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1109 SHOOTFLYING HILL RD
U .. { 2 F g R d o f N g .:xC�LL'.m. as.�� _""°." c ,., u c _ .. a� y, ... r:3y.:c w,ei6i .u:�...-^�'�:sw-c ���.�. @r�;�•4.'�r�p¢n,.:�c,.a�s.�. a-�. -- ..�a9 .a €c�..rz�-.v. o .. ._.. • ��3y;,i'�, AOD e' .cc, ulpt�Cam E-=S�::CCeCS,"^ ' .�,a^�=3 - .GCS""•Yyyi'�•.. . - '.. p• 4-"`4..�.---•uw=9?` • © io' w , a , ry -s - , } t- r a st k a R" ^ "e y • w' , w ' a w M # d � ,M1 � F , , i w 4. r - � 5 w ni t 1 0 fq y .. . 1l D�'� Shoo-��I � '/1 r '� . . ,. . . �� �4 li 1 �, r_ � -. .III - ,. r _ c .� . . .. m .. �,i� � ,; �� � � � ,g .. . ,, . s ... ` - F � � ° - ,. � n e ., P e endnow held by the plaintiff by assignment has filed with said THE COMMONWEALTH OF court a complaint for authority MASSACHUSETTS to foreclose said mortgage in LAND COURTDEPARTMENT the manner following: by entry OF THE TRIAL COURT and possession and exercise of '(SEAL) power of sale. Case No.392616 if you are entitled to the ben- To: Alcimir De Souza Lopes efitsofthe Servicemembers Civil and to all persons entitled to the Relief Act as amended and you benefit of the Servicemembers object to such foreclosure you Civil Relief Act.Deutsche Bank,` or your attorney should file a National Trust Company, as written appearance and answer Trustee for HSI Asset Securi- in said court at Boston on or tization Corporation Mortgage before July13,2009oryoumay pass-through Certificate2006- be forever barred from claiming HE1 claiming to be the holder that such foreclosure is invalid of a Mortgage covering real under said act. property in C nterville (Bam- Witness,KARYNESCHEIER, stable), numbered4_109:Shoot Chief Justice of said Court on <Ely.ing-Hill=Road given by March 26,2009 Alcimir De Souza Lopes to Attest: Mortgage Electronic Registra- DEBORAH J.PATTERSON' bon Systems,Inc.,dated July RECORDER 31,2006,and recorded with the 200901-1597—YEL Barnstable County Registry of The Barnstable Patriot Deeds atBook21236,Page 112 June 19,2009 09 -- _ _ __ _._v ,_�_ _.._ __._ ._ �® __. �-- _ .._ . . . _ . s T � - . .� - . . _ _ _ a - ., I {I L is .. .. ,. � a. t. �` 4 Town'of Barnstable r Building Department inxivaTeei.E Brian Florence,CBO Bk 32255 Ps 98 _0L4 1 161 MASS. Building Commissioner 08-29-2019 a OS = 1 1 a. 9..�h. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I Joseph Hunt, the undersigned, being the owner of property situated at 1109 Shootflying Hill'Road, Centerville,holding title under a deed recorded with the Barnstable County Registry of Deeds in'Book 31719,Page 166,being shown on Assessors' Map 190 as Parcel 223,hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by. the property owner or a member(s) of the property owner's family as,accessory to an owner-occupied single-family residence. Occupant of Main Residence: Joseph Hunt Relationship to Owner: owner Resideni of Family Apartment: Caroline Hunt 'Relationship to Owner: sister t' This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a ,violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this O_day of AkMt, 2019. TOWN OF BARNSTABLE: OWNE - Joseph unt Brian Florence, O / Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date ou Then personally appeared the�,,4bouo;gWed (owner), 9Qk and 6ARNSTABW*EVI O, ••9V�4T�e���i�}Y"ent,before nW r John F. Meader WSW.,�: •�' •: �,• r c' ,�•. Notary Public N M Commission Ex ices: VISKE Notary Public gsample 0G,sOIR ts� >` �/ a Commonwealthof l,R p' `�"� Town OF DARtMA I01� SFP -3 APf 03 Fz"ET Town of Barnstable a , k $ &ARHSTABr.E Building Department-200 Main Streeti65 , .�°p Hyannis, MA 02601 '°TEnnno+° Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-18-4035 CO Issue Date: 3/31/2020 Parcel ID: 190-223 Zoning Classification: SPLIT Location: 1109 SHOOTFLYING HILL RD, Proposed Use: CENTERVILLE Name of Tenant: Sprinklers.Provided: Gen Contractor: Permit Type: Residential`-Single Family Type of Construction: Design Occupant Load: 0 Comments: BASEMENT FAMILY APARTMENT WITH INTERNAL ACCESS TO UPSTAIRS. 2 . Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 9th Edition U.S.POSTAG E>>PI.TNEY BOWES BLDG DEPT. 200 MAIN ST. " HYANNIS,MA.02601 "� �" ' ` ZIP 02601 02 4VV $ 006.900 . k 0000.3.36455 FEB. 14. 2020. ii 7017 1000 0000 6757 1419 Joseph Roy Hunt 1109 Shootflying Hill Road -.. Centerville, _._n n -. Z& __. _ . „7 N' Tarn. �RID R" RETURN RECEIPT ; � — — REQUESTEDs : MIA2 il-; M3. COMPLETE. • ON ".M-PLETE THIS' • C.SENDIEWC �S J j ■ Complete"iteras'1,.2,and 3. A. Signature - O Agent ■ Print your name and address on the reverse X I ! so that we can return the card to you. ❑Addressee I o Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1 1 j j 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes 1 i 1 If YES,enter delivery address below: ❑No 1 I — 1 Qs-T�n o �L61 t,i 1 I I I i I Ceh�"✓,.i le, 1 III II�III IIII III I III I III I II I I I(II I i l I II IIII III 3.El❑Adult Signature ice Type U r S gn ture Restricted Delivery ❑Registered Mail Restricted 9590 9402 3630 7305 3408 28 Certified Mail® Delivery I Certified Mail Restricted Delivery O•Return Receipt for 1 ❑Collect on.Delivery Merchandise 1 2. _Article Number(Transfer from service/abe ❑Collect on Delivery Restricted Delivery ElSignature ConflrmationTM 1 lail ❑Signature Confirm ation 7017; 10O0 , 0OP0. 6757 .1419 lail Restricted Delivery ry Restricted Delivery I ' PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receiptt k oFt�E ra,, Town of Barnstable Building Department Services 4 N • BARNSTABLE, t 9 MASS. Brian Florence, CBO Qjp 039 ♦0 rFc �s Building.Commissioner- 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 February 14, 2020 BUILDING NG�DEPT __ ---Joseph Roy-Hunt._ __ _ 'MAR 2 6 20Z0 1109 Shootflying Hill Road TO Centerville, Ma. 02632 WN OF BARNSTgBL E Joseph Hunt and all persons having notice of this order: On September 3, 2019 the Building Department issued building permit 137-18-4035,for a family apartment at,1109 Shootflying Hill Road and to date no inspections have been requested or conducted.- This notice shall serve as reminder that the above.permit will expire on March 3, 2020 and the property will be subject to enforcement action unless successful ` completion of the required inspection has been`achieved. Please contact the Buildingbepartment as soon as possible to arrange inspection. Thank you for your anticipated cooperation. Respectfully, re . Lauzon . Chief Local Inspector jeffrey.lauzon@town.bamstable.ma.us (508) 862-4034 ° °FINE r ; Town of Barnstable Building Department Services * BARNSTABLE, T; MAss. Brian Florence, CBO �p 1639. �0 rfp '�" Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bdmstable.ma.us Office: 508-862-4038 Fax: 508-790-6.230 February 14,2020 Joseph Roy Hunt 1109 Shootflying Hill Road Centerville, Ma. 02632 Joseph Hunt and all persons having notice"of this order. On September 3, 2019 the Building Department issued building permit 13-18-4035 for a family apartment at 1109 Shootflying Hill Road and to date no inspections have been requested or conducted. This notice shall serve as reminder that the above permit will expire on March 3, 2020 and the property will be subject to enforcement action unless successful completion of the required inspection has been achieved. Please contact the Building Department as soon as possible to, arrange inspection. Thank you for your anticipated cooperation. Respectfully, J r �a�uzon Chief Local Inspector j effrey.lauzongtown.barnstable.ma.us (508) 862-40.34 .� Town of Barnstable Blilldlilg x . : . Post,Thi Card So Tha#it is;Visible.From the Street Approved Plans Must be`Reta�ned on Job and th�s,Card Must be Keptz w �s �. Is.in"jj i nH�Be n Mantle. . : Posted Unti F a, nspect o as e Permit " ` ' =u ied until a'.Final Ins ection`'has been made. Where a Cert��ficate.of�Occupancys Requ^fired,such�6 ing shah)Notbe Occ ,pp�, Permit NO. B-18-4035 Applicant Name: Joseph Hunt Approvals Date Issued: 09/03/2019 Current Use: Structure Permit Type: Building Family Apartment no Construction Expiration Dater 03/03/2020 Foundation: Location: 1109 SHOOTFLYING HILL RD,CENTERVILLE Map/Lot: 190 223 Zoning District: SPLIT Sheathing: Owner on Record: CHEGLAKOV,ALEXANDER&SVIATLANA Cont actor,.Name Framing: 1 Address: 1109 SHOOTFLYING HILL RD Contractor License 2 CENTERVILLE, MA 02632. �'" � � � �!Est�Project Cost: $0.00 y Chimney: Description: ' .Change existing basement amnesty apartment to,,a family " Perrnrt Fee: $ 110.00 apartment for sister Caroline.Joseph Hunt wijl be living in the main Fee�Pa�d >` $ 110.00 Insulation: house � � ` Date 9/3/2019 Final: Project Review Req: n Plumbing/Gas t. Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized:byZtA. permit is commenced within six;months,afferissuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for�which this permit has been granted. Rough Gas: t All construction,alterations and changes of use of any building and strbcctures shall be in compliance with the local zon g by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. 3 , Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Bdi d P qing and°F�re Offcials are pro ded on this permit. Minimum of Five Call Inspections Required for All Construction Work:'$ Service: 1.Foundation or Footing 31 2.Sheathing Inspection t Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ' Building � Town o Barnstable •n Post ThisaCard So ThatVisible From.the Street Approved Plans Must be Retained on Job and this Card Must be Kept j MAN& PostedRU.ntiI Final Inspection Has Been Made _ _ j • 6s , Y Permit Where a Certificate of Occu Inc 'is Rey tiretl,such Buildm shall Not'be Occupied until a Final Ins ection has been made 3 p Y q _. g Permit No. B-18-4035 Applicant Name: Joseph Hunt Ap provals Date Issued: 09/03/2019 Current Use: Structure Permit Type: Building-Family Apartment no Construction Expiration Date: 03/03/2020 Foundation: Location: 1109 SHOOTFLYING HILL RD,CENTERVILLE Map/Lot. 190-223 Zoning District: SPLIT Sheathing: Owner on Record: CHEGLAKOV,ALEXANDER&SVIATLANA Contractor'Name:'�' Framing: 1 Contractor,License: Address: 1109 SHOOTFLYING HILL RD A 2 CENTERVILLE, MA 02632 Est Project Cost:, $0.00 Chimney: Description: Change existing basement amnesty apartment to a--family Permit Fee: $ 110.00 Insulation: apartment for sister Caroline.Joseph Hunt will be living:in the main Fee Paid $ 110.00 house l c Date: �` 9/3/2019 Final: Project Review Req: Plumbing/Gas Rough Plumbing: Building Official ` Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withirnsix months after�issuance. All work authorized by this permit shall conform to the approved applcation'and the"approved construction documents for which this permit has been granted. Rough Gas: All construction;alterations and changes of use of any building and str.'uctures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. r 1 Electrical The Certificate of Occupancy will not be issued until all applicable signatures'by the Building and;Fire Officials are_'pmvided on this permit. Minimum of Five Call Inspections Required for All Construction Work: 4, _ Service: 1.Foundation or Footing - ` 2.Sheathing Inspection Rough: .,.. 3.All Fireplaces must be inspected at the throat level before firest flue lining is irikalled —', 4.Wiring&Plumbing Inspections to be completed prior to Frame inspection Final: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Appiicati=N=ber.....��e L i ` 3� T ........ .................. * ` Permit Fee.......1..�..�.....0.6............09=Fee........................ 163 DEC 1 ?�1� ����N n ,�1S:ABLE Total Fee Paid................`................................ ...... ...... TOWN OF BARNSTAB LE Pm=&Approval by.. ... .................on....911 h 7....... BUILDING PERMITA. ................. .0 .Parcel... 9.2s- Map.... ..._. ..................... APPLICATION a - s Section I=Owner's Information and Project Location Project Address e q U'\ Sin av +� `- '44Village Ce"�e�A\A- v Owners Name h Owners Legal Address city yJ ��� .1�\ s, I�t �-- zip oz,��8 Owners Cell# E-mail c�2�- , ?Co`'� �/�c- .Co�'Yl Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit ❑ New Constriction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement O'Family/Amnesty ❑ Fire Alarm f Rebuild ❑ Deck Apartment ❑ Sprinkler System El Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work]Description Chi �s�; V\ cS& rAeA -Jpc,\r S�5� �" C I r y m--0, T Aet ands:219201 9 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure`' Dig Safe Number # Of Bedrooms Existing Total Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6--Project Specifics y 5 ❑ Winn ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas .❑ Fire Suppression i F ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom 1 Water Supply.,, E] Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ t Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last imdate&2J92018 1p ►t wwL fiftC DEPli3 ii,if Ftr-=i- --•DI cvraoaow s qTH 5! �' U11Ndq!u 3,. .Y S.ARE REQUIREu rv!rp� NG ' ---- COvN eR ` � dm TO'P 'd N ri ry --------------- y A N y _ +e fiO fiRSr ftoo 06 YN I/V 00 � yNtntZ - c- �ike PLAc�e, /61'� i i :rk V - i l It iO rn off•��n_ � 2x'�„• F Id W , f oFTME T Town of Barnstable ; Building Department Brian Florence,CBO Ek 32255 Ps 98BMWSTASM =41 1 61 y� MAW. Building Commissioner 08-29--2019 a 08 n 1 1 aL 'Or16 3't10%.` 200 Main Street;Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I Joseph Hunt, the undersigned, being the owner of property situated at 1109 Shootflying Hill Road, Centerville,holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 31719,Page 166,being shown on Assessors' Map 190 as Parcel 223,hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. { Occupant of Main Residence: Joseph Hunt Relationship to Owner: owner -_ Resident of Family Apartment: Caroline Hunt . Relationship to Owner: sister This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall.be updated whenever a change occurs or every calendar year. : This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or,certificate of occupancy by the Town of Barnstable Building Department. . WITNESS our hands and seals this_ C�day of A%A 01 20 11. TOWN OF BARNSTABLE: OWNE By: Joseph unt Brian Florence,9§0 Building Commissioner ^D /lp THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date x 0V4 Then personally appeared the' oa+e,j)Wed..(owner), +JkJU and BARNSTAB � �f ��,p ap"ft,yment,before nW John F. Mende, Register � • Notary Public {r,ti My Commission Ex Tres: pAyh LEVISKE 1\l Y°ti Notary Public Moou M ¢ rt+o assacl► gsample = o•.�a- Utl, COTI1 nWealih of ftflV. ExPues i!ri •4�+�'V 4�1 E A�'�l�y�e�� Toff OF . 1�1� Sf_P -.3 AN 10 2 Coyle, Brenda From: Joe Hunt<Joe@topcoatservices.com> Sent: Tuesday, January 29, 2019 12:36 PM To: Coyle, Brenda Subject: Re: Family Apartment _ Hi Brenda yes I am sorry if I have to do more to make it final. Please let me know what I need to do and I will make it happen Thanks Joe Hunt Topcoat Services USA LLC Joegtopcoatservices.com 508=294-7183 "The Service Industries Leader" -From:Coyle, Brenda <brenda.coyle@town.barnstable.ma.us> Sent:Tuesday,January 29, 2019 12:02 PM ~ To:Joe Hunt Subject: Family Apartment 1 7, nA a r s x z < § 1 ¢. t �k � rFc W MR SOWy¢ .kz A ' 7 MA fi Ag ;CSC_ /x'` x `�� x' 5„ zo- OW, 6 � C.& 01 AE 9 1: l J 6 Good Afternoon, I was just verify the status of your purchase of the home located at 1109 Shootflying Hill Road, Centerville. If you have passed papers and are still planning ongoing through with the Family Apartment,please contact me as soon as possible. Thank you, �renrla�o�/fe Permit Tech. Town of Barnstable Building Department Ph: 508-862-40V Fax: 508-790-6230 CAUTION This email originated from outside of the Town of BarnstablO Do not dick links, open', attachments or reply,unless you recognize the sender's email address and know the content rs safe!' _ _ 2 Need. ` 0mpr ��a . � 31o4 ermit No: TP-18=1288 3 a rn sta b l e P )epartment in Street 862-4038 PLUMBING PERMIT this office. Requests for inspections must be made at least 24 hours in Ian Costs/Permit Fees e Paid ! Amount Paid Check#or CC# Pay Type 3/2018 ! $292 00 3635 Check r PURCHASE AND SALE AGREEMENT c November 14,2018 1. PARTIES Alexander Cheglakov and Sviatlana Cheglakova having a mailing address of 1109 Shootflying Hill Road,Centerville Massachusetts 02632,hereinafter referred to as SELLER,agrees to sell and Joseph Hunt,of ,hereinafter referred to as BUYER, agree to buy, upon the terms and conditions herein set forth, the following described premises: 2. PREMISES TO BE CONVEYED a. Description of Premises: A single family residence located at 1109 Shootflying Hill Road,Centerville Massachusetts . 02632. Property is fully described in a deed filed in the Barnstable County Registry of Deeds in Book 27975;Page 139. b. Buildings, Structures, Fixtures and Items Included: Included in the sale,as a part of said premises,are the buildings, structures and improvements thereon and the fixtures belonging to the SELLER and used in connection therewith including, any and all: wall-to-wall carpeting; automatic garage door openers; draperies;drapery rods;window shades and/or blinds; screens; screen doors; storm windows and doors; awnings; shutters;furnaces;heaters;heating equipment; stoves; ranges; oil and/or gas burners and fixtures appurtenant thereto;hot water heaters; plumbing and bathroom fixtures;garbage disposers; electric and other lighting fixtures;mantels; outside television antennas and/or satellite television reception dishes;fences; gates;trees; shrubs;plants; sheds,fire pit, granite table, and all appliances including refrigerators and washers/dryers, as seen on the inspection transferred in"as is"condition. This provision shall survive the delivery of the Deed. The following items are specifically excluded from the sale as a part of the premises: 3. DEFINITIONS It is agreed that,wherever in this Agreement reference is made to the date set for performance of this Agreement, such reference shall be to the date specified in Clause 6 of this Agreement,as the same may be extended pursuant to the provisions of this Agreement. All references to the"then current year"and the like references with respect to real estate taxes payable in respect of the premises shall be construed to mean the then current fiscal tax period within which,such taxes are payable. "Diligent efforts"by BUYER, as the phrase is used in any financing contingency of this Agreement shall not require BUYER to make and maintain more than one good faith application 'at any one time to an institutional lender of BUYER'S choosing. "A commitment for such loan"as used in any financing contingency of this Agreement shall mean a commitment subject to only such usual conditions as are disclosed to BUYER b the lender at J Y Y the time of application for such loan and only such other conditions as are in BUYER'S control to meet. BUYER shall request the lender to disclose its usual conditions on Mortgage commitments at the time of application. .The BUYER represents that they received a pre-qualification letter and that the sale of BUYER'S existing residence is not a condition of their receiving financing. "Mortgage loan"as used in any financing contingency of this Agreement shall mean a mortgage secured only by the premises and not secured by any other property owned by BUYER or BUYER'S nominee. 4. PURCHASE PRICE The agreed upon purchase price for the premises is FOUR HUNDRED FIFTEEN THOUSAND& DOLLARS 00/100($415,000.00),of which: $ 1,000.00 has been paid by BUYER with an Offer to Purchase, and $ 9,000.00 is to be paid by BUYER as a deposit upon the execution of this Agreement, and $405,000.00 the balance, is to be paid by BUYER at the time of the delivery of the deed by Lender's Attorney's Massachusetts IOLTA check or wire transfer. $415,000.00 TOTAL 5. TITLE 3 a. Deed Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER, or to the nominee designated by the BUYER by written notice to the SELLER at least seven(7)days before the deed is to be delivered as herein provided, and said deed shall convey a good and clear record and marketable title thereto,free from encumbrances except the following: (1) provisions of existing building and zoning laws; (2) such taxes for the then current year as are not due and payable on the date of delivery of such deed; (3) any liens for municipal betterments which are not a recorded lien as of the date of the closing; and (4) any easement,restriction or reservation of record presently in force and applicable, which do not interfere with the reasonable use of the premises as now used. b. - Plans If said deed refers to a plan necessary to be recorded therewith, SELLER shall deliver such plan with the deed in a form acceptable for recording or registration. c. Compliance with Title Requirements Notwithstanding anything herein contained,the premises shall not be considered to be in , compliance with the title provisions of this Agreement, unless: _ - -2— r (1) all buildings, structures and improvements, including,but not limited to,'any driveways,garages, cesspools and leaching fields and all means of access to the premises, shall be located completely within the boundary lines of the premises and shall not encroach upon or under any property of any other person or entity; (2) no building, structure, improvement or property of any kind belonging to any other person or entity shall encroach upon or under said premises; (3) the premises abut a public way,duly laid out or accepted as such by the town or city in which the premises is located or a private way over which the premises have rights of pedestrian or vehicular access; (4) title to the premises is insurable,for the benefit of BUYER in a fee owner's policy of title insurance at normal premium rates,on a standard ALTA insurance policy by a title insurance company licensed to do business in the Commonwealth of Massachusetts subject to jacket exceptions and standard exceptions but without exception for any matters not expressly permitted hereunto; (5) the premises are served by a municipal water,or, if not,by a private well,the quantity and quality of the water furnished thereby is adequate to serve a single family residence; (6) the premises are served by a municipal sewer,system,or, if not,the septic system for the premises lies wholly within the boundaries of the premises and complies with Title 5 of the Massachusetts Environmental Code; and (7) the premises comply with applicable Zoning,Building and Subdivision Laws and regulations without variance, special permit or nonconforming use exceptions. It is agreed that in the event of a title matter for which a title insurance company is willing to issue a so-called"clean"policy or provide"affirmative coverage"over a known defect or problem, Buyer may elect to accept same but shall not be required to do so, and shall have the right to deem title to the Premises unacceptable or unmarketable and to terminate this Agreement provided the terms of this paragraph are subject to Seller's right to extend and cure as set forth in Paragraph Ten (10)of the main body of this Agreement. 6. TIME FOR PERFORMANCE AND DELIVERY OF DEED Such deed is to be delivered at"12 o'clock p.m. on or before the 7'day of December,2018,at the Hyannis office of BUYER's attorney or the Barnstable County Registry of Deeds or such other location, agreed upon by the parties in writing. _... __.....-- 7. POSSESSION AND CONDITION OF PREMISES At the time of the delivery of the deed,full possession of the premises, free and clear of all tenants and occupants is to be delivered. Said premises are to be then: in the same condition as they now are,reasonable wear and tear excepted;not in violation of said building and zoning laws; and in compliance with provisions of any instrument referred to in clause 5 hereof. The SELLER shall deliver the premises in broom clean condition,removing all of the SELLER'S possessions,which are not being transferred to BUYER,therefrom. SELLER agrees that at the time of delivery of the deed,the house,and any garage,attic,crawl spaces, and any accessory —3— structures located on the Premises will be in broom clean condition(carpets vacuum cleaned), SELLER's possessions,paint cans and other personal property shall be removed, and the yard will be free of debris and maintained in a manner customary for the season. At the time of delivery of the deed,all appliances and systems shall be in the same operating condition as at the time of inspection. SELLER shall deliver to BUYER, at the time for delivery of the deed,keys for all existing locks to all buildings on said premises, openers for all automatic garage doors, and all necessary security codes for alarm systems on said premises. The BUYER shall be entitled to personally inspect said premises prior to the delivery of the deed in order to determine whether the condition thereof complies with the terms of this clause. Between the date of the signing of this Agreement and the time for performance pursuant to the Agreement, SELLER shall maintain and/or service the premises and its appurtenances at the same level of effort and expense as the SELLER has maintained and/or serviced the premises for the SELLER'S own account prior to the date of this Agreement including winterizing the underground irrigation system and leaf/snow removal. 8. EXTENSION TO PERFECT TITLE OR TO MAKE PREMISES CONFORM If the SELLER shall be unable to give or to make conveyance, or to deliver possession of the premises,all as herein stipulated,or if at the time specified for the delivery of the deed the premises do not conform with the provisions hereof,then the SELLER shall use reasonable efforts to remove any defects in title or to deliver possession as provided herein, or to make the premises conform to the provisions hereof, in which event the time for performance hereunder shall be extended for a period of thirty(30)days. The use of"reasonable efforts" shall not obligate the SELLER to expend in excess of%2 of 1%of the sale price,exclusive of mortgage payoff and the payoff voluntary liens SELLER is aware of. SELLER's ability to extend the time for performance in order to conform with the provisions hereof, shall be conditioned upon the BUYER's ability to extend its lender's commitment to provide financing for the purchase of said premises up to and including the extended date of closing without loss of rate or further expense,with BUYER using diligent efforts to extend the loan commitment and rate lock at no cost to BUYER and with SELLER having the option of paying the rate lock extension fee Any extension shall be for matters affecting title,the physical _ condition of the Premises or compliance with municipal, state or federal codes,ordinances, statutes, or regulations concerning the Premises and shall not excuse the SELLER from vacating the Premises at the time set for performance. 9. FAILURE TO PERFECT TITLE OR TO MAKE PREMISES CONFORM If at the expiration of the extended time the SELLER shall have failed to so remove any defects in .title, deliver possession, or make the premises conform,all as the case may be, and all as herein agreed, or if at any time during the period of this Agreement or any extension thereof,the holder of a mortgage;on said premises shall refuse to permit the insurance proceeds, if any,to be used for such purposes,then any payments made under this agreement shall be forthwith refunded and all other obligations of all parties hereto shall cease and this Agreement shall be void without —4— l recourse to the parties thereto either at law or in equity. 10. BUYERS ELECTION TO ACCEPT TITLE The BUYER shall have the option at either the original or any extended time for performance,to accept such title as the SELLER can deliver to the said premises in their then condition and to pay therefore the purchase price without deduction. In which case the SELLER shall convey such title, except that in the event of such conveyance in accordance with the provisions of this clause, if the said premises shall have been damaged by fire or casualty insured against,then the SELLER_ shall, unless the SELLER has previously restored the premises to their former condition,either:. a) pay over or assign to the BUYER on delivery of the deed, all amounts recovered or recoverable on account of such insurance, less any amounts reasonably expended by the SELLER for any partial restoration,or . b) if a holder of a mortgage on said premises shall not permit the insurance proceeds or a part thereof to be used to restore the said premises to their former condition or to be so paid over or assigned, give to the BUYER a credit against the purchase price, on delivery of the deed,equal to said amounts so recovered or recoverable and retained by the holder of the said mortgage less any amounts reasonably expended by the seller for any partial restoration. 11. ACCEPTANCE OF DEED The acceptance and recording of a deed'by BUYER or his nominee,as the case may be, shall be deemed to be a full performance and discharge of every agreement and obligation herein contained or expressed,except as are by the terms hereof,to be performed after the delivery of said deed or are specifically stated to survive the delivery of said deed. 12. USE OF PURCHASE MONEY TO DISCHARGE ENCUMBRANCES Notwithstanding the provisions of clause 5 to the contrary,'(a)if at the time for performance there are.outstanding monetary encumbrances on the premises held by a lending institution or mortgage company which encumbrances were placed on the premises,by SELLER, or,were assumed by SELLER when SELLER acquired the premises,and(b)at said time for performance the total amount necessary to pay off all of such monetary encumbrances is less than an amount equal to the agreed purchase price less SELLER'S closing costs, including without limitation brokerage fees or commissions on the sale,Massachusetts deed stamps and recording fees for curative documents, ; SELLER shall use such portion of the purchase price money as is necessary to pay off all such monetary encumbrances and BUYER shall'accept.title subject to such undischarged encumbrances,provided,BUYER or BUYER'S lender or such lender's attorney has,at said time, received the customary written assurances or other assurances satisfactory to BUYER'S lender or such lender's attorney from all holders of such encumbrances that recordable instruments to discharge in full such encumbrances will be sent to BUYER promptly following the holders receipt of specified funds. . -5 13. INSURANCE COVERAGE Until the delivery of the deed,the SELLER shall maintain insurance on said premises as follows: Fire and extended coverage as presently exists. All risk of loss to remain with SELLER until the deed is recorded 14. CLOSING ADJUSTMENTS Unless paid by SELLER by separate check,there shall be deducted from the balance due SELLER ,at the Closing and paid to the appropriate party the following: a. Massachusetts and any county deed excises; b. Cost of recording discharges and releases of monetary encumbrances and any title curative documents; C. Amounts required to discharge outstanding mortgages as of the next business day after the later of the Closing or the deed to BUYER is recorded; d. Water use charges; and e. Reasonable wire and courier fees, if applicable. Real estate taxes for the then current Fiscal Year shall be apportioned as of the day of performance of this Agreement and the net amount shall be added to or deducted from,as the case may be,the purchase price payable by the BUYER at the time of the delivery of the deed. 15. ADJUSTMENT OF UNASSESSED AND ABATED TAXES If the amount of said taxes is not known at the time of delivery of the deed,they shall be apportioned on the basis of the taxes assessed for the preceding fiscal year,with a reapportionment as soon as the new tax rate and valuation can be ascertained; and, if the taxes,which are to be apportioned shall thereafter be reduced-by abatement;the amount,the amount of such abatement, less the reasonable cost of obtaining the same ,shall be apportioned between the parties,provided that neither party shall be obligated to institute or prosecute proceedings for an abatement unless herein otherwise agreed. 16. BROKER'S FEE A Broker's fee for professional services is due from the SELLER to Kinlin Grover Real Estate (retain 2.5%Commission based on$405K purchase Price)who will then pay Oceanside Realty Group (3.0%,commission based on$405K purchase Price). Said Broker's fee is to be paid only if and when the purchase price is paid and the deed is recorded. Seller shall pay all.Brokers' fee due under this Agreement. Buyer warrants and represents to Seller and Seller represents and warrants to Buyer that each has dealt with no broker or other person entitled to a broker's commission in connection with the negotiation or execution of this Agreement or the consummation of the -6— I - transaction contemplated hereby except the Broker(s)listed herein and each agrees to hold the other harmless and indemnify the other against all damages, claims, losses and liabilities, including legal fees, incurred by the other,arising out of or resulting from the failure of its representation and warranty. This provision shall survive the closing hereunder. 17. BROKERS BUYER and SELLER represent to each other that neither parry has dealt with any broker or any other person in connection with this purchase of said premises hereunder other than Kinlin Grover Real Estate and Oceanside Realty Group,the Brokers named herein(`BROKER"),to whom SELLER agrees to pay any commission due pursuant to the provisions of Clause 16. BROKER represents to SELLER that BROKER knows of no one else entitled to a fee or commission on the sale hereunder. The BROKER further warrants to BUYER and SELLER that the BROKER is duly licensed as such by the Commonwealth of Massachusetts: 18. DEPOSITS All deposits hereunder are to be held in Escrow by Kinlin Grover Real Estate as escrow agent subject to the terms of this agreement and shall be duly accounted for at the time for performance of this agreement. In the event of any disagreement between the parties,the escrow agent shall retain all deposits made under this agreement pending instructions mutually given by the SELLER and the BUYER, or the entry of an Order by Court of competent jurisdiction. 19. BROKER AS PARTY The Brokers named herein join in this Agreement and become a party hereto,insofar as any provisions of this Agreement expressly apply to the Brokers, and to any amendments or modifications of such provisions to which the Brokers agree in writing. 20. BUYERS DEFAULT If the BUYER shall fail to fulfill the BUYER'S agreements herein, all of the deposits made hereunder by the BUYER, shall be retained by the SELLER as liquidated damages and this shall be the SELLER'S sole remedy both-in law and in equity. The parties acknowledge that SELLER has no adequate remedy in the event of BUYER's default hereunder because it is impossible to , compute exactly the damages which would accrue to the SELLER in such event. The parties have therefore taken these facts into account in setting the amount of the deposit hereunder and hereby agree that: (i)the deposit is the best pre-estimate of such damages which would accrue to SELLER in the event of BUYER's default thereunder: (ii)said deposit represents damages and not any penalty against BUYER and(iii)if BUYER shall fail to fulfill BUYER's obligations hereunder, said,deposit shall be due the SELLER from the BUYER as its full damages in lieu of other rights and.remedies which.SELLER may have against BUYER at law or in equity. 21. LIABILITY OF TRUSTEE,SHAREHOLDER BENEFICIARY,ETC. If the SELLER or BUYER executes this Agreement in a representative or fiduciary capacity, and —7— so designates that he is executing this Agreement in a representative or fiduciary capacity,only the principal or the estate represented shall be bound,and neither the SELLER or BUYER so executing,nor any shareholder or beneficiary of any trust, shall be personally liable for any obligation,express or implied, hereunder. 22. MORTGAGE CONTINGENCY BUYER'S obligations hereunder shall be subject to BUYER'S obtaining a firm written commitment for a first mortgage direct reduction loan, including FHA or VA financing, for not more than $.400,475.00 for not more than thirty (30) years at the prevailing interest rate with reasonable and customary terms. If despite the BUYERS' diligent efforts a commitment for such loan can not be obtained on or before November 29, 2018 (the "Financing Date"), the BUYER may terminate this Agreement by giving written notice to SELLER and/or the Brokers,as agent for the SELLER,prior to the expiration of such time,whereupon any payments made under this Agreement shall be forthwith refunded and.all other obligations of the parties hereto shall cease and this Agreement shall be void without recourse to the parties hereto. In the event that BUYER does not notify SELLER and/or the Brokers, as agent for the SELLER before 5:00 p.m. on the Financing Date of BUYER'S inability to obtain such a mortgage commitment,it shall be conclusively presumed that BUYER has obtained such . mortgage commitment and the contingency contained in this clause shall be thereby waived. In no event will the BUYER be deemed to have used diligent efforts to obtain such commitment unless the BUYER submits a complete mortgage loan application,to an institutional lender, conforming to the foregoing provisions within two business days of receipt of a fully executed Agreement. 