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0443 ELLIOTT ROAD
y Shea, Sally From: Anderson, Robin Sent: Wednesday,June 17, 2020 7:37 PM To: Shea, Sally Subject: Fwd:443 Elliott Rd Centerville MA Please add to street file. Sent from my Verizon; Samsung Galaxy smartphone -------- Original message -------- From: Janice Bertozzi <janbertozzi9jzmail.com> Date: 6/17/20 5:46 PM (GMT-05:00) „ To: "Anderson, Robin" <Robin.Andersongtown.barnstable.ma.us> Subject: Re: 443 Elliott Rd Centerville MA You Re welcome On Wed, Jun 17, 2020, 2:45 PM Anderson, Robin<Robin.Anderson(a,town.barnstable.ma.us> wrote: Thank you for the clarification. Just for the sake of consistency, any other use shall require approval, permits and possibly zoning relief. I will notify the fire department of your declared use. Thank you for your prompt replies. Robin Sent.from my Verizon, Samsung Galaxy smartphone i Original message From:janbertozzi <janbertozzina;gmail.com> Date: 6/17/20 5:08 PM (GMT-05:00) To: "Anderson, Robin" <Robin.Andersongtown.barnstable.ma.us> Subject: Re: 443 Elliott Rd Centerville MA I intent to use the space for storing personal items as any basement would be used. The refrigerator may be used to store extra food'for say a holiday. i I Sent from my T-Mobile 4G LTE Device i -------- Original message -------- From: "Anderson, Robin" <Robin.Anderson(a,town.barnstable.ma.us> Date: 6/17/20 12:48-PM (GMT-08:00) "r To:janbertozzi <janbertozzingmail.com> i �Sul*ct: Re: 443 Elliott Rd Centerville MA Thank you for response. I need to know how you do intend to use it so I can clarify the use for our records and advise the inspectors accordingly. This determines which code applies for a transfer. Another quick email response will suffice. Thank you. R Sent from my Verizon, Samsung Galaxy smartphone 3 -------- Original message -------- From:janbertozzi <janbertozziggmail.com> Date: 6/17/20 3:37 PM (GMT-05:00) To: "Anderson, Robin" <Robin.Andersongtown.barnstable.ma.us> Subject: 443 Elliott Rd Centerville MA f Dear Ms Anderson, I am buying the above referenced property as my primary residence. I will occupy the property with my partner Craig Smith. I have no intention of using the apartment as a rental apartment or the extra kitchen. If you have any questions you may contact me at 2405058040 Sincerely, Janice Bertozzi Sent from my T-Mobile 4G LTE Device I CAUTION:This email originated from outside of the Town of Barnstable Do not click links, open attachments or reply, unless you recognize the send er's email address and know the content.is safe! 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 isaafe! 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! .2 � ` . ? l i � � ��-�� � �_ �- s ��� y�� �i f eroninit Cash R Frc i �a J Ic, Parcel Detail Page 1 of 5 g Q. b'V5 7A6LE, t�nss �• _ pPEB MTV A.. iU1'i'�fllT�✓�C/Yf� ... }v a, Logged In As: Parcel Detail Friday, January 30 2015 Parcel Lookup Parcel Info x Parcel 227-112 I .Developer LOT'10ID Lot y Location 1443 ELLIOTT ROAD ( Pri 29 I Frontage Sec Sec Road Frontage I Village CENTERVILLE ) Fire C-O-MM District Town sewer exists at this Road r 0492 address No Index Asbuilt Septic Scan: Interactive } 227112_1 Map I Owner Info Owner SCHUMANN, SAMIRA H I Co- Owner Streetl 1443 ELLIOTT ROAD Street2 , I City ICENTERVILLE7 State MA I Zip F2632 I Country Land Info Acres 10.83 Use ISingle Fa m MDL-01 Zoning IRC Nghbd 10109 Topography Level Road jPaved Utilities Public Water,Gas,Septic Location lExcel View Construction Info - Building 1 of 1 Year Ext Built 1983 S ruc Gable/Hip Wall Clapboard Living 4406 Roof Ads�-h//F GIs/Cmp AC Central Pro Area Cover Type s zo r'' Style Modern/Contemp""� Iht Drywall ( Bed t-Bedrooms S FNS mss Wall Rooms R� BM 3 3 AS Model Residential I Int Hardwood Bath 5 Full+1 H 22 z MT eA ia' Floor Rooms FHs 20 Grade Custom Minus�I Type Hot Air TotalHeat �I Rooms 11 Rooms ( e zs z l 75 - z' Stories F Story ' Heat az Found- Poured Conc. FHs zz GAR p Fuel ation zs Gross http://issgl2/intranet/propdata/ParceiDetail.aspx?ID=15901 1/30/2015 `Parcel Detail _ Page 2 of 5 Area 19460 Permit History Issue Permit I,nsp P Pur ose Amount Comments Date # Date 4/29/2003 Addition 68427 $28'000 7/15/2003 - 12:00:00 AM 4/1/1991 Addition B34262 $14,000 CE ENC.DK 9/1/1990 Addition B33991 $26,000 1/15/1991 CE 12:00:00 AM IFAM/AP Visit History Date Who Purpose 4/29/2014 12:00:00 AM Tony Podlesney In Office Review 7/18/2013 12:00:00 AM Jeff Rudziak Sale Review 2/14/2008 12:00:00 AM Kasen Perry. In Office Review, 7/15/2003 12:00:00 AM Martin Flynn Bldg Permit Completed 1/3/2003 12:00:00 AM Gary Brennan Meas/Listed-Interior Access 10/19/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 3/15/1991 12:00:00 AM ML Meas/Listed-Interior Access Sales History Sale Line Date Owner Book/Page Sale Price 1 5/5/2008 SCHUMANN, SAMIRA H 22884/145 $0 SCHUMANN, ROBERT F 2 4/14/1999 12197/279 $1 SAMIRA H 3 4/15/1994 SCHUMANN, SAMIRA H, 9128/130 $1 4 8/15/1980 SCHUMANN, SAMIRA H 3133/165 $0 Assessment History Save Building Land Total Parcel Year XF Value OB Value # Value Value Value 1 2015 ,, $405,600 $95,300 $2,000 $279,900 $782,800; ; 2 2014 $405,600 . $95,300 $2,000 $280,600 $783,500 3 2013 $445,700 $102,500 $2,100 $225,700 $776,000 4 2012 $450,600 $96,500 ' : $1 ,800 $219,600 $768,500 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=l 5901 1/30/2015 I 'Parcel Detail Page 3 of 5 5 2011 $493,300 $281900 $0 $219,600 $741 ,800 6 2010 $489,900 $28,900 $0 $231 ,800 $750,600 7 2009 $494,300 $43,900 $0 $278,900 $817,100 8 2008 $587,300 , $43,900 $0 $290,700 $921 ,900 10 2007 $658,700 $43,900 $0 ' $290,700 $993,300 11 2006 $600,000 $43,900 $0 $287,200 $931 ,100 12 2005 $520,300 $42,900 $0 $287,200 $850,400 13 2004 $415,200 $42,900 $0 $287,200 $745,300 14 2003 $549,600 $42,900 $0 $276,000 $868,500 15 2002 $296,400 $42,000 $0 $276,000 $614,400 16 2001 $296,400 $42,000 $0 $276,000 $614,400 17 2000 $244,500 $43,900 $0 $138,600 $427,000 18 1999 $244,500 $43,900 $0 $138,600 $427,000 19 1998 $244,500 $43,900 $0 $138,600 $427,000 20 1997 $362,100 $0 $0 $73,900 $436,000 21 1996 $362,100 $0 $0 $73,900 $436,000 22 1995 $362,100 $0 $0 $73,900 $436,000 23 1994 $297,700 $0 $0 $83,200 .$380,900 24 1993- $297,700 $0 $0 $83,200 $380,900 25 1992 $269,900 $0 $0 $92,400 $362,300 26 1991 $282,100 ;$0 $0 $120,100 $402,200 27 1990 $282,100 $0 , $0 $120,100 . $402,200 28 1989 $282,100 $0 $0 $120,100 $402,200 29 1988 $1971800 ,$0 $0 $92,900 $290,700 30 1987 $197,800 $0 $0 $92,900 $290,700 31 1986 $197,800 '$0 • $0 $92,900 $290,700 Photos PIT 0:7 y http://issgl2/intranet/propdata/Pa'rcelDetail.aspx?ID=l 5901 1/30/2015 n a Mi jkl "." A�..-';4� sti'iia�'f.����uw� � y� r�..,"`�� --;11e'•` �s �,,. ®9'�":n �A �� wV 10/24/2014i . °it.�,��,d4;vr3 y�F�a.a4[;` 'C'..��t��„ 't ' , ��'.•r' ,� ;E•�.; � F t,+"��,f` w s "��, �d e t 24 20�i ` 2fi1�2 4 id4 I l 'Y , a 4.04 R � 5 - s 2014 012412014 :� " ycr / . �v� +rP .' •' ., i y,�'py�7 11Ga� i�Q `F. @ hat"��V��# Ea��s�(`;;+ .. Mi V r,�'.C,Fi t s MIN + i v ` _',�.."lik;.. :Tip": d•t r-S.'-'�-v .. r,- i ,r. + �. _ .` .fa" '+'.� w'�j'"-rr.. T�f1...--� �..--•r^' ..+....H.I'r R {+nr, .'rr..�.;. _ ;Y^, . :'/.cT .v2'... :K;"L!L# .,r.l .fritnv.. .e:•rurf�••r}'F •fit•v�^�d�:�"r'�Y7-: �r.,.!}�.'t7 "`mow-� f ('. �"""""M .rT'r .—.... r.� ^�'. r• .p.n,-�,<#'s-•+--r'' fi. Assessor's office(1st Floor): r Assessor's map and lot number � .� l� �ard of:Health(3rd floor): e �� wage Permit number 7 0- ,A _ Engineering Department(3rd floor): U t DaaaszAnLL i rua House number `� � � �o ,ago. Definitive Plan Approved by Planning Board 19 �Fo rAr d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P:M.only . TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO L 'TYPE OF CONSTRUCTION } J� 19�— TO THE INSPECTOR OF BUILDINGS R The undersigned hereby applies for a permit accordi g to the following information: r � / Location. y3 ,r��D - et gIv%cl, Proposed Use Z&V . Zoning District : �� 0 . Fire District Name of Owner Name of Builder 42 �` 1—i6L V 6A Z, r7—, *64 Address Z.,�S } Name of Architect Address Number of Rooms 4 Vic` Foundation Exterior 4� oA.?d Roofing Asg,,12 ,1�W dyi9 .Floors ��� Interior J a Heating No Plumbing �(� Fireplace /V 0 Approximate Cost To i I+ Area Diagram of Lot and Building with Dimensions Fee ®' 9 9 J OCCUPANCY.PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi, the,above constru tion. . Nam Construction Supervisor's License �� g Z-- SCHUMANN, ROBERT & SAMARA c A=227-112 No 34262 permit For Enclose Exist. Deck Single Family dwelling Location 443 Elliott Road Centerville Owner • Robert & Samara Schumann Type of Construction Frame Plot Lot Permit Granted April 11 , 19 91 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED /o � � r o �' 4 r. AAessor's office(1st Floor): , f�`� R���' Id � ° S tl Assessor's map and lot number 7-Z%� e.,r Z- 'INSTALLEDIN C�� ' 4 ' �E `TW E Board of Health(3rd floor): WITH TITLE d WQ o Sewage Permit number /,12 Engineering Department(3rd floor): voNS ENVIRONMENTAL CODE AND t DAII33TAI1LE VASL House number TOWN REGU '°o +ayp. Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING " INSPECTOR APPLICATION FOR PERMIT TO As4 L\�/3TJ/+�� TYPE OF CONSTRUCTION ; /�ri� � 19 �. JJ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accord' g to the following information: Location Proposed Use d S�� S ff jy Zoning District 'v>/ Fire District Name of Owner Q�/ _54, "—.1'e-. V,0V1'A-Address Name of Builder A0A,7, it e,7—,X '6Z Address Z25— Name of Architect /�i�-' Address Number of Rooms ��� Foundation Exterior .L�O.�✓✓�dJ Roofing --4—S4 W �� Floors Interior A I'y'I Heating A10 Plumbing A Q Fireplace N 0 Approximate Cost Q � Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar ' g t above constru tion. Na Construction Supervisor's License SCHUMANN, ROBERT & SAMARA 3�4262 Enclose- Exist. Deck { No Permit For Single Family Dwelling Location 443 Elliott Road - - - . 0` Centerville Robert & Samara' Schumann ' Owner' S Type of Construction Frame y Plot Lot t Permit Granted April 11 , .19 91 Date of Inspection .19 19 Date Completed 19 a 4 Ir 3 r :i �a.y , .M FS > 1 S-U N 2 k � dr—O 'PIMP ---- ---- +�a r - I� �L_._ -� �—_.1 - _1----�. "•P=RO`PO S��E°D A=D�D'I"T'I�`N A.BoVE _ FR OPO S S2 S V N ROO M ,o - I ) ( 1 ) 1 Wh i.._i. To 'B E 'REM-•O4V E,D i - I FASticN DOORS FARNC �-00AS __ �Af✓t ;�.y _Fzoo> I 1 �U - z.- ocxK or tovar> t 'w IL 1AS I�u�L. , ►fig s r st-� �-ie µ �i �. +=aF d" f4 _ tit 17 `. ... Parcel 277 1i : C B)d S1C ' C . .t.., --- �. ,.,�- . °:- "--,•,aa,? +-�. U?C31YIS .i�s�,.• ��:.. ..,....,d..'_, r �Paljf]`ng rift parcel `5 s yJ t" N a , Pr{3peft}fir7(lageT ` t3 . un � CENT-CE TER .wner Buffen SCh9lJlVM1 N3 .RQ'BERT:F :S,�1viI1RKH ', ,ice w: Insp'ectiari arEa ftP ftQl IF P:R(7TECT Dt flUEF Septic:, g��t_ .rN.i fix.y ¢ j �ACat9t7n '_.t M4 WVEB ' StreetA n :ELLIQ ©rD Parer3t parcel' sr ,�rf A... y± BE'fViEefl as x." rim * a ..t � f7ccft �eral � 3 lae0�l�,lst ,E p t fi U teaa r Sa rydE J i '} :} * —3 C:r le .t"_" 4,,I. 1 ff� —N' 9r 37� 'rc l lr,� Y "•..w1" ax s Fad Ond fs !�t7C�esC LT.1 .tfi' r erl©dlc'Irl6pS ��.��� a USe115C SIT1er191f51�S .z w , ' ..`', _ §� ' ^" Tv i d€T. , T7 aE p 4ffi E� a ater#Ype,LT V PIBLTN �Use/grou 101} Sp NfLE! iI •' z SCysir a # t f xa+€ U521fflefl3fi 'c ;i`• • ' S _ , h f� i Selleeftype S PT "SEPTIC 1 a c $o Zgraecode, RCZ-iRESID eta 4 � . raas +p Gr'4S GASH Rel ` a n g _ &wa »x tea. a is i- - Asa t t Zone ��[ �a a ��r r&em 6e � �} �oadtppe�„rs � I n Undergfvund utllS '" T fig i �t pP-p p s �m� t_ d ,exx: tt:€ 41 rea' . a`F SaPi] v Y &' ,' :. n 4 Teed j Rstnctiss (; Naxars = 49or�s b( ista�y (; �lraspca�s; a S (firar>msx. P§'.:d �' `�§ =a -s m jg� Ir gwil _ `s pfpf (yryy� y g I1.-• %ogtA, �Ky -.=�'• „-;®���-- �,��r�-R=,_ �# �1." .t � `° �.°� -�t :tee. `�,. �.4", Ma*m,tatrn builchngJciccuparncy detail tcs[#hre cursent?p(bperty Ilk `'M1't Y.. xx z `fi •.i ; Y 3- sjri e 6 1Y �Ai^t F'a".Y b,'sn=' ± ,SFx ieiy h. rt r Town of Barnstable Regulatory Services - Thonias F.Geiler,.Director �0'��� Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 i ' Fax: 508-790-6230 ice: 508-862-4038 December'1,2000 Re: Family p '1 Apartment Dear Property Owner: Our records indicate you have not filed an affidavit regarding your family apartment in quite some time. It is required,under Section 3-1.1(3)(D)(1)of the Town of Barnstable Zoning Ordinances,that an affidavit. be submitted annually for the duration of such occupancy. Failure to do so is a violation of your special permit and may result in your loss of the rights granted thereunder. Please indicate the status of the family apartment on the enclosed affidavit and return it to this office by January.30,2001. Enclosed is an affidavit for your convenience.' Thank you in advance, i Elbert C.Ulshoeffer,Jr. Building Commissioner enclosure /km Q/FORMS/FAMAPT �-� g � � ��- � �� � �" ` � � ice -� , � � � . � �� �" �°`` � � /o��� C' x C� / ® Town of,Barnstable Regulatory. Services °FTHE t°h• Thomas F.Geiler,Director ti Building Division C, �.. . , 3 `.i `j' r13L • a &UMnssBLE. ' Tom Perry, Building J Commissioner i6 9 2�'Ilil r�l l l >pai'I 1136 �A • �� 200 Main Street Hyannis,MA 02601 TED MA'S s _ www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit 1, being on oath, depose and state as follows: My name is n � /i riJ � Al A am the owner/resident of the property located at: L 2 32, .