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0095 FURLONG WAY
-��r; � �� �' a�� �;. a I f. _ r _ Town of Barnstable Building t : t Post This Card,So That it:is Visible From the Street-Approved;Plans"Must be Retained on'Job"and-this Card Must`be Kept s- Posted Until Inspection Been Made � 63� , ti Permit Where a Certificate of Occupancy,is Required,such Building shall Not be Occupied until a Final Inspection has been made � L Permit No. B-20-672 Applicant.Name: Steve Spengler Approvals Date Issued: 03/23/2020 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 09/23/2020 Foundation: Location: 95 FURLONG WAY COTUIT Map/Lot008-013 Zoning District: RF Sheathing: Owner on Record: FONTAINE, PATRICK J&ADRIENNE Contractor Name-`,,,' ame-`,,•VIVINT SOLAR DEVELOPER LLC. Framing: 1 Address: 95 FURLONG WAY Contractor License: 170848 2 COTUIT, MA 02635 Es t ProjectCost: $ 1,830.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems 4.16kw 13 w Permit Fee: $85.00 Panels ' Insulation: Fee Paid,: 585.00 Project Review Req: - :Date 1 3/23/2020 Final: Plumbing/Gas Rough Plumbing: ,. , r . ..,. _ ui rn icia This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after,ssuan e. Final Plumbing: All work authorized by this permit shall conform to the approved application and--the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: 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 work until the completion of the same. i a Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the 136ilding.and.-Fire Officials are provided on this`permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: .rF 1.Foundation or Footing ,;^£ Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is,installed - Rough: 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 Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: 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: Ow'6.')C �r+Al--t_ smear Town of Barnstable Building r ':.'.. " ' r ?,sa' .�-' . i" '"'e ,'ty ,,�a"sr>," ..'`k' ',a; <<A �`' ' 'r ;'' , SoThatit is UrsrbleFrom the StreetA royedPlansMust beERetamedonJob andthis Card Must behKept , • Post?his Card pP r k DAMSTA • Posted UntrlsFinal Inspection,Flas"'Been ,6,9 ", Permit R Whereka Certificate of Occu anc ;;is"Required such Building shall�Nofibe Occupied until a;Final lnspectron has been made Permit No. B-16-1576 Applicant Name: Emmanuel Mello III Map/Lot: 008-613 Current Use: Zoning District: RF Date Issued: 07/12/2016 Permit Type: Solar Panel-Residential R Expiration Date: 01/12/2017 - Contractor Name: EMMANUEL T MELLO Location: 95FURLONG WAY,COTUIT Est Project Cost: $21,164.00 „ Contractor License: CS-065607 Owner on Record: FONTAINE,PATRICK J&ADRtENNE 3 .' Permit Fee $ 157.94 kflAddress: 95 FURLONG WAY eePa�d � $0.00 COTUIT, MA 7 2016 12 02635 �� � .._.•Date � -� i./ / Description: install roof mount photo voltaic solar system with`37 panels and 9.62kW Please be advised this is a revised application'for 1316 1563 which has been paid for ahead r f� � Project Review Req : install roof mount photo voltaic solar system with 37 panels and 9.6 Please be advised this is a revised application'for T6�16-1563 whi h has been'paid or already , g No Building Official AJ This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six mo 11 nths after issuance. All work authorized by this permit shall conform to the approved application"and the approved construction documentsforwhich`this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street6r road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by th11, eBuilding and Fire Officials are provided on tbs permit. Minimum of Five Call Inspections Required for All Construction Work: g 1.Foundation or Footing ' 2.Sheathing Inspection n x 3.All Fireplaces must be inspected at the throat level before firest flue hmng Jsinstalledg y r 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspectwn ,~ ` 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. QN �� "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). F MAIL S _ Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT &P) /0/3 0/1 Town of Barnstable *Permit pis d� Expires 6 mo om Issue date Regulatory Services Fee— t BAMSrABLE, MAM Richard V.Scali,Interim Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Impritrt Map/parcel Number k 1 Property Address `jS- `orlon!, "Y �OT yt Residential Value of Work$ // 72(,o, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Pay"C I c €f A d r t'{nn r O/1 f Gt rl e MA 02_6 3 S_ Contractor's Name.%Aer'n AI_Ea/ingA)WS / &,;on 1)?,/tll i s c>✓> Telephone Number&dj 22F- B Ob Home Improvement Contractor License#(if applicable) / 73 Zry 5 Email: Construction Supervisor's License#(if applicable) Dg.570 7 9W"orkman's Compensation Insurance Check one: Xo� E El am a sole proprietor d SS PER ❑ I am the Homeowner �1 [�I have Worker's Compensation Insurance T OCT 16 _�yj Insurance Company Name At^Ao v1a tl rirl S tJ/a oCe— 6 PIMP i .Workman's Comp.Policy# (A�C 9 z.8'0s 8 3 5- 13 9 Ll Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shijjglesZ All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over - existing layers of roof) We-side eplacement Windows/doors/sliders.U-Value r 30 (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: Property'Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement.Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 j Ren Al �y�7�� per C�REN UaAV.xuec;a "J�Sl:l f'S'GI�L L�.L'+!'.L'-Y�' U,S. t 1-TI}r'�`TY'rl;`i'. dNa.2t�u 6@:3Yai ` < Cr Lzese.�t63u'a5a .eaemv 9FlL tOBtlClt 26 A%mmt Reed - I.iusoln:,RI 02665 _ FFt liahTR&7 s 8ivla'3e22'gJ'Fax 431,633_5€,tJ2' ei Tax x40%wv 3o nUm Its EugbmAvA1udew,,xI!!',1bfib tonal lyy ®:a[BaatEisa N'ew l`a'ny�amd � CUMM 1WOdSY AND DOOR REMODn"G A.GMM-M V T -C�i��•✓ !� s f� UfaR �t�f�t+'� �;�,s+?��rsx�eati '�� � - �� rl. ,C�J � • SlIftIAM J2 n, Bueer(O bucbyX *�:jA Ecnuilvagram tu,puirhsw the ptoduc s<mndlaa sepck of Soutlotnn Yew&;glaled. %56Jj A,fs,LW CubJj lAmeWA by elydetwn d Sivathern Nov Englmidl C"nnmcE-e%4L a=xud';kpjx u ijh tho sums a.ed ea66tigw>3 d i inn the ficat'sad the Mm-r_,e of> d&sWeementard.ea C11k&wrle, Conde '❑,IMA7, Tatd f a6 J4ttrU±tC tsgRc 5earhta iYaeG M ofaytt�ax ClteshGah _ d' - v l}tpit 9iE Rece6M(3 Credt Qrds mm tospted far depotit d*—mamma M 113 at d1i ae Serc of :'JfF. pemle.<e Est('ease!et[,�Ead ertt.�remt Br s;�naE skis j } rim Gott»cm.Q yiu ww**dit.#-j4ft&wee at staet.c.q&end d* Rahn a n,�l !,, ift-a wa 5ub;gntkel Camplei9e�a 4;�a6 eamnt6e sttada bg"ca ncf Cemkh3; ro. nrde mestl�e aosla try peitaetal ens Sark sh+tJe err osh, Supr(s),age and xmdettxilaada that d", the:a xfod'ersanding heiweem aloe per,and th" thrrC a><e ao vbei titer euty ur tie•tom e►f'thiseemtas,'ll�r�{nli,aebna.enfe3g�s f> e 9ayci(e� (l)bas'vimd this`Agree oate sad' r�tee uia of tads Agee*p Hers i6i�d a coirrl,Ieted� te a,,oma,a ?, Caw of tHi Agreement,hid wRog t ie auiq orally food ocused of a t he tie .'DO NOT 8I(i11T THIS CaATI t`T'>IF TT AR&A •f3l IPiACES. 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CottWats;To.tFtilts tnn;;mail ad`+tielCvx3r aslgned��' GorieractaTh euateel thittr3nsaction,et> ar de6vea si�reetlf„ aiul.daftrd' coplr_of +s`eaneellettion netoae or a ether e; and dated e�opfr eef Wig �eosll'atiO f1Q,- 91, MY`o�uDr.. tvs{ttwned�ot+stetdatel'egsmtdflmtowdby/twdt not �' wMmnna&ear�daliftkniiiiWlten�rolhyAnden� isf' Septtd�ertn Ntrw �td xt•T Alhiori is Southern New Erigtand its]6AIBItan Roatd, ► 5,. NOT LATTER. MIDNf4'rHT;Of 1' NOT''LA�EItTliF1N MIDNIGHT OF (Date) (D f a") C/kF10ELTHISTff�YIWSAGT10M6: i'1 NI:IfEBY CAJNCIE.THISTR/1,N5 C N. .c. • ,ei : .ext;,s eemw- 5 oa@s .