T`S OF ` TNF �0-T- 4 ;( -To wLl of rATG =ti REGISt'c-R�.D LA.WC> SUeval?OVzs x ' T�+S DL.AI-J t5 LlOT BAlsev b" ALJ '0STE9-V%L- E o �4tASS. j` E�l�;�l`U�t=_�.1; �U�vc�('¢ T:1E= Ups=Sc��'�� Si•lGW1.D APP<_If.A1JT c� , oeTc.V-M1%4U LO-V LlWiBg �,J�DIL1 � • Vd,���)�, n Assessor's map and number. ....1.91.:. . .(..... THE Sewage Permit' nu mber umber ..c /..... .a..9. �--CPTIC SYSTEM M { // 3 3 G I INSTALLED IN COIVIi� B T�LE. House number..,..... 3.4?...............,............:......................... I air WITH TITLE 5 Y•��0 d R AL CODE A - TOWN . OF . •BARNS ° ULATIONS 4 • BUILDING I1SPCTR 1 , APPLICATION FOR PERMIT TO ...:.......60.4:......X..q 0/?!I . TYPE OF CONSTRUCTION &.P o.0........ ........... .... • .....................................19.. .. ^!1•i 3I _ ,.h - F . a,..J:1,.sy.u�°I •liG. w ,l...„iy... ��.w S ? ..,f "YI- l,� '. R ti .� ,,.I� ` Ii 6. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to Ct-h?e followUinC gC/.inform.I.a.t.i.on:: .5 .. ......................... .....Location ....✓ ?. ... 4.......... it . .. ProposedUse ... ................... . ......... f ........................................:.............................................................. ZoningDistrict ................................................ ..................Fir.e District ..................................... ....................... GName of Owner ���� f/i9/Y1 ...................Address UGK t V.........1`.:&A................ Nameof Builder- .. ,> C..�`.:..............................................Address .................................................................................... Name of Architect ..,.........Address Number of Rooms Foundation "G- �G ............. ................................ Exterior Gvoo ...........:........:.....:....Roofing --IT L..............: ,. Floors ��.��C�iS�a.°. Interior J.... �y�'.:...... ........................................ GC Heating U Tw•¢1 � , T....:Pluri'iEjing;.... .. ..:,r ..... .. ......I. ........................ g . ............. ....... ....... -.. p Fireplace .......................... .......... .....................................Approximate Cost ....` /. �............................ ..... Definitive Plan Approved by Planning Board ______r_,______________________19________. Area `.L�. .....�. .....'....... Diagram of Lot and. Building with Dimensions. Fee. ............... .... — ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 F ! y V; A 'N. .� - r 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. t Name .................1................................................................ VAMOS r NAi3�IE 23683' ADDITION i o ................. Permit for ................................... ` �• x Single Family Dwelling ' t .......... . .336...Buckskin...P.......... ............ E Location ......................................ati1.................. `J ................. P'Xitex-vi.1.1,e. ................................ of Nadie Vamos Owner .. ........................................................ Type of Construction Framlr.......................... �' �! r ................ . ..................................................... Plot ............................. Lot ................................ y Permit Granted December e _ Date of Inspection ................pp..��.....pp..........'19 Date Completed ..................4..:.-.i?. --19 �t 4 71, i J / f EARNSTAK MAGIL BUILDING � N N �� 0 �� INSPECTOR ��NNNN�N0N �� N� �� =� � ���� m �� �� � APPLICATION FOR PERMIT TO .......... � TYPE OF CONSTRUCTION ----- ......... ` -.--.-.....-..-.......l9........ V � � � TO THE INSPECTOR OF BUILDINGS: � The undersigned hereby applies for o permit according to the following information: Location .....33�..... ���/~J� .� .......... ......... /��^ '{��.^/ (C .+,.. ........................................ ProposedUse -------------..-------.---.--....------.--------... Zoning District ----.----....-------------RneDixtrict --------------.__-_________ Nome of Owner Ae4?/q-. -------AJJress A�(�....T4 ................ Name of Builder' .� /^�'C~................................................Address -------.------------------.-.. Nome of Architect ----------------------A66rex -------------------.-.------- Number of Rooms ..----/ Foundation /~������ � � � �� (c ----------------' . � .-. . ---- � Exlehor ............. -' ----------�Ruo�ng .�r��--- . ~..^/7~�----------,.. v ' � Floors .............................................. n^erin, ------'_l'���--'�..��--.~�� -. . � ----'` r' � � --' ----' Heating .........he-/—ft �..�..^�r'-------------.Mum6ing .............................. ...........-.41..L-'----.----. Fireplace --_------------------------Approx|mooeCoo -.~-.-�.^^}.L�.c�.--'.-,_,._,~__._. Definitive F1on Approved by Planning Board l9--------' Area ..;4t...| ��i.......'.-.. Diagram of Lot and Building with Dimensions Fee ----' ................ � SUBJECT TO APPROVAL OF BOARD OF HEALTH ! � ~ ' � | | ' | � ° � | | � � � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � | herebyagF-ee - to conform to all the Rules and Regulations' of the Town of Barnstable regarding ��6ove � construction.- -- � � ' Name ---.--.......-..-.../:..^:.....c:..........~-----. x / VAMOS, NADIO --Iiz-,9 1-7-1218 23683 ADDITION No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location .....336 ....336...Buckskin...Path.............. .. .... ....... .. .. .......... Centervi4lile .......................................a......................I................ Owner ...........Na.............d io '�..L..•....mbs............ ............... 41 Type of Construction/..........F...ameN................. ........