23. WARRANTIES AND REPRESENTATIONS SELLER warrants and represents to BUYER to the best of her knowledge'as follows: a. SELLER has full right,power and authority to enter into and become bound by this Agreement and to consummate the transactions contemplated hereby;that any person other than SELLER executing the Agreement on behalf of SELLER has been duly authorized by all necessary action and has full right, power and authority to execute and deliver this Agreement on behalf of SELLER This transaction is not a so-called"short sale." b. The premises are not and will not be the subject of any outstanding agreements with any party pursuant to which any such party may acquire any interest herein,and that there are no contracts or agreements to which SELLER is a parry, including any tenancy or occupancy agreements,which affect the Premises and which will survive the closing." c. SELLER has no notice of any unresolved litigation or pending or ongoing regulatory hearings or actions which could affect said premises, and SELLER agrees to keep BUYER informed,by notice given pursuant to this Agreement,of any such litigation,hearings or ,. actions,.whether scheduled, anticipated, or in progress of which she receives notice: d. No Violation of Applicable Laws. Seller has not received any written notice that the ; —8 i Premises are in material violation of any federal, state, or local law, including without limitation those respecting wetlands,zoning, or environmental conditions. If there are any "open"building permits by Seller issued within the past six years or lot specific orders of conditions exclusive to the Premises,prior to closing, Seller shall deliver evidence from the Town of Barnstable building department that said permits have been closed and/or record a certificate of compliance from the Conservation Commission for any open orders of conditions. e. No Knowledge of Environmental Contamination. No"oil or hazardous materials"(as defined in M.G.L. chapter 21E)are located on,under(including soil and groundwater conditions)or about the Premises,in violation of applicable law. f. No Underground Oil Tanks. - Seller is not aware of any underground storage tanks) located at or under the Premises nor.does Seller have any knowledge of any underground storage tank(s)having been removed from the Premises. g. No Flood Zone. During Seller's ownership of the premises, Seller's lender has not required Seller to purchase flood insurance. To the best of Seller's knowledge and belief, the property is not located in a flood zone. If there is any occurrence affecting any representation made by Seller herein, or if Seller, shall come to have information and/or knowledge that any such representation is untrue, incomplete,or inaccurate,prior to the closing, Seller shall forthwith make full and complete disclosure to Buyer. It shall be a condition of the Buyer's obligations to close under this Agreement that all of said representations are true,both as of the date hereof and as of the closing. The BUYER acknowledges that BUYER has not been influenced to enter into this transaction by either SELLER or the Broker;nor has BUYER relied on any warranties or representations not set forth or incorporated in this Agreement or previously made in writing by either the SELLER or Broker. 24. DOCUMENTS TO BE EXECUTED BY SELLER AT THE TEWE OF DELIVERY OF THE DEED At the time of the delivery of the deed hereunder,the SELLER shall execute and deliver the following to the BUYER: a. an affidavit which includes the SELLER'S social security.number,and which provides that the SELLER is not a foreign person subject to withholding as required by Section 1445 of the Internal Revenue Code of 1954, as amended; b. such documents as the BUYER'S mortgage and title insurance company may reasonably and customarily require including,but not limited to,the following: i. Closing Disclosures/Settlement Statement' -9— i ii. Affidavit of Purchaser and Vendor iii. Smoke Detector Certification iv. UFFI Affidavit V. Affidavit: (1) that no person furnished any labor, services or materials in connection with the construction or repair of any buildings or improvements on the above- described premises,for which a lien could be filed; (2) that there are no tenants or other parties who are in possession or have the right to be in possession of said premises; and (3) bills which could become liens pursuant.to Chapter 551 of the Acts of 1980 (Municipal Lighting Plants,Real Estate Liens)have been paid. 25. POST-CLOSING COMPLIANCE AND ADJUSTMENTS If any errors or omissions are found to have occurred in any calculations or figures used in the , settlement signed by the parties(or would have been signed if not for any such error or omission) and notice hereof is given within two months of the date of delivery of the deed to the party to be charged,then such party agrees promptly to make a payment to correct the error or omission. The parties hereto also agree to execute and deliver to the requesting parry whatever corrective documents or amendments to existing documents are reasonably required to effectuate the sale and purchase under this Agreement provided such additional documents or amendments are prepared by the requesting party,and do not in any way adversely affect, or otherwise enlarge the liability of, any of the parties relative to said sale and purchase. 26. CONSTRUCTION OF AGREEMENT This instrument, executed in multiple counterparts, each of which shall be deemed an original for all purposes without the necessity of accounting for the others, is to be construed as a Massachusetts contract, is to take effect as a sealed instrument, sets forth the entire contract between the parties hereto,is binding.upon and ensures to the benefit of the parties hereto and their respective heirs,devised,executors, administrators, successors and assigns,and may be canceled, modified or amended only by a written instrument executed by both SELLER and BUYER. If two or more persons are named herein as either SELLER or BUYER,their obligations hereunder shall be joint and several. The captions and any marginal notes are used only as a matter of convenience and are not to be considered a part of this Agreement or_to be used in determining the intent of the parties to it. 27. LEAD PAINT n a. Notification of Lead Paint Law The parties acknowledge that,under Massachusetts law;whenever a child or children under the age..:of six years,of age resides in any residential premises in which any paint, plaster or other accessible material contains dangerous levels of lead,the owner of said premises must remove or cover said paint,plaster or other material so as to make it —10 inaccessible to children under six years of age. b. Property Transferee Notification Certification If the premises to be conveyed is residential property constructed prior to 1978, SELLER must provide to BUYER and BUYER must sign a Lead Paint"Property Transferee Notification Certification"at the same time or prior to this Agreement being signed. 28. SMOKE/CARBON MONOXIDE DETECTOR CERTIFICATE SELLER shall,at the time for delivery of the deed,deliver a certificate from the fire department of the city or town in which said premises are located, stating that said premises have been equipped with approved smoke detectors and carbon monoxide detectors in conformity with applicable law. 29. NOTICES ; All notices required or permitted to be given hereunder shall be in writing and delivered by hand or mailed,postage prepaid by registered or certified mail,return receipt,requested,addressed as follows: For the SELLER: At the address specified on Page One of this Agreement and a copy to: Christopher J. Collins,Esq. Collins&Cabral,P.C. 1047 Falmouth Road, Suite#3 Hyannis,MA 02601 Tel: 508-815-3422 Fax: 508-463-4777 Email: ccollins a,collinsandcabral.com For the BUYER: At the address specified on Page of this Agreement and a c to: p g � copy p Michael Gill,Esq. Gill Devine,PC 776 Main Street, Hyannis,MA 02601 Tel: (508)775-9300 Fax: (508) 775-9333 Email: MichaelkGillDevine.com 30. TIlVIE ` It is agreed that TIME IS.OF THE ESSENCE of this Agreement. =11- 31. ADDITIONAL PROVISIONS a) BUYER, BUYER's lender and their representatives (i.e. appraisers, architects and contractors) shall have access to the premises for the purposes of taking measurements, and the like, at reasonable times,with prior notice to SELLER,and in the presence of SELLER or SELLER's agent. b) If the Premises are affected by an Order of Conditions issued by the Conservation Commission for the Town in which the Premises are situated SELLER shall provide BUYER or lender's counsel with a certificate of compliance for said Order of Conditions prior to closing. c) Subsurface Sewage Disposal System Inspection: The premises are serviced by an on-site subsurface sewage disposal system(the"System")regulated by Title 5 of the Massachusetts State Environmental Code ("Title 5"). As required by Title 5,the SELLERS will make arrangements to have the System inspected at the SELLERS' expense by a person.authorized to perform such inspections(the"System Inspector"). The condition of the premises shall not be deemed to violate this agreement because the SELLERS are not reasonably able,before the time of delivery of the deed,to restore any landscaped areas affected by such inspection. SELLER shall provide a current "passed"septic inspection report on or before the closing,which report shall indicate the septic system serving the premises complies with the requirements of 310 CMR 15.00 et seq.(so called "Title V")and is sufficient to serve at least a four bedroom home. In the event that the system fails or conditionally passes, SELLER shall undertake to make such repairs and upgrades as necessary, including restoration of any disturbed areas(including loaming/hydro-seeding), as would be needed to obtain a Certificate of Compliance from the Board of Health. In the event of failure, SELLER to obtain all permits and approvals to install a new septic system,with location and design of said system to be subject to the approval and reasonable satisfaction of the Buyer. d) Any title or practice matter arising under or relating to this Agreement which is the subject of a title or practice standard of the Real Estate Bar Association of Massachusetts ("REBA")at the time of delivery of the deed contemplated hereunder shall be governed by such title or practice standard, as.the case may be,to the extent applicable: - e) A document, delivered by electronic mail or facsimile shall have the same force and effect as the original and a copy of a signature of any party on a document so delivered shall have the same effect as an original signature: f) The Buyer and Seller represent and warrant to each other that neither party has contacted any real estate broker, other than those BROKERS named in this Purchase and Sale Agreement (`BROKERS"), in connection with this transaction and were not directed to each other as a result.of any services or facilities of any real estate broker other than BROKERS. Buyer agrees to indemnify Seller against and hold Seller harmless from any claim, loss, damage, cost or liability for any .. .brokerage commission or fee which may be asserted against Seller as a result of Buyer contacting any broker, other than BROKERS, in connection with this transaction. Likewise, ,Seller agrees to indemnify Buyer against and to hold Buyer harmless from any claim,toss;damage,cost or liability for any brokerage commission or fee which may be asserted against Buyer as a result of Seller contacting —12— I any broker, other than BROKERS, in connection with this transaction. The provisions of this paragraph shall survive delivery of the deed. g) Seller shall not be liable or bound in any way for any verbal or written statements,representations,or information pertaining to the premises furnished by any real estate broker or agent or any agent or employee of Seller, or any other person. It is understood and agreed that all prior and contemporaneous representations,statements,understandings and agreements,oral or written,between the parties are merged in this Agreement,.which alone fully and completely expresses their agreement, and that the same is entered into after full investigation, neither party relying on any statement or representation not embodied in this Agreement made by the other. h) The acceptance of the deed by Buyer on the Closing Date shall be deemed full performance and discharge or each and every agreement and obligation on the part of the Seller hereunder to be performed. Any and all representations and warranties of Seller contained in this Agreement shall not survive the Closing Date except for Paragraph f) above relating to the warranty regarding the real - estate broker(s)to whom a real estate brokerage commission is owed. i) All offers,agreements,and any other understanding made prior to this Agreement,including without limitation, the memorandum executed by the Parties hereto, entitled "Contract to Purchase Real Estate"("Offer"), are hereby superseded,rendered null and void and shall have no further force san effect, it being the intent of the Parties that all obligations of the Parties are contained only in this Agreement and this Agreement represents the complete and full agreement of the parties hereto. j) By execution of this Agreement,Buyer acknowledges that Buyer has been provided ample opportunity to conduct any and all inspections of the premises (either independently or through agents of the Buyer's choice),including all improvements thereon,and any and all component parts thereof,desired by Buyer(and that the Seller has no responsibility for any failure by the Buyer to fully exercise such inspection rights), including, without limitation, mechanical, structural, groundwater tables, utility systems, all appliances and personal property being conveyed with the premises as provided.in this Agreement,pest,termite,lead paint,asbestos,radon,mold,and any hazardous chemicals,materials or substances, dimensions and area of the premises. Buyer acknowledges and agrees that Seller shall have no obligation to repair any defect existing on the date of this Agreement. Without intending to limit the generality of the foregoing, Seller does not warrant or represent that the premises comply with current municipal, county, state or federal codes,ordinances, statutes,laws, regulations_or the like,relating to zoning,building,environmental,health or any involving the maintenance,operation or condition of the premises. The Buyer is purchasing the premises to be conveyed pursuant to. this Agreement, in its"as is'.'condition,except for any outside agreements and any agreement expressly stated herein,the Buyers thereby releasing the Seller from any and all liability relating to any and all conditions and/or defects in the premises and holds Seller harmless as to the suitability of the premises for Buyer's occupancy. The provisions of this paragraph shall survive the Closing and delivery of the Deed hereunder. k) Subject to paragraph 5 of the Agreement, this Agreement may not be assigned or recorded by the Buyer without the prior written consent of the Seller and any recordation by Buyer (including a recording of notice hereof)or purported assignment by Buyer in violation of this paragraph shall be considered a default by Buyer under this Agreement,whereupon all deposits hereunder shall be paid to —13— I the Seller with interest thereon and shall become the Seller's property and this Agreement shall terminate without further recourse to the Parties hereto. 1) All of Seller's representations under this Agreement are to the Seller's actual knowledge,and without conducting any independent investigation or inquiry and are not intended to imply or create any obligation for the Seller to take additional actions or more further inquiry with regard to any topics contained within this Agreement or elsewhere,including but not limited to,documents,to be executed in conjunction with the Closing; furthermore, it is acknowledged and agreed by the Parties that any such representations shall not constitute a representation or warranty against the existence of such conditions about which Seller has no knowledge, nor a representation or warranty against the discovery or occurrence of such conditions. The provisions of this paragraph shall survive the Closing and the delivery of the Deed hereunder. m) The parties acknowledge and agree that this Agreement may be signed in counterparts, and for purposes of this Agreement, facsimile or electronically scanned signatures shall be construed as original, provided however that no party shall avoid any obligation hereunder by failing to provide such original signature. n) If this Agreement or any other provision by way of reference incorporated herein shall contain any term or provision which shall be invalid,then the remainder of the Agreement or other instrument by way of reference incorporated herein, as the case may be, shall not be affected thereby and shall remain valid and in full force and effect to the fullest extent permitted by law. o) Both Buyer and Seller hereby acknowledge that they have been offered the opportunity to seek and confer with qualified legal counsel.of their choice prior to signing this Agreement. p) BUYER shall assume the Solar Panels and any and all contracts thereof. q) SELLER to contribute up to$7,500.00 in BUYER's closing costs,prepaids,and escrows at the time of closing and not otherwise. 32. Original Signed Deed Requirement.Buyer shall not be required to accept a deed signed under a power of attorney.At the sole option of the Buyer,a Deed executed for the Seller pursuant to a power of attorney shall not satisfy the title requirements of the Agreement.' 33. Appliances/Warranties. Seller hereby will convey at the time of closing all of their right,title and interest to any and all appliances and systems including the fixtures in said premises. Simultaneously with the delivery of the deed, Seller shall assign to Buyer all contracts and warranties relative to the Premises,if any. All keys, garage door openers, security codes,and the like,in Seller's possession, if any, shall be delivered to Buyer at Closing,to be held in escrow by a realtor until the deed is recorded. Any warranties or documents provided or assigned by the Seller are done so at no cost to Seller, if in Seller's actual possession, on a non-recourse basis and as a courtesy of the Seller rather than a condition of Buyer's performance. 34. Miscellaneous. Both Buyer and Seller hereby acknowledge that they have been offered the opportunity to seek and confer with qualified legal counsel of their choice prior to signing this Agreement. —14— I - This Agreement, and every term,condition and provision hereof, shall be governed and controlled by mutual, reciprocal and objective covenants of good faith and fair dealings. 35. Closing Attorney. BUYER and SELLER acknowledge that they have been informed that the Buyer's attorney,Gill Devine,P.C.,has been asked to provide legal services on behalf of the mortgage lender for the mortgage loan closing in addition to the representation of the BUYER in this transaction, and that both BUYER and SELLER have no objection to and consent to this dual representation of BUYER and Lender,by BUYER's attorney. 36. TRID. Buyer and Seller acknowledge that mortgage regulations promulgated by federal Consumer Financial Protection Bureau(CFPB)effective October 3; 2015,and known as the TRID(TILA-RESPA Integrated Disclosure)Rule,may affect the parties' ability to close on the date and time specified in this purchase and sale agreement. To provide for possible delays and to accommodate each other,the parties agree as follows: a. In the event Buyer's mortgage lender, as a direct result of CFPB regulations, is unable to close on the original closing date set forth in the executed Purchase and Sale Agreement,the closing date may be extended upon written notice from Buyer to Seller for a period not to exceed three business days,time remaining of the essence.Notwithstanding specification of the extended closing date in Buyer's written notice,the Buyer retains the right to further extend the closing date by subsequent written notice,provided the extended closing date does not exceed the third business day following the original closing date set forth in the Purchase& Sale Agreement. ` b. All utility readings(water, sewer, fuel value etc.) shall be conducted by Buyer 7 days prior to the specified closing date. Seller shall assist in ensure all readings and adjusted are established on or prior to the 7th day before the closing, and shall be forwarded to the closing attorney as soon as possible,but in no event later than the 7th day. The settlement statement shall reflect payment and adjustments as of the reading date,with the exception of the real estate tax prorating,which shall be made as of the closing date. There shall be no further adjustment between the parties unless otherwise agreed.Notwithstanding the above,the parties shall estimate the fuel adjustment,if any, as of the closing date, employing any reasonable method to determine same. —15— This is a legally binding document. If you do not understand any material contained herein,you should consult with an attorney. WITNESS OUR HANDS AND SEALS ON THE DATE FIRST MENTIONED ABOVE ���777 / N/192018 11202018 p _ 0824 PM GMT ' Y 03:39 PM GMT SELLER SELLER 11/17/2018 V (/GU//L` :i°r 02:34 PM EST _ BUYER BUYER 11/1512018 01:49 PM EST, BROKER BROKER —16— Application Number........................................... Section 9 .Construction Supervisor Name ' Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and - documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signattne Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Tap Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your EUC... Signature Date Section-11-=-Home-Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number'" 22 -Z"tLS - `7 g1 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required 780 the Town of Barnstable- 1 GSignature --- APPLICANT SIGNATURE Date \2- Si e --- Print Name Telephone Number C009 E-mail permit to: �.. T e.w.....i..a�.7.11tn unt o Section 12 —Department Sign-Offs Health Department ® Zoning Board Cif required) Historic District ❑ site Plan Review(if required ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans direetly to the fire deparbnent for approval Section 13 —Owner's Authorization L , as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date i Print Name E 4 Last=dated:2/92018 ?-OTT 11uI/VC n LV V N' N w D N 1 rr amt��7 mC Ntfi 9N] , 81!]b32i 3a7 5 r 1 15 1410 .__�_--�d�Q a•2ils (, l .. Z � co1Nt U1 J d c� F' w I M)aow i /D& DOS -c �i L.f aw lA,�o wiN�w ' ��-Irr�" -ro1l�Y -fi0 tee" 13°1 �:F �•3 fig q Q. ' y�• rj'}al. . �!i'K.R YF.� .O. i • 9) . , � � J, rho,� � �. V/ garb ...... •.m o.pnlJ�...�....._.j._��a.,�:- - ..... a�• �»apnt 1 rf� E»•�RQ��rn. � ... _ 1. U 1w —1_ 4 rjw taTIE oFxHE:;ram . : • ti 19 P'? 47`` MA$3 Town of Barasta,le Zoning'Board of Appeal ; Decision and Notice Comprehensive Permit,No 2013= 077-Cheglakop Chapter 40B'Comps ehensive Permit: Summary: Comprehensive Permit No 2013 077 is rescinded Applicants Alexander`and Sviatlana Cheglakov Property Address:. 110.9 Shootflyirig Hill Road,..Ceritervzlle,MA: Assessor's Map/Parcel- Map 1:9.0,Parcel,223 Zoning: Residential'D .1 arid:Residential C Zoning Districts Deed Reference: Book 27975.Page 11,39 Por,rin it;Reference: Book 28151'Fage:2:.75 Locus and BackgroOl d The applicant applied fof a Comprehensive Pezmi under Chapter 40$ of the; 4eral:Laws of the Commonwealth'of Massachusetts,::and m accordance with Article II of Chapter Nine of the Code of the, town of Barnstable, more comm oxzly termed the "A;ccessory -Affordable Housing Program:" Comprehensive Permit Nurz bez 201.3 077:was:.issued,to the applicant.on March,26,ry20:14 and,,a' Regulatory Agreement and.Declaration of Restricted Covenants were recorded at the.Barnstable County Registry of ID'eeds on May 20, May 19 806k,28-454I Page 281. The Applicants no longer,own the:property and ahezefofe,the`Comprehensive Permit No. 2013= 077 must be rescinded, Procedural& Heating Summary; A.:public hearing"to rescind Comprehensive Perrnit.No..2013'.077 was duly<advertsed and notice: sent to abutters and.the property owner atl ri accordance with-,MM,"Chapter 40A. The'h wiffi,g uas opened on July 24, 2.019 at which time "tl e Hearing'Officer,;Alex Ro.dolak* made the following findings and decisi;Qn; Findings:of Fact:' 1.. The, appli°cants; Alexander arid;, Svratlana Cheglakov;; were gamed Comprehensive Permit 20,13'-077 for an-accesso y afTordabl"e apartment at .i 109 Shoofilly ng H 11,RoA, Centee, M rvill A on 1Vlarch 26,'20.14; I r Town,of Fiarnstable;Zoning gBoard of Appeals: Comprehensive Permit No.2013-077 Cheglakov is-rescYnded 2. The""applicants; Alexaridei and, Sviatlana Cheglakov, sold the property"on Decerriber 11,201;8. 3. On May 15;. 2619., the Accessory Apartment Piogram Coordinator took action to rescind Comprehensive Permit No 20T3 071;; 000re ' Comprehensive,Permit number 2013 077 is rescinded;; A written copy of"this.decisian shall be forwazded to the Zoning Board of,-Appeah as required by: E the Town of Barnstable Adrnrustrative Code Chapter 241,section 1:1, if after fourteen(14) days from that transmittal the Mernbers of the Zoning Board;of Appeals takes zo action to fevers&'the decision;;this decision shall;become final;an&ar copy.shall be:the filed -m`the offi!cc of`tlie Town Clerk:. I Appeals of the final decision; lf`any, shall.be.made to tlze,BarnstableSup&ror Court pursuant fo MGL Chaptei .40A, Section: 17;. within,twenty'(20� days after the &fate of the filing.of this decision in the:office;of th'e T60 ;Cl' k:: The:applicant has the right to appeal tfiis decision;as; p , outime G. Cha;'ter, 40 Secfion 2Z, AI Rodolalcis, Hearing.Officer Dat. Sign d I, Ann Quirk, C1erk.of the Town ofBarnstable,.Bamstabie County,,Mass achusettshereby certify that twenty (20) days have elapsed since fh&Zoning Board of•Appeals=filed this<d6eision:and that u no appeal of.the decision has'been.fled m he offic&..ofthe TowiWlerk. Signed and sealed this ,day under'the pains and penalt&s of peijuy. Ann QLlirk,Town Clerk kr�►�' rt� •.:ar �d 6r f NSTA�1~C RECISTR� F DEEQs rr rz�z ; lohnF. Meade Register 0 ttj. F �l' Parcel Detail Page 1 of 7 .� Jam^' "•i"' , Logged In As: Parcel Detail Tuesday, August: 13 2019 Parcel Lookup �.. Pa. rcelInfo ....... _... .. Parcel ID.190-223 .a Developer Lot',LOT 1—'n'.-»,."— -1 Location Pri Frontage 131 Sec Road � � Sec Frontage 1 Village Centerville w.% � Fire District IC O-MMfi v NFi Town sewer exists at this address ENO Road Index1484 Asbuilt Septic Scan: 190223 1 , Interactive Map ' g 190223_2 sx+w* 190223_3 Owner Info Co- Owner.IHUNT,JOSEPH ROY Owner Streetl 1109 SHOOTFLYING"'Hi i Street2 i .� i p ,..,.m , ,,, ., .....,,, f ry CityCENTERVILLE state gMA zi 02632 Count Lan . _ - _- ,� Acres 0.46 I use Stngle Fam MDL-01 Zoning SPLIT RD 1,RC I Nghbd,0105 TopographyLevel Road Paved i utilities fPublic Water,Gas Septic i Location Construction Info Building 1 of 1 Year f Roo Ext t <,. 1980 � Gablep tCement Clapbd Built Struct> Wall Living i1248 ..... . ... ..� RoofAsph/F GIs/Cmp AC None,.., Area Cover Type style Ranch wali;Plasteredv Roomsj3Bedrooms Model IResidential l Int{"Carpet Bath 1 Full-14 Half s Floor: Rooms va , Grade gAverage J Type IHot Watery Total Rooms 6 Rooms....... q„ Stones 1 Story ...<� Heat Gas 1 Found .PoureduConc.W xu� Fuel 1 ation Gross r2678 Area Permit History Issue Date Purpose Permit# Amount Insp Date Comments 7/29/2015 Solar PV System 201504748 $19,000 1/6/2016 INSTALL SOLAR 12:00:00 AM PANELS ON http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13301 8/13/2019 Parcel Detail Page 2 of 7 EXISTING ROOF. 7.8 KW 30 PANELS 4/24/2015 New Siding 201502292 $2,000 6/30/2015RE-SIDE 12:00:00 AM 10/24/2014 New Roof 201407405 $2;000 6/30/2015 RE-ROOF 12:00:00 AM STRIPPING OLD 8/5/2014 Other 201404598 $1,000 6/30/2015 OT EXIST DOOR 12:00:00 AM FM BMT 6/20/2014 Apartment 201403251 $0 6/30/2015 AP AMNESTY 12:00:00 AM REPLACE 8/16/2010 Other 201003975. $1,800 1/26/20111 BASEMENT 12:00:00 AM WINDOW WITH DOOR 11/6/2007 Remodel 200706493 $500 12/30/2008 800SF FAMILY 12:00.00 AM APT Visit History Date Who Purpose 1/13/2016 12:00:00 AM Susan Ricci Bldg Permit Completed 3/1/2011 12:00:00 AM Robin Benjamin Bldg Permit Completed. 1/26/2011 12:00:00 AM Mike Keating New-Construction 2/8/2010 12:00:00 AM Nancy Finch Cycl Insp Comp 12/30/2008 12:00:00 AM Paul Talbot Cyclical Inspection 7/29/2008 12:00:00 AM Nancy,Finch In Office Review 11/17/2000 12:00:00 AM Paul Talbot Meas/Listed=Interior Access Sales History .._ _.. _....._.._._. ..__......... . Line Sale Date Owner Book/Page Sale Price 1 12/11/2018 HUNT, JOSEPH ROY 31719/166 $415,000 2 2/6/2014 CHEGLAKOV; ALEXANDER & 27975/139 $1 SVIATLANA 3 12/17/2013 CHEGLAKOV, ALEXANDER 27889/230 $250,000 EINSTEIN, JENIFER N & HAFLETT, 4 11/24/2009 CORM M 24189/290 $235,000 DEUTSCHE BANK NATIONAL TRUST 5 8/28/2009 CO 23994/324 $153,000 6 8/1/2006 DE SOUZA LOPES, ALCIMiR 21236/109 $295,000 7 2/15/1994 1 MULLEN, JEANNE L TR 9053/332 1 $1 Save Year Building XF Value OB Value Land Value Total Parcel Value Value http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13301 8/13/2019 Parcel Detail Page 3 of 7 1 2019 $137,100 $48,600 $2,500 $105,000 $293,200 2 2018 $109,100 $49,200 $2,600 $110,500 $2711400 3 2017 $101,100 $50,300 $2,500 $110,500 $264,400 4 2016 $101,100 $50,300 $2,400 $1111500 $265,300 5 2015 $95,200 $53,800 $3,000 $109,000 $261,000 6 2014 $95,200 $53,800 $3,100 $109,000 $261,100 7 2013 $95,200 $53,800 $3,100 $109,000 $261,100 8 2012 . $95,200 $45,200 $2,500 $109,000 $251,900 9 2011 $122,400 $22,000 $3,000 $109,000 $256,400 10 2010 $113,800 $6,800 $1,300 $109,000 $230,900 11 2009 $114,600 $7,500 $600 $146,000 $268,700 12 2008 $133,500. $7,500 $600 $152,100 $293,700 14 2007 $140700 $7,900 $600 $117,100 $266,300 15 2006 $124,800 $7,900. $700 $114,400 $247,800 16 2005 $118,100 $7,900 .$700 $107,100 $233,800 17 2004 $98,900 $7,900 $700 $121,400 - $228,900 18 2003 $87,300 $7,900 $700 $36,700 $132,600 19 2002 $87,300 $7,900 $700 $36,700 $132,600 20 2001 $87,300 $7,900 $700 $36,700 $132,600 21 2000 $65,800 $2,500 $0 $36,300 $104,600 22 1999 $65,800 $21500 $0 $36,300 $104,600 23 1998 . $65,800 $2,500 $0 $36,300 $104,600 24 1997 $72,200 $0 $0 $32,700 $104,900 25 1996 $72,200 $0 - $0 $32,700 $104,900 26 1995 $72,200 $0 $0 $32,700 $104,900 27 1994 $68,500 $0 $0 $26,200 $94,700 28 1993 $68,500 $0 $0 $26,200 $94,700 29 1992 $77,900 $0 $0 $29,100 $107,000 30 1991 $75,560 $0 $0 $58,100 $133,600 31 1990 $75,500 $0 $0 $58,100 $133,600 32 1989 $75,500 $0 $0 $58,100 $133,600 33 1988 $57,400 $0 $0 $26,900 $84,300 34 1987 $57,400 $0 $0 $26,900 $84,300 35 1986 $57,400 $0 $0 .$26,9001 $84,300 Photos .................... ........ ........ ............... i http://issgl2/intranet/propdata/PareelDetail.aspx?ID=1.3301 8/13/2019 17'a a4 $ v s: v c a m\ E" � s C v �w °mil 1{�,�A 6 d� �y�j S�A %•p f 5�1 �X2 � x^R'7r,, „a o�q�a.Z\A�VAv�C� � +d' #�,` �� ��r� r,"e�s- �w '� ��.._�� �a�i�� ?���< ��•i Kcw e ka`SN.� w 6 � x P rr ZMA s ONKwWav l EA m• 9 J K �q w y4 LifRr ? ` 0 y �•^�• a �` �`'1 aCyA �`s�� �� ;'a ¢V`e:' s Z'A v fL_ +.,� 4 r�; r �y'x 3 ��,.. x ik•r e -a,isa,«'„ .�r,,S .w �"•.r..v..�'�_ ISIN a a } WIM 1 p 3 ^ash..i,�a+Ma� �°,�'°^�"^°"a"'"a1 • �,ten" .aye �'W � � ''�3 a 5y.ti,�,\\wq � , k' �. J. :y m a � a w I + ^' a a ,,..fin` ! \ 2•' �y <.,.. ' ,a ��, � � a sa" 'a vKtt '�`•- �v-aa ��3 `\ ����.��vvt k��.�av'�ya"`%� ��j 4 Parcel Detail Page 6 of 7 Er IM s _� .tea � w, ���i��x �. • f 1rtY i. i GA I y�r i http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=13301 8/13/2019 f Parcel Detail Page 7 of 7 I d � E tim.. is t rry 4 L- �n b � Sx� i s http://issgl2/intranet/`propdata/ParcelDetail.aspx?ID=l 3301 8/13/2019 � f ILW(V � 6 z L Town of BarnstableREc�EIPT ` KAM 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-4035 Date Recieved: 12/10/2018 Job Location: 1109 SHOOTFLYING HILL RD,CENTERVILLE Permit For: Building-Family Apartment no Construction Contractor's Name: State Lic. No: Address: , , Applicant Phone: (Home)Owner's Name: CHEGLAKOV,ALEXANDER& Phone: SVIATLANA (Home)Owner's Address: 1109 SHOOTFLYING HILL RD, CENTERVILLE,MA 02632 Work Description: Change existing basement amnesty apartment to a family apartment for sister Caroline.Joseph Hunt will be living in the main house Total Value Of Work To Be Performed: $0.00 Structure Size: 0.00 OAO 0.00 Width < Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. - All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Joseph Hunt 12/10/2018 Applicant Date Telephone No, Estimated Construction Costs/Permit Fees Total Project Cost : $0.00 Date Paid Amount Paid Check#or CC# Pay Type ----------- 12/10/2018 jm__,.._ .. .___,_...... Total Permit Fee: $110.00 $I10.00 Cash 1.. Total Permit Fee Paid: $110.00 z'r TH�I�S ISNOT:A�PERMIT �� � 5 1' ��-sr-r-tier e•�®�•w.r •• �� F..,�,, ..-a.. L � TEE R� .CE�1 �t1ILL ProertHIL99Tdes + Dsar 1'01,i3 i ner� HU 1T, JsOSEF H=ROSY Lot�P►re 2003 rcel'ID �;99Q 2�3,� � Y�ar�f�uift_ 1980n . ,.W . : 1 ' Parertit Re k E4 i . _ '�n na titre; rc l Work Des rl #io :, .. .. cc.u�c r�T e ub j#ted . fC9� ,. }�c�ilcir�g d anvil. ripartni21fJ� C � ,basemr�t amnesty'. . csi t nti l es� -- = - � ar went toga larfiil i r..x;. 4 ... *; kw, ,,.w �,w. ,; ��_ ;,par ent p[7 isteirq i UVater supp[y>- e vgge.Dispos�h.,�.ystem *. , Caroilrt ,losepli PniSEic# '� F?'i vafe° weld I H�rnt_w191 be during in s } NiunIcfpal , rt �ipos ,. OwnerWarr�e �..� .._ ..,. „ w,. teR `ip iPti ne c the main t�©us ` .:Address �dfy #Sta _f F H��LAK4V AL��1094SH(�C�`Ct=LYING'`�ILU��CEN'i'�RVIL��tU1Ai ��2 �( � �, t pllcant isl (seeavct ore} - 1 � ,� Iirart,Err ' # Ornert °°Contractor =C} ionher er�togcoatservrces corgi .�• .: r� 1p f c,an t Lorne �4ddr s's; °� c y--, i to ' �P Phadr�,e �o-, I `� Y ' �. b Hint til-09-HOOT I�+IC'Fiil>v���ENTERML MA, 'f)�G�2 ���-� >� ��(�►� �\�� _ `.' _.,.. - -- W_ r.,. lrotectrName de�velap errt,Titde ®'(0 g enant Name:: 'Phobe il6_ mAssl " etd:dt s eat r AV , g a tillable Contractors e f aim Ae,erp��c nit# 4 Rle uirtP'rovide ` l=dit Print have Mn'ge Address Coyle, Brenda From: Joe Hunt<Joe@topcoatservices.com> Sent: Friday, June 14, 2019 10:41 AM To: Coyle, Brenda Subject: Re: Family Apartment Hi Brenda that was myself that came in yesterday and spoke with you. Anna told me I was all set until I receive some paperwork in the mail and I have to bring a check to her. Please let me know what I need to do I was under the impression after leaving yesterday I was all set. If I have to fill out paperwork let me know I can come by on Monday and take are of whatever needs to be done. I appreciate your help Thanks Joe Hunt Topcoat Services USA LLC Joe@topcoatservices.com topcoatservices.com 508-294-7183 "The Service Industries Leader" From: Coyle, Brenda <Brenda.Coyle@town.barnstable.ma.us> Sent: Friday,June 14, 2019 10:38:09 AM To:Joe Hunt Subject: Family Apartment Good Morning, Joe I am trying to reach out to you regarding the family apartment. Someone came in yesterday and spoke with me and Anna Brigham. We need to locate the Application for the Family Apartment perhaps you may have it? If so you need to apply again as that permit was dated 12/10/2018 and it's pass the 6 months. Please contact me as soon as possible so we know your intentions. Thank you, �rencCa�io�Ie Permit Tech. Town of Barnstable ` Building Department Ph: 508-862-4039 Fax: 508-790-6230 CAUTION:This email originated from outside of the Town of Barnstable!.Do not click lifnks, open) attachments or reply, unless you recognize the sender's email address and know the content is safet 1 CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE& EMERGENCY SERVICES . 1875 Route 28 Centerville, MA 02632-3117 1926 508-790-2375 x1 • FAX: 508-790-2385 Michael I Winn,Chief Martin O'L.MacNeely,Fire Prevention Officer Byron L.Eldridge,Deputy Chief Michael G.Grossman,Fire Prevention Officer December 12., 2013 >- TO.: Tom Perry, Building Commissioner Building Department Town of Barnstable 206-Wl in Street Hyannis, MA. 02601 In accordance with MGL 148, Section 28A, the Centerville-Osterville- Marstons Mills Fire/Rescue Department brings to your attention the following potential violation(s) of 780 CMR: Massachusetts State Building Code for your review and/or interpretation of same. NAME)BUSINESS: Residence ADDRESS: 1109 Sh.00tflyinghill,Road;Centerville OBSERVANCE During a resale inspection on December 9, 2013, 1 observed what appears to be an apartment in the basement of the home. There is a full kitchen, full bath, and a bedroom. The apartment appears to lack (2) means of egress. There,is one hinged door from the basement that leads to grade. There is no-other door leading to grade from the basement. There are locks on the doors separating the basement from the 1 st floor. Michael Grossman Fire Prevention Officer C.O.M.M. Fire District M.Jeff Lauzon, Building Inspector - CC: Robin Anderson, Zoning Officer "Commitment to Our Community" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION R Map �'1� Parcel c>707 _ Application # d 1 S -7 a Health Division Date Issued Conservation Division Application Fee S Planning Dept. Permit Fee I Date Definitive Plan Approved by Planning Board Historic - OKH P�U Preservation/Hyannis Project Street Address Dq I 4, Village 0—cr,A-e—V V is Owner c' G a. Ci c. Q. Address'' -p a N,l I R,04's— Telephone . SC to 2, r psi ll c csa` Permit Request c,ne,\S can mcp `a e,XIShV\.4 hlm ci "Wt k aLVnu e. krcyn nc C1 k_ � -«� su she�,rr,. r) iKw r 3D P s Square feet: 1 st floor: existing proposed `- 2nd floor: existing proposed -Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00 " Construction Type Lot Size Grandfathered: O Yes, ®:No 'If.yes, attach supporting documentation:. Dwelling Type: Single Family''A Two Family ❑. °r Multi-Family(# units) Age of Existing Structure Historic House: gYes .0�1\16 , On.Old King's Highway: ❑Yes allo Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Il Basement Finished Area(sq.ft:j ' = 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: .