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Anderson, Robin
From: Kathy Swimm <kathyswimm@gmail.com>
Sent: Sunday, February 16, 2020 6:08 PM
To: Anderson,Robin
Subject: Property at 128 Cedric rd
Kathleen Swimm
128 Cedric rd,
Centerville, MA 02632
508-681-5797
kathyswimmn gmail.com
Currently the main residence at this address is vacant and will remain vacant until the property.is sold. I live in
the attached apartment. I intend to sell the property as soon as I am appointed personal representative of my
mother, Barbara Swimm's.estate.
Sincerely,
Kathleen Swimm
CAUTION:This email originated from outside of the Town of Barnstable!Do not click links, open
attachments or reply, unless you recognize the sender's email address and know the content is safe!
1
C.�o��s
4
EXHIBIT "A"
The land, together with the buildings thereon, located in
Barnstable (Centerville) , Barnstable County, Massachusetts,
bounded and described as follows:
NORTHEASTERLY by Lot 15, as shown on a plan hereinafter
mentioned, 150. 16 feet;
SOUTHEASTERLY by Cedric Road, a 40 ' private road, as shown
on said plan, 100 . 00 feet;
SOUTHWESTERLY by land of owners unknown, as .shown on said
plan, 150 . 18 feet; and
NORTHWESTERLY by land now or formerly of the Heirs of Abner
Jones, . as shown on said plan, 107.42 feet .
Being LOT 16 containing 15, 565 square feet, as shown on a plan
entitled: "Subdivision of Land in Barnstable, Centerville,
Mass. for Peter G. Sheaffer, Scale 1" = 100 ' , Feb. 20, 1972 ,
Down Cape Engineering, Civil Engineers, Land Surveyors, Route
6A, West Barnstable, Mass . " which said plan. is duly filed in
the Barnstable County Registry of Deeds in Plan Book 257, Page
94 .
Subject to a Reservation in favor of Normest Homes, Inc
contained in it's deed to Francis R. Swimm and Barbara A. Swimm
recorded with the Barnstable County Registry of Deeds in Book
2005, Page 167.
Subject to a Reservation in favor of Peter G. Sheaffer, Joseph
Borowick and Jacob I . Goff contained in their deed to Normest
Homes, Inc. recorded with the Barnstable County Registry of
Deeds in Book 1782, Page 063 .
For my title, see deed recorded with the Barnstable County
Registry .of Deeds in Book 2403, Page 348.
7383s
U
�r model sQ
(�/s / ) �- yster Harbor
sFw- '7s�
�FTMErO TOWN OF BARNSTABLE
STEM MUST BE
asaasTsan Ir 'TALLED I,"J COMPLIANCE
o a. BUILDING IHSPECTO ` A1 'I A' TIC!.E II STATE
r�ea
f6}9• ��° A":ITP,?y CODE AND TOWN
�" .!JLgTIOPIS.
//-/q - 73
q.A/
APPLICATION FOR PERMIT TO .....Build One Family Dwelling............................................................................................. .......................
TYPE OF CONSTRUCTION ............ Wood .Frame.............................................................................................
�o✓ 9-
?.. .....................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned here 'es for a permit according to 'the information:
�� ! Cedric RoadLocation .......... .. ...............................: ..
Proposed Use .... Residential
................................................................................................................................................................
Zoning District ........nD-1 Centerville-Osterville
...............................................................Fire District ..............................................................................
Name of Owner .....Korme8t ifotIIeB Inc. •• •,••Address . Nshley Dry Cente: v ille
Name of Builder TIormest Homes Inc. same
..............................................::....Address ....................................................................................
Name of Architect none
.. _ ...................................................................Address ..............................................:.....................................
6 Poured Concrete
Numberof Rooms .................................................................Foundation ..............................................................................
Siding Asphalt
Exlerior ....................................................................................Roofing .........................................:.:..........................:...:.........
F Carpet Drywall
Floors .....................................................................................Interior ...................................:................................................
Heating Warm-Air 1* baths
..............Pl��mbir. ............. .................
....
yes $ 219000.
Fireplace .....................................................................:............Approximate Cost .................................................................:..
Definitive Plan Approved by Planning Board --------___,_---------
19
Diagram of Lot and Building with Dimensions U r
SUBJECT TO APPROVAL OF BOARD OF HEALTH
14
3Z.
1
IUU '
1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name.�.X .. .....�X. »Q�t �.......1 r Gb:.... .�E' .t•.
Lavoie Debbra
From: McKean Thomas
To: Lavoie Debbra
Subject: 230 Cedric Road Centerville/Request to Construct a Family Apartment.
Date: Monday, May 18, 1998 12:11 PM
The newly revised sketch (revised May 18, 1998) now shows a total of two (2) bedrooms. This newly revised
sketch plan is now in conformance with the State Environmental Code, Title V. I initialed that sketch on the
bottom right hand corner indicating that I have no objections, dated it, and handed it to Mr. Cosmo Caterino on
May 18, 1998.
HISTORY
The property is located within a zone of contribution to public water supply wells. The existing home consists of
two bedrooms. The applicant, Cosmos Caterino, originally requested permission to contruct two additional
bedrooms, for a total of four(4) bedrooms on a 15,000 square feet lot. Health Inspector Jerome Dunning
informed Mr. Caterino that this request cannot be approved because it conflicts with the State Environmental
Code, Title V.
Then, Mr. Caterino left the office, revised the floor plan to show only one additional bedroom and re-labeled the
second room as a 'living-room." That plan showed a total of three (3) bedrooms. Then, on May 18, 1998, Mr.
Caterino returned to the Public Health Division Office and requested a written approval letter of that floor plan. I
informed him that I cannot approve an additional bedroom on this lot because of the nitrogen loading regulation
contained in Title V, limiting the sewage flow to 440 gallons per acre-per day. I handed Mr. Caterino a copy of
the regulation. I then informed him that he could go before the Board of Health next Tuesday night (May 26,
1998)to request a variance from 310 CMR 15.214. Mr. Caterino answered " I have to go to a ZBA hearing this
Wednesday night." Then while at the counter, he changed the floor plan by eliminating a door to one of the
existing bedrooms (stating it will have a four feet wide opening) and by re-labeling that room as a "sitting room."
The floor plan now shows a total of two (2) bedrooms.
From: Lavoie Debbra
To: Crossen Ralph; McKean Thomas
Subject: Swimm Family Apt.
Date: Monday, May 18, 1998 10:13AM
Priority: High
Attached are the minutes from the hearing regarding Swimm
Mr. Caterino is supposed to get approval in writting from the Building and Health Dept.
Thanks«File Attachment: 199864.DOC>>
Page 1
JUL-06-se 14. 30 FROM, CROWELL/HOWES ID: 5097900309 PACE 1
- Land In ,,,$ARNSTAE3LE
Belonging to ,.Barbara A
Land Court cartifiCe�O _ _ $wimm...,...,.,.
No. ... ...... .... in Book . Deed in Book 2403 Pa e 3
Recorded Plea of Land in ... Page............!n
Barnstable by down e
In.. •�+�r! stab.................. . ...................... .,en�ineeriny
�.�Registry, of Deed$ Plan B 257 . Date of plan .. �ebruary 20, 197
ook .... .... ...,No 94 ...
... .,•,,,. Filed plan No. ... ...............
M
4 RT
GAGE INSPECTION PLAN WILLIAIIM E. CROWE«, JIR,, ESQ,
Lin Na Barb&d A. Swimm
128 Cedric Road, Barnstable
�g
06 7
LoT 1
to bla `-
ONE SroR y _
WgOp
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100�
Dec. 22, 1993
1N CEDRiC ROAD .
cal* r.�30.
PURPOSES ON1
_.Y
I CERTIFY THAT
' THIS PLAN WAS PREPARLD
r li IN ACCORDANCE WITH 'THE COMMONWLALT14
OF MAS5ACjgtj5r-TTS PROCru)URAL AND
,�::!. `,� TeCH TANDARD5 F014 Tli6 r3R !1
AC7, ,-(-.
j OF LAND SUnVrYING 250 CMR 6_05 AND IY! fl!
THE SPECK CAT:ON swFRY e-r.-
OF VE
The Town of Barnstable
9� KASM& Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
DATE: May 18, 1998
TO: Emmett F.Glynn,Chairman,Zoning Board of-Appeals
FROM: Ralph Crossen,Building Commissioner
RE: 128 Cedric Road,Centerville
Please be advised that I have reviewed the attached plans(as modified).and can say they could be part of
an acceptable package for a Building Permit subject to construction detail.
As to the issue of the 3-season room,it could be constructed as drawn.
Otherwise,there are no obvious Building Code issues.
/kl
op172.137
r) Map Parcel Permit-407
House# �� Date Issued
'
Board of Health(3r oor)(8:15,-'9:30/1:00-�-30) �!-��p ,%'%9,� Fee.
Conservation Office(4th floor)(8:30-9:30/1:00-2:00) .r. N e V h
EPTric SY
Planning Dept. 1st floor/School Admin. Bldg.) w 1 U,
g P ( g) NSTALLE ��
Definitive Plan Approve Planning Board 19 - W1 1�4NCE
ENVIRONM
E AND
TOWN OYBARNSTABLE` TOWN R 0NS
t
Building Permit Application - t
roject Stree Address /o216
Village
Owner Address
Telephone j t
Permit Request
e
.First oor �00 square feet Wilomlmr 75-6 square feet
Construction Type
stimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Struct a Historic House ❑Yes ❑No On Old King'§Hi hway ❑Yes ❑No
Basement Type: ull ❑Cra ❑Walkout ❑Other Z 6e 4L
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing � New
No.of Bedrooms: Existing : New
Total Room Count(not inclu ' baths): Existing New First Floor Room Count
Heat Type and Fuel: as ❑Oil ❑Electric ❑Other
Central Air ❑Yes EJ'N0 Fireplaces: Existing New Existing wood/coal stove ❑Yes 5<0
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Atta d(size) ❑Barn(size)
one ❑Shed"(size) )� /
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercia �SLQJIf yes, site plan review#
Current Use Proposed Use
Builder Information �I
Name Telephone Number.
