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0007 PENELOPE LANE
:,. � � P _ . 1� r i i ��. i �� i fnis Date: April 25, 2018 To: Building File RE: Un-Permitted Apartments Address: 7 Penelope Lane, Cotuit Originator: Unknown Complaint: Two unpermitted apartments in SF dwelling Enforcement Process Steps ® 1. Initiate local investigation: Ed 13.2. Document/enter into system Yes ® 3. Contact ® 4. Property Owner Peter&Jane Johnson 5. Seek access to subject property 6. Seek administrative warrant(if necessary) NA ® 7. Notify state authorities of findings NA ® 8. Document conclusion OPEN 9. Referred Building/Health 10. Stop Work/Cease& Desist Order Property -039-044 Property is developed with a SF CC style dwelling (2000) containing 4 bedrooms and 3 full baths on 0.55 acre in the RF zone. Health confirmed a 4 bedroom septic system. 04/25/2018 Caller stated: Lease signed July 2017 for 2 month trial. Re-signed Sept. 21,2017 for one year. Garage tenant called to inform us about an un-permitted garage apartment. He no longer resides there but complained that the apartment is not legal and the landlord knew this but rented it to him anyway. . . He stated that the landlord admitted the unit is not legally permitted. The tenant was upset when he learned that the basement tenant pays$750.00 for a larger apartment and he pays$1200.00 for a smaller studio unit over the garage.The caller asked the landlord to reimburse him for his rent. Landlord refused-but released tenant from his rental obligation. Date: April 25, 2018 To: Building File RE: Un-Permitted Apartments Address: 7 Penelope Lane, Cotuit Originator: Unknown Complaint: Two unpermitted apartments in SF dwelling Enforcement Process Steps ® 1. Initiate local investigation: Ed ® 2. Document/enter into system Yes ® 3. Contact ® 4. Property Owner Peter&Jane Johnson ® 5. Seek access to subject property 6. Seek administrative warrant(if necessary) NA ® 7. Notify state authorities of findings NA 8. Document conclusion OPEN 8 9. Referred Building/Health 10. Stop Work/Cease& Desist Order Property -039-044 Property is developed with a SF CC style dwelling(2000) containing 4 bedrooms and 3 full baths on 0.55 acre in the RF zone. Health confirmed a 4 bedroom septic system. 04/25/2018 Caller stated: Lease signed July 2017 for 2 month trial. Re-signed Sept. 21,2017 for one year. Garage tenant called to inform us about an un-permitted garage apartment. He no longer resides there but complained that the apartment is not legal and the landlord knew this but rented it to him anyway. He stated that the landlord admitted the unit is not legally permitted. The tenant was upset when he learned that the basement tenant pays$750.00 for a larger apartment and he pays$1200.00 for a smaller studio unit over the garage.The caller asked the landlord to reimburse him for his rent. Landlord refused but released tenant from his rental obligation. Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 lY � Select Language Assessinq Division Property Lookup Results - 2018 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< APrint Owner Information-Map/Block/Lot:'039/044/-Use Code:1010 Owner Owner Name as of JOHNSON,PETER E&JANE Map/Block/Lot GIS MAPS 1/1/17 L 039/044/ 7 PENELOPE LANE Property Address 7 PENELOPE LANE COTUIT,MA.02635 Co-Owner Name Village:Cotuit Town Sewer At Address:No GIS Zoning Value:RF Assessed Values 2018-Map/Block/Lot:039/044/-Use Code:1010 2018 Appraised Value 2018 Assessed ValuePast Comparisons Building $306,900 $306,900 Year Assessed Value Value: Extra $65,400 $65,400 2017-$479,900 Features: 2016-$479,300 2015-$459,600 2014-$459,900 Outbuildings:$11,800 $11,800 2013-$444,400 2012-$447,700 2011-$433,500 Land Value: $114,300 $114,300 2010-$433,000 2009-$495,800 2018 Totals $498,400 $498,400 2008-$529,500 2007-$510,400 Residential Exemption Received=$93,229 Tax Information 2018-Map/Block/Lot:039/044/-Use Code:1010 Taxes Cotuit FD Tax(Commercial) $0 Cotuit FD Tax(Residential) $1,131.37 Fiscal Year 2018 TAX RATES HERE Community Preservation Act Tax $116.81 Town Tax(Commercial) $0 Town Tax(Residential) $3,893.69 $5,141.87 http://www.townofbamstable.us/Assessiniz/propertydisplayscreenl 8.asp?ap... 4/25/2018 O Ac oD b I - a- A -s lkf��q V),,XqboS4 rn6n�,-ff bd t k ILA 4 A4 a.At- Z2� - Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 Sales History-Map/Block/Lot:039 1 044/-Use Code:1010 History: Owner: Sale Date Book/Page: Sale Price: JOHNSON,PETER E&JANE L2000-02-11 C156595 $60000 HORGAN,CATHERINE E 1999-06-21 C153652 $57500 KORCZEWSKI,MIRA 1999-04-26 #D763543 $0 KORCZEWSKI,JOHN J&MIRA1979-02-22 C77361 $0 Photos 039 1 0441-Use Code:1010 d a� Sketches-Map/Block/Lot:039/044/-Use Code:1010 t 33.3 Taff ABOVE ABOVE G POOL FA 3` k AS Built CiardS:Clickcard#to view:Card#1 Constructions Details-Map/Block/Lot:039 1 044/-Use Code:1010 Building Details Land Building value $306,900 Bedrooms 4 Bedrooms USE CODE 1010 Replacement Cost $340,957 Bathrooms 3 Full-0 Half Lot Size 0.55 (Acres) Model Residential Total Rooms 8 Appraised $114,300 Value Style Cape Cod Heat Fuel Gas Assessed $ Value 114,300 Grade Average Heat Type Hot Air Plus Year Built 2000 AC Type Central Effective' 10 Interior Floors Hardwood depreciation Stories Interior Walls Drywall Living Area sq/ft 3,046 Exterior Walls Wood Shingle Gross Area sq/ft 8,137 Roof Gable/Hip Structure http://www.townofbamstable.us/Assessing/propertydisplayscreen 18.asp?ap... 4/25/2018 &LI0 CAI" AJL , , f .11 qt --.)- ILA OdIAinC-4 Z m6n l p PnAIIIA f• l J26 a f# � � _" •,S.t_:Y.,,� F�� ; e � Y.�'S�, 5`�X� � �y !T''4.'°'``-2 it `'p;'w++i�g `,'S S �V'�..� � q1� wk ti / lJ.4 ` a �i%``"� Vie? _ ` P*�-=a \ F '•gk e `' d �i t # [AIR, r.»,f r � I e b �N!� 1%%7` jd t i�� fi � ' E; � �y�+i� "'�� '}� ,��.�`4��.� f�, 8 ��,qy - .:.�� : s.t..e� w`.�``,. �.f !`:�'-�''•'�'-r' .. fey 4 't,�d•,,,,6'S tJ + .� ; s+ `o ''$ t',f a,.F�`' rd S "} '9 "� �V kIF '.`. 6...:.� • f N MC Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 4 Select Language j ( .._ ......... Assessing Division Property Lookup Results - 2018 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< igPrint Owner Information-Map/Block/Lot:039/044/-Use Code:1010 Owner Owner Name as of JOHNSON,PETER E&JANE Map/Block/Lot G/S MAPS 1/1117 L 039/044/ 7 PENELOPE LANE Property Address 7 PENELOPE LANE COTUIT,MA.02635 Co-Owner Name Village:Cotuit Town Sewer At Addce •No GIS Zoning Val e:RF Assessed Values 2018-Map/Block/Lot:039/0441-Use Code:1010 2018 Appraised Value 2018 Assessed ValuePast Comparisons Building $306,900 $306,900 Year Assessed Value Value: Extra $65,400 $65,400 2017-$479,900 Features: 2016-$479,300 2015-$459,600 2014-$459,900 Outbuildings:$11,800 $11,800 2013 $444,400 2012-$447,700 2011 $433,500 Land Value: $114,300 $114,300 2010-$433,000 2009-$495,800 2018 Totals $498,400 $498,400 2008-$529,500 2007-$510,400 Residential Exemption Received=$93,229 Tax Information 2018-Map/Block/Lot:039/044/-Use Code:1010 Taxes Cotuit FD Tax(Commercial) $0 Cotuit OD Tax(Residential) $1,131.37 Fiscal Year 2018 TAX RATES HERE Community Preservation Act Tax $116.81 Town Tax(Commercial) $0 Town Tax(Residential) $3,893.69 $5,141.87 http://www.townofbamstable.us/Assessing/propertydisplayscreen 18.asp?ap=0&searchparc... 4/25/2018 Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 Sales History-Map/Block/Lot:039/0441-Use Code:1010 History: Owner: Sale Date Book/Page: Sale Price: JOHNSON,PETER E&JANE L2000-02-11 C156595 $60000 HORGAN,CATHERINE E 1999-06 21 C153652 $57500 KORCZEWSKI,MIRA 1999-04-26 #D763543 $0 KORCZEWSKI,JOHN J&MIRA1979-02-22 C77361 $0 Photos 039/044/-Use Code:1010 -----....-------__-_-------------------------------------------------------------------- _ -------------------------- a Sketches-Map/Block/Lot:039/044/-Use Code:1010 a3 3 3 As Built Cards:Click card#to view:Card#1 � Constructions Details-Map/Block/Lot:039/0441-Use Code:1010 Building Details and Building value $306,900 Bedroo s 4 Bedrooms U CODE 1010 Replacement Cost $340,957 Bathroo s 3 Full-0 Half Lo Size 0.55 Acres) Model Residential Total Rooms 8 Appraised $114,300 Value Style Cape Cod` Heat Fuel Gas Assessed $ Value 114,300 Grade Average Heat Type Hot Air RhFs�, Year Built 2000 AC Type Central Effective 10 Interior.Floors Hardwood depreciation Stories Interior Walls Drywall Living Area sq/ft 3,046 Exterior Walls Wood Shingle Gross Area sglft 8,137 Roof Gable/Hip Structure http://www.townofbamstable.us/Assessing/propertydisplayscreenl 8.asp?ap=O&searchparc... 4/25/2018 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 Roof Cover Asph/F GIs/Cmp Outbuildings&Extra Features-Map/Block/Lot:039/044/-Use Code:1010 Code Description Units/SO ft Appraised Value Assessed Value WDCK Wood Decking 384 $5,700 $5,700 w/railings FOP Open Porch-roof- 168 $7,100 $7,106 ceiling GAR Attached Garage 528 $15,900 $15,900 WDCK Wood Decking 499 $6,100 $'6,100 w/railings BMT Basement- 2132 $42,400 $42,400 Unfinished ___ ____________..__..________..._.._..___....________.._____- ___________ _._._.........___.... ____ Sketch Legend Property Sketch Legend 132N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Bam GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Print !Contact 'Director ;Edward F.O'Neil,MAA i P 508-862-4022 `F 508-862-4722 I http://www.townofbamstable.us/Assessing/Propertydisplayscreen'l 8.asp?ap=0&searchparc... 4/25/2018 W ) )artm a nts. lohr�ser,. First"Name Peter andJane , . First Name •_ 13 0144- .--_- P'ropertg Street Penelope Lane- T---------- -G; �otuit State.', FA zip , 02605 'finding% +-0 AGtpOtl Req;uared; A Sir7gle Fa�ily - �! _ __. . 5/.0120111; Recorded Date Permit I�su�d. itudio Apartment,unitshall not:'exQeed,one:[.l);pos' oh'. ssue& f Cornlplia noel ssued11V 9 5°indy P wski9 9-iv p - iskir2Ofor,sta upend f the i�reD blkolannin rtoh �o thQa��h�the iron. �/1 912014,seat letter to hvmeovam�er - r Amnesty PAra6n 5129/20i 4 Recevltdlet�er. iack fr®m horheawrher and he'stated they have filed for ar 6 m�ontKexterision through.Cindy Dabkomki: ir26f 2014 C6mprgl�ens ve Permit 2012-0 8 &'been glyen' an,exten ion ur t l 01-/23/2015. 3t1 ����.i 1�t.: ► rf����' aP�e�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION e— 1 ,k TM;Yt£ O T 0 ` r licaton #9-/Map Parcel i7 Health Division _ `' All 9 S bate Issued Conservation Division Application Fee i s Planning Dept. Permit Fee. & _., �}, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village Owner Address � � Telephone sr aZ 7 33ep Permit Request /��i''�9 J� .� �'�z i9��i�° _�2/Y 4Z4L�.�G�.� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4;1;7D D 4 Construction Type ZA,1 /�Ti4"il Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes 4 No On Old King's Highway: ❑Yes 2fNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: 0 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 4ra?� C°®� ���y�/-I, o�/ Telephone Number Zn, Address License� �°Q,����/ G�, License# �/ GL Nome Improvement Contractor# /:✓� �'� Email �('jo�'G&n / 2'o 14 Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t - - FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/-:PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of XndustrlalAccldents k9i 1 Congress street, Suite 100 Boston, MA 02114-2017 www,mass,gov/dia • Workers, Compensation Insurance Affldavitl Builders/Contractors/Elsctrlcians/Plumbers, TO BE FILED WITH THE PZPMf t'X1�0 AUTHORITY le se P Name (Bus!Hess/OrganlzatiorJindlvidual); Cape Cod Insulation Address: 18 Reardon. Circle City/Statellp; South Yermouth,MA 02064 Phone #; 508.775-1214 Are you an employer?Cbeek the tppropr(ate box, I, I em a em io er with 48 Type of project(required); © P Y employees(full and/or part•tlma),e 2'13 1 em 11610 propeatoror partnership and have no employees.working forme In 7, ❑ Now construodon MY oapaoity,(No workers'oomp,insurmnoe required,) 8, ❑ Remodeling 3.