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0043 LONG POND CIRCLE
U 0 �FTFkE7 Town of Barnstable *Permit# Expires 6 inonths jroin issue date . ARNSTABLF— Regulatory Services Fee 1 v� �6. ,�$ Thomas F. Geiler, Director plfo39, 0. Building Division - ° ?erry, CBO, Building Commissioner C 200 Main Street, Hyannis, MA 02601 JUL 2 4 20H www.town.barnstable.ma.us Office: 508- 8 OF SARNSTARRt Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number C:" o�� Property Address t/J e, C I C 1 L0 G/f esidential Value of Work .G� `� Minimum fee of$25.00 for work under$6000.00 !� / Owner's Name&Address loa( f" kiywj4 �� lJC yj Contractor's Name �� ��[ 'S (��—'s I G S Telephone Number S'08' -;2;7 yv�✓' Home Improvement Contractor License #(if applicable) Construction AP Supervisor's License# if applicable) 53 ( ❑Workman's Compensation Insurance Chec,k one: [ T am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# ` Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over j existing layers of roof) ❑ Re-side ❑ Replacement Windows..U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i,e. Historic,Conservation,etc. ***Note: Property)Dwner must sig roperty Owner Letter of Permission. Improvem nt ractors License& Construct Supervisors License is required. SIGNATURE: - Q:\WPFILES\FOR�4S\Express''- XPRESSPEF MITDOC Revise06O4O9 �lze -ell Board"Build' Re • Construction ng geala[ons and Standard., f Supervisor License ard., License B►rthdate� C$ 6653 t 1 -9/22/1944 ,ra , d Exp►rahon �� � C �'� I Resictton ,9/22/2009. & C00 Tr# 2482 j 1 3gRLES G pALTS10`f1=<° I LONGVIEW l CENTERVILLE i • Commissioner 'a, Board of Building Regulations and Standards HOMEIMPROVEM e ENT CONTRACTOR. ' License or re i, Reg►stra`t►on• registration valid for individul use Only. � 114644 before the expiration date. If found vi urn Use Exp►ration Board of Building } t -T 10/8/2009 Tr# 260168 I One Ashbu g Regulations and Standards t t. Ype DBA' rton Place Rm 1301 C.PALTSIOS BLDGzi` Boston,Ma,02108 &REMODELLING ! CHARLES PALTSIOS "t 183 LONGVIEW DRY r;j CENTERVILLE, MA 02632 s .ff i .Administrator j �; ... Not valid t signa re . { The Commonwealth of Massachusetts Department of Industrial Accidents Offtce of Investigations ' d 600 Washington Street Boston, MA 02111 s,•� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): /o Address:� 3 City/State/Zip: a,:2G 3 Phone.#: S®S'' 771 Y10 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I ployees(full and/or part-time).* have hired the stab-contractors 6. 0 New construction 2.21P am a sole proprietor or pander-' listed on the attached sheet. T. Q Remodeling ship and have no employees These sub-contractors have 8. .0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. msurance.t required.] 5. 0 We are a corporation and its '10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy 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. lCont mctors 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 employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimirial penalties of a fine lip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that.a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u r the enalt• ofperjury that the information provided above is true and correct. Signatur Date: Phone #: Official use only. Do not write in this area, to be completed by city or town offcciaG 'City or Town: PermitlLicense# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: 1 i r Information and Instructions iMassachuscas General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the 'dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." i MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a.license 'r permit to operate a business or to construct buildings in the commonwealth for any d. applicant who has not produced-acceptable evidence of compliance with the insurance coverage require " Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-conti-actor(s)nanie(s),-address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom Of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current ' policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in__(city or ' town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of InVestigatians- 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia I a a t r Town of Barnstable Regulatory Services 9s�xrresr �, Thomas F. Geiler,Director 06. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder P as Owner of the subject ro e rty 1 P P hereby authorize SIG t to act on my behalf, in all matters relative to work authorized by this building permit application for: l�Cl� .(Address of rob) ture o Date Prim't Name If Property Owner is applying for permit please complete the aomeowmrs License Exemption Form on the reverse side. j l .. Town of Barnstable Regulatory Services • ` Thomas F. Geiler,Director sxxxscnare, o .i �`�� Building Division 1 rFD Tom Perry,Building Commissioner e ......200 Main:Street—Hyannis;MA 02601 vt".town.barnstable_ma.us t t Office: 508-862-4038 Fax: 508-790-6230 HOT'LEOPiWER LICENSE EXEMPTION Please Print t DATE: ! JOB LOCATION: ' /J } number street village 1 � "HOMEOWNER": >. name home phone# work phone# CURRENT MAILING ADDRESS: city/town / state zip code f The current exemption for"homeowners"was\xtended to includ owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for,hire who does t possess a license,provided that the owner acts as_ 1 supervisor. DEFINITION OF BO OWNER Person(s)who owns a parcel of land on which he/sh`• resides o intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detachrstruc es accessory to such use and/or farm structures. A person who constructs more than one home in a two-year pe od shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a o acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildin ermit. (Section 109.1.1) nsibility for c ,liance with the State Building Code and other + The undersigned"homeowne 'assumes respo applicable codes, bylaws,rules and regulations. I The undersigned."homeowner,'certifies that.he/she understands e Tpwn of Barnstable,Building Department f mi„ir„um inspection procedures and requirements and`that he/she Hill comply with said procedures and requirements. Signatirr of Homeowner l .j Approval of Building Official Note: Three-family dwellings contauimg 35,000 cubic feet or larger be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any boowocr pcffomring work for which a building permit is requuzd shaf]be exerrpt from the provisions mc of this section(Section 1o9.1.1 -Licensing of eon /ction Supervisors);provided that if the homeowner rngages a person(s)for hire to do such work,that such Homco—cr shall act as supervisor.J Many homeowners who use this cxcmPt4 on are unaware that they arc assuring the responsibilities of a supervisor(see Appendix Q, Rulcs&Rcgulations'for Uccnsfng Construction Su crnsors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unliccnscd persons. In tnis`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 bomcowner is fully aware of his/her msponsbilitics,many communities require,as part of the permit application, that the homcowncr certify that he/she understands the responsbilitics of a Supervisor. On the last page of this issue is e form currently used by several towns. You may care t amend and adopt sucb a fmTT Ccrtifieation.for use in your community. i Town of BarnstableE Ay.-J �-E Regulatory Services -7 i • Thomas F.Geiler,Director•- HARNSTABLE, MASS. $ Building Division 039. Arf0 MA'S a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# 2 B U FEE: $ SHED REGISTRATION 120 square feet or less L3 LdIV 6 PorV,6 64,C_i6- (fx-X)rZ;C)66� Location of shed(address) Village. Property owner's nam Telephone number 1_5 Size of Shed Map/Par 1# i afore Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? j Conservation Commission(signature required) + G� 2 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BEACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 , R 4 i e i l i a . r t i ,i i r e r � \ q ,�17. io OW a.h t 1 - /.�`/ / 1.��� - II, • h T certify that this property' is located CERT! F1 ED PLOT PLAN in flood hazard Zone C (outside the 500 Year flood) ,as identified by the Depart- , LOCATION ment of Housing and. Urban Development(HUD) . SCALE .�. _' O�. .... ,DATE Date �PrG i " !