Add ess" l License# 660a&�
Home Improvement Contractor# I o73 I j
Worker's Compensation# CXG1 l7 63 q
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO O v
SIGNATURE DATE z
BUILDING PERMIT DENIED FOR INE FOLL REASON(S)
AAA.001fteft.
� ._: C, - ol� e-
FOR OFFICIAL USE ONLY
PERMIT NO. -
f
DATE ISSUED
MAP/.PARCEL NO:
} f
ADDRESS r" VILLAGE
OWNER
DATE OF'INSPECTION:'
FOUNDATION
FRAME
INSULATION ; r' _
FIREPLACE -
ELECTRICAL: , ROUGH t FINAL '« ,
PLUMBING: --ROUGH FINAL
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DATE CLOSED OUT= WE '
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NEW BUSINESS:
Appeal Number 1998-64 Swimm ._
Board Members hearing this appeal were Gail Nightingale,Richard Boy,Elizabeth Nilsson,David Rice,and Acting
Chairman Ron Jansson. Present were Barbara Ann Swimm,the applicant;Kathleen A. Swimm,her daughter;and
Ryan K. Swimm,grandson of Barbara Ann Swimm. They were represented by Cosmos Caterino,Builder.
Mr. Caterino reported revisions have been made to the original plans and asked if all Board Members have received the
new plans he submitted. In these plans,there will now be only one bedroom in the Family Apartment,and the den is
now called a"lanai". According to Mr.Caterino,this was done at the request of the Health Department,and he
reported this proposal now meets the specifications of Title V. The main house will be occupied by Barbara Swimm.
The apartment will be occupied by Kathleen Swimm and her son,Ryan.
The Board asked Mr. Caterino to explain a"lanai". He stated it is a sunroom and "not to be counted as a bedroom."
Mr. Caterino stated the house will conform to Title V regulations and the requirements of the Family Apartment Special
Permit in the Zoning Ordinance. He stated that the Health Department"will approve the plan". [Nothing was
submitted to the file.]
However,the Board was of the opinion that regardless of the"name"of the room,it would still be counted as a
bedroom under Title V Regulations. The Board questioned the number of bedrooms allowed on this lot since it is
located in a GP Groundwater Protection Overlay District.
There was a discussion between Mr.Caterino and the Board Members regarding the plan submitted,the"names"of the
different rooms and the total room count. The Board felt the plans were confusing because items were crossed out and
no doors(egress/ingress)were are shown on the plan. There was a concern that the plans did not meet the State
Building Code.
Gloria Urenus stated the Building Department also had a concern regarding the plans that were submitted with this
application. She reported that no plans have been submitted to the Building Department.
The Board determined it was in the best interest of the applicant to allow this a ea to one' tinued for one week so
new plans could be drawn. The Board told Mr. Caterino the new plans must be reviewed and approved-in writing-by
the Building Department and the Thomas McKean[Health Department]before they are presented to the Board.
MOTION:
Richard Boy
A motion was made to continue Appeal Number 1998-64 to May 20, 1998 at 8:30 PM.
Seconded by Gail Nightingale
VOTE:
AYE: Gail Nightingale,Richard Boy,Elizabeth Nilsson,David Rice,and Acting Chairman Ron Jansson
NAY: None
Appeal Number 1998-64 is continued to May 20, 1998 at 8:30 PM
Note: Alternate Board Member Thomas DeRiemer was present for this hearing and heard all the testimony.
If any Board Member that sat on this hearing is not present at the continuance,Mr.DeRiemer will be able to
replace them.
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KD Design&Remodel Designed By David Tremblett
17 Ferndale Road For Barbara Swimm
Hyannis, MA 02601 128 Cedric Road
508-775-6107 Centerville
JUL-02 10:1B CAPE COD REMODELING AND DESIGN SOBPS39P3934 P. 01
m-
0
I!OME IMPROVEr-IF1\11'
Registration X P
Type .... of.3A
ROME IMPROVtMEVi'
CAFT (-AY) F,EMO[')Ei !NG AND DE ;.T.(;N
DAVID A, TYP9 - 08A
3.1, PIEWRF VERNILf,) UC)X Expiration 0
1,L)(,)
VIA
CAPE COE REMODEI.INC AND
DAVID A. CARROLL
-413 PIERRE VERNIER DR/Pt)
ORESTDALE MA 02644
AlUll
"All & ad"Jaz
COVIRLUUON SUPERVISOR LICINS
Expires: girtWate
CS;
fir„vt PO'BOX 342
FORISICALE, HA 026 4
13
Al
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Cal c
The Town of Barnstable
a+mvs,eat,E. : :1
A ���' Department of Health Safety and Environmental Services
'OrEcr�'' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commission:
For office use only
t
Permit no.
Date
AFFIDAVIT
' .HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO,PERMIT APPLICATION
t '
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
� Type of Work: ll� id` o MlGIV� Est. Cost ®�
� z e
�ddress of Work: .2 �� t� Al
Owner's Name
Name
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
The Commonwealth of Massachusetts
.< == Department of Industrial-Accidents
- Office of/nlrest/gat/ans
600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
name: DOLL rA- LET((
location: � .�'�� Rd Ceykrwitp-
city phone#
❑ I am a homeowner performing all work myself.
❑ I am a sole ro rietor and have no one workin in any capacity
'( FI am an employe^r providing workers' compensation for my employees working on this job.
com any name:
1G
address: ` d
J J
city, phone#: �3�3
insurance co. a4lbO U. ACV# tN Co[��
/ // /////%/
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who
have
the following workers' compensation polices:
company name-
-..
address: ;:_
city uhone#:
insurance cn
cam anv name:
address:
city
phone#'
insurance co.
olicv#
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a line up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Oftice of Investigations of the DIA for coverage verification.
I do hereby certi der the pains and enalties of perjury that the information provided above is truo an orient
Signtore C Date
Print name Phone#
official use only do not write in this area to be completed by city or town ofIIcial
city or town: permittlicense# ❑Building Department
❑Ucensing Board
❑check if immediate response is required []Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
(revised 9/95 PIA)
L
Information and Instructions
t
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract.
of hire,express or implied,oral or written.
An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
However
trustee of an individual,partnership, association or other legal entity, employing employees. Howe the owner of a
dwelling house having not more than three apartments and who resides therein, or the.occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
�
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the peimit/license number which will be used as a reference number. The affidavits may be returiiR io
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investl9au0ns
600 Washington Street
Boston;Ma. 02111 `'"`
fax#: (617) 727-7749 r
phone#: (617) 727-4900 eat. 406, 409 or 375
7=0=AppndlxJ
TablodSZlb(eoadatuo
ps an pdn PadcaW for ana aad Two-Famitr Reddmtld 1120120 Sated with Fad Fads
MAXIMUM MINIMUM
Wall Floor 8atemm: Slab
Uwaz RWw R vdue' wvduLj Wall PIS �a
Ps�m [.value' &valud
3"1 to 6300 Hesdug Degree Dais'
Q 12% 1 0.40 31 13 1 19 10 6 N�
R 12% 152 30 19 19 10 6 No�mai
S 12--A 0.50 31 13 19 10 6 U AFUB
T Is% 0.36 31 13 23 WA WA Normal
U 15-A 0.46 31 19 19 10 6 Noemat
V 13-A 0.44 31 13 25 WA WA 15 AFUE
W 1� QJ2 30 19 19 10 6 1S AFUE
X 12% 0.32 31 13 25 WA WA N�
Y 11'� 0.42 31 19 23 WA WA Narmd
Z 18% 0.42 31 13 19 10 6 "ARM
AA 11'/. 0-50 30 19 19 10 1 6 90 AFUE
f fj
1. ADDRESS OF PROPERTY: 2
Z.
I SQUARE FOOTAGE OF ALL EXTERIOR WALLS: . r!�Q /4 p
!w:3. SQUARE FOOTAGE OF AL°L GLAZING: - C4,0
%d
4. %GLAZING AREA(#3 DIVIDED BY#2): t072
5. SELECT PACKAGE(Q—AA-see chart above): �-
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY,REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION. f
BUILDING INSPECTOR APPROVAL:
YES: NO:
q-forms-t980303a
L
780 CMR Appendix J
Footnotes to Table J5.2-I b:
Glaring area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and.
basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wail
area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example,3 ft of decorative glass may be excluded from a building design with 300 R=of glazing area.
2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
whole units:center-of-glass U-values cannot be used.
' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full
insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38
insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity
insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between
the conditioned space and the ventilated portion of the roof.
"Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do
Anot include
exterior siding,structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER
by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frame construction.
'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces, basements,
or garages).Floors over outside air must meet the ceiling requirements.
`The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned
basements must be included with the other glazing. Basement doors must meet the door U-value requirement
described in Note b.
• 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment,"the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a
NOTES:
a)Glazing.areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c)If a ceiling, wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
r FEE
S
�° TOWN OF BARNSTABLE, MASS.
'O.d a
r, do� 19
m
(u THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO
PO °A >
�o
O 113 (PROPERTY OWNER) (ADDRESS)
s
b ti a TO ..................................._......................................................_........................__.._.._.._..................................................................................................................._...
E.I a4'O (BUILD) (ALTER) (REPAIR)
uA (u
........................................................................................................................................._....-.-___............._............... ..............................................................14. .._..._..._..
