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'I Town of Barnstable Building Department # Brian Florence, CBO • snxxsTnste. « MASS. $ Building Commissioner 1639. Fn 39r 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 I am the owner/resident of the property located at: OCCd 14 U� 9-> AfE �Z? ti C> ".° C � ur The following members of my family will be the sole occupants of the Famil Apartm Rt at�e aforementioned address: Q !�VL— �... '. Name &relationship to owner: a' Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event,that the listed relatives vacate said apartment, I will immediately 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 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 Sw to un er the pains and penalties of perjury this day of r4VO 2018. Signature Phone Number Print Name q:forms/famaffid.doc rev 11/22/2017 Town'of Barnstable - Regulatory Services �y, =Richard V..Scali,Director ti Building Division. ii'mmm ` - Paul Roma,Building Commissioner MAM 200 Main.Street, Hyannis,MA-02601 lE0 MA'S www.town.barnstable.maxs 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 �, n� CSC I am the owner/resident of the r propc��y located at: ro4j'ip p PQ 04 Al flA �''•J i � The following members of my family will be the sole occupants of the Family Ap ent at the aforementioned address: eYZI tm w Name &relationship to owner: / /I 0 Xz Name &relationship to owner: The Family Apartment will be the primary.year-round residence for the above-identified family members. �In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also- understand that I am required to comply with all conditions imposed by the ZBA Special Permit- and/or�the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. ` If there As no lager a gamily Apartment at this location;phase explai,n:. The apartment has been dismantled. The apartment has been transferreddto the Amnesty Program.(Appeal No. ) Other Swo to under t e airs and penaltie of perjury this day of IF4-qey)� 2017. Signature Phone Number Print Name q:forms/famaffid.doc _ rev 11/08/12 Town of Barnstable l Regulatory Services oFt"E rgyti Richard V. Scali,Director Building Division A ss Thomas Perry, CBO,Building Commissioner" n I Fc ,�ate• 200 Main Street, Hyannis, MA 02601 www:town.barnstable.ma.us - Office: 508-862-4038 Fax: 508-7902623 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is C t I am the owner/resident of the property located at: ` C --� r r The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationshi to owner: we,,A— P Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified - ;, .:famdy members:In tlie'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 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 SwoZntinand penalties of perjury this /� ay of 2016. s Signature Phone Number Print Name.. i forms/famaffid.doc ...... �. . , rev 11/08/12 Town of Barnstable �FTHE ley, Regulatory Services Richard V. Scali,Director BARNSTABLE. : Building Division A.O� Thomas Perry,CBO,Building Commissioner ED MA'S . 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: 'Rn Y4 My name is _ J v� I am the owner/resident of the property located at: 444 Ce The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Yh ° D 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 BuiYing Commissioner listing the names and relationship of occupants in said Family Apartment. 14lso understand that I am required to comply with all conditions imposed by the ZBSiecial Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apertments I_agree c to notify the Building Commissioner immediately in the event of the sale ofthi. nerty. _J. If there is no longer a Family Apartment at this location,please explain: ZZ The apartment has been dismantled. 77 The apartment has been transferred to the Amnesty Program (Appeal No. •10 e Other C. Sw to under the pains and penalties of perjury this day of 2015. 7I 5_0 _467- LO Signature Phone Number Print Name ©aV l q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services Richard V. Scali,Interim Director Building Division TOOT BMWSTABM Thomas Perry, CBO,Building Commissione :',tl� �t15 P, 9�.sr i639. p � 200 Main Street, Hyannis, MA 02601 FD Mp`l www.town.barnstable.ma.us Office: 508-862-4038 T=1: Fax. 50'8�790L-6230 D_1 . _f. Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is & V)ti CALL_ I am the owner/resident of the Property located at:' 1 �'J` o c e a l l OU4,'g /91tw&' The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: ^ Name &relationship to owner: - y 0 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 notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day ofL"__U&YJ= 2014. o�E � 5�Y 7 Signature Phone Number, Print Name �'\ c-o C. q:forms/famaffid.doc rev 11/08/11 l�i� � Vi��J C' Fay Samuel F. McCormack Co.% Ins. Insurance Adjusters and Appraisers Samuel F.Womack Co.,Inc. ADJUSTERS AND APPRAISERS September 26, 2016 Barnstable Town Hall Building Inspector 367 Main Street Hyannis, MA 02601 RE ASSURED: Ronald Mycock,Trustee Of The L& S Realty Trust LOSS LOCATION: 134 Oceanview Avenue, Cotuit, MA 02635 POLICY NO: 0922150 TYPE OF LOSS: Water DATE OF LOSS: 09/21/2016 OUR FILE NO: 16-03163 To Whom it May Concern: Claim has been made involving loss, damage or destruction of the above-captioned.;�i•operty, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 141�Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139 .Section 3B is appropriate, please direct it to the attention of this writer and include a reference to the above- captioned insured, location, policy number, date of loss and claim or file number. Thank you for your anticipated cooperation. Very truiv vrv.irs, Pa s 10 John Shea Adjuster jbs@mccormackadj'uster.com cc: Board of Health 42 Holbrook Avenue,Braintree,MA 021841-800-972-5399(781)843-1222 Fax(781)849-8191 One Jonathan Bourne Drive,Suite 7,Pocasset,MA 02559(508)403-2600 Fax(508)403-2602 www.mccormackadjuster.com t �Co nm.nonw.eaith Of Massachusetts.-.'- b ySheet MetatTermit Map ]Parcel Date: r���. B � ermit# r I.Kl I Es MAY Q 3 20i6 Estimated Job Cost: $ To) �. Permit Fee: $ GCJ NS Plans Submitted: YES; -NOFBAR :P1 1�eviewed-, YES NO , Business License# Applicant.Iicense'# I Business information; Property Owner/Job Location Information: Name: � Name: r-- T Street: Street: Cityfrown: Cityfrown: � ! Telephone: �77V'd 7o Telephoner l j` 57, 0-$_d4 Photo I.D. required/Copy of Photo I.D.'attached: YES V""NO staff Initial J07�4_� estricted license J�2/M-2=restricted to:dwellings stories or less and commercial up to 10,000 sq ft.-/2-stories or less Res dent al: l-2 family Multi-family Condo Townhouses ._,Other Commercial: Office--, Retail Industrial Educational Fire Dept:Appa'oval Institutional Qther Square Footage: under 10,000.sq..ft. over:10,000 sq. ft. Number of,Stones. Sheet,metal work t be,completed:: New Work: Renovation: HVAC Metal Watershed Roofing' Kitchen Exhaust System . Metal Chimney-/Vents.: Air Balancing Provide detailed descni=tion of work to be done: . 4 s INSURANCE CO VERAGE: E G I have a current lability insurance policy grits equivalentwhich meets the.requinements-of M G.L Ch.112 Yes 4o If you have.checked Y&indicate th e�of coverage by-checking the;appropriate box below: A liability insurance policy Other type.of indemnity` ❑ Bond OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have.the insurance coverage required.:by-Chapter 112 of the Massachusetts General Laws;and that my signature on this perm.itapplication waives this requlrement. Check-.One-Only Ownec ❑. Agent. ❑' Signature of Owner or Owner's Agent By checking this-box ,l hereby certify that ail d the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of-my knowledge and that all sheet metalwork and installations performed underthe permit issued for this application will be in cornpliancewith all pertinent provision of the:Massachusetts Building Code and Chapter112 of the General Laws. Duct inspection required prior to,insulstion installation; YES NO Progress ess sins Date Comments Final l �c Date Comments Type o rcense: 3y aster Mlle ❑Master-Restricted :ityffown EjJoumeyperson Sig re of Licensee Dermit# -❑Joumeyperson-Restricted. License Nunib6r. =ee.$ Check at www.mass adv/dnl nspector Signature of Permit Approval SEASGAS-01 CLEDDUKE ACORU" CERTIFICATE OF LIABILITY INSURANCE DATE 12-30M/DD/YYYYI 2-30-15 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 CONTANAME: Mina Vaughan,CISR 434 Rte 134 Insurance Agency,Inc. (A/C.No Ext: (FAX No):(877)816-2156 South Dennis,MA 02660 n�Ress:mvaughan@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Main Street America ASSurance.Co. INSURED INSURER B: Seaside Gas Service,Inc. INSURERC: and Kevin C.Saunders 67 Helmsman Drive INSURER D: Yarmouth Port,MA 02675-2467 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 LTR TYPE OF INSURANCE AD R POLICY EFF POLICY EXP D WVD POLICY NUMBER MMIDD/YYYY MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE �OCCUR MPT4469F 7/25/15 7/25/16 PREMISES Ea occurrence $ 500,00 MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,00 X POLICY JE 6 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident $ AUTOS AUTOS ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD IC 1,Additional Remarks Schedule,may be attached if more space is required) -PLEASE NOTE THAT THE WORKERS COMPENSATION CERTIFICATE WILL FOLLOW SHORTLY,AS IT IS BEING ISSUED DIRECTLY BY THE INSURANCE COMPANY"* Job Proposal-HVAC Work 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. AUTHORIZEDJ� �'n/REPRESENTATIVE A ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD A6 0 CERTIFICATE QF IABILITY I SURANCE °Ao/277/20°16' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA ION ONLY AND CO NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVEL END, 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 poilcy(les)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 endorseme 591. PRODUCERNT _ Paychez Insurance Agenty,Inc - Paychex Insurance Agency, Inc. 150 Sawgrass Drive eHON� an-Zss s$5o ext.aa7os o: Rochester,NY 14620 ADDRESS: 877-266-6850 INM S AFFORDING COVERAGE NAIC Y INSURER A: THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT 25082 INSURED . . - INSURERS: - Seaside Gas Service, Inc. DBA SEASIDE GAS SERVICE INSURERC: 67 HELMSMAN DRIVE INSURERD: YARMOUTH PORT,MA 02675 INSURERS: INSURERF; 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. ILTR - TYPE OF INSURANCE € POLICY NUMBER Pam! PoLIMBS _ GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY • E rxa s CLAIMS-MADE OCCUR MED EXP(Any we on S� PERSONAL&ADVINJURY S k GENERAL AGGREGATE E GEN'L AGGREGATE LIMIT APPLIES PER *' PRODUCTS-COMPIOP AGG, $ POLICY PRO LOG S AUTOMOBILE LIABILITY SINGLEUMIT en ^� ANY AUTO BOOILY INJURY(Per perw) S ALL OWNED AUTOS AUTOS SCHEDULED BODILY INJURY(Per accident) $ NON-OWNED PR ERTY DAMAGE S HIRED AUTOS AUTOS b UNBRELLALIARHCLAIMS-MADE OCCUR EACH OCCURRENCE S. EXCESS LIAB - AGGREGATE $ WORKERS COMPENSATION - - . . - x STA TH• " A AND EMPLOYERS LIABILITY - Ell ANYPROPRIETORMARTNERtEXECUnVE YIN E.L.EACH ACCIDENT S`SOa,00U OFFICERIMEMBEREXCLUDED? NIA UB 7G122299 01/26/2016 01/26/2017 (Mandabry In MR) E,L DISEASE-EA EMPLOYEES'5o,000 It yea aexnbe under - soo,000 . DESCRIPTION OF OPERATIONS brow E.L.DISEASE-POLICY LIMIT S OESCRIPTIONOF OPERATIONS I LOCATIONS I VEI(ICLES(ACrch ACORD 101,Additional Remarks Schedule,It mom spas is nKOred) - - - 'CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PROOF OF COVERAGE FOR. EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE p POLICY PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO CLI EN 1T I U 000 V/1 1 05931 1 OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS,OR REPRESENTATIVES. A THORIZED REPRESENTATIVE ` ,. I r .. 1988-2010 ACORD CORPORA-tpi . AI rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Town of Barnstable Regulatory. Services • aAttMAMZ. • W+es Thomas F.oefier,Director 16 ` - ,�, . Building Division, Tom,Perry,Building Coininbsioner 200 Main Streets Hyannis,NM 02601 www.town.bairinstabie.ma.ns Office: 508-862-403 8 Fax: 508-790-6230 Property .Owner Must Complete and.-Sign This Section If Using A Builder I, as Owner of the subject psopetty hereby authozze . to act on m beh y . 4 in all matters relative to Work authorized by this buildi,ng,petmit 6C � .� (Address:of job) *Pool fences and:alarms are the responsibility of the applicant. Pools ' are not to be filled before fence is installed and pools are not.to be utilized until all.f nal inspections are performed and,accepted,. Signature of Own Signature:o plicant L��dr l Print Kame Punt Name Date. Q:F0RMS:0WNEUEWSSI0NE00LS JIM B - _ - - ._ + � * "CAW �i ���� D . RIVEK' - - � 8 t" LICENSE " 1,'�•.- , °'�7 '1! ,yq! •��`.+N$'4V N, SA yA 4 ��. � �'.�:�`�~•� .+=v.#s+ M �4�i+4¢e�A�%�4�`�s#. zj AW laimmomm— MEL �+W¢tw S 9aW n .t!rlVi __. . *. , M 45 - J1, a,- � ! l , .7 •§ is _ .Atl WOR00,1E - "�ft Sumb4�u. f WING Ll' ,. i4•. - Ilk 9 it E � �. S �w . v ° t + - t " d '. LL r}. � � §+� �L� .o- �� �«,£�' �s fi� T"' 1►„� •ice ^ F. s 'tir YARM MA 026TS 34 . w i. .�, 1 ►g t . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D}3 Parcel . O Application # Health Division Date Issued ' IF 70 Al Conservation Division Application'Fe Planning Dept. Permit Fee S V Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner Address Telephone �• ��7• Z�� Permit Request A?� E ell,,i 4 Square feet: 1st floor: existing1`_2posed 2nd floor: existing/a1Y! p6sed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation4IS,DD a Construction Type�a Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure /Z/ Historic House: A Yes ❑ No On Old King's Highway: ❑Yes A No f Basement Type: ❑ Full ] Crawl ❑Walkout ❑ Other Basemenf Finished Area (sq.ft.) Basement Unfinished Area (sqA aX5/co=- Number of Baths: Full: existing_ new Half: existing n zne z Number of Bedrooms: �� existing _new X o CD m Total Room Count (not including baths): existing new First Floor Rococon t "A ow Heat Type and Fuel: Z Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes M No Fireplaces: Existing New Existing wood/coal stove: ❑Yesa No Detached garaged existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size_ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address E2 License L11 �� Home Improvement Contractor# �36 Email le�C� Worker's Compensation #ALV. 707120 LZDCS-A ALL CONSTRI ION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO < SIGNATURE DATE l� � /S f ` FOR OFFICIAL USE ONLY • —APPLICATION # DATE ISSUED MAP/ PARCEL NO. • c. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME & INSULATION s FIREPLACE "i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT `� ASSOCIATION'PLAN NO. • 1! ! ' r .. vim: o� ry Town of Barnstable Regulatory Services E ASZINCTIRT 9! f iMA MAIM , Richard V.Scab,Director •'t 16 Buildioog Division Tom Perry,EmTding Commissioner 200 Main Street,Hy=iis,MA 02601 www.town-bamstable-ma.us Office: 508-862-4038 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ?)w CV C� ectroP as owner of the sub' e J P rtY bereby authoaze T� �-fi�Ld�--- to act on my bebA in all matters relative to work authorized bytbis binding pe=k application for. ; /3 (.Address of Job) ,,Pool fences and PIPrms are the responsibilk7of the applicant.Pools are not t6 be filled or TTEL d befofe fence is installed an all final " inspections.are peTfo=ed and accepted- 5, ,*p of Signature of Applka.ut Yh Pint Name Pant Name a,G Ajr ` Dare . ' •..htii,w Q:FORMs:owNEarmamsIo2eoois r Town.of Barnstable . Regulatory Services prr Tgcy� Richard V.Sca%Director w Tom Perry,RuzZdmg Commissioner F ,1 63= a� 200 Main Street; Hyannis,MA 02601 9- � ''rEo tom°` wePw.towu.barnstable ma.us Office: 508-962-4038 Fag: 508-790-6230 HOMEOWI�i LICIIVSE EIO�TIOT1 Plczse Print JOB LOCAnOl-- nnmbcr' sEtcct v ap names - bomcphonc# wm3cpfionc# cuRR_ENT MAILING ADDRESS: _ city�tnwn s zip cods the current exemption for`homeowners'was exuded to include owner-occupied dwellings of six units or Less and to allow homeowners to engage an.individual for hire-who does notpossess a license,provided fbatthe owner acts as supervisor_ DEFT MON ORHOMEOWNER Person(s)who owns a parcel of land oa which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures_ A person who constructs more than one home in a two-year period shall not be considered•a homeowner. Such"homeowner"shall submit to the Building Official on a form acmptable to the Building Official,that he/she shall be responsible for all such work performed under the bmldinz permit (S(--ction 109.1.1) The undersigned`.`homeowner"assumes i-sponslility for compliance withthe Stain Building Code and oilier applicable codes, bylaws,rules and regulation_ - { The undersigned`homeowa "certifies thathdlshe tmderstands the Town ofBar stable Building Depart amt minim=inspection procedures and requirements andthat he/she will comply with said procedures and re ld=euts. signabirc ofHomcovencr , Approval ofBuildingOfficial Note. Three-family dwellings containing 35,000 cubic feet or larger will be regared to comply with the State BmIldin Code Sectiont27.0CansfmcfionControL .` HOMEOWNEWS EXEWTION The Code states that: 'Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1091d-Licensing of construction Supervisors);provided that if the homeowner engages a persoa(s)for hire to do such work,that such Homeowner shall act as sup ervisor." Many homeowners who use this exemption are unaware that they are assumm-9 the responstIMUes of a supervisor (see Appendix( ,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires macensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is My aware of his/her responsib i13es,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by.severaI towns. You may rare t amend and adopt such a for mIcerfificaiion for use in your cammunify. - QIFIPFILF�Fng2vSSlbm'ldmgpermitiatmslF�PB,FSs.doc . Revised 0613 L3 I� Ac R® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) `� 1 11/19/2015 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 pollcy((es)must be endorsed. If SUBROGATION IS WANED, 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 endorsements. PRODUCER NAME: A Nathalia Andrade GERMANI INSURANCE AGENCY PHDN; 508 428-9194 FAX A/C No): E-MAIL ADDRESS: gia.nathalia@gmail.com 908 MAIN ST. INSURERS AFFORDING COVERAGE NAIC# OSTERVILLE MA 02655 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B PETER D FIELD INSURERC: PETER D FIELD BUILDING& RESTORATION INSURER0: P 0 BOX 16 INSURER E: COTUIT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: 13493 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 TYPE OF INSURANCE ADD UBR POLICY EFF POLICY EXP LTRPOLICY NUMBER M/DDNYYY) IMMIDDNYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR PREM SES(DA AGE Toa occurrence) $ MED EXP(Any oneperson) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $ POLICY JEC ❑ T LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS 1. 1 AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS PUP $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION X I STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? WA WA WA AWC40070237842015A 05/16/2015 05/16/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached B more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance): The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensationfrnvestigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Peter D Field Building & Restoration ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 16 AUTHORIZED REPRESENTATIVE ` - Dananieliel Cotuit MA 02635 �r M.CroFn�` ey,CPCU,Vice President—Residual Market—WCRIBMA C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered,marks of ACORD r Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSFA-065638 T Construction Supervisor 1 & 2 Family - ' PETER D FIELD •, PO BOX 16 COTUIT MA 02636 ..nn CA,_ Expiration: Commissioner 07/1612017 Office of Consumer Affairs and B iness Regulation 10 Park Plaza - Suite 5170 v k Boston, Massachusetts 02116 Home Improvement Contractor Registration �...�....�_._�..-. Registration: 120362 Type: DBA ,� ENO Expiration: 11/30/2017 Tr# 272887 PETER FIELD BUILDING & RESTO( P► ION § F PETER FIELD - { S k P. O. BOX 16 ab. COTUIT, MA 02635 f `rw pdate Address and return card.Mark reason for change. o_r Address ❑ Renewal Employment Lost Card SCA 1 Sa 2OM-05/11 9 //r� ���� n�cra .a,c�i License or registration valid for individul use only Office of Consumer e�ta�rsus� ess egu a�fion g y OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: �( Office of Consumer Affairs and Business Regulation egistrahon _ 120362 Type' 10 Park Plaza-Suite 5170 I'Expiration 11/30/2017 DBA Boston,MA 02116 PETEIELD BUILDING&,RESTORATION PETER FIELD rrr 857 MAIN ST. COTUIT, MA 02635 _. Undersecretary Not valid without signature 43, The Cvrnrtionivealth of Massachusetts, Departrne-rrt o,f lndrtstrial Accidents Office of 1westigalions 600 Washington.street Boston,.JVA 02111 n n n.runss gov1dia 'Workers' Compensation Insurance Affidavit:Bmlders/ContractorsAEIecti icians/Plumbers Applicant Infai-mation Please Print LeaibIy Name(Busamessl)Dlganizadonm i idnai): t r Address: City/State/?ip-: ,�- /j/1 � ' one: 6,!5� - 3 Zo Are you an employer"Check the appropriate box: Type of project(required): ,iaI am a employer with 4• ❑.I am a general contractor and I employees(full andlor part-time). * have hired the sub contractors 6. ❑Flew construction 2.❑ I am a sole proprietor or partner- fisted on the attached sheet. 7- ❑Remodeling ship and have'no employees These sub-contractors have g_ ❑Demolition working f�me in any capacity. employees and have workers' [No cv orkers'comp.insurance comp.insi rani 9. ❑Building addition. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs:or additions 3.❑ I am a homeowner doing all work officess have exercised their 11.❑Plumbing repairs or additions myself [No workers'camp_ right of exemption per MGL 12.❑Roofrepairs insurance required.]i c.152,§1(4),and we have,no employees.[No workers' 13.❑'Other comp.insurance required.] * nv apphcant:that checks box Al omsi also fill out the section below showing their wodceT'compensation policy infor=daz_ t Homeowners who submit this af5datit indicating thv_y are doing all wank and then hire outside contractors nmst submit anew affidavit indicating such. --'Cantnctors-d at check this box must attached au additional street showing the name of the sub-contactors and state whether or not those entities have employees.If the sub-contta=rs have employees,theymustpmvide thev nwrkm'comp.policy number. I am art employer that isprov dung workers'conpensadon iusrtrance for my employees. Belot,is the policy and job site information Insurance Company Name r/4J,/Lt r1�GtYTGyd e� Policy 44,or Self-ins.Lic.41: � D�DZ� ��0/ Eipiration Date: SlIk _CV6— Job Site Address: 0&4i19 bsue ./f L4--, City/State/Zip: 226 3 S Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of XfGL c_ 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andlor 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 ofthis statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif},ttttd pena o perjury thatthe information ptb,dded above.is true and correct Simature: Dane: Phone#: 3(,7 ��dr' OQiciai use artt}: Do not write itt this area,to be completed by city ortown ofciat City or Town: PermitUcense# ' Issuing Authority(ch-cle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector . 6.Other Contact Person: Phone#: Information and Instructions Massachusetts Geheral Laws chapter 152 requires all employers'to provide workers'compensation for their employees. PUrSUanf tU this sta:[Ite,an Employee is defined as."-.every person in the service of another under any contract of hire, express or implied,oral or written." An e7nployer is defined as"an individual,partnership,association,corporation or other legal entity,or auy 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 dwc1 ing 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 groimds or building appvrt-Pn thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)stairs"Neither the commonwealth nor any ofi-ts political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checZng the boxes that apply to your situation and,if necessary,supply sub-coniractor(s)name(s), addresses)and phone number(s) along with their certificates) of inmlraance. Limited Liability Companies(LLC)or Limited LiabiTty-ParEnersbips(LLP)with no employees other than the members or partners,are not required to carry workers'compensation iusmance. If an LLC or LLP does have employees,a policy is requ r� Se advisedthatthis a$cdayitmaybe submitt--d to the Depa-,-iment of Industrial Accidents for confiumation.of ins c-e coverage. Also be sure to sign and date:the aEiidavit 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 Inch,ctri aI Accidents. Should you have any questions'regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their s elf-insurance license nII7nber on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the permit cense number which will be used as a reference number. 1h.addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (�'or town)_"A copy of the affidavit that has b een officially stamped or marked by the,city or town may b e provided to the applicant as proof that a valid affidavit is on file for fufnre per or licenses A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or pm not related to any business or commercial ventrire (Le. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call- The Department's address,telephone and fax number. Ike CG.=aaWeeth of Massachvsf--tts Deparbntnt of 13idustdal Accidents Oboe of fnvesdgatio= 600 Wasbivoa Streit Bastan,MA Q�111 Td.4,617 T27-49Q0 ext 406 or 1-9. I ASSAFE Fax 0 617-727-7749 Revised 4-24-07 pa ins goof pia AFYC Grcide to kYaod Construction in Hi;lr F irtd Areas:J ;�r�ph 6Yrnd Zori Massachusetts Checklis.t f6r CO1'pliane (7s0 cn-rzz530r•?.r.l)1 Check i.i .SCOPE Compliance ' . . - _ WindSpeed(3-sec. gust)..............................-- _...:..__:.....:._.._..:......................................_...._........110•mph Wind,Exposure Category_...,..........:..........................---•----............ .._.__....•-- _..... ::._._...................:-.-B I Wind Exposure Category................En ineenn Re uired For Entire Prn ect ......0 1.2 APPLICABILITY - Number of Stories(a roof which exceeds 8 in 12 slope shall be'consfdered a story) stories s 2 stories RoofPitch-_.--...-----".-":-._----•-=---•-•----•----------------------...... _(Fig 2) ....----------...... ........... ,512:12 Mean Roof Height........"_--"._-._-------_-.......... -------------------: (Fig 2)...._._............_._......................... _ _ Building Width,W........-•--- .............. ........------ -...- - -(Fi9 3)•-•---._..._........__. :_.._._-. ft 5 Ba' Building Length,L .-••--•-------..............:..._....._....._.�.:..:_..:.(Fig 3) -- -.................................. — Building Aspect Ratio(LIW) ...............-..............................(Fig 4)._.. --.._.:__._ - ft BO` -- - ----.- s 3:1 Nominal Height of Tallest Opening ...................__..._......_. •-•-•--•---•. (Fig 4}...._._�.._:_ ..._...:_. c .. 6'6■ 1.3 FRAMING CONNECTIONS General compliance with framing cannectians................_.(Table 2).....................................' 2.1 FOUNDATION , Foundation Walls meeting requirements of 780 CMR 5404.1 " Concrete.........................:.............:. .................................................................. ...........,. Concrete Masonry...................... _...._........_._.. - - ...................... 22 ANCHORAGE TOFOUNDAT10Nt,3 5/8"Anchor Bolts4mbedded or 5/8"Proprietary Mechanic-a1-Anchors as an•alternative in concrete only BoltSpacing-general................................... .................. .............- in. --- - Bolt Spacing from endroint of plate............__:............. (Fig 5)..... in. 64-12'. Bolt Embedment-concrete.........._...... .....:.._--------.._..(Fig 5)......_............._. in.>T ....-••-•-•-_..-._. Boff Embedment-masonry...................:........ .........(Fig 5)............._...--- in >_15" .............- Plate Washer..:.._...............................-._.....................(Fig 5)......._..--------------------------------'-3"x 3`x%" 3.1 FLODRS Floor•framing member spans checked. ........................._._.(per 780 CMR Chapter 55)--..---_-_.__...---_.---_--• Maximum FloorOpening'Dfmension.._....•........................••(Fig 6)............:-- .:..__ � Full Height Wall Studs at Floor Openings less than Z from Exterior Wail(Fig(i)..::_...... Mmmum.Floor Joist Setbacks Supporting Loadbearing Waifs or Shearwalf...............(Fig 7)......---.--- Maximum Cantilevered Floor Joists �....::... ...._................_. . ft 5 d _ . Supporting Loadbearing Walls or Shearwall.:..............(Fig 6)........_.___....._..:..-•---... c d _ FfoorBracing at Fndwafis............................._.--__....__.__.......(Fig 9)...__:--- -------•------- — . Floor Sheathing Type '.::....__....._._..._._.._._,..-----.-----.-___-(per 7B0 CMR-Chapter 55)..................._. Floor Sheathing Thickness.:..:..:..:............_.�..-_."-_--_:.....(per 78d CMR-Chapter 55) ._:_:....._... in. Floor Sheathing Fastening_.................... .... able 2 d aifs at in ed e ................:......: (T )••_ n g !^in field • 4.1 WALLS Wall Height Laadbeadng Walls...........•........`-.-:•--___----------- (Fig 10 and Table 5 510, Nan-Loadbeadng walls..........................:-------_----_....(Fi 10 and Table 5)_.._...................... ft`s20" Wa11 Stud Spacing - F i0 and Table 5 < ■ ....,.__.............._...._.........._...----•( 9 )--... - �- rn 24 o.c. WallStory Offsets- - ....---•"•--"--..--..y ..........................(Figs 7&8)-----;_..._...-,-........................_...-- _ff -c d 42 EXTERIOR WALLS' 4 Wood Studs Loadbearing vralls:...-................. (Ta41e 5}..........................._.2x _ff in. ` Non-Loadbearing•walls .............:..........................(r'able 5) ___-_..............._....___ - f - .._. in. Gable End Wall Bracing' - — Full Heishrt Endwall Studs..:.........................................(Fig 10)-•----•................................._.............. .._ WSP-Attic Floor Length._.............:..........:.....:_.__ :(Fig11)....._..............................L.. ftLW/3 Gypsum Ceiling Length(rf WSP not used)...................(Fig 11)..._...._..........---..................—ft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft o.c...(Fig 11)........:...................... . or 1 x 3 ceding furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 fL spacing in end joist or truss bays Double Top Pfath Space Length _._. --------------------(Fig 13 and Table B) it Splice Connection (no.of 16d common nails).._..........