❑Yes ❑ No Detached garage: ❑ existing ❑new sizPool: ❑ existing, ❑ new size Barn: ❑.existing ❑ new size/ rTA Attached garage: ❑existing 0 new sizhed:`❑ existing ❑ new size ether: '. Zoning Board of Appeals Authorization ❑ ,Appeal # Recorded Commercial ❑Yes No If yes, site plan review# A(a a Current Us �SIG�G(1t � Proposed.Use APPLICANT.INFORMATION ?.. . - -`(BUII.DER OR I€OMEOWNER) Name Telephone;Number La�O.`�, Address ��01 C92u"T �N�S��.v� �c�.�, r. :;License r%Ll!� `: �k1k-C1a-u to y a Home Improvement Contractor# Email CAS _ .C M Worker's Compensation #'W A) 1.1 ci 1,4 alaS•!3a ALL CON RUCTION DEBRIS RESULTING OM THIS PROJECT WIL BE TAKEN TO C:I u_M n�CA SIGNATURE ' DATE ck 1 t ' VILLAGE ;PECTION: v . y f h ROUGH { f .FINALS x k,'1• � ; ~ ' ROUGH' `.;a ' FINAL' '+' ROUGH . , ! .. FINAL- .. >. . �� ,ems ,� •v},. .. :�d" �% T.'. DING . ED OUT N PLAN NO. ii i 4 , �. � d» S f'.��s, � �t",.0 ',Sw. d 'e... ,-.w •y�1�..)f .R'� }�.i!,d"T ,A^ "i � l� �f ..,� ..�j(ry 1._m�a f i I,�j •� * .;`� �#. '.t' A.,:1'.{'..� � `7 a �N .� .s � �� i t'�r a.. r r Version#48.2 S I aw,r ..� i July 16 2015 v Project/Job#0261493 U^ _ �� RE: CERTIFICATION LETTER 5 s . 3 Project: Cheglakov Residence 1109 Shootflying Hill Rd ' Barnstable, MA 02632 To Whom It May Concern, A jobsite survey of the existing framing system was performed by a site survey team from SolarCity. Structural review was based on site observations and the design criteria listed below: Design Criteria: -Applicable Codes = MA Res. Code,8th Edition,ASCE 7-05,and 2005 NDS - Risk Category = II -Wind Speed = 110 mph, Exposure Category C -Ground Snow load =30 psf - MP2: Roof DL= 10`psf, Roof LL/SL= 21 psf(Non-PV Areas), Roof LL/SL= 21 psf(PV Areas) Note: Per IBC 1613.1; Seismic check is not'required because Ss =0.19069 <0.4g and Seismic Design Category(SDC) = B < D On the above referenced project,the components of the structural roof framing impacted by the installation of the PV assembly have been reviewed. After this review.it has been determined that the existing structure is adequate to withstand the applicable roof dead load, PV assembly load,and live/snow loads indicated in the design criteria above. I certify that the structural roof framing and the new attachments that directly support the gravity loading and wind uplift loading from PV modules have been reviewed and determined to meet or exceed structural strength requirements of the MA Res.Code,8th Edition. Please contact me with,any questions or concerns regarding this project. I , JASON WIL iAM N TOMAN , No.31554. 4. Jason W.Toman, P.E. A� l T Professional Engineer T: 480=553-8115 x58115 Dig ason Toman email: jtoman@solarcity.com Date:201 17 00:32:24-07'00' 3055 Clearview Way' San Mateo,CA 94402. T(656).638-1028 (888).SOL-CITY F(650)638g1029 solarcity.com AZ RCC 213v'71-,:CA CSLF3.8,88104.O0 EC 8041,VrtbC 0532778;D0-F410 71101,186.DC.FI73.71101488,HF CT-29770,MA H10168572,MD MHIC 128948,NJ 13VH06160600, OR C.,6180498,PA077343.TX TDLR 270Q6,WA-OOL:SO 1907.. _ 1l;;Ws rreN.5, - v�' ,., 6Y 201&6aLvG11V All r, ., 07.16.2015 . Version#48.2 .,�So1arCit � PV System Structural Design Software PROJECT INFORMATION &TABLE OF CONTENTS Project Name: Cheglakov Residence AHJ:I Barnstable Job Number: 0261493 Building Code: MA Res. Code, 8th Edition Customer Name: Cheglakov,Alexander Based On: IRC 2009/IBC 2009 Address: 1109 Shootflying Hill Rd ASCE Code: ASCE 7-05 City/State: Barnstable, MA Risk Category: II Zip Code 02632 Upgrades Req'd?I No Latitude/Longitude: 41.663668 -70.352040 Stamp Req'd?; Yes SC Office: Cape Cod I PV Designer: Pedro Villal ando Certification Letter 1 Project Information, Table Of Contents, &Vicinity Map 2 Structure Analysis (Loading Summary and Member Check) 3 Hardware Design (PV System Assembly) 4 Note: Per IBC 1613.1; Seismic check is not required because Ss = 0.19069 < 0.4g and Seismic Design Category(SDQ = B < D IA r t� = 0111261WMN 1109 Shootflying Hill Rd, Barnstable, MA 02632 Latitude: 41.663668, Longitude: -70.35204, Exposure Category: C STRUCTURE~ANALYSIS,-:LOADING'SUMMA ANDr,M EBER�CH K P2 Na w, rt r< a K Member P,ro erties'Sum i�a vMs '�-`Horizontal Member;S ans w��wi ,��°� ••fiRafter:Pro rties.� ;a�ws ~ .•` Overhan 1.16 ft Actual W b . '77r 77 7 Aoof.S stem`Pro' erties<' `,x W k 0' A, ��,.fi.�.�•.� � � ��S an�1 . ,e �.�12:17 ft� ��. Actual D,d� Number of Spans(w/o Overhang) 1 San 2 Nominal Yes Roofin Materlaf .� ear._ ��� "Y 4.-�� Com'Roof° .�S an 3' � f � Re-Roof No San 4 SX 7.56 in.A3 PI ood Sheathin Yes x " K 5 an ;, 5 ;«a,I .ram 20.80 in. x_ � Board SheathingNone Total S an 13.33 ft TL Defl'n Limit 120 Vaulted Ceiling �` No, ":PV i Start w=" ,1.58 ft ' r "Wood S ecies c „ SFF:> , Ceiling Finish 1/2"Gypsum.Board PV 1 End 12.50 ft Wood Grade #2 Rafter`SIO a " *y_ AW '27° 'PV•ZStart ,. I' Fbr.M." "=875i psi ¢. r_; Rafter Spacing 16"O.C. PV 2 End F. 135 psi T,o Lat Bracin -� � .�Full " ", `�PV 3 Start , ,. .E <"�M ,q . „A400000 i o- Bot Lat Bracing At Supports PV 3 End Emin 510000 psi MembeirLoadin S,uinima �w ,#R Roof"P,�tch _`' .' Y 6 12 ,' "n:. Initial ; . Pitch Ad'u Non=P.V.Areas. 4PV,Areas �;ry Roof Dead Load DL 10.0 sf x. 1.12 11.2 psf 11.2 psf PV Dead Load PV-DL�'' 3.0 sf" 4 _ " s z x T:12 .�. .. .v'0, r, Roof Live Load RLL 20.0 psf x 0.90 18.0 sf Live/Snow Load , ,,. �_°ALL SL2' ,. ,` 30,O.psf ; x 0:7 I x 0.7 . 2;1.0k "21A psf Total"Load' Gove'r`nin ;LC p "°" TL °`#` ®3 Notes: 1. ps=Cs*pf;Cs-roof,Cs-pv per ASCE 7[Figure 7-2] 2. pf=0.7(Cj(Ct)(IS)p9; Ce=0.9,Ct=1.1,4=1.0 - �e e, x2 Member Des I S § A_ n Suiinma er�•.ND �w !Govemin LoadComb .�.° ., CDC;: ~ -JCL + b t �5r ..CL - "_ S ,ur�ip CF . :�,�� �Cr..'. OO���A^A 0110 053:�� tiaoti�H 1:3 � u�ifi� '�115 - Member Anal sis"°Results:Summa crM 'aItti; ' 4 ..i MakkDemand,, (c�Location . x a CCU aci � °x',1 DCR!,�= Load Coml�i Shear Stress 53psi 1.2 ft. 155 psi' 0.34 D +S Bendin + Stress::r � N ;. 1364a ik :. .t. a7:3 ft. Y �n x .. . . < °1504 si .. ��; 0:91" D a+S ,Bending - Stress -58 psi 1.2 ft. -805 psi 0.07 D +S Total.Load Deflection . '. ,1 4:0,.99:.in': �. ;166.fi 7.3,ft:`.r .. i 1.37.in.: 120 ":0.72, L7 S" I LCULATIONOF�DESIGNW3ND�LOADS�.-�MP2a •yap� �� . �r. • •� . b �, P x Mounting Plan nformation ,7 _.� N Roofing Material Comp Roof PUSystem..TY ,P,� � 'SolarCitySleekMourt _. Spanning Vents No Standoff Attachment Hardware ;,, .,: Com Mount T C x _ . Roof Slope 270 Rafter Spacing- "a1� . Framinq Type Direction Y-Y Rafters Putlin,Spacing X X:Purlms Oniy =NAB #wa A _ Tile Reveal Tile Roofs Only NA Tile Attachment system TileRoofs Ohl, , StandingSeam ra Spacing SM Seam Onl NA Wind l Des n Criteria ��� '' •a* � � ���: � �,`., � ,r F v ,; � i s d " Wind Design Code ASCE 7-05 Win'D gn'Method' �' u_ �;, -79, ` '"' Partially/Fully Method Basic Wind Speed V 110 moh Fig.6-1 55poe Cdtegory„ � Lt n C ., � � � ;� Sectro'n 6:5.63� Roof Style Gable Roof Fig.6 11B/C/D 14A/B_.� .. 9 Mean ERoof'Hei ht` h ; :', 25'ft "" 3 � �.�" µ Section6.2 WindlPressure:Calculation,,Coefficients,-� Wind Pressure Exposure KZ 0.95 Table 6-3 Topograpfic Factor " Z-4 ;K' 1 00 R� echo 65. Wind Directionality Factor Kd 0.85 Table 6-4 . ` Table"Im ortance 777,777 I s . . m10 „j Velocity Pressure qh qh= 0.00256(Kz)(Kzt)(Kd)(V^2)(I) Equation 6-15xy 24.9 psf ' '„:.kzWindiPressarer . L`77777777 Ext. Pressure Coefficient U GCO fun) -0.87 Fig.6-11B/C/D-14A/B Ext Pressure Coefficient Down _ .};G ' ` . ,*};,;, " s u: .: 0:45. i`',s Gay "° r Fig:,.6-11B/C/D=14A/B Design Wind Pressure p p=qh (G ) Ecluation 6-22 Wind Pressure Urr Wind Pressure'D6Wh ._ » ;: •-(a . ' k .F 41, X`_'Y=Direction+ Max Allowable Standoff Spacing Landscape 64" 39 Max_Allowable Cantle_ver Standoff Configuration Landscape Staggered Max Standoff Tributary Areal �•.. ' y� 'xTribw x ::,e : :°a i7'sf � PV Assembly Dead Load W-PV 3.0 psf Net Wind lJplifk.at Standoff • T-actual ° °: ,x , y ,a Uplift Capacity of Standoff Tallow 500 Ibs x Standoff.Demand Ca ci s x,_; DCR �s,7 nM Max Allowable Standoff Spacing Portrait 48 66" M'axAllowatile:Cantilever :P rtra'it '" Standoff Configuration Portrait Staggered ,,. Max Staadoff Tributary Areal s �Tnb ' " � � _7 �L' PV Assembly Dead Load W PV 3�.0�sf NetWind Upl'iftaat Standoff"°- Tactu i t ..� 442 lbst'" .. 3 ' Uplift Capacity of Standoff T-allow 500 Ibs StandofflDemand Ca ci „` ;r DCRrk..- .� ,� *� a 7,777 .• � r .4co CERTIFICATE OF LIABILITY INSURANCEomm 'DO COMMIE 13 ISMIF.D AS A NIATM OF WORNMTIQN ONLY AND 00i4 OM NO PJMHTB IJP ON.WM CM11 =TE KOLABR.TM COtTMAYE DM NM AFM MTIVELY OR MMTWMY AMID.E7[MD OR ALTER ME 0l31fERALtE ApR=M BY THE Pa31.CM 80.iM IM CMMPMTB OF AL5iIUM M DOW"Or CONOMTE A COWMACT BBi1 M 7M(SMf G INSURMMt AUTIMMUM RESOMME OR PRODUCEP,AND 7M CMMCATE HOLDER 111 PMARP. H the ootmalb hddw is an ADDITVIAL IMMUMM the;;Q );; w isn ;Nd— I<8U 11TKw 1$—WAW"m t W tf a tams Md umdMOM 400 PWk:Y,C&ftW Poltchs MY WAMO M frndmg m iL A staftmoton U&earfiNGMM dam act confer rl*As to the ca�seme hMaaar In iiten offsu+�siulatsement{s}. �t�tec�sces . 345 S EEt,SURE 130 MCA 4X9t 8E�9t:$it@6AYA1�i4•i5 ref affucs MR scwftoojw 111 to 3� srsu�ra: Hilmar CAVERfdm 8MV44MOM OWN IMIM&4 THM 16 TO CERTffY THAT THE PO=63 OF IMMMMCE 69ffi BM0W HAVE BEW WSUED TO THE MURED NAME?ABOVE FOR THE POLICY FMW E9WATM M37VAW STANDM ANY RIMUIREMM,TIMM ON DOWkH7M Ol'ARYCOM[RACT OR OTMER DOCLAWNT VMH REM%cr TO mum Tm CERTFCAiE MAY BE AWED OR MAY PERTAIN,THE DANCE AFTi7RDFA BY TH£POf.[ClES DESCRWD HERS N W SUBJECT TO ALL THE TSMWS, 4WUWAM AND C0NDETfQH8 QFsUCji PMVIEL OMITS MOM MAY HAVE OM RMUM BYPAID MAW. tit a ra> Uum A ammmummm -0fb28'r014 1 i4 OS1ft+�K3 LA17iDtX7fRREflCE i i.�4� 8 R�L�RftRAILtABILifY a tow ammwm�—_iown 11�DDOPm6 ORO i i �ODIM.f11pVlNdtIR1f i --- : ' C+&7�ttAl.A�RA7E f � �1LAt REdITEEBnTAPPM Pt7t MODOIM-M M/OPAGO 9 - xi W. a. 250 A AtMOUDDIMUMUM Gomm mwwls � Y AW HArfOALL M"o - n Y Mi►JMf(ibrpn�w,� . AMM t)OOIIYlilIIK{PKRp qqa i R HIWAtMN X AIMN t1178 ! X ggaDBn e DEMa i1�001S1d>d we anefat uu" a 2 sum , Acaera,« i , Ei lWA6AVfiW ft 4 MUMS t3 OCF R/A WC7�Gl {(�IQ 091E11/dQl4 =M F..L£ACHAtDCId I ! , 8 M 9NC{ OIR:[IBLE�QAIp� EL d861SE.EA a low mrew i RL Poucy mff PIIOMOF Ot+MG7t01161t ACA1f0iR fY01LLFr{Ai6e�A4�It0 i01,A���i RwlSd�a�fe,tlrolrssac tam L,ddrna+ftlsiAs+�. . �H4�Afil'OP71�A90YIOESDOpICOA�.Rk�B , TW MWNKMN QATE THERIAF. IMTM WILL 09 !l9JVC fiI SbfIA�.CA894Qt At1CO�ANECs11Il1tYyEi�Y104. . AU1t�> NlictNri ., (atMmm�roiltafnwrarcraawvfas +q� - �ts�.m�o acoR�ca�PaRA,rlo�. Afl figlNB received. ' AODRO Is(M") The AC*M nWft and bgo aw+OSUMd n0rl-of ACOM ` . The Cotnmon"athh ofMiwachuseKs DeparO wnt of Industrial Accidertrs . Office of Imvadgadons 1 Congress Stree4 Suite 104 ' Boston,MA 4Zxx4'2017 Workers'Compensation Insurance Affidavit:Builders/Contractors/laectricians/Ptumbers. Apylfeiknt Inljormadon Please Print Leatbly Name(Busiams/i3 pnizationudividuai): SolarCity Corpomfiou Address' 3055 CleaMew Drive City/State(Zip: San Mateo CA 94402 'Phone M 899-765-2489. Are you an employer?Cbeck the appropriate bol 1..® 1 am a em with 0 4. I am a gcieral contractor and I Type of project(�eR� P�Ym' .3..x0� b. ❑New construction employees(fill and/or part time).* have hired the sub ors . 2.❑ I am a sole proprietor or partner listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-coutractors gave - S. ❑Demolition working for me in any capacity. employees and have workers' incur m Z _ 9• irrP,,,. addition [[No worlmrSa comp.lnSurance �• . . 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l IQ❑Plumbing repairs or additions tnysel£[No woda",comb. right of exemption per MGL 12.[]Roof mpairs insurance required-]t 9.152,i 1(4),and we have no emglayet&(No workers i3.(ji Oilier So anels romp.insurance required. "soy appti�t that dts b box#1 min dw flit out the section babe+sbowiug alit workm,e�policy fifin mica t t Ht:metswama wbo aubtnk this afridwk h dicatutg they are dokg 4 work and tl►eA hke ottteisle ammaeam mast submit a saw vtt iodicatiag such k4mrsam&a chick tM box must anaabed an adds Mad sheet skowim the mtepe of&0M& muzacma Mid stage WAudta or M&=aXW=have enTkWm V the sub-ommactm bane employees,they must provide their wod=s'comp.poltry-0*-. I am an employer that U proaid kg workers'compensation kwrance for my employees Below Is the policy w d pb site btformadom losumace Company Name: Liberty Mutual Insurance Comyam Policy b or Self-iris.Lic.N. WA766D066255024 EViradoa Dace: 9/1/2015 1109 Shootflying Hill Road Centerville,MA 02632 Job Site Address; City/state/zip: Attach a copy of the workers'compeasation policy declaration page(d*wtag the polity number and eygiration date). Failure to secure coverage,as required under Section 25A of MOL e. 152 can lead to the imposition of criminal penalties of a fine up to S 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 3250.00 a clay against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for inaurance coverage verification. Ito hereby c under the eaddes o that AE fir ormadon prided above is true and correct SignDatel July 24,2015 . Phone 0, �50$.3141581 Q 27ded use only. Do Rot write In rhfs area,to be completed by city or town ofiI-fid City or Tows: Permlt/Llcense# Isaning Authority(circle one): 1.Board of Kealth L Buffdng DMactment 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6.odlex Contact Person Phone#: Office of Consumer Affairs d Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement�Cdntractor Registration Registration: 1,68572 Type, Supplement Card Expiration.- 3/8/2017, SOLAR CITY CORPORATION CHERYL GRUENSTERN -• 24 ST MARTIN STREET BLD 2UNIT 11 a —• - -- -=--- ---- _..�_._.._..: MARLBOROUGH, MA 01752 ........... Update Address and return card.Mark reason for change. SCA3 0a_r:na-n4.�,=.. 't - •-� : Address .` Renewal Employment "_'1,Lost Card '`I/c '�,•ai,i,.rl;mrrrl�l�r�'r,�lr.�.rirl'a,.•>//.t .. flice of Consumer Affairs&Business Reguiation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 168572 Type: _ �� ,.. 10 Park Plaza-Suite 51.70 Expiration: 3/8/2017 Supplement Card. Boston,MA 021,16 SOLAR CITY CORPORATION CHERYL GRUENSTERN 3055 CLEARVIEW WAY f. SAN MATEO•CA 94402 Undersecretary Ogot valid"without signature v~ ` Y . M�i1�7CiluR �•Depa t"ni of Qutitit'S*ir:" . �t>!dl'd OR flutldfft�Rl�W�9oOn*An11$t /kf�fdlA , t.tcanst CS-108595 JASDN PATRY 821 SUWART DRIIVE Abinoop MA OU51 ram. 'vp!Iit 00, GA�*wn,Katb+ro, 021OW2019 Office of Comm"Affain&BuRnm ftelation ( i °} HOME IMPROVEMENT CONTRACTOR R09isteatlon: 188572 TyptY 3/ i +► ,. EWIYB D: M17 Supplemen , SOLAR CITY CORPORATION , JASON PATRY 24 ST MARTIN STREET BLD ZUNI 2•./ t ITAARZkBOROUGH,MA 01752 UoQeruereary f , -, Y, - C s ri i❑ 3X'.`'. ? E http,�jfissgl2tintranetjpropdataAoolaip-.asps X Live Search11A, ' i .. l "r« e. -ss»3»�-: ., a �... ,_.�. ..gr..„. _ ,.`��.�.. .x,# ...�_ ,.'�. .�:� �, ar! "a•,p�� k +& �.r ,"x�, s t � _. :,sr. � .E �.x,..- QILt .':. :_., „,�,„,,.:.rf.. "'�: �t - � ,.:�.:-� .. .n.:,, .c , c+a-»•. '.;�:,.���..��-r��rs,.r �.� �.. ^�+a,r� a. a .0 x.aM,..:c., <.�... {sx,�-as,.��cr se � , -�"a,p-m--e--: ,.,-w- s.�.� �.�,r,.�x- w 3w�. .fir.. •t k �r'ikr a,=�w•'gym, -. � .9� '�` `�_ >� , $,� W w�. �c t:'s:.�...: �;mn•��`. *E�&s` "e�"� �,.�' t� mom_�_�' � i� F�v rites , Parel .: ti �c 'Page �.., .per-� � ,��,� �� �,• �,�, IL w Sri$:XrLSSa g hr 777777 t y p � y o \\o' Street 2 Street,# 1109 SHOOT !E ,;nameij �� :yeafh -.111' R 1�� <Prev Next> Page 1 of 1 Rows/Page: 1'0 h �co • ilm-M Owner. Village Index M a <l 190-223 11109 SHOOTFLYING HILL RD CHEGLAKOV, ALEXANDER& SVIATLANA CEN 1484 F19107223 Racal iritranet y300 d P ��a"rz�-..:`� aie��S stem � �� tea�tion;� . .An'ica�on,�E.:� '�Parce L©oizu +d�.r. .*a}*;]'X-_ "a.,: ���g4r!l�N _ ..,fi ..�_,..v. -.. Y+{Nd4 �> 'r '" ...� � t DocuSign Envelope ID:D2143D6F-2659-44DF-BA51-480E75293801 SoiarClty I PPA AMENDMENT, Customer Name and Address Installation Location Date Alexander Cheglakov 1109 Shootflying Hill Rd 7/21/2015' 1109 Shootflying Hill Rd Barnstable,MA 02632 Barnstable,MA 02632 Congratulations! , Your system design is complete and you are on your way to clean, more affordable energy. Based on the information in your System design,there are some amendments we need to make to your Power Purchase Agreement(the"PPA").The amendments are as follows: • We estimate that your System's first year annual production will be 8,307 kWh and we estimate that your average first year monthly payments will be$86.53.Over the next 20 years we estimate that your System will produce 158,475 kWh.We also confirm that your electricity rate will be$0.1250 per kWh,(i.e.electricity rate$0.1250 and tax rate$0,0000). Your electricity rate,exclusive of taxes,will never increase more than 2.90%per year: By signing below,you are agreeing to amend your PPA and you are agreeing to all of the new terms above. If you have any questions or concerns please contact your Sales Representative. Customer's Name:Alexander Cheglakov Power Purchase Agreement Amendment oaWs19oea ny Signature: oEF SolarCity Date: 7/21/2015 approved Customer's Name: ' Signature: . Signature: Lyndon Rive, CEO ` Date: Date: 7/17/2015 3055 Clearview Way,San Mateo,CA 94402. 1 888.765.2489 i .solarcity.com Power Purchase Agreement Amendment,version 2.0,1,June 25,2015 Contractor License MA HIC 168572/EL-1136MR Document generated on 7/17/2015 954718 i OWNER AUTHORIZATION Job ID: -a7-( Location: UC\ S ' Ale:*eXIOle � as Owner of the subject property hereby authorize Co —MC LO / MA,Lie 1136 MR to act on my behalf, in all matters relative to work authorized by this building permit application and signed contract Sipatum of Owner. bate: a Or of r Town of Barnstable *Permit#a 6 t 40 0 Expires 6 n: iths from' c date Regulatory Services Fee � SIABI.E, 9` � Richard V.Scali, Director TEo �a A Building Division �ry ®CT ` _014 Tom Perry,CBO,Building Commissioner TOWN OF 84 200 Main Street,Hyannis,MA 02601 SABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PEPMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address Residential. Value of Work$ 2 Minimum fee of$35.00 for work under$6000.00 ' Owner s Name&Address 1� ��v f cJI (( HA- Contractor's Name ToAP TVm 4gr.I-,--Y0L® Telephone Number SW 36'r 009 Home Improvement Contractor License#(if applicable)_'� j . Email: Construction Supervisor's License#(if applicable) ftorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name � ��e� � � t�vv f V A-d ) Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to 0&UPS'jj7 e 1Z ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value - (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: rty Owner musL4,� Owner Letter of Permission. py of the Ho Contractors License&Construction Supervisors License is. _... ..._._ _..-. . ..._.. _... uired. SIGNATURE: Q:\WPFILES\FO S i] permit forms\EXPRE doc Revised 061313 ,.; ✓/ze Jo7nmao�uuea(CYL ✓(iGaet eGta a?� 9 9 h µ „1 '� fv_ ; � �-" ° Board of Buildin Re ulations and Standards Office of.Consumer Affairs&Busme egulation - NConstruction Super so ;. 3" j` OME IMPROVEMENT C RACTOR. License: CS-105964 r Ck:,a• s .;; - :i� - tit; , ,� - i, '� - �. �, '�,"S'" '.`k, i egistration -6. Type,., �:; e 1 - Ex 772/20'14 Supplement . NAN V IVAN1U NKO" a et ! . dENTBELISLAN ME M 174 Upper Coun a r � Apt 1-14 " a=ram f:l Dennis Port MA 0?,639 ( IVANIUSHE�IKO S .o 9 MILL POND Y Ex it'at!on . W.YQRMOUTH,MA 02673'`" ' 01101/2016: - Undersecretary I! Commissioner -- -- ----- .- �-...airs&Business Regulation . " License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR expiration - before the ion date. If found return to: •. _ , Office of Consumer Affairs and Business Regulation �Registration 172476 Turd . 10 Park Plaza-Suite 5170 ExPirati6n 7/2/2Q16 $upplemeri* -+ ItI) ton,MA 02116_ BEL ISLANDS HOME IMPROVEMENT 1 - IVAN_IVANIUSH.ENKO � - rnNn. �- i ^A 02673 Underseeretary Not valid wi out signature l _ i d . G The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information [ p p Please Print Legibly Name(Business/Organization/Individual): r.JTGI/S l � "oM42 //1Vl2 . X Address: o1q R W P19NO, 2o W.. City/State/Zip: Phone#: 02 3 6C' 6?Oq Are you an employer?Check_ the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' comp:insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contactors 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: �/L �/1� 2 C V1 J Policy#or Self-ins.Lic.#: 0 P /- - Expiration Date: �ar] Job Site Address: �1 !� 6,P4-C&VXCity/State/Zip: 'UW Attach a copy of the workers'compensation po icy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of for insurance coverage verification. I do hereby ce ify r the pains penalties of perjury that the information provided above is true and correct. Si mature: Date: Phone.#: Official use only. Do not write in this area,to be completed by city or town official -- City or Town: - _.... _. .._. . _. PermitJl,icense# _...._ . Issuing Authority(circle one): 1.Board of Health 2:Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other R Contact Person: Phone#: a Information and Instructions ' Massachusetts 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 use having not more than three apartments and who resides therein,or the occupant of the weer of a dwelling house P o g g dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,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-contractor(s)name(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 permit/license 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 to 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 Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-NIASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia s s BARNMBLB, s a Town of Barnstable ram • Regulatory Services Richard Scali,Director Building Division ' Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,'MA 02601. www.town.barnstable.ma.us - Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize c (;/y/ C 2�� llorxe 'm"��ct on my behalf, in all matters relative to work authorized by this building permit application for: C� Address of Job) - S e of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. + r Q:IWPHLESTORWbuilding permit forms\smokecarbondetectors.doc Revised 050412 fown of Barnstable ; Regulatory Services pF Richard V.Scali, Director Building Division tvsr�sr.E Tom Perry,Building Commissioner a�as 039• ��� 200 Main Street, Hyannis,MA 02601 En www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35;000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a persou(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. . f •; ` � ® t - DATE(MMIDDIYYYY) A RC CERTIFICATE OF LIABILITY INSURANCE 4/1/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. IUSUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER BRYDEN & SULLIVAN INS CONTACT - - 88 FALMOUTH RD FAX HYANNIS, MA 02601 (AIC.No): INSURERS AFFORDING COVERAGE NAIC# nsurance Corporation 33600 _ INSURED INSURER B: - ANDREI YARMOLOVICH - ----- - ,DBA BEL ISLAND HOME IMPROVEMENT, INSURERC: 29 MILL POND ROAD INSURERD: WEST YARMOUTH MA 02673 INSURERE: INSURER F: COVERAGES - CERTIFICATENUMBER: 19702934" REVISION NUMBER.: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE,TERMS, EXCLUSIONS AND CONDITION_SOF SUCH POLICIES.,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ IR .TYPE OF INSURANCE ADDI SUBR �PQUCY NUMBER MM DDPOLICYIY LTR YYY MM DD/YYYY LIMITS LT COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ DAMAGE TO R CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GE_N%AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ PRODUCTS-71 -COMPIOP AGG $POLICY L�JE O_ LOC _ OTHER: $ - COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ r Ea accident) ANY AUTO BODILY INJURY(Perperson) $ ALL OWNED SCHEDULED - BODILY INJURY(Per accident) $ i_ AUTOS I AUTIS NON-OWNED - - PROPERTY DAMAGE $ L I HIRED AUTOS I'AUTOS Per accident UMBRELLA LIAB OCCUR (_ - EACH OCCURRENCE $ ' EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO I I RETENTION$ $ A WORKERS COMPENSATION WC5-31S-384176-024 2/25/2014 2/25/2015 STATUTE �RH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? �N N I A (Mandatory in NH) - E.L.DISEASE-EA EMPLOYE $ 100000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT. '$ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) , Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. ANDREI YARMALOVICH IS COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION TOWN OF YARMOUTH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE + THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1146 ROUTE 28 ACCORDANCE WITH THE POLICY PROVISIONS. SOUTH YARMOUTH MA 02664 AUTHORIZED REPRESENTATIVE LM Insurance Corporation VJ rJ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERT NO. 19702914 CLIENT CODE: 1589030 Anne Chandler-4/1/2014 2:18:46 PR Page 1 of 1 - CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE& EMERGENCY SERVICES 1875 Route 28 Centerville, MA 02632-3117 1926 508-790-2375 x1 - FAX: 508-790-2385 Michael J.Winn,.Chief Martin O'L.MacNeely,Fire Prevention Officer Byron L.Eldridge,Deputy Chief Michael G.Grossman,Fire Prevention.Officer December 12, 2013 TO: Tom Perry, Building Commissioner Building Department Town of Barnstable �.-. 200 Main Street Hyannis, MA'. 02601 In accordance with. MGL 148, Section 28A, the Centerville70sterville Marstons Mills Fire/Rescue Department:brings to your attention the following potential violation(s) of 180 CMR: Massachusetts State Building Code for your review and/or interpretation of same. NAME/BUSINESS: Residence ADDRESS:.'1109 Shootflyinghill Road, Centerville OBSERVANCE: During a resale inspection on December 9, 2013, 1 observed what appears to be an apartment in the basement of the home. There is a full kitchen, full bath, and a bedroom. The apartment appears to lack (2) means of egress. There is one hinged door from the basement that leads to grade. There is no other door leading to grade from the basement. There are locks on the doors separating the basement from the 1st floor. Michael Grossman Fire Prevention Officer C.O.M.M. Fire District CC: Jeff Lauzon, Building Inspector CC: Robin Anderson, Zoning Officer "Commitment to Our Community" l , oF, r Town of Barnstable *Permi /��`�vY/( Expires 6 m t s from issue date Regulatory Services Fee sARNSTABLE, *' 9� 1 1�$ Richard V.Scali,Director ArFp�,tp Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY j Not Valid without Red X-Press Imprint Map/parcel Number � ! o22.3 Property Address �/ l /�V 4 ]ff Residential Value of Work$ �O®®. ®O Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ,�s�h�� V WA Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance (�('���( (�'� Check one: 1(�VIA �C'' ��-r' ❑ I am a sole proprietor � � l:� I am the Homeowner I have Worker's Compensation Insurance TOWN n, APR 24 2015 QUV Insurance Company Name " I N OF RAW I �TABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance ofthis permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must si Property Owner Letter of Permission. A cop>of the Home I rovement Contractors License&Construction Supervisors License is requIred. SIGNATURE: Q:\WPFILES\FORMS\bu'din/,rmit fonns\EXPRESS.doC Revised 040215 l}tp arhnent o flndustyial Accialen& Office of Investigations 600 Washan .O t S&eet - Boston,MA 02111 wmn=mgvv1dia Workers' (":66pensation Insurance Affidavit:Buuildei-sJConfa acturs/Electdci:ansrPin.nbers - p cant ;nin nation / Please Print Legibly N ''��: 144 catI/ dress: �� `��'l coo / . �j citylstat Zip- C C1 d V� Ile Phom 4- -50 Z 8 Are you an employer?Check the appropriate box: Type of project(required): 4. am a t mtractor and I 1.❑ I am a emgloy�vwtlt ❑ I � 6- ❑New coaskrntction employs(full and/or part-time).* have lamed the sub-cmahzetads listed on the attached sheet. 7. ❑Remodeling 2v❑ I am a sale proprietor or partner- , , ship and have no employees These sub-contractors have S- ❑Demolition working Br me in any capacity. employees and have wodmrs 9- ❑Building addition [No workers'comp-insurance comp.insurance 1 required-] 5. ❑ We area corporation and its 10.❑Mecttical repairs cr additions e , ofcers have exercised tl�r 11- Plumbing repairs or additions 3-� I am a howxner doing all.walk ❑ � p nV99f [No workers'comp. right of exemption per liw1CL 12.❑Roof repairs insurance requiretl_] c..152, §1(4X and we have no to es. o workt�' 13.❑Other - emp 1e. - comp-insurance required.]'; 1 ;Amyapplicant that checks box#1 t also fill out the compensation policy inforraticm li�oaaeo users wlao submit this affid"ini icatmg they are doing all work and d=hire outdde contractors nisi submit a new afi davit indicating such- lCantractors that check this bwL must attachad an 2dil tiant sheet showing the name of the sub-cmdrsctors and:staAe whether or not tbase enfides lie emp9o} m If the have employees,dLey must provide their warkers'comp.policy number. .I care can ernpto�wr that isproviding w arkers'coannpecasation inmrance for my eug7l'oyem Below is file paliky and jab site inforazation. Inmxwce CovapanyName: Policy it or Self inns.Lic.4: Expiration Date:' Job Site Address: City/State]Zip: Attach a cagy of the workers'compensation policy declaration page(showing the policy number and expiration slate). Failure to secure coverage as required under Section 25A of MGaL c_ 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 andlor one-year imprisonment as well as civil penalties in the form of a STOP WOi1_K 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 DLL for insurance coverage vecifration- I 404ereby crsxtr; P aanctet' a as can sautes crfpeduty ghat tine rrnformatxon.praueded aboua is bw and(correct Sa tore: Bate: - h1 : o6 S Z G Z Offirial use only. Do not mite in this area,to be completed by city or loon afficitaL City or Town: PermitJLicense-9 r Issuing Authority(ddrde one): 1.Board of Health 2.Building Department ent 3.City/ a wu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Oflter Contact Person: Phone#: 6 Town, of Barnstable Regulatory Services oFZHE toty,4 Richard V.Scali,Director' 'Building Division 1ARNSPA1314 * Tom Perry,Building Commissioner 039. 200 Main,Street Hyannis,MA 02601 iDrEVMp+s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 2v Please Print DATE: ) f JOB LOCATION:_—A j. P' // �n P V/ //Q ' n er stree l, / village "HOMEOWNER": Cf /I�Y,�CJ /v U 00 2, name home phone# work phone# . CURRENT MAILING ADDRESS: r city/town state zip code. The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_ ep rmit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes; bylaws,rules and regulations. The undersigne "homeownqr"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures an X2q5FemeXs and that he/she will comply with said procedures and requirements., S ign ature-ol 116me4ner Approval of Building Official Note: Three-family'dwellings containing 35,000 cubic feet or larger will be"required to comply with the State Building Code Section 127.0 Construction Control. ' HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would-with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used'by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 � - t �4�OFWE TOE * BAR MEM '"`� 16g9. Town of Barnstable 9 `fig' �ArfD MA't� Regulatory Services Richard V.Scali,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 as Owner of the subject property hereby authorize to act on.my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. i Q:\WPHLESTORMS\building permit forms\EXPRESS.doc Revised 040215 C Amnesty Program Helping to make affordable housing possible. Town of Bamstable Certificate of Com Hance p This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code and Town of Barnstable zoning ordinances in accordance with the Amnesty program. i Owners Alexander & Svifalana Cheglakov Location 1109 Shootflying Hill Road, Centerville, MA Unit Capacity One B room of to exceed 2 People .., t Inspector M/P No. 190/223 10/24/2014 Town of Barnstable, Building Department - 200 Main Street BARNSTABIE.MASS. Hyannis, MA 02601 9 � - Foa, (508) 862-4038 Certificate of Application Number: 201403251 CO Number: 20140142 Parcel ID: 190223 CO Issue Date: 10124114 Location: 1109 SHOOTFLYING HILL RD Zoning Classification: SPLIT ZONING Proposed Use: SINGLE FAMILY HOME Village: CENTERVILLE Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed r �tHE i►� TOWN OF BARNSTABLE Building, 201403.251BARNSTABLE, + Issue Date: 06/20/14 Permit MASS. 9$A i639• Applicant: EINSTEIN,JENIFER N&HAFLETT,CORY M rFG MAC A Permit Number: B 20141538 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/18/14 Location 1109 SHOOTFLYING HILL RI) Zoning District SPLTPermit Type: AMNESTY APT NO CONSTRUCT RES Map Parcel 190223 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ 50.00 License Num OWNER Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND AMNESTY APT- 1 BED ALREADY EXISTS THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: EINSTEIN,JENIFER N&HAFLETT,CORY M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1109 SHOOTFLYING HILL RD INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: JL Building Permit Issued By: THISPERMTT CONVEYS NO RIGHT TO O,CCUPYANY STREET;ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER ORARII Y bR ENCROACHMENTS'ONPUBLIC PROPERTY,NO SPECIF[CALLYAkR iTTED;UNDER TIT BUII,DING CODE;MUST BE APPROVED`BY THE IMSDICTIOM STREET OR ALLEYGRADES A 9�> LL'As'DEPTH CA pNDjLOTION OF PUBLIC SEWERS MAYBE, OBTAINEDTROM THE DEPARTMENT'OF PUBLIC WORKS!,THE ISSUANCE OF THIS PERMIT DOES NOTR-EL^EASE THE APPLICANT FROM,THE CONDITIONS OF ANY APPLICABLESUBDIVISION RESTRICTIONS." MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3,ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION, PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). IBM_ r- BUILDING INSPECTION APPROVALS PLUMBING'INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health r4e�-Q ��- CEO II.J � HARNB'CA9I.L 2659, ♦0 - - .._ 4-a 1-i•J Town of Barnstable Zoning Board of Appeals Error in Script As related to the decision rendered for: Comprehensive Permit No. 2013-077 - Cheglakov An error in script was identified in the Decision and Notice for Comprehensive Permit No. 2013-077, issued to Alexander and Sviatlana Cheglakov for property addressed 1109 Shootflying Hill Road Centerville, MA and recorded at the Barnstable County Registry of Deeds in Book 28151 Page 275.. The error is found in Condition No. 2 on the fourth page of the Decision. The Decision incorrectly identifies the maximum number of bedrooms permitted on the property. m The Decision and Notice for Comprehensive Permit No. 2013-077 is corrected to read as follows: 2. The total number of bedrooms on the property shall not exceed four (4). Respectfully Submitte Eliz eth Jenkins, Principal Planner June 26, 2014 Page 1 of 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 Parcel �G BAR STA pj�. Application Health Division 2 i k Date Issued `� 01 Conservation Division Application Fee Planning Dept. Permit Fee pp Y 9 Date Definitive Plan Approved b Planning r - Historic - OKH _ Preservation / Hyannis -7 P oject.Str_eet7Addr�T 09 Sfi 00-4 2 t h Village: (e A 4-e yd l e Owner lexcmd e'- CA eq J g k'y Address r � JP rmit Request hio k � S P k l'7 --= -- :Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay '°SP-reject:Valuations"? 000 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 ❑ 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: ❑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 AIR k-Ae cy A� 40 v Telephone Number Address 4" & P - � License # e P�y//' P Home Improvement Contractor# Email 1V® ''/!��Worker's Compensation # ALL CONSTR CTI' N DEBRIS RESULTING ROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE E" FOR OFFICIAL USE ONLY y APPLICATION# " DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r - _ r DATE OF INSPECTION: i - FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT . ASSOCIATION PLAN NO: o Sze C0mnX0iMWa1&of-Massachuseft Department ofludmsbgal Accidents - (}tea 00wesagatigns 600 Washmgto;rx S&eet ff7ston,,MA 02111 wnimnasmgoldia Workers' Compensat on Insurance Affidavit:$u lders/Contrac#nrsMectricianslPlumbers ,A:pj lman t Iufar n / Please Print Iaf1bly Iam�(Fltessld v ganiofn final}: �. eJ P v (4�C' '(a'�' Address — ¢�O City/Sta�zip- CC y "O y;i l k g �j 2 G Z _ .....__ Am you an.employer7 Check.the-apprgpriatebosv-- ----_-._. __._._ . _ --- -._.. - -_.T of o'ect. r 1.❑ I am a employer with 4. ❑I sin a general contractor and I employees{full anrVorpart-time) tf * havehiredthe sub conacfsxs 6 ❑New r zc ion ` 2-❑ I am a sole proprietor or partner- listed on the attached sheet y- ❑Remodeling ship and hate no employees These sob-oontractors have g_ ❑Demolition. empltayees and have workers' wonting for mein any capacity _ $ 9_ ❑Building addition . [No worken.Comp.insurance Comp—msvau _ 5- We are a corporaticaand its 10_0 Electrical repairs.or additions K 3' .I-am a hssme=mer doing all Work officers'me e=rcise-d their I l-Q Plumbing repairs or additions right of exxmption per MGL Myself[No workers'tramp. 12.0 Roof repairs insurance rerinired and 1sa��no]€ c-152,§1(4), 131:1 Doter ' e4loyees-[No Workers, comp-msarance required.]. *Amy appUcmt cut checks boa frl trinsY also fill onr the suction below shosuing rhea woden compensation policy in i Homeowners who submit this atUdavA mdkxtmrg dzy are doing all vc*sad fheu hire outside contracture most submit a tE--v afdavii incbrating such- =Cumb:Rctnrs that check this bmc must attached sn additi nit)sheet showing the name of the sdr4omnk2ctos and state wbether txnot those ertities have employees If the sobcoatractum ben empI4Fe-s,they must provide their wcwizew comp.policy mo ber. I am an employer that is prm workers con?pffuwfio:n ansurattcm for rity^€mphzyrerm Belot(is the policy*and}ob site �,fotmafzatt. Insurance Company Frame: policy or 4" Lim:# FxpirationDaie: Job Site Address: City/State/ : Attach.a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to semre cm-erage as requiredunder Section 25A of MGL c. M can lead to the imposition o f criminal penalties of a fine up to S 1,50O.Oa andlor one-year im rt,pris 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:rznvwded to the Office of Imirestigations of the DIA for insur an6e coverage verification- I do hereby ccrlify tinder(tlrs its andvenatfies olf'pet�tuy that the information pratdded abase tra m am and correct (Signature Bate: / 4 / --2- () Phone#: a. -aI rise only. Da not write in this area,to bs campleW by ciO or town oficiaL City or Town;. PertaitUcense If Issuing Authority(circle'one): , 1.Board of Health 2.Building Department 3.CitylTown(Jerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 Information and Instructions Massachusetts 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,ur 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." MGL chapter 152, §25C(6)also sus that"every state or Iocal licensing agencyshalI withhold the issuance or renewal of a license or permit to operate a business or to construct buildings iri the commonwealth,`.or any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." 