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 FamilyApartment is permitted. F `` I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA°Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately-in the event of the sale of this property. If there is no longer a Family 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 Iyj day of 2.008. Signature Phone Number Print NameSF__� - 15 - � DV Q/bldg/forms/famaffid ti a Rev:l/U3 i Town of Barnstable Regulatory Services �oFt►+e lOiy,� Thomas F.Geiler,Director P Building Division snmvsrnsr e. Tom Perry, Building Commissioner 9 MASS. �Ar sb39• A�� 200 Main Street,Hyannis,MA 02601 FDr www.town.barnstable.ma.us J Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �^/ / G ✓ J,V ✓ V ,t � � � � I am the'owner/reside of the r property located at: "f! The following members of my family will be:the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: t )' Name & relationship to owner: � � �(,� ;EIS .�l 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 requiredto 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 an�i enalti of er his -day of p 9 p,� j j Y ��s 1 t �2007. . Signature Phone Number r. 7 Print Namej. y QNdg/forms/famaffid . i . Rev:I/03 f ' Town of Barnstable Regulatory Services OFIME Tp� Thomas F.Geiler,Director Building in Division � � o EARN BL F, Tom Perry, Building Commissioner HOC( �, J 4 �; �F ;: a _ i6;9. �0 200 Main Street,Hyannis,MA 02601 �ATEO Mp�0 www.town.barnstable.ma.us ivisloh Office: 509-862-4038 Fax: 508-790-6230 Town of Barnstable family Apartment Affidavit I, being on oath, depose and state as follows: My name is R 0 B C.RT y N U M A N N I am the owner/resident of the property located at: Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: F1 U L 5 T S AND E6 M1 Ly Name &relationship to owner: ,1� 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.ofBarnstable 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 90qY)6 day o G( 2606. Signature Phone Number - Print"Name C1 C� Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable 7 Regulatory Services p °FZME t°yti Thomas F. Geiler,Director Building Division + BARNSfABLE, Tom Perry, Building Commissioner - 9 MASS. i639• 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 �� f ^ F1U ��� I am the owner/resident of the property located at: �1 r L L I C2 I I E0'► Map and Parcel Number �� The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book $(: Page . 13L,6 I The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: AO 16 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. 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 hag been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) ` Other Sworn to unde pains and penalties of perjury this day of 2005. �D Signature Phone Number Print Name l7 I��"12"r J C /y A,) r Q/b1dg/forms/famaffid2 Rev:1/03 Town of Barnstable Regulatory Services r F7He`tok� Thomas F.Geiler,Director _. Building Division RM NSTABLE Tom Perry, Building Commissioner •. ` MA & v z639• ,�� 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is ! �g��T SSA t�►l �P 7 to ft N N I am the owner/resident of the property located at: Map and Parcel Number The ZBA granted me a Special Permit/Variance one_ Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book Page )?30 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: g� Ul--7( yk�ul The Family Apartment will be the primiVy y l r-rounds ence 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. -7 --- The apartment has been transferred to the Amnesty Program (Appeal No. ) J Other Sworn to under,the pains and penalties of perjury this / day of 20.04. Signature Phone Number =Print Name SPWIMC% � o ` ` �C IW)M�Il� Q/bl dg/forms/famaffi d Rey:1/03 i Town of Barnstable Regulatory Services THE ro Thomas F.Geiler,,Directoit _j `�14, I; `z r,P sit 4BLE Building Division BARNSrABM Tom Perry, BuildingCommis�oti E� PM 3 09 MASS. � 163q. �0 200 Main Street,Hyannis,MA 02601 ATED fir A Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: M name is 1�/a >�� �� n the,owner/resident of the Y property located at: Map and Parcel Number 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: lG , Name &relationship to owner: �'i ,� Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately 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.anAffidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please"explain: The.apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2003. Signature i Phone Number Print Name 5 L N N\ I �r n� �/ � . Q/bldg/forms/famaffid Rev:1/03 C G >7 COMMC.IN W t'_.AL l U Ur 1vitxzati%.n U JL' 1 1 o ' BARN ABLE ArrRIJAVIT I, g SDG' Pith , being on oath, depose and state.as follows: 1.) I reside at x�-P/�:. r , a �h 2.) I am the owner of a property located at G?� shown on Barnstable Assessors'maps as MAP 7 PARCEL_ZZ E 3.) I Do Do not have a Family Apartment at this location. 4.) On , 199 , the Zoning Board of Appeals, on Appeal No. granted me a Special PermiVVariance 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 Relationship to owner. b) NAME Relationship to owner. 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate.said apartment, I will immediately notify the Building Commissioner in writing. 9.) I:understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that 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 J__�day of � Signature Print Name (A 4--f-T SC- vNlDy COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT ' 1 • M_ _/U being on oath, depose and state as follows: 1.) I reside at -��- -----� -- --V ----------------=-------- 2.) I am the owner of��l}e property located shown on Barnstable Assessors' maps as MAP ___ _ __-PARCEL_____--- 3.) I Do___ ----_--_-Do not______ __have a Family Apartment at this location. _ 4.) On---_—---------------, 199____, the Zoning Board of Appeals, on Appeal No-- ----- granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5:) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the family Apartment at the above address: a) NAME------- - -�- - ---- 1'� Relationshi to o er: �CJ 17 b) NAME- ------------�_--= -------- =--- Relationship to owner:_ r7 __Y 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. _____------ . i 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_ clay of 1997 Signature ------------------=----=--=----------------------=----- Pr N ---=--------------- COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT depose and state as follows: g �'�r11!(� Sr J � >/ 2 .Q � _ � �✓, BAN � 2 1 1.) I reside at `� . 1_—_ ----�--� - - - -------998 2.) I am e owner of pro ty loca �S at —=---------------------- ---=—� shown on Barnstable Assessors' maps as MAP_____________PARCEL ----------________ 3.) I Do____ Do not have a Family Apartment at this location: 4.) On--------------------, 199____, the Zoning Board of Appeals, on Appeal No------- granted me a Special Permit/Variance to maintain a Family Apartment at the.above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME---- ( !� 2 -- - L 1✓�/ ___- G'L( �� —%-�- Relationshi to owner:. p -------------- b) NAME----�� 1 ---� � --- ---- Relationship to owner:_-- _ _/7_— A � 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 Aflidavitwith the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. l I.)1 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—�I � 199. ---- Signature --- ---------- ------------------------=--- Print Name c _vim - -_- --_----__-- .°�"'E'iD .y The Town of Barnstable Department of Health Safety and Environmental Services BAHN3fASLE, Building DMASS. ivision 9`b `0$' 367 Main Street, Hyannis MA 02601 prED MA'S A Office: 5 790- 0 -8 6227 Fax: 508-790-6230 Ralph M. Crossen Building Commissione January 5, 1998 The Schumann Residence 443 Elliot Road. Centerville, MA 02632 Re: Family Apartment located at the above address Dear Mr./Ms.Schumann, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family-apartment on the enclosed affidavit return to this office by January.30, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Ralph Crossen -Building Commissioner TOWN OF BARNSTABLE ZONING BOARD OF APPEAL S SPECIAL PERMIT DECISION AND NOTICE APPLICATION : #1989-80 APPLICANT.: 'MR . AND MRS ROBERT SCHUMANN At a regularly scheduled hearing of the Barnstable Zoning Board of Appeals , held --on December 7 , 1989 and cont•inued • to .lanuary 11 , .1990 , . notice -of which was duly published in- the Barnstable Patriot and notice . of which was forwarded to all interested parties pursuant to-- Chapter 40A of the General Laws of M assachus etas the applicant , r M . .and Mrs . Robert Schumann - , through David Whalen o'f Whalen Construction , applied to the Board for a Special Permit pursuant to Section 3- 1 . 1 (3 ) (D ) , �Famil A a y p rtments , of the Barnstable ' Zoning Bylaw. _ - The applicant ' s property is locat^ed at 443 Elliot. Road , Centerville , MA as- shown on Assessors ' Map 227 , lot 112% It is in - a Residential C-, one acre , single-family- zoning dis.tri.ct . - The applicant seeks a Special- Permit ' to allow the construction of a family apartment in the basement o"f their ' ex i•s.t i ng residence . Mr . Whalen stated that the applicant - plans to construct a family apartment consisting of one bedroom, a bathroom , a k.itchenettejl• iving room, and a laundry room ('to be used by all residents on the property ) The apartment will be occupied -year-round- by ,the Schumann '.s daughter, and granddaughter - Mr. . Whalen presented plans for ;the proposed family a.partmen:t . The Board determined that- the area of the family apartment does not " exceed fifty ` percent of the area of the main dwel' l. ing . The house As approximatel-y 72 ' x. 30 ' uare feet ( or 2, 160 s q ) , whi.le, t.he area of the family apartment is approximately 15 x 40 ' (or 600 square .feet ) . It was testified -that the .house contains 2 , 800 square f'ee.t of tonal floor area . FINDINGS OF FACT: Based upon the information provided , the Zoning Board of Appeals made the following findings of fact : 1 . Family apartments are., a conditional *use in all residential zoning districts provided that all the applicable conditions - set forth in the Zoning Bylaw are met ; 2 . The area of the family apartment meets the requiremnt of being fifty percent or less than the area of th-e main dwelling and .complies with the requirements of Section 3- 1 . 1 ( 3 ) (D)" ( d ) 3 . The grant of this special permit would not . be in derogation of the spirit and intent of the Zoning Bylaw nor would it be detrimental to the surrounding neighborhood . - The vote on the findings of fact was as follows : AYES : BLISS , BOY , BURMAN , JANSSON , NIGHTINGALE NAYES : NONE DECISION : Based upon the information provided and the findings. of fact , at a meeting held January 11 , 1990 , by a motion duly made and seconded , the Zoning Board of Appeals voted to grant a Special Permit subject 'to the conditions . 1 . The applicant must comply ° with all the provisions of the -Zoning Bylaw as set forth in Section 3- 1 . 1 ( 3 ) (D) ( a through q ) ; and 2 . The apartment. must be constructed and utilized in accordance with the plans submitted to the Board . The vote was as follows : AYES : BLISS , BOY , BURMAN , JANSSON , NIGHTINGALE NAYES : NONE 1 _ _ i Parcel Detail Page 1 of 2 � 1 MANN Logged In As: Parcel Detail Wednesday, September 18 2013 Parcel Lookup Parcel Info Parcel ID 271-003 I Developer Lot Location 15 STRAIGHTWAY(NORTH) ( Pri Frontage 178 Se Sec Road ROUTE 28 I Frontage 190 Village 1HYANNIS ( Fire District HHYANNIS Town sewer exists at this address�YeS Road Index{{120 r Interactive �t Map w Owner Info Owner SCHUMANN, SAMIRA H I Co-Owner I Streetl 443 ELLIOTT ROAD I Street2l �� City[CENTERVILLE m I State iMA zip;02632 Country F - Land Info Acres 0.55 Use Isingle Fam MDL-01 ( zoning SPLIT RC-1;RB Nghbd 0105 �� W _ _ _____—__ Topography� I Road Utilities� I Location I �_ � I Construction Info Building 1 of 1 Year Struct i 1987 I Roof Built iGable/Hip Wall Ext!Wood Shingle I B aszl � i ----=- - Living i2988 ' Roof Area! Cover jAsph/F GIs/Cmp AC!CentralT Type- ` Style�COlonlal Int r— Bed r� �._ . wan}Drywall `I Rooms i5 Bedrooms I - Int��` Bath Model Residential Floor!Carpet. Rooms 4 Full Total Grade Average v� Type Hot Air ( Rooms Stories 2 Stories I Heat FGas ation ��Found- Fuel IPoured Cone. ;.., Gross+5502 Area i I I Permit History _ http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20321 9/18/2013 Parcel Detail Page 2 of 2 �t Issue Date Purpose Permit# Amount : Insp Date Comments 1/6/2005 Other 81627 $0 FAMILY APT 10/21/2004 Remodel 80084 $1,500 KIT ABOVE GAR 2/28/2003 Remodel&Addi 67230 $53,184 6/25/2003 12:00:00 FIN 2RMS ABOVE GAR AM W BTH 9/1/1987 Dwelling B31214 $160,000 11/15/1988 12:00:00 HY 2 STOR AM Visit History Sales History _ Line Sale Date Owner _ Book/Page Sale Price 1 4/15/1994 SCHUMANN, SAMIRA H 9128/133 $1 2 8/13/1992' SCHUMANN, ROBERT F TR 8156/168 $1 3 12/16/1988 SCHUMANN, SAMIRA H 6557/123 $0 4 2/15/1982 1 SCHUMANN, SAMIRA H 3431/27 $37,200 - Assessment Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2013 $262,600 $60,400 $3,400 $113,200 $439,600 2 2012 $268,600 $52,300 $2,700 $113,200 $436,800 3 2011 $284,000 $16,600 $0 $113,200 $413,800 4 2010 $284,000 $16,600 $0 $113,200 $413,800 5 2009 $323,500 $14,400 $0 $149,600 $487,500 6 2008 $231,300 $13,900 $0 $155,900 $401,100 8 2007 $231,300 $13,900 $0 $155,900 $401,100 9 2006 $260,900 $0 $0 $163,400 $424,300 10 2005 $222,100 $0 $0 $148,500 $370,600 11 2004 $203,900 $2,600 $0 $126,200 $332,700 12 2003 $153,200 $2,600 $0 $104,600 $260,400 13 2002 $153,200 $2,600 $0 $104,600 $260,400 14 2001 $153,200 $2,800 $0 $104,600 $260,600 15 2000 $144,600 $2,900 $0 $83,800 $231,300 16 1999 $144,600 $2,900 $0 $83,800 $231,300 17 1998 $144,600 $2,900 $0 $83,800 $231,300 18 1997 $161,300 $0 $0 $34,100 $195,400 19 1996 $161,300 $0 $0 $34,100 $195,400 20 1995 $161,300 $0 $0 $34,100 $195,400 21 1994 $146,600 $0 $0 $53,800 $200,400 22 1993 $146,600 $0 $0 $53,800 $200,400 23 1992 $196,900 $0 $0 $59,700 $256,600 24 1991 $178,600 $0 $0 $59,700 $238,300 25 1990 $178,600 $0 $0 $59,700 $238,300 26 1989 $179,400 $0 $0 .