❑1 em a homeowner doing all work Myself,' Y (No worktre oom 9, Ins ❑uranoe re ulrcd t Demolition P , 4❑1 un a homeowner and will be hiring oontmotors to vonduot all work on m q ro e)ensure that all oontreotors either hove workers'comPermtlon lnsuranos or are sole y' 1 will 10 ❑ Buildlag addition proprialorswith no employees, 11,❑ Electrical repairs or additions S.❑I am a general oontraotor and I have hired the sub•oontraetors►►sled on the Muohed ehoet, 12'❑plumbing repairs or additions These sub•aontrwtors have employees and have workers'oomp,lnsurenoe,t 13,❑Roof repairs 6,❑we are:corporation end Its ofEloers have exeroleed tholr rfghtoftxtmpdon per MOL o, 14, Other Weatherizatlon 1$2,11(4),end we have no employees, (No workers'oomp,Insuranoe mqulrad,) Any applicant that submit x 1 must also Plil out the section below showing their workers'oompensetlon policy Information t Flomeownen why submlt�J�fddavit indicating they are doing all work end then hire outside oono'sotora must submit a employees, that cheek thJs box must attached an Add;Kin sheet showing the nuns of the sub•oontrsot0$end state whether por nno,those entitidayll ol We � employees, If the sub•eontnoton have em to eea they must Provide their workers'oom P1 lloy number, !am an employer'that is providing workers r aompens'atlon Insurance for my employees, Blow is the poll and lob site Utformatton, cy j Insuranoe Company Name; Atlantic Charter WCE00431902 '' ' Polley#or Self Ins,Llo,#, Bxplration Data 08/30/2018 Job Site Addres Attach a copy of the workers' corn �`' pensatlou policy declaration page(showing the policy number and ez !ratio Failure to secure coverage as required under MOL e, P n date), and/or ono•year lmprisanment, as well as civil penalties In the form of a STOP violation Punishable RD Rl0 by a flee up to o$250,00 day agalnst-the violator, A copy of this statement may be forwarded to the Office of Investigations of the DIA d a fine of f r I jurarl 0 a coverage ver(8oadon, or Insurance 1 do hereby Mr y n I palms and penalties of perjury that the lr1'ormation provided above is true and correct: SignM ' l ;ti,l i'y1 �MlwwwwMaV�WF�MwWRM4„'A 5 •77 214 , rt MOW use only, Do not write in this urea, to be completed by cityor town ofylelal y or Towni Permit/Licenso#uing Authority(circle one)i 1, Board of Health 2, Building Department 3, City/Town Clerk 4, Electrical Inspector'. 5� Plumbing Inspector 6,Other P Contact Persons Phone#, «...�� MassaQhuselts Deparlmen► of publlo 9afet ��,�,� 6,oard o( euliding ReOulatlons a d yy n Standards- Llvensel09.100888 ` Oal�etrtivtlon 9upervls�r, „ , HENRY 9 OA88101y�1` 6 $890 ROW � WEST YARMOVY'F( P f � Oo missioner 1111tlZo17 , 1 , ' P Off100 of Consumer Affairs and Business Re u 10 Park Pla;a e Suite 6170 g latlon Boston, Ma ' b, usetts 02116 Home prove r ' Cape Ovd Insulatlon r �� +`i'}r;�i"}' �l �,i'i,l:"1, 1, ( a Ion,, OOrpOra110n , Inc � '��;��4,1,.,� l,:jc,�r;� ��',�' Re Istral 163887 Explrallonf 12/14/2018 Bo-,.Yarmouth, MA 028 4 8 ' WWI n) `••') Updale Add tees and return yard, Mork raasvn Ior ohanp, Oflioa of 00naumer Allolra & evolneaa AvIvIotlon KOMI IMPROVEMENT OONTAAOTOR 7�t.Qi Oorporatlon Reylalrallvn valid Ivr Individual use only 1 );)I bafory the expiration data, It e v I„ 11f''lI ltt lxal„ r m ONioe of OonaUmer ANalra end al yr Rogulatlon 12/14/2018 10 Pork pleas, e b170 1, I 0`ape 00d Install' I ' �� eoatvn,M 1 i Henry Oassld � , 18 Reardon Oiro� d�� , /; �, 90�Yarmouth,M "),R. � ; G '"'� Vnderseore, t al pout $l atu r S 1 ACCORLY CAPECOD-27 �-- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDOER,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(les)must have ADDITIONAL INSURED provisions or 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 rl hts to the certificate holder In lieu of such endorsement s . PRODUCER ACT Rogers&Gray Insurance Agency,Inc. PHONE 434 Rte 134 A/c No Ext: FAX No; 877 816.2166 South Dennis,MA02680 mall ro ers ra ,com E FF D NO COVERAGE NAIC k INSURED s I iPeerless Insurance Company 24198 RE 'Safet Insurance Company 39454 Cape Cod Insulation,Inc. ER C Endurance American specialty Insurance Com an 41718 18 Reardon Circle South Yarmouth,MA 02864 RE 'Atla tic Charter Insurance Company 44326 INSURER E INSURER F CO ERA ES CER FIC ENUMBE S'-N 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.- -LIELINSR TYPE OF INSURANCE ADDL SUBR POLICY EFFjMQgLC= POLICY EXP A POLICY NUMBER X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE a OCCUR CB A H OCCURRE CE LIMITS 1,000,090 P8263063 04/01/2017 04/01/2018 DAMAGE T RENTED 100,000 An 6,000 , E 'LAGGRE LIMIT APP ES PER: L DN 1,000 000 2'000'000 X POLICY JET LOC OTHER: a O 210001000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO g E 6232707 COM 02 1,000,000 AUTOS ONLY X ETH ULED 04/01I2017 04/01I2018 IRED oN oy��ED B DIL INJURY a arson X AUTOS ONLY X AUTOS ONLY BOQILROPERNYU AMARY O accident) Per eccl LA C UMBRELLA LIAB X OCCUR X EXCESS LIAe CLAIMS•MADE EXC10008836002 -LA—CHC R NCE 2,0001000 04/01/2017 04/01/2018 2,000,000 DIED RETENTION$ -AGGREGATE D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY KPER OTH• RandeANY PROPRIETOR/PARTNER/EXECUTIVE R/O WCE00431902 06/30/2017 08/30/2018 1,000,000 tory in NH)EXCLUDED? M N/A EAC J ACCIDENT Ilyes describe under SEA E• PL E 1,000,000 DES IP I N F OPERATIONSbolo . .DI ESE- LI LIMIT 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remark Workers Compensation Includes Officers or Proprietors, a Schedule,maybe attached If more apace is required) Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, C-ERTIFICAT HOLDER C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Thlelsch Engineering Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 196 Frances Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Cranston,RI 02910 AUTHORIZED REPRESENTATIVE ACORD 26 2( 016/03) ©1988.2015 ACORD CORPORATION, All rights reserved, The ACORD name and logo are registered marks of ACORD Town of Barnstable Regulatory Services i► r a AARNSTABLE, + Richard V. Scali,Director MASS. 9°0 1639• d M Building Division AT� PS A, Paul Roma 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 I, PETER E JOHNS ON , as Owner of the subject property hereby authorize C . l tact on my behalf, in all matters relative t work authorized by this building permit application for: 7 Penelope Lane Cotuit, MA 02635 (Address of Job). G1 Signature of Owner Date Print Name If Property Owner is.applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\Windows\lNetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc Ol/25M t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MapL19 Parcel Vq4 Application J04 �'� 1 Health Division —D� D to Issued 10 Conservation Division Application Fee Planning Dept. Permit Fee �V Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village ,C- v Owner ��Lf Address Telephone O Permit Request 2 !L- d r,-;, c t` Gc� `7` &&`,e ff�i�/'7� di,��r'7� -71 Cle-4 7<<' Square feet: 1 st floor: existingf�eGproposed 2nd floor: existing proposed Total new _,90 Zoning District Flood Plain Groundwater Overlay Project Valua n GGG — Construction Type _5'7`/,C �r Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family E30�_ Two Family ❑ Multi-Family (# units) Age of Existing Structure �� Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: 4 ull ❑ Crawl ❑Walkout ❑ Other , , - Basemdnt Finished Area (sq.ft.) Basement Unfinished Area (soft) Number of;Baths: Full: existing new Half: existing � nevv Number of Bedrooms: existing —new PV Total Room Count (not including baths): existing new First Floor Room Counts.. „74 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name - c �tc" �Sa -`° Telephone Number 3�``3 3G 9 - ` Address f C�l� .E�F G� e License # C UT�z Home Improvement Contractor# v!e-1 Email �r�{ to�Kiz y Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM T IS PROJECT ILL E TAKEN TO SIGNATURE DATE p (/ FOR OFFICIAL USE ONLY ' z J APPLICATION# DATE ISSUED i MAP4 PARCEL NO. _ i P" ADDRESS VILLAGE OWNER i i DATE OF INSPECTION: FOUNDATION FRAME INSULATION F FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH. FINAL FINAL BUILDING: DATE'C,LOSED;OUT I AS§OCIATIONTI AN NO. t t - ' � � ,r � fit' S x i• � ' The Commonweauk ofmagsachusett ettfs d • Departmertf of Indirsfriaf Acct - Off ce of Investigations 600 Washington Street Bosfo , MA 02111 www.mass.gcv/die Wc&kers' Compensation bsIIrance Affidavit: BTLilders/Contractors/Electrzcians/Plumbers A licant Information Please Print Le ' I :oa/lndivi �� A re Dame ($usiness/Org�i2a�ti dual): Aatiress: k City/state/Zip: Are you an employer? Check the appropriate box: Type of pros ect(required): 4_ Q I am a general contractor and I New construction 1.❑ I am a to with 6. ❑N � Ya tint *` have hired the s'ub-contractors employees(Bill aad/ar part ) 7, RamodcLing 2❑ I am a'sole prictor.or parb=r- an the atla shed sheet Pm I hesc sub-coat=actors have sbip and have no cmployccs S. []DcmDlition working for me m any capacity. cmployccs and have workM' 9. ❑Building addition [No work=I �mp..�nan= comp.inrrrran[t, 5. � We arc a cisiparation and its 10:[]=ELc�cal repairs or additions r�-] � o$iceis have exercised their 1L0 Plumbing repairs or addhions 3. I am a homcowncr doing all work nrysclf[No workers' camp. rightt.of exemption perMGL 12.[]Roof mpairs f . LS 1(4), and we have no mstirance requizrd] employees. [No workers' 13. Other b arran=required-] `Amy applient$iat dl a box 91 mutt ako ffn out ffie soctim bciowrhocring the r worirrs`m .Y zt on policy infacrnatimr. t HMM*woers who mbmit this s$idavit indi=L6ng tbey are doing s]l war�and thra bin:outside east vctors must rub=#a new a�davit indi rating surh tc=traetoisAA chccl;thit box nmat attached an additional sheet rbowing the name of the sob•-eautractnrs and dale whcthaT Err not ffios6 cuti$rs have cuglvyees If the sub�rmtraetrns have emplpyeez,they nmat provi&their wmi=T'camp.policy uumbcr. I aitt an employer that is providing workers'camp ertsatiun insurance for my ernpfvyem Below is the polity and job site information. lncnrw=Company Name:. Policy#or Sclf-ins.Lic.# Expiration Dais: Job Site Address: City/swr-(Tip: Attach a copy of the workers' compensation policy declaratirrn page(showing the policy number and expir;L ion date). Failure tD-S(—,,=0 coverage as rmpirod under Scciion 25A of MGL c. 152 can Load to the imposition of crimhial penal$cs of a firm tip to:$I,SOO.DO and/or one-year fit grisonment, as well as civil pmaltits in the form of a STOP„WORK ORDER and a fine of up to_$250.D0 a day agabast the violator. Be advised that a copy-of this st dcmcrit may be forwarded to the Office of . I�esti�..hons•eftic ETA for rnrrrrance covcra c verification. I I do Hereby certify u eparns• pen of perjury that the i-rforr ation pr"idad above is true and corre t Sinatra: Matt: L — Official use-only. Do not wrRe.in this area, to be cotrz Id-ed by city or town officiaL Cite or Town: ` permitlLieense# IssningAuthoritp.(circle one); r 1.B•oa.rd of Health 2.Building Degartrutat 3. City/Town Clerk 4.Electrical Inspector S.PI robing Inspector 6. Other Phone ff: contact Person:' ,. . Town of Barnstable Regulatory Services �opTttE TOYyy ` Richard V.Scali,Director Building Division B"WTABM ' Tom Perry,Building Commissioner nras.�. ��ArFD yg. a � 200 Main Street, Hyannis,MA 02601 I�G Z www.town.barnstable.ma.us Office: 508-862-4038 /�� VO �C1::1)--kNeGS le, i-7c"I_ Fax: 508-790-6230 / HOMEOWNER LICENSE EXEMPTION ` ` aD Pease Print DATE: � JOB LOCATION: numbe `` village "HOMEOWNER": � 7>' __ c tJ,4.r6� ._0 � 7 3 G 7 � r-- e name �^ home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the.Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned` meowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures an �ents and that he/she will comply with said procedures and requirements. Signatur of Homeowner Approval of Building Official' M1 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 personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of.this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for.use in your community. Q:\WPFILES\FORMS\building permit formS\EXPRESS.doc Revised 061313 THE Tp Town of Barnstable Regulatory Services 9anxx MASS. Richard V.Scali,Director �iOTE16.39. 10 Building Division Tom Perry,Building Commissioner ,-�200 Main Street,,Hyannis,MA 02601 f www.town.barnstable.ma.us Office: 508-862-4038 � Fax: 508-790-6230 Property Ownef,Must - Complete and Sign This'Section t If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:O WNERPERMISSIONPOOLS n Doc--:1 Y 228 4 451 08-14-2013 10-07 BA`RNSTABLE LAND COURT REGISTRY 'BA.R STABLE TOWN 1^LER Town of Barnstable Zoning Board of Appeals i Comprehensive Permit Decision.and'Notice r Comprehensive Permit No. 2012-068 Johnson . Chapter 40B Comprehensive Permit i, Summary:: Granted with Conditions Date: May 8, 2013 ' Applicants:. Peter E. and'Jane L.Johnson Property Address: 7 Penelope Lane Cotuit, MA Assessor's,Map/Parcel: Map 039, Parcel 044 Zoning: RF Zoning District 0 ' Recording Information: Deed Reference: Doc. No: 792,272 Ctf. No. 156,595 N co N Date.Application Filed. April 30; 20.13 d Date Hearing-Opened May 8, 2013. ii Date of Decision (Closed): May 8, 2013 Property Ownership: The applicants are Peter.E. and Jane L.Johnson,the.owner and occupants of 7 Penelope Lane Cotuit Hyannis as evidenced by a deed recorded in the Barnstable County Land Court.Registry on February 1 T, 2000 as Document- Number 792,272,Certificate Number 156595. A copy of which has been Q submitted:for'the record. } Relief Requested: Mr. and Mrs.Johnson have applied for a Comprehensive Permit pursuant to Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with §'9-15 of the Code of f the Town of Barnstable,, more commonly termed the "Accessory Affordable Apartment Program". The permit is sought to allow for an affordable apartment accessory to a single family home as.provided for in the Code of'the'Town of Barnstable and restricted to being affordable housing for qualified persons as required under Chapter 40B, The zoning relief necessary for,this Comprehensive Permit to be issued is.that of a variance to Section 240-14 (A) Priricipal permitted uses in a RF Zoning Di strict.to.permit an'accessory_apartment unit within the attached.garage-situated to the rear and right of the primary structure: the issuance of thi Comprehensive Permit would allow,for a separate,approximately 400 square feet,.studio sized, l accessory aff6F661e apartment. t } j F i ' Town of Barnstable,Zoning Board of Appeals. r Decision and Notice,Comprehensive Permit No.2012.068-Johnson Locus: The subject property is a 0.55-acre lot located at 7 Penelope Lane'COtuit,:MA. The lot was developed in 2000,with a Cape Cod style home. The living area of the dwelling is approximately 2,900 square feet. Site Conditions The lot is served by public water and private on site septic: The Town of Barnstable's,Health Director Thomas McKean reviewed the application, and on March 13, 2013 had no objections to.a total of four (4) bedrooms for the entire property. Procedural & Hearing Summary: I Y A site approval letter was issued for the property by Town Manager Thomas K, Lynch on April' 10:, 2013 in accordance with MGL Chapter 40B and 760,CMR 56.00. Notice ofthe site approval letter was sent to the Department of Housing and Community Development in accordance with the l requirements of CMR 760 56.00., An application for a Comprehensive,Permit was filed at the Town i Clerk's Office on April 30, 2011 l A:public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised,in the Barnstable Patriot on April 12, 2013 and April 19,2013,.and notices were sent.to.all abutters in accordance with..MGL Chapter 40B.. S The Public Hearing was opened on May 8, 2013 at 600 p.m. by the Hearing Officer Laura F. Shufelt. t The applicant Kera M.Johnson was present at the hearing. Cindy L. Dabkowski, Accessory Affordable Apartment Program Coordinator was also present. Laura F. S'hufelt read the proposed conditions to the applicant. Peter Johnson.consented to the conditions. Mr.Johnson gave testimony as recorded in r the hearing minutes filed with the Town Clerk, The.Hearing Officer opened the hearing to public comment: No one commented. The May 8, 2013 public comment eriod was closed b the bearin .officer at.6:30 .m. p P Y S P On.May 8, 2013 the hearing officer granted comprehensive.permit No. 2"012-068 with.conditions. A written copy.of this decision shall be,forwarded to the Zoning Board of Appeals,as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If,after fourteen ()4).days from that transmittal the Members of,the:Zoning Board.of Appeals takes no action to reverse.the decision, this ` decision shall become final and a copy shall be the filed in the office of the Town Clerk. Findings of Fact: At the hearing on May 8, 2013 the Hearing Officer made the following.findings of,fact: 1: .The applicants are Peter E. and.Jane L .Johnso.n who are the owner-occupants:of the property located at 7 Penelope Lane Cotuit, MA. 2 Peter E. and Jane L.Johnson were:granted title to.the property by deed recorded.in the i i Barnstable County Land Court Registry on February 11, 2000 as C156595. I 3. On April 10, 2013, a site approval letter was issued for the property:by Town Manager Thomas K. Lynch, in accordance with MGL Chapter 40B and-760 CMR 56.04 (4). Notice of the site approval letter was sent to the Department of Housing and Community Development, in accordance with the.requirements of.760 CMR 56.04 (2), and no issues were communicated from the Department on this particular application. ` 4. The proposed accessory-affordable unit is approximately 400 square feet in living area and is I Located within the attached garage. 2 .l , I { t; Town of Barnstable,Zoning Board of Appeals Decision and Notice,Comprehensive Permit No.2012.068-Johmon 5. The applicants have been informed that the AAAP unit shall meet all applicable health and f building codes to be occupied and that the Building Division and Fire Departmentwill:also be inspecting the unit for compliance with all applicable building and fire.codes'. 6. The house is.served by public water and private on site septic. The proposal has been reviewed by Thomas McKean, Health Director, and on March 11,201.3 he stated no objections to a total of four(4) bedrooms at the property. 7. On March 6, 2013 Peter E: and Jane L.Johnson signed.anAccesso y Affordable;Apartment Program affidavit that commits, upon the receipt of a Comprehensive Permit,to'the recording of a Regulatory Agreement and Declaration'of Restrictive Covenants, in a form satisfactory to the Town.Attorney, at the Barnstable County Land Court Registry. These documents restrict i the unit in perpetuity as an affordable rental unit. `8. The applicants are aware that'the affordable unit shall be rented to.a person or family whose income is 80% or less of the Area Median Income(AMI)of the Barnstable Metropolitan. Statistical Area(MSA)and agrees that rent (including utilities) shall not exceed 30% of the monthly household income of a household earning 80%of the median income,adjusted by E household size, In the event.that utilities are separately metered,;the utility allowance established by the Town of Barnstable shall be deducted from rent level so calculated 4 9. According to tie Massachusetts Department of Housing and.Community Development, as of i January 3,.2013 6.62% of the'town'syear round housing stock qualifies as affordable housing. units. The town has not reached the statutory rninimum of.affordable housing under MGL Chapter 40B Section 20-23 or its implementing re ulations': p p g g 10. The Town of Barnstable's Comprehensive Plan encourages the adaptive use of existing housing stock to-create affordable.units and the dispersal of these units throughout.Barnstable: i Summary: The Hearing Officer ruled that the applicant Peter E. and.Jane L.Johnson have standing to apply for a Comprehensive Permit under MGL Chapter-40B and the Town of'Barnstable's Accessory.Apartment Program. The proposal was deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive.Permit are strictly followed. Conditions: Hearing Officer Laura.Sh'ufelt ruled to grant Comprehensive Permit No. 201f2-068 with conditions in. i accordance with MGL Chapter 40B and Article II of Chapter Nine of the Code of the town of Barnstable, more.commonly,termed the "Accessory Affordable Apartment Program" to the applicant, Peter E. and Jane L-.Johnson who'is the owner and occupants of the property located at 7 Penelope Lane Cotuit, MA. As seen on map 039 as parcel 044. This Comprehensive Permit allows for a one bedroom.accessory apartment unit in accordance with the following conditions; 1. Occupancy of.the affordable unit shall not exceed one (1) persons i 2. The;total number of bedrooms on the property shall not exceed four(4). 3. The accessory unit shall'NOT at anytime be occupied by a family member of the owners. 4. All );easess:shall have a minimum.termof one year and have provisions that require the;tenant j to provide;.any and,all information necessaryto verify eligibility with the AAAP ` 5. On:March 17, 2013,the applicant was sent written copy of the inspection findings, submitted . for record,that the unit-must`meet all applicable health and building codes to be occupied and Y 3 3 Town of Barnstable,Zoning Board of Appeals r Decision and Notice,Comprehensive-Permit No.2012-068-Johnson , that the Building Division and Fire Department will also beAnspecting the unit for compliance t with all applicable building and fire codes. 6. All parking for the accessory apartment and the principal dwelling shall at all times be on-site; On street parking.for all structures and uses on this property is expressay prohibited. 7. Lodging or renting of rooms is prohibited for the duration of this Comprehensive Rerniit. 8. To meet affordability requirements,the rent charged (including utilities) shall not exceed 30% of 800/6 of the median income for a household for the Barnstable MSA (adjusted for family size). In the event that utilities are•separately metered, the utility al"lowance.established b,y the i town of Barnstable shall be deducted from rent level so calculated. i 9. AAAP Coordinator shall be the monitoring agent for the accessory apartment. Annual monitoring shall include verification of tenancy, affordability, and:compliance with Housing Quality Standards (HQS). The cost for HQS monitoring shall be covered by the homeowner. The fee for the initial monitoring of affordability and annual certification inspection of the t accessory unit shall be the same as the Health Department fee for the rental registration program. Currently that fee is $90,00 per unit. 4 10.The applicants shall apply for a`building,permit for the accessory unit, whether-the unit is-new or pre-existing. Before issuing an occupancy permit and certificate.of compliance;.the Building Commissioner;shall determine that the unit conforms to the approved plans as submitted`with the building permit application and meets state building and--fire codes. The Health Division shall determine that the dwelling is in compliance with applicable on-site wastewater discharge requirements. 