<y: PLAN REFERENCE . . . .. . . . . . . . Reg. Land Surveyor I CERTIFY THAT THE 3�LlE�L%�!G ; i� �/�S77- I certify to its .title -insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUND, that there are no visible encroachments AS SHOWN HEREON AND THAT IT CONFORMS TO THE or easements except as shown and that this SETBACK REQUIREMENTS OF THE.TOWN OF plan Was �`•""` -:7/ fL •• • . _WHEN CONSTRUCTED. p prepared .under my immediate supervision. ` DATE '� f�' ° ;�' �� 4`,� '` REGISTERED LAND SURVEYR TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Q Parcel 3 Permit# Health Division Date Issued LO Conservation Division, ' 4a 1,0 L ®O P r Fee � � 10 •1 Tax Collector +» l Ql Treasurer / v . r., a If, SYSTEM MUST 916, JE-37 PILLED IN COMPLIANCE Planning Dept. ' WrDi TITLE 5 r Date Definitive Plan Approved by Planning Board E VIP CAS.OOE'Aa0 TOWS RWULATIO14S Historic-OKH Preservation/Hyannis ,Project Street Address `13 L c�c,, ��►�� (°i0, C LP Village �P��r►v i��� �. Owner e k4�-eo Rn 0/U C tt Address PoP1 &ac Telephone 7 7/--/0 3/ Permit Request A_0� %,o,4r'1 X r /1 n 14-4 r.11-61*r Square feet: 1 st floor: existing L proposed 2nd floor: existing ' proposed Total new �2 G 3 Valuation D100 Zoning District Flood Plain Groundwater Overlay Construction Type &good Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure rP Historic House: ❑Yes � On Old King's Highway: ❑ �Yes ® Basement Type: ±Full 0 Crawl [T'Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 9� Number of Baths: Full: existing new Half: existing 0 new Number of Bedrooms: existing new Total Room Count(not including baths): existing 7 new First Floor Room Count .Heat Type and Fuel: C9"Gas ❑Oil ❑Electric ❑Other Central Air: d"Yes //❑No Fireplaces: Existing 2 New =A= Existing wood/coal stove: ❑Yes ❑No Detached garage:aexisting ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:ale-Astin ❑new size Shed:0 existing ❑new size Other: g 9 9 Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number 771--/,Y/0 Address_16-� License# 00 G G SS Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ucvu 1./u ray r SIGNATURE DATE ,1� ' iX v FOR OFFICIAL USE ONLY s F PERMIT NO. - � � 3 -_ f • '. • ;�, . DATE ISSUED MAP/PARCEL'NO: _ r ADDRESS - VILL•AGE OWNER+ ' ' �a•� � , ' - i, DATE OF INSPECTION _ FOUNDATION VdI7 2&Cr—> FRAME9 -01 INSULATION FIREPLACE - a ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH',* . FINAL FINAL BUILDING. DATE CLOSED OUT 4 '` ASSOCIATION PLAN NO. t ' a r The Town of Barnstable Department of Health Safety and Environmental Services 5 . Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 ; Ralph Crossen Fax: 508-790-6230 •Building Commission: Permit no. Date AFFIDAVIT HOME IM[PROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least oae but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with ceitaia exceptions,along with other requirements. Type of Work: r.!„1',�i%o Al Estimated Cost 000, Address of Work: o 'Roy &I ) A Owner's Name: /b pn -eo Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law [3Job Under S1,000 OBuilding not owner-occupied Owner pulling own permit Notice is hereby given.that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME I1VIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. ll qG zl q Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav Massachusetts The Commonwealth of Department of Indual Accidents � ` '-- Office ollmresti98vods 600 Washington Street t+ � "Boston,jlass. 02111 Ce davit Workers' Com ensationpipal Insaran r® 5 Blame' � e r ' • � I i cd !ovation �oN phone* ? 3 r ::itv r' I a homeowner all workmys j have no one is a� a sole . worlang oathis job paaa Can my �}� x y .�^ p 4. .... .. .. :.......:.... .........:•:.::::::4i::4rhv:::.:v:::::.v:::::;}:+i•i}ii:>:::'�:n;:•?i:�i>'«4:i:•:is is i::.. 4a� .::AMC........ .. .............. w--r' [Y {...... r..:n .. 4. 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I do is MAY certify tender eP Daft Si_maatuse Ph=# -7 :mat name or town oMdal offldai we only do not write in this am W be eompietiad by�7 QBunaing Denatvnent Pe�yB e# ❑Licensing Board city or town: ❑Selectmen's c)Mce is required ❑Health Depar=ent ❑check if immediate rapenee — ❑Others phone#; contact person: Information and Instructions i s all a lovers to provide workers compensation %lassachus-tts General Laws chapter 152 section 25 require person in the service of another under and• cc- employees As quoted from the "law", an e�nplvyee is defined as every of hire. express or implied,oral or written. defined as an individual partnership, association, corporation or other legal entity, or any rwo or morc � employereves of a deceased employer. or the recc:'• the foregoing gaged in a joist enterprise, and including the legal rep association or other legal entity, employing employees. However the owner of a uustee of an individual,partnership, ararients and who resides therein, or the occupant of the dw-Hing house c. dwelling hawse having not more than three aP � construction or repairwork cm such dwelling house or on the noun== c" another who employs persons to do aia shall not because of such employment be deemed tabe an employer. a building purtenaat thereto I en shall withhold the issuance or �1GL chapter 152 section 25 also states that every state or local licensing agency of a Iicense or permit to operate a business or to construct buildings in the commonwealth for any appiicant whe ed. Addition Lance with the insurance coverage requ requirally: n."ither the not produced acceptable evidence of comp contract a omuance of public wort:uyy commonwealth nor any of its political subdivisionsof this chapter have been presented to the cow'.--=- acceptable evidence of comphance with the 21 .kpplicar',ts b checking the box that applies to your situation and please fill in the workers' compensation affdava completely, Y , address es numbers along vh&a certificate of insurance as all amda% may b. suppivin company names, ide�for ration of insurance coverage. Also be sure to sign a,-,c subrn tte3 to the Department of Indust Acc application for the permit o:license i= m the sty or town that�aPP � - date t:he affidavit The afficlaavh should be returned .ate. Should you have�Y regard� "law" or L being requested,not the Department of Industrial Department at the number listed below. required to obtain a workers' c�ip��.Pohcy,P ll the are ,,,,,.;............ ppxg City or iTowns lets and printed fly. The Department has provided a space at the bottom o: 11e Please be sure that the affidavit is comp has m coataet you regarding the aPPhc'-m' Please affidavit for you to fill out is the event the Off ce of mjmber. The affidavits maybe renmmed to be sure z io fill in the pesmft se number which will be used as a reference *:fie Decarnnmt by mail or FAX unless other arraagemeats have been made. The Office of Investigations would like to thank you in advance for you coop eration and should you have any quesnons. • esitate us a call." ease do not h to 1 roiq rnev{iir mviq////, The D�paruitent's address,telephone and fax number. � The Commonwealth Of Massachusetts I Department of Industrial Accidents Otffce of Invest1gatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 4 0 6 409 or 375 • 7Z7-4900 eat. , phone.�. (61'n J ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= oc o (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER G/Ten 31 square feet X$??/sq. foot=, Total Estimated Project Cost G!P. 00 s - - I I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I I Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-27-2000 DATE OF PLANS: 3-28-2000 TITLE: New Addition PROJECT INFORMATION: Tom & Karen Boduch 43 Long Pond Circle Centerville Ma. 02632 COMPANY INFORMATION: Chuck Paltsios 183 Longview Drive Centerville Ma. 02632 NOTES: MaCheck by ' Cape Cod Insulation INC. # 1657 COMPLIANCE: PASSES Required UA = 220 Your Home = 192 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 888 30.0 0.0 31 WALLS: Wood Frame, 16" O.C. 737 13.0 0.0 61 GLAZING: Windows or Doors 91 0.330 30 GLAZING: Skylights 38 0.460 17 DOORS 20 0.240 5 DOORS 20 0.320 6 FLOORS: Over Unconditioned Space 864 19.0 0.0 41 HVAC EQUIPMENT: Furnace, 96.0 AFUE --------------------------------------------------- --------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date l P MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 New Addition DATE: 9-27-2000 Bldg. 1 Dept. 1 Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ } I 1. U-value: 0.33 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I SKYLIGHTS: [ ] I 1. U-value: 0.46 I For skylights without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I DOORS: [ ] I 1. U-value: 0.24 I Comments/Location [ ] I 2. U-value: 0.32 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 96.0 AFUE or higher I Make and Model Number I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: ( ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 1250 of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ l I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ l I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-l" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I f [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-l" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- ` � r c fill' lo 3L O _ �o 00 0 Sip,Pr b` SO Ji c_ ' l sov7 . I certify that this property is located CERTI FI ED PLOT PLAN in flood hazard Zone C (outside the 500 year flood) as identified by the Depart- LOCATION ment of Housing and Urban Development(HUD) . . ............ .. ... ...., . ...... .. . ... SCALE .�.���¢O . .... .DATE Date 1rpeI6 /y87 PLAN REFERENCE Reg.. ;hajid� Surveyor ` I CERTIFY THAT THE �D�ELL�!