$59,700 $239,100 27 1988 $0 $0 $0 $22,100 $22,100 28 1987 $0 $0 $0 $22,100 $22,100 29 11986 1 $0 $0 $0 $22,1001 $22,100 • Photos '� http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20321 9/18/2013 y / ^/ sess�r's map and lot numbFTHE * A M Shwa Permit �` SEPTIC Q c wage t number-......:...............(.:............................. SYSTEM MUST �� „ C`" INSTALLED i C , N COMPLIA 9TanLE, i ")House number ..' " ..�d.... :......` rnea y ENVIRONMENTAL °TITLE 5 'o, �639. f , IRON ENTAL CODE Ad U0"aY a TOWN OF BARNS' ' 'BEE-ATIONS s' -3-` ' BUILDING 11 S,P E C T 0 R SUBJECT TO APPROVAL OF II BARNSTABLE CONSERVATiDN APPLICATION FOR:PERMIT TO ......�D.�I C3. ... .�V ...1.1A..T ....................lCDMM15510N.......... TYPE OF. .CONSTRUCTION .....W.O.d..d..... .....C�.. '!:��....................................: {' 192/ "•• �-' * . .!��,g"},'x T;�..: -ww .°i t'4:K,......i.cs.. ,� Ljy�.#,n. a;.ti TO THE INSPECTOR OFF BLJ'ILDINGS: € cif ' The undersigned hereby applies for a permit according to.the following information: Location .............. .. ........�.............'` k�.t.o.. ........... G�.F................ 1.vT -......................... ProposedUse .f .................................................................................................................................................. Zoning District ..:' ( .. ..........................................................Fire District .....C.-.0............................................................. Name of Owner " `'° Address ...�...... ... .. ....................... "L.................. .... �141 Name ofBuilderS� �.l.'��.Address ... �.. :!k6 !�. ..U. .......................................... Name of Architect :..!�............a.... ✓ .........................Address ..................... ...............lb.l.Q!............................. Numberof Rooms ........................................................Foundation ...1.(�W..P.............................................................. ,' Exterior ..... NG� !'a ...........................................................Roofing ...(✓..4. �. . �"ll ..P.Ch .n�.. ........................................................ C Floors ..................Interior ....9........ .... ........... -............................ ............................ ' � HeatmgN .l�C�......... . .?.�. . J �. .Plumbing . . .. IJa.J..".� ............................ ....... Fireplace .. ....".� ................................ t��(�� Approximate Cost ...... ... .. .. . ........................................... Definitive Plan Approved by Planning Board ________________________________19________.. Area s /................................ .... o . Diagram of Lot and Building with Dimensions Fee ®! �'�"`..................... ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH a � Ln \\ti I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namey..... ...... ................ .................................. - CHUMANN, ROBERT t 114174 12 Story o ....... ........ Permit for .................... ............. . • t `.43ing1e Family Dwelling Location Lot #10 443 Elliot Road z / .. ...... ... .. ........ �CenterVille .. � .............. _.......................................................... �- Owner ...Rbbert`iSchumann........................ Type of Construction .....Fzrame ..................................... q ................................................................................ . Plot ............................ Lot ................... ... n , June 28, 82 . Permit Granted YT`'.........19 Date of Inspection .19 Date Completed ;�gv... �...... 1 � •• -` ....ter. J ^ ' M • ' Y fn PERMIT REFUSED ,,t: .}�... ... . .................................. 19 . .'" .......................................... } Y. .................................................. st' ....... •�,,,6 s.. ......................................................... Approved3.................................................. 19 ......... ................................................................... ............................................................. Assessor's map and lot number � •� Iti,:I< C.,,�j_ ��- �'� .,:........•....... U , FT MET Sewage Permit number , �: Z BARNSTABLE, i House number ....t.........'.........!:............................................... roo MAO TOWN OF BARNSTABLE BUILDING INSPECTOR t j APPLICATION FOR PERMIT TO ....... A.11 # it Crt inl.....................L .... �+ ...................................................:.. �I TYPE OF CONSTRUCTION ...... 4.K!..y}.!�................................................................................. ............. ....I.4�......................19.......'. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby{ applies for a pe}r_mi}t according to the following information:- Location ...............k..�...!........l.� ............... .... .....................�f� .................. ... r ,1..T� '.../LI-�-- ................... Proposed Use ' ..... ...................... ............. ..... ...r.. ........ ................................................ �...... Zoning District ...!c...... .... ...........................................................Fire District ... .... ...............Name of Owner ...:.�;:............ ;' !r.., .. r, y ................ .............. ... ...Address ....................... ..... .......... .......... � ....................... Name of Builder / �,t. l ,I// ' �a .Address ... � �.:... ". „ .......(,('✓ti�'�f' ...n`............... w r Name of Architect .....:......:.....................................................Address ...................... Number of Rooms Foundation ........ft!�!:�! tAi�... Exterior `r'1��+-} Roofing % .l: *�i o ' � ................................ ...........,.................................................................... Floors ! 1j Lt Interior ...:..... '` ' 4 r- ... ............ ........................................................................... t f' ..Plumbin .................... g_.............. . ............................................................... Fireplace .............................................. c /st p Approximate Cost ..... ,.................................................... Definitive Plan Approved by Planning Board -------------------_-----------19 . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 4, / ;—j a 6 ,I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name :...... (tl� r SCHUMANN, ROBERT A=227-112 No Permit for ..... a...S.t ary. .......... ................ ............. ...Dwalllag Location .4.3...E. Lot...Road Ce]R j,.Jla... ............ ................. ..................... .t p. Owner 5.all ann. ...................... 4 F3Z t (e 0 b 11 an . ........ ...... .... Type of Co struction . .....F-ra e...................... ................ ..................... .............. .......................... Lot ...... Plot ...... .................... Lot ....... ................... ... !T4;i�e 2 Permit Gra ted ...June ... ........... .....19 82 io Date of Inspe tion ...................... ........ ....19 Isp ) 'n\e Date Complete .......................... ...... ...19 PE MIT REFUSED ............................... ......................... ...... 19 ............................ ......................... ..... .............. ................................. ........................ .... .............. ..............................()............................ ................ ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Cal '.� TOWN OF BARNSTABLE Permit No. ` Building Inspector , i I NAUIr.n Cash C. ia.—------- --- �Yl �e�a• OCCUPANCY PERMIT Bond ----------------------- Issued to Address'5q9 CZ/✓TCit°(/l�L C QZ jL Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ..........................................I............ 1.9.......... .............................................................................._...._._..._............ Building Inspector \ ifs J J J �. v• r , �= �t. .: •,7 1_ t_. r.� .t_ Q o• hl d PL AN S/-/D lN& FO UNDA 77.0, N 1-014CATIO =� ENT OR rat; 4d'. µ W�.v;� PD z � ZLw a UZ5 - UJ U Y-' �; C CS d 0 (A 1i -. u N u, C1 Q J ' PL AN F o oNl-)A 7-Y 0 N z-'0,,c4:TION AA of.Q SCALE'•' / — 44' �A7�F�' ✓/7�y.,. ► � � t r i s 4,� fir .p � r � 7q r� Town of BarnstableRuilding ' Post-ThisCardSo That it�s U�sible Fromthe,5treet-A roved PlansfNiust be Retarned,on Joband this Card Must be Kept ' weirs n F n, e Epp • 16 ¢ Posted Until�Final Inspection HasBeenMadef. �'' �� Permit Where ayCe�rtfica�te ofOcr`upan cyais Requred,such Bu�ldmg shallNotbe Occupied untty mal Inspection hasben made Permit No. B-18-1357 Applicant Name: C& F REMODELING INC Approvals Date Issued: 05/03/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 11/03/2018 Foundation: Residential Map/Lot 227-112 Zoning District: RC Sheathing: Location: 443 ELLIOTT ROAD,CENTERVILLE Contractor Name T C& F REMODELING INC Framing: 1 n Owner on Record: SCHUMANN,SAMIRA H Contractor L►cense 153792 2 UP Address: 443 ELLIOTT ROAD "�"� " Est IA Protect Cost: $29,500.00 Chimney: CENTERVILLE, MA 02632 � Permit Fee: $200.45 Description: Replace top cabinetts,install the in bathroom(1st Floor)refinish the Insulation: ,Fee Paid! S 200.45 whole floor,hardwood(first floor 3 z' j "ADate 5/3/2018 Final: Project Review Req: Plumbing/Gas Rough Plumbing: �; Building Official Final Plumbing: s:w This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance. Rough Gas: All work authorized by this permit shall conform to the approved application ar dV6,approved construction documents-for which th s permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by law aril codes. Final Gas: � � n This permit shall be displayed in a location clearly visible from access streetor road and shall be maintained open forpubl c inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signaturesby the Bwldm�andrtFire Officials a�eprowded"on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work � � "✓ 1.Foundation or Footing c as z w Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.lasulation 7.Final Inspection before Occupancy Low Voltage Final: Wherg applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ems , S HE Application Number.. .... . ........ • o � ado. 15' * &� �� ®�� Pest Fee................... Other Fee ...... .. ............ MAS ED Mfg •9 ,B TotalFee Paid.............. ..... ........................ ......... ...... ...... TABLE Permit Approval by. ... . . .. ....on. . TOWN OF BARNS i BUILDING PERMIT a � , Map...... ..............................Par=L..... ... .................... APPLICATION Section 1- Owner's Information and Project Location ' Imo. Village Project Address Owners Name I !. ry I,,'—r� /Y�/L 1 owners Legal Address City State Owners Cell# 7 7 F1 6�'. Emily Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure . ❑ Change of use ❑. Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar. Renovation ElPool ❑ Insulation Other—Specify Section 4 -Work Description �G T A.,e mdatad:219/20 t s { Application Number........................................... ...... Section 5-Detail " Cost of Proposed Construction -5 0 Q9 Square Footage of Project Age of Structure r C/(53 Dig Safe Number # Of Bedrooms Existing 4 Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6-Project'Specifics ❑ Wiring Oil Tank Storage ❑ Smoke Detectors El Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑.Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑. Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: ' . I am using a crane ❑ Yes ❑ No Section 7-Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No , 0 Section 8-Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard` Required i Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No, Last undated:2/92018 The Commonwealth of 1M2assachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street -" Boston,MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name(Business/Organizafion/Individuan: Address: ZO 'N City/State/Zip: /vVl Phone#: t o� Are you an employer? eck the appropriate bow Type of projecf(required): 1. ' I am a employer with. I 4. []I am a. general contractor and I * have hired the sub-contractors 6. ❑New cons•iruction employees(full and/or part-time). 2.El am a sole proprietor or partner- listed m the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance.$ required] 5. We are a corparation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing aU work officers have exercised their 11.