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It It t. l� IF fill It s ' r'. _ I'.. 11 r. _,. ! ..•' _ n k{.yrr.r. _ ❑ { . •l, ' I r r, 11 S; T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 4 0 SUiLDfNG �EP'� pp A lication # ~�K� 1 1-7 I - Health Division Date Issued. M AY 0 5 2016 Application Fee Conservation Division p� Planning Dept. TOWN OF BARNmAB Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH. _ Preservation/ Hyannis Project Street Address 5A B aer� Village, C s4__ tflr;I1e Owner • 4d w a t A —�I e Ih o f Address z) o n e. Telephone C2 0 a Permit Request 12W �-38 cet w%tese_. ce 4jc. V 3% k bersbJ aA► ?,-I9 A��p��ass tl,L ,�, f��� �-'�9 �►�0 �r �n� �'�0 r�ci� iAsw�r����on ct(-r'r o I ne tad 65CA �: w4 X&41 -� A. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Do 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full q Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) .Name W11ULIMM MCC , area Telephone Number ' g8 6 4 ' t Address D f�LA-j) r�Are License# :�:-C L 0 e`� JT% S, KrlotfiW4� r I'l A, 46 Ll Home Improvement Contractor# t �� 38 0 Email Worker's Compensation # W C 0$ 554 0 3-0 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1 c�r�►oU�'�'h SIGNATURE DATE S G FOR OFFICIAL USE ONLY r F APPLICATION # 4 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED_, OUT ASSOCIATION PLAN NO. Town of Barnstable Y Regulatory Services BuRding JDi isi+�n . t Tom re ty,Buf&M Commissioner 200 R6k Sheet;laymais,MA U601 w"Ao*n barnstaWe mra ns OM= 508-862-4038 Fax: sos 790-623a Propedty OwnerMust Complete-and Sig>a Tl is Section If UA=ABuilder x r, � arZa A .�il�o r►a rt s ;as owwcf tbe.-Swiecrprolmy herebyaur&orize C A-f->r, - S a%j rz. in ali man=relative to.work au&orized by this building perink application far. �{ll PI &X b T CE tJ TZW wE. NSA- (Aiddress,of-job), "-Pool fences and alarms 2M lie resPOWMEyof the ipp>ic= Pools afire not to be f Med or imTmed before-fe=is:insmUed and all final. inspections are perfQmned and acct ptecL Signamm of Owner Sigaatare.of Applicant , f X �o w o �_ .IZtow►�5 Print Name P&t Namee Date a S�aqq Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 8/18/16 Thomas Perry CBO Town of Barnstable Building Division 200 Main St. ' Hyannis,MA 02601 HE: Insulation Permit 16-1171 LLJ Dea`�'fx MtePerry cn This affidavit is to mortify that all work completed for 248 Pine Street, Centerville has been inspectedo'by a thirdyparty Certified Building Performance Institute(BPI) Inspector. os All work performed meets or exceeds Federal and State Requirements. Sincerely,, William McCluskey Town of Barnstable *Permit# -I Regulatory Services F�rres6monrhs ee ;emu da 111,averw,E. Thomas F. Geiler,Director ESS IT Building Division O C T 2 2 2008 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www.town.batnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Z Z< �1� (� Property Address Rzfn [Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Y rn e, 5 D cti Ge_(mod h O y-kicL Contractor's Name �h'l � :7rU e-70ri Gt� yiC- Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) �D ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ the Homeowner M Ihave Worker's Compensation Insurance Insurance Company Name ��✓L�1 Workman's Comp.Policy# O J 0 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ice---� Re-roof(stripping old shingles) All construction debris will be taken to -r ❑Re-roof(not.stripping. Going over existing layers of roof) ❑ Re-side Q-Replacement Windows/doors/sliders.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 Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: C:\Users\dewU*\AppData\LocalMcrosoR\Windows\TemporaryIntemet les\Content.Outlook\MY7NB4IL\EXPRESS.doc. Revised 100608 BUWffAMX Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,'CBO Building Commissioner- 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:_ 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 140, ►'1 fps ,as Owner of the subject property, hereby authorize �U t L"jZ'y to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 1 b - a 2--a40 Signature of Owner Date Print Name UProperty Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Usas\dec U\A"DataU.ocalMcmoft\Windows\TemporaryIntemet Files\ContentOutlook\MY7NB4II.\E}PRESS.doe Revised 100608 TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION Ma Parcel' ® ® Application #c�p Health Division 006,G yo Date Issued b. ? Conservation Division � - h�.,�Z�:�rn .,^f�► ; Application Fee Planning Dept. Permit Fee ` Date Definitive Plan,Approved by Planning Board Historic.- OKH Preservation/ Hyannis Project Street Address /`Z qe R ee 5 t Village Owner ec.,9" Address P/,-7C S rr Telephone p Permit Request ? TOC ct a ces-s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 2 Zoning District Flood Plain r Groundwater Overlay Project Valuation Construction Type WoO Lot Size �� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family, •© Two Family ❑ Multi-Family(# units) A f 7 e o Existing Structure � Historic House: ❑Y 9 9 e es &No On Old King s Highway: ❑Yes 0<0 Basement Type: C"Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1? ;!& Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing /_new First Floor Room Count Heat Type and Fuel: ® Gas ❑ Oil ❑,Electric ❑Other Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coral stove;❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑R sting Omew� size_ Attached garage: ❑existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ CA 01 Commercial ❑Yes YNo. If yes, site plan review# Current Use Proposed Use --•APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Cwf n&(" 1C iiQ Telephone Number Address 65 Ili vt License# o _ Home Improvement Contractor# Z Gel D 2 6 -( ?_ Worker's Compensation # UL3 9glx 761'� 7'O8, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO VX0 SIGNATURE -e— DATE /(/ Z a Z _ i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` 6 z MAP/PARCEL NO:, ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ti ~t FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL rr GAS: ROUGH FINAL t yFINAL BUILDING , DATE CLOSED OUT _ ASSOCIATION PLAN NO. ,yam jKE ref �s ` 'own of Barnstable lARNSTABLE, • . "`^ . Regulatory Services AlF°►��A Thomas F. Geiler,Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete.and Sign This Section If Using A builder as Owner of the subject' property hereby authorize V k; La to act on my behalf, in all matters relative to work authorized by this building pemut application.for. (Address of.Job) )ignature of Owner Date Q-0V1 KS ..3 nt Name ):\WPFILES\FORMS\building permit forms\EXPRESS.dOC ;evise020108 Town of Barnstable 0fIRE t, o Regulatory Services : Thomas F. Geiler,Director BARNSTABLE, ; - - 9�A All Division rFD µPS Tom Perry,Building.Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemp 1 n for"homeowners"was extended to include owner-o cu led dwellui s of six units or less and to allow homeowners engage an individual for hire who does not posse a license,provided that the owner acts as �x� supervisor. DEFINITION OF HOMEOW �R Person(s) who owns a parcel of Ian n which he/she resides or irate s to reside, on which there is, or is untended to be, a one or two-family dwelling, attach or detached structures a essory to such use and/or farm structures. A person who constructs more than one home a two-year period all not be considered a homeowner. Such. "homeowner"shall submit to the Building Offic' on a form ceptable to the Building Official,that he/she shall be. res-ponsible for all such work erformed under the b din rnut. (Section 109.1.1) The undersigned"homeowner" assumes responsibility r c npliance with the State Building Code and other applicable codes,bylaws, rules and regulations. The undersigned"homeowner"certifies that he/ e understands the of Barnstable Building Department minimum inspection procedures and require nts and that he/she will co ply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-farTul dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Sect' n 127.0 Construction Control. HOMEOWNER'S EXEMPTION work for which a building permit is required shall be exempt from the provisions The Code states at: "Any homeowner performing g of this section(Section 1 .1.1.