- t sit*�rttn. '�@K tt�6e•` . �` tleee"'•' lUa4 Gar � il@rgH"Copy''felteYMr Btr�er Gaper f'ii�& • r Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts-Department of Public Safety Board of Building Regulations and Standards I Construction Supervisor c:. License: CS-095707 �,. _ • BRIAN D DENNISbN `r 7 LAMBS POND IC RiD_ Charlton MA 01507 1 li Expiration , Commissioner 091OW2016 Office of Consumer Affairs find Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration —� Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9n9f2016 DENNISON BRIAN 26 ALBION RD - --- — _rr LINCOLN,RI 02865 Update Address and return card.Mark reason for change. SCq I 6 20M-05q1 Address �;'Renewal D Employment D Lost Card - - IBce of Coosemcr%ffkirs&Business Regulation License or registration valid for individul use only ^ME IMPROVEMENTCONTRACTOR before the expiration date.If found return to: - Office of Consumer.ARairs and Business Regulation Reglstratlon: 173245 Type. 10 Park Plaza-Suite 5170 Expiration: 911WO16 Supplement•.:ald Boston,MA 02116 - _ SOUTHERN NEW ENGLAND WINDOWS LLC. - - RENEWAL BY ANDERSON DENNISON BRIAN _ 26 ALBION RD LINCOLN.RI 02865 Undersecretary T Not valid without signature ZlIx The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): SOUTHERN NEW ENGLAND WINDOWS Address:26 Albion Rd City/State/Zip:Lincoln, RI 02865 Phone#:401-228-9800 Are you an employer? Check the appropriate box: Type of project(required): I.0 I aid a employer with 20+ 4. I am a general contractor and I employees (full and/or part-time).*__ have hired the sub-contractors 6. ❑`New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. R 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 I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs _ insurance required.] t c. 152, §1(4),and we have no -. . employees. [No workers' 13. Other G�ltndotJ comp. insurance required.] r e 0(acerie— *Any applicant that checks box#1 must also fill out the section below shoeing their workers'compensation police information. = ' t Homeowners who submit this affidavit indicating they are doing all%vork and then hire outside contractors must submit a new affidavit indicating such. ?Contractors that check.this box must attached an additional sheet shoning the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees.they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:ARGONAUT INS. CO. Policy#or Self-ins. Lie.#:WC 928058352394 Expiration Date:8/21/2016 Job Site Address: "' _l S ruff 1 gn g 7 City/State/Zip: Oa4v i I— . d((A 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-7ff XTGL 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'nsurance coverage verification. I do hereby certA under the ' s and penalties ofperjury that the information provided above is true and correct. Sigagure: Date: 10 Phone#: 4012289800 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#: SOUTNEW-01 SHETTYSHT 'QcoRo' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 8/19/2015 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. If SUBROGATION 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 NAME:CT Willis Certificate Center Willis of New Jersey,Inc. PHONE FAX y ac No Ext:(877)945-7378 A/C,No, 888 467-2378 c/o 26 Century Blvd ( ) P.O.Box 305191 E-MAIL Nashville,TN 37230-5191 certificates@willis.Com INSURER(S)AFFORDING COVERAGE NAIC p INSURER A:Selective Insurance Company of Southeast 39926 INSURED INSURER B:OneBeacon Insurance Company 21970 Southern New England Windows LLC INSURER C:Argonaut Insurance Company 19801 D/B/A Renewal by Andersen INSURER D: 26 Albion Road Lincoln,RI 02865 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CURRENCE $ 1,000,000 EACH OC CLAIMS-MADE a OCCUR S 2029459 08/10/2015 08/10/2016 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: .,k GENERAL AGGREGATE $ 3,000,000 POLICY PE� �LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY EOM aBINEDcciden SINGLE LIMIT $ 1,000,000 A X ANY AUTO S 2629459 08/10/2015 08/10/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED - - PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE S 2029459 08/10/2015 08/1012016 AGGREGATE $. 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE N/A " 0000068028 08121/2015 08/21/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Workers Compensation WC928058352394 08/21/2015 08121/2016 See Attached DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE,WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Evidence of Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 009. 10/=3, .1 f cllOw A8'55� PIMA; Assessor's map and lot number ............................................... Sewage Permit number ................ ............ DAUSTABLF, House number .............................................................. 1639. O YPY Ar TOWN OF BARNS TABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......R.&.)... ......... I.Al.-.O..(�z ......................... ........... TYPE OF CONSTRUCTION ...............�J- X.?c)................. . ........ .................................................. ................. .........................7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . ....................................... Location 4;........ .... ..... ............................. ProposedUse .....•� .... .. ................. ................................................................................................... Zoning District ......&-... ()................................................Fire District ......... ........................................ Name of Owner ...< .....Address ..... 0mou ........... ...... . . �.......................... .................Name of Builder . ....... . TA I/..............Address .....Name of Architect ..... Address ........................................................ Number of Rooms .......... r...................................................Foundation ........../��.........T-J!.......�2.fx&•................... Exterior : 741.6,%4704><I Roofing ....... ..445,-p4a ................................................ • ....... 0�� C-j�lk............................................. Floors ... ................................................Interior - 1--?— 0 , I . Heating ......../.,6 7 1.4? A./e .......................................Plumbing .... ........... ........................................... Fireplace ........Z......................................................................Approximate Cost ................7 ................................ Definitive Plan Approved by Planning Board � -------19,72- Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH (7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of'Kirnstable regarding theabove construction. Name ................... ............e.............. ..... 7`***z'1:'� ��.� ../ .r Construction Supervisor's License ..... ........... SHORELINE TRUST A~8-13 ' ' ' No ..2{��2..- Permit for ...)nw.'Stuz.y.............. ~ ........... �ug.IR..Faaily.'D.welJin8--------. ' Lot ll, 95 Furlong Way Location --..------.--.'��c��m------ � Cotvit ' * ................................. ...... ........................... .---.. � ' Sborelioe— — Trust ' ^ Owner .- .... —.-- -- - ------_.—.—.- . , Type of Construction .........Fram.e....................... . __—...,,....-.^.-.,.--..--,--.—..—..--..- ` Rkxf.-----------. Lot ................................ � October 17 8� Permit Granted .—_-----.--.�.--.]9 Date of Inspection, .......................... --.-l9 - Compl eted 6 --. �otm mm lg � . -----.------.. ' ` ' . . � - - - - . [ ` � , � . � ` ' . �.l�y � �� Assessor's map and lot number .......... ..... ..................... .�'.. FfHET r IC SYSTEM MUSTS Sewage Permit number ..... .... . •• INSTALLED IN � . COMPLIAN �� WITH TITLE 5 ' HAHd9TAN House number + 039'........................ r" ENVIRONMENTAL CODE AN °°tea�pya�•� L! L IONS TOWN OF BARNWTITH z BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... .ta..t..�.( ........S.bk- ..L...... . .......... .......... TYPE OF CONSTRUCTION .............. „��1I............. :.. .: .... r .............................. ........./2— ......................... .................. - e � 19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according`to the following information: ' Location ..., .0 ...�1..........t'Cl . ... ........(.:.ti5... '.:.. ............. ............. ................................... ProposedUse ...... .I, .�..L.. ...1..? !a,.c... ...................................................................... ......................................... ZoningDistrict `.....�....`J.�...............�T..............:.....Fire District .........5..,,.,..D...�.c.•r.'