(Table 6)..........._...... ...................._- A TVC wide to PVoad Construction in Higfi T-Vigd X reas: 110 inph krind Zone AffassAcl>Lusetts Checklist for CORIPHanCe (790 cA-1R_5301.71-1)' L oadbearing Wall Gonnecbons Lateral(no.of 16d common nails)..................................(Tables T)....................................... _...._.._.. . Nan-L'aadbearing Wall Connections Lateral (no-of 16d common nails)..._.__.............._....__.(Table B).._.......-....................................._... Load Bearing Wali-Openings(mcord largest opening but check all openings for compliance to Table 9) Header Spans .:........(Table 9)............................. ... it in.<11' Sill Plate Spans ' .._......-•....:..........•-............._:_........_.(Table 9)--------- ..:..._.....-:.--....:._ft_in. Full Height Studs (no.of studs)................-:..........,.....(Table 9)........................................__.__. .... Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans..........--•....................................--•---.....(Table 9)................-..........--- .—f_in.512' .. . Sill Plate Spans......: ......••-------- •-- ._.:.-.--- •--...........(Table 9)....--..._-_._---•..__...:..._..._•ft—in. 12. Full Height Sbids(no.of studs)....................................(Table 9)....................................................... Exterior Walt Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Bwlding Dimension, W .Nominal Height of Tallest Opening .....................:.-.--...--.:_....................._...--------••----•- <6`B` Sheathing Type--•--------------..........................(note 4) --._._..... .....-.........-...... -Edge Nail Spacing (Table 10 or note if less)__----- in. Feld Nail Spacing.........................................(Table 1D)-------------------- ._...._.-. in. Shear Connection(no.of 16d common nails)(Table 1 D):............_--..........._...._...__._._...._._.._.— Percent Full-Height Sheathing............_......:...(I-able 1 D)...... ..................... ° 5%Additional Sheathing for Wall with Opening>S'B'(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest OpeningZ Sheathing Type...-....-...................................(note 4)................................-........... ........ Edge Nail Spacing.........................-.....---------(Table i 1 or note 4 if less)_...-................. Feld Nail Spacing..-...................................:..(Table i i}:__..__..___..;..............._....... in. Shear Connection(no. of 16d common nails)(Table 11_)........................._..._................... ___.. Percent Full-Height Sheathing------------.__------(Table.11)---_-.-----_------------------------------------- % 5%Additional Sheathing for Wall with'Opening>S 8"(Design Concepts).............. Wall Cladding Ratedfor Wind Speed?------------------------------------------------------------ --------------.-..-.------------------------•--•-_----- 6.1 FZDDFS. Roof framing member spans checked?.......................(For Rafters use AWC Span Toot,see B.BRS Website) Roof Overhang ...................................................(Figure 19)............. ft s smaller of 2'or Lf3 Truss or Ratter Connections at Loadbearing Walls Proprietary Connectors Uplift...........:_................................(Table 12)...................._... _..._....-----U= ptf Lateral.............................................(Table 12).........................................L= pf Shear------------------..................---------(Table 12)................................... PIf- . }ridge Strap Connections,if collar ties not Used per page 21... (fable 13)..............................T= plf Gable Rake Outlooker..........................................(Figure 20) ____-_-_-_ft-<smaller of 2'of L12 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift-------------- ::.... ---------------(Table 14)------------------------------------------U= lb. Lateral(no.of 16d common nails)._.(Table 14).................. _ Roof Sheathing Type..._.....-............._.................-......(per 7B0.CMR Chapters 5B and 59)............ Roof sheathing Thickness...._.........._-------------------..............-----._...................... in.?71151 WSP Roof Sheathing Fastening.........................................._.(Table 2)..................%........................----.-•-_.. Notes: . 1, This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 78D CMR.53011.2.1.1 Item 1. if the checklist is met in its entirety then the fbIlowing metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per FgVM5 b. 2D Gage Straps per Figure 11 C. Uplift Straps per Figure 14 d- All Straps per Figure 17 L. Comer Stud Hold Downs per Figure I Ba and Figure 13b Exception:Opening heights of up to 8 fL shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-g76de. If*C Grcide to Xood Com.vfructlaa irr Hial 1;►lirrd.�reas: IID rrxplc I-Find4ode Massachusetf§ ChecIdis-E_for Compliance(7so C1AR5301-2.1:1)' 4. a. From Tables-10 and 1 i and location of wall sheathing and Building Aspect Ratio,determine Percerit Full-Height Sheathing and Nail Spacing requirements . b. Wood Structural Panels shall be minimum thickness of711&"and be installed as follows: 1. Panels shall be installed with strength axis parallel to studs.- rr. All horizontal joints shall occur over and be nailed to framing. r,L On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attadhmeht of lower panel shall be made to band joist and lower attachment made tD lowest plate at first floor framing. v: Horizontal nail spacing at•double top plates, band joists, and girders shall be a double row of ad staggered at 3 inches on center per figures below:Vertcal and Hor®ntal*aitrng for Panel Attachment S. .Glaring protection: a)new house or horizontal addition—required if project is 1 toile or closer to shore(generally,south of I Rte.28 or north of 6) fl b)vertical addition—not required unless there is extensive renDvafion to the first floor c)replacement windows-needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for i 10 MPH,Exposure B.may be obtained from the American Wood Council (AWC)website. VkrEmThMEDGERESI ON • •ATfi"ae. 11 It 11 1 - • 1 a1 II 1 - 11 li ii i • tl 11 i n 11 n o t t [; s tt II o n tr F t < x � 1 Q I '1 ii i1 r' i r 1 -t t` o t1 ct r' I ' i t It Q 1i ii Q a I 7 11 o rl ll = 1' - z r 1r ! 1' i T!t ai [1 11 ttt i! Ll 1 � 1 a- I' 11 � u 1 1 t IE�T$ • � 1 '� f f 1 1 � 1 I .11 : Q;� I ' 1 a 3"MUM l Y K - t I u tf li r i 1 .�--. — t r r I [I I t _x potJE4E 1; STAB f A&S-1-Aaws I N•IL.PATTERN � 3 YkN13 _ PANEL PAh_EDGE MUSLE WJL EDGE SPACM DETAL See DaLEM on Naxt Page Vertical and Horizonlal Naling Detall . for Panel Attachment Vert ml and Horzontal Hailing for Panel Aftachment - Message Page 1 of 1 Anderson, Robin From: Niemi, Maureen Sent: Friday, January 15, 2016 2:02 PM To: Building Dept Cc: Niemi, Maureen Subject: PARCEL 034-047 134 OCEAN VIEW Avenue, Cotuit Mycock, Ronald J Good afternoon, Please be advised that Ronald J. Mycock is now current with the Real Estate taxes on the above property. I am verifying that there should not be a "hold" on any building permit to be issued for him on the above property. Very truly yours, Maureen Maureen E. Niemi Town Collector Town of Barnstable P.O. Box 40 Hyannis, MA 02601 Email: maureen.niemi(u).town.barnstable.ma.us- Tel: 508-862-4055 Fax: 508-790-6310 k 1/1.5/2016 Town of Barnstable *Permit# n Expires 6 ionths rom issue dale Regulatory Services . Fee RAMS ABLE. Thomas F.Geiler,Director Building Division TfD MA'S ��/, BO, Building Commissioner Y.A�, 1200w ,Hyannis,MA 02601 ,AplY Q AR 2 7 240owww.town barnstable.ma.us w Office: 508-862-4031 VVN op�Q�,e Fax: 508-790-6 0 EXPRESS PEA '7AU&JCATION - RESIDENTIAL ONLY Not VaMtWithout Red X-Press Imprint Map/parcel Number � CC1Property Address � �� Qcztm 1)(4�Z::� I I Residential Value of Work 0V Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address r, u�i;f� l., I 1 c C Contractor's Name_ Telephone Number S � '367 Home Improvement Contractor License#(if applicable) r ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file: Permit Request(check box) [ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (rriaximum.35) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: QAWPFILESTORMSIbuilding permit forms\EXPRESS.doc Revise020108 A Cis The Commonwealth of Massachusetts" Department of Industrial Accidents Office of Investigations ' a 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers App licant Information J Please Print Legibly. Name (Business/Organization/Individual): rL( C ) J Address: / . LY C96-P g4 64 P.uJ City/State/Zip: C� �.cc� Y9'��CQ�J Phone.#: r>2 ,S Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I . employees(full and/or part-time).* have hired.the sub-contractors 6. ❑New construction 2:0 I am:a sole proprietor or.partner- listed on the attached sheet. 7...❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y p tY• 9. ❑Building addition [N 9 workers'-comp.insurance comp. insurance.$ quired j 5. ❑ We area corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their I LR 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 . Other comp. insurance required.] *Any applicant,that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box mush attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy.number and expiration date). Failure.to secure coverage.as required under Section 25A,of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investiigations of the DIA for insurance coverage verification. I do hereby ce nder t e ain�penaldesperjury that the information provided above is true and correct. Si nature: �j(`���/� \' Date: e5 , 7— _ Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department K City/Town Clerk 4.Electrical.Inspecto 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not.more than three apartments and who resides therein,or the occupant of the dwelling house.of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability.Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are.required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly..The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license.applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.).said person is NOT required to complete this affidavit. N ..The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 i;.. Revised 11-22-06 wwvt.maSS.gov/dia i n FtKE rq�, do Town of Barnstable BARNSTABLE " MASS.63 1639 Regulatory Services . �� .erFp�,�A Thomas F.Geiler,.Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property"Owner Must* Complete and Sign This Section If Using A Builder I, ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name QAIATFILES\FORMS\building permit forms\EXPRESS.doC Revise020108 � r Town of Barnstable Regulatory Services Y srtstaBi E Thomas F.Geiler,Director ' 1639. �,� Building Division rfc Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 1 h 7�D j JOB LOCATION: number 1�1� �Jstreet vill ge T "HOMEOWNER": /��/ I• ���=�r G� Vy :.(G�L _ i5 yv �' —L/,y�U V narbe home phone# work phone# CURRENT MAILING ADDRESS: P,0 �?,• 6� � city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department . minimum inspection procedures and requirements and that he/she will comply with said procedures and re uire ents. a Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,.Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Assessor's map and ;lot number � + �7 'a ® �' �� �- - 9-a - � �� { # SEPTIC Eve -L' , T BE "' nn'' I4"3TI_I.•E IN' :C`} IAI's'CE Sewage Permit number ..�"+ !H�l s'i j I '�: „`1#:I 4II � T S9 TAR Y CC�?E F`i"Y . TOWN _ TOWN OF B A R`NS.,R��`3A�B L.E i 33ARNSTOHLE, "039. A ` R•UI, DIHG tINSPECTOR . CFO YPY rs APPLICATION`:. FOR{PERMIT TO, ( :�"c/..1Y.. . ... l..l.Y... 7'. ....... TYPE OF CONSTRUCTION ....ail. .lr°... .... .r. k .......... .................................................... M } I X.Z....................19.. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit according to jth�e following information: It Location .. .. ... .. .. ........V....�. .. ........ .L�..1= ......;...... . ... .`...1..... ................................... ProposedUse ... ............................................................ ... . ............................................................................................. Zoning ....District S ...................................:....:.............:.Fire District ...... .. .. .. .../...`�................................. ... ' 4 Name of Owner. ... .. .... .1..1... y.11. ddress .lrr. .. .....V...�. ....1..'.. ��.. or Name of ,Builder :. Il Y'"! Q.P.y&&ddress3.)...rll.!.L P..W.f..V� �P.,�...�1��.�.� Name.of Architect ..................................................................Address .................................................................................... ,. Numberof Rooms. ....................................................:.............Foundation .............................................................................. Exierior ....................................................................................Roofing ........:............................................................................ Floors ....................................................................................:.Interior ............................................................................... . Heating .................................................Plumbing ................................................................................... p0 Fireplace ..................:......................:........................................Approximate Cost ............ , ...,....................... ,Definitive Plan Approved by Planning Board -----------_-------------------19________. Area Diagram of Lot and Building with Dimensions Fee ....................._....... SUBJECT TO APPROVAL OF BOARD OF HEALTH i • F J f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. .. .. .. .. .... ........,............. .... ................... i Ryder, Florence H. - 17917 r remodel dwelling No ................. Permit foie.. ............................... • .................... 'Ocean-View Avenue......'........... � .1 ,. .� .. - •• ,- .,� ,' :� -�s�' LocatiX�.................................................. ..... -� Cotuit¢ ............................................................... 4 ►�. i Florence H. Ryder Owner ................................................. i _ v frame 1, r `�- �,, - �. • 3 �.- Type of Construction ..................... ................... ` ................... ........................................................... Plot .......:.................... Lot ............... ""' ......... f • / ' 1 1 j{ . 4 - j . ea tember{'2 '�1 9 75 ,Permit Gi'anted ............. ./ .. 7y C _Date of Inspection ........................ .........19 Date Completed . .y7�oZ.................i; i 19 r C l f 'PERMIT .REFUSED ........................................................... .................. ........................................................... / °....................... ..........................ol'? ................... �` • 4 Approved f1...... 19 _ + .......... ....................................(.�...... ...... _ , f.4 ."'• C. .................... ...................................................`� Assessor's offioe (1st floor): /�, SEPTIC SYSTEM MUST S"' �oFT"E Toy Assessor's map 'and lot number ..... .-.. .y.7......... NA, °�ALLE® IN C©MPLIAN Board of Health (3rd floor): Sewage Permit number ...g ........`?