-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such (S � work,that such Homeo er shall act as supervisor." Many ho owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix ar Rules&Regulation for Licensing Construction Supervisors,Section 2,15) This lack of awareness often results in serious problems,particularly when the homeo er hires unlicensed persons.In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The omeowner acting as Supennsor is ultimately responsible. To etiisure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the home vnet certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currentl used by several town You may.care t amend and adopt such a form/certification for use in your community. . Q:\WPFILES\FORMS\homeexempt-DOC w M1 The Town of. BA:instable . Growth:.Management Department ' 367 Main Street,'Hyannis,MA 02601 Office.:508-862-4678 Fax:508-862-4782 � BARNSfABi�; • 1►tess.. Transmittal Memorandum Date: May 14,2013 To:. Zoning Board of Appeals Members: Laura F. Shufelt, Hearing Officer,William H.Newtons Craig G.-Larson,Alex M.Rodolakis,.BrianYlorence, George T. Zevitas; From: Cindy L.Dabkow Program Coordinator' Reference: Transmittal of Accessory Affordable Apartment Program Comprehensive Permit decisions rendered May 8,2013 On behalf of.the:Hearing Officer;I.am transmitting to you copies of the comprehensive permit decision rendered on May:8,2013,pursuant to the Town''s Accessory Affordable.Housing Program and MGL Chapter 40B. This transmittal is being made,:in accordance with Section 241-47.5.E of the Administrative Code of the Town for your review. In accordance with.that section,these decisions will become'effective 14_days from May.22,2013,unless a member discovers that the decision:is.erroneous as a matter of law and the Board determines that the permit should be reversed. Any concerns or comments you may have should be directed to.my attention directly at 508-862-4743.. Attachments: Appeal No.2012-069 Brown Chapter 40B Comprehensive Permit Mitchell B.and Kera M.Brown have applied to the Zoning Board;of.Appeals for a Comprehensive Permit pursuant to MGL Chapter 40B and in accordance with Section 9-15 of the Code of the Town of Barnstable,the"Accessory Affordable Apartment Program." The applicants are seeking to utilize.a one bedroom apartment located within the detached garage located to the left,rear side of the home as an Accessory Affordable.Apartment. The property is addressed 238 Craigville Beach Road.Hyannis,MA and is shown on Assessor's Map 267,as Parccl 120. It is in RB-Zoning District. Appeal No.2012-068 Johnson Chapter 40B Comprehensive Permit Peter and Jane Johnson have applied to the Zoning Board of Appeals fora Comprehensive Permit pursuant to MGL Chapter 40B and in accordance with Section 9-15 of the Code of the Town of Barnstable,the".Accessory Affordable Apartment Program."The applicants are seeking to utilize a studio.apartment located within the.attached garage.located to the.left,.side of the home as an Accessory Affordable Apartment. The property is addressed,7 Penelope`,Lane Cotuit,MA and is shown on Assessor's Map:039,as Parcel 044. It is in RP'-Zoning District. Comprehensive Permit No.2610-29 DeMello issued.January 12,2011 to Adiles DeMello for 50 Pine Grove.Avenue Hyannis;.MA 02601. The property is shown on Assessor's Map 290 as.parcel 018=001. It.is in RB Zoning District. ` Comprehensive Permit No.2012-018 Thomas issued January 30,2013;to Howard A.and Nancy.J.Thomas for 248.Pine Street Centerville,MA 02632. The property is shown on Assessor's Map 228 as parcel 040. It is in RD-1 Zoning District Copy: Elizabeth Jenkins Principal Planner Carol Puckett,Administrative Asst K�r MABB. p . BARMABM 679,%0. 'h1Ar Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2012-018—Thomas Decision - Chapter 40B Comprehensive Permit Summary: Comprehensive Permit No. 2012-018 Thomas is rescinded Date: May 8,2013 Applicants: Howard A. and Nancy J. Thomas Property,Address: `248 pine Street Centerville,MA Assessor's Map/Parcel: Map 228, Parcel 040 Zoning: RD-1 Zoning District Recording Information Deed Reference: Book 26517 Page 333 Background: Comprehensive Permit No. 2012-01.8 was issued January 30, 2013 to Howard A. and Nancy J. Thomas. The permit was issued under the Accessory Affordable Apartment Program pursuant to Chapter 9, Article II of the Code of the Town of Barnstable. The permit was issued to utilize a one bedroom apartment located within the main house. The permit and the Regulatory Agreement and Declaration of Restrictive Covenants were not recorded During the month of February 2013 Howard A. Thomas communicated via telephone calls that he would be unable to complete the Accessory Affordable Apartment Program Process. On April 9, 2013 the program coordinator sent written correspondence to Howard A. and Nancy J. Thomas explaining the Accessory Affordable Apartment Program rescind process and requested the submission of fees and postage associated with holding a show cause public hearing. The program Coordinator took steps to hold a show cause public hearing. Procedural Summary: . A public hearing for comprehensive permit no. 2012-018 was duly advertised in the Barnstable Patriot on April 12, 2013 and April 19, 2013, and notices were sent to all abutters in accordance with MGL Chapter 40B: On May 8, 2013 Hearing Officer Laura F.-Shufelt opened the public hearing. The applicant, Howard A. and Nancy J. Thomas, was not present at the hearing: Cindy Dabkowski, Program Coordinator was present. Ms. Shufelt reviewed the file and ruled to rescind comprehensive permit No:2012-018. Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2012-018 Thomas Findings of Fact on the Comprehensive Permit: At the hearing on May 8, 2013 the Hearing Officer made the following findings of fact: • During the month of February 2013 Howard A. communicated his decision to discontinue his participation in the Accessory Affordable Apartment Program. • On April 9, 2013 the program coordinator sent written correspondence to Howard A. and Nancy J. Thomas explaining the Accessory Affordable Apartment Program rescind process and requested the submission of fees and postage associated with holding a public hearing. • At the hearing on May 8, 2013,the Hearing Officer determined that the-comprehensive permit issued to Howard A. and Nancy J. Thomas for the property located at 248 Pine Street Centerville, MA is rescinded. ' • Said property shall revert to the use currently permitted under zoning. • Howard A. and Nancy J. Thomas shall apply for all building permits necessary to comply with zoning Finding Summary: Based upon the findings, the Hearing Officer ruled to rescind Comprehensive Permit No. 2012- 018 Thomas Comprehensive Permit 2012-018 has been rescinded A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Part I1, Section 4.02 and Part III, Section 3.72. If after fourteen(14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Towri Clerk. Appeals of the final decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. Laura F. Shufelt, Hearing Officer Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts,. hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenri der,:Town Clerk , 2 pF1HE 1py, Town of Barnstable Regulatory Services • BARNSTABLE, y MASS. Thomas F.Geiler,Director rED tea. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 6, 2007 Howard Thomas 248 Pine St. Centerville, Ma. 02632 RE:f248 Pine St., Centerville,MA, Map228 Parcel 040 Dear Mr. Thomas: It has come to the attention of this office that a pool was constructed on the above referenced property without the benefit of a building permit. Additionally, the pool is not in compliance with the required setbacks. You must apply for a building permit or remove the pool. You have until April 30, 2007 to comply or be subject to fines levied in the amount of one hundred dollars for each day of non-compliance. Thank you for your anticipated cooperation in this matter. If I may be of any assistance to you or if you have any questions, please call (508) 862-4034. By Order, *eyaL. Lauzon Local Inspector Q:zoning5 �;Ie ST. / t" LAW OFFICES OF Lns- JOHN R. ALGER, P.C. ,/p- D // ATTORNEY AT LAW its 5 PARKER ROAD P. O. BOX 44S OSTERVILLE, MA 02655-0449 a 3 P,'4e S r' TELEPHONE(SOS)428$5e4 FAX(50e)420-a162 V August 19, 2004 3-5 T4eV;ty Mr. Thomas Perry �i l ✓ Building Commissioner Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Dear Mr. Perry: Robin suggested that I write you and explain what it is that Stephen O'Brien and O'Brien Centerville Insurance is trying to accomplish. Currently O'Brien Centerville Insurance Company owns Parcel 11 on Map 248. Parcel 12 adjoining it on the west is owned by Stephen and Barbara O'Brien and parcel 10 adjoining it on the south is owned by Shirley O'Brien, Trustee. Recently Jay O'Brien retired from Centerville Insurance Agency which is now owned entirely, I believe, by Stephen. In order to separate the business from the residence they propose to take the back 50'x60' section along Trinity Place and add it to the Shirley O'Brien parcel so that Shirley would have land enough to construct a garage. Adjoining that would be a 50'x90' piece which would be added to the parcel owned by Stephen and Barbara O'Brien which would give them access from Trinity Place and the ability to construct a garage on their property at some date if they so desire. There would remain a single parcel, 50'xl50', which would be the parcel that would be non- conforming business. In other words, the business parcel would be reduced but the other two parcels, which are non-conforming,would be increased in size.' Since there is no construction and only the conveyance of vacant land, I believe it was Art Traczyk's feeling that you might waive the necessity of Site Plan Review. The proposed petition will not affect the business in any way nor its parking nor any other feature. Very truly yours, JRA/bt l Enclosure c.c. Ms. Robin Giangregorio Mr. Arthur Traczyk Mr:Stephen•O'Brien {_ F .t4 File Edit ,View Insert fix Format Records TOOIs=^ Window Help, * " r� 0" e Typo a question for hel (•r. "a, r. ',t`�`-w, y >: -r; 'y r ? I.ahsq... r � ', A' "'`�1_- h±7..,�. ©;=z ..®as �;, -' ZtA� �✓xy:"s ��a� •x� t=��7� v �4 cn'�y ,p-' , - r, r ,. 'a . �»�w � ► �4 m r r - ri, �C Preview Design New, X o r, 0,1 j., y Oti�ects C m--Create r.eoort_ Desran view ..❑ Tables _71, 117 EM �❑ x 5x VVY , t;F �^ ,� � � 'z� y M� .._<r x� �'' .:.r'�•; � �.,k. ..ram ' ,w` a��. � `•'� w+ q, '� y ro 4 JI ❑ orms ;.. Jp z 'Apo6allr.oir Permit No 1994.065 Appeal Special Permit Status Family Apt r 4� i , LaSI }?nz's Pagers J Applicant pp Thomas V a 441 %Macros . Addy ' ? � t �Addr� '248 Pine Street ' �' Modules `, la" r n, Village. aCenterville MA 02632 Groups L � � s ry t .Aff Rec ed t 01J18J2012 -Ma P Par , �' ¢tea : Demsron Book 09344 Page 0067 f. ',f. _'s ,x -"sue,*i$ ..a +�- t '.;,. k. "•o-e,kwd .. ',,' a� �*� " Notes: pt 2010 Kimberly&Jeremy Hersey(daughter&son m-law), ,. ,'. formerly-Mary E.Thomas[mother).1J30J2012 Homeowner(sJ ri were i�e.they-are.selling their home. - v � Closeq� p r Record,• r� °/ 309j ►f ► 'ofa, :r `337 '" I�'a,^, `,.: F . �a" r, ° � u E' rz g'� v a � '�'s2ar ~ *°.'�� .'� ,��, �' �"" •. ter " '.., J, A . e---- or Vrew r .. a Y 3-11 �c srs , NUM , }�5tart � Main Syste t Inbox Mic. ,! 1 Reminder Appticahon Parcel'Detai FAM,;Dated f MamMeny family„apt ® il 44 AM, oFTME The Town of Barnstable Department of Health Safety and Environmental Services I s RAMSr„D14 : Building Division ' AM 059. 367 Main Street, Hyannis MA 02601 ArEp MA'S A ' Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission January 21, 1998 The Thomas Residence 248 Pine Street Centerville, MA 02632 Re: Family Apartment located at the above address Dear Mr./Ms.Thomas, Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by February 15, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, (? Ralph Crossen Building Commissioner Town of Barnstable Zoning Board of Appeals Decision and Notice Special Permit - Family Apartment Appeal No. 1994-65 Application Summary Granted with Conditions Applicant: Howard A. and Nancy J. Thomas Address: -.28 pine Street, Hyanni , MA 02601 Status: Applicant is beneficiary re Trust Agreement of Mary E. Thomas Trust. Property Owner: Mary E. Thomas (owned 53 years) Property location: 248 Pine street, Centerville, MA 02632 Assessor's Map/Parcel: 228-040; 0.33 Acres Zoning: RD-1 - Residence D-1 District Zoning overlay District: AP - Aquifer Protection District Applicant's Request: Special Permit - Section 3-1.1 (3 D) Family Apartment. Activity Request: The applicant is proposing to use part of an existing home plus an addition for a family apartment for his mother. Procedural Provisions: section 5-3.3 special Permit Provisions. Background: The locus is on Pine Street one lot east of Horatio Lane in Centerville. According to the assessor's field card the parcel contains 0.33 acres and has a 2,400 sq. ft., one and 3/4 story dwelling with 5 bedrooms and two baths built in 1920. The proposed one bedroom family apartment is to be located on the first floor in the 22 ft. by 17 ft. addition at the rear of the dwellling [containig a new bedroom, bath, and laundry] and in the remodeled existing first floor [containing a kitchen and living room] . A sketch Plan labeled "1st Floor with Addition - new structure 17 by 22" showing the area of the addition and the proposed family apartment is submitted with the application. Procedural Summary: The application was filed in the office of the Town Clerk and at the Zoning Board of Appeals office on June 7, 1994. A public hearing, duly noticed under MGL Chapter 40A, was open on July 20, 1994, at which time the hearing was held and a decision to grant the appeal was made. The appeal was heard by Board Members: R. Barry, R. Jansson, G. Nightingale, E. Glynn and Chairman R. Boy. Howard Thomas representing himself requested a family apartment for his mother. He reviewed the plans he submitted to the file for the Board, had checked his setback requirements and is not in violation of any Zoning Ordinance. He acknowledged the need for a Title V upgrade as he already spoke to the Board of Health Department. He read the staff report and agreed with 1 , Decision - Appeal No. 1994-65 special Permit - Family Apartment: Thomas ,.all -the terms except the full buildout condition which he requested be dropped as he was hoping to build a second story someday. R. Jansson said the request sounded reasonable. He asked Mr. Thomas if he had read and understood the zoning Ordinance regarding family apartments. Mr. Thomas said yes he had. Letters from abutters in favor of the request were acknowledged. Public comment was requested. There was none. G. Nightingale gave the FINDINs: 1. The petitioner has complied with section 3.1-1 (3D) for family apartments 2. A deed has been submitted to the file naming Mr. Thomas as owner of the property. 3. The applicant, Mr. Thomas understands the conditions of a family apartment and he has complied. second: E. Glynn R.Jansson wanted to add a finding: 4. That in granting this relief sought it would not be detrimental to the neighborhood. second: E. Glynn The VOTE was as follows: AYE: R. Barry, E. Glynn, G. Nightingale, R. Jansson and Chairman R. Boy. NAY: None ORDER: A motion was made by G. Nightingale and seconded by E. Glynn to grant Appeal No. 1994-65 with the following conditions. 