�G FD�Ny4 � I certify to its title insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUND that there are no visible encroachments AS SHOWN HEREON AND THAT IT CONFORMS TO THE Or easements except as shown and that this SETBACK REQUIREMENTS OF THE.TOWN OF .WHEN CONSTRUCTED. plan was prepared under my immediate DATE supervision. REGISTERED LAND SURVEY;R II BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number::CS 006653 I j Btrtluiate:-0922/1944 s A. :*,t Expires.0922/2001 Tr.no: 4742 . - Restricted To: 00 CHARLES G PALTSIOS 183 LONGVIEW DR:°CENTERVI LLE, NIA 02632 Administrator ei AT ^ '� 311IA831N3J aivxtsiNiwav, ,x NO13IA9N0 „r SOIS11Vd S318tlH� � " ,��,I1300�N3a.4M9018,S0IS110d In a f IOIB/OT t'PIT x uoi>)e�;st6 fi „NO1JVIIN03 1N3NMOV MM 3AOBdNI 3N0 t xr 1 ;' = __o I_I - ^^� 5 7 BAR NAB& s 1 :: J J. MA88. 10,3q. .0 Town of Barnstable Zoning Board of Appeals Decision and Notice Boduch -Appeal Number 2000-45 Special Permit Pursuant to Section 3-1.1(3)(D) - Family Apartment Summary: Granted with Conditions Petitioner: Thomas& Karen Boduch Property Address: 43 Long Pond Circle, Centerville, MA Assessor's Map/Parcel: Map 209, Parcel 031 Area: 0.92 acre Zoning: RD-1 Residential D-1 Zoning District Groundwater Overlay: AP Aquifer Protection District Background: The property consists of a 0.92-acre lot commonly addressed as 43 Long Pond Circle, Centerville. v According to assessor's records, it is improved with a two-story,,Colonial style residence of 3 bedrooms ^� with a living area of approximately 2,137 sq. ft. and an attached garage of 572 sq.ft. The property is M located in a RD-1 Residential Zoning District and is serviced by public water and a private septic system. The property, in addition to fronting on Long Pond Circle, has 154 feet of frontage on Mother's Park Road and Phinney's Lane. The petitioner is proposing to construct a two-story 36 by 24 foot addition to the existing garage structure. The lower, exposed basement of the addition is to be a one car garage and the second floor is to be a one bedroom family apartment unit. The family apartment is to be occupied by George and Jean Anderson, father and mother of Karen Boduch. The petitioners are requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D) of the Zoning Ordinance. Family apartments are allowed in RD-1 Residential Zoning. Districts as a conditional use, provided a Special Permit is first obtained from the Zoning Board of Appeals. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 03, 2000. A public hearing before the Zoning Board of.Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on June 07, 2000 at which time the Board granted the Special Permit requested. Hearing Summary: Board Members hearing this appeal were Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, CZ" and Chairman Ron S. Jansson. Thomas and'Karen Boduch represented themselves before the Board. v Ron.Jansson disclosed he had discussed this application in a general way with the Petitioner's parents, but never represented them. Mrs. Boduch explained the relief they are seeking. They will be constructing an addition that will include a Family Apartment for her parents. They originally requested a two-car basement garage but it would infringe on the sideline so they are modifying their request to a one-car garage and it will not violate any Town of Barnstable-Zoning Board of Appeals-Decision and Notice Boduch-Appeal Number 2000-45 v Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment setbacks. This is in addition to the existing two-car garage servicing the main dwelling. The septic system will be in compliance with Title V. There are two means of egress from this lot. _The petitioners stated they understood_the.Zoning Ordinance with reference to Section 3-1.1(3)(D)___ Family Apartments and are in compliance with all the requirements of that section. This will be the permanent year-round residence of all family members. There was a brief discussion about the elevations and a plan listing the elevations was submitted to the file. The builder indicated the structure complies with the height limitations for the district. Public Comment: No one spoke in favor or in opposition to this appeal. Findings of Fact: At the hearing of June 07, 2000, the Board unanimously made the following findings of fact as related to -Appeal Number.2000-45: 1. The Petitioners, Thomas & Karen Boduch, are seeking a Special Permit pursuant to Section 3- 3 1.1(3)(D)for a family apartment. 2. The property address is 43 Long Pond Circle, Centerville, MA, as shown on Assessor's Map 209, Parcel 031. The site is 0.92 acres and located in the RD-1 Residential D-1 Zoning District and the AP Aquifer Protection Overlay District. 3. The site,is improved with a-two-story, Colonial style residence of 3 bedrooms with a living area of. approximately 2,137 square feet and an attached garage of 572 square feet. 4. The petitioner is proposing to construct a two-story 36 by 24 foot addition to the existing garage structure. The lower, exposed basement of the addition is to be a one car garage and the second floor is to be a one bedroom family apartment unit. The structure -as proposed-will be no higher than 29 feet from the existing grade to the ridge. 5. The family apartment is to be occupied by George and Jean Anderson; parent's of Karen Boduch. 6. The Petitioner understands the restrictions and conditions of the Zoning Ordinance pertaining to a family apartment. 7. The application falls within a category specifically excepted in the Zoning Ordinance for a grant of a Special Permit. 8. After evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected 9. The proposed family apartment and the owners and occupants thereof will comply with.Section Decision: Based on the findings of fact, a motion was duly made and seconded to grant the relief being sought in Appeal Number 2000-45 and subject to the following terms and conditions: 1. The family apartment shall.comply with, and be maintained in accordance with, all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be tFie primary year-round residence of the family member(s) residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board except that all construction shall comply with all required setbacks. 3. On-site septic shall comply with Title V. 4. The locus shall comply with all State Building Code, Town of Barnstable Board of Health and State Fire Prevention Regulations. The vote was as follows: AYE: Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, Chairman Ron S:Jansson NAY: None 2 i Town of Barnstable-Zoning Board of Appeals-Decision and Notice Boduch-Appeal Number 2000-45 Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment Order: Appeal Number 2000-45 has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty .(20) days after the date of the filing of this decision in the office of the Town Clerk. Ron S. Jansso , h i man 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�i.,ed in the of the Town Clerk. Signed and sealed this //� day o CZo e 6 under the pains and penalties of perjury. Linda Hutchenrider, Town Clerk 3 I - — - -JOHN F . MEADE , REGISTER RNSTABLE COUNTY REGISTRY OF DEEDS R G 17 0 . EGISTER RECEIPT # : 2000 24451 446� •INTED : TUE 9/ 19/00 12 : 33 : 16 JSTOMER : N/A _ _ ____ __ ________�_--=R CORGIi�u-FEEFEE : .80 _V13248 -274 paSjXjgA4 REF WOK-PAGE: 57885 @9`1 dSTRUMENT # : IUE -�00 EC0e,l?ING DATE : D 5S: 43 LONG POND .CIRCLE COPY FEE : . Q0 STATE EXCISE: . 00 OTAL AMOUNT DUE : 10 . 33 COUNTY EXCISE : . 00 . AID BY : CHECK 1989 -- ----------------------------------------------------------------------------- TOR/GTEE GROUP : 001 OWN : BARN BARNSTABLE NSTRUMENT: N NOTICE OR CAVEAT CONSIDERATION : . 00 TATE EXC CONS.ID : . 00 COUNTY CONSID : .00 RANTOR : GRANTEE : ESCRIPTION : LONG POND CIR 329/85 MARGINAL REF BOOK-PAGE: RANTORS : BARNSTABLE TOWN -OF (,APPEALS &O) BODUCH THOMAS (&O) BODUCH KAREN (&O) RANTEES : NONE RECORDED ------------------------------------------------------------------------------- eturn addRESS : THOMAS &KAREN BODUCH 43 LONG POND CIRCLE CENTERVILLE MA 02632 ------------------------------------------------------------------------------- 4 I P.LQQ f of Pubii_c2fia ]LEGAL NOTICES-- Town of Barnstable Zoning Board of Appeals 'Notice of public Hearing Under The Zoning Ordinance for June 07,2000 To all persons interested in,or affected by the Board of Appeals under Sec. 11 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts, and all amendments thereto you are hereby notified that: 7:30 PM Boduch Appeal Number 2000-45 Thomas 8 Karen Boduch have petitioned to the Zoning Board of Appeals for a Special Permit for a Family Apartment pursuant to Section 3-1.1(3XD) of the Zoning Ordinance. The property is shown on Assessors Map 209,Parcel 031 and is commonly addressed as 43 Long Pond Circle,Centerville,MA in an RD-1 Residential D-1 Zoning District. 7:35 PM Boyle and Callahan Appeal Number 2000-46 Susan Boyle and Martha Callahan have applied to the Zoning Board of Appeals fora Variance to Section 3.1.3(5)Bulk Regulations. The lot is 0.95 acres where 1 acre is required. The property is shown on Assessor's Map 207,Parcel 090.002.and is commonly addressed as 57 Seabury Lane,Centerville,MA in an RC Residential C Zoning District. 