ID (TYPE OF BUILDING) (APPROXIMATE SIZE)
G 0
I o1.c LOCATION ................._......._. .................................................................... ..» ..._...........................................................................................................
_.._
V D (STREET AND NUMBER) (VILLAGE)
1 NAME OF BUILDER OR CONTRACTOR __...._..___...._......................._.-.........._...._.............................................»._._»..
ry wA APPROXIMATE COST
�p ____........................._.........__-..__._._ ........................................._.........._.................._.................
__... ....
y w Boca 1 HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN
OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION.
ar
o fA c a
aa � f
h N 3 h (OWNER) (CONTRACTOR)
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� a
BUILDING INSPECTOR
Subject to Approval of Board of Health.
1
L
Agar
R
mode, 96ys�tver�.- rbor-
G °`7MEr° TOWN OF BARNSTARLF
e STEM MUST BE
b IN'STALLED IN COMPLIANCE
2 BARNSTABLE. 1 1:'ITI+ A:TICLE II STATE
1
9 a�•� B U I UD I N G IN SPECTO DA,'N TA`?Y CODE AND TOWN
CULATIONS.
i/< - //-/q- 73
APPLICATION FOR PERMIT TO .....Build.............°..OXle... `&ID$l..... ..Wei.$..21g....................... ....�1...............
TYPE OF CONSTRUCTION .............Wood Fra:�le.............................................................................................
e19.7-3.....................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit bccording'to5'the-'following information:
Lot-, #16: Cedri-c Road
Location ...................................................................................................................................:........:....:.....................................
ProposedUse .....RS..C..eYlti&1................................................................... ..................................................................
RD-1 Ce.nterville•Osterville
ZoningDistrict ..................................................:.....................Fire District ..............................................................................
Name of Owner X.or. lest H.omeS Inc.* ....Address Ashley Dr9 Cent.e.r ille
I
Name of Builder .. ... .
or'zest `�O lesZZ3C....................Address ...............8a1A@.................................. ....................
Name of Architect none
..................................................................Address ..........................................................,.........................
6 Poured Concrete
Numberof Rooms ..................................................................Foundation ..............................................................................
Siding Asphalt
Exterior ....................................................................................Roofing ....................................................................................
Floors .......CaTpet............................................:.................Interior ....DryW811.............................................................
Heating ..Warm-Air 1 j baths .
...............................................................................Plumbing ..................................................................................
yes 9 2'A�0000
Fireplace ..................................................................................Approximate Cost ..................i ...........................................
,,,Definitive Plan Approved by Planning Board -----------_______-----------19________.
'Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH
6
Ib
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r
z�
q t Y
/L 3L
Ioa
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. }
,, o
Name .L° ° . .°... . . . . .td .......Kc.&....
Normest Homes, Inc.
16 A.:No .... `7 one story
. Permit for ,,,,,,. ... ........ '
.. 4
single family dwelling '
..................................:............................................
Location'0"3' Cedric Road
............................................................... I
Centerville
...............................................................I...............
t ,
Owner Normest..Homes.,...Inc.............
+
............... ........... . ...... . .... I
Type of Construction .............. .rame
.........................
................................................................................ t
Plot ......................... .. Lot ................ 16.......... t
Permit Granted ......ND.Y.6Xtl� X ..7.2.........19 73
dl,(���
Date of Inspection ....................:........:...... ,
Date Completed
E '
PERMIT REFUSED
....................................... ................... 19
..........�vA.. d........ ......................................
Approved ................................................ 19
...............................................................................
...............................................................................
- - - -----.- a-- ------
TOWN 01' BARNSTABLE
CERTIFICATE OF OCCUPANCY
i
PARCEL" . ID 172 137 GEOBASE ID 10222 �
ADDRESS 128 CEDRIC ROAD PHONE
CENTERV I LL,E ZIP -
ELOT ,16 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CO
PERMIT 34585 DESCRIPTION SINGLE FAMILY DWELLING (PMT.032011)
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health, Safety
ARCHITECTS: and Environmental Services %
.TOTAL FEES: Ox1HE
BOND $ 00
CONSTRUCTION COSTS $_00 ?
756 CERTIFICATE OF OCCUPANCY i
* /ARNSTABLF, •
MASS.
1639-
BUIL /O D� --ctVV<jSIO---�_�
DATE ISSUE 11/06/1998 EXPIRATION DAT
TOWN .0 I• ,STA9LE j
BUILD 1', RM:IT =
t
ID 172 137 GEOk3AS 1.0222
',tJURES5 128 C RDRTC ROAD :. � PHONY
CEN ERt;ILLF. I ZIP
LOT hr ' 16. BLOCK � � LOB' SIZE
DID - DEVELW• .!fE DISTRICT CT;�0
PERMIT 32011, DESCRIPTION IADD FA14ILY APARTMENT FLORIDA ROOM M D D-FN
PEE?MT.T TYPE, SADDI TITLE BUILDING PERMIT ADDITION
CONTRACTOR'S: DAVI:D CAR ROLL ARCHITECTS: Department of Health, Safety �
and Environmental Services
TOTAL FEES: $124.00
BOND 1.00 ptr1w
CON;Sy,RUCT I ON C..OS A.a. $40,000.00
44 R aTD ADD/AUT/CONV 1. I?RIv °11E :n* ;�
BA. RNWABLE,
- MASS.
1639.
B UILDING.DIVISIOBY
N.
I
DATE .ISSUED 07/09/1998 EXPIRATION DATE"
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE_SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING.STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND.MECH
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECT ONI�AaPPPR�OVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
9- Ve
2 2
All
O as
3 1 �HEATING INS ECTION PPROVALS ENQ?Ij4EERING DEPARTMENT
2 BOARD OF HEALTH
OT ER: SITE P A REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL ERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
d 37T
4•
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Town of Barnstable
fHE T Regulatory Services
o„ Richard V. Scali,Director 70',44P OF BARNSTABLE
RMMSTABLE, Building Division
MASS. 8
1639. 1% Thomas Perry, CBO, Building Commissioner' 9
ED MA'S
200 Main Street, Hyannis, MA 02601
www.town-barnstabie.ma.us
0 Si
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 _ L�ar 4-4�, Tn Ud1 I am the owner/resident of the
property located at: Z_�If-&dlel G 19d
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: Q u 0C � S � Ye
Name &relationship to owner: L� 11, ,L/,, �� 17 or, S q%
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notes the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to note the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No. )
Other -
Sworn to under the pains and penalties of perjury this 0 day of JCe 2015.
I
:sd k-) - 1
Signature Phone Number
q:forms/famaffi d.do c
rev 11/08/11
v 1261 Building Division...
�z� ' Thomas Perry, CBO,Building Commissioner
Muss.
200 Main Street, .Hyannis, MA 02601
www town.barnstable.ma.us
Office: -508-862-4038 - Fax.. 508-790-6230
1 2- 50
ES�..
Town. of1.Barnstable Family Apartment �1fdadit
I,being on oath, depose and state as follows:
My name is.— P A� SSA?//'f'l ft am the-owner/resident of the
property located at: ` i� Rd
The following members of my family will be the sole.occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: c° hw/ r e
1P
Name &relationship to owner: Ci /�n cYL lzzl
cQ S f�
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:m 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. }
-- en tr inferred-to the Ames._� o. .am-(Appeal-No -- )�
- - -has be t3' �'
—The-a
ar-�n ent
--_ P
Other '
Sworn to under the pains and penalties of perjury this day of . a. 2013
Signature.. P ne umber.
Print Name �
q:forms/famaffid.doc
rev.11_/08/11`
Regulatory Services
rq Thomas F:.Geiler,Director
Building Division.
* HAMMA1 ' Thomas Perry, CBO,Building Commissioner 1z,
MAM
t 0t f Sf
b ��m . 200 Main Street, .Hyannis,MA 02601 � t
www town.barnstable ma.usr ; t
3r u
Office: 5.08-862-4038 Fax 508-790=6230
Town of Barnstable Family ApartmentA"ffidavpt
I,being on oath, depose:and state as follows:
My name cc S ln7h&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. Wwu 'J09il
Name &relationship to owner: tl �2sah
The Family Apartmen{will beahe primary year-round residence for the above-identified'
family members. In the event that the listed relatives vacate said apartment,I will immediately
note the Building Commissioner in writing.I understand that no.subletting or subleasing of said
Family Apartment is permitted. ,
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment.I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to 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 aparent has been transferred to-thP Amnesty grogram(Appeal No.. )-
:-
Other
i
Sworn to under the pains and penalties,of perjury this ay of A 2013.
p P P �J Y Y Gl l',
Signature
ne umber
Print Nam a,C�
A
q:forms/famaffid doc
rev
Town of Barnstable
Regulatory Services
oFTME'eryti Thomas F. Geiler, Director
Building Division 0,11,N114 OF BAR T GI
LE
BAaWSTABIX Thomas Perry, CBO,Building Comnni�si ner
,_a 200 Main Street, Hyannis, MA 090,
www.town.barnstable.ma.us
Office: 508-862-4038
D1 'Yl 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: j12 k
( .4 eiga y, f ly Ln ;
The following members of my family will be the sole occupants of the Family.Apartment at the
aforementioned address:
Name &relationship to owner:-jk�A f 10
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 Commissionen.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. f4 lso
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to notes the Building Commissioner immediately in the event of the sale of this property:
If there is no longer a Family Apartment at this location, please explain:
The apartment has been dismantled. -
The apartment has been transferred to the Amnesty Program (Appeal No.
