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HomeMy WebLinkAbout0092 HEADWATERS ROAD r Re• G , a e a o i t �i a -tG At ®�� Of BAR b C APIE � twE i 9. 28 I�IheIErR�v s�li�mc�sr�s D�1IISION 378 Route 130 Sandwich,MA 02563 PH:774-205-2001•844-90-AUDIT Permit Affidavit Permit M. � ,�— � � •' 1 I,Craig Bishop,confirm that the weatherization and air sealing work completed at has,been completed in accordance with 780 CMR. Signature:_ Date: x !1 � t . d j Barnstable Building , ` ... Town of ,:• ., r v, ,. ',:': .� 5 wr, .z Post:.T„„his,Card So That it�s;U�sible:From the Street Approved Plans.Must be Retained on Job and this Card Must;be Kept BARNSTAEM " Posted Until Finallnspection Has=Been Mades4i '� AIF Per M' it F +° Where a Certificate of Occupancyis Required,such Budding shall Notbe Occupied un#il a Final Inspection has;been made Permit No. B-19-47 Applicant Name: Craig Bishop Approvals. Date Issued: 01/07/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/07/2019 Foundation: Location: 92 HEADWATERS ROAD,CENTERVILLE Map/Lot: 228-185 Zoning District: RC Sheathing: ' E Owner on Record: ZEVITAS,CHRISTA Contractor Name Craig,P Bishop Framing: 1 Contractor License CS=109777 2 Address: 92 HEADWATERS ROAD ' CENTERVILLE, MA 02632 Est Project cost: $2,930.00 Chimney: �gf Description. Weatherization&Air Sealing y, Permit Fee: $85.00 Insulation: Fee Paid $85.00 Project Review Req: Final: ' Date `' 1/7/2019 Plumbing/Gas f � Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six months afier')ssuance. `Rough Gas: All work authorized by this permit shall conform to the approved application and the;approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning', y laws'and codes. Final Gas: This permit shall be displayed in a location clearly visible from access strget'or'road,and shall be maintained open for.,public mspeet�on for the entire duration of the work until the completion of the same. J ` .: Electrical The Certificate of occupancy will not be issued until all applicable signatures by the Budding and Fire Officialsre a provided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing Rough: 2.Sheathing Inspection x.,a. , a. X 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where 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 'TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Parcel Application # Health Division 'Date Issued O Conservation Division ... .Application Fee Planning Dept. Permit Fee ' Date Definitive Plan Approved by Planning Board ip Historic - OKH Preservation/Hyannis Project Street Address / Z, r kool Village cl�L_rvi ILA. Owner Address Telephone (<&i� 77! - 1gdl Permit Request C��► ov� t'i s o WOO l . 44, Al� v Ni' C, Squ re f et: 1 st floor: existing proposed 2nd floor: existing g �� proposed Total new Zoning District '✓k-1 Flood Plain Groundwater Overlay Project Valuation # 44V Construction Type Lot Size 0 Grandfathered: ❑Yes NNo If yes, attach supporting documentation. Dwelling Type: Single Family' Two Family ❑ Multi-Family(# units) r Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes No Basement Type: k Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) �f Number of Baths: Full: existin _ new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑Other ; '= Central Air: ❑Yes A No Fireplaces: Existing I New Existing wood/coaf stove: O=Yes f No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 00 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes $No If yes, site plan review # Current Use � 1 c+i\` - Proposed Use �i APPLICANT INFORMATION ° (BUILDER OR HOMEOWNER) Name �,� Lojo Telephone Number ` yo W?- Address 1� License # 71)r067- �SU,( n11Q' des Home Improvement Contractor# 3141 Worker's Compensation # 06512• ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO k. 06 SIGNATURE I DATE T✓��ID S FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r " MAP/PARCEL NO,. ; r ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION - r 't FRAME rb-A V]bIdlb t INSULATION '. '} _T -- r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS'.-- r.=S F° ROUGH , ;!,* ' €a, FINAL FINAL BUILDING.,'- 2ldl, r , DATE CLOSED OUT .a. ASSOCIATION PLAN NO. { O fThe Commonwealth`ofMassachusetts y-- - Department of Industrial Accidents Office.of Investigations 600 Washington Street i t Boston, MA 02111,,..www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibiy Name (Business/organization/Individual): bt01f dl CzLrn1 Address: City/State/Zip: ' D �J 1 Phone #tand �" ` 7, Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contrac 6. ❑New construction. eiriployees(full and/or part-time).. * . K have hired the sub-contractors.. . , _ 1 , modeling 2.❑ I am a sole proprietor.or partner- listed on the attached sheet. 7.' R ship and have no employees These sub-contractors have g, F1 Demolition . working.for me in any capacity. employees and have workers' 9. Q Building addition No workers' comp. insurance comp. insurance.1 , requird.] ,e 5. We are a corporation and its I O.O Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself, [No workers' comp. right of exemption per MG.L 12.❑ Roof repairs r insurance re uired. t c. 152,§1(4),and we have no - > q employees. [No workers' 13:❑ Other comp. insurance required.] *Any applicant that checks box 4) must also fill out the section below showing their workcrs'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, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employers,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- Insurance Company Name: FarmN►al l l �{tisy� GQ� S 1 Policy#or Self ins. Lic.#: O� Expiration Date: Job Site Address: [7i 'Y � f�6� w . City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing Ythe.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 v.iolator._B_e_advised_that_a_covv�of this statement may be, forwarded to the Office of Investigations of the FIA for insurance coverage.verification. I do hereby cer fy r er the pai and e alties of at the information provided above is true and correct. Si nature: Date l�lr . Phone#: 7-L Official use only. Do not write in this area, to be completed by city or town official City or Town:. Permit/License# Issuing Authority (circle one): 1. Board of_Health 2. Building Department 3, City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other _ Contact Person: Phone#: r O�THE tp� Town of Barnstable Regulatory Services BARN9 BM MASS. Thomas F. Geiler,Director i°rfn r„o�" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, J , as Owner of the subject property hereby authorize ,vk�i�� to act on my behalf, in all matters relative to work authorized by this building permit application for. 9Z Ko (Address of Job) 711flZ010 Signature of er D to Print Narrk If Property Owner is. applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable 4 . Regulatory Services rtnrwsznar E Thomas F.Geiler,Director MASS. A i639• A.�� Building Division rfo � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print 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 of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\YvrPFILES\FORMS\homeexempt.DOC I { v'lassachi�setts- Dcpa'tn itnins a ul)5tundurds �r Rt..ul. Board (if Buil(lin ervisor License Construction Sup License: CS 71165 sip Restricted to: 1:G. GHARLES R CROVO; 45 HATHAWAY RD,: OSTERVILLE, MA02655 Expiration: 12120/2011 Tr#: 15910 fie PJanz�raanurealCli a�✓f/�cr3aacfucveCCa License or registrati valid for individul use only , _ Office of Consumer Affairs&Business Regulation befgo e.�xpir j' ate. If found return to: I I �`1 HOME IMPROVEMENT CONTRACTOR OfConsumer Affairs and Business Regulation Registration:,'',l40459 10Pllaz-�uite 5170 Expiration: 10/20/2011 Tr# 292344 goMe(01l116 Type Individual >f- J r tab / CHARLES R CROVO+-" � „ CHARLES CROVEi7 �; 776 MAIN STREET\` r OSTERVILLE, MA 02655`ti Undersecretary N t valid without signature LrJ J.CJ J,U:J'j 5084209227 MARK W SYLVIA PAGE 02 ACORDTM CERTIFICATE OF LI v A� PRODUCER ABILIT I I MSURANCE DATE/14/2OlY0 Mark Sylvia Insurance Agency 0d/1 MATE (SOS)428.0440 THIS CERTIFICATE IS ISSUED AS A MATTER 4F INFORMATION 771 Main Shea# ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEr;. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, QsiteEvr�le � INSURED 555 INSURERS AFC;^—.L11— RAGE 776 Main Cp tract s LTD INSURERA: Montpeflar US IIu Co NAIC# 776 Mein 5tre®t 0stRIM110,MA 02655 IN3U►?ER V Farm Famllv f,-1., 11y Insurance - INBVRER .� C _INSURER 0: � -- Ci�,/G}�A�iq$ THE PDUCIl;g OF INSURANCE LISTED t3ELDwHAVE BEEN tSSt1ED 71C1 THE INSURED NAMEDggOyE FOR TWE POLIGY pERIQ ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DQGUMENT 1MTH RESFtwCT TO WHfCW THE$CERTIFICATE MAY PERTAIN,THE INSURANCE AFFORD!11 BYTHE PQLICIES riESGRIt3ED HEREIN IS 9UEtJECT TO ALL THE TERM$ EXCLUSIONS AND CDNbi t oNs p�.NO1OR POLICIES.AGGREt3ATt:LIMITS SWOVM MAY HAVE BEEN REDUCED BY PAID CLAIMS, MAY 8E ISSUED SUCH I R D• $UCH POLICYNUMDER POLICY EPP E POLICYIEVIRATION A GENERAL LIABILITY LIMITS X COMMERCIAL GENERAL LIABILITY MP0006001002865 3/26/2010 . 3126/2011 EACH OCCURRENT a 1,000,000 CLAIMS MADE ®R OCCUR PREMISE8 a o � $ 40O,QQO MED EXP Xgryy ene rtmn g _ 5,0010 PERSONAL a ADV INJURY g 1,000,000 GEN'LAGGRt:GATE LIMIT APPLIES PER; GENERAL AGGREGATE 2,000000 X POLICY LOC PROCUO, -COMPIOPAGG s 2,000,000 AUTOMOBILE LIABILITY aNYgUTO CCpMe INEImSINGLE LIMIT $ ALL OWNED AUTO$ SCHEDULEDAUTOS BODILY YINl RV $ HIRED AUTOS NON-01AM>6 curbs PODeLY INJURYer D PRO PER7rDAMAGF GARAGELIABILITY (perardaent) S ANY AUTO AUTO ONLY.EAACCIOENT 9 OTHER THAN EA ACC 9 EXCESSIUMORELI-A LIABILITY AUTO ONLY; AM g OCCUR CLAIMSMADE EACH OCCURRENCE g AGGREGATE g OEDUGTMI.E �$ RE7ENTIQN D WORKERS COMPENSATION AN4 - EMPLOYERS'LIABILITY 2001W8S12 ANY PROPRIETORMARTNER1EXECUTIVF 1J29/2010' 1l26112011 STATFI. x OtFh Mlts _ oFFICER/MEMaER EXCLUDED? E,L,EACH ACCIDENT I/y±a,deawlbe unaer W 0 PECIAL PROV18fONSbelo,v y� E,L DISEASE-EA�YFI: g�DOD OTHER F,L,DISEASE-POLICY LIMIT 8 500 000 DESCRIPTION OF OPERATIONS ILOCATIONSI VEHICLES I EXCLUSIONS ADDED BYENDORSEMENTIa CIALPROVISIONS Carpentry Charles CMVO,Presild"t,la not included In workers comPermation Roverage, CERTIFICATE HOLDER �3oe)548-429D CANCELLATION Town OfFaIMOUth SHOULD ANY OF THE ABOVE DEsQRIDEDPOUCIESSECgNOELLEDBR ORE1}1i EXPIRATION 59 Town Hall SgUare DATE il-mpgOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Falmouth,MA 02540 NOTICE TO THE CERTIFICATE_H DAYS WRITTEN HOLDER NAMED 7p THE LEf1.g[�FAILURE TO DO 60 SHALL IMPOSE NO OBLIOATION OR LIABILr V OF ANY KIND U1h9p1 THE INSURER, ITS AGENTS OR REPRESENTATNES, AUTHORIZEDREPRF.BENTATIVE " ' 0ACORD CQRPORATIQN 1988 J.-r-cU.LeI UJ:'+yF I-ROM:SCHLEGEL SCHLEGEL IN 15087710663 T0:15084202791 P,1 3i. CERTIFICATE -LIABILITY INSURANCE °^Trz(ML�^^ ) THIS CERTIFICATE IS 198UED A8 A MATTER OF INFOR 04/14/2010 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVEL 'jyl�N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT -IrbNSTMEN7UTEXTANDCONTRACTEBETWEEN COVERAGE AFFORNSURER(S),THE LICIES REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.".:.', THE IMPORTANT: If he cert Cate hDller Is an A tha corms and Conditionsof the policy, oerlaln policies me es IN D, the pot yl must be en ors f S I N I WAIVED, eu Soto Certificate holder In lieu of such endorsomont(s), y Ire an ondorsoment. A statement on this certificate does not confer rights to the PRODUCER Schlegel & Schlegel Insurance Brokers Inc NAME: 34 MAIN STREET PRON A1C,No EId: (AIC.No ADDRESS: - Wast Yarmouth, MA 02673 CUSTOMER ID a: IN8URE0 >" INBURER(S)AFFORDINOCOVERAOE - Randall Hughes Dba R H Contracting Nmca wauRERAFIR8T FINANCIAL 400 Great Neck Rd " INsuaBR0PROGRESSIVE ¢`` INSURER CAIN MUTUAL Mash, rs1► o26a9 INSURER D:tee t '. INSURER E 1 - '%„ COVERAGES INSURER F CERTIFICATE NUMBER: yr: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTE L . LOW HAVE BEEN ISSUED TO THE INSURED NIAMEDSION NABOVE RFOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR C LOW OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURAN" AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND MAY OF SUCH POLICIES.LIMITS SHOWN MAY HA EN REDUCED BY PAID CLAIMS.LTR TYPE OF INSURANCE GENERAL LIABILITY INBR WYp - A P UMBER IMM10D nTYYI (MMlDDI1'1'YT) LIMITS R COMMERCIAL GENERAL LIABILITY 491FOO52 - - 07/18/200907/18/2010 EACHOCCURRENce - i1,000,000 r—� -DAM5kWTO'RENTED--._...—. CLAIMS-MADE I.. I OCCUR n,.. PREMISES(en occurrence f 100,000 MEDEXP(Anyoneperson) $5,000 PERSONAL S AOV INJURY a 1,000,000 OEN1,AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE POLICY PRO. LOC PRODUCTS-COMP)OP AGG 12,000,OOO AUTOMODILB LIABILITY y B 05452722 r?1`X ANY AUTO 05/21/200905/21/2010 COMBINED SINGLE LIMIT s (Ea aceMant) 1 1,000,000 ALL OWNED AUTOS "t+' SONLYINJURY(Pmpereon) 1 BCHEDULEOAVr09 BODILY INJURY(Poracdaanq 1 -+A•; HIRED AUTOS PROPERTYDAMAGE NOWOWNED AUTOS (ParaeeManl) 1 . 1 UMBRELLA LIAO -i OCCUR EXCES8 LIAII {"b; - EACHOCCURRENCE ; CLAIM&MADE (... DEDUCTIBLE AGGREGATE 1 I¢ I RETENTION 1 i WORRflR9 COMPEN9gTION �'� " 1 - ANDEMPLOYERS'LIABILITY VWC60048 2007 C ANY PROPRRROR/PARTNERIEXECUTIVE YIN _ fir,;. X TORYLIMITS ER OFFICER/MEMSER EXCLUDED? MIA - �.', 11/02/2009 i1 02 2010 .----........._ .........(MandaloryinNMI / / E.L.EEACHACCIDEN7 >, 500,000 If yea,descd8e under - OE9CRIPTIONOF OPERATIONS heW _ EL DISEASE.EA EMPLOYEE f 500,00 t E.L.DISEASE-POLICY LIMIT 3 500,000 DESCRIPTION OF OPERATION I LOCATIONS I VEHICLES(Anach ACORD 101,Addhlonal Rama 33 B OAKWOOD FALMOUTH, MA adule,If mom apses to mqutlad) CERTIFICATE HOLDER DONHILL COMPANY CANCELLATION 776 MAIN ST ^ SHOULD ANY OF THE,ABOVE DESCRIBED POLICIES an CANCELLED BEFORE OBTERVILLE M& 0265*5 r. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P>„ ACCORDANCE MTN THE POLICY PROVISIONS. FAX#)508-420-2791 ;t' AUTII RI2RDREPRE8ENTATIve ACORD 2S(2009109) 01998-2008 ACORD CORPORATION. All rights reserved. The ACORD,na d sago are registered marks of ACORD ; : 04/,14/2010 11:52 1 PAGE 01 pmtn: Val, I ACO D. CERTIFICATE OF LIABILITYDATE(NIMMONYYY) INSURANCE 4 14 2010 PRQpyCER Phone: 500-398-7980• - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers & Gray Ins. -So, Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0, Box 1601 ALTER THE COVERAGE AFFQRp D By THE POLICIES BELOW. South Dennis MA 02660-1601 t"auR15D INSURERS AFFORDING COVERAGE NAIL# E F Winslow PluMb;nq & .Heating, Inc. INSURERA: PeerjeAp 8 Reardon Circle INSURERB: r nce c m �n South Yarmouth MA 02664 INSURERC: INSURERD: COVERAGES INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEp TO THB INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED• OTWITHSTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDI POLICY NUMBER POLICY EFFECTrvE Poi IGY EXPIRATKiN uMIT9 A DENERALVA9NITy CBP9919974 12/1/2009 12/1/2010 EACH OCCURRRWe $ COMMERCIAL GENERAL LLUIUTV E''6 .. MISES E o r n $ Ct�11MS MADE OCCUR - ,000 MED EXP(Any om ,son b 5 (100 — PrRSONAL&ADVINJURY 9 GENERAL AGGREGATE $ GEN1 AGGREGATE LIMIT APPL{B8 PER: ., pROT PRODUCTS,COMPIOP AGG S POLICY LOC B AUTONognELIABILm BA821849�} 12/1/2005 12/1/2010 ANY AUTO COMSINED SINGLE LIMIT (Eeacddem) L 1,000,000 ALL OWNED AUTOS - - SCHEDULEDAUTOS BODILYINJURY $ (Par pafw) HIRED AUTOS N D BODILYINJURY ON•OWN E AUT03 (PereccWenO b PROPERTYDAMAGE (Per eedtlent) GARAGE LIABILITY AUTO ONLY,EAACCIDENT $ ANYAUTO OTHER THAN EAACC E AUTO QNLY: A40 Y A IXRETSNTION_ eSSN)MBRBLLA LUBam CUB S 18 8 7 5 12/1/2 0 p g 12/1/2 014 EACH OCCURRENCE ; 2,000,000 OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE S $ C WORKERS COWINSATIONAND WC1658A WCSTATIL EMPLOYERS'LABILTY 1/1/2 0,1.0 1/1/2 011 X ANY PROPRIETORR+ARTNERIEXECUTIVE E.L.EACH ACGDENT $5 OFPICERIMEMBER EXCLUDeo7 Iryygge.CAecr4beundar E.L.OISEAOE•EAEMPLOYEE Z SPECIAL Pri0VIS10NS bwaw OTHER EL,DISEASE-POLICY LIMIT $500 au iH<SCRIPTIONOFOPERAT►ONSILOCATIONSIVENICLESIEXCLUSIONSADDBDBYINDORRENENTI SPECIAL PROVISIONS he centSExCate holder is listed AN An additional insured for ongoing operations w ontxact, Agreement, or permit fox bodily injury and Property dams damage when required es writing in , entral Vacuum is a DivialOn of E F Winslow P1 9 general liability described abvva. Plumbing & Heating, Inc CERTIFICATE HOLDER :TAUTH0RtZEORFpRVAEmTATwV LATION NY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 7776 L DEVELOPMENT HE EXPIRATION DATE TI•IEREOF, THE ISSUING INSURER IN STREET EAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE TLLE MA 02655 ATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO-DO gO POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON RER, ITS AGENTS OR REPRESENTATXWS, REPREBENTATwV 11 � 11CbRD25(2001108) @ACORD CORPORATION 1968 ...quay,.u'...w:�.w..no .-.:�.ay.:,,�,.-.:.�_r.....�.-- .F—+.,.._.�..,.,..: ,:..,�.a.•.-....+:..- -_ _ .„. -__AV .. r4 j i I - 3 5 x F `g E . 4 F f } w�i4ra� � WMVi4iwti.nY4:0niani�v'n'�`+Y1Wf1nYr...x:v.yam..•.��.."•n:...-..c...�...«..._ .... .. 1 e - CLS,�'� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel IDS Application # ZO �6 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ' Date Definitive Plan'Approved by Planning Board ((� Historic - OKH Preservation /Hyannis v U Project Street Address - Village ��� By Owner i Address ?