�... .....C`'. ...... MITH TITLE S Z BAIWU T LE. i Engineering Department (3rd floor): J ' 039. House number ......:......................................... . NO°', APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN ;OF —BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO v{ ...................V.dV................................/...... TYPE OF CONSTRUCTION ............�4.'.W(zt.. �._"o . .......................:............................................................. ......... 0 �'`�..-.. 19...".--` TO,THE INSPECTOR OF BUILDINGS: The undersigned/ hereby applies for a/p�ermit according �ttopthe following informatiiooJnn: Location ..........`.' .Y....®CN �I.......V.l.�'. .......'�W...�- .f....cokI.t. ....."..". 0............................................... 1 ProposedUse ... ...... ..Q...... .............................................................................................................. Zoning District .....[':rr!.........................................................Fire District .....:.....P U.�.. ...................... ........................... Name of Owner .....(.(.(y.h.IQ./C.t.....V....... .......Address ....�. .......L1..C� Yl � Nameof Builder ....... ............................................Address ..................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .............. Floors ......................................................................................Interior .................................................................................... Heating .....F�........................................................Plumbing .................................. Fireplace 97t.—P ......................................Approximate Cost ..... �> �f�y�. .... .............................. . . ......... Definitive Plan Approved by Planning Board ________________________________19-------- . Area ........ . ............. Diagram of Lot and Building with Dimensions Fee /� SUBJECT TO APPROVAL OF BOARD OF HEALTH r , !F T_ � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the own of Barnstable regarding the above construction. Name . ....... .� . . ..... ......... ..... .. ............................. Construction Supervisor's License .................................... s MYCOCK, RONALD J. / No ..311..i permit for ....Add & Remode 1" tA 11 Single Family Dwelling..........{$� ...................................... ....................... Location ....134. . ....Oce. ...an...View. ..Avenue. . . ..... - .. .. . .... .. .. ..... ..... ..... .. .... .. ............:......C-ot-u-it...................................... Ronald J. M cock Owner ...................................Y............................. Type of, Construction ....,...tame i - Plot ............................ Lot - .a ^ Pe�mit'.Granted ....Alag.va;...1 .1.........:19 87 Date of Inspection !�..................... ....... } .' ,+ Date Completed ..........19 _i C' €v - ~ t a 1, .. Assessor's mop and lot number — ��r---.^' . �--. Permit number -- ------`---------- Sewage, THE ������ ��� � � � �J� � & � � � � TOWN� qW� p� �� � Np 0�) �� �� p� �� N �� ��' N ^ �� � . 323ARNSTABL16 NAM �� 0N00 �� N �� INSPECTOR �� �� �� � - � ��� ' �� -� . - -- _ - -- _ - - - .� . � ` ` �� � APPLICATION. FOR PERMIT TO � �—��r��'�.��`�4�—.---. | TYPE OF CONSTRUCTION ............. ....... ------.---.------.----...------- � . i-----.]9z/. / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit according to the following information: Location ---- ..................................... � � K � ProposedUse — ' ...................................... �-~- Zoning District ---.J��.L—..............................................Fire District ---------------_----------. Name ufOwner .'A .. — . ,ess —. ���� ..�v�'y����—.~�'�^��—..��'.7���- Name of Builder e� ----..A66reo ---------------------------.. Nome of Architect ................................... ..............................Address ---------------.---....------. .Number of Rooms ----------------------Foundotion -------------------------- � Exterior ---------------_------------RooGng .................. ..................................... .......... ................ � Floors ................................................. ....................................Interior ----------------~----------- Heohng ........... — .................... .............................................Plumbing -----.—.-----------.—....------. Fireplace ..................................... ............................................Approximate Cost ,--.------.,—.--,,..,,..,,__._. Definitive Plan Approved by Planning 800nJ lQ-----. Area -------------- � Diagram of Lot and Building with Dimensions Fee _______________ � SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above � � � F: Florenced H. Ryder t S No1.....1Z3R4. Permit for Demolish. 12a �Q... } . ................................. ............... Cotuit Location XV:.ar.....V3,etr...A�za_..lj�!�4 .• ............ ; Owner H P%,K d er Type of Construction r i r i a. ................................................................................ Plot ..31.......,..14.7......... Lot i c� Permit Granted ...19 Oct. •1$ 74 /G a� 7 Ne S>d { Date of Inspection .................................... { J......... . Date Completed { PERMIT REFUSED e �. ................................................................ 19 �. ............................................................................... 3 . ........................................................ ................... f ............................................................................... r ...... ..................................................................... I Approved ................................................ 19 ...........................................................:................... ............................................................................... t t // D - �° A0 - Assessor's ma and lot number // p gE 1 �VMTM MSTMST ' €Tl� N #IAMCE Sewage Permit number .� �'`�' �... .. � 1TARYCOPE�� D TOWN Q�'Of?NErO�y TOWN OF BARNSTABLE . i • i H9HB4TeI1LS, i 9� D Y�`e�►, RllII.1) ING INSPECTOR APPLICATION FOR PERMIT TO .. ,®RJS�UO? 01g ` .................................................... TYPE OF CONSTRUCTION ......If1r �.U......l �lL`.1�`I! ...............................................................................:.. .......... .............I........9..76/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. .. ................. ............. ................................... ProposedUse ,J,,,w q........cm........Gfi. 4.O L.g.............................................................................I......................... ZoningDistrict .F:..........................................................Fire District .....C-07. 1. ................................................ Name of Owner #......OYRA�.....Address .O.C.X!A!i�.....Vl.'F-w.. ....Gjv..Co .Ca.[o f Name of Builder �....... y/1i 3 .1!,!i. w 7' Address r......... Nameof Architect ..................................................................Address ........�J..................,n....................................................... Number of Rooms o N.9...................................................Foundation .!..�.U ��L.l'....... ............................. Exterior ...............Roofing .... ................................................... Floors �� Interior � �t /Z �� !� �� ............ ................................................................. '�............ ... ... ..... ......... . ......................... Heating . ...........................................................Plumbing .................. /2....................................................... Fireplace .1 .�.�...............................................:............Approximate Cost .....4.)...0O.0...�................. Definitive Plan Approved by Planning Board ---------------_—-----------19--------. Area ...... (. ... 4!/Diagram of Lot and Building with Dimensions Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH l IN, 00 Sic d 4 0 -� -- - �` ;- - T 7 NoVsr i I � Y.J, I hereby agree to conform to all the Rules and-Regulations of-fhe`Town of 3arnstable regarding the.above construction. Name ......QJ........ ........................ Florence 8 Ryder No17283--� Permit for` � ` . � --. . Location .��~ ..V1��. A�/��..Cmtolt___.. � � ----..^---....---------------- Ovvnar .........Fl������.f��.. ___..... .... . \ Type of Construction .....Yoo.d..Fnamm.............. / . \ ..................................................................... .......... \ � � Plot ..3�--6J.---. Lot ----------.. - . . . . ' i . Permit G,on/a6 ---'{}ct..............18....lP 74 Date of Inspection . 9 v ' Date Como|a�a6 ����.�'�.�/!—��.������r' � � ` � PERMIT REFUSED � � ....... lA ' . ' '~---------------'---------'' � � ........................................................ ...... ----~' -.---.—.------.—.—..~—'—~.----.—.. / '---------.---.--..—..--~—.—.— / Approved ................................................ lV � ' -----------------.---.—.--.-- --------------------'------ ' . ' � ' 8 VAssesso'r's office.(1st floor): D..�31,��.l � �F THE TO ' Assessor's map and lot numberX..... .�.. .... Board of`Health (3rd floor): ,I d� y/` 'P�1�1�5 M Sewage Permit number,X .(:....�: .......�-.�?.�:..��... (IDLE, Engineering Department (3rd floor): :.MASS House number ........... ..................:............:................. ......... SEP77C SYSTEM Definitive Plan Approved by .Planning Board ---------------------------------19-------- : ' STALLED IN CQVLI} , CE APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00' P.M.• only i A L,,�T�1.1F�YI,�E 5 TOWN OF BARNST ° R r ENTAL C � d=t REGUI ATIONS OUILDING . IH.&PECTOR APPLICATION FOR PERMIT TO1?'�..@.. '.1..... � ® ........... pp£ .... .. TYPE OF .,CONSTRUCTION i ........ // "^! xt . awr .g....................... . ... �.... 1 � �_.__ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per�miit according to the following information: Location .............. ( ............................. ....................... • Proposed Use ....... . . ........ ............................................................. a:u. Zoning District ..........: r ::..: ........ ...:..... ..::.... .......'..Fire District :..'.............. L V I Name of Owner ...TO..... .. .. .. ..rp,�l ..Address. ....�.�. ...© ..... 4 .., rl.•F....... Name of ,Builder Address . Name of Architect :�.. .. Address : ..... Number of :R.00ms ..... / .. ../541V Foundation .. ....... Exterior .....shy Roofing' ...... ..� .: . Floors :. :..... .............................Interior .....�� ................. .............. Heating .......... . ................Plumbin o....... Fireplace .................. A roximate Cost .... Z D........................................... pp �...v''p" ......... Area ........ ..... .. Diagram of .Lot and Building with Dimensions` . Fee -OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of arnstable' regar in; �! construction. = Name � _ Construction Supervisor's Licens ... Dom/ ' ` /l..................... MYCOCK, RONALD J. - 3 ....... .. Remodel Garac ego . .. Permit fo .................................. `to Family Apartment/-- Single Family dwelling ` 134 Ocean Location ....... ean View Avenue .. ......... .. .................. ......... ......... :... ' r -Cotuit Owner ...Ronald...J.....MyCOCk..................... Type off�Construction Frame ..................................................... ..... .... ......... r� Plot .................. Lot* ............................ wY l- L ♦ .4 `Jay „e i Yµ - • � ' i August- 4 88 • ; �?, Permit Granted ; Date'of Inspection ......... Date Completed .....y ....',?..t............ ........19 �', ter'`• ..s• - ,• s � __ y _ , t S Z t r ' �r �a� t_. .ram its .. .t- - • . '', �� TOWN OF BARNSTABLE ` ZONING BOARD OF APPEALS SPECIAL PERMIT DECISION & NOTICE TOVV -CLERK - LIMM"") . !`. .� 33. APPEAL #1988-40 RONALD J. MYCOCK FAMILY APARTMENT At a regularly scheduled hearing, held do April 28, 1988, notice of which was duly I published in the Barnstable Patriot, and notice of which was forwarded to all in- terested parties pursuant to Chapter 40A of the General Laws of Massachusetts, the petitioner, through his attorney, Michael Ford, requested a Special Permit to allow a family apartment in an existing garage at Map 34, Lot 47, Main Street and Ocean View Avenue, Cotuit in an RF zoning District. It is not in a Zone of Contribution. In support. bf* this petition, the Petitioner presented evidence that the following conditions applied which would warrant the grant of a Special Permit. The Petitioner, and his two daughters are the owners of .the property and all reside within the main residence. The Petitioner is seeking to create a family apartment within a garage located on the same lot as the principal residential structure, in accordance with Section 3-1.'1 (3) (D) of the Town of Barnstable Zoning Bylaw. The petitioner presented a plan indicating that the footprint of the garage will remain and that the style of the converted garage will be in keeping with the surrounding resicdential neighborhood. The proposed apartment will be two floors, the living area will be 1,133 sq. ft. , which will not exceed 50% of. the living area of the existing residence which is 3,300 sq. ft. The proposed apartment will be occupied by the mother of the petitioner and will be her principle year-round residence. The petitioner is aware of all of the requirements of Section 3-1.2 (3) (D) of the bylaw and stated that he understood that the apartment could only be used for a family member and that the kitchen would have to be removed when it is no longer occupied by a family member. i Based on the evidence submitted the Zoning Board of Appeals made the following findings of fact. The applicants proposal complies with all the requirements of Section 3-1.1 (3) (D) of the Town of Barnstable Zoning bylaw: Family apartments, and that the use, as proposed would not be detrimental to the neighborhood. �C{(:�'� !�'.1 t_7,)W QE DEEDS 1r� cV;p �.-iIJ �f ice: 1.;U ! 'q. n or r (3) (D) Family apartment subject to the following: APARTMENTS a) Not more than one ( 1) family apartment is provided. b) The family apartment Is within or attached to an existing residential structure or within an existing building located on the same lot as said residential structure. c) The residential character of the area Is retained as nearly as possible. d) The family apartment contains not more than fifty percent (50%) of the square footage of the ekIsting residential structure If being proposed as an addition thereto. e) All setback requirements of the zoning district within which the family apartment Is being located are 'complied with. f) The property owner resides on the same lot as the family apartment. g) The family apartment Is occupied by members of the property owner's family only. h) The occupancy of the family apartment does not exceed two (2) family members at any one time. 1) The family apartment Is the primary year-round residence of the family member(s) residing therein. J) The family apartment will not be sublet or subleased by either the owner or family member(s) at any time. k) Scaled plans of any proposed remodeling or addition to accommodate the family apartment have been submitted by the property owner or his or tier agent to the Building Commissioner and the Zoning Board of Appeals. 