..J....:............................'.:.... Name of Owner .S.1 a.r ie-Z,.... .....Address ..... r�.. ...... Name of Builder ).6.RA. . ' L:./cC--A9Q!--/................Address ...... .....�-T/.T 1P- ... . Nameof Architect ....... .............................................Address .......................................::........................................... Number of Rooms /' y i ...........UJ............................:........................Foundation :.........l..l�,. ...:..,,��.�J..:.... ..Q.iL.�.................... Exterior ( .4a . vF ..... .. hc�n�.�f.Roofing .........f $pF' ................................................ Floors .............................................:..Interior ....... / 4w ............................................ Heating 1Q./......!!Vr` 1.�? .......... .!....................Plumbing ,. ( ........................................... ti Fireplace ......../.... ...............................................................Approximate. Cost .............�,�1�G ...................... ... ' Definitive Plan Approved by Planning Board __• ,_1S_____19 Area ........�../..�. ....5: .:.:.'...' Diagram of Lot and Building with Dimensions Fee .. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH10, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of rnstable re ing t e ove construction. Nam . ... .... ....G... ......... Construction Supervisor's License .... .l.Y!..�1..1�....... ORELINE TRUST i .w - � :. 5528 No 2 ... .......... Permit for .One Story................ :.Single.FamflY...Dwelling................. Location ...Lot 1t..... • ......... �� - • `�" _`,� '' .. -- � . - � 4 =� Cotuit ..................Shore...........Trust........n................... �. 5 � ,wry T_ � � � e •� ' Owner ...............line.......................................... Type of Construction ...Frame................:............ try• _ r .. � 7 � ,.., - ................................... ......................................... Plot ............................ Lot ................................ ? Ae Permit Granted ,.,, October 17,v� ;19 85 +� w Date of Inspection. ......................... .19 ,� + .a Date' omplejed ...... : 19M CC . _ _ _ rr / r r . r 1 ^ 1 a r i v ; A. <�J ry}. A�- "• Y,x 3G,Obo V _ .LOT 40, s�4,n O y4 K, 4 11`•M4' k r F- UPLONG ' WAY . `y.., SNo2El a►.tE dJ i L.DE �jpePA Fo,2 :. �� CEa�2T/F/fin PG. 07" PLAN ' L bCAT/OAI: Cll�rrg M A- Oar. 'SG�LE AQdpE&:,aiVcE : LOT it s fd: Nluik FL.O O D Oil./E G M �V r^ S HE,eEf3Y cERTTF� TH�4T T'H .. aViGbiAPS o. GEo OWE/ OAJ 7N/.3 PG A ki /S LOCATED cKj Tl'-f L JR. - �oU�tlD A� SNoIV/V HE,e�oAl .�9�1/D •T7-SAT IT � 7 DOES_.-----..C�II/FOi2l") TO 77'�E �o�ll/iVG c ISt�c�G�Q LA145 of THt- —r6W J of "STABLE CU. � dG.1 �' Z�JELLEi2 /roc DAT E WE, EDMUND E. GOODWIN and MARY B. GOODWIN, husband and wife as tenants by the entirety, both of 80 Steinmetz Drive, Manchester, New Hampshire 03104 , in consideration of TWENTY-SIX THOUSAND FIVE HUNDRED AND N0/100 ($26 ,500. 00) DOLLARS paid, grant Ir to LISA S. PETERSON, _ Trustee of SHORELINE TRUST under a .Declara- tion of Trust dated May 1, 1980, and recorded with the Barnstable County Registry of Deeds in Book 3095, Page 113, with an address of 182 Trout Brook Road, Cotuit, Massachusetts 02635, with QUITCLAIM COVENANTS, the_ land situated in Barnstable (Cotuit) , Barnstable County, Massachusetts , being shown as LOT 11 on a plat of land entitled "HILLCREST Plan of Land in Barnstable, Mass . Scale: 1" = 100 ' , December 5, 1972 , Ewald & Maschi , Inc. , Engineering Consultants , " 908 Concord Street, Framinghanm, Mass. , Route 6A, ' Sea-Lake Building, ' Sandwich, Mass. " which plan is recorded with the Barnstable County Registry of Deeds in Plan Book 368, Page 4 . Together with a right to use the ways shown on said plan in common with all others now or hereafter lawfully entitled thereto for all purposes for which public ways are commonly used in the Town of Barnstable. Subject to and together with the benefit of easements , rights, .;rights of way, restrictions and reservations of record insofar as the same are in full force and applicable, and more particular- ly as contained in a deed to us from Bruce A. Wright and Susan Wright, dated March 13, 1984 , recorded with the Barnstable County Registry of Deeds in Book 4039, Page 278, to which deed reference is hereby made for title. WITNESS our hands and seals this day of. May , 1985 . Edmund E. Goodwin ROUGEAU.BUTLER F. LARGAY i,111NSf.:LLORS A'r LAW ONE WINTER STREE"r Mary B. Goodwin O.BOX 608 HYANNIS.MASS.02601 (617)T71-4230 - I STATE OF NEW HAMPSHIRE , ss May 1985 Then personally appeared the above named and acknowledged the foregoing ins run, t to be-'--- ree act and deed, before me. Notary Public State of New Hampshire My Commission Expires : 111 i ROUGEAU.BUTLER &LARGA V COUNSELLORS AT LAW ONE WINTER STREET V.O.BOX 608 HYANNIS.MASS.02601 . c61 71 77 1-4230 � f �> TOWN OF BARNSTABLE Permit No. __28552 na Building Inspector MW Cash - —- e3a J, nmv ` X (�/ OCCUPANCY PERMIT Bond Issued to Shorline Trust Address Lot #11, 95 Furlong Way, Cotuit Wiring Inspector Inspection date Plumbing Inspector `\.� Inspection date Gas Inspector Inspection date Engineering Department _i�` Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119-f OF THE MASSACHUSETTS STATE BUILDING CODE. .l 1/ '� /lr 19..... _o ....... _. ..................-•-- Buildina Inspector t ��,•.°�•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING r,ua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: ro An Occupancy Permit has been issued for the building authorized by Building Permit #.. ���. .. ........ _................._ . ...... _. issuedto .......- !� 1 .....f... 1.. ..........................._...................... ......._ ...__. __._. ..__ .._.. Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �C(�J- LI DATA �1 ULU unu TOWN OF BARNSTABLE, MASSACHUSETTS PER"MIT JOB WEATPER, CARR ' DATE r J4e 19 +� PERMIT NO. APPLICANT ' - ADDRESS (NO.) (STREET) (CONTR'S LICENSE) - `^.: NUMBER OF PERMIT TO a:..#-�� ^' (_) STORY - "y'` +� DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) �. L. ZONING ..t AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT-BLOCK-SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (rrvE) REMARKS: AREA OR ESTIMATED ` Y,yii!•`, PERMIT VOLUME ESTIMATED COST $ FEE .� (CUBIC/SOUARE FEET) OWNER BUILDING DEPT. r _. .._ -- -•- . .. ,.tea._. . _._ ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK. OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE .INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 � ) 2 2 lL 3 HEATIN :NSPE� NG APPROVA S REFRIGERATION IN,S-PECTION APPRO.)MLS- i I, - -� 5 NC`K IA.L_ N,_T' -R0:_E_ UNT;L+TPE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iNSFECTIONS INDICATED ON THIS CA WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELERHOh =-AG S '� -�N` `' T' 1�' PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i h Map Parcel ` _ Permit# Health Division YPL Date Issued 0 1 -D Conservation Division zi 759t Application F e Tax;Collector;t o n Q L- - p [ — !� 6 Permit Fee Ill / Treasurer NIL, (� [� I /Q� SEPTIC SYST IN INSTALLED IN COMPLIANCE Planning Dept. WHTITLE S i Date Definitive Plan Approved by Planning Board • ENVIROACFAENTAI-CODE A6dl -TOWN REGUUITIANS Historic-OKH Preservation/Hyannis Project Street Address I ' VJ01 Village Owner I 0�1 Ws ' rf 11 �` Zv -(0-;�,3Telephone Permit Request m -1 n- to w A al Square feet: 1 st floor: existing proposed D 2nd floor: existing ® proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuat Construction Type INOfl,l MIDI,/ Lot Size 10C Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) d y Age of Existing Structure 0 Historic House: ❑ &N Yes o On Old King's Highway: ❑Yes f5klo Basement Type: a 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 Co nt ZZ 2 rn ___ f � N Q Heat Type and Fuel: (Y6as ❑Oil ❑Electric ❑Other Central Air: ❑Yes Flo Existing Fireplaces:p g New Existing wood/co tove: Uyes o / C13 Detached garage:❑existing ❑new size Pool:►9'existing ❑new size Barn:❑exis ing ❑n-ft s N Attached garage: //existing ❑new size Shed: existing ❑new size Other: rn Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name )�Pvrr-, in Telephone Number Address z License# O'�2 f 1 �✓ l�f'l�i �i ,P�a ill ('?IZU0 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO9 > ii�'; � SIGNATURE 3,a,-1 - ' I DATE � � i2 '26 -02- FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ,y ADDRESS, s �� VILLAGE OWNER f DATE OF INSPECTION: _ t FOUNDATION FRAME -"�j—gyp-v36u , INSULATION 3v f - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH; k FINAL GAS: ROUGHS FINAL - 4 _ } FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN,NO.: r Assessor's office(1st Floor): _ _ Assessor's map and lot number "VOO �Y.0 BNS TALLE®Ily �M�u��. TwE To`` Conservation(4th Floor): ���.