[]Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C.152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sbeet showing the name of the sub-contractors and state vrbethcr or not those entities bave employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. /P H t�1 1iA Insurance Company an Name: 0 / — Policy#or Self-ins.Lic.#: �Jcc Swso 18J CC A ?-G/(# A Expiration Date: Job Site Address: 7 yK 3 C City/State/Zap: 614 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under pains and penalties of perjury that the information provided above is true and correct Si ature: V ho Z/� © � Phone#: OfjMd use only. Do not write in this area,to be completed by city or town offzciaL City or Town: PerinitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: Ufte 7pnmiirriaiauseczl�a�C�/�/l a�ar./uc". Ot♦ice of cinistjTer Affairs&Business R,.g,{; , HOP9E lMPR.0VE13ENT CONTRACTOR . :gTYPE:Corporation ==F }str�tiion Expiration 01/07/20t9 C E,FEMZIDEL!}� Carlos,Figueiroa, 20 Captain Noyes�F�cl. S.yarmouth M 02B04 !%! P Undersea,,,._ _ ,_ter_ - Reg stration valid for inelivida3al use only before the expiration.dIate. If,S fired return to: Office of Consumer Aflairs ar`Q Business Regulation . 10 Park Plaza-Suite 5176, - ,Boston,MA A211 u,, 1 i ..`ot vaud Witli okk aignat re Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards " Cons+y, ttibr�siSpj,rvisor , CS-104107 [ I 05pires: 08/25/2019. i {3 $CARLOS H FIGUEIROA r,-' 20 CAPTAIN Nb.YES'R SOUTH YARMOUbH 10 Commissioner i' Application Number............................................ Section 9—.Construction Supervisor. Name p f ! Telephone Number -- ' 11509 23 7 Address L4"I,.� )City / fate- -Zip—(� License Number 0 License Type 4!5s L Expiration Date. 20 Contractors Email C¢/F7.�t�C—e%YiA aw—��,c-Cell# .J�-©� 3`7 q S7 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 78 and the Town of Barnstable.Attach a copy of your license. Signature - Date. �/'/130 Section-10 —Home Improvement Contractor Name GS cam' Zia Telephone umber 3 7 Address 20 /� city 1 �" t3' State -� Zip-------------- Registration Number rr// 22�d� Expiration DateI understand my responsibilies ue the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I rnderstand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.LC... Signature - Date r7O Section 11 —Home Owners License Exemption Home Owners Name: ��j�/�/�^G SC-IU 114,4 W AI Telephone Number ZZE6�1 '? Cell or Work Number I amderstand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building.Code. I rmderstand the construction inspection procedures,specific' �P P ,sp inspections and documentation required by 780 CMR and a Town of Barnstable. Signature V D 4PLICANT SIGNAT Signature Date Print Name !?iS -� c.c P,c -ce. Telephone Number <_ 2 Z P E-mail permit to: T....a....A.a ?^fin^A!o Section 12—Department Sign-Offs Health Department, ❑ Zoning Board(if required) „❑ Historic District . ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation _ .- ❑ For commercial work,please take your plans directly to the fire department for approval 1 Section 13 Owner's Authorization I, l& S vyn U//V as Owner of the-subject property hereby authorize ' a to act on my behalf, in all matters relative to work authorized by is bu"din permit application for: �7 -19 v (Address of job) date Signature of Owner Print Name i - f Last undated:2/9/2018 l As of 03/21/01 HOUSING AMNESTY PROGRAM (Telephone Log continued) Deirdre Kyle-- 175 Woodside Road, WBN Ms. Kyle said she is hesitant to sign a deed restriction. Linda Legeyt-- (address unknown) Ms. Legeyt said she changed her mind because she is going to rehab the house and sell it instead. Craig& Lynne Mudie-- 8 Marble Road, BN Couple said they are too anxious about a stranger living so close to their two young children, and don't know anyone who would qualify under the income guidelines. (They were told to remove the stove). Travis &Julie Rose -- 7 St. Joseph Street, HY Couple said they are helping out her sister with finanacial problems by allowing her to stay there. cRobert& Samira Schuman --443 Elliot Road, CN Couple said the wife is from a different culture and put in an extra stove for cooking and that they have never before and never in the future plan to rent the area as a unit. Stephen & Betsey Sethars --44 Stevens Street, HY Couple said they dismantled the area by enlarging the room to the house and now use it for shelving. Herbert& Cheryl Sieger-= 119 Skating Rink Road, HY Couple said they do not have any unit, nor is there any room to build one. Gary & Beth Strong--22 Captain Lijah's Road, CN Couple said they are going through a divorce and have decided to sell the property. Mr. Wallace-- 339 Cedar Street, WBN_ - Mr. Wallace said he does not have any unit, nor is he interested in building one. George& Rita Velardi -- 151 Sturbridge Drive, Osterville (OS) Couple said they are helping their nephew financially by allowing him to live in the unit. Ira & Daena Wasierski -- 186 Walnut Street, HY Couple said the mother-in-law used to live there. They have since opend up the unit to make more room in their home. As of 03/21/01 TOWN OF BARNSTABLE Office Of.Community and Economic Development HOUSING AMNESTY PROGRAM'S PHONE LOG—"NO's" The following is a telephone log describing why people decided NOT to participate in the Housing Amnesty Program. About half of the individuals contacted have said"no"for reasons listed below: Tim & Sharon Acton -- 232 White Oak Trail, Centerville(CN) -- Couple said they never did the unit because the father decided to move out west. Albert Basile-- 149 Pleasant Street, Hyannis (HY) -- Individual said he is renting unit now and plans to continue to rent it out. (referred back to Building Dept.) Richard Boucher-- 64 Bent Tree Dr., CN The father-in-law who was living in the'unit died in October. Mr. Boucher is now preparing his 72 year old mother to move in to be closer to him. Rick Cathie-- 102 Liam Lane, CN-- Mr. Cathie and his wife have decided to adopt a child and therefore, are no longer interested inthe program. Christie Clark-- (address unknown) Ms. Clark recently got approval on a loan and has decided to buy a house instead. Lindsey & Jacquelyn Counsell-- 1183 Old Stage Road, CN Couple said they opened up the adjacent unit and enlarged the room in the house. Adam Doefler-- P.O. Box 1725, HY Mr. Doefler said he's helping out a cousin with financial problems by allowing him to live in the unit. Dan & Debbie Dwyer--499 Skunknet Road, CN The couple thought the Town would allow them to buy a property somewhere and fix it up under this program. Douglas Gannon -- 339 Pitcher's Way, HY Spoke to the realtor,who said the property is currently undergoing an ownership change. Clifford & Jean Hilton -- 157 Salt Rock, Barnstable (BN) Couple said there is no unit there, nor was there ever any unit there. Robert Jones -- 56 Gosnold Street, HY . Mr. Jones said a family member is in the unit and he is willing to sign an affidavit. (referred to Building Dept.) Regulatory Services Thomas E.Geiler,Director ` Building Division "B Thomas Perry, CBO,Building Commissioner. A �. 200 Main Street, .Hyannis,MA 02601 �r �� RAW', F! s639. t. www town.barnstable ma.us Office: 508-862-4038 Fax:: 508-790'6230 -Town. of Barnstable Family Apartment Affidavi I,being on oath, depose and state as follows: My name is. ' ! A G6zi� 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: Name &relationship to.owner: The Family.Apartment,will be.the primary year-round residence for the._above=identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing I understand that no subletting or subleasing of said. Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building_ Commissioner listing the names and relationship of occupants.-in said Family Apartment. I also understand that lam 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 apartment has been transferred to the Amnesty Program(Appeal No. ) Other i Sworn to under.the pains and penalties of perjury this day of' 2013 �ue Phone Number Print Name-c -t "�;' /�/��j 0✓l✓ q:forms/famaffid.do c rev l 1/08/11, .. fTown of Barnstable Regulatory Services f aF�"E Thomas F. Geiler,Director - `� Building DivisfUn'JIN OfF B $ISUA ` E assB Thomas Perry, CBO,Building Commissioner t y 1 _ , t ; i619' A�• 200 Main Street, Hyannis,_MA 0260 ` '2 Fo�r _ www.town.ba rnsta bl e.m a.us Office: 508-862-4038 _ fax: 508-790-6230 DIVISION Town of 'Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is 5 A'M 1 _A A-- :5 C 4(;ffl A~ArN 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:_. �r,�Al Name &relationship to owner: X41 The Family Apartment will_lie'the primary year-round residence for the above-id tified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(-Appeal No. ) Other Sworn to under the pains and penalties of perjury this. �I% day of 2012. Signature . Phone Number Print Name am.Z f3 r4 y Ro q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services _ oFt►+�rotiti Thomas F. Geiler, Director BN Of uilding Building Division tt (pj MA ` Thomas Perry, CBO, Building Commissioner A�i639. p � 200 Main Street, Hyannis, MA 02601 Ep MA'S www.town.barnstable.ma.us k Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is J°t M � �- /lM�€1 tl/�V I am the owner/resident of the property located at: C-') 7--E G� IliLt'E, M19 . 0 2 e � The followingmembers of m family will be the sole occupants of the Family Apartment at the Y Y P Y p aforementioned address: Name & relationship to owner: Name & relationship to owner: 1ir�, The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 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 I day of 2011. Signature Phone Mumber, Print Name} M _ `1/11? Town of Barnstable Regulatory Services pfTNE TOy, Thomas F.Geiler,Director Building DivisiTOPH OF WNSTASIE anaivsrnaLe, Tom Perry, Building Comm �s'o er c� n; 5 y MASS. g Fsa1 i"'T1 17 A.s r Q� 1639. �0 200 Main Street,Hyannis,MA 026-61 ArFD �A www.town.barnstable.ma.us Office: 508-862-4038 DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �t U,�a-n Qom- 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: /ft A6a8 '1_4 '44A=9-:2d Name & relationship to owner: ,"0,otL�4" �arr� ,`� y� 2L 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 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 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. ) � ,p Other M A- c�S}C/�)I�U r»'yv/c ►, J.�yl.[-(�•�/y��Jyi2-r S p��, ���.�('�t ���li; �lute�r�, d JV`./i� Sworn to under the pains and penalties of perjury this /3-71A day of _'_rj' 2010. Signature Phone Number Print Name ZA t"M 01v W Q/bldg/forms/famaffid Rev:12/08 I Town of Barnstable 7 Regulatory Services pFTHe rti Thomas F. Geiler,Director j�Z��oq Building Division ; r s BARNSfABLE, Tom Perry, Building Commissioner y MASS. �A ib39• 200 Main Street,Hyannis, MA 02601 rEC Mph 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 t Q y vw'� I am the owner/resident ov the property located at: �11 I ��alt�,_ .L zs The following members of my familywill be the sole occupants of the Family Apart ent at ffie ��-s.' p Y p aforementioned address: Q, 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, 7 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 Special Permit. and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Billldlrig COin/fiiSSCner immediate y i1"c t;e e vent 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 ?o7� day of 2009. 77 Signature Phone Number Print Name�,9 . Q/bldg/forms/famaffid Rev:12/0$ C, K iy T Town of Barnstable 1'p y Regulatory Services oFTHE rOk, Thomas F.Geiler,Director Building Division snMASS.[a Tom Perry, Building Commissioner �-� ��� ��: 36 v� 9 ��� 200 Main Street,Hyannis,MA 02601 ATFp��p www.town.barnstable.ma.us Office: 508-862-4038 Fax: _508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: '12 My name is �� ���C L fiJV AIT am the owner/resident of the property located at: L102�C L 7 MP - 0632—, The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate'said apartment, I will immediately notify the Building Commissioner in writing. I,understand that no subletting or subleasing of said Family Apartment is permitted. - I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 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 loj day of 2008. Signature Phone Number Print Name `� 3C Q/bl dg/forms/famaffid Rev:1/03 4/30/08 Re: Family Apartments 2008 Affidavit not received Robin, Tom asked me to refer the attached memos to you. Also attached are Affidavit forms if you need them. The Verification of Removal of Family Apartment form is one we used in the past. I don't know whether we still want to use it for properties where the apartment has already been removed. It would be best, of course, to have a building permit. The Reynars at 59 Church Street are due back from FL today, so wait a week or so on that one. I have included the folder for 443 Elliott Road along with 5 Straightway North. See my note to Tom. If_443=Elliott Road'is no longer going to be approved, let me know. Please give me status reports as these are resolved. I'll let you know if I get anything. I 1/30/08 Tom, We have received a Family Apartment Affidavit (attached) from Samira Schumann, 5 Straightway North, Hyannis, listing visitors, family & friends as the occupants of the family apartment. The previous occupant was Adele Hajj-Williams (sister). Robert Schumann has a family apartment at 443 Elliott Road, Centerville, and has been submitting his Affidavit listing family, friends, visitors since at least 1998. I have a note , that you reviewed and approved it on 3/4/03. See attached. See Mr. Schumann's note in response to Elbert Ulshoeffer's letter of 12/1/02. Munis lists the owners of 443 Elliott Road as Robert and Samira Schumann. It lists the owner of 5 Straightway North as Samira Schumann. How do you want to handle the Affidavit submitted by Samira Schumann for 5 Straightway North? p G a4 1) Ac- -t-&4- N S L o , f Town of Barnstable c9 Regulatory Services �� �oF1HE r°ijr Thomas F. Geiler,Director � Building Division F,s;. : ;, irk R ,u0LE O s{ O 9BA NSTABLE, Tom Perry, Building CommissionerMASS y 4iArfcrA,� 200 Main Street,Hyannis,MA 02601 � Jp Q t Z, www.town.barnstable.ma.us U Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: �?D �g,,-L-- �My name is �l -> � I am the-owne eside of the property located at: L The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Al Name & relationshi to owner: f P Name & relationship to~owner:' 9- C' -- 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. 