1) Prior to occupancy of the family apartment, affidavits reciting the names and family relationship among the parties seeking approval have been signed and shall be signed annually thereafter for the duration of such occupancy. m) Prior to occupancy of the family apartment, an occupancy permit shall be obtained from the Building Comnissioner. ' n) No such occupancy permit shall be Issued until the Building Commissioner has made a final Inspection of the proposed family apartment., o) Within sixty (60) days from the date authorized family members vacate the family apartment, the owner or his or her agent shall remove any kitchen facilities In such unit and notify the Building Commissloner to Inspect the premises. p) In addition to the provisions of Section 3-1 . 1 (3) (D) (o) above► upon vacation of any family apartment, the premises shall be restored as nearly as possible to their state prior to the creation of such family apartment. q) The Building Commissioner shall have the right to further Inspect the premises upon which a family apartment has been vacated at least three (3) times per year for three (3) years consecutive from the time of such vacation. % in the findings, at a public meeting held on June 16, 1988, the Zoning Board �peals voted b 4 y a to 0 vote to grant the Special Permit to allow a family artment. ,lembers present and voting: 1) Gail Nightingale, Chairman 2) Helen Wirtanen 3) Dexter Bliss 4) Elizabeth Horton In granting the Special Permit the Zoning Board of Appeals imposed the following conditions, the breach of which shall invalidate the special permit being granted: 1) That the family apartment be constructed pursuant to the plan submitted excepting that the second floor plan be omitted, and that the family apartment be restricted to one floor only and contain only one bathroom. The second floor shall only be used for storage space. 2) That .the petitioner fully comply with all of the provisions of. Section 3-1. 1 (3) (D) of the Town of Barnstable Zoning Bylaws, attached herein. 1ny person aggrieved by this decision may appeal to the Barnstable 'Superior Court is described in Section 17 of Chapter 40A of the General Laws of the Commonwealth )f Massachusetts by bringing an action within twenty days after the decision has )een filed in the office of the Town Clerk. #dn Chairman Clerk of the Town of Barnstable, Barnstable ounty, Massachus t s, hereby certify that twenty (20) days have elapsed since the bard of Appeals rendered its decision in the above entitled petition and that o appeal of said decision has been filed in the office of the Town Clerk. igned and Sealed this day of 19-&—under the pains and enalties of perjury. CGo ' t-Cwn Clerk istribution: )wn Clerk ' ' .)plicant/Property Owner !rsons interested iilding Commissioner r Town. of Barnstable Regulatory Services. �t Tod Thomas F. Geiler,Director Building Division * sna MBLE, ` Thomas Perry, CBO,Building Commissioner: MASS. '�rE%6sq. �� 200 Main Street Hyannis, MA 02601 A a � Y r D MP 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 &4p- I am the owner/resident of the property located at:, e( Ake, The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name&relationship to owner: Name &relationship to owner: ..The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will.immediately 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 Aparpment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Per t q 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. y If there is no longer a Family Apartment at this location,please explain: 1 `� The apartment has been dismantled. : The apartment has been transferred to the Amnesty Program (Appeal No. Other c Sworn to under the am and penalties of perjury this day, 2013.: Signature Phone Number . Print Na me,' qrms famaff d.doc :fo / rev-11/08111 r _ l Town of Barnstable Regulatory Services- ' 4._ Thomas F. Geiler, Director Building Division -I0 W N OF 9ARIIIII:,BL 4 BAA M ss Thomas Perry,.CBO,Building Commissioner �A i639' 200 Main Street, Hyannis, MA0260�1 i . . www.town.barnstable.ma.us t Office: 508-862-4038 Fax.:= 508-790-6230 � �J C R ,1.��.� GN Town of Barnstable Family Apartment, Affidavit I, being on oath, depose and state as follows: MY name is `� �'`"''� I am theowner/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: f9 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 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 2012. AtW a2:�Ai�1_ K- L/; Signature_ - 'Phone Number - / .Print cnt Name � � � l C 6 q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services Thomas F. Geiler,Director rt € # F N� l_14 Bl c � aI Building Division ' �sa� ` Thomas Perry, CBO, Building Commissioner 1 :t 40 Ar i639. 6. � 200 Main Street, Hyannis, MA 02601 fD MA'S www.town.barnstable.ma.us Office: 508-862-4038tt 010►t' Fax: 508-790-6230 Town of Barnstable' Family Apartment Affidavit I, being on oath, depose and state as follows: My name is M C I am the owner/resident of the property located at: l)teU42 Q&&VV- The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: r I- Cad` ?,I a Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.I Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has.been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the<7s and penalties of perjury this v`� day of 2011. Signature Phone Number Print Name : /� �/ / v`G aq Town of Barnstable Regulatory Services 0,*1HE tOp� Thomas F.Geiler,Director Building Division aaxxsTnaze. Tom Perry, Building Commissioner v MASS. 1639. �0 A 200 Main Street,Hyannis,MA 02601 iDT6n MA't 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 ` C d C'C I am the owner/resident of the J property located at: 1.3 `l �' Ll V ,W e 0 YV The following members of my family will be the.sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: yiU%l T 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 orFsubleasing 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 A rtment. I allso . cap 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 gree 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 b4 Sworn to under the pains and penalties of perjury this day of 20.10. Signature Phone Number Print Name I OWC cl Q/bldg/forms/famaftid Rev:U/08 f Town. of Barnstable Regulatory Services - FIME nqy, Thomas F. Geiler,Director . -$uilding Division snxivsTnstE, Tom Perry, Building Commissioner 039. �0 200 Main Street,Hyannis, MA 02601 2009 JAN 14 PH 12: 30 '°lFnMp�A ww:town.barnstable.ma.us .�..� ._MUM 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 ` C(�C I am the owner/resident.of the property located at: DCe of n V)!E y : A v:c'K U e The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address:. Name & relationship to owner. -e Name & relationship to owner: The Family Apartment will be the primary year-round residence for the.above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately 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. 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 /oZ day of 2009. t5 ! oL. Signature Phone Number Print Name � :7 / 1 CDC Q/bl dg/forms/famaff,d Rev:12/08 Town of Barnstable Regulatory Services Ftne t � Thomas F.Geiler,Director Building Division t aARNSTAsrE, Tom Perry, Building Commissioner 9 MASS. 039• �0 p 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 / " - C C I am the owner/resident of the property located at: �, �C C�4�t (�fi►u�,L� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Name & relationship to owner The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately note 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 Bull ing Commissioner listing the names and relationship of occupants in said Family Apartment. also T} understand that I am required to comply with all conditions imposed by the ZBA'Ipecial Rarmit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apa ents. (agree to notify the Building Commissioner immediately in the event of the sale of this �erty. : 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 2008. 3 L�A-077-Ws YA S ignat re a' . `' Phone Number y'. Print Name C �^ / ' 0ZG �C Q/bldg/forms/famaffid Rev:l/03 yi. I Town of Barnstable Regulatory Services tHE TO�y'4 Thomas F.Geiler,Director Building Division a I _l� r ;, �=I7,5LE snxxsTnsLe, Tom Perry, Building Commissioner MASS, 9�Ar 039. A10� 200 Main Street,Hyannis,MA 02601 2'111 0117EB 15 r Ep 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: 6 ry C)C&-" j The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship t6�'6wriet: hU Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above=identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to and he pains and penalties of perjury this M,day of _2007. Signature`. _ _ Phone Number Print Name - 4`:� 4 :Ja- .. V L Cd C Q/bldg/forms/famaffid Rev:1/03 JAN 1 - 6 2007 E3 Y. Town of Barnstable 0A Regulatory Services pU1NE tOk, Thomas F.Geiler,Director o� Building RNSTABLE Division BARNSTnBM " Tom Perry, Building Commit ] 9� �m� 1' ` " 200'Main Street,Hyannis,MA 0 A� Z�. `' 0 ATFpra ;._ www.town.barnstable.ma.us J DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is Elm— COC I am the owner/resident of the located at: 3 L property 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 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 ains and penalties of perjury this `� day of 3(11)"U, 2006. 5 DD y� Signature / ® Phone Number Print Name l vt t� G C9 c/1�/ Q/bldg/forms/famaffid Rev:1/03 6 �< Town of Barnstable 4 RegulatoU Services °PYRE T° Thomas F.Geiler,Director �0 y i~'_ ;A,` -JBI E Building Division BMtN8TABLE Tom Perry, Building Commissioner Ui.,:F AN 3 I t t 9 MAM 1639. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 3 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is ` rn GOC I am the owner/resident of the property located at: Map and Parcel Number 03 `/ � The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship_to owner: • O UIZZ44 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. 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. I also understand that I am required to comply with all conditions imposed by the ZBA in the Appeal No. identified above. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this oQ day of 2005. Signature Phone Number �N me � � VVIi, _.. . __ �rrmt a ON 6 Q/bldg/forms/famaffid Rev:1/03 'Town of Barnstable Regulatory Services °Ftt�E•tok� Thomas F.Geiler,Director�, tr p?to j,c";BLE Building Division snxxsiAB . + Tom Perry, Building Commissign�erj N 28 PH : 43 MA I v 1639• ,0� 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose Qand state as follows: My name is / \�' `G� `JL I am the owner/resident of the property located at: C Itt �GGi, Iq 69elP4, ~� Map and Parcel Number The ZBA granted me a Special Permit/Variance on � 9 /? 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: '- ' 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 and penalties of perjury this -14/ day of l(:9 zUlra 2004. `Signature Phone Number Print Name , 11(r �-J f C C9G Q/bldg/fomis/famaffid Rev:l/03 S ' Town of Barnstable Regulatory Services -'THE..��. Thomas F.Geiler,DireddIM, OF BARNSTABLE Building Division BARNSrABM ' Tom Perry, Building Comuu7s`ohfefB —3 AM 9: 38 9 �Ar i639. a•�� 200 Main Street,Hyannis,MA 02601 FD MA'S . DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is zfrj I am the owner/resident of the property located at: 0 a R6 Map and Parcel Number � 1,� The ZBA granted me a Special Permit/Variance on � 21 R tq0 0 Date. Appeal No.- The decision of the Zoning Board of Appeals has been recorded with-the Re istry of Deeds-' Barnstable County: cE ook 197 Page 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 1/ p 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`underthe pains and penalties of perjury this day`of 200 3. Signature off Print Name Phone Number �sG� Q/bld9dorms/famaffid u a„•vnz Town of Barnstable Regulatory Services--- Thomas °FiHE Tqy, Thomas F.Geiler,Director Building DivisiorsOWN O gA 1 STABLE snxxsTna[.e. Peter F.DiMatteo, Building Commissioner 9� 16,3 ,0� 200 Main Street,Hyannis,MROgEEB 2 ! AM 53 ATEp�.IA Office: 508-862-4038 Y� ---__��:. 508-790-6230 1Sins Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is C Y"k I am the owner/resident of the property located at: 3 ©ce a Map and Parcel Number L/7 The ZBA granted me a Special Permit/Variance on Dad 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: e / �'' Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the 2BA in the Appeal No. identified above. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty.Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this y/ day of 2002. Signature Phone Number S Print Name Q/bldgtforms/famaffid Rev:010702 COMMONWEALTH OF MASSACHUSETTS ?3ARNSTABLE AFFIDAVIT being on oath, depose and state as follows: 1 ('a-UUY 1.) I reside at l '5� dCelo-l" t4Gf.0 Ove 2.) I am the owner of the property located�Qy,,o at `� Q�'.Qd.H. (/C.Gt�✓ n'"�'i / r'l'i,�l/` shown on Barnstable Assessors' maps as MAP 2Z� PARCEL. � D 3.) I Do i Do not have a Family Apartment at this location. 4.) On a l `'" , 19 ��the Zoning Board of Appeals, on Appeal No. lq� granted me a Sp cial Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. . 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: � , a) NAME G Relationship to owner: YYt 0 b) NAME Relationship to owner: 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required t comply with all conditions imposed by the Board of Appeals in Appeal No. 1 `� �� 12.) I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Sworn to under the pains and penalties of perjury this / 5 day of Signa re Print Name i COMMONWEALTH OF MASSACHUSETTS BARNSTABLE A am x h --------� --J`------ - -- ----------------- i n oath, 7 depose and state as follows: �titJ� iS;"y a 1.) I reside at 4 �✓ /¢v-e 1 L.r✓. 2.) I am the owner of the property located at --------------� '�------------ - - ------------------------- --- shown on Barnstable Assessors' maps as MAP 3`/ _--PARCEL---q--____________ 3.) I Do-___�____----Do not_______________have a Family Apartment at this location. 4.) On_ OU4-- _4? ----, 199-71, the Zoning Board of Appeals, on Appeal No._� granted me a S ecial Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6.The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME----- =- -- ----- ------------------------------------------- Relationship to owner: �M _ _ b) NAME --------------------------------------------------------------------- Relationship to owner:----------- 7.) The Family Apartment will be the primary year round residence for the above-identified family members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. ----/cL ----------- 12.) I agree to immediately notify the Building Commissioner in the event of the sale of the above- listed property. Sworn to under the.pains and penalties of perjury this--_!a__--day-of 199_7--__ -- ------------- - -- --------------------------------------------- Print 11zne ----- ------------------------------------ I COMMONWEALTH OF MASSACHUSETTS BARNSTABLE AFFIDAVIT I- -----T pi Q,�Uc --V --1 �� cock being on oath, depose and state as follows: 1.) I reside atl W q _C CAM 0 Le got" (16YL-- 2.) I am the owner of the property located at c5 14 W P_ _ ------------------------------------ --------------------------------- shown on Barnstable Assessors' maps as MAP___3j-------PARCEL__j 3.) I Do____,,"—__—---Do not __have a Family Apartment at this location. 