Other
Sworn to under the pains and penalties of perjury this day of 2011: - y
Signature Phone umber
Print Name
q:forms/famaffid.doc
rev 11/08/11
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
Building Division
ELAMSTABLE, ` Thomas PerryMAM , CBO, Building Commissioner,n. f , ;
AlEo �p 039
200 Main Street, Hyannis, MA 02601 "
www.town.barnstable.ma.us
Office: 568-862-4038 _„ 4 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I, being on oath, depose and state as follows:
My name is _ zDar_Sa 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: 11�0.7" e14 "�q, :5U_"iW-02
Name & relationship to-owner: Ee' / . 4: OJ/A iM 4�(? 0d _Q0 I
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 ftle an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to note the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location, please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this day of 2011.
att� 61 — 3I
Signature Phone Number
Print Name v/�or0e_ 1-12 s'wi .Aee. w.._
Town of Barnstable
Regulatory Services
FIRE rqk� Thomas F.Geiler,Director
Building Division .
BARNSTASLE, Tom Perry, Building Commissioner
y MASS.
039•4 ♦� 200 Main Street,Hyannis,MA 02601,iATBn �s www.town.barnstable.ma.us
Office: 508-862-4038' Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I, being on oath, depose and state as follows:
My name is _ �� ..: � !«/ I am the owner/resident of the
property located at:
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner: J a P F'o zQ, ` LV1 '111 illt. IT a u ci b 4 e k
Name & relationship to owner: IQ!/a o
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; Iwill 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 Apartm_tints. I agree
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. 1.O . CM
The apartment has been transferred to the Amnesty Program (Appeal No. g )
Other
Sworn to under the pains and penalties of perjury this g day of t - 200z rn
Y.
2�C �cu 31 01
Signature Phone umber -
Print Name go L r C?— 07 hf�
Q/bldg/forms/famaffid
Rev:12/08
Town of Barnstable
Regulatory Services
pp1HE Thomas F.Geiler,Director
Building Division -,1 8ARIN ail �E
9B^� BLE, Tom Perry-,-Building Commissioner
S.
1639. 200 Main Street, Hyannis,MA 02601 2009 JAN 12 AM I1' 00
ArFp��a Y
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 l v �a /,ce 119: u o sn I am the owner%resident of the
property located at: / ? _�er /rl tC-
The following members of my family will-be the sole.occupants of the Family Apartment at the.
aforementioned address:
Name & relationship to owner.: Ka"/V Vk? A CA Q v a 4
e
Name & relationship to owner: Z6?—Vc>n /N/ Sr,.6sy`lly— hdC 2 1 y
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
1 understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of'Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 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 /0 day of�^ 2009. .
Signature P one Number
c
Print Name _ l.T1i 07
Q/bl dg/forms/famaff id
Rev:l2/08
Town of Barnstable
Regulatory Services
H Ft►+e' ~�T Thomas F.Geiler,Director
Building Division
r r
HMMSTABM " Tom Perry, Building Commissioner
9 MASS.
�A i639• �0 200 Main Street,Hyannis,MA 02601
rFv Mp'l 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 %qa"J a '�^ cf— SulI anrn-I am the owner/resident of the
property located at:
<e Ile
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name & relationship to owner: �"�a-��i Le I t"nt"r /I-�e.t2.
Name & relationship to owner: Cc M . Swim ravidso o
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of
said Family Apartment is permitted.
1 understand that I am required to file an Affidavit annually with the Buili ing
Commissioner listing the names and relationship of occupants in said FamilyAp rtment.Ralso
understand that I am required to comply with all conditions imposed by the ZBA special Eermi_
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. agree
to notify the Building Commissioner immediately in the event of the sale of this$ ,�-
roperty.-- `
If there is no longer a Family Apartment at this location, please explain:. .
The apartment has been dismantled. = q
The apartment has been transferred to the Amnesty Program (Appeal No. c
Other - CD rn
Sworn to under the pains and penalties of perjury this day of �a n , 2008.
Signature Phone Number
Print Name ,` r� t� ✓C� �/- S /rYl n'L
Q/bldg/forms/famaffid
Rev:l/03
Town of Barnstable 0/-'
Regulatory Services /d
°FTHeti Thomas F. Geiler,Director
° Building Division
* BARNSTABLE, * €,
v Mass Tom Perry, Building Commiss►oner
i6 9 • 200 Main Street Hyannis,MA 02b0�1 ` P3 2*
�ArEDMA'�p, � Y � '�E��t J� �� �t
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 �id lJ r a. I am the owner/resident of the
property located at: ff- Koe ,�,
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: IA 42
The Family Apartment will be the primary year-round residence for the'above-identified'
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building.Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
-I understand that 1 am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 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 4-h day of 2007.
c,
Signature _ _ - . - - Phone N ber
Print Name `'
Q/bldg/forms/famaffid
Rev:1/03
Town of Barnstable Dec
Regulatory Services
oFTHe roy, Thomas F.Geiler,Director
4 , Building Division 1C1 0` ��1� ISTr�BLE
snxxsTnsL a Tom Perry, Building Commissioner
9� 0MASS.
9. �m 200 Main Street,Hyannis,MA 02601 7D9 ,AN ► ` 59
ArF p �A www.town.barnstable.ma.us
. rv�slo�
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 Z t a`'� 5 �e2 I am the owner/resident of the
property Ylocated at: tole///��p�
J
Map and Parcel Number
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name & relationship to owner: /V10 t��� �� T��e
Name &relationship to owner: 1 �iI
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 been dismantled.
The apartment has been transferred to the Amnesty Program (Appeal No. )
Other
Sworn to under the pains and penalties of perjury this f��h day of w �, 2006.
;Signature. : _ one Number
-Print Name:.
Q/bldg/forms/famaffid
Rev:1/03
Town of Barnstable �4
Regulatory Services
°F4HE T° Thomas F.Geiler,Director='
Building Division
BARNSTABLE. C ! F(
v Mass g Tom Perry, Building Commissioner 1 1 9 t ' 12
1639• �0 200 Main Street,Hyannis,MA 02601'°rFn rr►o�t 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 -P�Q� �-�� I am the owner/resident of the
property located at:
Map and Parcel Number Z 7-2" Li
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, 1 will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. 1 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 penalties of perjury this A�p day of 2005.
Signature Piloik Number
Print Name �9/7/^Z4ra— Z �_T40 7177
Q/bldg/forms/famaffid
Rev:1/03
®/C
Town of.Barnstable 4
Regulatory Services
Thomas F.Geiler,Director �<•_n O B.,�� ,�i"l:�`BLE
s 1
Building Division
23
MUMSTnBi e, ► Tom Perry, Building Commissioner? s J 021 2 1
nines.
1639. 200 Main Street,Hyannis,MA 02601
.elFO AIA�A
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 M m>I am the owner/resident of the
property located at:
ti/l�p
Map and Parcel Number d��
The ZBA granted me a Special Permit/Variance on 9 S� 1 G
D to 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: f J,��!���!!�I ��l//n&7 ("'Ali v,q' h P�
Name &relationship to owner: X�laznGP,e$�cI
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 146 day of a n , - 2004.
Signature Phone Number
Print Name Z67)- a k-a. �. S CL�i !»11iq
Q/bldg/fomis/famaffid
Rev:l/03
Town of Barnstable
Regulatory Services
pFIME 1°� Thomas F.Geiler,Director tSiA6LE
ti E, Jig 6
Building Division
3ARNSTABLE, » Tom Perry, Building Commissioner
v . 200 Main Street,Hyannis,MA 02601 w
m
ArED N1A'1 A --�„
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I, being on oath, depose and state as follows:
0
My name is ;� -� � ���-� I am the owner/resident of the
property located at: � ' �-�
Map and Parcel Number ` 7,2 13 7
The ZBA granted me a Special Permit/Variance on
Date Appeal No.
The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in
Barnstable County: Book Page
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name &relationship to owner:
Name &relationship to owner:
The Family Apartmed 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
L
Sworn,to under the pains and penalties of perjury this_ �day of Cry/0—c; 2003.
Signature Phone Number
Print Name S1� 0k r 0- Sw/M!�J'� — 3� �5a�� W �F � 7
Q/bldg/forms/famaffid
Rev:1/03 '
r
Town of Barnstable
Regulatory Services
°FtHE lob, Thomas F.Geiler,Director
Building DiMftfiF gARNSTABLE
* swxxsrnai.E. * Peter F.DiMatteo, Building
v�p TED MA'1 �� Commssio n
""
�(� 53
eJ9. A 200 Main Street,Hyan V9Q29a1
Office: 508-8624038 Fax: 508-790-6230
l51dN
Town of Barnstable Family Apartment Affidavit
I,being on oath, depose and state as follows:
a ,
My name is ct ra, 22, ,�U_Zl ffi I am the owner/resident of the
property located at:
Map and Parcel Number / a —f 3 7 ~
The ZBA anted Special Permit/Variance on I � p 9
�' me a P
ate 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: Lfuzl"44 m
Name &relationship to owner: d'/141
The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event that the listed relatives vacate said apartment, I will immediately
notify the Building Commissioner in writing. I understand that no subletting or subleasing of
said Family Apartment is permitted.
I understand that 1 am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA in the Appeal
No. identified above. I agree to notify the Building Commissioner immediately in the event of the
sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No. )
Other
Sworn to under the pains and penalties of perjury this day of FzAel 2002.
Signature ,C�G�Gf�CGCcx. � Gu�:i�iriryv Phone Number
ca
6Cr1^0z4, S«V/k43 u 93/9
Print Name
Q/bldg/forms/famaffid
Rev:010702
. 4
COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE AFFIDAVIT
ny `
� I, G�'r/�a � ��Ui�/� ,being on oath,
depose and state as follows:
1.) I reside at ��.� 6 cal l e ee 14 e_X I/C fly.