-.... ........................................... ........... ................... Plot ......................... Lot ...... ...................... Lobe embeV 3, 81 Permit Granted . ...............................19 Date of Inspection ................... ...............19 Date Completed ................. ....................19 77- Regulatory Services Thomas F. Geiler,Director Building Division ON G �� * BBivseABLE ' Thomas Per CBO' Building . MAW � rY�, � g Commissioner Ap ��• . 200 Main Street, .Hyannis, MA 02601f* 1 -f ; 08 wrvw.town.barnstable.ma.us µ Office: 5.08-862-4038 Fax: :508-790-6230 - DIFYYF MS 1t1 Town of Barnstable Family Apartment Affidavit I, being on oath,depose and state as follows: 944�k. b.4-1 oS My name is � I am the owner/resident,of the . property located at: G� C✓C. raC� wZG 3 Z -The`following members of my family will.be the sole occupants of the Family Apartment at the aforementioned address: Name&relationship to owner. i�''I �/ -` ��11'�°S_- U�} iU v Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-ident f ed family members..In the event that the listed relatives vacate said apartment, Iwill 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 bythe:ZBA.Special Permit and/or the Town of Barnstab.le,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 V /v,A91c,1 .2013.: . F. Signature ' `. Phone Number- Print Name �� q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services of Thomas F. Geiler,Director. TOVt$fir , Building Division ` BAMM ss Thomas Perry, CBO,Building Commissioner 7917 tf l u pi. 12- 36 ArEc�" 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. s Office: 508-862-4038 µ`Fax508-Z90-6230 Town'of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: �S/cj/L) A r 45 The following members of my family will be the sole occupants.of the Family`Apartment at the aforementioned address: Name &relationship to owner: f/F1-2`Af U eA , 5/s 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 /3 rA day ofJro1%10A-f Y 2012 g s2D g---7/- L13 9Ie Signature Thone'Number " Print Name M'AAlk t1.49 M,o S 1 q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services oFt"E Thomas F. Geiler,Director L Building Division ryn= &UMST"BLB, ' Thomas Per CBO Building Commissioner MASS. g Perry, > g �bA i ,19' .�` 200 Main Street Hyannis, MA 02601 rEo n�r►r A 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: 1VIy name is >/A 44 O S I am the owner/resident of the property located at: 3 3 6 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: el M6 ce L Y ��2 Al y �' S 7 S ✓� 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 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 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. ) Other Sworn to under the pains and penalties of perjury this J S day of ',c.u�.G 2011. 6G sa(P_77�— Signature Phone Number Print Name �� V 14/✓l S Town of Barnstable Regulatory Services �oFt►+e t � Thomas F. Geiler,Director Building Division ,OWN OF PPIR.NMABILE r sn MAB .g* Tom Perry, Building Commissioner 3 s�@ ll S. 1639• �� 200 Main Street,Hyannis,MA 02601 7 E,Q .IM! f_5 A111 8• 4`s �'°rEn Ma+s www.town.barnstable.ma.us Office: 508-862-4038IN Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath;depose and state as follows: My name is RAR l 016-. 1 am the owner/resident of the property located at: 3 3 6:1 13 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 4:�I-/n /V"" S 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. 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 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✓Ait/t/61'2 Y 2010. Signature. Phone Number Print Name 1,7v/9✓L k V,4 124 o S Q/bldg/forms/famaffid Rev:l2/08 Town of Barnstable Regulatory Services °F1HE tqy� Thomas F. Geiler,Director Building Division * RARN BLE. ' Tom Perry, Building Commissioner y Mnss. g' i639 �0 200 Main Street,Hyannis, MA 02601 AIEp1 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 /Y��I�k �� �S' i`am the owner/resident of the property located at:. , .33 UGKSKI A097/V GtiT�-rc-6/r ���, ✓�%4 U� �3 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Yoh w1/✓YJ S1 S T 2 Name & relationship to owner: The FamilyApartment will be the primary ear-round residence or the above- nti red p P YY .f f.... family members. In the event that the listed relatives vacate said apartment, I w'll imm ,ately-, co notify the Building Commissioner in writing. 1 understand that no subletting ubleasin of said Family Apartment is permitted. c n , 1 understand that I am required to file an Affidavit annually with the ding ,. Commissioner listing the names and relationship of occupants in said Family rtment.4 also'; understand that I am required to comply with all conditions imposed by the.ZBA pecial�ermi and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apa, ,ments.�agr • to notify the Building Commissioner immediately in the event of the sale of this p 'perty. 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 3 day of 0get>!2009. / 5:�,F 771- yes Signature Phone Number Print Name S Q/bld g/forms/famaffi d Rev:12/08 L Town of Barnstable Regulatory Services pFTHe loy, Thomas F.Geiler,Director ti Building Division STABLE, " Tom Perry, Building Commissioner y� MASS. g 1639. 200 Main Street,Hyannis,MA 02601 AlE° �A 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 �D '� 1/�r�d S I am the o-%Nner/resident of the property located at: .3 3 //i, 6 3-2 The following members of my family will be the sole occupants of the.Family Apartment at the aforementioned address: Name & relationship to owner: X-11"&xl�/ llq.v��S lit�U�l `— S/ S 7_6A), Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified. family members. In the event that the listed relatives.vacate said apartment,I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartmenxs. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property 0-1 . � r- If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. w r The apartment has been transferred to the Amnesty Program (Appeal No. u� J Other ' �: v p Sworn to under the pains and penalties of perjury this day of w 0k y 008.41-3 Signature . Phone Number Print Name (/9/"4 S Q/bldg/forms/famaffid Rev:1/03 4 4 Town of Barnstable Regulatoryr 'Services FIME r° Thomas F.Geiler,Director Building Division OLE * BARNSTABLE, * Commissioner' i{"fi L1 1 t i J s . MASS. Tom Perry, Building Commissioner 0.39•� �0 200 Main Street Hyannis,MA 02601 r.'AIFnMv�s www.town.barnstable.ma.us � ' � � ai �! 19 Office: 508-862-4038 .... . Ib` 1nFax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 0A1? V/ ,44d I am the owner/resident of the property located at: 3 3 & UCka,-10 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name,& relationship to owner: M/u Z�ZCl� fj ZN U,1/1_ - S/ST�s2 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. .1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 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 u d the pains and penalties of perjury this /y day of T No,X 2007. .,Sad-7,/ Y& /. . . Signature - _ Phone Number Print Name �9✓2`C Q/bldgdormsdamaffid Rev:1/03 Town of Barnstable Regulatory Services pFIKE lqy� Thomas F.Geiler,Director Building DivisFdn �? ;f` `'i'� L * BaxxsznsiE Tom Perry, Building Commissioner MASS.9 `0$ 200 Main Street,Hyannis,c�Yi "12 3 ��`� " 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 IX412 K hA 114U S I am the owner/resident of the property located at: j All Map and Parcel Number ��° l f/, 1-4`�7, /�W e'f_� /y The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: /�M-,S-C 1,61f vyM- Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this /9 day of ti�� 2006. 2,21::jV Signature v - Phone.Number Print Name Q/bldg/forms/famaffid Rev:1/03 l7 �� Town of Barnstable Regulatory Services P�pF1HE rOh� Thomas F.Geiler,Dire tort j, [,15 i- °� Building Division '• BARNSPABLE, Tom Perry, Building Commi'ssonerN 19 f' i 4 � y MASS. 1639. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �'��o S I am the owner/resident of the property,located at: 3 3(o UGl�Siiy ��//, CP.� i��ers. 6a 63� Map and Parcel Number ��° 1,94 LDi y7, 2�1 C /D /L &PPe9t* I 7 r S7, &6y 7i-.J 7 3o-J 7, 6&)k 6,016 The following members of,my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &-relationship to owner V 4�g pt 1"'-'04 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. 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 enalties of perjury-this this w � day-of of _ 1� v� 2005.-- T_ - ,I? p Jam'- y- Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:1/03 L 'Town of Barnstable Regulatory Services Thomas F.Geiler,Director T�Vi ra ti Building Division n w snxivszna Tom Perry, Building Commissioner MASS.39. � 200 Main Street,Hyannis,MA 02601 - ATED MA'S A -�OfVIS10H Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is �' I am the owner/resident of the property located at: ✓13� '�v s/C�ti lP'` A�f 4z63.,—, Map and Parcel Number /k1,,V 191 Lor- `17,, /O &&t,- /S y The ZBA granted me a Special Permit/Variance on 17'3z) S-7 Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: kAt 3 e+ / � a �A<Xyvl 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 Sworri,to ii der the`pains`and penalties of perjury this ' 3 / day of J��}/� -- 2004 sop- k Signatuie Phone Number 'Print Name Al Q/bldg/forms/famaffid Rev:l/03 Town of Barnstable Regulatory Services °F7NE rp� Thomas F.Geiler,Director TOWN OF BARNSTABLE Building Division va"MASS. Tom Perry, Building Commissioner 2003 JAN 22 AM 11: 15 039. ,0� 200 Main Street,Hyannis,MA 02601 $AIFD MA'S a Office: 508-862-4038 DIYlS104 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: Map and Parcel Number° /9/, Lvr- q7 The ZBA granted me a Special Permit/Variance on 2-30_P7 7 d 4.. Date Appeal No. The decision of the Zon ing-Boar of Appeals has been recorded with the Registry of Deeds in Barnstable County:,Book O./&. page - -� - — - The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Ao;he26 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified familymembers. in the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in w!ri bzg..I understand that no subletting or subleasing of said Family.Apartment is permitted.�'� -!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 Amnest Other y Program (Appeal No. ) Sworn to underr a pains and penalties of perjury this day Givy Y of �! * 2003.. Signature ro p-7 7/ Print Name ,r Phone Number Q/bldg/forms/famaffid Town of Barnstable o K /6 Regulatory Services ZIHE roy� Thomas F.Geiler,Director TOWN OF BAR STABLE Building Division aAxxsTAaiE, Tom Perry, Building Commissioner 2003 JAN 22 AM 1 I: 15 9 MASS. Q� 1639. .0 200 Main Street,Hyannis,MA 02601 AlED NAA�A - 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 �' �$ a I am the owner/resident of the property located at: 33G Map and ParcelNumber ° 19I J Lr�i— G�7 Ace //0 The ZBA'granted me a Special Permit/Variance on ��3�- %P,7—s-7 Date Appeal No. -: The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book Page The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 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 t e pains and penalties of perjury this C2:/ f✓ day of �avv�n / 2003. rs Signature Phone Number Print Name 127 g�Af AFq o.r Q/bldg/forms/famaf d Rev:1/03 4 , Town of Barnstable , Regulatory Services g Y F� loy, Thomas F.Geiler,Director C% Building Division BAMSrABLE, Peter F.DiMatteo, Building Comnus � W A►$LE MASI 0 9. ��� 200 Main Street,Hyannis,MA 02601 plEo +" 2002 FEB 2 ( PM 3. 