11.The applicants may select his own tenant.from the prospective tenants supplied by the Administrator of the Ready to Rent List. The tenant.must meet the requirements of the Accessory Affordable Apartment Program. The tenant's income shall be reviewed and approved by the Growth Management Department. The applicants�shall work with the AAAP Coordinator to:provide necessary information and documentation of tenant income eligibility: 12.The-unit:shall.be rented=on an "open and fair basis to an income eligible individual. Whenever { a vacancy occurs, notice shall be given to the Growth Management-Department and the applicant shall request,potential tenants from the administrator of the Ready to Rent,List.. The applicant shall pay all fees associated with accessing the Ready to Rent List. In the event that the Ready to Rent List is not in effect as of the date that the Building Department issues its occupancy permit,the applicant may select the tenant after open and fair marketing,providing that documentation of the same is-given to the AAAP Coordinator and the AAAP Coordinator Approves the tenant selection process, r 13. Should the accessory affordable apartment become vacant the property owner shall l _ immediately notify the Accessory Affordable Apartment Program Coordinator. The property owner shall also notify the AAAP Coordinator of their request for potential tenants from;the: Ready to Rent List administrator. ` 14. Every twelve months the:applicant shall review the income eligibi'Iity of the AAAP unit tenant. No later than a year from the date of issuance of this Comprehensive Permit,.thel applicants s shall file'with the AAAP Coordinator,.as Monitoring Agent, an annual affidavit stating.the rent charged,and income of the unit.tenant. The property owners and/or tenant shall provide the AAAP Coordinator any additional information deemed necessary to verify the information t provided in the,affidavit and annual monitoring documents.. i l 4 f Town-.of Barnstable,Zoning Board of Appeals ' Dccieion and-Notice,CumprOwnsive Permit-No.20L-(16R Johnson t 15.Upon any report from the Monitoring Agent that the terms and conditions of this permit:are_not being upheld, the Zoning Board of Appeals or its.Hearing Officer may'hold a hearing to show cause as to why this permit should not be revoked. 16. This Comprehensive Permit shall NOT be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary f documents shall be recorded at the Barnstable County Land Court Registry 17. Should ownership of the subject property transfer the permit holder identified herein-shall 1 notify the AAAP Coordinator and provide,-within 60-days of the date of transfer,the name and i current contact information for the new owner of the subject property.- 18.This_ Comprehensive Permit shall be exercised, all conditions met, .and the units occupied' within twelve (12) months of its issuance or it.shall expire. Ordered: Comprehensive Permit number 2012-068 has been granted with conditions. 4 A written copy of this decision was forwarded to the Zoning Board of-Appeals as required by the Code: Chapter2.41, section 11 of the Town of Barnstable Administrative code. If after fourteen(14) days from that transmittal the members of the Zoning Board of Appeals takes no action to reverse the S decision, this>decision shall become final and::a copy shall be filed'iri the office of the Town Clerk t Appeals of"the final decision,..if any, shall be made to the Barnstable Superior Court pursuant to MGL i . Chapter 40A, Section 17, within twenty(20) days.after the.date of the.filing"of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision'as outlined in MGL Chapter 40B, Section 22. Laura F,.Shufeit, Hearing Officer Date Signed' s (:Ann Quirk, Clerkof the Town of Barnstable, Barnstable County, Massachusetts, hereby certifyt.hat twenty(20)days have elapsed since the Zoning Board of Appeals filed this:decision and that no appeal i. of the decision has been:filed�in the office of the Town Clerk. I Signed and sealed this O� day of —under the pains and penalties of pe jury. "Ann Quirk, Town Clerk " i l##> t 5 i . �°F the ray, v * snxxsrna�, . The Town of Barnstable i6 93 • �� ' ArFD MA'S A Growth Management Department www.town.barnstable.ma.us/growthmanagement } Jo Anne Miller Buntich Director In accordance with the attached request of Peter E. and Jane L. Johnson of 7 Penelope Lane Cotuit, MA dated May 12, 2014 regarding Comprehensive Permit No. 2012-068, and upon the decision of the Zoning Board of Appeals Hearing - Officer given at the public hearing on June 11, 2014, a six month extension of this appeal is granted. . t : The original decision on Appeal No. 2012-068 was certified by the Barnstable Town Clerk on July 23, 2014. Mr. Johnson was unable to complete the required building safety upgrades in the required timeframe. Therefore, the extension is necessary in order that Mr. Johnson may apply for a building permit and receive an occupancy certificate for the accessory unit. Said Comprehensive Permit No. 2012-068 Johnson is hereby extended until January 23, 2015. Signed, Craig G. Larson Hearing Officer , Zoning Board of Appeals `= , d� to Dated: ♦ l� 367 Main Street, Hyannis, MA 02601 (o) 508-862-4678 (f) 508-862-4782 BARNSTABLE LAKO COURT REGISTRY REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is in this 4jj�L day of c ,2013,by and between Peter E Johnson..and Jane.L Johnson of 7 Penelope Lane Cotuit,MA and its successors and assigns (hereinafter the "Owner"),and the TOWN OF BARNSTABLE (the"Municipality");a political subdivision of the,Commonwealth; WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General.Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/"Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,-and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT'SCOPE.AND DESIGN: A: The terms of this Agreement and Covenant regulate the property located at 7 Penelope.Lane Cotuit, MA as further described in deed recorded herewith as Barnstable Land Court Registry document:792272 Q &certificate of title 156595. 4 IN B: The Project located at:TPenelope Lane Cotuit;MA will consist of one:accessory apartment unitwhich N ' will be rented to an eligible low or moderate income individual or family(die"Designated Affordable Unit."or the"Unit"). C. The Owner agrees to construct the Project in accordance with the tens of comprehensive permit + Appeal.No. 2013-024.and any plans submitted therewith and all applicable state,.federal and muruc, al.laws:and regulations.Said permitis.recorded herewith as Barnstable Land Court Registry document Number 00 D. The Owner agrees to occupy the rinci al dwellin _unit located on the roe as their rinci al PY P P g P P nY P P FO residence in accordance with the terms of the comprehensive permit. IL THE OWNER'S COVENANTS AND RESPONSIBILITIES: A. THE OWNER HEREBY REPRESENTS,:COVENANTS AND WARRANTS AS FOLLOW- 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and. decent housing to persons eamin-g at or below 80%.of the area median income of Barnstable Metropolitan Statistical Area(MSA) and that.the Designated Affordable Unit shall be deemed to be impressed with a.public trust. r 2: The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of %of th e Area Median Income(AMI) of Barnstable MSA and that rent(including utilities).shall not exceed an amount that:is affordable:to a household whose income is 80%of.the median income.of.Barnstable MSA In the event that utilities are separately metered,a utility allowance established bythe;Barn stable:Housing Authority shall be:deducted-from the rent level 3. The Designated Affordable Unit will be retained as a permanent,year;round rentaIdwelling unit withat least a one-year lease. 4. The;Owner has-the full legal rightpower:and authorityto execute and deliver this Agreement. 5. The:execution and.performance of this Agreement by the Owner will not violate or,as applicable,has I not violated any provision of law,rule or regulation,or any order of any coup or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS { THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is::made this 4j!]2_day of ,2013,by and between Peter E Johnson and Jane.L,Johnson of 7 Penelope Lane Cotuit,Nf A and its successors and assigns(hereinafter the "Owner"),and.the TOWN OF BARNSTABLE'(the"Municipality"),a political subdivision of the Commonwealth, WHEREAS the Ownerhas'been;granted..a Comprehensive.Pern t:underMassachusettsGeneral;LawChapter 40B and local regulations bythe Zoning Board of Appeals to permit the creation of an accessoryapartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit");and NOW THEREFORE,in mutual consideration-of the agreements and covenants<contained herein,and other good and valuable consideration,the receipt and sufficiency of which.is hereby acknowledged,the parties agree 1 as follows: I. .PROJECT SCOPE AND.DESIGN-, A. The terms of this Agreement and Covenant regulate the property located at 7 Penelope Lane.Cotuit; Q MA as further described in deed:recorded herewith as Barnstable Land Court Registrys doc:trment 792272 4. &certificate of title 156595. . 0N0 B. The Project located at 7 Penelope Lane:Cotuit,MA will consist of one accessory apartment unit which N will be rented to an eligible low or moderate income individual or family(the"Designated Affordable Unit" or the"Unit"). G G: The Owner agrees to construct the Project in accordance with the terms of comprehensive permit Appeal No:2013=024 and any-plans submitted therewith and all°applicable state;federal,and municipal laws and regulations..:Said permit is recorded herewith as Barnstable Land Court Registry document Number 00 ` . D. The Owner tees to occupythe principal dwelling unit located on the roe as their rinci al +� P_ P g P P rty. p p O residence in.accordance with the terns of the comprehensive permit. II. THE OWNER'S COVENANTS AND RESPONSIBILITIES A. THE OWNER 1,MREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOW: 1 In-receiving the comprehensive perrnit to create:the Designated Affordable unit,;the Owner agreed that the Designated Affordable Unit:shall be set;asidein perpetuity forthe public purpose-of providing;safe and. decent housing to persons earning at-or below 80%of the area median income of Barnstable Metropolitan, Statistical,Area..MA and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2.. The Designated Affordable Unit-shall-be rented in perpetuity to a household with a rniaXnium income of 80%of the Area Median Income(AMI)of Barnstable MSA and that rent(including:utilities) shall not exceed an amount that is affordable to a household whose.income is 80% of the median income of Barnstable MSA. In the eventthat utilities are separately metered,a utility allowance established bythe Barnstable Housing.Authority shall.be deducted from the rent.level. 3. The Designated Affordable Unit will be retained as a permanent;year round,rental dwelling unit with at least a.one-year lease. 4. 'Me Owner has the full legal right,power and authority to execute and deliver this Agreement.. s _ 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated,-any provision.of'law,rule or regulation,or any order of any court or other agency or governmental body,and will not-violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, L' E mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of anyprohibited encum ranee of any nature: 6. The Owner,at the time of executionaarid delivery of this Agreement,.has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materiallyimpair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement)or would materially adversely affect its financial condition. B. COMPLIANCE The Owner hereby agrees that any and all requirements of the;laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants ruining with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. i C: LIMITATION ON PROFITS. 1. The Owner,agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a_ household with a maximum income of 80%or less of the Area Median Income(AMI)of Barnstable Metropolitan Statistical Area(VISA)and that rent(including utilities)shall not exceed an amount.that is affordable to a household whose income is 80%:of the median income of Barnstable MSA. In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing.Authority shall be deducted from the rent. 