4.) On— _� _--, 19 _, the Zoning Board of Appeals, on Appeal No.61'*L v granted me a Special Permit/Variance to maintain a Family Apartment at the above address. 5.) I understand that the Family Apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 6. The following members of my family will be the sole occupants of the Family Apartment at the above address: a) NAME---nL'_` gsp__ - ---------- ---- - Relationship to owner:_ J'Ib�9_ _— BARNS b)?NAME , -----=f ----- " -BUI`p�NG pe AB(F Relationship to owner: ---------- 7.) The Family Apartment will be the primary year round residence for the b°oveideeh =ie. f E y members. 8.) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 9.) I understand that no subletting or subleasing of said Family Apartment is permitted. 10.) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said Family Apartment. 11.) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. _ /9 FT-&110--------------------------------------- 12.)'I agree to immediately notify the building Commissioner in the event of the sale of the above- listed property. Swom'to:under the in pas and penalties of perjury this 0`—__day of= ;"I99 Sign a -------------- ---A—f --------------------------------------------- Prin e / --_ — Ga—� ------------------------------------ of The Town of Barnstable °.� Department of Health Safety and Environmental Services Ulmer 8LF : Building Division 367 Main Street, Hyannis MA 02601 Fo�" Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commission February 18, 1998 The Mycock Residence 134 Ocean View Avenue Cotuit, MA 02635 Re: Family Apartment located at the above address Dear Mr./Ms. Mycock, A letter was sent to you on January 13, 1998 requesting information regarding your Family Apartment. The affidavit has not been received as of this date. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that it be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit and return to this office by March 1, 1998 in order to comply with the conditions of approval. Thank you in advance, Ralph Crossen Building Commissioner oF"E� The Town of Barnstable °.� Department of Health Safety and Environmental Services Building Division $' 367 Main Street, Hyannis MA 02601 plFD MA'S� ' Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissione January 13, 1998 The Mycock Residence 134 Ocean View Avenue Cotuit MA 02635 Re: Family Apartment located at the above address Dear Mr./Ms. Mycock , Our records indicate you have not filed an affidavit regarding the above referenced family apartment in quite some time. It is required under Section 3-1.1 (3) (D) (1) of the Town of Barnstable Zoning Ordinance that an affidavit be submitted annually for the duration of such occupancy. Please indicate the status of the family apartment on the enclosed affidavit return to this office by February 1, 1998. Enclosed is an affidavit for your convenience. Thank you in advance, Ralph Crossen Building Commissioner a " 'YOM OFI MWWAOM 8RE PLAN REVEEW J U N 17 1994 COMMONWEALTH OF MASSACHUSETTS E C U V 15 BARNSTABLE# ss: AFFIDAVIT I Ronald J. Mycock and state as follows : being on oath, depose 1 . ) I reside at 134 Ocean View Avenue, Cotuit 2 . ) I am the owrler of t 'erty located at 134 Ocean View venue, ot'uri shown nstable Apsessors ' '�; Maps as: Map Lot �7 73(41 On July 19 88 the Zoning Board of Appeals, on Appeal No... 1988-40 granted me a special permit to maintaina � family apartmentat the above address. 9 . ) I understand that the family apartment may only be Occupied .by .members of my family who are me by blood or by marriage. persons related to 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name: M. ' Elaine Mycock Relationship to Owner: (2) Name: Relationship to Owner: ' 6 . ) The family apartment will be the primary year- round residence for the above-identified family members. • 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9• ) I understand that I am required to annuallyfile an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment. 10 . ) I understand that I� am required to..comply with all conditions imposed by the Board o 1988-40 f Appeals in Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of, the above-listed property. Sworn to UrAder the pains and penalties of. perjury this -day.. of (Sign to ) (Please Print Name) : r r,4f �� c s . l COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, .ss; AFFIDAVIT I , Ronald J. Mycock and state as follows being on oath, depose • ; ' 1 . ) I reside at 134 Ocean View Avenue, Cotuit 2 • ) I am the owner of the proppert 1 134 Ocean viewyAvRr� e� uit shown on Barnstable Assessors ' '3�/ Maps as Map of _ 3 . ) On 19 C) 0 , the Zoning Board of Appeals, on Appe ._ 3M �� granted me a special Permit to maintain a family apartment�at the above address. 4 . ) • I understand that the family apartment may only be occupied by ,members Of my family .who are persons r elated to me by blood or by marriage. 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address; (1) Name: M. Elaine Mycock Relationship to Owner: mother - ► (2) Name: . Relationship to Owner: ► 6 . ) The family apartment will be the round residence for the above-identified family members. 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to .comply with all conditions imposed by the Board of Appeals in Appeal No. -LIE!- p 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to uncle 6th day of rilthe Pains 9 penalties of perjury this TOM OF94RNSTAOLE (Please PrintgName) : .' BUR DING DEPT. Ronald J. Mycock Rn' f-E7 P 11 r APR 8 1993� °n C } COMMONWEALTH OF MASSACHUSETTS BARN STABLE, s s: &FF I Ali _ ► RONALD J. MYCOCK , being on Oath, depose and state as follows: 1 . ) I reside at 134 OCEAN VIEW AVENUE, COTUIT h-e . 2 . ) I1�4 OCEAN VIEW AVENUE property located at shown on Barnstable Assessors ' Maps as : Map 34 , L'ot. 4 7 3 . ) On my 19 88 the Zoning Board of Appeals, on Appeal No. 7CYT7 �!d ► granted me a special r permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be ` occupied by members of my family who are persons related to me by blood or by marriage . 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address : } (1 ) Name: M. Elaine Mycock Relationship to Owner: Mot (2) Name : her . n Relationship to Owner : 6 . ) The family apartment will be the primary year- round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment. , I will immediately notify the Building Commissioner in writing . 8 . ) I understand that no subletting or subleasing of said family apartment is permitted. 9 . ) I understand that. I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to-.comply with all conditions imposed by the Board of Appeals in Appeal No. 1988-40 10 . ) I agree to. immediately notify the Building Commissioner in the event of the sale of the above-listed property . Sworn to under the pains and penalties of perjury this 25 t ay. January 19 9_2• I- `Z. RECEEIIVEO (S igrVaturd } (Please Print Name) : (BAN 2 91992 RONALD J. MYCOCK MINGDEPT. TOYM OF BNIU SSTABLE re- 1 fr� . COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, Ss: AFFIDAVIT I , RONALD J. MYCOCK , being on oath, depose and state as follows: 1 . ) I reside at 134 OCEAN VIEW AVENUE, COTUIT 2 . ) I am the owner of the property located at 134 OCEAN VIEW AVENUE shown on Barnstable Assessors ' Maps as Map 34 :: Lot-= 4 7 3 . ) on my 21, 19 88', the Zoning Board of Appeals, on Appeal No. 1 t U g-4_d 9"4 granted me a special permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be ` occupied by members of my family who are persons related to me by blood or by marriage , 5 . ) The following members of my family , will be the sole occupants of the family apartment at the above address: (1) Name: M. Elaine Mycock Relationship to Owner: Mot er (2) Name: Relationship to Owner: • 6 . ) The family apartment will be the primary year- round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with. the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand ' that I' am required to..comply with all conditions imposed by the Board of Appeals in Appeal No. 1988-40 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this 11th day of February 19 91 (Sig `atur ) (Please Print Name) : RONALD J. MYCOCK COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , Ronald J. Mycock being on oath, depose and state as follows : 1 . ) 1 reside at134 Ocean View Avenue, Cotuit 2 . ) I am the owner of the property located at same D shown on Barnstable Assessors ' Maps as : Map 34 Lot 47 3 . ) On �} 19_gs_, the Zoning Board of Appeals , on Appea Fdo._ 1988-40 granted me a special . , permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be occupied by members of my family who are persons related to me by blood or by marriage. 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1 ) Name: M. Elaine Mycock , Relationship to Owner: Mother (2) Name: Relationship to Owner: 6 . ) The family apartment will' be the primary year- round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) : vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of -my family members occupying said family apartment . 10 . ) I unders'l:and that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 1988-40 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this day of 19 1 ?o 01 (S na ure) , (Please Print Name) : en _ / I R /f MYCOCK INSURANCE AGENCY TO' doh 30 SCHOOL STREET COTUIT.tMA• 02635' 428-35 1 1' SUBJECT: DATE ri FOLD t r. .............._........____--_...._.............._......_................:..............:........................................... _.:.:_ '-.. - •..i m. G PLEASE REPLY sTO' >- SIGNED: ' DATE: SIGNED: • .:1 DETACH YELLOW COPY—SEND WHITEAND PINK COPIES WITH CARBONS INTACT "'r - FORM NO.PK100R-3 ' AVAILABLE FROM BUSINESS ENVELOPE MANUFACTURERS,INC. PEARL RIVER,N.Y DEER PARK;N.Y.o ANAHEIM,CALIF. 'PRINTED IN U.S.A. THIS COPY FOR PERSON ADDRESSED. LOT 31708 ' TO YCO K I SUR ANC AGENCY fJuol 30 SCHOOL STREET COTUIT. MA 02635 1 426-3511 SUNECT: �� Z O `_ DATE,. FOLD - ffa t • s PLEASE REPLY TO D SIGNED: ` I DATE: SIGNED: " DETACH YELLOW COPY—SEND WHITE AND PINK COPIES WITH CARBONS INTACT FORM NO.PK100R-3 PRINTED IN U.S.A. AVAILABLE FROM BUSINESS ENVELOPE MANUFACTURERS,INC.•PEARL RIVER,N.Y•DEER PARK,N.Y.•ANAHEIM,CALIF. DETACH THIS COPY-RETAIN FOR ANSWER. SEND WHITE AND PINK COPIES WITH CARBON INTACT. LOT 31708 m. O �_...., � ft if f 'Fur MA okfi3s 3_ Ai- SUBJECT: e ` 1 �~ /Al1�r DATE. �i _FOLD_ -IdkP- JAf V' iRETURN TO ® SIGNED: lio DATE: SIGNED: DETACH YELLOW COPY—SEND WHITE AND PINK COPIES WITH CARBONS INTACT FORM NO.PKI'OOR-3 FROM AVAILABLE FROM BUSINESS ENVELOPE MANUFACTURERS,INC.o PEARL RIVER,N.Y*DEER PARK,N.Y.*ANAHEIM,CALIF. PRINTED IN U.S.A. PERSON ADDRESSED RETURN THIS COPY TO SENDER LOT 31708 i COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , Ronald J. Mycock being on oath, depose and state as follows : 1 . ) Z reside at134 Ocean View Avenue, Cotuit 2 . ) I am the owner of the property located at same shown on Barnstable Assessors ' Maps as: Map 34 , Lot 47 3 . ) On — 1- 19_g_g-, the Zoning Board of Appeals, on Appea into. 1988-40 gr-ante(? me a sL ec i al permit to maintain a family apartment at the above address . 4 . ) I understand that the family apartment may only be occupied by members of my family who ate persons related to me by blood or by marriage. 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name: M. Elaine Mycock Relationship to Owner: Mother (2) Name: Relationship to Owner: 6. ) The family apartment will be the primary year- round residence for the above-identified family members . 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of -my family members occupying said family apartment . .10 . ) I unders.—i"a d th-at I am required to comply with all conditions imposed b-,, the Board of Appeals in Appeal No 1988-40 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this 1st day of May 19 89 r ( gle) : ure) (Please Print i M I Joseph_ u. DaLuZ i r. 1 ephoi-ie: 775-1 120 Eill Iding �_ommissionvi Ext . 107 TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS, MASS. 02601 April 24 , 1989 Ronald J . Mycock 1i4 Ocean View Avenue Cotuit , MA 02635 Re: Appeals No. 1988-40 Dear Mr . Myr_ock : On ,July 21 , 1988, as applicant (s ) you were granted a Special Permit for a family apartment . "The intent of this by- law shall be to allow one ( 1 ) additional living unit, complete with kitchen and bath to supply a year-round residence for a member or members of the property owners family, . . . . . . . . . . . " In addition, the by-law also states that. "The property owner, and the person or :persons who will reside in the family apartment shall sign affidavits before occupying said family apartment and further , all shall sign said affidavits each year said family apartment is occupied. . . . . . ". Within sixty (60) days from the date the person or persons residing in the family apartment vacate the premises , the owner or his representative shall remove the kitchen facilities and request. the Building Inspector to inspect: the premises. It is important that you understand that there are restrictions which relate to the applicant's family living at the same premises. The use cannot be transferred. Conviction of a violation of this by- law is subject to a fine of $100 per day for each day from the established date of offense and, also, subject to a criminal complaint to issue from the First District. Court of Barnstable. Affidavits must be signed and filed at the Building Commissioner ' s Office between the hours of 9:30 A. M. and 1 :30 P. M . Monday through Friday. This by- law shall be strictly enforced. Peace, -doseph D. ' Duz Bui l - ding Commissioner JDD/km cc Board of Appeals Town Counsel ZONING BOARD OF APPEALS SPECIAL PERMIT DECISION & NOTICE TO 14 r,l CL rI( APPEAL #1988-40 RONALD J. MYCOCK FAMILY APARTMENT At a regularly scheduled hearing, held on April 28, 1988, notice of which was duly published in the Barnstable Patriot, and notice of which was forwarded to all in- terested parties pursuant to Chapter 40A of the General Laws of Massachusetts, the petitioner, through his attorney, Michael Ford, requested a Special Permit to allow a family apartment in an existing garage at Map 34, Lot 47, Main Street and Ocean View Avenue, Cotuit in an RF zoning District. It is not in a Zone of Contribution. In support of this petition, the Petitioner presented evidence that the. following conditions applied which would warrant the grant of a Special Permit. The Petitioner, and his two daughters are the owners of the property and all reside within the main residence. The Petitioner is seeking to create a family apartment within a garage located on the same lot as the principal residential structure, in accordance with Section 3-1:1 (3) (D) of the Town of Barnstable Zoning Bylaw. The petitioner presented a plan indicating that the footprint of the garage will remain and that the style of the converted garage will be in keeping with the surrounding resicdential neighborhood. The proposed apartment will be two floors, the living area will be 1,133 sq. ft. , which will not exceed 50% of. the living area of the existing residence which is 3,300 sq.. ft. , The proposed apartment will be occupied by the mother of the petitioner and will be her principle year-round residence. The petitioner is aware of all of the requirements of Section 3-1.2 (3) ,(D) of the bylaw and stated that he understood that the apartment could only be used for a family member and that the kitchen would have to be removed when it is no longer occupied by a family member. Based on the evidence submitted the Zoning Board of Appeals made the following findings of fact. The applicants proposal complies with all the requirements of Section 3-1.1 (3) (D) of the Town of Barnstable Zoning bylaw: Family apartments, and that the use, as proposed would not be detrimental to the neighborhood. f;i:CC�n IP.I RU7!3TRY CE DEEDS IN CC. 40A, Ib1.U.I. (3) (D) ' Famlly apartment subject to the following: •��Rfi�mENTS a) Not more than one ( 1) family apartment Is provided. b) The family apartment Is within or attached to an existing residential structure or within an existing building located on the same lot as said residential structure. c) The residential ' character of the area Is retained as nearly as possible. d) The family apartment contains not more than flfty percent (501.) of the square footage of the e>tlsting residential structure If being proposed as an addition thereto. e) All setback requirements of the zoning district within which the family apartment Is being located are 'tomplled with. f) The property owner resides on the some lot as the Family apartment. g) The family apartment Is occupied by members of the property owner's family only. h) The occupancy of the family apartment does not exceed two (2) family members at any one time. 1) The family apartment Is the primary year-round residence of the family member(s) residing therein. J) The family apartment will not be sublet or subleased by either the owner or family member(s) at any time. k) Scaled plans of any proposed remodeling or addition to accommodate the family apartment have been submitted by the, property owner or his or her agent to the Building Comnlssloner and the Zoning Board of Appeals. 