1. The deed presented naming Mr. Thomas as owner of the property be filed at the Registry of Deeds and a copy submitted to the Boards office. 2. The family apartment be built according to plans submitted to this Board. 3. in the event of a violation of the family apartment ordinance a show cause hearing will be ordered and this Board retains the right to review this application and revoke the permit if necessary. The VOTE was as follows: AYE: R. Barry, E. Glynn, G. Nightingale, R. Jansson and Chairman R. Boy. 2 Decision - Appeal No. 1994-65 Special Permit - Family Apartment: Thomas .NA:Y: None This special Permit must be recorded at the Registry of Deeds and the petitioner has one year in which to exercise the Permit. Appeals of this decision, if any, shall be made to the Barnstable superior Court pursuant to MGL chapter 40A, section 17, within twenty (20) days after the date o the filing of this decision in the office of the Town clerk. Richard Boy, Chairman VDate signed I Linda Leppanen, 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 19 '? under the pains and penalties of perjury. � o Linda Leppanen, Town Clerk cc: Applicant Building Commissioner Board of Health ZBA File 3 < I%, I I«. . . . . . . .A-" , '8'8' ; '<'<'C: \DATA\WPFILES\NORMAL.STY. . . . . . . . . . . . . . . . . . .HPLASER'='@' ,TIID"Sw' '9'8' 'u"Town of Barnstable Zoning Board of Appeals Decision and Notice Special Permit - Family Apartment Appeal No. 1994-65 Decision - Appeal No. 1994-65 Special Permit - Family Apartment: Thomas Application Summary Granted with Conditions Applicant: Howard'A. and Nancy J. Thomas Address: 128 Pine Street, Hyannis, MA 02601 .` Status: Applicant is beneficiary re Trust Agreement of Mary E. Thomas Trust. Property Owner: Mary E. Thomas (owned. 53 years)• . Property location: 248 Pine street, Centerville, MA 02632 Assessor's Map/Parcel: , 228-040; 0.3.3` Acres Zoning: RD-1 - Residence D-1 District Zoning Overlay District: AP- - Aquifer Protection District Applicant's Request: Special Permit - Section 3-1.1 (3 D) Family Apartment. , Activity Request: The applicant is,,proposing to use "part of an existing home plus an addition for a family apartment for his mother. Procedural Provisions: ` Section 5-3 .3 Special- Permit Provisions. Background: The locus' is on Pine Street one lot east of Horatio Lane-in Centerville. According to the assessor's field card the parcel contains 0.33 acres and has a 2,400 sq. ft. , one and 3/4 story dwelling with 5 bedrooms and two baths built in 1920. The proposed one 'bedroom family apartment is to 'be ,located on the first floor in the 22 ft. by 17 ft. addition at the rear of the dwellling [containig a new bedroom, bath, and laundry] ,and in- the remodeled existing- first floor [containing a kitchen and living room] . A Sketch Plan labeled "1st Floor with Addition - new structure 17 by 22" showing the area of the. addition and the proposed family apartment is submitted with the application. Procedural Summary: The application was filed in the office of the ,Town Clerk and 'at the Zoning Board of Appeals office on June "7, 1994. A public hearing, duly noticed under MGL Chapter 40A, was open on July 20, 1994, at which time the- hearing .was held and. a decision to grant the appeal was made. -The appeal was heard by Board . Members: R. .Barry, R. Jansson, G. Nightingale,- E. Glynn and Chairman R. Boy: Howard Thomas representing himself requested a family apartment for his mother. He reviewed the plans he submitted to the file for the Board, had checked his setback requirements and is not in violation of any Zoning Ordinance. He acknowledged the need for a Title V upgrade as he already spoke to the Board of Health Department. He read the staff report and agreed with all the terms except the full buildout condition which he requested be dropped as he was hoping to build a second story someday. R. Jansson said the request sounded reasonable. He asked Mr. Thomas if he had read and understood the Zoning Ordinance regarding family apartments. Mr. Thomas said yes he had. Letters from abutters in favor of the request were acknowledged. _ Public Comment was requested. There was none. ° G. Nightingale gave the FINDINS: 1. The petitioner has complied with section 3 .1-1 (3D) for family apartments' 2 . A deed has been .submitted to the file naming Mr. Thomas as owner of the' property. 3 . The applicant, Mr. .Thomas understands the conditions of a family apartment and he has complied. Second: E. Glynn R.Jansson wanted to add a finding: 4. That in granting this relief sought it would not-be detrimental to the neighborhood. Second: E. Glynn The VOTE was as follows: AYE: R. Barry, E. Glynn, G. Nightingale, R. Jansson and Chairman R., Boy. NAY: None ORDER: A motion was made by G. Nightingale and seconded,by E. Glynn to grant Appeal No. 1994-65 with the following conditions. 1. The deed presented naming.Mr. Thomas as owner of the property be "•filed at the Registry of Deeds and a copy submitted to the Board's Office. 2. The family apartment-be built according to plans submitted to this Board. 3 . In the event of .a violation of the family apartment ordinance a show cause hearing will be ordered and this Board retains the right to review this application and revoke the permit if necessary. The VOTE was as follows: , AYE: R. Barry, E. Glynn, G. Nightingale, R. Jansson and Chairman R. Boy. NAY: None This Special Permit must be recorded at the Registry of Deeds and the petitioner has one year in which to exercise the Permit. Appeals of this decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision in the office. of the Town Clerk. Richard Boy, Chairman Date Signed I Linda Leppanen, 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 19 under the pains and penalties of perjury. Linda Leppanen, Town Clerk CC: Applicant Building Commissioner Board of Health ZBA File QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 01/21/98 PERMIT NUMBER 7923 PARCEL ID 228 040 248 PINE STREET PERMIT TYPE BELEC WIRING PERMIT DESCRIPTION 1417 WIRED NEW IN-LAW APT. CONTRACTOR PERMIT FEE 0 . 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE 1 APPLICATION 12/09/1994 EXPIRATION VALUATION 860 . 00 DATE ISSUED 12/09/1994 COMPLETED 02/28/1995 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT Assessor's office(1st Floor): / Assessor's map and lot number . U f� Al T"jr to Conservation(4th Floor): "4ZZIL221 ' Board of Health(3rd floor)* :.a fi DA8I7T�DLL i Sewage Permit number 9 �f�,^,, 1 •d �� � rua Engineering Department(3rd fluor)::; m �b ' A^f eon p 63°t ,y `l q �( t House number' Definitive Plan Approved by Planning Board APPLICATIONS PROCESSED 8:30.9:30 A.M.and 1:00-2:00 P.M.only TOWN ' OF BARNST�A;$ . ; t -BUILDING ' INSPECTOR APPLICATION FOR PERMIT TOJO i TYPE OF.CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use ke, lr Zoning District �_� /�1 Fire District Name of Owner dwr��o �i 5 Address 112 Name of Builder d1-6 Address-- Name of Architect Address Number of Rooms Z Foundation Exterior 141OOA Roofing Z ywr ��/"� ✓�� — Floors Interior Heating Plumbing. Fireplace Approximate Cost Area x �� Diagram of Lot and Building with Dimensions Fee A�A 6/X 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. Gc/�C Name N Construction Si ipervisor's License ®�y 7, d l -THOMAS, HOWARD A a Nd 37088 Permit For ADDITION 248 Pine Street Location Centerville _ Owner y Type of Construction ; Plot Lot Permit Granted, Oct. 5, 19 . 94 Date of Inspection: - Frame Insulation 19 Fireplace 19 Date,Completed 19 { ICE ' t _1 1 Waap lraP5 -T rE ! - .f, _ -rt4Ar ' Tt-tE_ Ql ,rtc3.[.t tie., 5uorvu Pt.A Tzs1re zewcE - SZ:MCW CCOAPLYS W ITN TNf� •$lv�.LtwE ,uD;SCzT$�C1C aEQVIREMENTS bF Tµia fd�A�t.� Wt Tt-i t V4 �rt_o010 PLAW �A ott :t3�6.XTCtZ #�. uKE' tUc. f til.' 4, � 7., C. I.