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as.designated by the Town Manager;proof that the Designated Affordable Unit is rented,the tenant's.income verification,a copy of the,lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30)days of the date that a tenant has vacated the Designated Affordable Unit: a MUNICIPALITY COVENANTS AND RESPONSIBILITIES I.. The MUNICIPALITY,through'the. .monitoring agent designated by the Town Manager agrees to perform the duties of verifying that:the Designated Affordable Unit is being rented in perpetuity to a household. with.a maximum income of 80%or less of the Area Median Income(AMI)of Barnstable MSA and that rent (including utilities)shall not exceed an amount that is affordable to a household whose income.is.80%of the median income of Barnstable.MSA.In the event that utilities are separately metered,a utility allowance established by the Barnstable Housing Authorityshall be deducted from the rent. IV. RECORDING OF AGREEMENT: Upon execution;:the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of.Deeds for Barnstable County or,if the Project consists in whole or in part of registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the"Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the.Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration a number of the.Agreement. f 2 i V. GOVERNING OF AGREEMENT This Agreement shall be governed by the laws of the Commonwealth.of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement.shall not affect the validity of the remaining portions.hereof. 1 VI. NOTICE: ' All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when s delivered by hand or when mailed by certified or registered mail,postage prepaid,_return receipt requested,to the 4 parties hereto at the addresses set forth below;or to such otherplace as a.party mayfrom time to tune designate by written notice. VII: HOLD HARMLESS: The Owner hereby agrees to indemnify and hold harmless the Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. VIII ENTIRE UNDERSTANDING: A This Agreement shall constitute the entire understanding between the parties and any amendments or l changes hereto must be in writing;executed by the parties,and appended to this document. B. This Agreement and all of the covenants, agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be., and by these t presents are,granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL CE 184,Section 26 which shall run with the land described in deed recorded herewith as Barnstable Land Court Registry document { 792272 & certificate of title 156595. and shall be binding.upon the Owner and all successors in title . This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of:such a restriction is in the public interest. The Municipality shall not be subject to the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in deed recorded herewith as Barnstable Land.Court Registry document 79227.2 & :Certificate of title 156595. IX., TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terms and restrictions imposed herein._ Such cancellation shall.only take effect after. 1) expiration of the lease terms entered into between the Owner and Tenant occupying said unit and'2)notification by the Owner of said dwelling to the Zoning Board of Appeals of'his/her;desire to cancel the Comprehensive permit upon a date certain and the recording-of said notice at the Barnstable Gounty Registry yOf Deeds or Barnstable County Registry of the Land, j Gourt as ihe.;case may be;thus rendering,sa d Comprehensive Permit void. Upon the.cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant shall revert to the use per nitted under zoning and the-restrictive covenant shall be rendered void. 's 3 ,i a T x SUCCESSORS AND ASSIGNS: t: A The Parties to this Agreement intend,declare,anal covenant on behalf lof themselves and anysuccessors and assigns their rights and duties as defined in this Regulatory Agreement anal the attached comprehensive permit. B. The Owner intends,declares-,and covenants on behalf of-itself and its successom and assigns (1)that this Agreement and the.covenants,agreements and restrictions contained herein shall be and are covenants running, with the land,encumbering the Project for the term of this Agreement,and are binding upon the:Owner's successors in title,(ii) are not merely personal covenants of the Owner,and(!) shall bind the Owner,its " successors and assigns and inure to the benefit of,the Municipality,and its successors and assigns for the.term of the.Agreement. XI.. DEFAULT: If any default,violation or.breach bythe Owner of this Agreement is not cured to the satisfaction:of the Monitoring Agent within thirty(30) days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipalitythat the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs:and expenses,including legal } fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such alien on the Project by recording a certificate setting forth . the amount.of the:costs and.expense;due and owing in the`:Registryof Deeds or the Registry of the. istrict Land Court for Barnstable County. A purchaser.of,the Projector:any portion thereof will be liable for the payment of any-unpaid costs and expenses that were the subjemof a perfected lien prior to the purchaser's acquisition-of the, j Project of portion thereof: i XII MORTGAGEE CONSENT: - The-Owner'represen is and.*arrants-that it has Obtained the consent of all existing.;rnortgagees'of:the Project to - kthe execution and recording of this Agreement and to the.terms and.conditions hereof and that all such mortgagees have executed consent.to this Agreement.: IN WITNESS WHEREOF,we hereunto set our hands and seals this day of _2013. OWNER BY j i Printed. cr- �1 a S�✓' . COMMONWEALTH OF MASSA=ETTS Countyof Barnstable,ss: On this 6N day of 2013 before me,the,undersigned,notary public,person Ally appeared �. the Owners},proved me through satisfactory evidence of identification,which were, .MA 8...1G 'A :S 1'33 1�AAb; ,.to,be the person(s) whose, narne:(s}is signed on;the preceding or attached document and acknowledged to be that he/she ss' d'it vohuitarilyfor"the stated.purposes. _ '` &N 4AA, �4 o u lic F Printed: _.L.:_\ My Commission Expires: CINDY L. DABKOWSKI 4 Notary Public COMMONWEALTH OF MASSACHUSETTS I My Commission Expires r Februory 29, 2016 i, f MI. MORTGAGEE CONSENT: The.Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all.such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our hands arid,seals this Odayof lkcA uC,4 —20:13 { WNER tue ted ams ; eS *'t COMMONWEALTH OF MASSACHUSETTS County of Barnstable',ss: On this AeN day ofA '2013 before me,the undersigned notary public,personallyappeared �(AYV L l3 ,the Owners , roved to me through satisfactory evidence t of identification,which were MA L.I(- S 10 to be the person(s)whose name(s)is signed on the preceding or attached document and acknowledged to be ihat he/she signed it voluntarily for the stated purposes. NotxVul he Printed: CIndq (,. baK1 MyCommission Expires: .a �► 4 CIN.DY L. DABKOWSKI NoIClry Public COMMONWEALTH OF MASSACHUSETTS My Commission Expires Februory 29. 2016 0 E 5 t { TOWN OF BARNSTABLE BY TOWN MA.NN COMMONWEALTH OF'MASSAC.HUSETTS County of Barnstable,ss: On this Z day of 2013 before me,the undersigned notarypublic,personally appeared r" aCkl e Town Mana er for the Town of Barnstable roved to me thro hsatisfacto g P u$ ry evidence of identification,which were Fin<��dtj�at j�s kftr�c �,,to be the person whose name is.signeii on the preceding or attached document and ac o le ged to be ffiat he/she signed-it voluntarily for the stated purposes. t No Public Printed: per. �-� My Commission Expires: A CON; j O� pfMASB ••l ' Lit t i 6 k N 37'1B'40 uE 171.B2 L D T 5B 24, 059 SF. x " o°' a N tp 0 Q .N EXISTING �0 FOUNDATION [�V 20.00 ,n C 32.00 a 22.00 125. 00 S 30'37'05"W CONS TA'NT LANE y M TO THE BEST OF MY KNOWLEDGE, THE `� .c" PL O.T PLAN OF .,LAND FOUNDA TION SHOWN ON THIS PLAN 'IS AS L OCA TED IN XT ACTUALLY EXISTS„AND CONFORMS TO ^ THE ZONING REGULATIONS IN TH J C� T UI T Mi`i SS ' BARNSTABLE,.REGARDING. YARD 1S PREPARED FOR DATE.'MAY 4, 2000 gof CAV!C ,*,04 PETER �/OHNSON ��; Rl Es 0 DATE.'MAY 4, 2000 SCALE.'1 °=30 FT. /�� CAPE & ISLANDS ENGINEERING FL 000 ZONE NON—HAZARD t�����a� D=ss sac �yAL LAND MA SHPEE - MASS. s: P:':� .. 'f'^'.i. ,, � � �/ �.� �c,.ems.! o! U" W^P 6 ""' • ._ __ �.3�e a �� �`C � •ti.a Mc Gam. �� �Gg�S �- S �l ¢- � �'< fir, -S _ ` ` �"(��f/•� �� r�<€LLI — -- —. .•.._-__..--._—_-____ _ -.—w._ �� S �O r CARBON MONOXIDE ALARMS MUST BE INSTALLED PER 'MASSACHUSETTS BUILDING CODE li f- SMOKE DETECTORS REVIE ED BARNSTABLE BUILDING DEPT.... DA E __. — -- _ . ._.._._..---- - •-- Ya•�' -.Y..D:•�_.�_•._._._-.-.t�.13.`_.—.._..__..__ ---�_ SIRED •PARTMENT DATE _ BOTH SIGNATUR S ARE REQUIRED FOR PERMITTING IMPORTANT - UPGRADE REQUIRED STATE BUILDIN CODE RE IRES THE UPGRADING OF SMOKE DETECT RS FOR TI ONE OR MORE S EEPING AR ENTIRE DWELLING WHEN _ EA�ARE ADDED OR CREATED. NOTE: �A SEPA TE PERMIT IS INSTALLATION 0 SMOKE D REQUIRED FOR THE _(5 ECTORS—THE ELECTRICAL 4A. , — - •sk - -- .__�._ — Rfld1I O T SATISFY IS REQUIREMENT. , Cre.,c c Gr..rQ' t•'c-,1�. tfc / e'' rtlQ.nr) 1 R h-/!C �l AI w` aY cY y a0vcc +utmast � .., _ — q 10, ._. _-:x.�.�_.. • 7 «� � �E-4632 zcS-S'` &A is OCAar- fylii_-n_....—� I: hAl2C�L 44 LOT S6 . z N o� F- .,o, � � J G. L} to Q m O ►� -� Q ccto �Q �6" Zt' 4 P f S ti •0 � i 925.00 S 30.37.05°W ; CONSTANT LANE 7.4 T2 EL. 74 .9 'rot' G C� V-U r v N 114" 6Z Ao£ r WE F _- { �FfNE to Town of Barnstable Regulatory Services * BAMSTABLE, • MASS. $ Thomas F. Geiler,Director 039. Ih 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 May 19, 2014 Peter and Jane Johnson 7 Penelope Lane Cotuit, MA 02635 Re: Amnesty Apartment Dear Mr. and Mrs.Johnson: The Comprehensive Permit for the Amnesty apartment at 7 Penelope Lane, Cotuit,was issued in August 14, 2013. Condition 13 of the Ruling and Conditions states: "This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it expires (August 14,2014)." A building permit is required whether the unit is new or pre-existing. As of May 19, 2014 we have not received a building permit application from you. Are you planning to go forward with the apartment. Please contact me at 508-862-4039 as soon as possible to bring us up-to-date on your Amnesty application. Sincerely, Brenda Coyle cc:Robin Anderson Zoning Enforcement Officer amnstatus oFt►+E�,,, Town of Barnstable BARNMBLE, : Regulatory Services �b ,�� Richard V. Scali, Interim Director RFD MA'S A Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 9, 2013 Peter and Jane Johnson 7 Penelope Lane Cotuit, MA 02635 Re: Amnesty Apartment Dear Mr. and Mrs. Johnson: We have received the recorded Comprehensive Permit for the accessory affordable apartment at your address. A building permit is required whether the unit is new or pre-existing. We look forward to receiving your building permit application for the apartment. Please call me if you have any questions regarding the building permit process. Sincerely, Brenda Coyle Division Assistant amnbp 7 Penelope Lane, Cotuit? 