7:45 PM Lowe Appeal Number 2000-47 King F.Lowe and Delores K.Lowe,Trustees have applied to the Zoning Board of Appeals for a Variance to Section 3-1.4(5)Bulk Regulations. The Applicant seeks a Variance to maintain each of two dwellings on two lots neither lot meeting the lot area,frontage and setback(s)requirements. The property is shown on Assessors Map 020, Parcel 018 and is commonly addressed as 25 Lewis Pond Road,Cotuit,MA in an RF Residential F Zoning District. 8:00 PM Driscoll and Bums. Appeal Number 2000.48 Agnes D.Driscoll and Alexis C.Bums have petitioned to the Zoning Board of Appeals for a Special Permit pursuant to Section 4-4.2 Nonconforming Lots. The applicants seek to convey 0.37 acres of their lot at 801 Main Street,Cotuit MA to the abutting property owner of 60 Nickerson lane,Cotuit.MA The property seeking the permit is shown on Assessor's Map 035, Parcel 103. commonly addressed as 801 Main Street, Cotuit, MA in an RF Residential F Zoning District. Appeal Number 2000-49 8:05 PM Driscoll and Bums Agnes D.Driscoll and Alexis C. Bums have applied to the Zoning Board of Appeals for a Variance to Section 3-1.4(5)Bulk Regulations. The applicants seek to convey 0.37 acres of their lot at 801 Main Street,Cotuit MA to the abutting propertkowner of 60 Nickerson Lane, Cotuit,MA.The property seeking the variance is shown on Assessor s Map 035,Parcel 103, commonly addressed as 801 Main Street,Cotuit,MA in an RF Residential F Zoning District. 8:30 PM Burke Appeal Number 2000-50 Russell J.Burke,Oxbow Realty has petitioned to the Zoning Board of Appeals for a Special Permit pursuant to Section 4-1.20)Special Permit Required/Certain Accessory Uses. The Special Permit request is for a new proposed dock on a non-buildable lot as an accessory use to the principal use that is immediately across the street and held in identical ownership.The principal use will be located on Assessor's Map 075,Parcel 007,commonly addressed as 431 Baxter Neck Road,Cotuit,MA and the accessory use will be located on Assessor's Map 075,Parcel 035,commonly addressed as 438 Baxter Neck Road,Cotuit,MA.both in an RF Residential F Zoning District. These Public Hearings will be held in the Hearing Room;Second Floor,Town Hall,367 Main Street,Hyannis.Massachusetts on Wednesday,June 07,2000. All plans and applications may be reviewed at the Zoning Board of Appeals Office, Town of Barnstable, Planning Department,230 South Street,Hyannis,MA. qon S.Jansson, Chairman Zoning Board of Appeals The Barnstable Patriot May 18 May 25,2000 Planning Labels 17-May-00 RetNo mappar owned owner2 addr city state zip 45 208 099 001' COLLINS, TINA M 177 MAIN ST CENTERVILLE MA 02632 ✓ 4A 4 208 101 PERRY, ROBERT BRUCE P O BOX 930 E GRANBY CT 06026✓ ® ; 209 002 DAVIS, STEPHEN JAMES 197 MAIN ST CENTERVILLE MA 02632 ✓ 209 030 NARDINI, DANIEL N & LUCILLE P 0 BOX 123 CENTERVILLE MA 02632✓ 209 031 BODUCH, THOMAS L & KAREN J 93 LONG POND CIRCLE CENTERVILLE MA 02632 ✓ 209 032 GAROUFES, KALLIOPE G 67 LONG POND CIR CENTERVILLE MA 02632 ✓ �l 209 037 KIM, RONALD J & JENNIFER L 6 LONG POND CIR CENTERVILLE MA 02632 ✓ 209 038 KEENAN, JAMES P & AUDREY E 16 LONG POND CIRCLE CENTERVILLE MA 02632 `� 209 039 ANTIN, ANTHONY L & JEAN M TRS 80 LONG POND CIRCLE CENTERVILLE MA 02632 ✓ 209 040 GATES, WENDELL H & MARY E 38 LONG POND CIRCLE CENTERVILLE MA 02632✓ fA 209 042 001 THIS PARCEL DOES NOT EXIST I ' 209 043 CRIVELLI, JOAN ANN C/O CRIVELLI-NEFF, JOAN 225 MAIN ST CENTERVILLE MA 02632 `✓ 209 047 BARNSTABLE, TOVjN OF (REC) 367 MAIN ST HYANNIS MA 026011/ 209 048 WALSH, THOMAS V 199 CHESTNUT ST CLINTON MA 01510 ✓ 209 099 MINK, CLIFFORD E & LOIS C PO BOX 1120 CENTERVILLE . MA 02632 ✓ 209 050 FERRARO, JOHN F & THERESA A P O BOX 2050 CENTERVILLE MA 02632 ✓ A 209 051 BARNSTABLE, TOWN OF (CEM) 367 MAIN ST HYANNIS { MA 02601✓ A 209 052 002 POTTS, RUSHTON H & BROWNE, JACKL 191 OLD POST RD CENTERVILLE MA 02632✓ 209 052 009 KRASN00, ERIC J b LINDA M 1017 COOLIDGE ST WESTFIELD1 NJ 07090'� 9 209 052 005 DESAULNIERS, ,CHARLES L & DESAULNIERS, HELEN C 73 PHINNEYS LANE CENTERVILLE MA 02632✓ If 209 052 006 LYNCH, THOMAS K - 95 PHINNEYS LANE CENTERVILLE MA 02632✓ " 209 �O58 WALSH, MARTIN M P O BOX 35 CENTERVILLE MA 02632 20 CARDULLO, F STEPHANIE P O BOX 531 CENTERVILLE MA 02632 f 209 092 COHEN, SHELLY 25 LONG POND CIR CENTERVILLE MA 02632 4 209 093 MACBRIDE, ARTHUR J & BARBARA J 37 HIGHLAND CIR WAYLAND MA 01778!� i 5:51 �09- 0��. ao� S/F3 oza -off 1 , AEG-" ' w•A^� -�=wsTirC Gt?.FGE .trf 4! - . D—T . A a uy C IL — AVV c-0 J c SKY-ANmnl �,Ec h•/.eaQ S..+t.K, iL�.w4s UIPA—undtG. . Y418 • ZMvlsTlal ------------ v ' ./..Lod.T •. J�TAX L' s iucw/.nw �I �• Y • �' -.SNtr.l �—.f oAawwvF OKE TECTORS O.K. lV3:5 S=Crie y. ° a wN447- o r4BL.E UIL ING DEPT VE j C e PALTSIOS SON CENTERVILLE MA.'0 632 SAME: Y_,. APPNOYED BY: DFM'YMDBY(� LT p o TE. 3 ae o0 771-1410 , BUILDING & REMODELING LICENSE # 006653 0"1*110 NUMBER xEW EFG[aNO FFPFOGRaPFiCSBSUPPCYCO. . ,C'Fi_Fl JiOe� F FVATia.r c183 LONGVIEW DRIVE � PAL�S�®S S® CENTERVILLE, MA. 02632 SCALE:' c/'p •VMOVEDBY: . DATE: 3 ag 00 E SED 771-1410 x BUILDING REMODELINGLICENSE # 006653 JDA-NG NUMBER ' NEW ENGLLYD REPAOGAaGN/CSb SUPKYCO. f A i 183 LONGVIEW DRIVE C. PALTSIOS E SON CENTERVILLE MA. 02632 SCALE:�,'=�.o, AiVR°VEDa.: DATE: 3]Q/PO FENSED 771-1410 BUILDING & REMODELING LICENSE # 006653 DAAwINDN°"BE" NEW ENG(ANO NFPROGNPPMCS B SUGPLYCO. - ' t i I I ' ' Il I ` I'1 Till I I I 1 7 _I I_I i I VE �r Cm PAE SON CENTRVILEMA I02632SCRIP4PPflOYED 8Y: DPpWMBYE LTSIOS _ DRTE;,j a7pi O 0.EYISED 771-1410 DflRW MO BUILDING REMODEL LICENSE # 006653 /M0.Efl •NEW EYQ[AMO pEPROGRAFM/CS B SUiMVCO. C r r�[/vCG/� `° I �,M � O GTILTV X•� �• 7�/O" 4-0 0 h.. • t �� r MI.W I,C lI QED Qjt, � - Al T A, o� W<�/ OVEN -- --- - - - r TV UrN 41 •• fiosef. - .iTYln7!-�IPK K-r H'EN 6 ^� fLFCsE f i . CONCQrfE Ewtf/�/E - . <. 5— DICK .. 'TaI% ''4'AMY'13o0aic/f PALTSIOS SON183 LONGVIEW DRIVE y3 -APP�a GY%ecxE �EyfE�r✓•. .w` SGRLE: -/ti RF cm CENTERVILLE, MA. 02632 ROVED BV; DATE:z� ,T$z BEVigEO 771-1410 Fli—If PIAAr ^ BUILDING & REMODELIBIL'GLICENSE # 006653 7RWNG/NUMBER NEW ENGUND RFSROORN�/CS B SUPP(vCD. - F a. �ytO y • �` I cn 1 m m SMOKE DETECTORS 0. . ?ARR;STA L �UILDINGEP \ Lo D td Ic 1 F D m 4 � m 2 R] a . E , V �• n Z j f D � b0 • ! r 1 m r . � D to v ADK ca 1� I. OCT-05-2000 12:23 BARNSTABLE CTY LAB 15083756612 P.05 f.� P cry . i e-PT TOTAL P.05 Town of Barnstable F THE Tp� do Building Department Services Brian Florence, CBO ` `t • snxxsznsr:E, v MASS. g Building Commissioner : �A'Fn►nn+"�0 200 Main Street,Hyannis,MA 02601-rr � 1` 1 �" www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Famil A artmen�1f'Af# Y idavit p I,being on oath, depose and state as follows: r - My name is I am the owner/resident of the property located at: . �5 U r Pond (� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relation hi r s p to owne . N-� tX-�.Lti Name &relationship to'owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that Lam required tole an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment.I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning.Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the,sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (i6eal_No. 1 Other I wo to under the p ' d penalties of perjury this- day<of Q17 2019:i atur Phone Number int Name q:forms/famaffid.doc rev 11/08/13 Town of Barnstable Building Department SCANNED . Brian Florence, CBO 1ARNSTABLE. • I I �J Building Commissioner t639. 200 Main Street,Hyannis,MA 02601 �FD�A www.town.barnstable.maxs 0 Office: 508-862-4038 Faxes 8-790-q;230 z '-' o 0 n . as Town o arras a e amp y pa men av t 3 to I, being on oath, depose and state as follows: _. My name ' A J I am the owner/resident of the m property located at: Loran 'on C►('G��- +e�t U e , ��lo The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: + Name &relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains an penalties of perjury this -r day of —JWOq 2018. tPn e Phone Number Name l q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services ,a + oFV"V�y, Richard V. Scali,Director Building Division _ STABLE, ' Paul Roma,Building Commissioner 1639 200 Main Street; Hyannis, MA 02601 t 4 p�D Mfd A www.town.barnstable.ma.us: Office: 508-862-4038 'ax: 508'7790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: MY name is V' I am the owner/residerit of the property located at: .Q The following members of my family will be the sole,occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ���rl fJ�� �YIOT . The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed'by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-4Z I Family Apartments. I agree to note the Building Commissioner immediately.in the event of the sale of this property. `If there is no longer`a Family Apartment at this location,=please explain:' The apartment has been dismantled. The apartment has been transferred to the Amnesty Program.(Appeal No. ) f Other �II - Sworn to under the pains and pe lties of perjury this day of V /� Y 2017. S' ature Phone Number P ' t Name . �j!1 J O o, j,�i 1 , q:forms/famaffid.doc rev 11/08/12 m jTown of Barnstable Regulatory jServices { oF�"E rgyti Richard V. Scali,Director i Building Division ' &UMSTABMThomas Perry, CBO,Building Commissioner 1659. 59. 