�,�OWLS � ew Board of Health(3rd floor): E�;°!!dR L�5 Z ssa»r►ntt Sewage Permit number 6 �r� ® �'��'.4 ®� rua 1639. Engineering Department(3rd floor): � `u�°`� f'3? A, House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only �.., N OF BARNSTABLE 7 ojU ILDING INSPECTOR µ APPLICATION FOR PERMIT TO 1U YS Q TYPE OF CONSTRUCTION 0or 19 i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location r Proposed Use 0(y0zr-- /L Zoning District r ` Fire District Name of Owner r�/d�� Y`:2Y � G%ram Address . Name of Builder�� - �d�(�o�'� Address e Name of Architect Address Number of Rooms Foundation cam---- �--� Exterior Roofing Floors Interior Heating Plumbing Fireplace J Approximate Cost Area Diagram of Lot and Building with Dimensions Fee 1 yr 06 .s. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Si ipervisor's License © O MARTEL, DONALD & JAaET c No - Permit r ' STRUCT a POOL AND FENCE Location- 95 Furlo4 Wa Cotu,it ; , Owner Donald &. t Uartel 1 Type of Construction _ Plot Lot , Permit Granted July 5 . 1994 Date of Inspection: ; Frame 19, Insulation 19 Fireplace 19 Date Completed 19 , `y 1F¢G�IyF Cft.d r i l t ! ..-+• .. 5 -. ^t� �:mryer-As•^' '�'.c� di +rm gg ma, I , WME0,11, 6•83'' . ° ON lk Mst 4z,,°" '4d't'3i ^ ...�,^-tom xs����+±yy�! 4 xk,.�ic"h.c +F� 'S•�,y ar'�,`; � R H.6,# c '. ti--x .: .i.,s. w• = r� ��Y.,� f- Xy;� k..•s �..-,. �s-Y,.;.,"t(' +.•3 t "`:a':m.r' -..3G".' �E'+ -YFr s .�'.f .+r YiP R:•:•, ,JrY a it$'^:, "k` Y � r:�.F 1 �>1` i."' _Jr, 0r' %i ,Ll�x;,yr `fC ,y. -., ti_�„.� S .. � r x! `"'• `�Y,L�'���dr .,"'=.�.ro^.r Sou. !.r •+r yr,ti.x �7.y h Y vl�^ ,,i", . ..j '*� ,• -t ,' ` t1 .. 4>�TM9•. e _;� 's - .Je `rt ' •r++r ;�'S�4i ''�5.� �' -.t_.d} „i-• ,o{f., "p A` �y F`�t �.'.J` 'ji >`r �~ �,vr2�C,.f-'>R � �e; yrs.-- a t y",r� " ;��a{k�'"`•'.tq�,'$ » �k -�.q.. .4�,•.�? d a t7a .�•�t.8� k 5� F� f '" `a'R�i».� C,. � y. a�� it �,�3 --�i •ls S9. .C� � �.r� ..,,t _Y�� �y'4 �.;i �Y' t' • i� e t .r t�.,� r:,'r� `��r'�'�'� -�y ,{' -+5;_. �.. 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LOT 10. 33 r;F � 3 3G,obo Q Vsrr m . ,LOT K• IiL.�. n-,�'' x: FURLONG WAY f'�EPA ED FOP_ 5"Olzeuut C;uiLDE� or Pz-oqAJ LOCAT/OAJ: Cb�n►T, MA• SGALE : I%%_ ��'FE12E/llCE: SOT 1 I • d"`• eeLO®D �®JV E " Gr, -Fo -N;e ati��i P`�H o Rr.z� `' n - f ERF-45Y CE�7"7�r T7�-{AT THE._ ®tliGD/IVS ioti GEO c�r� �V4®ta1Av OA/ wq/--5 pz. j /S LOG/97-ED O+ll THE- L' ' JR• aeoC,AJD o4S:.sly lo�ry � &,pc-o)j, �7 o4&m - 4Fgr rr 0 `.. ._ " "r-- TOBa9JlI of-�AQNS1'HBi c �9�w1ocr N MA55 _ .917T� + ` e"$�j kw.� �' ;cti.� �`.�f; ram'.."�•• c,,,'#_'rsa",�f4:'� Y" .+ ' -.r.•��...s"M,Y4 _, '�.. .,. ,..,�x -- f ��• �'_-�= The Commonwealth of Massachusetts % Department of Industrial Accidents 600 Washington Street Boston Mass. 02111 Workers' Compensation Insurance Affidavit name location: FUY i dnn city 1, f phone# ❑ 'I am a homeowner performing all work myself. y ❑ I am a sole proprietor and have no one worldn in capacity %%%%%/%%/%%/%/%%%%��%%/%//////%G//%%/ %%///%I///G/��%%%%%%%//////%%����%/%%%%��/%%/%%%%%�/G%�/%%/%�%%%%////%O%%/ I am a 1 oviding workers' compensation for my employees working on this job. n em er_ r P p... :::'tip•'.+. •:H ................................v:...........;.;..;;.......}.+..;..+.}:??.?;J:•r?•iii:•}r}r•::Firri: ::ii:i�:•iii iii:iL;iii?ii:�:;{:::i:;}i:j;:;i:;i;;iii?i ii i:iii:SiiJ::iiiiiiiiii:!i::?:�:'::':i+:�:i:;:'.:;'.�i.:y::; ' dress •�� cl a ! 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I understand that a' copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification -- I do hereby-rertifyunder-thepains-andpenalties-of-perjury that-the-information-provided_above-is_tr_u4_and correct _ ... Signature G/r e Ii Date r _ Z.Z t lime Pfione# official use only do not write in this area to be completed by city or town official city or town: __ j permit/license# OBuilding Department ElLicensing Board ❑checkif immediate response is required ❑Selectmen's Office _011ealthDepartment contact person: phone#; ❑Other (devised 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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. 0011 Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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.you are required obtain,a workers compensation policy,please ciZthe Department at the number listed below.:- City or.Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom oi`tie affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. PIe�ase,� be sure to fill in the.permitllucense number which willbe used as a reference number..The affidavits may lie'retiuxnedt the Department liyinaiT or'FAX unless other arrangements have been made.: :r. The Office of Investigations would like to thank you in advance for you 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 0mce of investlgauans 600 Washington Street Boston,Ma. 02111 fax#: (617) 727^7749 phone #: (617) 727-4900 ext. 406, 409 or 375 i �oFSMEro,,, Town of Barnstable Regulatory Services BARNSrABLE. " Thomas F.Geiler,Director v�p i63: `0g' rpo3,.ta Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modemization,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: f y)I Estimated Cost r Address of Work: q"J �Ui✓��' f�1 Owner's Name: Date of Application:_1 1 V1 I D2 I hereby certify that: Registration is not required for the following reason(s): RWork excluded by law ❑Job Under$1,000 ' ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 2a I _J . �11� �t�j Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav I RESIDENTIAL BUILDING PERMIT FEES APPLI ATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORMHEET . NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF FMSTING SPACE square feet x$64/sq.foot= 5 3 2 x.0031- - plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft >120 sf-500 sf y $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= square feet x$96/sq.foot= STAND ALONE PERMITS , Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee - projcost P`OF THE The Town of Barnstable _ BARV1;1. . AS5. 0• Department of Health Safety and Environmental Services . T 1 ptEOMP' �' Building Division . 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: ro )Y1�63 n2 Map/Parcel: b b r— 0 l 3 Project Address: 1 +r n C, Buildei QyAVCJ C IL�4 The following items were noted on reviewing: I C C)Y cA A k U-v-g � U\V-)w S G'o .n�: YV C-Q 3 A 2) Q,&VN q o\A a C-V\k'Q-\) Q 'I D 0-0-k () na �a �+ 0 o C3, v � u ) u Reviewed by: Date: q:building:forms:review Board of Building Regulations and Standards , HOME IM RrcQPVEMENT CONTRACTOR ( -6YYY 0q&tr4tion 1;31. 41 G %Ex it--lon�IZf/2004 Typeriv�ate Corporation CENTRAL CAPE G�QN�T: C�!"ON 'f:#PEN DEVLIN 261 BLACKTHORN MAT',S PONtMILLS MA 02648 -! 1 ,^ ✓die �an�noozuJea� V./ a°acurliva�lld BOARD OF BUILDING REGULATIONS � License: CONSTRUCTION SUPERVISOR Number CS O47993 i f, B rttrdate Q2/04_/g1.957 IY. 1L �2�1 riy 4. IE��res b2lg04 Tr.no: 15943 --._ R"trrcfedfig0�' -kr STEPtI N ;I bEVIN 261 BL ]�CJJHORf QR� �:: nnnRSUOnNS MILLS. 1VIA � 48 Administrator { RECEIPT 1 Printed:11-06-2002 @ 13:17:55 BARNSTABLE .000NTY REGISTRY OF DEEDS JOHN F. MEADE, REGISTER 1 Trans#: 321357 Oper:WENDY Book: 15872 Page . 206 Inst#: 99242 Ctl#: 1814 Rec:11-06-2002 @ 1:15:09p BARN 95 FURLONG WAY DOG DESCRIPTION TRANS AMT --- ----------- --------- 1 BARNSTABLE TOWN OF NOTICE 10.00 rec fee 12.00 Surcharge CPA $20.00 20.00 i Total fees: 32.00 Ctl#: 1815 Rec:11-06-2002 @ 1:15:09p DOC DESCRIPTION TRANSAMT - POSTAGE FEE Mail per page fee .50 i *** Total charges: 32.50 CASH PMT PAYMENT -CASH 42.50 Overpayment amount: 10.00 REF CASH REFUND -CASH 10.00 x � �$;g'{•aIi#�d{:k� .