8/12/2013 RECEIVED PHONE CALL FROM SOMEONE CALLING FROM NEW YORK ABOUT HIS DAUGHTER RENTING A PROPERTY ON PENELOPE LANE, COTUIT. THE PERSON INQUIRING DID NOT KNOW THE EXACT ADDRESS AND WAS ASKING*ABOUT RENTING THE APARTMENT WITHOUT A KITCHEN STOVE AND WANTED TO KNOW IF THE PROPERTY OWNER COULD RENT W/OUT STOVE. TOLD CALLER I NEEDED THE EXACT ADDRESS BEFORE I COULD RELEASE ANY INFORMATION. Been informed co-worker(Jen Engleson) has been receiving the same phone call. 8/12/2013 sent Cindy an email for a recorded copy of the Comprehensive Permit. Brenda Coyle Coyle, Brenda From: Dabkowski, Cindy Sent: Wednesday, May 01, 2013 2:21 PM To: Coyle, Brenda Subject: RE: Amnesty Yes, Both property owners have submitted applications to the AAA Program. Cindy -----Original Message----- From: Coyle, Brenda Sent: Monday,April 29,2013 2:43 PM To: Dabkowski,Cindy Cc: Perry,Tom Subject: Amnesty Hi Cindy, I would like to know if these 2 people have contacted you to go into the Amnesty Program. Peter Johnson, 7 Penelope Lane, Cotuif and Adam Liss 92 J.B. Drive, Marstons Mills. Please let me know as soon as possible. Thank you, Brenda Coyle 1 Regulatory Services Thomas F. Geiler,Director Building Division BARDWAMY, ` Thomas Perry,.CBO,Building Commissioner TOWN OF BARNSTABI 9� z6;q.. � 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us 213 MAR -6 TIM . I.,_' 1 Office: 508-862-4038 Fax: 508-790=623.0 Town of Barnstable Family Apartonent Affidav ' 15 being on oath,depose and state as follows: rr . , GC �G' --' I am the owner/resident of the My name is 6 located at:. 1' �_�e� property CJ 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 Apartment. Lalson understand that I am required tozomply with all conditions imposed by the`ZBA.Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240747.1 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 a bee dismantled. 1 m The apartment has ttransferred to the Amnesty Program(Appeal No. 7A00ther. See K_ t Vi c b)M, G Ifz,;yYl 13 ..Sworn.to and airs and penalties of perjury this day of 1 ",2013. SignZure Phone Number . . Print.Name q forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services. oFTME Thomas F. Geiler, Director h. Building DivisidfiN OF �; N, T &E ` RA Thomas Thomas Perry, CBO,Building Commissioner ses9�6 �•� 200 Main Street, Hyanms IMA".02661 A H Fn� www.town.barnstable.ma.us Office: 508-862-4038 - S 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: 7 / e- e 1 el The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: v cc / v r. J 5�4e 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 Aff davit 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: F The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ° ) Other Sworn to un he pains and penalties of perjury this lad day of �6 20-12. Signature 4 Phone Number Print Names ^ f. S q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services oft"eTohti Thomas F. Geiler, Director Building Division , iAMSfABLE, ` Thomas Per CBO Building Commissioner ptl ' Mass. _ $ Perry, > g pr 039. �� 200 Main Street, Hyannis, MA 02601 Ep Mp'l www.town.barnstable.ma.us z 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 �• r property located at: 7 Ae?,qe low, The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: �ti�r-tc /!/�,S�t2 cs�` 7' � 4 / Name&relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that 1 am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 1 agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a-Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to r the ins a enalties of perjury this ,�` day of c/r{G-t 2011. J Y Y T3a5 Signature Phone Number Print Name- �"c SG r.� Town of Barnstable Regulatory Services TIME r0{y Thomas F.Geiler,Director ,1 Building Division � 1 try BARN STABLE, Tom Perry, Building Commissioggr 3 v� MASS.�. ��� 200 Main Street,Hyannis,MA 0266i1 t ArED MA1 A www.town.barnstable.ma.us M Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit- I, being on oath, dose and state as follows: My name is er « � �s�N I am the owner/resident of the property located at: 7C lc 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. 1 also understand that I am required to comply-with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 7 agree to notify the Building Commissioner immediately in the evert 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 rn t n 'n r' thi ' 4 da f 2010.0 o u derma a1 sand pe alties of pe jury s y o Signature Phone Number Print Namef'r- � Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services pFTNE Thomas F.Geiler,Director ti - `� Building Division aARNsrASLE Tom Perry, Building Commissioner 9 MASS. i6;9. 200 Main Street,Hyannis,MA 02601 ArEp ,t s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, de ose and state as follows: My name is � � °? G I am the owner/resident of the - property located at: �'eCIG The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &`relationshi to owner: Name &relationship to owner: The Family Apartment will be the primary year-round residence for the aboue-identid family members. In the event that the listed relatives vacate said apartment, 1 will imimediate notify the Building Commissioner in writing. I understand that no subletting or sublebsing ofr�; said Family Apartment is permitted. co I understand that I am required to file an Affidavit annually with the Buildi Co Commissioner listing the names and relationship of occupants in said Family Apara ni I al �z understand that 1 am required to comply with all conditions imposed by the ZBA Sp al Per>� . and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartme s. I agree to note the Building Commissioner immediately in the event of the sale of this prope rn. 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` gins and enalties of perjury this_ day of �' 2009. . .Signature Phone Number Print Name s �4sc Q/bldg/forms/famaffid Rev:12/08 Town of.Barnstable Regulatory Services oFINE t Thhomas F.Geiler,Director i 11 ti3 , V RLE Building Division BMWSTABLE. ' Tom Perry, Building Commissioner �a ' 9 16 9 200 Main Street,Hyannis,MA 02601 3 FEB 4'ATEn��a www.town.barnstable.ma.us DIV 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 �/���J"crh I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: Alat'rt c dt J�1("ej-l?'q ���fir` `e;:4—., Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. 1 also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. 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 er the ai d penalties of perjury this l'l day of � 2008. ��P��3 Signature Phone Number Print Name Q/bldg/forms/famaffid Rev:l/03 Doc= 17059s671 03-28-2007 9-.30 BARNSTABLE LAND COURT REGISTRY Town of Barnstable Regulatory Services anuvez�►sc.e Thomas F.Geiler,Director b Z A MASS. .0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403.8 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 7 PENELOPE LANE in COTUIT, JMA,holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book , Page , or as Document No. , being shown on Assessors' Map 039 as Parcel 044,hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for MAUREEN SYLVESTER, SISTER-IN-LAW OF OWNER, PETER E. JOHNSON, associated with the residential use on the same premises. This unit shall be used for a `1 "Family Apartment" (as defined in Zoning Ordinances)which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. [� This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use O of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by Alzi the Town of Barnstable Building Department. WITNESS our hands and seals this o? 7 day of 200 . TOWN OF BARNSTABLE OWNERS By: uil ing Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date Then personally appeared the above-named (owner), _ "kZA_�&rJ 8 'l tj_6-n and Jmade oath as to the truth of the foregoing instrument,before me. Notary hblic 4`- � y My Commission Expires: ry.+�O�Y 'J • SANDRA L.ARMSTRONG,Notary Pubric i. . o ' BARNSTABLE COUNTY REGISTRY OF DEEDS My Commission Expires January 8,2010 2�; ,� ;; �.�'�•• A TRUE COPY,ATTEST p 4Cii�l� b i ',✓''��' '��aYii►� 'b`ii`ii JOHN F.MEADE,REGISTER G,enwoodAve52 BARNSTABLE REGISTRY OF DEEDS tf lie Town of Barnstable Building Department - 200 Main Street 9 ALE. * Hyannis, MA 02601 �A i63� . (508) 862-4038 rFo t�°i Certificate of Occupancy Application Number: 200701427 CO Number: 20080025 Parcel ID:' 039044 CO Issue Date: 02/04/08 Location: 7 PENELOPE'LANE Zoning Classification: RESIDENCE F DISTRICT. Village: COTUIT Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APT ISSUED TO PETER JOHNSON FOR MAUREEN SYLVESTER, C� Z ! o Building Department Signature Date Signed 1HE TOWN OF BARNSTABLEBuilding Application Ref: 200701427* BARNSTABLE. * Issue Date: 03/28/07 Permi 9 MASS. i639.a�� Applicant: l " JOHNSON,PETER E&JANE L Permit Number: B 20070589 FD MA 1 a Proposed Use: i' SINGLE FAMILY HOME Expiration Date: 09/25/07 Location 7 PENELOPE LANE Zoning District RF Permit Type: FAMILY APT W/CONSTRUCTION Map Parcel 039044 Permit Fee$. 25.00 Contractor PROPERTY OWNER Village COTUIT 41 App Fee$ 50.00 License Num Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADD STAIRWAY(EXTERIOR)AND NEW 3 X 6 8"DOOR(EXTERIOR) THIS CARD MUST BE KEPT POSTED UNTIL FINAL TO CREATE LEGAL EGRESS TO FAMILY APARTMENT MAUREEN S L`IBSUMION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH OJvner-on Record: JOHNSON,�PETER E 8i JANE L BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Alress: /,104 CONSTANT LN INSPECTION HAS BEEN MADE. COTUIT, MA 02635 ,p Application Entered by: RM Building Permit Issued By: n "C �vllZ'�%�i����-�✓ THISPERNiIT�CONVEYS NO'RIGHT/TO OCCUPY ANY STREETALLY OR SIDEWALK OR-ANY PART THEREOF`EITHER TEMPORARILY OR PERMANENTLY. Et4CROACHEM>rNTSDN PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLY;GRADES AS WELL AS DEPTH AND,LOCATION OF,PUBLIC SEWERS MAYBE OBTAINED FROM.THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF,THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF UR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: I:FOUNDATION OR FOOTINGS. f 2.ALLTIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBIN6INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. f rPERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF / DATE THE PERMIT IS ISSUED AS NOTED ABOVE. ,I PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO/NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). C . ,. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I; B�f t - t 1 �d G <� / / ep (51, 3 1 Heating speetion Ap vals Engineering Dept i Fire D t e U ` 2 ` Board of Health l 5Q L l ) s a-,,9 Q g Fle Edit Taais =`te1p 54 �:T ..,p, ar•,- rro - cki a ''.t� z raga.` *" trFi'e` =o-" �, 4"ki.#+; rokrq�p are t + w' �'fut a'Ys.` 7+ "1 + ,-�.�•�.rAtlan `1- c .: ems. Issue Perniit Ap licdhan 20?701427 �' l 7 P�ENELOP.E NE �� �' ? �, Der Type R DD ES ADi�l LT gUILDf'NG P.ERP T "C _ 'Cantradar `, 13716, . (_. Status . 'ISSUED , ry Old �et�Tlit� < 'Tradesman .. — Perm$ _ 275 � `.� � " Reverse Stat 1SSUBd x . it3f28�2f} 7 fr/ RM , . y, s i. CandlRestf � ,, ' n�rk" � � t a r L" s4 :Quick PLO] s� Derni/vaid . ,# Z _ .���+R{ _„ �,rr �- rw=..k� r: a '""+q"rx" w ex"a r 1 .,gip ',' !"yg `-=_ a'"' =rzz �s. ,., .: wemde Eee ees , 8&onal •� Band�� � • r ., �.° . e'17— ; jUSt Res j a �' b ;tk x q a s c s.3 ! _ B seq , li Fse based on _� SgFtlEst Cost k ,., Quantity ��° e �Estrncast `'' va � f DD4FEE ,EST�PCI7ST> tgr�, UStallYt 'gam xs f n '. ` � 9 + TOM s. k Add lana x+i i art `* .a e,� i e=.e :.,r, �.- sr x x �a a � �.'. r�w d sue*- 5...� T � y- pISSUE 1T75F01Cek x a:=' ;. .'�+g.pw a Y •w� i Y `+; t 7 .s'�Y '.'• t '`' .s...+" g s x- 4 e x. i *.sr7E_sCfa't5T 4 y �. ..'« ku �'t.s t°zr"` �a""Fi 3 .''* .G�p.. v s -`%" j g "� 2 Y$$ xa '`s` ,-�=Paylr�t IIIStary t: �x g�Y �� �� �,�-� ���'�*ri"�, .�, ?� �, .�� �r r?,��� �, rt ���•� s Pald to date �,�. �.k � Pt-aces Ednds�_ o- i E ',"�i1� $� �� "`y-.` � ,.;� � � - �,� �„x. ^• S � r x ��..�, `� �'...ei�r,cgaz,}.. � xr �''' ate•. s� =tY =x� ,.t srt .�`��+-ate 2x aT r 4 e-y' '? §r + "": {. ss` & '� =F' ` r - =sr,�.a-mow , .=a .t . ' rry 'U•w«srvra w.-s wp �- 'F a^3 ai�i r' s ', rYs e . F «, `"'t � T' ::�# r"�` '�,: ...r 6! "+a,s, ` F� �,v_�...�... .°a i'Y, ,r,l .y iy rM, r. Y,'4�°+x �.ti: x 4 _ e Sr. k, -£ AK} ', r ''` .u. 'r c ' irk a sto . y ~' •�;„ - _.a .� , 7 q t ,. , '" 'gym.•°r .C±;f "r`,.^�, ff:m.,wl$ 8 ' '";'�u A 4, t+�t.-i rc4:u:r I • .,:�;, �- Y �€�, �.d� +h„�V.;.. .. .h'„ , .