�t REGtStUZi=b .`CA415 Cp4-Aw !S UoT Bn.SEv 0�4 Au OS-TEtZv%t_L.F-:- o /lr{ASS. zIT�C7.t�EtJTQVc�{ f Z'S�C O�CS�'�S St-to!uL7D APPL I ;'c"---E�S USUO To Va rGP_Mt;lC . LOT 1,lWal-, MATCH EXIST. 22-2X4 FLYING RAKES PLATE (MATCH EXIST. X TYP X8 TYP XQ TYP PLATE HGT.) 2—2X R 1 1 INSUL. SILL XI TUD PI'0. - 2X4 PLATE MATCH S COX SHEATH. DING TO EXI - 2X6 PT SILL 2X12 FLOOR JOISTS 0 12'O.C. w/SILL SEAL 8' CONC. FOUND. 8"X16' CONC. FTG. 4" CONC. SLAB REAR WALL FRAMING 4 = 12 1� X12 RAFTERS 2X4 KNEEWALL 2X8 CEILING JOISTS W/R19 I EXIST. TRIM) XB TYP 3-2XI2 HEADER @ NEW OPENING 2-2X SILL ST S 0 . 2X12 FLOOR JOIST TYP. XIST, BOX FAND SUBFLOOR (MATCH FLOOR HGT.) e d (EXIST.) LIVING ROOM 2'-10l/• }•.0- (NEW), KITCHEN 12'-0• (NEW) STORAGE CLOSET 3-2X12 ua HEADER Y-6• @ NEW OF FNING (NEW) EXIST. LAUNDRY KITCHEN o'-m C� (NEW) 5.o BEDROOM e 5-0 B H m BATH OO 6T -o� jai i 7 ffrn REAR ELEVATION LINE OF EXIST. FOUND. --/ REMOVE EXIST MATCH EXIST. HEIGHT 8' I I BULKHEAD CONC. WALL I I I I 1 I I I 1 I I � I 1 � I b �= 16' X 8' I I LINE OF EXIST. FOUND. s CONC. FOOT. I I I I I I I I m I I I 1 I BSMT. WIND.<TYP-J I I L_ I I I I -————— --—————— I I I I I II'.3 —————— INEW I I IBILCOIlo- .C. I I 7'-- 22'-5" a , :. a ., Pik - ,. :;'• , +s 3 c ih � .:i <7 -ii It i! x i , �4'!r}Hi :;,'YI � �:F M1ft +4YI i�Fa"If f4�{...l�t •i �. yeF. F,�•,• Town of Barnstable Building Department } Brian Florence, CBO 1WWMASSffrABM Building Commiss � g TQfl Of BARNSTABLE sbg 9. ♦0 200 Main Street, Hyannis,MA 02601_ www.town.barnstable U4AN 18 "PM A.'56 Office: 508-862-4038 Fax: 508-790-6230 MVISION Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is k4ow��1p ow►�3 S I am the owner/resident of the property located at: IK) le7 S 1 . GFWTGYtv V r I. L 9- , 04 A-- O Z C. 3 Z The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ��I 1Yl i3 6ri L y T 14mM y S C 0 PVC>i{'1'E12, 1 Name &relationship to owner: 144 y_ i t4 OIM A S &A h A_,J So,,,) 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 andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this 19 day of SAa 2018. �Q 6-0%--)1759-67 57 Signature Phone Number Print Name IAOu--A-XY) q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable Regulatory Services Tgytio Richard V. Scali,Interim Dire �P � Or 7A s �- BLE Building Division BARNSTABLE, ' Thomas Perry, > • ; t CBO Building Comnfits's 0#0 a Art if," 00 y MASS. 4, i639' Aim 200 Main Street, Hyannis, MA 02601 ArFO MA'S www.tow n.b a rn sta b le.m a.us Office: 508-862-4038 DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 96WA 0 OYhriS I am the owner/resident of the property erty located at:- gqV P1jue ST. GF-WTQZVj Lt.F The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 141 m$CAL Y OHOM g'5) 14;riSA/ L614TCX Name &relationship to owner: J&/L E ?'NoM AS — GXA-cv osow 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 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 Co A day of J-K% t*RRY- 2014. SL_ 60 s 7 -a7 Signature Phone Number Print Name od"Q-0 k '(>M 6 5 q:forms/famaffid.do c rev 11/08/11 T Regulatory Services rq Thomas F `Geiler,Director- ,,-, Building Division Thomas Perry, CBO;Building CommissionerKAM , afl a , 6.79. 200 Main Street, Hyannis,MA 02601 ''' - www.town.barnstable.ma.us J } Office: 508-862-4038 F Fax: 508 790=6230 Town of Barnstable Family Apartment Affidavit , I,being on oath, depose and state as follows: My name is I kamiys I-amthe owner/resident of the -property located at: 8" `Plums The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address. V.1 WK lb (IX-1 Name &relationship to owner:`Tim -EMI (-Ati6 Name&relationship to owner:: 1L`J L 6 Tom+*S SPA sC14--) 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. z 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.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 Amnes Pro am(App eal No. ) tY gr Other Sworn to under the pains and penalties of perjury this o day of f Do RY.2013. Signature Phone Number Print Name Fin. '• •`�'r"Pc S q:forms/famaffid.doc rev 11/08/11 . ti Town of Barnstable Regulatory Services oFt"E rod Thomas F. Geiler,Director Toiaj�j Building Division W ,,ASS �* Thomas Perry, CBO,Building Commis ' ;�`s 1639' Aim 200 Main Street, Hyannis, MA 02601 Fp Mp`l www.t6wn.barnstable.ma.us Office: 508-862-4038 IVI, ax: 508-790=6230 Town of Barnstable Family Apartment Affidavit T,'being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: 24 S 909f 5`T, The following members of my family will be the sole occupants of the Family'Apartment at the aforementioned address: Name &relationship to owner: LE%+ 1.. -114OMPS (/,9A0a0-OAk1s1V1 .� Name & relationship to owner: The Family Apartment will be the primary year-round residence fo.,r 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 240-473 Family Apartments. I agree to note the Building Commissioner immediately in the event-of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of A\Y6,95 - 2012. Signature Phone Number Print Name a q:forms/famaffid.do c rev 11/08/11 = y I TO N' Or, DA ?r :_ , LE•j c f .•r � 'JS fC 1B F( Z om 2-17241 1470 14 M692451 '#?7.22015 12'!7,199 . THOMAS YLFANKCEAITt t„ �24b PINE 67.: MW - t �. Town of Barnstable Regulatory Services , Thomas F. Geiler, 10 Director ' 1 z�.=he _ Building Division MM& Thomas Perry, CBO,Building Commissfoifer�F4 J 4 039. ,�d; �a 200 Main Street; Hyannis, MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 IIIr Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is p 1I ►A-S I am the owner/resident of the' 4 property located at: !I%$ P J N F ST. Irz The following members of my family,will be the sole occupants of the Family'Apartment at the aforementioned address: !<Iffiseack iDM)"Tep- Name &relationship to owner: WLVYW E+eKx[ -- 5om-iN- LAw Name &relationship to owner: K%J4-a ` ff"W ►S 6,0At%06aw The Family Apartment will be the primary year-round residence for the above-identified family members.,•In the event that the listed relatives vacate said apartment,I will immediately. note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted ­ I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment.°I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments.&I agree to note the Building Commissioner immediately in the event of the sale of this-property. If there is no longer,a'Family Apartment at this location,:please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the ,pains and penalties of perjury this I S day of 3'f+#ucwf 2012.; :. '5D9 -777-67 r8 Signature I Phone Number-I. Print Name-. Nu�rAQyO Q 1M'►�S ,, 4 q:forms/famaffid.doc rev 11/08/11 . r Town of Barnstable Regulatory Services oFT►+e rqq� Thomas F. Geiler, Director : VNW OF B R+'._T1? L m Building Division // ( MUMSPABLE, `- MA Thomas Perry, CBO, Building Commissioner Ar 1639. ��� 200 Main Street, Hyannis, MA 02601 ED Mp`l www.town.barnstable.ma.us uifs 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 ��Du�AiR� . 1�ly,M�IS I am the owner/resident of the property located at: 1 Kw S-f G ?T�RVttL� YMA 02&32 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: 1LIU!' ML,4 C-14"AN) W' — �t411Gr1�ib� Name & relationship to owner: -'IM OMe 14OUgN Name & relationship to owner: ICY Lg- y V005 GQ#tVO So" The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing.of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that 1 am required to comply with all conditions imposed by the ZBA.Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this, g day of -)RNV AfW .20l 1. SOS • '7719-076`9 Signature Phone Number Print Name 410WA" -A&M A 5 ---- -,� _ . ."w—'�+_� W�, +._rr _,..+, �4 x�t� _r r7�.3 z: .. �.. . .-�.... ,.d 4.�G7�)i�",t_r � ... .. _ _9....,, .., .� ..., .... =:r� .� ,.._-+�. _.._. � .. .,. �. ,_. -_ _ .. ... ._ _ � _ - .. _. - - . A/ � � � � r _ -. .. .. . �. . � _ .. '- � v .- ��, .� 1 .................. ..... � p �.:i -;i . .. � 'i.. s C. _ l:�.� / '.xq ` ' �, ' .