1) Prior to occupancy of the family apartment, affidavits reciting the names and family relationship among the parties seeking approval have been signed and' shall be signed annually thereafter for the duration of such occupancy. m) Prior to occupancy of the family apartment, an occupancy permit shall be obtained from the Building Comnlssloner. n) No such occupancy permit shall be Issued until the Building Comnlssloner has made a final Inspection of the proposed family apartment. o) Within sixty (60) days from the date authorized family members vacate the family apartment, the owner or his or her agent shall remove any kitchen facilities In such unit and notify the Building Comnlssloner to Inspect the premises. p) In addition to the provisions of Section 3-1 . 1 (3) (0) (o) above, upon vacation of any family apartment, the premises shall be restored as nearly as possible to their state prior to the creation of such family apartment. q) The Building Commissioner shall have the right to further Inspect the premises upon which a family apartment has been vacated at: least three. (3) times per year for three (3) years consecutive from the time of such vacation. /pezils voted by a 4 to 0 vote to grant the Special Permit to allow a family �ftmerit. bers present and voting: Gail Nightingale, Chairman /2) Helen Wirtanen 3) Dexter Bliss 4) Elizabeth Horton In granting the Special Permit the Zoning Board of Appeals imposed the following conditions, the breach of which shall invalidate the special permit being granted: 1) That the family apartment be constructed pursuant to the plan submitted excepting that the second floor plan be omitted, and that the family apartment be restricted to one floor only and contain only one bathroom. The second floor shall only be used for storage space. 2) That the petitioner fully .comply with all of the provisions of Section 3-1. 1 (3) (D) of the Town of Barnstable Zoning Bylaws, attached herein. Any person aggrieved by this decision may appeal to the Barnstable •Superior Court as described in Section 17 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts by bringing an action within twenty days after the decision has been filed in the office of the Town Clerk. C • Chairman I, UQU Clerk of the Town of Barnstable, Barnstable 'ounty, Massachus t s, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that ❑o appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this ay of Alyllf 19_46Lunder the pains and penalties of perjury. own\Clerk Distribution: Town Clerk • Applicant/Property Owner Persons interested Building Commissioner qo R034 047. A P P A I S A L D A T A KEY 20042 MYCOCK, RONALD J TRS LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 125, 600 117200 185,500 1 A-COST 322,4E00 B-MKT 196, 800 BY oo/ BY ME 12/87 C-INCOME PCA=1011 Pl--*S=OC) SIZE= 2898 JUST-VAL 322, 300 LEV=200 COWST-C 0 ----COMPARISON TO CONTROL AREA (__)4AA ----------------------------- NEIGHBORHOOD 04AA COTUIT PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 1256001 LAND-MEAN +0% 3223001 IMPkOVED-MEAN +0% 25% 3 FRONT-FT 1 100 DEPTH/ACRES TABLE 02 lo(:)%] L0CATION--ADJ APPLY-VAL-STAT 1 LNRILAND LFI*/IMPIADJS/'.E;B/FEAT STRISTRUCTURE ARRIAREA-MEASUREMENTS NORINOTES Ci*_)M3MARk'ET INCIINCOME PMRIPERMIT!=-; ORRIGRAPHIC FUNCTION-[ I STRUCTURE-CARD NO-E0003 DATA-[ I XMTE'-,'] I R034 047. P E R M I T C PMT 3 ACT I ON C R 3 CARD C(j00 3 KEY 20042 000000001 1(jC_l0t'l(_0 3 PERMIT-NO MCA YR TYPE VALUE CK-BY 110 YR %CMP NEW/DEMO C:CiI�I�IEN'T' CB311013 1083 C873 CAD3 3 :=:80003 CLF•'..3 1013 1:883 1:0503 [NEW 3 CCO ADD-`N 3 CB321403 C083 1883 [AD] 3 22o(..)O3 C 3 1003 Ci 03 10003 CNEW 3 CCO REMOI:i'L3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C J 3 3 C 3 E 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 1 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C: 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 1 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C :l C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 7 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C :I C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 C 3 3 3 C 3 C 3 C 3 C 3 C 3 C 3C^3 1 a R0 34 i�47. N 0 T E S [NOT] AC:T I ON[R] ,CARD r c?00] KEY 20042 ACTION—CODES R=READ W=WRITE X=EXIT—NO—WR D=DELETE 000000003 NOTE- [*ADD- N 50 COMP ] r 1/1/88. . . . . . . . . . ] r .. . . . . . . . . . . . . . . . ] r#3'2140 FAMILY] [APARTMENT ] [APPEAL 198 8-40 ] r 1 r ] r ] r ] r I r r ] r ] r ]XMT r' '] I� 7 y , y C ] 1 RO34 047. ] LOC]01 m;4 OCEAN VIEW AVENUE CTY]U 1 TDS] 200 CT KEY] 20042 ----MAILING ADDRESS------- PC:A] 101.1 PCS]i_0 YR]00 PARENT] 0 MYC OCK, RONALD •_► TRS MAP] AREA]04AA I IV] MTG]0Ut=0 L & S FAMILY TRUST SP 1 ] SP2] SP3] 134 OCEAN VIEW AVE C►T 1 ] UT2] 67 :alb FT] '28'-8 C OT►_►I T MA 026*_5 AYB 31894 EYE+] 1':?65 CABS] C ONST] o0oo LAND 125600 IMF' 185500 DITHER 11200 -----LEGAL DESCRIPTION----- TRUE MKT 322300 REA CLASSIFIED #LAND 1 125, 600 ASD LND 125600 ASD IMF' 185500 5500 ASS LOTH 1 t 200 #BLD (S)-C:ARD-1 1 185,500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE I #OTHER FEATURE 1 11 ,200 TAX EXEMPT #PL 134 OCEAN VIEW AVE RES I DENT'L 196800 322300 0 :122:I00 I #RR 1136 Oo6 i 0951 0117 117 OPEN SPACE #SR MAIN STREET COTI I I T COMMERCIAL INDUSTRIAL EXEMPTIONS SALE309/87 PRICE] 3500oO ORB359 23/059 AFDI I LAST AC:TIVITY302/12/88 PC:R]Y i QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 12/24/97 PARCEL ID 034 047 GEO ID 2004 LOT/BLOCK DBA PROPERTY ADDRESS OWNER MYCOCK 134 OCEAN VIEW AVENUE RONALD J COTUIT 134 OCEAN VIEW AVE COTUIT MA 02635 PHONE DISTRICT CT DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? ## BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 29185 . 2 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT Assessor's offioe (1st floor): I �. Assessor's map and lot number ..... ..,� ."..®. .. ......... �' THE Assessor's Board of Health (3rd floor): S ,► Sewage Permit number ...�?...! �...... �......:....�-! ' """ Z BAHII9T(�DLE, i Engineering Department (3rd floor): 'oo "639- e0� House number ........................................................................ ''�o�aYd` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ .�...... .1 ................................................... ...... ... :..'.. ..... TYPE OF CONSTRUCTION ........... !! .�. cGi!�tF:......................................................................./............ ..0�� ................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /! y ....... ....... .. ....Co...u.I.t.......141 i '............................................... Proposed Use ...l.rrX./D.... 1 ...... - G!! .............................................................................................................. ......... Zoning District .....1'.r .........................................................Fire District .......... }/Gr. ................................................... Name of Owner ..../t,. ./?.f�./'. ..��,......�11 C�MCk.......Address ..... / (h Nameof Builder ....... ...........................................Address .................................................................................... Nameof Architect ..................................................................Address ...e`................................................................................ I'I ♦ Number of Rooms ..................................................................Foundation Exlerior ....................................................................................Roofing Floors ......................................................................................Interior .................................................................................... Heating .......................................................Plumbing ................................` I........................ Fireplace ......�7.9...................................................................Approximate Cost .....� � �....:. Definitive Plan Approved by Planning Board ---------------------_----------19______ . Area ......... � ............. Diagram of Lot and Building with Dimensions Fee .........ti1. ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 OCCUPANCY PERMITS REQUIRED FOR NEW W DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. y N14ame I.. l.�/..............1/ 7/...IJf ........................... �. Construction Supervisors License .................................... g - MYCOCK RONALD J. A=034-047 No .3!!.01.... Permit for ...AdO...&...)ReJ.4.Q.d.Q,1 .........5in le Famijy..DWq.jjj.ng 9.................... ........ Location ...U4...Q.Q.Q.sa.n...V.iQ.w..Av.e aue...... .................jQQ.t.vi.t.............................................. Owner ......R.o....n...a..1...d....J. MY ................... Type of Construction .......FlZaMe....................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ......August 19, ......I...........................19 87 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's map and 'lot number h r Sewage •Permit number f %THE r �Q o TOWN OF BARNSTABLE } d l Z DAB33TA13LL i "b ,'BUILDING ' INSPECTOR 'E 0 MPY ,+ APPLICATIOWFOR PERMIT TO !..:a.. — d.!1.......... ..........!.!. ....:............v..-: LL.. ..!%..!..?::......... TYPE OF CONSTRUCTION ....E �.... .! :................................................. . ............... ............ ....'.....................19......"7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for ja permit according f to the following information: Location .....O.rit. G..9.P........" . .. -..j ........ .��.�=�..... . ...C, O...7-01 . ProposedUse ........ ......... ................................................................................................................:.................................... Zoning District ..t!:.....r.........................................................:..Fire District .............. . ..... ...... ` ................................. fiName of Owner,.`.../, PO / .. , V1... .... ,� ....�.... r. ? 0 Address :. .. .... U Name of Builder ..`?...'... � '. �' Q ��AAddress� / /� / � �� �..................................� ... GL... 5 Nameof Architect ...............................................................:..Address ..................................................................................... Numberof Rooms ................................................................ Foundation .............................................................................. Exterior .........................................................................:..........Roofing .................................................................................... Floors ......................................................................................Interior ......................................... Heating ..................................................................................Plumbing .................................................................................. A Fireplace ..................................................................................Approximate Cost .................`................. ............ Definitive Plan Approved by Planning Board ________________________________19________- Area .......................................... Diagram of-Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH (J a/ -A . � A", '��w/�Ci�� .� r � (n/- J✓////fir � Mid\%�'�� � 'V�•�'J V- "\./'` �.�i�r���� _ _ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...`....::.. ' ` Ryder, Florence B. A=34~47 ' l79l7 resup�el fr«uu� ' ' No ' Pern�k'for ... � -- ..--.. --.--------.. ^ . ` dwelling . , —..--.— ----------. ! /^^ / ��� ^ Location ---�����'.���?�.��a�se—'----. ^ . . � Cptolt .—..................-------------. . . ` Owner ^���=~^= H. ��� 'rp= of Construction" ' ` , . ) no/ . ` ' � . < = 19 ' � Permit' Granted ....... � . wv/e of Inspection — . . ' ^ 19 � ERMIT REFUSED ' � � . -----_ -------'_---- ` . .............. ---..----.. .—.-------.--' ' . ' / . . . ^^—'.�'^^^^----'----- --^f�o............. ' ' \ L " ' --.---,..~.^.--....�. . --.--.—.--. . ' _—.— ---~' ' . | Approved ................................................ lg ' `' -------.----------.---~—.---. ' ! -------'---'^-------~~~—^^^^^` ' ` . � fir. Assessor's map and lot number Sewage Permit number t . .A. ,at ........ yOFTHETO�y TOWN OF BARNSTABLE i • i 13A"ST"LL i "b 9 BUILDING INSPECTOR o M a C-0/1)'57RC0.V T APPLICATION FOR PERMIT TO ...�� ...................1.1....................................................................... TYPE OF CONSTRUCTION .......W.O.a P...... .............................. ....................................../o 7 .............. ..bi...�.......................19......? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Locationy ' 'V (h F � .w........... ......................................................................... ProposedUse a........ !.R. ....... ..................................''.......................................... .......................... ZoningDistrict ...........................................................Fire District ......CA.07U.�.T................................................ �f v ,p f Name of Owner L f� v��...... d D .....Address ............... ..... ............!C... ,............. Name of Builder Ta yo ES.......A�..... .�,�.N��....Address .� �....+1�1 t D wA y. f! ....................T :-.. Nameof Architect ..................................................................Address .........p.......................................................................... Number of Rooms fV. ............Foundation ..! U 4 Exterior ..I'.1. ... .. .