-u' ,.;.. , ::r :,a:'Rw+n:.:....-.:.:.rer,... as h. :� r ..,c;.,":1, � 7 :.rs,?+. r . -.::. ,..� . :, n....,f ..:-.. ': - _, , .... ....:.:.: �,.�-- .. ;:.,.. •, �"."�4:�"i','^Bim ;�, '"G 41,711514�0.F,, n ",�'�-,.. r ,< .::.'; >,:'. .,;.4 v,^ .;y,j ,.-,'. f! .';'. < :z .�!.!b*w � •-Jkn x « f^?'., :Y ..-'k eW,i'f 4, w +.-.<.. ,.. . ..:...;r *,...4,:.: r':P•.. ''� �r w+ ..:5, 'u 3+•^':1ti:#,�. ,;:.,a «� ;''-. _.:...;. ar^::: .�; •x•:..,- n < v '��5 �s�'a..•� y sa:`"'u:8:"�'.'wwwxw.:r. .y i`s f� xFAr- 5,,,, ,�...# ..^me,� .�, s. .,,,a„a..,.. ,. .- ~•r :.•T; i r :.: ...," n, t";�. r >x' ,w '"^*" ;h,9n."`i ✓" G .C. a :+.^� „',z as w + a v.,>, e � � ,5 ..,e ',;"�.i? y ,:. ,. , .,H v.,s �u�� :�r•� a ,�f��' �,w•1r.�.,���. � xw ,x��y a .z�. s� r� t 1 PERMIT PAYMENT RECEIPT OVF 1; TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 03/13/07 TIME: 16:05 -----------------TOTALS----------------- PERMIT $ PAID 75.00 ANT TENDERED: 75.00 ANT APPLIED: 75.00 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �7 Parcel Z/ Application# gD,00 `1 O f `4 Health Division Conservation Division 3b_ Permit# Tax Collector Date Issued O Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board C Historic-OKH Preservation/Hyannis Project Street Addresses P/G e C Village L- Ale, Owner I r- ti fO Address � e, Telephone Permit Request �� ������ ( �.L! lQa �' ��— - a ov al l r� 2/ r t s'J' l Girt a ar �°�c t V7 7'— #1 Square feet: 1 st floor:existing proposed!��h o 2nd floor:existin—ON& proposed Total new Zoning District Flood Plain Groundwater Overlay v` Project Valua n OU U 'Construction Type 7 t J Q/'D Grandfathered: ❑Yes ❑No If yes C0 ` OR Lot Size , attach supporting do u ntati . Dwelling Type: Single Family � Two Family ❑ Multi-Family(#units) Age of Existing Structure. 7 Historic House: ❑Yes Q On Old King's Highway: ❑Yes 9'IVo Basement Type: WFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing news_,. Number of Bedrooms: existing "3 new l // Total Room Count(not including baths):existing new First Floor Room Count Heat Type and F I: ®'Gas ❑Oil ❑Electric ❑Other s Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑46s O No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existng ❑new size Attached garage: existing ❑new size Shed:❑existing ❑new size Other: -�v = Zoning Board of Appeals Authorization ClAppeal# Recorded❑ Ln Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use - BUILDER INFORMATION Name T�/� "y S��` Telephone Number Q� 7 Q Address C License# C Home Improvement Contractor# lU a S Worker's Compensation# a/C o9 31F:?a 52)rO15— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �'O•�av�`1 4'`2dl � �/ SIGNATURE DATE iy%l G rc .i l aO 0 '> FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED " MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION AD 004) /co'r/-c) 7 •� -�- �1��1�� FRAME 3le/ZA& 0;� lb)[ 08 X'Ak C -5r' 2 / 4j-1 INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL tit PLUMBING: ROUGH FINAL, GAS: ROUGH FINAL FINAL BUILDINGl 0 0 3 C '"1L _•4- Safi l YLW��f DATE CLOSED OUT ' ASSOCIATION PLAN NO. y { 2 DOC: 17059s671 t�3-2$-2007 9:30 BARNSTABLE LAND COURT REGISTRY HE Town of Barnstable Regulatory Services > xaznstE, ; Thomas F.Geiler,Director MASS. Building Division tt579. ATEo a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT L I(We), the undersigned, being the owner(s) of property situated at 7 PENELOPE LANE in COTUIT, JMA,holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book , Page , or as Document No. , being shown on Assessors' Map 039 as Parcel 044, hereby agree,certify,warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for MAUREEN SYLVESTER, SISTER-IN-LAW OF OWNER, PETER E. JOHNSON, associated with the residential use on the same premises. This unit shall be used for a `1 "Family Apartment" (as defined in Zoning Ordinances)which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. [� This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. (, The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this o? 7 day of A'C 200 7. . TOWN OF BARNSTABLE OWNERS By: e uil ng Commissioner d, THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date Then personally appeared the above-named (owner), 1-- �8 Lp syy-, and U made oath as to the truth of the foregoing instrument,before me. Notary Public 4c) .ID 44 ;.r My Commission Expires: 4 y a ) SANDRA L.ARMSTRONG,Notary Public a r +; BARNSTABLE COUNTY REGISTRY OF DEEDS My Commission Expires January 8,2010 A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER rtttAtttllitt,3't GlenwoodAve52 BARNSTABLE REGISTRY OF DEEDS t• The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations d 600 Washington Street Boston, MA 02111 5�°°� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 4 Please Print Legibly Name(Business/Organization/individual):.-. Address: 7 `IA City/State/Zip: G Phone.#: q 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.V I am a'sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp,insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions myself. [No workers' comp. right df exemption per MGL 12.❑Roof repairs insurance required.]t e. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:/, Policy#.or Self-ins.Lie.#:(N e Expiration Date: /uU(/ l"7 GT Job Site Address: 7 �.°I-e��t °r C i " City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde—�%"z ains and pe al 'es of perjury that the information provided above is true and correct. Signature: Date. Phone#: ac 3 G -- . Of use only. Do not write in this area, to be completed by city or town of City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the rPaeiv�oLizuaee 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'"rith the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conti•actor(s)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 A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions., please do not hesitate to give us a call. The Department's address,telephone-and fax number: The COMMQUWCealth of Massachusetts la!epartmmt of lndustrial.A,.eoi&nts Office of Investigations 600 Washington Street Boston,IOTA 02111 Tel. #617-727-4900 ext 406 or 1-977-MASSAFE Revised 11-22-06 Fax##617-727-7749- www.mass.gov/dia Town of Barnstable °FTHE T°� . °^ Regulatory Services BAMSPABM Thomas F.Geiler,Director y MASS. �► �'OTp1 39.(6. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. �►' O 0 Type of Work: / � o /!-�t' Estimated Cost �G Address of Work: Owner's Name: ,��;G ���' �a=— �✓�"� Date of Application: ,`�I—e ;L I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 QBuAdiffg not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c..142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owne / A&ice �/ 3 UGC- 7 Date Contractor Name Registration No. /W4 Date Owner's Name Q:formslomeaf day i7 �� � � �b �� �° t 780 CMR Appends[I Table J5Z1b(continued) pracriptive packages for doe and Two-Family Residential Buddbrgs Heated with Fossil Fueh MAXIMUM MINIMUM Glazing Glazing ceiling Wall Floor Bawneut Slab Heating/Cooling Area'(V.) U-value' R-value' R-value' R-valuer Wall Perimeter Equipment Efficiency' Package R-value' R valuer 5701 to 6500 Heating Degree Days Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12%, 0.50 . 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A N/A Normal U 15% 1 0.46 38 19 19 10 6 Normal V 15% 1 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Nommai Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE I. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: �� y 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forins-f980303 a 780 CMR Appendix J Footnotes to Table AM { Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. s The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d::scribed in Note b. 7 The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes eleetric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 9 For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 �OFIHE r Town of Barnstable Regulatory Services BARxsTABM : Thomas F.Geiler,Director MASS, 039• ,• Building Division AIFD MA't� 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: // a�,e /;: JOB LOCATION: number ,1 tf street [ village � /"HOMEOWNER": ' - / l G v� y f p S 3 I P name homes phone# work phone# CURRENT MAILING ADDRESS: e '4 07 4ff 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 inspecti procedures and requirements and that he/she will comply with said procedures and requirements. Signatur of Hom er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner,shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ?4. 059 SF. 8y a� ^� ay.00 c s:. ro , 125.00 CONSTANT LANE TO THE SEST OF MY WOMI-EDGE: THE PLOT PL A N OF LAND FOUN1ATZaV SHOWN ON THIS PLAN IS AS LOCATED .IN IT ACTUALLY EXISTS AND CONFORMS TO CO TUI T _ MA SS. 71HE ZfWrNS RESULATIONS IN Tf! c 8ARN5TABL E, RESARl71'NGy YARD' a ce PREPARED FOR V DATE:•MAY 4. BOOO DAVID w, RE7'�'�j �I�?MNS DN C 4ARL-s . .. ... _ m'; DATE MAY 4. 2000 SCALE: 1"-30 F7. ?10. CAPE ISLANSS ENGINEERING FLOOD ZONE tVGTF�t-HAZARD fi D-59 580 " °5%r MA SHPEES e MASS. CARBON MONOXIDE ALARMS ` �. MUST BE INSTALLED PER / MASSACHUSETTS BUILDING CODE / t c G( re-4 . FSMOAKE d S T t DETE TORS REVIE ED ABLE BUILDING DEPT. DA ff FIRE-D .PARTMENT DATE ' J I 80TN S/GNATUR S ARE REQUIRED FOR PERMI TrING Ir IMPORTANT - Up GR/4DE REQUIRED Jrr4" _ _ BUILDIN CODE RE �IRES THE UPGRAD ING OF U ONE pE DETECT RS FOR TF I ENTIRE DWELLING MEN i R MORES EEPING AR�Ap ARE ADDED OR CREATED. TE � IS REQUIRED FOR THE c� INSTALLATION SMOKE p- l _.___._ _.. �.__..__. ._ _.�_�? �"_ - = PERMtI ATIS EI3 ORS-THE ELECTRICAL OF�u 7 S FY�jH REQUIREMENT. • <rA'f' « I Q r s �'_—r—�• , j .. Qhw VPRA V4jN'Y'll 7, As ,056 i b • 3 21 #'ITS le IV a.. - + V a.Yb U AMYL ^ 57 Ja .� ;L TI .,� ;+�-- —;— '_i�-••tea,'..._.�-�:. � i— .� ! v �• ! i _ f� I ref .�. awt rb AlALIR '� 7• 1'1.f _ 4✓ ..�ea6L__._ ......_..:.... .Y:(r°,f ..fi._lC. .'! . 4t" 3K ..,,.rd MK dC,A!LAvBr, ��,; try 1 — I 1/0o ^ /o l3�St� �j s f . L,. a: _ 1 I I r - : i 1 :I # RrS� _.._ / 7f �s _ ' 1 i • � I � I "'�- y l 37 61 C e svr c sl /`/ e I,('. —> /�O !' T' "'rrf a ` � _ . � � ,lam-! � ,� ,�.� t ii'); - °'• f.. i� i �, � ICY� ` ,. ��/.� I�'a` bf�t•/t �; .,`'ti t � 'r' i � 1t�� r y I r t u:! �^• !! 1 r. 0 �sG t Town of Barnstable FtHE Tp� do Regulatory Services Thomas F.Geiler,Director sARNSMBLE, MASS. g Building Division 1639.�i0tfp 3�a Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date: $ Rec'd by: (T Complaint Name: �Je/ 21�-/-� Map/Parcel Location . 1 Address: . _ CDn ,c-= Cpn slzi-4` Originator Name: /O � Street: Village: State: Zip: Telephone: Complaint Description: P C� �wt cA k S (� S 'f LA-C U) VA FOR OFFICE USE ONLY Inspector's Action/Comments Date: // /G 2— Inspector: pf Lf-- oe n, r Additional Info.Attached 41,4-e� / e�i�� azz, Q:forms:complaint ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION U 3 � 6`le/ pX Map �., Parcel O Permit# p pt '�t� j 1 '" ,'= �1is € S1' BL..E Heafth Division �r�,l► i Date Issued I3�� _ U & 20t�; �� ^ � Conservation Division � p �t,a,�� f�;�,j;; �E i�f� �: 7� 310 elD Tax Collector y f7 Dn C7 �. Treasurer `6 0 V'J' (�Z) 1co 2 Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address �,7 el Village Owner 9fG Address 41-1 4 Telephone — c Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valk uation� UGG�"�? Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size .