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-contractor(s)name(s),address(es)and phone number(s)along with their cert ficafe(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with Do 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. Sells 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 a 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.permitllicense 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 gilled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venue (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would Ike 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. ` cz Con:r MwWth of Massach:amt 4 Depaitment of Ind al Accide. is office of kvestigaticrns 600 W&,diington Street Boston,MA 02111 Tel.�617 727-4900 W 406 or 1-a MASWE Revised 4-24-07 F"#617-727-77749 va .ma�gt7v/dia I Town of Barnstable Regulatory Services Richard V.Scali,Director ° Building Division t mxxsTnaM « Tom Per Building Commissioner 9 MASS. g r3'� g Eo yg. A.� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 2 f L f Please Print I 70B-LOCATION: O O nurnber r streett ry R village «HOMEOW_NEIZ= e—x Ail a �W O o I�! �C7�d �V 7� 2, (j name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a'parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner•"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and re em is and that he/she will comply with said procedures and requirements. Signature of 14orii _ Approval of Building Official. Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-,Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such.Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor.- On the lastpage of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:IWPFlLES\FORMS\building permit forms\EXPRESS.doc Revised 061313 ' t+ Town of Barnstable t Regulatory Services 9snxx I'E$ Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 t Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, m all matters relative to work authorized bythis building permit application for- (Address of Job) ""Tool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QTORM S:O WNERPERMISSIONPOOLS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel a a 3 'Application # Health Division Date Issued Le �. LO Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board pelt- TP Historic - OKH _ Preservation/Hyannis Project Street Address I 10 S 11 Rand Village +-e V- V Ici Owner I D fi SV(A dr ss, D S klot+FIV I V,0YW Telephone Permitit_Reques I I a-rn mt. I Tct o m Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District —Flood Plain Groundwater Overlay Project V uat alion Construction Type 1.Lot Size Ll fo Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family >2/ Two Family ❑ Multi-Family (# units) Age of Existing Structure I q W Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq a).n Number of Baths: Full: existing new Half: existing k new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room County Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑ Yes ❑ No Fireplaces: Existing New Existing woodicoal stov,,.e`. ❑Yqs ❑ 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 3' Appeal # ?Recorded Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use 4.. e APPLICANT INFORMATION -- (BUILDER OR HOMEOWNER)= v e 0 T,elephone Number Cho (1 o-+ AAddr-es�s 'Dq 96 HP v I License # y e- 10- M,631 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO LSLGNAT-URE=:= DATE=-- FOR OFFICIAL USE ONLY. I APPLICATION# DATE ISSUED ' MAP/PARCEL NO. r, ADDRESS VILLAGE OWNER t J DATE OF INSPECTION: t 75 ;FOUNDATIOR FRAME '• s INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r, GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT -- ASSOCIATION PLAN NO. ~" j-` 9 REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this 11th day of May 2010,by and between Alexander Cheglakov and Sviatlana Cheglakov of 1109 Shootflying Hill Rd Centerville,MA and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the "Municipality'),a political subdivision of the Commonwealth; WIIEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN: j A. The terms of this Agreement and Covenant regulate the property located at 1109 Shootflying Hill Rd Centerville, MA as further described in deed recorded herewith as Barnstable County Registry of Deeds f on February 6,2014 in Book 27975 as Page 139. B. The Project located at 1109 Shootflying Hill Rd Centerville,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the "Designated Affordable Unit" or the"Unit"). C. The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2013-077 Cheglakov and any plans submitted therewith and all applicable state, federal and municipal laws and regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds Book &Page a.-1 D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal ' residence in accordance with the terms of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW- 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80% of the area median income of Barnstable Metropolitan Statistical Area(MSA) and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be,rented in perpetuity to a household with a maximum income of 80% of the Area Median Income (AMI) of Barnstable MSA and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utilityallowance established by the Barnstable Housing Authority shall be deducted from the rent level. 3. The Designated Affordable Unit will be retained as a permanent,year round rental dwelling unit with at least a one-year lease. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the Owner is a parry or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuityto a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable Metropolitan Statistical Area(MSA) and that rent(including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity to a household with a maximum income of 80% or less of the Area Median Income (AMI) of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a household whose income is 80% of the median income of Barnstable MSA.In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent. IV. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of -registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the"Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. 2 c� V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when ' delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. VIL HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. VIII. ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be, and by these presents are, granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable County Registry of Deeds on February 6, 2014 in Book 27975 as Page 139.and shall be binding upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable County Registry of Deeds on February 6, 2014 in Book 27975 as Page 139. IX. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall only take effect after: 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and 2) notification by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case maybe,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive pernit,the propertywhich is the subject matter of this restrictive covenant shall revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 3 X. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i)that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title, (ii) are not merely personal covenants of the Owner,and(1) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XI. DEFAULT: If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and, expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of any unpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. ' XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to , the execution and recording of this Agreement and to the"terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals this I day of M(A{LA 2014., OWNER BY: 3. S1 nata ` ff ,� ! - - ` ' Printed: -k C`I C� !��✓ `'`� ' 6' , j i 9Pr °2 COMMONWEALTH OF MASSACHUSETTS * :�� 4 + cs;��'gr Op�T +` County of Barnstable,ss °o+ p n~ ''' On this day of rA c,, 2014 before me,the undersigned notary public,personally appeared A I t 1C Y G h ,the Owner(s),proved to me through satisfactory evidence of identification,which were /rby ive-Y& LIC to be the person(s)whose riame(s) is signed on the preceding or attached document and acknowledged to be it voluntarily for the stated purposes. I INDY L. DABKOWSKI Notary Public ' COMMONWEALTHOFMASSACNUSETTS My Commission Expires No Public February 29. 2016 4 C 1 vAclY L b a 6 k o w.S Ica rk tA Co m m ,s s i®ri E X Pi ye.S 12��16; i Mt. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and seals this day of M(A q 2014. OWNER BY: { 9 !^ w � n b ji Sig w�r�4,r'ti� 1✓f �. � ,'`'�`�,- lk Printed: '1/� lr� �I (- I�-C)V 7 COMMONWEALTH OF MASSA=ETTS County of Barnstable,ss: On this (U� day of M(,,Q 2014 before me,the undersigned notary public,personally appeared SV T— DV ,the Owner(s),proved to me through satisfactory evidence of identification,which were s L ,to be the person(s)whose name(s) is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. • "� ^ NditN�l�Plutd ok K. SPOWSKI r¢ w� u �. Not Public �SACHUSEttS i' 16+�Aai31c�4pires ` 29. 2016 Printed: L <®WS(<,d My Commission Expires: ' J ! 5 TOWN OF BARNSTABLE BY: TOWN ER COMMONWEALTH OF MASSACI IUSETTS County of Barnstable,ss: , On this /9 day of_ 2014 before me,the undersigned notary public,personally appeared �1 p,,,�_•3 1C.�v k c 4-,ffie Town Manager for the Town of Barnstable,proved to me through satisfactory evidence of identification,which were "'a 11 k"C"J ,to be the person whose name is signed on the preceding or attached document and acknowledged to be that he/she signed it voluntarily for the stated purposes. ` t it Notary Public Printed: �Jo y��. �. - .ss f ig My Commission Expires: F,2) (, Joyce A. PeesuitBa� Commonweft of Mas,aohuseft My comwol EONS(M Feb.Ia,2D16 6 BARNSTABLE REGISTRY OF DEEDS 1 ` s ° ass Town of Barnstable Zoning Board of Appeals , Comprehensive Permit Decision and Notice Comprehensive Permit No. 2013-077 Cheglakov Chapter 40B Comprehensive Permit Summary: Granted with Conditions Date: March 26, 2014 Applicant: Alexander and Sviatlana Cheglakov Property Address: 1109 Shootflying Hill Road Centerville, MA Assessor's Map/Parcel: Map 190, Parcel 223 Zoning: Split RD-1 and RC Zoning Districts Recording Information: Deed Reference:. Book 27975 Page 139 Date Application Filed February 27, 2014 ' Date Hearing Opened March 26, 2014 Date of Decision (Closed): March 26, 2014 Property Ownership: The applicants are Alexander and Sviatlana Cheglakov, the owners and occupants of 1109 Shootflying Hill Road Centerville as evidenced by a deed recorded in the Barnstable County Registry of Deeds on February 6, 2014 in Book 27975 as page 139. A copy of which has been submitted for the record. Relief Requested: Mr. and Mrs. Cheglakov have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-15 of the Code of the Town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program". The permit is sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 240-11 (A) and 240-13 (A) Principal permitted uses in a Zoning Districts RD-1 and RC to permit an accessory apartment unit within the lower (basement) level of the owner occupied dwelling. The issuance of this Comprehensive Permit would allow for a separate, approximately 768 square feet-one bedroom accessory affordable apartment. r Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov Locus: The property is a 0.46 acre lot that was developed in 1980 with a 3-bedroom, 1 '/2- bathrooms - 1,248 square foot, Ranch style family dwelling. The locus is in RD-1 and RC Zoning Districts. Site Conditions: The lot is served by public water and private on site septic system. The Town of Barnstable's Health Director Thomas McKean reviewed the application, has no objections to a total of three (3) bedrooms for the entire property contingent on the agreed upon septic upgrade. Procedural & Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on February 7, 2014 in accordance with MGL Chapter 40B and 6460 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application for a Comprehensive Permit was filed at the Town Clerk's Office on March 12, 2014. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on February 14, 2014 and February 21, 2014, and notices were sent to all abutters in accordance with MGL Chapter 40B. The Public Hearing was opened on March 26, 2014 at 6:00 p.m. by the Hearing Officer Craig G. Larson. The applicants Alexander and Sviatlana Cheglakov were present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Craig G. Larson read the proposed conditions to the applicants. Mr. and Mrs. Cheglakov consented to the conditions. Mr. and Mrs. Cheglakov gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment. No one commented. The March 26, 2014 public comment period was closed by the hearing officer at 6:30 p.m. On March 26, 2014 the hearing officer granted comprehensive permit No.2013-077 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 241, section 1 11. If after fourteen (14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Findings of Fact: At the hearing on March 26, 2014 the Hearing Officer, Craig G. Larson made the following findings of fact: 1. The applicants are Alexander and Sviatlana Cheglakov they are the owners and occupants of the property located at 1109 Shootflying Hill Road Centerville, MA. 2. Alexander and Sviatlana Cheglakov were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on February 6, 2014 in Book 27975 and Page 139. 2 J Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov 3. On February 7, 2014, a site approval letter,was issued for the property by Town Manager Thomas K. Lynch, in accordance MGL Chapter 40B and 760 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application.. 4. The accessory affordable unit is approximately 768 square feet in living area and is located within the lower level of the dwelling. 5. The applicants have been informed that the AAAP unit shall meet all applicable health and building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and private on site septic. The proposal has. been reviewed by Thomas McKean, Health Director; he stated no objections to a total of three (3) bedrooms at the property. 7. On January 6, 2014 Alexander and Sviatlana Cheglakov signed an Accessory Affordable Apartment Program affidavit that commits, upon the receipt,of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicants are aware that the affordable unit shall be rented to a person or family whose income is 80% or less of the Area Median Income (AMI) of the Barnstable Metropolitan Statistical Area (MSA) and agrees that rent (including utilities) shall not exceed 30% of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event that- utilities are separately metered, the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of�February 6, 2014.6.63% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. 10. The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing housing stock to create affordable units and the dispersal of these units throughout Barnstable. Summary: . The Hearing Officer ruled that the applicants Alexander and Sviatlana Cheglakov have standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. 3 i Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077-Cheglakov -Conditions: Hearing Officer Craig G. Larson ruled to grant Comprehensive Permit No. 2013-077 with conditions in accordance with MGL Chapter 40B and Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program" to the applicants, Alexander and Sviatlana Cheglakov who are the owners and occupants of the property located at 1109 Shootflying Hill Road Centerville. As seen on map 190 as parcel 223. This Comprehensive Permit allows for a one bedroom apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two (2) people. 2. The total number of bedrooms on the property shall not exceed three (3).. 3. The accessory unit shall NOT at any time be occupied by a family member of the owner. 4. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the AAAP 5. On January 8, 2014, the applicants were sent written copy of the inspection findings, submitted for record, that the unit must meet all applicable health and building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. All parking for the accessory apartment and the principal dwelling shall at all times be on-site. On street parking for all structures and uses on this property is expressly prohibited 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive Permit. 8. To meet affordability requirements, the rent charged (including utilities) shall not exceed 30%of 80% of the median income for a household for the Barnstable MSA (adjusted for family size). In the event that utilities are separately metered, the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 9. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS). The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is $90.00 per unit. 10.The applicant shall apply for a building permit for the accessory unit, whether the unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance, the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 4 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov 11.The applicants may select their own tenant from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall be reviewed and approved by the Growth Management Department. The applicant shall work with the AAAP Coordinator to provide necessary information and documentation of tenant income eligibility. 12. The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice shall be given to the Growth Management Department and the applicant shall request potential tenants from the administrator of the Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit, the applicant may select the tenant after open and fair marketing, providing that documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13.Should the accessory affordable apartment become vacant the property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator. The property owner shall also notify the AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelve months the applicant shall review the income eligibility of the AAAP unit tenant. No later than a year from the date of issuance of this Comprehensive Permit, the applicant shall file with the AAAP Coordinator, as Monitoring Agent, an annual affidavit stating the rent charged and income of the unit tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information provided in the affidavit and annual monitoring documents. 15. Upon any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. 16.This Comprehensive Permit shall NOT be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory. Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds 17. Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator and provide, within 60 days of the date of transfer, the name and current contact information for the new owner of the subject property. 18.This Comprehensive Permit shall be exercised, all conditions met, and the unit occupied within twelve (12) months of its issuance or it shall expire. Oedered: Comprehensive Permit number 2013-077 has been granted with conditions. A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable Administrative code. If 5 iR Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077 Cheglakov bfter 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 filed in the office of the Town Clerk Appeals of the final decision, if any, shall be made'to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 164, 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 in hapter 40B, Section 22. t 7 / Craig G. Larson, Hearing Officer Date Signed I Ann Quirk, 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 aay of c��/.�-� , 201 " under the pains and penalties of perjury. Ann Quirk, Town Clerk BARMSTABLE REGISTRY OF DEEDS 6 a C-70� (-c�------ !J sL s � 3 3 L;-:�- —rlk-E DE - p OTN 515 ARE REQUlR - • •,j` E NG UJfNdt7tt� � �,,,� =�L Covn.l�t.,e.,pR L v � ri _ ry N �? �' Tl 00jA fpsvle -to 'r ftos CY LA o C; C wo0 tomI-C - � 5 1 .i,,�1 L``� 7D2 D00� tall ol elf U _ l , - J - r►iop�Y.1Cp ._..-��_i _...._ ;t�i r»apr�1 rft rn `rn `. 00 zx) ion3�'. ito9 S 4,,4 'l ; Hill e-A je-'-- e 0 REGULATORY SERVICES DEPARTMENT TOWN OF BARNSTABLE CUSTOMER SERVICE POLICY The Regulatory Services Department of the Town of Barnstable is committed to operating in an efficient customer service oriented manner throughout its entire operation. Excellent customer service results in an organization meeting the needs of its customers in a consistent and professional manner. Employee Responsibility All employees of the Regulatory Services Department of the Town of Barnstable are to be made aware of the importance of .customer service within the Town's operation. Employees should be clearly aware that customer service abilities in all ,: levels of their work will greatly impact employment evaluations and promotional opportunities. The Town of Barnstable wil recognize employees for excellence in customer service through a proposed Employee Recognition Program. Supervisors and Management Personnel Leadership by example is a key component to excellence in customer service. Town management must continually promote in their actions, words and writing the paramount importance of customer service standards. Performance evaluations of management personnel will be substantially impacted the ability of a manager to provide high levels of customer service an _fFe ability to train and 'supervise employees to do the same. Standards of Performance The Town recognizes that for a successful interaction with a customer not only must. the end result be satisfactory, the entire experience must be reflective of a quality organization. There are many aspects of our operations that must be clearly based in the ideal of excellent customer service. If it is impossible to fulfill a customer's request, the customer should be provided with a clear understanding of the reasons why and, if appropriate, -suggestions for' other ways of achieving their desired outcome. Processes There are many processes within the Town government that require formal procedures be followed. Divisions should strive to make these processes as simple as possible to access and complete. Simplification of.forms, easy to understand directions and short time lines are key examples of efforts that should be put forth to assure customer service processes are in place. Marketing and Communication The Town provides information and services to residents on an ongoing basis. Communication with the public be it oral or written, must be clear, concise, consistent and easy to access. Departments should strive to utilize all communication possibilities as efficiently as possible to assure that the residents remain informed and aware on a regular basis. Printed Material All printed material issued by the Regulatory Services Department shall be professional in appearance. Phone and Written Inquiries All inquiries by either phone or writing will be responded to by the proper person in an expedient manner. Phone calls placed to a specific person are to be taken whenever possible. Initial phone messages must be returned within a 24 hour period. Employees at all levels must adhere to this timeline. If an employee is not available, the caller should be given that information and informed when the person will be available. Alternative help should of course be offered in the interim. All written inquiries, be they complaints, compliments or suggestions should be acknowledged in an appropriate manner. The initial response should be within no more than three days of receipt of a letter. The value of automated phone answering systems should not be discounted solely in the pursuit of excellence in customer service. Any Division that has such a device must assure that it can easily be bypassed to achieve direct contact with the office. Information and Referral Many times residents will inquire at a Town office for issues that are not within our domain. Every effort should be made to refer them to the governmental agency or community service agency that is best able to handle their concern. All referrals should include a phone number or location of the suggested agency if at all possible. Internal referrals should be handled in a similar manner. If a person on the phone is being referred to a different department, the caller should be given the direct dial number for future reference and then automatically transferred by phone. Customers should not be made to call back at that time. If a referral is made to another Town department, there must be the certainty that the referral is correct. If there is some doubt as to the proper referral, the referring CAcache\Temporary Internet Files\OLK1A\REGULATORYSERVICESstmrsvcpolicy.doc i i .. department should ascertain the appropriate contact before connecting or directing the customer. If this information is not obtainable, the customer should be directed to a supervisor in the initiating department. Assisting Town Departments Our Departments interacts with numerous Town departments in performing our duties and in helping them perform theirs. Our customer service standards are fully applicable when we assist other Town Departments. The ability of the Town to,meet its own needs in a professional, efficient and customer service oriented manner is a key ingredient to offering such service to the public. Measurement The Regulatory Services Department is committed to continual improvement of its operations based on the philosophy of excellence in customer service. Proper measurement of customer service initiatives is vital to this goal. Complaints Each division shall continue to use the existing Complaint Database to record and track complaints received, responses returned, and the disposition of the situation. Whether a complaint is formal or informal, written or verbal, it must be entered into the database. The substance of the log is up to individual divisions, but must include at a minimum the name of the complainant if available, the employee handling the situation and the disposition of the situation. Monitors From time to time the Town can be expected to utilize monitors for the purpose of experiencing and evaluating our customer service responses. The monitors will file a complete report of their experience, describing any perceived strengths and weakness in detail, with the Director and the involved agencies. The purpose of this program is to be instructive in nature and not punitive. Customer Service Evaluation Card Every division shall have available at each customer service point a return mailer card, which allows input on our performance. These cards should be prominently displayed with easy customer access. C:\cache\Temporary Internet Files\OLK1A\REGULATORYSERVICESstmrsvcpolicy.doc ci 5-19_21314 n2 o 6 Y1 MKt. Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Comprehensive Permit No.2013.077 Cheglakov Chapter 40B Comprehensive Permit Summary: Granted with Conditions Date: March 26, 2014 Applicant: Alexander and Sviatlana Cheglakov Property Address: 11.09 Shootflying Hill Road Centerville, MA Assessor's Asap/Parcel: Map 190, Parcel 223 Zoning: Split RID-1 and RC Zoning Districts Recording Information: Deed Reference. Book 27975 Page 1:39 Date Application Filed February 27, 2014 Date Hearing Opened March 26, 2014 Date of Decision(Closed): March 26, 2014 Property Ownership: The applicants are Alexander andr Sviatlana Cheglakov, the owners and occupants of. 1109 Shootflying Hill Road Centerville as evidenced by a deed recorded in the Barnstable County Registry of Deeds on.February 6, 2014 in Book 27975 as page 139. A copy of which has been submitted for the record. Relief Requested: Mr. and Mrs. Cheglakov have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts', and in accordance with § 9-1.5 of the Code of the Town of Barnstable, more commonly termed the "Accessory Affordable Apartmerit Program". The permit is sought to allow for an. affordable apartment accessory to a single family home.asp provided for in the Code of the Town of Barnstable and restricted to.being affordable housing for qualified persons as. required under Chapter 40B. The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 240-11 (A) and 240-13 (A) Principal permitted uses in Zoning Districts RD-1 and RC to permit on accessory apartment unit within the lower.(basement) level of the owner occupied dwelling.The issuance of this Comprehensive Permit would allow for a separate, approximately W square feet-one bedroom accessory, affordable, apartment. to I Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov Locus: The property is a 0.46 acre lot that was developed in 1980 with a 3-bedroom, I %, bathrooms- 1,248 square foot, Ranch style family dwelling. The locus'-is in RD-1 and RC Zoning Districts. Site Conditions: The lot is served by public water and private on site"septic system. The Town of Barnstable's Health Director Thornas McKean reviewed the application-has no objections to a total of three (3) bedrooms for the entire property contingent on the agreed upon septic upgrade. Procedural& Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on February 7, 2014 in.accordance with MG'L Chapter 40B.and 6460 CMR 56,00. Notice of the site approval letter was sent fa the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application fora Comprehensive:Permit was filed at the Town Clerk's Office on March 1.2,20.14. A public hearing'before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on February 14,-2014 and February 21, 2014, and notices were sent to all abutters in accordance with MGL Chapter 40B: The Public Hearing was opened on March 26, 2014 at 6:00 p.m. bythe Hearing Officer Craig G. Larson. The applicants Alexander and Sviatlana Cheglakov were present at the hearing. CindyL. Dabkowski, Accessory'Affordable Apartment Program>Coordinator was also present. Craig G. Larson read,the proposed conditions to the applicants. Mr. and -Mrs.,Cheglakov consented to the conditions. Mr. and Mrs. Cheglakov gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing.Officer opened the hearing to public comment. No one commented. The March.26, 2014 public comment period was closed by the hearing:officer at 6.30 p.m. On March 26,20.14 the hearing officer granted comprehensive permit'No..2013-077 with conditions. A written copy'of this decision shall be forwarded to the.Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 24 1,section. 11. If after fourteen ('14) days from that transmittal the Members of the Zoning Board of Appeals takes,no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Findings of Fact: At the hearing on March 26,,2014 the Hearing Officer,,Craig G. Larson made the.following findings-of fact 1. The applicants.are Alexander and Sviatlana'Ch.eglakov they ore the owners and occupants of I he property located at 1109'Shootflying Hill Road Centerville,MA. 2. Alexander and Sviatlana Cheglakov were granted title to the property by deed recorded in the Barnstable.County Registry of Deeds on February 6, 2014 in Book 27975 and Page 139. 2 5 Town of Barnstable,Zoning Board of,Appeals Decision and Notice,Comprehensive Permit No:2613=67-Cheglakov: 3. On February 7, &4, a site approval letter was issued for the property by Town Manager Thomas K. Lynch, in accordance.MGL Chapter 40B and 760 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development,_in accordance with the requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application.. 4. The accessory affordable unit is approximately 768 square feet in Iiving area and is; located within the lower level of the dwelling. 5. The applicants have:been informed that the AAAP unit shall meet all applicable health and,building codes to be occupied and,that the Building Division,and Fire Department will also,be inspecting the unit for compliance with all applicable: building and-fire codes. b.. The house is served by public water and private on site septic: The proposal has. been reviewed by Thomas McKean, Health Director; he stated no objections to a total of three (3) bedrooms;at the property. 7. On January 6, 2014 Alexander and Sviatlana Cheglakov signed ant Accessory Affordable Apartment Program affidavit that commits; upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at.. the Barnstable,County Registry of Deeds., These documents restrict the union perpetuity as an affordable rental unit. 8. The applicants are aware that the affordable unit shall be rented to a personaor family whose income is-80%or less of the Area Median Income (AMI) of the Barnstable.Metropolitan Statistical Area (MSA) and agrees that rent (including utilities) shall t not exceed 30o"of the monthly household income of a household earning,=80%0 of the median income, adjusted by household size. In the event that utilities are separately rnetered, the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development,;as of February 6,2014 6.63%:of the town's year round housing stock: qualifies as affordable housing units. The town has not reached the statutory. minimum of affordable housing under MGL Chapter 406 Section 20-23 or its implementing regulations. 10. The Tow_n of Barnstable's Comprehensive Plan encourages the adaptive.use of existing housing stockto.create affordable units and the dispersal of these units. throughout Barnstable. Summary: The Hearing Officer ruled that theaapplicants Alexander and Sviatlana Cheglakov have standing to apply foray Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program, The proposal is deemed consistent with1ocal needs because it adequately promotes the objective of providing affordable housing for. the Town:of Barnstable without jeQpardizi,ng,the health and safety of the occupants provided all conditions of the Comprehensive..Permit are strictly followed:. 3 Town of Barnstable,Zoning Board of Appeals. Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov Conditions: Hearing Officer Craig G. Larson ruled to grant Comprehensive Permit No. 2013-077 with conditions in accordance with'MGL Chapter 40B and Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed.the "Accessory Affordable Apartment Program" to the applicants, Alexander and Sviatlana Cheglakov who are the, owners and occupants of the property located at 1109 Shootflying Hill Road Centerville.. As seen on map 190 as parcel 223. This Comprehensive Permit allows for a one bedroom apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two (2) people:. 2. The total number of bedrooms on the property shall not exceed three (3). 3. The accessory unit shall NOT at any time be occupied by a family member of the owner. 4. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the AAAP 5. On January B,2014, the applicants were sent Written copy of the'inspection findings, submitted for record, that the unit must meet all applicable health and building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. All parking for the accessory apartment and the principal dwelling shall at all times be on-site. On street parking for all structures>and.uses on this.property is expressly prohibited 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive Permit. 8. To meet affordability requirements, the rent charged (including utilities) shall not exceed 30%of 80.7o of the median income for a household for the Barnstable MSA (adjusted for family size). In the event that utilities are separately metered, the utility allowance established by the town of Barnstable shall be deducted from rent level' so calculated, 9.. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS).The cost for HQS monitoring shall be covered ly the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is $90.00 per unit., 10:The applicant shall apply for a building permit for the accessory unit,whether the .unit is new or pre-existing:. `Before issuing an occupancy it and certificate of compliance, the Building Commissioner shall determine that the unit conforms to the'approved plans'as:submitted with the building permit application and meets "state building and fire codes.The.Health Division shall determine that the dwelling is in`compliance'with applicable on-site wastewater discharge requirements. 4. Town of Barnstable,Zoning Board.of Appeals Decision and Notice,Comprehensive Permit No.2013-On—Chegk1iov 11.The applicants may select their own tenant from the:prospective tenants supplied` by the Administrator of the Ready to Rent List; The tenant,must meet the requirements of the Accessory Affordable Apartment Program. The tenant's: incomeshall be reviewed and approved by the Growth Management Department. The applicant shall workwith the AAAP Coordinator to provide necessary information and documentation of tenant'income eligibility. 