2.) I am the owner of the property located
e.eSP6.ve< Q,L
shown on Barnstable Assessors' maps as MAP PARCEL
3.) I Do k Do not have a Family Apartment at this location.
4.) On , 199 , the Zoning Kard 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 � 1 CAP �, �[,l�frnvn
Relationship to owner: rc c>
b) NAME
Relationship to owner: �;rcz o S6m r it )
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.
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 E c- Oaa
Signature
Print Name
COMMONWEALTH OF MASSACHUSETTS R E C E I V E D
BARNSTABLE r-ALFIRAY&
depose and state as follows: qSTABU BUILDING DIV
1.) 1 reside at_-1 _ 'c � �h C) 'c-T-� �1�2 ',e- LL ------
2.) 1 am the owner of the property located
at—-----—yak— I C-_ L -CA,------ ------- ----- -----------
shown on Barnstable Assessors' maps as MAP__—/— —PARCEL___12
3.) 1 Do---- __--__—Do not —have a Family Apartment at this location.
4.) On____ 199Y _, the Zoning Board of Appeals, on Appeal No.-/
granted me a Special Permit/Variance to maintain a Family Apartment at the above address.
5.) 1 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----------------- 1�_L ' L L2-t�-_ L� ��----------
Relationship to owner:--------- D a u t,2.
b) NAME--------------- ?v � _ _ •.
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.) 1 understand that no subletting or subleasing of said Family Apartment is permitted.
10.) 1 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.) 1 understand that I acn required to comply with all conditions imposed by the Board of
Appeals in Appeal No. --------------------------------------------------------
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__L�___day of� ' 11 199 -
Signature'-�
Print Name
s67A ��
Town of Barnstable
Zoning Board of Appeals
Decision and Notice
Appeal Number 1998-64-Swimm
Special Permit Pursuant to Section 3-1.1(3)(D)'-Family Apartment
Summary: Granted with Conditions
Petitioner: Barbara Ann Swimm
Property Address: 128 Cedric Road, Centerville
Assessor's Map/Parcel: Map 172, Parcel 137 Area: 0.35 acre
Building Area: 1,316 sq.ft.
Zoning: RC Residential C Zoning District
Groundwater Overlay: GP Groundwater Protection District
Background:
The applicant is requesting a special permit for a family apartment pursuant to Section 3-1.1(3)(D) of the
Zoning Ordinance. Family apartments are allowed in RC Residential C Zoning Districts as a conditional use,
provided a special permit is first obtained from the Zoning Board of Appeals. The property consists of a 0.35
acre lot and is addressed as 128 Cedric Road, Centerville. The property is improved with a 1,316 sq. ft. one-
story single-family residence. The property is serviced by Town water and a private septic system.
The applicant is proposing an addition to the rear of the house which consists of a den and a family
apartment. The proposed den is 238 sq. ft. and the proposed family apartment is 702 sq. ft. The applicant is
also proposing a separate septic system for the family apartment. The floor plan submitted shows an
apartment unit consisting of a bathroom, kitchen, and two bedrooms.
The family apartment is to be occupied by Kathleen A. Swimm, daughter of Barbara Ann Swimm, and Ryan
K. Swimm, grandson of Barbara Ann Swimm.
Procedural Summary:
This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 01,
1998. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all
abutters in accordance with MGL Chapter 40A. The hearing was opened May 13, 1998, and continued to
May 20, 1998, at which time the Board granted the request with conditions.
Hearing Summary:
Board Members originally hearing this appeal on May 13, 1998 were Gail Nightingale, Richard Boy, Elizabeth
Nilsson, David Rice, and Acting Chairman Ron Jansson. Present were Barbara Ann Swimm, the applicant;
Kathleen A. Swimm, her daughter; and Ryan K. Swimm, grandson of Barbara Ann Swimm. They were
represented by Cosmos Caterino, builder.
Mr. Caterino reported revisions have been made to the original plans and asked if all Board Members have
received the new plans he submitted. In these plans, there will now be only one bedroom in the Family
Apartment, and the den is now called a"lanai". According to Mr. Caterino, this was done at the request of the
Health Division, and he reported this proposal now meets the specifications of Title V. The main house will
be occupied by Barbara Swimm. The apartment will be occupied by Kathleen Swimm and her son,.Ryan.
`J Town of Barnstable-Zoning Board of Appeals-Decision and Notice
Appeal Number 1998-64-Swimm
Special Permit-Section 3-1.1(3)(D)-Family Apartment
The Board asked Mr. Caterino to explain a"lanai". He stated it is a sunroom and "not to be counted as a
bedroom." Mr. Caterino stated the house will conform to Title V regulations and the requirements of the
Family Apartment Special Permit in the Zoning Ordinance. He stated that the Health Division "will approve
the plan". [Nothing was submitted to the file.]
However, the Board was of the opinion that regardless of the"name"of the room, it would still be counted as
a bedroom under Title V Regulations. The Board questioned the number of bedrooms allowed on this lot
since it is located in a GP Groundwater Protection Overlay District.
There was a discussion between Mr. Caterino and the Board Members regarding the plan submitted, the
"names"of the different rooms and the total room count. The Board felt the plans were confusing because
items were crossed out and no doors (egress/ingress) are shown on the plan. There was a concern that the
plans did not meet the State Building Code.
Gloria Urenus stated the Building Division also had a concern regarding the plans that were submitted with
this application. She reported that no plans have been submitted to the Building Division.
The Board determined it was in the best interest of the applicant to allow this appeal to be continued until May
20 so new plans could be drawn and approved -in writing -by the Building Division and the Health Division.
Board Members hearing this appeal on May 20, 1998 were Gail Nightingale, Richard Boy, David Rice,
Thomas DeRiemer, and Acting Chairman Ron Jansson. Alternate Board Member Thomas DeRiemer heard
the testimony and replaced Elizabeth Nilsson. Barbara Swimm was represented by Cosmos Caterino, her
builder.
Acting Chairman Ron Jansson reported that Thomas McKean [Health Division] has written to the Board that
the"newly revised sketch now shows a total of two bedrooms...and now is in conformance with Title V."
The Board still had concerns about the number of bedrooms-which is now two and the three occupants.
The main house will now have one bedroom and the Family Apartment will have one bedroom. The mother
and daughter will share one bedroom. Mr. Caterino stated the applicant would like three bedrooms but would
be willing to have two because that is all the Board of Health will allow.
Barbara Swimm addressed the Board and explained that she had a knee replacement operation and needs to
have her daughter there to help her. She stated that she and her daughter will share one bedroom and her
grandson will sleep in the Family Apartment.
Gloria Urenas read a memorandum from the Building Commissioner which states, "Please be advised that I
have reviewed the attached plans (as modified) and can say they could be part of an acceptable package for
a Building Permit subject to construction detail. As to the issue of the 3-season room, it could be constructed
as drawn., Otherwise, there are no obvious Building Code issues."
There was a discussion between Mr. Caterino and the Board Members regarding the new plan and the total
room count. The Board was not sure if the family apartment was to contain not more than fifty percent(50%)
of the square footage of the existing residential structure and unsure if the lanai was part of the main dwelling
or the family apartment. Mr. Caterino stated the lanai is part of the main house and the family apartment will
conform to the Zoning Ordinance. The family apartment is heated separately. Mr. Caterino also stated he
would like to go back to the Board of Health to see if he could get a Variance from the Title V Regualtions to
allow a third bedroom in this home.
Public Comments: No one spoke in favor or in opposition to this appeal.
2
i
Town of Barnstable-Zoning Board of Appeals-Decision and Notice
Appeal Number 1998-64-Swimm
Special Permit-Section 3-1.1(3)(D)-Family Apartment
Findings of Fact:
At the Hearing of May 20, 1998, the Board found the following findings of fact as related to Appeal No. 1998-
64:
1. The petitioner is Barbara Ann Swimm. The property address is 128 Cedric Road, Centerville, MA as
shown on Assessor's Map 172, Parcel 137.
2. The property consists of a 0.35 acre lot. The property is improved with a 1,316 sq. ft. one-story single-
family residence.
3. The site is located in the RC Residential C Zoning District and the GP Groundwater Protection Overlay
District.
4. The applicant is requesting a special permit for a family apartment pursuant to Section 3-1.1(3)(D) of the
Zoning Ordinance.
5. According to Cosmos Caterino, the builder, the Family Apartment is to be 702 square feet.
6. Family apartments are allowed in this residential zoning district as a conditional use by virtue of a Special
Permit provided that the petitioner comply with the provisions of Section 3-1.1(3)(D)of the Zoning
Ordinance.
7. Engineered elevation plans have not been presented to the Board for consideration to show the
application complies with the provisions of Section 3-1.13(D). However, given the extreme medical
condition of the petitioner and the fact that a decision needs to be made in a short time frame, the
petitioner has agreed to comply with all the provisions of Section 3-1.1(3)(D).
8. Granting the petitioner the relief being sought, provided they comply with the terms and conditions that
will be imposed by this Board, would not be substantially detrimental or objectionable to the public good
or the neighborhood affected.
The Vote was as follows:
AYE: Richard Boy, Tom DeRiemer, and Acting Chairman Ron Jansson
NAY: Gail Nightingale, David Rice
Decision:
Based on the findings of fact, a motion was made and duly seconded to grant the relief being sought in
Appeal Number 1998-64 subject to the following terms and conditions:
1. The petitioner must submit to the Zoning Board of Appeals, for review and final approval, Engineered
Elevation Plans showing the Family Apartment and the Main Dwelling.
2. No construction is to take place-whatsoever-without the acquiescence and issuance of all appropriate
permits from the Board of Health and the Building Division.