� l�u+45 -J Telephone "0� P D Permit Request4&t4� 4-0 agj� 60�mj &_V, A�J aj� d. Z/,, Square feet: 1.st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain r Groundwater Overlay Project Valuation Construction Type Lot Size Og Grandfathered: ❑Yes k] No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure A Historic House: ❑Yes A No On Old King's Highway: ❑Yes *o Basement Type: A4 Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) �f10 Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: 7 existing _new Total Room Count (not including baths): existing 7 new First Floor Room Count 3 Heat Type and Fuel: ❑ Gas A Oil ❑ Electric ❑ Other Central Air: ❑Yes XLNo Fireplaces: Existing I New Existing wood/coal stove: ❑Yes 4 No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:th existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes J�No If yes, site plan review# Current Use F -_y- Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1�� J® Te lephone hone Number Address 77b k4i•;n I�A-. License # GS 71 i 1 o,�- 4cm4lA b �S� Home Improvement Contractor# lqc 69 q i Worker's Compensation # Z'MI OUT)2- ALL CONSTR C 10 D BRIS RP QLTING FROM IS­PROJECT WILL BE TAKEN TO .q SIGNATUR DATE t FOR OFFICIAL USE ONLY ' APPLICATION# i DATE ISSUED - r MAP/PARCEL NO._ _ t ADDRESS. ' �"' VILLAGE - i. �-. t OWNER ' DATE OF INSPECTION: ' FOUNDATION,: (2))OIJO: h cj: ZV 10, FRAM INSULATION: `! FIREPLACE i ELECTRICAL: ROUGH FINALA' t 1, PLUMBING: ROUGH FINAL "- GAS ai. .w ROUGH a .c .; t�: .1 FINAL FINAL BUILDING`' DATE CLOSED OUT ' ASSOCIATION PLAN NO. - ♦ Tf�.e Corrirrconwealllt.of rilassac�tuselLs ,D;epar-tmerxl ofIlfdusii,lrlL4cclden{s Office bf 1'tVeRiga2ions` 6-00 Wa. Aingfon Elree! y os yu ry w,In cuss.go-u/did orkers' e Com nsa�io>7 Tnslranee �da�it; Builders/Cobtractors/�Iectricians/Yt Lei 1 I' Please Pri Applicant Znformahoxi � -N - --. �. is on/Lodi vi d u aI ame (BusinosslOrganu�z )� ': (��,�vt� City/State/Zip , . PP P. e of ro ec{ re hired Arc you an emptoYer? Cht-lc the a ro ria.tc box: Tpp P J �. q .• ) 1.❑ T am a cs>�loyct.with . 4 Tam a geacral contractor and l 6. N'C;w comtract on art lime * }�-,°.hired the sub-contractors Remodeling employees (full and/or p ) El- l�stcd on tba attached sheet 7, 2. 1 am a colt proprietor of partner •n;csc sub-contractors have` g; Ej DrMDU lon ship and ba.vc'A employees t ' cmployocs and bavc �vorkci-.s' 9, Bu.ildiag addition worling for me in any capacity. comp. instuancc,$ [No WOT�crS' cornp••insurancc to-ElElectrical repairs oT ad( r S, ea [ We ar corporation and its . •rcquircd ] off�ccrsfihavcacxcrctsod thcir� lI-E]Plmnbing repairs or ads 3.❑ I am a bomcowncr doing all worn raysclf [No workers` comp. right of exemption per1vIGL 11 Roofrcpairs ' ;c, 152,. §1(4), a.nd vro,bavc no ir�sTir�nccrcquirc[L)t • tmplayccs. [No workers' • comp, in surancc'rcgvired.J lx,y appli.ean(thzt checks box f{]must a]so fill out the iccbon below showing the"u t�orker6'eomprrSi�lea Policy in(mrriation. t HomtowntrY who rubroit this aifidlvit in nnddi onal dnc�ctrho�vmg tho namccV the 6u'b-co tractors and sLiic whether of fh syj e cndbficsnh�vrc tConlracfnrs Lint check lhi.r boxmuata p cmploy=5, IClhc rub conlr�ctnrr have croployctl,they mutt prwidb then workcn co DU 11=bcr. Iam an errzployer zlfrd'l's prov,Ubiff lvorkers'compeItsalion insurailcefor any employees. BeCatV is tfie paCtry arrdJob si iaformmdorr lwurancc Compa-DgNamc: 1vir' �►15��'"`� Policy# or srlf-ins, Lip. : Lc�DI VJU617 r+ 6001--w1wz��S Expiration IDa.tc' ZoIi Citylstatd ip;J„� rob Sitc A•ddress: Attach a copy of the rkers' coriipens"anon policy declaration page (sliovritig tl�epol,cynarnber and expiration dr Failure to c co go as rcq=d under Scction'25A of'MGL c• 152 can Icad to'the i¢position of criminal penalties O�fqdptot d 31, 00, 0 and/or o c-year i�prisonmcnt,.:as' WcLI as c%vilIpma-Iti-cs in the form of a STOP WORK ORDER and 250 DD y ag t thr,violator, 13.�dviscd that a copy of this statement may be forwarded to the Of�cc"of Invcsti atio c bL4 or inst CC, vcra c vcr 5cation 1 doh e and hie prt' artd pe>yallies ofperjury flc•¢l fhe infarmadort provided dban is[Yue and coireLr S Datt; Z3 Zd0 S i a. c.: Pbonc Ofj'r!a]us only. Do no wri{e in Mir arc° ro be completed by city or town of�ciaC Ci t-y 0r.T07v0.: P mPt/L•cense # Zssuiog Autb:ority (cir.cle,one) t 1, Board'of Health. .2;13udding Departmmt 3, Citp/Towrn Clerk 4 Elect t rical Tn'spector S. Plumbing :Inspector bbr • .� efts Gcncral Laws chapter 152 rcqu-ises all employers to provide workers' compenSatioa for chcu`.cV�oYr, Massaehits crson io the service of anotbct ,adcr any contract of L�irc, Pursuant to this statute, an employee is defined as "...cYcry P express or impbcd, oral or written-" byo or more artacrshi association corporatio❑ or other legal cotity, or any An crrtpJ�yer is drfmod as "an individual, p P, • the lc r- rc rescntativcs ofa dcccascd cmploycr, or the of the foregoing cngagod in a joint cntcrprisc, a-Dd including g P c to ces, How"Cr hO arfncrsiai association or other Jegal entity, employing mp Y rcccivcf or txu.steo of an individual, p P' }1ousc Dwarf of a dWrdl ng house baying not more than three apartments and who r 4 nco -C,airwo k on such dwelling dwelling house of another who employs persons to do rnaintcnancc, cons �� of otbrri�PSaboiiflrnani thereto shall not because of such employrnentbe deemed to be en employer.' or on the gro r r 25 also statLs dial "eyely state or local licensing agency shall i�ifbhold the issuance ar MGL chapter 152, § �� I the e re aired." rer�epYa1 of a Jicenso oz',permif to operate a business or toomnli nee��th�C. slns"urancec�o agal�q or any all applicaittpYho has aotproduced•acceptable mMenca of, . p f its AdditxonaDy; MGL ohaptcr 152, §25C(7) states "Ncitllcr the c000moIl blc�vnidc bof oeaplie-ncc A2th thc]in i'ra cc cntcr•into any contract for,[hc performa.ncc of public work un P . Coquircuaclats of this chapter h_avo bccn presented to the c ontracting authority. App11 can ts• r{ the boxes that apply to yotir sihiation and pleaso fill out the workers' compcnsatio( ddrress(cs) aaad pho ncumbcr(s) along with then ecrt�c�c(s) of necessary, supply sub-coatractor(s)name s , tns uranoc, Z imitcd Liability Cornpanics'(h.LC) or Limited Liability partncrsbips (LLp)with no employees Diller than r members orparhsora, arc aotxcquarcd to carry workc� b vPma�. sub t the Dcpartm n of ladustrial coloyccs f policy is required. ac adriscd that this a y afEdaylt ould Acczdc,ats fo r cozrfumaiion of�s„ranec coverage. Also be sure to sign and date theuc� not thr p cutof bo returned to the city br town.that thc•application for.tlno permit or license is o uajo rq uizcd to obtain a Wo kCCS' Tndvstrial Aceidcmts. Should you baYc any questions regarding the law or if y Tics should enter thciz lease call the Department at the nur4bcr listed below. Self insured compa compcnsationpolicy,� ' self insuranGo lrccnse number on the a ropOaatc line. City or ToiYP OfIlc(Ais ou rc fading tho applicant please be sure that the affidayit is eoa-iplctc and printed legibly. TbchDnscpbartznoac A Pryndc ga space e t the ottom aat om of tho affidavit for you to>511 out�n the cYcnt the OJ�ico of luvcsbg _ as a ucant davit indicating current plcaso bo sure to 11 in the permit/licrnso numbci wl h ll by n 7d n cd only s b tonP &f6d ton, PP that must subuut mu tiPlc Pcrzaitlliccnsc applications y gi PP .a� be rol idcd to the D�mtion if Pcccssaxy) and'under"Job Sitc Address" tho a licant she cidt worttown aytio pin (ci(y oz poLlcy�vf ( cd Dr mD rkcd by y cbpy of the afl Lleit that has bccn bff cially stamp cant as roof that a Yalid affidavit is oa file for fuhiro pcx1znits or lice atcd to an incss oil'commmclalovcnhuc app4 a liccrsc or crrait nor Y ycar.'Whcro a 11aWe owner or citizen is obtaining P• affidaYit (Le. a dog J]C Dsc or,permit to burn)caves otc.) said persoq is NOT rcquirod to complete this d ou baYc Loy Questions I'hc Office DfT�Yestigabons would hire to thank you in advance for your cooperation and shoal y plcasc do not hcsitato to give us a call. The Department's address, tclepboac•and fax number: ;�;.�,=,4�.>_�+�•z, Tha Commonwb.th afMassachustrtts k �� epc of I.adus Accid�nis Qff�ce of 1]�yc tdptx.aas 60Q Wash-i-ngt on Street 4 $ion, MA 02111 T41; # 617-727-490.0 cxt 405 pr 1-877-bASSAFE Fax# 617-727-7749 Revised ] 1-22-06 wv vr.mass.g0V/dia �oP THE Ip� Town ,of Barnstable °Regulatory 5ervzces aA_YLNSTA11LE, ` - Thomas F, Geile-r, Dire.clor (679� Building Division Argo, � ° To-m Perry;'. Building Commissioner 200 Main Street; Nyannis;--MA 0260) w.WiV.to IVmba-rnsYa ble:ma;us office: S08-862-4038 Fax: 508-791 Property: own f Must Co}mpIcte and Sign. This Section If Usllg A Builds ° , as OWI-IC of the SUbj.eetpropertY Cc Lt , liS�o act on my behalf, hereby authorize 'G in all matters relative to Wo.tk authorized by this building petmft application for: (Address of Job) . - Z3�•o tui of ae Date Pru-1 t Na e -If PropertyOumcris applyingforperrnitplease completc the 14oincDwnce s License Exemp60n Porn on; th'e mvcrse'5ide, Tow)a of Barustable oFYKE r ye RegulatOrY S erv'cp-s Thomas 7+, Gei)er, Director stiaxs-r,ter�, . Mass. Building DiYISIon Y ,67r . �°Jeo}ta�A Tom PerrYs wilding Comtnissionel' 200 Main Strcct Hyannis, MA 02601 ��y�y.to� -us Fax:Fax; 508-790-6230- Office; 508-862-4038 oiz> oW>\ER LICEN'si;ExEhIFTION please PrInt DATE: . Yillagc J OB'LOCA T)ON: s trcct number LR home phone e work phon ff "I-IOMEOWN' N .- namo cURRE14T MAILtNO ADDRESS: • zip code six un stole ' city/town t , The current exernp of ts lion for"home._ocrs w" as extended to include o��er-oca IPen alxolnacd that thelown I acts ads to allow hom m eowrs to cngagc an individual for hire who dor s notosscss V , '� su.perYisor. , ly pEMITION OB FIChfEOWNER owns a excel of land on'which he/slie Tesides,o'r,intends to rOidueh usehich and/orefarm stiuctures,djt to Person(s) who P bt:, a one or two-fauuly dwelling,�a�achcd or detached struchtres accessory all t bo p crs o n who constructs snore than ozle home a{i�o year period ehtablcoto the Building Official, that heS he shall be homeowner" shall subnait.to the Building Official on.a ormea�tP section 109�1,1) res onsible for all such work c>;formc,d under rho buildin }r �f S rll ,r ried "homeowner' q •sumcs zcsponsibili(y for compliance Thc undersig with the State Building Code and other applicable codes bylaws Talcs.and regulations, ncd "homeowner'' certifies that he/shc underslands the Town ofDarnstablc 1uilding Dcpegent Th-e undcrsig ti ' um ins eclion proccduzes and rcquucments and that he/she ti*iill comply with said Procedures and rmnim P , r .. 1 requirements, +" w)', Signature of Homeowner Approval of Building Official otc; Thrcc family dwcUings containing 35 000 cubic Icct or largcr'will be required.tolcomply w>th the N State Building Codc Sccdon 127,0 ConstrucROMEo"ER'S EXEMPTION i. errorming work for which a building permit is rtquired shall be eXtmpl from tTe proYisions The Codc starts. lhaL' „Any homcowncrp a cs z crson(s)for'hirc to do such or this sec[on (Sccdon I o9 l,1 LUeennng of eonrtruet on 5upervisors);provided that if the homeowner eng g P cn.dix Q, work, that such HDrnc:M'rlcT shill act us supervisor," the res onsibtlities of s supervisor(5eC APparticularly sort;Scclion 2.15) This lack of)wartncss often results in serious problems,p )many homeoN'r�trs who use this exemption arc uniwrrc That thty art assuming Ru)cs &'Rcgulalions for Licensing Consbvction superYi e the homcownerhires unliccnscd persons., In thss ca-6`'cour Boondsiblcnnol proceed against the unliccnscd person of�lhwoc rail appli-6-1 wh n as Su creisor is vlhm y P crvisor. The homt at LhCacting P is/ha res onsibilitics, many n the)nits e of this a`Puc is a form currently used by Sup To ensure that the homcowna is fully awxrt of h P that the homcowncr ccrjjO'that heIshe understands the r(�s� rI�FIc,[ion foruusc nsyourOcommunirysgc of this iss } rurtmcnt tit'Public Safct� 1'Iascuchusctts - Del Board of B►eitc►in!��t=�i1�►tiva►s .►n►I Stand:u�►1, . a ervisor License Construction Sup License: CS 71165 Restricted'to: 1 G CHARLES R, CROVO 45 HATHA�NA�A 2655 OSTERVILLE, Expiration: 1 y20/2011 jf.,� (; r,,, ,o•i,.�.acr%l�- �� C/r•ur'r�.,,�P0 license or registrati valid for individul use only before the xpira / date. If found return to: Office of Consumer Affairs&Business Regulation office/of l t�nsu �f Affairs and Business Regulation HOME IMPROVEMENT CONTRACTOR V.—- - 10 E�rlc P�lav(-Xuite 5170 Registration: 140459 T 292344 $q�ton, w% Expiration: 10l20I2011 - Type: Individual j CHARLES R CROVO CHARLES CROVE — 776 MAIN STREET ` OSTERVILLE,MA 02655 Undersecretary `� At valid without signature ! N/F ROBERT F. CROSS III S1070 20"W 24.12' IT �7- �O S7g 4g 40 � 1,23 60 O o ° LOT 8 c� s ii u can cs �n N7g O,9 3O 213 43' LOT 7 ASSESSORS MAP 228 LOT #185 FLOOD ZONE "c"_ FO UNDA TION CE'RTIFICA TION RES ZONE, 'Rc ---- To WyEARNSTABLE SCALE.,1 40 PL. REF.-24011123 ELEV N,%"A I CERTIFY THAT THE ABOVE )'ANA E SURVEY CONSULTANTS' FOUNDATION IS LOCATED ON �y�'�'°�°° P. 0. BOX 265 THE GROUND AS SHOWN, AND OF Mti UNIT T, 40B INDUSTRY ROAD TTS POSIT101V �QE� -_ A� � G MARSTONS MILLS, 'MASS. 02648 ,ONFORM TO THE ZONING LAW n�ERrrw�nt N q o. 32.t)98 4 TEL. 428-0055 SETBACK REQUIREMENTS OF N , �o� � Eo FAA` 420—5553 BAR_NSTA TABLE _.__ �ss� F��STER sJ�', [AP ✓Off PA UL A. MERITHEW DA TE 1��93 NuA�aER 50383FND VY7 LJ;GIJ1e1 IU:j1 5084209227 MARK W. SYLVIA - PAGE 02 '� ORDTM CERTIFICATE OF LI B(] TY �LaILI A 1 INSURANCE r DATE(MM�D PRODUCER 1 A rl�L,R D/YYYY� ER RAI� Od11AJ2010 Mark Sylvia Insurance Agency (508)42&0440 THIS CERTIF1tdATE Is-!IUED AS A�MATMR OF INFORMATION 771 Main Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Oetervllle MA 02655 INSURgo INSURERS AFFORDING COVERAGE NAIC# Dunhill Cpmpsnies LTD INSURER A; Montpener US Ins Co 778 Main Street Osterville,MA 02855 INSURE B:_ Farm FPMIIv Cs!Welty Insurance INSVRER C: - INSURER D: ' COVERAGt;g INSURER B: �' TWE POLICIJ;g pp INSURANCE 1,ISTED BELOW WAVE F7EEN ISSUED TQ THE INSURED NAMEDABOVE FOR TWE pOuCY PERIOD INDICA7ED,NOTWITFtSTANDIM ANY Rt3C1UIREMENT,TERM OR CONDITION OF ANY CONTRgCT OR OTWER WCUMENT 1MTH REgPt:CT TO tMWICW 7HIg CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED$Y TiiE POLICIES t�ESCRIRED HEREIN IS SUBJECT TO ALL THE TERM$ EXCLUSIONS AND CONbITIONs OF SUCH- POLICIES.AGGREGbgTi:LIMITS SWOWN MAY WAVE BEEN REDUCED BY PAID t:LA1M$, I R 0 POUCYNUMDER POLICY EFF n1fE POUCYE7(PIRATION A 04NERALLIABILITY LIMITS X COMMERCIAL GENERAL LIABILITY MP0006001002865 312812010 V26/2011 EACH OCCURRENCE >lt 1,000,000. CLAIMS MADE ®R OCCUR PREMISEPMA9q, M.._ $ 100,000 NED EXP A,, one tMOR S 5,000 PERSONAL S ADV INJURY 8 11000.000 GEM LAGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE g� 2,000,000 X POLICY PR LOC PRODUCTS-COMPJOP AGO $_....., 2 OQQ Q(JO AUTOMOBILE LIABILITY ANYAUTO COMBINED CM� rnSINGLE LIMIT ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJLIRV WIRED AUTOS (Pef pe—J) $ NON•4UMED AUTOS P DILtY INRY � PROPEM DAMAGE GARAGE LIABILITY _ - ft scoldant) 3 ANY AUTO AUTO ONLY.EAACCIOENT 9 OTHER THAN EA ACC 9 I! CC UM8RMLLALIABILITY AUTO ONLY; AGG $ OCCUR CLAIMS MADE EACH OCCURRENCE g AGGREGATE $ OEDUCTIME _ $ RETENTION ® $ B WORKERS COMPENSATION AND $ EMPLOYERS'LIABILITY 2001W8512 1/29/2010 1129/2D71 VrC STMIµB X OTH ANY PROPRIETORlPARTNERIEXECUTIVE OFFICERfMEMBEREXCLUDED7 E,L,EACH ACCIDENT S .. 500,p00 if gplye unde>• E,L.DISEASE-EA EMPLOYE i 500.000 S�LAL PR GIOVISrONs eetaw� � OTI•IER — E,L DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT IS PRQVISION8 Carpentry Charles CrgVp president,is not included In worker's compeneopon Coverage, CERTIFICATE HOLDER CANCELLATION (30B)548 29D Town DP Falmouth -SHOULD ANY OF THE ABOVE D6SCRIND POLICIES BE CANCELLED BEFORE THE EXPIRATION 59 Town Hall Square DATE THEREOF,THE 138UING INSURER WILL ENDEAVOR TO MAIL F91mouth,MA NOTICE TO TWE CERTIFICATE Yf --,.GAYS SMALL 0�540 HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$D$HALL IMPOSE NO OBLIQATION OR LIABILITV OF ANY KIND UPON THE INSURER, ITS A9rNT$.OR REPREBENTATIVL-S, AUYypRIZEDREPRFBENTATIVE •• ACORD 25(20Q1ro8) 0 ACORD CORPORATION 1988 T7r- r mum:bUHLEGEL SCHLEGEL IN 15087710663 TOs15084202791 P.1 ' r CERTIFICATE LIABILITY INSURANCE DATD(M?WDDIYYYY) THIS CERTIFICATE IS ISSUED A3 A MATTER pF INFORM N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE/HOLDER THIS 14/203.0 BELOW. TH DOES NOT AFFIRMATIVELY OR NEGATIVEL `:,;'MEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE Of INSURANCE DOES NOT `1~ONSTITUTE A CONTRACT BETWEEN THE ISSUING iNBURER(S), AUTHORIZED OR PRODUCER,AND THE CERTIFICATE HOLDER.'':; [,REPRESENTATIVE MPORTANT: f t e cart Cate holder la an the terms and conditions of the i0 A IN D, the policy(iea) must a ertdorae I S B TI N 1:1 sitct to Certificate holder In lieu of such endorsem nt(a),�In policies may We an ondoreomant. A Statement on this corUHcete does not confer rights'e the PRODUCER "" Schleg®1 & Schlegel Insurance Brokers Inc NAME: 34 MAIN STREET A!D No EM): We No ADDRESS: bleat Yarmouth, MA 02673 CUSTOMBRIDe: INSURED MBURER(b)AFFORDING COYERAOP- - Randall Hughes Dba R NAICN A Contracting ;. INBURERAFIR$T PnWCIAL 400 Great Neck Rd INSURBROPROGRESSIVE <r INSURER CALM MUTUAL J' MaahPee, MA 02649 INauReao: i INSURER 0: - COVERAGES i INSURekP: CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEA LOW WI HAVE BEEN ISSUED TO THE (NSUR DE NIAMEDNABOBVERFOR THE POLICY PERIOD INDICATED. NOTT14STANDING� ANY REQUIREMENT, TERM OR C ITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURAN AFFORDED BY THE POLICIES DESCRIBED REIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HA EN REDUCED BY PAID CLAIMS. HE LTR TYPE OE INSURANCE A DENERAL LIABILITY IN.a vivo PO .1 UMBER . ,., IMMIDDlYYYYI IMMlDDlYYYYI UMRO $ COMMERCIAL GENERAL LIABILITY 491S0052 07/19/200 07/18/20i0 EACH OCCURRENCE g1,QQOrQQQ r--� --00,0-----....-..--- CLAIMS•MADE Ix I OCCUR �xt�' PREMISES Me occurrence t160,OQQ L ! Imo` MEDEXPOnyonepareen) 1115,000 PERSONAL B AOV INJURY $1,000,000, GEN'L AGGREGATE LIMB APPLIES ES PER: �`; GENERAL AGGREGATE S 2,Q QO,QQQ, POLICY ECT LOC PRODUCTS-COMPIOP AGG i 2,0001 00O AUTOMOBILE LIABILITY S 05452722 B X ANY AUTO •.`. 05/22/2009 05/21/2010 COMBINED SINOLe LIMIT (Es accident) a 11000,000 ALL OWNED AUTOS i=!? f4h 80DILY INJURY(per person) 9 i SCHEDULED AUTO$ { - BODILY INJURY(Per acc)doml. i NREO AUTOS her PROPERTY DAMAGE i —'-- NON-OWNED AUTOS - (Per occident) v i 'UMBRELLALIAB DCCUR �' E%CEea LIAB CLA@AS•MADE EACH OCCURRENCE it I DEDUCTIBLE ffff�I'. - AGGREGATE i RETENTION ! f g WORKERS COMPENSATION AND EMPLOYERS'LIABILITY VWC60048 2007 _ C ANY PROPRIETOWPARTNER/EXECUTIVE YIN :. X TORY UMITS ER OFFICERA4EMBER EXCLUDED? N/A -` - 11/02/200911/02/2010 ""-(MendelolylnNH) � E,L.FAg1ACCI0ENT - � 50D,D00 Ryes•eeeuibe under DESCRIPTION OF OPEItATIONB below - (' _ B,L DISEASE.EA EMPLOYEE a 500,000 E.LDISEASE-POLICYLIMIT i 500,000 DESCRIPTION OF OPERATIONa!LOCATIONS!VEHICLES(Attach ACORD 1/1,Additional Roma L edule,)!more apace la required( 33 B OARWOOD FALMOt1TH, 29E i:. CERTIFICATE HOLDER h DONHILL CCNlPANY CANCELLATION 776 MAIN ST SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE OBTERVILIE to 02655 r.. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FAX#508-420-2791 %%` AUTHORIZEDREPRRSENTAThre ACORD 25(2009/09) 9)1988-2009 ACORD CORPORATION. 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' Owner' t` Walter J ``&, Delphine Jarnot - F a y ..,'Location 92 Headwater9'Aoad, Centerville, MA Unit Capacity O bedr om not toexceed two eo le x " Inspector �1�L{ ~ 5 f .',_.4�.. ,-�,*. t,".�..�:,�,�;"�I_:',!��1j.,',k.���,,.�: �.,--,"1,-.-�:,.:-_:.;'�r,'f,.",.:I.." 1':_I,..,I,.,�-.r,.�,,,,,:�1.�� �L,l,��-,:1-;,I...:.tr�-t."1p"b�,-�,-.�-,,--:.'",;.I�._�,,.�-_; ,,�-,,��,!,.,.,, l-,­ ,!,�,:..!_:.L,�.­�­,�_�,��4:_,;.�-­I,,I,,_����..,��,-.",�,�,_�­*.,-,I. .:.:,.... �.1_.14''L,�,� l.�i,.�1.V,_.'�1.�..",.-..`..'-I",- Z 1�-,.'�L,I-,"�_�I ,..I-.I:� . ,5. J f, ••r 4 # _ I-,,,,-,1�,Il- I,...�_ .At M%P No: 228185 ��,',I,I�,l�.�..� .;',­,* ;�,%:;...-.�'­.:" _�,:,1-�.,w"�­::'.",��"­I.1,-,��':"- i r - .9/19/2007 Town of Barnstable Building Department - 200 Main Street BARNST"LE, * Hyannis MA 02601 MASS 9�A ib:9. . (508) 862-4038 rFo nna'�°r iOccupancyCertif cate f o Application Number: 200705641 CO Number: 20070224 Parcel ID: 228185 CO Issue Date: 09/19/07 Location: 92 HEADWATERS ROAD Zoning Classification: RESIDENCE C DISTRICT Villager CENTERVILLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO WALTER J. & DELPHINE JARNOT Building Department Signature ate Signed PERMIT PAYMENT RECEIPT TOWN-OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET ` HYANNIS, MA 02601 DATE: 09/11/07 TIME: 09:06 -----------------TOTALS----------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 200705641 PAYMENT METH: CASH PAYMENT REF: PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE F BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 ' DATE: 09/11/07 ' TIME: 09:06 -----------------TOTALS------------------ PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 2007056401 PAYMENT METH: CASH PAYMENT REF: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I Application# 2007V So"' Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee 0 _s' Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address yw,,J�qi'o U Village Z YV Owner 001407x, (� Address Telephone - o Permit Request 56vin -� Square feet: 1 st flop.:exis� proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �q Construction Type Lot Size a 0 rJ�.�C Q.- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Fami'y, Two Family ❑ Multi-Family(#units) Age of Existi Structure ( Historic House: ❑Yes `g' ,t g �No On Old King s Highway:�O Yes No Basement Type: 'Full ❑Crawl ❑Walkout ❑Other = Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)L I -- Number of Baths: Full:existing 2 new Half:existing ( anew Number of Bedrooms: existing new > Total Room Count(not in ding baths):existing new First Floor Rogm Counter r� Heat Type and Fuel: ❑Gas Oil ❑ Electric ❑Other Central Air: ❑Yes ]No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached ga%age: ❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached ar existin ❑new size Shed:❑existin ❑new size Other: 99 - 9 Zoning Board of A- eals Authorization�' Appeal#� D`� / -01� Recorde Commercial ❑Yes `9 No If p ,es site Ian review# y Current Use Proposed Use BUILDER INFORMATION Name42 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / 0 %"� FOR OFFICIAL USE ONLY PERMIT NO. 1 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE f. OWNER DATE OF INSPECTION: FOUNDATION FRAME r INSULATION FIREPLACE a i ELECTRICAL: ROUGH FINAL i t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ; r !_ FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' S r 1 i e e l-3-11-20 a r. a 09 e `?:,emu BAnRNSTAKE B"" M$ '07 MAR 29 r , Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and.Notice Appeal 2007-028—Jarnot Decision -Chapter 40B Comprehensive Permit Applicant(s): Walter J. &'Delphine T. Jarnot Property Address: 92 Headwaters Road, Centerville, MA Assessor's Map/Parcel: 228-185 Zoning: RC Applicant(s): The applicants are Walter and Delphine Jarnot, who reside at 92 Headwaters Road, Centerville,MA. Mr. and Mrs. Jarnot were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on October 12, 1993 as recorded in Book 8823, Page 308. Relief Requested: The applicant has applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article II of Chapter Nine of the Code of the town of Barnstable,more commonly termed the"Accessory Affordable Apartment Program." The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 9- 14 of the Code—Amnesty Program to permit an accessory apartment unit within a single-family owner- occupied residential dwelling. The issuance of this Comprehensive Permit would allow for an accessory affordable apartment unit above the attached garage. Locus and Background: The property at issue is a 0.8 acre lot located at 92 Headwaters Road in Centerville. The lot was developed in 1994 with a single-family cape style home. The effective living area of the main residence is 2,405 square feet. The accessory apartment is a one-bedroom unit located above the attached garage. The square footage of the rental area is approximately 700 square feet. The lot is served by public water and on-site septic, and is located within a Wellhead Protection Overlay District. The town of Barnstable's Public Health Division reviewed the application, and on January 3, 2007 approved a total of three (3) bedrooms at the property with the existing on-site septic system. Procedural Summary: A site approval letter was issued for the property by Town Manager John Klimm on February 6, 2007, in accordance with MGL Chapter 40B and 760 CMR. Notice of the site approval letter was sent to the Department of Housing and Community Development.in accordance with the requirements of CMR 760. An application for a Comprehensive Permit was then filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable s b1e Patriot on February 2, 2007 and February 9, 2007, and notices were sent to all abutters in accordance with MGL Chapter 40B. On March 14, 2007 Hearing Officer Gail Nightingale presided.over the public hearing. The applicans, Walter and Delphine Jarnot, were present at the hearing.. Madeline Taylor of the Growth Management Department was also present. Ms.Nightingale reviewed the file with the applicant to assure compliance with all of the program requirements. Findings of Fact on the Comprehensive Permit: At the hearing on March 14, 2007 the Hearing Officer made the following findings of fact: 1.The applicants are Walter and Delphine Jarnot, who reside at 92 Headwaters Road, Centerville, MA. They are requesting a comprehensive permit to convert an existing unpermitted one-bedroom apartment above the attached garage into an accessory affordable apartment. The conversion of the unit to an accessory affordable unit within a single-family owner-occupied residential dwelling qualifies for the"Accessory Affordable Apartment Program." 2. Mr. and Mrs. Jarnot were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on October 12, 1993 as recorded in Book 8823, Page 308. 3. On February 6, 2007 a site approval letter was issued for the property by Town Manager John Klimm, in accordance with MGL Chapter 40B and 760 CMR. Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of CMR 760, and no issues were communicated from the Department on this particular application. 4. The proposed accessory affordable unit is approximately 700 square feet, and is located above the attached garage. 5. The applicant is aware that the unit must meet all applicable building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and private on-site septic and is in an identified Wellhead Protection Overlay District. The proposal has been reviewed by Thomas McKean,Health Director, and he has approved a total of three (3)bedrooms at the property with the existing on-site septic system. 7. On January 23, 2007 the applicants signed an Accessory Affordable Apartment Program Agreement Affidavit that commits;upon the receipt of a Comprehensive Permit,to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants at the Barnstable Registry of Deeds. That document will restrict the unit in perpetuity as an affordable rental unit and requires that the dwelling be owner-occupied as his principal residence. 8. The applicants understand that the affordable unit will be rented to a person or family whose income is 80% or less of the Area Median Income (AMI) of the Barnstable Metropolitan Statistical Area (MSA) and further agrees that rent (including utilities) shall not exceed 30%of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event .that utilities are separately metered,the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of March 14, 2007 6.3% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable.housing under MGL Chapter 40B Section 20-23 or its implementing regulations. The Town of Barnstable's Local Comprehensive Plan encourages the use of existing housing to create affordable units and the dispersal of these units throughout the town. 2 Finding Summary: Based upon the findings, the Hearing Officer ruled that the applicants have standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is also deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Ruling and Conditions: Based upon the findings, a ruling was made to grant the Comprehensive Permit in accordance with MGL . Chapter 40B to the applicants,Walter and Delphine Jarnot. It is issued to allow for a one-bedroom accessory affordable apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two persons. 2. The total number of bedrooms on the property with the existing on site septic system shall not exceed three (3). 3. The property owners shall occupy the principal dwelling as their principal residence. 4. This unit shall not be occupied by a family member of the owner(s). . 5. All parking for the accessory apartment and the main dwelling shall be on-site. 6. To meet the requirements of affordability, the cost of housing (including utilities) shall not exceed 30% of 80% of the median income for a single individual for the Barnstable MSA. In the event that utilities are separately metered, the utility allowance established by the town of Barnstable shall be. . deducted from rent level so calculated. 7. All leases shall have a minimum term of one year. 8. The Growth Management Department shall serve as the monitoring agent for the accessory apartment. 9..The applicants must apply for a building permit for the accessory unit, whether the unit is new or pre-existing. Before securing an occupancy permit and certificate of compliance,the Building Commissioner must determine that the unit conforms with the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division must determine.that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 10. The applicants may select their own tenant provided the tenant meets the requirements of the program as cited above and provided that person's income is reviewed and approved by the Growth Management Department of the town of Barnstable as a qualified individual. The applicants will be. required to work with the town to provide information necessary to document that the tenant qualifies. The unit shall be rented on an open and fair basis to an income eligible individual or family. Whenever a vacancy occurs, notice must be given to the Growth Management Department and the unit must.be listed with the Town. 3 i . . µ 11. Every twelve months the applicants shall review the income eligibility of the individual occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit, the applicant shall file with the Growth Management Department of the town of Barnstable an annual affidavit listing the rent charged and income level of the occupant of the unit. The applicants shall provide the town any additional information it deems necessary to verify the information provided in the affidavit. Upon any report from the town that the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 12. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred,the Growth Management Department of the town of Barnstable shall be notified within 60 days of the name and address of the new owner. 13. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Ordered: Comprehensive Permit 2007-028 has been granted with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen(14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision,this decision shall become final and a copy shall. be the filed in the office of the Town Clerk. Appeals of the final decision, if any,shall be made to the Barnstable Superior Court pursuant to MGL- Chapter 40A, Section 17, within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. In accordance with Chapter 214, section 11 of the Town of Barnstable Administrative Code,the hearing officer transmitted a written copy of the Comprehensive Permit decision to the Zoning Board of Appeals on March 14, 2007. Fourteen(14) days have elapsed since the transmittal to the Board, and no Board Member has taken action to reverse the decision. �'. d- I Nightinga ,Hearin fficer Date Signed I, Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County,Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the ffice of the Town Clerk. Signed and sealed this day of o1oD under the paib;s and penalties of perjury. _sue i ti Linda Hutchenridi�r,Town.Uerk 4 REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THS GULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made day of y ,2007,by and between Walter J.Jarnot&Delphine T.Jarnot of 92 Headwaters Road, Centerville,MA and its successors and assigns (hereinafter the "Owner"),and.the TOWN OF BARNSTABLE (the "Municipality'),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/ Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN - A- The terms of this.Agreement and.Covenant regulate the property located at 92 'Headwaters Road, Centerville, MA as further described in deed recorded herewith as Barnstable County Registry of Deeds Book 8823 &Page 308.B. The Project located at 92 Headwaters Road, Centerville,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the "Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No..2007-028 and any plans submitted therewith and all applicable state, federal and munic• al laws d regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds Book &Page D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit. IT. THE OWNER'S COVENANTS AND RESPONSIBILITIES A THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80% of the area median income of Barnstable Metropolitan Statistical Area (MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of . 80% of the Area Median Income (AMI) of Barnstable MSA and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with1. at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body, and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note, or other instrument to which the Owner is a parry or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner, at the time of execution and delivery of this.Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against.or affecting it,or any of its properties or rights,which,if adversely deternzined,would materially impair its right to carryon business substantially as now conducted (and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit.by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable Metropolitan Statistical Area (MSA) and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent, as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable NSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA.In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. IV. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court (collectively hereinafter the "Registry of Deeds"), and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling, as applicable,the Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. 2 ' f V° GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. V1. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested, to the parties hereto at the addresses set forth below, or to such other place as a party may from time to time designate by written notice. VII. HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents, servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments, out-of-pocket expenses and attorney's fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing, executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds Book 8823 & Page 308 and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to. the property described in deed recorded herewith as Barnstable County Registry of Deeds Book 8823 & Page 308. IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however, that the Owner of a Designated Affordable Unit or Units may,voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be, thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit, the property which is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend, declare,and covenant on behalf of themselves.and any successors 3 and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends, declares, and covenants on behalf of itself and its successors and assigns (i) that this Agreement and the covenants, agreements and restrictions contained herein shall be and are covenants running with the land, encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in tide, (ii) are not merely personal covenants of the Owner, and(iii) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XI. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty (30) days after notice to the Owner thereof, then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have a lien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such a lien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. (-h IN WITNESS WHEREOF,we hereunto set our hands and seals this day of / 2007. OWNER OWNER BY: BY: Signature ignature / Printed:Walter ar t Printed elphine T.ti COMMONWEALTH OF MASSACHUSETTS County of Barnstabll ss: p l n this da of 2007 before me,the undersigned notary public,personally appeared ^' l�ij' , the Ozvner(s),proved to me through satisfactory evidence of identification,which were to be the person(s)whose name(s)is signed on the preceding or attached ocument and acknowledged to be that he/she signed it voluntarily for the stated purposes. Notary Public U.A. ^, My Commission Expires IVfADELINE P.T `YI QR Piotary Public Commonvrealth of Massachusetts My Commission Expires 4 herrrnber 4,2009 TOWN OF BARNSTABLE BY: TO AGER COMMONWEALTH OF MASSACHUSETTS County of Barnstable,ss On this tday of ►r' — 2007 before me,the undersigned notary public,personally appeared k n C. AA i rn ty-i ,the Town Manager for the Town of Barnstable,proved tome through satisfactory evidence of identification,which were#,,Sd7)aJLL4 kh lurn lenPllbqro be the person whose name is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. otary Public 1 rl e U /4., M Commission Expires: Printed: h e I '�C�i � y P OFFICIAL SEAL SHIRLEE MAY OAKLEY G� NOTARY FOLK oor MWMTH OF MAssaCHUSEM My Comp.Exphes araAMM 5 ilia �- ( ML9.ZtWG CYoF Ocw OS_ -. 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I�(liil,Ix`'ll;li it a.;E 1 1i 116'll lul ,.i Iq ,I•�I IIJIiI ' :I �.._L"�„y x.�♦±E£�-C'#.e"'�r�r�,�t v 3Ja-.:^,s'h a 4.c t+*r�'r��4�.>}C.K'l'�Yiti- '.r':.Ctt1Mu'tY�oli�i'�'9�!8��.� �,.°d.3�'"-�i�&'x`s4"pI§a7 �3""":�iY?�.t y �#r3�t •E14"sF:k41�9d.'.,Sip=ss�'.�•," , a¢-r }IIIII J�'�I',;,{III ' I. Cutters S1 Do�ospouta ,(GO�'d)���.","��s� �.'' p x � 5 ►B�o�Cs .�� �.� ���� . I i lilll III A` � i 'I I I zuw rae gr far, .: 1 EXOTIC HAMMOCKS I I II''a I t Gutter Man E+>�e � �q r Our Dpky Ad Pa4e 157 f+? yJ`_ P. z. �vww exotk hemmooks com Cap F811110!1�1 5/ 90 t• It i't ri • ! Ni F.las Dl61 1'—=r=8O, 64625 .z N . . t Barbers, Beauty On3 n $ z#a k y i II' III I GOITER PRO INC �. .- _< ,i , F Moth ,�• c I I �Sis Our Dbptay Ad Page IS7 `1�"�3 +'t ►�T �wad�a',r�a �, `)��„„�/'��� >.�� , r See'EIMMI. retell •EmtuoldeI-- IIII l: :_ " _ �w �HalrReplerertrem;Goode B SLpIs ^ ry ., it i GOITERS ETC 549216 �hysJr�iell8 Surgeons AtedlcafaN D 1 Y z w t b Mirs ` w, I.I ryl, I I F ,I.. I ' T.58'Cad laraii Cir Fel o, 3tiso-�r-; �' x,K '^ F z-a. 'ash+' K=i-�• -+�` a- --" „r .�;. - l;',' I' i rTgB Ftee Dial 1 Bar287 3500��►.�IrSeIE ��w+v e� �y X �� GI'�1FI i'Ii l�ll:i Mid Cape Roofing11 Rusm d WYar 775.3799 , "4,See;�Pe e91n9 PetMet-GUy'hh"Guttets Too Co:The r` j> ttjy .+�9309 S_r G'„L2tia'W�'•�q#•°7>'r ;�;fi1 s�' •f { "`!' s�' .., I'k i ;. See Our Ad At Palntlny Conlraotota xOLUTEAI�t QRESSEMDUSE &W T 'i IiI: I : 010 gevelaid Wy Yar 790 2858 CALL t t,BI f3tQ ��� 'f �• Iq �`3„7 SfiF d A _„I I 11,II � .II .. �'1�� 'G`e e� ��:� r� `1��' '1i1..-'aia•'-fa��sdFr����r�a?��a�3�Ju�g�i�'.��'��s-j_��"• '�;d-�+i�rst3.;3vt•9,J fit'. -J'��,_ I i I I''I' ' ;See,Heald►Clubs&Gymnasiums' fi''.„ ,,Hpyn�CotMined:&..Nurt>itn9 N011lel I! @ weanG$ f '".lc�-r s'�` . itIl I I, I,(,I. ,i ,. ;� ��'�1►,�IR�8S11CS�11CtI0D �� ���� ���a�°T'•, � vir�mop 11,e� ° 4��� I � I i IIII I z' :..790.1773 Coverlets-Throwa•ShawlaScarves•Etc -a.� .•' �I 1I Ij';I,III!I " - K« Centerville MA:. 591 Mahr W Bam- `"J62 39551" 'i.. i?'.��.•.d..�',Y''s`,- n15d�rptpA 'LG_lwivir ` ... NI I a i III i r.'. I Cape Cod Gymnasdts nc �y,, a oylta M:zar x 1 I I IIII II'i,,I i I. Mackum Rock Rd Den.4 tas, v �fl385 8216 ►v�ni s Halr«pesigfr�)27 x �Y ';n 771�244 !� f ; n a. r 46 Mid Tech Dr Yar 771 5227 Desgpi 38 Pearl Hyna775 44� r•'Poliketbpoks Ledl�rs. ACE HAR a .a.., .�: a{'if II i I'I`i' ► �(Q�lR � �' «� Clasic Cuts;Pliu 479 Bearse a Wg Hyn9 ,778 ` . F "6 •Hardrvaro� Cutlps 89SdroolA 7109 TOt@B8D$ ,.; ! .TooW= II {' )II�, I j ' `DE•JA W 461 Main Hyns rr , II. Noifleadoa - h -I! II L I!IIII i 1ELLAROI SA�ONS S , , mi es" v tl lil I(IF i'i{I '�„ ►Bair 000d5,;, 1I �tr� r0`�r � e`Ilan Cwrverslals$Acce�ories', I q i'I' 339 Barrette Rd Nym 7�18�623 q�d ,II!!II1� Ih' 1. _ r:ae9;d;i-:x N� 1�4 -Ne,�93t 8,ty M' sue{ ' f he�Clhair Lilts iliamps qpi. Till I n hai7".�.Rte 132 Hyns----+r-778 4991, oun Seasons Fib 11��1er Halr Gate ar 9019, ' # ° i,'i I , 7 Me!n Den.- h: d I I I r II. I, I Haire 8y Mr Rkhard �; l l`• + sRIS. �,Hyannrs MA Dennis 3 8845 .�LIN A$ALQN 990 Rt6A W Bam b, 862�i665 �ar41� :l,l' I'IIII'p l it II' ail:" a., ! u 1 Great tenectionsri1,wing ���I�i a�Y,, See'Doore't�ete.Qpen3tingDevlcee� �d �g�pApF`0 B. e dbx 379 West Mam ?71.3995 _ p �231 yMebr"TM I Ni I ,6i1 Il I I ►9011 I�_ tr Yh :-:{ •. ...� ,r r + �+ y:SenlOr tildZ@n$�a�.'B.Orgaltlzad0na n"TS.'6¢".j r I a , Hal►Boud Ue 89$Maln CenWf ° ri t s 778 033Gi • R See BeautySalons-�qulp:8 SIl�7s T Nq_ ,.r , ;S�Cial�Human Sues.';'Van Comerslins�, i i 9il II'I II i,'IIIII'' ` t, Hair @ Is 10$aboard Ln Hyns 1M 71$730 `Aoceasode8;'Wheel Chair Lilts 8 Ramps BOTEtJ:t? II'Ii'l i'lll l) '.!I'll illl111�I I III ,... -p pM1 y� OS5>3'.ot: #„�,'��Izi ,+Hai�lab Rt,'Qa-..t�R11GYl -. 1 ?x n5• i A. rrE 'r. g� i,rri=a_,c,� -�a '•r LI-'111 li I�I Il rylll ' .�„ Rau Rom s.i e Sfpdto T�he� 1164 Rt 134 T d sl s. .. ;,, y,•y,,:.... h x.. .w}'i�Fpr "y F�Y .�.. a.. - " IIJh lii l' I'I ' I ll t, p j h Nauben H Canton RE&Associate' ;, s J;I likhael s 684'Main ttyns y ,� 771=333 , See q��tBnC_@ S1rC@ spy �y r 1: OSTEA_VI E I''i y�) IIII "dill I :g52School Hyns „ tr 529 198nesHeadquerEeR e 41i �In r`-` ¢{f fi 2i7y4z v1 ' Rv$C6.lakl, I I(tiil INI'II Ii11 II(I 1 a��: Neuben Mary48 Capp Hyns "z Umina`Nancy ll'RPi;W t'" ''� s uly$A.r„ Rt 2297 #a• n N {,., tAN -.•,R; •1 68Qfaimoutlr.nYrY. T^TFTaT IG�I iplijjll IIIw dvV,lll , ' ,I,,y. ��`I I`'h,k'iI �''- Nair�Replacement, � - (,J, I!I);IN,III, „y,LS�:~' ��t,•J{ _ , ,.` j �_, ,I(� I. III IIIII JIII I A '�.�t1 Q .� 1^q� r� � $Y' Y k F 11NbERSGN' Ipl hul�If l I oil CAPE COD PLASTIC SURGERY: _ +t l: yIca m aKz�' r •'p'yW Mein" s7y1'. , I 1 jj tel.: k. dD '171-0290 i. :i3l _r�. !T . c 51 main�iyiis �R l�pemtlDg i e Q I r 342 ► I I'I'I i I 5�3 _ Cfik', 'y N K .s ;'I I'I;I III 111 it I H R S OF CAPE COD: I t I, Il III , f fi }1dr.ReQIBCbnlarlt Sotema t x, ���t�3333;d444 SYeran RL 4 b � y $98 8a i - • u Ai III i 1 i � Ronda� BonOV Etc. a na Ham , a rf,ll Irl llIT!,l , ...�BCe ..',G.+' e - imtyl 9 'All $12. ea:;r� ®,., c ,. [r•�,r(YY ..,,1d qIl5 ,• H, ull'i' fill, Flit it II r Heir Ckib SenAceaj HeV.PSogrems N-` ,,x,. ' •RRAMNALDH T# frh Lkl k1T g�{�f}?1^'+s I? 1 1., II III I I I i 35 WIMer Hyannis 7713762 MANS EVENT TM � P f I ty�6iya v7' u 53 53 Amanda Av Prymoulh— ••--759 2551, 3 ' i I 'li i' JI ' HAIR CIRCIN THE��1�7 g4K�r „a s ; e.t ",,� , Centetvi4e l�III I I I �I' i 6' 335 wash', In N0"M BII T81659-0828 g y „�'I II'I I'I I'll is�I.�II ,.,.< - -.yrt I021R� '2au•yAW ��,57V3 R fan fto mail r, -I ' ( I LEONARD HAIR TRANSPUNT ASSOCIATES , 7LUCHO N: BE CON ORTABLE Wti11 YOURSELF AOABiI�*� #'MR 1169E�t 75 HAIL �G,` "g' x - a • t t a You Y �'armadh Port MA 3�2344$; al. . I I I'I'I MORE AFFORDABLE 1,11M EVER BEFORE'-' $'T = w g a�'sl,'rw 12s 3Ax (�'14 4t' I•� r C GO C.W Handyman S1Ca�_ P I ! v IAODERN FOWCU AR MICROORAPTDIG 333 Y QprytlflCtOf I1 �t a • �IL ij �, I 1 1, • tarOrlCept.� Ifa�x 2F19� I OR ROBERT T LEONAR I,PAST PRESIDENT 81iL u< ex a r> a 1 sa a; te a ' y� r >a s r•GeM9n Ili I i'�iI I 30�1e491da1n 288115 ry t , �• I,I1� I l s l l It ( "SOCIETY:OF.NAat RESTORATION`SUROERY,fir ate',, y r NT P1•.'-.r r3 477,,2881,° a Over 170',, - AYA"sm a^'. Ib 9e81dy Sabrl 803 Yf A 1P;,. a, � II11I I'I, IIII i i PAT®(T REFERENCES 8 FalANCINO w kA c Cc2n Home Setvkes CALL TODAY YOUR FREE COtJ91A TATIOIL Bu0 Tivat For 7A@ FiOlrleOWne� c �� s�srar` Asa 3d5a _ � b az ���_���appa�-�1653 Ibl ; -+'fYzds3Ff±�'%Y7y,.,[q�+'`°gGl*'bfr%dy COtu. Cali 00 54 -0660 I i{I I .; MR ROBERTS HAIRSTYLING 2icflard s a4r6e Sly k ein�"Ilein`"�362 9i�2 Du-Mandyman Semce i I I ySelon 2828 Barrstabk Rd Hymn----z771892Q 1 Marhn Rd ti5 F917; a 395 I-II I)I i III.I,L, 'I aa'i.l ,1;.� Holry Shopping Pb S Yar . ` 3940663 Salon 2000':155 Attuckt HyM - �78.497 ,IIIII iI I' t;I , 1 I_F .t1' .a - ,. L yl it :Sharlee s 832 Main Dst 428.1641 cr xt C Y 1 I III fll I`F ill I�,II.I^ Make sure you get your S h rB Off 'L,rm.` r� Satin-=& fi3166 Main-BBin 1 Bull Sw>ame,�mgf ,amm• .�. otd.8 i I II;,11I I ,' $plaan Spa 362 5999 �q I' `. Sae ou%.. a Ww„ >. .n_ ID i =�` S�'.°t',. L a 5 a a s.. 'wt. Ih I + business from customers In your „ �P r Cuf The 23 „ iII II III,II IIII I I vim$ Lending Marstons Mills----�- 428 6990 ►Ilardware•Bl�derS•Ytrs. O ° ti' INdLEY ;Ili IIIII I ''''I rhei hborhood Advertise in theuEFlccrloN 394 Rt 28 W Den—394 98359 ,p �' � ` �ew,�. M-n�+ypwaw�n�.�xw++:•'n t 138Rt a. �•'I.III' 'I II'll ;p THOMPSON CO.1NC r a Hof. fo>pFree . II, IIII III+ Atlantic Yellow Panes. Look utde[ r," 3316610 ;I II Ili I I II l r a y a H.. • , e05 P<asarn-Weymadti , 78 1. NAU$ET i II 41 Vi i I :� `i: 't� s'L�t�> See Hair Replacement da 8 5 pis �� , I ,I I _Advertls►ng Directory end Gufd far Bata tags 8Ha6pheces• n µ Would you.like to bwld sales,attrect 'dd-- a• i ilr{hill II Iil:�IIt i, . numbers for our Iocei Bell'Atlantic�rr�r`n{^ �'1'!: r e r Y `ay ,neW Cu3tOfie/3 8ntl encoureg@ Oltl 77 I, I Ir fi y a ► Ras dt Au�tOeums w, z ? ' 5J ;:,:! -:e w l CU8t0ln@f$t0 Cone back again,, I 'I Yellow Pa es oNice..tTur advertisingi , �: a ;ri�' a " a: ,� <r; :: i ... t. �I g Ube Half,dutr `� Advertise Cn the Belt Atlantic Yellow 850 RC . rtyMarstoro.Mills'InC 850 Rki II11, L,;I I —c 50 s . n i dill"i'I „ I ,' 1 I exper#s will hel you with Information .0 k�N'Marstor��'� a t ?�—'a28 5662 - 4 ,t Y rue v sl,l;i III ,Iii,i I ''i.l,i L a PBg@3-ltp8ysl TheyYvllltel your fi Dee„ h+I 'ill lil''11111�, ientl.edvlCe.;� d }' rld'�'; scat the B�II Adentic Yellow Ppges habit V story to people who are ready to buy! 'II I I'II �I' I' I'I II.1I'' 9r a v a �t thavas•�,ra�eC a.zrazit .a £M -. I'jr III ill ,�i I�, f• i II _. .ti. ,.. "g r _ _. . Property Location: 92 HEADWATERS ROAD MAP ID: 228/185/// Vision ID: 16157 Other ID: Bldg#: 1 Card 1 of 1 Print Date:04/11/2001 R S OWN, IA", A "I JARNOT,WALTER J&DELPHINE Description Code Appraised Value Assessed Value RESLAND 1010 93,600 93,600 801 - PO BOX 2099 RESIDNTL 1010 136,600 136,600 CENTERVILLE,MA 02632 Barnstable 2001,MA Account# 140671 Plan Ref. Tax Dist. 300 Land Ct# Per.Prop. #SR Life Estate #DL I LOT 8 Notes: VISION #DL 2 GIS ID: Total 230,200 230,200 :, C RA� y, 11 -04 39 FS;Ar Z, JARNOT,WALTER J&DELPHINE 8823/308 10/15/1993 U V 55,000 P Yr. Codel Assessed Value Yr. Code Assessed Value Yr. Code Assessed Value RIFFENBURG,ROBERT E& 4221/051 08/15/1984 Q V 39,500 2000 1010 65,100 1.999 1010 65,1061998 1010 65,100 HAWTHORNE PROPERTIES INC 3949/297 12/15/1983 Q V 13,500 2000 1010 112,200 1999 1010 112,2001998 1010 112,200 Total. 177,300, Total. 177,300, Total. 177,300 f MEN I'm- ig This signature acknowledges a visit by a Data Collector or Assessor Year TypelDescription Amount Code Description Number Amount Comm.Int. Appraised Bldg.Value(Card) 133,600 Appraised XF(B)Value(Bldg) 3,000 Appraised OB(L)Value(Bldg) 0 Total. Appraised Land Value(Bldg) 93,600 E -0V-"4-11 N WENWIffil Special Land Value 3110'11,—111"11""111-1 IRA= Z "a VEIW............ *FOUND ONLY 1/94 ..*100%COMP 1/9 Total Appraised Card Value 230,200 Total Appraised Parcel Value 230,200 5............... Valuation Method: Cost/Market Valuation IN et Total Appraised Parcel Value 230,200 mmm MUM= AN, 111[1%1-1,��'1-111,!, Permit ID Issue Date T e Description Amount Insp.Date %Comp. Date Comp. Comments Date ID Cd. Pur os esult B36358 12/1/1993 ND 80,000 1/15/1995 100 CE 11/2 S 7/15/1995 ME W B# Use Code Description ZoneLFrontage Depth Units Unit Price I.Factor S.I. C.Factor Nbhd Adi. Notes-AdIlSpecial Pricing Ad'. Unit Price Land Value 1 1010 Single Farn RC 3 1 0.80 AC 113,000.00 1.30 8 1.00 49DC 0.80 SPCL(.80,UI0)Notcs:10 IBLD 117,000.00 93,600 Total Card Land Units 0.80 AC Parcel Total Land Area: 0.80 AC I Total Land Valui 93,600, Property Location: 92 HEADWATERS ROAD MAP ID: 228/185/// Vision ID:16157 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 04/11/2001 • ,.., ;:: '..'.. 4 ':: :.':i „ ,'. , ,� -"r 1•: aY.,. .:' 1., s3SY. '..3•, y '»;c, �, _ m �. .G'O • Y/CTION D�7A.1"� ... s , ...; S CIl'`, � Element Cd. Ch. Description Commercial Data Elements Style/Type 04 Cape Cod Element Cd. Ch. Description Model 01 Residential Heat&AC Grade + Average Grade Frame Type 12 Baths/Plumbing 10 tones .5 1/2 Stories Occupancy 0Ceiling/Wall ooms/Prtns WDK 8 10 PTO 1 12 WDK 12 Exterior Wall 1 4 Wood Shingle /o Common Wall 2 11 Clapboard Wall Height Roof Structure 03 able/Hip 8 10 1 12 Roof Cover 03 sph/F GIs/Cmp 24 34 nterior Wall 1 03 Plastered Element Code Pescription Factor 2 Interior Floor 1 14 arpet Complex 2 12 Hardwood Floor Adj nit Location Heating Fuel 2 Oil FHS FHS Heating Type 4 Hot Air Number of Units 22 GAR 22 4 BAS 2 C Type 1 None Number of Levels BMT /o Ownership Bedrooms 4 4 Bedrooms Bathrooms 2 BathroomsQ „/ AZ Tt1LrTAT �,••,a 0 2 Full Unadj.Base Rate 60.00 Total Rooms 7 Rooms Size Adj.Factor 1.00773 24 Grade(Q)Index 1.09 34 Bath Type Adj.Base Rate 65.91 Kitchen Style Bldg.Value New 140,652 Year Built 1994 ff.Year Built A)1995 rml Physcl Dep uncnl Obslnc con Obslnc pecl.Cond.Code Code 1) vrrintinn Percentage pecl Cond% 1010 Single Fam 100 Overall%Cond. 95 eprec.Bldg Value 133,600 • OC7TBIILD1NG&YARD ITEMS BUYL'DING EXTR;4 TI� y Code Description LB Units Unit Price Yr. DpR1 %Cnd Apr. Value FPL2 irepl-1/2 Sty B 1 3,200.00 1995 1 100 3,000 FSLIM z...... _ W Code Description Livin Area Gross Area E .Area Unit Cost Unde rec. Value BAS first Floor 816 816 816 65.91 53,783 BMT Basement Area 0 816 163 13.17 10,743 FHS Half Story 941 1,344 941 46.15 62,021 GAR Attached Garage 0 528 185 23.09 12,193 PTO Patio 0 100 10 6.59 659 WDK Wood Deck 0 192 19 6.52 1,252 Ttl. Gross iv/Lease Area 1,7571 3 7961 2,1341 Bldg Val: 140,652 TOWN OF BARNSTABLE 2000 STREET LISTING r?' V STNO NAME YOB OCCUPATION V STNO NAME YOB OCCL ' 60 CARNEY, JOY M 19" WAITRESS HOLLY LN • 60 CARNEY, KEITH F 1960 PRINTER 61 BOOTS, TAMARA 1962 PARAMEDIC * 15 SMITH, JOHN A 1925 RETIF • .61 DEWILDE, CLAIRE E 1957 RN 15 "SMITH,. KEVIN P 1949 NIGH' - ' 72 LINDGREN, ELLEN O 1918 RN 23 DRISCOLL, JANET -1959 RN • 79 HERN, MARGUERITE H 1925 R E BROKER 23 KOULOHERAS, ELIZABETH A 1953 MARU ' 73 GERAIGERY,.NOLA B 1948 HAYWARD RD 76 BROWN, KELLY KAY 1953 TEAL 76 BROWN,JR EARL E 1958 • 5 LEBEL, DOUGLAS W 1953 BUILDER ' 85 MEEHAN, JAMES F 1960 • 5 LEBEL, LAURIE P 1958 PARALEGAL 90 HOLLEY, EUGENE J 1922 RETIF. 5 LEBEL, RACHEL THACHER 1982 93 COOK, ELIZABETH T 1978 STUD 15 LANIGAN, CHARLES F 1939 BANKER ' 93 COOK-DUNBAR, JANET E 1951 SELF 15 LANIGAN, CHARLES KENT 1974 STUDENT • .93 DUNBAR, DAVID 8 1950 TECH 15 LANIGAN, HEATHER K 1979 STUDENT • 23 SHACK, MONICAS 19" HORATIO LN ' 23 SHACK,III THOMAS G •1965 14 GRIFFITH, AMANDA C 1982 HEADWATERS RD • 14 GRIFFITH, LINDAC 1958 CASH ' 14 GRIFFITH, TERRY JOE 1957 LICN: • 41 PORKKA, 0 PAULINE 1932 AT HOME • 24 PRICE, CLAIRE EVANS 1930 RE71F. • 44 DUPLIN, ANNE F 1908 RETIRED • 34 BROWN, ALBERT L 1942 SELF • 44 DUPUN, DINETTE M 1964 • 34 BROWN, JONATHAN E 1977 STUD: • ' 44 DUPUN, TIMOTHY M 19 • 34 BROWN, NANCY E 1950 HOUS 44 OBRIEN, MIRY K 192020 RETIRED ' 47 CROSS, El IZABON L 1911 REG NURSE HORNBEAM LN • 76 CROSS, LOIS A 1941 MEWL SECRETY ' 76CROSS,TROBERT.F___., 1940,CONSTR_SUPRVR • 39 CONATHAN, BARBARA A 1946 LIBRA: ' 92 JARNOT, DELPHINE T ` 1929 SELF EMP� * 39 CONATHAN,II JOHN 1944 ATTO` ' r-92�,•JARNOT,rWALTER J { 1926 E * 45 GURISKO, JAY J NC 1931 • 97 CASEY, CONSTAE T 1928,RETIRED ' 45 GURISKO, VERONICA A 1948 • 97 CASEY, JOHN W 1920 RETIRED • 75 ANDERSON, GERALD E 1931 RETIR * 106 NUTTALL, MARGARET F 1929 CONSIERGE • 75 ANDERSON, MARY E 1931 HOUSi • 113 CO), DONALD A 1927 RETIRED ' 113 COX, GRACE 1924 HOUSEWIFE HORSESHOE LN • 113 CO),JR DONALD A 1954 MGR 22 MUCCI, PATRICIA E 1959 HOME HERRING RUN DR 22 MUCCI, STEVEN F 1960 PHYCK ' 27 BRIDGES, CLYDE L 1963 • 10 JOSEPH, MILDRED H 1925 BOOKKEEPER 27 KAIN, MARTIN J 1956 REGIS ' 10 JOSEPH, NICHOLAS 1923 BUS OWNER ' 37 COOPERRIDER, CARL D 1952 ATTOF • 74 TEEL, RICHARD H 1927 SALES MGR ' 37 COOPERRIDER, STUART L 1953 ' 74 TEEL, VIRGINIAJ 1927 RETIRED 65 ADLER, DAVIDR 1951 COMPL • 100 SCIBELLI, MARK L 1954 SALESMAN 65 CHEYROU, BRIGITTE R 1949 FRENC ' 107 HURLEY, IRENE HILL 1919 RETIRED 65 MALIN, PHILIPPE D 1980 ' 107 HURLEY, JOHN P 1920 RETIRED 95 FENWICK, ELIZABETH M 1963 HOME • 110 ROBERTS, ARLENE 1933 CAFE EMPLOYEE ' 95 MURPHY, CATHERINE M 1932 RETIRE • 110 ROBERTS, THOMAS 1931 SELF-EMPLOY 95 MURPHY, JAMES J 1931 RETIRE • 105 DANGELO, DEBRA S 1954 HOUSE HI ONA HILL RD * 105 DANGELO, MICHAELJ 1954 CARPE. 105 DANGELO, RYAN M 1980 STUDEi ' 25 GLINES, A 1956 MOM 108 MOSHER, PAMELA D 1953 ' 25 GUNES, ROLANOLAND A A 1942 COMP MGR ' 137 BROWN, ABIGAIL M 1937 RN ' 26 CAMPO, KIMBERLY R 1972 ' 152 CARNEY, GRACE R 1931 ' 39 PACKER, PATRICIA A 1932 RETIRED • 152 CARNEY, JOHN T 1929 RETIRE • 39 PACKER, STEPHEN 1963 LANDSCAPING * 160 MCSHEA, FRANCIS D 1923 RETIRE ' 43 WARREN, UNDA A 1946 BOOKKEEPER ' 160 MCSHEA, MARY E 1929 RETIRE ' 43 WARREN, RICHARD R 1935 BUS.OWNER ' 170 ROBBINS, MARIE G 1912 HOMEN. ' 44 WALSH, FRANCIS A 1925 RETIRED • 183 SIMMONS, MICHAEL B 1965 ' 44 WALSH, RUTH F 1929 AST UBR * 190 BROSMAN, ELIZABETH A 1931 MED TE • 56 MUNROE, DOROTHY T 1921 HOUSEWIFE * 193 MASON,JR DAVID A 1951 INSTRU ' 230 ADAMS, CHRISTOPHER C 1951 PRODU'• HILL CREEK RD • 230 ADAMS, KATHARINE M 1916 RETIRE: • 16 GRALTON, KEVIN R 1960 16 GRALTON, MICHELLEM 1962 HOME INWOOD LN ' 66 CONTI, OLGA L 1913 RETIRE. HOLLY HILL RD • 66 ESHBAUGH, PETER B 1937 INV.ADN ' 27 CUMMINGS MARJORIE B 1910 RETIRED , 66 ESHBAUGH, RUTH C 1938 RETIRE' • 66 PETERSON, RUTH E 1910 RETIRE: * 28 INGHAM, CONSTANCE G 1949 FLIGHT ATTEND gg RYMZO, BENJAMIN N 1975 STUDEt 28 INGHAM MICHAEL E .1943 CONSULTANT ' 35 CALLAHAN, RITA M 1915 RETIRED 99 RYMZO, INARA L 1943 * 40 BAKER, BARBARA S 1937 INS CLERK 99 RYMZO, WALTER T 1943 PHYSIC' ' 50 ETCHELLS, MARIE 1937 MANAGER 154 BURROWS, FREDRIKA A 1908 RETIRE: 85 CALDWELL,* 85 DILtARD, MARN MON S 1�� RETIRED JACKSON AVE * 86 GRACE, MARY T 1927 REG NURSE 15 DOMANSKA, MARIA 1924 RETIRE[ ' 95 MCGOWAN, THOMAS C 1925 RETIRED ' 71 BRILEY, THOMAS FRANCIS 1929 96 NORTON, FRANCES F 1937 CLERK ' 96 NORTON,JR GORDON L 1934 "INDICATES VOTER 77 �-5 f} rA.,l� �/+ Ce 7 C/o z e, • ' s _ r— — . a a u o a I ..