02 Office: 508-862-4038 Fax:.508-790-6230 Town of Barnstable Family Apart Sidavit I, being on oath, depose and state as follows: My name is 12-1,192/LK L/ lz l 0 s I am the owner/resident of the property located at:. "336 /3ac-Ask,,L, z- Map and Parcel Number The ZBA granted me a Special Pernut/Variance on Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Tt'n- 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 '2 o day of /5_6_.9 2002. Signature —~~ Phone Number Print Name Q/bldg/for=/fa=ffid Rev:010702 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT �4 ' I, ,being on oath, depose and state as follows: 1.) I reside at 3 3 6 Zoe-A 3k .",, ����c c�r �� /�P A,* , p.7-C.-4 z 2.) I am the owner of the property located Am shown on Barnstable Assessors' maps as MAP PARCEL Y 7 3.) I Do Vl Do not have a Family Apartment at this location. 4.) On 3o, /7-?7 , 199 , the Zoning Board of Appeals, on Appeal No.IV,7 S7 g,anted mme a Speciai Pent t/Vari:lnce to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAM 1z9/n2 6S Relationship to owner:_ /h o IW-?I- b) NAME /C2 07 60 ex L 2 • 66,11L�S 0,04,yu ft .. _ Relationship to owner: 51's jz?z- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. /3P7 - S7 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this __day of�cze.�/✓�'C�, 199 6�o Signature Print Name L COMMONWEALTH OF MASSACHUSETTS BARNSTABLE R E i1b depose and state as follows: TpW N Opp 1.) I reside at_ NG p/�AB�F 2.) 1 inn the owner of the property located shown on Barnstable Assessors' maps as MAP____/_21 _-_PARCELy7 3.) I Do___ 7/ --Do not __have a Family Apartment at this location. 4.) On-_L/ --------- 199_7-, the Zoning Board of Appeals, on Appeal No. ;'fV7_-5-7 granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME--k'/AV he z-u --- �_M os -- Relationship toowner:----- b) NAiV1E__________-- --------------------------------------------------- Relationship to owner:-=---------------------- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that 1 am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) 1 understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. ___-_Au 7-S 7___—_—_—__---- 12.) 1 agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this _11 --day of ��✓�U4,1tV , 199_�__ Signature ----- -------------------------------- Print Name ----------------------- COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT LWAI OP 1, --- - o S----------------------- depose and state as follows: D JA V0 0 p�Ste el ll2 S 1.) I reside at_336 �^_J�1C� N �1�--,�_-��z�' 2.) I am the owner of the pro erty located / Eire ���-,-_C_��� shown on Barnstable Assessors' maps as MAP_ E1---_--PARCEL 51 7_____ 3.) I Do— ____Do not ---------- --have a Family Apartment at this location. 4.) On`l(/ 34) ______, 199 -7 _, the Zoning Board of Appeals, on Appeal No. granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME_Britt Relationship to to oker-:Z_5_1,Y ------------------------------------------ b) NAME Nq d�&- ------------------------------------------------ Relationship to owner:—tW o�_H_�✓C -------___________________________ 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affida,,,it with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. l 7=S7 _ _ 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of e 'ur this =a� P P P �J Y t�__---day of V /V144/L�/_—, 199.7__-- Signature -- ---------- IV Print Name ---------------------- oFTME'q The Town of Barnstable Department of Health Safety and Environmental Services B ,s.,.,MM » Building Division ' 367 Main Street, Hyannis MA 02601 RFD MA'S A Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissione December 30, 1997 The Vamos Residence 336 Buckskin Path Centerville, MA 02635 Re: Family Apartment located at the above address Dear Mr./Ms.Vamos, Our records indicate you have not filed an affidavit regarding the above referenced family apartment for quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by January 30, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Ralph Crossen Building Commissioner QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 12/30/97 PARCEL ID 191 128 GEO ID 11525 LOT/BLOCK 47 DBA PROPERTY ADDRESS OWNER VAMOS 336 BUCKSKIN PATH NADIA Z & MARK & I CENTERVILLE 336 BUCKSKIN PATH CENTERVILLE MA 02632 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RC SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 16988 .4 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PERMITS / (V) IOLATIONS / (G) EOBASE / (E) XIT COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss : AF'F'IDAVIT I , and state fellows ; being on oath, depose as 1 , ) I r e s i - e at L-,� IL 2 . ) I rn the owner of the 3� �G�Sle�ti property located at shown on Ba ns e �`���`table ssessors , Maps as : Map _ Loth 3 . > on —I1��� 3 Appeals, on Appeal Nc /S�j_s'719 the Zoning Board of special permit to maintain a family apartment'atrthe�aboved me aaddress. 4 , ) ' I understand that the Family apartment may only be occupied by .members of my family who are persons related to me by blood or by marriage . 5 ° ) The following members of m family sole occupants, of the family apartment at the wabove eaddresss the (1) Name: 6�,21_ Relat ion,h i 'uuS p o Owner; �57�m , (2) Name ; /h2s Relati )nship to Owner: 6 ° > The family apartment will be the primary year- I round residence for the above-identified family members . . 7 . ) In the event that the above-listed relative(s) vacate said apartment, Building Co I will immediately writing . notify the Commissioner in 8 , > I understand that no subletting II said family apartment isng or subleasing of Permitted. 