3. The Family Apartment-in all respects-must comply with all restrictions of Section 3-1.1(3)(D) as
determined by the Building Commissioner in terms of total square feet dedicated to the Family Apartment
as well as the number of bedrooms actually being placed on the site. The number of bedrooms is to be
determined by the Building Commissioner in conjunction with the requirements of Title V.
4. Once the plans are submitted to the Zoning Board of Appeals and approved by the Building
Commissioner, the Family Apartment and the remaining construction is to be built pursuant to the plans
approved by the Building Commissioner.
5. With reference to the Title V Septic System-Title V is to be upheld. The applicant must obtain all
necessary permits to comply with Title V without Variance at either the state level or the local level.
The Vote was as follows:
AYE: Richard Boy, Tom DeRiemer, Gail.Nightingale, David Rice, and Acting Chairman Ron Jansson
NAY: None
Discussion: Due to all the strict conditions and restrictions put on this appeal, both Gail Nightingale
and David Rice are now voting in the positive. Ms. Nightingale stated she felt the plans as presented
were not sufficient to grant the Special Permit but with the condition that engineered plans-that are
approved and comply with the Zoning Ordinance-are presented, she would vote in favor.
3
e rY�
Town of Barnstable-Zoning Board of Appeals-Decision and Notice
Appeal Number 1998-64-Swimm
Special Permit-Section 3-1.1(3)(D)-Family Apartment
Order:
Appeal Number 1998-64 is Granted with Conditions.
This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this
decision must be exercised in one year.
Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17,-within twenty (20)
days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk.
, 1998
Ron S. Jansson, Acting Chairman Date Signed
I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that
twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the
decision has been filed in the office of the Town Clerk.
Signed and sealed this day of 1998 under the pains and penalties of perjury.
Linda Hutchenrider, Town Clerk
4
01/08/1994 21:07 10508034504607100000 PAGE 05
PAR; skirt 13T. PAa: RM 136.
KIT: 102221 TAX C09E:300 KEY: 10221a TAX CODE:S00
SMIMN• BARBARA A 4 ` ANDESSON♦ OLIVE F
128 CEDRIC RD 114 CEDRIC RD
CEIOTERVILLE RA U2632-0000 CENTERVILLE AA 02632.00DO
PARS 4172 13$. PAR: 0172 134. PAR: RITZ 146.
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IDS CEDRIC RD 9a CEDRIC RD 4T CEDRIC RD
CENTERVILLE MA 0163270000 CENTERVILLE MA 02632-DODO CENTERVILLE !1A 02632-000C
PAR: 11172 147, PAR: 0172 152. PAd: NITZ 151.
KEY: 102310 TAX CODE:300 KEY: 10216S TAX C06E:300 Kit: 1D2356 TAX COD
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KUIKJIAN, BART V 4 NAZLV,B CESEROP ANTHONY 9 BARBARA A TAASX, ROSERT A
18 CVRUS '6RIVE 19 L£STER CIR P 0 d9X 261Z
CENTERVILLE NA 0263R-000D CENTERVILLE MA 02632-0000 4144NIS 11A OZ632-0000
PARS R172 148. PAR: 1172 149. PAR: A1172 150.
KEY: 102329 TAX CODE:300 KEY: 10Z339 TAX CODE:300 KEYS 10234T TAX CODE:300
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JOYCE A ANIOTT 17 Claus DR T.Cylus OR
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I01/08/1994 21:07 10508034504807100000 HASSHWYFLDOFFICE PAGE 07
Proof of Publication
Town of Barnegbla ZaudrV Board of Ar"els
Nut"of PUblic Nearing ludo 71110 ZoMng Ordinance
fair may 13,To all persons interested in,or affected by the Board
40A of the Genera!Laws of the Commonwaatth of.Measa,hueetts�and all lemendr+nepni of es
thereto you ere hereby notNied that:
7:30 P,M. Kyle
Deidre Cronin Kyle has petitioned to the Zoning Board of Appealls for gl Number
pe sor a
Family Apartment pursuant to Section 3•t,1(3)(D)of the Zoning Ordinance,The property is
shorn on Assesso>s Map 127. Parcel 030,T0D and is commonly addressed as 175
Woodside Road,West Barnstable,MA in an RF Residential F Zoning Distract.
7:45 P,M,. Swrmm
Barbara Ann Swimm has pallcokned to the ZoningBoand f Appealfor Number 199Special mit lo
3a
a Family Apartment pursuant to Section 3.1.1(3XD)of the Appeals
Ordinance.The P,"rt r
is shown on Assessors Map 172,Parcel 137 and to commonly addressed as t 2B Cedric
Rood.CenterAls,mA in an RD-1 Rtsidential D-1?offing Distract.
8:00 P.M. Seguin
Thrimas end May Seguin have a Appeal Number Variance
5
Section 3-1.4(5)Bulk Regulations The applicant seebnao of Appeals for a variance to
setback from 15 feet to 5 feet to allow the addition of a living room to the hom"on to e The prop es erty is shown on Assessor's Msp1020.Parcel 130 and is commonlyaddrossed as 29 Old Oyster
Road.Cotuit.MA rn an RF Residential F Zoning District.
6:15 P.M, Kline
Jvdson A.Kline has applied to the Zoning9 APPad Number 1998.63
Signs Jr.the Business.Limited Business,Highway of Appeals for an Su r t s Sand S a.3.7
and Distribution D,stnets,The Petitioner is seeWadistional square footage fore se and
sign to be erticted on the rear of the building.The T,pn,n4 t7rdinance allows 50 square feet
end 85 square feat is r®quested_The property is shown on Assessors Map 311,Parcel 0g2
end is commonly addressed as 790 lygRpugh Road(Route 137), Hyannis. MA in on MS
Highway Business District.
8;30 P,M. Hyannis North
sh (C has
Imito v51 sePPied to the Zon e
tnilirship Appeal Nt,rnt, r 1998-67
HYertnis North Limited Partnership
Variance to Section 4,3.7 Signstn the Business,Limited Business..Board of Highway Aness. for o
Urban
Business and Service and Distribution Distnets.The Petitioner is seeking i Variance or the
total number Of Signs.for free maximum height Of free standing sign,total square footage allowable
shown onn A assessns sign.and the size and height of drrectlonal/safz signs,The property is
ssor s Map 309,parcel 227 addressed as 182 North Street,Hyannis,and
Assessor<Map 3p9_Parcel 228 addressed as 176 North Street,Hyannis,and Assessor's
Map 309,parcel 267 addressed as 55 High School Road, Hyannis MA in a B Business
Zoning Distftt,
These public Hearings will be hold in the}fearing Room:Second Floor,New Town Hall,367
Maim Street, Hyannis, Massachusetts on Wednesday May 13 1998. All plans and
epplications may be reviewed at the Zoning Board of Appeals Office.Town of SarnsteWe,
Planning Department.230 South Street,Hyannis,MA.
Emmett Glynn,Chairman
Zoning Board of Appeals
The Barnstable Patriot
April 23 b April 30. 19"
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Town of Barnstable
Planning Department
Staff Report
Appeal Number 1998-64-Swimm
Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment
Date: April 23, 1998
To: Zoning Bo d of ppeaIs
From:
Approved By: Robert P. S hernig, Director
Reviewed By: Art Traczyk, Principal Planner
Drafted By: Alan Twarog,Associate Planner
Petitioner: Barbara Ann Swimm
Property Address: 128 Cedric Road,Centerville
Assessor's Map/Parcel: Map 172, Parcel 137 Area: 0.35 acre
Building Area: 1,316 sq.ft.
Zoning: RC Residential C Zoning District
Groundwater Overlay: GP Groundwater Protection District
Filed:April 1, 1998 Hearing:May 13, 1998 Decision Due:July 10, 1998
Background:
The applicant is requesting a special permit for a family apartment pursuant to Section 3-1.1(3)(D)of the
Zoning Ordinance. Family apartments are allowed in RC Residential C Zoning Districts as a conditional
use, provided a special permit is first obtained from the Zoning Board of Appeals. The property consists of
a 0.35 acre lot and is addressed as 128 Cedric Road, Centerville. The property is improved with a 1,316
sq. ft. one-story single-family residence. The property is serviced by Town water and a private septic
system.
The applicant is proposing an addition to the rear of the house which consists of a den and a family
apartment. The proposed den is 238 sq. ft. and the proposed family apartment is 702 sq. ft. The
applicant is also proposing a separate septic system for the family apartment. The floor plan submitted
shows an apartment unit consisting of a bathroom, kitchen, and two bedrooms.
The family apartment is to be occupied by Kathleen A. Swimm, daughter of Barbara Ann Swimm, and
Ryan K. Swimm, grandson of Barbara Ann Swimm.
Special Permit Findings:
In addition to meeting all of the provisions of Section 3-1.1(3)(D), the granting of a Special Permit requires
the following finding of facts to be made by the Board (as required under Section 5-3.3(2)):
• that the application falls within a category specifically excepted in the ordinance for a grant of a
Special Permit, (Special Permit pursuant to Section 3-1.1(3)(D)-Family Apartment-is permitted in RC
Residential C Zoning Districts provided all criteria are met.), and,
• that after evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the
zoning ordinance and would not represent a substantial detriment to the public good or the
neighborhood affected.