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 an p/enalti of erj his day of 2007. Signature _ Phone Number Print Name ' � �U V Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable 0 / Regulatory Services 0 f "' / OFIME Tok, Thomas F.Geiler,Director 3 Building Division y BABNSTABM Tom Perry, Building Commissioner O MASS. ,��' 200 Main Street,Hyannis,MA 02601 `� 2 �' Q ArFo �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 R O B E RT y N U M A NNI I am the owner/resident of the property located at: ELLS 61T ROAD 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: C1 U L ST S AND M E M E Z S Name&relationship to owner: \NjtT,�,W V I S VE1 ` � 1 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 Aff davit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to 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 p���a dayokkwrq2006. Signature Phone Number Print Name&9 1 ANUMUm Q/b(dg/forms/famaffid Rev:1/03 Town of Barnstable ' T� Regulatory Services p FINE tops Thomas F.Geiler,Director H Building Division • snxxsrnsze. ' Tom Perry, Building Commissioner ^0 16 .SS- ,0� 200 Main Street Hyannis,MA 02601 sv � �AlFO MA'S 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 �� � ��V �I�N I am the owner/resident of the property located at: '1 L L 1,C2 I-f E 0 A Map and Parcel Number 6/Q—A �- The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Boo Page ''1 30 413�6 4- The following-members-of riiy family will be the sole occupants of the Family_Apartment at the aforementioned address: i a Name &relationship to owner. l Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually.with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that 1 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 unde t pains and penalties of perjury this J [ day of � 2005. �77 Signature Phone Number Print Name 0 C f- o M 69/y N Q/b1dg/forms/famaffid2 Rev:1/03 r Town of Barnstable 0 Jc Regulatory Services r� p@ 114E`rON, Thomas F.Geiler,Director W t t 0 F u A F f4#S TA B L E ~� Building Division ((y� r��} �y r BARNSfAB j f U ��N G 1 i M{ 1: 2 �. Tom Perr , Buildin Commissioner- Mass. Y g � 1639. ,0� 200 Main Street,Hyannis,MA 02601 iOrFc Mn�°' J�V�SPOi�i Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is g'9'1" Mat A%R 6e)a7 00 a-N N I am the owner/resident of the property located at: qq-_5 C1LLO->'2 Map and Parcel Number 0It la The ZBA granted me a Special Permit/Variance on � if 0 — Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book ' Page )30 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: 44&19j�� The Family Apartment will be the prim y r-round r ' ence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal.No. ) ----Other Sworn to under the pains and:penalties of perjury this day of 2004. -b 6 Signature Phone Number Print Name TO EP, Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable h Regulatory Services °p1He toyer Thomas F.Geiler,Directoi OVffi C_ BAWISTABLE Building Division * sau MBLE, »' Tom Perry, Building CommisagQJEB 19 PM 3: 09 Mass. �Q3 1639. ,0� 200 Main Street,Hyannis,MA 02601 ArEO��A DWISION 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 � � � �iL ,the owner/resident of the property located at: Map and Parcel Number The ZBA granted me a Special Permit/Varance 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: Pi dJ Name &relationship to owner: k Z�L &X� 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 2003. Signature i Phone Number ` Q Print Name Q/bldg/forms/famaffid Rev: /03 BARNSTABLE AirrFIDAVIT • If I, r4V - ,being on oath, depose and state as follows: _ -?t1.) I reside at M 2.) I am the owner of a property located at � Q r-�1�1�'� shown on Barnstable Assessors' maps as MAP a 7 PARCEL 3.) I Do Do not have a Family Apartment at this location. 4.) On , 199 , the Zoning Board of Appeals, on Appeal No. granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment, the above address: a) NAME .c Relationship to owner. b) NAME 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.) Lunderstand 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 relationshp 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 m the event of the sale of the above- listed property. - A Sworn to under the pains and penalties of perjury this day of •, x Signature Print Name t> 134--f F. 6e- v1/Ida "W Town of Barnstable _ 7-1 ; Regulatory Services RARNS'"BLL " Thomas F.Geiler,Director MAM Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 December 1,2000 Re: Family Apartment Dear Property Owner: Our records indicate you have not filed an affidavit regarding your family apartment in quite some time. It is required,under Section 3-1.1(3)(D)(1)of the Town of Barnstable Zoning Ordinances,that an affidavit be submitted annually for the duration of such occupancy. Failure to do so is a violation of your special permit and may result in your loss of the rights granted thereunder. Please indicate the status of the family apartment on the enclosed affidavit and return it to this office by January 30,2001. Enclosed is an affidavit for your convenience. Thank you in advance, Elbert C.Ulshoeffer,Jr. Building Commissioner enclosure , /km, ` �t�+t■ �tt ^ i ' J6 }«�«-f Z1�V ": ^.,��'T4i Ot'rJ� �$•'.�.'+ 4� ;4 .. 'V' « .t .Ucr; w :� 1..^�t1��.:LS 3i. "e��"OC,�%_t '�c-i.lrLl-:7L�" � �.k��✓�'f�:J � e Q/FORMS/FAMAPT �e f COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT 1, __— �— ��_— '_— /� being on oath, depose and state as follows: 1.) 1 reside at __ _ _�/ - -� ----------- ----- — -- ------------ --------- P located l ll er o /e rP y at.__ ------------------------------- shown ont Barnstable�iAssessors' maps as MAP----_ — _____PARCEL ____________________ 3.) I Do___�---------Do not_______________have a Family Apartment at this location. 4.) On 199____, the Zoning Board of Appeals, on Appeal No._----_ granted me a Special PermitNariance 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------- �— — — ----� -- — -- Relationshi too er: -- b) NAME _- -� Relationship to owner:_ _ � , _ ----__- 7.) The Family Apartment will be the primary year round residence for'the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that 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 am required to comply with all conditions imposed by the Board of Appeals in Appeal No- ----------------------------------------------------------- 12.) 1 agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this _'�'_day of 199 7 Signature --------------------------------------------------------------------- Pr' N -� T1�-------------------- COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT roWN AIV(13 I, -- --� �= -- =—S,C v f✓��' 1�)---- being OBWRNST depose and state as follows: Aft P Aft �� 11 A1� 1.) I reside at.--mil_ --- ------J� —ft, Jzod9-' -- - -----�-�?1998 2.) I am the JoJ,wner of pro ty loca `a at —�{ -� '� --='--- ----------------------------- shown on Barnstable Assessors' maps as MAP PARCEL 3.) I Do-- ---Do not ' _ _have a Family Apartment at this location. 4.) On_— -------, 199____, the Zoning Board of Appeals, on Appeal No.______ granted me a Special Permit/Variance to maintain a.Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: �L a) NAME n�' -----� -- T-- - -- ✓G/ �%�� _ Relationshipto owner: ?�� b) NAME----�� --- � �� �� - - ------------ -- Relationship to owner:__- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that 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_ , 199 Signature ------------------------'-------------------------------------------- Print Name of WE The Town of Barnstable °.� Department of Health Safety and Environmental Services ,AMMBM : Building Division ' AM . 367 Main Street, Hyannis MA 02601 ArFD MA'S A Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissione January 5, 1998 The Schumann Residence 443 Elliot Road Centerville, MA 02632 Re: Family Apartment located at the above address Dear Mr./Ms. Schumann, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by January 30, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Ralph Crossen Building Commissioner QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 01/05/98 PERMIT NUMBER 9592 PARCEL ID 227 112 443 ELLIOTT ROAD PERMIT TYPE BPLUM PLUMBING PERMIT DESCRIPTION 2 HOT WATER TANKS CONTRACTOR PERMIT FEE 15 . 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 08/09/1995 EXPIRATION VALUATION 0 . 00 DATE ISSUED 08/09/1995 COMPLETED 09/29/1995 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 01/05/98 PERMIT NUMBER 9593 PARCEL ID 227 112 443 ELLIOTT ROAD PERMIT TYPE BGAS GAS PERMIT - NEW METER DESCRIPTION 2 FURNACES, 2 WATER HEATERS CONTRACTOR PERMIT FEE 25 . 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 08/09/1995 EXPIRATION VALUATION 0 . 00 DATE ISSUED 08/09/1995 COMPLETED 09/25/1995 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT NO MORE RECORDS IN THIS DIRECTION QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 01/05/98 PARCEL ID 227 112 GEO ID 13818 LOT/BLOCK 10 DBA PROPERTY ADDRESS OWNER SCHUMANN 443 ELLIOTT ROAD SAMIRA H CRAIGVILLE P 0 BOX 549 TRUST CENTERVILLE MA 02632 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RC SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 36590 .4 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT TOWN OF BARNSTABLE ZONING BOARD OF APPEALS SPECIAL PERMIT DECISION AND NOTICE APPLICATION : #1989-80 APPLICANT.: -MR . AND MRS . ROBERT SCHUMANN At a regularly scheduled hearing of the Barnstable Zoning Board of Appeals , held on December 7 , 1989 and continued to January 11 , 1990 , notice of which was duly published in the Barnstable Patriot and notice of which was forwarded to all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts , the appli-cant ,, Mr . and Mrs . Robert Schumann , through David Whalen of Whalen Construction , applied to the Board for a Special Permit pursuant to . . Section 3-1 . 1 ( 3 ) (D) , Family Apartments , of the Barnstable Zoning Bylaw. The applicanttIs property is located at A43 -ETIiot Road. i �_ _ __ Cente.rvi I le, MA as) shown on Assessors '- Map 227, lot_- 112 I t is in -a Residential C, one acre , sing-le ami T-fly zoning district . The applicant seeks a Special Permit to allow the construction of a family apartment in the basement of their existing residence . Mr . Whalen stated that the applicant plans -to construct a family apartment consisting of one bedroom, a bat:hroom , a kitchenette/ Living room, and a laundry room ( to be used by all residents on the property ) . The"apartmen�t wi_I,I_' 'b_e occupied _yea,r r_ound ' ey the Sc'huma n ''s daughter ands 'rt granddaughter : . Mr . Whalen presented plans for the proposed family apartment . The Board determined that the area of the family apartment does not exceed fifty percent of the area of the main . dwelling . The house is approximately 72 ' x 30 ' ( or 2 , 160 square feet ) , while the area of the family apartment is approximately 15 ' x 401 . ( or 600 square feet ) . It was testified that the house contains 2 , 800 square feet of total .floor area . FINDINGS OF FACT: Based upon the information provided , the Zoning Board of Appeals made the following findings of fact : 1 . Family apartments are a conditional use in all residential zoning districts provided that all the applicable conditions set forth in the Zoning Bylaw are met ; 2 . The area of the family apartment meets the requiremnt of being fifty percent or less than the area of the main dwelling and complies with the requirements of Section 3- 1 . 1 ( 3 ) (D) ( d ) 3 . The grant of this special permit would not be in derogation of . the spirit and intent of the Zoning Bylaw nor would it be detrimental to the surrounding neighborhood . - The vote on the findings - of fact was as follows : AYES : BLISS , BOY , BURMAN , JANSSON , NIGHTINGALE NAYES : NONE DECISION : Based upon the information provided and the findings of fact , at a meeting held .January 11 , 1990 , by7a motion duly made and seconded , the Zoning Board of Appeals. voted to grant a Special Permit subject to the conditions . 1 . The applicant must comply with alfl the provisions of the -Zoning Bylaw as set forth in Section 3- 1 . 