�_ ..___. _r.Qnc��` gL124➢GEF.ns- --_ _ _ _ I FRO �T EVAT\Lh�- ==... -- - i ' -..--^.a.!.!..-;<-e--y_,�•�r.-tea..,,�.-_a.-P_� ____ _- I _ �� - ► I1 F l - Pu rr. FM IT 1 N 6 .... 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R\1\\t1l►.)C`CD ..._., f -! i y, le ea.vfc w oR6s� rwenatru ;.i. '� ti'?.,.,?.,_S"S�. L ! i 1 z 1 ) un•=R22_43- / r pF e a _ y (� t ,r I)y t ..,. .. -WONa^.C%-Mir-9iS'GbRC ta.„. .r.._ :'I: n r'$ F't . a 4 1 - -!"\R @ l4RS \ilPet'TER JaQNdT - . CROSS SECZ10�dIS ... _ _.:S _ - .. 0 i MIS �L; C _1�..6.P_ •-- --- �---3 I L.� .SMOKE cLaMeel? —ll 1 — ci '- . C6NIPew 4-2;" MIU nylI J o rIeK oA'4.ry 1.1 a-W EdR�T-I RC1UFe7CED...SIB F. - "[P. _ Ms ------------- J. F114E Town of Barnstable , CAB , : Regulatory Services b9• �m� Thomas F. Geiler, Director � Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 7, 2007 Mr. & Mrs. Walter J. Jarnot 92 Headwaters Road Centerville, MA 02632 Re: Proposed Accessary Affordable Apartment Dear Mr. & Mrs. Jarnot: We have received the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment at your address. A building permit is required whether the unit is new or pre-existing. We look forward to receiving your building permit application for the apartment. Please call me if you have any questions regarding the building permit process. Sincerely, Lois Barry Division Assistant J040616a oFtHE ra,, Town of Barnstable Regulatory Services * sAMMBLE, MASS. Thomas F. Geiler,Director �p .s63q �� rE1639 A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 AMNESTY APARTMENT VERIFICATION Re: D 7" s r `��/ After reviewing the street file of the above named property, I verify, to the best of my knowledge, that the apartment was in existence before January 1, 2000. ./t Tom Perry Building Commissioner Parcel Detail Page 1 of 3 hl r a yy3" 46, y d d , r y� ..................... .. :z�.,.J�"��:.�✓�'.�'. ,.�„*" �:". Logged In As: Pa rce I Detail Thursday, Septernb Parcel Lookup Parcel info ...... ..............................__ ....... ......... Parcel ID; Lot 228-1$5 Developer LOT 8 Location 92 HEADWATERS ROAD Pri Frontage 166 _..... . _._.___ _. .._...__ v.., .� ......._ ... �. ...... �. _ .__.... Sec Road Sec Frontage s .......... .. ............... .......................... ......... ......... ............ village,CENTERVILLE Fire District'!C-O-MM ............................ ......... ......... ....................._ ........ ._. Sewer Acct Road Index 0683 21 V_ Interactive Map �� Owner Info �. ._� _ _�_..._..._._ Owner JARNOT, WALTER J & DELPHINE Co-Owner, ......... Streetl PO BOX 2099 Street2 City CENTERVILLE State€MA zip02632 CountrY US Land Info __ ... .. ......... - .............. .. _,._.::..._. .w� M.,,, _. _...._ _..., Acres,0.80 use Single Fam MDL-01 � Zoning ;RC Nghbd 0106 . ........ ....._. . __ .._.. ... _............._ Topography Level Road €Paved :............_� _ .,....._ __ M .,_..,,,,,,,: ........ _ �.._....... utilities Public Water,Gas,Septic Location Construction Info Building Years Roof ........ Ext. 1994 IGable/Hlp Wood Shingle Built I Struct wall' Effect 2405......__.... _ .._..._� Roof�Asph/FGIs/Cmp AC None Area : Covers Type ......... ......... nt Style[Cape Cod wall!Plastered Rooms 4 Bedrooms _. __.. ,. Floor Model Residential 1 Int 1 Hardwood Bath Rooms 2 Full _. . �.-- Grade`Average Plus Heat 1Hot Air Total i7 Rooms Type, Rooms http://issgl/intranet/propdata/ParcelDetail.aspx?ID=16157 9/21/2006 Parcel Detail Page 2 of 3 v Heat' Found- stories 1 1/2 Stories Oil Poured Conc. Fuel ation= 33 � 3y 333 Permit History Issue Date Purpose Permit# Amount Insp Date Comrr 12/1/1993 B36358 $80,000 1/15/1995 12:00:00 AM CE 11j ......... ...... ... ......... _.. Visit History Date Who Purpose 11/1/2001 12:00:00 AM Paul Talbot Meas/Listed 7/15/1995 12:00:00 AM ME Sales History _. ...... _„w.._. _....._. Line Sale Date Owner Book/Page Sale P 1 10/15/1993 JARNOT, WALTER J & DELPHINE 8823/308 2 8/15/1984 RIFFENBURG, ROBERT E & 4221/051 3 12/15/1983 HAWTHORNE PROPERTIES INC 3949/297 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2006 $206,800 $2,900 $0 $203,300 2 2005 $190,600 $2,900 $0 $187,000 3 2004 $155,800 $2,900 $0 $162,600 4 2003 $133,600 $2,900 $0 $93,600 5 2002 $133,600 $2,900 $0 $93,600 6 2001 $133,600 $3,000 $0 $93,600 7 2000 $109,100 $3,100 $0 $65,100 8 1999 $109,100 $3,100 $0 $65,100 9 1998 $109,100 $3,100 $0 $65,100 10 1997 $113,600 $0 $0 $47,000 11 1996 $113,600 $0 $0 $47,000 12 1995 $0 $0 $0 $47,000 13 1994 $0 $0 $0 $40,700 14 1993 $0 $0 $0 $40,700 http://issql/intranct/propdata/ParcelDetail.aspx?ID=16157 9/21/2006 Parcel Detail Page 3 of 3 15 1992 $0 $0 $0 $45,200 16 1991 $0 $0 $0 $85,900 17 1990 $0 $0 $0 $85,900 18 1989 $0 $0 $0 $85,900 19 1988 $0 $0 $0 $37,700 20 1987 $0 $0 $0 $37,700 21 1986 $0 $0 $0 $37,700 Photos http://issql/intranet/propdata/ParcelDetail.aspx?ID=16157 9/21/2006 Lp��FTMEToy, Town of Barnstable Regulatory Services B" 'MASS. Thomas F.Geiler,Director y nss. �, O°'01F1639. ',e Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 September 21, 2006 Mr and Mrs. Walter Jarnot Box 2099 Centerville MA 02632 Re: Illegal Apartment: 92 Headwaters Road Centerville MA. 02632 Map 228 Parcel 185. Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a. criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Linda Edson Amnesty Zoning Enforcement Officer Building Department gfonns:zoning3 t Telecopier/FAX 362-6456 (508) 362-4833 344-2 10 November 2006 pvl� Linda Edson,Building Division 3� Town of Barnstable 200 Main Street Hyannis MA 02601 5081862-4024 Fax, 508/790-6230 Re: Walter Jarnot 92 Headwaters Road. Centerville MA 02632 m a Dear Ms. Edson: This confirms my call to your office advising 1 will be representing Mr.and Mrs Jamo .. connection with the letter you sent them complaining_of an area useable as an apartme the . residential premises which I understand was originally for their daughter who lived with' emCD Mr.Jarnot,who is.90,has informed be is facing serious surgery in December and the ha a now g Y decided to leave the Cape, sell the house,and move back to their original home area. I have asked Contractor Frank Capra of Centerville to view the premises and get back to me on the quickest and cheapest way of removing what is complained of and will ask him to check with you For any permits required. Meantime,I will be gone out of state until the first week of November and will get back in touch with you once 1 return and request no further action be taken until we can resolve this. truly yours, IPON WEBER/ P.C. o Weber �I D :nsh cc: Mr and Mrs.Waiter Jarnot 92 Headwaters Road Centerville MA 02632 86 WILLOW STREET, YARMOUTHPORT, MA 02675 f Walter & Delphlne Jarnot �92-Headwiat�rs It�eardp 1'f�73�x 2®�I9 Centaervifle, HA 02634 T'eLS08-790-1773:Fax S08-790-4609 October 16, 2006 Ms. Linda Edson Building Division Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Amnesty request for Walter and Delphine Jarnot Dear Ms. Edson, Please be advised that Attorney Den N. Weber no longer represents us in our dealings with the Town of Barnstable regarding our property located at the above address. Since we have already applied for the Amnasty Ruling by ourselves, there is no need for attorney's aid. Sincerely, �� I/.v......... ................ . Walter J. J o Delphi a T. Jam, 10/11/2006 09:15 5087904833 PAGE 01 Telephone Telecopier/FAX (508) 362-6456 (508) 362-4833 (800) 344-2889 10 November 2006 Linda Edson,Building Division n Town of Barnstable �1 200 Main Street Hyannis MA 02601 508/8614024 Fax, 5081790-6230 Re: Walter Jarnot 92 Headwaters Road. Centerville MA 02632 C= C Dear Ms.Edson: © c mo This confirms my call to your office advising 1 will be representing Mr. and Mrs Juno "! ; connection with the letter you sent them complaining of an area useable as an apartme the M V} residential premises which I understand was originally for their daughter who lived wit em. Mr. Jamot,who is 80,has informed he is facing serious surgery in December and the tia e now y decided to leave the Cape, sell the house,and move back to their original }come area. . I have asked Contractor Frank Capra of Centerville to view the premises and get back to me on the quickest and cheapest way of removing what is complained of and will ask him to check with you for any permits required. Meantime,I will be gone out of state until the first week of November and will get back in touch with you once I return and request no further action be taken until we can resolve this. MOtruly yours, N WEBER P.C. a Weber DN :nsh cc: Mr and Mrs.Waiter Jarnot 92 Headwaters Road Centerville MA 02632 86 WILLOW STREwI T, YARMOUTHPORT, MA 02675 J Telephone Telecopier/FAX (508) 362-6456 (508) 362-4833 (800) 344-2889 ARRsihst N PM 12: 36 k�s 10 November 2006 Linda Edson, Building Division Town of Barnstable 200 Main Street Hyannis MA 02601 508/862-4024 Fax: 508/790-6230 Re: Walter Jarnot 92 Headwaters Road. Centerville MA 02632 Dear Ms. Edson: This confirms my call to your office advising I will be representing Mr. and Mrs Jarnot in connection with the letter you sent them complaining of an area useable as an apartment in the residential premises which I understand was originally for their daughter who lived with them. Mr.Jarnot,who is 80,has informed he is facing serious surgery in December and they have now decided to leave the Cape, sell the house,and move back to their original home area. I.have asked Contractor Frank Capra of Centerville to view the premises and get back to me on the quickest and cheapest way of-reinoving what is complained of and will ask him to check with you for any permits required. Meantime, I will be gone out of state until the first week of November and will get back in touch with you once I return and request no further action be taken until we can resolve this. ery truly yours, DON WEBER P.C. o We e DNW: sh cc: Mr and Mrs.'Walter Jarnot - 92 Headwaters'Road Centerville MA 02632 86 WILLOW STREET, YARMOUTHPORT, MA 02675 THE FOLLOWING ' , , . IS/ARE THE BEST IMAGES FROM POOR ' QUALITY ORIGINAL (S) m ^ DATA .w _.. r .,. acw, IIouimo ot- ocz I $100/week 508-778-0265 includes 508-888 2701 beach apt.,Sept 15 io+ L6'9t 0 so 9R Kel(y 774.406.0765 Open Houses ( 15. washer/dryer, ' 9Z+ se.£z Uo-J9M0d HYANNIS: Downtown, nice s w�Q_,w,nod Mf all utilities$21 v 9e- sZ� sq°tp°d TodayRealEstate.eo w/cable, fridge, phone, 508 509 759 Boa£ Ousesea • ,9 .� yseiod private bath,non smoking. DENNISP + LOZt FgdN d ** **>k** From$175/week BARNSTABLE: & W. Yar $800 furnished, 1 sl As so' d,' ood CeIL 508 280 8002 mouth, 2 3 br, $800+/u . W. Dennis, 2Br fc L60 TODAY REAL EST Some winter,on oce ap $600+, 1st & la, Rs Rmwwol HYANNIS: near hospital; up y. IRS 50* t£s eubA°, '` scale professional environ watertrontrentalslnc.com avail. 10/1 6/3 ((51 * 0!e ment, rivate bath,entrance, (508)778 1818 2083,(508)-364-58i fes of pBUINo pp as vs'* szec wo°N= share kftchen w/one pperson, M Lb+ leas �d°, USINESS $700/md.508 360-3747. CEN redecorated LE:Beautifully EASTHAM,S:4 br,2 �i gs ZZ. ssz..v Pdo OPPorfunities 505 YARMOUTH, W: Furnished, Ranch.aNewl3 Br., 1 ba., ovated Cape,fully fu Elly painted and excellent condition, sale se.££ ,aMoi Business Wanted 510 private bath, cable, fridge, carpeted,all appliances. Avail. 10/16-6/1. Z�. 644 microwave; heated pool,Ia HYANNISPORT- 3 br. Cape, mo.+utils.978-8364 SAVSse6t Financial S20 cuzzi, Wkly rates range 2 full ba.,lots of privacy,im- EASTHAM: Studio we ffi �, 69'tt pi $200-$350 Tidewater maculately clean, spacious ,eWts 6u ££ot t Internet Services 525 508-775-6322 rounds, F.P., gas heat. Coast Guard Beach. ports sc- V Lt r HYANNIS:CharmingRa h! BARNSTABLE VILLAGE- Bed,1BA,Satellite T worts qq- I General Services 530 $339,000 (20611601) YARMOUTH,W.:Newy rend 3br.,2 ba.Colonial, no pets,non smokio uneteg f�'� ov,VV 0 0 ov>�° Today R.E.5 8-790-23 vated furnished 1 room HYANNIS- near Craigville Now-5/18l07, $6i ,spots oy+ sz,V9 Professional Services 535 y units w/private bath,micro 1st & last+$5$ 0°3t� a£'. �.� Service Directory fridge &kitchenettes. Beach,3br. d a all fresh He,VES wave,frid Cape, y 908-766-746: �- oz tt rY 575 All utilities. YEAR ROUND remodeled&decorated. iai ens , 49 zt Oyster Real E e Harvard Realty 775 1803 msWls C._ p44V " OST RVILLE 508-420 000 RATES,$190-$250. EASTHAM:Studio.Pri ltulWS £t+ sgez Call{508)790 1272 trance,full ba.$6501 doxds r � s CHATHAM:New 3 bedroom 3 eludes. 9/15 6/15/0 aoWis 10'- ELSI t&p � bath, 1 car gara e.Walk to + S6 Ll RESTAURANT: Killin ton VT g lasUsecurity No sm doINIS `gz g . ` �,�� } town.Air conditioning. 3 wou>1s ot` zie restaurant for lease, casual. pets.508 26-3477 OLLNs 6. LeS u scale atmosphere,favora- $1900/month.Call FREE BROCHU E BOURNE/SAGAMORE BEACH: 781 953 7119 nu!I3S of* A., b e terms, winter Season or . HYANNIS: 1 &2Br ni( tlatlas M; 16• annual. Quality o erator Pictures of Cape&Isla ds Large 1 2 bedroom apart COTUIT:Waterview 4Br 21iba Wished Apts,parkingg 90' pp ments near canal. $850- 2car gars $259 wk.508-775-21 wattles + z� with creative menu to ser- Properties. 1 garage, upscale area, etl dvs 09.t vice condo owners&public. ucreat�com $1200/mo+.1st,last,secur- $1800+/mo. 1st,last, &se- HYANNIS: 3 br, 2 ba yxbl»s _ eyz« i 802-422-3100 or email: UPPER CAPE REAL + 1 Year lease reqquired. curity. (508)-428-4917 furnished, no smoki ® service@wwoodsresorLnet o Pets.508-564-5900. 850+(978)-866 8551 gdgp,,� zt+ DENNISPORT:2Br 1yzBaGas�tt�1t BUZZARDS BAY:2 BR,$1125' heat,AC,FP,finished bsmt. HYANNIS: Resort G zv'i Attn.Entrepreneurs r�'Y M includes heat & hot water. Non smoking/pets fully fur- near Harbor,Studios No ppets.508-394-7221 nished or not $1200 to BR furnished houses, p Wantt0 Own To view all listingI cepecodcanalapartments.com 1400+/mo. (508)896 0015 avail. now-April.9l'£+ ti ii� Your Own Business? on the market, avail. mo.(508). Subway Franchise our web page at: CENTERVILLE:1 BR den A/C EASTHAM: Small 2 br 1 ba. q f,, vuysahoti Locations Available •HomeOnCdishwasher washer, dryer, Patio, walk toBeach. Avail HYANNISPORT:3br,2 (� b 1// UMD Voted#1 Franchise b Entre UNIQUE PRO walk to braigville Beach, 10/1 $1200/+. References. Wished Colonial, fitIIIYYY ° 0yao 800 922-2 $1,200.00 month utilities in 1sVlasVsecri No smok rivate, clean neary az0yzi WhyJi r Magazine. Find out ty. pggsssoy 6 why Jim/Mimi 401 434-3329 800 305 1eluded.Call Monday Friday ing/pets 508-326_3477 $1200/mo.845-548-1 ,wdoy a 508 420-0226 ext.100 COMMERCIAL REALTY HARWICH, N: looking for the SANDWICH E: 2BR lit ADVISORS,I b boy �� NTERVILLE: � Crai ville right tenant, new 1 Br high Sept.-June$750/mo. g NC. f� ��_�� CE 9 pry�,n>t°o9 508-862 9000 a� ncludes is 5 /mo. end home,must see! security.(508)888-2. at pwWq oy VWVW.COMRFJILTY.NE7 HARWICH: Immaculat (508)776 0242 SANDWICH: Many Ranch,beingsold c RWICH:.New 3 Br., 2Yz avail.be innin Se to plet CENTERVILLE: Immaculate g g p y ppfet!y Confidential,Professional y furnished, deck, storage br, furnished, private en- a., master suite, 1st, last, BEACH REALTY Lel �° r18iH over 9 000 LISTINGS shed,nice yard.$2 9,900 trance,all utils,1st&securi- ecur�y Call uke,, 508 888 4998 st 886-714-4300 508-360-7456. beachrealtycapecod.c r99n w uiWlay www.sunbeknetwork.com CENTURY 2 tY.$850.(508)790 1773 ;'6£n a6e9ulsy Professional Realty, C ENTERVILLE: New stud' ►t uolnet RENE L.POYANT,INC. 508 432-1320 ideal for 1, ri ce HYANNIS:3 BR, 1 bath gas, SANDWICH: Oceanfron w e� nonsmokin�/pets,$1250+ like new,Oct.-June$ g Serving Cape Cod's Com- View all Cape MLS Listings at vat novel NON C Johnson&Co.790 1647 mo. (508)888-270 Ln v 14 menial Real Estate Needs www.prorealtycapecod.com smoking, no ppets. $750 in- g Since 1947 508-775-0079. eludes.Call(508)771-3038 HYANNIS:3Br 2Ba convenient SANDWICH: Renovate( Se9£ uo,ia� 2 area $1500/mo. non smok- Cape, beautiful new I s CENTERVILLE/HYANNIS: ing/pets.(508)771-4303 & carpets, real to 6z a1 t 2-3 brs,convenient location g u'a£ °I From$1000 to$1400 HYANNIS:4 BR, 1 bath,ggas,. Can be furnished it d Lo'£ Best Buy In Mashpee! Call(508)420-0644 nonsmoking/ppets,$1500+ Seppt May.$1400+/mc LwvU Boston Harbor Mortgage Spacious Saltbox 3br,2 ba,2 C Johnson&Co. ,$190 47 783-7771 eves/wkend Lo Lz x All Credit Considered car garage. Interior 'balcony, DENNIS,W.:1 Br., ba..heat Lvov Purchase/Refinance MA A/C 8 wood Stove!$339,900 8 hot water included.Avail. MASHPEE: 5 Br., 2 full Ba., YARMOUTH,S:Lovely oovs w' Broker#1061 508 wood immediate ba cape,gas heat, FP LB-Zt �' RE"N y $875=925/mo. walk-out bsmnt. prvate "a room, walk to beach Call Mr.Mello at de-sac,avail. NbW reasonable.508-481-f so't£ MORTGAGE RATES: See aauToas ! $1700/ £9,9e ' "Economy' in Sunday Cape 50.4".59°0 1-774-353-8313 mo.1st&securittyy to,sst Cod Times or Internet DENNIS W: 2Br heat& elec- Call Eric cell 774%2-0888 YARMOUTH W: 2Ba pS6t www.caPecodonline.comM non smoking, no pets, MASHPEE:Stratford Ponds Ranch, near beach, S gTair avail. 10/1, $1200/m 1st Spacious 2-3 BrJden, lye mo. No pets, Cape 9e�ar0 P (508)-775 6880 exf £z'vz last security.518-399-7033 ba.,excellent condition,F.P., Lt£V SANDWICH:4Br,214Ba, wide 2 car gara e, on pF.P.,DENNIS,WEST:Studio. g p °R L9'4Z pine firs, FP, 2 car garage, $650/month. Includes heat $1600/mo.508-292-5500. a; � + ze'u w/room above. 