Town of Barnstable-Planning Department-Staff Report
Appeal Number 1998-64-Swimm
Section 3-1.1(3)(D)Special Permit-Family Apartment
Staff Review/Comments:
Groundwater Protection
The property is located in a GP Groundwater Protection Overlay District. The Town Ordinance and Title V
of the,State Environmental Code(310 CMR 15.00) limit the amount of wastewater discharge and the
amount of nitrogen loading allowed within GP Districts. Nitrogen loading is based upon the number of
bedrooms on the property. The site, being 15,246 sq. ft., is only allowed a total of two bedrooms without a
variance from the Board of Health. The Town of Barnstable Wastewater Discharge Ordinance limits flows
to 330 gallons per acre per day. No more than three bedrooms could be approved on this lot if an
alternative septic system, which reduces the amount of nitrogen loading, is approved by the Board of
Health. The applicant's proposal for a two bedroom family apartment is not permitted. There is no
variance procedure available in the Town of Barnstable Wastewater Discharge Ordinance.
Family Apartment Provisions
As the main residence presently exists, the proposed family apartment(702 sq. ft.)would exceed the 50%
size limitation. The applicant is proposing an addition of a den to the main residence that would increase
the overall square footage of the main residence to 1,554. If the den is considered part of the main
residence, the apartment unit would be under the 50%size limitation. However, it appears from the
submitted floor plan that the den could be considered part of the apartment unit. There is unimpeded
access from the apartment to the den,which is closed off to the main residence by a sliding glass door.
It does appear that the house and proposed addition meet the setback requirements of the zoning district
in which the property is located.
Staff suggests the applicant provide elevations of the proposed addition to ensure the unit will be
developed in a manner which retains the existing residential character of the dwelling and area. Staff also
suggests the applicant submit a new floor plan showing a one bedroom family apartment with a wall
separating the proposed den from the apartment.
Attachments; Assessor's Map/Card Copies: Petitioners/Applicants
Application Form Building Commissioner
Floor Plan
2
r
Town of Barnstable-Planning Department-Staff Report
Appeal Number 1998-64-Swimm
Section 3-1.1(3)(D)Special Permit-Family Apartment
Copy of:
Section 3.1.1(3)(D)-Family Apartments
D) Family Apartment subject to the following:
a) Not more than one(1)family apartment is provided.
b) The family apartment is within or attached to an existing residential structure or within an
existing building located on the same lot as said residential structure.
c) The residential character of the area is retained as nearly as possible.
d) The family apartment contains not more than fifty percent(50%)of the square footage of the
existing residential structure if being proposed as an addition thereto.
e) All setback requirements of the zoning district within which the family apartment is being
located are complied with.
f) The property owner resides on the same lot as the family apartment.
g) The family apartment is occupied by members of the property owner's family only.
h) The occupancy of the family apartment does not exceed two(2)family members at any one
time.
i) The family apartment is the primary year-round residence of the family member(s) residing
therein.
j) The family apartment will not be sublet or subleased by either the owner or family member(s)at
any time.
k) Scaled plans of any proposed remodeling or addition to accommodate the family apartment
have been submitted by the property owner or his or her agent to the Building Commissioner and
the Zoning Board of Appeals.
1) Prior to occupancy of the family apartment, affidavits reciting the names and family relationship
among the parties seeking approval have been signed and shall be signed annually thereafter for
the duration of such occupancy.
m) Prior to occupancy of the family apartment, an occupancy permit shall be obtained from the
Building Commissioner.
n) No such occupancy permit shall be issued until the Building Commissioner has made a final
inspection of the proposed family apartment.
o) Within sixty(60)days from the date authorized family members vacate the family apartment,
the owner or his or her agent shall remove any kitchen facilities in such unit and notify the Building
Commissioner to inspect the premises.
p) In addition to the provisions of Section 3-1.1(3)(D)(o)above, upon vacation of any family
apartment, the premises shall be restored as nearly as possible to their state prior to the creation
of such family apartment.
q) The Building Commissioner shall have the right to further inspect the premises upon which a
family apartment has been vacated at least three(3)times per year for three(3)years
consecutive from the time of such vacation.
3
w
t TOHH OF BARNSTABLE
Zoning Board of Appea �1''
E u ;0NG
h�sml3ckir�a for Family ADartaent sukA H'I'HA$
ENT OF ;=`E ZONING
I TO
RELIEF Gnu
Date Received For office use
Town Clerk office '
�� Appeal #
APR ` 1998 Hearing Date
� Decision Due
The undersigned hereby applies o 3ie ZOn iice: c ard' of Appeals for a Specia:
Permit for the development and maintaining of a Family Apartment in acccrdan=-=
With Section 3-1.1(3) (D) of the Zoning ordinance, in the manner and for the
reasons hereinafter set forth:
Applicant Name: ;`J�ice.>q/e . . f> c Phone
Applicant Address: ���.� L,r' aC i C-
PA-,
Property Location:
Property Owner: -,le b C fea- !)h h e Sizll, i 117
'"'"r �"Y _ �C.7 Phone
Address of owner: Ica w ,c a,S G A r o' e--,
If applicant differs from owner, state nar.Lre of inere:::
Nu=!:er of Years owned: /q"7_ `"
Assessors Hap/Parcel Nu=,ber: 17A - /37
ZC^i....g District: pc- RB [ J, RB-I [ J�, RC (� RC-? [ J , RC-2 [ ;
RD [ J. RD-1—M'i RF [ J . R-F-I [ ) , IL--2
RG [ J, RAH PR [ J .
Groundwater overlay District: AP [ J, GP LW IWP [ ) .
Hams(s) and relationship of the family mambers to occuny the Family Anartment:
Hama: leash I-Peo ,4, 5UJI/l;tn , Relationship to owners: Do vG h*-I ek—
Name: � d � �, Sim/wl � , Relationship to owners: (ter�/i14l4.S[7l�
The Family Apar--ient is to be developed:
[ J within the existing single family structure.
K as an addition to the existing single family stru=tuze.
( J in an existing ac=essory building.
[ J other - Please ZYplain:
Al
Arrlication for Pamily Apartment srecial Permit
�S
Description of Construction Activity: !� /- Z
,e 7
Proposed Gross Floor Area of the Family Apartment Unit: ... . . . . • . . mil)' sc..
The Gross Floor Area of the Existing Single Family Dwelling Unit: ec. .
Do all structures, existing and proposed, comply with all setback
recui=ements for the Zoning District in which it is located? . . . . . . . Yes J N;
Will this be the permanent address of the occupants) of the
Family Apar=ent: ... .. ....... ... . .... . . . . . . .. .. . . . . .... .. . .... . . . .. Yes N:
If no, Please Explain:
Is the rrone=y located in an Historic District? Yes[ ] NC
If yes oxn Use only:
No Exterior Changes. .. .. .. . . . . .
Plan Review Number
Date Approved
i
In the building a designated Historic Landmark? Yes( ] Nc,
If yes Historic Department Use only:
Date Approved
Is the property served by public water supply? YeSM NC
is the property on private septic? Yes3d Nc
If yes Health Department Use only:
Title V System Yes( ] No
Date Approved
signature: � �o(y i Date:
v
Applicant or Agents Signature
Agent's Address: Phone:
Town of Barnstabel
Family Apartment Affidavit
Z, being on oath, depose and state as follows :
1. I reside at ���l P����c r•Q ( 4o, Lc°�that I have owned
since J and which is my domicile and principal residence. The proper=:•
shown on 'Barnstable Assessors Hap and Parcel Number _,_�_•
2. on , 19 ,the zoning Board of Appeals, in Appeal No.
granted to me a Special Permit to develop and maintain a Family Apartment in
accordance with section 3-1.1(3) (D) of the zoning ordinance and in agree=ent :.
condition of that special Permit at the premises above.
3 The following members of my family will be the sole occupant(s) of the F
Apartment unit
Name: , Relationship to owner:
Name: , Relationship to owner:
I understand that the Family Apar*=* ent:
* shall only be occupied by members of my family who are persons related t_-
by blood or by marriage,
shall be the rim ear-round residence for the identified family me= e=
primary Y :..
* shall not be sublet or subleased to any other person(s) , and
* shall, at all times, be in compliance with all conditions of the special
Permit issued by the Zoning Board of Appeals, including plans and corgi
made in the application and approved by the Board.
Thin affidavit shall be filed annually with the Building inspectors Office and
the unit shall be vacated by the above identified family members, I shall with;
30 days notify the Building Inspectors office of that and shall immediately
proceed with the removal of the family apartment unit.
in the event of the sale or transfer of ownership of the above property, I sha:
notify the building Inspectors office and shall surrender the Special Pe=it f:
this Family Apartment.
sworn to under the pains and penalties of perjury this day of 19_
signature:
(Please Print) Name: , Phone: �Q
Hailing Address:
7
;a
Twarog, Alan
From: McKean Thomas
To: Twarog,Alan
Cc: Schemig Bob; Traczyk Art;Weil Ruth
Subject: RE: 128 Cedric Road, Centerville
Date: Thursday,April 23, 1998 1:28PM
This applicant cannot receive approval for two more bedrooms. According to the Town Ordinance, no more than
three bedrooms could be approved. There is no variance procedure available in this Town Ordinance.
From: Twarog, Alan
To: McKean Thomas
Subject: RE: 128 Cedric Road, Centerville
Date: Thursday, April 23, 1998 10:47AM
According to assessor's records the house was built around 1973. The site consists of approximately 15,246 sq.
ft. (0.35 acre). Currently,there are two bedrooms in the house. The applicant is proposing to add two more
bedrooms. She is also proposing to add a separate septic system for the family apartment. Is a variance from
the Board of Health on the number of bedrooms or the amount of wastewater discharge a possibility?
From: McKean Thomas
To: Twarog, Alan
Subject: RE: 128 Cedric Road, Centerville
Date: Thursday,April 23, 1998 10:17AM
After an extensive search regarding to this property, I could not find any records at this office regarding the septic
system at 128 Cedric Road. Also,there are no records in our computer database of any inspections of the septic
system. If someone knows the year the house was built, one could then make assumptions about whether he or
she believes there would be a cesspool or a septic system there.