1.2.The unit shall be rented on an open and fair basis to an income eligible.individual.. Whenever a vacancy occurs, notice Shall be given t0 the Growth Management Department and the applicant shall request potential tenants from the administrator of the Ready to Rent List. The applicant shall pay all foes.associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit, the applicant may select the.tenant after open and fair marketing, providing that documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13.Should the accessory affordable apartment become vacant the property owner shall immediately notify the Accessory.Affordable Apartment Program Coordinator.,. The property owner shall also notify the AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelve months the, applicant shall review the income'eligibility of the AAAP unit tenant. No later than a year-from the date of issuance of this Comprehensive Permit;the applicant shall file with the.AAAP Coordinator, as Monitoring Agent, an annual affdavit statinggfhe rent charged'and income of the.unit;tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional' information deemed necessary to the information provided in the affidavit and annual monitoring documents. 15. Upon anyreport from the Monitoring Agent.that the terms and conditions of this permit are not being upheld; the Zoning Board of Appeals or its Hearing,Officer may hold a hearing�to show cause as to why this permit should .not be revoked. 16.This Comprehensive Permit:shall NOT be transferable to.any other person or entity without the prior approval of the Hearing Officer or Zoning.Board of Appeals. This decision, the Regulatory Agreement and Declaration,of Restrictive Covenants and all other necessary documents shall be recorded,at the Barnstable County Registry of Deeds 17.Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator and provide,within 60 days of the date of transfer, the name:and current contact:information for the new owner of the subject property. 18.This Comprehensive 'Permit: shall be exercised, all. conditions met, and the unit occupied'within twelve.(12) months of its issuance or it shall expire. Ordered: Comprehensive•Permit number 2013-077 has;been granted with.Conditions.. A written copy of this decision was forwarded to the Zoning Board of Appeals as required: by the Code Chaptet'244section 11 of the.Town of Barnstable Administrative code. If D 5` Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov 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 filed in the office of the Town Clerk Appeals of the final decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section]64,,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 a ut•1inez iin I��t-5liapter`40B,Section 22 Craig G. Larson, Hearing Officer Date Signed. I Ann Quirk, 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 gay of 201 "under the pains and penalties of perjury,, Ann Quirk,Town Clerk y BMNSTABLE REGISTRY OF ;DEEDS 6> 9k 28151 Ps281 �21192 si5-19—`WD14 a 02 e 360 REGULATORY AGREEMENT i AND DECLARATION OF RESTRICTIVE COVENANTS }:. THIS REGULATORY AGREEMENT and DECLARATION OF.RESTRICI'IVE COVENANTS,ismade: this l It day of May 1010,byand between Alexander Cheglakov and Sviatlana Cheglakov of 1109 Shootflying Hill Rd Centerville,.MA and its successors and assigns (hereinafter the"Owner-%and the TOWN fi OF BARNSTABLE (the"Municipaht}'),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an.accessory apartment in an. owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter. "Designated Affordable Unit");and i. NOW THEREFORE,in mutual.consideration of the agreements and covenants'.contained herein,.and other good and valuable consideration,,the receipt and sufficiency of which is hereby acknowledged,the parties.agree as follows: I. PROJECT SCOPE AND DESIGN;: A- The terms of this Agreement and Covenant regulate:the property located:at 1109 Shootflying Hill Rd Centerville, MA as further described in deed recorded herewith as Barnstable County Registry of'Deeds on February 6,2014 in Book 27975as Page 139. B. The Project located at 1109 Shootflying Hill Rd Centerville,MA will consist of one accessory s apartment unit which will be rented to an.eligible low or moderate income individual or,famdy;(the"Designated Affordable Unit" or the"Unit"). G The Owner agrees to construct the.Project in accordance with die terms°of comprehensive permit. Appeal No. 2013-077 Cheglakov .and any plans submitted therewith and all applicable state, federal' and municipal laws and regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds: i Book ),,<- I c 1 &Pagel D. The Owneragrees-to occupythe principal dwelling unit located on the property as theirprincipal residence.in accordance with the terms of tl e-comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES. A. THE OWNER HEREBY REPRESENTS,C0VENA1\M.AND WARRANTS AS FOLLOW: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed,that the Designated Affordable Unit shall be set aside in perpetuityfor the public purpose of providing safe and decent housing to persons earning at or below 80%'of the area,median income of Barnstable Metropolitan Statistical Area(MSA) and that the Designated Affordable Unitshall be deemed to be impressed with a public. trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80%of;the Area Median Income.(AMI)of Barnstable MSA and that rent(including utilities)shall not exceed an amount that is affordable-To a household whose.income is:80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authority shall be deducted from the rent level: 3. The Designated:Affordable.Unit will be.retained as a permanent;year round rental dwelling unit with at. least a one-year lease., s 4. The Owner=has the full legal right,power and authority to execute and deliver this Agreement. 5. The execution and performance of this Agreement by the Owner will not violate or;as applicable,has. not-violated any provision,of law,rule,or regulation,or,any order of any court or other agency or governmental body,and will not violate or,as applicable;has not violated any provision of any indenture,agreement,.mortgage, i mortgage note,or other instrument.to which the Owner is'a party or by which it.or the Owner is bound,will not result in the creation or imposition of:any prohibited encumbrance of any nature. 6. The Owner,at the time.of execution;and delivery of this Agreement,has good,clear marketable title to the premises. T. There is no action,suit or proceeding at law or in equity:or by ovbefore anygovernmental instrumentality or other agency now pending;or,to the knowledge of the.Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially"impair its rightto carry on business substantially as now conducted(and as:now'contemplated bythis.Agreement) or would materially adversely affect its.financial condition: B. COMPLIANCE The Owner hereby agrees:that any and all requirements'of:the laws.of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions:and covenants running with the land shall be deemed to be,satisfied in full and that-any requirements of privileges of estate are also deemed to be satisfied in full:. C: LIMITATION ON-PROFITS 1. The Owner agrees to limit his/her profit b 'rentin the Des ated Affordable Unit in perpetuity to a g P y g � P..rP ty. household with a maximum income of 80%or less of the Area Median Income(AMII) of Barnstable: Metropolitan Statistical Area(MSA) and that rent(including utilities)shall not exceed an amount that is affordable to a household whose income i.s 800/o-of the:median income of Barrmable MSA. In the event that: utilities are separately metered,a utility allowance established by the.Barnstable Housing Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded,to the; Monitoring Agent within 30 days of the.occupation of.the dwelling unit or units by new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,,within thirty(30)•days of the date-.that a. tenant has vacated the Designated Affordable Unit. III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1. The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees-to; perform the duties of verifying that the Designated Affordable.Unit is being rented in.perpetuityto.a household with a maximum income of 80%orless of the Area Median Income , .of Barnstable MSA and that rent (including utilities)shall not exceed an amount that is afford ableto is household whose income is 806/6;of the., median,income of Bamstable;MSA.Inthe event that utilities are:separately metered,a utility allowance established by the Barnstable Housing Authorityshall'be deducted from the rent. IV. RECORDING OF AGREEMENT.- Upon execution,theeOWNERshall immediatelycause this;Agreementand anyamendments hereto to, be recorded with the.Registry,of Deeds for Barnstable County or,if the Project consists in whole or in part.of registered land,file this Agreement andanyamendments hereto with the RegistryDistrictof�the;Barnstable Land Court(collectively hereinafter the"Registryof Deeds")',and the Owner Aall pay all fees and charges incurred in_ corinection therewith. Upon recording or filling,as applicable,the Owner shall immediatelytransmit.to the: Municipalityevidence of such recording or filing,induding.the date and instrument,book:and page or registration number of the Agreement. 2; V. GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement:must be in writing and executed by all of the parties hereto. The invalidity.of any' clause,part or provision of this:Agreement shall not affect the validity of the remaining portions hereof. VI. NOTICE: All notices to be given pursuant to this Agreement shall be in-writing and shall be deemed given when delivered by hand or when mailed by certified or registered snail,postage prepaid,_mWrn,receipt requested,to"the parties hereto at the addresses set:forth below,or to such other-place as a,party mayfrom time to time,designate by written notice. VIL HOLD HARMI.ESS: The Owner hereby agrees to indemnify`and hold harmless the Municipality and/or its delegate-from any. . and all actions or inactions by the Owner,its agents,:servants or employees which.result in claims made against Municipality and/or its delegate,including.'but-not limited to awards,judgments„out-of-pocket:expenses.and attorneys fees necessitated by such actions. VIIi. EN TIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in.wnting,executed by the parties,and appended to this document. B. This Agreement and all of the covenants agreements and.restrictions contained herein shall be.deemed to be for the public purpose of providing.safe affordable housing and shall be deemed to be, and by'these presents are,granted by the Owner to run in perpetuity' favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which,shall rein with the land described in deed recorded herewith as Barnstable County Registry of Deeds on February 6,2014 in Book 27975 as Page 139.and.shall be binding upon the Owner and all successcirsi in title This Agreement is made for the benefit of the Municipality and the.Mun cipahtyshall be deemed'to be the,holder of the restriction created by this Agreement. The Municipality has determined that the acquiring:of such a restriction is in the public interest. The.Municipality shall not be subject to the defense.of'lack of privity of estate. The covenants and restrictions'contained in this.Agreement shall be deemed to affect the title. to the property described in deed recorded herewith as Barnstable County Registry of Deeds on Febniary 6, 2014 in Book 27975.as Page 159. IX. TERM OF AGREEMENT:. The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted:Comprehensive Permit and the terms and restrictions imposed herein. Such cancellation shall onlytake effect after. 1)expiration of the lease terms entered into between the Owner and:Tenant occupying said unit and 2)notification by the-Owner-of said dwelling to the. Zoning Board of Appeals of his/het.desire to cancel the Comprehensive perrnit upon a date certain and the recording of said notice at the Barnstable CounryRegistryof Deeds or Barnstable County Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the,cancellation-of the: comprehensive permit;the property which is the subject matter of this restrictive covenant sh all,revert to the use permitted under zoning and the restrictive covenant shall be rendered void. 3 X. SUCCESSORS AND ASSIGNSc A. The Parties to this Agreement intend,declare;and covenant on behalf of themselves and any-successorIs and assigns their rights and duties as defined in this Regulatory Agreement and the.attached comprehensive. permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors.and assigns (1)that this Agreement and the covenants,agreements and restrictions contained herein shall be.and are covenants•running with the land,encumbering the Project for the term of this Agreement,and are binding upon the.Owner's successors in title,(ii) are not merelypersonal covenants of the Owner;and(1)shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term,of the Agreement: XI. DEFAULT: If any default,violation or breach by the Owner of'this Agreement is notcured to the satisfaction of the Monitoring Agent within thirty(30)days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terns and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including.'legal fees,incurred by the Monitoring Agent in enforcing this.Agreeme.nt and the Owner hereby agrees that the Municipality and the Monitoring Agentwill have alien on the Project.to secure payment of such costs and expenses: The Monitoring Agent mayperfectsuch a lien on the Project byrecording a certificate.setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry.of'the District Land Court for Barnstable County. A purchaser,of the Project or:any portion thereof`will be liable.for the payment of any unpaid costs and expenses that were.the subject of a perfected henprior to the purchaser's acquisition of the Project or portion thereof'. MI. MORTGAGEE GONSENT The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed:consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands and;seals,this Ili day of. M t*LA 2014. OWNER BY: � Mry Signaniie O ,,"� °mow j� Printed• Ak C A e k 0,/ ��r� ,�,��"`�' `�• g � ��, ' r :; �op. Z.: � r t. ; . OOMMONWEALTH OF MAS SA C HL3SETTS ;}�,�•P, 1+;K o, 0 County of Barnstable,:ss; On this day( 2014 before me,the undersigned notar7'pu6hc,personally appeared. r C; V ,the Owner(s),proved to me through satisfactory evidence of identification,which wereW Y LiC ,to be the person(s)whose name(s)is signed on the preceding or attached document ar►d acknowledged to be ` v,h voluntarily for the stated purposes. CINDY 1. DABKOWSK' Notcry Public C OMMONWEAITH OF MASSACHUSETTS �j MY Commission Expires NO Public February 29, 2016; 4 L bk VutA cnmm,--s1©n ExPi ns 3. at1 I a XII. MORTGAGEE CONSENT: The Owner represents and warrants that it has,obtained the.consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the ferms and conditions hereof and that:all such mortgagees have executed consent to this Agreement.. IN WITNESS WHEREOF,,we hereunto,sef our hands and seals this:��day.of M( q 2014.. OWNER I P Printed: J ilJ �1L 1, �. !a !�'-p'U� �y�•o , � �,.� COMMONWEALTH OF MASSACFiUSETTS' o �r." County of Barnstable,:ss:. � , On this LLB day of 2014 before me;the undersigned notarypublic,personally appeared S V aV he Owners;proed ome houh ry evidence' of identification,which were. r ,s L ,.to be the person(s)whose name(s)is signed on the preceding or attached.document and acknowledged to,`be that he/she signed it. voluntarily for the stated purposes. aNKOW. KI �a° �+tktM � � Not ry Public M rs p USE"S • $. 2016 Printed: L {a W5 l4_t My.Commission Expires: ''t� •-l(v 5 f TOWN OF BARNSTABU] BY: TOWN MAN ER COMMONWEALTH OF MASSACHUSEM County of Barnstable,ss: On this day of_ 2�14 before me,the'undersigned notary public,personally appeared 4-,the Town Manager for the Town of Barnstable,proved tome through satisfactory evidence d tification;which were to be the person whose name is signed on the preceding or attached document and acknawle ged to be that lie/she signed<it<valuntarily.for the,stated purposes. f Notary Public Y / fie. IVIyCommissionExpires: � /5,2'oi (, Printed: c.-e_, e%-s Wbtaay Public" Jaye A.Porsuitt® CommorrweaiEh of saftseft �'!Catnriigdtat Expires an Fe�.18,2A16, 6, BARNSTABLE REGISTRY OF DEEDS No. 00 � � T THE COMMONWEALTH OF MASSACHUSETTS Fee Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNISTABLE, MASSACHUSETTS Yes Plication for 30isPOsaf *stem Construction Permit Application for a Permit to Construct( ) Repair ! P ( pgrade( ) `Abandon( ) []Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No Assessor's Map/Parcel Installer's N �A % T el.Noj///rii�,ry / D igne 's Name, ess,and Tel. o./{ �r/c Type of Building: Dwelling No.of Bedrooms Lot Size, Other Type of Building sq.ti• Garbage Grinder( ) No.of Persons Showers Other Fixtures ( ) Cafeteria( ) Resign Flow(min.required) gpd Design flow provided. , d Plan Date Number of sheets � Title Revision Date Size of Septic Tank - add Type of S.A.S. D Description of Soil "'C .Arure of-Repair 'Dr Alterations(Answer when applicable). y� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in + accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of I Compliance has been issued by this Board of Healt Signed Application Approved by `-_ Date I Application Disapproved by Date for the following reasons Date IIPermit No. .2-00 c 3(, Date Issued r THE COMMONWEALTH OF MASSACHUSET'T'S =f - BARNSTABLE, MASSACHUSET TS 0y ¢ l 10 z i HE BARNSTABIY MARK 16g9• �l''�En Mn+• Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Comprehensive Permit No. 2013-077 Cheglakov Chapter 40B Comprehensive Permit Summary: Granted with Conditions Date: March 26, 2014 Applicant: Alexander and Sviatlana Cheglakov . Property Address: 1109 Shootflying Hill Road Centerville, MA - Assessor's Map/Parcel: Map 190, Parcel 223 Zoning: Split RD-1 and RC Zoning Districts Recording Information: Deed Reference: Book 27975 Page 139 Date Application Filed February 27, 2014 Date Hearing Opened March 26, 2014 Date of Decision (Closed): March 26, 2014 Property Ownership: The applicants are Alexander and Sviatlana Cheglakov, the owners and occupants of 1109 Shootflying Hill Road Centerville as evidenced by a deed recorded in the Barnstable County Registry of Deeds on February 6, 2014 in Book 27975 as page 139. A copy of which. has been submitted for the record. Relief Requested: Mr. and Mrs. Cheglakov have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with § 9-15 of the Code of the Town of'Barnstable, more commonly termed.the "Accessory Affordable Apartment'Program". The permit is sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B. The zoning-relief,necessary for this Comprehensive Permit to.be issued is that of a variance to Section 240-11 (A) and 240-13 (A) Principal permitted uses in a Zoning Districts,RD-1 and RC to permit.an accessory apartment unit within the lower (basement) level of the owner occupied dwelling. The issuance of this Comprehensive Permit would allow for a separate, approximately 768 square feet-one bedroom accessory affordable apartment. c Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov Locus: The property is a 0.46 acre lot that was developed in 1980 with a 3-bedroom, 1 '/2- bathrooms - 1,248 square foot, Ranch style family dwelling. fhe locus is in RD-1 and RC Zoning Districts. Site Conditions: The lot is served by public water and private on site septic system. The Town of Barnstable's Health Director Thomas McKean reviewed the application, has no objections to a total of three (3) bedrooms for the entire property contingent on the agreed upon septic upgrade. Procedural & Hearing Summary: A site approval letter was issued for the property by Town Manager Thomas K. Lynch on February 7, 2014 in accordance with MGL Chapter 40B and 6460 CMR 56.00. Notice of the site approval letter was sent to the Department of Housing and Community Development in accordance with the requirements of CMR 760 56.00. An application for a Comprehensive Permit was filed at the Town Clerk's Office on March 12, 2014. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised' in the Barnstable Patriot on February 14, 2014 and February 21, 2014, and notices were sent to all abutters in accordance with.MGL Chapter 40B. The Public Hearing was opened on March 26,'2014 at 6:00 p.m. by the Hearing Officer Craig G. Larson. The applicants,Alexander and Sviatlana Cheglakov were present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Craig G. Larson read the proposed conditions to the applicants. Mr. and Mrs. Cheglakov consented to the conditions. Mr. and Mrs. Cheglakov gave testimony as recorded in the hearing minutes filed with the Town Clerk The Hearing Officer opened the hearing to public comment. No one commented. The March 26, 2014 public comment period was closed by the hearing officer at 6:30 p.m. On March 26, 2014 the hearing officer granted comprehensive permit No. 2013-077 with conditions. A written copy of this decision shall be forwarded to the Zoning Board of Appeals as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen (14) days from that transmittal the Members of the Zoning Board of , Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk. Findings of Fact: At the hearing on March 26, 2014 the Hearing Officer, Craig G. Larson made the following findings of fact: 1. The applicants are.Alexander and Sviatlana Cheglakov they are the owners and occupants of the property located at 1109 Shootflying Hill Road Centerville, MA. 2. Alexander and Sviatlana Cheglakov were granted title to the property by deed recorded in the Barnstable County Registry of Deeds on February 6, 2014 in Book 27975 and Page 139. ' Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov 3. On February 7, 2014, a site approval letter was issued for the property by Town Manager Thomas K. Lynch, in accordance MGL Chapter 40B and 760 CMR 56.04 (4). Notice of the site approval letterwas'sent to the Department of Housing and Community Development, in accordance with the requirements of 760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application.. 4. The accessory affordable unit is approximately.768 square feet in living area and is located within the lower level of the dwelling., 5. The applicants have been.informed that the AAAP unit shall meet all applicable health and building codes to be occupied and that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes. 6. The house is served by public water and private on site septic. The proposal has been reviewed by Thomas McKean, Health Director; he stated no objections to a total of three (3) bedrooms at the property. 7. On January 6, 2014 Alexander and Sviatlana Cheglakov signed an Accessory Affordable Apartment Program affidavit that commits,upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney, at ' the Barnstable County Registry of Deeds. These documents restrict the unit in perpetuity as an affordable rental unit. 8. The applicants are aware that the affordable unit shall be rented to a person or .family whose income is 80% or less of the Area Median Income (AMI) of the Barnstable Metropolitan Statistical Area (MSA) and agrees that rent (including utilities) shall not exceed 30% of the monthly household income of a household earning 80% of the median income, adjusted by household size. In the event that utilities are separately metered,the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated. 9. According to the Massachusetts Department of Housing and Community Development, as of February 6, 2014 6.63% of the town's year round housing stock qualifies as affordable housing units. The town has not reached the statutory minimum of affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. 10. The Town of Barnstable's Comprehensive Plan encourages the.adaptive use of existing housing stock to create affordable units and the dispersal of these units throughout Barnstable. Summary: The Hearing Officer ruled that the applicants Alexander and Sviatlana Cheglakov have standing to apply fora Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's Accessory Apartment Program. The proposal is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed: 3 r Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov Conditions: Hearing Officer Craig G. Larson ruled to grant Comprehensive Permit No. 2013-077 with conditions in accordance with MGL Chapter 40B and Article II of Chapter Nine of the Code of the town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program" to the applicants, Alexander and Sviatlana Cheglakov who are the owners and occupants of the property located at 1109 Shootflying Hill Road Centerville. As seen on map 190 as parcel 223. This Comprehensive Permit allows for a one.bedroom apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall not exceed two (2) people. 2. The total number of bedrooms on the property shall not exceed three (3). 3: The accessory unit shall NOT at any-time be occupied by a family member of the owner. 4. All leases shall have a minimum term of one year and have provisions that require the tenant to provide any and all information necessary to verify eligibility with the AAAP 5. On January 8, 2014, the applicants were sent written copy of the inspection . findings, submitted for record, that the unit must meet all applicable health and building codes to be occupied and.that the Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes: 6. All parking for the accessory apartment and the principal dwelling shall at all times be on-site. On street parking for all structures and uses on this property is expressly prohibited 7. Lodging or renting.of rooms is prohibited for the duration of this,Comprehensive Permit. 8. To meet affordability requirements;.the rent charged (including utilities) shall not exceed 30% of 80% of the median income for a household for the Barnstable MSA (adjusted for family size). In the event that utilities are separately metered, the utility allowance established.by the town of Barnstable shall be deducted from rent level so calculated. 9. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS). The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is $90.00 per unit. 10.The applicant shall apply for a building permit for the accessory unit, whether the' unit is new or pre-existing. Before issuing an occupancy permit and certificate of compliance, the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and fire codes. The Health Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 4_ Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov 11.The applicants may select their own tenant from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall be reviewed and approved by the Growth Management Department. The applicant shall work with the AAAP Coordinator to provide necessary information and documentation of tenant income eligibility. 12. The unit shall be rented on an open and fair basis to an income eligible individual. Whenever a vacancy occurs, notice shall be given to the Growth Management Department and the applicant shall request potential tenants from the administrator of the Ready to Rent List. The applicant shall pay all fees associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit, the applicant may select the tenant after open and fair marketing, providing that documentation of the same is given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process. 13.Should the accessory affordable apartment become vacant the property owner shall immediately notify the Accessory Affordable Apartment Program Coordinator. The property owner shall also notify the.AAAP Coordinator of their request for potential tenants from the Ready to Rent List administrator. 14. Every twelve months the applicant shall review the income eligibility of the AAAP unit tenant. No Later than a year from the date of issuance of this Comprehensive Permit, the applicant shall file with the AAAP Coordinator, as Monitoring Agent, an annual affidavit stating the rent charged and income of the unit tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to,verify the information provided in the affidavit and annual monitoring documents. 15. Upon any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. 16.This Comprehensive Permit.shall NOT be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds 17.Should ownership of the subject property transfer the permit holder identified herein shall notify the AAAP Coordinator and provide,within 60 days of the date of transfer, the name and current contact information for the new owner of the subject property. ` 18. This Comprehensive Permit shall be exercised, all conditions met, and the unit occupied within twelve (12) months of its issuance or it shall expire: Ordered: Comprehensive Permit number 2013-077 has been granted with conditions. A written copy of this decision was forwarded to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barnstable Administrative code. if ' _- 5 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2013-077—Cheglakov 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 filed in the office of the Town Clerk Appeals of the final decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 164, 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 /in hapter 40B, Section 22. jz�7 zz— Craig G. Larson, Hearing Officer Date Signed I Ann Quirk, 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 W 4ay of 201 `f under the pains and penalties of perjury. i .�J�'3rif Ann Quirk, Town Clerk Yu �,, r�en � keQJ �bkU Roue } rmit Status:' , Family Apt r = I elson VW7ve 045" Zoni g _ -,J Ro< r x GOse _ s i � JU) 0LA) F'yy LS Y, s t 1 N -suspect-wore-Spider-Man-undies-21... �7/8/2013 � � o� Sl�� �ly�� ��\ ��c� > �" y_ 3�4- �4 �8 x arings Officer for further proceedings as k y house, what is the first thing I should valuation of what you want and what ce in your neighborhood. Consult family ndertaken. Review all the materials Business Regulation Office Consumer Protection Bureau 6(—�eS F/o 6 Town of Bar Regulatory Sf '* sn[ttvsresr.E. r MAB& Thomas F.Geiler,Din 0 9. Building Div Tom Perry,CBO, Building 200 Main Street,Hyanni www.town.barnstab Office: 508-862-4038 EXPRESS PERMIT APPLICATION Not Valid without Red X-d Map/parcel Number Property Address ❑Residential Value of Work$ Minimum feo Owner's Name&Address Contractor's Name Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance JA f - .r 10 O ON o v: 77 3 .._.._._._..... .� ��� . •��`�°gu:.��C � `�h �1N, boo r'Tt.:•. Ilk i till vW r� �llfi' rlr ?4 Lcoy� bGi1j ` �ae� _�sv1 - � �-�_ o� i � - ���. p ire. �d�'iF� a�z �, �.J� ���`��Jl. co P Z O SSL Z �' 1 3 f1R•E DEPf��FofEfi�=�— -p � — _ Q 1 � dTH SIG44R&ES ARE REQUIR ` Covn/tER . TV? , v N N it it N . ry N ry ry to .646r ply CY 06 ��N►' Ln h vv 00 . yNrnrZ c R> 4 I I b --y)1 r,V `n/ Ctf b I ry t4,) a � a-ccOrLncp Cam ' Uvt- F-TAI r - �ST. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route.28 •Centerville, MA 02632-.3117 1926 508-790-2375 x1 - FAX: 508-790-23.85 Michael J.Winn,Chief Martin O'L.MacNeely,Fire Prevention Officer Byron L.Eldridge,Deputy Chief Michael G..Grossman,Fire Prevention Officer December 12, 2013 TO: Tom Perry; Building. Commissioner Building Department. Jovil) of-Barnstable 200 Main Street Hyannis, MA. 02601 In accordance with MGL 148, Section 28A, the Centerville-Osterville Marstons Mills Fire/Rescue Department brings to your attention the following potential violation(s) of 780 CMR: Massachusetts State Building Code for your review and/or interpretation of same. NAME/BUSINESS: Residence t �( ADDRESS: 1109 Shootflyinghill Road, Centerville C' PJC OBSERVANCE:` During a resale inspection on December 9, 2013, 1 observed what appears to be an apartment in the basement of the home. There is a full kitchen, full bath, and a bedroom. The apartment appears to lack (2) means of egress. There is one hinged door from the basement that leads to grade. There is no other door leading to grade from the basement. There are locks on the o doors separating the basement from the 1st floor. Michael Grossman 6 Fire Prevention Officer C.O.M.M.zhre District CC: Jeff Lauzon, Building Inspector CC: Robin Anderson, Zoning Officer "Commitment to Our Community" IgN ro L4lvi, X�+`�1 �, .ti•t�� 'v�� �r q��`k�r!��6s�r�M•'�'_ K. ' dIll III Ar i I,1 fi,i rh t . IL t T & 4 � �� •;2 i Dui ��, ��� 5 NSM �> r .- MAI ni , # a .s a �left r oFtKKE To Town of Barnstable o� BARNSTABLE, » Regulatory Services MASS. � t '�bp i639• , Thomas F. Geiler, Director as; A Building Division Tom Perry Building Commissioner . 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 `Fax: 508-790-6230, May 24, 2010 - Jenifer N. Einstein Cory M. Haflett 1109 Shootflying Hill Road Centerville, MA 02632 Re: Amnesty Apartment r Dear Ms. Einstein and Mr. Haflett; , We have received the recorded Regulatory Agreement and Comprehensive Permit for the accessory affordable apartment at your address. A building permit.is required whether _ the unit is new or pre-existing. We look forward to receiving your building permit application for the apartment., Please call me if you have any questions regarding the building permit process. ' Sincerely, , Lois Barry Division Assistant amnbp IKE Town of Barnstable • B MRMBLE. Growth Management Department AIFD"A°�A Accessory Affordable Apartment Program 367 Main Street, Hyannis, MA 026014 Officer 508.862.4678 Fax: 508.862.4782 May 24, 2010 Jenifer N. Einstein and Cory M, Haflett 1109 Shootflying Hill Road Centerville, MA 02632 RE: Building Permit Application & Final'Inspection Enclosed please find a copy of yourrecorded decision and deed`restriction..As you know, one of the conditions of your recently issued' comprehensive permit requires that you apply for a building permit.for the accessory unit, .whether the,' unit is new or pre-existing. To assist you with this process,-I have enclosed a Town of Barnstable Building Permit application. Please contact Lois Barry in the Building Division at (508) 862-4039 to schedule an appointment to compete the building permit application process. Lois is available on Mondays, Tuesdays and Wednesdays. You will be required to provide five,copies of a clear floor plan for both the main . house and the apartment which indicates the square-footage of each' room as , well as the total-square footage of both dwellings. Smoke and carbon monoxide detectors must also be,clearly labeled on the plans. µ. A Building Division inspector will then conduct the final inspection of your accessory unit. After the unit passes inspection a certificate of occupancy will be issued by the Building Commissioner and mailed to you. Once you have received your certificate. of occupancy, you may, select a tenant for your accessory, affordable unit. 'Please feel free to contact-me at 862-4743 with any questions or concerns. Regards , x Cindy Dabkowski Special Projects Coordinator.' Barry, Lois From: Dabkowski, Cindy Sent: Monday, April 26, 2010 11:17 AM To: Barry, Lois Subject: RE: 1109 Shootflying Hill Rd, Cent. Good Morning Lois Yes, they have applied. -----Original Message----- From: Barry, Lois Sent: Tuesday,April 20, 2010 3:37 PM To: Dabkowski,Cindy ` Subject: 1109 ShootFlying Hill Rd,Cent. Cindy, We have the Eligibility Verification dated 1/28/10. Are they applying? Lois 1 . 3 oFtHE� Town of Barnstable * Regulatory Services a * BAMMBLE, MA & g Thomas F. Geiler, Director �pFF16 9. 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 AMNESTY APARTMENT ELIGIBILITY VERIFICATION Re: 1109 Shootflying Hill Road, Centerville Date January 28, 2010 After reviewing the street file of the above named property, I verify to the best of my knowledge that the apartment was in existence before January 1;2000. This property is now eligible to apply for the Amnesty Program Tom Perry Building Commissioner q:forms/amnestyaptverification 8 MLS Pagel of 3 Listing Summary Listing #20908404 1109 Shootflying Hill Rd, Centerville, MA 02632* Active (09/25/09) DOM/CDOM: 11/1 $219,900 (LP) Beds: 3 Baths: 2 (1 1) (FH) Sq Ft: 1248* Lot Sz: 20037sgft* Town: Barn Yr: 1980* Remarks Close to Wequaquet Lake for boating & Picture Report Listing Violatio swimming. Sunny large eat in kitchen, fireplace, 1/2 bath in master&finished room in lower level. Walk out with 1/2 bath T �r 01 Mir Attached Docs See M: Location Description South of 6A Agent David R Holt M (ID UOTQ)Pnmar_y 508;568-8133 x8133 Secondary:508-333-6077 Office Today Real Estate(ID`.TODY2)Phone 508 790-2300,FAX:508-790-1388 Property Type Single Family ", ` Property'Subtype(s) Residential Status Active(09/25/09) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 3% 0% No Facilitator Comm 3% Listing Type Excl. Right to Sell Owner Name bank County Barnstable Tax ID 190-223-0-0-BARN Beds 3 Baths (FH) 2(1 1) Approx Square Feet 1248* Sq Ft Source Assessors Records Lot Sq Ft(approx) 20037* Lot Acres(approx) 0.460 Lot Size Source (Assessors Recorc Year Built 1980* Listing Date 09/25/09 Listing Page Commission-Other na Showing Instructions Call Listing Agent,Call Listing Office,Lockbox. General Page Zoning res Year Built Desc. Approximate Total Rooms 5 Total Levels 1.0 Y Basement Baths 1.5 Level 1 Baths 1.5 Level 2 Baths 0.0 Level 3 Baths 0.0 } http://ccimis.rapmis.com/scripts/mgrgispi.dll 10/6/2009 Message I d �t�'` I Page 1 of 1 Anderson, Robin From: O'Connell, Timothy Sent: Monday, November 09, 2009 4:20 PM To: Anderson, Robin Subject: RE: 1109 Shootflying Hill They have pulled a permit that allows them to have two kitchens. Le Tanks in series. The ball is now in your court. Thanks for the heads up!!! Timothy B O'Connell, R.S Health Inspector Town of Barnstable Health Div . -----Original Message---- From: Anderson, Robin Sent: Monday, November 09, 2009 3:00 PM To: Dabkowski, Cindy Cc: O'Connell, Timothy Subject: 1109 Shootflying Hill Cindy, Please send an Amnesty application:and,Oackage to the following interested party:' 5 . Jennifer Einstein 270 Old Main Road North Falmouth, Ma 02556 Her cell #is - 585-319-6968 She is passing papers on 1109 Shootflying Hill Rd in Centerville on 11/24/09. She must apply for Amnesty by Dec 1 st. Tim, We are proceeding on as if Ms. Einstein has been approved to maintain the accessory unit& kitchen therefore you must advise the septic installer to identify the second unit on the plans make the necessary accommodations or adjustments. 