1 ( 3 ) (D) ( a through q ) ; and 2 . The apartment must be constructed and utilized in accordance with the plans submitted to the Board . The vote was as follows : AYES : BLISS , BOY , BURMAN , JANSSON , NIGHTINGALE NAYES : NONE q V. r l` _ .. A It �1�N ,� Y .. ti. t• � r is ,a •- t A.Y.�'./w..•:r..w..My,low, r ' 44-S � w P ri �.. � .,, P,. ,i!, . r aru+ lrrrflL„j�j„trra�cs}F:sr�.!€r.,,. Po`_�ry �rtj�c,�y3�47...�^ •r.t�ry�tCii�14�+1+�`j':4tiF�'16: �. i t'.'"�.d'.t al.itt?'k`"..�,�1�'q,r.'rq �, ��Y}'�.}bi p�a�«7d�,7 1'�iR.i,if,„s'!d,A,d:�,l,efla�'-I�' Gr'4e."E4���1,s 11.,.^�,.�x'��$�:t f±1�;�L�(�AX+•1�+:U.�.�C" _ _ ' o Cut- oFTHE ram, Town of Barnstable do Building.Department Services Brian Florence, CBO &UMSTABLE, v MASS.9. g Building Commissioner. ATFo n�+" 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 �S' j 1 am the owner/resident of the . r ` property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner. The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately 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 FamtlyApartmen 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 the property; __7 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�:L 2019: Signature Phone Number Print Name 12 / q:forms/famafFid.d6 c rev 11/08/13 _. s f Town of Barnstable Building Department . Brian Florence, CBO MASS. ' Building Commissioner SCANNED 039. �� 200 Main Street, Hyannis,MA 02601 RFD MA'S� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 1��� -X� !/ ,����lir I am the owner/resident of the property located at: 4;5 �i, cc rn (212 is Tfoll&ving me bers of my family will be the sole occupants of the Family Apartment at the aemgtioned a dress: lme E.6latio to owner: R me aX relatio dip to owner: , The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to 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 2018. Signature Phone Number Print Name _ ! ' �� �) � 43�I q:forms/famaffid.doc rev 11/22/2017 .�._ -__-�--=rT - -- ---- - J ��� + �� l _ _ �-- �� ti-� 1 i � ��- { � �- �- �-- _ �=1�----- -� i�� -�� _�--. �� 9 v . ��� r Town of Barnstable -A Regulatory Services �gyti Richard V. Scali,Director # Building Division BMWff"B Paul Roma,Building Commissioner ArFG►AA'���� 200.Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us W 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 5 A 1 f ILL 44 • dCj4- ,n6.A NAl Ham the owner/resident of the property located at: yt4 t 2-L.) 12 r L y�19 2 - } The following members of my family will be the sole.occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately 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 f le 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 afthis 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 AluA 2017. Signature ' Phone Number Print Name S 19-nj( 2 A 4-1 , C!, h )y 11l q:forms/famaffid.doc rev 11/08/12 ` I Town of Barnstable Regulatory Services Richard V. Scali,Director ~� Building Division i s ' 9 "„I�` Thomas Perry, CBO,Building Commissioner `bAr 0.39. a`e 200 Main Street, Hyannis, MA 02601 en nM'� 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: a My name is I am the owner/resident of the `' M. property located -at: 40( r� r. --- Az The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name'&relationship to owner: Name &relationship to owner: The Family Apartment will be-the primary-year-round.residence for.the above-identified, family members. In the event that the listed relatives vacate said.apartment,I will immediately notes the Building Commissioner in writing.1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 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 off 2016. Signature � Phone Number Print Name ,q:forms/famaffi d.do c rev 11/08/12 Town of Barnstable FINE Tp� Regulatory Services URKSTABLE Richard V. Scali,Director BARNSTABLE, ; Building Division 9 MASS, 21 & t 1' ? �1 1639• aim Thomas Perry,CBO,Building Commissioner-: ! FD MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is :5A'1'►'1 t 9►-Y- b51',JV2 M IWY I am the owner/resident of the property located at: T-UQ� C fin '4 1}7 G b �� r 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: t� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2015. Signature Phone Number Print Name Sh fyl q:form s/famaffi d.do c rev 11/08/11 Town of Barnstable Regulatory Services loy, Richard V. Scali,Interim Director ~� Building Division TOVV41 OF RrARNMMS E MENSMBM MASS Thomas Perry, CBO,Building Commiss'OP , `bA i639. �� 200 Main Street' Hyannis, MA 02601 rE0 MA'S A www.town.ba rnstable.ma.us Office: 508-862-4038 , IC- -ax: 5"08=7970-6230 I I P-1 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 5 h' S d 44�3 41 Al I am the owner/resident of the property located at: 7, Greif '�r� 6f h-le v L)i The followingmembers of m family will be the sole occupants of the Family Apartment Y Y p Y at the aforementioned address: Name &relationshi to owner: AH 60-LL H 1 P J�� M�tV Name &relationship to owner: A 72 t= 12 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 notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location;please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2014. Signature Phone Number Print Name 5a 12'q H, q:forms/famaffid.do c rev 11/08/11 �}�I- � � 1 i 1 a�-`� �Z� �j -mil -�1 � � �` �� �2? U � �� Z£S � 7 S� 3 4- _ . _ , .�._ e � � � � 3 -- SZ� -2� _� � I � " � � �� 2� �v i �� ���,�-e.V� � � � 7 S ��, SC�'1vl�rr � � �'� C�n-E- �7 3 �� � 7 �� �� z �7 � �� �� 42G7 ecZ a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# � " Health Division r s 0kM -C�. Date Issued �} - `2�ii ' o 3 7 e' ;�"39, 11 R ' TABLE DO Conservation Division Application Fee -9 ,50/ Tax Collector 7QC(Z" — (7 k ��" ?'fl 6 R 16 f il 1: 64 Permit Fee 2 . 6 / SEPTIC SYEJE l.d- �a L'-. Treasurer GGC' —' ( ( 0 INSTALLED IN COMPLIAE2- Planning Dept. j, 1510N VM TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGUL. TION3 Historic-OKH Preservation/Hyannis Project Street Address. - ,e' Village - �'6�/9 �—' Owner /Ld ��/�rf" f,D�/V Address � �la/,/ Telephone Z),? �17 Permit Request ® c�C� D s / Square feet: 1 st floor: existing propose AV floor: existing proposed ga Total new/�D sy 7-7— Zoning District Flood Plain Groundwater Overlay Project Valuation ; 11dry- ' Construction Type l`illr_e �z ti Lot Size , .S- Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Er' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes *No On Old King's Highway: ❑Yes _VNo Basement Type: ❑ Full )I Crawl ❑Walkout ❑Other "as ea q.ft.) Unfimished,ke q.ft) - new Half: existing new new Total Reem Gouig existing new First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑ Electric ❑Other C ir: ❑Yes` ❑No ireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Me d-ga xistrng❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size A##ashed4a.mga n"Asfing-0-new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization Cl Appeal# Recorded❑ Commercial ❑Yes &No If yes,site plan review# Current Use f/��GLC�//I/�y � Proposed Use yC1P� -s/�r✓ 1a •�4 �'C BUILDER INFORMA ��'D Name A&_;"�/,/ �/ dfl� Telephone Number Y/ "' Addres An:�xS_-5" Z>0, - License# z w 1,2 Ci Horne Improverperit Contractor# / E2_0 Worker'sZM# ation# (11�d/ V J� 17, 1,011W �ael� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �/���-� %`G�1r✓ ��D�"'' SIGNATURE DATE f FOR OFFICIAL USE ONLY ,PERMITINO. DATE ISSUED r .. f � MAP/PARCEL NO. ADDRESS - VILLAGE -it OWNER DATE OF INSPECTION: - I'r ' ✓ :"cw / ' FOUNDATION- ) �'� i1=a�b 6 FRAME INSULATION ^gip FIREPLACE ELECTRICAL: ROUGH.- ,.., FINAL . /Y i - r PLUMBING: ROUGH' a `°" FINAL i ✓ -" + _E GAS: ROUGH; r�' � FINAL, V ( .ads $- ♦ �� j+. j FINAL-BUILDING 'r t DATE CLOSED OUT ASSOCIATION PLAN'NO. 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'v•:::r.:::w......n::............... � IIJIIrstSC�{ o�<:;?%<:{<r.::5•:$ :«$::i:;?;':>•:n•::..`.. _ enalties of a fine up to 51,50U.00 and/or %ato the Faffure to sernre coverage ay unaer the form of STOP wORK ORDER and a fine of�$10 00 a dap againTtme. Itmdersfamdthat a' one yearn'imprisonment as weIl as ci -p atipns of the DIA.for coverage ve motion. : copy of this statementauy be a to the Office of Investig - - - e. r .that-the-information-pro-sidedabnue_islr au_d correct - I�o hereby c"�� h � P ,erg •� • aZd Date Signature .•Print name �' af$cialUse only do not write in this area to b e completed by dty or town offzdal _ • - •''pertnif/license# [jBulldu:g Department _ dtp or town - ❑$icect**i 2'$s Offic_ cantac{person: r . i • r .information and Instructions tion.for rs' compensa: Massachusetts General Laws chapter�152 section 25 requires employers erson— the serviceeof another under any their ees. In _As quoted from toe `law , an employee is every P . _ _ _ .... .... .... .of hire,'express or implied, or ___or • An employer is defined as an individual, , association, corporation or other legal entity, or any two or more of Partnership, _ the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a ._. dwelling house having not more than three apartments and who zesides therein;'or the occupant of the dwelling house of another who employs persons to.do maintenance, construction oerntrepair work on such dwelling be deemed to be an employer.house or on the grounds or building appurtenant thereto'shall not because of such employm MGL chapter*152 section 25 also states that every or to construct local buildingslicensing intbe commonwealth fo any appliec t who has of a mess license or permit.to operate a bus not produced acceptable evidence-of compliance shhal,tenter into any coverage insurance*contract for the required. perfonnance Additionally, public work u� commonwealth'nor any of its 6r the" pncd calwith subdivisions acceptable evidence of compliance with the 1T CitTaace requirements of this chapter have been presented t0 the contracting authority. . • ". . 1 • r... . 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 maybe submitted the Depastment,of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and Y'M1 date the affidavit. The affidavit shouldIe returned to the city or town that the application for the permit or license Industrial Accidents. Should you have any questions regarding the °laRr of :you being requested,not the Dep&ment of In obtain a workers' compensati&policy,please cal(the Depaitmerit afthe number]fated below:.' - aie required,to City or Towns - Please be sure that the affidavit is complete and printed legibly. The Depar#ment fins prro ided the applicant.e at hebottom f��he affidavit for you to fill out in the event the Office of In has to contact y g �$ may�e'r fill the.peunitjlicense iiwnbet wliichwilLbeus�d as a refeieace:number.�Tlie affavitsY .. be sure to ?n , „ thei arrangements have been made: the DepUtM6ibY.,mati or FAX ess o ,. , ations would like to thank you in advance for you cooperation and should you have anY9uestions, . The Office of lnvestig. •• • _, . please do not hesitate to give us a call. mom The Deparmiene' address,telephone and fax number. r ; - The Commonwealth Of Massachusetts Department of Industrial Accidents_• , C flce of lnYesllgaiions 600 Washington Street Boston,Ma. 02111 fax 4: (617) 727-7749 E- (617) 727-4960 ext. 406, 409 or 375 r ��oFt�E%tio Town of Barnstable N� Regulatory Services r • BARNSTAsLE. ' Thomas F.Geiler,Director 059. a�°� Building Division rFD rna't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Estimated Cost ��,,,,// � /����` Address of Work: !- ��/��OJ' Owner's Name: � ��/f�y��� Date of Application:�� I hereby certify that: Registration is not required for the following reason(s): - OWork excluded by law ❑Job Under$1,000 OBuilding 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: Ile/ Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav M1 -� ' �/ae�jzurea� �✓�aac(u�aell�. , Board of Building Regulations and Standards H)ME IMi\EME,NTCONTRACTOR t i Refit #ei9n 15205 -Wn W 4 DAVID WHALENi� DAVID'WHALEN r 108 MOSS LANE BREWSTER,MA 02631 AdministratorIV Cs e s ' �-- ✓fae�a"C� �� V 4 P .�1 OFF IUIW�F?GIJTI' BOAR ; t • p I Ni - ;002d7R82 � umr _ , � �d. K' R w p,A�uPl�p G�'HALE z i 1 Gavir SSA'' fi� 0 � �� PIP WITNESSED BY /1 A41) '2av WITNESSED BY R Muek Y WITNESSED BY PERC'. RATE Z MIN./INCH PERC, RATE LZ MIN./INCH PERC. RATE MIN./INCH ELEV.= /3.5 l4�cs;/141 ELEV= 13.0 (yk'i, ;',.;+�i ELEV.= LEPr MULCH LF_q/ A4ULC14 _ 4, SUli50/L fr SUf3S0/L MED/UM MED/UM S r9 n/D SAN D —/44" — 144" NO. WATER AT 1- ^ EL= 90 NO WATER AT �`i i 'EL= % WATER AT EL= J�LLE FLODD ZOA/E /RM _a— OF00, 9 NAY�AGE`J i s \\ PRO . r s'w o /G / l 07- /0 �� NOTE 36 sZ sF \` �,F ,, / t� 0/ /j'•.� /::1F_TE,�- /✓I/,V F_ 0X? G/ N t Of 641 - _ �.HF_Fi'✓Y OUT), LO7 o t . �•v i l -_. to / _5 Apr AR (,DV U1 E 1 G- \ I _—torj l D54 ER / 'A fA A(� CS LOT ecwci \ RESIDENTIAL BUILDING PERMIT FEES ' APPLICATION FEE New Buildings,Additions $50.00 U Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 2 4 + square feet x$96/sq.foot= 2J7 Z x.0031= 21? . l plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee , projcost _ r 1 OFIKE loy, Town of Barnstable ti W� O " Regulatory Services r + * BARNSTABLE, • MASS. Thomas F.Geiler,Director 4'AIE%6 9. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder , as.Owner of the subject property hereby authorize,�,��/,a V to acf on my behalf, in all matters relative to work authorized by this building permit application for(address of job -3 Signature of Owner Date Print Name ..,:_-.e':.,.;;,,w-.�;raw.-^..1::a._.:�.ce�R.f6^'�';<�'�•+-:".o.�;r.. --a-.__. .. .. � -.