Is the applicant proposing any additional bedrooms? If the answer is yes,the applicant should be informed early
on that this site is located within a GP district and is limited by 310 CMR 15.00 the State Environmental Code,
Title V in regards to nitrogen loading. For example, if the lot is only 20,000 square feet, only two bedrooms are
allowed. If the lot is 30,000 square feet, three bedrooms are allowed. In addition,the Town of Barnstable
Wastewater Discharge Ordinance limits flows to 330 gallons per acre per day.
From: Twarog, Alan
To: McKean Thomas
Subject: 128 Cedric Road, Centerville
Date:Thursday, April 23, 1998 9:36AM
Barbara Ann Swimm has applied for a special permit for a Family Apartment at 128 Cedric Road, Map 172
Parcel 137. Could you please let me know if the septic system is a Title V system and whether or not it has
recently been inspected.
Thanks.
Page 1
PROPERTY ADDRESS
ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE I pCS I NBHO
0128 ASHLEY DRIVE 10 RC 30G 1UC0 CLASS KENO
07/09/95 1C11 OJ 36E'C R172 137_ �_ 10222
LANDIOTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS
Land By/Dale sae Dt'eA_a LOC-fYR SPEC.CLASS ADJ. COND. P PRNCE IT ADPRICENIT ACRES/UNITS VALUE DexNplion S W L M M♦ B A R B A R A A MAP-
C1 FF.Oe IA,Ac.es #LAND 1 27.-200
L 10 18LDG.SIT 1 X .3 =10 194 39999.9 77599.9 .35 27203 4JLDG(S)—CARD-1 1 72,000 CARDS INACL`OUNT
A #PL 128 CEDRIC RD CEN O1 OF 01
N BATHS 1 .1 U x C= 100 6000.00 6000.00 1.00 6000 a 40L LOT 16 ARKET
FIREPLACE U x C= 100 3100.0 . . 00 a #RR 0043 0100 74800
D 310000 100 31 INCOME A SE
D
D PPRAISED VALUE
J 99,200
A U T ARCEL SUMMARY
AND 27200
A T LDGS 72000
M —IMPS
F E OTAL 99200
E N C NST
A T - DEED REFERENC Type DATE R—d d R I O R YEAR VALUE
Book Page Inal. MO. Yr. SVw Price AND 27 200
T S 2403/348' 0/00 LOGS 72000
U
R
OTAL 99200
I �
E
S BUILDING PERMIT
LAND LAND—ADJ INCOME SE SP—BEDS FEATURES BLD—ADDS UIVITS Nambe Dele Type AmoDnl
27200 9100
Class C.i Total Base Rate AOi.Rate r B II A e Norm. Obay.
Vnils L'nns I I f I 9 Depr. ConE. CND LIK ke R.0 ReDI Coal Na. ADI ReDt VAlao Slonea Heplti Rooms Rms Bgna efia. Perly_atl Fee.
01C 000 105 105 57-50 60.38 73 75 19 80 100 80 89988 720J0 1.il 6 2 1.1 6.0
De—,pl— Rate Se.-Feet Rep'.Cosl MKT.INDEX: 1_D D IMP.BY/DATE: / SCALE: 1/O D_7 7
UAS 1OU 60..38 1316 79460 t ELEMENTS COOS CONSTRJCTION DETAIL
S FWD 65 8.50 168 1428 ----14---- Ny DWELLING 'I'= GF:
T 'TYL 03 R ANCH
0.0
FWD - ------ --------
R - - e�I �N ACJMT 3f ESIGV ADJUST S.Q
U 12 12 XT R:CJA1lS-- f 4 SOD FLAK -------��0
I
C 4EAT"f AC_TYPE- JZ A ---------
T ------ --
N Tcs-FIIaISH- JU --- - -- -----
U --8--*----14----*—___--50-----------------* itiTE-R:CAYJOT- :.JT ----------------- I 0
U.0
R ! NTT(.I1JW T7- JZ WE-A_S--59TER.---U-.0
A ! ! CDu:T 3T_RUCT-- UO ------------------
E EDTRf CDYER-- JO ------------------D i - U=D
Total Areas AVa. 168 Baee. 1316 . 20 007--T7P-E---- TJ0 -----------------
E BUILDING DIMENSIONS 22 Q
BASE CEZTRICA—C JU ------------------j7
T BAS W12 SO4 W32 NO2 W14 N22 E08 I 0UYUSAT-1Mi ' Jo -----------------9�Y
A FWD N12 E14 S12 W14 .. 3AS E50 -
1 S20 -
L 73EIG?7.50RH JD 376-9C-t_FNTERVICLr--
__ *---12---X LAND TOTAL* —14_ * 4 PARCEL 27200 99200 MARKET
*-----------32-----------*
AREA 1229
VARIANCE +0 +7970
STANDARD 25
FA f L`y '�p-A '+7
� ROOM
. 1i TO Notes
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Map 172
swimm
1 inch 130 ft J
c:rbam\dgnlbdap172.dgn Apr.21,1998 16:04:53
M1,;p
i
pFSHETp� 1 own of Larnstable
�y' o Building Department Services
Brian Florence,CBO
*' BMMSTABLE,
MASS. `0� Building Commissioner
200 Main Street, Hyannis, MA 02601 MITI F F MIN STABLE
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affdia74it '
I, being on oath, depose and state as follows:
My name is e V/am the owner/resident of the
property located at: ,
The following members of my family will be the sole occupants of the Family Apartment at the.
aforementioned address:
Name &relationship to owner:/�O,-L 67 l�'r�� S�U r 620 nj
Name &relationship to owner: I VV CC- vz /� st U,i Ilr?r77 d y
The Family Apartment will be the primary year-round residence for the above-identi d
family members. In the event that the listed relatives vacate said apartment, I will immediately
notes the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is permitted.
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to note the Building Commissioner immediately in the.event of the sale of this property.
j
If there is no longer a Family Apartment at this location,please'explam:
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,• 2019.
/�4/ d .1� LJe.; 52)s z-/
Signature Phone Number
Print Name 'r i
q:forms/famaffid.doc -
rev-l 1/08/13 `
Town of Barnstable
Building Department
Brian Florence, CBO
anxxsznB�. •
Mass. Building Commissioner
39. �, 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 �t -a- I am the owner/resident of the
property located at: 1'2 s"_(�2P d r/ roc-TC �nQ�
� � �, 1(�r�l0 0-_2632,
The following members of my family will be the sole occupants of-the Family Apartment at the
aforementioned address: o
ZE
Name &relationship to owner: vt 7W r „, a v
J
Name &relationship to owner: 4 / s ,,(, nJ
The Family Apartment will be the primary year-round residence for the ove-ide fled cn
family members. In the event that the listed relatives vacate said apartment, I wit immedi ly o
notify the Building Commissioner in writing. I understand that no subletting or s leasing osaicM
Family Apartment is permitted. 0
I understand that I am required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree
to note the Building Commissioner immediately in the event of the sale of this property.
If there is no longer a Family Apartment at this location,please explain:
The apartment has been dismantled.
The apartment has been transferred to the Amnesty Program(Appeal No. )
Other
Sworn to under the pains and penalties of perjury this day of 2018.
�L �oS_) h 9
Signature Phone 14umber
Print Name
4 1 ,
q:forms/famafd.doc
rev 11/22/2017
Town of Barnstable
Regulatory Services..
Richard V. Scali,Director
Building Division
RAMUrABL& ` Paul Roma,Building Commissioner
o," 200 Main Street, Hyannis, MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
Town of Barnstable Family Apartment Affidavit
I,being on oath, depose and state as follows:
My name is &e 2 X , I-1WL7PIarn the owner/resident of the
-
.property located af: `�`�'���'��'.��-�I���1`• , ,. � ;�_�:�.:._—. , - --_ -- __
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-iden ied:l-
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 sai
Family Apartment is permitted. - .. eM
I understand that I am required to file an Affidavit annually with the Bui ding � M
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all conditions imposed by the ZBA Special Permit.
and/or the Town of Barnstable Zoning Ordinances Section 240-47:1 Family Apartments. I agree
to notes the Building Commissioner immediately in the event of the sale of this propeity..
—�If there ls no-longer a-Farm-1y-Apa--tfncrt at t u �ocation;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 // h day of 2017:;
Signature Phone Number
m .Print Na l - ,
e
q:forms/famaffid.do c
rev 11/08/12
Town of Barnstable
Regulatory Services
oFIME tqy� Richard V. Scali,Director
Building Division
9B"'u',, Thomas Perry, CBO,Building Commissioner
`bAr 039' e,``� 200 Main Street' Hyannis, MA 02601 {
ED MA'S _
www.town.barnstable.ma.us
Office: 508-862-4038 ., Fax: 508-..7 -6-
`.,
Town of Barnstable Family Apartment Affj'' avit
I, being on oath, depose and state as follows:
My name is I am the owner/resider' of the
property located at: A21-- 21..
27
The following members of my family will be the sole occupants of the Family Apartment at the
aforementioned address:
Name&.relationship to owner: 17, ?U 1.gem
Name &relationship to owner: i
_ - --The Family Apartment will be the primary year-round residence for the above-identified
family members. In the event.that the listed relatives vacate said apartment, I will immediately
notes the Building Commissioner in writing. I understand that no subletting or subleasing of said
Family Apartment is,permitted.
I understand that I am.required to file an Affidavit annually with the Building
Commissioner listing the names and relationship of occupants in said Family Apartment. I also
understand that I am required to comply with all'conditions imposed by the ZBA Special Permit
and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree,
to 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 1°}da of
_ Y vQ- 2016.
Signature Pon Number
Print Name
q:forms/famaffid.'do c
rev 11/08/12
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