� ,. � r� _ _ -^�._. it --_ __..�._. .. }II �,14 . .. � ��{ r{ r!{ �� ;fit` �..2,,,.�.--. j . - -:�.. _- �. _ �,j� ��:I� }'I� . � t31ii .. ��; 7:�] ��� . i).j(�( 3,.! S,( �. }. t�!� l); !},� .....: ,. ,,..... ::_,: t I �_� Town of Barnstable pF THE 1p� o Building Department Services Brian Florence, CBO * anaxsrnatE, M" . $ Building Commissioner ?' + � p a�P+y�p p i63q. �m S(f SAE 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us 3 7q1 $$ff ryiff E t u $ 6 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 Rowmto a .-1H-om*s I am the owner/resident of the property located at: AN 9 Gjr-,VQ�VI L Lb o 'ZC. 3 Z The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: .Name &relationship to owner: P J A Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately notify_the Building Commissioner in writing. I understand that no subletting.or subleasing of said FamilyApartment 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 ther 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 pa' . and penalties of perjury this day of rj j4wLVdL ( . 2019. b. - 7-7,-07 S8 Signature Phone Number Print Name 14ov__%AjLr) ( ► % q:forms/famaffid.doc rev 11/08/13 Town of Barnstable - - Regulatory Services Richard V. Scali,Director ' Building Division TO' ARTABI "B Paul Roma,Building CommissionerMAM2017 . ? 16 9. 200 Main Street, Hyannis,MA 02601 www.town.ba rnsta ble.m a.u s Office: 508-862-4038 Djk1 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is 90LA70"&o "maw f► s I am the owner/resident of the property located at:- -2 `TQIW 6 _ G Ytyj Lc.& ..IM o 7_4P 3 Z The following members of my'family will be,the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 44 r1AbML`{ 100MM CMikQ(t tin' Name &relationship to owner: 1 140M S �6�RNA:5 The Family Apartment will be the primary year-round residence for3the above-idented. family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually.with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA,Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no-longer a.Family Apartment at this location,please-explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this 23 day of j{\N 2017. Signature Phone Number Print Name Wpw fk h-0 I►'L tot A S q:forms/famdffid.doc rev 11/08/12 Town of Barnstable Regulatory Services of rqy, Richard V. Scali,Director Building Division 9 ' $ Thomas Perry, CBO,Building Commissioner 1e3y. a 200 Main Street, Hyannis,MA 02601 wwwaown.barnstable.ma.us Office: 508-862-4038 Fax:1508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: P � -Th My name is awl(Lo I am the owner/resident of the -= property located at: Z y P/ 6104iTorzV1 UL9 4 42 26 3 z The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name&relationship to owner: 1 Y►'13A72 L, (7HOMA16 140t5e f ' r oe Name &relationship to owner: 7-Hryo o s 15�_W 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 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 apartineiit has been dismantled.' " The apartment has been transferred to the Amnesty Program(Appeal No. ) . Other Sworn to under the pa• and penalties'of perjury this 2 day of 74jvy,4jZY 2016. p�-?79-6 7 51 Signature Phone Number Print Name S qforms/famaffid.doc . ...., revrl 1/08/12 Town of Barnstable OFZHE lqy, Regulatory Services Richard V. Scali,Director 51 VYIN OF ERA'RNISTABLF BARNSTABIE * Building Division � g MASS. „>j�[j "Z `€) ,_"7 �V i '�: '"9 9 Thomas Perry,.CBO, Building Commissioner'' ED MP'� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is gowit cn I am the owner/resident of the property located at: 2q$ (2,)r s 5 i The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: 1<101l8aZLY(7,YMAS) /4M5�/ �17A W�iT�lz1 Name & relationship to owner: J14L f S IX,-L w KYLE— -04 a-W 5 wYl sow) The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree . to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pain 7 d-penalties of perjury this /2�' day of FL- X VA'f 2015. 60�•77B -0 7S- Signature Phone Number Print Name l`� 1�4�=�" � •` wtd A C. - q:forms/famaffid.doc rev 11/08/11 Town of Barnstable _.: r/ { Regulatory Services oFTHe tp� Thomas F. Geiler,Director Building D l isPiogARNSTABLE r BARNSTABLE, = Tom Perry, Building Co Ill ssione;r, - 9� 69•MASS. � 200 Main Street,H?gn-nrs,M1 A 026011 ' "� pTEO �A www.town.barnstable.ma.us Office: 508-862-4038 DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name isQt�u�'R4 � 5 I am the owner/resident of the property located at: i 6-M -S\ , CW1)TGfLVI L GT�__ The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: 5� �1 Name & relationship to owner: 14.X YV1`t D LJ U'015t7 — b Name & relationship to owner: 'JUNL N-/ 4tW.S" 6 W- 11Q LA w 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 `Z day of 1 kjuL7A { 2010. 772-0 755 Signature Phone Number Print Name �40 M-)A4 fi . ) nVM fl S Q/bldg/forms/famaffid - Rev:l2/08 I /N OF BARI'ITAS'LL-2009 STREET LISTING PRECINCT 4 STNO NAME YOB OCCUPATION V STNO- NAME YOB OCCUPATION 78 BAXTER, LISA CAROL 1962 RN * 301 COGGESHALL, ALICE H 1914 RETIRED 93 KELLY, WILLIAMP 1985 CRANE OPASST * 301 COGGESHALL, DW16HTE 1928 RETIRED 93 SKLAREW, ALIX L 1987 STUDENT * 327 DRYZ, CHERYL A 1946 ADM ASSIST 93 SKLAREW,JACOB SEYMOUR 1984 STUDENT< * 327 DRYZ, DANIEL G 1943 TEACHER 93 SKLAREW, PAUL R 1955 PHYSICIAN 327 DRYZ,JESSE GERMAN 1987 STUDENT 101 MCDONOUGH, ELIZABETHA 1939 * 340 COWLEY, DOUGLASALLAN 1941 RETIRED 101 MCDONOUGH, MICHAELL 1940 * 341 LEPPANEN, SCOTTL 1976 FUNDACCOUNTANT 107 LAWLER, HOWARD B 1935 PROP MGR * 366 HEY, RITA REIN 1912 RETIRED USN 117 MORRISON, STEPHEN A 1962 TRADESMAN * 366 KELLY, NANCY LEE 1947 RETIRED 127 DIAS, GISLENE G 1982 * 366 KELLY, THOMASJ 1939 RETIRED 130 MCFARLAND, LEONAM 1928 RN 422 CAVE-SULLIVAN,.CYNTHIA 1795 130 MCFARLAND, NICOLE M 1966 ACCOUNTANT * 442 GRIFFIN, JAMES J 1932 137 JONES, DARLENET . 1950 HOMEMAKER * 442 GRIFFIN, KATHLEEN 1928 ATHOME 137 JONES, DONALD R 1949 ADV.SALES * 442 GRIFFIN, MICHAEL J 1955 138 GERAGHTY, BRIANM 1956 SEWER * 450 FIALLEGA, DANIELJ 1959 138 GERAGHTY, KATHLEEN F 1967 SYSANALYST * 450 PATTERSON, D RUSSELL 1928 RETIRED * 450 PATTERSON,TERESAG 1936 RETIRED INNEYS LN * 461 SERPICO, DANIEL 1930 MEDIA CONSULT * 461 SERPICO, SALLY ANNE 1935 RETIRED 29 MINK, CLIFFORD E 1936 * 473 DENNEN, DAWN D 1955 NURSE 29 MINK, LOIS C 1938 * 475 CAMPBELL,DEBORAH A 1953 LPN 43 COVILLE, GARY E 1955 UNEMPLOYED * 475 CAMPBELL,-DORA F 1928 RETIRED 43 MARIANO,THERESA 1960 BOOKKEEPER * 475 CAMPBELL, WILLIAM N 1950 DISABLED 73 DESAULNIERS, CHARLES L 1930. RETIRED * 475 . TAYLOR,MARYANN 1958 CHEF 92 NARDINI, DANIEL N 1948 B+B MGR. * 475 TAYLOR,JR JOHN C 1955 COUNSELOR 92 NARDINI, LUCILLE 1948 B+B MGR. * 485 ROCKWOOD, CRAIG T 1950. ATTORNEY. 95 LONGLEY, JENNIFER D 1960 PHOTOGRAPHER * 485 ROCKWOOD, SARAH KAY 1941 95 LYNCH, THOMAS K 1946 ASSIST TOWN MGR 99 HUNT, IAN D 1969 COMPUTERS PINE TREE DR 99 HUNT, JESSICA L 1969 STUDENT 123 HUGHES, JOHN J 1951 * 9 ANDREW, CATHERINE S 1946 BANK VICE PRESI 123 HUGHES, MARIANNE C 1958 * 9 LAWN, THERESA M 1953 NURSING 139 CARPENTER,SARAH J 1990 * 18 BAXTER, LINCOLN S 1957 OPTO-MECH ENG 139 MURPHY, BROOKE ASHLEY 1982 * 18 BAXTER, VICKI ANN 1957 BOOKKEEPER * 18 CIRILLO, AMY E 1986 IE CREST RD 18 VAZQUEZ, LYN ANN 1984 STUDENT * 21 SCHABLIK, JEAN W 1918 RETIRED 9 SERRIELLO, PAMELA S 1970 * 54 MONROY, CELESTE 1956 COMP CONSUL 9 SERRIELLO, R MICHAEL 1968 * 62 AUERBACH, ERIC DANIEL 1989 STUDENT 15 CHASE, KELSEYP 1986 * 62 AUERBACH,HARVEYSTUART 1950 PHYSICIAN 15 LIIMATAINEN,JESSICAA 1983 ADMINASSISTANT * 62 AUERBACH, LINDARABHAN 1952 HOUSEWIFE 23 JONES, GEMMA F 1965 RN * 62 AUERBACH, MICHAEL JOSEPH 1986 STUDENT - 23 JONES, JOSEPH K 1963 RN * 62 RABHAN, ERWIN DAVID 1926 SELF EMPLOYED 23 LLANTO, MARC ANTHONY 1987 STUDENT * 80 MCDONALD, KARENL 1942 HOUSEWIFE 55 OUEENAN, WILLIAM J 1935 RETIRED * 80 MCDONALD, ROBERT W 1943 RETIRED 67 FRANKIO, DENNIS P 1963 * 85 GRISWOLD, DORTE 1938 RETIRED 67 FRANKIO, VILMA 1967 _TEACHER * 85 GRISWOLD, WILLIAM.E 1937 RETIRED 73 RUFO, KRISTEN S 1968 * 103 ACCROCCO, JOSEPH O 1947 RETAILSALES , r, 73 RUFO, PAUL A 1960 * 103 MCGOLDRICK, BETSY 1949 SECRETARY * 141 EICHNER, ANDREW W 1987 * 141 EICHNER, CAROLE A 1961 SCHL PSYCHOL.. + IE ST 141 EICHNER, EDUARD M 1961 ENVIRO SCIENC 168 BUNKER, CAROL 1944 DELI CLERK 141. EICHNER, EMMA K 1991 195 CRAIG, JAMES H 1938 SELF EMPLOYED 195 CRESWELL, DOROTHYA 1957 RETAILSALES PINEY POINT DR 195 CRESWELL, MATTHEW D 1987 STUDENT 195 CRESWELL, STEPHEN W 1956 CARPENTER * 23 MOOS, RICHARD A 1965 FILMMAKER 211 2 MADDALENA,JOSEPHJ 1981 GREENSKEEPER * 23 MOOS, SHAWNAL 1969 FUNDRAISER 211 1A ROWLAND, CHERYL A 1960 TECHNICIAN * 36 MOOS, LORNA CHERYL '1944..SELF-EMP 213 DONELAN, ROSEMARY 1934 CASHIER * 36 MOOS, RICHARD L 1942 INV MGMT 222 WILLIAMS, NANCY H 1946 HOUSEWIFE * 50 FLANAGAN,MARGARETT 1942 SOCIAL WORKER 222 WILLIAMS,SR DOUGLAS L 1947 BUILDER * 50 READY, ROBYN J 1963 223 GOMES,JANE 1795 * 50 READY, WILLIAM MICHAEL. 