-.. .- �..,: ._ -....... ... ... ..' -- fir' ---- �..ra�s� � u• �. I ------ - .......... --- _.. - _ you---------------- W 1 l l ° ja �C 1 �f e l i i I S 4 " S 1 _G` , o G Q om , 1" GL =o a 4 _._. ...... .------_._.__. .._ 3 k , r: u 4... Ti'101, 4.1 r � r IlS r i 1 i\4#U- b M 3 h- L-..C. Cam) ff 4 � - f i $,'' pL W 1J rS .._.._._._... - .—�...:..:_:;:_......_ :°�a•. .s+a: -m¢wr�s..a.rrncua�s.+re'aawuara..- '-- — - - - _ ... � ... _ :.�.'•k&2,Wd'. s'�4'z�tif�a':-�.e:�rC:z:..�r�.� .' .. � ?� ". .,.-�'�' lop (, �r to i � .� GAY 4 rI t n c�c � 2' ' � +�� 5 7 co vi N • 0 29 3 r G OC-y �." .:x, ''¢...+�'.�. w.„`"l. aa"..{ .,.,'i•:'�r�*w,';n.-,.bk�r �,.v,F.*,'... ,.,'4`ki�`r.�.jr.+wk-e rif ri t"•1-, .._+..axe _ _.. —._-. _... fir: tiX'�'^' ..,..�^° � .1:e• �x-.�is4e.,y�t y k-�ru.tlrr7-<...�, i.. ,a.a=`'4 C< t- Assessor's office(1st Floor): / d Asst'ssor's map and lot number c� , � /f! e�Pypf trE Board of Health(3rd floor): w Sep age Permit number . Engineering Del5artment,(3rd floor) �i Y /N �ii� ,I p zr a�� �o rua House number 1639. Definitive Plan Approved by Planning Board 19 �F0 WAY d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only . TOtWN OF 'BARNSTABLE . BUILDING INSPECTOR . a APPLICATION FOR PERMIT TOf�dti �, j� ajr!/!J f✓ l _ TYPE OF CONSTRUCTION /X/97/Al 19 TO THE INSPECTOR OF BUILDINGS: The undersigned.hereby applies for a permit according to the following information: J j Location r Yf `ProposedUsea ✓v/ r',' /�i�L/� Zoning District Fire District ( >G! Name of Owner/,//,7�/d ��J � U � Address��S Name of Builder��.//,/"-/G-C/,�,/ Address Name of Architects Address Number of Rooms Foundation. r Exterior `X/���� Roofings Floors !r.,>r� Interior 5 / 'c �� .�"/l✓�` C/ ��. �1� /�L� g /l�i�t�d/ /�ttfl�/i'`�l //i' E 'Plumbing' . t Heatin � Fireplace +��� w Approximate Cost 2G ',, Area Diagram of Lot and Building with Dimensions ;' Fee F 1 .• N kr- f ,OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 40 ���Z SCHUMAN, ROBEi'T MR. A=22 7-112 No 33991 Permit For Remodel Basement Family Apartment Location 443 Elliot Road Centerville Owner Robert Sc-hiiman Type of Construction Frame Plot Lot Permit Granted September 27 , 19 90 Date of Inspection 19 Date Completed 19 PERMIT CO MPLETED Assessor's office(1st Floor): Z �a —Ile TwE Assessor's map and,lot number o� To Board of Health(3rd floor): �W°mow `♦� Sewage Permit number Engineering Departm nt 3rd floor: I ��ii! s D�rAeaST&B Lt S House number A- iG�i LL8'� - 01 a+bso• \q�° Definitive Plan Approved by Planning Board 19 r�r APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ���� TYPE OF CONSTRUCTION 19 11A0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the follo information: Location 'Ile Proposed Use L s�'C/� Q �d0/07 Zoning District '� Fire District v Name of Owner AddresO�S Name of Builder �/�'L�/� C Ds1/TiP���/��'/ii:C Addressee lg'!ke- Name of Architect. L Address Number of Rooms Foundation /`- & Exterior o �/-s��� O�- Roofing Floors Interior_,/4 ecyel Heating _��� Plumbing Fireplace Approximate Cost Z rlev° Area Diagram of Lot and Building with Dimensions Fee d' e�l v� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar ing the a construction. C Name Q Construction Supervisor's.License e0 e-;,v �' SCHUMAN, ROBERT MR. _ 4 Wo 33991 Permit For Remodel Basement Family, A artmen t A 't vf, Location ;4 4 3 Elliot Ro a ' fCenterville ,Owner Robert Schuman ,; f Y _ i,,Type of Construction Frame Plot j Lot i September 271, 19"`' 90 ' Permit Granted }" Date of Inspection /Z�f f 19" .; Date Completed 19 r j ly It w 00 00 51 wl C P . ®0O � � r s} r THANK YOU !P,H,W MEAOE • Fr,STRY OF DEEDS 4..nN�ii,PIE COUNTY Y r i i=14.5 k c.I $14.25 UTANG $U.GO i BARNSTABLE COUNTY REGISTRY OF DEEDS OIL 100 ., rG a 2: I� John F Meade REGISTER ikY �` i TOWN OF BARNSTABLE ZONING BOARD OF APPEALS SPECIAL PERMIT - . DECISION AND NOTICE APPLICATION : #1989-80 ' APPLICANT : MR . AND MRS . ROBERT SCHUMANN i At a regularly scheduled . hearing of the Barnstable Zoning Board of Appeals , held on December 7 , 1989 and continued to January 11 , 1990 notice of which was duly published in the Barnstable Patriot and notice of which was forwarded to all interested parties pursuant to Chapter 40A of the General Laws . of Mas-sachusetts , the applicant , Mr . and Mrs . Robert Schumann , through David Whalen of Whalen Construction , applied to the Board for a Special Permit pursuant to Section 3- 1 . 1 ( 3 ) (D ) , Family Apartments , of the Barnstable Zoning Bylaw. The applicant ' s property is located at 443 Elliot Road , . Centerville , MA as shown on Assessors ' Map 227 , lot 112 . It. is in a Residential C , one acre , single- family zoning district . The applicant seeks a Special Permit to allow the construction of a family apartment in the basement of their existing residence . Mr . Whalen stated that the applicant plans to construct a family apartment consisting of one bedroom , a bathroom, a kitchenette/ Living room, and a .laundry room ( to be used by all residents on the property ) . The apartment will be occupied year-round by the Schumann ' s daughter and granddaughter . Mr . Whalen presented plans for the proposed family apartment . The Board determined that the area of the family^ apartment does not exceed fifty percent of the area of the main .dwelling . The house is approximately 72 ' x 30 ' ( or 2 , 160 square feet ) , while the area of the family apartment is approximately 15 ' x 40 ' ( or 600 square feet ) . It was testified that the house contains 2 , 800 square feet of total floor area . i i. I R f i fiLL yF FINDINGS OF FACT: Based upon the information provided , the Zoning Board of Appeals made the following findings of fact : ` 1 . Family apartments are a conditional -'use in all residential zoning districts provided that all the . applicable conditions set forth in the Zoning Bylaw are i met ; 2 . The area of the family apartment meets the requiremnt of being fifty percent or less than the area of the main dwelling and complies with the requirements of Section 3- 1 . 1 ( 3 ) (D) ( d ) 3 . The grant of this special permit would not be in derogation of the spirit and intent of the Zoning Bylaw nor would it be detrimental to the surrounding neighborhood . The vote on the findings of fact was as follows : AYES : BLISS , BOY , BURMAN , JANSSON , NIGHTINGALE NAYES : NONE DECISION : Based upon the information provided and the findings of fact , at a meeting held January 11 , 1990 , by a motion duly made and seconded , the Zoning Board of Appeals voted to grant a Special Permit subject to the conditions . 1 . The applicant must comply with all the provisions of the Zoning Bylaw as set forth in Section 3- 1 . 1 ( 3 ) (D) ( a through q ) ; and 2 .. The apartment must be constructed and utilized in accordance with the plans submitted to the Board . The vote was as follows : AYES : BLISS , BOY , BURMAN , JANSSON , NIGHTINGALE NAYES : NONE i i t x Any person aggrieved by this decision may appeal to the Barnstable Superior Court, as described in Section 17 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts by bringing:.an action within twenty days after the decision has been .filed in the office of the Town Clerk. Chairman 4)- Clerk of the Town of Barnstable, Barnstable County,YMdssachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this day of — 19 pains and penalties of perjury. under the Distribution: Property Owner Town Clerk Town Clerk Applicant Persons Interested Building Inspector Public Information Board of Appeals j i i e!* j PARTIES OF INTEREST a o` APPEAL NO. 1989-80 MR. & MRS. ROBERT SCHUMANN MEETING OF DECEMBER 7 , . 1989 Joanne Fusco 8 Frothingham Rd, Burlington, MA James & Dorothy Sweeney 25 Twin Hills Dr, Longmeadow, MA Anthony & Alice Spadafora 73 Emerald St , Malden , MA Stanley & Mary Jane Obuchowski 21 Fox Fun , Centerville, MA Daniel & Mary Almas 24 Sea Marsch Rd, Centerville, MA Don & Carolyn Weber 10 Sea Marsh Rd , Centerville, MA Jonas & Bronak Zdanys 15 Westmoreland Rd , W Hartford, CT David Hirsch 463 Elliott Rd, Centerville , MA Hyman & Edith Trilling- Trusts of Tufts College 115 South Warbler Ln , Sarsota, FL Arthur & Meryl Frank 17 Smokey Hill Rd, Wayland, MA David & Ree Hirsch 463 Elliott Rd, Centerville , MA Seymour & Jeanne Zimmerman 25 Daisy Hill Rd, Hyannis , MA Martin Bloom 108 Waterside Dr, Centerville , MA James Gable 940 Main St , PO Box 68 , S Harwich, MA Olga Fuller/Thomas Waterman 337 S Main St , centerville , MA Yarmouth Planning Board Sandwich Planning Board Mashpee Planning Board f 71 - - Town of Barnstable *Permit# Re ulato Services Eg e 6 months from issue date g rY - � SUB Richard V.Scali,Director Building Division JUN O $ Paul Roma,Building Commissioner 2017 200 Main Street,Hyannis,MA 02601 FOWAl 0 www.town.bamstabie.ma.us Office: 508-862-MORNS-FABLE Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY a Q Not Valid without Red X-Press Imprint Map/parcel Number J Property Address Residential Value of Work$ Z l , u 4 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Si�IM�(�{ Sc"rV%A N Contractor's Name k6XAVDe,0` I*ww,,y Telephone Number (j0t) -7`53' *A3 Home Improvement Contractor License#(if applicable) o S� Construction Supervisors License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Ipm the Homeowner 6jofhave Worker's Compensation Insurance Insurance Company Name t4Z'I(-d�tP d0XV-j.Ad1 0U 9416< CC , Workman's Comp.Policy# V77 ?I U � Ito Copy of Insurance Compliance Certificate mustaccompany each permit. PermitYq4est(check box) �5 VZKF e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value . (maximum.32)#of windows #of doors: "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requ' ed. SIGNATURE: Q:IWPFILESTORNIMbuilding permit formsTYPRESS.doc 01/25/17 -77w ComwomveaM of A&ssac rusd& Department of lr said Accident. L`7,f�c�a,��in.�s�gat�crns 600 Ff'Qshington&treet _ Bakston,CIA 02111 4 unvinmasmgavvi is Warlmrs' Canv6nsafimL SII mce Affidavit Builde7dCuntr-actursMectdciansiPhombers Applicanf lUfMM3af Gn Please Print Naffie�$ncirrR�clC7ra Nr`� fi (�ta�nlG�� CUSTOwt �fll;�d{U Ad.&t,: Are yo employer?Oheckthe appropriate barn ' Type of project(reT red): L am a employer with 4. ❑I atn a general contractor.and I 6_ [:]New r employee;(f�s11 andfor p e�* have s:iredtlxe sub-contractors 2.D I am a sole gropriet orgartaw- listed oatlie attached sheet. I- ElRPrno dehng soup and stave no employees These wb-coatr ors have 9. ❑Demalitioa w Ling, forme is any capaccity. wogs' 9. ❑Br9ding addition jldu leas' Comp.insurance Comp.vncnrame 1 required_] 5. ❑ We are a cwpoaationand its 10-❑Electrical repairs of addttbrts 3.❑ I aura homeorumer doing zU wod: officers have exescised their I❑Plmrbingrepaiss or adciitims. mysel€[No wojke: •camp- a of e$empfiflu per M(B; 1�Rnafr iu nsance rezinired]1 c.152,§I(4�aadwe have no employees.[No woAners' 1311 Other .coup.kmmm=raegmred.) 'AnygyNcwt bstc:bedsbas;Flt elseffiamtth�sectioabe6a� dog[�ieaworicecs'compeasa5nupuTcgi i�o� Iff=emners who sat=ftdtis ffdnif i gtheyaredcsings]Fwa awdtfienhiieo-utsidecoatmctntsamst.5u6mitanem�rfs�tindicatingsorb rcaatraeto6 test checYthi s bcz must atffiched m zddi5®al street sboaiing thenmn!e of the sat-cauw;uoa and stye whetm arnot ftre eatitieghav mVbyees.7fthesnh-caatractaeshxse emplayus,they pmd&&it wadame tomp pall y=bm I am mi empk,1w that;fspra iWxf -,w arkets'compensdion gzmrauca,jbr azy emp&jwes. setoav is tits patfeF and job site- €rzformrzt€arz .. Iflsut-aace company Name: Tdficy,or self-im Ile- �����7 7 � r (� F�piFa4iauDatte: (,* 117. Job Site-Addre= ( � �iU- \�� citylStateTv c6V �✓ .� Attach a copy of the workers'compmsationpoFcydecl•aration page(showing the poficy number and eipiration{late). Fare to secure coverage as requirednuder SwEia4 25A of MQ.m 157-can lead to the impasition of criminal penaHaes of a f'e up to$1,540:OU anNor ace-year imprisonment,as west as civz7 penalties m the fozm of a STOP WQRF ORDERand a fine of up to$25AD 1 a day againd the viola ar. Be sdidsed brat a copy of this sbiement may.be f xvmded tza the Office of Investigatiaas of the DIA far insurance caverage I'Masmi ins 'Ida hereby csti Cy under i is pains and part l&j 4fpetjcry tfi&tfie izforma€im Rm-ikW a5m " bars mid carrmt Date: (e Phone r ( y Q j€-Ld um a nI}. Do not mite to tUs area,to be cwnrpi'eted by t*y arton a offw at City or Town: Pern riffri enxse;9 Is$.�g Autlmi-€ty[tom Anne): . L Board of Health 17 I3nilffing Department &City£own Clerk 4.Electrical Iuspeetor S.Phimbiing Fnspector 6.Other c'on bct Person: Phone ft: - - -- 6 orm atio). and 11astrudons Mas:&acbns Cehexal laws ffiaptmr M reguaes all emPloyeaM-to warms'=33p=Mtion for t3ieir employer Ptr this ,an ezrpinpee is defroed as¢:suety Peason m.ffie s avice of Mothca tinder nay coact ofIiae, express or iuiplimA,oral or vn:hm�" Aa etrrpFoyer is defined as'�an individual,parfnea�,associaiian,corpar�ion or other legal e�y,or any two or mare . of Elio foregoing �a3��1?