� �'s4�._� :?i��: :y�2��� r.�i,,��r���iea.:i,. Tip LEGAL NOTICES '`rp 1111� B A D1 "F T`' Y . Zk1 fZ� klR 0NOTICE OFPUBE IG>ORD1N/1NGE :, . , UGtiT 1.To a�pereo¢s� er�stec�-,m pr affecf Eh ping Board of Appeals underediid .11, gf=Chapter,ftTH of the.General Lawsrg�tk mmonwealth of fvlassachus s, d all amend ne7its t ere "p�,hereby s76 ed at: .. 700 o 2. a ckiddi��n amev'have lie ar �ar t eil ap . ccro 9(3)(D) all a'far€ I apartment e ev -�'e�Wf�the ekis in i�gle fagail�dw I��.;The.property is's wn o ssessbi's s. - w NJap 0 8 a eel x 3;commonty addre s d Fu€1ong l'ay;Cotwt:a Residentjal eke.. ub e-Angs will beheld at the ca ablet rf S5611. Wki' ' 2nd Floor.Wednesday pteliiber 25, 20p PXW& bpp@a. maybe the ed at the Planning Divvsi44ry Zo ng Board of Lcp ea1s:0#dace Town OfhcQ 200 Main Street-Hyannis MA. � ; �+ Daniel lyl:.Creedon,Chairman Zoning Board of Appeals The Barnstable Patriot r Aep.en?p 6tar7Set`eggne`t 3,20() '#`�: I'. ' ' i� SFE rr �.,.r - f Cam CLERK 8 oF. r NSTAB F k4ASS. • RARNBrABLE. 2M? OCT -8 PH u: 22 ' QED MPS Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2002-112—Fontaine Section 3-1.1(3)(D), - Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Patrick and Adrienne Fontaine Property Address: 95 Furlong Way,Cotuit,MA Assessor's Map/Parcel: Map 008,Parcel 013 Zoning: Residential F and& AP&GP Overlay Zoning Districts Copy of Public Notice: W Patrick and Adrienne Fontaine have applied for a Family Apartment Special Permit in accordance with Section 3-1.1(3)(D) to allow a family apartment of 838 sq. ft.to be developed within the existing single- c� family dwelling. The property is shown on Assessor's Map 008,Parcel 013, commonly addressed 95 Furlong Way, Cotuit,MA,in a Residential F Zoning District. Relief Requested& Background. This appeal is fora Special Permit to allow a family apartment in accordance with Section 3-1.1 (3) (D) of the Zoning Ordinance. The locus is a 0.83-acre lot. The existing dwelling is a 1,548 sq.ft. one=story 3 ranch constructed in 1985 and consisting of three-bedrooms. 4 The applicant was before the Board seeking a special permit to allow the development and use of an 838 sq.ft. family apartment to be created within the basement area of the dwelling. The plans submitted are for a one-bedroom unit. The apartment is to be occupied by Christine Silvia,mother of Adrienne Fontaine Procedural& Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on N September 25, 2002. An extension of time for holding the hearing and for filing of the decision was i�. executed between the applicant and the.Board. 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 September 25, 2002,at which time the Board voted to grant the family apartment special permit. Board members deciding this appeal were Gail Nightingale,Richard L. Boy,Randolph Childs,Thomas A. DeRiemer and Chairman,Daniel M. Creedon. -Patrick Fontaine presented the appeal for the family apartment to the Board. Mr. Fontaine explained the apartment unit and proposal to develop the unit within.an'area of the exposed basement of the dwelling. He noted that his mother-in-law, Christine Silvia would reside in the unit. He stated that both would be year round residents of the town. The board asked if a kitchen would be provided in the unit and Mr. Fontaine said that there would be one installed. The board noted the size of the proposed family apartment and stated that it exceeded the 50% allowable under the Ordinance. The applicant cited that he would cutback the area of the unit to 736 sq.ft. to stay within that limitation and that a door would be added to separate the apartment unit form the recreation room. The Board questioned the septic system and the applicant responded that they would be installing a new on-site septic system to accommodate a new total of four bedrooms and the garbage disposal. He noted that cost estimates had already been secured. The Board asked the applicants if they understood all of the requirements and restriction for a family apartment as itemized in the Zoning Ordinance. Mr. Fontaine responded that he and his wife did understand them and would abide by all of those restrictions,including removal of the apartment unit when it is vacated. Mr. Fontaine submitted a copy of the recorded deed to the property showing ownership and proof of standing. Public testimony was requested. No one spoke in favor or in q p opposition to the appeal. Findings of Fact: At the hearing of September 25, 2002, the Board unanimously made the following findings of fact: 1. Appeal 2002-112 is that of Patrick and Adrienne Fontaine seeking a Family Apartment Special Permit. The property is commonly addressed 95 Furlong Way, Cotuit,MA, as shown on Assessor's Map 008, Parcel 013. It is in a Residential F Zoning District. 2. -The applicants seek to create a family apartment within the structure. Family apartments are permitted as a conditional use within all residential districts by special permit in accordance with Section 3-1.1(3)(D) of the Town of Barnstable Zoning Ordinance. 3. The applicants have testified that they understand all of the requirements and restrictions for a family apartment as itemized in the Zoning Ordinance and that they would abide by all of those restrictions. 4. Members of the property owner's family are to occupy the family apartment and occupancy of the family apartment does not exceed two (2) family members. 5. The family apartment contains not more than fifty percent (50%) of the square footage of the residential structure. 6. The application falls within a category specifically accepted in the ordinance for a grant of a Special Permit, and after evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Decision: Based on the findings of fact, a motion was duly made and seconded to grant the appeal with the following conditions: 1. The on-site septic system must comply with Title V without variance from the Board of Health. 2 2. rConstruction of the family apartment shall be within the dwelling and.shaU-conform to-all building. (and,health°code requirements. 3 The apartment unit-shall be developed and maintained in.accordance.with all requirement f C Section 3-1.1(3)(D) of the Ordinance.- - -� 4.� ..The family apartment.shall be constructed substantially_in accordance with the plans present-in-the I.. _ file inclusive 6f'a door separating the apartment fro in:the'recreation room:It is limited to-one= 1 Cbe_droom and4shall not exceed 736 sq.ft.._— _ . _ _ __ _ The vote was as follows: AYE: Gail Nightingale,Richard L. Boy,Randolph Childs,Thomas A. DeRiemer,Daniel M. Creedon. NAY: None Ordered: Family apartment Special Permit 2002-112 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised within one year. Appeals of this decision,if any, shall be made pursuant to MGL Chapter 40A, Section 17,within twenty (20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. Daniel M. Creedon, Chairman 'Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk 3 Parcels Within 300' of Map 008 Parcel 013 ry This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from Assessor's database March 8,2002. Mappar Ownerl Owner2 Address City State Zip Country 008010 BOGER,DEAN M&PATRICIA M 158 TROUTBROOK RD COTUIT MA 02635 008011 GALLUS,BARRY W&JOHANNE 170 TROUTBROOK RD COTUIT MA 02635 00801.2 PETERSON,LISA S 182 TROUTBROOK RD COTUIT — MA 02635 008013 rMIAR�TEL, NET B TR JANET B MARTEL INVESTMENT 95 FURLONG WAY COTUIT MA 02635 TRUST �008014 MASON,RICHARD A&MARY J 113 FURLONG WAY COTUIT MA 02635 r08015 MAS�,RICH�ARD �MARY�TRS RIVERSIDE TRUST 113 FURLONG WAY COTUIT MA 02635 f008016 WALL,STEPHANIE G TR GOONAN TRUST PO BOX 840 COTUIT �A 02635 0 TKAMPER 22080 ,JOHN H JR C/O NEWMAN,CECILE D P O BOX 328 COTUIT MA 02635 �022082. HOLLAND,KENNETH R P O BOX 421 COTUIT :::::ffr2635 022083 ROCCO,THOMAS P&PAULA NYKIEL,MARTHA 171 TROUTBROOK RD COTUIT IMA]=02631 r12684:]ROJEE,JOHN M&MICHELLE L 115 FURLONG WAY COTUIT MA 02635 �022085 KILDUFF,JANE B S4 FURLONG WAY�COTU[T MA 02635 �022086 WILDER,CHARLOTTE B 68 FURLONG WAY COTUIT MA 02635 — 022087 BARTOL,SAMUEL W&MARIAN 90 PLEASANT STREET SO NATICK— MA 01760 — Friday,August 30,2002 Page 1 of 2 Mappar Ownerl Owner2 Address City State Zip Country 022088 AGNEW,RANDALL C&DONNA M 94 FURLONG WAY COTUIT MA 02635 022089 MCQUEENEY,THOMAS A&ELL YN %MCQUEENEY,THOMAS A 3323 WOODCREEK DR �CHARLOTTESVILLE VA 22911 �_ �022091 BUCKLEY,LEO E JR&ANNE S 154 OLD KINGS ROAD COTUIT MA 02635—� rM2 MAJOR,DAVID B ET AL %MAJOR,DAVID B&KATHERINE C PO BOX 1938 COTUIT mA 02635 — r22M LOCKE,DEXTER H&CATHERINE 130 OLD KINGS RD COTUIT MA]02.635 � 022094 ]HARVEY,JOHN V&MARJORIE M 116 OLD KINGS RD COTUIT MA 02635 :=j r2M MACMILLAN,MARY M PO BOX 1642 COTUIT �rMA 02635 Friday,August 30,2002 Page 2 of 2 CF THE tpk Town of Barnstable o Building Department Services Brian Florence, CBO * RUMSTABL6, zi$ M�. � ,Building Commissioner '°rFn rr►p+" 20.0 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508=862 4038 Fax:-. 