200 Main Street, Hyannis, MA 02601 wwwaown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: �/�: bad r��fl My name isi�2� _ I am the owner/resident of the prllr.PY'fV 1n-.ated at: f ✓ W// ! (/17d �(./•�l;l/ 1 Y � cLU -lel-1`lamcc , - a � Ik following mimbers of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relation lup to owner: ft �� � fYIDT CD «=t Dame &relationfkup to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted.. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program.(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of�,e . 2016: N i afore x Phone Number Print Name 1''2!1 ,to r✓� . q:forms/famaffid.doc rev 11/08/12 Town of Barnstable �t r Regulatory Services Richard V. Scali,Director 4111 OF BARNSTABLE BAINSTABLE 4 Building Division KASS 1e39. a`�� Thomas Perry, CBO,Building Commissioner En"'Ar F 1.200M iri Street; Hya`nriis-, MA 02601 1 -www.town.barnstable.ma.us-gip. ,:,,, •-- - - DIVISION Office: 508-862-4038 "" Fax: 508-790-6230 Town of Barnstable Family Apartment,Affidavit I, being on oath, depose and state as follows: My name is V I am the owner/resident of the property located at: tw, PbfAh C LE The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round 'residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also. understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other. Sworn to under the pains and enalties of perjury this day of Tp4ow 2015. 77/- /03/ ig ature Phone Number Print Name O_f en U q:forms/famaffid.doc rev 11/08/11 .. e �i 4 i i Town of Barnstable Regulatory Services oFIKE fob Richard V. Scali,Interim Director Building Division TOWN OF RARNSTA LE BAMWABI.C'w * Thomas Per CBO BuildingCommissioner p �`� 200 Main Street �Hyannis, MA 02601 24i�! J#=41, 13 F 1 2- 3 , rF0 MA'S a , www.town.barnstable.ma.us Office: 508-862-4038 —F=_ax�-5084SO--6230 ' Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is IJ Ob l,� I am the owner/resident of the -property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: TgAg 6bzgSot3 MDZj+E.._' Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. r L _, _. - � "Ii tiiErc iS nO- CingEr a i-aTriiiy`Apar`aneri'-at-« s location,please"explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains Fid penalties of perjury this day of 2014. Ifilature Phone Number ' Print Name d-Y' ©d ock 5K - 7W- 10, q:forms/famaffid.doc rev 11/08/11 Town of Barnstable . .Regulatory Services �tME rqy, Thomas F. Geiler,Director ti Building Division 'TOWN.OF RMINSTAB �ss BLE, ' Thomas Perry, CBO,Building Commissioner Ar 0.39. A,°� 200 Main Street, Hyannis, MA 02601 } } Ep MA'S www.town.barnstable.ma.us Office: 508-862-4038 — Frax.»50&790,-6230 � =l. .x Town of Barnstable Family Apartment Affidavit I, being on oath,depose and state.as follows: My name is 7kA -�P4. I am the owner/resident of the property located at: -q z' LO w& P011D C tif'CL6 C L M,4. The following members of my family:will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: NDEV--S6)17 O Name &relationship to owner: r91;eo,e6E Aktax O ZPATV& -r Now aEc�Asei>> The Family.Apartment will be the primary year-round residence for.the above-identified family members. In the event that the listed relatives vacate said apartment;I will immediately notify the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain. The apartment has been dismantled; The apartment has been transferred.to the Amnesty Program,(Appeal No. ) `Other Sworn to under the pains and pena ties of perjury this day 0Q,4 0 2011 -7.7/ /l3/ Phone Number Print NameG�-r' l10 U .. v q:forms/famaffid.doc rev,11/08/11 Town of Barnstable Regulatory Services oFTME Thomas'F. Geiler, DirMtorl IAE Building Division � ` Thomas Perry, CBO,Building eo�amissroperjf •; Ar 163 A�� 200 Main Street, Hyannis, MA 02601 En Mo• www.town.barnstable.maxs , Office: 508-862-4038 Ff .41 Fax: .508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: - My name is I am the owner/resident of the ' property located at: Lml G Potih V L�Nlrca tL A 02_632- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner:6rQ � f�C1 1� goN RFkal f Name &relationship to owner:<]C 3 �I�➢ — YYtp L �— The Family Apartment will be the primary year-round residence for the above-identified,' family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building. Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the.sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty.Program (Appeal No. ) Other Sworn t under the pains and penalties of perjury this day o 2012. L508 - 77/-1�31 ature Phone Number Print Name rC-n _ q:forms/famaffid.doc rev 11/08/11 I ' Town of Barnstable Regulatory Services OFIKE T Thomas F. Geiler, Director T0WN1 0 f, BARR y IABLE , Building Division �B"BM"ss.B`�' Thomas Perry, CBO, Building Commissioner 7^`119 Ay1 ;: $Ar 039. Aim 200 Main Street, Hyannis, MA 02601 fD MA'S www.town.barnstable.ma.us Office: 508-862-4038 Dl Fax .508-790-6230 Town of Barnstable, Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Karen J. Boduch I am the owner/resident of the property located at: 43 Long Pond Circle, Centerville, MA. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: George Anderson / father Name &relationship to owner: Jean Anderson / -mother The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing ofsaid Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said'Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain; The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this 11 th day of January 2011. 508-771-1031 �/1n; ture Phone Number Print Name a r er\ J �( I t Town of Barnstable Regulatory Services pFt►+e to�ti Thomas F. Geiler,Director Building Division i � [1 BARNSTABLE. Tom Perry, Building Commissioner MASS, 3.6. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us 2. 2 Office: 508-862-4038 .O;,a�x: 50 -790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Karen J. Boduch I am th cwner- of the property located at: 43 Long Pond Circle , Centerville , MA. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: George Anderson - father Name & relationship to owner: Jean Anderson - mother The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale.of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and pe alties of perjury this 12 th day of January 2010. 508-.771-1031 S i t re . �,,•- i t � s..: Phone Number Print Name iar'er__� Q/bldg/fonns/famaffid . Rev:12/08 Town of Barnstable Regulatory Services OfVE b Thomas F. Geiler,Director Building Division j:1F BARNSiABLt + BARNSTABLE, T.om..Perry, Building Commissioner y Massa: g a . . 1639. �� 200 lain Street,Hyannis; MA M jA ({ P 12- 30 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name'is Karen J. Boduch I am the owner/resident of the property located at: 43 Long Pond Circle, Centerville, MA. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: George Anderson ./ father Name & relationship to owner: Jean Anderson / mother The Family Apartment will be the:primary year-round residence for the above-identified family members. In the event`that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner,in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit.annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location-, please explain: The apartment has been.dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this 13 th day of. Janaury M09. 508-771-1031 ture 3igne Phone Number Print Name Karen J. Boduch Qfbidg/formsdamaffid Rev:12/08 . Town of Barnstable Regulatory Services oFIME Tory Thomas F. Geiler,Director , B A RN 5 l)"8 L1r_ Building Division r r BARNSTABLE, Tom Perry, Building Commissioner MASS (�(�� 6 JAN 22 AM 1 1 �{ 9 g 1639• 200 Main Street,Hyannis,MA 02601 Alfp ,l a www.town.barnstable.ma.us DI tSla# Office: 508-862-4038 Fax: 508-790-6230 t Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is eAk-1E / ` I am the owner/resident of the property located at: Y� � � 4�� © E The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name & relationship to owner: y /`tAiiDO'0^A!16 7•3�6' � The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. , The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this / 44) day of 7r 2008. vd 8— ig ature Phone Number Print Name Q/bldg/forms/famaffd Rev:l/03, Town of Barnstable 9 /4 Regulatory Services , 1HE rOp, Thomas F.Geiler,Director Building Division rC s°Y 114 ,U 1 5f A 81- snRxsTnB Tom Perry, Building Commissioner, 200 Main.Street,Hyannis,MA 02601 ? ;�6 1.9 rFo �A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Karen J. Boduch I am the o er/yes of the property located at: 43 Long Pond Circle, Centerville, MA. 02632 The followingmembers of m family will be the sole occupants of the Family Apartment at the Y Y p Y p aforementioned address: Name & relationship to owner: George Anderson - father Name & relationship to owner: Jean Anderson - mother The Family Apartmeni will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and lties of perjury this 2 5 th day of January 2007. 