9° ) I understand that lamrequired to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members ocpying said family apartment . cu 10 . ) I understand that I am required to .comply with all conditions imposed by the Board cf APPc:a18 in lY with y�7 - s"7 1 No. Commissioner I agree to immediate) issioner in the event of the salethe Building property. above-listed worn to under this pains day of 19 and penalties of perjury this ° t TOWiVOF W (Please Printgna Name) : BWNdG DEPT. D 0UL 7 - - ECEIVE L va �S �l;a �i �� ✓v�.�O e-v� Vo-/V�S • ` � ��� ^-�-- i � � I i 1 i � I l � ' 1 _ �, - I i _ _,. i COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ' s s: AFFIDAVIT being on oath, depose and state as follows : 1 . ) I reside at 2 . ) I am the owner of the ° .��� /,�v��✓�iw ��� p°P ert Y located at shown on Barnstable Assessors ' Maps as : Map /9/ , Lot . 5/2 3 . ) On Z 19017 , the Zoning Board of Appeals, on .Appeal Ko._ ,T7 granted me special permit to maintain a family apartment at the above address. 4 . ) I understand that the family apartment, may only be ` occupied by .members of my family who are persons related to me by blood or by marriage . 5 . ) The following members of my family will be the sole occupants, of the family apartment at the above address: (1) Name: A111X_f Relationship to Owner : G (2) Name• Relationship to Owner: .J�✓hv� 6 . ) The family apartment will be the primary year- round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment , I will immediately notify the Building Commissioner in writing . 8. ) I understand that no subletting or subleasing of r said family apartment is permitted. 9. ) I understand that I am required to ;annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to•.comply with all conditions imposed by the Board of Appeals in Appeal No. 10 . ) I. agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this ? ay of s 19 may, w RECENEO (Signature) AWAY. (Please Print Name) : BUIIQ'"DF.PT __. r s COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , being on oath, depose and state as follows : 1 . ) I reside at 33� d3Uci� C[�n.��iL.e 2n ) - 1 am the owner of the property located at 3 b 'J�/GLc� i•y . i .�_ Ielf-u/ lam / G� shown on Barnstable Assessors ' Maps as : Map — �?z , Lot 3 . ) On G41-- o , 19,P7, the Zoning Board of Appeals, on Appeal No. S7 , granted me a special permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be ` occupied by .members of my family who are persons related to me by blood or by marriage . ° 5 . ) The following members of my family will be the sole occupant; of the family apartment at the above address: (1) Name. A -S. 2 • 1,14m aI _ Relationship to Owner: �re (2) Name; Relationship to Owner : sir _ ° 6 . ) The family apartment will be the primary year- round residence for the above-identified family' members . 7 . ) In the event that the above-listed relative(s) vacate said apartment., I will immediately notify the Building Commissioner in writing . 8 . ) I understand that no subletting or subleasing of said family apartment is permitted. 9 . ) I understand that. I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to-.comply with all conditions imposed by the Board of Appeals in Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perJury this day of 19 � lI Q)EO (Signature) REC P (Please Print Name) :MAY, 2 9BUILDING DTOV," a COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , =:�k being on oath, depose and state as follows: 1 . ) I reside at 33 2 . ) I am the owner of the property, located at shown on Barnstable Assessors ' Maps as: Map %S/ , Lot /„2 JV 3 . ) On y'7�LLi �l. 19f"7, the Zoning Board of Appeals, on Appe�o. Z�W -1_ granted me a special permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be occupied by .members of my family who are persons related to me by blood or by marriage . 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name: 41��xu o .S Relationship to Owner: 64,1vP,e_ (2) Name: Relationship to Owner: 6 . ) The family apartment will be the primary year- round - residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8 . ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to .comply with all conditions �/i7mposed by the Board of Appeals in Appeal No. y�/ / —// 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this o?S day of 19 . (Signature) (Please Print Name) : Jlbsleph D. Da Luz Telephone: 775-1120 Building Cornminsforier Ext. 107 TOWN OF PARNOTARLY, BUILDING DEPARTMENT TOWN OF'F'.[cE BUILDING HYANNI�,;, MASS. 02601 tlz-.iy 16 , 1990 Kimberly Vamos-Varnum, Nadia Vamos & Mark Vamos 336 Buckskin Path Centerville, MA 02632 Re: Family apartment located at 336 Buckskin Path Dear Property Owners: A year ago you filed an affidavit with this office re the above referenced family apartment . It is required, by Section 3-1 . 1 (3) (D) (1 ) of the Town of Barnstable Zoning By-law, that an affidavit be submitted annually for the duration of such occupancy. . Enclosed is an affidavit form for your convenience. Please complete this form and return it to this office as soon as possible. Peace, �J A)- ph 0' 1_1 1.1!jr)a Cr,cl mj'3� uilding Co missioner JDD/km enclosure COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT 91M9£2LL1 Vr M0S-VnrZkA)W1- W UAV1 5Iq _ -vAMos �. ►.AA(LIL y ArAo5 being on oath, depose and state as follows : 1 . ) reside at' 33 lv U.clzsk�h Pa`t'�,c"e-n}ervi �le, " A 0ZZZ(,32- 2 . ) Z am the owner of the property located at 3 U 13N��SK1� PAT Ha G.FNTE:rz ILLS shown on Barnstable"Assessors ' Maps as: Map P.1 9 1 , Lot I ZR 3 . ) On Tu.l y 1 b , 19 S7 , the Zoning Board of Appeals, on Appeal No. 99v7--- 5) , granted me a special permit to maintain :a family apartment at the above address . 4. ) I understand that the family apartment may only be occupied by members of my family who are persons related to me by blood or by marriage . 