196in Robin C Anderson Zoning Enforcement Officer 'own of BarnstabCe 200 Main Street , Hyannis, -'AI.A 026oi 5o8-862-4027 11/10/2009 Date: November 9, 2009 To: Building File From: R. Anderson Re: 1109 Shootflying Hill Road, Centerville Septic installer came in to talk to Tim O'Connell regarding failed system. Plans show 2 units. Second unit was a former family apartment. The bank now owns property but has a prospective buyer. David Holt—Today RE is the listed agent Advised installer that this is sf home; the rights to the secondary unit will not transfer as a matter of right. Tim advised the installer that if 2 kitchens:are to remain there certain system modifications that must be designed and implemented,otherwise the plans submitted must be changed to reflect a 5the sf status. The options are as follows: • Restore to sf home with a building permit • Apply for& obtain approval for family apt or Amnesty with valid P&S agreement I provided my business card to the installer and requested that the buyer contact me before deciding which option to take. '"et"C^'''7r r-7.,wY"'s 4,.k...{..Y:k,:: tdn.'%r*'.t�+�•4':d'ti 9 "s... r�F r IIIWR� � r 3 ra f , t +'.i' $ •"r�t.4 yyp+ ►w3nrK' '`. ri4t x rks _ ,. i3 :' sy*� I,. t` Town. of B amstable BARNSTABLE.,* Regulatory.Services. 9 MASS. - ., 039 �0 Building Division 200 Main Street,Hyannis;MA 0260E Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection .� Location I 5��oca I y r A� Permit Number Owner, Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting:. f 40 1 N E uQ.S�n�e+n 1" �Y�u� rE rv, �� wa i� ah e1C�tv\4 �'g �. S�t rs SeM04't tASt ' oM IVY Uv� , nkS e rrn 1n� � n , act f Wc1 S. vaC Q'/ Please calla A508-862-(403'8:for re-inspection. Inspected by `L L Date r TOWN OF BARNSTABLE Permit No. -----------_----------_______ _ Building Inspector cash OCCUPANCY PERMIT Bond _________________ k 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 J, AlCH rt }lpssett 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 REQUIREMENTS. .....................................................7 19......__ ..................................................................................................._._....._._ Building Inspector TEt.4, 39B-iw731 J.A. BASSETT AREA CODE 617 BASS RIVER REAL ESTATE CAPE COD PROPERTY BROKERS AND BUILDERS ROUTE 28 BASS RIVER, MASS. 02664 April 28, 1981. Building Inspector, Town of Barnstable , Hyannis , Mass. Dear Sir: This is to confirm that I will install a metal sheet for a fire door on the garage said of the wall at Lot #1 Carleton Acres, 1109 Shoot Flying Hill Road, Centerville. Very truly yours , �:'A. Bassett, A /fD )7� � - { Assessor's map and lot•.nu / s� f' od,� D� �CZ 7'z --��`'� Q SINE ,L d Q�O ................ y ,. Sewage Permit number d'3 °� SEPTIC SYSTE .................................... Q� NOSY UM IN C House number .................... .1.��` .:........................................ °% 1MTH TIT rAea 1639 9� RWIRONMENTAL Y D TOWN OF BARNSTABW REGULATIONS BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ...:......................................................................................................................... TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ �• '^ THE INSPECTOR OFF BUILDINGS: a :. The\u ndersign hereby applies for a permit a ording to the following information: Location ....... .. .. ............/.I..... !^sL.R� ...... . .... ....... i.. /• ..s............................... 4 Proposed Use JJ............................................................................................................. ZoningDistrict ............................................... .......................Fire District ...... ............................. ........................................ Name of Owner ...... .".... .. ... .. ......�5..!...... ............ ....Address ..... . .... .. ....... !1..... Nameof Builder ................ . ................................Address .................................................................................... Nameof Architect ..................................................................Address .............................................................0...................... Number of Rooms .... .........................Foundation .........Q 1.4..W, .. .�t2�� ............... ... ... ....... Exterior ....... ... ..........A..........................Roofing ....... ... ... .... . ... ................................................... Floors . ... ...........................................................Interior ............ . .... I,......................................... 1 !/l/�.: Heating .......................................:........Plumbing L'..�... �,r..:................... ... Fireplace .. .... �1 U �............................Approximate Cost ,1. .V Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .. '......... Diagram of Lot and Building with Dimensions Fee Q-KQ —i SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Towneofarnsle regarding'the above construction. Name .. ..:..................:� ^^�....� Bassett, J. Albert *` Po 21.49.9... Permit for -One••S.for ••.dweILIi n :F ........................ ...................................... S Location .....lot.. ...1...�10 ..,Sk�©off, F�3� ng ....................Hi13...Rd.......GenterW •3:1e............. + Owner ........... ................. Type of Construction . ............................................................................... Plot ............................ Lot ................................. i Permit Granted July 26........19 79 Date of Inspection Date Completed /Y a/D s ` PERMIT REFUSED s .......................................... ............ .... 19 r . r ...... . .. .�4 � !......................... , Wls 01 ..... . .. , , It ._ ........ .............. Ay r.�. . ... .. .........Q . 9 4 � .. ..... ................... A..... G r `, ��)` �c'.� <� - ��� 1 ' Assessor's mop and �t /./~.."._. .�� ..r ��^m�x� ' � . /f^�/_� ` 5ovvoge_Ponnk number —��--!�.!�.��.----------. o�� / House number ------l1()x�-----------_—. �� �^° � ' ` t639- - - . r���-���F7l�T �'��� ��� � �� l�T�� r�� � ����' �� � ' -^ � � � �� �� BARNS TABLE ` ' - ` ` BUILDING INSPECTOR �� � �� NN � 0-�� N ���� N ���������� � NN �� '~~ ~~ ~ ~~_- ~ ~~ ~~ ~ ~~ ~~ ~ ~~�� ~ ~~ ~~ ^ APPLICATION FOR PERMIT TO -----._—.---------.--------.---.------------.- ! TYPE OF CONSTRUCTION --------_—.----------------------_---------. ' � ^� ................................................l9........ � , TO THE INSPECTOR OF BUILDINGS: � The undersigned hereby applies for a permit according to the � / ) / ) � ' � \ ��� »~�, ` Location —� --'�.�--'~..~����*�}�. —.^,~���.�&�:�� ..+:.�.������i.x--------_... ' ' Proposed Use -- ----.----.—.—..-----------.---.--------.--------- � `J ` Zoning District ................................................ Five District --.--. ..................................... ' ^ Nome of Owner — -' — ..A66rex —../�� .(�/b-- ^.\��/ 0 ' [/ ` (/ V V Nome of Builder ---- -----------.A66esx —.----.—...L—.—.----...---..------- ' Nome of A�chhec ----------------------A6dres '�--------------------------- � Number of ------_—Fuundo� i y ------ ' Ex|erior —� --------.Roofing ' .---------.. ' ' { Floors -- ---------|ntehor .. ......................................... ~ - / ' Heating ' ^� ---------�um6ng .'—./�~��������.�.r.��:�Z�..�---------. � Fireplace ' --�( /��\��^^........................................Approximate Cost —.— ......................... ,._,~__._. 'Definitive Plan Approved by Planning Board lV---_. Area Diagram of Lot and Building with Dimensions Fee ............................. SUBJECT TO APPROVAL OF BOARD OF-HEALTH . . . , ' ` ' ^ ` « ' ^ . � , | hereby ogee to conform to all the Rules and Regulations of He Town of Barnstable regarding the above ' construction. ` - /�� /~ Name .. ... .. .—.—...—..—.--..----,,... � Bassett, J. Albert - A-1r -22:3 - No ...2.1.49.9.... Permit for .oae..stQP3r..dWe 'ng o.. Loo ti g•.Hi:i.l Rd.. .................. ................................... Owner ....A.].•ber.t..J.,...B,ss tt........................ Type of Construction .........fr Me...................... Plot ............................ Lot ............................... I Permit Granted .............. 2�........19 79 Date of Inspection .................. .................19 Date Completed .................. ...................19 PERMIT R FUSED ........................................ . ..................... 19 .............. ,..r.f.e .Q.......................... Approved ................................................ 19 ........................ . . ....................................... ............................................................................... �pTHE ram, Town of Barnstable Regulatory Services BABiMSTABLE. v MASS. �, Thomas F.Geiler,Director 1639.rED Mai" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 y Office: 508-862-4038 Fax: 508-790-6230 July 5, 2007 Alcimir Lopes 1109 Shootflying Hill Rd. Centerville, Ma. 02632 RE: 1109 Shootflying Hill Rd. Map : 190 Parcel : 223 Dear Mr. Lopes: This letter is in response to the application submitted to create a family apartment at the above referenced address. Unfortunately, the application can not be approved at this time because the opinion of this office is that the layout shows the family apartment to be larger than the allowed 800 square feet as of right. The family apartment as shown would require approval by the Zoning Board of Appeals. Please respond to this office by July 19, 2007 with your intentions. If this office can be of any further assistance please do not hesitate to call. I may be reached at (508) 862-4034. Sincerely, ey L. Lauzon Local Inspector Q:zoning5 IMME i BARN9MBLE. Town of Barnstable Zoning Board of Appeals Notice of Withdrawn Without Prejudice Appeal 2007-082 -de Souza Lopes Special Permit -Section 240-47.1(A)(1) Family Apartments Summary: Withdrawn Without Prejudice Applicant: Alcimir de Souza Lopes Property Address: 1109 Shootflying Hill Road, Centerville, MA Assessor's Map/Parcel: Map 190 Parcel 223 Zoning: Residence D-1 Zoning District Relief Requested: In this petition, Alcimir de Souza Lopes sought a special permit to allow for an existing apartment unit located within an existing dwelling which exceeded the 800 sq.ft. permitted as-of-right under zoning. The Family Apartment provisions, Section 240-47.1, allows for family apartments as-of-right provided they "not exceed 800 square feet or 50% of the square footage of the existing single-family dwelling, whichever is less". The same provision allows for a special permit finding for a larger family apartment not to exceed 1200 square feet which the petitioner was seeking. The property is a 0.46-acre lot developed in 1980 with a three-bedroom, one-story, raised-ranch single-family dwelling. According to the Assessor's record, that single story has 1,248 sq.ft. of living area. The petitioner purchased the property in August of 2006. In May of 2007, the applicant applied for a permit to finish the basement level of the dwelling to be used as a family apartment. The apartment was for the use of the petitioner's sister, Katia Assis. Apparently, some level of living area already had been finished in the basement and the permit was to "bring to [building] code". Upon inspection,of the unit, it was determined that the unit exceeded the 800 sq.ft. permitted as-of-right. The petitioner was advised by the building inspector to reduce the unit in order to comply with the 800 sq.ft. However, the owner decided to attempt and secure a special permit in order to allow for the increased area of the apartment unit. Procedural & Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on July 20, 2007. An extension of time for holding the public hearing and for filing of the decision was executed. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened October 10, 2007. At that hearing, Mr. de Souza Lopes represented himself and presented his case to the Board. The issue of parking was raised and the number of bedrooms. It was certified by the Board of Health that the on-site septic system could accommodate four bedrooms on the property. Mr. de Souza Lopes' stated that he and his wife and their four children, as well has his wife's sister, Katia Assis live on the premises. The apartment is for the wife's sister, Ms Assis. Town of Barnstable-Zoning Board of Appeals 6 Notice of Withdrawn Without Prejudice-Appeal 2007-082—de Souza Lopes • Public comment was requested. Timothy J. Sheehan of 29 Maddaket Lane spoke in opposition citing parking and noise issues. Raymond J. Ruggles of 20 Maddaket Lane stated that he was opposed as the applicant has been shuffling vehicles between his lot and parking them in another lot on Maddaket Lane. Timothy H. Yousey of 39 Maddaket Lane cited that vehicles once parked on the 1109 Shootflying Hill Road lot are now being parked on the lot abutting his property. He objected to the permit as it affected his property values and enjoyment of his property. Ms Shawn Post of 36 Maddaket Lane, who also submitted a letter, spoke in opposition.' Chairman Nightingale noted that four letters in opposition had been entered into the file from Shawn Post of 36 Maddaket Lane, Michael & Patricia Quinn of 6 Maddaket Lane, Audrey Macomber of 1115 Shootflying Hill Road, and Alexandra K. Scantalides, of 217 Knotty Pine Lane. The Board and Mr. de Souza Lopes discussed the situation and Mr. de Souza Lopes stated that he believes he could reduce the size of the family apartment unit to comply with zoning. The Board explained that if he did that he would not need this permit. Upon that, Mr. de Souza Lopes requested that his petition to the Board be granted a withdrawal without prejudice. Motion: At the October 10, 2007, hearing a motion was duly made and seconded to grant the request to withdraw Appeal 2007-082 without prejudice. The vote was as follows: AYE: James R. Hatfield, Sheila Geiser, Kelly Kevin Lydon,John T. Norman, Gail C. Nightingale. NAY: None Ordered: Appeal 2007-082 has been withdrawn without prejudice. Appeal of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty days after the date of the filing of this decision. Gail C. Nightingale- 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 2 9 y � Town of Barnstable H Zoning Board of Appeals Gail Nightingale-Chairman. 200 Main Street,Hyannis,Massachusetts 02601 Phone(508)862-4785 Fax(508)862-4725 Growth Management Department 367 Main Street,Hyannis,MA 02601 Ruth J.Weil-Director September 18, 2007 Shawn Post 36 Maddaket Lane Centerville, MA 02632 Reference .;ZBA Appeal No. 2`007-082 de Souza Lopes t correspondence of Septem#ber 15 2007 Dear Ms Post, The Office of the Zoning Board of Appeals is in receipt of your email dated September 15, 2007 addressed to the Board Chairman -Gale C. Nightingale. A copy of your correspondence has been entered into the file and will be transmitted to the Board members along with pertinent application materials for that hearing which will take place on October 10, 2007. 1 have also taken the liberty to transmit copies of your letter to both the Building and Health Divisions. This application is before the Board as the petitioner is seeking a special permit as provided for under zoning. The issuance of that permit requires a public hearing and, as the term implies, that hearing is to take public testimony and review evidence presented on the merits of the proposal. The members of the Board are required to collectively evaluate that testimony and evidence presented to determine if the proposal would represent a substantial detriment to the public good and/or neighborhood affected. As it is an appeal before the Board, individual members including the Chairman can only discuss the issues in that public forum. The only advice that staff can offer at this time is that you and your neighbors participate in this public process to assist the Board in making its decision. The Zoning Board welcomes public participation and on behalf of the Board I thank-you for expressing your concerns. The members of the Board do not take the responsibility entrusted to them lightly. Working within the guidelines of the zoning ordinance, they welcome public participation and do have the interest and desire to preserve and protect the neighborhoods of the Town. Re pectfully, , Arthur P. raczyk, Principal Planner— Growth Management Department File: ZBA-Correspondence—2007—"L-091807 to Post on de Souza Lopes 2007-082.doc" cc: File-ZBA Appeal No.2007-082 de Souza Lopes Gail C.Nightingale-Chairman-Zoning Board of Appeals Ruth J.Weil,Director-Growth Management Department Thomas McKean-Director-Health Division Tom Perry-Building Commissioner Robin_Giangregorio,-,Zoning-E nforcement-Officers Building_Division Attach: September 15,2007 Post-e-mail correspondence Agenda for October 10,2007 Hearing i Page 1 of 1 Traczyk, Art From: Town Main Mailbox Sent: Monday, September 17, 2007 9:26 AM To: Weil, Ruth; Traczyk, Art Subject: FW: zoning board of appeals--gail c. nightingale Ot SUre %.vh�o >I,oi.!d (-.,,et this to Tonvard to Ms. Nightingale. Dan From: post [mailto:spost2@comcast.net] Sent: Saturday, September 15, 2007 9:31 AM To: Town Main Mailbox Subject: zoning board of appeals--gail c. nightingale Ms. Nightingale- My husband and 1 recently received a notice of a Public Hearing -Appeal 2007-082- for October 10th pertaining to our neighbor, Alcimir de Souza Lopes, for the address at 1109 r-Sfiootflying-Hill-Rd.in`Cent—' anvil. 1 am extremely distressed. What is my recourse at this juncture? We already have problems at that address--too many occupants, too many vehicles parked on the lot and on the side of the road, and noise from 6 a.m. until 10 p.m. Aside from attending the hearing, is there anything our neighborhood can do to prevent this special permit from being approved? We have never been in this situation before and I would be grateful for any advise you could give. Respectfully yours- Shawn Post 36 Maddaket Lane Centerville, MA 02632 508-778-2317 I P® �4 9/18/2007 r .06 Town of Barnstable Zoning Board of Appeals Agenda October 10, 2007 Revised as of 08-11-07 7:00=PM- Appea1�2007=08/2'New de`Souza=Lopes--.-� •Special Permit.--Family_-Apartment Alcimir de Souza Lopes has applied for a Special Permit in accordance with Section 240-47.1(A)(1) Family -Apartments. The applicant seeks to maintain a family apartment in excess of the 800 sq. ft., permitted under zoning. The apartment unit occupies approximately 1,200 sq.ft. The property is addressed as 1109 Shootflying Hill Road, Centerville, MA and is shown on Assessor's Map 190 as parcel 223. It is in a Residence D-1 Zoning District. 7:10 PM Appeal 2007-081 - New Gargan Special Permit- Nonconforming Lots Joseph E. Gargan & Paula R. Gargan have petitioned for a special permit pursuant to Section 240-91 Nonconforming Lots. The applicants seek to transfer 2,733 sq.ft. of lot area at 621 Scudder Avenue Hyannisport, Mass., to the petitioner's abutting lot at 49 Lafayette Avenue, Hyannisport, Mass. The subject properties are shown on Assessor's Map 287 as,parcels 047 and 048, commonly addressed as 621 Scudder Avenue and at 49 Lafayette Avenue, Hyannisport, MA. The property is in a Residence F-1 Zoning District 7:15 PM Appeal 2007-046 &047 -Continued Suni-Sands/Wilson Opened June 6,2007 continued to July 25,2007,and to October 10,2007. No Members Assigned. No Testimony Taken. Report and Application previously sent to Board. Appeal 2007-046- Use& Bulk Variance-Suni-Sands Condominium Association and John S. and Harriet R. Wilson have petitioned for a Variance to Sections 240-7 Application of District Regulations, 240-13 RC District Principal Permitted Uses and Bulk Regulations and 240-36 Resource Protection Overlay Districts, 2- acre Minimum_ Lot Area. The applicant seeks the variance in order to demolish an existing two-family dwelling and rebuild a new larger two-family dwelling. The property is addressed as Units 5 & 6, 946 Craigville Beach Road, Centerville, MA. The structure is a part of the Suni-Sands Condominiums and is shown on Assessor's Map 226 as parcel 008, units 20E and 20G. It is located in the Residence C zoning district and in the Resource Protection Overlay District. Appeal 2007-047 - Nonconforming Special Permits-Suni-Sands Condominium Association and John S. and Harriet R. Wilson have applied for a Special Permit in accordance with Sections 240-92(B) Alteration/Expansion of a Nonconforming Buildings or Structures Used as Single-and Two-family Residences, 240-93(B) Alteration/Expansion of a Nonconforming Buildings or Structures Not Used as Single- or Two-family Dwelling, and/or 240-94(B) Expansion of a Preexisting Nonconforming Use. The applicant seeks to demolish an existing two-family dwelling and rebuild a new larger two-family dwelling. The property is addressed as Units 5 & 6, 946 Craigville Beach Road, Centerville, MA. The structure is a part of the Suni-Sands Condominiums and is shown on Assessor's Map 226 as parcel 008, units 20E and 20G. It is located in the Residence C zoning district and in the Resource Protection Overlay District. v 7:30 PM Appeal 2007-064- Continued Ruscitto Special Permit Alter Nonconforming Dwelling Opened August 8,2007, continued to October 10,2007 Continued to allow for review of relief and possible alternative relief application Members Assigned: Ron Jansson, Randolph Childs,James Hatfield,John Norman,Gail Nightingale Alternates Present: Jeremy Gilmore, Kelly Kevin Lydon Robert A. Ruscitto and Bette J. Ruscitto have petitioned for a Special Permit pursuant to Section 240-92.13 for the Alteration/Expansion of Nonconforming Buildings Used as Single-family Residences. The petitioners propose to expand the existing dwelling with a two-story addition. The proposed addition is located 14.2 feet off Harbor View Road and is not in conformance with the current required front yard setback of 20 feet. The property is addressed as 73 George Street, Barnstable, MA and is shown on Assessor's Map 319 as parcel 058. It is in a Residence B Zoning District. 7:45 PM Appeal 2007-033 -Continued Hyannis Country Garden Exempt Use Modification Permit for Wind Turbine Opened April 25,2007, continued July 11,2007,and to October 10,2007 No Members Assigned, No Testimony Taken Hyannis Country Gardens Inc., has applied to the Zoning Board of Appeals for a Modification Permit pursuant to Section 240-8.A(3). The permit is sought for an existing Agricultural Exempt Use to allow the installation of a 120-foot high monopole wind turbine. The property is shown on Assessor's Map 269 as parcel 052. It is commonly addressed as 380 West Main Street, Hyannis, MA. The property is zoned Highway Business for a depth of 200 feet from West Main Street and the remainder is zoned Residence B. 8:00 PM Appeal 2007-092 - New Vages Bulk Variance—Minimum Lot Area Thomas & Dona-Marie Vages have applied for Variances to Section 240-11.E Bulk Regulations, Minimum Lot Area of one-acre. The variance is sought for an undersized 20,016 sq.ft. lot- Lot#2 - created by a June 4, 2004, Approval Not Required plan recorded at the Barnstable Registry of Deeds in Plan Book 609 page 40. Lot#2 is shown on Assessor's Map 247 as parcel 104-001 which fronts on Strawberry Hill Road. That Assessor's parcel is addressed as 293 Old Craigville Road, Hyannis, MA. The lot is in a Residence B Zoning District and a Wellhead Protection Overlay District. 8:00 PM Appeal 2007-097- New Vages Variance to Demo/Rebuild Thomas & Dona-Marie Vages have applied for Variances to Section 240-91.1-1, Developed Nonconforming Lot Protection to allow for the demolition and rebuilding on a lot created by Variance. The subject lot is shown as Lot#2 on an Approval Not Required plan recorded at the Barnstable Registry of Deeds in Plan Book 609 page 40. Lot#2 is shown on Assessor's Map 247 as parcel 104-001 which fronts on Strawberry Hill Road. That Assessor's parcel is addressed as 293 Old Craigville Road, Hyannis, MA. The lot is in a Residence B Zoning District and a Wellhead Protection Overlay District. Zoning Board of Appeals-Agenda-October 10,2007 2 r 8:15 PM Appeal 2007-084— New Rougeau Alter/Expand Nonconforming Building& Use Richard N. Rougeau has petitioned for a Special Permit pursuant to Section 240-93.13 Alteration/Expansion of a preexisting nonconforming building or structure and Section 240-94.13 Expansion of a preexisting nonconforming use. The petition seeks to expand the area of Unit No. 3 by enclosing a part of an open exterior deck. The location of the proposed expansion is nonconforming with Section 240-7.G as it is situated 34.4 feet from wetlands when a 35-foot setback is required. The use of the property is a multifamily and does not conform to the uses permitted in the district. The property is commonly known as the Portledge by the Sea condominiums addressed as 306 Long Beach Road and is shown on Assessor's Map 185 as parcel 024-OOC. It is in a Residence D Zoning District. 8:15 PM Appeal 2007-085 — New Rougeau Setbacks from Wetlands Richard N. Rougeau has petitioned for a Special Permit pursuant to Section 240-7.G Setbacks from Wetlands. The petition seeks the permit to "work within 35 feet of water" to enclose part of an open deck attached to Unit No. 3. The property is commonly known as the Portledge by the Sea condominiums addressed as 306 Long Beach Road and is shown on Assessor's Map 185 as parcel 024-OOC. It is in a Residence D Zoning District. Open Chairman's Discussion Zoning Board of Appeals—Agenda—October 10,2007 3 �t"E' ti Town of Barnstable Building Department - 200 Main Street BARNSTABLE, Hyannis, MA 02601 MASS. 9�A 1639. . (508) 862-4038 rFo�a Certificate of Occupancy Application Number: 201003975 CO Number: . 20110005 Parcel ID: 190223 CO Issue Date: 01/11111 Location: 1109 SHOOTFLYING HILL RD Zoning Classification: SPLIT ZONING Proposed Use: SINGLE FAMILY HOME Village: CENTERVILLE Gen Contractor: . PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO JENIFER EINSTEIN & CORY HAFLETT Jr Building Department Signature Date Signed TOWN OF BARNSTABLE - Building, Al y Application Ref: 201003975 • * BARNsrABI.E, Issue Date: 08/16/10 P erm 1t MASS, qjA i639• Applicant: ISAACS MARGARET ?F��•I A Permit Number: B 20101662 Proposed Use: . SINGLE FAMILY HOME Expiration Date: 02/13/11 Location 1109 SHOOTFLYING-HILL RD Zoning District SPLTPermit Type: AMNESTY W/CONSTR RESIDENTIAL Map Parcel 190223 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village CENTERVILLE App Fee$ 50.00 License Num OWNER Est Construction Cost$ 1,800 . Remarks APPROVED PLANS MUST BE RETAINED ONJOB AND EXISTING APARTMENT(FORMER FAMILY APT),CHANGE BASEM NT THIS CARD MUST BE KEPT POSTED UNTIL FINAL APARTMENT WINDOW TO DOOR INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: ISAACS,MARGARET BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 836 INSPECTION HAS BEEN MADE. OSTERVILLE, MA 02655 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLY OR SIDEWALK;"OR A ART THE R T.MPORARILY'OR PERMANENTLY. ,.. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET.OR ALLY GRADES AS WELL AS DEPTH>AND LOCATION OF PUBLIC SEWERS-MAY BE OBTAINED FROM'THE DEPARTMENT OF PU. BLIC,WORKS.a> THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE,CONDITIONS OF:ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. .Y 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO-FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO;LATH). 5.INSULATION. 6:FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. » WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN-SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).. 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VYes. a wil . � is� p��'' [5'N. t7 ''•aY�? '� A °Y'� a 1t1 � f�'� y,F IRT?.( tWt� F V g p,`=as . `"`n - ,.r�ef<��a,.9+i. �•# `}'°'t^ A .. #i M+rt + ', j �F 5�~ ah.F1 � SLi�dl� &"'�°MR,' s YY a'�-a. -�c.i J '� }Vt, Ir i�'.y�4' `�® �r°,at F 4 s;9.` we�iU tcX G Alif j * z� ti,� .sae^ ;�'�. •' #M,.. ,.^:.. �" 'ry'�^�. �xF �q�'r i' u' �v��x++�"f�` I • • - • l••. • 1 1 11• B1: : 24189 :P'a290 —66566 11-24-2009 Q 12s170 MASSACHUSETTS STATE EXCISE.TAX BARNSTABLE'COUNTY REGISTRY OF DEEDS Date: 11-24-2009 8 12:17aa Ct14: 1071 Doc`.: 66566 Fee: $803.70 Cons: $235r000.00 BARNSTABLE'COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY .OF DEEDS Date: 11-24-2009 a 12:17cm UIT M EED C0_': 1,071 DocA: 66566 Fee: $634.50 Cons: $2357000.00.' Deutsche Bank National Trust Company,as Trustee for HSI Asset Securitization Corporation Mortgage Pass-Through Certificate 2006-HE11,a corporation duly established under the laws of the United States of America and having its usual place of business at 3 Park Plaza,16a'Floor,Irvine, CA 92614 in hill consideration of TWO HUNDRED THIRTY-FIVE .THOUSAND AND 00/100 ($235,000.00)DOLLARS grants to Jenifer N. Einstein and Cory M. Haflett,_Husband and Wife,Tenants by the entirety La C�C,S of 1109 Shoot Flying Hill Road,Centerville(Barnstable),MA 02632 with QUITCLAIM COVENANTS the following described premises: The land with the buildings thereon;situated.in Barnstable(Centerville);Barnstable County, Massachusetts,more particularly described as follows: Lot 1 on a plan of land entitled"Carleton Acres Subdivision Plan of Land in Centerville,Barnstable, Massachusetts,for J.Albert Bassett,Scale 1"=40,November,1969",which said plan is duly recorded with Barnstable County Registry of Deeds in Book 237,Page 97. .Subject to and with the benefit of all rights,rights of way,restrictions,reservations and easements of .record,insofar as the same are now in force and applicable. For title reference, see Foreclosure Deed recorded with the Barnstable County Registry of. ` Deeds in Book 23994,Page 324. This conveyance is in the ordinary course of business and does:not constitute a transfer of all or substantially all of the corporate assets of Deutsche Bank National Trust Company, as Trustee for HSI Asset Securitization Corporation Mortgage Pass-Through Certificate 2006-, HE1,in Massachusetts. Bk 24189 Pg 291. #66566 Witness the execution and the corporate seal of said corporation this 20day of October,2009.. Deutsche Bank IS Trust Company, as' Trustee for HSI Asset Securitization Corporation NA Mortgage Mortgage Pass-Through Certificate 2006-HEl ., .��p0 y�99 By:Wells Fargo Bank,NA Nc WE _ L L S_¢ F �= Its:Attorney in Fact N>5. GO ''Sn p�Zj•• •gyp �\. . Vole �nituium�a�� By, ana T _ Vice Prosident Loan Documentation ee(4-" 41% ev-1^,110 c Comfy K a39yy/, Pvge MI6 STATE OF S. October �,2009 Then personally appeared the above-named / 5 � the A V? of Wells Fargo Bank, N.A., as attorney in fact for" Deutsche Bank National Trust Company, as Trustee,for HSI Asset,Securitization Corporation Mortgage Pass-Through Certificate 2006-HE1, and acknowledged the foregoing to be the free act and deed of Deutsche Bank National Trust Company, as.Trustee for HSI Asset Securitization Corporation Mortgage Pass-Through Certificate 2006-HE1,before me, . ELICIA R SANCHEZ Notary Public Notary Public:- Minnesota ry M Commission Ex Tres Jan:31 2t113 My Commission Expires: x BARNSTABLE REGISTRY OF DEEDS Town of Barnstable BARNSTABLE + -Regulatory Services 1 MASS. 1639. ♦0 °lsn�rA Thomas F. Geiler*, Director Building Division Tom Perry Building Commissioner 20.0 Main Street, Hyannis, MA 02601_ Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Cindy Dabkowski FROM: Lois Barry DATE: 1/12/11 RE: AMNESTY CERTIFICATE Here 'is the Amnesty_Certificate of Compliance (original for applicant and copy for-your records) for:- 4 10.9 Shootflying Hill Road, Centerville X J03062Sa oFt Town of Barnstable Regulatory Services w BARNSTABLE, ' 9 MASS. Thomas F. Geiler, Director �A 1639. �0 rEnMa+s Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 62601 www.town.barnstable.ma.us ` Office: 508-862-4038 Fax: 508-790-6230 January 12,2011, Jenifer Einstein Cory Haflett 1109 Shootflying Hill Road Centerville, MA 02632 Re: Amnesty Apartment Dear Property Owners: Enclosed is the Certificate of Occupancy for your Amnesty apartment: We have prepared the Amnesty Certificate of Compliance and forwarded it to the ` Amnesty Program Coordinator, Sincerely, Lois Barry Division Assistant Enclosure w amnco TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,,,, Map l �' �° Parcel .`. d: / 'Application # ©I S Health Division 'Date Issued Conservation Division i Application Fee Planning.Dept'' :Permit Fee Date Definitive,Plan Approved by Planning Board Historic _ OKH, — Preservation / Hyannis i �.5 Project Street Address C7 5/1 Village Owner. (' QW �i't ` i Address �o'� a I0° ,I.�4 ' . � f Telephone_ Permit Request -r i,nS ►1 'In' n �c+�c, �,:-Yyx I& ?CA�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ;0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl 'd Walkout ❑ Other Basement Finished Area (sq.ft.) -7 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new O Half: existing L new 0 Number of Bedrooms: ' existing 0 new Total Room Count (not including baths): existing J new First Floor Room Count Heat Type and Fuel: $ Gas ❑ Oil ❑ Electric ❑ Other , Central Air: ❑Yes 14 No Fireplaces: Existing New 0 Existing wood/coal stove: ❑Yes No { Detached garage: ❑ existing 0 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 �J ► .C` i�sT�'�1� Telephone Number Address _old%. 566r+�w iAej ���� ��• License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY +~APPLICATION# DATE ISSUED MAP/PARCEL NO. L ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 4 t FRAME y INSULATION s FIREPLACE r ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT' ASSOCIATION PLAN NO. P _ , r The Commonwealth of Massachusetts Department.of Industrial Accidents Office of Investigations d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): Address: City/State/Zip: 663Z Phone,#: Are you an employer? Check the appropriate box:. Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction _ listed on the attached sheet. T. 0 Remodeling 2.0 I am a sole or partner ' proprietor ship and have no employees These sub-contractors have g. 0 Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp. insurance.$ 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' 13.0 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 anew affidavit indicating such: $Contractors 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. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob 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 criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains and penalties of erjury that the information provided above`is true and correct. Signature: Date: jj� ZV 0 Phone#: Cz 6 Official use only. Do not write in this area, tb be completed by city or town official .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts 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." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,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-contractor(s)name(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 permit/license applications in.any given year,.need only submit one affidavit indicating current policy information(if necessary) and under`Job Site Address" I.he.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 to any business or commercial venture (i.e. a dog license or permit to burn 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 Deparlm(-.nt of Industrial Accidents, Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-72777740 Revised 11-22-06 . vvww.mass.gov/dia / Town of Barnstable THE Tp�� Regulatory Services riARNSTAaLF- • Thomas F. Geiler,Director MAIM 1639. A,�� Building Division Tf° � Tom Perry,Building Commissioner 200 Math Street, Hyannis,MA_02601 R'ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: A 1I 1le- number eet village "HOMEOWNER": jTl.Q name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less,and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEmriiON OFHOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department, minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. attire H 'owner , Approval of Building Official �+ Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.'.' Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsi'ble. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forrrrs:homeexempt IHEA�ti Town of Barnstable Regulatory Services . • stixxsres[.E, rues $, Thomas F. Geiler,Director i639 �� 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using.A Builder I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. QTORMS:OWNERPERMISSION 1 . MAe& Town of Barnstable Zoning Board of Appeals '! ' Comprehensive Permit Decision and Notice _ Comprehensive Permit No. 2009=055 — Einstein Haflett Chapter 40B Comprehensive Permit �. Applicants: jenifer'N. Einstein and Cory M. Haflett Property Address: 1109 Shootflying Hill Road, Centerville MA , T Assessor's Map/Parcel Map 145, Parcel 03`1 Zoning: SPLIT Zoning District Deed Reference: Book 24189-Page 290 Applicant: k . The applicants are jenifer N. Einstein and CoryM. Haflett, who reside at 1109' Shootflying Hill Road, Centerville, MA 02632. Ms. Einstein and Mr. Haflett are the owner occupants of the property as evidenced by a deed recorded in the Barnstable County Registry of Deeds.on November 24, 2009 in Book 24189, Page 290. Relief Requested: Ms. Einstein and Mr. Haflett have.