2 acres, � � _ I + o£"o 3500sq, ft. custom built. and electricity.First and last MASHPEE:yr round 2Br,1Ba tC Close to h & shopping. months.No pets. g NAPLES:Available Janu wwyy pp small Gotta a waterview `+ CAPE COD $699K (508)771 4303 508-685-1 07 Gorgeous, young 2 W/D, gas heat, wAv carrppet. Condo, Glen Ea r, �( 1 DENNiSPORT:1 &2Br.Apts. $1000.00+/mo. 508 477 g E. Nation' 8622or617-287-5335 professional decor, $ Utilities included. No Pets. Mo.Call Liz 781 545-, 3� $925/mo. $1225/mo. NEW SEABURY: 3 Br, 2 Ba L'* Mortgage YARMOurH,50.:Beach area 508 428 9518. Ranch, completely remod DENNISPORT:1BR. eled, cul-de sac, short or z+ 5 BR fixer upper on a hu e ($875 &Lou•,tow rates starfin of g 2Br. ) Ion term, Rent To Own!.tz` lot.$389,9K an @ Realty ($1095) inefudes all. g ALI MALONEY COMMEf 7 Op Executives 508-737-2492 Fib, �t & secur'iiyry no $1595/mo+.508-477-4737. Le'*. /io pets.508-760-2756 GROUP @ Realty Execul 6£'+ O�O YARMOUTHPORT: Quiet and SANDWICH:3 br,2 ba Cape, 508-362-1300 X 78 ££" private.54 acre lot in a nice OENNISPORT: 2 Br. Condo, garage, beautiful area near www.CapeCommercialRI area of fine homes. utilities included. HYANNIS- town, ocean. Non-smoking, SELF EMPLOYED $249,000. Sandy @ Realty Near hospital, 2 br. wheat °off•Avail now!$1700+ CENTERVILLE: t' NO INCOME VERIFICATION Executives 508 737-2492 included.YARMOUIH-Spa- NO 508 622 1032 FOR LEASE y FORECLOSURE Cious studio near Sea Gull Centerville Shopppingg Cf ( Beach. HYANNIS-Pleasant. SANDWICH:3 br,2 ba Cape, 1000 Sq.Ft.RetaiVOffi DEBT CONSOLIDATION finished walkout,appppliances Rene L.Po HOME IMPROVEMENT � � Park Condo,apt.style,2 Br.,2 $1500/mo+.203-376-9693 Yant,Inc.Re CREDIT CARD PAY OFFS t a Ba.Hawthorne Terrace Con 508-775-0079 HOME EQUITY LOANS . HBARNNIS: 1st floor living, 2 do$-Townhouse, perfect SANDWICH:3 Br. very clean, DENNIS: 6500 s .ft central air, eat-in kdch- condition, 2 br., 1)i ba. large yard,$150b+utilities, q H TUITION HYANNIS-new a Warehouse. 08-394-41 POOR CREDIT-NO CREDIT en.$179K.....508-775-2121 Pts.,studio 508-776-3441. Real Estate 508-394-41 PAY OFF LIENS centuryllcobbrealestate.com & 1 Br., outstanding views BANKRUPTCY overlooking Hyannis Harbor. SANDWICH:Vacant, beautiful DENNIS,W. HYANNIS:Village Marketplace See the boats go by! large 4 bedroom 2 ba, Fo- Prime retail. Great for L96 ern 289,Ot10 Harvard Realty 775 1803 restdale School, walk to lure&antiques.$8 s �Bdwo�/1B�!oll Ieuo!liiaaxa beach, woods, hard wood w/option. (508)-7?Y 996 tanau wgeo '9 S Bois '00 leleS sn• u!MaN' -- S96 As/awoH JotoW Inn oaials fa>leads h 0099 uiwfeg JHn 90 d��0 m.unvn+,ieuoid 1JEW Sd`� oa _�u_ataitiwo ;dH00 _ f Town of Barnstable * Regulatory Services * BARNMBLE. 9 MASS. $ Thomas F. Geiler,Director �ATf039. A Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 September 20, 2007 Mr. & Mrs. Walter J. Jarnot 92 Headwaters Road Centerville, MA 02632 Dear Mr& Mrs. Jarnot: Enclosed is the�Certificate of Occupancy for your Amnesty apartment. We have forwarded the Amnesty Certificate of Compliance to Madeline Taylor, Amnesty Program Coordinator. Sincerely, Lois Barry - Division Assistant Enclosure jamnco �IMEro TOWN OF BARNSTABLE Building Application Ref: 200705641 m BARNSTASLE, Issue Date: 09/12/07 Per , I it 9 MASS. �prF6 3�A�� Applicant: JARNOT,WALTER J&DELPHINE Permit Number: B 20072214 Proposed Use: SINGLE FAMILY HOME Expiration Date: 03/11/08 Location 92 HEADWATERS ROAD Zoning District RC Permit Type: AMNESTY APT NO CONSTRUCT RES Map Parcel 228185 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ License Num Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND EXISTING 1 BEDROOM APT ABOVE ATTACHED GARAGE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: JARNOT,WALTER J ai DELPHINE BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL . Address: PO BOX 2099 INSPECTION HAS BEE E. CENTERVILLE,MA 02632 Application Entered by: LB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLY OR SIDEWALK ORANY PART-THEREOF,EITHER TEMPORARILY OR:PERM4KENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY',NOT SPECIFICALLY PERMITTED UNDER THE BUILDING'CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY GRADES.AS WELL AS DEPTH AND LOCATION OF PUBLIC,SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.: THE ISSUANCE OF THIS PERMIT DOES NOT.RELEASE•THE APPLICANT FROM THE CONDITIONS OF,ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 10 A. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 Y C( �U 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health �C7 C 1�� Q.J � �� q Amnesty Aparynents Last I ame JARNOT First Name WALTER J.&DELPHINE T. ` 2nd Owner ' _ T 2nd Owner - -- _ -— Last Name '� First Name ' ' - Map Parcel Property No 92 Property Street 1HEADWATERS ROAD Village CENTERVILLE State MA Zip 02632 Status Certificate of Compliance 1 ` � Action Required Morntor _ _w _.. �..__.^. Assessors Use Group Isingle Family Comp Per Issue- 3/29/2007� Recorded Date, 5/31/20071' Application# 200705641 t Permit Issued: 9/12/20071, C of C Total Program Total 1, . Descripton FBMRO60M,2 PEOPLE, EXISTING,ABOVE ATTACHED GARAGE Cert of Occupancy Issued: 9/19/2007! ,Cert of Compliance Issued 9/19/2007 Notes 6/30/08,LE,PROPERTY BEING SOLD, NEW OWNERS, STEPHEN A.&REGINA A. LYNCH, MAY APPLY AMNESTY,AMNESTY INFORMED. 2/10/10 LE EMAIL TO AMNESTY--NEW OWNERS HAVE OWNED IT SINCE 7/10/09. ARE THEY GOING TO APPLY? 3/3/10 MTG:NEW OWNER HASN'T APPLIED 3/22/10 Cl NEW OWNER IS NOT GOING TO APPLY TO AMNESTY,WAS INFORMED SHE NEEDS TO APPLY TO RESTORE. LET CD KNOW WHEN THE.PROCESS STARTS AND SHE WILL RESCIND. 4_ h - •\i , a Barry, Lois From: Dabkowski, Cindy Sent: Monday, March 22 2010 9:50 AM To: Barry, Lois; Perry, Tom Subject: 92 Headwaters Road Centerville, MA <. Good Morning I spoke with Ms Lynch, owner of property at 92 Headwaters Road Centerville. She informed me that she will not be entering the AAAP. I asked her to contact your department immediately to get'proper information on steps to restore to a single family. Please contact me when the process starts so that I may close this case. Thank You Cindy Dabkowski a r 1:16—:2 5 2 r21 J.`'rr t3P t s 3 ,5 BARNSTABLE, L . .. a MASS. Town of Barnstable 1 Zoning Board of Appeals Decision and.INotice Walter J..and Delphine T'.,Jarnot Comprehensive Permit No. 2007-028 Jarnot Summary Comprehensive Permit No.2007-028 is rescinded' Applicant(s): Walter J. &Delphine T. Jarnot Property Address: 92 Headwaters Road,Centerville MA Assessor's Map/Parcel: 228-185 Zoning: Residential C Zoning District. _ Recording information Deed Reference: Book 8823 P6ge 308 e Permit Reference + Book 22068 Page 11.6 a ; Background: Comprehensive Permit No. 2007-028 was issued to Walter J. & Delphine T. Jarnot on April 19, 2007. The Permit was issued under the Accessory Affordable Apartment Program pursuant to Chapter 9,Article 11 of the General Ordinances of the Code of the Town of Barnstable.,The Permit was issued to convert an existing unpermitted one bedroom apartment located above' the attached garage into an accessory affordable apartment. The Permit.and the Regulatory .z ' Agreement and Declaration of Restrictive.Covenants were.recorded;on May31,2007 in book 22068 Page 116. On July 10, 2009, the property was purchased by new owners.-On March 4; 2010 the Accessory Aportment'Program Coordinator sent'a:written letter to the new owners to explain the Program. At this time the new owners contacted the Program Coordinator indicating they would be applying for a family apartment, As of April 12, 2010, the homeowner had not taken action. The Program Coordinator initiated the rescission of comprehensive permit 2007-028. t Procedural & Hearing Summary: A public hearing to rescind Comprehensive Permit No.2007-028 was duly advertised'and notice sent to obuttersand the pr6perty owner.all in accordance with MGL Chapter 40A. The notice was published in the Barnstable Patriot.on April 23, 2010 and April 30, 2010. The Public Hearing to rescind the permit wasopened on May 19's2010. Findings of Fact: At the hearing on May 19, 201.0 the Zoning Board of Appeals Hearing Off cer made the following findings of fact: 1, In March of 2010, a certified letter was sent to the new owners requesting tho.apply to the Accessory Affordable Apartment Program. The new owners declined the-option. The Program Coordinator took action to rescind Comprehensive Permit No. 2005-034. Town of Barnstable,Zoning Board of Appeals `x Decision and Notice Comprehensive Permit No.2007-028 Walter J.and Del Nine T. arnot is rescinded P _ _1 P j , Decision: At the hearing on May 19, 2010 the Hearing Officer ruled to rescind Comprehensive Permit No. 2007-028. Transmission: In accordance with Part Il, Section 4.02 and Part'III, Section 3.72 of the Town of Barnstable Administrative Code, the Hearing Officer transmitted the written decision to the Zoning Board of" Appeals on May 21,2010. As fourteen days have elapsed since said transmittal with the Zoning.: Board of Appeals taking no action to reverse the decision,this decision becomes final. Ordered: Comprehensive Permit 2007-028 is rescinded.Appeals of this decision,if any,shall be made _ pursuant to MGL Chapter 40A,Section 17,within twenty (20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Barnstable Town Clerk. Laura F.Shufelt, Hearing Officer Date Signed ,. I, Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision had been filed in the office of the Town Clerk Signed and sealed this day of99:2t. c�'20 launder the pains and penalties. of perjury. . Linda Hutchenrider,Town Clerk " - 2 - Amnesty Apartments a Last Name JARNOT a. First Name WALTER J.&DELPHINE T. 2nd Owner ..:... 2nd Owner „ Last Name First Name Map Parcel 1228185m� } Property No 92�_ 1 Property Street HEADWATERS ROAD _ J Village CENTERVILLE State MA Zip 02632 Status lCertificate of Compliance Action Required Enforcement Assessors Use Group Single Family Comp Per Issue 3/29/2007 Recorded Date 5/31/2007I Application# 200705 341 Permit Issued: 9/12/2007 C of C Total 1 Program Total m Descripton 1 BEDROOM,2 PEOPLE,EXISTING,ABOVE ATTACHED GARAGE Cert of Occupancy Issued: 9/19/20071 +Cert of Compliance Issued 9/19/2007 Notes NEW OWNERS,STEPHEN A.'&REGINA A. LYNCH,HAVE OWNED IT SINCE 7/10/09. 3/22/10 NEW ' OWNER IS NOT GOING TO APPLY TO AMNESTY,WAS INFORMED SHE NEEDS TO APPLY TO RESTORE. LET CD KNOW WHEN THE PROCESS STARTS AND SHE WILL RESCIND. 5/18/10 SENT LETTER. 5/24/10, REGINA CALLED,THEY WILL APPLY TO RESTORE, EXPLAINED PROCESS,WILL LOOK FOR A CONTRACTOR. 6/2/10 MTG: RESCINDED AT 5/19/10 MEETING. r Amnesty Apartments Last Name JARNO' TT j First Name WALTER J.&DELPHINE T.` 2nd Owner 2nd Owner Last Name First Name Map Parcel 1.228185 Property No 92 ? Property Street HEADWATERS ROAD " Village CENTERVILLE 02 632� State MA # Zip � t .w _. ._._ _. Status Certificate of Compliance 7. - Action Required Monitor Assessors Use Group ISingle Family r ' Comp Per Issue 3/29/2007, Recorded'Date 5/31/2007 Application# 200705641; Permit Issued:' r 9/12/2007P` C of C Total 1 r Program Total ; Descripton 1.BEDROOM,2 PEOPLE, EXISTING,ABOVE ATTACHED GARAGE Cert of Occupancy Issued: 9/19/2007; Cert of Compliance Issued 9/19/2007; - _ _ Notes NEW OWNERS, STEPHEN A.&REGINA A. LYNCH,HAVE OWNED IT SINCE 7/10/09. 3/22/10 NEW OWNER 1S NOT GOING TO APPLY TO AMNESTY,WAS INFORMED SHE NEEDS TO APPLY TO RESTORE. LET CD KNOW WHEN THE PROCESS STARTS AND SHE WILL RESCIND 5/18/10 SENT LETTER. 5/24/10,REGINA CALLED,THEY WILL APPLY TO RESTORE, EXPLAINED PROCESS,WILL ` LOOK FOR A CONTRACTOR w ,. Town of Barnstable , tiQ Regulatory;Services ► BARNSTABLE, „ASS. `Thomas F. Geiler, Director i639• �0 039 - Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 18, 2010 Mr. and Mrs. Stephen A. Lynch 92 Headwaters Road M Centerville, MA 02632 f Re: 92 Headwaters Road v Centerville w Former Amnesty Apartment Dear Mr. and Mrs. Lynch: In March, we were informed by Cindy Dabkowski of the Accessory Affordable Apartment Program that yo program,are not planning to enter the progra I understand that you have been informed that you must submit a building permit application to restore the property to a single-family residence. However;­we have not yet received the application. For your,convenience, I am enclosing an application to Restore to Single Family. Please submit the application by June 1 or contact me at 508-862-4039 to inform me of your intentions. Sincerely, Lois,Barry a Division Assistant 4 . 1 Barry, Lois To: Dabkowski, Cindy Subject: RE: 92 Headwaters Road.Centerville, MA Cindy, We still don't have an application to restore to a single family from Ms. Lynch. Do you have her phone number? Lois -----Original Message---- , From: Dabkowski,Cindy Sent: Monday, March 22, 2010 9:50 AM ' To: Barry, Lois; Perry,Tom , Subject: 92 Headwaters Road Centerville, MA Good Morning I spoke with Ms Lynch, owner of property at 92 Headwaters Road Centerville. She informed me that she will not be entering the AAAP. I asked her to contact your department immediately to get proper information on steps to restore to a single family. Please contact me when the process starts so that kmay close this case. Thank You Cindy Dabkowski F Barry, Lois From: Dabkowski, Cindy Sent: Monday, March 22, 2010 9:50 AM To: Barry, Lois; Perry, Tom f Subject: 92 Headwaters Road Centerville, MA '' Good Morning v J I spoke with Ms Lynch, owner of property at 92 Headwaters Road Centerville. She informed me that she will not be entering the AAAP. I asked her to contact your department immediately to get proper information on steps to restore to'a single family. Please contact me when the process starts so that I may close this case. ` Thank You K Cindy Dabkowski e - -• a .. ♦ .. s+ i - , 8 Barry, Lois , From: Dabkowski, Cindy Sent: Monday, March 22, 2010 9:50 AM To: Barry, Lois; Perry, Tom Subject: 92 Headwaters Road Centerville, MA Good Morning spoke with Ms Lynch, owner of property at 92 Headwaters Road Centerville. She informed me that she will not be entering the AAAP. I asked her to contact your department immediately to get proper information on steps to restore to,a single family. Please contact me when the process starts so that I may close this case. Thank You Cindy Dabkowski ' } .. yr, 4 Edson, Linda To: Dabkowski, Cindy Subject: 92 headwaters centerville.MA Cindy, Have the new owners of this property applied to Amnesty? They have owned it since July 10, 2009. Linda I t Bk 23879 Ps 1 1 4W39980 07.-.10--2oog a1 11 :56a MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 07-10-2009 a 11:56am Ct1*: 765 Doti: 39980 Fee: $W13.28 Cons: $384r000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 07-10-2009 D 11:56am E�T"lnJ� fi S)'E�ff Lys H Ulf: 765 Doc'r: 39980 r ll�\ Fee: $10036.80 Cons: $3UtO00.00 QUITCLAIM DEED We,Walter J. Jarnot and Delphine T. Jarnot,husband and wife, of Barnstable County,Massachusetts, for consideration paid and in full consideration of Three Hundred Eighty-Four Thousand Dollars($384,000.00), grant to Stephen A. Lynch and Regina A. Lynch,husband and wife, as tenants by the entirety, of 92 Headwaters Road, Centerville, Massachusetts. with Quitclaim Covenants The land in Centerville,Barnstable County,Massachusetts,bounded and described as follows: NORTHERLY by land now or formerly of Robert F. Cross, III, one hundred eighteen and 26/100(118.26)feet; EASTERLY by land now or formerly of Robert C. O'Brien, twenty-four and 12/100(24.12) feet; NORTHERLY by land now or,formerly of Robert C. O'Brien, one hundred twenty-three and 01/100(123.01) feet; EASTERLY by land now or formerly of Gustav W. Alberti,one hundred forty- five and 54/100 (154,54) feet; SOTHERLY by Lot 7, as shown on hereinafter-mentioned plan, two hundred thirteen and 43/100 (213.43) feet; and n t WESTERLY in three courses by Headwaters Road, a private way,one hundred Z� sixty-six and 78/100(166,78) feet. Containing 35,200 square feet more or less. Bk 23879 Pg 12 #39980 �Y P ' Being shown as Lot 8 on a plan of land entitled"Subdivision Plan of Land off Pine Street, Centerville-Mass. Belonging to Robert F. Cross,Jr. Scale 1"=50',June 3, 1970, Nelson Bearse-Richard Law Surveyors, Centerville,MA"which plan is recorded at the Barnstable County Registry of Deeds in Plan Book 240,Page 123. Said Lot 8 is conveyed together with the right, subject to the rights of all others now or hereafter entitled,to use Headwaters Road for all purposes for which ways are commonly used in the Town of Barnstable,including the installation and maintenance of utilities. For grantor's title see deed recorded at the Barnstable Registry of Deeds at Book 08823, Page 0308. Witness our hands and seals this eday of July,2009. Walter J. Jam e p e a lot COMMONWEALTH OF MASSACHUSETTS Barnstable County On this L day of July,2009,before me,the undersigned notary public, personally appeared Walter J. Jarnot and Delphine T. Jarnot,proved to me thro gh satisfactory evidence of identification,which were ,to be the persons whose names are signed on the preceding document, and acknowledged to me that they signed it voluntarily for its stated purpose. .� 7 snHoy .•y�ayv3rnvo,�d�.• '� �o } ary ubl' . N �'�eh - y commission ire %ice .� NpiseWy°. S, itN\O BARNSTABLE REGISTRY OF DEEDS � !S ;� �� .! C:i Ek ' 23879 F s 1 1 �39980 07-10-2009 a i 1 =56cx BARNSTABLETCOUNTYTREGISTRY OFXDEEDS Date: 07-10-2009 a 11:56am Ctl'r 765 Doc:: 39980 Fee.. $1r313.28 Cons: $384400.