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name: Mto121E VANDS Relationship to Owner: 50 � / bY-0+her (2) Name: Relationship to Owner: 6 . ) The family apartment will be the primary year- round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. I 8. ) I understand that 'no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this day of _kj c 19 z (Signature) D1( lease Print Name) : r)a E f_t,L1 V A M o s _V A K--N U r,` �J A D1 A �. - VArvkos i\AAf2-le_ VAmoy '_��. 'bosePri D . DaLUZ Telephone: 775- 1120 Bui ) cJfng Commissioner Ext. 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS, MASS. 02601 April 24, 1989 Mark Vamos , Nadia Vamos & Kimberly Varnum 336 Buckskin Path Centerville, MA 02632 Re: Appeals No. 1987-57 Dear Property Owners: On July 16, 1987, as applicant(s) you were granted a Special Permit for a familypartment. "The intent of this by-law shall be to allow one ( 1 ) additional living unit, complete with kitchen and bath to Supply a year-round residence for a member or members of the Property owners family, . . . . . . . . . . . " In addition, the by-law also states that "The property owner, and the person or persons who- will reside in the family apartment shall sign affidavits before occupying said family apartment and further, all shall sign said affidavits each year said family apartment is occupied. . . . . . " . Within sixty (60) days from the date the person or Persons residing in the family apartment vacate the premises, the owner or his representative shall remove the kitchen facilities and request the Building Inspector to inspect the premises. It is important that you understand that there are restrictions which relate to the applicant's family 'living at the same premises. The use cannot be transferred. Conviction OF a violation of this by- law is subject to a fine of $ ) 00 per day for each day from the established date of offense and, also, subject to a criminal complaint to issue from the First District Court of Barn-stable. Affidavits must be signed and filed at the Building Commissioner's Office between the hours of 9:30 A. M. and 1 :30 P. M. Monday through Friday. This by- law shall be strictly enforced. Peace, z Building Commissioner JDD/km CC Board of Appeals Town (-o(in!E..e.i [OWN CLERK TOWN OF BARNSTABLE tlaRNS'TABLE. MIASS. Zoning Board of Appeals 'g7 JUL 30 AH11 01 Deed duly recorded in the __............................. __.._.._... Kimberly Vamos VarnumProperty Owner County Registry of Deeds in Book _._..__....._ _._..._.._..._......Same_..__..........___-______.._.._ ._....._..........._ .. Page ._._...._... ._...., _.....................................................Registry Petitioner District of the Land Court Certificate No. ....................... ......_................ Book ........................ Page .................. AppealNo. _1.987.�57•.._...._.__....___... _ ............................................................................. 19 FACTS and DECISION Petitioner .Afarlc•, -13adia_.b,_.Kmbe•r Va�aos _ ._.... filed petition on ................._............................. 19 requesting a variance-permit for premises at _336 Buckskin Path in the village (Street) of Gentezuil.]e _ _ ___, adjoining premises of . _ (see attached list) ._......................._.... Locus under consideration: Barnstable Assessor's Map no. ....._...._.1.9.1............_........... lot no. ..128.................. Petition for Special Permit: [ . Application for Variance: ❑ made under Sec. _.............................................._........ of the Town of Barnstable Zoning by-laws and Sec. ._. ...._.__. .. Chapter 40A., Mass. Gen. Laws for the purpose of he ap.artmenz._...... ..............._.......................................................... Locusis presently zoned in__ ___ ._RG _.__ _._ __... __._._._......._......._..._................................_._.........._.........._................ 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 ivas meld at the Town Office Building, Hyannis, Mass., at __ _7:50____. . P.M. Suly_._£8,.......................__._._._ 19 87 , upon said petition under zoning by-laws. Present at the hearing were the following members: _..........Rona d_-danss.on. _ _.. `Ga htingale ._.. .... Dexter—Bliss.................__.......... Chairman __......James._McGra.th_.._....... ._ _ .... _ Paul Broz�m........_._..__.._ . _.... _._..._ _._......_.__... ..._.....__... ...._._._..__._. "K = At the conclusion of the hearing, the Board took said petition under advisement. A view of the t locus was made by the Board. Appeal No. 1987=57 Page _.......2........... of _.__ .__.... On _._ JulY.16._ _. __ .. .._....._....._.._._..... _.. ... 19$.7. ._...... The Board of Appeals found The petitioners seek to establish a family apartment pursuant to the provisions of Section V of the zoning bylaws at 336 Buckskin Path, Centerville, MA. Appearing on behalf of the petitioners on July 16, 1987 was Mark Vamos, who presented a set of scaled drawings entitled Garage Conversion Scale 1/4" equals one foot. The petitioner seeks to convert an existing garage into a family apartment for the use of his mother. The remaining portion of the premises is to be occupied by himself and his sister, Kimberly Varnum. The petitioner related that he, his mother and his sister currently own the premises which consists of a one story wood frame building on a lot con- taining 17,193 square feet of land. The premises is located in an area of single family dwellings. The petitioner indicated that he is aware of all of. the provisions and requirements of Section V of the zoning bylaws. Two neighbors spoke in opposition to the petition expressing their concerns regarding the impact of such an apartment in an area of single family dwell- ings. Dexter Bliss made a MOTION to grant the relief being sought on the basis that the petitioner shall be complying with all of the provisions of Section V and that an evaluation of all the evidence presented by the petitioner would indicate that the granting of the relief being sought would be fulfilling the spirit and the intent of Section V without substan- tial detriment to the public good or the neighborhood effected. The MOTION was seconded. I, _......