��. .'.... t?.!. ..... ...............Roofing .....A5.8YA4.. .................................................... I � . Floors .R/........................................ .........................Interior ... ..1... :. ........... .............. Heating n, �N .....................Plumbing .... .................................................... Fireplace .., . N. ...........................................................Approximate Cost ...... �.................. .................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area ...... Z.4.............. Diagram of Lot and Building with Dimensions Fee ffi J / SUBJECT TO APPROVAL OF BOARD OF HEALTH e� ---- -,- I ry - a 140US6- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ,.c...... .:..... ... �'.`�`................ Florence H. Ryder y —y No .1.7.383..... Permit for ....... Aira e................ ..........8 p��ll f.................................................... Location ....0Ce.P...U.P-W... >:!4.1........... ............................................................................... Owner ....Fl orence...H...l?Vdpex......................... Type of Construction ......WAQd...F..r..atma.............. ................................................................................ Plot .....34.......47........ Lot ................................ Permit Granted .Oct.............. 18.............19 74 Date of Inspection ..........:.........................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... � �4/�~ Asy�xuo/x mop and lot number —����/----,..' ......... / Sewage Permit number -------------------' | � THE � TOWN�������7�� ���� �� � �� �J�� �� � �� �K �7 � �]� �� A& N� |� �� �� /� �� N ��� � � VASIL BUILDING � 0N �� N �� INSPECTOR �� �� ��0N N N�0N N ���� N ������ N� 0m � NN �� �� m~ � ���� mw� �� mmm��m ���� � �rm� APPLICATION FOR PERMIT T�� y��.����/�L—.��r�.�..��.���—..��--..�:..x���..~'~' ---. APPLICATION TYPE OF CONSTRUCTION ............. r.............—..------------------...------- �� ^� .�------lq.7 0 - TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: Location ........................................................ ---.—..----______________.:_____.,____,,,______. ProposedUse .. -------.—..-----------------..�------.--------. � Zoning District --- .---------------Fina District ....... ...................................................................... Name of Owner / dunss ...........=/.......—�—�——�—�—� �.................=---C—�-76'17— | � Nome of Builder J���.y�l/��.. /�.`./ -�y ������----'Ad6neu ----------.------.----.—...---. Nome of Architect ----------------------A6dres ---------------------------- Number of Rooms ----------------------Foon6o/ion -------------------------- - Ex|erior ----------------------------Roofing _--------------------------.- - Floors ---------------------..'------.|ntehor ------------------__________ Heating ---------------------------.F1umbing ------------------------_,—.. Fireplace ---------------------------.Approximote Cost ----------_______,_____ Definitive F1on Approved by Planning Board 1V--------' Area -------------- � Diagram of Lot and Building with Dimensions Fee _______________ � SUBJECT TO APPROVAL OF BOARD OF HEALTH � I hereby agree to conform to all the Rules and Regulations of the Town of ' ' � � Barnstable regarding the above Name ---^^~^^----~---------'--' | Florence B. Ryder 47_ ~ , � � N-6 17�8/�—.. Permit --.lDemol1qb.Qg��ge ------ .----- Locotion ..1) kii*mm .Arm^..[.o.tiAit............ ............................................................................... � C)w'ne, ---}yl9��g��..B:..RI�er------. Type of Construction .......................................... --------------------------' � Pko1%4..34.T.47............. Lot ................................ |� Permit Granted ..................Oc.t..-18.......lg 74 Date of Inspection ------------lA Date Completed ...................................... � PERMIT REFUSED � -----,---------------.. 19 � � -------------------------- ^-------'----------'—`--^----' -------------------..------ ' ' ----~----'-----^'~----'—'--'~— Approved ................................................ 19 ' ---------------'~----------' � � ----------------------^---'' ' ' FEE TOWN OF BARNSTABLE, MASS. �b d °D CS 5.o.dM _ 19 0 H Q � oA•� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO Pa 0 a v ............................................................. ................._....................................................._.................... ............_..................................................................._..........._..... r.._ O .ter (PROPERTY OWNER) "I (ADDRESS) �1 O Op oti 3 TO ............................................................................................_........................._. (BUILD) ( TER) (REPAIR) tU N D�a ......................................................................................................................................... ..........._................. ................................................................_................_..........._ O (TYPE OF BUILDING) (APPROXIMATE SIZE) O M cmA LOCATION ........................._..........................._..._........................................._...._ ..._........................................................................................._......_...... y� ISTR[ET AND NUMBE 1 IV ILLA6E1 . m ..0 NAME OF BUILDER OR C O N T R TO R __... _....._........................_......_...._......._..._......._......................_................._.......................................PQ _.. A y (u Q APPROXIMATE COST _ _ ........................................_............_.._............................................_....._.._-_-...._. (D m(>s I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN 0.'q OF BARNSTABLE REGARDING THE ABOVE CONSTRUCTION. o M 0.o �7±1 N (OWNER) (CONTRACTOR) cc V�' o z BUILDING INSPECTOR Subject to Approval of Board of Health. only .a -*�`$i`°1 .;,.✓.'f.5ep'Ctd .sA gust! ';':}y10 "t:'•"r _ �i'+rd U"�C.-�. til. y'=.a1`€#ti•.B Z.. e.'4. t r. Jr. , r ' -ZN: AV _ ' 4s tP x+ Assessor's office (1st floor): Assessor's map and lot number ...................._�,�.....-.--..��......,...... Board of Health (3rd floor): ! �-� 2- � ����. may. �� 01�jL�( ice. Sewage Permit number ........�r� .............. .............. - Z DAWSTSDLE Engineering Department (3rd floor): oo rb 9 Housenumber ........................................................................ 'FOYAY a` Definitive Plan Approved by Planning Board ________________________________19 ________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR .PERMIT TO ..... 'l").. ...91F /. ..ArF(�G�!� �..:.......lkp�41,...... !-�d......... ... TYPE OF CONSTRUCTION ........... ..... '1°:��f ..... :$,....`Y ............................. L.C............ 1.........ti19 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �.�.............. Location ............. ................... ............................ . .... ..�S.J..:..................................................................... Proposed Use T.� ... j 11 � 41 Zoning District R ............................Fire District rG ,. ' ....... ... ........................ '..:..;tar-.......... Name of Owner ... n 44.41 �....:....... ...�!? ..Address ....1. ... � ..... .' ` ...... Name of Builder . ..,4. 4; ''x �ryti��.Address � �.. . .... L .................... Name of Architect ! : "-... � ��. t....................Address ......%..[.. J-I.-"_.o . ...................................................... Number of Rooms .d..a'.� . f�� li /;-Founclation �-t .. ..... �.1. �.!�1.�..;..1.;.C.. ./�t%?..^,(..,.la.).�';J:... .......... ......... ........................................................ Exterior Sh t!YTS......................................................Roofing .....M ... .........Q �t/i.L.fit . ................ . ......................... ................................. jFloors ...................................................:..................................Interior .....,.�. -LV ............................................... Heotin g Plumbing ............ 1?............. .. .. .. ........................................... Fireplace .........r...I�......:.........................................................Approximate Cost ...:�.-Fne...� --A�............ .......1. ' Area .....�.............,'�-1l!...1�{'a . .. Diagram of Lot and Building with Dimensions �-� 9 9 p 7� Fee ...............�,..... ...................... L 1 r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of -arnstable regarclin= they 1ja�e construction. �� L "� Name ........ ......... . .............. _ .. ................ ' o3a �� Construction Supervisor's Licens- AAQ*64 .................................... MYCOCK, R09ALD `J. A=034-047 No ....3.2140 Permit for ,Remod. ....el Garage.. .... .. .......... to Family Apartment/ Single Family Dwelling .................................................................. Location 134 Ocean View Avenue ............................................................ Cotuit .....................................................................I......... Owner Ron.ald. . ...J.... ........ My.cock. . ......................... .. . .. .. . .. ..... Type of Construction .... Fr.ame ............................... ................................................................................ Plot ............................ Lot ................................ August 4 , 88 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 � r L. 7 I , I , , n . � • - - ., . . . - - MASTER • , _ BEDROOM r o s k , f , - �----- -- -- ----------- ----- - --- --------- - • - - M , o a i s a , A . BATTrR+ HALL �'aH66 T w:l.c N s n B X , • % e p� , b 0 , ^ r - _ DECK. /.- :>. MUD HALL a r .I n To MALLS < s fIt— CLOSE VERIFY - k OVERALL TO VERIFY EXIST. - PRIOR TO ORDERNS r .•:• :,,. _ ., .. .., .. •,: r , ., p. ,',". -.. .. _. � � DECK -., .. . � F , F . r � e/'� -C! r • R - �.. i' !. , yCRAAL - KITCHEN Klrclffn DE5,6N - _ , �, x,,: 3'; - .. --• ' I•�-;. ar ones ,..'Douse-t,n+s:awi - { . s�^.wA sTL ,< • wL oN SOKiox17 caNz. SOL oN IrrFxcAVATm' r - HAL• IQ _ . RO.: 4 X 311 SOIL t ,,.. .. .,, .j � .. i r ' - r, F . r a ., bEetAL FLAN NOTES qI •..• y' A, p Y '1,1. OMN:E-i/1G:2G4T" OOAIE-MH`:7459 - -:9 _ - 2/ _,, •, F.NT;RY.` .. � :4' '4 ::•-�•• - �RD:�3 B/4xs-n s/4 , NRpp dd--{ _ 6, 4 (RO IteI TI•E ". r. - ',p _- tR0.IE1FilR TNEJ -.ALL W.MALLS TO BE 7X45 R I6' — ei - 1 o EXtS - OL A.41ES NOT®OneD65F1 _�5��i p'c • ' .r, u �. i 4 - ., ,: ., a . ., • - _______ __a______ ^. •;� / - -N180Ka TO B£FEL.A'ARESISTANT c�U<`ej�sEe r. _._ -_-. • 3 - } ,. , t- j 1 - • SERIES•NT'I NON NIPACT-RF5ISTAMi — - „ ,.. .,_„, - ,.- gxtiEX,i - - 6lAL NTN PLYWWD PANELS - rc N , -- -- - _ o�E • `:. r' ` 'r• ` ____ _ _ _ ____ AND FASTBUA-SYSTEM A LOS.COVE IN TIe.M _ :bbx'x�LYf.'- Bn+®.of MA55,STATE E0.O6.coDE '3e lon , s :, w.y. , " . 9 S' , • SJ'. I:-, .. ..- . + (REFER TO ELEVATIONS FOR.MMTIN 'm-• <D3 i PATTZNNL - <g a o!o'•_ i-- m e f"T , .i ALIEN HALL, _ IINTERIORNOT Drr�Eaa®ARE ro LOCATED STUDS — o _RcLOCATIONS @ems=.`@c2 - . - '. .. •. : e' .. - - I/27 FROM THE DCLOSESTSPA MALL M 5HO1W IN: <.._+a.�MIN .Y " BAR.. I, � r (4 IY P..W OR IN Y GENfEREO SPACE cu , - r �j x MERE GRAAL LIVING �` I' DINING EX5TTN5.•.r. NOTED ' FAMILY a--' T F; i• El- a - - 0 I C .2 > O . SI nROXMl80.TED TO �s k�usT s+rsY(gg�pM NDrc.ED � ws^6 BOLiS'.�AC®A'0sTA66. DEN. ° , , V MECH. s _ .. "V Au/DEMO Q.� N ••N1 Tel BEAMS ANp JDISTS - .„ e - - TO�TiOTCifrD'TOMATCM R IU ' FJU5nN6:JwST/HEAN - - Cu BOOKS �10AtD'/®IT@8 TO N G• C .. IiAN6ER AS REQUIRED • - . .' „ r •' . . _ O E _ J DUSTINS MALLS TO - O 7 RETwN — �O �.. NE3'R MALLS . > • STIBKTURAL FOUl1DATTON NOTES - s. '^ F r O r v O . :PORCH - DEMO NOBS ,. C CONSLTIONS OF FULL IEWfIT FO:4NDAnON .. `1' ExIs1TN6 DA51®NII✓oL)F a MN-L5 cc KEY So FRo5T AL TO BE 3YL✓ED w «. - x -" RBL. �As lb1ED� m BE REMOVED AND ry , N� -NO FOOT146 TO BE PL IN lob no.: 1505 .; NEATER OR FROZEN SOIL - - v date : 71 AU61J'T 2015 .-CQ-lrzm 5TRENs1N MN M•BOOD P51 • AT 7L DAYS f .. , - y - scale : As NOTm [[7(( drawn-: 1cHW-11Yv uL -ALL RE60,OEF6 MATC.+TO ASTM MI5. - , GRADE 60,DEFOA®CARS •. . • - -CL.EAR C—IM FOR REOdORON6 TO BE S' - - rev- .. TO BOTTOMS OF FOOTIN55(UST A6NNST . EARN NmTAT sVe5 OF FOOTING OR - MALLS. _ - . : rev: - -50 STRIGTLRAL 604 RAL NOfEs ' - - - - - • - , I AND TYPICAL MTNLS FOR OVER • - REOM@8n5 F o O N P L A N F O U N D A T I Nl STEEL R F R TO STIa N3DED o FLOOR T IRSN N RED.REFER TO STRJCTURAL FL A. .. v SCALE: I/4' . 1'-O .s - A / ■'r � - 90 AL E, I/4' - ' _ r ISSUED FOR CONSTRUCTION st,t. Of Ci oE v - WOOD POST DOWN s - WOOD POST UP AND DOWN e :: o •� V ._ _________________________________ _________________ - ----;�• -ls--------------- x -'WOOD POST UP n o eo - BEARING WALL BELOW N E -BEARING WALL ABOVE (REFER TO STRUCT.DETAILS) r ----------- ----------- rr NALL ABOVE ' rr a rn - -. ALL POSTS @ ENDS OF BEAMS TO BE - ;, (3) 2X4'5 OR(5) 2X6'5 UNLESS NOTED --------- ------ ---- - --------- �r / E((3) 2X6'SAT ALL EXTERIOR WALLS) , I i i r iILJI,,i l `t N 5 NOTED STS 3$942 5- ALL WINDOW HEADERS TO BE(3) 2X6'S. rr r W/ 1/2 PLYWOOD U LES --------------------- ----------- l_ rr r KV i F, -------------- SEE _ STRUCTURAL GENERAL NOTES AND TYPICAL DETAILS FOR OTHER t a o�y.u3 • EQUIREMENTS. ---- ----------- --- --I yi c aC _ _17J L34'JCI Ua_LYLBJ FYe___ _ i r r • r r r - - tfV,?X--i---RRTE�fl®D ' ____ _ _ • � r r r _ ____ ____ ______ ________ ------ IN .. `t r s w ' r r r r r r r r r r r . E r r ' ' rz ' ,Qr ; ' � i ;z ' ; - .. _ ____,.____ _____ ______ ___ __ __ �I no r . ; I Fbsn FLOOR - r :nlsTs _ r r r r •r r rr ' rrr , . . rrrrr - � „ _ i1 rrr � I r rrr Y� --- ---- --- r -------------- rr � r r, r, r �� ------------ tF - - -- - - ---- ------- -------- 1. rrr ; TEA EwsnNb aoisTs _ r -------------- -- ----- ---- - - - rcLb-1oi r r r ---- --- -------- ---------- -- - ----- r _ r _ ' T.&W ' �BS_y QBS� 'Mt.blRt ••CIl Ze FLOOR/GIG.YMST ----- -- TCIb FLOOR ----- ----- . r ------ --------- - , , • , i,-ei i —i �r TO�PDD©AS AY'IR$7T____ _________________ _____________ __ • ' , , , , 5TNR WEAVER Y04EN EAST.., WLIL 15 R81OJE0-V6iff7_ ___ _ ___ _ _ __ _ _ i r - - r -- --------------- - ------ ---- --- - r u x, 5tF8O VaP -S 5��5TWIRgGX ep TED TO r r r /7^D1 W 5/8 BOLTS 5PACW AtV5T Tra1 • ' r r r ' - `EX5TRK FLNR ________ _________ ________ _ ______________ r YV 5/B'e0LT55PAGE0 Alm STAGb. ' ' '' __ gxYr _ _____ = r r --� It ^^`` „ r r r rrr ` r Wo _ _________ _ ___________________ ___ _______________ Ln Y i - LppSTIRb FLGYF C C C W r r rrr r - , r r r r r r WW��yyII ,,�0p�� r r• ••TOEEM"W"TO MAtf•!�1 r i (i i i I i i - ___________ _____ _ ___ ____ ____________ __ _ __ __ ___ — ^, N r r VJ r r r i r r r r r � , rr r i EwsnNb;.nsveEAn r r r r r r r r i i - - •_. �------- ------- ------------- r-`- ---- -- - -- - ---- --- ---- - Ww+5t3<As itE011Rm 1; r I i i 1 I r r r i .. •. � — � I r r r v — i _ _> t03 o d Ln 2r LZ ,cs E b ig I 0 O O ti III > U a—i. O N r � job no.: Isos date 21 AU&J5T 2015 scale As ROrm ••E%IS FR—NS,f liZT "FJg5 mmills,won T K51p�i1RRK ENbIIEHl FOR drawn 10W1Y1/.bV. It�ELTION IPON IRfHUOR 51�EGTIRK EN6RE9t FOR RENOVATIONSATIOt5 IFCi1 � rev. - rev. 8 S-2 o FIRST FLOOR FRAMING PLAN SE'. C• OND FLOOR FRAMING PLAN - - SCALE. I/4• I'-O• SCALE• 1/4' ^ I'-0' - ISSUED FOR CONSTRUCTION 5bt of