-applied' for a.Comprehensive Permit pursuant to Chapter 40B of a . the General Laws of the Commonwealth of Massachusetts, and in accordance with §9-14 of the Code of the Town of Barnstable, more commonly termed.the "Accessory Affordable Apartment Program". The permit is sought to allow for an apartment accessory to a singlefamily owner- occupied dwelling as provided for in the Code of the Town of Barnstable and restricted'to being affordable housing for qualified persons as required under Chapter 40B. The zoning relief necessary for this.Comprehensive Permit to be issued is that of a variance to Section 240-11 (A) Principal permitted uses in a SPLIT Zoning District to permit an accessory apartment unit in the lower level of the single family dwelling. The issuance of this Comprehensive- Permit would allow for a separate, approximately 630 square foot; one bedroom living unit as an accessory affordable apartment unit within the Lower Level of the single-family dwelling, Locus: The subject property is a 0.46-acre lot located at 1109 Shootflying Hill Road Centerville,,MA. The lot was developed in 1980 with a single-family Ranch style home. The living area of the`main residence is 1,248 square feet. Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2009-055-.Jenifer N. Einstein and.Cor'M.Haflett Background: The lot is served by Public Water and private on site septic. The town of Barnstable's.Public,Health Division reviewed the application, and on December 14, 2009, approved a total of-four (4) bedrooms at the property. Procedural & Hearing Summary: A site approval letter was issued for the property by°Town Manager John-,C. Klimm on February 8, 2010 in accordance with MGL Chapter 40B and 760'CMR. Notice of the site approval fetter was sent to the Department of Housing and Community Development in accordance with the " requirements of CMR 760. An application'for a Comprehensive Permit was,filed'at the Town Clerk's Office on March 1, 2010. A public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised in the Barnstable Patriot on February 19, 2010 and February 26, 2010, and notices were sent to all abutters in accordance with MGL-Chapter 40B. On March 17, 2010 Hearing Officer Laura F. Shufelt opened the public hearing at 6:00,-p.m. Thee applicants,Jenifer N. Einstein and Cory M. Haflett were present at the hearing. Cindy L. Dabkowski of the Growth Management Department was also present. Laura F. Shufelt reviewed the file with the applicant to assure compliance with all of the.program requirements. 1. The hearing officer made the applicants-aware of the proposed conditions and applicant ' consented. , 2. Jenifer N. Einstein and Cory M. Haflett gave their testimony. 3. Members of the.public were requested to comment., None spoke in opposition of an accessory apartment. 4. The March .17, 2010 hearing was closed by Hearing Officer Laura F. Shufeltat: 6:35 p.m. On March 17, 2010. the hearing officer granted the comprehensive permit with conditions, A written copy of this decision shall be forwarded to the Zoning,Board of Appeal on March 19, 2010.• as required by the Town of Barnstable Administrative Code Chapter 241, section 11 of the Town of Barnstable Administrative Code. If after fourteen (14) days from that transmittal the Members.of the y Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final o . and a copy shall be the filed in the office.of the Town-Clerk. Findings of Fact: At the hearing on March 171 2010 the Hearing Officer made the following findings'of fact: ; 1. The applicants are Jenifer+N.,.Einstein,and Cory M. Haflett who reside at 1109 Shootflying. Hill Road, Centerville MA., Ms. Einstein and Mr. Haflett are requesting a Comprehensive Permit to allow fora one-bedroom accessory apartment within the lower level of the owner ; occupied home as an accessory affordable'apartment. The allowance for.the unit as.an 4 accessory affordable unit qualifies,for the "Accessory Affordable Apartment Program. 2.-.Jenifer N..Einstein and Cory M. Haflett were granted title to the property by deed recorded in the Barnstable Registry of Deeds on November 24, 2009 in Book.24189, Page 290. 3. On February 8, 2010, a site approval letter was issued for the property by Town Manager 4 John Klimm, in accordance with MGL Chapter 40B and 760 CMR 56. Notice of the site E 2 1 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2009-055=jeniferN. Einstein and.Cory Ni. Haflett , approval letter was sent to the Department of Housing and Community'Development, in ry - accordance with the requirements of 7.60 CMR 56.04 (2), and no issues were communicated from the Department on this particular application: 4. The proposed accessory affordable.unit is approximately 630 square feet, and is located within lower level of the principal dwelling.. 5. The applicants are aware that the unit must meet all applicable building codes,to.be occupied and that the.Building Division and Fire Department will also be inspecting the unit for compliance with all applicable building and fi`r'e codes. 6. The house is served by public water and private on-site septic. The proposal has been reviewed by Thomas McKean, Health Director, and he has approved a:total of four(4) ; bedrooms at the ro p pe rry. 7. On December 3, 2009 the applicants jenifer N. Einstein and Cory M. Haflett signed an Accessory Affordable Apartment Program Affidavit that commits, upon the receipt of a Comprehensive Permit, to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants at the Barnstable County Registry of,Deeds. That document will restrict the unit in perpetuity as an affordable rental unit and requires that the dwelling be : owner-occupied as the applicant's primary residence. 8. The applicants understand that the affordable unit will be rented to a person or family whose income is 80% or less of the Area'Median Income(AMI) of the Barnstable Metropolitan Statistical Area (MSA) and further agrees,that rent(including utilities)shall not exceed 30% of the monthly household income of a single person or two person household earning 80% of the median income, adjusted by;household size. In the event that utilities are'separately metered, the utility allowance established by the town of Barnstabile,shall be deducted€rom rent level so calculated. 9.1 According to the Massachusetts.Department of Housing and Community Development, as of March_ 10, 2010, 6.7% of the town's year found housing stock:qualifies as affordable housing units. The town has not reached the statutory minimum of affordable;housing under MGL Chapter 40B`Section 20-23 or its implementing regulations. The Town-of Barnstable's Local Comprehensive Plan encourages the use of existing housing to create affordable units and the,dispersal of these units throughout-the'town: Summary: The Hearing Officer ruled that the applicants jenifer N. Einstein:and Cory M. Haflett have standing to apply for a Comprehensive Permit under MGL Chapter 40B and the Town of Barnstable's" Accessory Apartment Program. The proposal is also deemed consistent with local needs because it adequately promotes the`objective of providing affordable housing for the town of Barnstable without jeopardizing the;health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly.fol lowed. „ 3 f Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.26bm55 Jenifer N. Einstein and Cory M. Haflett Conditions: Hearing Officer Laura Shufelt"ruled to grant the Comprehensive Permit in accordance with MG Chapter 40B and Article 11 of Chapter Nine of the Code of.the town of Barnstable, more commonly termed the "Accessory Affordable Apartment Program to the applicants, )enifer N. Einstein and - Cory M. Haflett. It is issued to allow for a one bedroom accessory apartment unit in accordance with the following conditions: 1. Occupancy of the affordable unit shall riot exceed two (2) people. 2. The total number of bedrooms'on the property shall not exceed four(4).'.' �+ 3. The property owners Jenifer N. Einstein and Cory M. Haflett shall occupy the main dwelling as their primary residence: 4. The accessory unit shall not be occupied by a family member of the owners. 5. All parking for the accessory apartme'ntand the main dwelling shall at all times be on-site and no lodging shall be permitted for the duration of this comprehensive permit, 6. To meet the requirements of affordability, the cost of housing(including utilities)`shall note. exceed 30% of 80% of the median income for a one person or two person household for the Barnstable MSA.. In the event thaf utilities are separately metered, the utility allowance established by the town of Barnstable shall be deducted from rent level so calculated. 7. All leases shall have a minimum term of one year and,have provisions that require the tenant to provide any and all information necessary to verify eligibility.with the Accessory Affordable Housing Program:, a 8. The Growth Management.Department_of the Town of Barnstable shall serve as the monitoring agent for the accessory apartment, Annual monitoring shall include verification of tenancy, affordability, and compliance with Housing Quality Standards (HQS). The cost - for HQS monitoring shall,be covered by the homeowner. The fee for the initial,monitoring of affordability and annual certification and inspection of the accessory unit shall mirror the fee charged by.the H.ealth.Department,for the rental registration program, Currently that fee. is $90.annually: 9. The applicants shall apply foF.a building Permit for the accessory unit, whether the unit is t new or pre-existing. Before securing an occupancy permit and certificate of compliance the Building Commissioner shall determine that the unit conforms to the approved plans as submitted with the building permit application and meets state building and.fire codes.-The Health Division shall determine that the dwelling is in compliance with applicable on-site' wastewater discharge requirements. { _ 10. The applicants may select.their own tenant. The tenant shall meet the requirements of the program as cited above and provided that person's and/or family income is reviewed and approved by.the Growth Management Department of the town of Barnstable as a qualified, tenant. The applicants will be required to work with'the,town to'provide information necessary to documenfthat the tenant qualifies. The unit shall be rented on'an open and 5 4 Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2009-055—Jenifer N. Einstein and Cory M:Haflett fair basis to an income eligible i'ndiyidual. Whenever a,vacancy occurs, notice must be given to the Growth Management Department and the unit must be'listed,with the Town. 11. Every twelve months the.applicants shall review the income eligibility of the tenant occupying the unit. No later than a year from the date of issuance of this Comprehensive` Permit, the applicants shall file with the Growth Management Department of the town of- Barnstable, as Monitoring Agent, an annual affidavit listing the rent charged and income " level of the occupant of the unit. The applicants and/or tenant shall provide the town any additional information it deems necessary to verify the information provided in the affidavit. 12. Upon any report from the Monitoring Agent that the'terrns and conditions of this permit are I 4 , not being upheld, the Zoning Board.of Appeals or its Hearing Officer shall have the ability to hold a hearing to show cause as.to why this permit should not be revoked.; 13. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing-Officer or Zoning Board of.Appeals. This decision, the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Regis" of Deeds.. Ifthe ownership of. - the property is transferred, the Growth Management Department of the town of Barnstable shall be notified within 60 days of the name and address of the new owner. 14,This Comprehensive Permit shall be exercised, all conditions met,'and,the,unit occupied n within twelve (12) months of its issuance or it shall expire. ; Ordered: Comprehensive Permit number 2009-055 has been granted with conditions. 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 applicants-have the right to appeal this decision as outlined in MGL Chapter 40B, Section 22. _ Laura F. Shufelt, Hearing Officer �'' Date Signed 1 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 � ' -O,, o. _ under the pains and penalties of perjury. Linda;Hutchenr.idQr; Town Clerk y. REGULATORY AGAR E"1`N AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENAN"I'S,is made this 11tb day of May 2010,by and between Jenifer N.Einstein and Cory M.Haflett of 1109 Shootflying Hill', Rd Centerville,MA and its successors and assigns (hereinafter the"Owner"),and the TOWN OF BARNSTABLE (the"Municipality"),a political subdivision of the Commonwealth; WHEREAS the Owner has been granted a Comprehensive;Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation.of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/ Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration'of the agreements and covenants contained herein.,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,,the parties agree as follows: 1. PROJECE SCOPE AND DESIGN: A. The terms of this Agreement and Covenant regulate the propertyaocated at 1109 Shootflying Hill Rd - Centerville, MA as further described in deed recorded herewith as Barnstable County Registry of Deeds Book 24189&Page 290. B. The Project located at 1109 Shootflying.Hill Rd Centerville,MA will consist of one accessory apartment unit which will be rented to an eligible.low or moderate,income individual or family(the"Designated_, Affordable Unit" or the"Unit"). i G The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No. 2009-055 Einstein Haflett.and any plans submitted therewith and all applicable state,federal and` municipal laws and regulations. Said permit is recorded herewith as Barnstable County Registry of Deeds !- -� -- g Book ;� G. &Page � ,. ,. � •. ., D. The Owner agrees to occupy the principal dwelling unit located on the property as their principal residence in accordance with the terms of the comprehensive permit: 11, THE OWNER'S COVENANTS AND RFSPON8IBILITIES A- THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANM AS'FOLLOW- 1 In receiving:the comprehensive permit to;create the Designated,Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in.perpetuity for the public purpose of providing safe and decent housing to persons earning at or below 80%of the area median income of Barnstable Metropolitan s Statistical Area(MSA) and that the Designated Affordable Unit shall be deemed to be impressed with:a public' trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80% of the Area Median Income(AMI)of Barnstable MSA and that rent(including utilities)shall not exceed an ' amount that is affordable to a household whose income is 80%of the median income of Barnstable MSA. In the event that utilities are separately metered,a utilityallovance;established by the Barnstable HousingAuthoriry shall be deducted from the rent level. 3. The Designated Affordable Unit will be:retami ed as a permanent,year round rental dwelling unit with at least a one-year lease 4. The Owner has'the full legal rig-ht;power and authoriryto-execute and deliver this Agreement.. 5.1 The execution and performance of this Agreement by the Owner will not violate or,asap ' cable,has not violated any provision of law,,rule or regulation,or any order of anycourt'or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, a mortgage note,or other instrument to which the Owner is a parry or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this.Agreement,has,good,:clear.marketable tide-to, the premises. 7. There is no action,suit or proceeding at law or in equity on by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened_against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted (and as now contemplated by this Agreement) or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of . Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full C. LIMITATION ON PROFITS , 1. The Owner agrees to limit his/her profit by renting the Designated AffordableUnit in perpetuity to a" household with a ma>�imum income of 80%or less of the Area Median Income (AMI)of Barnstable Metropolitan Statistical Area(MSA) and that rent(including,utilities) shall not exceed an amount that is { affordable to a household whose income is 80% of the median income of Barmtable MSA. In the event that utilities are separately metered,a utility allowance established by the Bam-stableEousirig Authority-shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the.Monitoring Agent;as;designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager;within thirty(30) days of the date that a tenant has vacated the Designated Affordable Unit.' III. MUNICIPALITY COVENANTS AND RESPONSIBILITIES 1, The MUNICIPALITY,through the monitoring agent designated by the Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuity.to a household with a maximum income of 80%'or less of the Area Median Income(AMI) of Barnstable MSA and that rent (including utilities) shall not exceed an amount that is affordable to a.household whose income is 80% of the. median income of Barnstable MSA.In the event that utilities are separately metered,a utility allowance, established by the Barnstable Housing Authorityshall be deducted from the rent. IV. RECORDING OF AGREEMENT:- Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to ,be recorded with the Registry of Deeds for Barnstable:Countyor,if the Project consists in whole or in part"of registered land,file this Agreement and any amendments hereto with the RegistryDistrict of the Barnstable Land' Court(collectively hereinafter the"Registry of Deeds"),and the Owner:shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable;the."Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. 2 - r T V. GOVERNING OF AGREEMENT ; This Agreement shall be.governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must ben writing and executed by all of the parties hereto. The invalidity of any' clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. , VI. NOTICE All notices to be given pursuant to this.Agreement shall be in writing and shall be deemed given when delivered byhand or when mailed by certified or registered mail,.postage prepaid,return:receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. VII. HOLD HARNH-ESS:. w: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants.or employees which result in claims made against Municipality and/or its delegate,including but not'bmted•to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. 'VIII. ENTIRE UNDERSTANDING: , A This Agreement shall constitute the entire.understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document:. B. This Agreement and all of the covenants, agreements and restrictions contained herein'shall be deemed " to be for the public purpose of providing safe affordable housing and'shall be deemed to be, and by these , presents are,granted by the Owner to run in perpetuity in favor of--and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in.MGL Ch. 184,Section 26 which shall run with the land described indeed recorded herewith as Barns table,County Registry of Deeds Book 24189 &Page 290 and shall be binding upon the Owner and all successors in title - This Agreement is made for the benefit of the Municipality and the Municipality shall be.deemed to be'the holder of the restriction created,bythis Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest: The Municipality shall not be subject to the defense.of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable County Registry of Deeds Book 24189&Page 290. IX. TERM OF AGREEMENT The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may:voluntarily cancel the granted.Comprehensive Permit,and the terms and restrictions imposed herein. Such cancellation shall,onlytake effect after; 1) expiration of the lease terms entered , into between the Owner and Tenant occupying said'unir.and 2)notification,by the Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the.Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land, Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the propertywhich is.the subject matter of this.restrictive covenant shall revert to the use permitted under zoning and the-restrictive covenant shall be rendered void. . k,a 3 r X SUCCESSORS AND ASSIGNS: . . A The Parties to this Agreement intend,declare,and covenant on behalf of thernselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached,comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns (i) thatxhis Agreement and the covenants,agreements and restrictions contained Herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title,(ir are not merely personal covenants of the Owner,and (ii) shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. M. DEFAULT , If any default,violation or breach by the Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30) days after:notice to the Owner thereof,then the Monitoring Agent may send a notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal ' fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have a lien on the Project to secure payment of such costs and . expenses. The Monitoring Agent may perfect such a lien on the?roject by recording,a certificate setting forth, the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Project or any portion thereof will be liable for the payment of ''. any unpaid cost and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Projector portion thereof. fi )GI, MORTGAGEE CONSENT: - The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreemenrand to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our.hands,and seals this Jith dayof May2010. OWNER BY ,r . signanuc Printed., eo: . COMMONWEALTH OF MASSACHUSETTS ; County of Barnstable,ss: v Onthisl1thda of May2010 before me,,the undersigned notary public,personally appeared the Owner(s),proved to me through satisfactory evidence of identification,which were �&,` e(i-f9s (et R>sf 9�k 7.;�/J F/ ,to be the_person(s)whose s: name(s) is signed on-the,preceding or attached doc rand acknowledged to be that he/she signed it voluntarily for the stated purposes F No Public' . }k ,�j r Printed:` . (,� v a., My Commission Expires: �, The Owner represents and warrants that it has'obtained the consent of all existing mortgagees of the Project to ". . ' the execution and recording of this Agreement"and to the terms ,and conditions hereof and that all such.: mortgagees have executed consent to this Agreement. y IN WITNESS WHEREOF,we hereunto set our hands and seals this 11�,day of May2010.' OWNER BY: Printed: i�e&e r COMMONWEALTH OF.MASSAC1-1USETTS County of Barnstable,ss: On this 11tb d of May 2010 before me,the undersigned notarypublic,personally appeared 7 zs ti ;the Owner(s), roved to me through satisfactory evidence c(fidentification,which were A vas ,te S'66 55i3 � ,to be the persons) whose_ name(s)is signed on the preceding or attached_document and acknowledged to be that he/she signed it voluntarily for the stated purposes, w r 9 Notary Public -, Printed: My Commission Expires: , TOWN OF BARNSTABLE BY: / /�� • TOWN MANAGER _ .1 COMMONWEALTH OF MASSA=ETT$ County of Barnstable,ss: On this ! day of 2010 before me,the undersigned notary public,personally appeared doh ti trn , > Tmm Manager for the Towne Barnstable,proved tome through satisfactory evidence of identification,which were 1 . to be the person whose name is'signed on the preceding or attached docwnent and ac o ed ed to be t he/she signed it voluntarily for the stated purposes. Not#ry Public . Printed: t�� r MyCornmissionExpires. �ImOar �ta►z o„o.• Town of Barnstable Building Department - 200 Main Street iARNSTABLE, # Hyannis, MA 02601 MASS 9�A 1639. ,�' (508) 862-4038 rFD MA'S A Certificate of Occupancy Application Number: 200706493 CO Number: 20080148 Parcel ID: 190223 CO Issue Date: 07129/08 Location: 1109 SHOOTFLYING HILL RD Zoning Classification: SPLIT ZONING Village: CENTERVILLE Gen Contractor: PROPERTY OWNER Permit Type: X00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APT ISSUED TO A. S. LOPES FOR RAPHAELA LOPES, DAUGHTER 7/29/a 2 Building Department Signature Date Signed TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION y7C�y� Map Parcel +q®� 7 � ,-Application Health Division _ ®6 2 S'3 Date Issued ` 11 4 .ID 7 Conservation Division _ Application Fee S'y Tax Collector Permit Fee'a6_ Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis - Project Street Address 1loq Village (� �/�1 �" / ��czzee %L4 A [a 2- 3. 2 Owner -1°MR- _S /'���- Address ���° z Telephone l 6,'6 o 441-1 Permit Request rAA4 I A RAA411,1-Al� RM —94 ol Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation S'o y Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family .S1 Two Family ❑ Multi-Family(#units) Age of Existing Structure 19 Historic House: ❑Yes 0,No On Old King's Highway: ❑Yes -�QNo Basement Type: g Full ❑Crawl 6ftkout ❑Other Basement Finished Area(sq.ft.) `d� ' ' S ��"T' Basement Unfinished Area(sq.ft) wu� 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 . CD -'neat Type and Fuel: ; ..Gas ❑Oil ❑Electric ❑Other ? ,L entral Air: ❑Yes Flo Fireplaces: Existing New Existing wood/coal,stove: C1 Yes Alo 6 �r Detached garage:p existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:El-existing ❑new size Shed:21.existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Cur rent_Use __ Proposed Use BUILDER INFORMATION Name /_(.X A e Telephone Number_ G„�o n. Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ry AXI SIGNATURE DATE /�- FOR OFFICIAL USE ONLY ` Fg APPLICATION# DATE ISSUED MAR/PARCEL NO. ; ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME "a INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL ' 4 FINAL BUILDING I 3 0y DATE CLOSED OUT' ASSOCIATION PLAN-NO. ' 1 1—e 5-2a_ 07 Town of Barnstable Apr,1HE Regulatory Services * BARNSTABLE, Thomas F. Geiler, Director 9 MASS. w 1639• &N,b Building Division ren nna� Tom Perry, Building Commissioner 200 Main Street, .Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at.11.09 SHOOTFLYING HILL ROAD in CENTERVILLE holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book , Page or as Document No. being shown on Assessors' Map .190 as Parcel 223, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for RAPHAELA LOPES,DAUGHTER OF OWNER, ALCIM.IR S. LOPES, associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in "Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartrinent or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. . This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the"Down of Barnstable Building Department. WITNESS our hands and seals this 3_ day of IAZI e'er tiz 200 1) . TOWN OF BARNSTABLE OW GR(S) t _ A By: Li Commissioner `I'HF, COMMONWEALTH OF MASSACHUSET"I BARNSTABLL COUNTY, SS Date ,// S �7 Then personally appeared the above-named (owner) i�7�< f G��"�1 and made oath as to the truth of the foregoing instrument, before me. Notary bIi& My Commission Expires: eae a .....•.. W. •off ee Shootllyingl-I ill Rd110) #81A9o°ou°°°►°p° 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations • 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/Organizationa&vi(ival): •Address•1/p!7 Sfbro zxllr• City/State/Zip: el�,�t-"!Jill L 3 hone A: Are you an employer?Check the appropriate bog: .Type of project(required):. 1•❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction . * • have hired the sub-contractors employees(full and/or part-time). listed on the-attached sheet. 7.?❑Remodeling 2:❑ I am a'sole proprietor or partner- These sub-contractors have ' ship and have no employees S. ❑Demolition: employees and h working for me in any capacity. have workers'$ 9 ❑Building addition , comp.insurance. [No workers comp.insurance 10.0 Electrical repairs or additions required.] 5. ❑ We are a corporation and its '3.7.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•❑Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' 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. . $Contractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.polidy 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: r Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 thq violator. Be advised that a copy of this statement maybe forwarded to the Office of Investi ations of the CIA for insurance coverage verification. I do hereby c under the, ai sand pen Ides of perjury that the information provided above is true and correct. Si afore: Date �-�/�J" C7 Phone#: Official use only. Do not write in this area, to be.eompleted by.city or town official .City or Town: Termit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector.5•Plumbing Inspector 6.Other Contact Person: Phone#: VE T° Town•of Barnstable Regulatory Services MASS Thomas F.Geiler,Director MP Building biV1S10I1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT' HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO.PERMIT APPLICATION MGL e. 142A requires that the"reconstruction, alterations ienovation,rePair,modernization,conversion, •improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more th=four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost ,Address of Work:_[l6q.7 z! /7 Owner's Name:_ Date of-Application: I hereby certify that: Registration is not required for the following reas on(s): E]Work excluded by law 1�97ob Under$1,000 ElBuilding not owner-occupied wner.pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner.- Date Contractor Name Registration No. 16 • ��/ 1i2 Date Owner's Name OF'THE Town of Barnstable ti Regulatory Services HARNSTABLE, : Thomas F.Geiler,Director �4'Ar2639. A,�� Building Division Fv � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE:�D—f — 0 � > JOB LOCATION: //� /S�G�Y� 2byY/ �/� Ill« number r , street village J � � C� 2 ,o / )�j l .HOMEOWNER": �Y/� /I//Z "5 -L(.��� ( �� O � 2 �J 7 J Z_�/ O�r7 name home phone# work phone# CURRENT MAILING ADDRESS: vCJ �nG �i3Oc> . city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su erp visor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner".certifies that he/she understands the Town of Barnstable Building Department minimum inspection pr edures an requirements and that he/she will comply with said procedures and Mements- /Signature of Homeowne Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt 0 . SMOKE E.W O' VI D 3000ONIOlU19Sll3SNOVSSM q , 1-2 83d 0311d1SN1381SM _ 0& SUYHVld 301XONOIN N08ad0 p T L BUILDI G DEPT. DATE 4 p Ll [37iTN w cES ARE REQU/REAaR A f/,�ITTIN �l _ . TOP 1 N N 0 r x Q G N 1 ko AU yry �► �► V N �g A LL l� L'! wveef iiao it —— yr 4 . Woo�j �N►n�Z � � `� c W I WOW 5 i N SV'D2 Door. 3R'' U„i ow r'vdo WiN�cv i -rot te'r h -ro t,eT , � o CKS Z � � a Ir :: '7" i{V Il Q i all oF1HE Ta,, Town of Barnstable Regulatory Services + BARNSFABLE, yQ MASS. Thomas F. Geiler, Director wp i639• rFo,rp.,A Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 July 29, 2008 Mr. Alcimir S. Lopes 1109 Shootflying Hill Road s Centerville, MA 02632 Re: Family Apartment Dear Mr. Lopes: Enclosed is the Certificate of Occupancy for your family apartment. Sincerely, Lois Barry Division Assistant Enclosure NCO 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel_0�011 S - Application# CX00 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ?1S1m7 Project Street Address Z_IX4Z( , Village Owner Alcaw"t -S r)arz_ � Address 222 Telephone 0 7!�( - rc4 7e,!y� 7 Y�-5 ..j 3 .G1•;7 Permit Request NttYL7cd��irvc J,��'sFiNr( a,4.SS&,1A10A4_ r_&L EA 144',, \iQ ` UA Squar"eet: floor:existing propose[ — 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2�� ®° Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting ddcumentn. Dwelling Type: Single Family 4 Two Family ❑ Multi-Family(#units) + Age of Existing Structure Historic House: ❑Yes A No On Old King's H( way: Tes ANo c i 7 Basement Type: fz,Full ❑Crawl El`Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished� Area(sq.ft) w m Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing �f new First Floor Room Count Heat Type and Fuel: EXGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes UeNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:4existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes �.No If yes, site plan review# _ Current Use Proposed Use BUILDER INFORMATION 1�) Name / ,�ti/yit2., S'- �vP�`S Telephone Number `Z Address fL�% �', �� ,� ;� I �/L License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 I r � SIGNATURE I� DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME -41m, INSULATION 1• FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL �1 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �f%t Parcel c Application# 2610_7 1�2 Health Division . £r Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address O .5/AW , G- //'�L _ Village "''�A /5a'✓� ')_�- 1�i'�= �/C �C�' Owner AA-146F 5 n r{�i=C Address Telephone 1_0 1 trWZr ) s t ' c • ��0 '� ���� ✓ � �i - - Permit Request /I, yq x-A--t rll;� A " A Vl(\Gy Q 60 Coll Square feet: 1 st floor:existing . . € +proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size : Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Ty ems: Single„Eamily—U-- -Two-F-amily—Q--- Mulli-F m_ily(#units) - Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes Ca-No Basement Type: ,®Full ❑Crawl E Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) . IVi Number of Baths: Full:existing new r, ''Half:existing new Number of Bedrooms: existing v! new1 j a Total Room Count(not including baths):existing new FirstFloOr Room Count 3- Heat Type and Fuel: ®:Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes LTNo Fireplaces: Existing C New L Existing wood/coal stove: ❑Yes O No ,j°w Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing O(new sizeJ01°1 Attached garage:❑existing ❑new size Shed:®,existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 4 No If yes, site plan review# d Gurrent Use ___. __ , _. Proposed Use BUILDER INFORMATION Name &CIMi/!_ S• 1010 <� Telephone Number (��0 g3�2290 Address d�b�f ��d'X3���,// r /�//� �� License# Home Improvement Contractor#, Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 141Ihg DATE / z FOR OFFICIAL USE ONLY PERMIT NO. 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. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,M4 02111' w)vw.mass.govldia ' Workers'-Compensation Insurance Affidavit: Builders/Contractors/FIectridans/Plumbers _Aunlicant Information - Please Print Legibly Name(Business/OrgardUtion/Individual): •Address 1 i v S/foo City/State/Zip:e7//L11F . 11 e 67 Phone.#: Are you an employer?Check the appropriatebox. :Type of project(required):. 1.❑ I am a employer with 4. [] I am a general contractor and I 6 New construction . employees (full and/or part time).*• have hired the sub-contractors . listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a'sole proprietor or partner- bese su -contractors have • ship and have no employees These 8. ❑Demolition employees and have workers' *orking for me in any capacity. $. 9. ❑Building addition [No workers' comp.insurance comp.insurance. 5. [] We axe a corporation and its 10.❑Electrical repairs of additions required.] officers have exercised their 11.[]Plumbing repairs or additions ' 3.[ I am a homeowner doing all-work . myself.[No workers'comp. right of exemption per MGL 12,❑Roof repairs insurance.re ed 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 Homeomers,who submit this affidavit indicating they are doing all work and then hire outside contractors mutt submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provido their workers'comp.pohdy number. I ant 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 criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against thq violator- Be advised that a copy of this statement maybe forwarded to the Office of Investi ations of the IIA for insurance coverage verification. T do hereby c fy under t p ns and Pena ties of perjury that the information provided above,is true and correct r Date: —JQ Si fora: Phone#: official use only. Do not write in this area, to•be completed by.city or town official City or Town: ' •Permit/License# Issuing Authority(circle one): :1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: information and. -instructions Massachusetts 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 bite, 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." MOL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced�acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapt:er..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 acceptably evide-nse-af complian4 withflie 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-confractor(s)name(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 requirea to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their sel€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 permit/license 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 to any business or commercial venture (i.e.a dog license or permit to burn 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:: et Commonwwlh of ma=rlhusotts Dtpartmmt of ladusWal A cddmts Qffkv of Investiptaons W wawnstori Street Boston CIA 02 111 • . TO.#617'27',4%0 ext 406 or 1- MASSAFE Fa�#617-727-7749 Revised 11-22.06 W .MmgOv/dia r °F THE� Town of Barnstable ti yP Regulatory Services �$"�A� � Thomas F.Geiler,Director E1659. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost E/o Address of Work:��D�/- I /CC. Owner's Name: Z � Date of Application:y_-_�?_—0 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 OBuilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for permit as the agent of the owner.- Date Contractor Name Registration No. OR Date 's Name r Q:forms:homeaffidav Tame JSZ30(eoattane� ' prescriptive Packages for 06 and TI o-Fxmcik Raldentlal B04iagp'Heated with'y�wff'Pliek I14AXfMtM MINIMUM ' GlazingGlazing Ceiling Wall Floor BA=rat . Slab Heetiag/Cooling B $ Arcs'('!.) U-value= R-values ' R-vaiuel R-veluc° Wail Pe:imetet FgwFm� Mile.? • Pie gvaiue� R-valvtr . . . 5701 to 6500 Heating De.grer Din 4f' IZ°/a 0.40 33 13 19 10 6 NOi� M2 30 19 •.19 10. 