__.___.__-._..................................................._..................-............ Clerk of the T-nwn 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 .-FOOL:di11• of ............................... ....... 19 . under the pains and penalties of perjury. Distribution:= PropertyOwner ..............................................................................................................................._. Town Clerk Itoard of Appeals Applicant 'Town of Barnstable Persons interested Building Inspector Public Information ];y Mil ...._..................Board of Appeals man L At`the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. A eal No. 1987-57_..__ Page �......3............ of ... 3_.... PP On July 16 _ _ w _ 19 ........... The Board of Appeals found The Board voted unanimously to grant the petitioner the relief sought subject to the following conditions: . 1. That the alteration to the premises be strictly adhered to as shown on the plans submitted to the Board by the petitioner. 2. That the petitioners agree to fully comply with all of the provisions of Section V being mindful that the family apartment is to be used only for two members of the family primarily as a year-round residence, and that such use shall discontinue within 60 days from the date the person or persons residing in the family apartment vacate the premises at which time the owner or his representative shall remove the kitchen facilities and request the building inspector to inspect the premises. 3. It is further understood that the petitioner and the person or persons residing in the family apartment shall sign affidavit(s) prior to occupy- ing the family apartment, and shall sign such affidavit(s) no later than a year frcm the granting of this special permit, and thereafter each year on the anniversary of the first signing. Such affidavit(s) shall recite 'the names and family relationship between the parties. 4. No occupancy of the family apartment shall occur until the final inspection by the building inspector and the issuance of an occupancy permit. 5. All affidavits required to be file hereunder shall be filed in duplicate in office of building inspector and in the office of Zoning Board of Appeals of the Town of Barnstable. The petitioner's failure to comply with the provisions of this decision and the provisions of Section V of the current zoning bylaws, which may from time to time be amended, /may result in the revocation of this special permit and fines. I, ��( _� L.•�¢ p��/................. [?! .:7'... Clerk of the III-mcn 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. BUST Signed and Sealed this .:...... ............. dx}" of ..............�........................ undler the pains and penalties of perjury. Distribution: PropertyOwner ........................................................................................................................._........._.... Town Clerk Board of Appeals Applicant ' owlI of Barnstable Persons interested Building Inspector Public Information 3" - •. . . ��...................... Board of Appeals Chairn R 191 128. A P P R A I S A L D A T A KEY 115253 VAMOS, NADIA Z & MARK R_ LAND BLD/FEATURES EtUILDINGS NUMBER ZN/FL=RC: 55,800 1 , 200 102,500 1 A—CO:-,,,T 159,500 B—MKT 90,300 BY c:o/ BY 3/88 C:—INCOME PCA=1011 PCS=00 SIZE= 1840 ,_UST—VAL 159,500 LEV=:=00 C:ONST—C: 0 ----COMPARISON TO CONTROL AREA 37AC ----------------------------- NEIGHBORHOOD 37AC CENTERV I LLE PARCEL CONTROL AREA TREND STANDARD 101 10 LAND—TYPE 558003 LAND—MEAN +i 1595001 96618 IMPROVED—MEAN +67. 25X FRONT—FT 1 100 DEPTH/ACRES TABLE 02 1 00 1 LOC:AT I ON—ADJ APPLY—VAL—STAT 1 LNR3LAND LFT/IMPIAD_S/SB/FEAT STRISTRUCTURE ARRIAREA—MEASUREMENTS NOR7NOTES COM 7 MARKET I NC_I I NCOME PMR]PERMITS GRR 7 0RAPH I C FUNCTION—[ ] STRUCTURE—CARD NO-1000 7 DATA—[ 3 XMT C' '] f 1 R191 128. P E R M I T EPMT1 ACTIONER3 CARD10003 KEY 115253 000000003 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT EB314401 1111 1871 [AD] 1 100003 ELK] 1011 1883 11003 [NEW ] ECE FAM/APTI I I I I E 3 E 3 3 3 E I E I E 1 1 3 1 1 1 1 1 3 1 1 E I E 1 3 3 E I I I I I I I 1 -3 1 3 1 3 1 1 1 1 1 1 3 1 E 3 1 1 E I E 1 1 3 E I E I E I I I E I I I E 3 E I E 3 E I I I E I I I E I E I c I I I I I I I E I E I c I E I 1 3 E I E I 1 3 3 1 E I E 1 1 3 1 1 1 1 E 3 1 1 E I E I I I I I I I I I E I E I E I E I 1 3 1 3 E I I I I I C 3 1 3 E I I I I I E I I I c I I I I 1 1 3 1 1 E I E I E 1 1 3 1 3 T I E I E I E 3 1 1 E I E I I 'I C 3 1 3 c 3 1 1 1 1 1 1 E 3 3 1 E I E 3 E I E I E I E I E I I I I I E I I I C 3 E I E I E I I I E 3 E I I I E I I I I I I I I I I I E I c I E .1 I I E I E 3 E I I 1 1 3 1 1 1 3 1 1 E 3 1 1 1 3 E I E 3 E 3 1 3 E I I I 1 :1 E I E 3 1 3 E I c 3 1 1 1 3 1 1 E I I I c 3 1 1 1 3 1 1 I 1 1 3 E 1 1 3 1 1 E 1 1 3 E 3 1 3 1 3 E I E 1 1 3 1 3 E I 1 3 1 3 1 3 1 1 E I I I E I 1 3 E 1 1 3 E 3 3 1 1 1 1 3 E I E I I 1 1 ]E?3 ----------------- ------------ E: ]E:R191 128u � LOC]c_r;;;,`6 BUCKSKIN PATH CTY a 10 TDS] :s;00 CO KEY] 115253 ----MAILING ADDRESS------- PCA]101 1 F'iw S]00 YR]00 PARENT] 0 VAMOS, NAD I A Z & MARK & MAP] AREA] 7Ai.» iv] MTG]0cj00 VARNUM, KIMBERLY VAMOS spi] SP23 SR ] :;36 BUCKSKIN PATH i_T 1. ] U"(23 . 39 SQ P•T] . 