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 07-10-2009 a 11:56am Re Lys H Ctl�: 765 Do,_Y: 39980 Fee: $1,036.80 Cons: $334r00O.ffl) QUITCLAIM DEED We,Walter J. Jarnot and Delphine T. Jarnot,husband and wife, of Barnstable County,Massachusetts, for consideration paid and in full consideration of Three Hundred Eighty-Four Thousand Dollars($384,000.00), grant to Stephen A. Lynch and Regina A. Lynch,husband and wife, as tenants by the entirety,of 92 Headwaters Road, Centerville, Massachusetts. with Quitclaim Covenants The land in Centerville,Barnstable County,Massachusetts,bounded and described as follows: NORTHERLY by land now or formerly of Robert F. Cross, III,one hundred eighteen and 26/100(118.26)feet; EASTERLY by land now or formerly of Robert C. O'Brien, twenty-four and 12/100(24.12) feet; NORTHERLY by land now or formerly of Robert C. O'Brien, one hundred twenty-three and 01/100(123.01) feet; EASTERLY by land now or formerly of Gustav W. Alberti, one hundred forty- five and 54/100 (154.54) feet; SOTHERLY by Lot 7, as shown on hereinafter-mentioned plan, two hundred thirteen and 43/100 (213.43) feet; and S WESTERLY in three courses by Headwaters Road, a private way,one hundred w sixty-six and 78/100(166.78) feet. Containing 35,200 square feet more or less. Bk 23879 Pg 12 #39980 Being shown as Lot 8 on a plan of land entitled"Subdivision Plan of Land off Pine Street, Centerville-Mass. Belonging to Robert F. Cross,Jr. Scale 1"=50',June 3, 1970, Nelson Bearse-Richard Law Surveyors, Centerville,MA"which plan is recorded at the Barnstable County Registry of Deeds in Plan Book 240,Page 123. Said Lot 8 is conveyed together with the right, subject to the rights of all others now or hereafter entitled,to use Headwaters Road for all purposes for which ways are commonly used in the Town of Barnstable,including the installation and maintenance of utilities. For grantor's title see deed recorded at the Barnstable Registry of Deeds at Book 08823, Page 0308. Witness our hands and seals this day of July,2009. Walter J. Jam e p e T. arnot s COMMONWEALTH OF MASSACHUSETTS Barnstable County On this ( day of July,2009,before me,the undersigned notary public, personally appeared Walter J. Jamot and Delphine T. Jarnot,proved to me thro gh satisfactory evidence of identification,which were to be the persons whose names are signed on the preceding document, and acknowledged to me that they signed it voluntarily for its stated purpose. 0��end �wyronn, �� 'oj5(1HOb '✓ /// , `$ ary ubl y commission ire BARNSTABLE REGISTRY OF DEEDS MLS Page 1 of 3 Listing Summary Listing#20806478 92 Headwaters Rd, Centerville, MA 02632* Pending (06/11/09) DOM/CDOM:348/348 $399,000 (LP) Beds: 4 Baths: 3 (3 0) (FH) Sq Ft: 1488* Lot Sz: 34848sgft* Town: Barn Yr: 1994* Remarks Picture Perfect custom cape in a great location south of 1Picture Report Listing Violation route 28 and convenient to everything. Features include a living room w/fireplace, cherry cabinets in the _ s large kitchen, first floor bedroom currently being used ' as an office w/built ins and three bedrooms on the rt second floor. The hardwood floors are in beautifulr condition. There is an apartment over the garage with it's own entrance (there is also an entrance from the second floor) and full kitchen and bath that needs �� JD ' permission from the town to be a legal apartment. p 9 p Buyer should contact town concerning rental info. F v Additional Pictures I � w ry � �; _ �,�;1Jrr�llfiiil%tlf��i�l��lll�������l�j���ii����l���iifli���Iti���l�lll��l"�%ill%l/�r�l�',�i����► Pictures(16). Attached Docs See Map Agent Susan M Wheatley_ (ID: U2D5)Primary:508-420-1130 Office Kinlin Grover GMAC Real Estate(ID:KINL)Phone:508-420-1130,FAX:508-428-4839 Property Type Single Family Property Subtype(s) Single Family Status Pending(06/11/09) Estimated Selling Date 07/10/09 Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 2.5% 2.5% No Facilitator Comm 2.5% Listing Type Excl. Right to Sell Owner Name Jarnot Walter J&Delphine County Barnstable Tax ID 228-185-0-0-BARN Beds 4 Baths (FH) 3(3 0) Approx Square Feet 1488* Sq Ft Source Field Card Lot Sq Ft(approx) 34848' Lot Acres(approx) 0.800 Lot Size Source (Assessors Records) Year Built 1994* Listing Date 06/28/08 All Office Remarks Call Susan at 508-725-7070 for showings Directions to Property Pine St.to Headwaters. Pending Date 06/11/09 Listing Page Commission-Other 0% Showing Instructions Appointment Req.,Call Listing Agent General Page Zoning RC Year Built Desc. Actual http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 6/25/2009 MLS Page 2 of 3 Total Rooms 7 Total Levels 2.0 Basement Baths 0.0 Level 1 Baths 1.0 Level 2 Baths 2.0 Level 3 Baths 0.0 Basement Yes Basement Description Full Foundation Concrete Foundation Width 34 Foundation Depth 24 Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Topography/Lot Desc. Level,Wooded Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage Yes #of Cars #2 Garage Description Attached,Door Opener Parking Description Stone/Gravel Year Round Yes Separate Living Qtrs Yes Sep Living Qtrs Desc Attached, In-Law Apartment,Second Floor,Verif.Legal Aptmt Waterfront No Water View No Convenient To Golf Course,House of Worship,Major Highway,Medical Facility,Shopping Miles to Beach 1 to 2 Beach/Lake/Pond Craigville Beach Beach Description Ocean Beach Ownership Public Street Description Cul-De-Sac,Public Interior Page Fireplace Yes Number of Fireplaces #1 Master Bedroom OxO Level:Second Floor Mstr Bdrm Features Closet,Wood Floor Bedroom#2 OxO Level:Second Floor ' Bedroom#2 Features Closet,Wood Floor Bedroom#3 Features Built-Ins,Closet,Skylight,Wood Floor Bedroom#4 OxO Level:First Floor Bedroom#4 Features Built-Ins,Closet,Wood Floor Laundry Room OxO Level: Basement Living Room OxO Level:First Floor Living Room Features Closet,Fireplace,Wood Floor Kitchen/Dining Combo Yes Kitchen OxO Level: First Floor Kitchen Features Breakfast Bar,Built-ins,Deck,Dining Area, Pantry,Patio,Sliding Door,Tile Floor Other Room 1 OxO Level:Second Floor Other Room 1 Type In-Law Apartment Other Rm 1 Features Closet,Wood Floor Appliances Dishwasher,Range-Electric Floors Tile,Wood Exterior Style Cape Style Description Contemporary Pool No Dock No Energy Saving Feat Storm Doors ,�ttp://ccimis.rapmis.com/scripts/mgrgispi.dll?APPNAME=Capecod&PRGNAME= 6/25/2009 MLS Page 3 of 3 Exterior Features Outdoor Shower,Deck,Patio,Yard Roof Description Asphalt Siding Description Clapboard Mechanical Heating/Cooling AC Other,Oil,Hot Air Water/Sewer/Utility Septic,Town Water Hot WaterlWater Heat Electric Legal/Tax Annual Tax $2211 Tax Year 2009 Land Assessments $173800 Improvement Asmt $181000 Other Assessments $2900 Total Assessments $357700 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 8823 Title Reference-Page 308 Land Court Cert# 0 Underground Fuel Tnk No Lead Paint No Asbestos No Flood Zone Unknown *Denotes information autofilled from tax records. Information has not been verified,is not guaranteed,and is subject to change.Copyright 2009 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2009 Rapattoni Corporation.All rights reserved. Generated:6/25/09 1:17pm �wrr€ram�v Rana l if http:Hccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 6/25/2009 _ % 4 a, l �1 MLS Page 1 of 3 Q i A Listing Summary Listing #20806478 92 Headwaters Rd, Centerville, MA 02632* 0 Active (06/28/08) DOM/CDOM:277/277 W9,000 (LP) Beds: 4 Baths: 3 (3 0) (FH) Sq Ft: 1488* Lot Sz: 34848sgft* Town: Barn Yr: 1994* Remarks Picture'. Report Listing Violation Picture Perfect custom cape in a great location south of route 28 and convenient to everything. Features p cherry Include a living room w/fire lace, cher cabinets in the large kitchen, first floor " = bedroom currently being used as an �j�� r office w/bunt ins and three bedrooms on'f�,,{{,,,,', the second floor. The hardwood floors � 1 :a ,fie• are in beautiful condition. There is a l�l�� legal apartment over the garage with it's��1,,� - own entrance (there is also an entrance ,7, Additional Pictures r �Y 4' - 111i%1%%l%lull///%//////l�l////ll/////��///t���1/ll�llll„zf,��/�%%%�/''� Pictures(16) Attached Docs See Mal Agent Susan M Wheatley (ID:U2D5)Primary:508-420-1130 Office Kinlin Grover GMAC-Real Estate(ID:KINL)Phone:508-420-1130,FAX:508-428-4839 Property Type Single Family Property Subtype(s) Single Family Status O Active(06/28/08) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 2.5% 2.5% No Facilitator Comm 2.5% Listing Type Excl. Right to Sell Owner Name Jarnot Walter J&Delphine County Barnstable Tax ID 228-185-0-0-BARN Beds 4 Baths (FH) 3(3 0) Approx Square Feet 1488* Sq Ft Source Field Card Lot Sq Ft(approx) 34848* Lot Acres(approx) 0.800 Lot Size Source (Assessors Record: Year Built 1994* Listing Date 06/28/08 All Office Remarks Call Susan at 508-725-7070 for showings Directions to Property Pine St.to Headwaters Listing Page Commission-Other 0% Showing Instructions Appointment Req.,Call Listing Agent General Page Zoning RC Year Built Desc. Actual Total Rooms 7 Total Levels 2.0 Basement Baths 0.0 Level 1 Baths 1.0 ' Level 2 Baths 2.0 http://ccimis.rapmis.com/scripts/mgrqisp i.dll 4/1/2009 MLS Page 2 of 3 Level 3 Baths 0.0 Basement Yes Basement Description Full Foundation Concrete Foundation Width 34 Foundation Depth 24 Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Topography/Lot Desc. Level,Wooded Association No Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage Yes #of Cars #2 Garage Description Attached, Door Opener Parking Description Stone/Gravel Year Round Yes Separate Living Qtrs Yes Sep Living Qtrs Desc Attached,In-Law Apartment,Second Floor,Verif.Legal Aptmt Waterfront No Water View No Convenient To Golf Course,House of Worship,Major Highway,Medical Facility,Shopping Miles to Beach 1 to 2 Beach/Lake/Pond Craigville Beach Beach Description Ocean Beach Ownership Public Street Description Cul-De-Sac,Public Interior Page Fireplace Yes Number of Fireplaces #1 Master Bedroom OxO Level:Second Floor Mstr Bdrm Features Closet,Wood Floor Bedroom#2 OxO Level:Second Floor Bedroom#2 Features Closet,Wood Floor Bedroom#3 Features Built-Ins,Closet,Skylight,Wood Floor Bedroom#4 OxO Level:First Floor Bedroom#4 Features Built-Ins,Closet,Wood Floor Laundry Room OxO Level: Basement Living Room OxO Level:First Floor Living Room Features Closet,Fireplace,Wood Floor Kitchen/Dining Combo Yes Kitchen OxO Level:First Floor Kitchen Features Breakfast Bar,Built-ins, Deck,Dining Area,Pantry,Patio,Sliding Door,Tile Floor Other Room 1 OxO Level:Second Floor Other Room 1 Type In-Law Apartment Other Rm 1 Features Closet,Wood Floor Appliances Dishwasher,Range=Electric ` Floors Tile,Wood Exterior Style Cape Style Description Contemporary Pool No Dock No Energy Saving Feat Storm Doors Exterior Features Outdoor Shower,Deck, Patio,Yard Roof Description Asphalt Siding Description Clapboard Mechanical Heating/Cooling AC Other,Oil, Hot Air Water/Sewer/Utility Septic,Town Water Hot WaterlWater Heat Electric http://ccimis.rapmis.com/scripts/mgrgispi.dll 4/1/2009 MLS Page 3 of 3 Legal/Tax Annual Tax $2211 Tax Year 2009 Land Assessments $173800 Improvement Asmt $181000 Other Assessments $2900 Total Assessments $357700 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 8823 Title Reference-Page 308 Land Court Cert# 0 Underground Fuel Tnk No Lead Paint No Asbestos No Flood Zone Unknown 'Denotes information autofilled from tax records. Information has not been verified,is not guaranteed,and is subject to change.Copyright 2009 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2009 Rapattoni Corporation.All rights reserved. Generated:4/01/09 2:32pm FID WEREH BY Rap anon http://ceimis.rapmis.com/scripts/mgrqispi.dll 4/1/2009 Barry, Lois To: Dabkowski, Cindy Subject: RE: 92 HEADWATERS ROAD, CENTERVILLE I imagine you'd have to check with the Jarnots. I don't believe the property has been sold yet. Linda Edson gave me the information and she's out on an inspection. If she has any more information, I'll let you know. Beth will be able to explain the procedure from your end. Lois -----Original Message----- From: Dabkowski,Cindy Sent: Tuesday,July 01, 2008 10:50 AM To: Barry, Lois Subject: RE: 92 HEADWATERS ROAD,CENTERVILLE Where would I find the names of the new owners?They are not listed on the TOB property assessment look up Cindy Dabkowski -----Original Message----- From: Barry, Lois Sent: Monday,June 30, 2008 2:33 PM To: Dabkowski,Cindy Subject: 92 HEADWATERS ROAD,CENTERVILLE Cindy, Linda Edson has told me that this property is being sold and the new owners will be applying to Amnesty. I'm not sure of your process--will you be rescinding the decision to the Jarnots at some point? If so, please send me a recorded copy as well as the recorded documents for the new owner. Lois 1 I i L a ,k . 1 Barry, Lois To: Dabkowski, Cindy Subject: 92 HEADWATERS ROAD, CENTERVILLE Cindy, Linda Edson has told me that this property is being sold and the new owners will be applying to Amnesty. I'm not sure of your process--will you be rescinding the decision to the Jarnots at some point? If so, please send me a recorded copy as well as the recorded documents for the new owner. Lois r 1 1 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IM A DATA ti TOWN CIF BAkNSii.E._f. ;.."_IJJ•�( 1, .I` :- 36358 on r E i- 1 s► 9 � Cotuit T ldt,. �;,;. ; �:L ";n o• a mout�tio �o>cuit U 66 APPLICANT _ _ rDDRE55 e �� f (NO.) TREET) .e (CONTR'S LICENSE) PERMIT TO Build .dwelling .L $iR le- Y fami1 dwelliII "NUMBER OF ( 1 STORY g DWELLING UNITS 1 :JTYPE_OF IMPROVEMENT) NO. " (PROPOSED USE) - lot -# 3f c '-jiid, "Centerville zoglrlG AT (LOCATION) "' kr -,:(NO.) - (STREET)! - DISTRICT_ I BETWEEN AND (CROSS STREET) (CROSS STREET) a- .. LOT .. ,-. SUBDIVISION �' ,LOT BLOCK "SIZE BUILDING IS TOEE ; FT. WIDE BY FT. LONG BY FT..IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ,` - (TYPE) REMARKS: Sewage #93-532 i ` �. OLUME OR 1344 eq. ft. $. 8U FEE $ BOND ESTIMATED COST ,000 107• i (CUBIC/SOUARE"FEET)" - . . f OWNER Mr• 6c:MtB. Walter JarIIot. High STreet, Hanson, MA 02341 BUILDING DEPT. . ADDRESS BY -I ITO- OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ,��i LICAN FROM THE CONDITIONS - MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR - "PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: - CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATHE FINAL.INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE r - - - OCCUPANCY.. POST THIS -CARD SO IT� IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS. PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS z • '� 2 2 3 HEATING INSPECTION APPROVALS / ENGINEERING DEPARTMENT' O7 LTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT 15 ISSUED AS NOTED ABOVE. NOTIFICATION. 'Assessor's office(1st Floor): a Assessor's map and lot number /85- �_ m-�� SYSTEM MUST BE SINE tp` � i _ BALLED IN COMPLIANCE Conservation WITH TITLES Board or Heals,(3rcJ floor)- ENVIRONMENTAL CODE AND Sewage Permit number S >; asaisr�ntt T®li�Uil9 II�GIIL/4TI®IVS �''ro rAr Engineering Department(3rd floor): °° 039.&���' House number Definitive Plan Approved by Planning Board — '--- 19 APPLICATIONS PROCESSED 8:30-9.30 A.M.and 1:00- c P.M.only /- TOWN OF BARNS_ITABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO (/ / L® .I)L0 4U IL%A)a TYPE OF CONSTRUCTION _ y�JCk / L% ,r �f 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location�-/K ILI& -4'ed vim • O yin Proposed Use S//1/P.�L' A� i Ly �C�'/ 6-A)C G� Zoning District I✓ Fire District ® Name of Owner,At,4 M4 ��/�'/T � '-S&PJVd± Address 7 l`T1 6/t` �% sd ) ni A 00711 Name of Builder �A`d SS 'By/Lb/.o 6 Co Address 417Ag 6ftMjVtN1a r 7 .1,7- Name of Architect Address Number of Rooms � Foundation �j�oN7F- �>i� C-�➢A92 �i.i4PC�Of1�ei�5 Exterior Si,4451 6 AKE-WIA/M C& Roofing F1/644-06z,-IlltS 3j11U a1nC I Floors W2,��',�ajtid A Interior Al A Heating E/VA Z 0 Plumbing a �S Fireplace ON6" Approximate Cost Area vv—� Diagram of Lot and Building with Dimensions Fee /0 7 I � 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 r Construction Supervisor's License t,)--5z 5` (� JARNOT, WALTER E No 36358 permit For 11 Story ' Single Family Dwelling i Location - Lot #185, 92 Headwaters Road -ir F Centerville Owner ! J,7d1ter Jarnot A j� ' Frame �, � � ' •� , ' ,j 4 ,•1 '1 {-- Type of,Construction s Flo, 'f a Lot ' ;December, 1 - s Permit.Granted o • 19 � 93 Date of Inspection 19 D e 1I-e 3d 19 . s ' -' • Jam«. t 't ' :+' f - - i. t-. 1 f , ,w,fi ri'4+z% ' 'a - ta• �:5 � P`.�s ,�. � d :�:,;a, e4 ��F,ar ^i:-T,x' .t.�.�. - ,�.�a�. ,:n.. �? ty�'. � � - xy .:. ... .. .�.e-.ram •', e fft'. .•. '. '� .. ''„ - :_ .:�. ..;: ��'�:�-�:�7 y�' '�.��x „£�r � - `F° .a N6,"r.�` x;k a '�Y Y" �„ -� - e- N'^F_�..�.,4, ,�,:�.... y :.. , ..�"..-. ' �;Yx.: -C.. .i {"'K A.�. -, .sa ..a..' ... �S'- ,ze' i-'' a„ � ^`",,,+"�'... ni:• k�',.4L .F3�z t. n,R.�'y,:.. '.,"� 'F.h..�.,%''3'.C�'�`i•. .�5 ��'7` �., ,. 7 ;^ < <;:,:z., a �w:;�"�` �t.:,�,..," .,-:a':�5 .� ��;}'.,.j. d r ���n� *C8 7`� S },.a`�a��'r� k�w.': F•Ga� � rL�� IQ a4. E re . '} " tl olRDE F µELK GPENG�p pV$RED SE G pR RE 4 .r, D1EOto r_01A � {6; F y ABLE(p 90s;T01 ► Ass ' N�ADE PA IG SAFETYx MHWEALTH Z or PUS t Go of tic V. 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Rp �Fz d 4 c �tt �pAG ` w n r U. 3� 45AC H � � II P � � j Itio 04 z 64 .ZBAC ti Zc?I \ _ /B5 1.'!O TbWN OF'y r ..fSAC �12NSTABl1~ TOWN COMIGOWATION ' ".C. ���(� lw.►lp 7e �. .4ZJ A rL ` 40 • a O � sa' AllO (ary;♦->39) /i1/��A/' / �, _ 1 _ �h��' . s+nc Y IL ° IV �a4 \yl nj d, �Aa �c oa AL 41 AC 42 1 �6�wc a' z 42 � J5.7,,zO , .5s AC VK Ab i 100 0Q1 c67-10 � j� 4 Qt �3..C�C 41 rn ASAC I ,Io ti �yAp 'r� o pPtA CAPP 3- C0 Izo . YASSACHuSIVTI! UAar oaco 1�8 beef 4463 �A} a � ( JAMES F. HURLKY, Trustee of JFH Develop? eft Trust, under Decks Trust dated September 29, 1981 and recor-deal in Barnstable De�d3 )'�o0lt f y 3369, Page 023, Barnstable County,Massachusetts -• -- of P.O. Bo: 48, Hyannis Port, j-� l heindsamasied,for consideration paid,and in fuH considerationof,ONE HUNDRED TWELVE _THOUSAND and 00/100($112,000) DOLLARS grant to JOHN DAVID NUTTALL and MARGARET G. NUTTALL, husband and wife, • � as tenants by the entirety of 50 Clifton Lane, West HyannisPort,Massachuse[te�ity ���� raurnatda it the)and U together with the building and other improvements sitogCisd { a W. located 1n Barn stable(Centerville), Barnstable County, Mass- `\ thereon, 7 on a plan entitled"Sub- -v �T achusetts, shown as Lot IDnc6ption and mn,mba .iffy) division of land off Pine Street, Centerville, Mass., belonging to Robert F. Cross, Jr.. dated June 3, 1970, drawn by Nelson Bearse- aYi � t Richard Law- Surveyors, Centerville, Hass.", recorded in Barnstable t }; i Registry of Deeds in Plan Book 240, Page 123, being more particularly " and d described as follows: 1 I a NORTHERLY and . WESTERLY by Headwaters Road, a private way, by a curve one z . hundred twenty-six and 45/100 (126.45)-f,eet; . d. i! NORTHERLY by Lot .8 on said plan, two hundred thirteen and . Y 43/100 (213.43) feet;. EASTERLY by land now or for � av W seventy (70) feet; { ' form- SOUTHEASTERLY by the centerline of a ditch and land now or rm s [✓ erly of Robert S. Elliott. about three hundred forty (340) feet; and r ai s., r_ l� WESTERLY by Lot 6 on said plan, one hundred ninety-six and t �c} 2/100 (196.02) feet. C� Containing 43,600 square feet, more or less. Said lot is conveyed together with a right of way, including the t installation of utilities therein, over Headwaters Road, subject . CF to the rights of all others now or hereafter entitled thereto, for +g _t r. t all purposes for which ways are commonly used in the Town of Barnstable. 