6 Normal g 12% 0.50 39 13 19 10 b 15AFUE T ISfc 036 38 A 13 25 P1/A N/A Nom U 15% 0.46 33 19 19 10 6 •Noomal V 15% 0.44 39 I3 23 ' NIA N/A 93 AFUE W 15% 0.52 30 19 19 10 $ U AFUE X 13% 032 39 I3 23 rT/A NIA No'n'� Y ;8°fi. 0.42 38 19 23 N/A NIA~ Normal Z 18% 0.42 31. 13 19 10 6 90 AFUE AA10% tt 30 30 19 19 TO 6 90 AFUE 1, ADDRESS OF PROPERTY: /���. 5 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4, %GLAZING AREA 03 DIVIDED BY 02); 5. SELECT PACKAGE(Q--AA-see chart above): NOTE- OTHER MORE INVOLVED I LMTHODS OF DEi�1ING ENERGY REQUIREId-NTS ARE AVAILABLE. ASK.US FOR THIS INFORMATION, BUILDING INSPECTOR APPROVAL. YES:. N0: q-Earns-f384343a I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 ' Alterations/kenovations $50.00 Building FezmitAmendment S 25.00 FEE VALUE WORMECEET NEAP LIVING SPACE ' aquare feet $96/sq,foot= x,0041= plus frombelow(if applicable) : , ALTERATIONSIR N07AIMNS OF EXISWG SPACE square feet x$64/.sq,foot= x,0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq, ACCESSO$Y STRUCTM>120 sq,ft, ; >120 of-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 5f-1500 sf 100.00 >1500 sf-Same as new building pernat• square feetx'$96/sq,foot= , x.0041= STAND ALONE PERMITS Open Porch x 330.00= (number) Deck x$30.00= ' (number) Fireplace/Chiaiuey x$25.00= (number) Inground SwimmingPool $60,00 . Above Ground Swimming Pool $25,00 Relocation/Moving 5150,00 (plus above if applicable) - ' Prajcfl P east Fee Rv;063004 THE 'Town of Barnstable Tp�y ' yWP o„ Regulatory Services 't BARNSTABLE, ; Thomas F.Geiler,Director MASS, g q,,, i639• Building Division lEa �s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEO''INER LICENSE EXEMPTION ff Please Print DATE:5/I'D JOB LOCATION: ��d7 S/yG7JTN//�r !7L/« iQYO number street / l village/ ,) Q,2 "HOMEO'WNTER': f YLl�I�� -'s �E>s�G S ( o?2 7 26 / (77V,/ D /1'6 2 b name home phone n work phone CURRENT MAILING ADDRESS: city/twAn state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures, A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance-with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re i ment,. tJl� L;4_ 2a, i ature of Homeown Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Man},homeowners who use this exemption are unaware that they are assuming the responsibilities.of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction-Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would vrith a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the pernni t application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several tovms. You may care t amend and adopt such a fomi/certification for use in your community. Q:forms:homeexempt wiadow w�adow --vir dow gheL�r - ti,t r CovnrF P N i a 41/ A MT n �f I 4 D I * tRswe z� -to Mast fly I -�- k - - -------- --- H �� s 3tf " �\ � '7„1 I�\ Oeb o n `w {- ............... 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A �C gfRft5We # Ito Sias+ 4001 o�iN6� ib ad MEfe,R f'iRC PLkc,¢ Z� F Is p o r • �F � r. �J ' D j a � � F a �o. ,u GEoSeT closer D i5 0 _ � ems— C705�T _ r`-'--� 5 : 3 3 � I • t w'f W;Wow wei✓dow wiar6ow � ,� -�0�1�7' Court Q7 A I a 5?i�►f�`WQ , .. ¢• .gyp .��Rs1'�°OR � �I k oPBMia.6� i w 4sco MEr'eR J O yj 3 co FR cas eggf ,u A O� cios�Tz. � Z04-M f � � - maw w -----------...._.._,w _. 5 i N .SilD2 DOOt 3�9d U„! ow r vdo (aiN�p�v 47 70 AJ - - ,c► x' 14 � M a a 9� v \, ir.hP Q _ f Sl g �:.. . m ¢R ... ..�.. mop ern Q ;,.�._- z �i� I �� i � �� � 3 r -5 a a ' 7 - I ti t { - 5.'�+� - -. d'i,., —rr...w.u�iasirM!•: y11Y� {i ✓ � .�� �� - �.9G:.�.aiw�Ml� �...:.�. �._y d •..`�_. � s a:.vtigt+.'+M lk � . : r + �.,�:w,K:.r3as. �.c:win>i.sa.,._.�,-.,.s��.s,•,�r�:r�;.wr..oa...�,�a. ..c�r:v�.s�an;,sa -sx,�z+�. a. 5d - FAMP Town of Barnstable Regulatory Services. �TME tqy� Thomas F.Geiler,Director $j;#3,=1i Building Division Aft �ABLE ,1�aw MASS.�. Tom Perry, Building Commission�009 A N 20 pM 1esv 200 Main Street,Hyannis, MA 02601 2' 48 �AIEOMA�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 Ly9 S - ,,�� � I am the owner/resident of the property located at: /lam' yiS�� �i/UCriLl !�t'f� � UILCG M CD 2 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. -In the event that the listed relatives vacate said apartment, I will immediately 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 Q day of 9 2009. Sign re Phone Number: Print Name GG1>y1'4Q Q/bl dg/forms/famaffid Rev:12/08 4-63726 11-a 5-2+_ 07 � 1+'+.� ��ca Town of (Barnstable �0*IHE rp� y�P Regulatory Services BARNSTABLE, Thomas F. Geiler, Director MASS. �q i639• . Buildingbivision prED MAC A Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at,1109 SHOOTFLYING HILL ROAD in CENTERVILLE holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book Page or as Document No. being shown on Assessors' Map 190 as Parcel 223, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy: "I'he intended and authorized use is for RAPHAELA LOPES, DAUGHTER OF OWNER, ALCIMIR S. LOPES, associated with the residential use on the same premises. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the.building department. -This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land. .Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS Our hands and seals this > day of �u� � '_ 200 9 . TOWN OF BARNSTABLE OW ER(S) ) o BY 13lding Commissioner TFIE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared' the above-named (owner), /iih. r f-, G�: 'f1 and made oath as to the truth of the foregoing instrument, before me. /> Notar y blic � A► My Commission Expires: _ e�.+°�\� I N O .00 y .� Shoofllyingl-IIIIRd1109 A .......••• eae0 PUS •ABBREVIATIONS ELECTRICAL NOTES' JURISDICTION NOTES A AMPERE 1. THIS SYSTEM IS GRID—INTERTIED VIA A AC ALTERNATING CURRENT UL-LISTED POWER—CONDITIONING INVERTER. BLDG BUILDING 2. THIS SYSTEM HAS NO BATTERIES, NO UPS: .' CONC CONCRETE 3. A NATIONALLY—RECOGNIZED TESTING t DC DIRECT CURRENT LABORATORY SHALL LIST ALL EQUIPMENT IN EGC EQUIPMENT GROUNDING CONDUCTOR COMPLIANCE WITH ART. 110.3. r (E) EXISTING 4. WHERE ALL TERMINALS OF THE DISCONNECTING EMT ELECTRICAL METALLIC TUBING MEANS MAY BE ENERGIZED IN THE OPEN POSITION, FSB FIRE SET-BACK A SIGN WILL BE PROVIDED WARNING OF THE GALV GALVANIZED HAZARDS PER ART..690.17. GEC GROUNDING ELECTRODE CONDUCTOR 5. EACH UNGROUNDED CONDUCTOR OF THE GND GROUND MULTIWIRE BRANCH CIRCUIT WILL BE IDENTIFIED BY HDG HOT DIPPED GALVANIZED PHASE AND SYSTEM PER ART. 210.5: CURRENT 6. CIRCUITS OVER 250V TO GROUND SHALL Imp CURRENT AT MAX POWER COMPLY WITH ART. 250.97, 250.92(B). T Isc SHORT CIRCUIT CURRENT 7. DC CONDUCTORS EITHER DO NOT ENTER kVA KILOVOLT AMPERE BUILDING OR ARE RUN IN METALLIC RACEWAYS OR. kW KILOWATT ENCLOSURES TO THE FIRST ACCESSIBLE DC LBW LOAD BEARING WALL DISCONNECTING MEANS PER ART. 690.31(E). MIN MINIMUM 8. ALL WIRES SHALL BE PROVIDED WITH STRAIN (N) NEW RELIEF AT ALL ENTRY INTO BOXES AS REQUIRED BY NEUT NEUTRAL UL LISTING. NTS NOT TO SCALE 9. MODULE FRAMES SHALL BE GROUNDED AT THE OC ON CENTER UL-LISTED LOCATION PROVIDED BY THE " PL PROPERTY LINE MANUFACTURER USING UL LISTED GROUNDING POI POINT OF INTERCONNECTION HARDWARE. PV PHOTOVOLTAIC 10. - MODULE FRAMES, RAIL,. AND POSTS SHALL BE SCH SCHEDULE _ BONDED WITH EQUIPMENT GROUND CONDUCTORS. S STAINLESS STEEL . STC STANDARD. TESTING CONDITIONS - TYP TYPICAL UPS UNINTERRUPTIBLE POWER SUPPLY V VOLT Vmp VOLTAGE AT MAX POWER VICINITY MAP INDEX 4 Voc VOLTAGE AT OPEN CIRCUIT " W WATT ." 3R NEMA'3R, RAINTIGHT PV1 COVER SHEET • PV2 SITE PLAN PV3 STRUCTURAL VIEWS PV4 THREE-LINE DIAGRAM LICENSE GENERAL NOTES cutsneets Attached GEN #168572 t. ALL WORK TO BE DONE TO THE 8TH EDITION X . ELEC 1136 MR OF THE MA STATE BUILDING CODE. 2. ALL ELECTRICAL WORK SHALL COMPLY WITH THE 2014 NATIONAL ELECTRIC CODE INCLUDING MASSACHUSETTS AMENDMENTS. MODULE GROUNDING METHOD: ZEP SOLAR . . AHJ: Barnstable REV BY DATE COMMENTS REV A NAME DATE COMMENTS UTILITY: NSTAR Electric (Boston Edison) CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER I PREMISE OWNER: DESCRIPTION: DESIGN: CONTAINED MALL NOT BE USED FOR THE J B-O261493 OO ��� CHEGLAKOV, ALEXANDER Pedro Villal ando . -=_�N�Ohr�l � BENEFIT OF ANYONE EXCEPT SOLARcITY INC., MOUNTING SYSTEM: C H E G L A K O V RESIDENCE p �. NOR SHALL IT.BE DISCLOSED IN WHOLE OR IN CompMount Type C 1110p9 SHOpOTFLYIING HILL RD.,' 7.8 KW PV ARRAY r,. PART IZ OTHERS OUTSIDE ON RECIPIENTS MODULES: - BARNSTABLE MA. 02632 • � .�24 St.Martin Drive,Building 2,Unit 11 - ORGANIZATION, EXCEPT IN CONNECTION WI1H � . • THE SALE AND USE OF THE RESPECTIVE (30) Hanwha Q Cells # Q.PRO G4/SC 260 (�'. SHEET: REV: DATE Marlborough,MA ing 2, . SOLARCTY EQUIPMENT, WITHOUT THE WRIIIEN - PAGE NAME PERMISSION OF SOLARgTY INC. INVERTER: T. (650)638-1028 F: (650)638-1029 _ T` SOLAREDGE sEl0000A—us000sNR2 (508) 280-5262 COVER SHEET PV 1 7/16/2D15 (666)-SOL-CITY(765-2489) www-sdaroity.eom I PITCH: 27 ARRAY PITCH:27 MP2 AZIMUTH:274 ARRAY AZIMUTH:274 r MATERIAL:Comp Shingle STORY: 2 Stories rn c (E)DRIVEWAY o o N O LEGEND Q (E) UTILITY METER & WARNING LABEL s Inv INVERTER W/ INTEGRATED DC DISCO & WARNING LABELS Front Of House © DC DISCONNECT & WARNING LABELS P� © AC DISCONNECT & WARNING LABELS • 3 STAMPED & SIGNED N - FOR STRUCTURAL ONLY DC JUNCTION/COMBINER BOX & LABELS B Q DISTRIBUTION PANEL & LABELS A Lc LOAD CENTER & WARNING LABELS a` JASON WIL [AM Z TOMAN O DEDICATED PV SYSTEM METER O r AC T.- STRUCTURAL c D No;51554 � STANDOFF LOCATIONS �__j - :o .n q4ttCONDUIT RUN ON EXTERIOR InvOAC ( M ) �C3„��FQIS1-Ee2 ——— CONDUIT RUN ON INTERIOR © v Di son Toman GATE FENCE 07'00' HEAT PRODUCING VENTS ARE RED Date:2 00:32:04- 1, 'l INTERIOR EQUIPMENT IS DASHED. SITE PLAN . N Scale: 3/32" = 1' 01, 10, 21' J B-0 2 6149 3 0 0 PREMIX OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: ,,,SOIarClty. CONTAINED SHALL NOT BE USED FOR THE CHEGLAKOV, ALEXANDER CHEGLAKOV RESIDENCE Pedro VIlalpando BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SYSTEM: �'��° NOR SHALL IT BE DISCLOSED IN WHOLE OR IN CompMount Type C 1109 SHOOTFLYING HILL RD 7.8 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODULES. BARNSTABLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION MATH r 24 St Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE (30) HanWha Q—Cells # Q.PRO G4/SC 260 SHEET: REV: DAB Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN - - PAGE NAME T: (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. ��� 508 280-5262 PV 2 7 16 2015 (888}SOL-CITY(765-2489) www.sclarcity.com SOLAREDGE SE10000A—USOOOSNR2 ) SITE PLAN / / _ PV MODULE 5/16" BOLT WITH LOCK INSTALLATION ORDER & FENDER WASHERS LOCATE RAFTER; MARK HOLE ZEP LEVELING FOOT (1) LOCATION, AND DRILL PILOT ZEP ARRAY SKIRT (6) HOLE. S1 SEAL PILOT HOLE WITH - (4) (2) POLYURETHANE SEALANT. 'ZEP COMP MOUNT C -- - ---- -- -- -- ---- `.ZEP FLASHING C (3) (3) INSERT FLASHING. 12'-2" (E) COMP. SHINGLE (4) PLACE MOUNT. —2 (E) LBW (�) (E) ROOF DECKING (2) U T T , (5) INSTALL .LAG BOLT WITH SIDE VIEW OF MP2 NTS 5/16" DIA STAINLESS (5). : SEALING WASHER. 6 STEEL LAG BOLT LOWEST MODULE SUBSEQUENT. MODULES INSTALL LEVELING FOOT WITH WITH SEALING WASHER (6) MP2 X-SPACING X-CANTILEVER Y-SPACING Y-CANTILEVER NOTES (2-1/2" EMBED, MIN) BOLT & WASHERS. LANDSCAPE 64" 24" STAGGERED PORTRAIT 48 19„ (E) ; STANDOFF RAFTER • ` �� ROOF AZI 274 '.PITCH 27 _ RAFTER 2x6 @ 16 OC STORIES: 2 Scale: ARRAY AZI 274 PITCH 27 C.J. 2x6 @16" OC Comp Shingle STAMPED & SIGNED _ FOR STRUCTURAL ONLY IA p ... � JA$ON WIL.. �A... -� TOMAN STRLIG*RAL' v No!51554 11 c= F m D 1 07'00' ason T ate:2 7 00:32: 2- PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL- THE INFORMATION HEREIN JOB NUMBER: J B—0 2 61 49 3 0 \�� I CONTAINED SHALL NOT BE USED FOR THE CHEGLAKOV, ALEXANDER CHEGLAKOV RESIDENCE Pedro Villalpando �_ a BENEFIT OF ANYONE EXCEPT SOLWHOLE INC., MOUNTING SYSTEM: � J So a f C'ty NOR MALL IT BE DISCLOSED IN WHOLE OR IN Com Mount T e C 1109 SHOOTFLYING HILL RD: 7.8 :KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS r„ ORGANIZATION, EXCEPT IN CONNECTION WITH MODULES: BARNSTABLE, MA 02632 THE SALE AND USE OF THE RESPECTIVE 30 Hanwha Q—Cells Q.PRO G4 SC 260 24 SL in Drive, Building.2 Unit 11 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN ( / PAGE NAME SHEET: REV DATE: Marlborough,MA 01752 INVERTER: - � - - T:,(650)638-1028 ,F: (650)838-1029 PERMISSION OF SOLARCITY,INC. SOLAREDGE sEl0000A-us000sNR2 { (50$) 280�526.2 STRUCTURAL VIEWS PV 3 7/16/2015 (W)-SOL—CITY(765-2489) www.splarcRy.com 14 GROUND SPECS MAIN PANEL SPECS GENERAL NOTES INVERTER SPECS MODULE SPECS LICENSE BOND (N) #8 GEC TO TWO (N) GROUND Panel Number: Inv 1: DC Ungrounded INV 1 -(1)SOLAREDGE#SE1000OA-USOOOSNR? LABEL: A -(30)Hanwha Q-Cells # Q.PRO G4/SC 260 GEN #168572 , IODS AT PANEL WITH IRREVERSIBLE CRIMP Meter Number:43954506 Tie-In: Supply Side Connection Inverter: 10 OW, 240V, 97.57ca w Unifed Disco andZB,RGM,AFCI PV Module; 260 , 236.7W PPTC, 40mm, Blk Frame, H4, ZEP, 1000V ELEC 1136 MR Overhead Service Entrance INV 2 Voc: 37.77 Vpmax: 30.46 INV 3 Isc AND Imp ARE SHOWN IN THE DC STRINGS IDENTIFIER �E 100A MAIN SERVICE PANEL SolarCity E; 10OA/2P MAIN CIRCUIT BREAKER Inverter 1 O E WIRING CUTLER-HAMMER CUTLER-HAMMER 5 A P Disconnect 10OA/2P 7 Disconnect 6 SOLAREDGE B 60A SE1000OA-USOOOSNR2 MP 2: 1x10 -- - --L1 21o� --------- ------------ ♦ ---- 8 L2 DC+ - DC+ N DG I 4 (E) LOADS GND ____ GND _EGCI Dc+ oC _ MP 2: 2x10 . GEC N DG DG ~ EGC _ - ------ -- (E 3) N I (1)Conduit Kit; 3/4" EMT c EGC/GEC_ U17 GEC _ u 1 1I I I I I I I PHOTO VOLTAIC SYSTEM EQUIPPED WITH RAPID SHUTDOWN Voc* = MAX VOC AT MIN TEMP POI2)Ground Rod; 5/8" x 8', Copper B (1)CUTLER-HAMMER #DG222NR8 /fj A (i)SolarCity q 4 STRING JUNCTION BOX D� -MILSCO 41PC 4/0-/6 Disconnect; 60A, 24OVac, Fusible, NEMA 3R /'"� 2x2 STRMGS, UNFUSED, GROUNDED Insula ion Pierdng Connector; Main 4/0-4, Tap 6-14 -(1)CUTLER-HAMMER j DG100NB (30)SOLAREDGE300-2NA4AZS S SUPPLY SIDE CONNECTION. DISCONNECTING MEANS SHALL BE SUITABLE. Ground/Neutral t; 60-100A, General Duty(DG) PV PowerBox Optimizer, 30OW, H4, DC to DC, ZEP -(1)CUTLER-HAMMER III DS16FK AS SERVICE EQUIPMENT AND SHALL BE RATED PER NEC. Class R Fuse Kit nd (1)AWG#6, Solid Bare Copper (2)FFuseZ SHA 250V,#TRR60RK5 PV BACKFEED OCP Class -(1)Ground Rod; 5/8" x 8', Copper C (1)CUTLER-HAMMER #DG222URB (N) ARRAY GROUND PER 690.47(D). NOTE: PER EXCEPTION NO. 2, ADDITIONAL - Disconnect; 60A, 24OVac, Non-Fusible, NEMA 3R (1)CUnER- AMMER @ DG1OONe ELECTRODE MAY NOT BE REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE Ground�Neutral Kit; 60-100A, General Duty(DG) i AWG /6, THWN-2, Black � i AWG#6, THWN-2, Black 1 AWG 18, THWN-2, Black Voc* =500 VDC Isc =30 ADC (2)AWG#10,PV Wire,600V, Black Voc* =500 VDC Isc =15 ADC O (1)AWG 16, THWN-2, Red I [) ►I4�(1)AWG$6, THWN-2, Red ® (1)AWG/8, THWN-2, Red Vmp =350 VDC Imp=14.66 ADC O (1)AWG 6, Slid Bare Copper .EGC Vmp =350 VDC Imp=7.33 ADC P (1)AWG/6, THWN-2, White NEUTRAL Vmp =240 VAC Imp=42 AAC (1)AWG#10, THWN-2, White NEUTRAL Vmp =240 VAC Imp=42 AAC (1 AWG#10, THWN-2, Green._ EGC. . . , , ,,* -(1)AWG/6,.Solid Bare_Copper..GEC. . . -{i)Conduit.Kit;.3/4".EMT . .. .-0)AWG#8,.TH.WN-2,.Green . . EGC/GEC_-(1)Conduit_Kit;_3/4'.EMT. . . . . :. _ . : (1 AWG 110, THWN-2, 81ack Voc -500 VDC Isc =15 ADC (2}AWG 10, PV Wire, 600V, Black Voc* =500 VDC Isc =15 ADC O RF(1)AWG 110, THWN-2, Red Vmp =350 VDC Imp=7.33 ADC O (1)AWG#6, Solid Bare Copper EGC Vmp =350 VDC Imp=7.33 ADC . . ... . . . ..(0AWG#10, THWN-?,.Green. . EGC. .... . . . . . . .. . . . . . . . . . . . . .. . . . . . (2}AWG�10,PV Wire, 600V, Black Voc* =500 VDC Isc =15 ADC O (1)AWG#6,Solid Bare Copper EGC Vmp =350 VDC Imp=7.33 ADC JB-0261493 00 PREMISE OWNER: DESCRIPTION: DESIGN: CONFIDENTIAL THE INFORMATION HEREIN JOB NUMBER: ���� CONTAINED SHALL NOT BE USED FOR THE CHEGLAKOV, ALEXANDER CHEGLAKOV RESIDENCE Pedro Villalpando '1?"Ili arCity. BENEFIT OF ANYONE EXCEPT SOLARCITY INC., MOUNTING SY : 0'"�STEM NOR SHALL IT BE DISCLOSED IN WHOLE OR IN Comp Mount Type C 1109 SHOOTFLYING HILL RD 7.8 KW PV ARRAY PART TO OTHERS OUTSIDE THE RECIPIENTS MODUtEs: BARNSTABLE MA 02632 ORGANIZATION, EXCEPT IN CONNECTION WITH ' 24 St.Martin Drive,Building 2,Unit 11 THE SALE AND USE OF THE RESPECTIVE 1(30) Hanwha Q-Cells # Q.PRO G4/SC 260 SHEET: REV: DATE; Marlborough,MA 01752 SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PAGE NAME T. (650)638-1028 F. (650)638-1029 PERMISSION OF SOLARCITY INC. INVERTER' 508 280-5262 PV 4 7 1s 2015 (888)-SOL-CITY(765-2489) www.solarclty.com SOLAREDGE SE10000A-USOOOSNR2 � ) THREE LINE DIAGRAM / / • o 0 0 •o o Label Location: Label Location: Label Location: (C)(CB) o ( (AC)(POI) (DC)(INV) Per Code: - o •-° Per Code: ° - ° �. � Per Code: z NEC 690.31.G.3 °o 0 0 - NEC.690.17.E ° o ° o- o `° NEC 690.35(F) Label Location: - o :o . ° ° ,o TO BE USED WHEN (DC)(INV) °•° ° o --o o ° ° ° ° • ° ��z INVERTER IS , s . Per Code: ° UNGROUNDED NEC 690.14.C.2 Label Location: Label Location: (POI): ° ! Per Code: ,• e•,. ,... �� DC INV ,� _ ,, � �- • Per Code: ._.. - NEC 690.17.4; NEC 690.54 NEC 690.5364,11 ,• .e° a �►, , .o ° o•° o : o a Label Location: R, (INV) Per Code: NEC 690.5(C) Label Location: O (POI) ) Per Code: NEC 690.64.13.4 :-5 ; ;•,; Label Location: . . o - (DC)(CB) ' Per Code: Label Location: NEC 690.17(4) © (D)(POI) . ; ha #' Per �• o" Code: -o o • = * ° NEC690.64.B.4 - �� off.,<- o° r�'�'�- � •. . • . - _ „ r Label Location: 4 OR (POI)NY y Per Code: �, NEC 690.64.B.7 -Label Location: ° e ` 'rv • :f (AC)(POI) _ :AC Disconnect: =� ,. o w •„ F. ( C Conduit Per Code: , (C.) ... _ ,. (CB): Combiner Box. u ;.. v NEC 690.14.C.2� ): Distribution Panel (DC): DC Disconnect > (IC):interior Run.Conduit Label Location: Inverter With Integrated DC Disconnect (AC)(POI) (LC): Load Center Per Code: (M): Utility Meter NEC 690.54 . (POI): o Interconnection CONFIDENTIAL— THE INFORMATION HEREIN CONTAINED SHALL NOT BE USED FOR 3055 gearview Way THE BENEFIT OF ANYONE EXCEPT SOLARCITY INC., NOR SHALL IT BE DISCLOSED San Mateo,CA 94412 IN WHOLE OR IN PART TO OTHERS OUTSIDE THE RECIPIENTS ORGANIZATION, Label Set �• Ti(650)638-1028 F:(650)638-1029 EXCEPT IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE i /��, �OfarCit (888)-SOL-OTY(M-2489)www.solarcity.com SOLARCITY EQUIPMENT, WITHOUT THE WRITTEN PERMISSION OF SOLARCITY INC. ® Next-Level PV Mounting Technology $OlafClt ® Solar Next-Level PV Mounting Technology SolarCity. I ZepSolar 9 sy y I p Zep System Components for composition shingle roofs P-:roof t - Ground Zap. _ _ rv� Interlock VKq 6U OWM f Zep Unw,m PV Mtodutc •'". - - `I f.. . -. •-., a, Roof Ar idrment. - Arrvy Skirt GeW FATj ,:` N e�F Description , FA/ev PV mounting solution for composition shingle roofs SoMPat`` Works with all Zep Compatible Modules Zep System UL 1703 Class A Fire Rating for Type 1 and Type 2 modules Auto bonding UL-listed hardware creates structual and electrical bond UL LISTED Comp Mount Interlock Leveling Foot Part No.850-1345 Part No.850-1388 Part No.850-1397 Listed to UL 2582, Listed to UL 2703 Listed to UL 2703 Specifications Mounting Block to UL 2703 C'V Designed for pitched roofs Installs in portrait and landscape orientations • Zep System supports module wind uplift and snow load pressures to 50 psf per UL 1703 • Wind tunnel report to ASCE 7-05 and 7-10 standards ack-_11A • Zep System grounding products are UL listed to UL 2703 and ETL listed to UL 467 • Zep System bonding products are UL listed to UL 2703 Engineered for spans up to 72"and cantilevers up to 24" Zep wire management products listed to UL 1565 for wire positioning devices Ground Zep Array Skirt,Grip,End Caps DC Wire Clip • Attachment method UL listed to UL 2582 for Wind Driven Rain Part No.850-1172 Part Nos.500-01 f3, Part No.850-1448 Listed to UL 2703 and 850-1421,850-1460, Listed UL 1565 ETL listed to UL 467 850-1467 zepsolar.com zepsolar.com Listed to UL 2703 This document does not create any express.warranty by Zap Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for This document does not create any express warranty by Zap Solar or about its products or services.Zep Solar's sole warranty is contained in the written product warranty for each product.The end-user documentation shipped with.Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely each product.The end-user documentation shipped with Zep Solar's products constitutes the sole specifications referred to in the product warranty.The customer is solely ' responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. responsible for verifying the suitability of Zep Solar's products for each use.Specifications are subject to change without notice.Patents and Apps:zspats.com. 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page: 1 of 2 - - 12 22 14 ZS for Comp Shingle Cutsheet Rev 02.pdf Page[ 2 of 2 =oo_ - _ s lal' SolarEdge Power Optimizersolar 0 0 _ �� oModule Add On for North America , r P300 / P350 / P400 SolarEdge Power Optimizer" �- { P300 P350 P400 ' t v or 60-cell or 72-cell PV (for 96-cell VV Module Add-On For North America P ( - f modules)V f modules) 'modules) - -r. f l[I... PUT " 2f N - - - - ., P300 / P350 / P400 r Rated Input DC Powe'I 300 35D + 400 W - - - _ -- - - Absolute Maximum Input Voltage(Voc at lowest temperature) 4S 60 80 Vdc - - - " k ...................... .. .. .. ... ..... . ... .................... .. - . ..MPPT Operating Range .. 8-48 .... ..8-60.. .... 8 80. Vdc ., a r•. ° - ..w .... ... ........................... Q x Maximum Short Circuit Current(Isc) 10 Adc-- . - ........ .. ... .. .. ..... .. Maximum DC Input Current 12.5 - Adc - .+�.� Maximum Efficiency.......... ......................... _ .......... ..... 99.5 - .. % P ,''��`-o m'F{A� :; � _ � Weighted Efficiency .......... ..... ...... ......... ..... . % ..µ - - "�, F '. aJ ,. ••: 'L"+.. . Overvoltage Category II... .. - OUTPUT DURING OPERATION ---1 O RATION(POWER OPTIMIZER CONNECTED OPERATING Maximum Output Current 15 Adc Maximum Output Voltage .. .. ... .. .. 6U...................................... Vdc y.. - ._:..aOptimizer (POWER OP i TE 10R Vdc .. .. .. "" .. ..... 1 OUTPUT DURING.STANDBY(PO TIMIZER DISCONNECTED FROM INVER INVERTER OFF) �•?S"" ) ���� '" 0 . Safety Output Voltage per Power Optim STANDARD COMPLIANCE EMC FCC Part15 Class B,IEC63000-6 2 IEC61000-6-3 ,„., - + • s' '" .� r' _' • °- - - -Safety IEC62309 1(class II safety),UL1741 - -r # RoHS - Yes - INSTALL . `. • - s 5 ,,'`. a.� } - .,r - xmumAAllowed System SPECIFICATIONS Voltage 1000 Vdc Dimens ions(W x L x H)- 141 x212x405/SSSx8..... mm uding cables) 950/2.1 gr/Ib _4 Weight lmd .. .... ..... ..... .. - .-, .. ........................... .. _ ........ 'Input Connector MC4/Amphenol/Tyco .. .. .............. ........... ."... .......... ... ..... a : Output Wire Type/Connector Double tnsulated;AmphenoP Out ut Wire Length .... ..0.95/3.0 ........ ... ..... 1... ... . ....k... `.. - - • �• Operating Temperature Range 40-♦85/40.+185 ............. C/'F.. ': _ : _ Protection Rating ................ .... ......... ....IP65/NEMA4.................. .. ir%w i : ................................. - �' . .. Relative Humidity... ... ................................ ... .... .............. ................................ .. � x mee stt po.e a moeuie moame of ea.e sx aowe ee SINGLE PHASE•F - - - PV-SYSTEM DESIGN USING A SOLAREDGE THREE PHASE °' THREE PHASE INVERTER .vr, _,: roil '='�.4s:.. - --fie.. 208Vt .:..,""m't_ 480V'Mssfi;`: ,'•, - - PV power optimization at the module-level ! Minimum String Length(Power Optimizers) 8 30 18 ......... ........... .......... ... Up to 25%more energy - :. Maximum String Length(Power Optimizers)_ 25 - 25 SO - - '"' —Superior efficiency(99.5%) ; Maximum Power per String .. 5250 6000 12750 _ ..... ... ...... ...r...... . .... .. .. W -Parallel Strings of Different Lengths or Orientations -.Yes: . _ - Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading - - - "' "" "" """ """" """" _ - "' - ""'"" - - Flexible system design for maximum space utilization - f Fast installation with a single.bolt . . - .. :�..a+ , Jf Im`G^,.-F, r':i, ..:.:H .3;.ga...� ate;' P k frs.: �t� . .. . . . w: � a, . �« Next generation maintenance with module-level monitoring - . Module-level voltage shutdown for installer and firefighter safety - - - - USA - GERMANY - ITALY - FRANCE - JAPAN - CHINA'- ISRAEL - AUSTRALIA WWW.SOlaredge.u5 4��p Single Phase Inveders for North America x o s o I a r e 0Xo -.. SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US solar. 0 / SE7600A-US/SE10000A-US/SE11400A-US SE3000A-US. SE380OA-US SES000A-US SE6000A-US SE760OA-US SE10000A-US SE11400A-Us # _. „ - - fOUTPUTY=�..- - aP., y ", • «�,;,� ,.s. £�a§;ti_ sw * - Nominal AC Power Output 3000 3800 5000 6000 7600 9980 @ 208V 11400 VA SolarEdge Single Phase Inverters o - w 1D000@24Dv ............................................ ................ ........... ... .............. ................ ................ .................. .................. ........... tit i' _ n • 5400 @ 208v 10800 @ 208V _ • T` Max.AC Power Output 3300 4150 6000 8350 12000 VA ,: ..... . ....... .............. .. . . ..... ... 5450 @240V. .............. ............ 10950 @240V .............. ......... For North America . . 1 .O ............. ............... .... . .l =, AC Output Voltage Min:Nom.Max." ✓ _ ✓ . SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ = f7 �{ .183-208- . „•,•. .... ....229.....V...................... ................ ............... ...... .. .. .. .. .. � e ,a��"`�' AC Output.. Voltage e . Min:Nom:Max.* 'r'1 211-240-264 Vac SE760OA-US/SE1000OA-US/SE1.140OA-US ,. ;,. .......................... .. ............... ................. ................ ................ ............:..... .....:.........,.. ........... .. ........... AC Frequency Min.Nom.Max." 59.3 60 60.5(with HI country setting 57-60-60.5) Hz 3k .. . ............... .. . ..... . .. ...... ... .. ... v - ••••••• -24@208V48@208V•• Max.Continuous Output Current 12.5 16 21 @ 240V '25 32 42 @ 240V 47.5 A �sx. -''"�F-r,1� !�, a 'v'* o i. r :;:r.•,t i,d v:' ........................................................:..I...............I.................L...............L............... ...............-.. -............... . .. ... _ .......... ......................................................1........................................ ...... - Y 3 Utility Monitoring,Islandmg - r Protection,Country ountry Configurable - Yes .<•:.w....« Thresholds trl�U011,11-015", I INPUTRecommended Max.DC Power"" 4750 6250 7500 9500 12400 14250 W 1 (STC) .... .... .... ........ ............... ................. ...... ............ ........3750 Yes -less,Ungrounded,.•..... ...........•,••: '° ........ .. ... ... .. Max.ln utVolta.e.-........ ......500. .................. Vdc - _ _ .a:-�.�--.---. . — •.t�".„roe .-«,- -_ _Tik_Y > -- '~ ,$�:. �.. ?rz'A;_-' " r'P '., .N. Nom.DC Input Voltage.................. ................ ............... .............325 @ 208V•/350.@ 240V...:... ........ Vdc.... 16.5 @ 208V ..... ...33 @ 208V... +�K'>•: ' s, � �` w Max.Input Current"'" 9.5 _ 13 18 23 34.5 Adc - r +s * p 30S @ 240V { - I 15:5 @ 240V <. .....*. ..,am-« ...,... 4.. F.l� kc y a4u'�s` faI.: >,o{+•k .r y€i; m x T� 'y r .. ... ........ . ............. .............. .......... _Max.Input Short Circuit Current 30 45 Adc - I�F. �<i- :.• "��+,,,.�:i �' t,�?,..�`� �, .... �,. •-$c�^r ., .a.:: Reverse-Polarity Protection- .. ............................................... Yes .............-.......................... ......... .:..•,= Ground-Fault Isolation Detection 6001m Sensitivity. !€ k ...................... . ............... .. .... .. ... . .. ... . .. ..... .. ... .. ... .... .. .... .... .. .... .. .. +;rc. ,. '•s.'-- bnn.; :n ._H'. .,..:.fir " . *, ,..y,; 'a.:.. Maximum Inverter Efficiency .. ..- ..97.7. .. .. ..98.2.._. ..98.3.. ...98.3. ..98. ..98. ..98. ...%.. . ..h ............... ............... .. ............... .. ................... ien........... ............ ........... ... ...... ............ ....... - .wr t�tkztr"0. "'nadFra. utw'.t' -s #t+ .a'NG+a.r`aa fi fl ,*t s .4.r z.t 97.5 @ 208V ...97 @ 208V _ CEC Weighted Efficiency 97.5 98 97.5 97.5 97.5 % ;. r�* .... 98 @ 24 7.5 @ 24 - - Nighttime Power Consumption...... .. ....... .............<2.5... ... .............. .............. ....... <4.OV.. .W.. 1 � - -AD A OV 9 'ADDITIONAL � Supported Communication Interfaces RS485,RS232,Ethernet,ZigBee(optional) cy r � _ . ........................................ ....... . .. . ...... ................. ... .P •xi;!y ,*« ;:. ,aa,z, ry .+-`f.� s""�"+ � Optional- Revenue Grade Data,ANSI C12.1 - �t '«'�..a4 1 STANDARD COMPLIANCE � ?, .. .. . {.' .•� ,'�1w�. f Fxv..,,a "'",es•FY'•.i:'+t�Tt '} ..?,z'2 Safety UL3741 UL16998 UL1998 CSA22.2....... ..... ........ ....... ......... a ......... ..... . ,..«; " ::. >i • yd,: .,._<s.. a x.-,?r {'a•; Grid Connection Standards.......... ..... .. ............................ IEEE1547 ................ .... ... ..... ......... .:,,,. �;`. ��.r` »^ •a•s; r ,� tic ..ussio......... ........... FCC art15 class B ` ........ Emissions P - - N•.r; x ,*: t.•,t4•;= 1 INSTALLATION SPECIFICATIONS 4N s2jb,x x 1_ r':. M i _ $r3%i �u;".w 3a r5',�'�#•' t.+,* ,a.,,:,- pN, 7•r,...` £ »«:. Y e p'Y§a� ;t'5.:. Y,, �'+;.. AC output conduit size AWG range 3/4"minimum/24-6 AWG- 3/4 minimum/.8 3 AWG t,- ,';c. ,.. .; �y .'�-r+z:'!�� 3 ^+ " .s•„, s,:; ,yas*.w ;` ;x c:� ? .. ............................................. ....... .... ........................................ ....... .... size of strings DC input conduits'e/# g / - 3/4"minimum/1-2 strings/24-6 AWG 3/4"minimum/1-2 strings/14-6 AWG AWG ran8e ... ....... .......... ......... ... .. - - ,. wr ... r ) .#ik' ., q;x4-n :rr .>. t'yt.Y� 's; ..............................__.......... ...... ... Dimensions with AC/DC Safety ..30.5x12.5x7./.. .g30.5x12.5x7.5./.. .:.in/ z,.t.. ht �•-?' '`.t, .t.-•"' aei 3 ,' r" «i n�,, .;N Switch HzWxD 775 x 315 x 172 775 x 315 x 191 2.5 x 10.5/775 x 315 x 260 min y t '• • - ,'=- - _ T. _ •_ • -,- , •."�,^ '� Weight with AC/DC...... Switch .••51.2/•23.2•• -54J/•24.7•• •88.4/40.1• Ib 305x1 - Cooling Natural Convection - Fans user re laceable The best choice for SolarEd a enabled s stems Noise <25.......... .:. ................. ..<so..:. : ......... d/A.... _ g Y Min.-Max.Operating Temperature 3 _ t.;- � - to 25to+60(CANversion****-40to+60) 'F 'C Integrated arc fault protection(Type 1)for NEC 2011 690.11 compliance Ran e 1 5................... .............. ..................:.......................... Superior efficiency(98%) Protection Rating .. .........A.3R................................ NEM 'For other regional settings please contact SolarEdge support. Small,lightweight and easy to install on provided bracket Limited to 125%for locations where the yeady average high temperature sabow 77'F/25-C and to 135%for locations where i is below 77•F/25•C- . For detailed information,refer to htto'//wwxv Dior d u/fil /odfslnv'rt r d o id.odf — Built-In module-level monitoring � - '"A higher current source maybe used;the Inverter will limn its input current to the values stated. •'CAN P/Ns are eligible for the Ontario FIT and micmfrr(mictoFIT exc SE31400A-US-CAN). Internet connection through Ethernet or Wireless Outdoor and indoor installation Fixed voltage inverter,DC/AC conversion only - Pre-assembled AC/DC Safety Switch for faster installation - Optional—revenue grade data,ANSI C12:1 A suftst> • , r gf �� 2._ USA-GERMANY-ITALY-FRANCE-JAPAN 7 CHINA-AUSTRALIA-THE NETHERLANDS-ISRAEL www.solaredge.us - _ SPECIFICATION Format 65.7in x 39:4 in x 1.57 in(including frame) - (1670 mm x 1000 min x 40 mm) Weight - 44.09 1b(20.0 kg).- _ - From Cover 0.13.in(3.2 mm)thermally pre-stressed glass - - with anti-reflection technology _ - - - - -Back Cover Composite film - - •�^" wow - Frame Black anodized�ZEP compatible frame - - Cell 6 x 10 polycrystalline solar cells Junction box Protection class IP67,with bypass diodes S I Cable 4 mma Solar cable;N-)a47.24 in(1200.mm),W a47.24 in(1200 mm) I " zd•,,. ConnectorT-e- -Amphenol,Helios H4(IP68) -__ _ _ r_ . , • PERFORMANCE AT STANDARD TEST CONDITIONS(STC:1000 W/mx,25`C,AM T.5G SPECTRUM)' - - - POWER CLASS(+5 W/-G W) IW] 255 260 265 Nominal Power PN [W] 255 - 260 265 e t • / ' ' • ' ' -Short Circuit Current -. lac - [A] _ 9.07 -:9.15 -' 9.23 - Open Circuit Voltage V. IV] 37.54 37.77 - 38.01 _ -...Conant at Pro. Lw {A) - '. 8.45 --... . 8.53- _8.62 _ - -1. _ -Voltage at P,o, VNr, [Vl - 30.18 _30.46 y 30.75 , The new Q.FRO-G4tSC is the reliable evergreen for all applications,with -' Efficiency(NominalPower) i, t%I a15.3 a15.6 2-15.9 ` a black Zep CompatibleTM frame design for improved aesthetics, opti- "PERFORMANCE AT NORMAL OPERATING CELL TEMPERATURE(NOCT:BOO W/mx,45 x3 C AM 1.5 G SPECTRUM) 111 ~k :^'•E.4' mized material usage and increased safety.The 411 solar module genera ." POWER CLASS(+5W/-OW) [W]' -255' .260 265 tion from Q CELLS has been optimised across the board: improved output genera- Nominal Power i ?.,, [w] _ 1s8 i7 3S 1?44 p p Short Circuit Curren I,r yield, higher operating reliability and durability,quicker Installation and - - - -- ._ _w _ - --_..- • _ " Open Circuit Voltage V., IV] +34.95 35.16 35.38 _ more intelligent design. - --�- - -- --: _ ' '. Current at Pno, I•% [AI 6 61 6.68 6.75 .. l .Voltage at Pwr -.. - V.,o [VI .:,.,..,. _. 28.48 a 28.75 29.01 - - Measurement tolerances STC:t3%(Pmo),x 10%0I ,V-,I°o Vino) 2,Measurement tolerances NOCT:m 5%-(P.J;t 10%(I ,V-,!m'V_) - - INNOVATIVE ALL-WEATHER TECHNOLOGY PROFIT-INCREASING GLASS TECHNOLOGY r1 CELLS PERFORMANCE WARRANTY PERFORMANCE AT LOW IRRADIANCE •Maximum yields with excellent low-light •Reduction of light reflection by 50%, At least 97%of nominal power during and temperature behaviour. plus long-term corrosion resistance due first yea%Thereafter max.0.6%degra- X - m _ s W^ _ � W ,' - a a:• _.. .. ..-- dation per year. +Certified fully resistant to level 5 salt fog- to high-quality r R At least 92%of nominal power after 10 ears. - - •Sol-Gel roller coating.processing. - -- ---- At lea t 83%of nominal power after W= 25 years. W ~ ENDURING HIGH PERFORMANCE `m f •Long-term Yield Security due to Anti EXTENDED WARRANTIES All data within measurement tolerances.Full aoo Full warranties in accordance with the PID Technology',Not-Spot Protect, •Investment security due to 12-year warranty terms of the Q CELLS sales (BwmlaNCE twmr) organisation of your respective country. .- - - and Traceable Quality Tra.QT". product warranty and 25-year linear ° ° The.typical change in module efficiency at an irradiance of 200 W/mx in relation . rEnas to0Dowm'(bomat25°candAM 1. cspeco-um)Is-2_ 5 reIatiw). - - •Long-term stability due to VDE Quality performance warranty2M„p,•�.� . 1 %( Tested-the strictest test program: -----. - - TEMPERATURE COEFFICIENTS /M' ,AM 1 '.(AT 1000W ,25°C .SCSPECTRUM) 4 - - - QCELLS - Temperature Coefficient of Iu - _ a [%/Kl +0.04 Temperature Coefficient of Va IS [%/Kl - - -0.30 - iTOP-BRAND;W - Temperature Coefficient of P�,,, y [%/K] -0.41 NOCT - [`F] - • 113 t 5.4(45 t 3°C) - SAFE ELECTRONICS a •Protection against short circuits and' r OPERTIES FOR SYSTEM DESIGN thermally induced power losses due tO' - 2019 - maximum System Voltage Vs,a [Vl 1000(IEC) 1000(uL) Safety Class II d - -breathable junction box and welded Maximum Series Fuse Rating [A OCI� - _ 20 Fire Rating -c I TYPE.1 - - Max Load(ULY - [lbs/Rx] 50(2400 Pa) Permitted module temperature -40°F up to+185°F ' Cables. - - - on continuous duty (-40°C up to+85°C) T C Pfintnn 1 Load Rating(UL)' - [Ibs/Rx] 50(2400 Pa). 'see installation manual - - - . - _ - - OualttY Tested aCEILS ar.:,, - �.- QUALIFICATIONS 1 ; 1 CERTIFICATES PACKAGING INFORMAT W� r+•,•.reneN. Beat Pober,st2111ne- g0 aalar modulo 2013 - UL 1703;VDE Quality Tested;CE-compliant; Number of Modules.per Pallet - 26 a°'"^^�•*�^ OP1D6�'ss IEC 61215(Ed.2);IEC 61730(Ed.l)application class A - 3 - t THE IDEAL SOLUTION FOR: . 1D.40032587 "•"-°- " Mo4r� Number m Pallets per comainer, 32 Rooftop arrays on' - - '_ V - _ lE e® ° Number of Pallets per 40'Conta _ 26 0 COMPq/ l] E _ .c a1P us �`� - Pallet Dimensions(L x W x H)Ina 68.7 in x 45.0 in x 46.0 in - residential buildin s A� - - - g Q T .� ,.. .�� �- �. a> inO (1745 x 1145 x 1170 min) c . . _ r - -. Pallet Weight 1254 Ito(569 kg)' a . . v NOTE:Installation instructions must be followed.See the installation and operating manual or contact our technical service department for further•information on approved installation and use of .O - 'g '-APT test conditions:Cells at-1000V against grounded,with conductive metal foil covered module surface, _ COMPW' .y ,. this product.Warranty void if non-ZEP-certified hardware Is attached to groove in module frame. -. 25°C,168h.. . . - . . . . z'See data sheet on rear for further information. , -I _ _ _ r - T -Hanwha 0 CELLS USA Corp: _ - 300 Spectrum Center Drive,Suite 1250,Irvine,CA 92618,USA I TEL+1 949 748 59 96 1 EMAIL q-cells-usa®q-cells.com I WEB www.q-cells.us 1 Q CEIIS Engineered-in German L CELLS Engineered in Germany )' g• Y f - 6� s A EXISTING FRONT ELEVATION y EXISTING RIGHT ELEVATION NO N1 . R - ME Vi 5... .. t� REAR ELEVATION --- P EXISTING: LEFT ELEVATION CHEGLAKOV RESIDENCE d' 1109 SNOOTFLYING WILL RD. Rio ® A'J CENTRVILLE,MA 02632 f{ o CONDITIONS } DRAWN BYDmitry Mazfteka l SCALE:1/4 V-W E • DATE:03.27.2014 1 1 EXISTING FRONT ELEVATION EXISTING RIGHT ELEVATION rt J EXISTING REAR ELEVATION EXISTING LEFT ELEVATION f CNEGLAKOV RESIDENCE IEN�Oo 3 RD. CENTRLLF—MA6 EXISTING_ CONDITIONS s� �► DRAWN BY: }, � SCALE:1/4•=1'-0' i.. DATE:03,27.2014 Y ry 2— I •------- - ------ --- Exleting-Qeek N'EW bo0� I - - ----- I I Down - Existing Kitchen Ext. Bath ® bQdrvawl 3 - �t+ Existing Living room y Existing Bedroom -`Existing Bedroom 2 FLOOR PLAN CHEGLAKOV RESIDENCE II09 SHOOTR.YING WILL RD. - - CENTRvILLP Me r 9a10 PROPOSED FLOOR 4 FLOOR FRAMINCs PLAN DRAWN BY:•- /� n SCALE:1/4'=1'-0' A DATE:03.27.2014 1 Tp414f� . jo J :w. r _. '^T•' `; M ..�. :s f l'- '�. +'"P",�' - \'- .?• a,�a'::%' N-'r . x '.,(,.. +...Y E fs-�.F k - ,1 .A•:.j 4 ^R � y � •'� +.'_ a r,' - \� � r . a , a 07 - - i k k> }^ xn�15, 20, Aei 'z.a- 1 r 'C:.L✓ �F--�✓ `• fit, Sao tO�P. �• - �z=� � r�J. •/•Q®! 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