1840 CENTERV I LLE MA 02632 AYB 3 197'2 E:YB 3 1.'=180 OB J CON ST I 000 r LAND "t5800 Imp 102500 OTHER 1200 ----LEGAL. DESCR I PT I ON__...— TRUE MKT REA - -CLASSIFIED #LAND 1 55, 000 A D LNG:+ 55800 ASS IMF` 102500 ASD UTH 1200 #BLI:►(:(S)--CARD-•-1 1 102,500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #O THER FEATURE 1 1 , 200 TAX EXEMPT MPT #kF'L 336 BUCKSKIN SKIN PATH RE S I DENT-L 90300 159500 1 cry5c"o #DL LOT 47 OPEN SPACE #RR 0192 0100 COMMERCIAL . INDUSTRIAL ... EXErMP'TIONS- SALE] 1. 1./86 PRICE] 1 ORB35389/€:87 AE=D] ;,I A LAST ACTIVI'TY307/22/;w;7 P'CR]Y � A 1 i i - iaili.G:.l.Lu.Uui1'.Lii[it.[iti.PLLtiW.Lu.�.Wu.1:l:i1CLl.u[.tt� C7.ktC�C'ElA.If�YY9915i5.}.'Cf�s�S$.��? ��ifllt�.s�A'1�"3£ifi£ ;:},�'�,�g"Y1'Ydt..�t�3.�itz�g3ltd!3.Yl.tt:ix'1difuS!�.Siuilsuli.i5z:rc.;rty t 1 . ., � >r-..x.,.x. .x.`.7...e�nxa^*s'14K+a�" "R��"��'�:aSiL•S�';'G�,'�,�T'^,^y�}3xx"s'MIu7Lf(.'SRF"' .♦ .. 'a+JN��%G".{S��.F4Z.nFC:"2dwiSS/.iv{S3iwCFLS:.txy}yy,�vvr��..,�a+ , Town of Barnstable pp fHE 1p� do Building Department Services Brian Florence, CBO * MUMSTABLE. v MASS. Building Commissioner s6gq. 10 ATfoMn+" _ 200.Main Street, Hyannis,MA.0260.1 www.town:barnstable.ma.us Office:. 508-86.2-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit 1, being on oath, depose and state as follows: My name is ���� & S I am the owner/resident of the property located at: 3 3 r. 1 VGEC The following members of my family will be the sole occupants of the Family Apartment at,the aforementioned address: , Name &relationship to owner:�'/kIl3 -A L Y S Y� l///9 0 G/Y/2F Name &relationship to owner: Ln The Family Apartment will be the primary year-round residence for th ve-idened family members. In the event that the listed relatives vacate said apartment, I will 'mmediaroty note the Building Commissioner in writing. I understand that no subletting or su leasing,.raid Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Buil' 'ng Commissioner listing the names and relationship of occupants in said Family Apa tment. Ico: 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 d 7 day of �J 2019. Signa e Phone Number Print Name gfirms/famaffid.doc rev 11/08/13 Town of Barnstable Building Department R Brian Florence, CBO * ' Building Commissioner TOWN OF BARNSTAM iOrFo " 200 Main Street, Hyannis, MA 02661 www.town.barnstable.ma.us 1018 AN 26 P 2' 07 �3 Office: 508-862-4038 Fax: 508-790-6230 DIVISION Town of Bamstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is N21 I,< YA 1 4S I am the owner/resident of the property located at: 3 3 /3 UC A SI-c-1 10 %L- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: yL 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 s Sworn to un er t e pains and penalties of perjury this ,"2.2 " day of Ili q/L/. 2018. Signature Phone Number Print Name /w- q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable _Regulatory Services Richard V. Scali,Director _-0 - Building Division "B Paul Roma,Building Commissioner = - C1 059. `0� 200 Main.Street, Hyannis,MA 02601 c www.town.barnstable.ma.us cLnn Office: 508-862-4038 Fax: '08-790�30 c. r-n. Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is �n 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: ok/l;1/6 L Y G' 1 t2 N u tkAS - . 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. F 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.Apartnient-at-tliis-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 '/6 day of VA"uAL,) 2017. Sam- 77/-.' 35� Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oF'THE Richard V.Scali, Director Building Division ' MASI STABIXThomas Perry, CBO,Building Commissioner i639- ,0� _ Argo�a 200 Main Street, Hyannis, MA 02601 wwwaown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Alri avit ` I,being on oath, depose and state as follows: I CDI NG JA Al I qq My name is % � � S I am the ownp/ side t th?eft � vcGtSk'�� ��c�-I- NOFBgN - property located at: RSTgQ�� CL /I v/ GL� ✓Yl✓/, 3 2-- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ACIN,6L-Wt:i' 11,40"s 414AI A .5/S 8?1- 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 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 beer.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 i/t-I/V f! 2016. 7-7/-1/319P Signature_ Phone Number Print Name d� sev S I q:forms/famaffid.doc rev 11/08/12 Town of Barnstable F r Regulatory Services Richard V. Scali,Director TOWN Or- BARNSTABLE BABNSFABLE. * Building Division Mass $' '{ W',} - R1 2: E 11 �pt 1639. A•� Thomas Perry,CBO, Building Commissioner fD MA'S 200 Main Street, Hyannis, MA 02601 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 V q nn b S I am the owner/resident of the property located at: 3 3 G /3 yc{c S k l iv PA i H GCNT�OZ_t// 6L9-, IV4, o 3_;1, The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: S�T,!9 9 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 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 !a '�'` day of J i4i�/ 2015. Signature Phone Number Print Name . /'}Zq�LC j/'19/M D 1 q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services �t"E rqy, Richard V. Scali,Interim Director l9' Building Division ®fig# ' BMWSTABLE, ` Thomas Perry, CBO Building Commissione e,!4 r , 15 RS I .ergo , p 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 D VJCFa;510'8= 90-6,230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 4)9-"2 I am the owner/resident of the prope y located at: 3 3 !rG%Si nJ 0�9A✓1-1 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 116 m 6 J y R' /Z/v a/V) C Si 5 7c-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 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 13 day of 2014. Sow 7-2/— Signature r Phone Number Print Name �/�-12 q:forms/famaffi d.do c rev 11/08/11 ' - ._ 1 . f