�,�� �legal����of a deceased e�ployea,or the rece=ivea or trustee of an partoeasIrip.MSocfaionn or other legal entity,employing employees- However f o owner of a dvmUinghorsehaving not more thoutbreeapartments and who resides ffiam'o,oribe occupant office- dwellmg house of anoffia who employs peasons to do maims ce,constacti tan or repair wok on such dweIImg horse; $ierefo shallnotbexanse of such employmeutbe deemedto be an employer" or on the grounds or building . MOL marts-152,§25g6)also Sig=that-everystf or Ioca..I Hcens:ing agencgshall. fthhoId ffie issuance or renewal of a Ticen a or permit to opmmfe a jiIIsmess or to construct buildings in the commonwealth for any apPlic=twho has notprodnced acceptable evidence of compTiancewn tTxe insurance:coverageragaired. Additionally,Md charts 152,§25CM stars-NDIfbier the commamwcallh nor;�y ofits political subdivisions shah enter into any contract for tbie pafaiiumce.ofpubho wo k uatl acceptable evidence of complfzncewith fbie ascl-ance.. requir= fsoffbischzpierhxmbeenpresexdDdtofiieccntrar�.auffio3:iy:' APPIican-& Please fill oit the wows'compensation affidavit cornple Iy,by clog boxes that apply to your dtnaiion anti,if necessaiy,snpPfy sob-cvnira or(s)nmne(s)' 'SCes)andphonen=bez(s)alongwjtILth=ceztifrcate(s)of ice. Limitx d LiabiliiY Compames(LLQ or L=ted L abilityParta�Ps(LLP)'Vfiano employees oth=t3M the members or paitnez-s,ace not rtgoaed to cagy workers'compensat au.fiL T'TT�"ce- If an IJ'C or LLP does have empToyees,apolicyisrequireci Bo advised-ffidthisaffidaYitmaybesabmit�d to,theDepartmentoflndvs�tiial Accide�ibr conE=atim of msorance coverage Also be sure to sign and dafE a affidavit T[ie affidavit should beretmed to 11 e city or town tjiat the application for the putt or license is being ivlmsbA not file D ep artmed of Turin ct 7 aI,.4,y-;de, SbDnldyatt hays aayy gnesti®s regarding Ace law yoti are rerpraed in obis a wormers' compemsafion policy,please call the Deparfineut at the:number listed being- Se'If-h"oi ed companies should eater ijieir self-;-r,c�,ran ce license zmmber on foie line. City or Town OfFx als t Please be sore that tfie affidavit is;complete andprjr�legibly. Thin DepaLimenthm provided a space at the boffom ofthe affidavit for yonfo fll out intha event the Office ofToyesfi��rn.�has to cMAET tyoaregardmgtiie applicant Please be sure to f71 in the pem�at/Ifce use m=brr which wM be used as a reference amber. Iu addition,an applicant tbat must submit mub 3ple pemWhceose spphtzh ns many given Year,neei only submit one affidavit mdica:ing c rMt . policy mfumatian [ifneces=arY)and undea"lob Sc E�� tie applicant should wx3e"aU locations n ("`or town).-A copy of the-affidavittha:t has ben offichIly stamped or mailmd by&e citym tovm may be provided to this ' applicant as prooft bit a valid affidavit is on film for falm: 'putts or licenses A new affidavitnIust be fMm d orb each year.Vhere a home owner or cif i=is obfammg a license or permit not related in any business at commercial vdmtnm Cie.a dog liaeose or permit to bun leaves etc.)said person is NOT rued to complete this affidavit TheOffice0fInycs ga&wwovldliketathank you madvance for yom co,operafion and,sbould You have any gvesiions, please do not hes�to give us a call The l?epartm=f s;mess,telephone and faxnumber: Tlt axMMMweaM of M&Sw&U&CttR Deparbnmtaf 4A=Uents office d imestikatiolm t�4� aFn Sfr� laostw..,MA 0�11I .Tf,-L 4 617- -4900 m t 4€6 car 14 M T.4F Revised¢24-07 w w -Ma:Rg-gPtr[CFa Town of Barnstable ` Regulatory Services o� �lyy Richard V.Scali,Director Building Division Paul Roma,Building Commissioner 639. M.� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This.lack-of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the . permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 WE Town of Barnstable Regulatory Services ` EARNSTAINLEv ` Richard V.S=14 Director PIAM ►`� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-962-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ,as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for. (Address of Job) ** are the responsibility f the applicant Pools Pool fences and alarms p ty o are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:F0RMS:0WNERPERWSSI0NP00IS t Ik I i r I f t ' rJlre`�anai�rnizmeall�n r?fl�a��fcclr��atl1 Office of Consumer Affairs Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only ,Type: LLC before the expiration date. If found return to: _'F3eglstration Expiration* Office of Consumer Affairs and Business Regulation fi#4752 i 1/01/2018 10 Park Plaza-Suite 5170 Boston,MA 02116 Ratmey+Rimtricitm.EwSi ;. Bulking, LLC Alexander Ranraey 157 Thankful Coluit,MA 02635 Undersecretary Not valid without signature f I i t k E i i i 1 t - 1 . I Ik f • f t k t i t , t j • f i Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-088595 { Construction Supervisor ALEXANDER M RANNEY 239 SCUDDER AVENUE HYANNIS MA 02801 i r I I (fit-�.n �-- irxpira7io_t-�: Commissioner 04116/2018 j i - I i I I - { r I ! Construction Supervisor { Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. . Failure to possess a current edition ofthe Massachusetts State Building Code is cause for revocation of this license. ( DPS Licensing information visit: WWW.MASS.GOV/DPS i I i i ' f ! V A I � i j j i i I - i i r f ! ! r i t F CERTIFICATE OF LIABILITY INSURANCE E(MMIDD/YYYY1irzol TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUSER-AND THE CERTIFICATE HOLDER. IMPORTANT,if the certificate holder is an ADDITIONAL INSURED,the policy((es)must be endorsed. If SUBROGATION IS WANED,subject to the terms arjd conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to he certificate holder in Ileu of such endorsements. PRODUCER! CONTACT I NAME: I ROGER&GRAY INS AGCY PHONE FAX 434 RTEI 134 (AIC,No,Ext): (A/C,No): 1 E-MAIL SOUTH DENNIS,MA 02660 ADDRESS: 2342X I INSURER(S)AFFORDING COVERAGE NAIC# INSURED i INSURER A. HARTFORD UNDERWRITERS INSURANCE COMPANY RANNEY&RIMINGTON CUSTOM BUILDING LLC INSURERS: INSURER C: INSURER D. PO BOX 816 INSURER E: MARSTONS Mff LS,MA 02648 INSURER F: COVERAGE CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERM INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 16SUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.] INSRi D SUB POLICY EFF DATE POLICY EXP DATE LTR i TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERIIIL LIABILITY ACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ I CLAIMS MADE OCCUR. PREMISES(Ea occurrence) ED EXP(Any one person) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY PROJECT❑LOC R0 UCTS-COMP(OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ AliY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ I (Per accident) NON OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RE�1'ENTION $ $ A WORrows COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-9F857789-16 0810612016 OS106f20i7 LIMITS ANY PROPERITOR/PARTNER(E(ECUTNE a NIA E.L.EACH ACCIDENT $ 100,000 OFFICEE�R((MM�EMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 It yea,d.;c Ilbe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTIOo OF OPERATIONSILOCATIONSIVEHICLESIRESTRICTIONSISPECiAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE INSURER'S MA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES ENDORSEMENT AUTHORIZES THE PAYMENT OF BENEFITS FOR CLAIMS MADE BY THE INSUREDS MA EMPLOYEES IN STATES OTHER THAN MA.NO AUT14ORIZAITON IS GWEN TO PAY CLAIMS FOR BENEFITS IN STATES OTHER THAN MA IF JIM INSURED HIRES,OR HAS HIRED EMPLOYEES OUTSIDE OF MA. THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA. CERTIFICATE HOLDER., CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WrrH THE POLICY PROViSIO .; AUTHORIZED REPRESENTATIVE i ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORP N TT . is reserved. i I s PO Sox 816 i 71 - HININGTON. Marstons Mills,MA 02648 Tel 508.428.7147 info@thecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS-ADDITIONS•CUSTOM HOMES TheCapeCodCarpentersxom i June 6, 2017 ESTIMATE s Si : 443 Elliot Road, Ce terville; Samira Schuman; 508-778-6067 Remove and rep ace existing roofing and trim as described Work to include: i Remove and replace existing roofing(excluding rubber roof),approximately 5,800 square feet • Remove existing roof shingles; install `ice&water' to all valleys,rake edges, vent pipe collars to ilive protection against leakage; seal lower edge of roof in accordance with manufacturer's specifications: install I shingles starter strip along all eave edges &roof to provide a watertight and wind-resistant termin?k ion for the roof, install new drip edge to all bottom and rake of roof to prevent leakage and rot;cut ridge approximately 2-1/2"on each side for proper ventilation if needed; install cobra ridge vent; install 15 lb felt paper; install architectural shingles using 6 nails per shingle,hurricane nailing; 1-1/4" galvanized rails with { rust-inhibitive coating used (back rubber roof is in good condition and does not need replacing at this time). Labor& materials for replacing roofing shingles $�49000.00 I . E Remove and replace Azek trim • Remove gutter nearRemove and install approx. 40 linear feet of Azek composite exterior trim using stainless fasteners and cortex plugs, including 1x12 ear board, I fascia, and 1x6 corner board Labor& materials for replacing trim with Azek $1 950.00 { TOTAL LABOR & MATERIALS $24,950.00 r + cost of painting option if chosen i i Option: Prep&painting work billed @ $45/hour+materials initial if option chosen Payment Schedule: Initial deposit requested to schedule work $: 5100000 Due upon ordering materials , $ 10,000.00 Due upon completion of roofing $ 7,000.00 I Due upon completion $ 2,950.00 �+ i I 1 IIANNEY+RIMINGTON CUST014 EUELZ$ERS 1 Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Bette Business Bureau f HANNEY + PO Box 816 r Marstons Mills,MA 02648 jel 508.428.7147 HININGTORI info@thecapecodcarpenters,com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCapeCoclCurpenterB.com i i Schuman roof—updated June 6, 2017 i 1 Please note-our standard contract: • This estimate is valid for 30 days. • No additional work is included in this estimate unless described in writing. • Deposits and payments are not refundable unless otherwise noted. - f • Contractor is not responsible for any damage to lawn orplantings around demolition area. I • Contractor is not responsible for any damage to interior furnishings that may need to be moved to complete work. • All construction waste and replaced items(including cabinets,windows,doors&appliances)will be considered disposable unless other indicated by property owner. • Property owner is responsible for all costs associated with hazardous materials,lead,mercury storm water pollution discharge or costs associated with American Disabilities Act requirements if necessary. • Any repair,moving or installation of alarm system for security or fireismoke is the responsibility of the property owner. i • Customer is to supply all paint if any is being used(unless otherwise specified) • Property Owner agrees that Ranney&Rimington Custom Builders may display a small sign on the property during the duration of the work and one month after completion. • Property Owner is responsible for any and all engineering costs and site plan if necessary unless otherwise noted.Conservation,Zoning,and/or Historical costs necessary in association with obtainirigany necessary permits unless otherwise noted. I • All home improvement contractors and subcontractors shall be registered by the Director and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Directof,Home Improvement Contractor Registration,One Ashburton Place,Pm 1301,Boston,MA 02108 • The property owner has three-day cancellation rights of this contract under M.G.L.c.93,48;M.G.L c.140D,10 or M.G.L-c.255D,14 as applicable.After 3 days all deposit and special order payments are non- refundable. • All warranties and property owner's rights are under the provisions of 780 CMR 110-6 and M.G.L.c.142A • Any alteration or deviation from above specifications involving extra costs will become an extra charge over and above the estimate at$75.00 per hour plus materials. If cost of materials and already described labor costs changes,this estimate may increase no more than 15%without written notice. • It is the obligation of the home improvement contractor to obtain any and all necessary construction-related permits;in the event that the property owner secures their own construction-related permits or deals with unregistered contractors they will be excluded from the guaranty fund provisions of M.G.L.a 142A.Work will begin no later than six months from the issuance of any necessary permits and will be completed no later than two years from the issuance of necessary permits. i • Property Owner's failure to make payments for work duly performed may result in a lien against the homeowner's property.Owner is responsible for any legal fees and court costs Ranney&Rimington may incur to collect the monies due on this estimate.They mractor.and the property owner hereby mutually agree in advance that in the event the contractor has a dispute concerning this estimate,the contractor may submit such dispute to a private arbitration service whi 1S 1 pproved by the secretary of the office of consumer affairs and business regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c.142A. DO N GN T C N'' T AVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES / 1 6/6/17 67 or Ranney& Rimingto stom Builders Date Property Owner iDate Horne Improvement Contractor Registration#144752 i I i I i j i I i I � i i t f 1 I I 3 1 4 t i 1 IIiPII NEY 4 IBIMING` ON CUSTOM SUELDERS � Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Remode/ers Association of Cape Cod•Better Business Bureau 1