508-771-1031 gn ture61-1 Phone Number Print Name 9CG/'ei� /JOGl Q/bidg/forms/famaffid Rev:1/0 3 Town of Barnstable ©� Regulatory Services oFt►+e toh� Thomas F.Geiler,Director '�fWr1'i� ()F 8 115T BLE . Building Division BARNSTABLE, Tom Perry, Building Commissioner 9� 0b 9. i 200 Main Street,Hyannis,MA 02601 20H JAB 19 P€i 3: 27 ArFp .1a www.town.barnstable.ma.us -- - [:DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name isR 2En/ �o DG� I am the owner/resident of the property located at: 3 LOnr6 P,V b L G, JI Map and Parcel Number oZD �l The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �G'02C E W1VbeR,50,-J �1--,4 7- OV7ZZ Name &relationship to owner: � � lb -Sa) ' Or EX The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other `` Sworn to under the pains and penalties of perjury this / �h day of 2006. I tore Phone Number Print Name/ Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services _ 1ME l 10 fir'Ni l,d' 3 ilr ,7 fi BLE �oF oy� Thomas F.Geiler,Director +�P Building Division g��g 5 ��,,N q 9 G� LUUu 1.11 i 7 N 12- 42 BARNSfABLE, = Tom Perry, Building Commissioner MASS. 039. 200 Main Street,Hyannis,MA 02601 ATFD MA'S A www.town.barnstable.ma.us istf� � Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �2E� T �A VCR I am the owner/resident of the property located at: Y z Lo ti&FL)az (�Ije cLE , rZM,-,1 J t L L Map and Parcel Number ab The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner:C-s nC6S_ - �- Name &relationship`to owner: jDP,I_ ►'� Z The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other �h Sworn to under the pains and.penalties of perjury this day of`;74J1U4X- 2005. ig ature �; P _.. hone Number ,Print Name . c4< �d ' Q/bldg/forms/famaffid Rev:1/03 D� 'Town of Barnstable Regulatory Services �°UtNe Thomas F.Geiler,Directory+ 7 lf�Q' v i_E Cr �rY Building Division sAasznsi s Tom Perry, Building Commi'ssoner I k , 639 ��� " 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is ekteE / `7 �D I am the owner/resident of the property located at: 4 3 6A16 POM0 C/Aer_CE e�6wxveu`e_ Map and Parcel Number The ZBA granted me a Special Permit/Variance on Ot d!? aU�O o7000 — �s Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner:gez Z66 4,06456rJ' 647M47C OF ` A/eaw 30'bard Name &relationship to owner�� 304DUGN- The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment..I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. . ) Other Sworn to under the pains and penalties of perjury this a0 T day of 440-4 2004. Sa 8 - '»/- /0 3/ 'f�H) 6-25 3 75- 6,4-/SC �Hl ature UPhone Number Print Name 1�� T' '��L) C+�_ Q/bldg/forms/famaffid Rev:l/03 Town of Barnstable o !� Regulatory Services EVE, Thomas F.Geiler,Director TOWN OF BAR STABLE Building Division 2 • 2003 FEB -3 PIS I 2 BARNSTABLE, ' Tom Perry, Building Commissioner MASS. v� 3e39. � 200 Main Street,Hyannis,MA 02601 DIVISION Office: .508-8624038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is 71-141kew I am the owner/resident of the property located at: 2(9 LONG iV� C/'�G CE?V7&-r 6 Map and Parcel Number The ZBA granted me a Special Permit/Variance on 0 ao a000 ODD yS" Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: Book 9-7 -7- Page 943 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �EORGE �/�DERSoN �,gT�E�e of 7CJRRe�v 3oc7vc�y Name &relationship to owner: le-ow 4abawsaa— A4o7mex of t'"eN -&bJctf- The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing: I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer'a Family Apartment at this location, please explain: The apartment has been dismantled. `The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this �� " day of 112AWUI4X 2003. 6V S— -7 _: /03/ L'M� - 37s- 6i Cw ignature Phone Number Print Name P-EN T• ''�0 2w Ct-f" Q/bldg/for=/famaffid Rev:1/03 i _ """•""" <""_""'",-''"..e.. 7"`P'?,"�?'3"1Ff r''i7.)r7"�Ir 7'-''ari ,� ,� 'i"�F�?"F' .f*.•�_f r•:T-a�7"9'T9.1:T.,; ._ � :...,...-�.��... �ta � ...... ,. ..,., .«�:�• �'>i�" ,,'as:a� �''�,.� d. '7". . .:o �.k.T,,.n.%.�_+....;:.i::;.�:.:�,s,.. 1, , t_.., 1 .. _.......--vow--- ':,�w"",*'+.+w....,,. ,`., ..e....+e '..'...�".*�r• ,__ a_ ..,.. 1 .. I i I I I r BARNB[ABLB, MAE& YQ 1659. Town of Barnstable Zoning Board of Appeals Decision and Notice Boduch -Appeal Number 2000-45 Special Permit Pursuant to Section 3-1.1(3)(D)- Family Apartment Summary: Granted with Conditions Petitioner: Thomas& Karen Boduch Property Address: 43 Long Pond Circle,Centerville, MA Assessor's Map/Parcel: Map 209, Parcel 031 Area: 0.92 acre Zoning: RD-1 Residential D-1 Zoning District Groundwater Overlay: AP Aquifer Protection District Background: The property consists of a 0.92-acre lot commonly addressed as 43 Long Pond Circle, Centerville. According to assessor's records, it is improved with a two-story, Colonial style residence of 3 bedrooms with a living area of approximately 2,137 sq.ft. and an attached garage of 572 sq.ft. The property is located in a RD-1 Residential Zoning District and is serviced by public water and a private septic system. The property, in addition to fronting on Long Pond Circle, has 154 feet of frontage on Mother's Park Road and Phinney's Lane. The petitioner is proposing to construct a two-story 36 by 24 foot addition to the existing garage structure. The lower, exposed basement of the addition is to be a one car garage and the second floor is to be a one bedroom family apartment unit. The family apartment is to be occupied by George and Jean Anderson, father and mother of Karen Boduch. The petitioners are requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D) of the Zoning Ordinance. Family apartments are allowed in RD-1 Residential Zoning Districts as a conditional use, provided a.Special Permit is first obtained from the Zoning Board of Appeals. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 03, 2000. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on June 07, 2000 at which time the Board granted the Special Permit requested. Hearing Summary: Board Members hearing this appeal were Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, and Chairman Ron S. Jansson. Thomas and Karen Boduch represented themselves before the Board. ,Ron Jansson disclosed he had discussed this application in a general way with the Petitioner's parents, but never represented them. Mrs. Boduch explained the relief they are seeking. They will be constructing an addition that will include a Family Apartment for her parents. They originally requested a two-car basement garage but it would infringe on the sideline so they are modifying their request to a one-car garage and it will not violate any setbacks. This is in addition to the existing two-car garage servicing the main dwelling. The septic system will be in compliance with Title V. There are two means of egress from this lot. i Town of Barnstable-Zoning Board of Appeals-Decision and Notice Boduch-Appeal Number 2000-45 Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment The petitioners stated they understood the Zoning Ordinance with reference to Section 3-1.1(3)(D) - Family Apartments and are in compliance with all the requirements of that section. This will be the permanent year-round residence of all family members. There was a brief discussion about the elevations and a plan listing the elevations was submitted to the file. The builder indicated the structure complies with the height limitations for the district. Public Comment: No one spoke in favor or in opposition to this appeal. Findings of Fact: At the hearing of June 07, 2000, the Board unanimously made the following findings of fact as related to Appeal Number 2000-45: 1. The Petitioners,Thomas &Karen Boduch, are seeking a Special Permit pursuant to Section 3- 1.1(3)(D) for a family apartment. 2. The property address is 43 Long Pond Circle, Centerville, MA, as shown on Assessor's Map 209, Parcel 031. The site is 0.92 acres and located in the RD-1 Residential D-1 Zoning District and the AP Aquifer Protection Overlay District. 3. The site is improved with a two-story, Colonial style residence of 3 bedrooms with a living area of approximately 2,137 square feet and an attached garage of 572 square feet. 4. The petitioner is proposing to construct a two-story 36 by 24 foot addition to the existing garage structure. The lower, exposed basement of the addition is to be a one car garage and the second floor is to be a one bedroom family apartment unit. The structure-as proposed-will be no higher than 29 feet from the existing grade to the ridge. 5. The family apartment is to be occupied by George and Jean Anderson; parent's of Karen Boduch. 6. The Petitioner understands the restrictions and conditions of the Zoning Ordinance pertaining to a family apartment. 7. The application falls within a category specifically excepted in the Zoning Ordinance for a grant of a Special Permit. 8. After evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected 9. The proposed family apartment and the owners and occupants thereof will comply with Section 3-1.1(3)(D). Decision: Based on the findings of fact, a motion was duly made and seconded to grant the relief being sought in Appeal Number 2000-45 and subject to the following terms and conditions: 1. The family apartment shall comply with, and be maintained in accordance with, all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family member(s) residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board except that all construction shall comply with all required setbacks. 