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Ka 4 n I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the, aforementioned address: Name &relationship to owner:�/, r l '�i f J �V 1 a, ;�,� c1 � fVc 1 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the`above-ident f ed family members: In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting orsubleasing 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. Lglso understand that I am required to comply with all conditions imposed by the ZBAh1Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. .4agre to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 20.19. Si afore Phone Number Print Name q:forms/famaffid.doc rev 11/08/13 Town of Barnstable Building Department �. Brian Florence, CBO Mass. �, Building Commissioner �'OrFo 19. r h, 200 Main Street,Hyannis, MA 02601 www.town.ba rnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Town of Bamstable Family Apartment Affidavit I, being on oath, pose and state as follows: My name is I am the owner/resident of the property located at: IAif The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: r Name &relationship to owner: a -+ The Family Apartment will be the primary year-round residence for thou ove-ide ied family members. In the event that the listed relatives vacate said apartment, I.01 immeditrt,fgly note the Building Commissioner in writing. I understand that no subletting o� leasing f'saig Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Bui ing 2 '& Commissioner listing the names and relationship of occupants in said Family Ap tment. Also cry understand that I am required to comply with all conditions imposed by the ZBA pecial Pmit 02 and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Ap ents. I-ygre= to notify the Building Commissioner immediately in the event of the sale of this property. o 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 to4 er the p ins d penalties of perjury this I day of �6(Ni i/ 2018. �� Signature Phone Number Print Name Ira,4,1a q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable --- T Regulatory Services oF'THE toyti Richard V. Scali,Director Building Division BAM"ABM ' Paul Roma,Building Commissioner 3gE 1659. � 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is, �Y?�L/r- r D`�GP 1 Y11�i' I am the owner/resident of the property located at: The following members of my.family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: l/yl Y 1 S"► ) 1��i J� �'U� 1M�s I Name&relationship to owner: The Family Apartmentwill be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I wily mediately notify the Building Commissioner in writing. I understand that no subletting or ski easing o,�s'aid Family Apartment is permitted. 1 I understand that I am required to file an Affidavit annually with the Building 56 Commissioner listing the names and relationship of occupants in said Family Aptment. I a4so understand that I am required to comply with all conditions imposed by the ZBA pecial Pgrmit 31 and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments.F�gre� Co to note.the Building Commissioner immediately in the event of the sale of this property. If there is no longer=a-Family-.Ap , -.P ent a,this-location,-,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to n deythe pal s d penalties of perjury this day of_Gtfi V L7 2017. V Signature V Phone Number ���Print Name �itl L) q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services oF�"E -Richard V. Scali,Director Building Division BAMSTABIX ' Thomas Perry, CBO,Building Commissioner16,39. } .200.Main'Street, Hyannis, MA 02601 : :www.town barnstable.ma.us�,; ; Office:: 5.08 862-4038- -..... . .. ..,. ._.. . 508-790'6230 .., ... 1 _ ./ v .. Town.of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is V) VI,'(V I am the owner/resident ofthe �o er"t : - p y I ocated a�t �1 i �,yd tit,4 %A 6 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: r S ¢i l` )V 0A Name&relationship to owner: The FamilyApartment will-be the primary year-round residence for the above-identified family,members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing.I understand,that no subletting or subleasing: sa d Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family�artment.1-also Q understand that I am required to comply with all conditions imposed by the ZBASpecial P-ermit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I�agre� to note the Building Commissioner immediately in the event of the sale of this ferty. - If there is no longer a Family Apartment at this location,please explain: T"ne apartment has been dismantled. ` The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Swo o under the p ins d penalties of perjury this_ day of 2016. Sij afore hone Number Print Name (.. q:forms/famaffid.doc rev 11/08/12 Town of Barnstable oF�+E r Regulatory Services Richard V. Scali,Director'` t &UWSTABM ' Buildin Division ry 9 NCAss g +4P.� '_ t f__ J i639. Aim Thomas Perry, CBO,Building Commissioner ED MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs � S s 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 11 1 �J ��� Y� / I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to'owner: ✓ 1 �� �- c� �r r Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties,of perjury this 5 day of J nUQLr, 2015. Signature Phone Numbe Print Name q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services �s"E toy, Richard V. Scali,Interim Director Building Division TOWN aF B A R NSS TAILE " BARNSPABM ' Thomas Perry, CBO Building Commis r tu `bA i639 �� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 DIM R-q Faux: 5N--790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the _ 7.nroperly located-at! _ -- V :I 0- � d9� e,"� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: t4A,r�`s I ✓�U 1(Yj YI�Y ®`T Y Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. 7.0 a1_ .3 _ ,. .« :1�._ R ..L«. «4 n++ ;c.-��n ont+.> nv ��i+�.• U Mere is no longer a Family r-1pai Lii crA at this-location,please eXplail1. " The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to unde the sand en es f er'ury this day of 2014. Signature Phone Number Print Name i !r q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services of r Thomas F. Geiler,Director Building Division TOWN-QF RN-SqTAPLF BAMS'rABIA MAM ArED Mpl A ' homas Per nCBO Building Commissioner # � i 200 Mai Street' Hyannis, MA 02601 - www.town.barnstable.ma.us -. Office: 508-862-4038 $77=Fax-508 79,0-6230 Town of Barnstable Family Apartment.Affidavit I,being on oath;depose and state as follows: PMy name is I am the owner/resident of the -property_.located at: - r F The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address; Name &relationsliiP to owner: � 6 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I:am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that?am required to comply with all conditions imposed by the ZBA,Special.Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in.the event of the'sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been'transferred to the Amnesty Program(Appeal No: ) , Other Sworn to under the pains and penalties of perjury this fin day of o r 2013. Signature Phone Number Print Name b u q:forms/famaffid.doc rev 11/08/11 . Town of Barnstable Regulatory Services oFTME Thomas F. Geiler;{Dnrector I Z Building Division AN 'AJMST"BM , Thomas Perry, CBO>Buif g,`,ommifs one - Mass i6?9' ♦0 200-Main Street, Hyannis,MA 02601 _ www.town.ba rnsta b le.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: K ` My name is �. a�i �� _ ti I am the owner/resident of the property located.at: The following members`of my family will be the sole,occupants of the Family Apartment at the aforementioned address' Name &relationship to owner: S `H�' S r.�v,`6,t Name~&.relationship to owner: The FamilyApartment will be the primary year-round residence for the above-identified family-members: In the event that the listed relatives vacate said apartment twill immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an A idavit annually with the Buildtng. . Commissioner'listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA1Special Permit and/or the Town of Barnstable Zoning Ordinances Section"240-4 7.1 Family Apartments. I agree to note the.Building Commissioner immediately in the event of the sale of this property. If there is no longer.a Family Apartment at this location,please,explain:, The apartment has been dismantled. ; The apartment has been transferred to the Amnesty Program(Appeal'No. Other Sworn to under the pain and penaltiesof perjury this H day of— ! 2012. 3' zd Signature - Phone Number`, • / �l'/� JitTGl �I . Print Name i � - - • • q:forms/famaffid.doc , rev 11/08/11 w Town of Barnstable Regulatory Services CF1HE rqy� Thomas F. Geiler, DirectorIIE t m= Building Division I0VJ s p A _ � �ABL �n Thomas Perry, CBO, Building Commissioner;;11 A t § i , 1 A�1639. Aim 200 Main Street, Hyannis;MA 02601 Ep MA'S www.town.ba rnsta ble.ma.us Office: 508-862-4038 C41#=Faxg 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is ( n ' C 4:7& h7i✓ L I am the owner/resident of the property located at: , The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: T S y / v _7" cJ Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the.listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 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 d penalties of perjury.this 3 day of r ��4 v i4 2011. Signature Phone Number Print Name ® q%f> tJ, /AOit 7�t�AI Town of Barnstable Regulatory Services F1HE roy, Thomas F. Geiler,Director R Building Division 9BA NSTASBLE, - Tom Perry, Building Commissioll,P«I'- 22 ��i � . 13MAS ' 1639• 1�� 200 Main Street;Hyannis,MA 0260 1 ArEv ►'�s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Air, 17 el 'I v/1-a1,44e I am the.owner/resident of the property located at: � y� p The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: �l/1/�15 U I�y l M6+AJA .Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the.Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree 'to notify the Building Commissioner immediately in the event of the sale of this properPY. 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 u der the pains and penalties of perjury this day of �P arLl 2010. Signature Phone Number Print Name Q/bl dg/forms/famaffid Rev:12/08 Town of•Barnstable Regulatory Services pF1HE h Thomas F.Geiler,Director Building Division ' ail TABLE ,BARNSTPABLE " Tom Perry Building Commissioner ,t 9� MASS. �� 2 IQ J 1639. AN 26 AM 9 00 200 Main Street,'Hyannis,MA 02601 ArEo �A www.town.barnstable.mams 1�ISl�N Office: 508-862-4038 Fax: 508-790-6230 'own of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name'is I am'the owner/resident of the property located at: - rid: cam ' The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: f��f � �/i fy i iyI p lhli Name & relationship to owner: The Family Apartment will be the primary year-roundresidence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building,Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. - I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that 1 am required to comply with all conditions imposed'by the ZBA,Special Permit and/or the Town of Barnstable Zoning Ordinances,Section.,240-47.1 Family Apartments. 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 of this location, please explain The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and.penalties of perjury this day off 2009. Signature~ Phone Number Print Name l��h� � �� Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services oF114E loiy Thomas F.Geiler,Director Building Division BARNSTABLE, i Tom Perry,, Building Commissioner MASS. i639• ,0� 200 Main Street,Hyannis,MA 02601 lF0 MA'1 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 t�e I am the owner/resident of the property located at: QS fi�!'lcry tiVcu The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship.to owner: C 111ekG ;n-2. Name & relationship to owner: The Family Apartment will be the primary.year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. ` 1 understand that 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 Apartmnts. I agree to notify the Building Commissioner immediately in the event of the sale of this pro erty. X. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. 1 The apartment has been transferred to the Amnesty Program (Appeal No. ` ' ) Other x�• ' Sworn to under the pains and penalties of perjury this day of CG 2008F: Signature Phone Number Print Name Gl`rl' Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable Regulatory Services �pFTHE rqy� Thomas F.Geiler;Director Building Divisionq� , 11. 9 L" BA ASTABLE, Tom Perry, Building Commissioner y MASS. 039. .0 200 Main Street,Hyannis,MA 02601 ArEON10�A www.town.barnstable.ma.us NO FEB -6 AM 11: 13 Office: 508-862-4038 � � L Fax1-PY08-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is �a�ri T p�4 1A.(A I am the owner/resident of the property located at: W The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner:. elf► SL,`A S; l V I G-, Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. .I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions'imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under,th pai and penalties of perjury this day of gh 2007. Sig ature'l . -__._ ._ _ ___ _ .Phone Number- Print Name Q/bidg/forms/famaffid Rev:l/03 Town of Barnstable 04 Regulatory Services # pF11HE rqy Thomas F.Geiler,Director Building Division 10 W4 � � 1 "Ol' sxszn6M Tom Perry, Building Commissioner MASS, 6 `0$ 200 Main Street,Hyannis,MA 02601 ' www.town.barnstable.ma.us �5VIA 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 �A �t �1 bul, i I am the owner/resident of the property located at: If Ga 66 0_,r4l)11� Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address:' Name &relationship to owner: 6,�.5, yi f S i 1 Vi a ( tM,n kWy.,Wv b. Name &relationship to owner: - The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swo to under a pains and penalties of perjury this day of q� OKMAg.1 2006. Signature _. Phone Number Print Name C, ( Q/bldg/forms/famaffid Rev:1/03 0 Town of Barnstable i Regulatory Services �pFSHE ropy Thomas F.Geiler,Director x Ca'Y ` U N R` LE ti Building Division ,.A BARNSTABLE. Tom Perry, Building Commissioner-- 9 Mass. g z639. 200 Main Street,Hyannis,MA 02601 Argo MAC s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is I am the owner/resident of the property located at: ' "r l°n �c- �o Tbt t o • 6 Z�3S Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to.owner.: Name &relationship to owner: The Family Apartment will be theprimary year-round ..�.__ residence for the above-identified family members: In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Swo to under the pains and penalties of perjury this / day ofQ04(10k�L'2005., Signature ____Phone Number- Print Name M1q1-e1?tqe lenh-Ilye- Q/bldg/forms/famaffid Rev:1/03 o is 'Town of Barnstable Regulatory Services E't '4 Thomas F.Geiler,Director T 0:','! t3 F= L?AR I S TI A L E Building Division. BARNSTABLE, : Tom Perry, Building Commissioner '.4 AN 96 -y 9 MASS. i63q. �0 200 Main Street,Hyannis,MA 02601 [u 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 A-A 'eig n e_J—�441 I am the owner/resident of the property located at: Sr U►� ��'� �0 I f` V(Lt- 6 Z� � Map and Parcel Number Ila 0 ODX �6.