� Grandfathered: Zes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family /Two Family ❑ Multi-Family(#units) Age of Existing Structure T_ _ilk Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: dFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing / new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel. ❑ El: Gas Oil Electric Other ` Central Air: ICIJ Yes Cl No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing~ O new size Pool:Cl existing ❑new size Barn:0 existing ❑new size Attached garage:&xisting ❑>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 UILDER I FORMATION S 2 3 7 `3 70 5 Name ' `� � �GC(� l41110 Telephone Number Address ,T sl e,� C License# G �� 7' Home Improvement Contractor# Worker's Compensation# WC,,S�.3 3 1F,65 C./`�wC ALL CONSTRUCTION DEBRIS RESULTING FR M THIS PR JECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS V ILLAG E f - OWNER DATE OF INSPECTION: FOUNDATION � Il�; FRAME t �I, " r 4r7, o`AA INSULATION tT FIREY&,,A,EV AO 2� ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ( 3 /ov ct { DATE CLOSED OUT s ASSOCIATION PLAN NO. i ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 •''� www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name (Business/organization/Indimdual): G_.��/' �'�a�• Address: G Ci %State/Zi 's Phone#: 7G ty p �� Are you an employer?Check the-appropriate box: . Type of.project(required) 1.❑ I am a with 4. ❑ I am a general contractor and I employer6. ❑New construction employees(full and/or part-time).* have hued the sub-contractors , ] Remodeling 2. I am a sole proprietor or partner- listed on the attached sheet$ I! ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. g• ❑ Building addition [No workers'comp. insurance 5. ❑ We area corporation and:its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11:❑ Plumbing repairs or additions 1 4 myself. c.[No workers' comp: - � ��- 152,§ O,and we have no 12.❑ Roof repairs insurance required.]t employees..,,[No workers' comp.insance required.] - . 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information `r. 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 must attached an additional sheet showing the name of the sub-contractors and their workers'comp—policy-information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jrob site information. Insurance Company Name: Z Policy#or Self-ins.Lic.#: C. r� 53 I F5 G_O l`� Expiration Date: ,/yd�/ G S'� Job Site Address: � t 4 � ��� ���� l C�`'� � City/State/Zip: �� P Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500;00 and/or one-year imprisonment,as well as,civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u he pain an/d Ides of perjury that the information provided abbov is tru and correct �% / Simature: Date ) e Phone# G�d f� 5�. 3 G Official use only. Do not write in this area,to be completed by city,or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers, compensation for their any employct,of ees Pursuant to this statute, an employee is defined as ...every person m the service 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 as of the foreth going engaged in a joint enterprise, and includmgotlegal le alrepresentatives Toying employees lHowever the receiver or trustee of an individual,partnership, association or g tY owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the to do maintenance,construction'or re air work on such dwelling house dwelling house of another who employs persons or on the grounds or building appurtenant thereto shall not because of such employment be ciEeir3 �ePI�Y " MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or ermit to o erate a business or to construct buildings-in the commonwealth for any, renewal of a license or p P applicant who has not produced acceptable evidence-of compliance with the insurance coverage required." ter 152, 25C 7 states"Neitherthe commonwealth nor any of its political subdivisionsshall Additionally,MGL chap § . O , 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 along with hat theirtapply to your of situation and,if necessary,supply sub-contractors)name(s), addresses)and phone numb O g 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 orLLP does have affidavit may be submitted to the Department of Industrial employees,a policy is required. Be advised that this 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"fo ti r tthe Permit or'license is being requested,not the Department ons regarding the law or if you are required obtain a workers Industrial Accidents. Should you have any ques ' compensation policy,please call the Department at the number listed below. Self-insured companies ishould 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. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600.Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia 1, Town of Barnstable °* Regulatory Services annMAN. Thomas F.Geiler,Director ` ' a`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable:ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. c .,cam 9 Type of Work: �v Estimated Cost �� Address of Work: Owner's Name: ' Date of Application: I hereby certify that: w Registration is not required for the following reason(s): Work excluded by law i ❑lob Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply f r a permit as the ages th owner: Da a Contractor Name Registration No. -e_ / `rr OdRY*Fe,., Date Owner's Name Q:forms:hameaffidav i RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot�aJ / x.0041= r a� p us from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq,foot= x.0041= plus from below(if applicable) . GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 _ >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041=. STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projeost Rev:063004 71d=Jt Appeadis J Table JS=b(eantlaoed) prc crlptive Packaga for One and Two-Family Residential Buildings Heated nitb Foal Fuels '. MAXIMUM MINIMUM Wall Floor Basement Stab Hesting/Cooling Glazing Glaring ceiling perimeter Equipment fiiticieacyl Area'(%) U.valuer R.vaiuLJ R-value' R value° 'wall R values it-value [--T- '5701 to 6500 Hestiog Degree Days° Norrrml 6 12°/. 0.40 38 13 19 10 6 Normal 12%. 0.52 30 19 19 JO .85AfUE 6 12% 0.50 38 13 19 10 N/A 'Norma] -- --_ .�.._. ._.__.._.__38 13 Z5 N/A —Normal-'139 0.46 38 19 19 10N/A SSAFUEi5e/. 0.44 -- 38 13 N/A 85 AFUE 15%. 0.52 30 19 19 10 N/A Normal. X 18% 03Z 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A 6 90 AFVB Z 18% 0.42 38 13 19 10 b 90 AFUE � 18•/. O.SO 30 19 19 10 ' �. 1. ADDRESS OF PROPERTY ` n ; 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. / O 3. SQUARE FOOTAGE ALL GLAZING: l - GLAZING AREA 4. /o o #3 DIVIDED BY#2): f 5 . 5. SELECT PACKAGE(Q--AA-see chart above): NOTE; OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-580303a 780 CMR Appendix J Footnotes to Table J$.2.1b: lass doors, skylights; and { Glazing area is the ratio of the area of the glazing assemblies (including sliding-g basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value quirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fe of glazing 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table.J1.5.3.a. U-values are for whole units: center-of-glass U-values cannot be used. ' 3 The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the hell insulation thickness over the exterior walls without compression; R 30 insulation may .be substituted for R-38 _. uzsulatton and R 38 iiesuyation may ba stiil;atituted for R-49 insulation: Ceiling Rvalues=represent the sum oi'.cavity--..--.. insulation plus insulating sheathing (if.used).For ventilated ceilings, insulating sheathing must_bo..placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing, and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to wood-f-ddie or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R=value requirement as above-grade walls. Windows and sliding glass :doors of conditioned. basements must be included with the other glazing. Basement doors must meet the door. U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' if the building utilizes eleetric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest .efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of-the closest city or town see.Table J511a NOTES: a)Glazing areas and•U-values are maximum acceptable levels. Insulation R values are minimum acceptable•levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- yalue of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 ' TQw of.Barnstable . .._ Regtil.atory Services i s�s�� ; _. -:.'-T�iamasF:.Geiler,-Director •. .. . ., Y'Biiilding Division o � -Tom Perry;'Building Commissioner ` - 200 Main Street, I$yanuis,MA 02601 .town Barnstable;mama Fax; 508-790-6230 Office: 508-862-403 8 y Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property /t .to net onmybehalf, o ' hereby authnze fi in all matters relative to work auth4orized by this building permit application for; ° � �. . . (Address of Job) S'gnat7 a of Owner Date Print N=e • N 37'S8'40"E 171.B2 LOT 58 24. 059 SF. -A 9j W.00 C ' Q to � q N Q ro EXISTING W FOUNDATION Z 210.00 Qc 0 3200 AI .lb ��p 125. 00 P S -30'37'05"W CONSTANT LANE "TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND FOUNDATION SHOWN ON THIS PLAN IS AS LOCATED IN IT ACTUALLY EXISTS-AND CONFORMS TO CO TUI T — MASS. THE ZONING REGULATIONS IN TH BARNSTABLE, REGARDING YARD UR9"14�`� PREPARED FOR n t DATE.'MAY 4, 2000 /g�� DAVID !o -`/iRl ES i:- PETEP JOHNSON ANICKI _ _ _ _ _ •:__ Gq L2 ,t� DATE.'MAY 4, 2000 SCALE.' 1 °=30 FT. CAPE 6 ISLANDS ENGINEERING FLOOD ZONE NON—HAZARD. �.r D-69 58C '�yAL LAND 5 MA SHPEE - MASS. 2.1 t�ce BOARD OF gVILI)1'MG l Nu►nb `CONSTRUCTION SU ERV S R5 et zg� 062830 1954 g x ' 11 j 2 �(I'07 ; I PETER Re el . !'1 Tr: no: 1244.0 .7 P E 30MNS COT NE LN\ ' MA \� . 02635 ��. Commissioner _.. i 1 ✓,die �am�r�w�uiu�s �.:_ Beard ofBmWinggslatw�and standards HOME IMPROVEMENT coN.1;ACTOR i Registr ( 102785 I 2006 z , _ dIV►dual PETER EDWAR " - Peter Johnson _ 7 PENELOPE LAN b COTUIT,MA 02635 s`'may '-" sue✓, Administrator N 37'1B'40,E- 171.B2 LOT 58 24, 059 SF. n W W.00 0° � N EXISTING c 4� 'R W FOUNDATION Z Z 20.00 o° a" $ 22.00 P � P�6oA�0 a 125.00 S 30'37'05"N CONSTANT LANE "TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND FOUNDATION SHOWN ON THIS PLAN IS AS L OCA TED IN IT ACTUALLY EXISTS AND .CONFORMS TO CO TUI T - MA SS. THE ZONING REGULATIONS IN TH BARNSTABLE, REGARDING YARD PREPARED FOR DATE. MAY 4, 2000 ° �`�ID ` PETER JOHNSON " _ _ _ _ _ _ _ __-t_ _ i L25� I DATE.'MAY 4, 2000 SCALE' 1 -30 FT. � NE NON—HAZARD CAPE 6 ISLANDS ENGINEERING FLOOD ZO NE . �.����.,a.":. MA SHPEE MASS. D-69 5BC _ LOT, S8 � o. ss mac. 6, �o W 3 e/Crow 1 N Q CCVx U C' r.-V-Ve P 125.00 S 30.37.05"W CONSTANT LANE T .. '�z7p G l3 till r s .1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,Map Parcel ' a ';f a, ^a ,; Permit# � Health Division ( U"'� 2eJ [ , / �n,�vo � Date Issued Conservation Division 65 Application Fee Tax Collector _ Permit Fee 13,3(o Treasurer rYJV`l L Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ` f Project Street Address T CGi� G e X Al Village c T c f r ,264 y� f� Owner t -C� Cl �� Telephone y a OF �' S Permit Request Z4 ` 0 <� Cr 5 v Z�"I Square feet: 1st floor: existing proposed;lSc, 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (, S OU `-- Construction Type J, 6- Lot Size s� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. t Dwelling Type: Single Family Ooll, Two Family ❑ Multi-Family(#units) Age of Existing Structure 4-1 Historic House: ❑Yes 6-No On Old King's Highway: ❑Yes Basement Type: mull ❑Crawl '❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: -1�'Gas ❑Oil ❑Electric ❑Other /I � Central Air: )des O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O 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 _ ❑,.Nov-If yes, site plan review#, Current Use Proposed Use BUILDER , ( IN ORMATION� ele hone Number berName Ae V C� 6F ,F 3 j l Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU E DATE. l !�r, `- FOR OFFICIAL USE ONLY PE NIT NO. DOQTE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE i OWNER DATE OF INSPECTION: FOUNDATION FRAME r, INSULATION ( }. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.