3. On-site septic shall comply with Title V. 4. The locus shall comply with all State Building Code, Town of Barnstable Board of Health and State Fire Prevention Regulations. The vote was as follows: AYE: Gene Burman, Gail Nightingale, Richard Boy, Tom DeRiemer, Chairman Ron S. Jansson NAY: None Order: Appeal Number 2000-45 has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. 2 • e Town of Barnstable-Zoning Board of Appeals-Decision and Notice Boduch-Appeal Number 2000-45 Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment 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 in the office of the Town Clerk. Ron S. Jansson, Chairman Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider, Town Clerk 3 Town of Barnstable Regulatory Services r< �oFt tq Thomas F.Geiler,Director Building Division TOWN OF BARNSTABLE 9VI BAMSTABIA Peter F.DiMatteo, Building Co . II: 4 � ie q. �m 200 Main Street,Hyannis,MA 0 'FtB 19 A' 7 Office: 508-862-4038 Fax:.508-790-6230 ION Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Thomas & Karen Boduch I am the owner/resident of the property located at:. 43 Long Pond Circle, Centerville, MA. 02632 Map and Parcel Number 209/31 The ZBA granted me a Special Permit/Variance on 06/20/ 2000-45 . Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: George & Jean Anderson Name &relationship to owner: father & mother of Karen Boduch Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified . family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment'at this location, please explain: The apartment has been dismantled. N/A The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this 12 th day of February 2002. Signature Phone Number 508 71-1031 Print Name Thomas L. Boduch Kar J./Boduch Q/bldgyforms/famaffid Rev:010702 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / �(C�'J IL DATA ffioe .(1st floor): + r ap and lot number .. rc :. a`�.... f ,3 `' �oF THE Tp�f ealth '(3rd floor): b P' PTIC Permit number ........................... .. ..�... ..s �a S/� SYSTEM MUST ® AWSTADLB, i •ing Department (3rd floor): Ci�MPL��� r }4 d LED IN i6 number t W� YULE S o ray a� (CATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P;M. onIyR ����®NMENTAI.CEDE �� .. TOWN REGULLAXONS TOWN 'OF BARNSTABL BUILDING INSPECTOR l APPLICATION FOR PERMIT TO 4. :`✓`1 �4�. ... ...... r �`.. t?Gc> TYPE OF° CONSTRUCTION .........4Z..,'o AX........ ? ..C".................... .............................................. 19 - t �r/c'�J fJCy TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: v 3 L4 ���,�....... /.... 4 C�� r I✓ / �o > ....... .. . Location ......................:!Jr�........................ �............, �......... ..... . ProposedUse ........... .`/.P..4p. '1 .. i.(t....... .ram.. .�...:....................................................... ................................. Zoning District /.�.:. ........ '...Fire District .....�� �.......�.. ... . ............ . ... Name of Owner ......\.l.l7�?2.e.5.......5.....��.`. .......Address ....... ...... 7.. Name of Builder ......., / : ..ly...r!.. ....... .........Address .......:.., >`�r � ..... ? ....Cw ..r!.. �?........ Name of Architect .........:.....................................................Address .......... Number of Rooms .......... Foundation ... ........:'.....:.`...................•'.!.�...'...�....'...�..... ......................................... *............... r . .,. ..: •i G! dam.-.-P Exterior ....`3� .....dJ..`.r................... i0............ ..............Roofing ................... ' Floors ..... . Interior° Heating ... �.......................... ...,..Plumbing n ".�y.......... .. ........ Fireplace /Z.r��� ..Approzimate''Cost ..... ... �.9 ' Definitive Plan Approved W r . . b Y Planning Board -------------------------=-----19-------- . Area ............................. Diagram of Lot and Building with Dimensions Fee 7 SUBJECT TO APPROVAL OF BOARD OF HEALTH ;ice' � ' - • 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. 4 i •m' . Na ... .. .. ...................................... onstruction Supervisor License .......'..........:..:................. ,`� it for ....ADDITION.............. Breezeway & Garage ' - �.......... ................................................ *,• , y ' Location 43 Borg Pond Circle >4 .. ......................................... ........... Centerville 1_lle S ' .i;...... ..:..`,James...R. Wilson.......................... X,, .f` .� r� •� _ � , Owner .................................................................. s Type'of Construction ...°.°.Frame.............................. w Plot ... ..................... Lot ................................ . r Novemaer 69 86 - ;' Permit Granted .................. .. .. ........19 Date of"Inspection 19 Date Completed ................ ................-1 9jr - 1 .' x. f Assessor's map and lot number ............ 0*THE Sewage Permit number Z BASBSTA.BLE, i House number .......................:.............................. sa MARL ........... po,039. �Ea YPY a' TOWN OF BARNSTABLE 4: BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION �'D ,C `� . / � S 7`/- ...................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. ?..0.. �!...................... .... , !� ...... / 'C(. .................�.....r� �.' .'.:f `.. .................. ProposedUse .......,... F'............................................................................................................................................. fi ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner �.,.....f :..w1... ...Address /Pif'UGcI............... ...................:............................ ti Name of Builder f ......... ....................Address / /l��s Name of Architect ... ......./➢ !y1 �...........Address ..... i....... I ........................................................ Number of Rooms ,!L .....,........��!a........................................Foundation ...�....� ��,...�/.�.......................................... Exterior ............./�;t�!I�!..........................................................Roofing ....o..7 J....f�.........................................._...................... Floors '3, ............................................................Interior ...... .....17.".'.�................................................... ....................................Plumbin .....:........Heating .... .�.�.......................... g n� 02.... �... .. ................................................ - . '�c Fireplace ....... I 1-5.............................................................Approximate Cost .......CrJ(J.............................................. Definitive Plan Approved by Planning Board ________________________________19________. Area /.�. ....... G Diagram of Lot and Building with Dimensions Fee ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH .r r hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding.the above construction. 9 Name .... ..... .. . .�.. .... b , r Wilson, Mr. & Mrs. Jim A=209-31 r No .....21875 .p ,,for ..........two Ve . single family dwelling Location 43 Long Pond Cir Centeeville ............................................................................... Owner Mr, & Mrs. J.ames. ...Wilso. ...n ... . ...... ... ...... Type of Construction frame .......................................... ..................................................... ......................... 4�31 Plot ............................ Lot ........................... Permit Granted Dec be 7 19 79 Date of Inspection ........... ......... .............19 Date Completed ...................... ...............19 PERMIT REFUSE \ ................................. ... ................... 19 i —�-�� . �. �/.. ................ ...... f Approved ................................................ 19 ............................................................................... i ............................................................................... sses�or's map and lot nu ber ...731 ......... THE Sewage Permit number ........................................................ STABLE, House number ..........YL5...................................................... MAO& IIAM"Iv CODE 2639-Ar TOWN RF 0 TOWN OF BARNSTAB. E LATIONS DUILDING INSPECTOR ✓ a��Lp APPLICATION FOR PERMIT TO .......... . ....... ..................... ............................................................ TYPE OF CONSTRUCTION ........WO ......................... ............................................................ 'o, ............. 19. TO. THE INSPECTOR OF- BUILDINGS: I- - � N The undersigned hereby applies for a.permit according to the following intormation: ... .................. )C�........................ 7 n.v ............ ....Location .... ..........!��..................(,. ProposedUse ....... ................................................................................................................................................... ZoningDistrict ..........P).. .....................................................Fire District ......./0....I.............................................................. Name of Owner . ....... .../)4 't: ..Aciclress ...4w. ..Volf.......................................I......... A Address ....0 ..................................... Name of Builder 1. .................... - ...................... Name of Architect ....... .5.............Address ..... ........................................................ Number of Rooms ..... ......................................Foundation ... ....................................... Exterior ................". ........................................................Roofing ......... ......................................................................... Floors .........�60,0111 ............................................................Interior ....... �w...................................................... Heating .............................................................Plumbing .......'.:A.... ............................................... Fireplace ...... .......................................Approximate Cost ....... ©� ................................... .. .2 6 ...................... A� Definitive Plan Approved by Planning Board -------------------------------- Area 0-6 Diagram of Lot and Building with Dimensions Fee .ram�r ....................... ........ SUBJECT TO APPROVAL OF BOARD OF HEALTH t4j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ........ Wilson, Mr. & Mrs. James re 21875 two story 0 ................. Permit for .................................... single family dwelling ............................................................................... 43 Long Pond Circle Location .................................................................. Centerville o ............................................................................... Mr. & Mrs. James Wilson Owner ............................................. ... ............ < Type of Construction frame.......................................... ............ ....................................... ........................... Plot ............................ Lot ............031.......................... rV December 7 79 ....... Permit Granted ..... ............................ 19 Date of Inspection ....................................19 t 3- Date Completed ......... ...1930 PERMIT REFUSED .... 19 ......... ........................ e. ........WDNk . ..............r,...... ....... .................................................. .................................................. fn Appr ...... ...................................... 19 ............................................................................... A-6 r i TOWN OF BARNSTABLE Permit No. -------.--_---------- I »n,tt Building Inspector Cash ----------------------- �YL MR4 OCCUPANCY PERMIT Bond ----—_- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENT$. .....................................................1 19......_ _ ........................................................................_..................................._._ Building Inspector Lj E a Mk^ +s`�"s'.3t. +> +<, �y a'31n`L-x"U} stnwsat._c s .*s'.jiff. 4uf#P e.�'�i 6 t i`r 4s r_,t2 w,, e<k0 *+C ' 5 k i _ - _ - 3 1 ' t .y y F _y V, Y S *� i ^ 7., / .,'per r r ;1 " r s y J �* ' i r�y� r 1n V r r (Q Pt , p! r�. QO , S6 , � . �1 Iri `X IF i 1 6 V % © r 1 ,q � ._i y - �0 ! k f ' 'fix yl . �. .�i � : - ' t , ` �° to C .� i � t �f P . , . V`// %r €, s k �r*j xa N , s. 4 �3' r.,,., ,. �. 0.r T V t Y# r.q• ;=... 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V' r at{Off M A t a ..r4 ,�. , r trr -, }ti m,,j t r "i' i¢V: { xs C: f "C4'ui� !\ J F 'i 9 t t '� f 'V tm)4j '�'"4010 T�A��2�Z� F1 r, t''r y,'� � / FY(, 4 f 2 r £ y 1/"j��//�9t`�i/.].� „ ,,i r l i,'4' S Ali S,�i list'~* g �, �� ®� r I! V I- V� -//�/ ' \' 1 t( j ..� t,r 7', 9 3 {t'14 ' ``q 7 ,3 x �4� r '" '' �° ; °}tLl ` t .1tv yyl F ) } `7.t"'u -a.. } +r C t a. 3 {a ti�i' i l.f�jir r, - a j.i C8/ r� - 1 i sY stt. ( T 3.,� lit Sji1 qy.q.ht .+Q ._r w.f t '. ����OLS ZBs I. I�1.7 t ®S ? x f, 31ir' vA y��'�}. ��.I. . y'wi,4t ,' ^'{o i HEREBY CERTIFY THAT ,THIS PLAN t"4' r' P} ) , WAS PREPARED FRORA THE LATEST AVAILABLE r l a '`9`a r4�� j� ;� . e 1l } , �}t:S- ' . I li', L ' t a '�, e PLANS AND DEEDS OF RECQE�Q. THE STRUCTURE, 0 F X� ',`;' ors +,' SHOWN .HEREON, WAS LOCATED IN THE F1 LD PLAN..+SH0WI PNG F,� RWC'T. 1 }tyk I . .,,1 O.,N .V.d-d,.1, SPA 19 n ,'AND � DOES � i ; L � ;era <' Dill tr �rr �u o,,b t , �� 7,x. :CONFORM TO THE ZONING SET—BACOC REQUIREMENTS �, i - ` l,�rp. /' b j 7x y �fr�l �rr'r*, �, Z_ 0 Al, r � ' ' '� �r�`7'S'��7lrr'-L.r i G�i'i.V OF THE TOWN_.OF ',S�iZ.-`.S-419c�r';, MASSACHU3ETTS. s '`a�4 � r`t ,i ! "_ 1 Nr t��3c .z> , ,i 3TERED. LAND. •3URV OR f�JiPNSTABL,E-../!�7F�2c// y s�' ,,, . i ;,, t, i . 4 ri ,, . ,,. - 7 r .d��`wy 1xt "�"t ;t v,r rt Jµ ail i+• " x4 yes kf`: t`�,: SCALE 1�� �fv� r'1ssi ' .ir*��1 � jrv'at °t /�" l0 7 �1 SSA 1- ' ' ti,r�; 4 i,-A; At�t-g{, ,s Ott'{' U:' TIE a.>' �c�Q ` . �C .,,ti t)y u . i , ( bG I C B�G F a n 'f �: , r v JAMES �, , , 3 t} + fi 4 - P' CAPE COD SURV1;1( G®�)si�4—j sir .'. r � v LAPSLEX �' < ', �+ i td 3� b t4vc i . 1 „ ,A 1Vo 22597(q 1v , . ,�.� tl� 1 }t a "A I h5r� ,. r 1 i A (/ y ,..,` t`: w a i ; Y%� w... P t! ,".tf t.y. bt `.� ,�. ,, .., �. r... HY,ANNI�5'MA9S k a r ,It _ �N /$�,E���� r t 9k fr B ti I tt�'�k v �t a ��, �., t 'y �.5V� ,t , t i4iP1 9 Ukit r j r .,rt S,E 1 Al its ea �P kir3 la a- d i w" k j + r �# ,yety I y I�r,'fd"6�h Y y' i}' A a, }+ r i. _�- r ` t j,r § 1 t�+v'Y 1Jx � F*t`M�. rx r jp{�' ��ii'' ,,,,yy iikk����::,, ••yyyy _A.: •� .. ,, i._^ 4'. ! �- r`- . . FiI, r" {t i lry $( Gi{.l'Y4 't...�.ui.T:]4t.a. Assessor's offioe (1st floor): Assessor's map and lot number ..Ms�,!....v.7Q.7........... .. � �'` ..o*TNe Tod ��• Q f Board of Health (3rd floor): :9 6 P' Sewage Permit number .......................... ..I........ 7..?.>.?. 2 BA"STABLE, i Engineering Department (3rd floor): o1639. 0� Housenumber ............................................. .......................... �oNara` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........Gf:`.rkp-'........ �....... !^r ..�3'C'.w4�...................................... TYPE OF CONSTRUCTION .........1�,-v.0 d. ......... c ...................................................................................... .... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location y 3 h.� .......w'��....... !.r�. ............C �t................ I.C.C................................ ProposedUse ! d. .v. .( ....... b .!" .5..r................................................................................................. /Q ..........................Fire District ..... �SY�-✓, /�e " l/1u/��Y—�as Zoning District /..................... ....................................... ..... Name of Owner .....\,,7-�. .``?'L. .5..... V........Address .......�/3 Name of Builder .......� .�vrv� ' ...!. �C Address Cr,,,, 5^�?........ Nameof Architect ..................................................................Address ...........................................................,. ....................... Number of Rooms l ..................................Foundation ��`�"`� � ti<. !!GYi•" /.................. .... ............................. Exterior .. " '.:!.ti;5..��.r......... ...........................Roofing � �G!sr� ..5.�7.!.r!���.../Y.5............................... Floors ................../..........................................:......................Interior ...........�'�?. .eri�I.................................................... HeatingD,�iP...............................................Plumbing /�-`D/Y`P....................�.. .................................................................................. Fireplace i,� .............................................Approximate Cost 4 d y Definitive Plan Approved by Planning Board ________________________________19________ . Area ..........'�7 .................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF'BOARD OF HEALTH r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ......................................... Construction Supervisor's License .................................... i WILSON, JAMES R. A=209-31 4 z No .. 3.9 Permit for ADDITION Breezeway & Garage .......................................................................... Location 43 Long Pond Circle ............ ................... Centerville ............................................................................... James R. Wilson Owner .................................................................. Type of Construction ......Frame .................................... Plot ............................ Lot ................................ Permit Granted ..._.November 6... 19 86 Date of Inspection ....................................19 Date Completed ......................................19 ' i „ fiLc`V - 173 TdOtt 10 C. 44 14- 15.21 t Y. r 2 50 ov V. 74AIA� emAnEz� 14, 91 !Ja' / ; -• .... ,�`�-. TEE ” SN�LL 'BE CAST I 7'0 8F ''4'Sf,:i_CF_:, 314 A � g r • t rat " LEVEL ,STABLE BA.x� � TE M �: � � "" '-.ram.. — �- -\•, � �ti � \ J / ... ..-,._.. 77 // Ly "bL 4 E \ \ / /3 .1. 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