�ee ` J The ZBA granted me a Special Permit/Variance on d� c�66,�-- I Date Appeal No. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: h�iS � U Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other - Sworn to under the pains and penalties of perjury this (:9 day of 2004. Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:l/03 Town of Barnstable Regulatory Services °FIHE l° Thomas F.Geiler,Director Building Division BABMSTABLE, Tom Perry, Building Commissioner v MASS. $ 2639• A♦0 200 Main Street,Hyannis,MA 02601 AtE�PAA� Office: 508-8624038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is �� 'T, tci`n� I am the owner/resident of the property located at: vtIMA, Map and Parcel Number Im a opt 4 Pcr cd 6(3 The ZBA granted me a Special Permit/Variance on D to Appeal No. The decision of the Zoning Board of Appeals has been recorded with the Registry of Deeds in Barnstable County, Book 15411- Page 206 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: C r.i�,�F �' wi �h► kh tir- i n- L[a 11) Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains an penalties of perjury this Ib day of 2003. Signature Phone Number f � J Print Name ' 0.�r.ItK �, /'dj4Ir V1 Q/bldg/forms/famaffid Rev:1/03 I �N Vr Tom: CLERK F 1ME T h BARN STABLE,t ABLE MASS, Rjj[J/ll(( S " O� R. ilk ' QED MAC�' PH 4' 2 2 Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2002-112—Fontaine Section 3-1.1(3)(D),- Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Patrick and Adrienne Fontaine Property Address: 95 Furlong Way,Cotuit,MA Assessor's Map/Parcel: Map 008,Parcel 013 Zoning: Residential F and& AP&GP Overlay Zoning Districts Copy of Public Notice: aW Patrick and Adrienne Fontaine have applied for a Family Apartment Special Permit in accordance with Section 3-1.1(3)(D) to allowa family apartment of 838 sq. ft. to be.developed within the existing sin le- bo family dwelling. The property is shown on Assessor's Map 008,Parcel 013, commonly addressed 95 Furlong Way, Cotuit,MA,in a Residential F Zoning District: Relief Requested 8i Background This appeal is for a Special Permit to allow a family apartment in accordance with Section 3-1.1 (3) A ca of the Zoning Ordinance. The locus is a 0.83-acre lot. The existing dwelling.is a 1,548 sq.ft. one-story ranch constructed in 1985 and consisting of three-bedrooms. C:4,— The applicant was before the Board seeking a special permit to allow the development and use of an 838 sq.ft. family apartment to be created within the basement area of the dwelling. The plans submitted are for a one-bedroom unit. The apartment is to be occupied by Christine Silvia,mother of Adrienne Fontaine Procedural& Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on September.25, 2002. An extension of time for holding the hearing and for filing of the decision was executed between the applicant and the.Board. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters.in accordance with MG!,Chapter 40A. The hearing was opened September 25, 2002, at which time the Board voted to grant the family apartment special permit.. t Board members deciding this appeal were Gail Nightingale,Richard L. Boy,Randolph Childs,Thomas A. DeRiemer and Chairman,Daniel M. Creedon. Patrick Fontaine resented the appeal p pp al for the family apartment to the Board. Mr. Fontaine explained the apartment unit and proposal to develop the unit within.ah'area of the exposed basement of the dwelling. He noted that his mother-in-law, Christine Silvia would reside in the unit. He stated that both would be year round residents of the town. The board asked if a kitchen would be provided in the unit and Mr. Fontaine said that there would be one installed. The board noted the size of the proposed family apartment and stated that it exceeded the 50% allowable under the Ordinance. The applicant cited that he would cutback the area of the unit to 736 sq.ft. to stay within that]imitation and that a door would be added to separate the apartment unit form the recreation room. The Board questioned the septic system and the applicant responded that they would be installing a new on-site septic system to accommodate.a new total of four bedrooms and the garbage disposal. He noted that cost estimates had already been secured. The Board asked the applicants if they understood all of the iequirements and restriction for a family apartment as itemized in the Zoning Ordinance: Mr. Fontaine responded that he and his wife did understand them and would abide by all of those restrictions,including removal of the apartment unit when it i.s vacated. Mr. Fontaine submitted a copy of the recorded deed to the property showing ownership and proof of standing. Public testimony was requested. No one spoke in favor or in opposition to the appeal. Findings of Fact: At the hearing of September 25,2002,the Board unanimously made the following findings of fact: 1. Appeal 2002-112 is that of Patrick and Adrienne Fontaine seeking a Family Apartment Special Permit. The property is commonly addressed 95 Furlong Way, Cotuit,MA,as shown on Assessor's Map 008,Parcel 013. It is in a Residential F Zoning District. 2. -The applicants seek to create a family apartment within the structure. Family apartments are permitted as a conditional use within all residential districts by special permit in accordance with Section 3-1.1(3)(D) of the Town of Barnstable Zoning Ordinance. 3. The applicants have testified that they understand all of the requirements and restrictions for a family apartment as itemized in the Zoning Ordinance and that they would abide by all of those restrictions. 4. Members of the property owner's family are to occupy the family apartment and occupancy of the family apartment does not exceed two (2) family members. 5. The family apartment contains not more than fifty percent (50%) of the square footage of the residential structure. 6. The application falls within a category specifically accepted in the ordinance for a grant of a Special Permit,and after evaluation of all the evidence presented,the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Decision: Based on the findings of fact,a motion was duly made and seconded to grant the appeal with the following conditions: 1. The on-site septic system must comply with Title V without variance.from the Board of Health. 2 2. Construction of the family apartment shall be within the dwelling and shall conform to all building and health code requirements. 3. The apartment unit shall be developed and maintained in accordance with all requirements of Section 3-1.1(3)(D) of the Ordinance. 4. The family apartment shall be constructed substantially in accordance with the plans present in the file inclusive of a door separating the apartment from the recreation room. It is limited to one- bedroom and shall not exceed 736 sq.ft. The vote was as follows: AYE: Gail Nightingale,Richard L.Boy,Randolph Childs,Thomas A. DeRiemer,Daniel M. Creedon. NAY: None Ordered: Family apartment Special Permit 2002-112 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised within one year. Appeals of this decision,if any, shall be made pursuant to MGL Chapter 40A,Section 17,within twenty (20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. � 4 �� Daniel M. Creedon,Chairman 'Date Signed I,Linda I-iutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk 3 And. 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NIP, rJ.. •:1e'.:4�iaY � '. r t. , ,. w: , ;1m5.,„.. .•.. .�;•:„ .a5 i .; PROJECT TITLE 1 1 n j: Lvcrc� I. R' FS li I a X ` 11 UV S11i.G ►TimAL !. / co-cs,LOOOO l __..__... PREPARED FOR — - ) NEW SMOKE DETECTOR REQUIREMENTS /ARE NOW LAW. EVEN THE ADDITION OF A Central Construction Compan NEW BEDROOM WILL. TRIGGER AN • a , Steve Devlin President UPGRADE OF THE SMOKE DETECTORS FOR THE WHOLE HOUSE. YOU MUST SMOKE DETECTORS 0.K. 261 Blackthorn Drive•Marstons Mills,MA 02648.508-42 PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE APPROPRIATE . SCALE _ PERMIT AT THE FIRE DEPARTMENT. Ba N '�A��-� �UILDING tEpT. -I�— - ` 0 DATE DWG NO. DESIGN r, i CHECK DRAWN JOB NO. SHEET