1958 TEACHER a w 239 BRICKLIN, ALICE G 1942 ATHOME * 89 BORNSTEIN, MAXINEJ 1948 UNKNOWN Afi 241 EWING, REGINA MARIE 1988 * 89 BORNSTEIN, PAUL L 1948 ; 248 =BOROS, LAURIE A 1974 AIR FORCE * 90 CONTI, ETTORE JOHN 1926 RETIRED 248 THOMAS, HOWARD A 1945 BUILD MANAGER * 90 CONTI, MARINA 1935 RETIRED 248 j CTWOMAS,'MARYE. > 7907 RETIRED * 97 HUTCHINSON, CHARLES 1937 ARTIST 248i THOMAS; NANCYJ 1948 HOUSEWIFE * 97 HUTCHINSON, NADINE 1947 NURSE o-q 263 JOHNSON, ALEXANDRA D 1986 STUDENT * 97 LUCAS, HEIDI A 1972 TEACHER a. 263 JOHNSON, ERIN KATHLEEN 1989 'STUDENT Y 263 JOHNSON, KAITLYNA 1985 TEACHER POND VIEW DR � s 263 JOHNSON, KATHLEEN O 1958 SECRETARY 263 OBRIEN, BARBARA M 1928 HOUSEWIFE * 25 WATERS, GERTRUDE P 1922 RETIRED y" 263 OBRIEN,JR STEPHEN B 1928 INS BROKER * 28 GORMAN, ELINOR M 1927 HOUSEWIFE 263 PADOVA, JOEL D 7958 PROJECT MGR * 44 CARLISLE, ANN P 1935 RETIRED " 271 FRANK, MARILDA D 1959 * 44 CARLISLE, CATHLEEN M 1964 SECRETARY 271 FRANK, SCOTT M 1965 CONTRACTOR * 44 CARLISLE, DALE A 1932 RETIRED s �S 283 BRAZEL, ANNE SHANNON 1955 RETIRED * 44 CARLISLE, SHARON A 1957 SECT 283 OBRIEN, MARK T 1961 DIRECT OF OPERA * 59 HULME, ANN A 1926 RETIRED ,4 3 7 DICATES VOTER 74 Town of Barnstable Regulatory Services TIME Toss Thomas F.Geiler,Director Building Division ; ` 1" 6LE BARNSTABLE, Tom Perry, Building Commissioner MASS. 2009 JAN : AM i I. 6 9 g �A 039. 200 Main Street,Hyannis, MA 02601 TEOMA�a www.town.barnstable.ma.us y (YlV't515f 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 ocutACZn 5 1 am the owner/resident of the property located at: 9)NA, 5 i Cp�-TT-gAyILL T 0 ';r-& 2 The following members of my family will be the sole occupants of the Family.Apartment at the aforementioned address: Name & relationship to owner M AQ"q 0-,M A S- VO 0`, l+C= 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 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 i D 1 day of 2009. 509-77S-6757 Signature Phone Number n _ Print Name 40 LJJ Ad j o �• 1"A S Q/bldg/forms/famffid Rev:12/08 Town of Barnstable Regulatory Services pU'THE rOy, Thomas F.Geiler,Director Building Division BAMSTABLE, ' Tom Perry, Building Commissioner 9 MASS. 1639• . 200 Main Street,Hyannis,MA 02601 �ATfO MA'S A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am.the owner/resident of the property located at: 2,s1 1A7E S) ; -fat, ILA Till A 0Z&32 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: E 1 f4chA A S �y1t 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 su leasing of said Family Apartment is permitted. 1 understand that 1 am required to file an Affidavit annually with the Builds g Commissioner listing the names and relationship of occupants in said Family Apartment. 1 o 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 Apar tints. I J�ree x, to notify the Building Commissioner immediately in the event of the sale of this pr1,!erty. If there is no longer a Family Apartment at this location, please explain: s co The apartment has been dismantled. CD The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to.under the pains and penalties of perjury this 1 ( day of T+4 2008. Q CA 50 8 —77-3 -6754 Signature Phone Number Print Name F '`� • ► A S Q/bldg/forms/famaffi d Rev:1/03 Town of Barnstable 0 IG Regulatory Services °Ft Toys Thomas F. Geiler,Director Building Division 1 ,i�41yj E .i. 0 * snxxsznsce; ' Tom Perry, Building Commissioner P MASS. �'' `200'Main Street,Hyannis,M 02601 AlEO MA'1 A }' ' A L O P J N L.2 PM I: c5 1 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 4Ow la M I am the owner/resident of the property located at: 6,&-vTcI2v 1 c,CG_ , M A- 0 3 z The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name& relationship to owner: M A(Zq E . I HoyN A S — y1'1 o74 M Name.&relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. .I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 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 I L1 day of UWLALt 2007. Signature . ' -x;- .__ _ _ _ _ _. _ - Phone-Number Print Nam eW I O W YLb 1 r10YYli�S - _ Q/bldg/forms/famafd Rev:1/03 Town of Barnstable Regulatory Services °FINE TOk, Thomas F.Geiler,Director Building Division U=' ti t7 d i> TiOLE '* sniuvsznBie Tom Perry, Building Commissioner v� 1b q. ,0i 200 Main Street,Hyannis,MA 02601 20 6 J A N 2 3 AM 8: 4 6 ATFO��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 40�'''A&X_J r' -�Wm 01S I am the owner/resident of the property located at: a:u i P I KX 51 . MV'L L&7- AA Y+- 6 Z&3 Z Map and Parcel Number 2 28 -6 4 0 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: VIAP,(_\l F -1 N 61M 0, 7S ( 9MbT N EY�I Name &relationship to owner: -- - - The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file 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 1(v k day of 3 6 1-) 2006. ►VQ �� _ _ 508 --779 -0759 Signature Phone Number Print Name ®LL*i(Lo �l�V�A 5 Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable a �� Regulatory Services Thomas F.Geiler,Director w. °•� Building Division BMMSTABLE, Tom Perry, Building Commissioner . _ i,.,i 9Qp . ,0� 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 'down of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is P'2'� •—PACYti 14 S I am the owner/resident of the property located at: �2 QI Iy 5• cull cr rVl d Z0 5Z Map and Parcel Number 2 L$'O 16 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: mI e T lEoirrl p'S ( YYt csr � Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said.Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 'A 11 2005. Signature Phone Number Print Name6 �0 Q/bldg/forms/famaffid Rev:1/03 I - Town of Barnstable Regulatory Services Thomas F.Geiler,Directorj"ABLE Building Division '* BAMSTABM Tom Perry, Building Commissioner 039. 200 Main Street,Hyannis,MA 02601 0 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: t) My name is 4e � 'ti yw p fqS- I am the owner/resident of the property located at: 2AS e w� SI ' a_W_6_YW1L1W VWA_ 02�1 v5 z Map and Parcel Number —�y The ZBA granted me a Special Permit/Variance on Date Appeal No. The following members_of my.family will be the sole occupants_of the Family-Apartment at the aforementioned address: Name&relationship to owner: Name &relationship to owner: - - The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this.property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other r- Sworn to under the pains and penalties of perjury this �/ a� day of TA `2004: Signature ` Phone Number Print Name ISO Lk) Ito t I� S Q/bldg/forms/famaffid _ Rev:1/03 3 1 Town of Barnstable 0 K Regulatory Services �h °FTME l° Thomas F.Geiler,DirectWWV, Of BA -STABLE Building Division 12_ � snRvsrnsLE, *' Tom Perry, Building Commisse AN 2 1 T1 , . 200 Main Street,Hyannis,MA 02601 m AlfD�,�p p ;1510N 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 4CAjJa2o 63 I am the owner/resident of the property located at: 2A 00 p I ti S'T ' ,.GPkJTG?