1 i 7 Subject to utility service easements granted to Cape and Vineyard Electric Co. and New England Telephone 6 Telegraph Co, by instrument dated May 23, 1961 and recorded in Barnstable Deeds Book 1116, Page ' 412. 5 € For title to lot see deed from Robert F. Cross, III and Lois A. Cross I REV recorded in Barnstable Deeds Book 3949, Page. 293 dated December 6,1983. , *Kji , y" CANCELLED it jt q Ui + ( } ( Individual—Joist Tmaft—Tenon in Caatmos.) !! it ,, tdrr rr Z 10ftrss hand and seal this........................................................... day of........March 19 85 ................................. JFH Developers_Trust bY-..................... ........................................ U G.-....... / gtIl'fadt"'F':'.... .. ........... .. AXF i all F `'� � tZpr �snlntnnmraltt+ cf �ansattluaetis y Barnstable ace, March 1985 Then personally appeared the above named James F. Hurley, Trustee of J F H Developers Trust and acknowledged the foregoing instrument to be his free ad and deed,before me t Y' - #u € r}-r r - Noaeyl?arNie—j+StlFXaLI5XlfrBoY ti: John P. Thibbitts My Contmiasiao Expires r.laatiaZyt3� ,t987 {+ Y• 29 t. 4 d i • i CRAMS.16)SEC 6 AS AMENDM BY CHAPM 497 OF 1969 � Every deed presented for record shall cm wn or have endorsed upon it the full name,residence and post-oBace address of the granter •• and a recital of the amount of the full consideration thereof in do1Ln of the nature of the other consideration therefor,if One delivered far a r^ecih:aanti sum. The full comidenaon shall mean the total prim for the cooveya sce without deduction for my diem as ea - 4`+r, • curnbrarsm assurned by the granter or remaining thereon. All such aWorsmrmu and recitals shall be recorded a part of the dad. Failure to Comply with this section shall not affect the validity of my dad No register of deeds shall accept a dad for tecardioa onlas It is in complu rm with the raluir®ma of this Demon. �♦ .. r 21 5m2566 ma 088 - y= 21423 ` 1, ROBERT P. CROSS, III of Headwaters Road, Barnstable (Centerville), e i` Barnstable County. Massachusetts, in consideration of , •^'" ONE AND 00/100ths ($1.00) DOLLARS Y=, paid, r,, grant to ROBERT Y. CROSS, III and LOIS A. CROSS, husband and wife, as tenants3 ' by the entirety, both of Headwaters Road, Barnstable -(Centerville), Barnstable ' MW County, Massachusetts 02632. with QUITCLAIM COVENANTS the land together with the buildings. thereon situate in Barnstable ( Batsstabla Coy Massachusetts, bounded and described as follows: Beginning at an iron pipe at the Northwesterly corner of the granted ee 1 pLeaie , On the Easterlyside of a way forstarl know as Trinity Road and now Y Y 7 ,.d know as Headwaters Road, at land owned by Annie P. Cross; thence ¢°! SOUTH 790 49' 40" EAST by land of said Annie P. Cross, one hundred fifty (150) feet to an iron pipe at land owned by Stephen B. O'Brien at ux; thence SOUTH 100 10' 20" WEST along land of said Stephen D. O'Brien, ; ti one hundred fifty (150) feet to an iron pipe and land of Robert P. Cross, Jr.; " thence z NORTH 790 49' '40" WEST along said land of Robert P. Cross, Jr., one hundred fifteen and seventy-two hundredths (115.72} feet to an iron pipe at ; the Easterly side of said existing way; thence = NORTH 190 12' 20" EAST along the Easterly side of said way, t: twenty-two and forty-five hundredths (22.45) feet to a point on the Easterly side of said way; thence : S; NORTH 60 18' 20" WEST continuing along the Easterly side of µk said existing way, one. hundred thirty-three and twenty-nine hundredths (133.29) ; feet to the point of beginning. The above premises are show as a parcel labeled "Robert P. Cross, 3rd." to the north of Lot 8 on a plan of land entitled "Subdivision of Land Off Pine Street Centerville, - Mass. Belonging to Robert P. Cross, Jr. Scala 1 in. " 50 ft. June 3, 1970 Nelson Bearse - Richard Law - Surveyors Centerville Mass." which said plan is duly filed in Barnstable County Registry of Deeds in Plan Book 240, sam w sdwm.ra Page 123. sera w r •fTO11MM AT L11r '` AWMp 91 WMTYYII.MM - •. E.`. MY..Y WMITYLf.ILMf.eaw - y; MAWTYLL y., . £i} 1 1 - C . s . t � -L yes s L Y sc�,zsss 'AU 069 The above described premises are conveyed together with a--right.of way over said k way Northerly to and from the granted premises to Pine Street. meaning, intending and hereby conveying the above described premises, said premises being the same conveyed to me by deed of Robert F. Cross, Jr. dated t March 11, 1964 duly recorded in Barnstable County Registry of Deeds in Book 1241, Page 283. WITNESS tqr bead and seal this day ofGys/ 1977. T 7Q,Al Robert F. Cross, _III - r r � -- COMKONWMTB OF MASSACHUSETPS e Barnstable, as. !. t , 1977 - Then personally appeared the above-named ROBBRT F. CROSS, III and. acknowledged the foregoing instrument to be. as act and de , before m. e, , ¢4 Notary Public >. aw My commission aupirest l 1 ww Ao aau►n.rt ` ATWORKM AT W - 4 Ai, ■AA Mt RECORDED AUG 17 W x" L _' 6� doc�4'221 race ;051 3997 ' HAWTHORNE i PROPERTIES,,INC , a,Massachusetts corporation, _ of 9R Thompson Street, Winchester, County, Masschusetts, in consideration of THIRTY NINE THOUSAND FIVE HUNDRED and 00/lo0 (39,500.00) DOLLARS grant to ROBERT E. RIFFENBURGya ,TOYCE P. RIFFENBURG, husband and wife, tenants by the entirety, both 6f':.10.3, Rox 96, Red Hook, N.Y. 12571 with quitclaim covenants the land in Barn stable stable (Centerville) ,) , Barnstabl e County, Massachusetts, bounde d and described r ribed as follows: I NORTHERLY by land now or formerly of Robert F. Cross, III, one . hundred eighteen and 26/100 (118.2Q feet; EASTERLY by land now or formerly of Robert C. O'Brien, twenty- Y four and 12/100 (24.12) feet; NORTHERLY by land now or formerly of Robert C. O'Brien, one hundred twenty-three and 01/100 (123.01) feet; .g i EASTERLY by land now or formerly of Gustav W. Alberti, one hundred forty-five and. 54/100 (145.54) feet; i SOUTHERLY by Lot 7,'as shown on hereinafter mentioned plan, two hundred thirteen and 43/100 (213.43) feet; and WESTERLY in three courses by Headwaters Road, a private way, one hundred sixty-six and 78/100 (166.78) feet. i Containing 35,200 square feet more or less. } Being shown as LOT 8 on a plan of land entitled "Subdivision Plan of Land off Pine Street, Centerville - Mass. belonging to Robert F. Cross, Jr., Scale 1" - 501, June 3, 1970, Nelson Bearse - Richard Law Survey- ors, Centerville,.Mass" which plan is recorded at the Barnstable ]]] County Registry of Deeds in Plan Book 240, Page 123. Said Lot 8 .is .conve conveyed together w y oq with the right, subject to the rights f of all others new or.hereafter entitled, to use Headwaters Road for k, all purposes for which ways are commonly. used in the Town of Barnstable,, including the installation and maintenance of utilities. f _ y For Grantor's title, see.deed recorded at Barnstable Registry of Deeds in Bookjy", -Page-1Y7. Executed as a-.sealed instrument on this day ' �. - Y of t�;>••29� . HAWTHORNS PROPERT i INC, ' a , r By. r ea F. ur y, • : .. �: p` SIP` ►•'•:r. „=:�•s PresidenLt i Treasure �1wV%% a `(i r Bec!4221 tut 062 , COMMONWEALTH OF MASSACHUSETTS Barnstable, SS. August.t 0 , 1984 Then personally appeared the above-named Charles F. Hurley, President e and Treasurer of Hawthorne Properties, Inc. and acknowledged the fore- going instrument to be the.free act and deed of said corporation, before ;� Thi bitts Notary P-.jb—c My Commission Expires: 1/30/87 1.. k 1 5 , 1 i Fite!id AU6 20 84 ; •gin ao x 6 8 6 6.AGE 174 44072 �innfu all Men hV these Presents ffi t I, JOSEPH M. O'BRIEN, JR. of Trinity Place, Barnstable (Centerville) , Barnstable County, Massachusetts 02632 i l for the full considemion of Nominal Consideration paid hereby grant unto JOSEPH M. O'BRIEN, JR. and ELIZABETH J. O'BRIEN, husband and wife, as tenants by the entirety, both of Trinity Place, F Barnstable (Centerville) , Barnstable County, Massachusetts 02632 with quitclaim covenants, the land, together with any buildings thereon, located in said Barnstable (Centerville) , Barnstable County, Massachusetts, more particularly bounded and described as follows: i NORTHERLY by the northerly half of Lot 3, as shown on plan hereinafter mentioned, there measuring 120 feet more or less; EASTERLY by a forty-foot private way, there measuring 224 .feet more or less; SOUTHERLY by land now or formerly of Annie F. Cross, there measuring 120 feet more or less; aqd E WESTERLY by land now or formerly of Annie F. Cross, there measuring 224.12 feet more or less. Together with a right-of-way from the granted parcel to and from i Pine Street, a public way. Said parcel is shown as the southerly half of Lot 3, Lot 4 and ! "Reserved" on a plan entitled, "Plan of Land in Centerville, Mass. 4 ' Property of Stephen B. & 'Margaret C. O'Brien August 29, 1956", duly 1 recorded with Barnstable County Registry of Deeds in Plan Book 129, Page 135. e For title, see deed of Robert C. O'Brien to Joseph M. O'Brien, Jr. , j dated October 23, 1981, recorded in the Barnstable County Registry of Deeds in Book 3395, Page 317. ; 3 5.; 8 i j fh r� Aitness my hand and seal this day of J(_Z6_ A.D. 19 89 r' Jo ph K. O'Brien, Co mrorsfnea(tf(of Ataseactru etts. (� I t Barnstable, ss. ,7 19 89 Then personatly appeared the above named JOSEPH M. O'BRIEN, JR. and acknowled a foregoing instrument to be ' his free d d.Ixf e je�fiee-rf•MrA Notary Publiceacr. My commission expires Aj R c COMMONWEALTH OF MASSACH USETTS , �c ,�F1'A�'MF_NT' OF UNDUSTR1AI_ACCIDENTS L 600 WASHINGTON STREET ' BOSTON, MASSACHUSETTS 02111 games J Canaoee �o-,:ss�one WORE¢RS' COMPENSATION INSURANCE AFFIDAVIT {licenseelpermi rtcc) With a principal place of business/residence at:ewd 1S-Tel O F>>' WN Ciry/State/Zip) do hereby eerti6% under the pains and penalties of perjure, that: [ am an employer providing the following workers' compcnsation coverage for my employees working on this job. ✓j%6 V/ i-AA-cC (]o �Aiv+� c.{ C)c-Na - 7 C3 f36 7Y 9 Y Insurance Company Policy Number O 1 am a sole proprietor and have no one working for me. (J I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Police Number Name of Contractor Insurance Company/Policy Number Dame of Contractor Insurance Company/Policy Number 0 I am a homeowner performing all the work myself. NOTE: Plcasc be aware that wbile bomcowncn wbo employ persons to do maintenance,construction or repair work on a dwelling of not more tban three units in wbieb the homeowner also resides or on the grounds appurtcnant thereto arc not generally considered to be employers under the Workcrs'Compensation Act(GL C. 152,sea 1(5)), application by a bomeowner for a license or permit may evidence the lcga7 gurus of as employer under the Workers'compcnsation Act i unocrstand that a copy of thus statement will be fork•udcd to tnc Dcpa:-,mcnr of Industrial Acddcnu' Ofrjcc of Insurance for.covcrgc verification and that failure to secure coverage as required under Section 25A of MGL 152 can)cad to the imposition of—r6minal penalties consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a Gnc of S100.00 a day against me. 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CROSS SFC10NS' .7 :. . .< L , - 3• S . ; y — . ---�FL6LNIt,JIT-- f J�1 SMOKE GU6Mee1? _)I' 1 Ta- ..FrT6UT eL __ . f5�• I I .C6"POW 41-I•SIB F-I I U I 'Zak �lae.alelcX__ -vlT. 6SN DUMP---- • BKICK -9e-r-.UM-WFd7Z7U KMI 11 F.Ve.rc D—SLZ Jr... rIT _ L ME I` 1 .. . .... ..... Joseph D. DaLuz Telephone: 790-6227 Building Commissioner- r p TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS , MASS . 02601 DATE: -J,4,t1 �1 &I LdiAIf Cc j,r.c TO: i3 t2 Boss Rcd� o tit. 0.2 3 y/ %The 7-4- /9)7-7 inspection at 902 �/e�►d��ie►-s �C� 6,) -does not comply with MA Building'. Code No. _ 3 y 6 3. 2 , 1! T_/s�,4 Le F he flG -5- e s uL b� s� si�'S Lc f-.�r�„L r�✓o.� �1�i �r �vr� ��%cht�.0 <! l iLtT/e 5 1ivST 1je .(�evcrovccl �o", �L yr. c fd�i e 5•�Ac Please contact this office for reinspection. Th k you , Building Inspector AEM:km N/F ROBERT F. CROSS III SI010'20"W ,S79 49 4O z, 1�3�l .01 Y o 0 o LOT 8 I� Ilj `5 a' Co Pi Y N790930. 213 43, LOT 7 ASSESSORS MAP 228 LOT 11185 FLOOD ZONE "c"_ FO UNDA TION CERTIFICATION RES ZONE.• »RC„ TO AN-BARNSTABLE SCALE-1 "=40 PL. REF-240i123 ELEV NIA I CERTIFY THAT THE ABOVE �ANKEE SURVEY CONSULTANTS' FO UNDA TION IS LOCATED ON o®F ' P. 0: B0�' 265. THE GROUND AS SHOWN, AND `�N 'T'S POSITION ___ o� PAUL Cyo UNIT 1, 403 INDUSTRY ROAD , ONFORM TO THE ZONING LAW A. MARSTONS MILLS, MASS.' 02648 �E�tTHEw TEL: 428—0055 SETBACK REQUIREMENTS OF �, w0.1 ..00e oQ B_ARNSTAB_LE_ ��s �fcrsrER`�o Q�`' FAX 420-5553 —SL _ — ---- —————— s��NAI LAN�SJ JOB PA UL A. MERITHEW DA TE 1 L�1_93 NUAYBER 50383FND t ' TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING � rua HYANNIS, MASS. 02601 �8 Mal� MEMO TO: Town Clerk FROM: Building Department /W DATE: �l An Occupancy Permit has been issued for the building authorized by BuildingPermit #.. ?.. ..e. ._�........................................................................................................._......._...... . ... .__ issuedto ..........�.�I -Q. .. ..... ....r rg;-t................................................................. ._. ... ...� ...._� ..._.._____ Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / �(::C�-J IL DATA ,tWE TOWN OF BARNSTABLE Permit No. ....36358. . .' ..... •� . BUILDING DEPARTMENT . : . . TOWN OFFICE BUILDING Cash Ma ' i6jp HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Walter Jarnot Address Lot #185, 92 Headwaters Road Centerville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. April 1 , 94 19................. .�...... w-L' e .............. Building Inspector OP05E Porc,H. f�00� (I- �I�fmay. Der,4 LYNC E 1 (�ESlbENCE 2 x6 Prr 1" &A�k�r�v! 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FLAW LINE D=1Q INVERT 110 S=O.02,` D=Y7' PRECAST MIN. 19" 50.20 _ ,. r LEACHING OR INVERT 2' w EQ ALE INVERT EL.- 4_9._57 LEVEL q 0 NT EL., 49.82 0 ,: o r �' 0 6 ti D c 3�4" INVER INVERT N 0 STONE, I VER CASHED 1500 _.__GALLONS :• 49.37 EL.=_49_.20 EL.__4$.86 0 c EL. _ 49.-_- 86 o w 0 SEPTIC TANK ,. `, o �: 42.9 _ E LEACH PIT I - ' 6' ---- 2 PROFILE 0 ' SEWAGE DISPOSAL SYSTEM NOT TO SCALE BOMOM OF TEST HOLE OR USGS PROBABLE WATER 'TABLE EL=._38.9 _ ALL ELEVATIONS ARE ASSIGNED SOIL', '.LOG WITNESSED BY: J .LANDERS--CAULEY, 'PE J. . DUNNING GENERAL NO r"ES 2 PERCOLATIOAr RATE __ 1VIN. INCH 1. THIS PLAN IS FOR CONSTRUCTION OF A,NEW SEWERAGE DISPOSAL SYSTEM. P# 8I08 2 PLAN REFERENCE Book 4O5 PAGE 17,, 'LOT 185, BARN, REG. DEEDS. p8-09-93 DATE' _ __ A TE' oB- 09--s 3. THIS PLAN IS FOR INSTALLATION/ REPAIR OF SEPTIC SYSTEM TEST HOLE I TEST HOLE 2 �-r r FOR SVPV `YING OR ZONING PURPOSES. DESIGN ,GN D1 1 . AND NOT TO BE ..USED, ' EL = 51.9 EL ` 50.9 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFVRM 'TO D.E P TITLE 5 AND THE-TO WN OF BARIKSTARLE RULES AND REGULATIONS FOR THE .SUPSURFACE DISPOSAL OF SE'WAGE. NUMBER ,OF BEDROOMS FOUR TOP & SUB . 5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO N7THIN 2. 49.9 ,SOIL I2" OF:-FINISHED GRADE. GARBAGE DISPOSAL NONE 6. EXISTING AND FINAL GRADES"SHALL `REMAIN ESSENTIALLY THE SAME, UNLESS NOTED BY FINAL CONTOURS. TOTAL ESTIMATED ,FLOW 440 GPD 7. ALL COMPONENTS OF,THE SANITARY SYSTEM SHALL BE CAPABLE _GAL/BR.IDAY x _4__ 7 OF WITHSTANDING H-10 LOADING UNLESS `THEY ARE .UNDER _ OR. WITHIN 10' OF-DRIVES OR PARKING AREAS. H-20 LOADING MED. SAND SEPTIC TANK CAPACITY 7500 SHALL RE USED .UNDER DR 'WITHIN;10' 'DF DRIVES OR PARKING. UNLESS NOTED. : LEACHING AREA REQUIREMENTS TO GRADE SHALL BE MORTARED IN PLACE' 12' 39.9 12' 38.9 SIDEWALL AREA �IBB 5 GAL,/S.F. 9. NO DETERAfINAPION HAS BEEN, MADE AS TO COMPLIANCE WITH BOTTOM AREA _78.5 GAL IS/I' B. ANY:MASONRY UNITS USED TO BRING CO VE'RS .. DEEDED OR ZONING- REGULATIONS. OWArER/APPLICANT IS TO LEACHING CAPACITY BOTTOM & SID,EiVALL 4098 GAL. ORTAIN'SUCH PETERMINATION FROM APPROPRIATE'AUTHORITY. 10. THE EXCAVATOR CONTRACTOR SHALL VERIFY-THE LOCATION OF ALL UNDERGROUND ( 3.14X5X12X ,2.5 � + ( 3.14X5 X'L01 UTILITIES PRIOR TO ANY EXCAVATION, RESERVE LEACHING CAPACITY 1098 GAL CAPACITY,OF TWO PITS: JOB NUMBER_.T50383 ---- __- .. _ ., ,.� - - '.IMQ W'N.11YrUY�rpllyrWYf�i`MrYYr iWWIM,14rYtlrMYrnhwiiwi�r'��rtl�rrr ' LOT 42 �. . +a • O 0 O , CATCH. , BA, 1 S �� CS , • 1 49.5 �,✓ { 0., I 50. 7 T WA E'R ��. -� 50 8 i SRVIC 51. 9 'w SEPTIC 0 / , l TANK of 41.9 Mgss9� of JOHN .yG� o�'� PAUL cyG� LANDERS-CAULEY ,.. �4. CIVIL NItRITHEW o.35101 o No. 32099 oQ N E'ACHING EGISTER� �`>� fiss� ISTER Sys It !A ��i PIT 51.9 r ��, �,! r �� a0 �S810 A Ac ratio . d -a• RESERVE' ti �c AREA _ /� LOT 1, 85 PROJECT LOCATIW�r p �� 1 35,000fsf LOT 185, H EAD WA TERS ROAD P �.00 , BARIIISTAPLE, MA . ' Asp = ._. ,��13 43, i : � ! • r a is �4P�'LICANT ROSS BUILDERS, INC. .' 4278 ,FALM'O UTH RD PO O 309 CENTER VILLE A LOT 18s YANKEE SUR I/EY. G'ONSU� TANTS P.0. BOX 265 UNIT; 5, 4DA, IIVDU.STf?Y ROAD 1'VO�ES. i�1ARSTONS MILLS, PA. ©26`48, „ ' . . , PH.(508)428-005�' �1 FA 508)420--�5. ,53 SSE'S,S' 15:.� VO:: :�228--185 PLA 4 5, 'PA�E� �.1 1V'=BIB SCA 17E'E"IJ RED'.' 42 DA TE 09 17-9 . . 21 51 3� , SCALE- 0 1 3 :TO WAr WA ' , ER ,,IS AV AILABLE" REV TDB IVD 5 0383 L_�HE_ET