_VI L lr Ai Ar 6 z&'3 Z Map and Parcel Number 2 Z'9 The ZBA granted me a Special Permit/Variance on $`36-S Iat4 W G 5- Date Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County: BookOQ3LI 9 Page C6Co7 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: r - --- - -- Name &relationship to owner: NWN, t .-I W"Ar S Y AC-i"40C Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner,immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn;to under the.pains and penalties of perjury this day of -5i'A vi 2003. Signature . -- - Phone Number . Print Name 5O45 -"1'18-6 Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services °FTC Tod Thomas F.Geiler,Director Building Division TOWN OF BABNSTABLE 9 sMWsznaLE,g* Peter F.DiMatteo, Building Commissioner ����$ MA93. �e3q �m 200 Main Street,Hyannis,MA 02601 z O' PM 3: 4 4 �i Office: 508-862-4038 Fax: 508-790-6230 /DIYI 5lON Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is low R' �oA S I am the owner/resident of the y AS �I/V u� ST, 60V702 VIC-GES ry.4 property located at: O 2!0 Z Map and Parcel Number .229 "' zs yo The ZBA granted me a Special Permit/Variance on Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: • I Name"&relationship to'.owner: m A m e ) 4c-Ym A S �'M o I W FYL Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this /7 day of jrE 6 2002. Signature Phone Number a2LL Print Name 14owK(L : I AS Q/bldg/forms/famaffid Rev:010702 �G;I d. BARNSTABLE A-MDAVIT Loh" S being on oath, depose and state as follows: 1.) I reside 2.) I am the owner of the property located t ca Q I(_ 1 shown on Barnstable Assessors' maps as ZZ8 PARCEL O y0 3.) I Do `� Do not have a Family Apartment at this location. 4.) On Alf(+- Ca0 199�, the Zoning Board of Appeals, on Appeal No.1 M-&S granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME YY�AA-�! t; . t N oril�►S Relationship to owner: M d1 A VL - b) NAME Relationship to owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) 1 understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) 1 understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. Iqa 4- l0 S 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this 4 `� day of, FC— --- Signature Print Name COMMONWEALTH OF MASSACHUSETTS BARNSTABLE I, ---I �we Rip -- -=�1-1CSYY1 S -------------------J_Von oathdepose and state as follows: 2 3 19§91.) Iresideat 's P1� �� ST - G�7�Vl1.LE LE 2.) I am the owner of the property located shown on Barnstable Assessors' maps as MAPa21 ____PARCEL__®4_O 9 3.) 1 Do- ✓ -_____Do not_______________have a Family Apartment at this location. 4.) On___ ___30 _____, 199 __, the Zoning Board of Appeals, on Appeal No._�'i t1- S granted me a Special PermitNariance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME-------`m A(Z` F_ =- w 6m A 5-=------------- Relationship to owner:_____M a'T H ElZ- ------------------------------------------------ b) NAME----------------------- ---------------------------------------------- e a ons p; o:owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family members. . 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) 1 understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) 1 understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. ______ 1`t Ct'__G T__ --------------------------------------- 12.) I agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property. Sworn to;under:•the.pains and.penalties-of per'urythis l- day of=___F�`_ _ J99 Signature --------- -------------------- Print Name ----------�p l p�(L Q---�=--!r aYV114 5---------------------------- COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT I ow A �1 oYV11R S �01"', ----- ----------- -------------- ---------- being on(oat, depose and state as follows: Rl�/STge�F 1.) I reside at C u�6 QJ IU� SrC� CEW_T CY!-v i tr L E t_ a_v 1 _-_1v 2.) I am the owner of the property located C at---------------OL ----Q - shown on Barnstable Assessors' maps as MAP ??S -_ PARCEL ''jd______________ 3.) I Do— ----Do not __have a Family Apartment at this location. 4.) On---A'J(, a '1 199-1--, the Zoning Board of Appeals, on Appeal No. granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME---------'m(P Ry t i N awl P-S-------------------------- ------------ Relationship to owner: ---N o-T R en ---------------------------- b) NAME-------__--__ Relationship"-to owner::),M _.c a ;a =----w--i--=--------------- ------ 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. -----fti q_b -------------------------------------------- 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under-the pains and perialties of perjury this_-_ _day of 7 AvJ Signature ---------------- - ------------------------------------------------- Print Name DYA A S E - Ca,md Name. lh� a drwfig nad/a a raph ldeo oe rid Me la p.0look like mi.,o dlnalio 4 Al a y ,f f _ d . >i . F > F x >. � • ..ter ,*: t h jp > , z J' e • a- -� • F �& r - �_ .L. . - - � Y T'ry � ' -,- � y F e '� „ � -n _• - M n. i i - y }.v is v . n ----------- Old L.CONSTRUCnON COMPANY, I River Road .. ...a ti. .. .. .. sob I � 51 I I� _ d C . � �-4Z8-3380 Mills'Mese�tuLaette 5 02648 • + s. a view from the 91de 08428429-6s s7 mile t : ' a view f/om I&back yard' 74-836.8950oall ' 7"homa9/DAMP POP MOM Pamp ... 1 - -L A `J : 1 F -� �' ---� > C r''1 ; DISTRIBUTION ROx u•1n TEST PI"_' DATA MOOEL. SHOREYOR 9 REMOVABLE PAVER 4-;CH 4n OUTLET L4TERe c g G 4 1 - { C'I:TtUQ:-?TInN DOY.TO►.+CDT / SNCI I RF SFT I 'VFI FIN 4 l,+ EJUIPEMENT OF 310 CMR !V!INIMUM OF THE. FIRST TWO 'S 3�(JATEAT;f,NTNESS, f' FEET,AND CONNECTED TO a i lV="RllI,T1QN F-C) t- 2" ��! F4! FI r+tSTRlpi!TIO'J LINE l b• 9 0 - ,.WITH S'?;ICI _I !i 4n P er'F' r-E TP-1 (EL. - 99 , 41 "J'� (,F 7L!TLETS 9 4' c t-_H in 'LI - CRU"NED STONE DIA TONE TO BE MECHANICALL'r :•: :3'I} s STAPLE LF'JFL BASF. COMP(r_TED NO CFACT!JAL'01STRIcI_!TIC�J TP-2 (EL . = 99 . 41 LINE:_ t f v^�'CROSS SE EAC`J'NI; FIF_LC�DIMEtiSION�: (1 4fl'L' '?'�n'r051H GRACE TO BE S'4FILCEC . SCALE NONE ' ? n(-, --Fl a 9e 4 F;NISHrn r;R411E lcLOPE 02! I I DATA 4 ';!':^I 40 PVC PIPE �� — t� tMlr�l I = T-1 t 1/�'E:,n_►rLE��fg�•uF ., F cn SCHEDULE CF ELEVATIONS r Q _+rD OF D15TRIB'JTION INC-' ' ^E F0TTOM OF TP ' EL r)a c1 A�L oft ! _ J ��PF=C 'JOO6S Gw'xSI+�''T NOT S 19 NCH/ +q�k r O F+1 W i tti D iA St f d •) C L 1 1 ;G - -a*. ... �.... rrt. E — •. !L E p A, GAR. = `r' ) � 1 _ _ a F _ - - Jii— o AG r N(r ---- -- ... -- -_ ---------....-____-_ ! W I./ •`y �l +r! .•• ,'` ,}•C- •n _ A N: { _ _ _ _,r _L'1_.. __ _ .R'ti_ _ __ - .. _ ',•j ,' 40LT19V^` xo,S q'ycN43 �Ir -� 3tani5 L r W 1 .� '•lJ I I ' ; '•yam. r 1 w�^q t -p A of N N ____ ___.___— __ ,• c c�S CALCULATIONS 991.6 _ ` r•LL QD u ` 61NA . •, D::f�L � � L 6 L :S^r'`t C uJ:PA4C�"'twr Z L OtiG PO , 4. •+ 5T PROPOSED LEACHING ARLrA: D Jj I r � ITV{. l - � � i ,. ' p.. - „ QIw •n' r •c , 4 I� f n , n, . n i - , f 'v1 rp *' `� o " ` �[ Y Is(�n .,,,pA .A•A tC as "]., ,..- •rpm . �'' -. .. ^ � .. .._,..._t_-___._�.__... _ Jr I u o, E i -- - - ap E►., ,rr .c(r /LADE I 2 > ♦.' L1 --- ---- _ 99------� s h � Aq 9 ( 9?,7' 59 Er�;T;�� 4 �fIST/NL� 9s0,50 6,3 4 �c,..N,00 pEkfPV� ab, 0� , i I ! , D - e,ox 6,.t o 6EACh' iN� 95,5� I r 1 9olt- 19�w 0,S M ; -� Sr 3� ',J S�oL•t`D ,��. I•C TEST �•�D o � La J IZE� ! Slo.. oio �ZELou•�� o (SC cNr'1�'F�J'� I >E E PI-AAj \I I C� ! E I~ei�L'4 foot E zC LAYo�r LEAck1ti'�- �� /S�o s4 _ .. ! scpriL TANK r ( r.�n�!�Je• -T . SUBSURFACE SEWAGE DISPOSAL SYSTEM a o T NX% 7 248 Pine Street, S�K .1 J pv� cut E I r'` Centerville 9 < r goT-t0^� r?-Z DEL.: 8�• ! ^ 7-EL Air D J G E irJ = l�► = N o o S (rw pi u�7 i , . '' ; l,+ Q`�v,., jAt lClu.t: APP•ROVRD SY: DRAWN By � ,r _ �jJ►'T,aM8�•4) ,.f.,•. S� I I f _ r �106 mm 5/1/06 Daniel B Johnson RaVIBlD - � trepared scot•. ran s ' ! r. 2 1 Fine Street, ceeterrill 14► 02632 *p t e i Frwpar D ..S^.'ZC ST. __: M.SL, ( DRAWING NUMF;1'I' -AA0 a /{.20 /+`jC /144 By P O Box 831, Oaterville, MA 026S5 I